Production for Harlow's final film Saratoga, co-starring Clark Gable, was scheduled to begin filming in March 1937. However, production was delayed when she developed septicemia after a wisdom tooth extraction and had to be hospitalized. After she recovered, shooting began on April 22. On May 20, 1937, while shooting Saratoga, Harlow began to complain of illness. Her symptoms—fatigue, nausea, water weight and abdominal pain—did not seem very serious to her doctor, who believed she was suffering from cholecystitis and influenza. Harlow requested that the assistant director telephone William Powell, who left his own set to escort Harlow back home.

Dr. Leland Chapman, a colleague of Fishbaugh's called in to give a second opinion, recognized that she was not suffering from an inflamed gallbladder, but was in the end stages of kidney failure. On June 6, Harlow said that she could not see Powell properly and could not tell how many fingers he was holding up. That evening, Harlow was taken to Good Samaritan Hospital in Los Angeles, where she slipped into a coma. The next day at 11:37 am, Harlow died in the hospital at the age of 26. In the doctor’s press releases, the cause of death was given as cerebral edema, a complication of kidney failure.

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