Document 2BQRrj5ZadzamaenQN4enz5p

S t a n d a r d Oil Co mpa n y (i n d i a n a ) 910Sout h Michigan Avenue M e d ic a l De p a r t m e n t BRYCE B. REEVE. M. D. M EDICAL DIRECTO R NELSO N W. EO LYARD, M. D. A SSI ST A N T M ED I CA L D IRECTO R GEORGE M. GOLDEN, M. D, P AU L D. H A LLEY I N D U ST R I A L H Y G I E N I ST Chicago so,Il l inois July 17, 1956 R ob er t A. Keh oe, 'M. B. U n iversity o f Cin cin n ati . The K e t t e r in g La b o r a t o r y - C o lle ge o f M edicin e - Eden Avenue C in cin n at i 19, Ohio Dear D r . Keh oe: Mr. H a lle y h as r e fe r r e d you r l e t t e r o f Ju n e 18 r e l a t i v e t o le a d a n a ly se s f o r me t o r e p ly . As youj p r o b ab ly know, we h ave been h an d lin g le a d compounds o t h e r th an t e t r a e t h y l le a d f o r q u it e a number o f y e a r s. We h ave h ad no r e aso n t o su sp e ct t h at our employees ar e co n t r actin g le ad poison in g as a r e su lt o f su ch h an d lin g. On t h e o t h e r h an d , we b e lie v e i t m igh t b e a d v isa b le t o r u n a f ew ch eck s t o se e i f t h e r e i s an y evid en ce t h a t t h e amount o f le ad in th e b lood an d u r in e o f se le c t e d employees o r groups o f employees i s s i g n i f i c a n t l y b u t o f l i n e . We do n ot a t t h i s t im e con t em p late an y w h o le sale e xam in at ion o f em ployees h an d lin g t h e se in o r gan ic le a d compounds b u t ar e th in k in g more o f a p i l o t ty p e st u d y h an dled th rough t h is o ffi c e . Sin ce you in d ic a t e in your l e t t e r t h a t you would n eed to d eal d ir e c t ly w it h t h e p h y sican s in each r e fi n e r y an d t h a t t h e way w ould h ave t o be paved fjor you a t e ach lo c a t io n , we a r e w on derin g i f t h i s sh u t s t h e door t o t h e t y p e o f w ork we h ave in mind a t t h i s t im e . Fo r y o u r in fo r m at io n , we do n ot h ave f u l l tim e p h y sic ia n s in o u r sm a lle r r e f i n e r i e s . A lso , w it h r e g a r d t o th e c o st o f a n a ly se s, we w ou ld l i k e some c l a r i f i c a t i o n as t o w h eth er t h is in clu d es th e co n su lt at io n an d in t e r p r e t a t io n which you have in d icated t o be a n ecessary p ar t o f your se r v ic e s. We w i l l a p p r e c ia t e h e ar in g from you a t you r con ven ien ce. Yours t r u ly , BBRjfeh ! L M* a . M edical D irector ]y 6 2 7 1 Ju n e 18, 1956 M r, P au l D. H ailey In d u strial H ygien ist Stan d ar d O il Com pan y (In dian a) 910 Sou th M ic h iga n A v e n u e C h ic a go SO, I llin o is D e a r M jr. H a lle y : ?vir. C h o lak h a s t u r n e d o v e r y o u r l e t t e r o f Ju n e 11 t o m e fo r r e p l y , sin c e we do n ot r e n d e r an aly t ic al se r v ic e s, a s su ch , in sit u at io n s of t h is type,, but rath er a m edical se r v ice . M ay 1 su ggest to you, and in d irectly to you r m ed ical a sso c ia t e s, th at th ese sam p les and th e r e su lt s obtain ed from th em sh ou ld be h aiidled by th e p h y sician s a s p a r t of con fid en tial m e d ical r e c o r d s. O th er w ise, in c a se s th at r e q u ir e m e d ical h an dlin g, th e situ ation com es to be un duly com p licated . Th is is n ot, st r ic t ly sp eak in g, a m atter of" e n v ir o n m e n t a l h y gie n e , b u t o f c l i n i c a l m e d ic in e . It sh o u ld b e k e p t so from the st a r t , not b ecau se of m ed ical protocol, but b ecau se of the m ed ico le gal com p lication s th at develop o th er w ise. Th is i3 no c r it ic ism of y ou r se lf o r of you r in qu iry, but r ath e r it is a fac t w h ich w e h ave le ar n e d , as u su al, by the h ard w ay. w e r e q u ir e in for m ation , in acco r d an ce w ith a sh e et w h ich acco m p an ies each se t o f co n t ain e r s, con cern in g th e jo b , th e n atu re of th e exp o su r e to lead , and p ar ticu lar ly , about the clin ical statu s of the in dividu al. Th is is n e ce ssar y fo r the in terpretation of the r e su lt s. F o r exam ple, the resu lts h ave qu ite a d iffe r e n t m ean in g in r e la t io n to e x p o su r e to t e t r ae t h y l le a d , a s co m p ar e d w ith e xp o su r e to in o r gan ic le a d . M o r e o v e r , if th e p atien t is ill, and e sp e c ially if he h ad h ad an y th erap y, the r e su lt s r e q u ir e car e fu l in terp retatio n . T h e r e fo r e , th ese go th rough m y h an ds fo r in terp retation and fo r m ed ical ad vice when it is req u ir ed . W e w ill p r o v id e t h e c o n t a i n e r s, an d M r . C h o la k *s g r o u p w ill c a r r y ou t th e a n aly se s an d r e p o r t th em to m e, p rovid ed w e ob tain th e in form ation w h ich we n eed to in terp ret th e r e su lt s an d give ad vice con cern in g th em . The m ost u sefu l p roced u re is th at.of obtain in g d u plicate blood sam p le s, an d a sin gle sp ot sam p le of u r in e in each in st an ce . Tw en ty - fou r h ou r sa m p le s o f u rin e a r e u su ally u n n e c e ssar y , an d t h e ir co llectio n is frau gh t w ith th e d an ger of con tam in ation . Much m or e in form ation is obtain ed fr o m th e type of sam ples in dicated ab ove. We can e st ab lish the statu s of the in dividual satisfacto r ily , N 6271.01 i M r . P a u l D . H a lle y - (2) - Ju n e 18, 1956 an d, of co u r se , th e com bin ed r e su lt s on a grou p o f m en in the sam e occu pation ar e even m ore v alu ab le. In stru ction s w ill be su pplied each tim e, but if t h er e is an y q u estion at a ll abou t th e p r o ce d u r e , w e sh ou ld be con su lted about tb s sp ecific p rob lem . It is difficu lt so m etim es to obtain en tirely sat isfact o r y sam p le s, but if I know the p rob lem , I can ad vise accord in gly . Th e co st is $ 1 0 .0 0 fo r th e d u p licate blood sam p le s (as th ough th ey w ere one sam p le) an d $ 1 0 .0 0 fo r th e u r in e . Th is co st In clu des a ll c o st s but th ose o f sp e cial rep ortin g by teleph on e o r telegr ap h . : . You r g r e a t e st p r o b lem w ill be th at of p rovid in g m e w ith th e p rop er, in fo r m a t io n . I| th e p h y sic ia n s w ill w o r k w ith m e in a c o m p le t e ly c o o p e r a t iv e m a n n e r , w e can give you good se r v ic e . If th ey do .n ot, y o u r com pan y w ill-b e w astin g it s m on ey an d w e, ,ou r t im e . Th e w ay w ill h ave to be paved fo r th is at each r e fin e r y . I leav e th is in you r h an ds an d w ill aw ait fu r t h er w ord fr o m you a s t o how h is is to b e h an d led . ' . . Cord ially y ou rs, RAK ef D ic t at e d but. n ot r e a d . Robert A . Kehoe, M. D. St a n d a r d O il Co mpa n y (i n d i a n a ) 910Sout h Michigan Avenue M e d ic a l De p a r t m e n t BRYCE B. REEVE. M. D. M EDICAL DIRECTO R W. BO LYAKD. M. B. A SSI ST A N T M ED ICAL D IRECTO R GEORGE M. GOLDEN, M. D. P A U L D. H A LLEY I XD C ST KI A L H Y G I EN I ST Ch ic a g o so . I l l i n o i s June 11, 1956 Mr* Jaco b Ch olak Ketter in g Laboratory U n iversity o f Cin cin n ati College of Medicine C in cin n at i 1 9, Ohio . 'Dear jack : We h ave been c o n sid e r in g th e p o s s i b i l i t y o f le a d a n a ly se s in b lo o d and u r in e an d n eed some in fo r m at io n . ! We do n o t con t em p lat e r o u t in e a n a ly se s a t t h i s t im e . I n st e a d , we may h ave dome c a se s w h ere we w ould w an t from one t o se v e r a l em ployees ch eck ed o c c a sio n a lly , p a r t i c u l a r l y in c a se we h ave r e aso n t o su sp e c t our c o n t r o l p r o ce d u r e s a r e becom in g l a x . T h is w ould mean t h a t we w ould wan t on h an d, le a d - fr e e c o n t a in e r s f o r b lo o d an d u r in e . . We co u ld p r o b ab ly giv e ajdvance n o t ic e w h ere we w ish su ch sam p les a n a ly z e d . We w ou ld l i k e t o know w h eth er K e t t e r in g Lab o r at o r y w ould p r o v id e su ch p r ep ar ed co n t ain e r s t o be k ept a t our in d iv id u al r e fin e r ie s an d what th e approxim ate co st would be fo r p rovid in g t h is se r v ice and an alyzin g the sp ecim en s. I a n t ic ip a t e a n eed fo r abou t s i x t o tw elve such se t s o f c o n t a in e r s a t each o f ou r s i x r e f i n e r i e s * We p r o b ab ly sh o u ld be equ ipped t o ob t ain both sp o t u r in e specim en s and 2ii-h our specim en s. lie w i l l a p p r e c ia t e a r e p ly a t you r co n v en ien ce. Sin cerely , PDHjfek I P au l D. H alley I n d u st r ia l H ygien ist