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December 2, 1905


Author Affiliations

Visiting Physician Lincoln Hospital. NEW YORK.

JAMA. 1905;XLV(23):1737. doi:10.1001/jama.1905.52510230037003b

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During the past four years it has been my good fortune to witness the beneficial effect of certain climatic conditions on certain forms of circulatory disease. It has, indeed, been a surprise to myself, accustomed to city conditions, to see how much is accomplished by treatment of certain cases of secondary low arterial tension, even when accompanied by such accidents as hemiplegia, in the climate of the lower Maine coast.

My observations were made at York. The first case was one of secondary low arterial tension following high tension in a man who had had a prolonged and anxious business strain. While under this strain this man suddenly developed hemiplegia and aphasia. When I saw him he was suffering from these conditions. The heart was dilated; there were loud murmurs at the base and apex. He could not make any exertion without shortness of breath, and was extremely depressed. In

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