Document 91JzMb7GxmzO5Je60RVyGKG87
FILE NAME: National Gypsum (NG) DATE: 1950-1972 DOC#: NG024 DOCUMENT DESCRIPTION: Medical Records of Employee 'M'
Name
No. 2 7 5 3 0 Interpretation of
Single
taken on
2 /1 6 /7 2
Plant: Millington, N . J .
Reading Date
2 /2 9 /7 2
roentgenogram of chest
The bilateral thickened pleura, large heart
and small irregular densities that obscure the vascular markings are again noted. These findings suggest the
presence of a pneumoconiosis. More medical data is
required in order to establish the meaning of these
shadows.
GEORGE W. WRIGHT, M. D. Saint Luka' Hospital 11311 Shaker Boulevard Cleveland, Ohio 44104
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Name
No-
27530
Interpretation of s i n g l e
taken on
1 0 -2 8 -7 0
Plant: Millington, N.J.
Reading Date
1 1 -2 3 -7 0
roentgenogram of chest
plus intrapulmonary fibrosis, on the left e s p e c
*
heart has not increased further in size.
asbestosis.
of the film series would be consistent with as
GEORGE W. WRIGHT, M. D. Saint Luke' Hoepital 11311 Shaker Boulevard Cleveland, Ohio 44104
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Name No. 2 7 5 3 0 Interpretation of
single
Plant:
Millington, N.J.
Reading Date 1 0 / 2 1 / 6 8
roentgenogram of chest >' \ ' r.
taken on 1 0 / 4 / 6 8
7 ^ `
Direct comparison of this film to previous ones shows that the haziness at the left base extending out from the cardiac
e s s .,
regarding his cardiac status are needed for adequate evai
at ion of these films.
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TJRNISH COMPIETE OCCUPATIONAL HISTORY '0 DR. "WRIGHT, COPY TO THIS OFFICE.
F . H . ` ZIMMERMAN
1 0 /2 3 /6 8
Saint Luka' Hospital 11311 Shaker Boulevard Cleveland, Ohio 44104
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Name
No-
27530
Interpretation of
sin g le
taken on 9 - 2 2 - ^ *
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Plant: M illin g t o n , N .J
Reading Date 1 0 - 1 2 - ^ 6 roenigenogram of chest
No change se en when compared t o th e film o f~ 19f 4 P rev io u s comments regard in g th e h e a r t, e t c . , are s t i l l germane and p ertin en t
GEORGE W. WRIGHT, M. D. Salat Lake' Hoipltal 11311 Shakar Boulavazd Cleveland, Ohio 44104
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Name No.
___________ 2 7530
single
Plant:
^
Millington, N.J
Reading Date 6 / 8 / 6 4
roentgenogram of chest
5 /1 3 /6 4
This film again shows an abnormaly large heart
with haziness at left base. The previous comments
apply -- see previous report.
GEORGE W. WRIGHT, M. D. Saint Luke'* Ho*pital 11311 Shaker Boulevard Cleveland 4, Ohio
*-
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fCK * 2 6 1 1
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No.
762
Interpretation of s i n g i e
t.a.k. e. n. o..n5 /2 3 /6 2
compared with
Plant : Reading Date :
roentgenogram of chest taken on
Millington, K.J 6 /2 0 /6 2
A comparison to f i l a s of $3, ` 55, ` 57, and *60 show the cardiac silh ou ette has become s lig h tly larger and now i s d e fin ite ly path ologically large. There i s a haziness at the base of the le f t lung and the right cardiophrnie angle, the nature of which i s not c le a r. He i s a large and probably obese person which may explain in part these fin d in gs. A thorough medical study i s needed to evaluate h is current cardio-pulmonary statu s.
GEORGE W. WRIGHT, M. D. Saint Luke' Hopital . 11311 Shaker Boulevard Cleveland 6 Ohio
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NGC
Name
P lan t: M illin g to n , Nw J e r s e y
l
No. 5 6 - 6 0
Reading Date : 4 / 1 5 / 6 0
Interpretation of s in g le
roentgenogram of chest
taken on 4 / 1 / 6 0
compared with
taken on
No a b n o rm a lity see n in the lung p ro p e r. A ttention is again c alled to the en larg ed h e a rt shadow .
J a X- \~
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GEORGE W. WRIGHT, M. D. Saint Luke' Hospital 11311 Shaker Boulevard Cleveland 4, Ohio
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Name:
No.
1- 57-B
Interpretation of
taken on 9 -1 1 -5 7
P la n t:
M illington, N. J. (NGC)
Reading D ate: 1 0 -1 -5 7
Single
roentgenogram of chest
compared with
taken on
C o m p a red to film of 1 2-8-55, no change. See previous re p o rt regarding h eart.
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GEORGE W. WRIGHT, M. D. Saint Luke's Hospital 11311 Shaker Boulevard Cleveland 4, Ohio
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G eo r g e W. Wright, M. D.
DEPARTMENT OF Experimental Medicine
January 16, 1956
ST. LUKE'S HOSPITAL 11311 SHAKER BLVO. CLEVELAND 4, DHID
No. 5 5 - 8 3 - B Name
N a tio n a l G y p s u m C o . Interpretation of s in g le roentgenogram
M illington, N. J.
of chest taken on 1 2 -8 - 5 5
compared with
taken on 9 ~ 1 5 -5 3
No change. The card iac shadow still appears to be en larg ed .
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G eorge W . W right, M.D
Department of Experimental Medicine
SAINT LUKE'S HOSPITAL 11311 SHAKER BLVD. CLEVELAND 4, OHIO
No. 58__________ Name
N atl. Gypsum Co. M illington, N.J.
.Interpretation of sin gle roentgenogram
of chest taken on compared with
9-15-53 taken on
The cardiac silh ou ette i s unusually vide in relation sh ip to the
thorax. ? cardiac enlargement. No abnormality of an occupational nature i s seen.
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NameI______
D---a-t-e----4-/-,----/-----
Age 47
Color
Arthritis
NATIONAL GYPSUM COMPANY Address
Sales District
Office Plant M i l l i n g t o n ,
Dept.
Check No. 8
M W D*
Children
PHYSICAL RECORD
(TO BE COMPLETED BY PERSONNEL DEPARTMENT)
Epilepsy___________________
Hernia
L ist on reverse sid e any hospital ad m ission s in p ast 5 years
Venereal Diseases Liquor
Tobacco
Tuberculosis
Drugs
Other Illnesses
Injuries -- description, location, % disability
Compensation Received
H ave you a history of s i l i c o s i s or n r other dual d isea se?
D o you have s workmen'a com pensation c a s e pending for either injury or illn e s s ?
Have you ever been in military service?
N .J.
Have any of your parents or brothers or siste r s had Tiih^erttlnitiii. C ancer. D ia b e te s. E p ilep sy or In san ity?
----------------------------------------------------------- ------
L ast previous employment
I certify that the sh ove answ ers are true, correctly recorded, and that 1 am in And that I have n ever su ffered from S i l i c o s i s , excep t (history)-------------------------------------------------------------- ----------- ---------------------------------------------- ----------
Signature of Applicant
Witness
' If divorced, give date and place
Height Eves: Ria ht
/ H
SA
L e ft
PHYSICAL EXAMINATION
(TO BE COMPLETED BY DOCTOR)
Weight 2 /
c
Corrected: R isto
f ______
Over Weight Normal Weight Under Weight Left * e /
Binocular V ision
Pupils
l/
Lungs
^
Heart
Ears
l/
Throat and Tonsils ^
Abdomen ^
Spine
^
Cornea Shortness of Breath . Blood Pressure ----------------- ------------------------------------ -------/ / /
Nose u Hearing: Right Hernia Hemorrhoids *
/ / 7 *>
Chest X-Ray Pulse J 4
Teeth L Left ^ / u
Extremities ^
___________ ________________________________ ________ ____________________
(N ote X Of d e fe c t, if nr e x is t)
Musculature ^
Reflexes ^
(Bead and neck only -- give location)
Glands i
----------- ----------------------fcr
Mentality /
i
Genitals L
-------------,, a
l L A J - ---------------------
Blood T est
General Condition: Good ^
F a ir
Poor
Urinalysis
** ?+ ^ ' f i * A t
N u t r it io n : Good ^
Fair
kW* C
Poor
Do you recommend applicant for work? Remarks
Type of Work?
tlC 1 -2 < ;4 7
APPROVI!)
FOREMAN a "i SAFETY
Date i / - / f . O /
M.l
NATIONAL GYPSUM COMPANY PHYSICAL EXAMINATION RECORD
PLANT, OFFICE, SALES DISTRICT Ml 1 U n g t o n - H g u .g l ';
DATE * 7 -- P RE-EMPLOYMENT REINSTATEMENT E PERIODIC HEALTH
NAME m DATE OF BIRTH 7 / 1 6 / 1 3
___________________ __ ADDRESS j
^
________ . (AGE 5 2 )
CU SINGLE [^MfARRIED OTHER-----------
L.AST EMPLO YMENT____________________ ___________________________-- ---------------------------------------------
HEIGHT //I DISFIGUREMENT - FACE. HEAD OR NECK
s T ' s - A J :: *
WEIGHT
1
X o -4 1
HEART
z * ^ 2 * ^ * * / CHEST
C0NF1GURAT1(T> CHEST EXPANSION
% . . ^,1 'H c U b e tl+ .iJ ^A -
LUNGS
.
u
BLOOD PRESSURE
/ /
* /~ 7 0
VISION - DISTANT U VISION-NEAR jlWASSERMAN
Hb:
C.R.E. 2 0 / * ^ *
I 20/
U.L.E. 2 0 / . | | 20/ .
HERNIA
URINALYSIS
---
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||s U G A R ^fcrt^, ALBUMIN
ABDOMEN / l .M.P.
f
_______________^ ----------------------------------------------------------------------------------
INGUINAL RINGS
J
^NORMAjP
LAUtHGED
R
L
.
RELAXED...
OPERATIVE SCARS
BACK AND EXTREMITIES --EDEMA, AMPUTATIONS, FUNCTIONAL D U R L C IS , uEFORMITIES
SPECIFIC FINDINGS - NECROLOGICAL
Name Date A*e
k 9 ___
Color
Arthritis Operations Venereal'D reeases, Liquor
NATIONAL GYPSUM
1
Address
COMPANY
Sales District Office Plant M i l l i n g t o n , H s J t
Dept.
S M W D<
Check No. fl_____________________ Children
PHYSICAL RECORD
(TO BE COMPLETED BY PLAN T OR OFFICE)
Epilepsy __________________ _
Hernia--
L ist on reverse aide sny hospital
ad m ission * in p a st 5 years______
Tuberculosis
Tobacco
Drugs
Other Illnesses
Injuries --description, location, % disability
Compensation Received
Have you a history of s ilic o s is or any other dust d is e a s e ? ___________
Do you have a workmen's compensation case pending for either injury or illness?______
g a v e you eTer been in military serv iee ?
g a v e any of your parents or brothers or s is te r s had T u b e r c u lo s is, C ancer, D ia b e te s, E p ilep sy or In san ity?
L ast previous employment_______________ ________ .-------- .--
I certify that the above answ ers sre true, correctly recorded, and that 1 am in good h ea lth , snd that 1 have never suffered from S i l i c o s i s , e ic e p t (history)----
Signature of Applicant____________ _________ _______________
Witness
* If divorced, give date and place _________
PHYSICAL EXAMINATION
(TO BE COMPLETED BY DOCTOR)
Over Weicht
Notoal Weight
Under Weight
Reflexes
Blood T est
General Condition: Good
Fair
Poor
Do you recommend applicant for work? 4 -
Remarks
________
APPROVED
FOREMAN SAFETY SUPERVISOR
Examined by
uri...iy.i. i / Nutrition: Good Type of Work?
i -c--- * &^ L~
Fair
Poor
X K t z r . - i 9-
NATIONAL GYPSUM COMPANY PHYSICAL EXAMINATION RECORD
M illington SALARIED PL ANT. OFFICE, S ALES DISTRICT_____________________
EHOURLY *'
DA TE_____________________
|-- | PRE- EMPLOYMENT Q REINSTATEMENT [ j PERIODIC HEALTH
NAME______ DATE OF BIRTH___ 7 / 1 6 / 1 3 LAST EMPLOYMENT
___________ _ ADDRESS
. (AGE _ 52_ )
sin gle [ married o th er
-------
F E M A L E A PPLICA N TS - DATE OF LAST m e n st r a l p e r io d BACK AND EX TREM ITIES - e d e m a , a m p l ia t io n s , f u n c t io n a l d e f e c t s , d e f o r m it ie s
7L ^ -
HEARING SPECIFIC FIN DIN GS - ADDITION AL
NEUROLOGICAL
SKIN ERUPTION
}U f
GENERAL C 0N D IT 10N :-S tTT0D Q FAIR POOR : EXAMINEE HAS BEEN ADVISED OF SIGNIFICANT FINDINGS Q 'i ES Q NO SUMMARY OF PERMANENT DEFECTS, IMPAIRMENTS:
1
NATIONAL GYPSUM COMPANY
Sales District y j l Office
Name Date Age
A n ril 1 7 . 1959
1,^
Color \j
Arthritis. _ Operations Venereal. D iseases Liquor
Addresl
Plant Mil.
Dept.
Check No.
S M W D*
Children
PHYSICAL RECORD
-
(TO BE COMPLETED BY PERSONNEL DEPARTMENT)
Epilepsy
Hernia _
Lint on reverse sid e any hospital adm issions in past 5 years*
Tuberculosis
Tobacco
Drugs
Other Illnesses
Injuries --description, location, % disability
Compensation Received
H iv e you a history o f s i l i c o s i s or any other dust d isea se?
Do you have a workmen's com pensation c a s e pending for either injury or illn e s s ?
Have you ever been is military service?
Have any of your parents or brothers or aiatera bad T u b e r c u lo sis, C ancer, D ia b e te s, E p ilep sy or Insanity?
L ast previous employment
I certify that the above answ ers are true, correctly recorded, and that I am in good h ea lth , and that I have never suffered from S il i c o s i s , excep t (history)
Signature of Applicant____________________________________
Witn
* If divorced, give date and place
Height
Eyes: Ri*ht
L eft
Pupils y
Lungs y t
Heart '
PHYSICAL EXAMINATION
(TO BE COMPLETED BY DOCTOR)
height_________ ___________________
Corrected: R i,ht Cornea
ir.--
Shortness of Breath
Blood Pressure / 5 V P f
Ears Throat and Tonsils * Abdomen ^ Spine
Nose ^ ___________ Hearing: Right ^ Hernia Hemorrhoids y
Over Weight Normal Weight Under Weight
Left
B inocular V isio n
Chest X-Ray P ulse ' jl/'
Teeth Left
Scars V* '
Skin *
J ,
Reflexes
Glands
(Note % of defects if any exist) (jjead and neck only -- give location,
Mentality jj '
Musculature * Genitals S
Blood T est - ^
Urinalysis
_________ _________
General Condition: Good ^
Fair
Poor
Nutrition: Good 1 /
Fair
P or
__
Do you recommend applicant for work? / > *
Type of Work?
Remarks
KK IC G S l
APPROVED
FOREMAN SAFETY SUPERVISOR
Examined by
/ Date l0/ - / ? -
^ - A v >v V
Area Code 2 0 1 T e l e p h o n e BO 1 - 2 1 2 2
\
M. S H A F I, .D ., P.J
Reo. No. 2401S
1550 PARK AVENUE
SO U TH P L A IN F IE L D , N. J. 0 7 0 8 0
NAME.
.
ADDRESS.
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Connecticut General Life Insurance Company
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SUPPLEMENTARY CLAIM
GROUP ACCIDENT AND SICKNESS OR HOSPITAL EXPENSE BENEFITS
This p art to be completed by the Employer
Name of Employee, i
^
Date of
w -J ...................................Sex. ,.IA ..........Birth.....
Date of Accident or Beginning of Sickness....*1.^.1.
Period ofadciitional disability covered by this statement..
.From. ...Vt . - a - f - ?
If the employee has returned to work, on what date did he return?..." . M f S A t T .
TB * r > r w w e - '
Thru ...it +
t b . /cCn**
A.M. * C P * * /* 4 B > ............ p m .
V V >77V *9<.
C Y / T C t IK c*> ,
S'amt of Employer
JU rtT > Lhnsion
Date. . --X* I * ? '
ATTENDING PHYSICIAN'S SUPPLEMENTARY STATEMENT (To befurnished without expense to the insurance company)
Patient's name.
.....................
Nature of sickness or injury (Describe complications, if any)
t .lA fT U .* * P .^ V 9 .
.......^
Age . S 7
Date of first treatm ent..... (fir */........................................19.....7'..'V^....
Date of most recent treatment ? ."....I f.*.......................19 ..7 irf!.........
Frequency of treatments.... U hU ^ h -^ o ........................................................................................................................
The patient has been continuously disabled (unable to work) from - ............. 19?V through
19 7 ^
If still disabled, when should patient be able to return to work? ...U^VvCjL-ti*- k - s r i * . t
Remarks........................................................................................
..............
.. .
Date *7 . r . / f ................
19 7?
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or
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STATEMENT
TliKOnuKi
THE ORTHOPEDIC GROUP. P.A.
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Surgeon's Report
Complete and send immediately
To.
W le : ........
Employer : Carrier: ..
The Patient
1. Name of Injured Pi 2. Address: No. and St.... 3. Name and Address of Employer. y a t i o n a l - C h r p a u a
The Accident
4. Date of accident or onset of disease:.. . l . Q . * . ? H o a r .............. Jtf. Date disability began...B.Q...t-llRC..l.QJJ 1 1
"*6.""' State In patient's own words where and how accident occurred or occupational disease was caused
.........
looation, he,,jfIt a_jpain In
6. Give acurate description of nature and extent of injury or disease and state your objective findings:
The
Injury
7. Will the Injury result In (a) Permanent defect?--.JJ........... If so, what?.
(b) Facial or head disfigurement? .... H Q ............................................................................
(Perm anent disability aucb aa loss of wbole or p a rts of fingers, facial or bead disfigurement, etc., m ust be accurately m arked on
chart on rererse aide of thia report).
.
8. Is Injury above referred to the only cause of patient's condition
.... ..If not, state contributing causes:
9. Is patient suffering from any disease of the heart, lnngs, brain, kidneys, blood, vascular system or any other dis abling condition not due to this accident? HQ........Give particulars:........................................................................
10. Is there any history or evidence present of previous accident or disease?.JQQ......... Give particulars:.
11. Has normal recovery been delayed for any reason?...HO........ Give particulars:.
12. Date of your first treatm ent:...IQ -- 3 4 2 .............Who engaged yonr services?..............JUJflUT.ftd. 13. Describe treatment given by you: B e d ..x ? e a t^ ...Jk p p ly ...p A p -JL Q * -A Q a A . ...fi". . b a n d a g e . .
Treat
ment
14. Were X-Rays taken?.210 By whom?........................................................................................... When?.
(Name and Addreaa)
1 5 . X-Ray diagnosis:..........................................
1 6 . Was patient treated by anyone else?..210.
.........By whom.................................................... When?.
(Name and Addreaa)
17. Was patient hospitalized? 21Q..... Name and address of hospital:.......................................................
18. Date of admission to hospital:.................................... - .......... Date of discharge:
19. Is further treatment needed?..QQ................................ For how long?..............
20. Patient
be able to resume regular work an:.....................
Disability 2 1 . Patient WwmM ^ able to resume light work an:................................- ....................................
2 2 . If death ensued give date:........................................................................- .............................
HREMARKS : (Give any information of vaine not included above)
M M M aM taM K M aaataM aaaaaaaM iM M M M aaaa
I am a duly licensed physician in the State of ------- 2
_
I waa graduated from........ . f u t i . ..........................-- -- Medical School^n ...lf l* .t.9 H ...................... Yeail9.4.
Date of thia report:. ......l l 5 n * B .-------------- (Signed) This report must be signed personally by phyilclan. Addn
................. Telephond8^^30^ ^
Dfcoibutad bt ALBERT L. ALLEN Co.. Inc. Woffaoo'. C o n o * Serri
|CIC12(;60 Alba BuOdine. Hcrrtrbur*. Pnuurtvnnia
ADDRESS
AGE
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DIVISION OF MEDICINE
Saint L uke's H ospital
11311 SH A K E R B O U L E V A R D CLEVELAND. OHIO 4 4 1 0 4
Timothy D. Tolin Personnel & Safety Supervisor National Gypsum Company Millington, N. J. 07946
Re :
' Film No. 27530 Taken on: 10/4/68
Dear Mr. Tolin:
I am sorry to be late in answering your letter but I have been out
of the country and am only now getting around to my correspondence.
From the information that you have supplied to me I strongly suspect^
that
has1mitral Stenosis and this accounts for the abnormal
contour of his heart shadow. The fact that his heart shadow was getting
larger is difficult to evaluate other than by a direct history and
physical and knowledge of his past in greater detail than you can ob
tain. This, of course, can only be done by his personal Physician
or a Consultant chosen by his personal Physician. I suspect that
has more of a problem with his heart than he either knows
about or is willing to talk about.
In all probability the abnormalities in the basal portions of his lung are related to the heart disease but the possibility that he may have inflammation and changes in the pleura of the lung^which^ ^ might be related to asbestos exposure should be kept in mind. I aon t believe that at this point it should be pointed out to him.
It is my impression that you have done as much as management needs to
do since you have called to his attention the fact that he has an ab
normal film. From my own past experiences I would not advise making
a stronger approach to either
or his Physician.
With best wishes,
Sincerely yours, ^ ---
George W. Wright,. M.D. Head, Medical Research
cc: Mr. Frank Zimmerman