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In his 30-plus years as a doctor, Bruce Tempest had never seen anything like it. A Navajo man having trouble breathing showed up at the emergency room of a small hospital in Gallup, N.M. Less than an hour later, he was dead. The man had been young, athletic and otherwise healthy. His fiancee had died days before, also from sudden breathing problems. "This is something different," Tempest, now 76, remembered thinking of the 1993 illnesses. "It just doesn't fit." Tempest contacted area doctors, looking for other cases. Then he asked