Cutler ended up with a bleeding stomach <e1>ulcer</e1> caused by the <e2>stress</e2> and hard work supervising their tours twenty-four hours a day.
Cutler ended up with
Cutler ended up with a bleeding stomach ulcer caused by the stress and hard work supervising their tours twenty-four hours a day.
<triplet> ulcer <subject> stress <object> Cause-Effect(e2,e1)