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They had three children, Baoth, Patrick, and Honoria.
In 1929, Patrick was diagnosed with tuberculosis.
They took him to Switzerland, and then returned to the U. S. in 1934, with Gerald in Manhattan, where he ran Mark Cross, serving as president of the company from 1934 to 1956 ; he never painted again.
Sara settled in Saranac Lake, New York to nurse Patrick, and Baoth and Honoria were put in boarding schools.
In 1935, Baoth died unexpectedly of meningitis, a complication of the measles, and Patrick succumbed to TB in 1937.
Archibald MacLeish based the main characters in his play J. B. on Gerald and Sara Murphy.

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