Document 789zoL21X680rdqp9n7myJmR

Gillis B. White Birth Date: 2-21-14 Date of Employment: 11-27-52 Job Classification: Potman No chest problems noted on I & I card prior to 5-9-66. 412384 Q061 JVV J' " \* SNAME -Ihi to/ Ginia .^BUSTSR-- ~ ' i ...................... : V >. '. " EMPLOYEE NO._ vINJURY^^AND^IlitihiESS^RECORD p ! AATC . TIME INJURY OR ILLNESS .-"'l. ' . ~ .. ' 'TREATMENT '' V . C(aiif*cotioJ ' WHOM V Z ' <-??-? 17.1<? m Piir-ns ploancori and spraypd wi t.ti'rill': ' ' .! GPS _ JL X 0_?d_<- 1 l5p- n "tatps st.rainpH 1<>ft,' am. F.Tram bv `Dr. Ri ohards . Possible.. MIS filfl____ strain. Diathermy and heat at hone. To return. _CA5. o ~G y '0_1R_<0, i nrv- PI app.i on rpioari Q--16--^lj --or c1 r 4,o rfimartnonK. ... ~ . CAS -p SL *7 ; .inJ-fli 'P.POn- TTiror 7ar.*rnti on 1 af thena cleansed, sprayed and dressed.- JUL_ _c r\ i i-??-#; !u05pir ` Placed on red card per self 1-21-65. Back oains.(Hospitalized for i this3. '.- CAS T (T 44 <1-29-65 l:m Retamins fron red card - states had back ache. Alleges no injury. i Ok for work for 1-30-65 12;01 am. per Or. Richards, Dept notified CAS T> p XJ :<-7_65 ftfDOan Place on redoarti per ?ir. KeeKlw. Tn hospital for hosts as of_______ i *' ' _GP. H 1L 2_ 3-U-66 imcRsa-rtfsyTTinntjriii-iM rrrxxifVT 5:30a n States right hand Started swelling b hemming snra about.?, aw------- . T.TT i! _c _L X ___: Thanks hand may be sprung or strained sin op was jaH/inY x-rayg d Hot soaks. To return @ 8: aui.alleges. No specific in.iurv. FR 1 01 X ' tl R.Ka n Picrbt band somewhat, swollen - To soak, retfirn to medical. i f *5-9---6-6--- 2:20on Placed on red card 5-9-66. Hospitalized in Rosebud hospital with bronchitis, per employment. CA Li JC CAS p fll : 5-*li-66 12;05r m Returning from red card acute bronchitis. Checked by Dr. Ri ohards ft Ok1 d for work for ^_?d1? *01 am. Dont notified. 7-1R-66 1 ?oon i PI a.-pH on redoard f--1 )i_A Card. ' BIRTH DATE Vote <;oph f'rr.i' within E>1and with T D. SOC. SEC. NO. SERIAL NO. WRITS,. GILLI3 BUSTER. 2/21/lU 1-51-22-2535 11/27/5- CAS T R]X 1 ___i__ CAS 1 3 O' 7. EMPLOYEE NO. 5-1130 412384 0062 ';T ; NAME WHITE). GTII1S BUSTER _________________\ Employee. No. INJURY AND ILLNESS RECORD'^ i-V; IDATC TIME INJURY OR ILLNESS ' ' '. . . TREATMENT .. -"-L v..V.;.VV "'v Oai WHOM Retumlnp from redra/rd . Remnmhn-f dentnriy- CNTt'd'-Pm' tirnrdr' fn* 1 Oil-66 . ti* !a- MM per Dr T Rirhafdgr TTepa-rtmunt nnt.itSod. _________ __________ !-- <?*S 1 E L 6-9-67 7:20pm States he got a crick in his back while he was knocking bath off___ 1 nth wnvnsr. Rut. hnt nsrt*! nr bar.V fnr l6 nrin. 83 z Qi r 8-6-67 h:20or t Law called & said place VJM te nn y^d card of 8-6-67. States ha----- was hospitalized Fri day. GI 1 z 10-2-67 12:SOn a Returning from redcarri. States is on an ant.i -coagulant. fnr a 2 weeV s____ 6-21-68 neriod. OK* d for work fnr 10-1-67 at lpOO PM per Tlr. SeldenT.Tlp.pt, 1 notified. CAS IjP R|1 X 8:20ai 1 Bums right arm dressed wet. Given medication to use at home. GP 1 1 -C1X <-30-68 L;l6p n Spraved burn. _CB_ 2 JEL2L 6-8-68 L2:20aa l Spraved burn on right arm. EM c RlX 6-9-68 12:10a m Spraved burn on right arm. . EM c R:X 6-11-68 12:10? m Right arm burn sprayed with metl-derm.__________ :_______________________ GP _cl11 6-12-6F 1 2 ;1 < Rum on arm spraved. OP SL IUL 6-11,-68 12:10c m Right arm burn checked by Dr. Richards, progress satisfactory. To .1 dress with furacin today. To return daily. .' CAS z RIX 6--lli -68 12:25aIn Snraved right arm. 6-16-6R | 8;lOanl Bum on ana sprayed. MG _L UL GP _C R|X 6-17-68 i ft; 1 C-im Spraved arm. ` _CB_ _C- R_k_ 6-18-68 8:10am Spraved arm. CB _c R X1 1 11:________________________________________ -- 1 1 IRTH OATE SOC. SEC. NO. SERIAL NO. EMPLOYEE NO. WHITE, GILUS BUSTER 5-1130 [1 412384 0063 ' Name__ WHITE, GTT.TTS BUSTER Employee INJURY AND ILLNESS RECORD '"jt-n?**' DATE TIME INJUAV OR ILLNESS . - TREATMENT' 61W-68 8:26ajr Spraved arm 6-21-68 8:2ffiaun Bum sprayed with Keti-Derm. Given dressedg for home use. 6-26-68 lisl5pm Sprayed arm. 6-27-68 U:10p n Sprayed burn. 6-28-68 LjISp n Sprayed; - ' . v Cloitifrfotia. WHOM I cb C R if CAS CIR X Cb CB C Ri 7 _ CB C R X ' 8-29-6? Ks 66o n Placed on red card as of 8-29-68 per m. law foreman, hospitalized in-R-68 at Posebud. OR P 0 7. m Returninr from red card with Hiamosis of asthmatic bronchi tit 1 ,.,hi<~h his nrivate n:.vsician attributes to his en.plovment. In as much he feels it is iob related, we feel.he should be seen by an Aller;ds t _L ii jas.Kofo-ro re turn-ry tc worn in the ret rooms. This Per Dr. fiicharos. ?. -1- 0H 1H CD 1 ON 8 l:00r m "pt.i!r'rv' from rei'''|T-r. (=ror>r.'i tisl.fA'in for wn-V for 10-19-68 i 1-7-71 ner Dr. ~lchards. Pent, notified. d'.S 8:30ar l Phone call per M. IAw. States employee hospitalized in Rosebud hosp . o i v --- with asthma and bronchitis. Red card per above information. 5AK P o.z 1-1-71 17;10t m Returning from red card -Exam per Dr. R. ok. for work re. 3-2-71 'i at 8; am. Dept notified. SAK Pi R`X 7-20-71 10 :ara Red card per Holleman as o.f 7-19-71. Hospitalized in Rosebud. (j.runo'u/ifj SAK I (7 Z ft --91 -- 71 ! 1?-IDf m Rpfnrni ng frnm rpH r 3 rri A Rp 1 pa rp -f rnm Hr. Richard*?- nk for regular ' '' 1 I work 8-24l'-71 at 8:ar,i. nepr not sak \.b|_B_lX i ...... i 1 WHITE, GILUS BUSTER .- BIRTH DATE .................. .... .............. ...................... _ SOC. SEC. NO. SERIAL NO. EMPLOYEE NO. 5-1130 412384 0064 C-- C" l i 8-3Udi.it, 412384 0065 DEPARTMENT OP MEDICINE H. I. ANOntON, M. 0 A. PONO WOlf, M. D. o. a. oom m. o. 4. O. ROOARTC. M. O. J. M. RC(NWOOO, M. O. P. M. HAMMONO. M. O. a. O. HAINU, M. O. c. u.a. aaoocM. 4R-. o. J. O. ISARRA. jrh m. o. . P. SAIN. M. O. 4. J. CMRifTMN. M. D. . 4. Q. THOMPSON. M. O. OOM 4. LYNCH. M. O. HENRY LAURENS. M. O. attit Qflutic, AN ASSOCIATION AFFIUATCO WITH Scott and White Memorial Hospital and Scott,Sherwooo and Brinoley Foundation Temple, Texas October 17, 1968 S. S. UMOSCY. M. O. R. 4. CARABASt. M. O. 4. O. BONMCT. M. O. S. A. SANCHEZ. H. O. PER H. LANOEJOCN. M. O. V. O. HOUIUAH. M. O. H. S. FALCONER. H. O. ' ROSKRT L. PALMER. M. O. W. CONE 40HNS0N. M. O. THOMAS W. INWON. M. O. J. S. CHANOLCR. JR, M. O. T. P. HARTLEY. M. O. R. W. HUGHES. JR,, M. O. R. L. EOOY. M. O. I_ M. BREWER. M. O. Doctor . T. Richards Aluminum Company of America P. 0. Box 472 Rockdale, Texas 76567 Dear Doctor Richards: Re: Gillis B. White Rt. 3 Rosebud, Texas Mr. White reported for examination, indicating he had been having some cough, at times associated with shortness of breath and hoarseness. Apparently, so far as I car. get from the history, he developed an episode of acute bronchitis the latter part of August and was hospitalized for treatment and studies. His symptoms subsided, he was dismissed. He continued to have some cough. The history regarding his shortness of breath is a little unclear. He apparently did wheeze some times. Accord ing to Dr. H. C. Halbert, Jr., he did have some asthmatic symptoms during his August episode. At the time we saw him, his lungs were clear and there were no asthmatic signs or symptoms. We ran an allergy survey on him that was essentially negative. There were a few small questionable reactions to several inhalants, but we attached no significance, to them. His electrocardio gram was normal; pulmonary function tests were close to normal, but were interpreted as probably indicating a mild obstructive ventilatory defect. There was no response to bronchodilaters. His serum cholesterol, sedimentation rate, urinalysis, and blood count were all normal. Chest x-ray was negative except for left mid lung Ghon complex, and a small metallic foreign body in the anterior thoracic wall on the right. Iiis fasting blood sugar was 104, and we have asked Dr. Halbert to check on that with a 2 hr. p.c. blood sugar or a sugar tolerance test. We were unable to get any sputum for examination. . It would be my impression that Mr. White would be able to resume his work. Should he have recurrent difficulty, we would very much like to see him again and get any additional information we dan. *. ' - .. - ..." o. ' '/ /36c. 412384 0066 10-17-68 Re: Gillis B. White We gave Mr. White Rx for a Medihaler Iso to use, 2 inhalations, up to every four hours if he is having any hoarseness, cough, or asthmatic symptoms. , '. Sincerely yours. AFWrmg cc: Dr. H. B. Halbert, Jr. Box 49S Rosebud, Texas 76570 412384 0067 H. . HALBERT, M. 0. . ROSEBUD MEDICAL-SERVICES, INC. ' P. o. DRAWtR CM ROSEBUD, TEXAS 76570 JOHN S. VAftOIMAN, M. o. February 11, 1971 . Personnel Department AT urn TmTn Company, of America Rockdale, Texas -- ' Re: Mr. Gillis White Progress Report Gentlemen: This patient v;as seen 2-9-71 still complaining of tightness in his chest, cough, and dyspnea on exertion. As you know he was hospitalized for acute asthmatic bronchitis approximately 1 month ago. His progress has been much slower than expected. He is to come in again Monday'or Tuesday to see when it will be possible for him to return to work.- Respectfully yours, . H. B. Halbert, II. D HBH/mam 412384 0068 HALBERT CLINIC & HOSPITAL Clinic 683-7985 ROSEBUD, TEXAS ^ \ ,1 / Bbsp.,,583-7986 Patient's Name Address-. /UJLAjL, Au, !7 JlUuUv ui- js&azs #-23- -?/ H. B. Halbert, M. 1). John S. Vardiman, M. D. / Re. Nd. AH088241/4 ` Reg. No. AV0897631 REPETATUR O0 10 20 30 4 0 *0 LIB. 0 'fc It 412384 0069 '* . X-RAY AND LABORATORY REPORT Name WHITE, GILUS BUSTER Employee No._ Employee No__ Employee No._ Serial No--------Soc. Sec. No-- . X-Ray No. ; Chest A-Ray, November 19, 1952--negative. . iombo-Sacral ^-Ray, November 19, 1952--negative. 6-21-5U Pr. Anspach's report-------Chest - Ess. neg. 26# '- - U-21-56 Dr. Anspach's report of chest x-ray--Negative. 10-19-57 38UU Dr. Anspach'sreport of x!-rays y-- Chest x^ray--Moderate sclerotic aortitis. Lat. lumbar spine--Moderate hypertrophic lipping L--1* & 5. 10-21-58 U808 Dr. Anspach'sreport of chest x-ray--Prominent aortic knob. 10-17-59 5729 Dr. Anspach's renort of chest x-ray-Negative. 10-15-60 3 Dr. Anspach'sreport of chest*x-raye-- Negative. 10-19-61 751U Dr. Anspach's report of chest X-ray: . Small opacity of right lower chest probably K.F.B. M.F.B. present.also in 195U without change. 10-16-62 8351 Dr* Anspach's report of chest x-ray: 10-15-63 >3U5 lr. Anspach's report of chest X-ray: Negative. Ihere is a small metal F.B. in or superimposed on right 9th rib posteriorly* . . Chest essentially negative. Hie small M.F.B. is again seen. ' "5U3 -'r. AnSpachis resort of chest x- ay: Hear,- marld-ngs both bases Small F.B 10-11-65 chest. U,753 V* Anspchis renort of chest x-ray: M.F.B. below right hilum. There is no change. :0-10-66 12.90U . .. fh*. Anspach's report of chest x-ray. M.F B. below right hilum. No change. .0 r 412384 0070 . j mr *72* X-RAY AND LABORATORY REPORT Name. employee Nq.^ : r.;; , ; r EMPLOYEE NO. ------------ Employee No.---------------1----------- Serial No--.-------------------:----------Soc. Sec. No--------:--------------- X-Ray No. 10- 3-67 lh,22$ Dr. Anspach's report of chest x-rays 11- h-68 . 15,706 Dr. Anspach's report of chest x-ray .. Small M.F.B. below light ftnnm. No. change. MFB right mid chest. Mo change. 11-3-69 17295 Dr. 'hispach's report of chest x-rayJ Unfolding of the aortic arch. Small MFB below right hilum. No change. 11-3-70 19,167 Dr. Anspach's report of . chest x-ray: .Unfolding fo the aortic arch, hilum. No change. small mfb below the right (CONTINUE ON REVERSE SIDE) r 412384 0071 Orange Holloway Birth Date: 5-11-28 Date of Employment: 10-1-53 Job Classification: Bag changer (since 10-5-70; prior to this worked primarily in Ingot Department) Prior to 5-3-71* one visit regarding a chest problem is recorded on I & I card. This was on 11-30-54 when he stated that he had had pneumonia and did not feel too well. However, he has had numerous other visits to Medical, totaling 14 full I & I cards. 412384 0072 MAUF :H olloway. Orange. INJURY AND: Employee No__________ ' OATS ,V 6-11-69 : nn TIME 1 :17ar B;20an . '. INJURY OR ILLNESS ' ` ' V: 1 ?> % . .. :?l-^rS.WSS' BY JKH9M -* I JL States his back- hurt aave him'^'p1riplririTT61^^a1n a<4visl him to go by First aid at lj am in he stlH~:hurt^s"atfthat time. _____ r States back some better Darvon for- 'rest. ` ' '' ?' 0 _J2L CB pj? J m-Pi-fr lnrajr Vinor burn left hand, sprayed and dresses. CAS CiO n.n_6c )i: 10a jn 9ed card as of 11-5-6? per Kunkj-e. Sick. _________________________________ l-GP P :0 % 19-19-AO 15 liA' sm Cheeked by TVr, Richards. Employee patient, alleges nain In left_____ rih page- Varimis joints with numerous arhes and nnins. OKM to work ]: ii IP-lt-AO at 19:01 am. States his dne+.nr told him he has neuritis. CAS jpraix 7-15-7 7:1C > Pain in left le. started stingin* & burning back f knee after j 1iftine a piece metal - states dnt think inlured him self, darvan 1 9-18-70 3 :am 1. far pain.________________________________ :____;_________________________________ : gp . p; o !x Placed on red card as of 9-9-70 oer Charlie Kunkel. cause unknown ii wife stated sick. LH P oiz; 10-9-7 D 12:1C lorn Returning from red card checked bv Dr. Young and ok for work _i__ _J 10-12-70 8:am Dent notified. ' 10-20-7 D 8:30s m States has rahh over body and forehead. There is a slight rash on CB P Rlx \ foredhead for which Kerdex cream was given for use before going into p la nt. CAS P 0 X 5-1-71 a; 70; m It-arps breathed in some dust one dav last week and has been hoarse sinch 1 /Bat chanfjerl T. QR . A ret 17-10 to see Dr. SAK! POX 5-1-71 i 1:nm Returned to see drr. Exam per Dr. R. T/ 98.2 Dx. pharyyngitis cause ^ 1 ' BIRTH OATE SOC. SEC. NO. . SERIAL NO. EMPLOVEC NO. 412384 0073 v Name. L'O' <^f< /rA^^LsC&-4T-C^ %JURY AND ILLNESS RECORD . ' .* -V Employee ; No.. ,' '3^ ` ` .- . ' .. . . DATE TIHE INJURY OR ILLNESS* TREATMENT . ' WHOM <1* *|b -5-25-71 io;3( >am T. C per wife states under care of Dr, Burns tor chest problems. o a ' vac.request statement from dr. as to dateof first rx :dx etc. SAF p JL 5-27-71 2;20p m Red card as of 5-25-71 per statement from dr. Burns dept notified. SAK : c 6-28-71 12:30o n Returned to clear from red card with release from Dr. Burns. Exam __bv Dr. Richards. Not cleared--due to appointment In' Temple with Dr. __Christian, pending report._________________________________ ._________________ LH p R 7 7-23-71 12:50 am Reports to see dr. Exam per Dr. Richards. Dr. Richards did not ok Hollowav for return to work as bae-chaneer but mav return to some otl er iob in vard Service. No other iob available. Continue on red card pel A. Menke. - SAK I R 2 8-23-71 12:30 3m Reports wihh release from Dr. Burns fnr regular .work. Dr: Richard* requests complete narrative report from Dr. Burns. Employee advised. Employee states dust at work endangering his health: in view of this do not release for work at this time (per Dr. Richards)._______________ SAY p R 7 NAME BIRTH DATE soc. sec. no. SERIAL NO. . -V . EMPLOYEE NO. 412384 0074 e 771 (Burns. 771 0. 104 E. RICHMOND OIDDINaS, TCTig 78942 IkUMOJii 842*8184 1971 Dear Sirs: Orange Holloway has sub-acute bronchitis caused by bacterial infection. He has been advised to stay out of dusty environment permanently. He should be off work for three or four weeks. C. M. Burns, M. D. 412384 0076 DEPARTMENT OF MEDICINE CCTtON Or PULMONARY DISCASC J.MfCRT CAAABA5J. M.O. JOHN J. CH*TIAN. M.O. iUTHCR K. MWCR. M.O. OTHAH C. OMCSOnJ M.O. tt mtfr "Plttte (JItittr, . ' AM ASSOCIATION ' AFFtUATCO WITH Scott and White Memorial Hospital ano Scott,Sherwooo ano BrinoleyFounoat.un Temple,Texas 765oi July 19, 1971 Dr- J. T. Richards P.O. Box # 472 Rockdale, Texas .' 7 : RE: Holloway, Orange Lee Jr. * Reg. No. 322194 .. Dear Dr. Richards: ' - Mr- Orange Lee HOlloway Jr. of Giddings, Texas, an employee of Alcoa, reported to us for examination on July 7. This patient complained primarily of trouble and coughing a lot. He gave the history that for a period of over 2 months, he has been having difficulty of breathing. He associates this with the fact that he has been working in what he termed "the relay room", which accord ing to him is a quite dusty environment. He stated while working in this environment "I could not get my breath", he further stated that he coughed a great deal, often having paroxyms of coughing that would cause him to vomit. He gave the further history that several years ago he had some fractured ribs on the left and had apparently recent ly reinjured this in some fashion. He had the feeling that his left chest was "stopped up". He stated that in June he was hospitalized for a period of 7 days for treatment of'his pulmonary problem and that after leaving the hospital he was on some form of treatment at home but he did not know the details of this or know the medication that he was taking. He states that although he has been off work for some weeks he has continued to cough but bringing up only small amounts of white sputum. He also complained of some shortness of breath on exertion. Physical examination revealed a generally well developed and nourished somewhat obese negro male." Skin was negative. Eye, ears, nose and throat ; negative. Neck: there was no adenopathy and the thyroid was not enlarged.: Cardiac exam revealed a regular rate and thythm with no murmurs, blood ; pressure is 130/80. Chest examination revealed nor dullness or per- ; cussion. The breath sounds were clear with no rales, bronchi or wheezing | heard even with forced inspiration. Abdominal examination was negative ! and there was no hernia. Femoral pulsations were normal. Rectal and . ' . [ prostate were negative. Joints and extremities were normal. j 412384 0077 I i *'/'/J >-f /< ' VZi :-r- Page 2. . . ' ' '. ' -. . ..'. '.; " . : _ A complete blood count, urinalysis and VDRL were all negativ or : normal. The initial chest x^ray revealed an inadequate inspiratpry film but on the repeat chest films were reported as negative. . Pulmonary function tests were within normal limits despite an extremely erratic breathing pattern. The initial electrocardiogram Masters 2 step was equivocal and therefore a Treadmill study was done which reported borderline junctional type S-T changes that were not typicla for coro nary insufficiency but.suspicious. The conclusion after treadmill study was "borderline response significance unknown." The SMA 12 chemistry profile reported all normal values. This patient was advised that I felt he should make every effort to reduce his weight and I suggested that he report back to you at regular intervals for observation. I think he probably has a chronic bronchitis that'.is being aggravated by the work situa tion and that dusty environment and if moving him to a different area of work is possible or feasible that I think this should be done. It might be well to place this man on some type of coronary vaso - dilator of your choice and to observe him periodically. Thank you very kindly for the reference of this patient and I hope that this report will prove helpful to you. * Sincerely yours, ` // Christian, M. D. JJC:hf f 412384 0078 ^ \ -;< EMPLOYEE-NO. * . X-RAY AND LABORATORY REPORT r / Employee No. - : Employee No. ` . . . Serial no. HOFiLOWARY,. ORANOT? T/EK'.TR.____________________ ~ - ' Soc. Sec. No_ X-Ray No. -. 9-29-53 . '. Chest X-ray--Ghon complex left, increased markings both bases and . both hilar regions. Lumbo-sacral X-ray--Mild scoliosis lumbar spine with convexity to left. 8-2U-55 .. Dr. Wyboum's report of x-ray: Chest x-ray--Ghon complex left. Increased markings both bases and both hilar regions. 5- 26-57 3UU9 . Dr. Anspach's report of x-ray: Chest x-ray--Calcifications left base. Lat. lumbar spine--negative. . . Otherwise negative. ' 6- 19-58 ' U636 Dr. Anspach's repofct of chest x-ray--Heavy markings right base. 6-J9-59 5h78 Dr. Anspach's report of chest x-ray--Calcifications left base. 6-13-60 6U22 Dr. Anspach's report of chest xray--Negative. 8-U-61 7307 Dr. Harris's report of chest X-ray: Negative. 10-5-62 3331 ` : ">r. Anspach rsnort of chest xSray. - `7 Heavy r.arklug both bases 1 calcification left case 10-3-63 . 9320 Dr. Anspadi's report of chest X-ray: Heavy markings both bases. 10-1-6U 10522 Dr. -^scspach1 s report of chest x-ray; Negative. ' 10-1-65 - 11,738 Dr* anspach,s report of chest x-ray: Negative. 11-22-66 13030 . Dr. Anspach's report of chest x-ray. Negative. . . . (CONTINUE ON REVERSE SIOE) . . 412384 0079 X-RAY AND LABORATORY REPORT Name. (Pa I'V <5c- Employee No__ Employee No._ Employee No__ Serial No-------Soc. Sec. No__ X-Ray No. U-Uj-67 -1U,356 Dr. ^nspach's report of chest x-ray* Negative. 11-20-6? 15,?12 Er. Ansoach's report of chest x-ray: 2-6-70 * Essentially negative. , 17,785 . .. Dr. Anspach's repirt of chest x-ray: Quite prominent hilar snadows with ratre density m eacn one ana seems to be va- cviiar. They have not changed to 2-8-71 indicate timor growth. ` 19485 .. Dr. Zlgler report of chest x-ray. Unchanged. 3 l 412384 0080 < ... . --1 ATTENDING PHYSICIAN* S STATEMENT I have attended the -bove from , DIAGNOSIS: % w. ____________ to -6'D3 ^ /'l^h /uL-C* J>y tDn.jp, 412384 0081 Charles Shuffield Birth Date: 7^12-34 Date of Employment: 9-4-53 ' Job Classification: Craneman (Potroom) No chest complaints recorded on I & I card prior to 10-19-69 412384 0082 -T'pWT.K' .> NAME. chuffield i Chagles. C-------------------------- . . 'EttfLOYEg Nn ; ? . . . ' INJURY AND ILLNESS. RECORD"^' -;'v''M i . oaTV ' TIME INJURY. OR IU.NCSC . i. : RV: Qfl T7S-19-55 9*05a n Spates has a pain,in left lower cnest Uofth TWoaT.imu*. arwnanawig m\QM *'|* X: Ji this if caused fro. the das tliat is comin^ off the Dots in room ifi Darvon 1 for pain. Employee does not-want to go home. States has had a eous-h for a week. . lflr29r% 12:U5p n States has had bothered for three weeks. Checked bv Dr. Richard* CB - reveals coarse rales chest especially on the right, "eferred to 11-3-bi . i>-12o i private physician. States has stomacn cramps Temp. 9b. Given al-caroid state* CAS uantc -, continue working. . 12.-31=62. SiliOnr Placed on red card as nf wr wife fwni+^i-s,^ i-T<-7a l?:lxQp s--Returning from red nerd. P-ng. ast-barna breathing and JiLWfn TL-OH pn l > p j Ap n JL Jd_ 2. hlemreav.ripht chest,. ^.99. _Dr. Richards Mot, kff ftTr work until chest, clear. Referred *w hack to nri vat.e nbv*. >--5-70 .1: ixi__ T. re. turn in? ernra red card -|crrScy. nv.a -tc l_Zi3 am Cn-^niLfmLaner^ Ra.h Zt A-R-7JL, 12:15a n Bash under neck straved with Meti-Derm. o_, 7r, p.__ 3 7 e-au' 7-ifi-7a_ 8|4S*< Statca caught_lefr feat n crane afe.c K>C Hhf aarana.. H. . 2; an. Rat yackait hame & return if nec. ." a-iir-ZQ- 3; 1 Sp n Rufferin for headache. . . . -------------------1---------------------------------------------------------- PflC r> r -CAS -B- 7T -tigGP p -n0- 2u LMLE*xi u. _kL. JL jL CP p V NAME ------------------- ..------------------------------------- ^ BIRTH OATE SOC. SEC. NO. ------------------------------------------ SERIAI.NO. ------------r-l.Mptorcc NO. 412384 0083 '.'.V-.- /-^ -eEmmployee . No. ;!_ ;^II4IS=I m JNMefM21(WOOMPY-W-OR^aIlaf.cNsE-'':;$", / >:. '-;>.: ;:;W': vr-iXy1;:.'.^- 0^:. .-: treatment . - ...-.....w 'BY.' WHOM ,9_g_70 #8:10a n.. Smoke'.from room 18 bothering him, short o breath. spts or amoura * . \. ''in''water. ' ' . ' ' . ' ' ' . GP Hr.ui i 0 in O-22-70 8:20ai iPlaced on red card as of 9-21-70 per wife. Hospitalized. Dept. not. LH P 01 z V 12;3( |pm Returning from red card rBronchltis) Temp. 98.6 Exam by Dr. RScha rds D 1 ls> -J ntf for wv1f fr.r 10-13-70 at 8:am. Dent, notified.___________ ;________ ' LH P R OC 1 12-4-70 12:10 imStates has an infection .buttocks from ore rash, has this for the Ti >ast week. Doesn't think he can work. Tofaoi ome and return 12:30pm tc See Dr. Richards a \A / CB' P 1i r m i 12:40n tj Rash examined bv Dr. Richards. Diagnosis yFungus possible). Rx. Sanronal. ' t ' ii \ CAS J 1 Rj XI mivy 3-14-7 R?70pm Stares he hurt hark while pnlUng i-arhnn hloflf arnnnri ul rh 1 i a sledge hammer. Cairt* 7 hiif fr1 n and--used. hnt~ . uatsr .hnl-M p.._________ TM _c Oi Y 3-16-71 ' f1 ----- -- ~ It. If M i\ ' . drSoJ im T.C. from employee. Stares hack still_hurtsHas been going to a chiropractor. States does not think he can work todav(4-12). Instruct ed to come to medicat at 12:30 om to see-dr. SAK 12:31 Ido Exam per Dr. Richards. P.E. reveals no tenderness in LtS area. Rx: L-S x-ravs. off work 2-3 days. moist heat to back, darvon cmmpoun d . J1 it 1 for pain. A. MdnkKx Menke talked with employee. To return Friday at 12:30pm to see dr. No red card. D.N. SAK c R z 412384 0084 NiMF ..........................--~ -------- * ... ' .-INJURY .................... . .r >---.... V - :r.MKL.UTtt nu. ' OATC 3-19-71 19 f . TIME injury or illness / . '.`.I-:?..>. .5S*i Chi WHOM V i lv 12:3C ora Exam per Dr. Richards. Referred>itO*Dr^Murravr*X>ontinuewhaat-v'-M-,>*V a***:*. ar Darvon for oain. Discussed wi i.h: A . MeiikeT 'AppbintmentiwithlDr; Huraa y for 3-31-71 at l:pm. Off work tilll then unless feels better. To ~r return after appointment with Dr. Murray. 2:30p n Red card as of 3-15-71. D.N. .-- SAK 0ritz SVK ' *. K' i A-7-71 ft* 5Dan Telephone call per employee. States saw Dr. Murray 3-31-81 and 4-1- 71 and was told he has a ruptured lumbar disc. Is taking P.T. daily and is l o i ap nr-. Murray again 4-14. Mav possible have to have surRerv. sak C R Z A-71-71 R:45ar T. C. from Mr. Shuffield, states he saw Dr. Murray 4-14-71 and he told him if he progressed ok he could return to work in 2 weeks. Is i i- not tn see him again unless he has more trouble with back. Instructed i t*n rppnrf* f-n mpHiral L--27 -- 71 at: 12:^0pm- 4-27-71 12:30 pm Reports to see dr. Exam per Dr. Richards. Rx: Stay off one more week. If not well enough to return to workthen, refer to Dr. Muraay again. Return 5-4-71 to see dr. 5-4-71 12:30t m Exam per Dr. R. ok. for reg. work 5-6-71 at 4;pm Dept notified. 7-13-71 1:50an i Darvon for pains in legs. ' ft-?7-71 1 *. 35[ m States had a pot burn out and got too much gas from pot while operating a rrane. Chest is hurting in left shoulder area. Oxygen f-ivc-n r in min. To return at 12:30pm ft-73-71 to see Dr. R. SAI i --t I- SAK C ~rTT cSAk ~rTX GP p 0 K 1 1 c,CB Qfcj X 1 BIRTH DATE SOC. SEC. NO. SERIAL NO. J EMPLOYEE NO. 4123840085 412384 0086 ! . . X-RAY AND LABORATORY REPORT - " ' . - " SHEFFIELD, CHARLES Name. Employee No._ Employee No__ Employee No._ Serial No-------Soc. Sec. No___ X-Ray No. ` 9-3-53 Chest x-ray Lumbo sacral . 9-7-53 Dr. Anspach's 3-13-55 Dr. Wybourn's evidence of arthritis. on the left with -ft?*?" -2-3-57 31U2 Dr. ^nspahh's report of x-rays: thest x-ray--Negative. Lat. lurabar x-ray--hedging D-12 & L-l, anteriorly with Schmorl' s.. nodes L-l & 2 apparently . old injury. Partial lumbarization S-l. 2-U-53 li2$8 Dr. Anspach's report of chest x-ray--Negative. 2-3-59 . 5109 Dr. Anspach's report of chest x-ray--Negative. 1-30-60 g 6018 Dr. Anspach's report of chest x-ray--Negative. 1-2-61 6856 Dr. Anspach's report of chest x-ray--Negative. 1-19-62 771* : Dr. Anspach's report of chest X-ray: Negative. , 1-7-63 8637 : Dr. Anspach's report of chest X-rayj Heavy narkings both bases. .. 1-15-6U 9627 Dr. Anspach's report of chest x-ray: Negative. . ' 1-13-65 ; ' ^ 10301 .' . . i ` Dr. Anspach's report of chest x-ray; Negative. ! ' ` 1-10-66 j : . i2ci3 - . ' . . ;/.: ; ` . | : Dr. Anspach's report of chest x-ray: Negative. ' . i 412384 0088 X-RAY AND LABORATORY REPORT X-Ray No. 2-9-67 ` 13,3^0 ' Dr. Anspach's report of chest x-ray: Negative. 2-6-68 lb6U0 .. Dr. Anspach*s report or chest x-ray: Negative. 2-2U-69 16.16U Dr. Anspach*s report of chest x-ray.. Negative. 2-2U-69 16.16U Dr. Anspach*s report of chest x-ray 2-15-71 19,519 Dr. Ziegler's report of chest x-ray: Negative. Negative. M0 t1 (CONTINUE ON REVERSE.SIDE) . ' L- 412384 0089 ? I. ;  .*** viscjifeJR- Stewart Colton Birth Date: 8-27-42 Date of Employment: July, 1969 Job Classification: Process Engineer g 412384 0090 ALCOA PRE-EMPLOYMENT MEDICAL: RECcOoRrDd \*y-vy-zi?:&y^b~''`-v:'v?'?. THE FOLLOW INC "V. NAME (LAST, FIRST INITIAL): Cotrre^i 5r^w/w?r "5. AOORESS (NO*,.STREET, CITY, STATE.ZONK) n" PtEASE'PRINT'ALL ENTRIES. :' >' v :r5.- ; .C^'V . w ' fcmaicq. -3,0AT. " > ' -A ' >- *, ,, ' J _ ; . 7r*Z^7\ TvTZV 6. PLANT OR DIVISION ..... . . 7. SOC. SEC. NO. _____ employee^ no-, '; .--.. 9^ DATE OF BIRTH- . -./ . i <p--27~Yz~. . ... ' v"- ioa. personal' name /Tfe^YLy^e. V-I?** IN CASE OF.;:;'"- PHYSICIAN'S AOORESS- Jfani&tr! .' PHONE .- '' ` ;;k NOTIFY: . %\m CIRCLE THE HIGHEST GRADE YOU COMPLETED IN SCHOOL . ELEMENTARY . *. 1 2 3 4 5 6 7 8 .. HIGH *t2 3 4 . ADORES* Ztr /JE.CaV *'>**A,* 6#V7?*.(/*. *ie/i. /03cV . COLLEGE v_ . . .' .YOUR AGE ON ... .. ( 2 3 4(g) .' LEAVING SCHOOL ~Z-C> . 12. HAVE YOU EVER WORKED IN . DUSTY TRAOE, SUCH AS MINING, a FOUNDRY, SAND BLASTING, CHIPPING, GRINDING, CHEMICAL OR OTHER? vrs (3. HAVE YOU EVER WORKEO WITH X-RAY OR RAOIOactive substances?, . yes_^no__ 14. HAVE YOU SHOWN SENSITIV|TY TO SUNLIGHT, CHEMI* CALS, OUSTS OR OTHER MA YES_i^NO____ TEBIALS? 16. HAVE YOU EVER WORKEO IN A NOISY ENVIRONMENT? 17. HAVE YOU EVER RCOUIRCD A SPECIAL JOB ASSIGN . MENT BECAUSE OF THE EF FECTS OF ILLNESSc IN* JURY, OR PHYSICAL IM- PAIRMENT? ' IS. HAVE YOU EVER RECN RE. JECTEO FOR A JOB OR HAVE YOU LOST A JOB OR QUIT BECAUSE OF YOUR HEALTH? YESJ^NO_____ ICS. DISEASE OR OTHER MCOICAL PROBLEMS FROM AN EMPLOYER OR INSUR* ANCC COMPANY? YCSm NO--.. 20. HAVE YOU EVER FILED A CLAIM OR -HAVE YOU ANY CLAIM PENDING FOR IN* JURIES OR ILLNESSES RE* LATEO TO YOUR WORK? 21. HAVE YOU LOST TIME FROM WORK DUE TO-ILLNESS OR YES____ ; Noi^" INJURY IN THE PAST 5 YEARST YES . YES. IS. HAVE YOU EVER WORKED 19. HAVE YOU EVER RECEIVEO WITH POISONOUS MATER 1 YESjt^HO---- ALS? . - COMPENSATION OR A CASH . SETTLEMENT FOR INJUR* ' LIST NUMBER ANO EXPLAIN BRIEFLY ANY YES ANSWERS: t"2. Go A'l /^( S&UCJ? jits ib . y* <rc*c<X /i7 r/?"j&b < 2-(. P-fc*. 22. HAVE YOU SEEN REFUSED INSURANCE BECAUSE OF YOUR HEALTH?. /?. /7i l/ !$ 23. HAVE YOU EVER SERVED IN THE ARMED FORCES? YES_____ " -S' 24. 010 YOU RECEIVE A MEDICAL DISCHARGE? YES______NO______ IF YES, GIVE REASONS:! 25. HAVE YOU EVER FILED A CLAIM OR RECEIVED PAYMENT FOR A DISABILITY FROM THE GOVERNMENT? YES______NO_i^L f 2. MOW MANY JOBS HAVE YOU HAD IN THE PAST 3 YEARS?______ __________ WHAT IS THE LONGEST PERIOD YOU HAVE HELD ANY JOB ? _^L_ MONTHS HAT IS YOUR USUAL nrniPATnwi? C lu*~, . rlt ./In--. E. ARE YOU SINGLE (g) MARRIED Q DIVORCEO SEPARATED WIOOWED Q ?1*. PARENT FATHER MOTHER AGE <r^ rf Z- STATE OF HEALTH CTi ><'/ S y-i "i 7*Vl * IF DEAD. GIVE CAUSE ANO AGE AT DEATH Ll*- RAVE YOUR PARENTS, GRANDPARENTS, UNCLES, AUNTS, BROTHERS. SISTERS. WIFE OR CHILDREN EVER HAD: _____ tuberculosis __ DIABETES --CANCER MENTAL ILLNESS YES NO L^ RELATION ft . A.-+ . Cr'C (X I'keHCo HIGH BLOOO PRESSURE HEART TROUBLE ASTHMA, HAY FEVER, OR OTHER TYPE ALLERGIC REACTION ' YES NO RELATION ' KU, T*. C~r~( . (Vt c st V * YOUR WIFE (HUSBAND) IN GOOO HEALTH? YES____NO________ IF NOT, EXPLAIN:. . "v* MANY CHI LOREN DO YOU HAVE? ***' YOUR CHILDREN IN GOOO HEALTH? OLDEST______ YES_ NO. YOUNGEST. IF NOT, EXPLAIN:. 412384 0091 -- -- -- -- -- L. *tf YOU EVER HAO OR HAVE YOU NOW : (Check every item or write "Don't Know99) YES NO *;CADACHES (FREOUENT OR SEVERE) NJURY OR CONCUSSION '* ACXOUT, DIZZINESS, AINTING SPELLS \S 8L INONESS BLURREO VISION CLASSES glaucoma * '"RLE VISION - CATARACT YES NO " "' . CONTACT iensfs INJURIES, (DEFECTS, OPERATION ON EYES PUNCTUREO EAR DRUM INFECTION OF EARS - YES NC (X 30. 'NAVE YOU EVER HAD OH HAVE -A INGING OF EARS OISCHARGE OR DRAINAGE'OF 1 LOSS OF HEARING ' FREQUENT COLDS YOU NOV: EARS ' (Cheek i.very item or write ?Don't Knoia") (Coat'd.) - ` <* * YES NO LOSS OF APPETITE . YES NO - ' ' . FOOT TROUBLE VET WEIGHT CHANGE NAUSEA OR VOMITING VOMITING OF BLOOD Ip^ FRACTURED OR BROKEN BONES * - i&f/ DEFORMITIES OF LEGS, FEET. ARMS. ik- HANOS, BACK A/ lib 1^ . -SINUS TROUBLE HOARSENESS '' ` . INDIGESTION OR HEARTBURN . ULCER - AMPUTATIONS Up" BACK PAIN OR INJURY GOITER '' w-"' FREQUENT OR SEVERE PAIN IN ABDOMEN RUPTURED OR SLIPPED OISC ENLARGED GLANDS OF NECK DIARRHEA - v< NEURITIS OR RHEUMATISM ' y' ~u> STIFFNESS OR NEURITIS OF NECK CONSTIPATION ' Cp-"' NUMBNESS OR WEAKNESS PAIN OR PRESSURE OF CHEST - SHORTNESS OF BREATH _k. V* COLITIS 6L0Q0 IN BOWEL MOVEMENT INDUSTRIAL OERMATITIS ECZEMA, HIVES, FUNGUS, RASHES HAVE YOU COUGHED BLOOO HAVE YOU HAO FREOUENT BRONCHITIS V/ GALL BLADOER TROUBLE L' YELLOW JAUNDICE PILONIDAL OR OTHER CYSTS GROWTH OR TUMORS L-" OTHER CHRONIC COUGH WHEEZING PNEUMONIA TUBERCULOSIS L''" PILES OR HEMORRHOIOS ` is' INFECTION OF KIDNEY OR BLAOOER INFECTION OF PROSTATE OR TESTICLES KIDNEY STONES v"" Lp>" L^ ULCERS OF SKIN OISCOLORAT!ONS, TATTOOS, BIRTHMARKS, SCARS Following for women only: ' v/ JZf PALPITATION OR POUNDING HEART HEART ATTACK ---- ' BLOODY URINE URINATION DURING NIGHT w* BEEN PREGNANT HAD VAGINAL DISCHARGE HIGH BLOOO PRESSURE SHELLING OF FEET AND ANKLES LOSS OF BLAOOER CONTROL w1 TROUBLE PASSING URINE TREATED FOR FEMALE DISORDERS HAO PAINFUL PERIOOS 00 YOU use MOKE THAN t PILLO* Ip' VENEREAL DISEASE , NUMBER OF PREGNANCIES ENLARGED OR VARICOSE VEINS INFLAMMATION OR CLOTS OF VEINS SWOLLEN, STIFF OR PAINFUL JOINTS PAINFUL ELBOW v-'" U' NUMBER OF MISCARRIAGES INTERVAL BETWEEN PERIOOS (phlebitis) PAINFUL OR TRICK SHOULDER DURATION OF PERIOOS LEG CRAMPS AT REST OR EXERCISE LOCK bR TRICK KNEE OATE OF LAST PERIOD 31. HAVE YOU EVER HAO OR HAVE YOU HOW: (Check every item 44Yesp* or 4*No94) YES NO A. DIABETES V'" F. SCARLET FEVER B. GOUT t/ G. MALARIA C. STROKE 0. EPILEPSY Wp^ H. NERVOUS BREAKDOWN I. FEAR OF HEIGHTS OR . E. RHEUMATIC FEVER CONFINED AREAS IF YES, LIST LETTER ANO GIVE OETAILS. 1C, Ha -Ccv/e*' , ILa.4cw^ vij &s(tCt *- ~TrevccU vujLn&L.j caries J., AcmX YES NO J. HERNIA OR RUPTURE YES NO K. ALLERGIES (MEDICATION, HAY FEVER ,ASTHMA ,F000 ,CONTACT,OTHER ! L. ILLNESS OR INJURIES NOT LISTED ABOVE v/ YES 32. HAVE YOU EVER BEEN A PATIENT IN A HOSPITAL OR SANITOR1UM? 33. have YOU EVER HAO OR BEEN ADVISED TO HAVE AN OPERATION? 34. HAVE YOU any physical COMPLAINTS OR DISABILITIES AT THE PRESENT? 35. ARE YOU taking any MEOICINE now? 36. HAVE YOU any CONDITION REOUIRING A SPECIAL WORK ASSIGNMENT IF YOU ARE HIRED? 37. HAVE YOU EVER CONSULTED OR BEEN TREATED BY CLINICS, PHYSICIANS, HEALERS, OR OTHER PRACTITIONERS WITHIN THE PAST 5 YEARS OTHER THAN AS NOTED ABOVE? 41. WOULO YOU SAY YOUR PRESENT HEALTH IS: EXCELLENT NO YES NO 38. DO YOU OR HAVE YOU EVER SMOKED? IF YES, INOICATE. THE TYPE OF SMOKING: S[^CIGARETTES---Q NO. PER DAY___ NO. YEARS SMOKED CIGARS NO. PER DAY NO. YEARS SMOKEO c/ 1 1 PIPE NO. PER DAY NO. YEARS SMOKEO 00 YOU SMOKE NOW? Cec .c 1 1*. W.. IL 39. DO YOU DRINK ALCOHOLIC BEVERAGES? 1/ IF YES. HOW MUCH IN A DAY: GLASSES OF BEER ------ _____ OUNCES OF LIOUOR_____ _____OUNCES OF WINE 40. DO YOU HAVE ANY ADOITIONS TO MAKE TO HEALTH HISTORY, OR ANY PROBLEMS YOU WOULD LIKE TO DISCUSS WITH THE DOCTOR? 1 GOOD rzy fair | | OTHER I 1 U wAvl(x-cH(>vU*. Ji. 3S-.. 3*. Se+A^c~~*.\ erT '^t-V-eel cov-^k-^ crP rtOtc 'HJwriei Ws"kiu> a.*. u^k.<LcJ ~ S_ Uo-^-e 1 * - CavM.HAX4^ a ( . cv^Art^l^S LOi* w*-V A Uti -fzrr- diAi^tvbCTdU4^U$ 412384 0092 I ... >5: Vlr)v+! Pr I CCHTirY THAT I HAVE REVICWEO THE FORE60 IMG' INFORMATION- SUPPLIES). BY MC( ANO THAT IT IS TRUE ANt> COMPLETE.TO-THt REST OF MY KNOWLEDGE. I AUTHORIZE INVEST!CATION OF ALC'STATEMENTS CONTAINED IN THIS MEOICA'L HISTORY ANO 00 HEREBY RELEASE ACuV*" MfNUM COMPANY OF AMERICA ANO/OR ITS SUBSIDIARY. COMPANIES- AND MY PRESENT ANO; FORMER EMPLOYERS, PERSONAL REFERENCES IffcMEO^. OR ANY OTHER PERSONS OR ORGAN U'ATIONS TO WHOM ALUMINUM COMPANY OF AMERICA ANO/OR ITS .SUBS ID I ARY COMPAN IES MA Y REFER,: ' FROM ANY CLAIMS OR LIABILITY OF' WHATSOEVER KINO AS A RESULT OF PROVIDING OR ACTINGUPON INFORMAT I ON REGARD I NO ME. *- I UN* OERSTANO THAT MISREPRESENTATION. OR OMISSIOH OF FACTS CALLED FOR ON THIS FORM IS CAUSE * FOR SUBSEQUENT DISMISSAL. NATJME OF EXAMINEE) 42. PHYSICIAN'S SUMMARY ANO ELABORATION OF ALL POSITIVE ANO PERTINENT OATA: USE BACK OF SHEET (LAST PAGE) IF NECESSARY. Qf* o ^ i ^^ ^ COMMENTS ON PERSONAL ANO OCCUPATIONAL HISTORY: . .. ^^Qjla ^JULiJa \oQl5C^V'- ^ 0 cl c. C _cv-^TgoJ V) ^ u^. At- D0 V ^_______________!____________:__________________________________'_________________________________!_____________________________________ ^ S' ` / ' . ---------------------------------------------------17--'------------\--------------^ .^r_____________ . " "' l 6- ------------------------------------ --------------------------------------- V $JkiA nCxy^J cr o o \ T}. Wustw; -*/ r)-t'L-L<f *. _ . _LO i r-N "Vo liAi \% S'.I i;Aj rV 1 Vo !i\c t}z} . ----------------------------.. <5* (XAs, fl V^ilAMr - Qj \\ viM.- pu- Pc. a3J -------------------------------V" ~ . M.D. PHYSICAL EXAMINATION MEIGHTJ^S WEIGHT CHEST EXPANSION OISTANT VISION WITHOUT CLASSES : OEPTH PERCEPTION: NORMAL I 1 color vision: NORMAL | | hearing VOICE: WHISPEREO: spoken: TEMPERATURE PULSE RESPIRATION BLOOO PRESSURE (leF) ' St Wright) ABDOMINAL GIRTH R* L WITH GLASSES: R SEE REPORT | | SEE REPORT \ | NOT TESTEO | NOT TESTEO | appearance L NEAR VISION WITHOUT GLASSES: R 1 MUSCLE BALANCE: NORMAL | | | L with glasses: R L SEE REPORT | \ NOT TESTEO | } RL RU AUDIOMETRY: NORMAL SEE REPORT WEARS HEARING A 10 Q IF NO ABNORMALITY, MARK '* _ **. IF ABNORMAL, MARK **YS** ANO AMPLIFY BELOW. SKIN HAIR LYMPH NOOES HE AO EYES REACTION MOVEMENTS FUNO I TENSION EARS NOSE MOUTH OENTAL HYGIENE THROAT NECK THYROIO TRACHEA THORAX BREASTS HEART PERIPHERAL ARTERIES PERIPHCRAL VE1 NS LUNGS ABDOMEN HERNIA GENITALIA RECTAL PELVIC ARMS IF NOT EXAMINED, MARK ' * NE ' * . HA NOS LEGS FEET SPINE CRANIAL nerves PERIPHERAL NERVES REFLEXES INTELLIGENCE EMOTIONAL STATUS 8L000 COUNT. RBC OR HEMATOCRIT:Hfl WBC ,'Y^~ PQLYLYM MqnEpS ur inalysis :__________ Alb Sug * w Micro serology: CHEST X-RAY: NORMAL ( \ SEE REPORT | | BACK X-RAY: NORMAL ( | SEE REPORT } j ELECTROCARDIOGRAM:NORMAL f |SEE REPORT | |PULMONARY FUNCTION TEST:NORMAL \ 1SEE REPORT OTHER X.RAY OR LABORATORY FINDINGS: ____________ ______________________________ ._______________________________ | BAS | 412384 0093 IMMUNIZATIONS (RECORD YEAR): SMALLPOX POLIOMYELITIS TETANUS DIPHTHERIA TYPHOIO * YELLOW FEVER PARATYPHOID OTHER I /iff/- ' . <z-s-e. &-/- 7^u' ^^irc'c.' <r^'*z<<-*-i--c-sfe ,-3^ /d&~c'--'yy */<. oT'-jt ~/tt.' /'a. /-TT y-'j /f .r7~~ &.'/-' 7^*'> &&< c-^<z :/* *. 'Zl? A,t. /yrrl/ C^-i^-z':'r5 ^ ^ Z' *' / r7^-. --r j>' ,/r5 *<-/ * , J . c-3 r- y . .' jry^rJrJT .? ----- /n C'C^ -Zi-<r-~-c-: --c c:<s-'-'-^ _ /~tcr~->< x>/` ./ ~- fcZ (jcTZ-^yOc^t-- -L ., , < ^Ccy.s-iCi^i^ ' /" '* / y5 ,.; u: <<*. A?/y < 412384 0095 Larry Pelzel Birth Date: 9-14-44 Date of Employment: 6-23-64 Job Classification: Worked in Potroom until 2-12-68 at which time he was trans ferred to Atomizer under limitation agreement with Union. Has been on Red Card for asthma since 3-21-68; is now on personal leave. Mr. Pelzel has not filed any claims under Workman's Compensation.or with the Industrial Accident Board regarding his asthma. 412384 0098 Name PBLZEL. IAHRY ROY .Employee No. INJURY AND ILLNESS RECORD . DATE TIME INJURY OR ILLNESS 1 * TREATMENT Y 7**EPSE] ' -i--jA-- 10-2li-61i n *i; Tm States he pot. left wris t apai n*t. hot pt. Treated with burn anluti on-- ____ and dressed. . JC_ nJQ- X in-27-61 8sL9d n Burn In ft forearm cleansed, sprayed with mn ti -derm and dressed. 1 7-22-61 io-ic om Cl nans fid, snravad and dressed wet bath burn light hand. 12-21-61 1 12 :20jam Bum ripht hand'spraved with meta-derm. ' FR- JLX- X _IH- Clflj2L GP C!S_|!L m n n 1:19d n Redress bums left hand. 9 -1 7-',' 11-Isr rr. Bath burns risht arm i--essed.wet. 01 CAS Cl. fc- G? uc;?..bU 17. 11-<-6< GP _iLi<L! 19-77w6< Q*n.Yp F8 0 OXJ 17-71-66 1? ?16 HS a it 1, 12-2li- 9 2:20 Dm Reoorted to foot. Went medical, states foot pot to hurting, swollen & to doctor & he ooened blister & removed burned streak 1 skin frc n____ 1 m____ - it -- -- 1 foot & started him on penicillin h T. T.. Walter Martin consul ted -- about card. this, He said let him-po-oh to this doctor.'& place h'm on Rmoloyee instructed what, to do. Bed card as of 17-26-6^ rec ran L __0 r. L'R. I 2-18-66 l:pm TtAljllTnT nir fVnm y*aH 4vi Y*nerlvf. frtAf.. F.Yflnri niH Vrv TYi* . Pi i+ifl' ds _ 1 and ok* d for work for 2-19-66. Dent, notified. ECAS &. 2-19-66 2 *00a! 1 Burn on right foot. States petting sore. Cleansed and nut pad on * ____ foot. Report to First Aid 2-19-66 at 8:00 AM. 014_____ JL iJt 2-19-66 8:20ar . Burn right foot soraved and dressed. __ ra C;R jX_, 1-----------------------i------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- i J-------rr_______^7T BIRTH DATE SOC. SEC. NO. SERIAL NO. FELZSL, LARRY ROY 9/1UAJ4 li#-7ij-289i . 6/23/6U 412384 0099 I i NAME . PELZEL. L&RKf BOY ^'EMPLOYEE -NO. *.- A>... INJURY AND ILLNESS RlECCOGRRDD:$-^i* -5 S' ?...; OATC TIME. - ` . INJURY OR ILLNESS . ' ' . \*t " ' V-** . - TREATMENT''. `V i. LTv * ooH b-13-6^ 3m Barn left arm dressed wet. '' 6-2li--66 12:5& sm Place on red card as of 6-26-66 Der Rosebud hospital. Cause undetermined. 6-29-66 1:60dit Arrived at Medical Department ton late to see Doctor. Tn return . yV. WHOM "1 : GP "C _Q x CAS P 0 z * Thursday 12 ;30 PM. Off shift, today. ___________ !_______!------------ !------ .GAS. _z _al.2 6-30-66 12tliEp m ; 3 2-26-6 VlOjar States has been off wi th Resniratnry Infection. F.wtn-ined hy Dr. Ri i .hard 5__ and told OK for work for July )i, 1966. Still has few chest, rales. * Department notified.______________ _______________________________________ :_________ PI?red on red card 12-2^-66 n=r Halbert Hnsni tal , CftS GAS I _s _E n X ru- : ?_27_67 t -,,a.- n.-i. wi th release from Private Physician to. e-- work in a place with no heat nr fiimarf, Checked hy Dr,-Ri chords--;------- reveals Rales in chest. Employee on medi cati on .referred hack tn. Private Fhysician until chest, clears,_______________________________ !---------- 1 CAS P R'Z. ; it--7_a? Checked by PrT Ri chards ft- not. ok d for work because of rales in------chest. Referred back to private phy. We suggested to Pelzel to see '5-19-67 llDin chest specialists. CAS P States has beer, to Scott & White-in reynarri to asthmatic condition' Allergy to molds dogs .house &e?SSr etc .Still under care Dr.VJolf at z. i 6-33-67 1 p** - "-- Scott White.Not ok'd for work today.Employee still wheezing. CAS e S t eva"' bv Dr _9~ -v'o--'.s T^vnals n-vr^o-rwi-.c --aloo "rib ok1 d for von' . at this fcir.8. < !-,^ -- ---- ^ in Waco,7ef. >a~k ^ ?. P. 5_2L t *> r- NAME t PELZEL, LARHT ROT BIRTH DATE 9/UM SOC. SEC. NO. U&-7U-2&9U SERIAL NO. 6/23 M EMPLOYEE NO. 412384 0100 j' ' 7-^34 ' name- PbiZEL. IARRY ROT_____________________ Employee Tili6r9_____ INJURY AND ILLNESS RECORD OATC ; . TIMC INJURY OR ILLNESS .. TREATMENT i B-2^-67 1 iQOp tt -Chest, e-rami na hi nn Viy TVr*. Riohaerts Tcrm-als -rales-- ast.hma-H e - Phi 's -BY CiailifMafiw WHOM emplnvee can not. he cleared for unrtr ns Innp as he is asthma-hie. ---- Employee states fairing "powerful shots" from Or. Halbert- ________ (ViS 1 r! 7. il-12-68 lipo__ States has heen to another Doctor (Sweptson) wno cured nis asthma i in three shots, while waiting in his office. 6hecked by Dr. Richards 1 not ok*d for work todav due to Rales in chest. To return when chest ; i ? clears up. To brine statement from Doctor as to medication, Type of work. ect. CAS P R ;L 1-10-68 L:pm Returned to medical with statement from Dr. Swepkon. Exam By. .Dr. j f " "" Richards today reveals no rales, which is improvement, i'o have 1 complete rhysicial, including lh x 17 chest x-ray and wait until afte r 1 tadialoeist raads r-rav. Ask for report as to ii; itation on job. CAS P --a> re?- 2-12-69 2;50?* Per a treatment between company a union Pelzel will be returned to i work under the handicapped section to atomizer 2-15-63. CAS 2-JO-68 10:10c im Given oil of cloves for tooth ache. CAS P 0 T 1-21-68 8:l5an i Mr. Valatine brought emoloyee to medical with Asthma, f^noiovee short nf hT.st.h and wheezing- States had a light attack this morning about 1 luam. To tro home and see private physician. Red card as of 321-68 70B f a-3 per medical/ CB P o z 1-22-68 8:00ain Reported to Medical.- Wants to go to work but states hart shot. for * NAME .ssthma. Has. ben placed on rorteard hv *ertie1 To --io.an_- i today. Very nervous. States rad snot of 1d"StlinT retUrn ^'3 ------ CAS P RjZ_ BIRTH OATC 1 SOC- SEC. NO. SERIAL NO. employee no. FEIZEL, IARRY ROY 412384 0101 *K*rr*4--rM y* 'X3>& ^TCT.T.r TAPPT POT ' - No.. #2 IN.- -JU R Y AiwNDrV':..-nILv -Li*XtN'M~!E+c^Sc'l.SycZi:JRZiD<E-vcGmODR' PDi' ^:: ` OATC TIME 8-22-68 lsOOoir . ' . INJURY OR ILLNESS.' ". '-: . ' .. .,-' :>:'-`K Vv -' '. .*' : TREATMENT ' : ' ' BV WHOM Examined bv Br- Richards. Reveals rales and wheeling. Not. to return to work at this time. Referred back to private physiol an. Pmplnyee t t [i 1 ! 10-1L-68 1:00pi had shot of adrenalin early this AM. _CAS]i P R 7. Reported to Pedicel. Patient roughing. States is al 1 erei e t5T all molds, house ri'ist of any kind and rings.. Ts taking fol Towine m^di-__ i i cations: Paalov- -erolone- Rredisone verequid. wot OKd for i work today. To brine statement from Scott t white as to ailerre^e. i Pas an appointment with Tir. Rrewer i'ov.' 8th ? r*S 1 1 j 1- ' . j U_L 1! , 11 1! ; ! `* ' - ' i .. t ' , t- 1 !i - . - - 1i { i| : !. 1 NAME FELZEL, IARRY ROY BIRTH OATC SOC. SCC. NO. SERIAL NO. EM PLOYCC NO. $-1169 412364 0102  ^j^-pi^PLW^OTMErtdlL RECORD ~ ~ *' : Locotion 1 NOTE:' THE FOLLOw'lNC INFORMAT1 ON WlLL HELP 1-. NAME JLAST.FIRST, INITIAL^. .r -/Pg/z?./ Z/> r> y US IN YOUR PROPER '.JOB . 4. -J?o V PLACEMENT/ KALE FEMALE.!-! ` PtASE PRINT ALL ENTRIES. . 3. oate . , ' . -V". " . - 4, AOORESS (no;, STREET, CITY - STATE /ZONE) . . - / HOME PHONE. . . 6. PLANT OR DIVISION . J?6 o4-r- 7 Jt\a 7"r. Tf-XAS ' "- ,v.v . 7.. soc. sec,, no.. - 8. employee*s_hno'* . :9. OATE OF BIRTH. . .......................... . . ' '______ Se<QT. /4. tOA. PERSONAL. : ' NAME V - ; PHYSICIAN'S. AOORESS PHONE - . 11. CIRCLE THE HIGHEST GRADE ' . YOU COMPLETED IN SCHOOL* 10a. IN CA3EOF EMERGENCY '.. v . . ELEMENTARY *. :-I234S6 7> > : notify: . HIGH ' .1,2 30 name 7?)C4~J - AOORESS ' PHONE .. J-. A /e/z c / i TeX. .' .- COLLEGE . .1234. YOUR AGE ON ` LEAVING SCHOOL . 12. HAVE YOU EVER WORKED IN OUSTY TRAOE, SUCH AS MINING, A FOUNDRY, SAND '. ' ' BLASTING, CHIPPING, ' GRINDING, CHEMICAL OR a / ' OTHER? YES_iCHO-------- 13. HAVE YOU EVER WORKED WITH X-RAY OR RAOIOACTIVE SUBSTANCES? , ..... . YES-------- NO-- 14. HAVE YOU SHOWN SEMSITIV- ITY TO SUNLIGHT, CKEMI- CALS, OUSTS OR OTHER MA TERIALS? YES------- HQ 16. HAVE YOU EVER WORKED IN . A NOISY, ENVIRONMENT? 17. HAVE YOU EVER -REOUIREO A-SPECIAL JOB ASSIGN- . . . MENT BECAUSE OF THE EF. FFCTS OF ILLNESS, IN_ JURY, OR PHYSICAL IM. PAIRMENT? 18. HAVE YOU VR BEEN REJECTED FOR A JOB OR HAVE YOU LOST A JOB OR OUIT BECAUSE OF YOUR . HEALTH? IES, DISEASE OR OTHER YES-Le=-*0_____ MEDICAL PROBLEMS FROM AN EMPLOYER OR INSUR- ' . ANCE COMPANY? . 20. HAVE YOU EVER FILED A CLAIM OR HAVE YOU ANY .. . YES.. NOJkC^ CLAIM PENDING FOR INJURIES OR ILLNESSES RE- LATEO TO YOUR WORK? 21. HAVE YOU LOST TIME FROM WORK OUE TO ILLNESS OR YES_ NO-fc^'" ~ INJURY IN THE PAST 5 YEARS? , YES_____ -n t-- . vrx ' " 1------- YES_____ ho l-------- IS- HAVE YOU EVER WORKEO WITH POISONOUS MA TER 1 ALS? y YES_____ NOJ^L 19. HAVE YOU EVER RECEIVED COMPENSATION OR A CASH SETTLEMENT FOR INJUR- LIST NUMBER AND EXPLAIN BRIEFLY ANY YES ANSWERS: 22. HAVE YOU BEEN REFUSE0 INSURANCE BECAUSE OF . YOUR HEALTH? YES_____ Nn 23. HAVE YOU EVER SERVED IN THE ARMED FORCES? YES. O--L^ 24. DID YOU Receive A MEDICAL DISCHARGE? YES_ YES, GIVE ---------- - 25. 26, HAVE YOU EVER FILED A CLAIM OR RECEIVED PAYMENT FOR A IIHOW MANY JOBS HAVE YOU HAO IN THE PAST 3 YEARS?. r * \jJ/wWHAT IS YOUR USUAL f>rriiPATimi? - -** DISABILITY FROM THE- GOVERNMENT? WHAT IS THE LONGEST PERIOO YES. YOU HAVE HELO ANY JOB?. |27. ARE You SINGLE rTV" MA RRI ED | | OtVQRCEO | | SEPARATED | | WIOOWEO | | 28a. PARENT FATHER MOTHER AGE - STATE OF HEALTH ' , . v IF OEAD. GIVE CAUSE ANO AGE AT DEATH 26b. have your parents, grandparents, uncles. aunts, brothers, sisters, wife or children ever had: YES NO relation YES NO TUBERCULOSIS HIGH BLOOD PRESSURE OfABETES CANCER -f,-r /? r HEART TROUBLE ASTHMA, HAY FEVER, OR OTHER MENTAL ILLNESS TYPE ALLERGIC REACTION RELATION Y' y rr a - 29. IS YOUR WIFE (HUSBAND) IN GOOD HEALTH? YES_____ NO______ IF NOT, EXPLAIN: HOW MANY CHILDREN DO YOU HAVE?____________ ARE YOUR CHILDREN IN GOOO HEALTH? . OLOEST___________________________ YOUNGEST. YES___ NO---- IF NOT, EXPLAIN:_________ 412384 0103 30, Youhave ever had or have you now: (Check every item or write **Don*t Know") YES NO HEADACHES (FREOUENT OR SEVERE) INJURY OR CONCUSSION BL INONESS BLURREO V IS 1 ON BLACKOUT, DIZZINESS, FAINTING SPELLS GLASSES GLAUCOMA OOUBLE VISION V CATARACT YES NO CONTACT 1 FNSeS INJURIES, OEFECTS, OPERATION ON EYES PUNCTURED CAR ORUM . INFECTION OF EARS =J YES SCI 30. HAVE YOU EVER HAD OR HAVE. YOU NOW ` RINGING OF EARS * ~ ------- DISCHARGE OR UftA INAGE Ur EARS LOSS OF HEARING FREOUENT COLDS ' SINUS TROUBLE - HOARSENESS . GOITER ENLARGED GLANOS OF NECK . STIFFNESS OR NEURITIS OF.NECK PAIN OR PRESSURE OF CHEST SHORTNESS OF BREATH HAVE YOU COUGKEO BLOOD HAVE YOU HAD FREOUENT BRONCHITIS OTHER CHRONIC COUGH WHEEZing PNEUMONIA TUBERCULOSIS PALPITATION OR POUNOING HEART HEART ATTACK HIGH BLOOD PRESSURE SWELLING OF FEET AND ANKLES 00 YOU USE MORE THAN 1 PILLOW ENLARGED OR VARICOSE VEINS INFLAMMATION OR CLOTS OF VEINS (PHLEBITIS) LEG CRAMPS AT REST OR EXERCISE (Check tvery item or write 4*Don*t Know9*) (Coni'<L) YES NO - . -- YES NO-: /. LOSS OF APPETITE 1 / v WEIGHT CHANGE ' NAUSEA OR VOMITING . VOMITING OF BLOOD - INDIGESTION OR HEARTBURN . -/ ULCER FREOUENT OR SEVERE PAIN IN ABDOMEN DIARRHEA CONSTIPATION COLITIS ' 8LOOO IN BOWEL MOVEMENT GALL BLADDER TROUBLE YELLOW JAUNDICE PILES.OR HEMORRHOIOS INFECTION OF KIONEY OR BLADOER INFECTION OF PROSTATE OR TESTICLES KIONEY STONES BLOOOY URINE URINATION OURING NIGHT LOSS OF BLAOOER CONTROL . TROUBLE PASSING URINE VENEREAL oisease swollen, STIFF OR PAINFUL JOINTS PA INFUL ELBOW PAINFUL OR TRICK SHOULOEP LOCK OR TRICK KNEE - - y^ / VET TT5 FOOT TROUBLE . 1, V' FRACTURED OR BROKEN BONES. y OEFORMITIES OF LEGS, FEET, ARmS^ HANDS, BACK AMPUTATIONS ' ?/ BACK PAIN OR INJURY RUPTURED OR SLIPPED DISC ~~ --r NEURITIS OR RHEUMATISM NUMBNESS OR WEAKNESS i- INDUSTRIAL DERMATITIS ECZEMA, HIVES, FUNGUS, RASHES PILONIDAL OR OTHER CYSTS GROWTH OR TUMORS ULCERS OF SKIN D15COLORAT 1ONS, TATTOOS, t. i *. r t- BIRTHMARKS, SCARS Following for women only: / 'BEEN PREGNANT * HAD VAGINAL DISCHARGE TREATED FOR FEMALE DISORDERS HAD PAINFUL PERIOOS NUMBER OF PREGNANCIES NUMBER OF MISCARRIAGES INTERVAL BETWEEN PERIOOS DURATION OF PERIODS . DATE OF LAST PERIOO.- -- -- 31. have you ever HAO Oft HAVE you wow; (Check every item 4*Ye$*f or 44No**) YES NO A. DIABETES O F. SCARLET FEVER B. GOUT G. MALARIA C. STROKE 0. EPILEPSY H. NERVOUS BREAKDOWN I. FEAR OF HEIGHTS OR E. RHEUMATIC FEVER CONFINED AREAS IF YES, LIST LETTER AND GIVE DETAILS. . ^ 7" /y/n r? YES NO W * - .... . .. V* YES NO J. HERNIA OR RUPTURE K. allergies (meoication,hay FEVER ,ASTMA ,FOOO;CONTACT,OTHER! L. ILLNESS OR (INJURIES ,__________ _______ ____ NOT LISTED ABOVE il YES NO 32. HAVE.YOU EVER BEEN A PATIENT IN A HOSPITAL OR SANITORIUM? 33. HAVE YOU EVER.HAD OR BEEN ADVISED TO HAVE AH OPERATION? / ./ 34. HAVE YOU ANY PHYSICAL COMPLAINTS OR DISABILITIES AT THE PRESENT? 35. ARE YOU TAKING ANY MEDICINE N0W7 36. HAVE YOU ANY CONDITION REQUIRING A SPECIAL WORK ASSIGNMENT- IF YOU ARE HIRED? 37. HAVE YOU EVER CONSULTED OR BEEN TREATED BY CLINICS. t , PHYSICIANS. HEALERS, OR OTHER PRACTITIONERS WITHIN . THE PAST 5 YEARS OTHER THAN AS NOTED ABOVE? i- 41. WOULD YOU SAY YOUR PRESENT HEALTH IS: IF YES , LIST NUMBER AND GIVE DETAILS. EXCELLENT 1 YES NO 38. 00 YOU OR HAVE YOU EVER SMOKED? IF YES, INOICATE THE TYPE OF SMOKING: - ** J9 t ("TLCICARETTES t-C.V NO. PER OAY. Y NO. YEARS SMOKED | | CIGARS NO. PER DAY NO. YEARS SMOKED 1 1 PIPE DO YOU SMOKE NOW? NO. PER OAY NO. YEARS SMOKED 39. DO YOU DRINK ALCOHOLIC BEVERAGES? OUNCES OF LIQUOR OUNCES OF WINE 40. DO'YOU HAVE ANY ADDITIONS TO MAKE TO HEALTH HISTORY. OR ANY PROBLEMS YOU WOULO LIKE TO DISCUSS WITH THE DOCTOR?............ ' GOOO XUr^ FAIR | | OTHER | | I-- 2a. IV g v Wow i4 3 S' f/tyvs ^ 9 * nf'Tr S *** Co he L I c f$ y ? v e r A 5 * S In 2. <t 412384 0104 PHYSICAL EXAMINATION /ft/?#- HEIGHT^) - NEIGHt/4, V CHEST EXPANSION OfSTANT VISION WITHOUT CLASSES: OEPTH PERCEPTION: NORMAL ( | COLOR VISION: NORMAL | 1 NEARING VOICE: WHISPERED: SPOKEN: TEMPERATURE '~j A PULSE ABDOMINAL GIRTH R WITH GLASSES: R SEE REPORT ( } HOT TESTED | SEE REPORT ( | NOT TESTED ( RESPIRATION /'t'T' BLOOD PRESSURE (LEFT) (RIGHT) APPEARANCE NEAR VISION WITHOUT GLASSES: R } muscle balance: normal I I WITH GLASSES: R \SEE REPORT I________ NOT tested | j AUDIOMETRY: NORMAL Q} SEE REPORT Q WEARS HEARING A10 Q IP NO ABNORMALITY, MARK ** . **. IF ABNORMAL, MARK * ` YE S * ' ANO AMPLIFY BELOW. SKIN HA IR lymph nooes HEAD EYES REACTION MOVEMENTS FUNOI TENSION EARS. NOSE MOUTH OENTAL HYGIENE THROAT NECK THYROIO TRACHEA THORAX BREASTS HEART PERIPHERAL ARTERIES PERIPHERAL VEINS LUNGS ABDOMEN HERNIA GENITALIA RECTAL PELVIC ARMS IF NOT EXAMINEO, MARK ' * NE * * . HANOS LEGS FEET SPINE CRANIAL NERVES PERIPHERAL NERVES REFLEXES . INTELLIGENCE EMOTIONAL STATUS 8L000 COUNT, RBC OR HEMATOCRIT: urinalysis: Alb . . Sug Micro -*/ serology: CHEST XiRAY; NORMAL | | ELECTROCARDIOGRAM: NORMAL SEE n OTHER X-RAY OR LABORATORY FINDI NGS : REPORT | | SEE REPORT { ! ______________________________________ back x-ray: normal PULMONARY FUNCTION TEST: n __ SEE REPORT NORMAL n SEE REPORT |1 412384 0105 IMMUNIZATIONS (RECORD YEAR): SMALLPOX POLIOMYELITIS '. TETANUS DIPHTHERIA TYPHOID yellow fever PARATYPHOID OTHER i X .1; 412384 0106 i STATKMEKT TAKES FROM LARRY ROY FELZKL 5-19-67 - 1:00 o.m.____________~ States has been to Scott & White In regard to asthmatic condition. Was seen by Allergist* Dr. Ford Wolf who made testa and found him to be allergic to all molds* dog deader* house dust and oat other minor things. Still under care of Dr. Volf. Taking allergy shots. Kot olc'd for work today. Employee still vbeesing. C. A. SAACE, R.H. ii v-.v - f 412384 0107 ,tJ DEPARTMENT OF MEDICINE CCTION OF PULMONARY DISCASC RO CRT J. CARARASI. M.O. JOHN J. CHRISTIAN. M.O. IVTHCR M. ORCWCR. M^>. anfr `pUtite (Jlttric, .AN ASSOCIATION AFFtCIATCO WITH '' Scott ano White Memorial Hospital ano Scott,Sherwood ano Brindley Foundation ' Temple, Texas 76501 8 October, 1968 Conk Johnson. M.O. Pulmonary Phtsiococy J. Henry Johnston Personnel Administrator Alcoa Aluminum Rockdale, Texas RE: PELZEL, Larry Registration #0475324 Dear Mr. Johnston: I am presently caring for Larry Pelzel who has rather severe bronchial asthma. However, at the present time this is well controlled and I believe he is capable of returning to work. I would consider the long term prognosis to be good although it is possible that he will miss a few days of work each year with asthma. It would be desirable to place him in a job where the air is relatively free of dust. It you require further information I shall be glad to furnish you with this. Yours truly, ctffyuavvtyC'i/) Luther M. Brewer,M.D. LMB:jcv 412384 0108 Dear Sir: Larry Pelzel, 24 year old white male seen for the first time 12-25-66 with acute asthmatic bronchitis, running a temperature and admitted to the hospital for treatment. Responded fairly well to routine inhalation therapy and antibiotics. Patient has been seen at numerous intervals since that time with i acute asthmatic attacks percipitated by dust, bad colds, and various other factors'. . . The patient was last seen on 10-9-68 for routine follow-up checkup of which time his blood pressure was 140/90, temperature 98.6, respiration 16, and pulse 72. Examination of the lungs at this time reveals generalized rales and wheezes, of a much moderate nature than had previously been noted. The patient states he feels much better and is ready to go back to work. I believe this patient had asthma prior to his employment at Alcoa. The dust, heat, etc. on the job affected his lungs adversely. I feel that with proper treatment and followup the patient should be able to work if the air is relativelyclean and the temperature charges in the work are not too hot or too cold. Presently the patient is undergoing regular treatment and examinations at Scott & White and is on regimen of bronchial dialators, expectorants, and steroids. Permanent disability at this time is very difficult to evaluate.. . Respectfully yours, . ///**> /L. D. . K. B. Halbert, K. D. 412384 0109 DEPARTMENT OF MEDICINE orscction pulmonary discasc Koaurr j. carasasi. m.o. JOHN J. CHRISTIAN. M.O. LUTHCR M. RRKWCR. M.O. ji>rtftf mtit `ffihxie dflttttr, AM ASSOCIATION AFFILIATCO WITH Scc-tt and White Memorial Hospital ano Scott,Sherwood and Brinoley Foundation Temple, Texas 76501 7 November, 1968 Conc Johnson, m.d. Pulmonary Physioloov Or. Richardson P.0. Box 472 Alcoa Aluminum Rockdale, Texas RE: PELZEL, Larry Roy Registration #0475324 Dear Dr. Richardson: I have been seeing Larry Pelzel since September when he was admitted to this hospital with status asthmaticus. He responded beautifully to corticosteroids and in the last two months has done very well with little wheezing and with an excellent exercise tolerance. At the present time he is on Verequad 1% tablets three times daily. Prednisone 5mgs. three times daily, Haalox one tablespoon after each meal and at bedtime - and he uses a hand nebulizer with ten drops of Aerolone at least four times daily and p.r.n. for wheezing. Obviously asthma is an intermittent problem and I can offer no guarantee that he is not going to have flare ups in the future which will cause him to miss some work. However, at this time he is well controlled and I think capable of doing a full day's work five days a week. I would surely like to see him return to work since I feel that we will be able to control his asthma fairly well in the future. . I would appreciate you doing anything you can for this boy. Yours truly. f _u^-wv Luther M. Brewer.M.D LMB:jcv 412384 0110 CROUP DIVISION Metropolitan Life Insurance Company One Madison Avenue. New York. N.Y. 10010 Qd <a.s. Mr. J. Henry Johnston Personnel Administrator Aluminum Company of America P. 0. Box 472 Rockdale, Texas 76567 : ' . '. . -' Re Larry R. Pelzel - Certificate 147-2089 - SS 455-74-2894 Dear Mr. Johnston At the time that it was decided to have Mr. Pelzel examined by Dr. Carabasi of Scott and White Clinic, you indicated some interest as to the results of the examination. Benefits have already been resumed in this particular case; r' however, I am enclosing for your records a slight summarization of the report furnished by Dr. Carabasi. The enclosed pulmonary function studies and blood gas studies speak for them selves. The patient's history of recurrent asthmatic attacks with feeling relatively well in between is typical of bronchial asthma. However, on this examination he shows evidence of diminished oxygen saturation and concentration in the blood as well as ventilatory defect. I would think that from all that has gone before that this patient is disabled,'^but I am 'unable to accurately determine to what degree at this time since he does continue to smoke and has not been on allergy injections which are felt indicated. I would recommend retesting his pulmonary function studies and blood gases in about three to six months; this would be particularly fruitful if he were able to refrain from smoking and to get back on allergy therapy. The current studies of pulmonary ventilation and mechanics and blood gases would not preclude him from working at all, but I think the type of work would be very limited and be of such a nature as not to require any exertion, or exposure to noxious fumes. . A copy of the doctor's complete report was sent to Dr. Halbert, the attending physician. . The tests performed at the clinic were as follows: 412384 0111 ! ' X-RAY AND LABORATORY REPORT i mamf peizel. Laanr r.__________________. - - .___________________ Employee No. Employee No. Employee No. Serial No-----Soc Sec. No._ X-Ray No. 6-19-6U 10,198 Dr. Anspach1 s report of chest and lumbar x-ray3 j Chest: Negative. A.P. & Lateral Lumbar Spin: Lumbar interspace, sacro-illiac and hip joints normal. Otherwise negative* 5-3-66 12,691 Or. Anspach' s reort of chest x-ray. Negative. 1-30-68 U;,587 Dr. Anspach's report of x-rays: Chest: . 6nest shews moderate peribronchadl fibrosis^hila and bases otherwise negative. Lumbar spine: Negative. Interspaces, eacro-illiac and hip joints normal. No signafince change since 196U. (continue; on reverse sioe> 412384 0113 v.W. r V:' v: Barney LaRue Birth Date: 6-26-44 Date of Employment: 9-22-69 Job Classification! Carbon Setter No chest complaints noted on I & I card prior to 1-4-71. 412384 0114 AName. y- U- EMPLOYEE NO.. INJURY AND ILLNESS- RECORD DATS . TIME (Inn' t INJURY OR IUNCSS- ` clinic treated hy Hr. Richards. to plant, flave tun aspirin. Mrs. '.* ' /' Rdiildln TREATMENT *v 2u Has'isa WHOM JU nurse on dutv and retun ed j. . Me K 1 1O-S-70 12;20a m Sorated laceration too of head. Left onen. going on vacation was instructed hy Hr. Richards to report to clinic Friday for removaL.___ of sutures. LH. r, R ic 1 -4r7_1. - 10;2S am Phoned to ask about getting on red card. States__in tinder Dr. Richai da. care for hrnnchial asthma, last shift worked was 4-12 12-28-70.__Is__tj ____ see nr. Richards ar clinic this a.m. niscussed with nr. Richards. F.mplnvpp ^houTri hp off work. Rprf pflrirf. RAY p n L. 1i -1n1-71 1-76-71 12; 1C Dm R Dorted with release to come off red card, ok for work Dx. BroncljUtls released per nr. Richards ok[d 1-12-71 at R;am nept. notified. RAY lR_ ic 5 &0d -n Rtat.es has asthma and doesn't feel like working. Rfates Dr. Richart Ls____ says it is caused from infection. To no to Rcott and White 7-1S-71 l 1 for prnMpm. Tpmn. QR Pomp via own ^ranpor^3^^nn. B___ _E-Lol.z_ 9---7-71.-- 1*4Sn m Phone ca11 per self. States saw nr Richards today and was advised fo cfay off uorlc . ttr nnoVi ia 1 flcfhma . RpH rarrf . nnrifipH. RAY. JS. jz_ 7-1R--71 1 7Rrtp m Rphirnino from rpH oard Rploaco ppr rail from Hr ^plrlon pAr P - Rrown. Ts to wear protector mash if practical, ilk for reoiilar work 2-18-71 at 4;pm. Hetp. notified. RAK. Jl k_ fi-2-71 8 SOam States asthma bothering him too much to work. Home per own request and own transoortation. _!_ SAK_ p ok . 6;lP-7 L ICUM 'cc Cel us i 1__for unset ctcamcV, ___________________________________________________________ --LH- P P T 412384 0115 i. t : : . I i ' This is to advise that you have been placed on Red Card. Our regulations require that any time an employee is placed on Red Card he should turn in . his identification card and promptly file the enclosed "Statement of Claim" form. In order to start your benefits, please complete and return the pink . form immediately. - If you did not give us your identification card, we request that you prompt ... ly mail it in the enclosed, envelope. It will be returned to you when you clear back to work. It is your responsibility to keep the Company informed of your need to con tinue on sick leave as well as your condition and progress at regular inter vals. For extended absences, a report of your condition must be sent to the Company every thirty (30) days. When your disability has ceased and you are able to resume your regular work, you should: 1. Have your doctor fill out the short form below. 2. Report to the plant Medical Office. The Company physician is available to determine your fitness to return to work, Monday through Friday at 12:30 p.m., excluding holidays. Bring your - completed Attending Physician's Statement (below) with you. It is best that you report for your physical on the day before you plan to return. Failure to do so may result in unnecessary delay in returning you to work. Yours very truly. r7 r. . f v.' - - THOMAS E DOGGETT Employment Supervisor / TED:sar ATTENDING PHYSICIAN'S STATEMENT I have attended the above from 19 . DIAGNOSIS:_______ /-<-< /<*--<?(, . , 19 / . to /- II-7/ >/ _ w... (T../-3 " . MEDICATION: He may safely resume his REGULAR work on f .--, / ?, 19 / /. : DATE: /- //- ~~7/' SIGNED: / < . ^ /o ,C... , , M.D. ,' Doctor Please Note: If you feel there are any work restrictions, please note them below so we can determine if suitable work is available. - 412384 0116 . i George Hosch Birth Date: 5-12-23 Date of Employment: 3-3-54 Job Classification: -2nd Class Operator, Bath Crusher (since 9-70; prior to this, worked as potman and carbon setter) No chest problems noted on I & I card prior to 6-3-69. 412384 0117 i 'fiAMF HOSCH. GEORGE;_________________________ Employee no. 5-1196 i #6 INJURY AND ILLNESS RECORD . .A 1 DATE 7-11-66 2-20-67 TIME ' ORINJURY ILLNESS ' ' .TREATMENT 12:20; m F.o# right eve removed with wet swan. Eve washed with saline. 10 i ?0 am F. B.removed from right eve with wet swab. r 3 WHOM Gotti Rootle '* - 7 GP c '0 GP to 1-1-67 h :50a 'll Diathermy to hank 1j0 fnin States strained hank sitting earbnn, 7-11-68 1:10am States got something in right eye. washed with NSS referred to medical department. 'n 8:l5air States eye scratchey but no F.B. felt. To return if necessary. r,p p n fG B 3 X CB C R X 8-1<L6R 11 :?0i >m F.R. removed from right eve and medicated with neo-cortef. 12-12-6f 12:05 jm States"pulied something in right shoulder."hot wet packs 30min. (Strain) FR C Cj J `1 BAS C 0 X . 2-8-69 12:10 3m F.B. removed from right eve and medicated with neo-cortef. FR n 0 * h-10-69 7;30p!i States butt pan come down on left foot while he was knocking off 1 piece cast iron, x-rayed foot * ice pack applied. Great toe discoio 'ed 1 Picked up in ambulance in line 5 room 22. iniurv not serious. Returned to regular duty. --n GP c 0 iX .5-19-69 12:1C am Place or. reheard as of- 5-'*7-6c per Marvin i,a. (Ft.orach trouble! 6-1-69 l:00pi i Returning from redcard. Checked with nr. Richards. No dust free Xi r. 1*7 i .iob" available. Kay wear a mask to prevent dust while working. OK'd for work for 6-5-69. Dept, notified. See'release and note i --r per Menke for further information. GP p Ri11 y i NAME HGSCri, GECRGE BIRTH DATE SOC. SEC. NO. SERIAL NO. i EMPLOYEE NO. 5-1196 -- - . . --- - i ' ' * ................................. . *` 412384 0118 /e NAME. :7 Hosch. George. Employee No 5-1196 INJURY AND ILLNESS RECORD . DATC 9-25-^9 TIME 9-?9-69 9:am 10-6-69 10am 1 o [k ) l;pm INJURY OR ILLNESS ` .TREATMENT itasnkipa* Left loot burn cnecked oy Dr. Richards To return Fri. Get 3. 12;30pm " : ' BY WHOM r y ' CAS Phoned XBXXJHfiC A. Kenke to say in. ured right knee at home. Under rarp phvsioian at Scott and White To reoort mondsv 10-6-69. Burns left foot completely red card cleared forlQ-o-69 for burned CAST foot. Tniuried right knee at home. Red card for this as of 9-26-69 .CAS Rrouprht statment from Or. Kurrav is not released for work. . CAS | * *5r> \ v>* ( R y f () 7, C ' H 1! $ 6-11-7C 12:3Q, H1 Reported to aediral ag intrue- red. W rupprf feeo private phygiei Referred to MrManng or T. Doggett._________________ ' ' _______________ _ PAR p 8-18-70 12:30 pm Returning from red card. Released to some what lc* limited t' 0-1-70 -- 1-15-71 work by Drs. Richards and Murray. Referred to Mr. Doggett. - CAS P R r 3:30 am Returned to work under handicaped clanse as sernnd class equipment operator. . CAS P Ir Y 12:30 pm Reports with medical evaluation and recommended activity izk limit ations. Exam per Dr. Richards. OK'd for work within limitations out .ined in letter from Dr. Murray (1-12-71) Referred to A. Menke. Will ._,= discuss continuing on crusher with Dr. Richards Monday. *** SAK 5-13-71 8:45an 1 Red card ber wife as of 5-11-71. Hospitalized at Santa Fe. Hosp. Temple, with ehest problem; Dent. not. ~ SAK P 0 z 6-14-7 1 12:3 )Dm Reports with dr.s statement stating should avoid all dusty environ Bent F.vam per dr. R. Referred to A. Menke. for possible appointment with ehert snerialiec. re a11eged industria11v caused chest cond. next pa 81?. 412384 0119 _____t . .. . :: y- employee No. WJURYv^ND ILLNESS^REGORD... . ' : /. .... ' OATC. TIME ,'-i ' - INJURY OR ILLNt. ' .. ' r ' . TREATMENT BY tot llfiCOlier WHOM -U _2_ F14-7T 12;30[ m- -is to.brine in complete report f rom'Dr. I.irette. rherV with medlca -- - in Week. ' ' ' ' ''' ' SAK- _E _R- z 6-21-7 1 12: 3C Dm Return with medical report from Dr. Lirette. Not released bv Dr. Richards. Make appointment with Dr. Christian at Scott and White. ( for eva1. - . R-18-71 10:am Telephone call to employee.-,instructed to report to med. today to r1 ear from red card - stales will come at 12;30. SAKSAK E_1 1 ; 2:10t m Returned from red card - released for work bv dr. Morrison. Letter from dr. Morrison reviewed bit dr. R. & emolovee ok.d for work 8-19-7 at 12:01 am. Dept notified. Advised bv. A. Menke to brine in reoort ; 1 of re-evauation of knee bv dr. Murrav within 30 davs. also instructe 1_______ to dust^mask while workine on crusher. SAK 5 T -. `. .' `. ' - . 1 1 .. ` . - ` .. a ' 1 I BIRTH DATE SOC. SEC. NO. SERIAC NO. EM FLO 412384 0120 ' ; ;y;v. }A ALUMINUM COMPANY OF AMERICA ROCKDALE, TEXAS ' . Mr. George E. Rosch (Red Carded as of 5/17/69) Route 1 . Buckholts, Texas 76518 ALCOA May 19, 1969 This is to advise that you have been placed on Red Card. Our regulations require that any time an employee is placed on Red Card he should promptly turn in his identification card, complete the enclosed Statement of Claim form and turn it over to your Doctor who should complete his portion in order that you may collect Sickness and Accident Benefits if and when eligible. If you did not give us your identification card at the time you went on sick leave, we request that you mail it to us immediately in the enclosed envelope. Your identification card will be. returned to you when you clear back to work. It will be your responsibility to keep the Company informed of your condition, progress and reasons for continuing your Sick Leave. For extended absences, a report of your condition must .be sent to the Company every thirty (30) days. When you and your Doctor feel that you have recovered sufficiently to resume your regular work you should: 1. Have your Doctor fill out the short form below. 2. The Company physician is available to determine your fitness to return to work every day, Monday thru Friday at 12:30 P.M. Bring your completed Attending Physician's Statement (below) with you. You should report for your physical on the day before you plan to return. Failure to do so may result in unnecessary delay in returning you to work. Very truly yours, 'J. HENRY JOHNSTON Employment Office-*- -L, ' ATTENDING PHYSICIAN'S STATEMENT I have attended the above from J-? A/W 19 ty. DIAGNOSIS l*V * DATE DISABILITY CEASED^ ~ SIGNED: DATE: Doctor Please Note: If-you feel there should be work restrictions, please outline the types of activity or exposure you feel^should be ^avoided so that we may determine if there is suitable work available. 412384 0121 i 412384 0122  .-.v . , f\ 0.x, cS>.C)j- So <3,-^ --^ O'- `'"VVvJt ^ ^ JV^> A JLusl^ ;v:-: ' <oL%*v> -1. -L^\ 412384 0123 l June 11,1971 Mr. G.E. Hosch: Temple,.Texas . To Whomsr.lt May Concern: Mr. Hosch m*y return to work If he will avoid all dusty environment. He mast avoid breathing air with moderate^large amounts of particulate matter. Sincerely ? WLL:sr 412384 0124 r c.i1 i-tt **:*(?. %t > Form ft-J t .**.. \.(.u. > j ; ;* .v ; - '- 11 J**":: ..: i . - ri ..... .;' 1 *S-i ntO ;.- - V.V.ir-Va'Cc: illlli'llli I iT j'i , <i,:i,;| f i.: i-hr-S:.' : ir.nvan teHbriv through i:o. his i`i'tC!._r .I III' next morning it'; wnkcv up. vi th a rashneed ;:inq on. ___ r.i.g.h.t..s.i*.lio., ..o_f__1h_.4_is_- c-_ih_.e_.s_.t_.!S',_l*R*_i'|_ic>M_<hi.TriTirn^hnrriTiis-traTt-nxqnTsftc-pn-trrr-ftHiKU; tiic raisii itself doesn't seem to. hurt.: Tiu- pair, is more central.' lie report;; his > pillSil is fast, ami ..on''-check i.ng it K*.it is running around inn/mimite now. (Over, 7/:i 1/70 (continued------} He is in rather a mild cold, clammy sweat on Iris arms and. hands| Chest--x-ray--elec! .ccardTunrarn-are-rionfr-,- hath of vdiich~nre~normai---ltis-r:/l--rrr I fine, lilies i; is. clonr. ilis color is good. .Impression is shinnies with severe ~pai7r. ile is i..i i; niTirrpI:e11a j 117in i ?T,'~pTus, ~17cT Ts pi ven I-1.- cc. Deeo-l-odrol. t ILL/r-: 5/11/71 Comes in reporting that for about the last couple of months he has been having -tncreartng-tlifficu 1 ty-with-lri s-ihaiaticn~-and-shortness of-breath-;--Hrs-reserve capacity seems to completely be gone, lie has no pedal edema. Reports his cough "Has been-j~rdductive-of~a~wliife"sputuint and he is just generally getting weaker. J .General, examination reveals, that he has._a_ra.ther..cyanotic.deep_dark_colQC.__ HIS | Is breathing with some difficulty, and SOB is apparent with the slightest amountl ' of-exertional effort, although it is not distressful. He talks with-a-somewhat | hoarse sound In his voice. HEXNr show no significant abnormalities. Heck veins' rare not enlargedruHls -breathing movements are uniform, primarily using'the | ! intercostal muscles. L & $ are not palpable. On auscultation of the heart ther is RSR and about 72/minute. There are no rales or expiratory wheezes noted. _His--B/P--in-ihe-left -arm-initially _is-140/120 Later--it-drops-to-about-140/100. Pressure -in the right arm is Li<l/100.- . Genitalia and rectal exams are normal. Lower extremities show_na sign Gfedeiriat Impression:~enipliysema7_chronic"pul- ` ^ | monary fjbrosis and possible pulmouaryhypertension._His_ECG showssome right- ^ | Yfdecf sLrain.' lib"sTgiiif icont change s ince last duly. Chest >:-ray is technical 1 ! 4>ooi%_but_nor.e-tlie-repcrt___I. feel, the .problems arc-somcwhat-due-to-.the-trexendc size of his chest, lie is hospitalized at Santa Fe for conservative management with-Cortiscre,-inhalation therapy, and bedrest. ................. ........WLL/pcl 5/19/71 Dismissal Note: This man has done welj in thc hospital, improving in his breat'r He is dismissed from Santa Fe on Organaain Drops with instructions and strong -recoa^nenaa-tion-that-he-ienninate-liis-empioyiniiiit -ut-Rockdale-JUcoa-P-lant--because of the extremely dusty conditions. His diagnosis will be 1) pulmonary fibrosis; -2`y_siTt!acute'^nd_chrcnic-tjror.chttis7-p7Tjbably_secondarjr~to_dusty environmental~ hazards. I'll see him in about a week.________ _________________________ WLL/pel 5/28/71 Recheck. Chest is clear. B/P M0/80. He is again counselled about a job chan ------ -- ------------------smr/peT'" -6/11/71 Recheck. He is doing fine. His blood pressure is down to 120/95. He is "reTeasetLttrreturn~terwortr~iTThr irorrdiKty'eh vi roTur.di r; HLLTpeT 412384 0125 ROBERT B. MORRISON, M. D. oiaeAsea op the cheat OB MEDICAL PARK TOWER AUSTIN/TEXAS 78703 8-12-71 C nl J. T. Richards, M. D. Alcoa c/o Medical Dept. P.O. Box 472 Rockdale, Texas 76567 Re: George Hosch Dear Dr. Richards: I saw Mr. George Hosch on 8-6-71 with his complaint of dyspnea. He informed me that he wanted to return to work hut that his doctor in Temple would not release him. Mr. Hosch was encouraged to talk and in describ ing his dyspnea he stated that whenever he felt short of breath he could go outside or fan himself and then he would do better. He voiced definite fears that involved people and in talking to him I have been impressed by the amount of emotional overlay present in this man's present complaint. In going deeper into his background, it was revealed that his older brother always would seize every possible opportunity to frighten him when he was a little boy. He revealed that recently at a graduation exercise, while in a thick crowd of people, he had to fan himself constantly because of his breath lessness. He did not complain of wheeze or cough. My physical examination was limited primarily to the chest and no unusual findings were noted in the lung fields. A chest x-ray revealed the heart to be normal as to size and shape and no pathological changes could be noted in the lungs. Also, fluoroscopy revealed good motion in both diaphragms. Marked dermographism was present and practically no gag reflex could be elicited. A CBC revealed his red count to be U.g million, his hemo globin 14.5 and his hematocrit 43- His white could was 8,000 with a normal differential. 412384 0127 ROBERT B. MORRISON, M. D DISEASES OF THE CHEST MEDICAL PARK TOWER . AUSTIN, TEXAS 7S7DS Ventilatory studies revealed very good function and his timed vital capacity exceeded the predicted normal. The values were as follows: VC 4600cc (predicted 4850cc) FEV jsec. 2800cc (predicted 2700cc) 1 sec. 3800cc (predicted 3750cc) 3 sec. 4*K)0cc (97# of total, predicted 97#) From the information at hand, I see no reason why Mr. Hosch should not work and I am unable to find any evi dence of lung disease caused by inhalants at this time. I feel inclined to recommend that Mr. Hosch be allowed to return to work on a trial basis. If he is unable to stand up to this, then I would suggest that he have blood gas studies done. I trust the above has been helpful. Sincerely RBM/dh Robert B. Morrison, M. D 412384 0128 X-RAY AND LABORATORY REPORT . KOSCH, GEORGS Name______________:___________ Employee No._ Employee No. _ Employee No._ Serial No._____ Soc. Sec. No___ X-Ray No. .... 3-2-5U `'hast x-ray - Calcified glands both. hiJar regions. * .. Lumbo sacral x-ray - N-g. 2^62 Dr. Anspach's report of chest x-ray: Negative. ' : ' . 377U . -- 9-22-57 Dr. Anspach's report of x-rays: - . Chest x-ray--Negative. ; Lat. lumbar spine--Harrowing of L-li with ruffing adjacent bone margins and hynertrophic lipping on these margins. Probably old injury with secondary arthritis. 9-11-58 . U728 . Dr. Anspach's report of chest x-ray--Negative. 9-22-59 5639 Dr. Anspach's report of chest x-ray--Negative. 9-18-60 6597 Dr. Anspach's report of chest x-ray--Negative. 9-19-61 7U8 . Dr. Anspach's report of chest X-ray: Heavy markings both bases and hilar regions. 9-21-62 3300 Dr. Anspach's report of chest x-ray: . ' . Heavy markings in bases. Fev.r snail modulations both bases. Ho significant change. ' 9-23-63 . 92-39 Dr. Anspach's report of chest :c-ray: Heavy markings both bases. There is a nodular density below right hilum vrhich I think is vascular and does not change much.from year to year. 9-11-61; 19,t95l Dr. Smiths report of chest x-ay. Ho change ` 9-1U-65 11,671 - Dr. Anspach's report of chest x-rays Nodular density below right hilum without change. 9-12-66 12766 Dr. nspach's report of chest x-ray: Nodular density below right hilum. No change. Right diaphram slightly elevated. - 412384 0129 9-12-6? - -''' . '. 1U,133 ' , . ' - ' )r.Smith's report of chest x-ray. No change ' ; '.. : . . 9-3-68 - .' ' ' ' -15,U13 ' Dr. anspac 's report of chest x-ray: 1 Nodular density below right hilum. Go change. Right diaphram slightly elevated. J-14-70 18851 Dr. Zigler Report of chest x-ray. Negative. 412384 0130 Curtis Miller Birth Date: 11-14-28 Date of Employment: 11-26-52 Job Classification: Yard Services (since 1967; prior to this worked in Potroom) 412384 0131 w \wu * 11 MILLER. CURTIS EDD -. Employee No. *^i<VVINJURY and illness record 22-217 OATE VJv INJURY OR ILLNESS TREATMENT 17-a: i Placed on redcard per wife. In Newton Hospital as ol -10-68^ BY Cion1r.Ipt;< WHOM (Lung problem) CB 12;U5l 2-18-6S 8t20an Returning from redcard. Bronchitis. T 93.6. OK,d for work for 1-7-69 per Rr. Richards. V.R. left eye. Unable to remove. Patient unable to cooperate. Qpthaine and eyepatch. Return at 12i00 C^clock. _CAS JL2L CAS ( 0 ?--1.8-69 1?;)|g>nn Foreign material removed from left eye by Dr. Richards. Np.o-cortef anri pyppat.rh this PM. Return dailyv 2-18-65 n T.eft eye washed with MSS and medicated with neo-cortef. Very irri L- tated. Rvepatch applied. To return. ____________________________________ 2-19-69 niri not report to Medical as instructed. Dr. Alexander phoned Mr. Mpnke that Miller had reported to her for treatment at 6;10Ptt CAS -EBL (R EJCJ 2-18-69. 2-26-69. 1:20pm Homer Smith states Miller returned to work Monday the 2Uth. 1-17-69 12l}SUT5 >ra~Red card as Of 3-17-69 per Vera Miller who states Dr. aimranrier Hospitalized Hiller because of accident that happenpd to eve at. AS. CAS plant some time ago. Mr. Menke notified. <-11-65 12;20'm T. 99.6. Under care of private physician and is being referred to Pr. e at Scott ft White. To report back to wedical May 28th at. 12:10PM. Was seen today by Dr. Richards. - AS CAS P- R 1 ! MILLER, CURTIS EDD BIRTH DATE SOC. SEC. NO. SERIAL NO. EMPLOYEE NO. 22-217 . 412384 0132 ', ' . - . . MMf MTLLKRr CURTIS FDD >1. .. .' ' ' Y'V. Employee no INJURY AND ILLNESS RECORD ^ - r^.-j 22-217. | ;! DATE b-21-6 TIME. . Injury or illness- ' ' ' -'treatment ' - Keporced to a memce that test .at- Scott--#, wmte have h6t '.V Cfflf WHOM r | - u i ` been completed -will report to us ;atslater date Wed # Thursday next cfeek. '/--- -' 7JEST *. , ^-30-69 Did not report as schedules Wed. 28th.1 CAS 6-3-69 lsOOpi i Brought report from S.&- W. Hospital. To return to Hospital 6-8-69. fiF 7-28-69 n12:L9d Returning from red card UR with allergy to cigarettes. Ok'cT to woi k ' 1-- for 7-29-69 per Dr. Richards. (On vacation until H-ii-69) CAS . P R' * ; 9_o-7n 1 :pa-- States thinVg-rsc flu. T.mn. Wnmo via ntm. t.rnnspnr tat, i nn. To rail i ' 7-30-70 |' rop^<: rpH rarH. . ' ' ' CAS 12:45 jtu H. Smith phoned requesting red card for Miller since Miller phoned stating is under care of physician because of inhaling too much dust p07 ; at work. Was wearing respirator. Red card 7-27-70. CAS I 0 2 8-20-70 2:lOom Brought statement to employment from Dr. S. Rg Richardson stating >-4-70 i:pm fractured ribs. Not released. Not seen bv company physician. CAS Returning from red card Fx 6th right rib per insurance form. Ok bv )r. Richardson. Checked by Dr. Richards ok for work 9-5-70. n_ N. CR p P r ! 10-19-7 0 120p a States has broken foot right since 10-12-70 request red card as of io-i: -7 0 11-6-70 l:30oJ i Returning from red card as Of 11-7-70 per written release from Dr. CAS 0l *T C. j Swift. Dept, notified. Contusion right foot. ' t.h R !- 3-31-71 8:20ai i States on 3-25-71 was using lackhammer and right hand was thrown ui and hit^a pipe. Has been sore and swollen since. x-ray, Lt Duty tod *y until x-ray read br Dr. Ziegier. hoc soaks at home. SKTC1 u4 NAME BIRTH DATE SOC. SEC. NO. SERIAL. NO. EMPLOYEE NO. : MILLER, CURTIS EDD i_____ . . __ 22-217 412384 0133  1 P* 1 *vl h-* NAME Miller. Curtis E. Employee No. 22r2I7.^fe;; INJURY. AND ILLNESS RECORD DATC TIMC Simmer 8? ISan INJURY OR ILLNESS TREATMENT WH>YOM&- CIfls:i Scares been off since Julv 28th under care of Dr. Swift. (Breathing problem'). Still under care of Dr. Swift and has not been released. 1 Ts i>oine back to doctor this a.m. To phone medical if needs red card LH P 0 Z 12;pm Red card per wAfe as of 7-28-71. Under care Dr. Swift. Is to Stay off -MfirJt.__ndftp.f-_Motif-led.______________________________________________________ SAK- P fi z_ R-?r>-7i 12;4C pm Returning from red card, fluid on lungs. Checked by dr. R. ok for rejk. work 8-23 -- 71 at 8: am. D. N. To bring release-from dr Swift. CB P R X ; BIRTH DATE SOC. SEC. NO. SERIAL NO. r1 412384 0134 nnb(Slime, . AM ASSOCIATION. ATFIUATKO WRM '. Scott and Whits Memorial Hospital and Scott. Sherwood and Brindley Foundation Temple. Texas June 10, 1960 cn g ) Dr. L. L. fiigliazso hewton Cllnlo Corner on, Texas' KIi Cnrtia Id killer Registration No. 384380 Csar Or. Nigliaxxoi . The abov* patient cam* to onr olinio on 6-4-66 tor evaluation of si* pulmonary situation. ( .ro,e) _______________ Attaohed is a copy of hia'^pulSbhary funotion study.' Electrocardic/ra vas normal. Completa blood count with differential blood smear vat entirely within normal limits as ae a sedimentation rat* and a routine urinalysis. . Our oh* st x--ray shoved a Chon complex on the left ami v* reviewed outside films from Cameron bating back to 12--16--65 and v* felt that there vas no ohange oompared vith our current films. The patient vas advised to completely refrain from smoking and vas given Chcledyl 200m s. a.e. and h.s. and he vas further advised tc avoid cut and for1** t_muo.i as possible, *e felt tnat be tdould return in a ocuple *ol men the for a . :rl! jiusontr;, funotion test vl tn dilators to oomirc vith the ourrent values. Cn these current teet, there vas some question about the patient's effort and there vss some question thst there might be seme possibly muscular weakness. However, this was not felt likely, reoause of this possibility we did feel that he should oertalnly have repeat pulmi nary funotion tests, and if there vas still any question, ties .pe rna ?*, neurologioal evaluation would be necessary. laid net go into theta muaaular aapeots vith the patient beoause 1 felt that he oertalnly had 'other ample reasons ta try and out out nia smoking and tc iolio* cur advloe and also to return for follow up evaluation after he had bean on a bronchial hygienio program, at least, to a oertain degree. of course, practice or tan helps these tests turn out better ana it may very vail be that acme of the *poor effort* we were seeing is due to look of familiarity in doing the teat. The patient will see how he gets along. X tpld him -that I thought there i would be no oo n tralnd lost ioo to any particular kind of work thru is wanted^ ' jo do as long as the recommendations made above were parried cut, ami particularly il tney were oarned out in regard to exoesstve exposure to dust and fumes. 1 personally thought that the patient oould return to work at anytime. . 412384 0135 Curtis Ed Millar ; - . Registration Mo. 384380. , - ?< 2 Thank you for referring this patient to us. If we osa bo of say further servioe. piosso do not hositoto to-'onll oa us. Best wishes. - Sincerely yours. . '' RJCiJt Eaelosurei oo Robert J. Carabasi. U.S. Seotien on Medical'Diseases of the Chest - 412384 0136 i 1 July 2, 1969 P Y Dr. Albert B. Spires, Jr. 720 W. 6yh Street Taylor, Texas 76574 Rat . Curtis Ed MillerBox 2 . Milano, Texas 76556 Registration Mo. 0384380 Dear Dr. Spiresi Hr. Millar was hospitalized here from June B, 1969 through June 14, 1969 after an extensive outpatient evaluation. Several problems were evaluated. He had several elevated blood pressure readings. A 24-hour urine sample for 5-Hydroxy-Indole Acetic Acid was negative. A 24-hour urine sample for VHA was 8 mg. in 24 hours, which is upper limits of normal for our labora tory. This was repeated after the patient's medications were all discon tinued and was normal at 6 ng. for 24 hours. Blood pressures in the hos pital were generally normal, and at the time of a follow-up Clinic visit on June 21, 1969 blood pressure was only 120/90, so the patient is on no medications for this save for Phenobarbital, 1/4 grain, 3 times daily. I think the possibility of pheochromocytoma is very, very slight. An oral cholecystogram done as an outpatient showed no visualization of the gall bladder, but a repeat study with a double dose of telepaque showed a nor mally functioning gallbladder. Initial pulmonary function tests on this gentleman showed a mild to moderate obstructive defect with considerable reduction in the vital capacity. Repeat studies after treatment revealed a marked improvement, but the patient still" has mild obstruction on the spirogram. He has been placed on Choledyl, 200 mg., 4 times daily and is to use an Isuprel Mistooeter, 2 whiffs 4 times daily, for his bronchitis. He was strongly urged to stop smoking. He should be immunized for influenza each winter, and any chest cold should be treated promptly with a broad spectrum antibiotic, such as Tetracycline. Other tests that were done while he was here included a normal electrocardio gram, imraunoelectrophoresis, histamine test, regitine test, serum calcium, sodium, potassium and chloride. Arterial pH and PC0, were normal. Sweat test was within normal limits. The patient'3 chest x-ray shows a slight increase in markings in both lungs. Two-hour postprandial blood sugar was normal. Cinefluorography of the esophagus revealed a 3 to 4 cm. sliding hernia with some reflux. . PBI and T-3 uptake were normal. Blood count. 412384 0137 Or* Albert B. Spiro*, Jr. 720 W. 6th Street V. Taylor, Texas 76574 July 2, 1963 Page II, Rat .Curtis Ed Hiller' ` Box 2 . ' MilanoTexas 76556 ' . Registration Ho. 0384380 v sedimentation rate and urinalysis were within normal limits, . An audiogram showed mild, bilateral, sensori-neural hearing loss. Indirect laryngoscopy revealed diffuse reddening and edema of the larynx and hypopharyhx. In summary, I think Mr. Miller does have a mild, chronic bronchitis, probably related tor cigarette smoking and perhaps aggravated by fumes at work. (There is no way of knowing this for sure), lie seems to have a labile blood pressure with no evidences of damage from hypertension. He does have a hiatal hernia, which is probably asymptomatic. The slight increase in markings throughout the lung fields and a mildly reduced diffusing capacity of the lungs are a > little worrisome and should be followed with sequential pulmonary function tests and chest x-rays. I think this gentleman can return to work. His drug program has been outlined above. Dr. Carabasi. or I would like to see him again in 2 months for follow-up. Thank you for this referral. Sincerely yours. Luther M. Brewer, M. D. LMBjmj Copy: Mr. Curtis Ed Hiller Box 2 Milano, Texas 76556 Page *2 412384 0138 V X-RAY AND LABORATORY REPORT \ ^iauf HIUihtR* CUHTIS EDD - - Employee No. ^ : Employee no: " ' Employee No.-------------:------:-- Serial no. Soc. Sec. no. 453-40-2220 ____ Chest x-ray--November 12, 1952--Negative. . Ltunbo sacral x-ray--November 12, 1952--Negative. . 6-29-5U Dr. Anspach's r eport----- Heavy markings both bases. ld fractures of the right 3rd, ' . Uth and 5th ribs, healed. 12-1-56 Dr. Anspach's report of chest x-ray--Small fibrotic nodule left base not definitly seen in 195U. This should be rechecked in 2 mos. with . ' ' lb X 17 film. n-5-57 3907 Dr. Anspach's report of x-rays: Chest x-ray--Calcified Ghon tubercle left base. Lat. lumbar spine--Negative. 11-2-58 . U8U3 Dr. Anspach1 sreport of chest x-ray--Calcification left base, laterally. . 11-1-59 - 5780 Dr. Anspach's report of cheit x-ray--Calcification left base. 11-1-60 6712 Dr. Anspach's report of chest x-ray-Calcifications left base. ' 11-2-61 7565 Dr. Anspach's report of chest X-ray; Calcifications left base. 12-U-62 8522 Dr. Anspach's report of chest X-ray: Negative. 3-2 3-a ' 993U v Dr. Anspach's report of chest x-ray, Negative. 3-2U-65 ; H057 Dr. Anspach's report of chest x-ray: Negative. 9-12-66 12,77U .. Dr. Anspach's report of chat x-ray: Essentially negative. ' 9-12-67 . 1M37 . Dr. Anspach's report of chest x-ray; No change. . ` 412384 0139 ^CONTINIMT ON BfVroqF X-RAY AND LABORATORY REPORT Name Employee No__l Employee No.; Employee No.. . Serial No.. Soc. Sec. No_ X-Ray No.. 9-6-68 ...... 15U16 Dri Anspach's report of chest x-ray Calcifications left base no change. 12-19-69 lT,$h2 Dr. Anspach's report-of chest x-ray: Calcifications left base. No change. 12-1-70 19299 Dr. Anspach.s report of chest x-ray Calcification left base, . without change. 412384 0140 Edward H. Krueger Birth Date: 10-4-13 Date of Employment: 6-19-53 Job Classification: Craneman (Potroom) Inhaled chlorine gas 2-13-67. Treated with oxygen. No other chest complaints noted on I&I card prior to 6-16-71 when he was picked up by Alcoa ambulance in Potroom with symptoms of difficult breathing, Treated with oxygen and bed rest and referred to private physician. On Red Card for chest problem since 6-17-71. 412384 0141 John P. Vineyard, Jr., u. d.. a.a.c.p. . . Sorrx SIS. Mkbical Pam Towns . INTERNAL MEDICINE '' PULMONARY AND INFECTIOUS DISEASES :s:- AUSTIN. TKXAS Taw .: TELEPHONE (512) 4S5-5507 July 26, 1971 TO WHOM IT MAY CONCERN: Mr. Edward Krueger was seen for pulmonary evaluation on July 14, 1971. This gentleman has experienced an episode of pulmonary edema, acute, after exposure to chemicals where he works. He was, in fact, hospitalized by Dr. Leshikar at Johns Hospital in Taylor with the acute episode. At the present time his lungs are clear with no sputum produced and no cough. His pulmonary function studies are compatible with a mild obstructive defect. - In my opinion, Mr. Krueger should avoid any further chemical vapor exposure and should be reassigned to a different work area because of this occupational hazard for him. Respectfully, John P. Vineyard, Jr., M.D JPV:kc 412384 0142 HISTORY AND PHYSICAL Edward Krueger \ ' " .. : / Birth Date 1.0/4/13 6/17/71 .. ` .; CHIEF* COMPLAINT; . Severe shortness of breath last night, apparently works in the pot roan at Alcoa and becane intoxicated or exposedto a lot of fumes last night. After this happened became very dyspneic. Did check at the Emergency Room at tic Plant and they did put oxygen on him for a while. He then drove hone, becano very short of breath again. He did take 2 Bronkotabs and those did, after a while, give ( him some relief, however, he did start driving into the Emergency Room here at the ' hospital, states he got as far as the city limits of Taylor and began feeling better and turned around and went back home and rested. Comes; in this morning for a check* PRESECT ILLNESS; Mr. Krueger was seen here on 5/11/71, he was having a lot of shortness of breath at that tine, started bothering him in the latter part of April. : He had a chest x-ray made which showed some peribronchial infiltrate and some cardiac enlargement. He was told to decrease his sodium intake, was placed on Kydrodiurii and also given some Erythrocin tabs orally and he did improve temporarily. On 5/21/?; was seen, still having some trouble but costly at night and did give him some Erornkotabs to take at night. He was then seen on 6/8/71, still getting a lot of wheeling and tightness in his chest at times andwxs given Eronlcotahs to take 1 four times daily if needed. ,Was then seen on 6/16/71, weight was 178. E? 120/G0. Did seem to have a few moist rales and some irregularity of cardiac rhythm, did tell him to i resume Kydrodiiir.il 1 each day and started on Lanoxin .25 ngm. tabs yesterday arc ro take the Bronkotabs if needed. Ke then' wont to work last night and had this present episode of exposure to fumes which aggravated all of his symptoms. FAMILY HISTORY: 'Mother died of old age. Father died with questionable cause, had c lot of swelling of his feet and probably was in heart failure. One brother living and well, two sisters living and well. Threo brothers died, one with heart attack, the other one had tuberculosis. Wife is living and well, five sons living and well. PAST HISTORY: Has no definite drug allergy. He did have an appendectomy in 1953. K had a left bunionectomy in August of 1963. - PHYSICAL EXAMINATION: . . Weight---------------------------178 . ' ' . i- . BP------------------------------------136/70 EENT ^ --------------Ears are clear, throat is clear, has no enlargement of thyroid or neck glands. ' Lungs-------------------Have a few wheezes and moist rales in the hilar areas and bases. Heart------------------------------Has occasional extrasystoles. . Abdomen---------No palpable masses or tenderness. Does have appendectomy scar. Genitalia--------Normal. Rectal & prostatic--Negative. _ Extremities----Has no pedal edema. IMPRESSION; Possibly mild congestive heart failure. Apparently developing some chronic lung disease with probable emphysema. This may be secondary to fune exposure at work. Aggravation of all of his symptoms by acute exposure to fumes at work last night. MJLmb DD; 6/17/71 TD: 6/17/71 f' Ks - 412384 0143 ` 0 M. J. Leshikar, K. D.j H 12/soVV bnwii nu,wo irtor. . : Urlo '- ! . rs-'-^W-jA /v-i.vV -=-? > Attt.* - - : .;SGOT/ Pho3. - * Gtu, BUM Acid V-Chotfvv^T.P;; '.^ Atb.^.'T. Phoa. v. I.DH -', 340 . mr.p. 014% ...;. ,:.B{VJ."v--piS :.y.nS'.v',,.',ojV.-. *iU** 10t- 50OW-l 0O-p-- =f-, 1 500--- V 3^ <: 10r~ '350-- 6aDr----3dO--i g- 450x~ - 90 Hi*. - +*' 450- |j- ...-8T-- 4ooj^-. sojj- 550- 50D*r--^ 250- H- - - Q-pr - - \\450t-- * "... -k:;^$|'2s6" -7. V. vj&v:' -rh -f - ;~T- >] 5 \ ; :;y*; .40.tf-;'2C0- .350 .. - ,350- ..2502 44--' * . --. - . - .+ ;T;.= ::- ' -i ' -.It Vi. '200'Sjss ?02r- b- Ho w 0H,-Hh a n A. os o co 5sOS h H SO S5El Wo wCH1 P .C CM SO I Ov -a VO VO .Hk - _ .- iopJ-7.-r2T-^^*: 1--v - J; 5D~-: i - -r - - . -- f . -t---nr-' '- t ;:-|7:- J' ` "1" t 412384 0144 g:u. :........U--r > : u--T ** u---:rr`--O-MrCiV C--- -r D' -: G BUMlA' -Urla-. f!:ChDfc;.;.. T.P;.V>:* AlSa.`-:Vr. BIS.'. v .A1fc*y (' Ao!d V . prjns. 6/18/71 . ". . \ " 'V - . : . .. | Consultation Note '' .:.v' . . ' .. . : ; .. { - Edward Krueger V\ ; .; . ' . . " .. Asked to see patient iii consultation by Dr. Leshikar relative to evaluation of his : shortness- of breath. History and physical were reviewed, patient interviewed and ; i . e xamined. ' ' '_ ' . ' ' ' .. - ' ' In reviewing his clinic record the following things may be of significance - (1) there is a family history of tuberculosis. . (2) he has history of wheezing, shortness of breath dating beck to 1954. During the years following him in the clinic he was frequently treated for respiratory infections with cough productive of yellow sputum. ' . . Of significance also is that the type of work in which he is involved results in frequent inhalation of noxious gasses. ; - Physical examination is as described, there is a definite prolonged expiratory phase : * of respiration; at the present time there are no definite wheezes or rales. Diagnosis: Chronic lung disease, bronchitis, emphysema. Recommendation: I feel that after the patient has gotten over this acute episode that we should definitely refer him for pulmonary function studies. ; In addition we should do a tuberculin Tine test and do sputum studies for AFB, although I do not believe this to be his problem. ` I would recommend that you continue his digitalis for a period of three weeks and then if he is doing well to empirically discontinue it. Continue the bronchodilators, I PPB treatments and antibiotic therapy at the present time and will follow patient t at your request. ABS:nb Edward Krueger--#3311 CH:t/C :: HAV pa--6-17-71--Puma intoxication. CT 15/33. Son-.c perivascular infiltrates throughout, consistent with fibrotic change I 1 and/or Ci'C. Dilateral hilar calcifications. CJDrnb Edward Krueger--ECG 6/17/71--There is bigeminal riiythm at times, other times a regular cinus rhythm; ventricular rate 80 per man. PE interval 0.14; OHS 0.06; QT O.36. The ectopic focus is apparently in the low right septum. There is no ECG evidence of myocardial damte. /JJG :cg mclward fruager--ECG 6/1O/7I--There are fewed P/C's now; there is a persistent regular sinus rhythm with a ventricular rate of 90 per min. PR interval 0.14; QR3 0.06; QT 0.40. No ECG evidence of myocardial damage.. If clinically indictttdd suggest follow-up record. ABS:eg 412384 0145 Q DODSCEARBS SUMMARY Edvard Krueger 6/zk/n v ' .' .. This 57-year-old male was admitted to the hospital oa 6/17/71, was having rather severe shortness of breath, bothered him-more after exposure to fumes in pot room at Alcoa, and apparently had to have oxygen for a vhilo at their Emergency Room, and finally camo Into the Clinic vith some Improvement but ctill inreepiratory distress. Felt that he- va3 having chronic lung disease vith probhble emphysema and bronchitis, possibly some associated mild congestive heart failure, all symptoms greatly worse after acute fume exposure. . . His lab studies showed a normal urinalysis, normal hemoglobin, hematocrit, and white count VTJRL was non-reactivc. . He did have an SMA.-12 which showed slight elevation of glucose, other readings essentially normal. Some serum electrolytes done here which were about wprrwi T He did have, a fasting blood glucose on 6/22/71 which was 111 mg.^. Did have Dr. Spires see the patient in consultation and he agreed that he did have chronic lung disease, bronchitis and emphysema, and felt that after he was over his acute studies that he should have pulmonary function studies performed. Chest X-ray on 6/17/71 showed same peri-vascular infiltrates throughout consistent with fibrotic change and/or CPC. Had on ECG on 6/17/71 showed some bigeminal rhythm at times, some premature ventricular contractions. On 6/18/71 had a regular sinus rhythm with fewer FVC's. ; In the h ospital he received Bronkotaba one q 4- h; Thiomerin 2 cc. Ill initially; was continued on Lanoxin 0.25 mg. tablet daily. On 6/17/71 also received Celcstone Soluspan 1 cc. IM. He was started on IPPB treatments twice daily and this did help him greatly. On 6/21/71 Spires started him on Dilor-G tablets one q.i.d. Also, on 6/22/71 was started on Vibramycin 100 mg. capsules one twice daily the first day, then 1 daily. Attempted to get sputums but none were produced and none was done. A tuberculin Tine test was essentia negative. . He did improve and was finally dismissed for home care on 6/24/71. Told to continue rest at hone, to continue Lanoxin 0.25 mg. tablet daily, to continue Dilibr-G one q.i.d., and had instructions to recheck in the Clinic in 4 days. He will have an appointment made in Austin for pulmonary function studies. FUIAL DIAGNOSIS: Chronic lung disease vith bronchitis and emphysema. MJLteg Edward Krueger---- 6-28-71--Comes in for a check today, apparently has been doing quite well since dismissal from the hospital. BP 122/80. WT. 179^. Ears are clear. Throat .is clear. Lungs sound clear. Heart sounds fine. Also had Dr. Spires listen to his chest and feel he is progressing well. We both.feel that he needs to remain off work for the time being. In about two weeks he should have a consult with Dr. Vineyard regards pulmonary function studies. In the meantime to continue restricted activities. Remain out of dust or any irritating chemicals. He is to continue Lanoxin .25 mgn. tablet daily. He is to continue Dilor-D 1 qid. He is to be rechecked in the clinic . in eight or nine days. MJL:cv 412384 0146 'V Comes In for. a reoneck /o^Xy. . Ears are clear. Throat :iselear. lAinga sound clear. Heart has regular sinus rhythm.' States he has been feeling well. He gets a slight wheea when he first gets up in the morning, but hasn't had any real shortness of breath since his last visit. \ . . .' . Treatment: 1. Continue Lanoxin 0.25 mgm. tablet daily.. .. 2. Continue Dilor-G tablets 1 qid. ' 3. I did gall.Dr.;Vineyard's office and have made an. appointment .for him to see him regards pulmonary funtion studies on 7/14/71, at 11:45 a.m. We will send a copy of his clinic and hospital records and also his x-rays along with the patient. MJL:cv Comes in for a recheck. Wt. 182^. BP is 120/70. He did see Dr. Vineyard, did pulmonary finction studies but as yet we haven' t received our report regards these. He hasn't been taking any medication for about two weeks now. Told him he is to check back about Monday or else call me. If we haven't received the report from Dr. Vineyard by then we will call his office for a report. He does need one of these in preparation for return to work at Alcoa. Was told by Dr. Vineyard that he must remain out of pot rooms and need the report for this purpose to see if he can get a / job transfer. MJL:nb 412384 0147 C*a17af'M-4-91' : X-RAY AND LABORATORY REPORT KRUEGER, EDWARD H Name Employee No, Employee No. Serial No. Soc. Sec. No. *' Z<\ ; \ . `; . 1 .i r . J X-Ray No. '' ' - 6-18-53 Chest x-ray - Neg, Lumbo sacral x-ray - Neg. . ' ' . 2-9-55 Chest x-ray--Negative. . 1-29-57 3077 Dr. Anspach's report of X-rays: Chest: Negative. Lateral: Essentially ` negative. 1-30-58 . hZ20 - Dr. Anspach's report of chest x-ray--Pulmonary emphysema bilateral, moderate. . 1-11-59 : 5020 . Dr. Anspach's report of chest x-ray--Pulmonary emphysema bilateral, moderate. 1-9-60 5931 - Or. Wybourn's report of chest x-ray--Hilar calcifications. Increased markings right base. 1-9-61 6868 Dr. Anspach's report of chest x-ray--lU X 17 chest x-ray shews an unusual amount of chronic and some softer peribronchial reaction mid and lower lings but with no definite pneumonia and no TBC or tumor growth. Otherwise negative. ' % U-5-62 7950 Dr. Anspach's report of chest x-ray: Negative. 9-30-63 9303 Dr. Anspach's report of chest x-ray: Heavy markings in both bases* and some evidence of pulmonary emphysema. No significant change since ' prev. films. 9-3-6!; 10.1:13 Dr. Smith report of chest x-rays. No change '9-2-65 11,635 ^ Dr. Vfybourn's report of chest x-ray: No change. ' 9-29-66 12,815 . Dr. Anspach's report of chest x-ray: . Bilateral pulmonary emyphysena. No change. 9-7-67 l!i,H5 Dr. Smith's report of chest x-ray: No change. . . ` 412384 0148 (CONTINUE ON REVERSE SfOC)  :: : V ---A;:':.':..--:. X-RAY AND LABORATORY REPORT ; ^ NAME 'i l X-Ray No. i 9-17-68 r 15*502 '- Dr. Smith's report of chest x-ray: Negative. 9-18-69 . 17018 Dr. Anspach's report of chest x-ray : Negative. .. " * ' .\' v- _ ' X*V! * ; * .-V" -\ "* - Employee No. ' ' -! Employee No. Employee No. ' Serial No. Sor firr. No. ' " - : ' ............ - . . 10-12-70 - 19,069 ` Dr. Anspach's report of chest x-rayL Changes of moderate bilateral pulmonary emphysema and small *j&mai>trically located nodular densities at the anterior portion of each 6th rib which should be the nipple . shadows. No significant change . !% 412384 0149