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February 1, 1936


JAMA. 1936;106(5):401. doi:10.1001/jama.1936.02770050057023

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To the Editor:—  Walking downstairs is good for heart disease. Some one told me this morning about a physician who warned a man suffering from heart disease that if he walked downstairs and came up again he would drop dead. The man went back to bed with the idea of staying there! From time immemorial walking upstairs has been supposed to shorten the lives of people with heart disease. Strangely enough, few have appreciated that the reverse is true, and that going downstairs will prolong the lives of people with heart trouble.I had under my care the late Dr. L. Duncan Bulkley, who lived to a great age (83), so that he and his father covered the entire span of skin diseases as a specialty, his father having been the first skin specialist in America. Dr. Bulkley was a really great physician, a keen observer and an original thinker.

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