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Mark R. Milner, MD
Washington (DC) Hospital Center

JAMA. 1988;260(9):1242.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

In the April 1 issue of JAMA, Cummins et al¹ address the risk of sudden death during commercial air travel. Yet, the risk of sudden death is slight compared with the in-flight dangers we place on our coronary anatomy. On a recent cross-country flight, I had the displeasure of being seated in the malodorous smoking section. Not only was my circulatory system subjected to five hours of nicotine-containing vasospastic fumes, but in addition my lipoprotein-carrying system was tempted by an "oilaceous" feast of delectable niblets.

Breakfast consisted of scrambled eggs, juicy pork sausages, a muffin with butter, and coffee with an artificial creamer containing coconut and palm oil. Not to be outdined, the luncheon chef designed a plaque-forming meal of a ham and cheese sandwich, 196 g (7 oz) of creamy cheddar cheese, and chocolate-covered macadamia nuts. The only safe food was two breadsticks and Dijon . . . [Full Text PDF of this Article]

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