My interest in occupational medicine and related health affairs stems from both professional and personal perspectives. Professionally, the capacity to physically perform work in an effective and efficient manner has always been curious to me. Whether a person is a first responder, carpenter or someone performing filing, the ability to physically accomplish the task in a given amount of time, without being overly fatigued, is important not only to the worker, but the employer and the health system. Physical tasks that result in abnormal physiological responses could eventually contrib pathologicute to tendencies. Pathology, which could in time result in impairments and functional limitations, may limit worker productivity and mean more health care. Studying occupational medicine and applying pertinent findings could facilitate greater worker productivity and more prudent use of health care. More recently, worker apparel has become a consideration in not only worker safety at a plant, but also worker productivity. Apparel needs to protect the worker but not increase physical fatigue, or productivity could be limited. This study consideration has been another example of an important occupational medicine and health affairs issue.