One such was the 111 year old tragedy of Thomas Hyland, 20 months, who died on Aug. 4, 1888, reportedly from “teething.” “Teething! What in the world?” said the doctor, but then, thinking out loud, he wondered if the baby could have suffered from a horrendous case of gingivitis “associated with some other infection.” Several times the record lists “mitral insufficiency” as the cause of death, which Lundberg saw as clear evidence that a doctor had entered the picture. He said any 19th century physician with a stethoscope, which was invented in 1816, could easily diagnose the characteristic sounds associated with a mitral valve problem in the heart.

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