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Houston Texas
April 18 [19]13
Mrs V.J. Williams
Terry Miss.
Dear Mrs Williams
I received your letter some time ago but it got misplaced in my desk and I regret to say that it has been overlooked till this afternoon. Judge Williams was under my care at the time of his death. He had and [sic] old chronic liver troubled [sic] called cirrhosis of the liver. As is usually the case in cases of this sort we have associated and [sic] old chronic kidney and heart trouble. It is often impossible in a given case to say definitely which was the primary and which was the secondary lesion for these
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