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November 12, 1887


JAMA. 1887;IX(20):638. doi:10.1001/jama.1887.02400190030014

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Dear Sir:  —On September 27 Dr. J. E. Chandler, æt. 27, of Rowley, Iowa, while in his office and in the act of placing upon the table a pair of tooth forceps with which the moment previous he had extracted a patient's tooth, fell instantly dead without uttering a word or sound. Dr. Chandler was a recent and specially competent young graduate in medicine, and a former student in the office of Dr. G. G. Wilson, of this city.Some years ago the deceased suffered a severe rheumatic attack, although not arthritic in type. For two or three years he has developed heart symptoms, including a mitral systolic murmur. This condition was not of sufficient gravity to interfere with his business and was, in fact, unknown by most of his intimate friends. Some four weeks previous to his death he was examined by the writer for a suspected organic liver

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