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Pneumonia was a dreaded disease, the most important given its severity among chest illnesses, which would sometime end in double pneumonia<ref>The term “double pneumonia" was widely in the Basque Country and meant that the ailment had spread to both lungs or it was in a very advanced and irreversible stage. </ref> (Carranza, Orozko-B). It was said to be a novena illness as the patient either was cured or died in the nine-day period (Hondarribia- G); “if the pneumonia does not start to improve on the 9th day, the person dies” (San Martín de Unx-N) or if the pneumonia was not detected in the first nine days, the patient could not be saved. After five or six days, the patients would be unruly and, often, had to be tied to the bed (Abadiano-B).