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That was the famous bear hug because Gehrig had Amyotrophic lateral sclerosis, which made him "unfit" to play Baseball. He and Ruth had a falling out for the previous seven year because of an unintentional insult from Gehrig's mother. Gehrig was dying and the hug was a public sign of the end of the feud before Lou Gehrig passed away as not to end on bad terms.
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