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Doctor Pollard described the medical facilities in Bejar as having no medication to treat the sick or wounded. The sanitary conditions in Bejar and inside of the Alamo compound itself have been described as deplorable. Bowie continued to drink, which compromised his immune system. Nourishment was limited to bits of corn and the few heads of cattle that were driven into the fortress. The presence of pneumonia with no available medication, a lack of nutrition, and a chronically compromised immune system is fatal and was very likely the cause of James Bowie's death.
== Conclusion ==