Therapeutic nihilism?

1996 Jan 3

01/03/1996

PubMed:

Isr J Med Sci . 1996 Mar-Apr;32(3-4):259-64.

By J Herman

Abstract

The view that the era of modern medicine began with the introduction of the sulfonamides is supported by a standard textbook of pharmacology that refers to the years 1908-35 as being characterized by “therapeutic nihilism”. However, a survey of several sources listing some of the treatments then available yields 15 infectious, 7 deficiency and 3 endocrine disorders amenable to cure. In addition, palliation that even today would be considered rational could be given for congestive heart failure, angina pectoris, asthma, epilepsy, migraine, and Parkinson’s disease, to mention only a few. A total of 38 surgical, pharmacological, nutritional and physical remedies were identified, many of them still in use. These findings represent a minimum estimate as the review was not exhaustive, being aimed chiefly at recapturing the therapeutic atmosphere prevailing 75 years ago. Nothing in the textbooks of medicine, pharmacology and treatment suggests that physicians of the 1920’s lacked either the means or the enthusiasm for treating their patients.

More publications on the subject

Feasibility study of a systematic approach for discontinuation of multiple medications in older adults: addressing polypharmacy

Background: Polypharmacy and inappropriate medication use is a problem in elderly patients, who are more likely to experience adverse effects from multiple treatments and less

The oncologist’s role in delivering palliative care

Abstract Given that such a substantial proportion of oncology patients have advanced and/or incurable cancer oncologists invariably face enormous challenges in maintaining or improving

The cultural context of patient’s autonomy and doctor’s duty: passive euthanasia and advance directives in Germany and Israel

01/11/2010

Abstract The moral discourse surrounding end-of-life (EoL) decisions is highly complex, and a comparison of Germany and Israel can highlight the impact of cultural

Selected issues in palliative care among East Jerusalem Arab residents

01/01/2010

Abstract Understanding of cultural context is important when working with Palestinian patients, particularly in Israeli hospitals. Cultural competence includes individual assessment of communication needs

End-of-life needs as perceived by terminally ill older adult patients, family and staff

01/09/2010

Abstract Purpose of the study: A comparison of inpatient end-of-life needs as perceived by terminally ill older adult patients, family, physicians and nurses, is lacking.

The cultural context of end-of-life ethics: a comparison of Germany and Israel

01/07/2010

No abstract available