QJM Advance Access published online on June 22, 2009
QJM, doi:10.1093/qjmed/hcp076
© The Author 2009. Published by Oxford University Press on behalf of the Association of Physicians. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org
Would that we had the energy
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It was back in the early 1980s. My thoracic surgical colleague asked if I could help him with one of his patients who had developed breathing problems after a lobectomy. The man was on a respirator, the consequence (it turned out) of a post-operative attack of asthma. By the time he had recovered, the pathologist reported the resected lobe to have contained not cancer but pneumoconiotic massive fibrosis. By chance, I happened to be researching miners diseases, so I asked him which coalmine he had worked in. He replied that he had been a shale miner, an occupation in which pneumoconiosis was thought not to have occurred. Well, now it seemed it