NFPA Journal - September/October 2016 - 15

What are some of the more serious conditions? I have a couple of folks who are on oxygen bottles, who have advanced to the point where they have to take oral medicine like prednisone, a steroid that helps control their pulmonary symptoms. But the medications can wreck havoc on their bodies, and cause bone loss and muscle issues. Longterm it's very discouraging, because they can become totally disabled. We have some patients who are getting worse and showing signs of developing interstitial lung disease. Like pulmonary fibrosis, it is a distinctly possible and present disease in this population, though rarely. It usually progresses to the point where patients need a lung transplant. We've had a couple of those, and these folks' lives are very limited. across the board at the folks from 9/11 who have PTSD, the rate is a good bit lower for police responders, and probably lower in firefighters as well, compared to people who weren't trained as responders. This is probably due in part to the responders' training and experience. It all argues for responders to get the most specific training they can for anything they might come into contact with: fires, people with firearms, disturbed people. Get trained up front. What would you say to someone reading this or has a friend or loved one who was at Ground Zero who hasn't yet been screened? It is a great program, it is confidential, nobody finds out about what happens here. If you are having nightmares or depression, we can help you with that. If you're coughing or having trouble breathing, we can help. If you're worried about cancer, we can help. We can help with all sorts of things, and we have funding for years so we can keep doing it. We are honored if you come down and see us, and that's the truth. From your work, what are some key observations you can share regarding first responders and workplace safety? For a scientist and medical doctor like me, one main thing is how important it is to get that pre-employment physical done, including a respiratory test spirometer, so if something does happen we can track the changes in your body and lungs and other parameters. Another big one is that training and preparation for certain types of situations is critical. For example, if you look SEPTEMBER/OCTOBER 2016 NFPA JOURNAL 15

Table of Contents for the Digital Edition of NFPA Journal - September/October 2016

Contents
NFPA Journal - September/October 2016 - Cover1
NFPA Journal - September/October 2016 - Cover2
NFPA Journal - September/October 2016 - 1
NFPA Journal - September/October 2016 - Contents
NFPA Journal - September/October 2016 - 3
NFPA Journal - September/October 2016 - 4
NFPA Journal - September/October 2016 - 5
NFPA Journal - September/October 2016 - 6
NFPA Journal - September/October 2016 - 7
NFPA Journal - September/October 2016 - 8
NFPA Journal - September/October 2016 - 9
NFPA Journal - September/October 2016 - 10
NFPA Journal - September/October 2016 - 11
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NFPA Journal - September/October 2016 - 15
NFPA Journal - September/October 2016 - 16
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NFPA Journal - September/October 2016 - I1
NFPA Journal - September/October 2016 - I2
NFPA Journal - September/October 2016 - 33
NFPA Journal - September/October 2016 - 34
NFPA Journal - September/October 2016 - 35
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NFPA Journal - September/October 2016 - Cover3
NFPA Journal - September/October 2016 - Cover4
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