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If, as I consider it to be correct, the thoracic malformation is the primary event and something congenital, may it not have arisen because some phthisical ancestor acquired such a thorax, and because this acquired new condition was inherited as a predisposition to phthisis? Is there such a correlation between the bones of the thorax and the germ-cells that the alteration produced by disease in the former is to a certain extent reflected The discussion, started some time ago by Freund, and recently resumed, as to the significance of a special shape of the upper aperture of the thorax, and particularly as to the length and situation of the first rib, in connection with the origin of tuberculosis in the apices of the lungs will, to my mind, have to end with a general admission that the condition is certainly not a consequence of existing tuberculosis, but a congenital primary predisposition to apical phthisis: advil pm vs kirkland sleep aid.

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