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Paris, Jan. 29, 1898.
To the Editor:
—While Germany is the acknowledged seat of expectancy in therapeutics, the Vienna school, in her attitude toward the effect of drugs in the treatment of disease, is inclined to go a little farther in her unbelief, and approach even the border line of nihilism itself. Nothnagel says: "When called to treat a patient, study the case well, and make the best diagnosis you can. When this is done, never ask yourself this question first: What shall I give this man or woman, but always ask, shall I give him anything?" In a late clinical lecture on a case of chronic atrophic Bright's disease, after describing in a graphic manner the history, symptoms and pathology of the case, he asked: "What shall we give this patient?" His answer was, "Absolutely nothing;" not even the milk diet that he had advised in an acute inflammatory
Caldwell WS. Foreign Correspondence—Vienna Therapeutics.. JAMA. 1898;XXX(8):443–444. doi:10.1001/jama.1898.02440600043010