ADVANCE FOR USE SATURDAY, JAN. 21 - In this Tuesday, Jan. 10, 2017 photo, Paul McGuinness, of Avalon, Pa., a suburb of Pittsburgh, talks in Bellevue, Pa., about his double-lung transplant at Presbyterian Hospital 28 years ago. He works out at the YMCA in Bellevue and continues to defy the odds with his continued good health. (Darrell Sapp/Pittsburgh Post-Gazette via AP)
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