Abstract
In May 1898, William Osler read a paper before the 24th annual meeting of the American Neurological Society. The paper was published in the Journal of Nervous and Mental Diseases in February 1899.1 The title of the paper was "An Acute Myxcedematous Condition, with Tachycardia, Glycosuria, Melæna, Mania, and Death." The article was based on the case report of a male patient he had seen in February and March of 1897. One of the more striking aspects of the clinical picture was a gain in weight of 37 pounds (17 kg) in the three months from October to the end . . .