Document 7ORKJDbxJMNRJxRJ7MN0RKXxa

ETH YL, CO R P O R A T I O N Ma n u f a c t u r i n g D e p a r t m e n t July 3 , 1973 PLEASE ADDRESS REPLY T O :-B O X 34 1 B A T O N R O U G E . LA. 7 0 0 2 1 Robert A. Kehoe, M .D . Kettering Laboratory Eden & Bethesda Avenues C in cin n a ti, Ohio 45219 ' D ear Dr. Kehoe: Your comments about lack of appreciation by management and lay supervision of m edical achievem ents are interesting and, of co u rse, qu ite tru e. H ow ever, I m ust say th at my own ex p erien ce in industry to d ate has provided a re a so n a b le amount of s a tis fa c tio n from th is source. E arly in my m ed ical train in g I w as tak en a b a ck by th e re a c tio n s of individual patients to m edical ca re . Those individuals who receiv e e sse n tia lly routine care for e sse n tia lly routine problems often exhibit em barrassingly e x c e ssiv e gratitude-- and o th ers, w hose challengin g d iag n ostic and therapeutic problem s require co n sid erable effort and sk ill to m anage, often show ab so lu tely no aw areness of what they have receiv ed (and, in fa c t, not infrequently com plain strongly about some trivial discom fort or inconvenience involved in their c a r e ). I soon re a liz e d , of co u rse, that p atien ts re a lly have no way to properly judge the p rofession al perform ance of th eir p h y sicia n s. In c o n tra s t, members of m anagem ent o ften are in a p o sitio n to form som ew hat re a so n a b le , o b je c tiv e judgm ents a s to the jo b being done by the p h y sician in industry. It is true that they u su ally ap p reciate only a sm all fraction of the p h y sicia n 's work, and at tim es may make errors in th eir judgm ents-- but o v erall, they have a b etter track record than can be claim ed by individual p a tien ts. In short, I have been mildly but p leasan tly surprised by the degree of understanding and appreciation th at I have re ceiv e d from m anagem ent p eop le in regard to my p ro fe ssio n a l activ ities. N e v e rth e le ss, I w ill have to admit th at my grandmother w as co rrect with her frequ en tly-rep eated adage: " If you work for 'th an k s' in th is w orld, y ou 'll be poorly p a id ." P rofessio n al sa tisfa ctio n i s , ind eed, su fficie n t. Robert A. Kehoe, M .D . July 3 , 1973 Page 2 I am sure that you re a liz e that the summary report "M ed ica l O bservations on Lead Antiknock W orkers" is directed to a management (lay) audience and that much important inform ation has been om itted. In p articu lar, the stated la ck of correlation betw een atm ospheric le v e ls o f lead and le v e ls o f lead e x cre tio n in the urine o f w orkers is not derived from the data presented in Graphs 2, 3 and 4 -- which show a degree of p o sitiv e co rrela tion betw een atm ospheric m easurem ents and group m eans (averages) for lead in u rin e. As you are w ell aw are, th is co rrelatio n v an ish es when data for atm ospheric m easurem ents are plotted ag ain st the lead in urine of individual w orkers. I have found it very in tere stin g -- and very ed u catio n al-- to work w ith the ingredients p lan ted , nutured, harvested and stored over the y ears by the actio n s of y o u rself. D r. B ock, and many o th ers. The "pudding" that has resu lted from the com bination o f th e se in g red ien ts is a s sturdy and nourishing a s my a b ility and the in g red ien ts allo w . I have added no a r tific ia l flavoring or a r tific ia l s w e e te n e rs, so far a s I am a w are. The actu al ta ste of the pudding is a m atter for each to judge on h is own, of course. S in ce re ly , TRRrdp Theodore R. Robinson, M . D . , I . M . D . Plant M ed ical D irector He 0008134