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The old man laughed loud and joyously, shook up the details of his anatomy from head to foot, and ended by saying that such a laugh was money in a man's pocket, because it cut down the doctor's bills like everything.

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Rudy Giuliani

The first definition of gross negligence that comes up when you take out the legal dictionary is being extremely careless. The minute you say someone is extremely careless you are saying they're grossly negligent.