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Returning to Work on Chef with Graves’ Disease: A Case Report Abadiyah, Izzatul; Soemarko, Dewi Sumaryani
Occupational and Environmental Medicine Journal of Indonesia Vol. 3, No. 2
Publisher : UI Scholars Hub

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Abstract

Background Graves’ disease has adverse effects on quality of life, because of somatic psychiatric symptoms and an inability to work. Chefs face many occupational hazards that can aggravate certain medical conditions, worsen the disease, and pose safety risks at work. This case report aims to assess the returning-to-work evaluation and program for a chef with Graves’ disease. Case Description A forty-seven-year-old Indonesian male who was diagnosed with Graves’ disease from characteristic clinical features and biochemical abnormalities was admitted to the hospital with shortness of breath. TSH concentration was 0.001mU/L, FT4 concentration was 2.85 ng/dL, hemoglobin level was 10.6 g/dL, and thrombocyte level was 85,000mcL. The patient was a chef in a western food restaurant for eight years and exposed to several hazards related to health conditions, such as physical (hot and high humidity environment), chemical (kitchen smoke, carbon dust, allergens, and irritants from spices and foods), ergonomic (long time standing), and psychosocial (complaints from discontented customers). The return-to-work assessment on this worker was performed using the Seven Steps of Return-to-Work Evaluation Method issued by the Indonesian Occupational Medicine Association (IOMA), taking into account capacity, risk, and tolerance. Summary This worker suffers from Graves' disease, which can be exacerbated by work. The fit-to-work status was temporarily unfit to work as a chef and required a job adjustment upon returning to work.
Co-Authors ., Herqutanto Abadiyah, Izzatul Ade Mutiara Aditya Agung Prasetyo Agus Sugiharto Agustina, Amilya Ahmad Fuadi Aldri Frinaldi Ambar Roestam Ambar W Roestam Anitasari Kusumawati Ari F Syam Aria Kekalih Arman, Fitri Arriz Akbar Sukadi Asep Bastaman Basuki Bernath Siagian Brastho Bramantyo Cahyono, Arie Dedy Pratama Dedy Pratama Denta Aditya Episana Desdiani, Desdiani Dewi Yunia Fitria Dewi Yunia Fitriani Endang Parahyanti Ermita I. Ibrahim Evy Yunihastuti Faisal Yunus Fifinela Raissa Firly Ratsmita Fita Rahmasari Fuk, Liem Jen Githa Rahmayunita Harahap, Sabasdin Harahap, Ummi Chairani Herikurniawan, Herikurniawan Herlinah Herlinah Herqutanto Herqutanto - Herqutanto Herqutanto Herqutanto2 Imron Khazim Indah S. Widyahening Indri, Olieve Irwan Suhadi Iwan Sugiarta Iwan Susilo Joko Izzatul Abadiyah Junanta, Herlando Kresna, Andreas Levina Chandra Khoe Lim Jen Fuk Listya Tresnanti Mirtha, Listya Tresnanti Lusi Sandra Hutahaean Mariska, Tara Candida Marsen Isbayu Putra Marsen Isbayuputra Martha Landauw Mohammad Firmansyah Monintja, Keyne Christa Muchtaruddin Mansyur Muhammad Bob Muharly Rambe Muhammad Ilyas Muhammad Ilyas Muhammad Ilyas Muhammad Ilyas Mulyana Mulyana Mulyantini, Astri Mustikaningrum, Arif Hening Novi Silvia Hardiany Nuri Purwito Adi Nuri Purwito Adi Nuri Purwito Adi Nuri Purwito Adi Pahlavie, Bonnie Medana Prasandhya Astagiri Yusuf Prihartanto, Joedo Priyono, Harim Purnama, Ahmad Angga Ray Wagiu Basrowi Rayka, Ivan Restuti, Ratna Dwi Retno A. Werdhani Riani Dwianasari, Riani Rita Ingewaty Wijaya Rita Ingewaty Wijaya Rosady, Dony Septriana SEPTELIA INAWATI WANANDI Slamet Ichsan Sofyan, Marwan Sri L. Menaldi Sri Linuwih Susetyo Wardhani, Sri Linuwih Susetyo Stellon Salim Sudadi Hirawan Sumirat, Ratih Nurdiany Tenny Sutarto Titis Mariyamah Tri Mawanti, Wening Tukimun, Suci Tria Meirisa Vani Nur Pratami Wibowo, Suryo Wiraguna, Andrian Yessi Kualasari Zarni Amri