my mother as child had chorea- (st vitus dance)-- pre antibiotic age-- and end up with a heart murmur.. she was poor, so she recieved all of her health services from a teaching hospital. Her murmur was unusual-- and as she matured, she came to hate doctors, since every year, a new crop of them would be called in to listen to her murmur.. it was a very rare sort of murmur.. and from her discription, it seems most 99.9% of the doctors were more interested in her murmur than the external anatomy of her chest-- but she was non to thrilled to have doctor after doctor be excited about examining her.