Document Eayk3jNDyR5jpoRk96ejg6jj

June 28, 1963 Dr. B. D. Dinman Department of Preventive Medicine Ohio State University 410 West Tenth Avenue Columbus 10, Ohio Dear Bert: I enclose herewith a copy of the report of the results WEof the analysis of the urine and blood of your patient, as interpreted for medico-legal purposes. I also enclose a notation of the somewhat more exacting interpretation which I have made for you. In general, persons who have never had any unusual exposure to lead at any time, have lead in their blood in concentrations ^ of the order of 0.02 mg. per 100 grams, or even less, while those who have had a significant degree of exposure rarely go below 0.03. This is a tenuous situation, but I have learned to attach significance to it. The findings in the case of this man in September 1960, were 0.03 in the urine, and 0.10 and 0.12 in the blood. Sincerely, Robert A. Kehoe, M. D. Enel: 2 copies of report and one extra interpretation RAK: ss S' N5270 INTERPRETATION The concentration of lead in the urine is at the mean normal level. The concentration of lead in the blood is very near the mean normal .level, but the result obtained by the dithizone method (the pare precise of the two methods, as a rule) is somewhat above the mean value, as is also (slightly) the average of the two results here reported. Taken together, these results suggest, but do not prove, that this man had sustained some occupational (or other abnormal) exposure to lead some time, many months or perhaps years ago. Certainly, at present, there is no reason to suspect that he has hygienically significant quantities of lead in his body. Signed: _______________________ Robert A, Kehoe, M. D. June 28, 1963 N5270.01 O .D . 1.162X8 1963 72 - F o r re im bursem ent o f * he K e t t e r in g La b o r a t o r y f o r t h e a n a ly sis o f t h e u r in e and th b lo o d o f Sugane D ye r ( su b m it t e d '6/ 26/ 63). f o r t h e d e t e r m in a t io n o f lead* 2 a n a ly se s a t 1 2 ,3 0 each N5270.02 o l a b i no. i'9H June JO. H o claimant gives a history of working as an acetyline torch cutter of scrap, an partfeular, I.oeonotives and--railroad cars. This work '..-as done on. fee outside r.:.thcr than in an enclosure, but on the other dead, it rc-uircs getting in under locomotives or under or in freight gondolas or into fire hones to cut the- metal. Under these conditions; ulthcut any forced ventflation, it is probe ole that concentrations of lead, if any eras present in the metal, : could lave reached significant airborne concentrations, lie had worked from larch, I . . through IpoO doing such work. and was well until august; IHd. In July. he noted that a redness that before had been gradual before this was nor boc.-aiing noiicablc, and in late July or early August; he began baaing stomach, cramps vith vomiting and anorenia. ffiic cramps core epigastric in location. and lasted anywhere iron one-half hour to several hours, remitting and then rcoccurring. Ihcse vere severe "doubling-over" type crsnips, and^vero net relieved by .r use of Hans or other home remedies. H e patient denies t , w best ef his memory, any constipation during this time, laving normal h.vel movements. Her e vero other complaints such as e,ching in the bones, ..'c:.hiess. ncrecusnosG at this time. In august ho visited Eantucky, and while ...a., sad an .cure recurrence of these abdominal creams for which he mas sospihtLi :cd for three days. Eo reports that blood samples were sent, to Cincinnati (Entering laboratoryV) in August of IfcO. During or fust after this episode, ho had nosiced that he slept poorly' and mould awaken in the middle of the night suite frightened, and on one occasion, remembering a nightmare. H e claimant did no,: return to work, and evidently those complaints subsided as tl.ey rarer to the. gastro-intestinal tract. Since that episode, however, he has continuing aching of the legs bilaterally "which felt as if they mere heap vithin the muscles or bones. Here wus no burning, paresthesia, anesthesia. H e conplailnts noted mere constant, and become -verse vith vailing, as he recalls. Ho also notes that he hud headaches curing this time bilaterally, and points to the tempore,! region. Hos e mere not constant but rather were intermittent. Here were episodes of occasional dinsiness, and occasional blurring of vision although he states an eye encmination at this time resulted in no need for refraction or no detection of any ego' abnormality. Also during this time, he complains of nervousness and shaking. He states that he is not able to work because of the fatigue and nervousness which occur:: soon after he starts worming. lie still occasionally lias nightmares and does not sleep too Troll according to his report. H e sc complaints were volunteered, and after given, -she patient N5270.03 / drama out e.s do ctnor ~>oteatial syupdactclogy. Ho reports that ho ...as far. spoils of vomiting aeeich are occasional, and not associated vitli any abdominal pain. disco nay occur before eating, but usually occur alter eating. He iurtler reports that lie does not lave any constipation; and still Has tic regular too cr tlroe bo eel novemsu.ts per dry. flyslcal yin.nination Revicv oi: systems does not reveal any abncrmelitieo referable to tic lead and necl, cardiovascular system, genito-urinary system. He find a someahat thin, slight; edits male ehio states that his usual. voight is 171 pounds; but use nor found to aeigl 1571 pouindc. Ho dc.es not -appear particularly cede. Ho is sly and gcebtionably vitiiarsmni; but volunteers information vithout hesitation. Rd.se, 71 per nirrute and regular, blood pressure lOl/ll/oo-, respiration le. 3tuniiuotion of the Hoad and necl is vifhin nornral Holts. IT:.ore is no particular- palor of tie mucous membranes. See heart and lungs are normal. 'Here are no \bdaminul masses or tenderness; nor any guarding t--pedpatia-n. die o:eternal genitalia are normal mala. d:o upper and lever hc.cH is n e m o , in contour, .eel bhera arc 3-initations of motion found, die muscles of 'Ice errtrenity c.ro normal to palpation; end. d;. not leave the doughy feeling associated vifh clironic load infouieaiion. muscular strength is adc-uate in both outremities, in both fleuor and cutoasor groups, dicre is a ipeestionnbj.cvoedisss of onions j.s;e l:o d o right lover o;tremlty. hut this is oeoes:h..:ioa because of pale on a:.`.tension against force:, localised in the disc. llssoeo- metor veahneso or incoordinafj.cn of tie upper or .lover outremities. dsore is no diminution of tactile perception or vibratory sense and position sense. Cerebellar function is grossly normal, loop tendon roflcuos a.ro hyperactive ulroughouf. and biloiersily opgud; tc- the .. 1 of r . Shore a.ro no patlo- Icgical rcfl.euoS; e.nl ad. Hamburg is absent. deore ere no patloT.ogieal uofhoues