Deadly Lung Disease in Kitchen Countertop Workers | Dr. Bob Harrison

Ғылым және технология

Workers who fabricate engineered stone countertops are now contracting potentially fatal pulmonary silicosis, and the cases are often missed when clinicians don't know how to recognize the history and implement the correct workup. Dr. Bob Harrison discovered the first case; he's a clinical professor of medicine at UCSF and an occupational and environmental medicine specialist.
We talk about this outbreak of preventable lung disease in vulnerable workers, recognizing the history and pursuing the correct workup, how we can better prevent this disease in these workers, the unique awesomeness of occupational medicine as a career and way of thinking, the unique legal issues around workplace injuries, other occupational diseases, and much more. Apologies for the first few minutes low resolution, it resolves after that to 4K ;-)
Audio podcast and links at: zdoggmd.com/silicosis
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Пікірлер: 33

  • @johnravely2872
    @johnravely28724 жыл бұрын

    Such an important conversation. Even if you think this doesn't apply to you, so much can be learned. Would definitely like to see this guest again, with an emphasis on smoke, mold, and physical/contact contaminants. Seems like every general health practitioner should be fluent in this subject.

  • @CraigBabcock1
    @CraigBabcock14 жыл бұрын

    I would also love hearing about the smoke exposure when you have him back. This was a great discussion on such an interesting topic.

  • @ZDoggMD

    @ZDoggMD

    4 жыл бұрын

    Totally! Ran out of time but we will have him back to talk about firefighters and smoke exposure.

  • @dragonlaughing
    @dragonlaughing4 жыл бұрын

    I'm glad he's addressing this. I've walked into so many restaurants where the kitchen grill is out on front and not well ventilated. I walked into a fabrication plant in the East Bay (Fremont?, def. Alameda Co.), several years ago and the solvent odors were so strong that I realized that, from the women in the office to the immigrants in the attached factory, all of them were going to die early with cancers. It was as if there were no OSHA. And I'm not crazy about granites. Some of them are radioactive. If the shop owners weren't cheap and the workers better educated then the stoneworkers would have better protective equipment.

  • @primordialmeow7249
    @primordialmeow72494 жыл бұрын

    Thank you Drs.!!! 20 years as a Flight Attendant, 18 years as an RN AND 6 months in a high SO4 2018 Hawaii volcano ground zero environment. Let's just say my lungs are a bit fragile...no testing yet tho, but am vigilant. I now live in the high desert, breathe deeply and love my precious lungs at 65 y.o. Again, thanks & Blessings. Peace out🕉

  • @StonemanRocks
    @StonemanRocks4 жыл бұрын

    I am a 30 plus yr tile / stone mason. I have wondered for yrs about the occupational harm from standing over and mixing endless buckets of thinsets and grout along with cutting miles of tile and stone a huge amount cut dry no wet saw! But the biggest worry is from sweeping hundreds of floors with sheetrock dust /paint residue etc. The dust created was overwhelming more than a few times!

  • @jonathansellers793
    @jonathansellers7934 жыл бұрын

    I have worked with artificial tile and a person working with me got pretty sick from it with pneumonia I'm glad nothing else happened

  • @TheNOISENOISEZETLAND
    @TheNOISENOISEZETLAND4 жыл бұрын

    I am glad you are bringing this to the forefront. I have Hypersensitivity Pneumonitis caused by bird keeping thankfully I am stable as it was caught early. But there are so many people who dont get diagnosed early and are exposed to an allergen from hay, dust, mushrooms and many many other things.

  • @dragonlaughing

    @dragonlaughing

    4 жыл бұрын

    Get checked for the bird lung diseases, the mycoplasma bird diseases like Psittacosis, Chlamydia psittaci. Also, Mycoplasma buteonis, Mycoplasma corogypsi, Mycoplasma falconis, Mycoplasma gypis, Mycoplasma sturni, and Mycoplasma gallisepticum. M. gallisepticum has the most significant effect on wild birds. I cut and pasted some of these. Everyone in my library came down with a Mycoplasma once. It went on for months until a medical specialist came in one day. Good luck.

  • @dragonlaughing

    @dragonlaughing

    4 жыл бұрын

    Also, a coated silica article could harbor bacteria as implants sometimes do.

  • @JonathonPawelko
    @JonathonPawelko4 жыл бұрын

    Very very interesting, but very scarey. My grandfather was a coal miner in Ireland and in Canada, he developed mild silicosis; I expect from the description type 1; in his case, his developed over about 20 years. The notion of developing silicosis over just a few years as described really requires mandatory regulation for the the stone mason industry. I really like the look of the artificial stone in my home, but knowing that poorly ventilated shops can cause the workers to suffer for my vanity makes me feel disturbed. Thanks Doc for getting such an incredibly interesting and relevant guest. Cheers from Canada.

  • @morpheus7144
    @morpheus71444 жыл бұрын

    Great interview. I'm a respiratory technician currently researching the silicosis cohort in Queensland (Australia) and it's a huge issue for us. Very sad to talk to young men with families who already have advanced stage of this disease, since a lung transplant only gives 5-7 more years. Thanks for bringing attention to this!

  • @dragonlaughing
    @dragonlaughing4 жыл бұрын

    I have also handed out several n95 masks to unprotected, paint scraping, workers. They are easy to buy at Home Depot and other hardware stores.

  • @morpheus7144

    @morpheus7144

    4 жыл бұрын

    Probably not anymore...

  • @dragonlaughing

    @dragonlaughing

    4 жыл бұрын

    @@morpheus7144 Five months ago...

  • @morpheus7144

    @morpheus7144

    4 жыл бұрын

    @@dragonlaughing I know, was just a comment on how times have changed. Who'd have thought they'd become such hot property now?

  • @patricialynn3947
    @patricialynn39474 жыл бұрын

    I am a supporter. I found this topic have a great interest. My mother passed away from idiopathic pulmonary fibrosis. How devastating a terminal illness it is as most are not young enough to qualify for a double lung transplant. My mom was only 69, recently retired and was at her home in hospice. Difficult to understand, the where, why & when of this insidious disease... I wanted to put my 2 cents in about bovie plume in the OR. I worked OR since 1990. The surgeons have tried many suction apparatuses to trial and basically hated them with bulkiness being the biggest complaint. So, many us have been exposed for a long time, combine that with second hand cigarette smoke all throughout child hood. We only wore the higher filtration masks for those under-carriage warts/"cauliflour". 99.9 percent women being treated. Not guys. Anyways, I am very happy NIOSH and OSHA are getting involved. This yucky smoke has been discussed at lenth with no changes. The other organizations such as TJC, DVC and maybe even AAMI will be on board--if not alreađy. OCC health is a great way to help people!!

  • @JJJosh949
    @JJJosh9494 жыл бұрын

    As a Respiratory Care Practitioner, I found this very interesting.

  • @tomsteinberg8106
    @tomsteinberg81064 жыл бұрын

    Wow. "...and no matter what they do, they have a story..."

  • @gman064
    @gman0644 жыл бұрын

    My mother in law has fibrotic lung disease. She was a nurse used a lot of cleaning products. House kitchen work Cumberland , MD.

  • @dr.shilpagowda4700
    @dr.shilpagowda47004 жыл бұрын

    Great job, ZDoggMD. Holla for the occ med docs!

  • @shepherdwa1
    @shepherdwa14 жыл бұрын

    Yes! Please do an episode about reading chest X rays!!! I’m a Resp therapist and this episode was very relevant to my work. Thanks!

  • @peterjf7723
    @peterjf77234 жыл бұрын

    My grandfather was a machinist after he retired he developed cancer which may have been due to exposure to aerosolised cutting fluid as he was not a smoker.

  • @StonemanRocks
    @StonemanRocks4 жыл бұрын

    Btw thank you for this most informative video . i will pass it along to a few old coworkers! Ty!

  • @rabblerouser8195
    @rabblerouser81954 жыл бұрын

    yes please do an OR inhalation episode

  • @splashesin8
    @splashesin84 жыл бұрын

    I grew up on the road with pipeliners. Need I say more.

  • @jcfpv3454
    @jcfpv34542 жыл бұрын

    Please help spread awareness of silicosis. My aniexty has been so hard to control because of being taken advantage of hopefully someone can create a cure for this horrible disease I worry everyday that I will die from going to work and working hard my employer never informed us of the dangers and never provided any protectionI wish osha or someone would have told me the dangers of drilling into concrete i had no idea my employer never gave me any kind of protection and never told me of the dangers we were carpenters and had to attach wood to concrete or drill tie down holes blow out the holes with air and epoxy the all threaded rods in never realized its fatal with no hope no cure no treatments.my life has been turned upside down and no one would even investigate the company they denied it and osha said they needed a 3 day notice prior to drilling which the contractors know and know there untouchable. My life is ruined at 35

  • @hgbugalou
    @hgbugalou4 жыл бұрын

    This is why I get on anyone's ass who is mixing concrete, sandblasting, cutting stone, etc not at least wearing a good dust mask and saftey googles. You one get 2 lungs and this stuff is like sandblasting your lungs.

  • @samuelsmithmed214
    @samuelsmithmed2144 жыл бұрын

    Never understood why this question was asked on questionnaires, now I do.

  • @kennyee2545
    @kennyee2545 Жыл бұрын

    I like to know whether there are pateints suffering from silicosis have been healed? I have read it is not curable but lately doctors have claimed that stem cells could, please comment. thanks!

  • @jcfpv3454
    @jcfpv34542 жыл бұрын

    Please help me I need a dr to perform a lung lavage on me as fast as possible to remove silica dust from my lungs before it causes massive damage and possibly kills me any help is greatly appreciated..

  • @BPantherPink
    @BPantherPink4 жыл бұрын

    I think they were talking about PNEUMONOULTRAMICROSCOPICSILICOVOLCANOCONIOSIS 😁🤭😝

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