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January 4, 1908


JAMA. 1908;L(1):44. doi:10.1001/jama.1908.02530270046008

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During the year just ended heart disease is reported to have caused many more deaths than in 1906—in Chicago and Boston 13 per cent, more, in New York City 29, in Detroit 26, in Philadelphia, 5, etc. Two factors are held responsible: the wear and tear of life in the present day and the prevalence of grip.

Such is the stress and strain of modern life that patients who are men of affairs can not be made to take the prolonged rest which is imperative during convalescence from grip. Nay, even from the beginning of that serious disease, will they persist in leaving their homes as usual after breakfast, when they most decidedly should be in bed. There is this difficulty even with elderly men. One of these recently disobeyed his physician. "Such a fussy lot are those doctors; besides, an old horse that lies down never gets up," he

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