To the Editor:—
In The Journal, Nov. 5, 1960, page 1358, Dr. Andrew L. Banyai, in replying to a question regarding the treatment of a feeling of recurrent suffocation in a refrigerator installer, suggested the use of certain specific medicaments. I would have no quarrel with the treatment indicated, but I do question the implication in the reply that treatment of the complaint is by means of drugs.The primary treatment in such a situation is control of the exposure, which is not necessarily by discontinuation of the man's occupation. Inasmuch as all refrigerator installers do not have this same complaint, it would seem that exposure to the material mentioned in the original question is not a necessary part of this job and that methods of control can be established. This is the primary treatment of the complaint. Drug treatment can only be palliative.