Il vestito nuovo dell’imperatore. (The Emperor's new clothes)

Translated title of the contribution: [Autom. eng. transl.] The new dress of the emperor. (The Emperor's new clothes)

Research output: Contribution to journalArticlepeer-review

Abstract

[Autom. eng. transl.] The person I have to visit is late, he called me to tell me he's stuck in traffic. She is a young lady, who a few months ago was diagnosed with metastatic cancer. After surgery, chemotherapy, radiation treatment and the hormonal treatment still in progress, the legal requirement of a new visit is triggered before it can be exposed to the risk of "working with a video terminal". As an old work doctor who has seen so many young people still sick and die of occupational diseases, I continue to be convinced that the video terminal, if someone does not pull it on your head, cannot do you much harm. And I know that modern videos are not those infernal green phosphor instruments before which I spent thousands of hours in youth, but pervasive devices from which my niece, who is not yet three, draws games, songs and photographs. An incapable director or envious colleagues are much more harmful than a video terminal. Personally, I have always tried to transform the visit with an "law" ergo-ophthalmological examination into a health promotion intervention, giving it an annual frequency. But I often clashed with Prevention Services Managers trying to convince the employer that, by increasing the frequency of visits, I was doing something different or maybe against the law. As for visits after illness, already in the 1970s as a factory doctor I had arranged for workers to come to visit independently of the convocation whenever they had a health problem. Was there really a need for a penalty for omitting something that the occupational physician has always done, when it was needed? But so be it! Far be it from me to oppose a state law, although I consider it idiotic to force a woman who has had to endure the trauma of a merciless diagnosis when she has a five-year-old son and a child of a few months to commit a day of her life in deference to bureaucracy. In the meantime, I browse through "La Medicina del Lavoro". Here is an interesting letter on the role of the competent doctor [1]. It is called central. Let's see'. Collaboration in risk assessment. "In fact in the great majority of cases the risk assessment (VDR) is carried out without the contribution of the MC". A beautiful centrality, no doubt about it. But here: "to reinforce the need for his presence, it is the obligation of signing that the MC must put at the bottom of the same, which has the meaning of sharing the risks described and therefore of a precise responsibility on what is reported ..." Very well, I understood. The MC does not count, the "Prevention and Protection Service (SPP) to make its role subordinate and marginal", but the MC has full criminal responsibility for what the SPP writes and the Employer subscribes. In the many occasions when I did not agree with the identification of risks, the methods of measurement or the results of the DVR, I have always written down my indications, which have however been almost always disregarded or ignored. I have therefore found myself countless times in the condition of not sharing a DVR that I have the obligation to subscribe. Particularly not negligible, I then have the obligation to draw up a Health Plan: will I be able to do it then on the basis of my opinions and the elements that I get from the inspection, or should I bow to what the RSPP suggests? The Letter does not make it clear to me. The Authors know this state of affairs but they know it well, in fact they say that the MC "is an obligation that is generally not valued and little respected, leaving a void that is filled by other business consultants even without having the necessary knowledge". Of course this means "significant consequences on the quality of the assessment". The Authors will certainly have noticed that the DVR is the
Translated title of the contribution[Autom. eng. transl.] The new dress of the emperor. (The Emperor's new clothes)
Original languageItalian
Pages (from-to)74-76
Number of pages3
JournalMedicina del Lavoro
Volume105
Publication statusPublished - 2014

Keywords

  • medicina del lavoro, medico competente, diritto penale, prevenzione, vigilanza

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