Document 0LmxrmqEnxy2ok5Lnvzw4zm

FILE NAME: DDd DATE: DOC#: Dd OCUMENT DESCRIPTION:t>&Z:D File Name Contract Unit Claim File: Vernon Lumbattis Feb. 2/66 Scanned? yes Source JMA: NS-JM Start Year 1966 Stop Year 1966 Contents claim Notes ' ~'~ORKERS' COM?ENSATION AP?En.LS BOARD - CALIFORNIA (INDUSTRIAL ACCIDENT CO:::USSIOl;, prior to 1966) APPLICANT __VE_M_ON_L_U_MB_A_T_T_IS_ _ _ _ _ _ _ _ _ _ _ CASE # LA 291957 Insulator DATE CLAIM FILED Feb. 11, 1966 --------------------~--------------------- INJURY ALLEGED Exposure to dust/Stresses & strains of employment ALLEGED DATE OF INJURY _ _l_9_4_2-_D_e_c_"_2_1..;...,_1_9_6_5_ _ _ _ _ _ _ _ _ _ __ ~\1PLOYER/INSURER __B_a_l_d_w_i_n_,_E_h_r_e_t_,_&_H_i_ll_F_i_b_r_e~g_l_As__s _, _e_t_.__A_l_"_ _ _ __ inc1udin,g J-M S.ales I t' ii No apparent Canadian carrier OTHER NOTES ______~p~n~e~um~o~c~o~n=i=o=s~is~p~r~o=b~A=b~l~y~d~u=e~to~a=s~b~e~s~t~o~s~i~s~_________ Total & permanent'disability OATE OF RESOLUTION Aug. 23, 1968 --~--~---------------------------------- RESOLUTION _________(_3_)__C_o_m~p_r_o_mi_s_e__&__R_e_l_e_a_s_e________$_3_0_,_o_O_o__s_e_t_t_1e_m_e_n__t __ apportioned among 18 carriers . DOCUMENTS COPIED ___l_)__C_O_m_p_r_o_m_i_S_e_&__R_e_l_e_a_s_e_____________ _O_F__l_~_G_E; *_ ; ( J,; LI,........... ,~ ~ . / , ' CLAIMANT Veer-aoo h,&l m batt;:- --' ,;23 CaliforniA Workers' Compensation Appeals Board CARRIERS INVOLVED: .The AETNA Casualty , surety Co. oAmericAn Automobile Ins. Co. oAmerican Employers Ins. Co American Motorists Ins. Co Arqonaut Ins. Co. oAssociated Indemnity Corp. oCa1ifornia Casualty Indemnity Exchange oCalifornia Compensation , Fire Co .casualty Ins. Co. of california '.Employers oEmployers MLiuatubailliLtyiaAbsisliutry~cIensC. oCrop'..Lotdf. Wisconsiil . oFidelity , Casualty Co. of New York ' .Fir~mans FUnd Ins. Co. oGeneral Accident, "Fire & Life -Ass'urance" Corp. Ltd. oGlobe Indemnity Co. "oGuarantee Insurance cO. oGreat American Ins. Co Hardware Mutual Casualty Co. (Sentry Ins". Co.) .Industrial Indemnity Co. oIndustrial Indemnity Exchange .Insurance Co. of North America .Liberty Mutual Ins. Co LumbermanJs Mutual Casualty Co. oMary1and casualty Co. OMichiqan Mutual Liability Co Mission Insurance Co. oNationa1 Automobile , Casualty Ins. Co. aNew Amsterdam Casualty Co. oOcean Accident , Guarantee Corp. Ltd Pacific Employers ins. Co. oPacific Indemnity Co. , .Reliance Ins. Co. (Standard Accident Ins. Co.) oRoyal Indemnity oSecurity Ins. Co. o,f ~artford" (U. S. Casualty Ins. Co.) ".State Compensation Insurance Fund oTransport Indemnity Co The Travelers Ins. Co The United Pacific Ins. Co. oU.S. Fidelity & Guaranty Co. oZenith National Ins. Co. 0o_Z_u_r_ic_h__I_n_s_.__C_o_.______________________________________ 0,_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ 0 ____________________________________________________ 0 ____________________________________________________ 0 ____________________________________________________ 5/81 mmf 1 WORKERS' COMPENSATION APPEALS BOARD 2 STATE OF CALIFORNIA 3 VEBNON E. LUMBATTIS, 4 CASE No. 66 LA 291-957 5 ATJPlicant . 6 vs. 7 BALDWIN, EHImr, HILt, mc., et.al . 8 -C-E-R-T-IF-I-C-A-T-I-O-N- 9 10 11 I hereby certify that the attached documents are true 12 and correct copies of the original documents filed in the records' 13 of this office in the above-entitled matter. 14 ~EST my hand and the Seal of the Workers' Compensation 15 Appeals Board of the State of California. 16 17 18 19 20 21 22 23 24 Dated at San Franc isco , 215 California, this 6 day 26 . of April, 1981 27 OIA we". '0." ttl CN'W I.',) .... ,. 0 o.....wy....w 0' INDUftJUA" "au't'.o... OIYI'ION 01' I. . .~A'" ACel. . . .,.. ( c. ORIGTNA L _ \}I:"D ..Ttoo: -'':(.':''-' ~']-'I..S:-.:";"' ''!--. :u -- . ~ j"! .~'.:.: 1 Herlihy, Herlihy, Jones &Nelson Attorneys at Law 2 Suite 740 Roosevelt Building :~.:' . :"" 727 West Seventh Street S Los Angeles, California 90017 4 Telephone: 627-4911 ,5 Attorneys for The Travelers Insurance Company (; Insurance Company of North America Pacific Employers Insurance Company 7 and their Assureds 8 WOlUCMEN'S COMPENSAnON APPEALS BOARD 9 StATE OF CALIFORNIA 10 11 VERNON E. LUMBATTIS, ) ~ 12 Applicant, 13 vs, 14 BALDWIN, EHRET, HIU., INC .., 15 et al 16 'Defendants. Case No. 66 L, 291 957 Social Securitv No.- 561-28-5882 COMPROMISE AND RELEASE 17 18 Applicant hereby requests that the employe:. herein- 19 after named and the insurance carriers hereinafter named be joined L 20 parties defendant in this proceeding and that all other parties be 21 dismiased as defendants. 22 The parties hereto, for the pur~ose of compromise on 23 hereby submit the following agreed statements or fact: 24 1. Vernon E. Lumbattis, 12459 East firesto1!.e 25 Boulevard, Norwalk, California, employee herein, born on November 29 26 1912, claims that he was employed in the State of California beginn1: 27 in 1941 to date hereof as an insulator, as a laborer, and in other 28 1\employment classifications by the employers hereinafter named, some 2910f said employers being then permissibly self-insured, the remainder 30 of said employers being then severally and separately insured as to 3l Iworkmen'S 'compensation liability by the several insurance carriers 32 hereinafter named, and that he claims that he sustained 1nj :y or \ -1- ( ( 1 injuries arising out of and occurring ~n the co~rse of his several 2 employments as follows: To his chest, luttgs and other bodily part 3 due to exposure to dust and due to stresses and strains of employm 4 or sustained other disabilities or injuries in some other ~ner. 5 It is claimed that said employmenl!:S and injuries caused temporary i 6 permanent disability and required treatment. 7 2. Applicant states and represents that he was 8 employed or hired in the State of California by the following nam~ 9 employers and none other to wit: 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 so 3l 32 I I I i i I , j. ~-..... '. 1 I.ployer H... ..:.---........_:":",' :a a"d Addre.. , , , ,. 3 , E10m2i4l1 LV. iScltIoItrthia AYeDu. 4 Wh1ttier. CaUfonai. I . , 6 I CaUfornia Sh1pbuUd'", Corp.;.'. : Box 906 ' 6 i Willli"gton. CaUfonla .- - 7 Ca11fonaLa Shipbuilding Corp. 8 Hunclet Cork Corp. , 6S South 11th 8t. 9 Brooklyn. Hew York ... : .:.', 10 '. HOl'a." Brol. ..,. 3430 lalt Slaulo" Aw. 11 ... .:, Ma7'fQOCt. CaUfornla " 12 .'~ : Cork In.lllaclon Co., Inc. ,...;' , , . US Ia.t 44tb St. 13 . : Hew York. Nev YUI'~ " " 14 .' . ,Cork lnalllation Co Inc. :.:.. ... ~. 4'0. "'" ", I j I c. F. Braun" Co. _ .. _\ . 1000 SU\lt.k 'UaD"e A'll""" , AlhUlbra, CaUfol'n1a I : 'HOIIIe ID&\llaUon Coauactol" , 1840 South Clovel'elal. A~nM , Lo. AR,el, California 0.1 t. Webb Corp. 80. 75gB 'PhDenla, Al'taoaa .,,Kal'ine !nllD1u1. . . luppl1 cd'i. '... ~ Del I Webb Corp. Int'L. A of H.at ... , ~ ',' ~It lnaulatol'l 3637 laat 37th It. Haywood. CaUfol'a1a 1e .;. .' . .' 1e . Pla.t Rubber', . .bea.coe-Work..-:..-.:~ :..'......:... :'-'S3a7n PlrraaMnOcinNSo.t.eal1foni .: 2L115D%CbsAa c. br.. .. t.on t.oCSo.t . Lo. Anaele C&lUonla :: ...... 17 -".......: ',t' , .:: ~ ';' ; *. ; ", ......... . ',. 20 ..... . .~'. 21 '. 22 : , ':., 23 24 26 26 27 28 29 30 31 Z2 :.'..: . : i . ....;. "Guy T. Atkin.on Co. ; Fibreboard Paper h"04ucca Col',. : na' Mont80Mry Street . >":~":>jj :;.1::::~r.:f:' ColL"P'~J.~:;(l :'.,. ,~:!-!.~~::~!~!:~~~:;~.~~on1a -.""."~1! '::'::'-1 .' ": .. , ~;:";.1! ..:::; ; . .:"J > .....!' C.Ufonla ShipbuUdi", . Guy T. Atkinaon Co. Geol'l. Po Uoclc Co.. . H~4a1rinBa1c"S,1.cn~D41'1snel., Supp1)' Lo.Ia Anael... C&lUonia ". . .' . . . ':,:;' ". : ) C:o.~.:".: .:'Ji "":", I,~ j' Colt,.,.,. ", '. : \ . Al Co Compaoy 5423 ,1clll.h Lane Lo. Aftsel , CdUornia . ; :.:, !A:aatronl Cork Co. Liberty and Charlotte 8t : Lancaater. P."uyl.....1& j ,lant R\&bber . "Albeato. Worka ;:Marl". Ins1oe'l'ial' Supply Co. ":, : Ben Lana I.I 4465 'alt ~2nd Place : H.s)'Wood. CalUol'Dla " Pat Condlt10na'r., Inc. , lOl~ We.t Second St. Lo. Ana.l , calltonia '," " .. -.~ . - - .-. -'-.'-, _,M ."'" .....' ' .. : , --::~ -,Ii \ : '.. '1 !1M17u4IIIIet'.t .U. aHioU.la8It' . ':,', . '.', t,. ! : Pd..... C&lUon1& . ','.' i "<":"~ I . II II. "':'::'L T: Dlnwl.wle . ~i ,! !AzwaClL"ona Cork Co. ,: .. -.. i -- .! J. T. Thor~. IDe. .', I~J i 948 ~e J . .t 2Dd ha_l.a. at. eaUfon'" ,',; ',. , \ : .. :',~ -~. ,'_... -3-; , .' ' .. ". 'Y ( ( .. , _....._., ..-..-. 1 .Totman MO"I*. Co. 2 2Z17 V'I' 1l5.th Place . Blue ~Iland. 1111noll :5 J. t. !bo~,., lAC. . J. T. Tbol'pe. Inc . 4 e warr.... Balla, Co. 3S28 'outh ca~f,.l. Aa~ : Lo. AIlse1e.. CdUon1.a 8 I j Toc... MOl'aan Co. 0 Hush A liMon 7 i 3262 l t Ga,a AWDUe 8 ; IhlDtinlCOQ ruk, C&lUent.a JOhnl HaIWUle 'al.. Col'p. 22 l.at 40th St. Hev York, Nev York 9 : Mad.1 balneedlll " 1..,,1, Co.. 10 . Ahlltro Col'k Co. 11 , 12 Huab A 111'00 lob...t I a Roof .. J'loO~ Co. 13 927 I~cb Kal. Ic. : La. V....,. N."..sa 14 ~ .' - 15 : c. F. ara... Co. ...... .. --, 16 . Anutroll, Cork Co. 17 I I 18 I Thorpi Inaulacionco.,.., 19 o Oil lilld Conltl'n. Co. 20 ": P. O. 80. 947 ! BakeraUeld, Californla 21 Thorpe Insul.tion C-PAoy 22 23 I kGblrc 'I ~f .nd 11001' Co. .24 Piberala. Ina1nllr1na &Suppl, Co. 2~ 441 Eal' Sicolld St., Lo, An"lll. Cal1fo~la 28 R. T. Dinviddie, Inc. 27 8627 S. Atlantic South Cate. Ca11forni. 28 ' - Thorpi Inaul_Cion Companr.__ 29 United Refractory ConiC. Co. ,. 1201 Rankav1Ue Road . 30 Pittlburgh. Plnalylvlnla 31 Hunde' Cork Corp. 7101 Tonnel1e Avenue 32 Murch' Jerlen. Hew Jcr.ey ............... . OVana Conlna rlbtrllu Ceqa. P. O. Boa 901 Tol.do, Ohio Induatri Supp11 Co.' of San D1.lo 4th A".mae ' J St. San Dl'IO. Cal1foI'Dta Armlcrona Co~k Co. I. T. Dlnviddle, IDe. In'uacrlca Suppl, CO. of ... Dlo COIat lalulatlna troducta 2684 Lacey at. .' Loa Aaael.., Ca Ufol'Dia .. Shelburn, Rafrla.racloa. lac. 1247 Malll St. El Ceotro, Callfornia Kecal Cla4 Ina~l.t1oa Co.pan,. '. 100. o Box 178 Torrallc., Califo1'ftia " ac. luulat10n eo.paaj-O--l' '~ I 4'63 Valla, Ilvd. . . Lo .\nlala., CaUfontla i .. Co.ae Inaulatlna Producte B 6 8 Ina1nrina , Supply Co P. O. Boz 2531 HOUlton. Te.... Accurata lnaul-cloll Co.. Inc. 900 Soutb Cypr, St. Lahabra. CaUforn1....__..__... -4- ( .... ";'. 1 to. ADsal Cok eo.,.., 4110 la.' Vaahi.ltoD a Lo. MI.I.a. caUfonia Unit Cork Co-paale. Corp. Pc. C.~tl'.l AWA. Keerny. Mew Jerle, 3 ,laDt A.baato. Co. 1300 64th sc . 4 l . .~yvilla. Cal1fo~la D Ovana Comlal rtbarlla. Co.". e Coa.e: luul.aUnl Product. 7 I Aee1arate l_l.Uoa Co he. e ,lAat: AlMato. Co. .' 9 10 l La. I. Ikl C'*PU1 11 493' '.11.7 11... Lo. ADpl.a. caU.fo...... 12 cal ltate luuuU.. Co. 13 4652 Wa.t Igperial Hw7. lq1noo4. Califonla 14 15 MllMet COlrk Col'p. Prod_" Ie Owe.. Coni.. It_l'llea c:.p. 17 Coaat luu!AU.1 't. 18 'a. . 1...lIU_ Corp. 19 s1.1.1'rMr.o.a1tlHo.oe.r"caUf....u '20 ,l..c MMa'" Co. !kln. Ind"ltrll1 InlacloD Con'l'acco~. 4933 Valley BldS. Loa Anaele., CaUfomia Chicago Bridae ~ Iron Co. 901 Vaat 22nd St. Oak Irook, tlllnol. Hltlcmal adria.raUoll Sal lac. 4400 San 'ernando 10... . Gl.ndale. California J. T. Thorpa. Inc. . Thorpe ID.ul.tloD Co.pIn1 Oven. Cominl Plberl1a. Coq.. toa Ana.l Cork Coapany 4180 Ea.t Wbiftlton Loa ADlal.a, California Ikin. lUuatl'lal lUlllatt_ Contractor. ~ laOtMI'Il eo.paiay i 0 5 V U U. . . Iaker.fi.1d. c&lLfol'Dla Lacy HaDufactul'inl cO. 2400 bat DoIIlt.a.-y It. Lona ..ach. c:aU.fonia _.':.:::' 21 cal atae. 1D1Iticm Co. 22 23 ladlaaU1al BuUd, HU.l'lal lac. 2808 80. v.n 24 Loa Miel C&ls.fomla 111..1. Ihret Hilt. toc. SOO lI'I".la A".- Tr.nton. It_ JU", ~Dlt.. COn c:o,.pania. Corsr Baldwin Ib~.t Kill. loco 25 t1aOl'pe IuuhUon COIIpAD, 26 MuDda' Con 21 28 Armltrona ConeraeciDI ~ ~~pply Corp 29 120 Morth Lime St. Lanea.tar, 'enalylvenle 30 A 1 IDI"lac1o'A Co,;---- .. 31 11351 Del~nd sc. G&~4en G~ove, Califorftia 32 -5- --"--."-".--'_ ._*4..' __ ( 21 ~ime of injury ar3e. inThdeisapcututea.l weekly wages of the employee at the ," The employee con4ti.nueTdhetoemwpolroky.ee's present dis.ability is in dispute, S 6 to the 5. No temporary disability indemnity has been paid employee. 7 liability The amount due and unpaid to the employee and the 8 of the in dispute. several employers and their insurance carriers are 9 10 to 6.. No. permanent disability indemnity has been .. paid the employee. 11 liability The 8mount due and unpaid to the employee and the 12 dispute. of the several employers and insurance carriers are in 13 14 7. The parties hereby agree to settle any and all claims on account of said injury by the payment as hereinafter pro- 15 16 vided of the sum of $30,OOQ.00 in addition to any sums h~retofore paid by the employers or the insurance carriers to the employee, saie 11 sum to be payable as fellows: 18 attorney's fees One lump sum to applicant, less 19 Workmen's and less Compensatio such other liens as may be allowed by the 20 12 hereo f. n Appeals Board. Referenee is made to paragraph .21 '. 22 Some by 8. Medical and hospital expenses have been paid: the employee and some by the employers or carriers. Unpaid 23 bills amount to: ~" estimated at: None. Future medical and hospital expense is Conjectural. 25 expense is to be assu Unpaid and future medical and hospital 28 med as follows: All to be paid by the employee. 27 Steven'Roseman, 9. Name 1543 and address of employee's attorney: 28 90015. West OlympiC Boule~ard, Los Angeles, California 29 30 Amount 10. Said attorney requests a fee of $ Reasonable 3l to be mAo~fQ attorney fee previously paid, if any, $ None. Payment 32 Workmen's CboympseuncshatiinoGnUArApnpCeealscaBroriaerdr. as may be determined by the I i -6- II il ( ( 1 11. Reason for Compromise: Applicant claims that 2 his several e=ployments in California and his several employments fc 3 which he was h~red in California have resulted in injury or injurie~ '4 Applicant was employed before coming to California. Applicant has S been employed outside of California. Applicant has worked outside S of California for employer. who hired him in California. Applicant 7 warrants and represents that all employers for whom be has worked in 8 California or who hired him in California are listed in this Com- ~ 9 promise and Release ~greement. Defendants claim that appliCant's 10 disabilities, if any, resulted from his employments outsid~ of 11 California and resulted from systemic and other conditions unrelated 12 to his employment by the employers herein named. Defendants claim 13 that applicant's employment by them caused neither injury nor dis- 14 ability. Defendants allege that applicant's claim is barred by the 15 statute of limitations; that the Workmen's Compensation Appeals 16 Board has no jurisdiction; that applicant's injury, if any, was in- 17 tentionally self-inflictedj and that applicant's injury, if any, was 18 proximately cause~ by his own serious and wilful misconduct. De- 19 fendants further claim that any injury or disabilities sustained by 20 applicant have been fully compensated. There are other points of 21 dispute between ~he parties, but the parties have ~reed to end theiI 22 differences by compromise as herein provided. 23 Defendants are willing to pay the compromise amount 24 to end litigation and buy their peace. Applicant is willing to acce~ 25 the compromise amount to avoid the delays and uncertainties of liti- 26 gation. Applicant desires to control his own medical treatment if an 27 is required. Applicant represents that this compromise is adequate 28 and request prompt approval. ~29 12. During applicant's employment by the employers 30 herein named, said employers were severally and separately insured 31 as to their workmen's compensation liab11i~y by the following named 32 insurance companies. Said insurance companies and employers agree I r -7- u I, ( .( '- 1 8everal~y to eontribute the amount 8et oppo8ite the ~e of each 2 eompany to the settlement herein. Such aggregate payments shall be 3 in fuil of their liability and the liability ot the -employers hereil '4 named. Said insurance carriers and employers and the amount to be 5 paid by each of them are as follow., to wit: 6 INStJ'RANCE COMPANY 7 6L0i0b6erWtyilMshuitruealBIonusluervaanrdce Company 8 Los Angeles, California 9 10 A24e0t4naWCialsshuiarletyBaonudleSvaurrdety ~s Company ' Angeles. California 11 PM.Ois.siBonoxIn75su03ra1nce Company ' 12 Los Angeles. California 13 FiremanI s 3223 West Fund Insurance Sixth Street Company 14 Los Angeles, California 90005 115 6S0t0ateSoCutohmLpeanfsaaytieotnteInPsaurkranPclaecFeund 1a Los Angeles, California 17 4U4n3itSedhaPttaociPfilacceInsurance Company 1a Los Angeles, California 90005 19 3C0h1icEagaostBCriodlgoread6oIrBoonulCevomarpdany 20 Pasadena. California .21 1C4a7s7uaSlotyuthInMsuarnacnhceeatCeormpany of California 22 Anaheim, California ' 23 5P3l7an8traRnunbobnerSatnrdeeAt sbestos Works 24 San Francisco, California 25 Reliance Insurance Company 26 548 Los South Kingsley Drive Angeles. Cali fornia 27 H(SaerdnwtrayreInMsuutruaanlceCaCsoumalptaynyC) ompany 28 13215 East Penn 29 Whittier, California SO Industrial Indemnity 505 South Virgil Company 31 Los Angeles, California AK>UNT ,,-- $ 552.00 ,... -~ --------- 8,427.00 \ 129.32 5.337.00 462.44 261.03 137.58 138.78 125.00 609.00 240.00 3.549.00 32 -!"='- .. 8 - (' ( 1 INSURANCE COMPANY 2 A35m45eriWcainlsMhioretoBriostusleIvnasrudrance Company 3 Los Angeles, California 4 . 3L5u4m5beWrmialnsIhsirMe uBtouualleCvoamrdpany 5 Los Angeles, California a Employers 639 South NLeiwabHialimtypshAirsesuAravnecneueCorporation 7 Los Angeles, California a A44r3goSnhauatttoInsPularacnece Company 9 Los Angeles, California 10 The Travelers 3600 Wilshire Insurance Boulevard Company 11. Los Angeles, California 90005 t. l2 Insurance and Company of North America 13 4P0a5c0ifWicilEshmiprleoyBeorsulIenysaurdrance Company 14 Los Angeles, California 90005 15 AMOUNT $ 1,299.00 560.00 417.00 798.00 us.OO 6,732.85 16 TOTAL $ 30,000.00 17 13. The undersigned request. that this Compromise 18 and Release Agreement be approved. 19 14. Upon approval of this Compromise ana Release 20 Agreement by the Workmen's Compensation Appeals Board, or a Referee. 21 and payment in accordance with the provisions hereof, said employee i 22 releases and forever discharges said employers and each of them, and 23 said insurance carriers and each of them, of and from all claitlls and 24 causes of action whether now known or ascertained or which may 25 hereafter arise or develop as a result of said injury, including any 26 and all liability of said employers and said insuranee carriers and 27 each of them, to the dependents, heirs, executors, representatives, 28 administrators, or assigns of said employee. 29 15. It is agreed by all parties hereto that the filin 30 of this document is the filing of an app1i.eation on the behalf of 3l employee and that the Workmen's Comp~nsation Appeals Board may. the in 32 its discretion, flet the matter f()r hnaring as a reBUlar al,plication, -9- ,i ( '-' 1 reservinl to the parties to put in issue any of the facta admitted 2 herein and that if hearing is held with this document used as an 3 application. the defendants shall have .available to them all de- " fenles that were available as of the date of the filing of this 5 document and that the Workmen's Compensation Appeals Board may there 6 after either approve said Compromise and Release Agreement or dis- 1 approve the same and issue Findings and Award after hearing has been 8 held and the matter regularly submitted for decision. 9 (SEE APPENDAGE) 16. For the purpose of determining the lien claim 10 filed herein for the unemployment compensation disability benefits I . 11 which have been paid und~r or p~rsuant to the California Unemploy- \" 12 ment Insurance Code, the parties propose the following division of 13 the sum agreed upon for settlement and release of this case: 14 $ for temporary disability covering the period 15 to ; $ accrued medical expense paid or in- 16 curred by the employee; $ for future medical' cue; 17 $ for permanent disability. (The above segregation must '18 be fair and reasonable and must be based on the real facts of the 19 case. There should be no attempt made to deprive the lien claimant '20 of a reasonable recovery consistent with all the amounts involved.) 21 r' 17. In further consideration of the payment in \ ( . '- 22 accordcce herewith, applicant agrees that this release will apply to 23 all unknown and unanticipated injuries and damages resulting from suer 24 accident, casualty. event, employment and/or employments. as well as .25 all those now disclosed and all rights under Section 1542 of the 26 Civil Code of California are hereby expressly waived. Section 1542 21 of the Civil Code of California reads as follows: 28 itA general release does not extend to claims 29 which the creditor does not know or suspect 30 to exist in his favor at the time of executing 31 the release. which if known by him must have 32 materially affected his 'settlement with the debtor." -10- !. t \. ( ( 1 . 18. In further consideration of the payment of the 2 aforesaic sum, applicant agrees that this release extends to and 3 covers the executors, administrators", heirs, representatives. 4 successors, assigns, officers, directors, agents, servants, and em- 5 ployee. of the defendants and each of them, and the physicians, 6 surgeons, and nurses of the defendants, and each of them, whether . 7 acting individually or on behalf of them, Or either of them. B WITNESS THE SIGNATURE HEREOF this ~~"*"daY of a~", . -~ 9 10 1968 at Los Angeles, California. 11 v O. S, App icant 12 1:5 .>i>~to....y for lPPlican 14 STATE OF CALIFORNIA ) \ ) ss 15 COUNTY OF LOS ANGELES) '3-1:~({ay 44'>/ J 16 the On undersigned, a this Notary Public oifn~d~r A.D. 1968 before me, said County and State. I 17 residing therein, duly commissioned and sworn, personally appeared VERNON E. LUMBATTIS, known to me to be the person whose name is 18 subscribed to the within Instrument, and acknowledged to me that he executed the same . 19 ~~~ IN WITNESS WHEREOF, I have hereunto set my hand and 20 affixed my official seal the day and year in this certificate first " above written. 21 22 Notary PUbli~ana for said County and State " 23 24 25 26 27 28 STAIE COMPENSATION INSURANCE FUND By 'J~"""4 !t-tth,:,i,,?,i. . 29 By ~ ~r't./C":/ cI:/C1t ....; .I'.''//.I7! (7/I"/f1"ff,- 30 ""Its Attorne.ys I " ; 31 32 -11- III . -.... .' ( { .. , . 1 2 1:L :s I CHICAGO BRIDGE & By ~'i, F~X, U IRON COMPANY ~ 4 U 5 Bylfito~ rne~ yse> & ~~ ~ C.~o~'~Orney 6 CCAASLUIFAOLRTYNIAINSURANCE COMPANY OF 7 BYDW 8 9 10 AINMDEURSICTARNIAML OITNODREIMSTNSITYINSCUORMAPNACNYE and PANY and CASUALTY LUMBERMAN'S COMPANY and MUTUAL COM EMPLOYERS aLnIAdBAILRIGTOYNAAUStSUINRSAUNRCAENCCEORCPOOMRPAATNIYON, 9t 8y CMtlCMLMAUINGGiU..IN t EVANS DALBY & Th1k~&~rnett . By THE TRAVELERS AaMndERIICNAS~CE INSURANCE COMPANY COMPANY OF NORTH INSURANCE PACIFIC COMPANY EMPLOYERS : -8y '~~I H ~ ~ J ~S &..NELS 8Y . 11, I:- HENiY E. PRISTER,. Their Attorne: 12 13 14 15 16 17 18 19 20 21 22 23 2' 25 26 27 2S 29 30 :$1 :S2 -12- './ I t ( Steven Roseman 1621 W. Ninth St~ Los Angeles 90015 SAMUEL..J. SILLS. M. O. 1007 WII.'H'~C .OU~CV"'''O ~O ...... ClC~C C;"'~I"O""I'" 800117 HU ...."O 315000 Dear Mr. Roseman Re: Vernon E. Lumbatt1s The above follow1ug captioned history. presented himaelf at my office March 18, 1966 and gave the .- CHtE~.9!1L~: shortness of breath and fatigue. PRES;::NT nJ.NESs: The patient states that a ''heart attack. 1/ When questioned about on December 23. his symptoms he 1965 he seemed to ha.ve stated he had pains in his chest, real shortness getting this shortness of of breath. breath for Prior to this he about six months. stated that he He would note had been this shortness running. of breath when he would walk up stairs, !he patient was sent into the hospital, did any phYSical exercise,. or Physicians and Surgeons Hospital, Compton, California. Patient was treated at six days and was then discharged. Pulmonary function the hospital studies were for about done at the St. because Francis Hospital he was too tired about January and fatigued. 18, 1966. Patient did not return The patient was then informed by to work his . physical that his difficulties with hh exposure. Patient was then referred to breathing Dr. Louis and his lung was due to his Leventhal. Associated with this shortness of breath the patient has noted a slight cough in the past six months. patient Patient raises a tenacious, whitish sputum. there is no blood. The has not lost any weight and eats lo/ell. The patient has had no night sweats or fever. pain in his right Patient has lo,.,er chest had and to/heezing on oceasion in the axilla on the but he has also had right side. Patient states he had that at to lean times when he gets the pain against something as though on he the had right side, it felt as though a strain there. Patient finds that if he walks too fast he gets swelling of the ankles, feet, or legs. short of breath. In the past three There has been or four months no the patient states he has had to use two pillows and usually double these up. PAST HISTORY: Patient had had ulcer hernia repaired in 1963. He has had surgery about 1959. Patient had a ventral no pneumonias. Patient states that he hbeagsanhadabooucct ansiinoenayl eaatrtsa. cakgso. ofTpheleupraatsieynbt ihlaatsehraadllynofoser riyoeuasrsi.njuTrhiiessf. irst SYSTEMIC HISTORY: Eves, E~rst Nose, see quite as well and Throat: Essentially negative except that he does as he used to. He has had upper and lower dentures. not Last wsteaekirshe. w~s out of work becuase of dizzy spells when he went up and down Cardio-Respiratorv: present illness. ~~-Intestinal: Patient ha~ dn ulcer history as noted under past history; f Steven Roseman -2- other\Jhe. no symptoms. Gastro-Urinary: Essentially negative. Neuro-MUscular: 'Negative. ALLERGIES: Negative. tHwAoBIyTeSa: rsP. atHieensttospmpoekdessmapopkrinogximDeacteemlybeorne23.p, ack of cigarettes a day for thirty- Drugs: ' He has been :eeeivi9i:digitalis on occasional for his he courses of1a9n65ti. biAotlicco,holP: ataionnotc'hcaassiObeneanl tbeer. pfoerngiectisllianboourt situ.lfaN. o drug idioasrytn. crHace iesosmtehtaimt eh.etakknoewssoonef. a Ndoayrebaucttioofntesnto uREnStIiDlENthCEe HpIrSeTsOeRnYt : timBeorhne: haIlslilnivoeids ianndLollsveAdngtehleerse. untll 1929. i'r0il 1929 _ OCCUPAXIONAL HISTORY: Patient This l"as in Vernon, California worked for in 1929 the Saffner-Sattler as an assembler. for work t h f e o r city of ~1aywood. numerous contra c t In or s 19/11 thro he . '11as Hdoe in''lgorkfiebderfgolrasthsewfoirrke anddepaasrtbmesetnots . hot water lines and the steam ughout lines with Los Angeles. Patient wrapped the these materials. He worked primarily Sltow017iet.hn;t~yasybeeastrossheanwd omrkaegdnewsiiath'tfraibpepringglasssfomr athteerifailrsstforfivwerayppeianrgs. theIn the last a minimeuamlcloUfD=e3iigthictahteouwrsas athdeayoatnhd~railnsogrwedasieenxtp. oPseadtient states ducts about that he worked- a week. Many times he ,,,orked o',ltside; would work inside th~ boiler withou sometimes he approximately five days worked on boUers and tPhaetieanttticmawnyithtimreo$ckwowrkoeodl ,a,n,tdtll.flU1h,,a;t?rghtle,lasncsy.allseudcti"orenvafmanpsedtotopbsri"nwgheirne yforeushweareiri.n MARITAL HIstORY: :'1ife is living a.nd well. Tl"o children: living and well. FAMILY the age HISTORY: Mother died of 84 fro~ pneumonia. o f su Pat i i cide ent! s at m the othe r age ha d o f 55. Father: died at tuberculosis exposure or any other illnesses common diabetes. He denies to the fam1ly. any USUAL WEIGHT: 190. Patient states the Physicians that as far as he remembers and Surgeons Hospital since he has 1959. had several x-rays taken at 1949 he did counties work in the Bakersfield area, also in Patient states that San Diego and Santa in about Barbara ----- - .:'3T~'-::":.;tCn.~'.-L!3-l~:~.-.'.-:;rV:-;!.!\,T,:~)-r: 1-?1.~'i!",. }iHg ;'!ei~ht - 03. Heinht 'l7" Tamp: 99.4 Pulse: 88 ~t 't:!d ~!:;,: I) - ht M11:!, jl.. : ~ar:;. .".,t ,lcut,~~:: ill, slightly dyspnic appears of :. I'" ~ : ,-, .!:.. ~r. ; \': . l~":t with slight obstruction on left side. f 9. Roseman Re: Lumbattis 3- . . . (. Throat: tr>nsils small. Edentulous. Larynx negative. Neck: no glands; thyroid not palpable; no masses. Chest: increased A-P diameter. Lungs on left. Palpab~e rhonchi bilaterally - expansion poor on right; to lesser extent fremitus diminished on rales with inspiratory the right and at both wh1spired bases voice posteriorly. diminished on Tactile right. Bronchi~i Diaphragms move and poorly. expiratory wheezing bilaterally anteriorly and posteriorly. Heart: tones fa1rly good. murmurs; no thrills. P2 equals AJ. or is sUghtly greater. No de.finite Abdomen: hernia ventral in scar - epigastrium. Geneta1ia: not examined. No palpable liver or slpeen. Rectal: not examined. Extremities: slight cyanosis of the nails of the hands; no clubbing; no edema. FLUOROSCO?IC EX.\MINATION: ""PhrC!nic "ing~!)iaphragms inere:ts'Jd mow! vary markings ?oorl~.'. at the bases; bleb in left cos~o ~q!HTs'l"'R".t\D"OE'lUpl-naL;miTnE+'-)T{f3O: mmp. eirnfodrumreadtio3n-.l3-'T;'ui;belr:~cculdlin3 n2e1g-a"t.iveC. occidioidin negative. Wcorh1PiLtEeTcEelBlL'COO'ODOnct'o1m0r7.r1:004. 11D-'iif~ferHe~n;:t'iIa(\lelv-biEn o1s5in.7opghmilss. 15 mm. in one hour. 1~1,001S.e, gRmeedntCs e7l1l1C, oLuynmt p5h,o'0c0yt0e,s00208,4 URINALYSIS: AlbumTn- -0 color - straw ~?pearance Sugar - 0 Occult - 0 Micro: VITAL CAPACITY: 1200 cc. - - 1400 cc. normal 5000cc. elear. Sp. Gr. 1.020 Reaction essentially negative. 281. normal. Three second timed - alkaline. capacity X-RAY READINGS; 11idtS~o;;al; 4-13 -t;~. Boney fram<!work transverse in position appears to be normal. Heart upper ennilnartgherdi.b awindt~enriiongrlyof aortic shadow. which gives it an appearance of bineg Diaphragms at right and left side are at Ooato-phrenic . Right diaphragm appear hlativelv clear. is just above Right lung - right diffu posterior ninth rib. bEt Itt'!1tbn :3cattared throughout ~ntire l:.mg from the se first fine, mottling rib anteriorly and to tfhips.sub.rlsea,or."Inp-l ofsrsoimbletheplfaoteu-rlthikeribattpeolsetcetraios rly to the base. Thickening in interlobar extenU.'.g th!'O'lghout th~ left lung. is. Left lung has simil1ar infiltrate rFi.gxhpitra~to~dr,tofiltmhe shloowwser dbiaoprhdreargmosf eriisgehthtoriabbo?uot sttheerioeirglyhtonribthepolsetfetr.iorly on the !AtI1i1!l.ln[lthther"erlpa,'ll'l.s.,vh~eiel;r;w.~ 's:iht,)ta/!;hitghhe csotasttioo-npharnednicthearnegliess, a pdoisftfeursieorilnyf, ilatrreatc:eleparre. seTnht ethroughout ')i 'l~n':)si$: pulmnnarv fibrosis. bilateral, extensive in character.  : LUMBATTIS, VERNON I X-RAY READINGS Compton normal. PBhoYnSeyicifarnasme&wlourkrgeiosnnsoHrmospital, dated 9-11-59. Soft tissues are upper limits of normal i~ the ninth rib posteriorly size. aBl.othHdeiaaprthriasgmins maried-altinteh;e trloawnsevr ersly placed; fibrotic infiltrate lung, most pronou radiat.ingCootutot -pfrhomrentihce ahniglulems are clear. into the border of Right lung - right appears radiating out to nced in the be about 20 mcmar; doino-pthherelneicft a2nSglmem. . FUlsonbaarys evoe sf stehl eonr i gt hhet lobe in ths from the hilum first and second into the base of the interspaca anteri lungL eafntd lui nngt o - t hi en fui lptpreart i o n orl!'. F~lm incre dat ase e d o f S-9"~1. the de g r Compared ee of fib with rosis f i l m of 9-11-59, the only changes are a and possible increase at the left bainse,thheotc~aervderi,o-pthhirsenmicayabengle on the n right difference. a technical Film taken January 9, 19~4 shows decrease in the infiltrate at both bas fAibfirlomsistakaetnthfeorritghJl!lt esloowpheraghu.st,lfaocftutahlel.yluanngofbileiqldue, shows considerable es.. , oAt ltahteerlaolbetaskeonf tJhaenulaurnyg.9, 19~4 shows pulmonary fibrosis throughout most A film takan February half of the left ll.mg 3, 19'i4 sh:n'1s field; inc iner'aase of the infiltration in the low attalectasis at th~ right b:~,<:! rease tJ! the !J~~n c,~.'n:''lri~d infiltration ~vith and plate-11ke er _\ Zit.!' t~ken !)1=cer.\b3~ 22, '. ~~;5 tha JllZluary. 19';4 film. ,:!tt<?hct:;l.o;.s ~ilater3.11y 'lIwl i.1)'Z a.:!l~, ,-'r~ still noto':'. 3hl;n!<; '10 .:l~finite the inti ltr.rtiofl in 'IL ch.:nges. tha lo\-,cr The plateUke halves of both i,-,Eiltrat1.on <1.:'1 co':l~)3.l"ad uith \t;~.:~ a.;'I:"~..i"s ti1C Se~t=:llbar to have "'nn 11, US? extansion of the film. :l\atfeilrtanlltyakeensl)Dececiaem'tlhyerin27t.helq~l5e,ft ~hloo\t~erlighah1t.ef rot f shthowe slumnogrefiienlfdi.ltration bi- iOnufrilftirlamtioonf _AprAilllo1w4,ing19~f(o),r taken the on ins?iration, ShO~1S a great deal of are noted. difference in technique, no definite ehanges vantrteUl-;;:::::;Z;;' ~ pOula~tef-illmiketakaettnelJaucnteas1i3s,. 19~'1 :~o rev~al~ diffuse bilateral infiltration C!',;\Tl:a:1 t;~,.;n cO';:t?'lj~e,l to ~~;?::il 13, with 191'1. _...J.l:'~!.~3C i,~',tt l1~_\"v'f'.1 LO.':'n?,:iC'li.:lr '<-at'! - 80 Ventirucl.lr r.ate - 80. ',lav.! in V-4,5, and .Ij. ..lncDi iIaIg.nos"i:1s': ~l.:lVa hin":-Tleasd"~gImI~In.t 0.1S2. waRveigwhtithaxlioswdBe. viation. ri3 t .. ",' ( S.. Roseman Re: Lumbattis .~- hDiISsCtUorSS~IhO?Ns:1c.:allrev~ixeawminoaftltohni,s patiant's findings x--r,l:' :!xdminatio including the occupational fainbdrothseis ?uthlmrooungahryouftubnoctthiolnu.nsgtudfiieelsd are n and supportive of history of his a diagnosis of complaints pulmonary pulmonary fibrosil, amy of Dr. Louis Leventh conditions s. can l~en we attemp to be increminated. analyse the cause. of In reviewing a report were numerous through x-ray. adl attoingDrb. acVkicttoor1M9'9astwrohnic, hFsehborwueadrya9p, ro1g96re6s, shiveenotes there charactoerutobf otthhe lupnagttfeinetl'dsso. ccTuhpiastiopnroagl reexspsioosnuroe,f the the pulmonary fibrosis fibrosis, the findings along wit pulmonary fibrosis h the pulmonary secondary to a s function bestosis . s t u d i e s allxs-urapypofritndaindgiasg, ntohseispohfysical cearennnto1tybienmfaadveowr ithoof utthilusngdiabgionpossyl.s t feal thIat t isthetrueevidthenacteahedreefiinsitisvoepdreipaognndo-sis diagnosis on the basis of and the labo~tory find clinical e, xtphearite,ansce,facr liansicanaylonfiendcianngms,akxe-ra~ydeffiinndi1tnivges, fibrosis in both lung ings, we fields. must make a diagnosis of asbestosis producing RECO~NDATtO~L- Re will. probably, this patient will have progression of require the medical care for the rest of his llfe. pulmonae the labo r a a s to a ry r e o s f ult Dr. of H the unge pulmonary rford f i b r o fibr sis. osis The . l l Be ect may orca develop a rdiosram cor done at one dated 12-28-65 copy of the r,port after pre a , dated l2-27-~5, which we Master's Test, which we did not did not see and see, according to the cEoCrGo.',:laHr:o' wheavael"r,t tdihn'i:s":!!EjC~GsI eW~n~~taiesCd:bl teotihn3uissl,.~~<ta'htd:.:ei 'rle:n~t?w:'jao<slersnenotnloey,vt idhfreaonvmcee. thoef sptaatnhdoploogiynt inofthe 11-= .;hould be prodected a cold coming on. by antimicrobial thuapy as indicated whenever he feels lIe should take 10,1. HOtl="~-". bronchodilators in thn ~ul:nonsl':' eV(!tl thOI.lg~1 .bnctio_1 ha ha~3 a r_unir:l'Jm o~ P'.llmo,larj ob:.truc:t- 'l hr')ncho--c!i lator ~la imrrov'~:l 'lslJal !>ulmon;tr:" ~u";:,\l!tion hi;,; :::t:.r1i~s, ..~~ b1.-i'!':!i;rti -,~ c 3.,)<I.cit~' note l2'Z. that with the use tInder the normal of and approximately 110% as breathing capacity far asstuhdiisesvweentfiilnatjortyhact atphaicsitypaitniencot nhcaesrneadd; ihsiasbimliatxyimuomf becomes inte more dense is he reduced about 12%. will have more and As his pulmonary fibrosis more disability and more increases and rference with his Diffusion difficulty. ventilaroty capacity. I find no evidence of He may diffus begin to and more show evidence of arterial P02 and arterial ventilaroty type. pe02 are concerned; the ion studies studies were as far as the entirely of a ~CoOsNCuLrUeSIOtNoS: asbtheisstopsaist.ient(2h) asHpe uhlmasonaabryouftibarosis secondary to his occupation and by the pulmonary function will, probably, be unable studies, symptomatosloixgytyanpderx~-reanyt to be gain disability as measured appearance. (3) He occupation, ',olhere he has a minimal. fully amount employed in of physical anything but a sedentary activity. By sedentary occnp;ltion, I "lnythine that c::m!;Vhr slJch Hould require thin~s as 5ittVlg at a toJalkins or other phy desk and oing desk work rather will require mn sical exertion. (4) Thta b_gncno-dl1~tor,die!anl tcihairoe tifcosr the lung, t t h o a r~s~ preve o nt f b! and s t 1t re a 0 t , a T ny h 13 in f car@ ectio w n i l l pat1an~ eoft$ist of h~zard to uhieh lo1o\11d his life. he detrimental to his well-being and would he may hav~ represent a in distinct 'lh:tnk YO'\ very m'.1ch for the privilege of seeing this patient. SJS: :. ~~v~Jy"HtrIuly'" /. ~ , _0- J J, HERLIHY & HERLIfl ~U; ~6 PM 3..QAsa ....&.., TO .UIU ... "AIIII CrNTIIAI. IUI&'Ollile .'a WUT "I'H .TII"T LOS ANGELES. CAL'JrO"N'A 11001.. TIL."HOIil. MAOI"," 7 .... 11 August 15# 1966 ~ WORKI MENI S COI MPENm SATID ON AI PPEAE LS BOARD 107 South Broadway Los Angeles, California o - - 'ttl .UT ,nit nun haTA AU. c",",rOlllt'A .I1M I" Kt 7""4 o 1.08 ........U OI"r,CI Ret VERNON E. INSURANOE LOUOMMPBAANTYTIOSFvNsOBRTAHLDAWMINER, ICEABR.:E61'6&:LAHI2L9L1, INC. 957 Dear Sirs: We enclose the following documents: MEDICAL REPORTS () In ot PacrcaocrtdicaneceandwiPthroctheeduCreommission's Rules () As Defendants' exhibit next in orcler R. T. Johnstone, M. D. July 8, 1966 Yours ve1:7 truly. RGH/mhh ce : 1S6TE2V1ENWeRsOt S9EMthANS, tEreSQet. Los Angeles l Calif. 90015 OCCUPATlONA~ Disuses lItTrBEDOJm T. JODS1'On. x.D. Los ADgeles. Cali1'omia 90014 1'CLC .... O .. C .z~z July 8, 1966 4H1e2rlwih. y6&thHsetr.lihy Los Angeles, Calif. Gentlemen: 90014 Re: VERNON LUMBATTIS Baldwin, Ehret & Hill Case No. 66 LA 291-957 Our File: 69l2-V On by your authorization the the writer on ~-27-66. above captioned individual was examined He gave his address as 124~9 East Firestone Blvd., Norwalk, Calif. insulator. He gave his address as an HISTORY: Mr. Lumbattis states that noticed that he was short during the year of 1965 he of breath and the condition continued to worsen. at which time he had He continued working until December 22, 1965 what he termed as a mild heart attack. He developed pain over his that the episode lasted heart with 'shortness of breath. He for about twenty minutes. His wife claims took - him to Dr. Physicians Mastron in Compton, who had him hospitalized and Surgeons Hospital in Compton. He was in in the the hospital for five Hospital or in six days. Following this he was sent Lynwood for pulmonary function tests. to the St. He states Francis that following these tests he was advised to attorney. II He was then referred to Dr. see "an industrial Samuel Sills. The patient is presently under Dr. Mastron's care and intermittent positive pressure. and he receives antibiotics Present Complaint: Shortness of breath and fatigue. He states worse on smogy days. that his shortness of breath seems to be Past Medical History: Had an operation some years ago for a hernia operation in duodenal 1963. ulcer. He had an in~isional occupational History: The patient was born in Illinois and went coming to California through he worked the for 3rd year of high school. different companies doing After different types of work until 1942 when he He has worked for many diff9~~nt eomfanle~ became an insulator. ~~n~e that ~im@. He cthominpkasnyth(4atyheearws)o.rkedHerolarsMt awrionrekedEnfgoirneBerasldlwoinng, eEr htrheatn&anHyilol thanedr this was for approximately one year.  0 _ - - _ ,_ _ _ _ _ _ =_-1116l1li5 { " 'i~O. 2 Re: Vernon Lumoattis ( 7-8"'66 Personal History: The Has ptwaotiecnhtildisremn.arrDieedn,iews iafneylikvnionwgledangde well. of . . 0' _ '--::'.. - ::: tuberculosis had cancer. or diaoetes in the family history. states his mother -.. ~l = Inventory of Systems: .." ,- i Head tinnitus. The His patient tonsils has an occasional headache, no intact. His teeth are false. dizziness or pronCouanrcdeido.-reHsepihraastodryysp-neHaas onaneofcfocarst,iopnaallp..a. tciooung~hanbdutctlahiims sisthnaot t .. ,,' he by has the cardiac distress on smogy days. fact that he uses two pillows at He has orthopnea night behind his as indicated nead and has done so for the past six or eight months. Gastro-intestinal - Appetite indigestion. No constipation or is normal. diarrhea. Has no symptoms of Stools are normal.- , Genito-urinary ... No nocturia, dysuria or Weight Slight gain in recen~ months. frequency. Nervous system - Is not nervous or irritable. Extremities'" enlargement. No history of ankle edema, joint pain or joint Habits: at which Smoked about a pack of time he stopped. Does cigarettes a day until December not drink alcoholic beverages. PHYSICAL EXAI.f:INATION: This 52 year old male weigbhed 194 -- pounds, Head and Neck: Pupils temperature 97.8 round, equal and degrees at 11:15 react to light. A.M. Ears, nose and throat of the cervical negative. The teeth glands. thyroid not were false. No enlargement enlarged. No pulsations present. Chest: Barrel shaped in type. No distinct rales were heard. The creath Respiratory sounds somewhat rate 26. harsh. Heart: Rate of 86; regular, no murmurs heard. Tones distant. B.P. 120/86. Ateonddomerenne: ssOebleiscei;tendo . orgOaldns socar rmparsesessenpt.alpated. No areas of Extremities: No ankle edema present. .. . LABORATORY: Blood count: Hemoglobin ... Erythrocytes Leucocytes Juv Stabs Segs Lymphs Monos Eosins Basoph l5.0gms. - 104% 5,370,000 8,650 1 7 57 19 5 -8 3 0' ..' - . .-,~..... ", .. ~' .'~:.. Blood sedimentation rate: ll.5mm 1 hour (Wintrobe) .T J I No. 3 Re: Vernon Lumbattis " ,. 7-8-66 ELECTROCARDIOGRAM: Essentially normal. X-RAY EXAMINATION: Posterior anterior and lateral views of the chest were taken in this office on 5-27-66. They reveal the cardiac shadow to be within normal limits. The right border is somewhat occluded by basal fibrosis. Both lower lungs reveal a degree of fibrosis. The upper lungs appear normal except for what appears to be an occasional cystic formation. The costophrenic angles are occluded as is the border of the-left diaphragm. There is evidence of emphysema of the upper lung fields oilaterally. DISCUSSION: In addition to our examination of Mr. Lumbattis and our study of this case, we reviewed a voluminous medical and hospital file. According to Mr. Lumbattis he has noticed shortness of breath and tiredness for over a year. In his opinion the condition gradually worsened. However he continued working until December of 1965 at which time he suffered an attack of congestive heart failure. He has not worked since. The medical records also reveal that he was under observation in January, 1964 for a complaint of dy~pnea. Pulmonary function stUdies done at the st. Francis Hospital on 1-18-66 reveal "marked restrictive dysfunction with decreased expiratory reserve." The occupational history indicates many years of exposure to dusts of some type. How much exposure he had to asbestos is unknown. However when we combine his occupational history with the x-ray findings and the pulmonary function test we feel that ~~. Lumbattis has a pneumoconiosis, probably asbestosis. We further feel that his disaoility is total and permanent. r~TJ/rcm Yours very truly, " (\' 1~1vw.I;... t<t t:J R. T. nstone, M.D. Diplomate, American Board of Occupational Medicine .-, ( Steven Roseman 1621 W. Ninth St. Los Angeles, 9001S ( . . SAMUEl. J, SIL.L.S. M, 0:':; 2007 W'LS"'IIIC " eOULCV.IIIO .' LOS ANGELES, eAL'II'O"N'A .00.7 HV....."II 3'11000 tII:" ~~ ~.. ,.J August 19, 1967 -.."0 -- :J ;5 :.~. !'w!' Dear Mr:. Res.man: I!: VIWION E. LUMBArl'lS The above captioned presented himself at ~ office July 24, 1967. _lNTERVAL_~TR: normal speed; he able to can walk walk only about two one-half or three blocks at a slow pace - one-third after 1IIOW1ng the lawn for about take him ten udnutes to do fifteen black at minutes.' a normal pace. Ke state. that Be has dyspnea what ,used to' with occassional an occassiona white now sputum; requires two hours. ae has noted no blood. Has gained weight. No very little chest pain cough he has felt fal irplayinwbeeltlw. eeInnshJuoluyld, e1r96b6lahdeesw. enHt atdoaRcenooldanind March, 1967; except otherwise, his breath. He had to return to Los Angeles was unable to catch _REVIEW OF Tq lY~,,: Eyes, Ear, Nose and Throat - no complaints. Cardio-Respiratory - uses two pillows, otherwise, as noted above. Gastro-Intestinal - no symptoms. Genito-Urinary - gets up two or three times at night. Extremities - noted edema; shoes get tight at night. iIiHibYS'OICAthLaErXm~lsI.N-A-T-ION-: Weight: 196 Temp: 99.0 Pulse: 80 Resp: 30 BP: 134/100 Eyes, Ears, Nose and Throat - negative. Cbrheeastth: soruanledss haat rsbhotohnblaesefts; siddime.inisPheerdcubssreioanthnsooteunndos rmonalt.he right. Heart: tones good; P2 greater than A2; no murmurs; no thrills. Abdomen: liver not palpable. No Wheezing; Extremities: no edema of lower; no clubbing of upper. StFhlLriUogOuhgRtholsocuyetP-IoCbborEthX~AabMtaeINsdeAsXo.IOnN-t:he poleorftm. otTiohen olufngthsehaddiapahrgargomunsd. gClaossstoa-pppheraernaincceangles were _~~~\x: no changes when compared with x-ray of June 13, 1966. ., ( / ',Roseman Re: Lumbattis 8-19-67 -2- EtEC'l'ROCARDIOGllAM:' -------- ----------- SEDIMENrATION RATE: no changes. 3 tIID. VITAL CAPt&m: 1800 ce. Normal 5000 cc. 36'1. normal. Three second timed capacity 1500. BLOOD ~~~~~~!: total protein, albumin, sodium, calcium, potassium, chlorides, phosphatase-alkaline, carbon dioxide capacity, total bilirubiD, urea nHimtroitgse.n, glucose, SGO-transaminase, ,lobUin, Ale ration were all wit~1 normal DISCUSSION: I have reviewed the report you submitted I agree with him that the patient has pneumoconiosis of Dr. Rutherford Johnstone. probably due to asbestosis. From all the physical etc., this patient is findings, pulmonary function studies, permanently and totally disabled. He electrocardiograms, will require constant medical supervision for the rest the pulmonary and/or the cat"diac of his life and may require problem, t.,hich is secondary hospitalization to the former. for Thank yOl.l for the privilege of re-examining Mr. Lumbattis. ...Jh~~tflk SJS:ME . Sincerely, _ . S a n u el / . , J ...- ,..Si11s, H.D. .:.' /' / /