Tag Archives: . chronic obstructive pulmonary disease

Lung Health Screening – FREE – Spirometry Test – Silverdale Costco – YES!

Hi Guys … I’m back with joyous news…

Lung Health Screening – FREE

Silverdale, Mickelberry Road

Pharmacy Phone:   360-308-2118

Saturday, 2 November 2013

Start time:  10:00am

End time:  3:00pm



“Oh, no!  I can’t breathe!  I should have gone for an early detection Spirometry test at Costco in Silverdale!”







Here it is – tomorrow at Silverdale’s Costco – FREE!


Thank you, Costco – for the early warning testing to avoid COPD (Chronic Obstructive Pulmonary Disease) – now I’m playing basketball without worry of smothering lungs!

Please – get checked.  You do not want COPD – ever.  I promise you…get checked tomorrow.


Thanks for listening….  familien1@comcast.net

Stay tuned for more Northwoods – I’m a little late … familien1@comcast.net

Sharon O’Hara  

University of Washington Medical Center Patient Education ETC.

A decade or so ago, my pulmonologist, Christopher Goss MD, was introduced to me as Super Fellow by Dr. Raghu when I first visited the University of Washington Medical Center to find why I’d suddenly gotten even more short of breath several years after my Emphysema diagnosis elsewhere.

An open lung biopsy showed the fibrosis and granulomas that something called Sarcoidosis had beat feet to my lungs.

Over the years, Dr. Goss earned a “Super” Doc title too.  Dr. Goss looks at the whole patient when they complain of other medical stuff and helps educate the patient – he knows the parts of a person hook up to other parts.  In my case, COPD began the long march to other medical stuff.

A week or so ago I turned up at the U for my lung, (Chronic Obstructive Pulmonary Disease) appointment in a wheelchair wimping and moaning in pain, maybe a few tears and he took a look at my hard distended belly and ordered x-rays and a blood lab workup.

Dr. Goss was waiting in the blood lab after the blood work, telling me where my room was and about the ultra sound test coming up.

Not knowing I would be staying over, I was prepared for the stay by many people including the first to set the tone for the rest of my two-day stay at the U.

First on a long list of friendly staff was Eric Higashi, BSN, RN, BC, Nurse Manager of 6 Northwest, General Internal Medicine /Family Medicine Unit.  He went out of his way to orient and assist in making this patient comfortable and at ease.  He succeeded – they all did.

Dr. Goss helped pull this patient’s life back together to make some sort of sense when the.  He and the University of Washington Medical Center medical professionals made it all happen.

The night of the same day I showed up for a pulmonary appointment with Dr. Goss, blood was drawn and x-rays taken showing black nothing inside my belly.  Soon I met and watched Dr. Lauge Sokol-Heissner give me an ultra sound  showing the same degree of dark nothingness – apparently telling the same story of a belly full of fluid.

Dr. Sokol-Heissner established from the ultra sound where to insert the needle and explained the procedure to me.  I was so enthralled being educated, I forgot to grab my camera and take photos of the procedure and, with permission, the doc.

It was amazing to watch the tumor filled fluid splash out and fill each of the bottles the doc had lined up to fill.

At all times I was kept informed of the test results.  To date no cancer cells have shown up in the tests, including testing the 1.5 gallons of blackish fluid they drained out of my belly tumor.

I’m told that even without all the fluid, the “Ovarian mass” is too big and needs to come out.

After a few more exams and testing, I am scheduled for surgery, however expect to be home within a few days in time to write about it and begin again conditioning for the long recumbent trike ride I have planned for six years.

Its time I began to pedal down that road.

Brian S. Porter, MD, helping educate a patient.

Janell’s idea to write my questions down on the board so I wouldn’t forget to ask – it worked!

Dr. Porter showing the remains of the tumor after removal of 1.5 gallons blackish fluid.  A contrast kt scan was used.

Dr. Porter explained the photos to my daughter.  Educate the patients and family – YES!

Dr. Porter showing the size of the tumor.  Janell Peck, RN, BSN.  Friendly, helpful – a patient’s friend.  Thank you!

COPD and a forty-year smoking habit brought me here.  If you smoke, please stop.

Thanks for reading… Sharon  O’Hara

University of Washington Medical Center Educating Patients/vs.Nature and Causes of Disrespectful Behavior by Physicians


I’ve recently returned from a couple days at the University of Washington Medical Center Hospital going through tests I’d only read about and where they ultimately stuck a very long needle in my belly and pumped one and a half gallons of blackish fluid from a tumor that took over the space.

Did you know that an x-ray of a belly full of fluid shows up as a blackish nothing?  I didn’t.

Next time I have a few things to say about that including showing photos of incredible shots taken of the inside of my belly drained of the excess fluid and showing the tumor still taking up an inordinate amount of space.

The attending doctor, Brian Story Porter, MD, took the time to show me the photos on a computer in my room and then showed them a second time when my daughter was there.  More proof that UWMC doctor’s not only teach medical students, they educate their patients too and have all along!

My lung doctor, Christopher Goss, MD – looks at the whole patient – not just their lungs.  His patients are more than a lung, including his disease passion, Cystic Fibrosis.

That said,  I was shocked yesterday to run across the following Perspective: A Culture of Respect, Part 1 and 2: The Nature and Causes of Disrespectful Behavior by Physicians and thought you’d be interested too.

I am running most of it here.  I’m also asking what we, as patients, can do to help change it?


“22 May 2012

Perspective: A Culture of Respect, Part 1: The Nature and Causes of Disrespectful Behavior by Physicians

Leape, Lucian L. MD; Shore, Miles F. MD; Dienstag, Jules L. MD; Mayer, Robert J. MD; Edgman-Levitan, Susan PA; Meyer, Gregg S. MD, MSc; Healy, Gerald B. MD

A substantial barrier to progress in patient safety is a dysfunctional culture rooted in widespread disrespect. The authors identify a broad range of disrespectful conduct, suggesting six categories for classifying disrespectful behavior in the health care setting: disruptive behavior; humiliating, demeaning treatment of nurses, residents, and students; passive-aggressive behavior; passive disrespect; dismissive treatment of patients; and systemic disrespect.


At one end of the spectrum, a single disruptive physician can poison the atmosphere of an entire unit. More common are everyday humiliations of nurses and physicians in training, as well as passive resistance to collaboration and change. Even more common are lesser degrees of disrespectful conduct toward patients that are taken for granted and not recognized by health workers as disrespectful.


Disrespect is a threat to patient safety because it inhibits collegiality and cooperation essential to teamwork, cuts off communication, undermines morale, and inhibits compliance with and implementation of new practices. Nurses and students are particularly at risk, but disrespectful treatment is also devastating for patients. Disrespect underlies the tensions and dissatisfactions that diminish joy and fulfillment in work for all health care workers and contributes to turnover of highly qualified staff. Disrespectful behavior is rooted, in part, in characteristics of the individual, such as insecurity or aggressiveness, but it is also learned, tolerated, and reinforced in the hierarchical hospital culture. A major contributor to disrespectful behavior is the stressful health care environment, particularly the presence of “production pressure,” such as the requirement to see a high volume of patients.


(C) 2012 Association of American Medical Colleges


Perspective: A Culture of Respect, Part 2: Creating a Culture of Respect


Leape, Lucian L. MD; Shore, Miles F. MD; Dienstag, Jules L. MD; Mayer, Robert J. MD; Edgman-Levitan, Susan PA; Meyer, Gregg S. MD, MSc; Healy, Gerald B. MD


Creating a culture of respect is the essential first step in a health care organization’s journey to becoming a safe, high-reliability organization that provides a supportive and nurturing environment and a workplace that enables staff to engage wholeheartedly in their work. A culture of respect requires that the institution develop effective methods for responding to episodes of disrespectful behavior while also initiating the cultural changes needed to prevent such episodes from occurring. Both responding to and preventing disrespect are major challenges for the organization’s leader, who must create the preconditions for change, lead in establishing and enforcing policies, enable frontline worker engagement, and facilitate the creation of a safe learning environment.


When disrespectful behavior occurs, it must be addressed consistently and transparently. Central to an effective response is a code of conduct that establishes unequivocally the expectation that everyone is entitled to be treated with courtesy, honesty, respect, and dignity. The code must be enforced fairly through a clear and explicit process and applied consistently regardless of rank or station.


Creating a culture of respect requires action on many fronts: modeling respectful conduct, educating students, physicians, and nonphysicians on appropriate behavior, conducting performance evaluations to identify those in need of help, providing counseling and training when needed, and supporting frontline changes that increase the sense of fairness, transparency, collaboration, and individual responsibility.


(C) 2012 Association of American Medical Colleges”



It all started with Chronic Obstructive Pulmonary Disease and a forty-year smoking habit.

Thanks for reading…. Sharon O’Hara

Now go save a life – yours – Spirometry early detection testing

Spirometry is the easy, fast, inexpensive method to check for early detection COPD (Chronic Obstructive Pulmonary Disease) and enable the patient to STOP the developing COPD in its tracks. 

So, tell me – why don’t primary care doctors give the test when it could save lives from the third leading cause of death in the US?  In addition, stop the long, slow smother…

When will the Public Health get involved?

The doctors I asked were candid and claimed most patients will not change their environment even if their environment was the cause of the COPD to avoid the further continuation of the beginning of COPD.

Maybe the doctors I spoke to are right.  Maybe the patients have not seen what happens to the COPDers who go on to develop other medical conditions.

Perhaps some patients would not make the changes needed but others would if given the opportunity to decide.  However, without offering the test , the doctors chose for them.

I found the following straightforward Spirometry information when I was goggling for something else.


Spirometry is an affordable and reliable method for pulmonary function testing. This test carries no risk, requires only four minutes of patient time, on average, and is the only test available to the primary care physician for the early detection of chronic obstructive pulmonary disease (COPD including emphysema and chronic bronchitis), asthma, and other chronic lung diseases.

The National Asthma Education and Prevention Program (NAEPP) recommends spirometry as an essential component of asthma diagnosis and treatment in the primary care setting, yet fewer than 20% of primary care providers report routine use, a proportion that is even smaller among pediatricians than family physicians and internists.

    National guidelines for asthma and COPD recommend routine spirometry and research has shown that nearly one-third of pediatric patients are misclassified in terms of asthma severity without the objective measurements of spirometry. Learn more here (KING 5 NEWS Seattle).

The COPD Foundation call spirometry the gold standard for initial pulmonary function testing allowing detection of the disease at an early stage, when it is most amenable to treatment and perhaps reversal. Nonetheless, about 40% of primary care doctors do not have a spirometer in their practice and of those that do, one-third do not use them routinely.

    Starting in 2009, the Healthcare Effectiveness Data and Information Set (HEDIS) requires spirometry testing in the assessment and diagnosis of COPD. These HEDIS measures are required as part of the National Committee for Quality Assurance (NCQA) Accreditation Process for Commercial Health Plans.

The truth about spirometry

Myth: Spirometry has dubious value.

Reality: The National Lung Health Education Program (NLHEP) states that spirometry is one of the best clinical tests available for detection of lung disease and is better than blood pressure as a predictor of heart disease.

Myth: The test takes too long.

Reality: Spirometry can be completed in the primary care office in four minutes, on average.

Myth: The equipment is bulky and expensive.

Reality: While previously true, machines today are smaller for portability and available for under $2000. Hand-held office spirometers are developed with user-friendliness in mind, making them acceptable for use in a variety of primary care settings.

© 2009 University of Washington

interactive Medical Training Resources

University of Washington

Box 354920

Seattle, WA 98195-4920

T: 206-685-9699

F: 206-616-4623



Thanks for reading…Now go ask your doctor about a Spirometry test.

Sharon O’Hara

These legs were made for walking and triking


New Spelling for COPD – HOPE

Chronic Obstructive Pulmonary Disease is slowly advancing in leading cause of death in the US and most recently pushed to the third place spot when Strokes dropped back to fourth leading cause of death in the US.

We have WALKS for research dollars – Cancer – Heart – Arthritis – all worthy causes – but no WALKS or RUNS for COPD.

Well – a new study results seem to prove that some patients with COPD can stabilize and some get better – this is HUGE, GUYS!  The first time I have read anything giving hope to a COPDer in terms of some of us helped beyond learning what we can do to help ourselves…and points out what I love about a teaching hospital such as the University of Washington Medical Center.  The professors teach their medical students to have open minds to the possibilities and now a researcher from …

“… University of Nebraska Medical Center scientist worked on the study, analyzing the results described in an article this month in the prestigious New England Journal of Medicine.

“This study, I think, will really result in a change in attitude toward COPD,” said Dr. Stephen Rennard, a professor of medicine at UNMC.

Physicians and patients for many years have believed that COPD inevitably worsened. A landmark study in Great Britain in the 1970s appeared to confirm this notion.

The disease does worsen for many. But a study of 2,163 patients in 50 clinics and universities, including UNMC and Creighton, showed that some didn’t worsen over three years. Some, in fact, got better.

Rennard said this gives reason for hope among lung specialists and patients, and it possibly will lead to more aggressive treatment.

The Rev. Adam Ryan, a Catholic priest at Conception Abbey in northwest Missouri, called the study’s findings “very good news for me.”


Ryan, 56, said he is a lucky COPD patient whose disease hasn’t worsened. Diagnosed with emphysema in 1991, he eventually stopped smoking, improved his diet and started exercising. He takes three medicines daily for his COPD…. Rennard said finding the reasons for stabilization or improvement, and what treatments seem to work, weren’t part of the study. That research remains to be done.

He said the study also found that those with moderate COPD seem to deteriorate more rapidly than those with severe disease. In the past, he said, doctors tended to direct treatments toward those with severe illness and less to those who were moderately ill with COPD. This, too, may have been a mistake, Rennard said.”



World COPD Day is Wednesday, 16 November 2011 and this year I am going to WALK/RIDE FOR COPD!

I’ve invited the governor to join in. – I hope she does.  She would be welcome to carry my COPD cycling safety flag.  My husband, Chuck, made it and noted Rosemaler and teacher, Lois Clauson of Bremerton painted it.

These legs were made for walking and triking.

World COPD Day, Wednesday, 16 November 2011

Thanks for reading… Sharon O’Hara

Is Cycling Healthier for a Lung Patient with Right Heart Failure Than Walking?

I am a patient with questions and one of them is:

Is cycling better or healthier for a lung patient with Right Heart Failure than walking.

Based on medical terminology I clearly don’t understand – it APPEARS to say so to this patient…based on the paper I blogged on and the paper I found using the Google search for:  oxyhemoglobin desaturation.

“Oxyhemoglobin desaturation can be quite severe and can even lead to damage to vital organs, particularly the heart, to the point of being life-threatening.3”

Identifying Sleep Disordered Breathing in Neuromuscular Disorder Patients

by Joshua Benditt, MD, and Louis Boitano, MS, RRT


Chronic Obstructive Pulmonary Disease is one thing, add bone on bone left hip and a person has to really fight to move it and I’m doing in the pool what I can’t do ‘on land’ easily – leg up and loosen and build muscle around that hip so I can ride again.  One day the muscling should support it and make it comfortable enough to ride my recumbent trikes again.

I KNOW it will work because when I had physical therapy last year, the personable and talented Anna Marx at Kitsap Physical Therapy in Silverdale put me on a machine I could not only tolerate – a recumbent elliptical – over time I actually loosened up enough where I could and did – close my eyes and built speed and a rhythm on that machine – exactly like riding a recumbent trike, a horse…without the pain of the bone on bone left hip!

I’ve begun working out four days a week with an amazing professional swim instructor and I hope and expect to regain much of the function I lost.  There is nothing to lose and everything to gain. It appears to be working – a ‘study’ in itself.  More later.

That said, what about my question:

Is cycling better or healthier for a lung patient with right heart failure than walking?


BACKGROUND: Patients with chronic obstructive pulmonary disease (COPD) exhibit greater oxyhemoglobin desaturation during walking than with cycling. The purpose of this investigation was to investigate differences in ventilatory responses and gas exchange as proposed mechanisms for this observation.


Read more: http://pugetsoundblogs.com/copd-and-other-stuff/#ixzz1DTzzcGaW

Read more: http://pugetsoundblogs.com/copd-and-other-stuff/#ixzz1DTzg8nOT

“Oxyhemoglobin desaturation can be quite severe and can even lead to damage to vital organs, particularly the heart, to the point of being life-threatening.3”

Identifying Sleep Disordered Breathing in Neuromuscular Disorder Patients

by Joshua Benditt, MD, and Louis Boitano, MS, RRT

Joshua Benditt, MD, is a professor of medicine at the University of Washington School of Medicine, Seattle. He is also director of respiratory care services, Northwest Assisted Breathing Center, University of Washington Medical Center. He can be reached at benditt@u.washington.edu. Louis Boitano, MS, RRT, is codirector of the Northwest Assisted Breathing Center, University of Washington Medical Center. Boitano can be reached at boitano@u.washington.edu.

The symptoms of sleep disordered breathing in patients with neuromuscular disease can be subtle, but once recognized and treated, symptoms can improve.


I don’t know how this all fits together for us – I also have sleep apnea and sleep with a bi-pap and concentrator bleed in to the bi-pap.

More later… Sharon O’Hara

It is World Spirometry Day!

The COPD treat is worldwide…no border can be blocked against Chronic Obstructive Pulmonary Disease – it’s something the medical world and patients battle against together across all borders.

Oman is having their second National Seminar on COPD and is expected to educate 300 or more medical and nursing staff thanks to the joint effort of national experts from Sultan Qaboos University Hospital, the Royal Hospital and the Armed Forces Hospital.  The article follows.

Today, Thursday, 14 October 2010, is World Spirometry Day.

Here is where I don’t like what I’m about to say so if you are a Kitsap County Medical person, please keep reading.

I KNOW the economy is bad.  I KNOW you have a full plate and the government controlled medical compensation picture is disastrous.  BUT!  When will the Kitsap County medical community get involved to educate the public and patients about the lungs?

You’ve got great support groups for cancer and heart disease and I admire Harrison Medical Center’s new cardiopulmonary unit…where do they mention the LUNG education?  They speak of veins and heart.  Well, without the unpopular and poorly funded LUNGS the blood can’t pump through the veins to reach the popular heart.

It is  too bad that Kitsap County medical folks couldn’t get together to offer free screening Spirometry testing for the public today.

The next opportunity is World COPD Day on Wednesday, 17 November 2010.  What will Harrison Medical Center and our area pulmonary physicians offer the public and patients on 17 November 2010?  I don’t know either but I would happily pay an entry fee for an educational seminar to find out.  Most of us would, in my opinion.

Ask your doctor about free screening for Spirometry testing and early detection COPD.


“Second National Seminar on COPD

Muscat, Oct 12 (ONA))- The Second National Seminar on Chronic Obstructive Pulmonary Disease (COPD) will kick off  at the Conference Hall in Sultan Qaboos University (SQU) after tomorrow (Thursday) under the auspices of Dr. Abdullah bin Mohammed Al Futaisi, Executive President of Oman Medical Specialty Board (OMSB).

The seminar, organized by the Oman Respiratory Society (ORS) in collaborating with SQU College of Medicine and Health Sciences coincides with the World Takes a Breath Day.

The seminar includes scientific lectures in the morning and two workshops in the afternoon. More than 300 medical and nursing staff from the different parts of the Sultanate are expected to take part.

The event is the product of joint efforts of national experts from Sultan Qaboos University Hospital, the Royal Hospital and Armed Forces Hospital.

It is worth mentioning that the first seminar was held in 2005. The current seminar aims at advising participants of the latest developments related to COPD from the clinical and treatment aspects.



More later…. Sharon O’Hara

Bremerton Might Not Want NASCAR but Race4COPD and Me Do

Even the non NASCAR fans have to applaud NASCAR’S generous support of one of the most under rated, unknown 4th leading killer in the nation and 5th in the world, COPD (Chronic Obstructive Pulmonary Disease)

Some lucky NASCAR fans will win an ultimate NASCAR holiday and for a good cause: Race4COPD. The Race4COPD begins tomorrow at Daytona right after Linda Loveless sings the song she wrote in memory of her sister, DRIVE, for this important and first of its kind Race4COPD to find the millions of people who don’t know they have COPD, many who have never heard of it.

Race4COPD begins with NASCAR racing star Danica Patrick, joined by the stars and greats in their own field, Jim Belushi, Bruce Jenner, Patty Loveless and Michael Strahan. Each of the all star driving team has been touched by COPD and Linda Loveless lost her sister at a young age.

“”I remember how my grandma struggled to breathe and how it limited her life,” said Patrick, whose grandmother suffered from emphysema, one of the two forms of COPD. “That’s why our goal is to get at least 1 million people to take a five-question screener to find out if they may be at risk for COPD and talk to their doctor. Because the sooner you act, the sooner you can get on the road to breathing better.”

“This is an important cause for NASCAR and we’re committed to helping our fans and millions of Americans who have COPD by increasing public understanding of the disease,” said Steve Phelps, senior vice president and chief marketing officer, NASCAR. “We are thrilled that this campaign has become the official health initiative of NASCAR, making its first ‘Pit Stop’ during the popular Daytona weekend and coming to many other races this season.”

The team will drive four days and 6,000 miles to ask people five questions to see if they are at risk…see DRIVE4COPD.COM

“COPD can be managed to help people live and breathe easier. Early diagnosis of COPD is critical, as lung damage is not reversible but is treatable. Proper management of COPD is important to help patients breathe better, remain independent, prevent complications and exacerbations, and improve quality of life. Lifestyle changes like staying active and quitting smoking can help improve symptoms. Yet even when people are diagnosed with COPD, only half of them are prescribed treatment to help them breathe better.”
www.lungusa.org. www.copdfoundation.org. http://us.boehringer-ingelheim.com

Close to home surprising is the fact our own Harrison Medical Center has employees who do not know what COPD is – two recently asked me. (Please note my comment does not reflect on Harrison’s outstanding medical staff and stellar patient care)

It’s about time! More later… Sharon O’Hara

New Pulmonary Club Forms in Trichur, India

Dr. Col V P Gopinathan, for the Pulmonology Club, Trichur, India, announced they formed a new club on 16 January 2010.
Forty-four patients joined the doctor supported, patient support and educational group.
Included in the program were a demonstration of pulmonary devices and a discussion of the airway diseases shown in the available brochures handed out to the members.

The newly formed Pulmonary Club proposes to hold meetings bimonthly on the first Sunday and to increase membership. India’s medical students are actively involved and office bearers include patients.
India’s Pulmonary Physicians have a good start in their quest to control the growing airway menace, including Chronic Obstructive Pulmonary Disease (COPD) menace.

As a lung patient (COPD and Sarcoidosis) living in the Pulmonary Desert of No Physician Patient COPD Club in Kitsap County, Washington, sincere congratulations to Dr. Col C P Gopinathan and Associates for their newly formed Pulmonology Club, Trichur, India.

More later… Sharon O’Hara

Lungs Win the Fight Against Fat

If we are in a boxing match, Fat in one corner, and Lungs in another, Fat wins every time.
Fat takes up the chest room Lungs need to expand and for lung patients, fat compromises our ability to breathe.

The fat v lungs slammed home to me a couple weeks ago when a granddaughter, taking a new class on her way to becoming an RN, told me she just learned that each pound of excess fat is fed by SEVEN MILES of blood vessels.

I went online that night and found an airport-scanned photo (Digg) of a 250-pound woman next to a 120-pound woman. Fat filled her stomach and chest crowding her lungs and heart. Heaven knows what all that fat is doing as it surrounds and crowds the kidneys, bladder and other organs….it cannot be good!

Look, fellow Tubby’ettes and join me. To date, I have lost 133 miles of excess blood vessels supporting nineteen pounds of excess fat.
Regular Tubby’ettes is lucky if their health is not yet compromised.

Lung patients, easing the fat surrounding our lungs will not change the PFT numbers, but we are bound to feel a sigh of relief from our lungs as the fat around them retreats and they can finally expand to capacity and add to our quality of life.

Obesity and the lung: 5 • Obesity and COPD
Thorax 20 08;63:1110-1117 doi:10.1136/thx.2007.086827
Chronic obstructive pulmonary disease (COPD) and obesity are common and disabling chronic health conditions with increasing prevalence worldwide. A relationship between COPD and obesity is increasingly recognized, although the nature of this association remains unknown. This review focuses on the epidemiology of obesity in COPD and the impact of excessive fat mass on lung function, exercise capacity and prognosis. The evidence for altered adipose tissue functions in obesity—including reduced lipid storage capacity, altered expression and secretion of inflammatory factors, adipose tissue hypoxia and macrophage infiltration in adipose tissue—is also reviewed. The interrelationship between these factors and their contribution to the development of insulin resistance in obesity is considered. It is proposed that, in patients with COPD, reduced oxidative capacity and systemic hypoxia may amplify these disturbances, not only in obese patients but also in subjects with hidden loss of fat-free mass. The potential interaction between abnormal adipose tissue function, systemic inflammation and COPD may provide more insight into the pathogenesis and reversibility of systemic pathology in this disease.”
• Review series
1. F M E Franssen1,
2. D E O’Donnell2,
3. G H Goossens3,
4. E E Blaak3,
5. A M W J Schols1
1. 1
Department of Respiratory Medicine, University Hospital Maastricht, Maastricht, The Netherlands
2. 2
Division of Respiratory and Critical Care Medicine, Department of Medicine, Queens University, Kingston, Ontario, Canada
3. 3
Department of Human Biology, Nutrition and Toxicology Research Institute (NUTRIM), Maastricht University, Maastricht, The Netherlands
1. Dr A M W J Schols, NUTRIM School for Nutrition, Toxicology and Metabolism, Department of Respiratory Medicine, University Hospital Maastricht, P O Box 5800, 6202 AZ Maastricht, The Netherlands; a.schols{at}pul.unimaas.nl
• Received 15 February 2008
• Accepted 30 April 2008
• **************************
• http://digg.com/health/Body_Scans_of_a_250_lbs_Woman_vs_120_lbs_Woman
More later… Sharon O’Hara

Fat Airport Scan