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Hi List,
I have just seen a client who  is a class  teacher .
Works with children aged 3-4 years. task involves physical activities with the children.

Recurrent chest infection. provisional diagnosis pleurisy
Initially seen by GP  Nov 2009 had  had four course of different antibiotic including third generation  Clarithromycin, cefuroxime . 

Self Referred to private Doctor
Pneumonia suspected working diagnosis hyper- reactivity probably triggered by infective illness with pluerisy 
Chest x-ray nil on note C reactive protein ,connective tissue auto  anti body  ESR and ultra sound  nil finding

Long history you might say but that is OH  

The client reported improvement in health but some pleuritic pain remains. Feels able to return on school resumption.Functional ability reported  was limited physical activity due to pain and breathlessness. 
My portion is that I am of the opinion that chest physio  will be helpful for rehabilitation if the diagnosis  is adequate 
NOW  not only will I need to find a physio with interest on chest physio but also am looking for evidence to support this  could this  be out dated ?
Any help, opinion and suggestion is highly appreciated
Thanks
Patricia

 



________________________________
From: jacqui livock <[log in to unmask]>
To: [log in to unmask]
Sent: Thu, 15 April, 2010 13:23:18
Subject: Re: [OCC-HEALTH] Online Occ Health Resources


Hi Parminder
In my humble opinion, By joining this list you have found probably the best resource available to OH.
Subscribers have various levels of expertise and come from a very wide range of industries. If you have a query (no matter how small you think it is) invariably someone will have had experience of it and direct you to the right place. Alternately you can search the archives and see what discussion has gone on before in relation to topics to save you asking a question which was posted last month for example.

Jacqui


--- On Thu, 15/4/10, Dr. Parminder Ghura <[log in to unmask]> wrote:


>From: Dr. Parminder Ghura <[log in to unmask]>
>Subject: [OCC-HEALTH] Online Occ Health Resources
>To: [log in to unmask]
>Date: Thursday, 15 April, 2010, 12:13
>
>
>Hi All,
>
>Is there a good list of online OH resources/communities?
>
>As an example, I did not find this by clicking on a link, rather via word of mouth from a nurse. There may be other resources that we could use but are not known to all of us.
>
>Best wishes,
>
>
>Parminder
>
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