LEGISLATION FOR VITAL STATISTICS IN THE UNITED STATES.
Authors: CRESSY L. WILBUR
Journal: JAMA (1907)

very slight nodule left.May 4, all signs of trouble have en- tirely disappeared.Case 5.--J.P., 22 years old, was seen March 24.He had had epididymitis for three days, gonorrhea two weeks, primary at- tack.Epididymis large and painful.Treatment.-Firstinjection (175).March 26, better, no spontaneous pain, swelling reduced one third ; second injection (181).March 28, pain very slight, no injection.March 30, still improving, no injection.April 28, slight nodule still left.Case 6.-W.W., was seen March 31.He had had internal medication for thirty-one days; primary attack.Patient drove a truck and did heavy lifting.He had had epidid-mitis for 24 hours, swelling slight, but pain intense.Treatment.-Firstinjection (187).April 2, no pain when quiet, but great pain when he moved about or rode in the cars (patient came a long distance for treatment, from East New York); second injection (187).April 6, no injection, as both arms were swollen ; swelling in epididymis was enormous.April 9, less pain in testicle on handling, swelling reduced one- half.April 16, beginning pain in right epididymis-third in- jection (187) ; left side still improving.April 19, right side all right, no trace of trouble on that side, but left side had again increased in size; pain returned to some degree on moving.April 26, left epididymitis greatly improved, but cord had become involved and very painful at inguinal ring; fourth in- jection (goat serum).May 3, pain at inguinal ring greatly diminished fifth injection (goat).Swellii g in epididymis re- duced one-half again.Patient took a hot bath every other day.May 17, he had had no pain for two weeks, the swelling was soft, but large, no hard nodules; patient returned to work.May 23, he felt all right.This case was the worst of the series; nevertheless, patient made a distinct gain after each in- jection.The necessary long car ride was a great handicap.Cases 7 and 8.-The next two patients received only one in- jection each.One was sent, by his own request, to the hospital, as he could not remain at home without working.The other did not return.Case 9.-B.R., 27 years old, was seen April 27.He had had gonorrhea three weeks; epididymitis 24 hours, swell- ing large and painful.Treatment.-Firstinjection (200).April 28, patient said he felt better; no pain, size the same; second injection (200).April 30, no pain, swelling reduced to one-third of former size; third injection (200).May 2, no pain, nodule only left; fourth injection (200).Patient went to work.May 7, slight return of pain and swelling; fifth injection (200).May 9, no pain; patient continued at work.May 12, slight induration left in tail of epididymis, but no swelling of tissues surrounding it and no pain.May 19, no trace in epididymis.Case 10.-J.F., 19 years old, was seen May 10.He had had gonorrhea three weeks, primary attack, and epididymitis 24 hours.Epididymis was very painful, pain running up to in- guinal ring.Process in early stage.Treatment.-Firstinjection (goat).May 11, on coming to the dispensary patient felt no pain, but was obliged to wait an hour before my arrival ; he became restless and pain set in again; second injection (goat).May 12, no pain, swelling in epididymis of moderate size; no injection.May 15, not seen for three days, pain again returned slightly.Epididymis was more swollen, but not very tender to pressure; third injection (goat).May 16, one week since beginning of attack; no pain, swelling reduced, no injection.May 17, no pain, patient felt perfectly well.Nodulation was very slight; patient not seen since.Case 11.-S.W., 21 years old, seen on May 10, had had gon-