I worked as a nurse in a steel mill (AK Steel in Middletown, OH. They are now locked out by the company).
I encountered many a strange, 'raised by wolves', kind of counter-culture there.
A guy named Stinky Ray came up to the medical office window once and, literally, coughed RIGHT IN MY FACE (a thing that hadn't happened since my stint in pediatrics.) (plus, Stinky Ray was soooo stinky that we did Rock/Paper/Scissors to see who had to take care of him. I lost.)
We examined him and he had a really, really bad URI (and, rotted teeth.) We took a chest X-ray and sent it to a radiologist group to be read. Report of x-ray came back and turns out, ol' Stinky Ray, who coughed right in my face, had TB!
I've another story 'bout a dude who had a colostomy and was forced to come to medical because he refused to take care of it. Lord, lord. I miss that place.