Document 10Dmn2oVw078N4w34MJ6waxaa

E. I. du Po n t S5TA5USHE1602 d e N e mo u r s S C o mp a n y IN C O R PO R A T E D CHAN'BERS W O R K S DEEPVVA" N f . W J U R S E Y 03023 T elephone A rea C o d e 609-299-5000 April 27, 1970 Robert A . K e h o e , M.D. Professor Emeritus of Occupational Medicine 345 Resor Avenue Cincinnati, Ohio 45220; Dear Dr, This is merely a follow-up note to keep you appraised of the overall health course in this patient concerning whom you were so kind as to give me your expertise relative to his manifes tations of alleged excessive lead exposure. iReferring"to your last communication to me in the latter part of 1469.5 and using the American Medical Association guidelines to permanent impairment, I concluded! this employee had a 10 percent permanent partial impairment relative to modest mental changes, which by my calculations was equivalent to a 15 percent permanent partial disability. Since fall, 1969, this man; was remaining away from work much more than being at,work. He was under treatment by a personal physician for a moderately severe hypertension (blood pressure 180/100 ahd sometimes a little less)j, tachycardia, weight loss, anorexia, insomnia, and irritability. The personal physician attempted to control this with Dilantin, tranquilizers, antihyper tensive agents, and thyroid inhibitors. This was seemingly to no avail. Abruptly on January 1, 1970.5 this man was rushed to the hospital w.ith all the appearances of an acute myocardial infarction, By the timie of his arrival, he was in cardiac arrest. The usual heroic mea sures were employed; and after a period of at least 10 minutes in asystole, the heart finally responded to electrical stimuli. I am uncertain whether or not there was one subsequent bout of ca rdiac arrest; but, nonetheless, he did survive and has left the h ospital. t . 0 0 0 2 0 0 2 s e t t e r t h in g s f o r s e t t e r l iv in g . . . through chemistry April i j ii)(0 Kobe r t A . iK eh oe, M .D . The doctor in attendance states the man, although lucid, has persxs tent irritability and talks incessantly. Additionally,, now cl b period of time of four months postcoronary, he is"still coinplainin of weakness, shortness of breath, and chest pain. On this card! ac basis, I will be m; a recommendation to my management "or medical pension. how, I do not believe that there is cause and effect between hijs lead exposure and the occurrence of a myocardial in farction. ;However, I do feel that any further mental deterioration he may iiavh experienced is due to the extended period of cerebral anoxia which occurred during his 10-minute period of cardiac arrest I would imagine you can suspect the medicolegal implications and the form of litigation to which I will be exposed as this case continues to evolve. X hope this will give you an additional facet to add to your voluminous knowledge concerning lead problems and their com plications , Respectfully, t VJEN: jic W. E. Nee Id, jf7 M.D. Director, Medical Division