["If the son of Aesculapius does not have the faintest idea what to do with the patient, he sends us to a spa..." Heinrich Heine and the medical therapies of his time].
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The appearance of Albert Hoffa's "Textbook book of orthopaedics" in 1891 saw the young special discipline enter a new phase of professionalisation in the German-speaking countries. Hoffa defined in this work the scope and methodology of orthopaedics in a sense that is still valid today. By including operative and conservative forms of treatment, he created the foundation for a continued scientific development of the subject. Only with the appearance of Hoffa's work did orthopaedics gain acceptance as a special area by many physicians. The far-reaching influence and significance of the textbook for orthopaedics is portrayed with the aid of historic sources.
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Ophthalmic diseases reported in the age of Goethe are difficult to identify today because the nomenclature used at that time is now antiquated. However, it is not difficult to establish from available documents that Goethe's left eye was seriously affected by an erysipelas (tenonitis? orbital phlegmon?), though it was not permanently damaged. With regard to differential diagnosis, an ophthalmic zoster may also be considered, but this is most unlikely considering the documentary evidence and the absence of lasting ocular damage.
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