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1 The Department of Medicine, University of Toronto, Toronto, Canada.
Traditionally, patients with chronic respiratory failure have been classified into two groups of problems: those who "won't" breathe (central nervous system and neuromuscular disorders), and those who "can't" breathe (chest wall and bronchopulmonary problems). As we have seen, the problem is not so simple, in that there appear to be times when one "shouldn't" breathe (to protect the respiratory muscles or respiratory neurons). As a result even in those who "can't" breathe, there may be an important element of "won't" breathe. These notions leave us with no shortage of research studies for the future, which I expect will be the subject of future Aspen Lung Conferences.
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