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Asthma and Hay Fever.

Henry Heinemann, MD
Arch Intern Med. 1973;132(2):299-300. doi:10.1001/archinte.1973.03650080141039.
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This book summarizes the professional experience of Oscar Swineford, Emeritus Professor of Medicine at the University of Virginia School of Medicine, who for many years headed the Divison of Allergy at that institution. It is a very personal account, descriptive in nature and undoubtedly useful for other clinicians who specialize in this field and must deal with the vexing problem of asthma. It is also a voluminous book (484 pages) complete with 24 illustrative case histories.

There are recommendations and statements that can arouse controversy, such as the use of epinephrine (0.2 ml of a 1:1000 solution) and morphine (16 mg) in patients with suspected cardiac asthma or "the vast majority of cases of emphysema and chronic bronchitis will have (ultimately) classical asthma." Ventures into the pathophysiology of lung disease and the oxygen affinity of hemoglobin are brief and, as a consequence, somewhat superficial. There are statements that need better


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