https://www.occupationalasthma.com/forums.aspxNew Forum Questions added on www.occupationalasthma.com60https://www.occupationalasthma.com/forumviewquestion.aspx?id=34670The term satta king record is frequently searched by users who want to explore previous results and review chart history. Many people prefer websites where records are organized clearly so they can quickly check older numbers. A well-structured satta king record page helps visitors browse through historical data in a simple and convenient way. A satta king record chart usually shows results arranged by date. This layout allows users to easily scroll through earlier records and find specific numbers. Because the information is displayed in a clear format, it becomes easier for visitors to review chart history without confusion. One of the key benefits of a satta king record chart is that it keeps all historical data in one place. 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For More info Visit - https://edpillsforever.com/product/tretinoin-0-05-rx-cream/www.occupationalasthma.comThu, 26 Mar 2026 14:11:17 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=34668I was searching for Ipravent Respules 2 ml recently as part of my asthma management plan and found it listed on EdPillsForever under their inhalers section. It's commonly used as a bronchodilator solution for nebulizer therapy and helps support better airflow in conditions like asthma and COPD. The website seems to offer a range of respiratory care products, including maintenance and quick-relief inhalers, which makes it convenient to explore different treatment options in one place. If you're managing breathing difficulties and looking for inhalation solutions online, you might want to check their respiratory category. Learn more at - https://edpillsforever.com/product/ipravent-respules-2-ml/ https://edpillsforever.com/inhalers/www.occupationalasthma.comWed, 25 Feb 2026 13:12:07 GMThttps://www.occupationalasthma.com/occupational_asthma_pageview.aspx?id=79#commentsIt's important to understand that natural herbs are vital to health and well-being. Many individuals continue to suffer from various illnesses and viruses due to the effects of chemical-based medications and the dietary recommendations often prescribed in conventional medical settings. I have a selection of carefully chosen herbal products that I truly believe can support and improve your overall health including treatment for Herpes. If you're interested, I would be happy to recommend them to you. Email drchalopa@gmail.comwww.occupationalasthma.comSun, 17 Aug 2025 21:09:16 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=34626I was exposed to (HCI)Anhydrous Hydrogen Chlorine when a pipe released near my face in Sept 2018. My question has anyone had any similar exposures and what did/treatment was used and the tests to determine correct clinical diagnosis. I was in 2019 diagnosed with COPD mod/severe and severe COPD in 2023.The steroids that were prescribed Combivent Respimat then later Spiriva Respimat and Ventolin as a rescue inhaler. These did not help and in 2022 I stop taking them. I have since only had a handful of attacks, that can be controlled with oxygen at 2L and Vit D. Dr.Niels Koenke has recently determined after the improvement in my lung PFT testing (DLCO 52% in 2021 to 80% in 2024) that I likely have RADS or Occupational Asthma that makes more sense to me than COPD. He says he needs to do more testing but has not explain exactly what tests yet. Has anyone else had a similar exposure? TEST'S USED. Also did they experience daily migraine headaches? This has been a extremely frustrating situation that just seems to drag on. Any help would be appreciated. www.occupationalasthma.comSun, 02 Feb 2025 22:53:47 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=34623Hi Has the option to view / print the report in half-scale been removed? I can't find the option for it anymore. Thanks Carrwww.occupationalasthma.comTue, 19 Nov 2024 11:51:56 GMThttps://www.occupationalasthma.com/occupational_asthma_pageview.aspx?id=86#commentsUsed to use it years ago and found it in a cupboard. I want to clean it and clean it before using it. My asthma lung congestion continues and at my 81 years it does not restrict me doing walking distances etc.www.occupationalasthma.comThu, 25 Jul 2024 10:12:31 GMThttps://www.occupationalasthma.com/occupational_asthma_viewreference.aspx?id=35802#commentsA difficult study from which to draw conclusions about irritant induced occupational asthma, which is not defined and seems to include many of the agents (particularly cleaning agents and biocides) for which there are positive specific challenge tests (the SIC data is ignored in this publication). The odds ratios for current asthma were very low, both for high molecular weight sensitisers (1.05-1.16) and their irritant group (1.1), with no increased risk for low molecular weight sensitisers (probably mainly isocyanates). The data on solvent exposure is difficult to interpret. I wonder whether the use of the JEM is not sufficiently specific to identify the known increased risks for occupational asthma from many high and low molecular weight agents which are more likely acting as sensitisers.www.occupationalasthma.comThu, 28 Mar 2024 17:40:27 GMThttps://www.occupationalasthma.com/occupational_asthma_viewreference.aspx?id=35802#commentsA difficult study from which to draw conclusions about irritant induced occupational asthma, which is not defined and seems to include many of the agents (particularly cleaning agents and biocides) for which there are positive specific challenge tests (the SIC data is ignored in this publication). The odds ratios for current asthma were very low, both for high molecular weight sensitisers (1.05-1.16) and their irritant group (1.1), with no increased risk for low molecular weight sensitisers (probably mainly isocyanates). The data on solvent exposure is difficult to interpret. I wonder whether the use of the JEM is not sufficiently specific to identify the known increased risks for occupational asthma from many high and low molecular weight agents which are more likely acting as sensitisers.www.occupationalasthma.comThu, 28 Mar 2024 17:40:14 GMThttps://www.occupationalasthma.com/occupational_asthma_pageview.aspx?id=4647#commentshttps://www.occupationalasthma.com/cgi-bin/oasysserver.exe/BINwww.occupationalasthma.comThu, 07 Mar 2024 14:02:43 GMThttps://www.occupationalasthma.com/occupational_asthma_pageview.aspx?id=4655#commentsHello, I have followed all your instructions, including the zip file that we need to download for Asma-1 and we are getting error report on the software. Can you help? www.occupationalasthma.comThu, 21 Dec 2023 16:13:35 GMThttps://www.occupationalasthma.com/occupational_asthma_pageview.aspx?id=4655#commentsHello, I have followed all your instructions, including the zip file that we need to download for Asma-1 and we are getting error report on the software. Can you help? www.occupationalasthma.comThu, 21 Dec 2023 16:13:24 GMThttps://www.occupationalasthma.com/occupational_asthma_pageview.aspx?id=4655#commentsHello, I have followed all your instructions, including the zip file that we need to download for Asma-1 and we are getting error report on the software. Can you help? www.occupationalasthma.comThu, 21 Dec 2023 16:13:12 GMThttps://www.occupationalasthma.com/occupational_asthma_pageview.aspx?id=4655#commentsHello, I have followed all your instructions, including the zip file that we need to download for Asma-1 and we are getting error report on the software. Can you help? www.occupationalasthma.comThu, 21 Dec 2023 16:13:00 GMThttps://www.occupationalasthma.com/occupational_asthma_pageview.aspx?id=4655#commentsHello, I have followed all your instructions, including the zip file that we need to download for Asma-1 and we are getting error report on the software. Can you help? www.occupationalasthma.comThu, 21 Dec 2023 16:12:47 GMThttps://www.occupationalasthma.com/occupational_asthma_pageview.aspx?id=4855#commentsHi, I am currently having issues logging into the software? when i use connection checked it's advising me that SOAP access have been blocked by the firewall. I have not made any changes to the network/pc so not sure why it has stopped working. Any help would be appreciatedwww.occupationalasthma.comThu, 08 Jun 2023 12:00:00 GMThttps://www.occupationalasthma.com/occupational_asthma_pageview.aspx?id=4855#commentsHi, I am currently having issues logging into the software? when i use connection checked it's advising me that SOAP access have been blocked by the firewall. I have not made any changes to the network/pc so not sure why it has stopped working. Any help would be appreciatedwww.occupationalasthma.comThu, 08 Jun 2023 11:59:42 GMThttps://www.occupationalasthma.com/occupational_asthma_pageview.aspx?id=6308#commentsI have just been diagnosed with fibrotic hypersensitivity pneumonitis. I am a 72 year old female. My husband had been doing large amounts of 3d printing in our home with PLA filiment. We had no idea...www.occupationalasthma.comFri, 10 Mar 2023 03:45:32 GMThttps://www.occupationalasthma.com/occupational_asthma_viewreference.aspx?id=34769#commentsThe numbers with continuing employment after diagnosis by SIC is higher than many previous studies, despite the lack of emphasis on this by Italian compensation authorities. There is no information as to how this was achieved. Nearly 80% were still employed at follow-up, most changing their place of work, which was associated with more recovery than those relocated in their original workplace. There was no overall improvement in FEV1 % predicted at follow-up, but some improvement in NSBR and FeNO. This paper has a low follow-up rate (60/204) and finds similar factors relating to poorer prognosis as earlier studies (lower presenting FEV1 and NSBR, longer time exposed after symptoms started, longer latent interval). www.occupationalasthma.comThu, 12 Jan 2023 10:43:34 GMThttps://www.occupationalasthma.com/occupational_asthma_viewreference.aspx?id=34768#commentsThese are practical guidelines for occupational challenge testing in Germany, and do not attempt to be evidence-based. They include indications and methods, but omit the need for a control exposure for most patients. The reasons for this are more pragmatic than evidence-based. They are perhaps more appropriate for countries who require a positive SIC for compensation, the tests often carried out after a decision to remove the worker from exposure has been made.www.occupationalasthma.comMon, 09 Jan 2023 18:16:50 GMThttps://www.occupationalasthma.com/occupational_asthma_viewreference.aspx?id=34767#commentsBread is one of the few things that is made very differently in wheat growing areas of the world, varying from mass production with genetically engineered enzymes to artisan baking with natural products using many different types of grain and baking processes. The current study is from Alberta, Canada, where artisan baking is common. The study identifies new sensitisation to flour with average exposure levels around 500ug/m3. The paper identified many of the problems in performing longitudinal cohort studies including identifying participants before (or very soon after) first exposure, maintaining contact with them in sparsely populated areas, standardising skin prick testing and obtaining relevant skin-testing enzymes.www.occupationalasthma.comSun, 08 Jan 2023 11:50:45 GMThttps://www.occupationalasthma.com/occupational_asthma_viewreference.aspx?id=34766#commentsReport of an outbreak of hypersensitivity pneumonitis of workers seen in a referral centre. The microbial contamination of the metalworking fluid was said to come from wooden boxed in which the parts to be machine were stored. A wide range of microbes was cultured from the metalworking fluid, but none shown to be the cause of the HP. No mycobacteria were cultured. The outbreak started after cleaning was reduced. The was a central reservoir for the metalworking fluid.www.occupationalasthma.comSat, 07 Jan 2023 18:32:40 GMThttps://www.occupationalasthma.com/occupational_asthma_viewreference.aspx?id=34764#commentsa largely negative analysiswww.occupationalasthma.comWed, 28 Dec 2022 16:50:31 GMThttps://www.occupationalasthma.com/occupational_asthma_viewreference.aspx?id=34764#commentsa largely negative analysiswww.occupationalasthma.comWed, 28 Dec 2022 16:50:17 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=16559Hello, We have recently upgraded from Windows 7 to Windows 10 on one of our computers. I installed the february 2020 version of Oasys. When we select the PEF measurement device, ASMA1, the application crashes. We have tried to open the program before turning on the device and the other way around. Error: OAutil.exe: EAccessViolation (Bug F33B4AF7; v1.7.7348.30067) Part of the crash log says this: " 2.1 Date : Tue, 9 Feb 2021 09:27:59 +0100 2.2 Address : 00BF2765 2.3 Module Name : OAutil.exe 2.4 Module Version: 1.7.7348.30067 2.5 Type : EAccessViolation 2.6 Message : Access violation at address 00BF2765 in module 'OAutil.exe'. Read of address 00000048. 2.7 ID : F33B4AF7" I've tried to reinstall the program once. Any clues how we can fix this? www.occupationalasthma.comTue, 09 Feb 2021 10:09:44 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=2961Can nematocides (particularly Vydate, Nemathirin or Mocap, cause asthma if inhaled?www.occupationalasthma.comWed, 25 Mar 2020 12:25:17 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=2933Afternoon, I need some advice please, at present when carrying out respiratory assessments we have always advised to check peoples blood pressure and if it is high then spirometry should not be carried out, also our previous OHP advised if someone is on medication for high blood pressure then their blood pressure should be taken prior to test Can you point me in the direction of any research to prove this please Many Thanks Fionawww.occupationalasthma.comFri, 10 Jan 2020 12:59:10 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=2926Hello, I work for an OH provider and I write the respiratory directory, what I would like to ask if there is any reason for carrying out VC ? as we only document the FVC FVC1 FEV1/FVC I do not feel that we need to carry out VC as we are not documenting this and we are not diagnosing, please can you point me in the right direction for seeing if there is any research into this Many Thanks Fionawww.occupationalasthma.comFri, 03 Jan 2020 16:15:29 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=2875Discussing Titan chlor plus with OH physician now convinced they are seeing "allergic" presentations rather than irritant. My bias remains irritant acting to aggravate underlying airways disease. Anyone seeing this in healthcare workers? Anything to support allergic rather than irritant?www.occupationalasthma.comWed, 12 Jun 2019 12:56:31 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=2874Discussing Titan chlor plus with OH physician now convinced they are seeing "allergic" presentations rather than irritant. My bias remains irritant acting to aggravate underlying airways disease. Anyone seeing this in healthcare workers? Anything to support allergic rather than irritant?www.occupationalasthma.comWed, 12 Jun 2019 12:55:56 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=2867I have a patient with adult-onset asthma with low dose exposure to diesel exhaust. Do you know whether the bus depot workers with DEP OA had raised FeNO? - the experimental diesel challenges seem to suggest neutrophilic inflammation rather than eosinophilic? www.occupationalasthma.comFri, 10 May 2019 11:54:40 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=2862I have a office worker that complains from asthma exacerbation during work by the air conditioning. I checked the literature that says peak flow measures must be done 2 week at work and 2 weeks off work but Oasys tutorial does not define the optimal ratio of days working and days off at peak flow measures. Wich proportion would give the best results?www.occupationalasthma.comMon, 11 Mar 2019 00:35:13 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=2838A patient developed severe allergic asthma within days of exposure to low levels of isocyanates in a foam factory. Re-exposure at the factory caused recurrence within days. He had a marked eosinophillic reaction which recovered He has been left with asthma The exposure did not suggest a RADS type reaction He denies any pre exposure www.occupationalasthma.comThu, 15 Nov 2018 18:35:33 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=2832Dear Sirs Pef measurements, that are entered in oasys worksheet, do not appear same on the graf and probably in subsequent analysis. I have taken pictures from the interface, but unfortunately there are no place where to attach it. May be you could provide email aadress, where I can send it? It will ease substantionally understanding of the probleem. For instance, on the certain day patient blow PEFs in the range: 320-370L/min. On the graf however min is 240, max is 300 and mean 265L/min. Can you, please, help topp sort out the probleem? With best regards, Svetlana Sergejeva, MDwww.occupationalasthma.comMon, 05 Nov 2018 09:35:48 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=2819Last year I was exposed to colophony soldering fumes for about four weeks, and I started coughing daily and eventually had a very difficult time breathing. I sought medical attention and now have been diagnosed with Reactive Airways Disease, Asthma, and a Chemical Sensitivity requiring the office to be fragrance free. Oddly it's just man made chemicals that cause an asthma attack, especially fragrances. I've never had any of the above medical diagnosiswww.occupationalasthma.comTue, 04 Sep 2018 13:01:49 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=2817I carry our respiratory health surveillance for a poultry hatchery company. One of their workers was acutely exposed to ? formaldehyde in November 2016 enough to prompt an A&E attendance, and subsequently developed respiratory symptoms. Initially these were unrelated to work but at his kast surveillance he noted work related symptoms suggestive of OA. His FEV1 has not significantly declined since he started surveillance in 2011 and until 2017 he was symptom free. I have just got his serial peak flow results back and this is strongly suggestive of OA with an OASYS score of 3.4, PEF difference of 5.24%, ABC of 35.51 and positive (+6) timepoint analysis. It wold seem that he has developed occupational asthma sensitised to poultry dust. He has worked in the industry since 2011 as a maintenance engineer but has only recently developed problems, since his acute formaldehyde exposure. Could this be a trigger to his developing OA? Many thanks.www.occupationalasthma.comSat, 18 Aug 2018 13:32:06 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=2814Is it possible to become sensitised (respiratory) to the grindings of a chrome-containing prosthesis; or does the chrome need to be in the form of a hexavalent salt?www.occupationalasthma.comWed, 01 Aug 2018 16:08:42 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=2792I am a respiratory physician I have had a two patients claiming exacerbation of asthma as a result of exposure to natural gas leaks within their working environment. Is there any information about this? Could the odourant Tetrahydrothiophene be responsible as there is nearly nothing on toxicity Is there any information out there that ive missed?www.occupationalasthma.comSun, 11 Mar 2018 22:00:46 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=2779What do you consider the minimum latency to pine oil/colophony exposure in a non asthmatic?www.occupationalasthma.comThu, 11 Jan 2018 17:18:29 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=2665This person had an acute exposure to diesel exhaust fumes and now have persistent respiratory symptoms. All previous investigation inclusive of serial peak flow and methacholine challenge was negative. She is no longer exposed but is on asthma medication and reportedly quite symptomatic. I repeated her serial PEFR a second time and the score now is 0.00. www.occupationalasthma.comMon, 06 Mar 2017 15:04:34 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=2629"Hello all, I wanted to ask for some advice. I am considering purchasing an air purifier but I have not found any information that shows they really work for allergies and asthma. I would love to hear from you on your own experiences, and any recommendations you can give to a newbie. I have been reading up on this topic and honestly I am extremely confused. Please help and maybe we can all learn together. Jeff" www.occupationalasthma.comFri, 23 Sep 2016 16:15:10 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=2619Eg the pellets that are made from energy crops or sawdust and are burnt to produce heat / energy.www.occupationalasthma.comSat, 20 Aug 2016 19:45:47 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=2618Has anyone seen occupational asthma from norbanone diisocyanate?www.occupationalasthma.comSat, 20 Aug 2016 19:39:44 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=2617We want to do a reasearch project that requires a sponsor. Is this a requirement of EU law?www.occupationalasthma.comSat, 20 Aug 2016 19:25:04 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=2614My son is to start work in a centre for birds and animals. Birds include a few parakeets, pigeons, chickens. He has peanut allergy (can go into shock), and egg allergy (vomits violently). He is also allergic to shellfish, house dust and pollen. (Mild asthma -has inhalers). On the whole his allergies are controlled and don't rule his life or choices. I'm worried his existing sensitivities may be added to by bird bloom allergy. Is he more likely than the average person to develop issues over time. He is also considering adopting a parrot. He's never had exposure to birds. Would a skin prick test id an existing allergy, or would this only appear over time. www.occupationalasthma.comSat, 06 Aug 2016 12:30:31 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=2613My son is to start work in a centre for birds and animals. Birds include a few parakeets, pigeons, chickens. He has peanut allergy (can go into shock), and egg allergy (vomits violently). He is also allergic to shellfish, house dust and pollen. (Mild asthma -has inhalers). On the whole his allergies are controlled and don't rule his life or choices. I'm worried his existing sensitivities may be added to by bird bloom allergy. Is he more likely than the average person to develop issues over time. He is also considering adopting a parrot. He's never had exposure to birds. Would a skin prick test id an existing allergy, or would this only appear over time. www.occupationalasthma.comSat, 06 Aug 2016 12:01:46 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=2597I am a specialist registrar in Public Health. The question of an association of occupational asthma and expoure to photocopiers came up in a discussion.www.occupationalasthma.comTue, 05 Jul 2016 13:40:35 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=2585With an inadequate number of rest days between the exposures days, which is the most reliable score to use between the Oasys score and the Timepoint Analysis score? Kind Regards, Samanthawww.occupationalasthma.comWed, 22 Jun 2016 13:25:22 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=2570Blood tests revealed I have sensitivity to birds. It is 24 which I am told is double what it should be. I am having a high resolution cat scan tomorrow. My doctors understand what the disease is...I would like to be evaluated by a specialist who deals with bird fanciers disease. I have a good business breeding and selling pet birds. I keep approx. 200 birds I an aviary building in my yard. I have many different kinds of birds. I am devestated that I have to sell them all. Is there a chance that it is not every type of bird that I keep that is infecting me? Please help me!www.occupationalasthma.comWed, 23 Mar 2016 20:02:16 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=2550I saw a patient recently with quite bad asthma who has worked in the manufacture of peanut butter for years. Her job involves tasting the peanut butter but she is also exposed to dust from peanuts. Her specific IgE to peanuts was 2.09 kU/l. I have not been able to find articles on occupational asthma fro peanuts. Does anyone know of publications on the topic? Thankswww.occupationalasthma.comTue, 15 Dec 2015 15:49:43 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=2536Does anyone has information on the evidence (or not) of Peruvian hairless dog as not being a trigger for Asthma? I read they do not cause typical allergic reactions to dog-sensitive humans because they lack the normal dog dander. I can believe this as they are hairless, but can anyone help me to have some more evidence on this? Thanks a lot Marc www.occupationalasthma.comWed, 21 Oct 2015 10:42:32 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=1536Where can a find the surveillance questionnaire and respiratory questionnaire recommended by this website?www.occupationalasthma.comMon, 07 Sep 2015 10:29:41 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=1535Thanks for the help. I saw a patient recently who has asthma, work-related symptoms and exposure to eucalyptus wood chips. (The chips are in a large pile and a variety of allergens may be present in the pile.) The patient also has a positive specific IgE to eucalyptus pollen, but may be false positive as total IgE is 3111 units. There are some articles on eucalyptus pollen allergy and asthma, but none that I could find on eucalyptus wood and occupational allergy. Does anyone know about occupational asthma from eucalyptus wood? Thanks www.occupationalasthma.comThu, 13 Aug 2015 10:32:09 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=1530After living with our African Grey for 15 years, my husband was diagnosed with NSIP secondary to bird fancier lung. His oxygen drops below 85 when he walks so he is on oxygen. His doctor wants him to stay away from all birds now. Does anyone know what steps I need to take to make sure the house is completly free of bird dander. Do I need to wash the walls down, with water only or a soap product or will it be good enough if i used a duster, like a swiffer duster with an allergy spray or not. Our parrot no longer lives in our home. Do I need to get the ducts cleaned. If so do I wash the walls first than clean the ducts. How about the filter. Any help ideas welcome.exeswww.occupationalasthma.comMon, 16 Feb 2015 16:58:46 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=1508Can you get occupational asthma from exposure to cadmium in pigments?www.occupationalasthma.comFri, 30 Jan 2015 12:55:47 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=1507I am retired now been retired for 2 years. I am 64. I worked in homehealth and group homes. I was diagonised with pigeon droppings IGG. When I was a child my grandmother had pigeons on roof of her apartment, chickens at my grandfathers and I took care of a lady in her home and we used to sit on her patio and feed the pigeons. I also have severe asthma and for the last 6 months I have been having severe shortness of breath. I can barely walk from one room to next room in my house. I have had chest xrays heart test and blood work done. They did find enlarged heart mild not to be concerned about they said and I have a 6mm lung nodule. I will be seeing a lung specialist on tuesday Jan 6 2015 Thanks for any answers Deanwww.occupationalasthma.comFri, 02 Jan 2015 19:40:57 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=1504I' m an occupational physician in a catalyst industry and in refining there are 50 employers exposed to platinum salts more often acp or exachloroplathinate acid now we are doing prick test to test the sensitization to platinum , is not simple when there is a sensitization cause is an high evel specialized work so move an employer to another place signify also change completely work .... i need information thx www.occupationalasthma.comFri, 26 Dec 2014 10:27:56 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=1487I work in Germany and anesthetize animals, rats and mice, with isoflurane (open mask method). I developed a shortness of breath, increasing from Monday to Friday, high transaminase levels and tachycardia events. It is getting worse over time. Last week I have been told that there are no allergy tests for isoflurane or trifluoroacetatic acid but found the paper on occupational asthma due to isofluorane. My questions: Do you know somebody who is able to do such a test?www.occupationalasthma.comWed, 05 Nov 2014 09:04:32 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=1477I currently have a patient that I see in clinic who has suspected occupational asthma. Their job involves counting money that has been dusted for fingerprints with ninhydrin (1,2,3-Indantrione hydrate). Peak flow readings are suggestive of occupational asthma, has anyone had a similar case with this? I've seen one case report in ERJ but can't see anything else in the literature. Is it worth referring for further tests?www.occupationalasthma.comMon, 20 Oct 2014 13:06:20 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=1475A 3.5 year old girl with probable asthma reports (via mum) significantly increased symptoms when she lives in her flat which has lots of surrounding wild pigeons, sometimes flying into house, frequently using and soiling the balcony. She has recently been admitted to our HDU with her asthma. I do not think she had evidence of acute psitticosis, and nor is her history/exam/CXR supportive of allergic alveolitis. My question is: are there any investigations I can do to demonstrate that her worsening asthma is related to pigeons? I have enquired after skin prick tests but to no avail. I am aware that I could do avian pptns but am unsure how this would relate to asthma? I believed it more relevant to allergic alveolitis? www.occupationalasthma.comMon, 20 Oct 2014 12:54:28 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=1449I am doing a research thesis on exposure assessment methods. I am not too familiar with personal sampling. I would like to know if personal sampling measurement in the workplace are usually done in the presence of industrial hygienist. Thank you.www.occupationalasthma.comMon, 17 Feb 2014 16:56:17 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=1447I heard of bird fanciers disease so I brought my parakeets back to the store after just having them a month. I never loved pets as much as them. With my fibromyalgia, caring for dogs was too difficult and my son is allergic to cats. The budgies filled a void in my heart. I'll forever miss them. I typed in hypoallergenic birds and came across some sites that stated that the Ecelectus Parrots don't shed dander because they are oil based instead of their skin around the feathers making a dander they are oily or use their oil gland. Is this a fact with this species or does the dried oil on them give off a dander or something harmful too. If I clean the droppings everyday, then I should have zero chance of me or family members getting bird fanciers disease? I would love sooo much to have a bird and be able to rest assure that no one could get sick from bird fanciers disease. Could you please help me to make the right decision for our health. Thank you very much.www.occupationalasthma.comTue, 04 Feb 2014 23:56:04 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=1445My husband brought home 6 rhode island baby chicks back in April. He kept them in a cage in house for three weeks while building a coupe. My 13 year old daughter starting getting sick with respiratory in May. She was hospital 3 times at the end of May into June. She was diagnosed with asthma, never having any problems with breathing before. its been over 6 months now and her asthma is very much out of control. Doctors are a little baffled of why it's not in control. Could this be due to chicks in house. She did help with cleaning of cage and treated them like pets for that time. Please help! www.occupationalasthma.comThu, 12 Dec 2013 07:35:54 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=1442I'm in desperate need of a Occupational Lung Disease doctor in the Flint. Detroit Michigan area. I have several occupational lung diseases. I use to see Dr Michael Harbut in Detroit Mi he was one of the top doctors in the USA for occupational lung disease. But due to a illness he had to stop practicing. My lung condition is very rare and a conventional treatment do not work. I would greatly appreciate your help. www.occupationalasthma.comThu, 05 Dec 2013 00:54:37 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=1425In your answer # 4 you wrote "clinically there seems to be a clear case for substitution..." do you mean that colophony is being less used as a soldering flux today? If positive, since when this is occurring and what is the most common/more common flux used today in the western world for soft soldering ?www.occupationalasthma.comFri, 25 Oct 2013 09:55:40 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=1420I am recently interested in occupational asthma due to fluxes and I have read some of your papers regarding Colophony and asthma. I have some questions in that regard that I will be grateful if you could answer them for me: 1. Does non-occupational asthmatics react to soldering vapors (with or without Colophony) in a bronchospastic way? If there is no data regarding this question what would be your gut feeling? I ask that question since as far as I know we don't know the exact mechanism of Colophony-induced asthma and so at least it could work as an non specific irritant and as such would have the potential to elicit a reaction in a non-occupational asthmatic at work or as a laboratory challenge test. Am I wrong? 2. If you agree that a non-occupational asthmatic might also react to Colophony in a non specific way, how one can differentiate in a worker exposed to Colophony, a Colophony-induced asthma from a non specific reaction to Colophony in a previously undiagnosed non- occupational asthmatic worker? 3. Does the challenge tests done with just colophony smoke or with the whole soldering smoke? It has been done with both. 4. Does a Colophony smoke need to exceed a certain concentration level in order to induce occupational asthma? Are there any official safety levels for Colophony? www.occupationalasthma.comThu, 17 Oct 2013 19:12:42 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=1418I have a patient who thinks his asthma was caused by exposure to fabric coating as above. Are there any reports of an associationwww.occupationalasthma.comTue, 08 Oct 2013 20:57:38 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=1416I've been having breathing problems and am waiting for blood test results regarding the above. If the tests are positive, will the birds have to go? I have an Indian Ring Neck, two budgies and a Conure. Thanks.www.occupationalasthma.comWed, 18 Sep 2013 22:06:42 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=1380Hi there, I process patient's readings onto Oasys and the readings do not appear to be accurate on the graph that is produced on Oasys, this is causing problems when the Doctor comes to review the case, please help. Kind regards, Rachelwww.occupationalasthma.comTue, 21 May 2013 11:12:19 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=1346I left school and went to work as a Pharmacology Laboratory Technician for over 2O years. I started work in 1987 when processes and procedures were not as good in this area as they are nowadays. My mother and brother are both asthmatics and I knew that I suffered from "hay fever" in the summer with runny eyes and sneezing. (Though I don't seem to have hay fever nowadays!). I have never been diagnosed with asthma, but after some time working (I really can't remember when this would have been now), I began to suspect that I was becoming allergic to animals at my work and via my GP, it was confirmed with skin prick tests that I was allergic to almost, if not all the animal species that I came into contact with. I was able to manage this reasonably well with various control measures (batter powered full face hood, nitrile gloves, annual lung function tests etc.) and as processes improved over the years, I didn't suffer too much because of it. I changed jobs four years ago and am now mainly office based. However, recently I experienced what I consider to be a delayed hypersensitive allergic/irritant skin reaction (urticaria) approximately 48hrs after a training session to be a qualitative face-fit tester. I believe that I may be one of the very few numbers of people that may be hypersensitive to bitrex (denatonium benzoate). There is so little research in this area, but there are sporadic reports of adverse respiratory and skin reactions in primarily the healthcare sector. Given my family history, my known allergies to animals and my known exposure to a fairly large number of substances over the years (including related bitrex-like subtances of local anesthetics such as lignocaine, xylocaine, procaine), could anyone give me their thoughts on my questions above and how I convince my OH Dept. that I think I do warrant an allergy text to this substance, to rule it in or out one way or another? Many thankswww.occupationalasthma.comThu, 31 Jan 2013 16:42:11 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=1338My friend got BFL from my bird in my apartment. She has not been back in the apt. since being diagnoised six months ago. She would like to visit again but we don't want it to make her sick. The bird was removed over five months ago. What should I do to insure she will not have a relapse? IE:Filters? furniture? walls? bedding? www.occupationalasthma.comSat, 05 Jan 2013 15:39:53 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=1337My wife has been diagnosed with bird breeders lung and we are re-homing our birds. After we have cleaned the ducts and so on we are looking to have the air in our home tested for avian antigens. Does anybody know of a company that covers Seattle Washington that can do this kind of testing? Thank you Ronwww.occupationalasthma.comFri, 21 Dec 2012 17:35:43 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=1327My daughter helped some friends in Oregon (we live in CA) move. They had a basement type living area that she had to pack up everything. They had not used it for a while so naturally there was a lot of dust and some rat droppings and such. There was also a bird (I think some sort of parrott)that was in the room and she said it looked sickly. The day after she began helping she started having shortness of breath pretty bad. It has been over a month now and she is still really struggling with shortness of breath and exhaustion when walking around to much. We have taken her to a respiratory specialist and he says it is asthma cuased by her surroundings in OR. He has given her Adivar and prednizone neither of which have done any good so far. She has been on the Adivar for a month and she tried the predinozone for about 5 days. She is just as bad as the day she came home. Do you have any thoughts? She has never had a cough with it just very bad shortness of breath all day, every day ( like every third breath is difficult!!!) Thank You! www.occupationalasthma.comThu, 29 Nov 2012 16:15:51 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=1311This may not be the right forum but I bet there are people reading this who are expert. Regarding health Surveillance for welders and COPD. Any views on what would constitute a concerning fall in spirometric function? I plot FEV 1, FVC and FEV1/FVC serially and see people on a downward trend and obviously those that meet the diagnostic criteria for COPD. It's those on a downward trend I'd like to put some more concrete guidance to. What is a normal age related drop off? What is a suitable sensitive and specific level to use as a warning? I find there isa presumably technique /efort related variation anyway whcih we are working to try to improve. We needn't get into the debate about does welding really cause COPD or is it only in welders who smoke for now unless anyone is keen.www.occupationalasthma.comThu, 13 Sep 2012 13:03:33 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=1307I have an employee who makes models mainly from soft wood, and fibreboard. After 25 years or so he recently presented with minor upper respiratory symptoms so we asked for serial peak flows and used OASYS to plot the results. These show a convincing work related drop in peak flows with recovery at weekends and holidays. Dust from his work seems the likely explanation but there are period vehcle movements (DEE) and other tasks not too far away (mild steel weld some minimal use of solvents and adhesives). I am reasonably convinced he has early Occ Asthma- My question is that if I wanted to prove it was wood dust rather than other causes is there a way to do this? Such clarification may help with his redeployment.www.occupationalasthma.comMon, 10 Sep 2012 13:34:39 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=1281Hi, I've had problems since Feb last year, and occupational asthma has been diagnosed as a possible cause. I've never had asthma before and had an onset of breathing difficulties over a two day period. Had a few episodes and hospital stays since then and put it down to the chemicals i was using at the time. However I'm monitoring my peak flows and they seem to drop throughout the shift even when that chemical is not in the environment. Granted it drops quite lower when it is, and can be quite instant. If my asthma was initiated by a chemical or particular process in work am I now vulnerable to other things such as heat,airborne powder, increased activity ? Any help, most appreciated. Thanks Alanwww.occupationalasthma.comFri, 15 Jun 2012 10:31:46 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=1275I have a hairdresser friend who had a severe asthma attack while hairdressing, could this be due to exposures in the salon?www.occupationalasthma.comMon, 11 Jun 2012 20:43:36 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=1266I am helping a friend with something. She owns and runs a successful racehorse training stables and employs 25 people. Recently a company has made an application for planning permission to build 5 large sheds housing 223000 broiler chickens. The vents from the buildings will be within a few metres of where the staff walk or ride the horses up to the gallops. Each member of staff (and horses) will pass the extraction fans 8 to 10 times per day. We have information from the company applying for the planning permission indicating that amonia and dust from the chickens bedding will be funnelled downwind. The most common wind direction will be straight over my friend's racing stables. She is concerned about the health of her employees (and the horses but a vet is advising her on that). We have been on the Health and Safety Executive web-side and see that there is a lot of information and advice for people who work inside chicken sheds. Is there a health risk to my friend's employees if they are exposed to the dust extracted 8 to 10 times per day?www.occupationalasthma.comTue, 01 May 2012 11:01:57 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=1244Hi I wondered if starch dust above WEL's could be a potential asthmagen? If not, would anyone consider spirometry as baseline and regular being required to monitor for COPD? Dust masks are being used whilst engineering controls are being looked at. thank you in anticipationwww.occupationalasthma.comThu, 08 Mar 2012 19:41:17 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=1230Is is 10,000 Da or 1,000 Da or what is the cutting off point that says anything over this is HMW and anything under is LMW?www.occupationalasthma.comWed, 25 Jan 2012 15:37:23 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=1228We have a 60 yr old lady that got loft insulation done with fibreglass. A few days later developed allergic symptoms not helped with antihistamines. She got admitted to hospital and felt better within a couple of hours away from the house and was discharged the following day. CT showed no alveolitis (only a 2mm granuloma RUL). On return to the house, she has recurrence of symptoms which always improve away from the house. This is despite the house being industrial cleaned. The history is suggestive of hypersensitivity to fibreglass. This lady asked for allergy tests for this www.occupationalasthma.comThu, 12 Jan 2012 16:36:05 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=1226Do occuptional asthma and work-agravated asthma have different employment outcomes?www.occupationalasthma.comMon, 09 Jan 2012 11:22:01 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=1221Hi I have a lady who works in a supermarket replenishing shelves (usually toilet rolls in plastic wrapping) who states that for 6 weeks she had symptoms of runny nose and eyes and red itchy eyes when ever she came into work and these symptoms ceased the moment she walked out the doors (She is currently sicknoted for chronic neck pain whcih she reports flares ups include severe headaches (A flare up was noted at a similar time to these symptoms)and has noted no respiratory symptoms since her absence despite ongoing neck symptoms. She tells me her GP has suggested it could be fluroscent lighting? Is this possible or could there be any other cause - she does pull pallets out using a pallet truck but otherwise only replensishes. thank you very much in advance Janetwww.occupationalasthma.comFri, 06 Jan 2012 12:12:42 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=1212I have a patient who seems to be having problems relating to diesel fumes at work. Could you guide me to any recent review of literature on this subject?www.occupationalasthma.comThu, 17 Nov 2011 11:06:32 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=1208 Do you have an abstract/publication ref for your foam cutters with asthma? www.occupationalasthma.comFri, 30 Sep 2011 11:48:39 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=1204We appear to have a number of cases of asthma in furniture upholsterers which may be occupational. What might be the cause if so? www.occupationalasthma.comTue, 23 Aug 2011 15:35:38 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=1202Hi I am trying to delete a day from the recod by applying the discontinue option but that does not work. would you please tell me excatly what to do. Thank you www.occupationalasthma.comThu, 18 Aug 2011 13:26:34 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=1199Do you know anything about HP/EAA in orthopaedic surgeons.I can't find much on the net? He has had clear cut HP and on this occasion responded well to steroids. He may well have had a previous episode when he also went on Christmas holiday www.occupationalasthma.comMon, 08 Aug 2011 18:28:20 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=1189I have been told that I can't have occupational asthma as the isocyanate levels at work are always at safe levels, is this true?www.occupationalasthma.comThu, 21 Jul 2011 16:32:53 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=1185I am writing a protocol to try to standardise the health surveillance we do for Occupational asthma and occupational lung disease. Should spirometry be done standing up or sitting down please?www.occupationalasthma.comFri, 15 Jul 2011 17:11:17 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=1184I am performing health surveillance for a mixed farming group (mushroom workers, dairy, crops, poultry and welders). I am trying to look and health surveillance results logitudinally and set a "trigger" for a referral level to myself by the OHA (as well as adult onset asthma,symptoms, persistent chest illness or a positive questionnaire). How much decline can I allow in FVC and FEV1, PEFR please?www.occupationalasthma.comFri, 15 Jul 2011 17:08:51 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=1182I've been diagnosed with baker's asthma, have been away from bakery dust for 7 weeks, and just as you predicted in your response to my previous question, my recovery has been dramatic during the first three months. I've tested positive to baker's yeast. Should I avoid eating it.? Can the smell of an item after cooking aggravate lungs., if it's still warm, after it's cooled.? Any reading material suggestions would be appreciated. This website has been a god-sent. I've recommended it to my doctors.:) Thank you, Kimwww.occupationalasthma.comThu, 14 Jul 2011 19:08:29 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=1179I was working at an engineering firm, to start with i was welding zinc plated/galvanized metal to large frames. the metal had been pre painted in primer and top coated in enamel paint, this gave off large amounts of fume, to which i had no protection from. I was then asked to spray paint jobs as they was completed, these jobs was first sprayed in a primer then sprayed with a top coat of enamel. some of the paints and primers contained lead chromate and zinc chromate pigments. these been mixed with such VOC's as tolurene xylene and MEK's, to thin them down to spray. in one job i was spraying for over a 5 hour period. the only PPE available was that of a 3m paper mask. within 2 to 3 months of starting this job i began to have breathing problems. i noticed that on a weekend my breathing improved. i went to my Gp as my breathing was getting worse. not been able to see him, and seeing the practice nurse i was told it was just a cold i had ,. I took a week off work, and within a few days i felt much better and returned to work. By this time I had been spraying for around 4 months, as well as doing some welding. some of my work was around stainless steel welding. later i was feeling very ill with my breathing. I went back to my GP again. this time he did some tests, and refered me to a speciaist, who diagnosed me as having occupational asthma. I then began the process of making a claim for compensation. In the last 3 years I have under gone a number of tests and it was confirmed that i had OA. I had to obtain MSDS information on the paints and thinners i used , as it was the painting that was suspected of causing my illness. having got this information my claim progressed until a few weeks ago. I my self have ended up having to find out information online as it seems that my solicitors and there medical team seem to be having problems in now proving my claim. both my doctor and the defendents both agree that it is due to sensitisation to Cr VI chromates, also the engineer as said the same. but there engineer claims that it is not! even though there as been a great deal of evidence stating that these things are a known sensitiser. also they seem not to be able to say IF i was exposed long enough to become sensitised. even though I was welding items that release Cr VI fumes as well as spraying paints with Cr VI pigments in. information as been found that says that a single large exposure can cause sensitisation from a number of studies in to OA. Yet i have now been told that my case may now collapse. could you please give me some advice as to weather with all the types of exposure that i have had is it possible for sensitisation to happen. I would be very greatful for any advice you maybe able to offer.www.occupationalasthma.comThu, 07 Jul 2011 20:04:43 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=1162I've just been diagnosed with bakers asthma, owned my own bagel shop for 15 years, and worked there part time for new owners until receiving diagnosis, when I quickly "retired". If a recovery is possible, how long until condition starts to improve.? I'd say symptoms of rhinitis were present for last 3/4 years, and shortness of breath/fatigue the last 2 years. Thank you, Kimwww.occupationalasthma.comFri, 27 May 2011 19:29:08 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=1155I was consulted by a 33 year old woman who developed asthma after two years of exposure to chromite ore during underground chromite mining. Other exposure was diesel exhaust emissions. Symptoms worse at work and improved away from work. No smelter on site so exposure was only to chromite dust (not chrome salts or chrome fume). I think this is work-exacerbated asthma as chromites have not been convincingly shown to be a cause of OA. Please let me know if you have information on chromite and occupational asthma Thank you www.occupationalasthma.comFri, 20 May 2011 10:59:59 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=1140Im concerned about pesticides? Herbicides used near were i work ? im having thyroid trouble , insomnia, tremour in left hand , hair loss , muscle pain.C an you advise if we need to wear respiritory mask ? www.occupationalasthma.comMon, 28 Mar 2011 10:35:46 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=1118I downloaded 'Oaysys 2010' from 'Oasys' and the website says you can 'import patient details' by clicking on the 'Import Patient Details' option from the 'tools' menu. I tried this but there isn't an 'import patient details' option on the 'tools' menu. Can anyone tell me why this is. Thankswww.occupationalasthma.comWed, 19 Jan 2011 16:21:11 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=1116Please assist. I am using the new web based OASYS and if printing an OASYS patient report on a black and white printer, the work days are in black and therefore the daily graph is obscured behind it. Is there any way to change this as I do not have a colour printer at work and the daily chart print out is not very clear at all if printed at work.www.occupationalasthma.comFri, 14 Jan 2011 10:14:08 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=1111I have seen two cases of Occupational Asthma recently in employees working in ship repair. Exposures are welding fume, metal dust from grinding, diesel fume, solvents, Epoxy paint. My suspicion is with the epxoy paint. Does anyone have experience of IgE or skin prick tests for epoxy? Does anyone know of a lab that can do the assay?www.occupationalasthma.comWed, 06 Oct 2010 09:28:43 GMThttps://www.occupationalasthma.com/forumviewquestion.aspx?id=1108I have a patient who has asthma and who reports that it developed after heavy exposure to fly ash from coal in a power station. Fly ash may have been contaminated with unspecified agents, patient unsure. No prior history of asthma, day of exposure 2-3 hours very dusty - could not see accross the workplace, next day "burning lungs" and cough, progressively worse over following days with tight chest. Asthma diagnosed some months later. As far as I can see no literature on fly ash induced asthma, but convincing history. Does any one have experience of a similar case? Thankswww.occupationalasthma.comThu, 30 Sep 2010 12:39:45 GMT