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Kevin Glynn - Gasping for Air: How Breathing Is Killing Us and What We Can Do about It

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Kevin Glynn Gasping for Air: How Breathing Is Killing Us and What We Can Do about It
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Breathing is a continuous battle between our need for oxygen and forces in nature that attack our lungs. Three hundred thousand Americans will die of respiratory diseases this year. Gasping for Air is the dramatic story of how infections, toxins, carcinogens, and air pollution strike against one of our basic body functions. The book also describes how we come into the struggle with diseases like asthma, cystic fibrosis, and sleep apnea, which make us vulnerable to assaults on breathing from without and within.
We have powerful weapons to defend breathing. Medical science, public health, engineering, and business, all play important roles in the effort to support breathing. Yet, Gasping for Air also reminds readers how breathing support has been at the eye of the storm in many ethical dilemmas of modern healthcare. Here, Kevin Glynn, an experienced pulmonologist and lifelong asthma sufferer tells stories about the third most common cause of premature deaths in the developed world, describes lethal forces in Nature (infections, genetic predispositions) and from human activities (dusty occupations, tobacco smoking, chemical toxins, drug overdoses) that threaten to suffocate us, and offers sage advice for how to prevent and address those threats and the damage they cause.

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Gasping for Air

Gasping for Air

How Breathing Is Killing Us and What We Can Do about It

Kevin Glynn, MD

ROWMAN & LITTLEFIELD

Lanham Boulder New York London

Published by Rowman & Littlefield

A wholly owned subsidiary of The Rowman & Littlefield Publishing Group, Inc.

4501 Forbes Boulevard, Suite 200, Lanham, Maryland 20706

www.rowman.com

Unit A, Whitacre Mews, 26-34 Stannary Street, London SE11 4AB, United Kingdom

Copyright 2017 by Rowman and Littlefield

All rights reserved . No part of this book may be reproduced in any form or by any electronic or mechanical means, including information storage and retrieval systems, without written permission from the publisher, except by a reviewer who may quote passages in a review.

British Library Cataloguing in Publication Information Available

Library of Congress Cataloging-in-Publication Data

Names: Glynn, Kevin, 1936 author.

Title: Gasping for air : how breathing is killing us and what we can do about it / Kevin Glynn, M.D.

Description: Lanham : Rowman & Littlefield, [2017] | Includes bibliographical references and index.

Identifiers: LCCN 2016057285 (print) | LCCN 2017013096 (ebook) | ISBN 9781442246249 (electronic) | ISBN 9781442246232 (cloth : alk. paper)

Subjects: LCSH: Respiratory organsDiseases. | Respiratory organsDiseasesTreatment.

Classification: LCC RC736 (ebook) | LCC RC736 .G59 2017 (print) | DDC 616.2dc23

LC record available at https://lccn.loc.gov/2016057285

Picture 1 The paper used in this publication meets the minimum requirements of American National Standard for Information SciencesPermanence of Paper for Printed Library Materials, ANSI/NISO Z39.48-1992.

Printed in the United States of America

To Patty:

You take my breath away

The Lord God formed the man from the dust of the ground and breathed into his nostrils the breath of life, and the man became a living being.

Genesis 2:4

Contents

Timeline

How Breathing Kills

Year

What We Can Do about It

1543

Andreas Vesalius publishes On the Fabric of the Human Body

1628

William Harvey demonstrates circulation of blood

John Bunyan labels consumption (tuberculosis) captain of the men of death

1680

1700

Bernardino Ramazzini publishes treatise on occupational diseases

1774

Joseph Priestley discovers oxygen

1796

Edward Jenner performs first cowpox vaccination (against smallpox)

1797

Giovanni Venturi demonstrates jet effect of forcing liquid through a small orifice

1819

Ren Laennec describes the pathology of emphysema

Charles Dickens pens Pickwick Papers , in which he describes respiratory failure in obesity

1836

1856

Rudolph Virchow connects venous blood clots and pulmonary emboli

Henry Salter describes clinical features of asthma

1860

1874

Germany passes compulsory vaccination law

James Bonsack invents cigarette rolling machine

1880

Workable infant incubator invented

Louis Pasteur and George Sternberg discover pneumococcus

1882

Robert Koch discovers tuberculosis bacillus

1885

Edward Trudeau opens tuberculosis sanatorium at Saranac Lake, NY

First description of coccidioidal fungus infection

1892

First polio outbreak in the United States

1894

William Osler notes pneumonia has replaced tuberculosis as captain of the men of death

1901

Pierre and Marie Curie isolate radium

1902

Iroquois Theater fire in Chicago kills 600 people

1903

1904

Founding of National Association for Prevention and Treatment of Tuberculosis

1907

Christmas Seals launched

1908

US Congress passes first federal workers compensation law

First case of sickle-cell disease in the United States described

1910

Great Influenza kills 35 million

1918

1921

BCG vaccine against tuberculosis first administered

1926

Alvan Barach invents first workable oxygen tent

1929

Philip Drinker invents iron lung

J. M. Campbell describes farmers lung

1932

1933

Evarts Graham performs first successful pneumonectomy for lung cancer

Hawks Nest silicosis disaster kills 400 workers

1936

Dorothy Andersen describes clinical picture of cystic fibrosis

1938

Jonas Salk and Thomas Francis develop first influenza vaccine

1939

Karl Link and Harold Campbell isolate anticoagulant dicumarol

1942

First civilian use of penicillin

Los Angeles gas attack begins war on smog

1943

1944

Selman Waksman and Albert Schatz discover streptomycin active against tuberculosis

Donora, PA, air pollution catastrophe

1948

Bennett valve used to assist ventilation in polio patients

Ernst Wynder and Evarts Graham report tobacco a possible factor in lung cancer

1949

Public Health Service Act establishes NIH as research arm of federal government

1950

Edward Kendall and Philip Hench win Nobel Prize for discovering adrenal steroids

Killer fog hits London

Global polio epidemic

1952

Isoniazid revolutionizes treatment of tuberculosis

Henrik Ibsen in Denmark uses positive-pressure ventilation to treat polio victims

Golfer Ben Hogan sustains massive pulmonary emboli after auto accident

Hyaline membrane disease described as cause of respiratory distress of newborns

1953

Virginia Apgar describes scoring system to predict survival of newborns

1955

Salk vaccine against polio released

1959

Mary Ellen Avery and Jere Mead connect respiratory distress of newborns with lack of surfactant

Amphotericin B antifungal introduced

1965

Linde liquid oxygen reservoir introduced

Henri Gastaut notices a connection between breathing and airway obstruction

1966

Kimishige Ishizaka and Gunnar Johansson describe immunoglobulin E role in allergies

1967

Fluconazole, first oral antifungal agent, released

1968

PuritanBennett introduces MA-1 ventilator

1969

Thomas Petty shows oxygen keeps COPD patients out of hospital

1973

American Lung Association adopts current name

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