Almost 150 years ago, Lyubov, Fyodor Dostoevsky’s 11-year-old daughter, recorded a terse but poignant note: “January 28, 1881—Papa died.” It was not the content but the location of the inscription that was most remarkable—she chose to write it on her father’s cigarette case. Dostoevsky died at age 59 years of a pulmonary hemorrhage. He had pulmonary tuberculosis, and he was also a chain smoker. Long before the medical world expressed any understanding of the devastating health synergy of tuberculosis and tobacco smoking, this grieving child may have left a prescient clue.