<P> In early drafts, the character's name was "Little Fred ." It has been claimed that the character is based on the son of a friend of Dickens who owned a cotton mill in Ardwick, Manchester . However, Dickens had two younger brothers both with "Fred" in the name; one called Frederick and another named Alfred . Alfred died young . Also, Dickens had a sister named Fanny who had a disabled son named Henry Burnett Jr . Tiny Tim did not take his name from Fanny's child, but the actual aspects of Tiny Tim's character are taken from Henry Burnett Jr . (Fan--Ebenezer Scrooge's deceased sister and Fred's mother--may be named after Dickens' sister Fanny .) </P> <P> Dickens tried other names such as "Tiny Mick" after "Little Fred" but eventually decided upon "Tiny Tim ." After dropping the name "Little Fred," Dickens instead named Scrooge's nephew "Fred". </P> <P> Dickens did not explicitly say what Tiny Tim's illness was . However, renal tubular acidosis (type 1), which is a type of kidney failure causing the blood to become acidic, has been proposed as one possibility, another being rickets (caused by a lack of Vitamin D). Either illness was treatable during Dickens' lifetime, but fatal if not treated, thus following in line with the comment of the Ghost of Christmas Present that Tiny Tim would die "only if the present remain unchanged". </P> <P> The child actor Dennis Holmes played the role of Tiny Tim on Ronald Reagan's General Electric Theater in the 1957 episode "The Trail to Christmas". </P>

In the christmas carol what was wrong with tiny tim
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