Document DDwQMQxb204eX1k1RbyRKXEN5

PLAINTIFF'S EXHIBIT DUP-1630 U>TT F. I. du Pont dc Nemours & Company lNCOftPO*ATCO Kinston Plant Kinston, North Carolina 28501 TEXT ILFI EIDERS DEPARTMENT PERSONAL & CONFIDENTIAL cc: B. W. Culpepper, M.D., WiliWngiuii )i C. L. Henry, Jr., Wilmington L. E. Houck J. A. Kneib H. A. Kress - J. H. Moore R. N. Ligo, M.D., Wilmington E. L. Long M. E. Sabla, Wilmington J. C. Ward, M.D. January 4, 1982 TO: R. L. RHODES, NEMOURS BUILDING FROM: R. J. COLLINS, KINSTON COMPANY ASBESTOS REVIEW PROGRAM RECEIVED JAN G 1382 Birford W, Culpepper, MJJ, In our discussion on December 30th, we agreed that Kinston would send the x-rays and diagnoses of the 15 benign symptomatic cases to Corporate Medical if such a review would contribute to improved Company-wide uniformity of diagnosis of asbestos-related medical problems. You planned to bring the matter up for discussion in the meeting of the Asbestos Committee in Wilmington on January 8th. The following summary of key points about the Kinston program may be useful to you. Key Points The only x-rays readily available at Kinston are those made by Plant and used by the Radiologist as basis for decision on referral to the Pulmonary Specialist. The local Pulmonary Specialist preferred to make his own x-rays. His diagnosis was based on his own x-rays and clinical tests (e.g., blood gases, pulmonary functions, etc). The North Carolina Industrial Commission doctors also preferred their own x-rays and their own clinical tests. The Industrial Commission diagnosis was based on their x-rays and clinical tests, performed by one of their Medical Advisory Board Pulmonary Specialists, corroborated by a second, and reviewed and approved by their Medical Supervisor. The Kinston Plant Medical Supervisor, Dr. John Ward, reviewed all but the most obvious diagnoses from our local Pulmonary Specialist with Dr. Ligo of Corporate Medical. r- c - r 't t 7 ^ 1 a. ~ r rj firTTCQ L'V< thj?oc'uw ' C w C M / DUP 1154019 DU 062240 R. L. RHODES 2 January 4, 1982 Key Points (Contd.) The Kinston results look reasonable, with no "rubber stamping" or outright "reversals" among the three levels of diagnoses. Asbestos-Exposed Population Referred by Radiologist to Pulmonary Specialist 711 44 Referred to Pulm. Special. 44 Clear 19 Benign Assympt 10 Benign Sympt. 15 Malig. 0 Referred to Ind. Comm. 15 (B.S.) Negative ("Suspect") 3 Compensable Asbestosis__________ Grade I Grade II Pending 10 1 1 RJC/jkj DU 062241 DUP j 154020