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Former President George H.W. Bush will spend Christmas with his wife and other family members in a Houston hospital after developing a fever and weakness following a monthlong, bronchitis-like cough, his spokesman said Monday.

A hospital spokesman had said the 88-year-old ex-president would be released in time to spend the holiday at home, but that changed after Bush developed a fever.

“He’s had a few setbacks. Late last week, he had a few low-energy days followed by a low-grade fever,” Jim McGrath, Bush’s spokesman in Houston, told The Associated Press. “Doctors still say they are cautiously optimistic, but every time they get over one thing, another thing pops up.”

He said the cough that initially brought Bush to the hospital on Nov. 23 is now evident only about once a day, and the fever appears to be under control, although doctors are still working to get the right balance in Bush’s medications. No discharge date has been set.

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