Document 2JbqgVNozNnzB7p8eyoB9Xz87
FILE NAME: Metalclad (METC) DATE: 1966 DOC#: METC013 DOCUMENT DESCRIPTION: WC Claim - Lumbattis [From J-M Archive]
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
WORKERS' COMPENSATION APPEALS BOARD - CALIFORNIA (INDUSTRIAL ACCIDENT COMMISSION, prior to 1966)
APPLICANT VERNON LUMBATTIS _______________________ CASE # LA 291957
Insulator________________________________
DATE CLAIM FILED Feb. 11, 1966__________. '_______________________
INJURY ALLEGED
Exposure to dust/Stresses & strains of employment
ALLEGED DATE OF INJURY
1942-Dec. 21, 1965
____________________
EMPLOYER/INSURER
Baldwin, Ehret, & Hill Fibreglass, et. al. including J-M Sales
No apparent Canadian carrier
OTHER NOTES ________Pneumoconiosis probably due to asbestos is ________Total & permanent disability_____________
DATE OF RESOLUTION Aug. 23, 1968_______________________;______________
RESOLUTION
(3) Compromise & Release
$30,000 settlement
apportioned among 18 carriers
DOCUMENTS COPIED
1) Compromise & Release
# OF jB^GEi
CLAIMANT
Lu/vi batKa,__________________________
California Workers' Compensation Appeals Board
CARRIERS INVOLVED:
The AETNA Casualty & Surety Co.
oAmerican Automobile Ins. Co.
oAmerican Employers Ins. Co.
American Motorists Ins. Co.
Argonaut Ins. Co.
oAssociated Indemnity Corp.
oCalifornia Casualty Indemnity Exchange
,
oCalifornia Compensation & Fire Co.
Casualty Ins. Co. of California
Employers Liability Assurance Corp.Ltd.
oEmployers Mutual Liability Ins. Co. of Wisconsin _
oFidelity & Casualty Co. of New York
"
Firteman's Fund Ins. Co.
oGeneral Accident, Fire & Life Assurance Corp. Ltd.
oGlobe Indemnity Co.
oGuarantee Insurance Co.
oGreat American Ins. Co.
Hardware Mutual Casualty Co. (Sentry Ins. Co.)
Industrial Indemnity Co.
olndustrial Indemnity Exchange
Insurance Co. of North America
Liberty Mutual Ins. Co.
Lumberman's Mutual Casualty Co.
oMaryland Casualty Co.
oMichigan Mutual Liability Co.
Mission Insurance Co.
oNational Automobile & Casualty Ins. Co.
oNew 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. of Hartford (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.
oZurich Ins. Co.
....
o_______________________________ |_______ ' ~ '_______
O____________________________________ ;__________________________
O _______________________________________________________________
O _______________________________________________________________
o
5/81
1
WORKERS' COMPENSATION APPEALS BOARD
2
STATE OF CALIFORNIA
3 VERNON E. LUMBATIS,
4
C ase No. 66 LA 291-957
5 Applicant
6 vs.
7 BALDWIN, EHRET, HILL, INC., st.si-
8
CERTIFICATION
9
Defendant
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
ATTEST my hand and the Seal of the Workers1 Compensation
15 Appeals Board of the State of California.
16
17
18
19
20
21
22 23 24 Bated at San Francisco, 25 California, this 6 day 26 of April, 1981
27
DIA WCAD
F(oNrCWm (n.?e>
QCNARTMRNT OF INDUSTRIAL RELATION DIVISION OF INDUSTRIAL ACCIDENT
(.
1 Herlihy, Herlihy, Jones & Nelson
Attorneys at Law
.
2 Suite 740 Roosevelt Building ;
727 West Beventh Street S Los Angeles, California 90017
4 Telephone: 627-4911
5 Attorneys for The Travelers Insurance Company
e
Insurance Company of North America
jifie.1E,a?loyrs insurance Company
7
and their Assureds
y
WORKMEN'S COMPENSATION APPEALS BOARD
9 STATE OF CALIFORNIA 10
11 VERNON E. LUMBATTIS,
12 Applicant,
13
vs,
Case No. 66 L. 291 957 Social Security No.'
561-28-5882
14 BALDWIN, EHRET, HILL, INC, et al
15
COMPROMISE AND BET.BAgK
16
Defendants.
17
18 Applicant hereby requests that the employers herein
19 after named and the insurance carriers hereinafter named be joined i 20 parties defendant in this proceeding and that all other parties be 21 dismissed as defendants.
22 The parties hereto, for the purpose of compromise on 23 hereby submit the following agreed statements of fact: 24 1. Vernon E. Lumbattis, 12459 East firestone 25 Boulevard, Norwalk, California, employee herein, born on November 29 26 1912, claims that he was employed in the State of California beginni: 27 xn 1941 to date hereof as an insulator, as a laborer, and in other 28 employment classifications by the employers hereinafter named, some 29 of said employers being then permissibly self-insured, the remainder 30 of said employers being then severally and separately insured as to 31 workmen's compensation liability by the several insurance carriers 32 hereinafter named, and that he claims that he sustained inj ry or
-1-
1 injuries arising out of and occurring in the course of his several 2 employments as follows: To his chest, lungs 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 manner. 5 It is claimed that said employments and injuries caused temporary ; 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 name*
9 10 11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31 32
/ ' I
-s..
j i
Smployer Name 1_ *wd Add
1-- .....
"
'
.Eall L. SnU h
,
/,
i
10241 Victoria Avenue
:
,Whlttler, California
|C.lifor,, Shlpbuilding Corp.;
;Wllatngton, UllfornU .
CallfornU Shlpbuilding Corp.
Mundet Cork Corp.
.
65 South llth 8t.
'
Brooklyn. New York
'
10
Morgen Bro.
3 0 Beet Slauoon Ave.
11
:Maywood, California
12
Cork Inauleelon Co. Znc.
.155 East 44th st.
13
:Mew York, New York
14
Cork Inaulatlon Co., inc.
... .15
le
'.?^ i 7 ';v ; 18
: i9 20
. ':::-'2i
*
22
` .. 23
. 24
,Sn FrancIk o , California
. Guy T. Atklnaon Co.
*orE0 Pollock Co.
|P* Box 259
$&.
:; long Beach, California
Vv-
y-'i
.1 California Shipbuilding Corp."
.:y.
Cuy T. Atklnaon Co. .1 Coorg* Pollock Co.
hT, , `n*ln,erlr,g 4 Supply Co
41 East Second St.
7
L* Angolea, California
V
: ,, '' 25 26 27
. 28 29 30 31 32
j Plant Rubber 4 Asbeatoa Worka
'
; Marina Engineering 4 Supply Co. . j
` '
`
.. .
.
./
.
' .
..1 * II
|
1 1 a(
Lang
j
l4465 Beat 52nd Place ' ;:
Maywood, California
Pat'a Condltlonalra, Ine. 1015 Weat Second St,
loa Angelee, California
I 1
1000 South Pr.nont Av.nu, Alhambra, California
Pat'a Cundltlonaira, Inc.
Clovardau Avenue *** Angel*,, California
'
Webb Corp.
Box 758B
Phoenix, Arlsona
Marine Engineering 4 Supply CdV
ID*I 2 Uibb Corp*
1
, .. . :
>
lot1!. Aaa. of Heat and * *
Proet Inaulatore
.. -1-1
3637 Eaat 37ch 8t.
OV
Maywood, California :: v
Lynch Aabeatoa Co. 2152 Sacramento St. Loa Angelee, California
.-- <
street
San Prancleco, CallfornU
. iR. T. Dinwiddle i532 Coolldge Drive jSan Gabriel, CallfornU
Al Co Coopany 5423 Flemleh Lane Loe Angelas, California
' .
;
'A.-matrong Cork Co.
'
iLiberty and Charlotte 8te.
Lancaster, PenneyIvanU
|Marine Engineering 4 Supply Co.
Hunger and Hunger 174 Bast Union St. Paeadena, CallfornU
' t IB. T. Dinwiddle
!Armstrong Cork Co.
, ?, j . ; : (
' ;;}: i;
J. T. Thorpe, loe. I948 East 2nd St. jLos Angeles. CallfornU
'' 1 . '? V:
3-'.
V
(
(
1 ;Thorp* Insulation Company
!2741 South Yates Avenue 2 Los Aotalaa, California
3 1 J. T. Thorpe, xc.
.4
Marron 4 Ballsy Co.
8
352$ South Cartold Avanua
:Lo* Ansala, California 6
,Hugh A Blsdon 7 j3262 Bant Casa Avanua
8 ;Huntington park, California
Marina Bnglnaarlng 4 Supply Co. .
10
I
11
Amatrong Cork Co.
Hugh A Klndon 12
I j
Robert's Roof 4 Floor Co. 13 927 South Mala St.
Las Vagany Navada 14
15 .C. P. Braun 4 Co.
16 ' Armstrong Cork Co.
17
18 j Thorpa lnaulatlon Company
19 Oil Plaid Conatrn. Co.
20
P. 0. Box 947
jBakersfield, California
21
Thorpa Insulation Coopany
22
23 / Hobart's Roof and floor Co.
24
CfbargUi Bnglnaarlng 4 Supply Co.
25 441 gate Seeond St.,
Los Angola, California
26
R. T. Dinwiddle, Inc.
27 6627 S. Atlantic
South Cats, California 28
Thorpa Insulation Company__ ___
29 United Refractory Const. Co.
1201 Banksvllle Road .
30
Pittsburgh, Pannaylvanla
31
Mundat Cork Corp.
7101 Tonne 11a Avenua
32
North Bergen, New Jersey
4-
Totnan Morgan Co. 2217 Moat 135th Placo .Blua Island, alinola
J. T. Thorpa, Xnc.
Totnan Morgan Co. .
Johns Manvllla Salas Corp. \
22 Boat 40th St.
;
Now York, Now York
Owona Corning Plbtrglaa Corp. . :
P. 0. Box 901
.
:
Toledo, Ohio
'
Industries Supply Co.' of San Diego
4th Avanua 4 J St. San Dlago, Californio
' . ;
.
Armstrong Cork Co.
J. T* Thorpe, Inc.
R. T. Dinwiddle, Xnc.
Industries Supply Co. of San Dlago
Coaat Insulating Products
.
2684 Lacey St.
.>
Los Angelas, California
Shelburne Refrigeration, lac.
1247 Main St.
.
El Centro, Californio
"
Matal Clad lnaulatlon Coopany, Ine.
Box 178
. ;
Torrance, Californio
. '
,4363 Valley Bivd. lo Angela*, California
Thorp* Xnaulatloo Coopany
Owana Coming ftbargUa Corp,
Coast Insulating Product*
B A B Bnglnaarlng 4 Supply Co..
P. O. Box 2531
1
Houston, Texas
Accurate Insulation Co., Xnc. 900 South Cypress St. Lahabra, California
Lm Angola* Cock Cowipauy
4180 East Washington
'
bo* Angelea, California
Pint Asbestos Co. .1300 64th St.. Emeryville, California
: '
Owen* Coming Plbarglas Corp.
Coast Insulating Product*
Aecurato Insulation C c,, Inc. : Plant AikMtoi Co.
Lao 8.. Eklns Company ' 4933 Valla/ Bird. Loo Angola*. California
Cal CUta Inaulatlo* Co. 4(32 West Imperial Hay. Inglavood, California
Mundat Cork Corp.
Owana Coming Plbarglae Carp.
Coaat Inaolatlng Prodoct*
Paboo Inaulatlo* Corp. 1789 Montgomery 8t. 8aa Pranclaco. California
Plant Asbaatoa Co.
Cal Stat* Xnaulatlon Co.
Industrial Building tutorial*, lac. 2808 So. Vail bo* Angola*. California
Tkorp* insulation Coupon/
Mundat Cork
United Cork Coupaniaa Corp.
Pt. Central Ave.
Kearny, How Jersey
'
Skin* Industrial Insulation Contractors
4933 Vallsy Bldg.
Los Angolas, California
Chicago Bridge & Iron Co.
901 Vast 22nd 3t.
Oak Brook, Illinois
National Refrigeration Salas, Inc. 4400 San Fernando Road Glendale, California
J. T. Thorp*. Inc.
Thorp* Insulation Company ' Owan* Coming Plborglaa Corp.
Los Angolas Cork Company 4180 East Washington Los Angelas, California
Eklna Industrial Insulation
Contractors
She Isotherm Cospany
605 Williams
.
Bakersfield, California
lacy Manufacturing Co. 2400 Bast Domlnguey 8t. bong Beach, California - .
Baldwin ghrat Hill, Inc. 500 Bravnlg Avenue ' Trenton, Haw Jersey
"United Cork Companies Corj|
Baldwin Kbrat Hill, Inc.
Armstrong Contracting fc Supply Corp 120 North Lime St. Lancaster, Pennsylvania
A 1 Insulation Co. 11351 Desmcnd St.
Carden Crove, California
-5
.(
time of injury are in dispute^
"**** f **" emplyee at the
c o n i r r i T ' 5 pri*,nt disabuity is in
- ^ . 5 . : ar tz :
7 l U M 1 ^ of th. .evar.l a ^ . , , 8 1in dispute.
r ity ^
--
T * " the
insuran carriers are
10 9- -
11 u t i l i t y of a 12 disputa.
13
r iuti ^
*" * b*" -
" the e"ply" <> .
^ y* " " * W " " ' '" or. are m
14 c u im .
,,,, M nt`0^
1" " i,, " 1t r i * r *
"
" tti* " y " d *u
15
'f " - * $30,000.00 i. e d d l a L T L " h`r*iM" r P" `
16
Paid by the employers or the insurance carriers to^hl
17 um to be payable as follows- One lu
< * 9 ^ * * , said
18 attorney's fees and i
a * - P sum to applicant, less
19 8 a"d less such other liens as may be alio ^ v
* * " ' * * -- *- $ M . Board. 8,f e r " I
!
y
20 12 hereof.
Ce is made to paragraph
. 21
22 --
* .
t h M p 1 " 1 " pens* s --
23 Mil. a,,,nt to- Hon '
24 estimated at* Cnn<a *
p " " th* " Pl7* " r " rti*ts- Unpaid
FtJtura edltal and hospit-i
.
,
P i expense is
at. Conjectural. Unpaid and future medical and ho
25 expense is to be
j
cai and hospital
t0 be assu"ctl " follows: A U to b. p,ld hv ,k
26
0 ,,
P Id by the employee.
9- Non. and address of employee's attorney 27
Steven Rosenen, 1543 West Olympic Bonleverd U s 4 ,
28 90015.
' U s *"8'lo>. California
29
30 4mo,,,,r Ooff aattttoorrnneeyy ,fe.^ prev'iCo"usrl"yypari"d"," iSf" * * ", $ $ -- a.
31 to be made by sueh insuranr.
.
* Payment
32 Workmen' r
carrier as may be determined by the
orkmen s Compensation Appeals Board.
I
i
6-
(
hls ,
, '
to*" "
Applicant claims th.t
'"l employments In California end hi, , ,, ,, . 1
,
3
"
- - -ir., in California h.p. result!
`
'4 *ppunM t ... ^
befor.
to T ; r r
5
> ployed outside of CalifornU
6 of Calife-- < *
,
AppU PP
t ,,, "
""
C h M orked outside
7I T
"p
8 Ciif mi
9p
* 0t "h
U t *i
10 " * - * . . %
th*C `U " Ply" S f0t -- h orked in 10 ' * * * listed in this Con-
10 d T i
ASr**" " - D,Kri" t* --
applicant's
11 Oelif T " * ' ^ *"y' r" Ult" 1 r" hl! A"Ployents outside of
12 to
*T rMUltei
S5" t" ie -
-- U l - unrelated
13 L
7
the " ployer> h" ,ln -- -- --
^ a p p l i c a n t ' , employment b, then oeu.ed neither ^
14
Li. ^
15 * " W ' '>`fendaB"
th,t *P P U P *"t' --
1. betted ky the
16 l o i r i U "iC,ti"S; " " ^
17[,,,,tlon u " " r " --
^
J
,
" lf'I" U " "d! -
"" th* W U c - C s
Appeals U any, u.s in. injury, if m y,
19 T
t y C*"*"i by U
rious and wilful misconduct. De
*, "
t " 1" 1 Cl" " ^
iJ" ry " di**biUtleS W by
I. plicmt keen been f ,,Hy compensated. There
other points of
21
spot. b.t,,.,, the Patties, kut tk. petti., have agreed to m d tkei,
22 fferenoes ky compromise as herein provided. .
23
Defendants are filing to p.y the Coe*..*,. T O ,,t
24 CO end litigation and buy their n.. a
25 t .
y thelt P M C - Applicant is willing co
the compromse m e to .void the deley, end uncertainties of lit!
26
gation. Applicant desire, to oontrol his own medical treatment if
27
is rat t e d , AppUcant represents that this ,,,,,,promise is ade,,,atc
28 and request prompt approval.
29
12. During applicant's employment ky the employers 30
erein named, said employer, ,, ,, severally M separately insured 31
32 " " th`ir "rkmen'S omP*nsetion Utility hy ,,he o l w ,,g
ranee companies. Said insurance companies and employers agree
_
-7-
li
1
~ n , ,,w 2 company to th. ,.ctlra.M hetcln
.lc. th.
3 in ui1 f th,it
'4
d a.
5 P*id by --
6
*--
* * employers
- ere as folloM> ,, J t; " " "
*
`h , u b' ^
* k*
81 Loa Angeles, California
9
cnp" y
10 ^ 0 r w U s h S e yB? u ? e v f y Los Angeles, California
11
12 p o f^ o x^ isir6 Company
Los Angeles, California
13
14 p ! 5 c * IS S 2 C* Co"p*r,y Los Angeles, California 90005
15 ? ? Compensation Insurance Fun/i
16 J00 South Lafayette ParkPlace Los Angeles, California
17
18 A43tShatto|acenSUranCe Company Los Angeles, California 90005
19 30e f L Bpi?ge * Iron Company
20
21
^ l & T & - S n ' c ^ t ^ J o r n i a ZZ|Anaheim, California
23
*24 33" tTM
rSS d.S k M " 5
San Francisco, California
25 rfoiance,insurance Company
26 548 South Kingsley Drive X Los Angeles, California
27
28 S s w f S S S M --
29 Whittier, California
30 sS^IoSriVPlfr1^
31 Los Angeles, California
32 -8-
i
$ 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
( (
Los Angeles, California
Lumberman s Mutual Company lie AWlI?hire Boulevard Los Angeles, California
S i ^ r s = . 0Mp" " ta-
* 3 s f f i t ? ? S S " c" - w Los Angeles, California
5S2
"
Los Angeles, California 90005
Insurance Company of North America
4050fW i l S e yBuledanCe Company Los Angeles, California 90005
$ 1,299.00 560.00 417.00 798.00 225.00
6,732.85
TOTAL
$ 30,000.00
^ underaigned requesta that this Compromise
*"d Sel*" Agreement be .,,roved.
^
'
14. Open approval of thl, C p ,, ,, i . ,ed Agreement by the e r W , Compensation Appe.l, Bo.rd, ot .
a Pay in accordance wieh th. previsions h.teof ^
^
2 2 releases .nd forever discharge, aid employer, .,,d ,, ,, ,, o
"" --
--
-- -
.* - f
Z
csusas of ection whether now known or ascertained or which nay
hereafter arise or davelop as a result of said injury i,,c ,,
- a n liability of ..id employers ,, ,, sald ^
J^
2 ---
he dependents, heirs, ewecutors. r e p r e s e n t !
administrators, or as.i8,,. of s,ld ^ loye,
**'
ofth, d
" is **"> * * U Parties hereto that the fili,
of this document is the filing
..
111
ling of an application on the behalf of the
employee and that the Wot-iTM,,' ,,
ait f th
its di
S ^ " o n Appeals Board may in
its discretion, set the matter for heariTM
ins aS a reSnlar application,
-9-
i
1 reserving t,, the perries ,, ^
^
^ ^
2
U `'" ci"8 ls
t t h this document used ,, M
3
.miction, tK. defends, shell have .eveilehi. to them a U de
4 lenses thet w . .liable a. ,,f the
of ^ ^
c
5
document end thet the Workmen's Compensation A p p e a l, Boerd
,,
6
iter either approve ,,id Compromise and Release Agreement o / d i , ! "
7
8 r r :: -
i- ^
held end the matter regularly submitted for decision
j il
g" " " T
:
01
F" Ch`
f -- -- * * rhe lien d a l . `
unemployment compensation disability benefits
I l f tM"
--
- - CaliforniaUloy.
tthhee ssuumm'".g'r*e"e'd* ,,p'0l,,e'o"r*sPe*rtttUl'eP"a>,,Pd0" " " f ooU M^l "S ^division of
f" t" l"'ry disability covering the period
..I
!
'' 5
accru" i " * " " 1 erpense paid or in-
|s
for future medical'care;
1
for p e r c e n t disunity. (The .hove segregation must
be fair and reasonable and must be b e a d on the real fact, ,,f th.
cse. There should be no attempt made to deprive the lien claimant
Of a reasonable recovery consistent with all c wlcn aL1 tle amounts involved.)
17- m further consideration of the payment in
accordance herewith, applicant agr.es that this reie.se ,,111 appiy to
" "
" * "
'*" <
- damages resulting fro. sue,
Ident, casualty, event, e^loy,,t Md/or ^ loy_ ts> _ ^ ^
ell those now disclosed ,,,d all right, under Section 1542 of the
Civil code of California are hereby enpressly waived. of the Civil Code of California reed, ,, follows;
Section 1542
A general release does not extend to claims
:
which the creditor does not know or suspect
!
to exist in his favor at the time of executing
the release, which if known by him must have
materially affected his settlement with the
debtor."
-10-
f
(
1
18. In further consideration of the payment of the
2 aforesaid 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 ployees 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.
8
WITNESS THE SIGNATURE HEREOF this ^ ^ ^ d a y of
9
, 1968 at Los Angeles, California.
10
11
T & r< f! L w f k ,
12
13
14 STATE OF CALIFORNIA ss
15 COUNTY OF LOS ANGELES)
rSrtVES""R0SEMAN7 Attorney. or Ap_p. ile a n
16
On this //"`'day
A.D. 1968 before me,
the undersigned, a Notary Public in and for said County and State, 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 OFFICIAI SEAL *
22
ANTHONY J. BRADISSS
Notary tublig'ifr' and for said County
bs&V
notary v u o u c . c au fo h m a
PRINCIPAL OFFICI IN
j
j
and State
23
IPS a n s il e * county
24 LIBERTY MUTUAL INSURANCE COMPANY MISSIONINSURANCE do^gANY
and 25 AETNA CASUALTY & SURETY COMPANY
By-"'' / ' l A ^ ~ ~ \ i
By WEMIGAND, KENI & STOCKWgtL . F.lCTXRRIN6tNj^Cl>iiiis Examinei
26 By L f
d& & r
27 Tl>ir Att^^&ys
28 FIREMAN
D INSTANCE COMPANY
By HANN^ BROPHY f )
29 By
_______
jjf/
30
tts Attormneeyyss
STATE COMPENSATION INSURANCE FUND
Bv
k(tJnx.j*rv(
Its Attorneys / '< /
31
32
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a s s i S ' S f f i 10*
I
Steven Roseman 1621 W. Ninth St, Los Angeles 90015
S A M U E L J . S I L L S . M. D.
* 0 0 7 W IL S H IR C iO U L C V A M O
LOS ANO CLCB. C A L IF O R N IA HUSBARO 3 - 5 0 0 0
900S 7
Dear Mr. Roseman
Re: Vernon E. Lumbattis
h S r pr*" "" d hlMelf *
A r c 18. l966 - r the
_CHIEF_COtgLAIOT: shortness of breath and fatigue.
PRESENT' ILLNESS; The patient states that on Decenfcar 21 m u
,
the St. Francis Hospital about January 18 1966 Patl a n ^ S d * T
at
because he was too tired and fatieuec/ TL
Patientdid not return to work
physical that his difficulties with his b r L t h i n g ^ r h i f T infr" d by hls .. exposure. Patient was then referred tn n. t *8 ?nd bi? lunS was due to his
thl, shortness of breath t i e S * . 7 S. u "
gh ^ . ``" ` 1 ?
pZatuienntt hhassT inootf lloossit 5a'n5y3wetirghft ia0nUdS'ea"thsltwleslhl. The Datthieernet Shaneoiu L S "
sweats or fever. Patient he! had ,,Leering on oolsslon b S he" ^ 1^0 f *
pain in M s right lower chest and in the axilla on the right side. Patient
states that at times when he gets the pain on the right side it filr aa
u
r
he S i a I^ p a i r edPin1?9fi-1hadHhah
Surgery about 1959` Patient had a ventral
ha, .aH nP \ d *" 1963 He has had no pneumonias. Patient states that he
w ah dh * inal attacks of Pieurasy bilaterally for years. This first began about nine years.ago. The patient has had no serious injuries
SYSTEMIC HISTORYr
a" ;
Thro..r= EssantlaHy negative except that he does not
ee quite as well as he used to. He has had upper and lower denturoc t *.
stairs? " " Ut "rk beC"aS* f
sP*l U "*" " Z * J ?
Cardio-Respiratorv; present illness.
Gastro-Intestinal: Patient has an ulcer history as noted under past history.
!
f
Steven Roseman
- 2-
otherwise, no symptoms.
Gastro-Urinary; Essentially negative. Neuro-Muscular: Negative.
ALLERGIES; Negative.
iJABITS: Patient smokes approximatelv one nani*
*
two years. He stopped smSkinglLeiber 2 3 1 9 6 5 S V i ' T * * d*y for -thirty-
Drug?J\ He has been on occasional courses of antibioM hl! *" occaslonal beer,
reeeivingidigltalis for his heart. He s
' Patieht haa been',
forgets about it. No drug idiosyncracies thi r i L * ? " * n! * ^ but often
penicillin or sulfa.
V
that he knows
No reactions to
RESIDENCE HISTORY. B o r n . Tllinat, - ,, a w = T U the pr.s.Rt tla. h. h L S
j .
l929>
" -
OCCUPATIONAL HTgrnpv. Patient workad fa r ... _ ..
'
This was in Vernon, California in 1929. ne w o r k i ? ? '^ 61^ *S Sn a sa e v iil**-
for the city of Maywood, in 1941 he was doin* fit, ff tbe fire dePartment
work for numerous contractors throughout Los a iberglass work end asbestos
hot water lines and the steam lines with
Patient wrapped the
with asbestos and magnesia wrappings for the f i r s t ^ He Worked Pri i l y
twenty years he worked with fiberolas
, 5 fi e years` In the last
50%;.icaiciuni:silicate was the oth-r ingredient
wrappin8 the ducts about
a minimum of eight hours a dav and also wfs
PaJlent states that he worked-
a week. Many times he worked' o^side s o m L S ? ! aPProximately five days
would work inside the boiler without nv
5* Wrked " bollera and
Patient many timesworked with what he called >"
bring in fr*h air.
the attic with rock wool and f S S g l i i "
" temped tops- where you were in
HIST0RY: * * iS Uvin3
Two children: living and well.
tuberc" i o s i s
^
USUAL WEIGHT: 190.
the'physicians a n f Surgfons^ospitarSnce S s i " 5ad S6Veral x 'rays taken at
1949 he did work in the Bakersfield area also in Sa^TH* 8tat!S that in about
counties.
a> aiso in San Diego and Santa Barbara
3-21-V5. Weight -
Ii \/o , uv Jreight m l 3| nyt acuto 193. Height <57" Tamp: 99.4 Pulse: 88
' oar:;.
y ill, Slightly dyspnic appears of
no' .tli-
"" u;a,,fc..t> 'jvi.itc I
ta:> to loi t with slight obstruction on left side.
9- Roseman
l
Re: Lumbattis
(
3-
Throat: tonsils small. Edentulous. Larynx negative.
'
Neck: no Elands; thyroid not palpable; no masses.
Chest: increased A-P diameter
,, a
on left. Palpable rhonchi bilaterally a t ^ o t ^ b a s e s ^ n TighC; to les*ef extent
fremitus diminished on the right and whisoireJ * Periorly. Tactile
Dianh "U h insPiratory Diaphragms move poorly.
expiratory wheeling biiaterin0 !*1 T rlght' Brnchia\ 8 Bllaterally anteriorly and posteriorly.
murmurs; no thrill^ Sd' ?2 quals 12 or is lightly greater. No definite
-Abdomen: hernia ventral in scar - epigastrium. Genetalia: not examined.
No palpable liver or slpeen.
Rectal: not examined.
Extremities: slight ey.,,,sis of the .,11s of the hands; no clubbing, ,,oedema
J I U O ^ O P I C E X ^ ^ I O N : increased marking at th. h, . v, .
*
phrenic angle. Diaphragms move vary poorlv?
" asss' bleb in left costo-
^^^VDSRii^TEJTS: performed 3 -1 3 -'n'j>
,
.istoplasmin + (10 mm. induration. Tubercu lin n e g a tiv e ? CCld* 0 id in negative.
COMPLETE BLOOD COUNT . m f< ,, ...
* t e c o l T ^ T n t T07100. D U f e r e S ^ E o s ^ a ; i r ^ % V 5 E S #2 i
B m m v i m j v s - . 15 mm. in ono hour.
Albumin""-~0 Sugar - 0 S c l t A- T rcr < J ' s n t U l i y * ^ ^ .
` Ikeline.
m A J ^ P A C T T Y : 1400 cc. normal 5000cc. 237. normal. Thr.. s.cond timed cepeelty
u s ^ - f f i - S i ; L " ;varSeBTM \ yo.uar::*i:hp!,g" st b:nnr " al- "*rt
n t o f r i b anteriorlyf * S S T . T
Ooato-phrenic appear ielativel- claar"* RiihttiabVe jif? posterior ninth rib.
infiltration sckttered throSout .Sir. ""8 \ dltfuse M . ottllng and
the bass and from the f o u i "rb posteio^to ^ ^ ilCSI rll>
to
: , ^ S ; ^ iL r S ^ - -
.H.phr,?,s aro ,e a 'high ^ f a ` h f
>1 une lobes.
'le" ` Th
ruse infiltrate present throughout
gnosis;
rv
extensive In character.
LUMBATTIS, VERNON
C.
X-RAY READINGS
Compton Physicians & Surgeons ,,,,,4,. , normal. Bonev frmMun* < "S HosPital> dated 9-11-so
ig p z ? ?
* * in
Film dated 5-9- 41
,
Film taken January 9. 194
.
'
h"S
' the infiltrate at both a
b" i s `i - t i i - S t ' & i , " r ^ y4 V f u ? r ' hTM -- " E r 1
taken Januarv 9 10a .1 Of the lobee of the luig.'
p'Jl,,onar? Hbro.i. throughout m ost
^
taken Februarv ^ in-/ ,
,,. ,
'
* J''nUary- 19,4 fil- .
-T,
? & & ? i f f * * - pUtt-lik.
'Lli stiil noted,
-a
^tl'" ^owcr nalvss of hoMi
. t i t r a t i o n " " * ? " <' " itl. th o 's e y U ib iir 11, ``lM s ''" ? . " " " " 10" # <* .V film taken December 27 1 9' 5 u a laterally e . w i . U y 1,, he left l^ e t ^ J f ^ ^ j ^ e ^ i n f i l t r e t i o n hi-
[ir film f Aoril 14 19 .-I,
" 5 2 - ' 1 U - S-
:Ua
Plete-Uke
S a S . 1^ ' * ^ , * " < 1 * * < vith
j a... '
?
Co ^ i l 13, 1915.
*/
,
vl,,;7nv-^5^eand ?
2 i-'-to.-vi-.T. r'r,,^ V t ' 'at'2 " 80 7' u^ 2 i n ' l a a d ^ ?
Ventiruclar rate - an is Elation.
`
` iaS'lOS S: rl3ht Vantricul^ hypertrophy! o pulaonae.
S* Roseman
/
Re : Lumbattis
r
-2-
DISCUSSION: a review of this patient's finding i i a*
history, physical examination, x-ra- examination ad*^*^"8 tha occuPational
n il
Unction studies are s u j TM " TM e f b`P C-v p W .
fibrosis throughout both lung fields. When we att* ! / * ' asn a is of Pulmonary
pulmonary fibrosis, aray conditions can be n c r e S L 7 * * the caus o f
o f Dr. Louis Leventhal to Dr. Victor Mastron V h r * d*a reviewinS * report
were numerous x-rays dating back to 1959 which show* * 1 1966 ' he notes there throughout both lung fields. This progression ?Jd * ^ro8re3sive fibrosis
character of the patient's occupational exposure h! pulnony y broais, the
findings along with the pulmonary functions l Z t Z i ndi n* *> the physical
pulmonary fibrosis secondary to asbestos! r t V
8"Pport a diagnosis of
cannot be made without lung biopsy. I fei
true.^hat a definitive diagnosis
erently in favor of this diagnosis that's**** th* evidnce here is so prepond-
nd8hSi k " the b8Sis of clinical experience *0 1 1 ^ 1 ?? n f 1
* definitive
and the laboratory findings, we must make a da^. / "1"8** x r a y fadings,
fibrosis in both lung fields.
gnosis of asbestosis producing
Pr b^ ly ' h>ua1p ro g "i,,"1oi ^ "fib r ^ s " ^ " ' ' ? *?* ^ l U ` Ufa
Oiw dated 12-28-65 aftet a Maater a t ! . . 2'H'i5' "bich "* not aea end
copy of the report presented to us, t h e w a s ^ e v i d f n TM * f8*' accordin8 to the
ECG., However, this ECG was being ad
f ?f Pathology in the
coronary heart disaese, which thi% W u Z t T ^ l l Z
* - * * * <*
a coldUcomi;gPontieCted ^ antimicroblal therapy as indicated whenever he feels'
--
a,, obstruct-
f iit;' "f-e
s :'d
approximately SOX as far as his ventilator
*S patient has a disability of
breathing capacity is reduced about 1 ?*" 'i8ChiICI't|' COnaerned; M s maximum
becomes more dense he will have more and more d i s a i J m ^ ^ ?ibrosis ^creases and interference with his ventilarotv capecitv ,,*sabil*ty and more and more
diffusion difficulty. I find no'evident o^ d
show evidence of
arterial P02 and arterial PC02 are concerned-diffusion studies as far as the
ventilaroty type.
med, the studies were entirely of a
exposure to e e b e e t o e S i ^ ^ J ^ H l ^ i r i b o 5ibr?ls secondary to his occupation and
disability b M ? h8 PU,lmnary function studies, s y m J t t S L t o i ^ a i T
** measured
will, probably, be unable to be gainfully enmlovL ?d X 'ray aPPearance. (3) He
occupation, where he has a minimfl mount of occupation, I consider such things as Sitt<
f l? anythin8 but a sedentary activity. By sedentary
anything that would require walkin' or otherSohvs< ?Sk ^ in8 desk work rather
L L i*'"1" TO` cal ior the ; , l l \ ,P n alI^ : Ctlon- , Thl. ,,lent
poncho-dilators, Antibiotics to prevent and t r i l l ' Th4i3/ are w111 & * * * i s t of
the lung, which would be detrimental fn hi
5 any Infection he may have in
to hi, life. * `` " tal to his well-being end would representTM' Setinc
y" VCry 'UCh
SJS:ME
the Privilege of seeing thi. p,tlene.
Vjjy truly J iil
is*
' -
e
AOOftCU
HeANOHEf|\
HRL" i . l " RLIK ^ ^ 16 3 ^ . *RLT TO
'A
/Y
<la W l,T '"TH (TNfCT LOS A N G ite s . Ca l if o r n ia W 0M
TL*HO.t MAb i h n 7 . 4 9 t t
August 15, 1966
n
. " * * * T 00*4 n .y 0
p ocss_i^r,. ai r -- -- AMD I:LbL'_ L-J I macm/caurMMA t<u
a -- " -
r ~-.r' - ? ' ' [ * ! i*. * .* V J
nyH K
3*1441 0U LIV 410
tat 1-4*02 . I 'T9CCT * " * * * " " ' ^ u r . ,2 4 0 .
< T U ) 1 4 .1 12 1
TTwT '"S"UUMMIASIBUU
10" South Broadway Los Angeles, California
O . '*? 7T*m u r "T* `1"^f4t)'*K*l-"7'48'1"4*2704
O
ko A44CI.U orne
Rat VERNON E, LUMBATTT? mrrwr _*
insurance cowant op w m S S S h S u a * * ? ^ g Dear Sirs:
we enclose the following documents i
medical reports
if ^ S a n S ip I e d u S " l M l 0 n 's R u l M
< ) AS Defendants- exhibit next In order
R. T. Johnstone, M. D,
July 8, 1966
RGH/mhh
KOSEMAN, ESQ. 1621 West 9 th Street Los Angeles, Calif. 91
Yours very truly,
O CCUPATIO N AL D IS C A .C S
(
c
HUTKEHPOED T. JOHKSTOXE, M.D.
^OCKMAN iUILDINQ
* 0 Wf$T tCVCMTH truce?
Los Angeles, Californio 90014 TCLiPMONC eX3-l(
July 8, 1966
INOU.T.IALTONICOLOOT
Herlihy & Herlihy 412 W. 6th St. Los Angeles, Calif.
Gentlemen:
90014
Re:
VERNON LUMBATTIS Baldwin, Ehret & Hill Case No. 66 LA 291-957 Our File: 6912-V
On your authorization the ahove caDti nnoH ini44< j
by the writer on 5-27-66. He qavehis arfrfiicc d
examined
Firestone Blvd., Norwalk rail? u2 addss as ^ 4 5 9 East
insulator.
Calif. He gave his address as an
HISTORY: Mr. Lumbattis states that during the vear of ioa r ho
continued w l s e i ^ ^ o n t i n u e d * ofJ reath a"d >e condition at which time h f h a i whet hftermed as a ^ i ^ L 0^ ^ 6^ 22' 1965 developed pain over his heart wf?h c h L L ild 5e?rt attack- He
S^Uy"^ and intermittent positive pressure.
ndSar r * ? "? ^ d h receives antibiotics
Present Complaint.. Shortness of breath and fatigue. He states worse on smogy days. * hlS shortness of breath seems to be
Past Medical History: Had an operation some years ago for a hernia operation in 1963^ ena^ u^cer* He had an incisional
Occupational History: The patient was born in Illinois and went
coming to California he worked for differeit^ hi9h .schol. After
different types of work until 19^2 w H
J companies doing
He has worked for many different
b?came an insulator,
tninks that he workedVfor Marine
?ince that xlme* He
a??;any yrs). He last worked f o r ^ " dilii^hietYUlll1^
this was for approximately one year.
in* Ehret & Hl11 and
- .
I
` 'Wo. 2
Res Vernon Lumbattis
c
7-8-66
m s.qfi.al History:
. ,
, ,
The patient is married, wife living and well. Has two children. Denies any knowledoo o-f
had^ancer** 01 diabetes in the family history. States his mother^
Inventory of Systems :
. .
Pati?nt has an occasional headache, no dizziness or
tinnitus. His tonsils intact. His teeth are false.
21ness or
Cardio-respiratory - Has an occasional cough but this is nt
he0h ncaidiaeed?t? dyapnea n effort- palpation and cla sms thatr --
i ^ i 5 aS^ 'intf,stinal ' APPetite is normal. Has no symptoms of indigestion. No constipation or diarrhea. Stools are^normal J '
S s ? o i r UrS - rL " N? n?cturia dysuria or frequency. Weight = Slight g a m in recent months. Nervous system - is not nervous or irritable.
enlargement165 ' N hiStry f 3nkle edema* iint Pi" or joint
Smoked about a pack of cigarettes a day until December at which time he stopped. Does not drink alcoholic beverages.
PHYSICAL EXAMINATION; This 5 2 year old male weigbhed 194 pounds "
..
temperature 97.8 degrees at 1 1 * 1 5 a m
*
Head and Neck; Pupils round, equal and react to liaht p L
nose and throat negative. The teeth were laise! N? enlargement
present!6^ 1031 glands* Thyr0ld not enlarged. No pulsations
S ~ 5 T t +4?airel1shaped in type* The Dreath sounds somewhat harsh
No distinct rales were neard. Respiratory rate 26.
*
jjeart: Rate of 86; regular, no murmurs heard. B.P. 120/86
Tones aistant.
j.*v/ o o .
^Ddpmen: Obese; no organs or masses palpated. tenderness elicited. Old scar present.
Extremities: No ankle edema present.
No areas of
LABORATORY: Blood count: Hemoglobin - IS.Qams. -
*
Erythrocytes Leucocytes
Juv
Stabs Segs Lymphs Monos Eosins Basoph
5,370,000 8,650 1
7 57 19
5 8 3
Blood sedimentation rate: 11. 5mm 1 hour (Wintrobe)
.T
No. 3 Re: Vernon Lumbattis
t 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 luna 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 dyspnea.
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 Mr. Lumbattis has a pneumoconiosis, probably asbestosis. We further feel that his disaoility is total and permanent.
RTJ/rcm
Yours very truly,
R
. ___
Diplomate, American Board
of Occupational Medicine
Steven Roseman . 1621 W. Ninth St. Los Angeles, 90015
r ' _3 !
S A M U E L J . S I L L S . M. O.'." filC . &
i007llHIl ISgi.tvMo'' ' COS ANGCLCS. CAUFOANia #0097
HU99AA0 3 * 5 0 0 0
.
*_
August 19, 1967
Dear Mr. Roseman:
IS
Th. above captioned presented himself at my office July 24, 1967.
ss ^
s j i "i . ? r b L f i r
* *i~ -- - -- third
s s r ^ t r . s s s fr r "
with occassional white sputum; no'blood Has^ained^
m occassional pain between shoulder blades S d ^ 1 * ?
iiis r *
n0t*d Very llttle c0"b
w 'V " " Pln ceft
M
\lt fairli U - m July, 1966 he
his breath. Re had to return to Los Angeler
to r TM . a "m h ' W67: herul,., "" 'm *bl' to '*"
* " *. - Throat - no complaints.
Cardlo-Resplratory -
tB0 puioys, otherwise, as noted above.
Gastro-Intestinal - no symptoms.
~
Genito-Urinary - get, ,,p two or three times at night.
Extremities - noted edema; shoes get tight at night.
-gHYSICAL.EXAMINATION: Weight: 196 Temn* oo n _ .
in both arms.
p*
,, 80 Resp: 30 BP: 134/100
Eyes, Ears, Nose and Throat - negative.
breath sounds h a r s h ^ S t 's i l ^ ^ p L I u s s i o f n o t r n o r ^ l ! 116 * * * * Heart: tones good; P2 greater than A2; no murmurs; no thrills. Abdomen: liver not palpable.
N Wheezin8*
Extremities: no edema of lower; no clubbing of upper.
throughout both bases?
r 'v r TM 8" * lungs had a round l appearance
--QHE5T X-R\Y: nnoo cchhaanngoeosc wuthie.n. comp_a_r_e.d w.i..th x-ray of June 13, 1966.
.
(
Roseman Re : Lumbattis 8-19-67
- 2-
ELEuTkOCARDIQGRAM ! no changes. SEDIMENTATION RATE: 3 tan.
1800 CC* Ifer"al 5000 CC* Three 8econd tiffled ePcity 1500.
ssr-slucose-
DISCUSSION: I have reviewed the report you submitted of Dr R m W A . , T *. *
I agree with him that the patient has pneumoconiosis ooSblv
S Johnstone.
From all the physical findings, p u l m o n k r y n c i o n I t Z Z l l l t V ^ S * * * 0 * * ' etc., this patient is permanently and totally disabled He will r * dio8ran m d i c . 1 3up.rvi.lor, for th. ,, . / o f hi,
Ch, pulmonary and/or th, cardiac problem, vhich i, secondary to the f o TM r
Thank you for the privilege of re-examining Mr. Lumbattis.
r
SJStME
Samuel.J./Sills, m .D.