Document 4mq5BBMZoRYpwrVQ8nX8My8a

i s i- i&qreh 10* 1935* ':%aitod S tates A plyeos* Ccejpensatioa Coac&s&ion* w Washington, 0 c* - aontleaem In re , ; S k is sen i ro fe rro d ^ |e a s a ^ ja tle ii# fresa ip ig h t ' f l o t , age .42* 4 th p good s tm to > f m tr itio n * to ta U e e to s ll^ a liig h grade isverage, good la s tg h t* Jw3cm nt aM o rio n tatiG a* ilo la omdoue t e g d t 11 n o rd er t e Sseop h ia Job* toys* aX g& d issy e p o llo , ta b e a d l s sslasdag* I*vo notiood I t sino l& st f a l i . For th X ast se v em i x u atb s i t has beon c o ttln g r a e w ith th treving 4 sm y in g , b a t I a a n o t siete* 1 e a t and eleop 11 b a t I s o r t o f Icese ny coaso o f balaceo'1 F u rth o r.q u e stlc n ln g lic ito th foHOwlhg - ih a t a t tin o s th o ro l s s ild nausea* m v c td tin g b a t a t tin o s aorarla* a t tin o s tendoney to inso-m ia, seae la s s ltu d o and a t 't i s sa weoknoa on oasortion* ~Thoro-fcawHbaonr/"' 40 g a s tric o r in te s tin a l c ra a p s, o r to s th o ro boon any ito b in g . ; o f th skin* At tiraos ha fooifi th e r e in ja llo r* Hia blood p roseara i s 112/70* ten ix ira tu re ls 98* p a isa 57o liara a re sano s lig h t tm a o rs o f th o toada ar*& fin g ere* Thoro i s s lig h t wsaving in th e iacberg posit5.ori> flo fii^ e r-a o s e ated io iarked tn n itu s a a riu a . Tho l o f t o e r ruis shows a s n a ll w hit sc a r about 2 a*ia* in d ia - n o to r in th o a n te rio r in fe rio r aur.dra.nt, iioarlng i s 8Ql inpairod* Tho rig h t oar sh a a s io llo r foraation n i so !n tho an terior in - fo rier quadraai brownish in color* tho hoaring in th is onr l s 50/ inpalrod* . This ann works in th e to stin g doportaont a t Trigbt Field* i s esposad to a groat doni o f a o iso m ahount o f ih roaning o f thc'agino dtirtog te s ts * The s o shows both ed itila tarb inatos m rlsodly hyportroit.e* th l o f t raera so th sn tho righ t This requiro treatoont* Tho to n s ila show a chronie low-grado infeobioa* The pupila* cy oovanents and rotiamo aro nom ali no nyst&gms* A ll deop r e fi osos aro u a ifo ra ly livady* Ito abdcsalnals aad e p ig a str io s aro a c tiv e j both orosaastorics aro abseat* Thoro s a m a li abdoninal hernia a t tho s it o o f a fem ar appaaeotoey scar aoepired afbor tai unustsal p^sioal o ffo r t t llio a t \sork* An o s^ iim tio a o f th blood fo r s ^ l i a g i s negativo* SMzos ii otatsoont* 8Thie aoroing 1 f b ll ttd o o boccuiso I m s s e s t o f dissy*" 7 This san worka in th e to stin g dspartecnt nhafo aadiino parte oro mahod in g a s o lio nhioh o a ita in to tr a -e t^ l load Tfhon tho Imads bocooe $ jaU y greasy and irty ln ^ ? are sh e d in a p o li * o f g a so lin e o f oiaS lar typo* Thi faaa boon going on fo r ncnths* Biagnctss: h m grfido te tr a -e t% l load polsoning. . ' Bcparhss The h isto ry o f aspoeuro to th is vory tkmgerous n atorlal* both # inlm lation a a absorotion throctgh th sldln* coabined t t o c lin ic a i ayapteeas o f subaorm l bloM prosBuro, sutoomaetl t^ o ra tu ro j^ p u ls ; naasoa* anorexcia* in s a n ia and v rtig o p o i 10 7;U makes tho clingnos is p a r tie a lly certa in th a t th is man i s su fferin g with a low grade te tr a -e tb y l poisoning* In sp ite o f the fe e t th at he does not show th usual symptoms c lin ic a lly connected w ith that poisoning, i.e * , lead lin e , stip p lin g , g a stro -in testin a l ramps or neuritis* Done o f th e above symptoms are ch a ra cteristic o f th a t poisoning, but in combination triti the exposure th e diag n osis i s reasonably certain* Of coarse, the eheaieal determ ination o f load in th e urine and fec es i s necessary tec h n ica lly and s c ie n t if ic a lly , but 179 have no f a c ilit ie s hero fo r the rather highly tech n ica l and arduous chemical te s ts * I night quote from Dr* k. A* tehee who, in the Journal o f Laboratory and C lin ica l Sedicine o f March 1927 makes a statem ent something lik e the follow in g - The to x ic ity o f te tr a -ethyl lead, poisoning i s due to decomposition reactions which produce soluble , compounds o f lead s which are unable to coagulate proteins* I would suggest th a t Dr* Hehoe be contacted a t the U niversity o f C incinnati and th at samples o f the urine and fec es o f the- 12an be sep t to th a t laboratory fo r q u antitative determ ination o f the lead output* This procedure night a lso be used in tho case o f any other workers in the same ' environment who have had sim ilar exposure. I t i s to be remembered rAic.% th is drug does not produce the c la s s ic a l syndrome o f lead poisoning Loeause the m ultiple eth yl radical i s a lso concorned in tho production o f to n ic symptoms and the syndrome i s , th erefo re, quite d iffe r e n t than what one would expect in white lead poisoning* fo r example. I am quite certa in th a t when the a tten tion o f the authori t ie s a t ?*ight F ield i s ca lled to th is problem th at there w ill be change in th is situ a tio n s i th a t th is type o f illn e s s w ill be done away w ith a t the plant* Deleading i s not Indicated In th is ca se. He should be removed from exposure, perImps to sons other part o f the F ield fo r about s ix or e ig h t months. If should regain h is h ealth without any trouble* ' -: ` '* Tory sin cerely , ECF:iIffS. E* 0. Fisohben, H.D. .' .. - '"`S.