-Caveat Lector-

No surprises here... I happen to have pulmonary sarcoidosis myself, and am
well aware of the Navy's history of the disease. In fact, the Navy cases
have often been cited as exemplars of sarcoidosis, which is not exactly a
"rare disease": it is at least as common as multiple sclerosis. The symptoms
of silicosis would be virtually identical to those of sarcoidosis, which
mimics dozens of other disorders; however, the characteristic scar tissue of
sarcoidosis, called "noncaseinating granulomas," would not be present, nor
would the frequent blood abnormalities. Diagnosing sarcoidosis is a process
of ruling out everything else, and it looks very much, in light of this
story, as if the Navy's doctors either didn't bother to do all the work
required for a real diagnosis, or (more likely) deliberately misdiagnosed
the affected sailors to keep them from being able to claim service-related
disability. (I received a medical discharge from the Army in 1967 after 160
days of service, 20 days short of the 180 days needed to qualify for
disability; according to an Army Reserve colleague of my father's who was a
VA executive, this was very deliberate policy on the part of D0D to avoid as
many disability claims as possible.)

        -----Original Message-----
        From:   Steve Wingate [SMTP:[EMAIL PROTECTED]]
        Sent:   Wednesday, December 08, 1999 1:11 AM
        To:     [EMAIL PROTECTED]
        Subject:        [CTRL] Doctor fired for challenging Navy diagnoses

         -Caveat Lector-

        Doctor fired for challenging Navy diagnoses

        Copyright © 1999 Nando Media
        Copyright © 1999 Associated Press
        By VICKI SMITH

        MORGANTOWN, W.Va. (December 6, 1999 10:25 p.m. EST
        http://www.nandotimes.com) - A doctor who went public with his
belief the
        Navy may have misdiagnosed hundreds of sailors exposed to
potentially
        lethal mineral dust says he was fired Monday for insubordination.

        Dr. Philip Jajosky, an outspoken medical investigator and 23-year
veteran
        of the U.S. Public Health Service, was ordered to pack up his
belongings,
        then escorted out of his office at the National Institute for
Occupational
        Safety and Health here.
        <snip>
        The old diagnosis was sarcoidosis, a rare lung disorder with no
known
        cause. The new diagnosis identified silicosis, a chronic respiratory
        disease caused by inhaling silica, a hard, glassy mineral.

        The change and Jajosky's report to the Navy led to a recommendation
by
        the VA that its 172 medical centers perform detailed medical
histories on
        affected sailors. There are no known estimates of how many could be
at
        risk.

        Jajosky's opinions on the sarcoidosis cases, if validated, could
have
        enormous financial ramifications for the Navy. Compensation and
disability
        payments to those who have suffered or died of lung disease could
        become possibilities.
        <snip>

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