Paul Alexander lived a life unlike many others. For the majority of his life, he’s was inside an iron lung, and he was one of the last people in the world still using the respirator which dates back to the 1928.
Despite his unusual circumstances, he’s lived an incredibly full life and he’s never accepted anything less.
“I am not going to accept from anybody their limitations on my life. Not gonna do it. My life is incredible.”
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When Paul was just six years old he ran into his family’s home in a suburb of Dallas, Texas, and told his mother he wasn’t feeling well. Since his birth in 1946, Paul had been a normal, vibrant, and active child – but now something was clearly wrong.
“Oh my God, not my son,” Paul recalled his mother saying.
Following doctor’s orders, he spent the next several days in bed recovering, but the boy clearly had polio, and he was not getting better. Less than a week after he started feeling sick he couldn’t hold anything nor could he swallow or breathe.
His parents finally rushed to the hospital where he joined countless other children experiencing similar symptoms.
Before vaccines were available for polio, more than 15,000 people were paralyzed from the virus. Polio, an incredibly contagious infection, can spread even when an infected person has no symptoms.
The symptoms of polio include fatigue, fever, stiffness, muscle pain, and vomiting. In rarer cases, polio can also cause paralysis and death.
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Paul was examined by a doctor and pronounced dead, but then another doctor took a look at him and gave him another chance at life.
The second doctor performed an emergency tracheotomy, and following the surgery, Paul was placed inside an iron lung.
When he eventually woke up, three days later, he was among several rows of children also encased in iron lungs.
”I didn’t know what had happened. I had all kinds of imaginings, like I’d died. I kept asking myself: Is this what death is? Is this a coffin? Or have I gone to some undesirable place?” the Texas native told As It Happens host Carol Off in 2017.
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Paul, who also had a tracheotomy, couldn’t speak, making the whole event even more terrifying.
“I tried to move, but I couldn’t move. Not even a finger. I tried to touch something to figure it out, but I never could. So it was pretty strange.”
The machine, invented in the late 1920s, was the first to ventilate a human being. It was often referred to in the early days as the “Drinker respirator” the device is hermetically sealed from the neck down and creates a negative pressure in the chamber that draws air into the patient’s lungs. If it generates overpressure, the air is forced out of the lungs again, and the patient exhales.
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Paul spent 18 months inside the metal canister recovering from the initial infection. And he wasn’t alone. The year Paul was infected by the virus, 1952, was a very dark year looking at the statistics.
Almost 58,000 people, primarily children, contracted the virus in the U.S in 1952. Sadly, 3,145 of them died.
“As far as you can see, rows and rows of iron lungs. Full of children,” he said, according to The Guardian.
While some may have given up their will to live, it only fueled Paul’s will.
He would hear doctors say, ”He’s going to die today” or “He shouldn’t be alive” whenever they passed by him, and he wanted to prove them wrong.
“Iron Lung” victims at Baltimore’s Children’s Hospital have a television set now, thanks to the generosity of the Baltimore Rotary Club. This is probably the first set used to relieve the tedium of polio victims. Mirrors on the lungs permit the patients to see daily broadcasts.
And that’s exactly what he did!
In 1954 he was discharged from the hospital, but he quickly learned his life was drastically different than before.
“People didn’t like me very much back then,” he said during a video interview in 2021. “I felt like they were uncomfortable around me.”
But with the help of a therapist named Mrs. Sullivan, who visited him twice a week, little by little his life began to improve. His therapist made a deal with him that if he could “frog-breathe,” a technique where you trap air in your mouth by flattening your tongue and opening your throat, without the iron lung for three minutes she’d get him a puppy.
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It was hard work, but within a year Paul was able to spend more and more time outside of the iron lung.
When he was 21 he became the first person to graduate a Dallas high school – with honors! – without ever physically attending class. He then set his sights on college, and after several rejections, he was accepted to Southern Methodist University.
“They said I was too crippled and did not have the vaccination,” he recalled. “Two years of tormenting them, they accepted me on two conditions. One, that I take the polio vaccine, and two that a fraternity would be responsible for me.”
He went on to graduate from Southern Methodist University and then attended law school at the University of Texas at Austin. He passed the bar and became a lawyer in the Dallas-Fort Worth area.
“And I was a pretty damn good one too!”
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Even after a 30-year long career in the courtroom, he continued to keep busy by writing a book, which he typed all by himself using a pen attached to a stick.
According to a Gizmodo, Paul is believed to be one of the last people who lived in the near-obsolete machine. He was confined to his old iron lung around the clock and spent much of his life in a can.
”I have travelled with it — put it in a truck, took it with me. I’ve gone to college with it, lived in a dorm. That freaked everybody out,” he said.
Paul’s type of iron lung hasn’t been manufactured for half a century because – ventilators are now much more advanced and sophisticated.
But the polio survivor preferred his metal chamber, even though new technology was available for him.
But the Dallas attorney had to make a desperate YouTube announcement when the metal lung almost broke down seven years ago. Fortunately, there were still abandoned machines all over the country, so many spare parts are still out there. Paul has also had help from enthusiasts who love approaching old technology.
”A lot of people who had polio and they’re dead. What did they do with the iron lung? I’ve found them in barns. I found them in garages. I’ve found them in junk shops. Not much, but enough to scrounge [for] parts,” he says.
Paul once said he’s been able to live such a fulfilling life because he “never gave up.”
“I wanted to accomplish the things I was told I couldn’t accomplish,” he said, “and to achieve the dreams I dreamed.”
Polio has effectively been wiped out of the United States since 1979. However, vaccine-derived cases of polio crop up every now and then which are still a cause for concern.
Paul Alexander cause of death
Paul Alexander, famously known as “The Man in the Iron Lung,” sadly passed away in March 2024. Despite living most of his life inside the metal machine that helped him breathe, those closest to him remember him not for his condition—but for his warmth and vibrant spirit.
His brother, Philip Alexander, shared heartfelt memories of their bond, describing Paul as a “welcoming, warm person” whose “big smile” could immediately make anyone feel at home.
“To me, he was just a normal brother,” Philip told the BBC. “We fought, we played, we loved, we partied, we went to concerts together – he was just a normal brother, I never thought about it.”
Philip also spoke of Paul’s strength and independence, even in the face of overwhelming physical limitations. “He was the master of his domain, helping people to help him,” he said, admiring how Paul managed to maintain control over his life despite needing assistance with basic tasks like eating.