Re: Information "Industrial" disease
Tuberculosis used to be a major occupational risk for health care workers of
all sorts. Seventy to a hundred years ago, perhaps a third of doctors and
nurses contracted it, usually during their training, and about a tenth died
of it. It's really difficult for us to conceive of risks of that magnitude
associated with medical or laboratory practice. - The generation of surgical
pathologists just past had a great many members who had abandoned careers in
surgery after getting tuberculosis.
Treatment then was seven years in a sanitarium - with about a third of the
patients dying - which could be anything from a Thomas Mann style "Magic
Mountain" to a near prison existence.
I've personally worked with three pathologists who got tuberculosis on the
job, one of whom died of complications from it. All were hospitalized at
least three months. Dr. G.J., now nearing the end of an illustrious career in
academic pathology, got it from a case he did at a medical examiner's office
around 1962. He was hospitalized for several months. Dr. P.E., now in mid
career in private practice, got tuberculosis during his residency, and had
the diagnosis made by bronchoscopy (the most common way to make the diagnosis
today - think of the risks that imposes on people doing the procedure and
handling the specimens from it). And my former associate, Dr. H.G., was a
heavy smoker with bad COPD who rather late in his career got tuberculosis
from handling tissue from an AIDS patient with tuberculosis. He spent several
months in a state tuberculosis hospital, and sustained additional lung damage
from the disease, so that he died not too long afterward at about age 70
about five years ago, though he probably did not have active tuberculosis
when he died.
I have also known or known of some pathologists who probably got hepatitis on
the job, one or two of whom died of it, but I don't have much specific
information.
<< Previous Message | Next Message >>