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Volume 358:1092-1095 March 13, 2008 Number 11
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Worlds Apart — Tuberculosis in India and the United States
Vikram Paralkar, M.D.

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I know the color of that blood; it is arterial blood. I cannot be deceived in that color. That drop of blood is my death warrant. I must die.

The British Romantic poet John Keats, trained as a physician and licensed by the Society of Apothecaries, gave himself this accurate prognosis in 1820 after an episode of hemoptysis. He realized that he had contracted tuberculosis, and tragically, he died soon afterward at the age of 25.

Less eloquent and portentous were the words of a patient I saw at Temple University Hospital's emergency department in 2007. "I coughed into my . . . [Full Text of this Article]


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Dr. Paralkar is a resident in internal medicine at Temple University Hospital, Philadelphia.




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