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September 8, 1951


Author Affiliations

Chicago Community Clinic, 2436 Warren Blvd., Chicago.

JAMA. 1951;147(2):182. doi:10.1001/jama.1951.03670190082024

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To the Editor:  —I wish to comment on the patient with diaphragmatic flutter described by Dr. Wallie L. Craddock in the August 4 issue of The Journal, page 1315. To add to his list of hospitalizations, he was in the Massillon, Ohio, State Hospital in the latter half of 1947 or early half of 1948, and known as John Allen. He had been committed following disturbed behavior while under observation for a "heart attack" in a Warren, Ohio, hospital. He claimed to be a retired merchant seaman, and he was quite interested in flowers and working in the greenhouse. The spring of this year he was in Chicago State Hospital.I would like to raise the question of whether his attacks are a matter of malingering as some physicians are inclined to assume. My conjecture is that they represent hysteria and that the flutter is a diaphragmatic equivalent of a

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