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Am Rev Respir Dis 146:448453 Ollerenshaw SL, Woolcock AJ (1992) Characteristics of the inflammation in biopsies from large airways of subjects with asthma and subjects with chronic airflow limitation

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I get it you said that you were resident when that happened, but these events always make me scratch my head I bet the ASA didnt include dip in their recommendations with gum because then one could argue thats passive approval to use chewing tobacco before surgery