Document J3qQB6Y61B09Kkv1KvbKKOE5X
j
Nama
No- 25519
Iotarpratation oi
Single
takas oa
2/4/72
w * -r
Plant:
Millington, N.J
R*di&9 Data roantganogxam of chart
2/29/72
See previous reports indicating the development of shadows since 1953 which would be consistent with a diagnosis of asbestosis and thickened pleura. The current film shows less evidence of pleura fluid on the right. This reduces the likelihood of a mesothelioma, a point raised with regard to the '70 film.
GZOAG1 W. WRIGHT, U. D. Saint Loka'c Hospital 11311 Shakos Baolavasd Clovola&d, Ohio 44104
n
-4-
-ax '+
X
* Nun*
No. 25519
Interpretation of taken on
single 7-31-70
Plant: Millington, N.J
Reeding D*t* roentgenogram of cheat
8-20-70
Comparison of a series beginning in 1953 shows that he began with a normal film and by 1968 had developed bilateral pleura involvement with a question of intralung disease as well.
In the interval since 1968, he has developed what appears to be a collection of fluid in the right pleura space. Further study of this is required since the possibility of tuberculosis or mesothelioma involving, the pleura must be considered.
GSORGX W. WRIGHT. U. D. Saint Lake's Hospital 11311 Shaker Boaiaaard Cleveland. Okie 44104
kk. 1.27-V1
V
Nam* No. 25519 Interpretation of single taken on 7-19-55
Plant: Millington, New Jersey Heading Dat* 8-12-6 8
roentgenogram of chest
Homparison to previous films shows more evidence of bilateral pleura changes with a strong suggestion of a pleura'plaque on the right. Some of these changes have progressed since 1966 and would be consistent with the known effects of asbestos inhalation.
GEORGE W. WRIGHT, M. 0. Saint Lake* Hospital 1X311 Shakos Boulevard Cleveland, Ohio 44104
Nama
No. 25519
Interpretation of
s i n c 1e
taken on 9-20-**
Plant: Millington, NJ. Reading Date 10-12-**
roentgenogram of cheat
Compared to 19*4, there is no chance. Since 1953 the bronchovsscular markings have become more prominent and the right costophrenic ancle is obliterated. Provided he has had considerable exposure to asbestos fibre, he might be classed as an asbestosis suspect for further observation.
GSORGS W. WRIGHT, M. D. Saint Luka'i Hoipltal 11311 Shikar Boulevard Clavalaad, Okie 44104
Name No.
1
Interpretation oi
25519 single
i Plant:
Millington, N*J.
Reading Date ifi 3/2/64
roentgenogram ol chest
2/7/64
No ehange when compared to the film of 1962. See
previous reports*
GEORGE W. WRIGHT. M. D. Saint Lake's Hospital 11311 Shaker BoalsTaxd Cleveland 4. Ohio
-X ...
>
*4.
'.
` * i/ 7 v. fV..-* : %.v-
v\
K- .*'
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Name
|
No. 86-62
Interpretation of
single
taken on 5/23/62
compared with
Plant :
Millington
Reading Date : 6/5/62
roentgenogram of chest
taken on
No significant abnormality seen. A few calcific flecks are noted in the root of the
right lung.
GEORGE W. WRIGHT. M. D. Saint Luka's Hospital 11311 Shaker Boulevard Cleveland 4, Ohio
N
/c/<
NGC
>fame ^
Plant: Millington,
Jersey
No. 41-60
Interpretation of { ingie
taken on 3/24/60
compared with
Reading Date : roentgenogram of chest
taken on
4/11/60
Comparison to film of 9/18/57 reveals no change. A pleuro-pericordial adhesion present in 1953 is noted.
GEORGE W. WRIGHT, M. DSaint Lake's Hospital 11311 Shaker Boulevard Cleveland 4, Ohio
0
t *
*
^ 127.*.'S
-Nam:,
K"t: Millington, N. J. (NGC)
No. 21-57-B
Reading Date: 10/li/57
Interpretation of Single
roentgenogram oi chest
taken on 9/18/57
compared with
taken on
No change when compared to 12/1/55*
GEORGE W. WRIGHT, Vi. D. Saint take'* Hospital 11311 Shaker Boulevard Cleveland 4, Ohio
- > * >H*f.,
N.
George W. Wright, M. D.
OCWfiTMCNT or excrimcntau mcoicinc
January 3, 1956
#T# iukC'B MOriTAL nsu ohakcr ilvo. CLCVCLANO A, OHIO
xo. 55-21-B
Name|
National Gypsum Co. Millington, N. J.
Interpretation of single roentgenogram
of chest taken on 12-1-55
compared with
taken on 9-15-53
No change.
I
*
v
791
Georgs W. Wright, M.D.
Department op Experimental Medicine
SAINT LUKE'S HOSPITAL 11311 SHAKER ftlVD. CLEVELAND 4, OHIO
Sc 136
Haoe \
Natl. Gypsum Co. Millington, N. J.
9
Interpretation of Bingle roentgenograo
cf chest taken on 12-10-53
coopared with
taken on
No significant abnormality seen*
*
x. t i %
WJ2
George W. Wright. M.D.
Department Of Experimental Medicine
saint uike's hospital ion shaker ilvd.
CLEVELAND 4, OHIO
Ho. 55 Name
tl. Gypsue Co. Hi rifetoe, K.J.
Interpretation of single roentgenogram
of cheat taken on
9-15*53
compared with
taken on
There is a peculiar density in the htb right interspace. It has the appearance of an artefact. No abnormality of ar. occupational nature is seen.
This film should be repeated.
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fJVtIONAL GYPSUM /
Addre^
April 17 f l<^_Q_Pepu
COMPANY
Sates uisuici
Office
Pleat Kile
Check No.
Color Vf
M Children
Arthritis Operations
_
PHYSICAL RECORD
(TO BE COMPLETED BY PERSONNEL DEPARTMENT)
Epilepsy
Hernia
List as r*oraa till oay boaptut. lsiuiu is iat S ?**.
Venereal Diseases
Tuberculosis
Liquor
~~
Tobacco
Dregs
Other Illnesses
Injuries -- description, location, % disability
Compensation Received Ha** ye a tuatcrr of ailieaaia or ut o*bar dual diaoooa?
Ds tom bo*a a vorkaaa'a <#aaaaauos cost paadiai 1st aitbar ieiwr or iUsaoat
Ho*a rou ***r boos is tfiiarr oorviea?
Ha** aar of rotir ywiaii or brotbora or ataton bod Tvberculoaia, Caacor. Diabawa, Epilepay or tsaaaiir*
Laet previous employment
1 cemfy ibot tb* abovt asawara ora trva, earroeUy racordad, *sd that 1 a is *od boahh. asd that I ba*o a***r laHtirl lrteSilieaiit, aseapt (biatarr)
Signature of Applicant
Witness
: If divorced, give date and plaee
weight
4V
PHYSICAL EXAMINATION (TO BE COMPLETED BY DOCTOR)
Weight
/?7
Eyes: Ribt
LsN
Corrected: Right
Pupils ^
Cones
Lungs Heart Ears
^ * ^
Throat and Tonsils
^
Shortness of Breath Blood Pressure /.*
_
No,e L Hearing: Right
Y /
}
0*r Vsi|bt Nsaasi fsifbi Usdor VaigbtLati
Chsai-Yfcsy----Pulse
Teeth 1/ Left
Btaoeslsi Viavps
Abdomen
Spine
b
Hernia A . Hemorrhoids
Extremities Skin
<N*t % f Mkh ii Mr sast)
_ tH#o4 M< soct Mir -- *i*a iscaoss) Glands *
Musculature Genitals
Kefl< Blood Test
v-
General Condition: Good L Fair
Mentality Urinalysis
Poor i-' Nutrition: Good
/&tZC-c*C Fair
Poor
you recommend epplicant for work?
Type of WoA?
-
IONAL GYPSUM COHPAN'i-^ Sales District
Name
k/V*
u9 7T
'Color
Artbriti# Operation* Venereal Dieeaaea
Liqoor Other ninesaea
Dept.
LAddre aa
Office
L_ PUat Millington JR. J,
Check No* li|3
MW
Children
PHYSICAL RECORD
CTO BE COMPLETED BY PERSONNEL DEPARTMENT)
Epilepay
Hernia
Liu oo rorarao oido or boogttaJ 4miMitM ia pool S r*M. "
Tuberculoai*
Tobacco
Drugi
Injuriea -- description, location, % disability
Compenaation Received Have Tea kialMT of oilieooi* of
nr otbor dull dia**f
0* T*U k*T* WMkMl'l CtKIftlMUM C posdiag lor oitbor it)rr ar UImm?
ia ailitarr ootviea?
Ho** u? of rot* poroota or kntkrn or oiotero kad Taborculoaia, Caacor. Diobrtoo. pilMT or laaoaitr?
Last previoua employment
I eortifr that tb aboao oaovora or* trw*. eorroctir roco*d*d, oad tbot I aa ia food boailb. oad that I bar* o**r ouffored (roa Silicooi*. aicrpt (hiotarr)
Signature of Applicant
Vitseaa
If divorced, give date and place
..eight Eyes: Bight
s'.s'/+ " ^ o Loft
PHYSICAL EXAMINATION (TO BE COMPLETED BY DOCTOR) Weight /VS________________________
Corrected: Bight
Pupil* /
Cornea
Lunga Heart Ears
iS
Sbortneae of Breath t> Blood Preaaure^y^i^/
Noae y/
Throat and Tonsile V
Hearing: Right
O*** Voight NofwaJ Votgbt Uador Votgbt
Loh
Biaoenior
Vi...*
Cheat X*Rsy
1LPalae
Teeth
Left
Abdomen V
Hernia
Spine
Hemorrhoid* ^
Extremitiea ^
Sean Skin
Kefli
Blood Tent ^ 77-
General Condition: Good
(Not* % of dofoca if oar octal)
(Hod aad aoefc oair -- giro iocoooo) Clanda Ls______ _____________________
Musculature Genital* ^
Mentality
Urinalyaia
Fair
Poor
Nutrition: Good &
Fair
Poor
r* you recommend applicant for work? rtnarka
Type of Work?
IOC*.2^?.
APPROVED
FOREMAN OdSAFETY
SUPERVISOR
Date y ~ / tuts rvp] nyvrx rrwKrnn* irrxnw v me ciipfrvw*.
N'amel Date
Color
Arthritis
Operations
Venereal Diseases
Liquor
^
Phonal gypsum company
iajes ui
1
Address Dept,___
-----------------fa-
Office
P1,nt ittlUarten. .J,
Check No. -143
M Children
PHYSICAL RECORD
(TO DE COMPLETED BY PLANT OR OFFICE)
Epilepsy
Hernia
Liot * rtrtn* aide ent boepitoi dsiMieu ta foot S too**. --
Tuberculosis
Tobacco
Drugs
Other Illnesses
Injuries -- description, location, % disability
Compensation Received H" ?eu bistort of oHicooie or b etSff duet dtooaoo?
H ifir of tour pviati or brother* or aietoo* bed Tuoereuioeie. C*ae, Diebeua, Epiloper or loeootty?
Do tow bote e wtrkMt't eooa<*iui cooc postal i*r oubor tajurt or illseoe*
Koto you irt boos ia oultierr ssmeo?
Lest previous employment
I comfy that the oboto eoowere oro true, eorteeUy recorded, eod that I aa is eoed baaitb. aad tbat I have aover autlerad fro* SUieosia. oscopt (biotort)
Signature of Applicant
Witness
t
If divorced, give date and plaee
-eiKht j
Eyes: R#bi
yPupils
PHYSICAL EXAMINATION (TO BE COMPLETED BY DOCTOR)
Weight /<S</ -
Loft *~
Corrected: Ribt Y
Comes *
0*e Voi|bt' NoowoJ Voifbt Usdor Voiibt
Loft
Butocojo* Viaioo
Lungs p
Shortness of Breath
0# &
Cheat X*Ray
--
Heart y Ear* ^ Throat and Tonsils
Blood Pressure
Nose
4y
Hearing: Right
Pl jr*
4r Teeth
Left ^ jtV
Abdomen
Hernia
X
Spine
1/
. Hemorrboida
Extremities \/
Scare Skin
\/ U
Reflexes Blood Test - /
(Noto % of dofocts if OST otiot) _ (Hood aod aoek osly -- |i*o locaeios) Glands 1/
Mentality j
Urinalysis ^
Musculature X Genitals
General Condition: Good i/
Fair
nn you recommend applicant for work? A
emarka
Poor
Nutritioa: Good P Type of Work?
Fair
Poor
IfK-280-1.
APPROVED
*
FOREMAN
SAFETY SUPERVISOR PLANT
xt / os
Examined by
A _______.
rt
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HON AL O l r 2 ^
:SICAL EXAMINATION RECORD
DATE
PRK-EMPLOYMENT RESTATEMENT XPF-WUDIC health
rv' '________
X. .* BIRTH 12/7/12 'TEMPLOYMENT National Gypsum Company
j.SJMiLK {g^ARRIED OTHER
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EMOTIONAl. STABUJTV applicants su.-naube JOM ASSIGNMENT
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*o. 25519 Interpretation oi
PUat: Millington, N.J.
Heading Date
2/29/72
roentgenogram of cheat
taken on
2/4/72
See previous reports indicating the development of
shadows since 1953 vhich would be consistent with a
diagnosis of asbestosis and thickened pleura* The
current film shows less evidence of pleura fluid on the
right* This reduces the likelihood of a mesothelioma,
a point raised with regard to the *70 film*
OIORGX W. W12CKT. U. D. Saint Laka'a Hoapital 11311 Skakar Sonlavaxd Cl^alinH, Ohio 44104
K*
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ATIONAL GYPSUM COMPAN)
O
IYSICAL EXAMINATION RECORD
o _..__ '
PLANT* 0EE1CE, sA; ts uiz 1 cu^ *,
9-2-9-Lr-
^ DATE.
r prk-kmpi4>vmknt Cj rkisstatemkn X periodic. health
umuEss j
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\TK 01 BIRTH 12/7/12ut;i; J2I) \stkmplo^mc-AT National Grpaujn Company
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Emotional stability
'..................................... H
AITI.ICAN 1 *S ali.NAT (Hi.
JOB ASSIGNMENT
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manager
KK.'T'-.A-;
SAFETY SfPEH.
sj
NO 9(1* H
G1TI0NAL GYPSUM COMPA u
Sales District Office
Name
|--------------- Addresa
Plant SUXlagtOll, Jf*J.
______ Dept.
Check No.
aw
Ifi.
Color
Arthritis ~ Operations Venereal Diseases
M D'
Children
PHYSICAL RECORD
(TO RE COMPLETED BY PLANT OR OFFICE)
Epilepsy
___
Hernia
Liat ae reveraa aide any bavpitaT ad/aiaeiona ! paat S year*.
Tuberculosis
Liquor
Tobacco
Drugs
Other Illnesses
Injuries -- description, location. % disability __
Compensation Received
He** you history of etlieoeie of ay other dual diaeaae?
Oo you have a wortaeo'a eowpeoaattoa eaac peadtat (or either iaivry of illaeaa*
Hava yaw ever heea ia aujitarr aarvice'
Hve any of you/ pareota or brother* or aiata/a had TuhereiJoaia, Caocer, Diabetea, Epilepay or loaaoity*____
__
Last previous employment
I certify that the above anawera are true, correctly recorded, and that I aa ia good health, aod that 1 have never tuffered froat Silicoata. eicept (hiatory)
Witness
1 If divorced, give date and place Height S'ffc"
PHYSICAL EXAMINATION (TO BE COMPLETED BY DOCTOR)
Weight
Eyes: Right Pupils Lungs 1/ Heart y
Left Corrected: Right r/ Cornea *
Shortness of Breath ^# 0
Blood Pressure
Ears ^ Throat and Tonsils L/
Nose Hearing: Right
/<%4>
Ovar Height Normal Height ^ lladar Height
Btaacular Left Viaiea
Chest X>Ray
-
Pulse y i/
Teeth
Left **,
Abdomen
Hernia
Hemorrhoids **
Extremities Scars Skin
y' 1/
(Nate % of defeeta if aay e**0
(Head aad aeck aaly . gtv* lacaaoa) Glands 1/
Musculature * Genitals **
Reflexes
|/
Mentality j
Blood Test
Urinalysis *
General Condition: Good y
Fair
*' you recommend applicant for work? ^
Poor
Nutrition: Good i/ Type of Work?
Fair
Poor
\emarks
APPROVED
foreman
SAFETY SUPERVISOR
`
l/^_____________
1
/I / r
Date // >/2S ' * "
|
1
Examined by
v
w.:
me rm r\vff*c
tr nv trre <*r-re.<*i
1|
iI Iit
O' .... i k/t/bl
~TT
A___ US
Color
Arthritis Operations Venereal Diseases
Liquor
C-^IONAL GYPS UM COMPAN
Sales District Office
Address
Plant MiilIngton,N. J,
Dept.
Check No. li;3
MW
Children
PHYSICAL RECORD
(TO BE COMPLETED BY PERSONNEL DEPARTMENT) Epilepsy____________________________________________ Hernia
Liat oo raroroe aide nr heapiio! odaioeiooa it peat S year*.
Tuberculosis
Tobacco
Drug*
Other Illnesses
Injuries -- description, location, % disability
Compensation Received Ha*e you o biotorr of oilicoaio or oor other dual diaeaao?
Do row have o wko*i't compeoaauoo eoao peodiof (or oitber inn or illoeoa?
Bur too rrrr baeo to oilittfr aerrtee'
Have as? of tout poreota or brother* or aiaterv bad Tubereuioata. Cancer, Oiabetea, Epiltpir erlsaaaitr?
Last previous employment_____________________________________
f certify that the above eoawera ore ve. corrector recorded, #d tbai I m is lood health, ood tbot 1 boe eeesr ouifored fro Silicoaia, accept (htatorr)
Signature of Applicant
Witness
If divorced, give date and place
Eyes: Rifht Pup ,S /
1 /xo LofT
PHYSICAL EXAMINATION (TO BE COMPLETED BY DOCTOR). Weight /V3._______________________
^ Corrected: Ribt
Cornea
L- ngs Heart
Shortness oi Breath Blood Pressure
Ears
Nose i/
Throat and Tonsils ^
Hearing: Hight
Abdomen V
Hernia
Over Weight
Homo! Weijbt Usdat Veifbt
Left
Bisoetlor Via too
Chest X-Ray
p` 7/
Teeth
%Left
Spint
Hemorrhoids k
Extremities ^ Scars Skin
(Note % of defect* if oor osoO
_ (Head eod oeet oolr -- fire loeasoe) Glands Ls
Musculature Genitals ^
Reflexes
Mentality
Blood Test if
General Condition: Good
Fair
Poor
Urinalysis if Nutrition: Good ^
Fair
Poor
you recommend applicant for work? tefoark*
Type of Work?
frfrr.'si-S-
APPROVED
FOREMAN SAFETY SUPERVISOR PLANT
S~) / /]
D"e
\ Lf
Examined by
/
thk rwpi oYbT*^ rnCritTlON i^known ny Hit cnprnvtcoR yrc 1 1 ho 1
M.
V a'
CrATIONAL GYPSUM COMPAN. `
Sales District
Name
1 Address
Office pl*"* yvt.
Atrpil 17. i$*<5
Age Ii6
Color tf
Arthritis . . Operations
Dept.
Check No.
S M W D*
Children
PHYSICAL RECORD
(TO BE COMPLETED BY PERSONNEL DEPARTMENT)
Epilepsy
Hernia
Liat oa re*erae aide aar hoepuo* edaieeioae ia paai S yeare.
Venereal Diseases
Tuberculosis
Liquor
Tobacco
Drugs
Other Illnesses
Injuries -- description, location. % disability
Compensation Received Nava you a hieterv of eilicoaie or aar othar dun diaeeee?
Do row ha*a a worksae'e eowpeeeeuoa casa peadifig for auhar lajury or iliaeae* Hava yev avar baao ia auiiiarr aarviea'
/t, i
Hava aar of you/ pareata ct brother* or aiaier* bad Tuberetdoaia, Caacar, Diabeiea, Epilapay or laaaaitr?
Last previous employment
I certify that tbe above aeawera ara tma, correctly recorded, ead that I a is tood baa1th, tad that t have aevar awffered frog Silicoeie, acpt (hiaiorr)
Signature of Applicant
Witness
* if divorced, give date and place
Height
v
PHYSICAL EXAMINATION (TO BE COMPLETED BY DOCTOR)
Weight
/?/
Eyes: Right
Loft
Corrected: Right
Pupils ^
Lornea
Lungs ^
Shortness of Breath
Heart Ears
^
Throat and Tonsils
^
Blood Pressure / ' . /
L -w Hearing: Right /
Out Weight Namal Weight
Usdar Weight
Loft
Biaocwlar Vtaioa
Chest TMUy----Pulse
Teeth 1/ Left
Abdomen
Spine
&
Hernia /, Hemorrhoids
Extremities Scars Skin Reflexes Blood Test General Condition: Good
{Nate a ot dafecta if aar imt)
(Hoad ead aaek ealy -* give loceoea)
Clands *
Mentality ** _______Urinalysis % 5"1
Musculature Genitals _________
Fair
Poor
Nutrition: Good
Fair
Poor
PCTicusmjujass **'
-'
.!iyj
tSBS&
Sv
IVritfV
Kt^li
-4
' >0
-AoTV^i,
.
' * -Vv^ - *.
V -V !* \ -
\ NAMS_
. ..
* <-*-r .
ADDRESS. *v%-.
:-.-ycity
*
"Vs-. * `->7-V-'7
" * <V .
*_. -v\~ v ,t'. BTJLTO.nOnDn TtEpSsTt, "
^
V,
/
*'*; ..' V.-'v -'U.-'V.- --/ EYES
.,
' *C
*'
I * > ^ - (j .
EARS
NOSE.
v' *v
7' ^7*-*iy.4,; *
THROAT:
~* O
/s
'U4*rOS(,
> ^7; ..ft-
r*?* HEART
- ^ "____________
- ' ;
" ''-
r .................
ia
v.V- BLOCI PRESSURE /Hr) H 0 " -
___________________________
v. -. V''*-V . . >
'v _. \, URINE,. ANALYSIS
?jW*r+i*?v+*tv*r
VvV. ^tV
.
..
' ' c" r - . ~ -
remarks.
6,'A:^ . - .
'1 S-^.V.
.
_:--
-------------------------- :------------------ -----------------------------------------------
M .. . i ^ t ,, r* - :<
" .* . ''
* :?-;x ax:
* >*'"
i ` V" *A?'
.'S'.V' * r *a_ t. .
. w .. . M- ' , ;,f :
'** T.t*
_."
NAME - " '
vV-*-*r * *.ADDRESS
y-- .s, - - *?.; > y - *' ?ta
-.*-* CITY._______________-_v_______-__-_v*-~vsf-a
.'i*. `.Ot'?' "'1^ -V
`-7' >*?'* ' . *
.- .v : /:
BLOOD TEST; ' NEGATIVE
POSITIVE.
- V 'V *-y . v'*J . '
--v*
>t.
'\.r* ' v;-?v- .*
`t *;\.V ' V .
***'' ^. 1 4 EARS: '
""' *' ` - ;' * '" - Vr." NOSE; ; * *>j. v.V * , rV'V ' THROAT: ' '
C, ^ S-' . * V^J <**'.
' ' - ` * -.*
HEART ;V'n
.4*v . y *.:. i'\ *J
* . s - f. v
VV
&
/'I;
BLOOD* PRESSURE: /
y
` ' ` '
; ri;.:v^ V
' c--y
-'v* - *
^ ; %v; r ''V :* -4 y*"<
URXMe''AKATA'S IS :' (U-Jk<*&. ' / yi/:-'
X-RAY;' RK/.RKS.;-k - "
1?- V-^;v`
/ # ^ V '2* `j/y * . .i % *
*'WS >> . * -.`V
' ;r*U.' ' a *.
. - _ ; ,--i * ***-v,** k'--. '* * 9
. - a*.,.
>'
Ki< ;m
Homo
25519 Intarpratatioa of j[ngle takoa oa 2/4/72
Plant:
Millington/ N.J.
Raiding Dato roaatgaaogram of ehoai
2/29/72
; See previous reports indicating the development of
shadows since 1953 which would be consistent with a
diagnosis of asbestosis and thickened pleura. The
current film shows less evidence of pleura fluid on the
right. This reduces the likelihood of a mesothelioma/
a point raised with regard to the '70 film.
GSORGS W. WRIGHT. U. 0. Salat Loka'a Hoapital 11311 Shakos SenloTasd Claralaad, Ohio 44104
*k / - * '**<1* *v .
kite v*:v>s
N*a* No. 25519 Iatorpratatton o*f ^single
7-31-70
PUnt: Millington, N.J.
Reading Data rooatgoaograa of cfcaat
8-20-70
Comparison of a series beginning in 1953 shows that he began with a normal film and by 1968 had developed bilateral pleura involvement with a question of intralung disease as veil. In the interval since 1968, he has developed what appears to be a collection of fluid in the right pleura spaee* Further study of this is required since the possibility of tuberculosis or nesothelioaa involving the pleura must be considered.
GJORGI W. WRIGHT, U. D. Saiat Loka'a Hospital
v 11311 Sbakor Bovloraxd 1 Clorolaad, Ohio 44104
Name No.
25519
Interpretation of single
taken on 7-19-68
Plant: Millington, New Jersey Reading Oat* 8*12_6S
Bomparison to previous films sbovs more evidence of bilateral pleura changes with a strong suggestion of a pleura plaque on the right. Some of these changes have progressed since 1966 and would be consistent with the known effects of asbestos inhalation.
GZORGI W. WRIGHT, M. 0. Saint Luka'a Hospital 11311 Skakar Boulavard Qaalaad, Ohio 44104
Name
No. 25519
Interpratation of
single
taken on 9-20-66
Plant: Millington, N.J
Reading Data 10-12-66
Compared to 1964, there is no change* Since 1953 the bronchovascular markings have become more prominent and the right costophrenic angle is obliterated* Provided he has had considerable exposure to asbestos fibre, he night be classed as an asbestosis suspect for further observation*
GZORGS W. WRIGHT, M. D. Saint Lake's Hospital 11311 Shaker Booleeard Cleveland, Ohio 44104
Name
No.
Intexpzetation of ,
taken on
5519 single 2/7/64
Plant: Beading Date
roentgenogram of chest
Millingto.. y N. J ifi 5/2/64
No change when compared to the filn oi 1962. See
previous reports.
GEORGE W. WRIGHT, M. 0. S*iat Lake'* Hospital 11311 Shakar Boulevard CUvolaad A, Ohio
0 A-
kH*:ssZ`
Name No.
86-62
Plant : Reading Date :
Millington 6/5/62
Interpretation of
tingle
roentgenogram of chest
taken on 5/ciftZ compared with
taken on
No significant abnormality seen.
A few calcific flecks are noted in the root of the
right lung.
GEORGE W. WRIGHT, M. D. Stint Lnkt't Hotpi 11311 Shaker Boulevard Cleveland 4, Ohio
i. 4
*fc^S33 /
o
1%
Name
Plant:
NGC Millington, New Jersey
No. 41-60
Heading Date :
1/11/6;
Interpretation of ^ . - o
roentgenogram of cheat
taken on 5/24/60
compared with
taken on
Compariton to film of 9/18/57 reveals no change. A pleuro-pericordial adhesion present in 1953 is noted.
*
4.
* t
GEORGE W. WRIGHT. M. D. Saint Laka'c Hcipiul 11321 Shakar Boularard Cleveland 4, Ohio
0
No. 21-57-B Interpretation oi taken on
P1"t:l!mingtoo, I. J. (H3C) Reading Data:
roentgenogram ol cheat
compared with
taken on
Bo riurngo idien exwparod to 1^3/55
GKORGZ W. WRIGHT, M. D. Saint Luka'* Hoapital 11311 Shakar Boulavard Cltwlud 4, Ohio
a* v
/ *X
PHYSICAL EXAMINATION uii
CLOCK NUMBER.
OCTOBER 1947
I- 1
NAME
Jt
ADDRESS.
CITY____
BLOOD TEST: NEGATIVE.
EYES1 EARS
JL
/
NOSE:
(/
THROAT:. V
HEART:
JiHcBLOOD PRESSURE
POSITIVE. 2^ % 3^
WINE ANALYSIS '
/~/~
X-RAY: REMARKS:
________________________________ _______________________
Physicians Sigtisruro t k v^36
AT10VAL CVPSIM COMPANY HYS1CAL EXAMINATION RECORD
__ SALARIED PLANT. OFFICE. SALES DISTRICT
'Ji holru
_ DATE__ !?"/}
PRE* EMPLOYMENT i_ REINSTATEMENT
PERIODIC HEALTH
ADDRESS
____________
ATT OF BIRTH
12/7/12_________ ^ACEJBM
;> SINGLE 51 MARRIED OTHER
AST EMPUmtNT
'
PREVIOUS MEEXAL
LIGHT
DISFIGUREMENT - FACE. HEAD OR NECK
//3EIGHT |
.KE.'T
0'
CONFIG! RATION .
V|S10N*D1STANT | VISION-NEAR VASSERMAN vuh.w out gl*>es| wtth.w/out giassec
Hd;
R.E. 20/
L.E. 20/ COLOR VISION:
R.E. 20 L.E. 20
URINALYSIS
SUGAR
^^^J^HUM! N
EXPANSION HERNIA
--,
JLAR7 .i-ngj>
<4
BLOOO PRESSURE, / M77 0
INGUINAL RINGS h
ft //
OPERATIVE SCARS -
L
. In //
NORMAL ENLARGED RELAXED
FEMALE APPLICANTS - DAltOf- LAST MKNSTR.AL PEHIODU MENSES
BACK AM) EXTREMITIES - edema, ampliations, finciiowl defects, deformities
x
HE'mNG JFK. FINDINGS - ADDITION AL
~y--t.
NLl ROLOGIC AL
- SKIN LRIPTION
Y'
C.ENERAL CONDITION: fZ3<C)OD { 1 FAIR f~lPOOR: EXAMINEE HAS BEEN API tSED OF SIGNIFICANT FLNDINt.s P] \ > f"l \Q
SlMNUin OF PERMANENT DEFECTS. IMPAIRMENTS;
\.. ; at". -
NATIONAL GYPSLM COMPANY
PLANT. OFFICE. SALES DISTRlCTMilllngtcn--^^
PHYSICAL EXAMINATION RECORD
DATE.
,__ ; PRE* EMPLOYMENT G REINSTATEMENT G PERIODIC HE\LTH
Q1
____ ____________________ address!
_
DATE OF BIRTH 12/7/12(AGE 53 )
G SINGLE g^-ARRJED OTHER
L.ASTEMPLOVNENT
National Gtdsuiti Company'
HEIGHT
DISFIGUREMENT - FACE. HEAD OR NECK
WEIGHT
/</D
HE .ART
Z4*+c*T
CHEST
,
VISION-DISTANT VISION-NEAR
* ASSERMAN JLu-*
Ha:
C.R.E. 20.^ 0
20/
URINALYSIS
U.L.E. 20'5LO HERNIA
20/
SUGAR
ALBUMIN ILi-4
ABDOMEN W-.M.P.
CJ
CONFIGURATION CHEST EXPANSION
BLOOD PRESSURE
INGUINAL RINGS
* Rn
.
OPERATIVE SCARS
V /tC-
~ /
L A*/ H.JL .
Back and extremities -edema, ampitations, functional defects, deformities
w NORMAL ENLARGED RELAXED
JU
XlFIC FINDINGS - NEUROLOGIC AL
SKIN ERUPTION
SIAMARY OF PERMANENT DEFECTS, IMP \1RMLNT>: EX AMINEE HA> BEEN ADMSED OF SIGNIFIC ANT F1M)IM.>
'I E* NO
EMOTIONAL STABILITY
I.WLlIGE.NCE
.
__________________________________________________________________________ __________ _________________
^vr*-__________ ^
APPLICANT'S SIGNATURE
^
j Acrepf Cood:;. Ar-ept
PHYSICIANS SfCNATl RE
fA
/U t
JOB ASSIGNMENT
PREVIOUS MEDICAL
COMPANY APPROVAL?
PERSONNEL MANAGER BUFFALO
DATE
PART EX.AMIN :d
X-RAY REPORT - R ADIOGR APHIC FINDINGS
FILM NO.
------- ----- -
DISTRICT
S' "S
* SER
PLANT MANAGER
' US-30
SAFETY SUPER.
M.I
Nf, 90* R'-
NATIONAL GYPSUM COMPANY
Sales District Office
Name
___ 2.
Color
Arthritis -- Opr&tioQB Venereal Diseases Liquor Other Alnesses
Address
Plant Winingtonf H.I,
Dept.
Check No. 2it ^
MW
Children
PHYSICAL RECORD (TO BE COMPLETED BY PLANT OR OFFICE)
Epilepsy______________________
Hernia
List on raverat aide any boapital adaisaiooa in past 5 yaara.
Tuberculosis
Tobacco
Drugs
Injuries -- description, location. % disability
Compensation Received
Have you a history 0/ ailieoaia or aor other dual disease?
Do you hav a workman's eompansstioo eaae pending for either injury or illotsa?
Have you aver heap in Military service?
Have aoy of your pareate or hrothera or sisters bad Tuberculosis, Caneti, Diabetsa, Epilepsy or Inaanity?
Last previous employment
I certify that tbe above answers are true, correctly recorded, and that I sa is good health, sod that 1 have never auffered from Silicosis, eecapt (history)
Signature of Applicant
Witness
1 If divorced, give date and place
yW-Height
PHYSICAL EXAMINATION (TO BE COMPLETED BY DOCTOR)
Weight /S/V^
Eves: Right
Left
Corrected: Right
Pupils y
Cornea
Lungs y
Shortness of Breath V6* *
Heart ^
Blood Pressure
Over Weight Normal Weight Under Weig ht
Left
Chest X-Rav Pulse
Binocular Vision
Ears Throat and Tonsils Abdomen j
Spine
Nose Hearing: Right Hernia Hemorrhoids ^
2
Teeth Left
7 `W
Extremities Scars Skin Reflexes Blood Test'
^ ^
(Note t at Maea if any ecat)
_ (Head and aacb only -- give location)
Clands 1/____ _______________ Mentality ^
Urinalysis *
Musculature * Genitals
General Condition: Good i/
Fair
Do you recommend applicant for work? ^
Remarks
Poor
Nutrition: Good ^ Type of Work?
Fair Poor
)Oc *'^10
APPROVED
FOREMAN
SAFETY SUPERVISOR PLANT
M AN *f.FR
Date
Examined by
THIS EMPLOYEE'S CONDITION IS KNOWN BY BIS SUPERIOR. YES ^ NO
NATIONAL GYPSUM COMPANY
Sales District Office
Name .te 4/*/e>l
A<je Color
Arthritis * ** Operations Venereal Diseases
Address
* Plant Mii.i.ing'ton >*? J"
Dept. Check No. 243
V
S M W D*
Children
PHYSICAL RECORD
(TO BE COMPLETED BY PERSONNEL DEPARTMENT)
Epilepsy
Hernia _
Ladiamtieoaaioreavoeirasepaaaidt#$araoyarbso. epiul
Tuberculosis
Liquor
Tobacco
Drugs
Other Illnesses
Injuries -- description, location. % disability
Compensation Received Hanayreotyhoeur aduhailatdoiaryeaoafee?ilieoeie of
pOeoaydoiouchfaoyr*aaitbaawr ikaajunry'aoer oilaiapteeaae?atioa ceae Bare you avar baaa ia military aervice?
Have any of your parent* or brothera or itiun bod Tuberculoaia, Cancer, Diabetea, Epilepay or Iaaanity?
Last previous employment
1 certify that tba above a&owere are true, eorreetly recorded, and that 1 aa is tood health, aad that 1 have aeeer Buffered from Silicoaia. except (hiatory)
Signature of Applicant
Witness
* If divorced, give date and place
Height Eves: R>bt
S[s 'A
PHYSICAL EXAMINATION
(TO BE COMPLETED BY DOCTOR) Weight /
Corrected: Rifbt
Pupils /
Cornea
Lungs Heart Ears
Shortness of Breath
3Blood Pressure
Nose
Throat and Tonsils
Hearing: Right
Over Weight Normal Veight Usdar Vei(bt
Left
Binocular Vieioa
Chest X-Rav
7/
Teeth Left %
Abdomen Spine
Hernia Heraocrhoida is
Extremities ^ Skin
(Note a of dafacs if aay out)
(Haad aad aoci oaiy -- |iri locaooa)
Claads Ls
_____________________
Musculature Genitals ^
Reflexes Blood Teat* ^
Mentality Urinalyais V
General Condition: Good
Fair
Poor
Nutrition: Good t*
Fair
Poor
Oo you recoaanend applicant for work? Remarks
Type of Work?
TcTT^sTT
APPROVED
OaSAFETY SUPERVISOR
PLANT MAVirtm
moN Renown by his supervisor, yes Q no
Name
O 2___ April 17,
Age It-6
Color V
Arthritis . " Operations Venereal Diseases
NATIONAL GYPSUM
TZpL
J
Address)
COMPANY
Sales District
Office
Plant jot Check No.
M W D*
Children
PHYSICAL RECORD
(TO BE COMPLETED BY PERSONNEL DEPARTMENT) Epilepsy_________________________________________ Hernia
List oa raver** aid* ar haapiut iduiiiau ia put S yea*.
Tuberculosis
^^
Liquor
Tobacco
Drags
Other Illnesses
Injuries -- description, location, % disability
Compensation Received
Have you hiatory of ailicosi* or aar other duat die****?
Or trv have a wociuaa'a co^caaauoa cut pending far either injury or ilia***?
Have yea ever boon is military eemee?
Have any of your parent* or brother* or aiater* bad Tuberculosis, Caaeer, Diabetea, Epilepsy or Insanity?
Last previous employment
I certify that the above soever* arc true, correctly recorded, and that 1 am ia good health, aod that 1 have never suffered from Silicosis, except (history)
Signature of Applicant
Witness
* If divorced, give date and place
rieigbt Eyes: Right PupiL
PHYSICAL EXAMINATION (TO BE COMPLETED BY DOCTOR)
W<ght____ /3.1________________
Left Corrected: Right Comes A-'
Longs
Shortness of Breath
Heart
Blood Pressure /, /
Over Weight Nonas] Weight Coder Weight
L*h
Binocular Visioa
Chaat-Y Ray-- Pulse 7^
Ears Throat and Tonsils Abdomen Spine
Nose L-
Hearing: Right
Heraia Hemocrhoida
Teeth Left
40
Extremities Skio
(Not* % of dcfocta if aay asint)
__ (Head aod occk only -- givo location)
Glands v
Musculature Genitals
Reflexes Blood Teat
if-
Mentality ^________________________ ______ __ _______Urinalysis t ^
General Condition: Good ^ Fair
Poor L* Nutrition: Good
Fair
Do you recommend applicant for work? .emarks
/I
Type of Work?
tk.
Poor
APPROVED
FOREMAN SAFETY SUPERVISOR
MANACER
` . /__________________________
Examined bv THIS EMPLOYEE'S CONDITION IS KNOWN BY HIS SUPERVISOR. YES
M. NO
: c...,'-; faJSICJLl,
"' v\ - . ?.vi;' ' ^ TSfiOAJ
-V -
SLOOP TEST
'
- EYES l-- It/jQ
- Ju jjd
' SABS
*"
''
- SPSS
"~T THROAT if'
>> ________________ _______________'
o tviAi - 51950
'-
PHYSICAL EXAMINATION
4
' ^CLOCK NU!3ER U3_________
DATE Jan.I/fl?A9
NAME________ ;_________________________________________________________________ ADDRESS__________________________________________________________________________ CITY
THROAT:, HEART___ BLOOD PRESSURE
URINE ANALYSIS X-RAY REMARKS__________
0
YX
Physician's Signature
Diplomat*. AmM" udb OP Ol_A*Tie .RSItV
S. DONALD MALTON. M. D. 11 FINE ST.
MORRISTOWN. N. J. 07960
JEFFERSON 0-6*6 1
June 1, 1967
Mr. Tolin National Gypsum Company Millington New Jersey
Dear Mr.'Tolin:
Just a note regarding whom I originally saw on 5-17-67.
Apparently on 5-15-67 he reached for a tool and hyperflexed the terminal phalanx of his left ring finger with consequent rupture of the extensor tendon from its insertion in the terminal phalanx. This resulted in a typical "mallet finger".
He was referred to me by Or. Albert Shkane, on 5-17-67. On 5-18-67 he was admitted to All Souls Hospital, Morristown, N. J. On 5-19-67 repair of the extensor tendon of the left ring finger was performed under general anesthesia. He was dis charged on 5-20-67.
He has been seen in my office on 5-29-67 and the wound was healing well. A steel pin is placed across the distal interphalangeal joint for fixation and stabilization of the joint during healing.
Mr. was permitted to return to work as of Monday, TTay 22, 1967. When his treatment is completed, I will submit a further progress report.
SDM/RMW
Very truly yours,
S-li-
S. Donald Malton, M. D.
7/4-4 7- O !~7
fcIC'UVIG
Oi>bOM*T(. W(I>4N
ius or ObAorie
O
i
S, DONALD MAUTON, M. D. 11 PINE ST.
MORRISTOWN, N. J. 07060
JcrrcHsON 0*5461
December 5, 1967
Mr* R* M. Walker .Director of Claims ~Laverack & Haines, Inc* 233 Main Sc* Buffalo, New York
14202
Re:
Vs: TTtional.Gypsum Company
In^: 5-1667
Carrier: 712 67 017
*0
Dear Mr* Walker:
Receipt of your letter of 10667 regarding l is acknowledged*
He has complete flexion of the left ring finger* He is short full extension of the cittal ir.terphalangeal joint of the left ring finger by about 5 to 10. Sensation is normal.
From a compensation point of view loss of the entire ring finger is considered a 10 percent less of the hand. In this situation v/e have no loss of a finger, sensation is normal, and full range of motion is present except for a minimal loss of extension* Cn this basis, one would estimate that his percent of disability is about 1 to 2 percent.loss of total hand function* actually, 1 percent loss would be more accurate*
I trust the above answers your question*
Very truly yo "V..~ ,,.
o --
S* Donald Malton, M* D.
SDK/RMU
fcK'.-tvlT
5
O'.WOMAT*. AMCOICAN
Bo**: or uaatKT
S. DONALD MALTON, M. D. II Pine ST.
MORRISTOWN. N. J. 07090 Jefferson 9.S461
September 7, 1967
* |
Mr. R. M. Walker Director of Claims Leverack 6 Heines, 258 Mein St.
Buffalo Hew York
Inc. Re:
________ Rational Gypsum co.
Dear Mr. Walker:
The following is a progress report on
>
> eaployed by National Gypsua Company, of Millington,
ft. J. Please refer to ay letter of July 24, 1967 for back
ground.
Subsequent to his visit on 6-20-67, I again
saw Mr.
* on 8-15-67. The rupture of the tendon aust
have rehealed with scar tissue and continuity was re-estab
lished. On 8-15-67 he had active extension at the distal
interphalangeal joint of the left ring finger. However, he
did lack full extension by ten degrees. Flexion was excellent.
I did not think this lack of complete extension was signifi
cant fron a functional point of view, and told hia that there
would be no need for any further surgery.
I again saw
on 9-S-67. He was still
ten degrees short of full extension, but flexion was ex
cellent , he being able to touch the eala of his hand with
the tip of the ring finger. My opinion, as aentioned above,
still holds, and I feel we ean close the^cgjc*- , ' * --
No further follow-up is necessary.
I trust the above clarifies the situation.
Very truly yours,
SDM/RMW
S. Donald Malton, M. D.
tt `V.-'SAS
O
July 2i, 1967
Mr. R. M. Walker Director of Claims Laverack 6 Haines, 238 Main St.
Buffalo
New tork
Inc.
Dear Mr. Walker:
Re: I national Gypsum Co.
-,?he following is & summary of my treatment of
, employed 'by the Rational Gypsum Company, of
Division Avenue, Millington, N. J. l
*vas referred
to me by Dr. Albert Skkane of Millington, R. J.
'heOn 5-15-67
reached for a tool and apparently
hyperflexed the terminal phalanx of his left ring finger
with subsequent rupture of the extensor tendon at the in
sertion into the terminal phalanx. This resulted in a
typical mallet finger deformity.
He was admitted to All Souls Hospital, Morristown Rev Jersey on Friday, 5-18-67 for repair. On 5-19-67 repair of the ruptured extensor tendon of the left ring finger was performed. A steel pin was used to transfix the distal laterphalangesl Joint in hyperextenslen to permit healing. The wounds healed uneventfully. The fixation pin was re moved on 6-15-67. However, on exercising his finger he apparently ruptured the tendon again and the result was a
degree flexion deformity at the distal interphalangeal Joint which is present.
Zn view of the above, be will need a secondary tendon repair. I believe some time in late August or September he anticipates having this done.
Enclosed is my bill for services to date.
Very truly yours,
aJUi (Wafer
8DM/FMV
P.S.: the surgery, result
6. Donald Haljton, JL.' D.
c *9, *
returned to work several days^ollovir.r. This in no way altered the postoperative
George W! Wrsght. M.D.
DEPARTMENT Of Experimental Medicine
SAINT LUKE'S HOSHTaA. iitii sham* icvo. CLEVELAND 4, OHIO
"0. 55
Nane
Rati. Gypsum Co. Millington, K.J.
Interpretation of single roentgenogram
of chest taken on
?-l5-53
compared with
taken on
There ie a peculiar density in the *tfc rijhc interspace. It has the appearance c. ar. artefact. 'Jo ecncrsaiity of an occupational nature is seen.
. v .' u
.
-*21
i
George W. Wrjght\ M.D.
DP***TWEN7 Of EXPC-AIMSMTaL MEDICINE
SAINT iuke'S hospital mtl SHAKE* UVD. CLEVRAND 4, OHIO
Ko. 136
Hass
Natl. Gypsum Co Millington, N. J.
Interpretation of ex' chest taken on ccapared with
single roentgenograa 12-10-53
taken on
No significant abnormality seen.
(I >
o
George w. Wright, m. D.
OtP*Tit>.T C*
ex#*f*'-c*-T*u MteiciNi
January 3, 1956
T. UUKt't MOf'T*k 11 (HAKH vvc CwtvfOND , OHIO
55-21-B N
National Gypsum Co. Millington, N. J.
lmer>rri.v.t'i
single uomK<t`=s:r**
f ufcon on 12-1-55
w:ib
iak**n *u 9-15-53
No charge.
* * *t fr '> *>o
*
No. 21-57-B Interpretation oi taken on 9/15/57
Plant: Millington N. J. (?C)
Reeding Data I
VV57
roentgenogram oi cheat
compared with
taken on
No cnar.^e wnen corr5parfc'c tc 12/1/55.
GEORGS Y.'. WRIGHT. U. D. Saint Luka'a Kcapital 11311 Sbakai Bou*a*jd C'.avalaad 4. Ohio