Rank: Super forum user
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Hi All.
One of our people has just informed us that she has COPD and that "working in a warehouse" will aggravate the condition- she says that she was told this by a consultant at the hospital. We don't have any processes that generate dust- not sure if she has said that its a dusty environment- and the NHS have offered to come and test the environment (!)
I've informed the HR Director and we will be working occ health and the lady concerned to get the best for her.
I just wondered if anyone had come across a similar situation?
Thanks
Andy
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Rank: Super forum user
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Consultants: what do they know?
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Rank: Super forum user
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Given another thread on here- it depends who you talk to!!
Andy
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Rank: Super forum user
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My wife suffers with cronic obstructive pulmonary disease (COPD) and its major cause is smoking. It affects the lungs making it harder to get enough oxygen into the blood steam making it hard to move around. The main problem is getting enough energy to carry out a normal life style and hence work level. I have done much research into this condition and have yet to come across anything indicating working in a warehouse contributes to the condition. What is done in the warehouse is thier any dust related issues that need controlling or is the work activity particularly strenuous? My advice is be very careful about what you concede as to the cause or anything that may affect the condition. Could be an attempt to get you to accept liability.
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Rank: Super forum user
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Thanks Bob.
She is a smoker and is in the process of trying to stop. As for the work activity- not strenuous in any way, shape or form. We don't have any processes that create dust- the part of the warehouse she works in is surprisingly clean.
We will leave cause to the experts, and take advice from occ health regarding any other issues.
I have spoken to her about previous work and there doesn't seem to be anything that stands out- however- she has suffered from lung problems since childhood, and has asthma.
Andy
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Rank: Super forum user
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Motorhead wrote:
I have spoken to her about previous work and there doesn't seem to be anything that stands out- however- she has suffered from lung problems since childhood, and has asthma.
And she smokes!!!! Some people.
I would be dubious about a patients interpretation of what the consultant has said (ask for a report from the hospital). People can be prone to exaggeration or misintepretation. For example she may want to get out of warehouse work and see this as a good way of getting what she wants. So she may have not been honest wiht the consultant about the nature of her work or may not be being honest with you about that the consultant has said.
Or make sure that the consultant undertsands the true nature of her work. In my personal experience consultants are very good at just saying stop this, stop that, don't do this, don't do that. But if you push them they admit you can do things. It's just easier for them to say stop everything. They also seem to have a warped sense of reality thinking that everyone gets the same T&C's as those working in the NHS.
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Rank: Super forum user
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I have a meeting with the HR Director this week- the report from the hospital will be requested, as will written recommendations if they aren't in the report.
I'm cynical at the best of times...
Andy
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Rank: Super forum user
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Agree with clairel.
We used to get consultants' reports saying (I'm paraphrasing) "As Mr X informs me he is exposed to ***** all day, every day, I conclude that his condition is caused by his employment with you" in relation to someone who is actually exposed to ***** a couple of times a year for 30 minutes, if that.
Getting the consultant the info on working patterns and conditions in advance might assist them and avoid assumptions. Good luck, Andy
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Rank: Super forum user
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The HSE has a comprehensive amount of information on COPD:
http://www.hse.gov.uk/copd/index.htm
You have a wander around it, clicking on CAUSES and then reading onwards....
From my own knowledge many cases are caused by work conditions (remember the miners winning massive compensation ?), and many others made worse by work conditions.
Smoking is the main cause, but do not think that smoking is the only cause, or that you can blame smoking for poor work conditions.
Wander through the pages:
Around 15% of COPD may be caused or made worse by work
4000 COPD deaths every year may be related to work exposures
40% of COPD patients are below retirement age
A quarter of those below retirement age are unable to work at all
(a lot of mays)
Go on, have a read..shake the "everyone is trying to sue us" dust out of your heads..
For those afflicted, I can recommend Pulmonary Rehabilitation as a means of making the most of what remains. The staff on the (NHS) courses are specialists on pulmonary conditions.
Surprisingly they also get the medication right, where GPs' do not.
Persons attending do not have to attend the part of the course titled: End Of Life Planning.
But given that the COPD end of life is traumatic it may be best ?
Oh, and I have COPD and am fast approaching end-stage.
And I am not a smoker, but I have been a welder for 40 years.
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Rank: Super forum user
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For your own protection I would suggest that you arrange for an occupational hygienist to measure dust levels in the warehouse. Two reasons for this:
1. If he finds very low levels then you have the evidence to use in your investigation of her problem and can demonstrate that dust in the warehouse is not a contributory factor.
2. I have had situations (not COPD but irritant contact dermatitis) where the exposure was to particulates that were so small as to be invisible to the naked eye. The assumption from a simple visual assessment that there is nothing there can be misleading.
If you need advice on locating a suitable hygienist the British Occupational Hygiene Society can help.
Chris
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Rank: Super forum user
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Thanks all.
A dust survey will be recommended when I speak to the HR Director. If, as she has stated, the NHS will do this for free its a bonus. The lady in question has approached the Ops Manager requesting a job in an office...
Andy
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Rank: Super forum user
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JohnMurray wrote:
Around 15% of COPD may be caused or made worse by work
And I am not a smoker, but I have been a welder for 40 years.
No one is disputing COPD can be caused or aggravated by some work conditions. However, reverse that stat and you get 85% of COPD are not caused or made worse by work.
You have been a welder and so that is every different to someone who has not worked in 'industry' as it would appear this lady has not.
Instead she has had existing lung problems yet still chose to take up smoking and now wants a job out of the warehouse and in an office. hmmmmm
I'm not suspicious of everyone but on this one my spider senses are twitching......
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Rank: Super forum user
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Clairel
Me too! That is why I suggested that the employer obtains measurements on dust levels. Before we blame the consultant for his 'diagnosis' I wonder just what the patient told him about the working conditions! I have had diagnoses from dermatologists that were clinically accurate but occupationally completely irrelevant, simply because due to what the dermatologist was told by the patient he/she had not tested with the right substances. So briefing the consultant is for me an essential element when conducting a workplace investigation.
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