or...
occ . med pt to their doc: "Hi doc, I have been having a little trouble breathing, and i was coughing up some blood. Someone said my cxr looked a little funny and I told them that I worked in as an aluminum welder for 36 years... now I can't walk more than a few steps without having to stop."
later... "what exactly is bilateral pneumothoraces, hilar adenopathy, a lung parenchymal mass, and thoracotomy mean?"
later, yet. "why do you have to remove my right lung again?"
later yet. "what do you mean my lung looked like the bronchi were stuffed with aluminum foil?"
later yet. "what do you mean the company I worked for said that smoking 5 cigarettes a day for 10 years caused this and that they refuse to take any responsibility for my aluminum-filled lungs despite never suggesting I wear a respirator and calling me a 'wuss' if I complained?"
later yet. "what does diverticulitis mean, and why can't I get my lung transplant because of it?"
and finally. "could I at least have some pain medicine if I'm not going to make it?"
Check it out on medline, etc. "Aluminum-welding fume induced pneumoconiosis." Human Pathology 2002.