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Hr# John Soft B. F. Goodrich Company Merlon, Ohio
Dear Mr# Sofiai
Thla la In rrgard t o c a r telephone conversation yaatorday concerning
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E. Aa you will r e c a H ^ H B I H ^ h a d a level of #17 eg# of lead par
100 gaa# of bleed on a apadaan taken Osiobar 3th# At that time It uaa decided that he should ha removed from exposure to lead immediately. How ever, thla result waa only the first of duplicate samples that ware anal ysed* Vsstsrday wo received the result of the duplicate specimen which waa 0$ eg# of lead par 100 gea# of blood# Thla, of course, le high, but in view of the fact that he had absolutely no eymptomslogy suggestive o f impending lead intoxication, and that corrective measures to control the. environment exposure to load hid been taken, X believe .that it will not ba nscaesary te raspva him free exposure at this time#
On the other h n d ^ H | | B H M b has at thla tlata symptoms suggestive of early lead intoxication# Ha haa #06 eg* of lead par 100 gas# of blood aa dona by the 8# F Goodrich Laboratory, and #081 ae dona by the Bio Science Laboratory fen California# Even though the level of lead lh hla blood la not alarmingly high, X believe that ha should be removed from exposure te lead immediately#
X have talked thla over with teeter Max Wilson by telephone yesterday and ha la in accord with these recommendations#
Sincstely,
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Harold A# Imbue, H, 6#
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' . lA M ^ Report of Hsdloal SxaadnatLm on
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. . . - > *.v ' i '-? s -;^ 1 1 Present History She patient a thirty-seven yesr 2d feit male setates, that at about
8 7 5 5 TI ETTarridey September 28th 2862 hila at werfe ha had a
teralttent craaptag palee i tha
Sha palas wsrenoderately severe^
and at times "almost doubled me owsr"$ however ha wasable to 'e^ia^% flrkii^^rw l'.tlui jrssp
rest of' tha da`y* Af"ter arri'vi'ng h'one f-roea work` ha noti`oad` f*ever and 'sweating but no i':.-%&
chills Tha pains eontimsd and ha was hospitalised on October 1st 3868.at:UarlonX'\i>*YM
General Hospital
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He had a normal bowel movement Friday slight and had no eonstipaticQ diarrhea ,or ,ab v^ ^
normally oolored stools prior to his present illness He was nauseated and forced
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himself to vomit once on the first night of the illness He denies frequency of urin-
atlon dysuria, hematuria or other genitourinary symptoms* Hr Hawkins states he -
has felt tired sad run down for three to four weeks and has had.a mild "cold" fer one
week and occasional transient sharp lower abdominal pains for several days prior to
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the onset of the crasps : . . ^
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' '-V'''...;\A sSggj Past History He has had asthma since age eight,usual2y quite mild butworsein the
fall* He has used a vaporiser and asthma nephrln almosteverynightpriortoretiriog,
and one to. two times during the night for many years He states that this is routine
however and the asthma has not really been very sever in recent years. He was re
jected from military eservilce bscausecf the.h.i.s.t.o.r.y.of asthma. Past history is ether-
wise essentially negative
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. -- - B hA t worked for the past elght years at the B 7 0oodridx
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. o oopany
io^ He started working at ni|hte as a ...... ''"V'v.The .j.ob ef 15%
to .a lead
i n and bwadlng the yc>
:^^^ingis;then
;.o,^ c-, rollare. Aooording to him there is no mctsllio dust in the area, end he wears glores
' while'
of feieiSork^^
ApproxiBately three years a^^he to^Ia Jcb^as l u m ^ mvthe^ M
.-5C His
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taking? 0.^ihe;ieiai2 i
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The lead press job was daytime work, sad 7 Booths after starting it, when he had enough seniority to get back to lead stripping on a daytime basis, he returned to it* He did not feel ill at anytime while working on the press. He continued on the lead stripping job until 10 nonths ago when he was transferred to testing tubing. There was no lead exposure of any kind on this job. Four nonths ago he was again trans ferred back to the lead stripping job where he has reaained until the present illness.
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The conpany has a definite prograa to control absorption of the lead in &en working with ..--, it. This prograa consists of requiring the Ben to eat in the conpany cafeteria and V wash their hands prior to eating. Smoking and eating on the job are prohibited and ^ gloves are worn while working. A shower and change to street clothes which are kept
in a locker separate from the work clothes is required when leaving work at the end
of the day. T?ork clothes, continually provided by the company, are changed frequently, 'and the patient, for the past four months(because of the wars weather) has worn . : freshly laundered cover-alls every day.
In addition, 'the eoapany takes specimens of blood and urine from employees period ically for analysis of lead. The patient had a result of 07mg -lead per lGQal of blood in 1959 apparently when he was working on the press. Be has had normal determinations since then. He has not had a blood or urine analysis for lead since returning to work as a lead stripper 1* months ago.
The patient has a part-time job after work which consists of delivering propane gas cylinders to homes. This usually takes him 2-3 hours several nights a week.
He denies doing any other work, and specifically denies doing any recent painting, of any other house work or hobbies which Bight involve contact with lead or other
chemicals.
Prior to working at B. F. Goodrich Company he worked for 6 months at Motor Products Company, Marion, Ohio packing glass windows in boxes. Prior to this he worked for 2 years at Tecuaseh Products, aarion-, Ohio testing puap fioters. Prior to this he worked with his Father driving a truck in best Fisrgiaiao
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Family and Habits He is married end has 2 children. He does not smoke or drink. tie arinxe well water at his home in Groan Camp, OhiOo
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Physical Examination The patient is a well developed, well nourished white male
appearing well. ~'ood pressure was U 6/914, pulse and respirations normal. There
was a small area of subconjunctival hemorrhage medially on the right eye. Examination
of the teeth and gums reveals mild pyorrhea of the lower gums and several dark areas
on tbs gum margins. However these are not the lead line of plumbIsm. Examination
of the heart, lungs, abdomen/ deep tendon roflaasa and motor functions were all
ncraal.
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Laboratory Results (dene at hospital)
count
B B C - 15,092
HB - 11.9cm I BBC - i|.21mil *
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Indices
rad aUa with basophilic stippling.
amylase normal and moose Urines
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H BC - f f y - , sjv'
mmw
Ureanitrogen 17.5(ncraal ^ ) ^
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zsd lndizeot .90. Urinary
porphyrin negative. 2rsy'of the flat plate of the abdonea revealed no abdominal
pathol- ogy noted-. %... * , - ? . ^
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W t h * Hospital D m patient mas admitted to Ksrion General Hospital on
iZ S o & ri, I9 f> 2 . He vat given demeral, atropine, and gastric suction. He has
4,...^improved rapidly sines admission and at ths tins of this examination on October
:3rd, vas virtually asymptcaatio. His blood pressure as 190/110 on adaission,
17V&0 on October 2nd, and l W 9 U on October 3rd. Temperature on adaission as
90.8 and ant as high as 99.8 the first day*
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Discussion and lapresalon the clinical course is soaeuhat atypical of lead into* v icaiion in TEat it as characterised by low grade fever and leuoooytosis. In / ' addition, the hypertension, ths slightly elevated BUH, the finding of several UBC's
- in the urine, and the positive direct TanderBerg reaction makes one suspicious of the possibility of other diseases
There appears to be little reason, based upon his occupational history, to believe
that absorption of abnormal amounts of lead have oceured recently. He has only
. ' been working at lead stripping for ths last U months out of the last 10 months. i
This work does not involva exposure with lead fuses or lead dust in significant
/ quantities and It appears that the necessary precautions to avoid m $ m exposure
: are being taken in the pleat. One cannot, of course, positively rule out a com-
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pletely unsuspected source of eaqposure.
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It is my impression that the diagnosis of lead intoxication is unlikely; however
one must await the results of the analysis of blood and urine which will indicate
whether or not unusually large amounts of lead have been absorbed. It is
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difficult to say just what
does have If sysptss persist further
tests would be necessary.for a diagnosis. At say rate, it appears that he nay ,
' very well be asymptomatic before a diagnosis is madso .
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