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April 23, 1898


Author Affiliations


JAMA. 1898;XXX(17):977-978. doi:10.1001/jama.1898.72440690037002m

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W. H. M., age 68 years, married and the father of two children; was always temperate and correct in his habits. He was without any hereditary taint and belonged to a long-lived healthy family. He had never been sick but once, about fifteen years ago, when he had a severe attack of acute pneumonia. Since then he has been affected with a cough which annoyed him but little till a year ago, when it became more noticeable. I prescribed for it two or three times during the last year but the cough did not improve.

May 28, 1895, at 11 P.M., I saw him professionally. There was extreme dyspnea; clothes about him in bed were wet with perspiration. His pulse was very weak and rapid, extremities cold, countenance anxious and heart feeble. He had been at a lodge meeting that evening and felt the attack coming on while there. It

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