This piece was commissioned for "The Beauty In Breathing" exhibition. Miglietta writes in an accompanying letter that the most important sign of sickness is shortness of breath. In this picture, he depicts breathing as a diamond shape which becomes smaller from outward inward as breathing shortens owing to environmental damage present on earth and in air, such as smoke, toxins, wasteful consumerism etc. In hundreds of cells, he writes the names, causes and possible causes of these insults. -- Source of annotation: Marvin or Ruth Sackner.