quality:correction, structural:scholar_edition
Ups and downs

From the beginning of 1907, Sibelius again indulged in excessive wining and dining in Helsinki, spending exorbitant amounts on champagne and lobster. His lifestyle had a disastrous effect on the health of Aino who was driven to retire to a sanatorium, suffering from exhaustion. While she was away, Sibelius resolved to give up drinking, concentrating instead on composing his Third Symphony. He completed the work for a performance in Helsinki on 25 September. Although its more classical approach surprised the audience, Flodin commented that it was "internally new and revolutionary".

Shortly afterwards Sibelius met Gustav Mahler who was in Helsinki. The two agreed that with each new symphony, they lost those who had been attracted to their earlier works. This was demonstrated above all in St Petersburg where the Third Symphony was performed in November 1907 to dismissive reviews. Its reception in Moscow was rather more positive.

In 1907, Sibelius underwent a serious operation for suspected throat cancer. Early in 1908, he had to spend a spell in hospital. His smoking and drinking had now become life-threatening. Although he cancelled concerts in Rome, Warsaw and Berlin, he maintained an engagement in London but there too his Third Symphony failed to attract the critics. In May 1908, Sibelius's health deteriorated further. He travelled with his wife to Berlin to have a tumour removed from his throat. After the operation, he vowed to give up smoking and drinking once and for all. The impact of this brush with death has been said to have inspired works that he composed in the following years, including Luonnotar and the Fourth Symphony.