
The book
Before the Alarm
What the ICU Reveals About Real Longevity
By M. K. Jarbou, MD
Internal Medicine, Pulmonary Medicine, Sleep Medicine, Critical Care, and Clinical Informatics
Longevity Pyramid Press
ISBN 979-8-9957428-9-0
Launching September 7, 2026
Book promise
Not immortality. Margin engineering.
This is a book about the decades before the ICU, the quiet patterns that determine whether a body bends or breaks, and the sequence required to build real longevity.
The framework is practical because the stakes are clinical. Reserve determines whether medicine has something to work with.
Inside the framework
The chapters move from base to innovation.
- 1Mental Reserve
- 2Foundation
- 3Stabilization
- 4Transitional Therapeutics
- 5Precision
- 6Innovation

Author
M. K. Jarbou, MD
Internal Medicine, Pulmonary Medicine, Sleep Medicine, Critical Care, and Clinical Informatics.
Dr. Jarbou wrote Before the Alarm from the vantage point of a physician who has spent twenty years watching what bodies bring to their worst night.
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