Document 6bj5ZEvn7GyenN6EYbwEbOX66

V September % X$3$ Mr' lies L ib e rty M utual In su ra n c e Company 4-31 M ala S tr e e t C in c in n a ti* Ohio D ear Mas Lee?. X am se n copy o f my ex am ination r e p o r t on Mr, ___ whom you r e f e r r e d to a f o r ex am in atio n . ou herew ith I am a ls o e n c lo s in g a bin to coyer the cost o f our serv ices in th is connect tio n . Very tr u ly yours* RAKiiS K r 0016367 Br* B sb ert A. K ettering Laboratory ilftgjSfr o f vKsAl . .. C ia o I n n a ti, Ohio September $t$3$ To L ib e r ty M utual In su ra n c e Company k j l Main S t^ ie t . C in c in n a ti, Ohio For complete ph y sical exam ination, diagnosis i in th e case of 125.00 KZ 0016368 Septem ber 6* 1 9 3 9 I n t e r v a l H is to ry : Ha s been l a r g e l y I n a c tiv e s in c e l a s t seen A p r il" I 3# 1939. 3 -re ate at e f f o r t h as been in mowing g r a s s In yard , tak in g about one hour I f done a l l a t once, but a c tu a lly done p ie c e m e a l, w orking a w h ile , th e n r e s tin g * Seems t o become weak on e x e r tio n . Mas had no f u r t h e r a t ta c k s o f d iz z in e s s * b u t f in d s s e l f weak and s h o r t o f b r e a t h , when s u b je c te d to any- te n s io n w hether m ental o r p h y sic a l. I s g re a tly improved bu t s t i l l has f e e lin g o f in te r n a l eh ak in ess, I s nervous and uncom fortable when out w ith o th e r p e o p le . Has n o t f a i n t e d . Mo v e r tig o . B e lie v e s he might f e e l b e t t e r i f could xfork o u t o f d o o rs. - ' Has been sle e p in g r e g u la r ly and w e ll, s le e p in g a ls o in daytim e. A p p etite q u ite good f o r a l l th in g s . Has had no in d ig e s tio n , c o n s tip a tio n , o r o th e r i l l n e s s o f a lim e n ta ry ty p e except some h e a rt b u rn , u s u a lly a f t e r supper in evening. Has been e a tin g w ell. Toast and egg fo r b re a k fa s t, cheese o r meat sandwiches or cooked lunch w ith meat a t noon. P o tato es, m eat, gravy fo r d in n e r, B o ile d din n er, a t tim e s . Mo d im in u tio n o f se x u a l l i b i d o . Wife s ta te s th a t no change In p e rs o n a lity has occurred. ffhygloal Examination H eight 6 f t 5 /4 in c h e s W eight: 206,25 l b s . Temps 96 P u lse s 6% to 120 Blood p ressu re v a ria b le - S ittin g s y s to lic 116-124 Diastolic 64-76 Eyes - r e a c t to 1 and A. P u p ils e q u a l, r e g u la r . V isio n Ok. S c le ra e in je c te d and l i g h t s e n s itiv e a t n ig h t when a tte m p tin g to re a d . Reads l i t t l e * however* now o r p r e v io u s ly . Ho nystagm us, Ear s 'N<>raal excep t f o r u n c le a n lln e s s . A u d itio n Gk. Drums c l e a r . Nose - Some I r r e g u l a r i t y o f septum . No o b s tr u c tio n . No e x u d a te . Sense o f sm e ll Ok b i l a t e r a l l y , . Throat - Tonsils la rg e , rough, w ith in sp issated w hite m aterial which can be expressed from c ry p ts , e sp e c ia lly of l e f t . S u rfa c e ra.sa. i n j e c t e d . Pharynx somewhat I n je c te d , No . acute inflam m ation. P illa rs (m usculature) re a c tiv e . M0u th - T e e th somewhat d i r t y . ' No c o n s id e ra b le c a r i e s . No p ig m e n ta tio n o f gums o r m arg in s. S lig h t g i n g i v i t i s . Tongue p ro tru d e s in m id - lin e . S l i g h t l y c o a te d . No tre m o r. Neck No p a lp a b le adenopathy. Not rem ark ab le In any way. C hest- C lear as a t previous exam ination. C ir c u la to r y re sp o n se to p o s tu re and e x e rc is e a d e q u a te . Apex r a t e 110 sta n d in g * 12o a f t e r 25 h o p s,110 one and one h a l f m inutes la t e r On re p e a te d t e s t apex r a t e 120 s ta n d in g , 1^0 a f t e r 25 bn pa* 112 one and. one h a l f m inutes l a t e r . - -- B4^ESSS2Hm . a r n i n f , . . standing 1% 7S. \ 7- '' lying. _ - ; ' - ' - ' . . , Pulse - s i t t i n g 7 ' ' $z>4SO ' ' - , . . . ' . ; s ta n d in g ' ' 110*120 ' ' - '; : . lying '. ` Abdomen - n e g a tiv e . ?' . *' ' * ` '*1' ' ` . P e lv is a n d 'E x tr e m itie s '* n e g a tiv e > ' - . '.' ' C ran ial nerves and cord segments in ta c t. There i s no su g g e stio n o f d im inution o f cutaneous s e n s i b i l i t y to touch, t a c t i l e d isc rim in a tio n , 'pain-and. tem perature. Super- 1 f io ia l and deep reflex e s are e lic ite d and are norm ally responsive There i s no m uscular trem o r, atro p h y o r in c re ase d m yotactic i r r i t a b i l i t y . Ho a t a x i a i s p r e s e n t and p o s it io n sen se i s norm al. Blood - RBG 5 ,2 6 0 ,0 0 0 Bb 1C& s t i p p l i n g 4 p e r 50 f i e l d s WBG 10,300 (9 -6 -1 9 3 ?) (9-7-1339) ' . 'i ; D i f f e r e n t i a l (2 co u n te) P o ly s 50-55$ Band form s 5- 9^ ' Lymphocytes 2 9 .5 * 30*5 $ E o sin o p h llea 0 .5 - 6.0 $ Mononuclears 5 - 8 ,3$ Basophil es 0-1$. ' ' ' Brine ' V ,\ " '' ' 2 e x a m in a tio n s .. A lk a lin e to M ethyl Red Sugar and albumin n eg ativ e. ' * M icroscopic - not rem arkable, an o ccasio n al leucocyte in c e n trifu g a l!z e d sample. . 0016870. * 3* D iscussion and In te rp re ta tio n . . There is no evidence o f p h y sical d is a b ility o f any organic type a t tile p resen t tine* There is*, however, a psychic and n eu ro -ciro u lato ry I n s ta b ility which the examiner believes to be neurotic in o rig in . I t is believed th a t th is man can go to work* b u t t h a t he i s n o t l i k e l y to a v o id th e re c u rre n c e o f h is form er symptoms in ao u te form i f he r e tu r n s . to h is former occupation* .. . jtecoianiendhtlohsj^' - ' ~ I t i s b e lie v e d t h a t t h i s man can engage in work out of doors of a type he is fa m ilia r with* such as# f o r , example* th e o p e ra tio n o f a tr u c k , tinder Such employment h is p r e s e n t symptoms should d is a p p e a r co m p letely w ith th e r e s t o r a t i o n o f h i s c o n fid e n c e in h i s p h y s ic a l soundness* He should* w ith o u t undue p re ssu re * be g iv en an o p p o rtu n ity to f i n d c o n g e n ia l em ployment* a f t e r which h is com pensation should be d isco n tin u ed u n c o n d itio n a lly , or w ithout any co n d itio n s o f which he i s aware. S$b'ert'nA*"'K@hoe, M. D, le tte rin g laboratory k r 0016871 MS& mmm Mm '.psmmm matfbM- <* i &,, *?mm 3xsife rn.m$ i- m tm _ . StftottQ&la . * f 5 ' - - tf *-. mm% %# .I* * f %tm fifi* fit&p*#, - sj-rntm m % % & & m i m i t i w m tilgst ^ tt * $ in *' nmM 3SMM% am m proviauoiy -fia fitftafiig*.. . %i* 4# a ffi tti M $ p $ ffi . t t i $fc* e&o&v- ; fia* M zmrnm^Mf r tiptwiii 1# iNr&mteft* 3$ m o s t , . ## -of # m x css. * ,. ' %&&& * twzm %we$* M 4 l i *&$ nstfifc mm hm fitsrsfcfcfr- o f left# - f i # m*n 'si|#'i*. fifaNmx i o a M r iifciMftt* fi* wilt# $!$ *** {mm^mkma VLvfi. *fmtk srnmim ai*fcy* fia otMttMwift* *&&** fi* " o f m 0 * arSa fii tg i t ftog&viti* t a t o * pttm&m $ a t t u i l a 1siifijfiiy A taW fia tasta** ' oft fia ptasttlft. taWAfitta# fia* pmmMmhM m m f .- e he st- Qtat* s t $ m lo w t mmmlmtlm*. T&m&mm to $*mm m& rnmm&m omqmto Aptac. m m . %l& tafilo if* iM mftm* $ mm m m ixXf mirmm atar* - KIT 0016873 J. :. . j. i' :. - ; ;.. t% is hiim& im% t&ib .mm m mmm * ww* o u t o f tloo^ - 0 f a *s?p ho i s m $i ftp e s a a p i# * $ dp# p&t&a s f a S w e ll* State auoh, a p io ja s * li t s p re a i * s &m &i ir n &p m * m m & s s o t ? u s * t&o o t ;*la i a p iiys ie a i, sm arioas* II# tactulA* istijcsit *aa# sptaira?# * b# s ita s i m opsw r&m %$ ? 'S ^ in e o s ife n ia i, m * . aJftfcF &&#& &a 0smpsm~so* #&&&& b& aJUassatim ie . . tnfedaitionSlsr* s* tf it m * a? qa& ltiigas o f 'M olt lio ia- ira ? # * s ttt i iii c.a 's^ ^ar? . !!!