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Who is John West? From the Himalayas to Space
Medical School in Other Countries
Finding Physiology
An opportunity opened up at the Postgraduate Medical School in London because they were starting a new academic program in respiratory medicine and physiology. At the time he was very much influenced by Julius H. Comroe's book The Lung (1st edition). During his 15 years at the Royal Postgraduate Medical School, Dr. West started to work with a new respiratory mass spectrometer that allowed him to analyze expired gas. This introduced him to the world of ventilation‑perfusion inequality, which he embraced enthusiastically. While at the Royal Postgraduate Medical School, he was able to take advantage of several opportunities to branch out in his research. In 1960 he took part in an expedition to the Himalayan Mountains. In 1961-62 he traveled to the US to spend a year in the laboratory of Hermann Rahn at the University of Buffalo (as it then was called) to continue his research on ventilation‑perfusion inequality. Then in 1967-1968, he returned to the US to the NASA Ames Research Center to study the effects of weightlessness on the lung. In 1969 he was invited to move to the US and help establish a new medical school at the University of California, San Diego. He did so and remains there today as a Professor of Physiology and Medicine in the School of Medicine. Physiology Research in the Himalayas and in Deep SpaceDr. West is a very active researcher. However, unlike many researchers today, his research spans several fields. He has worked on several aspects of respiratory physiology, particularly the distribution of blood flow in the lung. Currently he is investigating the properties of pulmonary capillaries and, in particular, how they are damaged when exposed to high stresses. A second area of research interest is high‑altitude physiology. Dr. West has been fortunate to take part in two major Himalayan expeditions. In 1960 he learned that Sir Edmund Hillary was planning a physiological expedition to the Himalayas. When he asked to go along to help with the experiments, he was accepted, even though he had never done any mountain climbing. This was the so-called Silver Hut expedition where he and a small group of physiologists wintered at an altitude of 5800 m (19,000 ft) just south of Mt. Everest. This began a long interest in high-altitude medicine and physiology. The second expedition Dr. West was asked to lead. This was the 1981 American Medical Research Expedition to Mt. Everest during which the first-ever physiological measurements on the mountain’s summit were made. His interest in this field continues today with a project on oxygen enrichment of room air at high altitude that promises to be critically important for commuters who work at very high altitudes. His monograph “High Life” is a standard history of high altitude physiology and medicine. He also edits a new journal, High Altitude Medicine & Biology. Because of his interest in the effects of gravity on the lung, Dr. West took a year off in 1967-1968 and returned to the US to the NASA Ames Research Center to study the lung in weightlessness. His studies on lung function in astronauts have been conducted on four Spacelabs. In addition, he has one experiment running on the International Space Station. Teaching Physiology and Teaching Others How to TeachDr. West has a substantial teaching responsibility in that, for the past 30 years, he has been in charge of the physiology course at UCSD for first-year medical students. He has always been interested in teaching and how to be a good teacher. He has written several books on the topic. He is an excellent teacher himself and has received recognition for that. On a national basis, he was the 2002 recipient of the Arthur Guyton Teacher of the Year Award from the APS for his outstanding teaching ability.
Historian and Author
Outside of his research and teaching, Dr. West pursues interests in classical music and literature. He also likes to fly radio‑controlled gliders at the famous Torrey Pines Glider Port, which is only ten minutes from his home. He also does volunteer work for a private library in La Jolla called the Athenaeum where he has served on the Board of Trustees for several years.
Advice to Postdoctoral Fellows
Respiratory Research: 1. West J.B., Z. Fu, A.P. Gaeth, and R.V. Short. Fetal lung development in the elephant reflects the adaptations required for snorkeling in adult life. Respir. Physiol. Neurobiol. 138: 325-333, 2003. 2. West, J.B. Thoughts on the pulmonary blood-gas barrier. Am. J. Physiol.: Lung Cell. Mol. Physiol. 285: L501-L513, 2003. 3. Fu, Z., G.P. Heldt, and J.B. West. Thickness of the blood-gas barrier in premature and 1 day old newborn rabbit lungs. Am. J. Physiol.: Lung Cell. Molec. Physiol. 285: L130-L136, 2003. 4. Fu, Z., G. Heldt, and J.B. West. Increased fragility of pulmonary capillaries in newborn rabbit. Am. J. Physiol.: Lung Cell. Molec. Physiol. 284: L703-L709, 2003. 5. Prisk, G.K., H.J.B. Guy, J.B. West, and J.W. Reed. Validation of measurements of ventilation-to-perfusion ratio inequality in the lung from expired gas. J. Appl. Physiol. 94: 1186–1192, 2003. High-Altitude Research:1. West, J.B. Improving oxygenation at high altitude: acclimatization and O2 enrichment. High Alt. Med. Biol. 4: 389-398, 2003. 2. West, J.B. Discussion on cognitive function at high altitude. In: Wellcome Witnesses to Twentieth Century Medicine, Vol. 16: The MRC Applied Psychology Unit, edited by L.A. Reynolds and E.M. Tansey. London: Wellcome Trust, 2002, pp. 19-22. 3. West, J.B., and A. Readhead. Working at high altitude: medical problems, misconceptions, and solutions. ALMA Memos #477, www.alma.nrao.edu/ memos/html-memos/alma477/ memo477.pdf, 2003. Space Research:1. Prisk, G.K., A.R. Elliott, M. Paiva, and J.B. West. Sleep and respiration in microgravity. In: The Neurolab Spacelab Mission: Neuroscience Research in Space, NASA SP-2003-535, edited by J.C. Buckey, Jr. and J.L. Homick. Houston, TX: National Aeronautics and Space Administration, 2003, pp. 223-232.
History Research:
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