Document emDRwJ5EMQx2jQXGog1nJXO19

i..........: <. : '.'-ur-. v :* ` Av M'lrt Iv v;-;." r <\\ 1 t' '; i i . in i ; . . i r- uni" in 'ill'll llu*- (! 111 i " i of I <.! m ' " . : 111:1 i | i (' n ^ V.W . <: 1 V I I / '* ViMI'S I in .'ill < *1 ' f r ;o , I . ; :: i 7 r iof In lin'' cn.-<. of sho r L L o cm . in'. i vc In t 11 r> pa ft i i-.Jr, . il appears that there is always a longer duat- .crv.il l.el'or- tli'.- of cnuc.e r. V: yet I ln'rc has horn no : n. :,-iiic!i the period of line from die date of employment in d-jsr.-f i l.l'-d ,i-. i up to the ronf ii ::i.*r r ion of the preserve of cancer on? ]f-?s than |J irs. ('."lu'nllv, wo. can expect tl-ai cancer only occurs in p.i-t leulnrly i M ii-'.iiuod. if not always the most severe, forms of ashestosis. Thn above c....'mo 1 ci are support of this. TIk first symptoms of developing lung cancer, which are mostly not characteristic or pnthopnnumonic, will not be as evident as they might be in a previously healthy person, since shortness of breath, coughing, e::- Perforation and certain discomforts in the thoracic area arc already ok- pcrirnccd by persons suffering from nsbv.s Cos i s. A certain loss of general strength, which is sometimes not present at all in the early stages of cancer, loss of weight and loss of appetite, are also frequent symptoms of severe forms of asbestosis. Acute worsening of the general condition, including local lung disorders, often indicates accompanying infections which are more'difficult to overcome. In general, Che rule in the case of cases of pure asbestosis is that-the development of the disease occurs very gradually over the years, sometimes over decades. If there is evident inc.nl and general worsening of the condition during the course of such development, the possible occurrence of cancer muse then be taken into i mi'idcration. In addition to cancer, infections which are most frequently {-.n-spec if i c arc .also encountered with bronchitis, pneumonia or nhcessws. According to our experience, complex tuberculosis only played a minor role hero- It is also much too often diagnosed. Of course, it is normal that it should be considered ^ithin the realm of possibilities- Nothing has yut been published on possible accompanying pulmonary lues or fungus diseases. Of the general symptoms, quick loss of weight can be an indication, hut it is not, a conclusive factor. This, as we previously said, aLso applies to the lack of appetite, unhealthy appearance of the skin, and night sweats. If a!J of those are related to the progress of asbestosis. t i" y will generally be accompanied by increased shortness of breath, cyan osis, possibly drumstick fingers and other local lung discomforts: how- Lvi-r, we must keep in mind that a lung tumor would also promote nn in< i . asc of such di snrdi-rs. Generally, however, Che status of the. disease : -.taunt be determined based on the case history alone. There* is-little additional information that can be obtained f rum lu tl disorders. Since severe asbestosis generally causes considerable ici itaLiuM through enughiug, little can be achieved from this symptom uf ibe disease. Tills also applies to shovtness of breath. Sputum observa tions would appear in he. more important, as far as 1 am concerned. In the rase of non-complicnted asbestosis, the latter is mostly sparse and y.l'ii iuMuf.; \u the case of more acute bronchitis and bronchiectasis, it ts coiu'idv.rnble nml purulent. It rarely contains blood. More frequent -1.V-