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December 3, 1887


JAMA. 1887;IX(23):734-735. doi:10.1001/jama.1887.02400220030012

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Dear Sir:  —The courteous and able reply of Dr. Babcock to my note, as to the manner or cause of death in cases like that of Dr. Chandler, deserves cordial acknowledgement and a word of explanation. Dr. Babcock very properly refers to the lack of clinical and post-mortem data, the absence of which gave perhaps chief occasion for my interrogatory. The query was not as to the pathology of the special case of Dr. C., but rather a general proposition, how a lesion of the heart so slight in its previous effects could cause instant death. The writer's personal relation to Dr. C.'s illness was limited to the examination mentioned, which did not include the heart. As to the presence of a mitral systolic murmur, the certainty of which Dr. Babcock is inclined to question, I need only to say that my authority was a medical gentleman of this

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