Document 9JQa0yG44rLmx1NBOY6NgMw0R
FILE NAME: New York State & NY Times (NY)
DATE: 1970 Dec 16
DOC#: NY027
DOCUMENT DESCRIPTION: NYT Article - New International Code Aids X-Ray Study in Black Lung Disease
New International Code Aids X-Ray Study in Black Lune Disease
By LAWRENCE K. ALTMAN Special to The New York Times
Nw York Times (1857-Currentfile); Dec 16, 1970; ProQuest Historical Newspapers The New York Times (1851 - 2002)
N ew International Code Aids X-Ray Study in BlackLunDisease
By LAWRENCE K. ALTMAN
Special to The New York Tlm ei
ray, the patient of transferring
has the option -- at no loss
haled by miners ing on barges,
or men work for example^
X-ray
abnormalities,
Dr.
Lain- man Kodak Company of Roch
DENVER,
Dec.
14--A
group
in salary -- to a new job in a less dusty area of the mine, if
it can produce lung damage that appears opaque, or white,
hart said, and decided classification that was
on a ester, to make 100 high quality made copies of the teaching films,
of 118 practicing physicians have just completed a two-day
the X-ray changes are more advanced, the coal worker can
on
chest X-rays.
Lung damage,
by the International Union thus facilitating Against Cancer (pneumoconio struction. '
the
course
in
course
here
that
taught
them
apply
for
Social
Security
dis
often mimicking ses, can result
pneumoconio from diseases
sis
is not
a
cancer).
The
code
The coded data that physi-
how to use a new international code to classify the abnormal
ability.
aim
of
the
law,"
Dr.
produced, for example, by tox ic metals such as cadmium
was published last July in a medical journal called Chest
sians submit on and the X-rays
co al, workers will be sent
white
spots
that
appear
on
William S. Lainhart of the Pub` lie Health Service said in an
and berylium. By'noting which
area
of the
The classification is a short to the Appalachian Laboratories hand system for recording and for Occupation Respiratory Dis
chest X-rays of coal workers interview, "is to arrest further lung is damaged, radiologists standardizing the various X- ease Center at Morgantown,
with black, lung disease. Doctors said that the course
progression of the black lung disease." Dr. Lainhart is an
can often distinguish between the various pheumoconioses.
ray changes resulting inhalation.
from dust
W. Va. Epidemiologists there expect to use the data, to un
and the code were designed to epidemiologist with the Bureau Because these diseases can To teach the system, the derstand, diagnose and con
carry
out
provisions
of
a
Fed
of Occupational Safety Health in Cincinnati.
and
produce seen" on
similar . changes as X-rays, radiologists
service and the two medical trol black lung and organizations began last June inhalation diseases.
other
dust
eral law concerning the 'health Depending on the severity can have difficulty in making to give the course in six cities
of the 100,000 coal workers in of the disease, coal workers a more precise diagnosis than to physicians caring' for coal
4*500 mines in 23 states. The can suffer from chest pain, pneumoconioses.
workers. The physicians here
Public Health Service, the cough, shortness of breath and easy fatigup on exercise.
Problem of Diagnosis
are among the 900 doctors who are e je c te d to have volun
American College of Radiology Their skin can turn bide or Sometimes, for example, the teered for the course by the
and the American College of Chest Physicians sponsored the
cyanotic. Ultimately, such damage can kill from a
lung type
lung covering caild the pleura becomes abnormally thickened
tune the last session is next month in Pittsburgh.
given
sessions.
of
heart
failure
called
cor
pul
from many of these diseases. In such cases, information
Earlier, physicians took the
What the doctors learned was monale. how to classify the extent of Doctors
have
long
known
about
the
patient's
occupation
course In Washington, Charles ton, Knoxville and SL Louis.
and exposure to dust and oth
damage that doal get from inhaling
workers can coal dust so
that inhalation of various dusts such as coal, quartz, asbestos,
er environmental, agents is helpful in establishing the spe
a
Participating doctgrs sit at table facing a box illuminat
ill victims can qualify for Fed talc and gaphite can- lead to a cific diagnosis. eral compensation., Under the group of, lung diseases that are Because ot these
.
ing the chest X-rays of patients with black lung or other dis
technical
Federal Coal Mine Health and Safety Act that President Nixon
categorized as pneumoconioses. When black coal dust is iii-
difficulties, the service studied ways to standardize such chest
eases th at mimic it. Course directors use a new technique,
signed a year ago, each coal
which was developed by East-
worker can have a chest X-ray
taken every two or three years
at the expense of the mine op
erator.
If radiologists find evidence of sufficient black lung damage in the coal worker's chest X-
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