Document 0qkX0Vpy5a00qNrLB8n0z36jx
Ocoanbar 27, 1944
C.Cr. n. Rlttcrhaf
Pirsotorof inboratorioe ffhfl ?ubroulosls Hospital Pries piii Cinoicnoti 8, Ohio
Dear ft*. l<tcrfesfi
^^
2 so very pleased indoed that you oould l#t uo
bare ouch a generous oosple of tlesuo for ehoalcel analysis of you?
fcoolaatlag cso of caroold sad osbeatoclo. Vo will eive It tho
vor&o 1a order to aoosrtola what sro present. The otory will inolcdo
cot only chemical aed S-ray diffrsotioa aeelyooo but Z shall seed it
off for a opootrosrophie caalyclo. 2 ea doing this baosuss Z an
looking for oontral sstsrlal to a ssrloo of earsold or earooid-liho
oaeco froa the flusrosoeat leep lodustry. 2 a doles everything that
2 caa to detcraino whether thcro osy bo aa Industrial environoental
fsotor Involved Id tho etiology. ?huo far wc actually fcaow eery little;
thoso pooplo oako fluoroeooat aed other typea of leapssnd radio bulbs
Id a vary oleso factory. Bcrylllta 1c order ouoploloa but la epito of
Intoaslvo study the ospoeuro to any particular oubetooo eoeoe vory
llslted. SsporlBontal wort omo aany of tho ohcaieda lavolvod has ee
yot preduoed co dooiolvo roeuitc.
2t lo cy own fooling that sarcoid lo probably due to
coco lAfeotlen bhooc esueo la acheovs at tho prooeat tics. Porhspc it
{Lo o virus. 2 eaa't roeoaollo the hlotolcgloal plater with tcbercaiocie
ae Plnoer dots oo oaolly cor dooo it occn Llfcely that tho diccoso lo uuo
to lopra baollU or other ooid-foct orcaalosn. 2 fcolloco thr.t if cay
car.-cpcolflo irritant lo eocoorncd, Ito role oust bo a eftnor. one, pro
bably eating ae a Jfrlgger coahanlce to allev the circa Or vhatover to do
its not.
v
la your oaeo the preeoaoo of aebootools would csea to ae probably scrol7 oolnoldsatal, at least thio lo the flrot tico thlo.ooQblnatlea has boon reported. 2 have etudlee ea fifth aaeee of aeboetoslo aed 2 have never oeea one oonpliostca oy careold. 2 would lofsr that la your oaeo tho two oonditionc dcvoiopsd sro or leeo eiaultahooualy bat that probably tho eobestoois to ooot decroo before the earoeld appeared, fhle opiniocIs JJJJ* aa the oooursnos of esbsstos fibres and other Iroa-oontalaing the- iatorlor of the tubsrele-llhe oodulse and la eooe oases within ths giant eelle theoselves. the oaloiua encrusted laelusioBe la the giant
sells are very frsqusot la all of the pulaonary earooids that * ** > studied. 2 do aot know what they are but they look Uke bits of eleetis
Dr. n. <?. Rittorfcof?
Doocsbo? 27, 1940
^iacuo that hnro attracted 2Lao aalto; otfccro^fcnvo an oyetor chcll aopcaraaoc vfaoao origin la hard to icaglno* 2 ecv in tho aootioca of your cans a few of chose dcoply otolncd todioo which era a foaturo of earooid and In addition, 2 eotod, as you oenticncd, oortalo portions of fibre chat h*vo a yollewlah oaat which oao ouopcete ca7 bo cabcstoc. Shoeo, of oouroo, ore aot uaooaaoa in uccdaplicatcd actcotoaic. on tho other hand, sob* of the ocbeotoolo bodies 2a pxoparatlcac tuvo acouxcd coot bisorre appearaooco.
At tha riah of being eoaotonouo aboat cho occupational expoeuro 2 would appreciate it if you would toll ee vhat oorc of a plant the Philip Carey Manufacturing Ccaoaay operates and vhethor yon have any idea of the nature of tholr prodsoto. 2 as intorootod, of ooureo, not only in tho exposure to aoboetoo but In tho pooeibillty of an exposure to flooreocoat aubotoncoa. Vo shall probably be able to detorulne tha preccnee or abeanea of tha letter by opootrographic analyalo but it would bo holpful to kxsov ehat pooolbilltlee are involved.
Paraoaally T would haoltato to ooealt oyeolf on the -'Cuootlon of oausal ralctlenahip botvoon aobesteolo and oarcold. Cueh
rolatlonahlp eay exlot but fros tho ovldenee before uo 2 would find it difficult to decide which vaa oeuoo and whieh waa effcot. 2a view of tho fact that tho two aondltloeo ooocr do raroly in tha ooso luoj Z would rathar entertala tha opialoa that ehaaoo vac reopens idle for tholr oiooltonaoun oooureooo in year aaec.
After wo got ocr various ehoaiool and other analytical data together 2 would be vary glad to give you C7 further oocsento to bo used in your oaqq report, ir you oo doeirc. 2 will edait that after lacneotlng the grooe cantorial 2 ca coro icprocoed with the octant of the astcotoelo. 2a eoaparieoa with oor other catarial tho pigseoted fool in your onto eota to ahov Boro flbroala and lean looallsad caphycena. Sicto logloally thie eaa probably bo oxplal&ed b7 tho procenoo of oarcold noduloa withia the eeboatotio tonoa of rcaotloa.
Again aa7 2 expraaa ay appraoiation for being allowed to etud7 thie unuoually latareatiog ease.
Siaoorely youro.
Leroy 0. Oardner, X. D. Plraotor