You do not currently have permission to view the full text for this document. Please sign in to an account with an active subscription or contact support.
Vienna, May 6, 1894
My dear friend,
Am herewith returning the “stomachaches”!1 There is little to be said about it except that it is most remarkable and very beautiful. In such cases our late friend E. Fleischl2 used to say, If you further take into consideration that the matter is even true, you will not be able to deny me your recognition. Perhaps I shall manage a few remarks, after all:
Whether the location is right or left, I believe, is not sufficiently mentioned or appreciated.
The theoretical part of it has again turned out to be very short, as did the differential diagnosis. In short, more breadth. How does it happen that not every affection of that particular locus results in stomachaches? I presume there is a connection here with the “neuralgic changes.”.
I enclose a case history, the form of which is to be excused by my state of health, which I hope will otherwise interest you.
I have not yet been able to finish the “Introduction to the Neuroses.” I feel better, at times even much better, but I have not been free of symptoms for as much as half a day, and my mood and ability to work are really at a low ebb. I still think it is not owing to nicotine; having by chance seen a good deal of the same thing in my practice last week, I believe it is rheumatic myocarditis, something one never really gets rid of. During the last years I have repeatedly had rheumatic muscle nodes in other parts of the body.
During the summer I should like to go back to anatomy for a while; that is, after all, the only gratifying thing.