My first case in rediff iland 

Dr. Namrata,
Actually I was thinking of sending this to you long time back, But due to some other things prioritizing, I was unable to write this one to you.
Now that u have opened a forum I would like to ask this :

I have an employee, whom I found at our ATM centre, sitting at the ATM for no reason. My native is a hot place in summer and temperatures reach abt 45-49C as well. So when i asked him, he told me " there is power shedding at my home and I have a peculiar problem, and I know, you have lot of reading habit, just find this for me"
I said, I just read novels, and crime thrillers detective stories, I dont understand science much" for which he told, "listen to this sir, even if u forget it once u leave this ATM I wont mind"
So I had no other option but to listen to him.

" I have a very peculiar problem, my skin is very interesting, Till the temperature reaches 40C i m ok, fun loving and normal, once it crosses 40 I dont know what happens, I find a kind of Khujli (he explained in Telugu, and im unaware of its English Equivalent) and later the sweat stops coming, and this problem i suffer till abt 530PM and then im normal.
I have visited doctors, and they took a sample of my skin for the peculiarity, at leading Hospitals at Hyd. You know the place that i work i have to stand beside 150C (His work  is at a reel packing machine and the temperature there is maintained 120-150C to facilitate Packing with PE coated discs, which melt and stick to the reel. - He is exposed to this for 4 hrs intermittently 3 days a week ). I am now in a dilemma, for i cant ask others to work at the discs, they may think i m an unfit guy, and My skin is like this. Do ask and read ur books and keep this point in your mind sir"

I enquired him how much water did he drink daily, to which he said, "as a compulsion I drink a litre of water at 6AM, before taking tea, after 7AM around breakfast time, and before tea at 10AM before lunch 1/2hr ,1 litre  and after lunch 30 minutes abt 1 litre, excluding the water I take up during lunch, which i never measured"
 
" Thats the reason sir, im sitting here, so as to escape myself from the 40C which i will have to face if i go home, as its power shedding now, and electricity will be back only after 4PM, at 4 I will leave out"
So that was my conservation with him.
The first thing when I got on my cycle was writing the letter to you, then i forgot (Well i have a very weak memory). Hope u will solve my problem as well (memory one).


Regards

My Reply: You are the first person to consult me via rediff iland. Thanks for relying on my views.

To make the problem and the treatment aspect comprehensible to you, I’ll have to make certain things clear which you can also explain that person. Actually perspiration or sweating is a defense mechanism of the body whereby temperature regulation of the skin and the internal body is done. As you know evaporation causes cooling, when sweat evaporates from the skin surfaces, it makes the skin cool (this is the basic funda why water remains cool in an earthen ware).

If the body stops sweating after 40 Degree C as in this case, it means this important defense mechanism has ceased to function some how. Prolonged exposure to high degree of temperature may be a cause, and this may lead to skin cancer too. Itching (khujli) is because of the early contraction and resultant closure of the sweat glands. To rule out causative factors and to reach an appropriate diagnosis may be a cumbersome process in this case. Hence my advice is to go for a change of job IMMIDIATELY. This person should make a major change in his work place and should shift to a place where average temp of atmosphere is not more than 40 degree at any given time. It may be difficult but he should give it a serious thinking .