On December 19th 2015, I was exposed to Cement Dust(silica)
On December 19th 2015, I was exposed to Cement Dust(silica) which came into my apartment while they wereSanding it down to smooth it out. I had no idea they wereGoing to do this. No warnings, No signs, and they said I didNot answer the door. I was very ill with pneumonia and soI was home and no one knocked on my door. They had a frameBuilt out of plywood with plastic on one side i9n my entrance way.There was at least a foot at the top of the frame with nothing .The dust came in from around my door, and through the cornersOf the window. My apartment filled with a bluish colored smoke.I was ill with pneumonia for 4 months and my pulmonary specialistCould not find why. They did Cat Scans which showed something lookingLike Ground Glass floating in my lungs. On Feb. 9th*****did a biopsyWhich showed it was the Cement Dust which cause me to have “organizingPneumonia” He recommended I move from this apartment, Replace all cushionFurniture and my mattress.Notes:Patient with hypoxemia (Spo2 84%) on room air ambulation noted at previous visit. Corrected with addition of supplemental O2. Patient was started on chronic Oxygen therapy at last visit. Since that time patient was diagnosed organizing pneumonia, and has been started on treatment. RA spo2 is 96%, will refer for repeat titration on 6 MWT.Patient with interstitial infiltrates of initially unknown etiology, but biopsy has showed organizing pneumonia. Infiltrates occurred after concrete dust exposure in her home. Patient underwent bronchoscopy with biopsy, which was consistent with organizing pneumonia. Patient started on steroids once biopsy results received. The patient has persistent dyspnea symptoms despite steroid dose. Will give Kenalog injection today, and begin prednisone therapy at 60 mg per day. Will repeat CT chest and Spiro/DLCO in 4 weeks. Patient counseled regarding diagnosis, and treatment, including potential for progression despite treatment. I am concerned that lack of symptom response to steroid dose started may be due to ongoing exposure in her home. Patient counseled regarding strict avoidance of further exposure. All bedding/clothes need to be properly laundered, and large pieces of furniture/bedding may need to be removed from home environment/replaced, but this should not be done until residence has been completely decontaminated due to risk of cross-contamination. Patient instructed to notify office with any new respiratory symptoms.Will continue current regimen, with exception of advair - which will be de-fuescalated due to systemic steroid dosing. Will consider treatment adjustment once organizing pneumonia addressedCLINICAL INDICATOR: Pneumonia. Respiratory abnormality.Scans were obtained from the thoracic inlet to the upper abdomen withoutcontrast. Comparison conventional chest x-ray 11/29/2015.There is an approximately 1.4 cm spiculated mass at the left upper lobe (sliceposition 99).There is consolidation/atelectasis at the left upper lobe anteriorly andmedially. There are scattered nonspecific ground glass infiltrates at the leftupper lobe and at the superior segment of the left lower lobe. Several tiny,approximately 2 mm - 3 mm nodular densities are scattered throughout the leftlower lobe.There are are multiple tiny, approximately 2 mm - 3 mm nodular densitiesscattered throughout the right lung.There is mild mediastinal lymph node prominence with the largest lymph node atthe precarinal region measuring approximately 1.1 cm maximal diameter.There is aneurysmal dilatation of the ascending aorta with the maximal APdiameter approximately 4.4 cm. There are atherosclerotic calcifications.There are are degenerative/discogenic changes at the dorsal lumbar region .IMPRESSION: Approximately 1.4 cm spiculated mass at the left upper lobe.This is what I requested from the management at this time.Moving expenses, which includepaying my deposit on new apartment,paying first month rent,Paying for the replacement of my couchChair and Mattress.Any out of pocket expenses after medicare and my health insuranceDoes not pay including my prescriptions for this illness andMedical tests and Dr visits.Am I ok asking for this since it was not my doing that this happened?I have one month left on my lease. Should they let me out of the lease?