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Willard Storage Battery Company MAIN O FFICE AN D FACTORY S 4 S - 2 8 6 E - I 3 t s-J ST. Cleveland, OHio June 2, 1944 Dr* R obert Kehoe U niversity of C incinnati College o f Hedicine C in c in n a ti, Ohio Dear Dr. Kehoe: Summary This man was employed by 'ii.ll.a rd S to rag e B a tte r y Co. A ugust 31, 1943 His employment ex am in atio n shows him to be 53 y e a rs o f ag e, n e g ro , m ale, p re v io u s ly employed as C h au ffe u r, His w eight was 137 l b s . , n e g a tiv e m edical h is to r y and se ro lo g y and blood smear were n e g a tiv e . T aeth-upper p la te , and p a r t i a l lo w e r. H eart and lu n g s norm al, abdomen n e g a tiv e , no h e rn ia and blood p re s s u re 1 1 2/78. P u t to work in 'iso. A ssem bly. His ro u tin e check-up exam inations were a l l n e g a tiv e , the blood sm ears showing n o th in g o v e r 1 s tip p le d c e l l to 50 h ig h power f i e l d s . On A pril_ 2g, 1944 i t was r e p o r te d t h a t he had v i s i t e d th e union d o c to r two tim es and th e n had re p o rte d to h is fa m ily d o c to r. The l a t t e r on Hay 11. 1 9 ^ s e n t him back to work w ith n o te s t a t i n g ''he had been s u f f e r i n g from le a d p o is o n in g ''*. D r. B adal saw him on Kay 1 2 th and took a u rin e specim et which was s e n t to your l a b . Again I r e g r e t no blood was ta k e n . The blood smear tak en 5 /1 2 /4 4 was re p o rte d as no s t i p p l e d c e l l s fo u n d . \q _ -. |-^x. / >5 The man i s now back to work in M isc. Assembly and our l a s t count on 5 /24/44 shows only 1 s tip p le d c e l l . Summary o f T his man was employed by us O ctober 11, 1943. His employment exam ination shows him to be a 24 y e a r o ld n eg ro , male, p re v io u sly employed by C ity Ice i r e e l C o.' His w eight was 176 l b s . and h is m edical h i s t o r y re v e a ls o ld l u e t i c h is to r y fo r which he had been tak in g "bism uth s h o ts " . His sero lo g y - 2- shered Diag. 1 plus and Exclusion three plus w ith negative V asserm an. His s t i p p l e d c e l l co u n t a ls o sh o re d 11 s ti p p l e d c e l l s to fiO f i e l d s , T h is was re p e a te d 10/ 1 4 /4 3 and a g a in sh o re d 11 s tip p le d c e l l s . He s t a r t e d to work in th e form ing ' D epartm ent. His s tip p le d c e l l co u n t was as fo llo w s: 1 0 /26/43 - 6 ; 11/ 8/43 - o ; I I / 3O/43 - 14- 12/ 9/43 - d. and on 1 2 /l3 /* 3 i t ' ro s e to 27 c e l l s . He was now com p lain in g o f p a in in l e f t c h e s t b \it exam ination was n e g a tiv e , Repeat smear 1 2 /16/43 showed a g ain 27 c e l l s and w e ig h t was I 87 l b s , . December 20, I 943 he was tr a n s f e r e d to n o n -le a d jo b and / i v O c . S // .' * c Z ,* .. on t h i s d a te a ls o showed p re se n c e o f le a d l i n e . No c o m p la in ts, b u t s ti p p l e d c e l l count was up to 22 c e l l s , re c h e c k o f smear 12 /2 8 /4 3 was 19 c e l l s . On January 3, 1?44 h is w eight, was j.92 l b s , and he was com plaining o f p a in in stom ach, b ackach e, w ith s lig h t d iz z in e s s . A ppetite good, bowels s lu g g ish . Smear ta k e n (January 7, 3.944 showed 13 s ti p p l e d c e l l s . On Jan u ary 17, lp 4 4 b is w eight was 1Q0 l b s , le a d l i n e on lo w er r t , in c i s o r , and he complained o f drow siness, insom nia, headache, abdominal pain and m e ta llic t a s t e in mouth, -with blood smear showing 12 s 't, c e l l s . Smear ta k e n Jan u ary 27 showed o n ly 8 s t , c e l l s and le a d l i n e p re v io u s ly d e s c rib e d s t i l l p r e s e n t. He has been under a n t i l u e t i e tre a tm e n t c o n tin u o u sly . Smear f o r th e n e x t few exam inations were ss fo llo w s : 2/16/44 - 17 ; 2/ 23/44 - 3 ; 2/ 29/44 - 7 ; 3/ 2/44 - 3, and d u rin g th e s e weeks he was asym ptom atic and no l e a d - l i n e n o te d , A.gain on March 17, 19^4 b is c o u n t ro se to 18 s t . c e l l s and on 'la rc h 21 i t was up to 24 w ith c o m p la in ts o f abdom inal p a in , m e ta llic t a s t e , and sjtio rex ia. Smear ta k en March 27 a g a in was 1-ui .0..,: / down to 6 s t , c e l l s , &- Counts on A p ril 3 th e c o u n t was 9 s t . c e l l s and 4 s t . c e l l s '' on A p ril 18, I9 4 d, w ith c o m p lain t o f w eakness, d iz z in e s s , abdom inal pain and m etallic ta s te . On May 3, 1Q44 h is co m p lain ts were p a in in hands, and r t . arm when l i f t i n g , abdom inal cram ps. On Kay 1 6 th h is ex am in atio n showed w e ig h t ip ? l b s . w ith some gen.era3. c o m p la in ts and n e g a tiv e p h y s ic a l e x am in atio n . On t h i s d a te a b lo o d and u r in e sam ple was ta k en and s e n t to y o u r la b o r a to r y , Smear ta k e n on Fay 23, lp44 showed 0 s tip p le d c e l l s , k ti - l .L? *' These two summaries b r in g us up to d a te a g a in and a ls o w ish to remind yon to forward replacem ents fo r our fu tu re blood and urine sam ples. ! L' T1-1" - ,, tK i;u. / Sincerely yours, FIILARD STORAGE 3ATTFRY COMPANY hu> . TF;H:EM W. B. H utchinson, F.D,