Document 10XmrzVLk0kGa8Vp8mVde3DJm

THE HERTZLER CLINIC HALSTEAD, KANSAS Ja n .1 4 ,1 9 3 7 . .Ro b e r t A.Ke h o e , . Un iv , "o f Cin n c in a t i Co lle ge o f xle d ie in e , Greti H o s p ., Xa b o r a t o r y o f Ap p l i e d P h y s i o l o g y ., Cin c in n a t i,Oh io . - .. - . - De a r Dr .Ke h o e : o f Hadis o n ,Ko . .r e p o r t e d a t t h e c l i n i c h e r e i n A p r i l 1 P3 6 b e c a u s e ox' a c h i n g , t i g h t n e s s a n d a w kv/ a r d n e s s o f t h e r i g h t a r m . H is p r e s e n t i l l n e s s a p p a r e n t ly began ab ou t Oct o b e r 1935. On e x a m i n a t i o n we o b s e r v e d t h a t h i s m a n n e r was h u r r i e d , s p e e c h h u r r i e d ' an d a t t im e s t h ic k a n d b l u r r i n g . The o p t i c n e r v e h e a d s were a b i t p a l e . He h s a ^ y s t a g n i o i d j e r k s t o n y s t a g m u s , ;.a t r e m o r i n t h e r ig h t arm on x-r a ys o f the r igh t elbow -and o f the s k u ll w e r e n e g a t i v e . Blo o d co u n t showed a s l i g h t a n e m ia . The Bw a ld t e s t b r e a k f a s t was n e g a t i v e . Blo o d P &s s e r a ^ n r j n e g a t i v e . Sp i n a l f l u i d n o r m a l . Ou r d i a g n o s i s w a s m u l t i p l e s c l e r o s i s ; He h a s h a d r a t h e r i n t i m a t e c o n t a c t w it h g a s o l i n e c o n t a i n i n g l e a d . .Acco r d in g t o s o m e , r e p o r t s le a d has been fou n d in t h e n er vous system o f m u lt ip le s o le o s is p a t ie n t s a t a u to p sy. Hh ile I -r e a liz e that m u lt ip le s c le r o s is mt8 ;I I