The snowstorm came as a surprise, but not an unexpected one. The same was true of the substernal burning. Both my parents have adult-onset diabetes; my father survived an infarct at 57; my younger brother died suddenly at 29 in 1965.I have controlled hypertension and an abnormal blood lipid pattern and am undeniably a type A personality. The last thing I achieved in a relaxed manner was winning the spelling bee in the sixth grade. Because of the snow, I left my car on campus and had just climbed a long hill on the way home when the burning began. I stopped and feigned an interest in the cars struggling up the hill. I remembered a chest pain years previously as I had walked to the flight gate to meet my favorite aunt arriving for my brother's funeral. More severe by far, the ancient pain had also disappeared on pausing,
Jacobs J. Almost Off the Actuarial Curve. JAMA. 1982;248(8):935–936. doi:10.1001/jama.1982.03330080021020
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