Document N28ejoqOp8M8k0RBKyOb8DJOp

FILE NAME: Contract Unit Workers Comp Claims (WCC) DATE: 1955 DOC#: WCC018 DOCUMENT DESCRIPTION: Workers Comp File - Rothwell, Richard J Contains all documents found in the Claimant's file, with one blank page between each separate document f * BALTIMORE, MO. NEW YORK. N. Y. CLARKSBURG, VA. j TULSA. OKLA. *T. LOUIS, MO. CHICAGO. IL L . LOS AN0CLCA CA L ATLANTA. A* / y , ' / Alexander & Alexander IN C O R PO R A T E D INSURANCE AVERAGE ADJUSTERS C O N S U LTIN G ACTU ARIES 5 0 3 ST. PA U L PLACE, B A LTIM O R E 2 , MD. TELEPHONE MULBERRY 8 -# 9 4 0 SELL SYSTEM TELETY PE BA 8 8 t CABLE ADDRESS ALCXBLUE** Mr. William L. Hughes, Manager Insurance Department Armstrong Cork Company Lancaster, Pennsylvania February 2, 1955 Dear Sir: Travelers Policy No. RUB 20it72U2 Please note disposition made of the following claim: Date of Accident: April 26, 1952. Claimant: Richard J. Rothwell Location: South Huntington Avenue, Boston, Massachusetts Claim No,: B713179? Disposition: $225. Expense Remarks: E Very truly yours, ALEXANDER & ALEXANDER, INC. LOSS DEPARTMENT -ft , * . t ' -J|'. Inter Office Communication ^ /- / /sy? 7 Z? // */ Armstrong Cork Company' ' We 'aro attaching here to/copy`of letter from The" Travelers .r-'i .together with the" photostat"' copy of decision on subject case* ' * ; -vy-si^>#*'w*1k-i*i--#S-*H'hVir*-*S*'^*"v'-?\-V ' .-v w j v-.1ft-i." *-w This is a very interesting document on tha subject of,?- suppor^tod-Travelers witax"'sufficient'"inforraatioif aad1;r; ; / Had U p * Jones; appear ,twice at tHe Hearings on summons^; bat Utica :<.; **'v- Nworitftii'vn'n''r>nT,fc nf ITitw*V'V^'w i '.*. ->.J ` ; *. Attainment Vi,&*>''';V"`".`:"---''.A --'v'^j;' . ; , /.* 7=V- -y /? ^ ^ ' ^ ,' / i'*.': ^A-. /.> -, V V ,\V /S' '/Vf ' * / V 1\ **- j '; / . . ' V. _ _ -> l^r i' , V ,' ia' V ' A ^ - ' , .'Y^ y / A /-?V P V V 'V "'7 - . A V - ' - "/ "*_V- 'V r- rC!o/^vp>*yrv t4-o/\. J_T* VW3* LT.i4d^/d^el*nl,. Building WMaft'fetr>iiaollse TDMitvt.;,*'LT.arnci^asotfeor^ -Vii','k^V* ' V r ** THE TRAVELERS April 30, 1 9 ^ Armstrong cork Co* Hancock Street So, Braintree, Mass. Address all replies to: Claim Department, The Travelers l]4.7--11^9 Milk St., Boston 9> Mass. and refer to file Gentlemen: B-7131799 . Amstrong ork Co. re: Richard Rothwell z ^ Please find attached a photostat of the single member decision on the above captioned matter. This was requested by one of the assoc iates some time ago. You might be interested to know that on appeal of this decision we also prevailed. At this date we do no know if this appeal has been appealed to the Superior Court. Very truly yours, C. W. King., Jr. Adjuster - '-i-;,. oi-n.-.t,v-s .V't'1'*C>-,V'.v:>'te~v<'t;3;A^V" r~';- ^`-'/''S'"-1 y-- 7.\- V *? *i S'-*- : ' 4+k; '/* 'tn.Ol >' :S0ti'>GlI (6C0?Ci) f -*' * -- T V'-'.-'V vi:;^t-`^u,,,r f- ll' a. .*~- lt ; \ 'S s t a r t in g to g a t i r r i t a b l e and h sfeT er`w a s " I r r ita b le , th a t wae.'a .chang,-/ "and he was t ir e d and wa, :n o t'e a tin g 'g o o d ',' he' Ju st d id n ot lo o k g o o d ,*...if -v th a t . i s ; e l l I ban t e l l you io b jeo fcio a n o te d "by T r a v e le r s to t h e / ^ v i r - i l ! > ' . Btatesaent 3he Ju st d id not lo o k good *, e x c e p tio n i s saved) 0 When'he-oaiae h o s e K e n t th ey ware liv in g , in W ilmington 'and h er husband,-&V to^Dr; fceralc Fegon of Clark' 3 t r e e t , W iiain gtosu They , were n ot l i v i n g I n . 'Dorclxe&ter when fee. w trsed f o r t h e Armstrong cCoorrkk'C'Cooeeppsamny,.Ker- husband raw ' -the doctor e i t h e r cn th e 22no o f February or th e day b e fo r e , i t was i n ; th a t, r io in .it j..Asked i f Dr? Fagan' oon tinuad to be h e r husbandfs doctor-H .' u n t il- t h e t ia e he wont to -th e iiassacfcusetta G eneral- H o sp ita l,' w itness* ' rep lied ,* n ot in e n t ir e t y , no- At'Voice t i n e fcd`.V.Dr, H&yard Kogan o f-,6.; 'lyndhurat Strs*t, Dorchester.. Se hew hia In f i i s V , . iskad, had he b een under the'oare o f T5r. Tngau -fr--pm .F--e-b-r-u-a-ry^ u n t i l M a y ,w itn e s s r e p lie d , saora or l a s s , ..I' mean t h e & a o to r jaaiKjaa oou p le o f t in e s ' t o th e "house and he went t o . th e o f f i c e a cou p le' o f tistb 's-Asked* do you -know why your husband l e f t th e ,; :'ettplby,of the Armstrong Cork;ZC^zo>%m*wp. a*K-nm ym |:l (r\o. Vbije <ct4ion noted by V ie Travelen rVsia, ' ^ '.'exception is. saved) fitness replied,'"yes Asked, .at ame time .before your .V husband stepped work" at; the Arotetrong *Cork Coapauiy, did he have a con-: -;;'VuItatioh in-your presence wth soae physician,: witness .replied,yeac That .; ;"was. with .Sr. ;Hbgan* Following that, oonraultsfcioii liith Or.' Hogan her husband 'stopped work4]at the Armstrong Cork Company Thou at. soma tiae ha went : ^ ' under, the care of the Massachusetts General HospitaJL/, A friend, George .. Boyl&n,' Jr, referred, hia to the Kaesaohusetts General Hospital She believes -he first went to the Massachusetts General Hospital on June 23* 1952. ; / Counsel fo r th e olaiRiant o ffered , the record o f M assachusetts . General H ospital for th is record Counsel for the Travelers objected to i t s admission; in i t s e n tir e ty , s p e c if ic a lly ob jectin g to the h isto r y - b and any d ia g n o sis based ai the h is to r y , h is ex cep tio n Is caved; cou n sel for U tica objected to th e adm ission o f th in record, hie ex cep tio n i s - . ,?sredy The r.voard o f /.'is s s a o h u s e tto G eneral S o a p itc l - U nit #778205 i* a&ds p a r t - o f t h is re co r d by r e fe r e n o e and .may-be found l a th e Board f i l e . Counsel fd r T ravelers requ ested hiB ex o ep tio n be sa v e d 'to h is r e q u e s t t o r some p a r t o f t h i s reo o rd to ' -be d e lc tsc L - . ;; .; A . . . TO CGUK3SLFC2 THE UTICA: She did say her husband was up in Hslne during Peoeiaber 1951 January ahd February 1952* Her husband caas hose Washington^ Birthday and she is not sure whether he then returned to Fort Kent Asked, you think he case hoise on Washington18 Birthday and then, did not retui'n to Fort Ennt,witness replied, I donH think so Her huaband did cow ho&e for Chri^fczns and the next tiiso after that^.was on or nbouc ')ASh:-.f:.gi.o.u,o yP which was in Pobr.UF-.ry Of ner *'oiin knowledg siu door net know unit his condition was In Janu&ry 1952 Asked, and when you told u? a little vriiile ago that you not iced ha got short of breath in January 1V5 2 that '.vas not as rasult of any i>erBc^s.l observations which you had nada, '.fitneae replied, I was not there in January. Asked^ that is uimt you told \ja,witness replied, tha only tiae I would hove seen hia was. -(hen hs left nftar Hew Xears ,If she said pr-eirioualy that '^he first noticed ha was getting out of breath in January 1952 that is not so as she did :ict see. .hi thru Asked, and your sseaory now is that you hava no olear recollection. &% to ;*hsn you first noticed hia gotting out at ors&ti so to fcpa&k,. witness replied^ that- is oorrecto Her husoand came houe' in -= Peceabsr 1951 a few* days_oefora Christwas. She would not say he started to b'l loae. _weiitht in 195.W She did testify .that, clearing of the- throat/ started ini Deoertber 1950 Aaked if that seeaed to get progressively'worse as tin wont on or rewsired the'same, witness replied, got .worse.'Bsfbrb'; : her'--husband worked fo r tfcs B a n c r o ft Company .h e worked, for. th#v-v.\'% . - ..How England I n s u la t io n CoupAny. He w a s.d o in g the' sa a e type o f .work thero ; Tt-ht l a 'th a work she has d ea o rib ed hor She th in k s he worked a t th e 'Kew IV.-England- I n s u la t io n Cciapany q u ite a w h il 0 I t must have been o v er two years* Her- hdbband w en t 't o >os*5c f o r .the A.W. Bancroft,Company d ire q tly ,V a 'fte r.-lea v li jb 4 ^ io s^ lo y ea t'a t How England I n s u la t io n Company. There "was .n o -la y o f '4W' *i'_,./_*. <->.tv-!- ._*>_ -*-v * ^ W : - ^ r^'v*'vVv" / r^ Insulation 0TM^-,*' C o i^ a r^ , ii^nesV"replied''there' was a 'whole H a t of the*, ...I oo' ultnsss repx^ I' cevld give them alio Before ha . g_iv,e then in oorrSdeer,i I nn &omany ha worked frnotr, tthhfet TInncsuullaattlion .worked for tMhe New EnglaThnediICnshualadtiidotnhe same type of ,wo,r,,kv Mtihnatt Vhiea Adi1Ad ffaovr :i kCdianCaiiy,of SHe^ww_??fL? CoBpany, A*_ W* Bancroft Company and Armstrong Ccapany Sew" Encana , * ^ ^ 1 0 0 ^ * r > i .*** h u s ^ s l i f e t i m e did the S ^ ^ t y p e oj^ork w ^ h . ^ de'eoiihod here this aorning; that was his trade,; ** easased steadily at that trade during their, ` g S ^ S..rSJS"".t.o i S_rat_SnT..D.ui i S i4*V^a e p r c s e l onanh.elifwtaWs..foiuotu.t Ooff wwoorrkk .BlX >3 . I ^ y ^ e r aarrlei Deoeabar. 25, 1930- "* '-A** sSSnS5tSSS?^ "5S l 5 TSffiiiS!#t'li* StrVaeT.of wo*rk ?shJe> hta.ijlesortb.4,;& road ;ln the'pper that "Mw Mr. Bancroft for .who her hueband worisedtaj died. She understood that the Hr Bancroft for whos her husband worked had a -r-ivs- 'snail? Bhop* Her''recollection Is that the da^hor husband stopped working: for the A. tf. Bancroft Company he then started to work for: the Armstrong Cs^>e(ny the next day.sk did not hare oooasion to wash hie clothes while /he was up Fort Kent, Her husband did not send thoa hose Asked, and you y./ don't know of your own knowledge under what conditions he worked while fit Fort Kent* witness replied, just what he told ae.When ah told this' .naming about the conditions under which her husband worked that was uotaething her husband told hbr0 She did. not follow his around, ? ...' '/;:' ':.v TO COUNSEL FOE THE TRAVELERS:Her husband brought his overalls hone -~every'two weeks for her to wnshc She Is positive of that. He used to leave the overalls in his tool kit when he did not bring them hose. Asked, so `when you1testified this nornlng as to the oondltiea of his overallf^ou only saw those overalls onoe &vry two weeks, ore or lass, witness replied, /c After her huetend saw the doctor on February 21st or 22nd he went baok to work for the Bancroft Company He oontinued to work for this company : until Maroh 19, 1952. The next day he went to work for the Araatrorjg Cork Company'Pros the tis he saw the doctor in February 1952 Up until he saw ..the doctor is April 1952 when he stopped working, she observed that he was ; different, he was irritable, at tiseshe was rot eating good, he was not sleeping good. Asked, anything else, witness replied, just ws b not feeling : good, he was not hiaselfo Asked, was he coaplaining to you about anything during the period f.ros February 21 or 22, 1952, witness replied, he complain of his chest. Asked, what did he complain bout in M e chest, witness replied, one earning he got up and went to tho bathrooa and oa*e oaok holding hi chest tightly, he said fI can't breath, can't brsetha5 Asked, you testified he started to get out of breath in January 1952,, witness replied., I meant he found it harder to breath0 Asked, what did you observe about hi* during that period fron February 21 to April 25th, anything else,witness replied, I don't kncw0 Asked, but that lathe condition you observed kla to be in fro February 1952 until April 25, 1952, witness replied, yes* Prior to that ehe had n>t seen hi for substantially two oaths. Asked, and you1re sure tnla was the oondltion ha was in froa February 22nd to April 25, . witness replica, yeo0 Asked, no question about It at all, witness replied, no- DR. HARRIS? 1. HARDY, called and questioned by counsel for v1 clalatent, testified her professional address- ,.is Kaseaqhufie11s General Hospital,.. Radical Department of H.I.T. In Cambridge t_ ,.-"Asked, If. she holds, any position with regard to that specialty,k!these / ' : v . j e s i .X ;hsve charge of ths~ occupational aedical ollnio and at M J , T k -I sa assistant asdics! director in oharga of the occupational sedical sarvii Asked if in that'field her. work is primarily one of treating batients or i -primarily one of resecroh,, witness replied, it's a combination of both those featurefl*: la oohiioption"with,her, specialty she deals with diseases of..-ha5dedodsnt la'this oaso was'a'.'t>&iienir-of- h d W `vat Masaafthuaetts::.. r v ' tc ' 'C -. t " ` v? ^ ^ ` 14 = * 5 < a. * ^ < - ' ' `: /F -t;; v; --1'/ ^ e M o n s X ^ r e o Q v d a i, h e leapt working for throe week* la'spite'of thls^v ; ooughi he was told to\stay home by M s faally physiolan who said he had j the grippe, then began to have severe pain In the left shoulder blade ^worse in the morning, better when he moved around, ouch worse at nig ht, there1wag ;increase In cough and abput this tlae he. began to be aware of . . 'V.*-t?**v.'increasing' shortness of breath,he dated that, as about March 1, 1952, It was so troublesome. that he had to do something about it, about April 1,1952 ^--V / h e went tojils phyBloian ii^Doroheater^r^Edward^ Hogan,and she^has talked with hi. She got her history froa the patient* She got the history and T /..then did the physloal and than talked with_Dr, Hogan. ^patient ave her the history of Dr. Hogan telling hia after his xrays that his lung had oollapsed(counsel for Travelers objected to this being admitted, his ; exception is saved ** counsel for Utica also objected to this being ' adaitted and his exception la saved,) Her history, continues that froa * r - this period of: tine In April 1952. the. patient; had been taking penicillin ``and Iron and .sulpha drugs he had soae. constipation*..'and a . . b u r n i n g ..-V '"sensation in the left armpit," he reported a weight loss of 16 pounds/, ^slnoe January,?a shortness`of^breath that he noted beginning in Maroh and was'getting worse when seen lijiFune, his appetite was fair, the aedloal ; history that he gave Insofar as it w b important was that he had bronchitis 8 years ago, he had had slight sinus lnfeotion with sorab coughing hut nothing severe enough to keep hi out of his work, he had xrays taken fro "time to time in community surveys and he was never told therewas anything wrong, his father was thought to have tuberculosis, that diagnosis was not clear, the patient gave it to witness and she put down a question oark after it, the nan Backed bottyk pipe and cigarettes,averaging about a pack a day until hie present illness, his occupational history was that he began working in a store as a olerk while "still at school and he did errands at Boston floating Hospital for two years while still at school and during the summers he was a shipper at Pilgrim Press Company, he stated that about.29 years ago, whan he was about 17, he worked off ana on, sometimes with his grandfather and with a number of Companies, at what he called a heat and frost Insulator and his desorlpltion of that Job waff that he received asbestos boards, its sburoe depending on the ooapany ; with,which "he was working (in answer to counsel for Travelers* question as what ^period of developn*ent she is now talking about witn^s .k/* ;!she ls~ talking about the history he gave'her covering 29 years. ) Be gave* r hoi description of any specific boards, asbestos boards', he gave a : description of his trade of heat and frost insulator, His particular fj Job was to cut and saw the asbeBtos board* to fit pipes and boilers asI needed for insulation. Witness did a-physloal examination at the tins,Asked Vd'f she followed hi$ while lie was in the hospital during his various admissions, witness replied, with the exoeption of his admission in July whoa I was, away on ay holiday, ^ followed hia la June and her jissoolat kept in touch horai/hsn he returned to the hospital after that alia followed hia* After his death an autopsy was performed,, She had a ohanoe to read ,the autopsy protocol and the different autopsy material. Having in mind her ' contact with this case she presently has an opinion as to what the diagnosis pf this man* b illness was* She did testify that she followed this man throughout his entire period of hospitalization, that she reviewed the autopsy proootol and saw soae of the pathological material in / connection v?lth the autopsy. In addition she is familiar with the - hospital record' itself*? , ? r*? -"..Iv . L v : v_ TO THB CQNHISSIONEE: she did examine this man. Her first *,:: ' o^sindfion.was;;on June 23, 1952 when she discovered the man had a - ' -/!. k./.Icosralsfce collapse of hia"left lo^er lung. he obviously h&S lost'weight k k;4 - h a d cheat xrays which, she viewed with the roentgenologist :^^d;-dlsopyered that,he-not only had the "collapse of his left, lower lung"!, evidence^ density,byrxrayn:-liit]^,iright..li^ii;on bakl & **v. * >; > '. / - i . v * '> l L '; " Vr i _ * * '- ` *S ,v ' V T ; i - '" <- \ -v * v * * t? t . * i. *''>* v f'> V 4 -r- > v v.* ' * r T - r ^ 'V - . v * " w * f .. i ~ -, .. .*. . , ., .. ,, r . - * c * !. '. * V - r i '? - '?* J- v - ~ 5 ' v / ' r * * V 7 \ - .i `` i wer they Just seiraly a suggestion on her part,witness replied I v";;\;'\ Bupvarvlsed the to the extent of being .the senior offioer.who is doing the recommending," there were other dootors around* The results of those studies were Hade available tocher Based on the history she received* - the*physical'exaalnatlon she conducted, the diagnostic s^terlal^ ^whloh was made available to her, she arrived at a diagnosis In thl*. ;*?"' rfeiv?case. Her diagnosis was oarolnoaa of the lung and asbestos isoil'^r^FWiV^ :~:TO 'COUNSEL FOB THE CLAIMANT: Asked after she reached the dla&* "a, `"?. i KAn o $ i o 'shehas Just testified to, did she have any further oontact W *if*.: with the kan during i.hls period of hospitalization,witness replied, yes, I did. This further contact was that she went to see hi very often ' whlle'he was !n tha hospltal, 'consulted vrith other physician*>bout ; S-'*"the oourse of fcroatnent onoe the diagnosis was *ade and followed his ^oase to the :tlme of his death, she iwas sot witness at the autopsy : .' 1?'''hi:-* but followed buttery dffully ;what those findings were. Sh horself ^persoinally viewed soae of.the autopsy aaterial. She personally.^-t-j viewed a slide of the lung. In the oourse of her eedloal training she ; tr/^Ay has had oooasIon to reqelventraining in the field of pathology, Asked - t tel 1 what that training was, witness replied, she had the usual n ; V aaiount of pathology as an undergraduate, aeaning ahe took leotures, land so on, then when she was hmse offloor at Philadelphia Oeneral\ 'Hospital she had intensive training In pathology whioh involved.^ V* -- doing a great asount of autopsies, then she took one senester In'the 'departaent of pathology in Cornell University Baking an intensive V study of certain pathologioal problems, since that tlae It's heen / T.fr her privilege to associate with Dr* Traoy Mallory In pathological _f studies of oooupatlonal diseases* Asked, do you feel that; you are qualified to view these pathologioal slides of Mr. Rothwell's lung tlssuetobjection noted by oounsel for Travelers and Utica, their f t exception is noted) witness replied,yes Asked to tell what the slides t>evealed( objection nnted and exoeption saved for counsel t o t Travelers and Utica), witness replied, showed what is known as pulmonary - v fibrosis, meaning, soar tissue and reaction1around the bronchial tubes, large gray oells which are usually associated with the presence of foreign material, I saw what are known as asbestos bodies an! I saw cells of malignancy(counsel for Travelers objeoted to the testimony about the"asbestos bodies and his exception is saved). Asked to describe the asbestos bodies for the purpose of the record., witness replied, the asbestos bodies as seen inithis nan's lung are vb- shaped bodies thht take an iron stain whioh means they look yellowish under the uiorosoppe, they vary in length and contour andSre unique with t he inhalation of certain silicates of which asbesto !** one toounsel for Travelers objeoted to this testimony' being admitted* hi*vi exception is saved) these asbestos bodies are bits of asbestos fibers surrounded with blood pigment whioh have clung to the asbestos bodies during their long presence in the small bronchioles which is the vsmall part of the bronchial tree, their shape varies, depending on the length of the asbestos fibers and the length of tine it's been in the bronchia tree, Aaied,do you now have an opinion, based upon the contact you had with this oaae ns you haTe testified, as to what the diagnosis is in :the. case, .witness replied* yes(objection noted for counsel for Traveler^ and Utica and their exception .i.s saved)* Her present opinion is that, this wan died of Irronohogenio carcinoma, secondary to . asbestosise Asked, have you an opinion as to the relationship ,.r\ / - ^ * 4 ^ i. of the asbastos is and his. work as pipe covereM objection noted by rj counsel'4for. Utica and Travelers I question allowed, their exception is - saved) witness replied, I said 'yeB1 I had an opinion, ay answer is i^Sed oiyfehe .length of tike that this patient .worked In the industry . ; involving exposure to fine aBbest os fibers during the cutting; and y " r, sawing or asbestos boards, the length o f tlae I.would like to.eaphasizs '^4 '^}^rod^he .disoovery of asbestos 'bodies in the lungs definitely proved^the'. t.rt'incr;''if w l 'i ''il' Vork^hs i%t^'*vibvarsr.:^ which' resultd .*-- >,.--- ------- --.------- .. , ... --'Xr-ball^K of asbestos' w M l e working for Ws: oeapany, question and :.. ^ ^ r W w e r a^iltted d^bene*);^ABkfia,51tt answer to tto j^evlous w s t lon, ^^^about'fcliia-aan,a exposurewhile; la the. eaploy-of the,. *'.v ^ s 'to say for His' esployer^between; December .17,. 1950._&&& Waroh 19*' '0-'-y bC didnot tellus; anything as to the size or oaliber of tn particulAr^..-- ^H^asbesfcoa'fibers;.to which he' was ezpoBed, ^did you obtain any. information;vy 'kl?as to, that,;witness'; replied, rio> Asked, what do you base you?j.v v;^7v -p'* stateaent^to yo'or preyiousl answer with reference tb taqcaliber and ' ? size of the asbestos bodies to which he was exposed while in the eaploy the Banoroft Cftapanyi witness replied, the answer. is very sisple >t 'T ^ C^-v'^bedause of "the finding of the asbestos In the lung, it had to be, wall ')S'..A.' enough ;to:get there, thqre could be any nuber of the arriving at oiie-'^.-*'-:`- ^tf^"j&xa.6t*foenVbut because ^of`the 'quantity of the* and the.character of ; ^ ^ h e m ^ i c h T^hhve desoHbed^to you! earlier ; as eyldenoe of thfc,asbestos ' V* bodies it^se^eaa *reasbmble,`ahd oertainly. an extra xuuaber of fibers - :;r. ^'^v'xeabhiii-rt;hat,i i ^ ,'8et'i:a,>iotlpn-durini5 ;tlie periodjcuhave just been ;Sr ^deBoribij^ to'^aei eanihg3*years prior to his deatfcicounsel for Utica '-ti1bbjeoteid.' thoJq^estiba;.ai^v'aM ^dJthey^arefadMitted, de bene*:) Asked,': :S ^ X fro*`th'lCr an' to for, an ^opinion as:;V; f whetSieKor not -he* sustained"any additional injury; to his. liings *;w^during theperiod f ros March 0 } 1952: to April 25, 1952, witness, replied, `^f.boi/.havis,no' such thing i,*She does not have enough InforaatIon on that*;'' i^Asked^ In'a previous answer you, testified that the bronchogenic oarcinoaa -secondary; to asbestosis, will you give us your reasons for that .. . *statsaent, witness replied, ay.reasons are based on experience and .study,'. rexperience of other oases of Individuals who have asbestosis and have ;- dipd of bronchogenic oarolnoaa,precisely wlth`the"'same olinioal facts and pathological study as Kr. Rothwell., and when I speak of study I refer * .. to aylmawledge of literature plus" travelling In Europe and^b^'i^Ki .^ being at Saranac syaposluk in Ootober 1952 at whioh. tiae the whole.; < "/ subject of asbestosis and oanoer of the lung was reviewed. She has had "expbriahc.e'with individual oases of asbestosis and bronohogenio oarolnowa other than that of Mr. Rothwell. Asked to tell what her experience ha&; .. 'been in these other oases, witness replied, precisely the sae - S \ .;-_.;;_16ng-'.history:',of'exposure.; tq asbestos. Asked, do you have an opinion as to ]p:the aeqhahlB whereby the asbestosis is'causally related to the bronohogenio Trt^OarcinoBa, witness replied,' yes.In her.opinion the asbestos fiber which is saall enough to reach the bronohlOles is not big enough to really plug i' and what happens is that during inspiration and expiration the asbestos fiber swings back and forth and acts as a neoh anioal irritant and we know ` other aeohanioal irritants that have, produced aalignanoy, that is the basis for the opinion that the asbestosis caused the bronchogenic * oarcinoaa." .' " . TO COUNSEL FOR THE UTICAi Asked, you don't want to' tell us you know what causes cancer, witness replied, in soae instances,!! would be glad to, we^have a prefcty d e a r evidence in regard to pipe saokers,eto. Asked, people .found, there^smy.- be a greater incidence of oanoer aaong pipe saokers but that is Just one of the faotors whioh you have found in your studies, witness replied, yes, but if he did not saoke the pipe he would not get the cancer, that is all. Asked* is it true that you also find cancer of the lung eaong people who don't sok at all, witness replied, yes* Asked, it{* also true you find cancer of the lun&Araong. people, for whoa you did not discover in the history of their occupation _ or^ background or anything .else that the lung->had been Irritated in 'any: -. way whatsoever,; witness replied, because we can't find it does not aean it doe^ rot exist, They have found, oanoer of j;ha lung in suoh ba'ses,, it is ' -bhat her theory. thatvirritants producelaalignahoy does.not. followv;tnrough. In all oases At ,th,tle of this nan's, first"adalssloh to^theT^v ^. ^.f^AOb^fpra'jbhe opinion that he .had a e ^ e s i o s l i f Sh'^ 'waa^oa'V:.. '^uly,`vof '.that 'year,''pat'June '.'3rd; h^;^e; in hK offlbef as, ^'4-~- t-- ; ,-r- ' ?*1 '. i.-'- *^::\V ,:;.*r.. 5 l.<;';' ...,.: - ,\ \.;':.>:, ->< Vf;y Eothwel (deo'dl^y \f. y.,.y l H V y ; M v K .#/- i'i'V-.. y / : .?f' 5" Cr y 1 ^ 3 v"4'-hK;`#ll-|;y:!- !#.-iP i'143 u i/ 5 ; 9 5 2 , ; s ^ *_'...V..-,';'.' ' V 3'-Witness plied', do"you"wt~to doPBtadthe adalniatratlT* oohanl. that would bo kelpful I aa la charge ofthe occupational nedlcal olinio, I reccakend these oases foradaiasia for diagnostic whut.thy kvo romn the ward as'a regular patient eain--d I d-o--n't '-boss the J-obm,^. .... II ggoo around' and help viork" the oaae out hut It's not ay ultlaats reeponsibillt about what Is wrJktten on the chart and what is done to the patient, that is lit t_he aeohanisa of- t*he h-ospital. "Svhe -sa-wtthheeanaanniinnhheerroofffiicceeoorn June 23. He was .l.atde.r aad.ml'iAt.ti.e^d4 to the \h.hk.s_pAit..a.l1p HHae \wmacsi maAd*amiiftftae^d ftrot ftethoe*V h o 5 ^ i 4 w h h aVtentatire diagnosis, that' is the^ way it is done she sees on the robrd tajf it states 'ashestosis* with question hark. She^has f the`rr fbr-ik " gl nal V of -'J '.<; the a -v . ' " h4 ospltal reo-L o^ --rAd0* Asked and do you find <i%n f tb hA e- - r. <' ioriginal reooi^d'this notation under .JTutliyH 2*xhndA wwvh^lnohh rmeuaidAso *first WaBSEchuJetts "General Sospltai record of thle 46-year old white aale who enters with '.'"`Vf-C'i diagnosis of "possible oarcinojaa' of lung*-1Witness replied' yes The.;.- question ark1stands for possible, 'fquestionAblec 'Asked, at the ,time, of his dBlssion to the hospital,' is, there any reference in the hospital i reoord* of any asbestosis that you oan see, witness replied, on JUly 3,1952 it says history is oowpatible with a dlagnsisof asbestoslsV-,these are y yaot h y notes. Asked, what I t r y i n g to get Is thisr who would put that V first questionable diagnosis that, was inserted there upon adnissloa, would that be soaething that would ooae fro* your record as result of your ; 'examining and studying hla om June 23rd, witness replied,no,V I Just explained, to you, the adainistratlon has nothing to do with we, that is y , important', there are technicians, researchers and xray wen, I donft: :y c V Vdictate opinions to the. Asked, so if I understand you you*re not > feponsible for any of the opinions expressed in the record itself,'V \: witness replied, I; oertainly aa not. She studied the record carefully* Asked if there is/ any part of the:record'^ she disagrees With,,witness ; v replied, it would be awfully"queer if there were'not but I don*t see that enters^into ay opliilph* She has reviewed the record0 IS.ere is no : ^ ; . tr<^ita6n%:.for-the disease of asbestoslso It is'a. progressive disease V ' ^yathqut ahy treatment'known to her0 Asked, what would be the effect of ;yy v uuaeroue-stray8v;on an individual's ohest with i*eferenoe .to this oondltlon V ; of asbeBtosis, would it aggravate It, witness replied, you're talking about ( th'diagnosis or therapeutlo radiation. The therapeutic radiation was , given in this case for the treatnent of cancer. The record shows this , man did receive thempeutio radatIonio He reoelved quite a nuaber of these. She thinks he began to have this on his seoond adaission - he had a lot of xrays taken at the outpatient department. Asked, it's a fact,is it not, that therapeutic xray treatnent would be detriaenfcal to hi insofar as the asbestosis condition is concerned, witness replied, n, I don^t think one can draw any suoh conclusion. She does- n>t believe that, in fact counsel gave her an idea in that shrinkage of the tiSS'ue might do soae good. The thejmpeutlc xraying was done, to 'knook' out the danoer cells, shrink the tissue and Make the man sore confortable but no one has the-slightest l of treating with the idea of curing hla, it was sl*ply a case -of putting off his day of death. Asked, so if the record Itself Indicates that the- hospital was treating this i*an for'oancer froa the day of his flz*st adaissloi that is so, witness replied, as soon as the diagnosis was ade* Asked, that ' was aade on the first adaissicai,witness replied, I think that was Bade ; - about July 10th. Asked, wouldn't therapeutlo xrays oause an IncreaBsd r,, V fibrosis o f the lung,witness replied, that would depend on how auch of the v . y lung was 'exposed to the radiation, usually this is fairly localized'j; .V'" - trataanfc,: oare "being takeh rot.to give general radiation, 1 could talk'it , over with the radiation; if you i M t ae to. She^does know if one gets. lng^^ asa^ whole ou oan getVmilaohcr''fibrosis.`Si he &:^ ^ ^ edi^.2 4 ^ eVtAtKenb' or asbestosis 'where ;theV^^chiaVtul4 a"^V-'|yVVSV!V i;. V d u n . i" 1 n R 4 J f t 1 n ? 1 1 T r V o f A T . ' 'A a : ' *%* 3^ i r \i-; ? Is K' m i / v - v 4 - v * i 4 X ' ^ V T * oRira- .t'd'twf**-e'*l'"l>-*(dco*'-j&pKi *'* y..li.:Jy `4~ \? i -1 :i s M f V o u ' 'Ve!lea" w l ^ "you5wlViT r|fri<id'to,,the history that you/ ...... received from hi* as to tha eaployseat over the years,witiiess replied, I y,;y ' -A Vi.- don*t 'think these are satisfactory;;: they are ay wltteqAorlbbled.rotes* Shefhas n> dates, in that, she was trying, to get a- description of .hit ^vork" as heat and froBt insulator Asked if she wrote down all she goty ^L^y i'i'wltheas replied,;one. does not do..all that,`there fire a good aany^things fcbai/a man like this tells me that are not written down, preoiseIt I have ' y.^--1^yr. ^* an o i^ & t down here the exact days 4when he worked for ;this oompanyrcihat<. >/"V- ..t- !doHaa^*' Asked, when you first' examined this nan you were"'.rot interested la tt*15FXiabintyVpn a particular ,individual lnsostuoh as you were in asking a ngnftgu.wlfcriftgg replied, yes. Asked, and it would he important la -yi'-H:'making*a diagnosis to determine how long the individual had been e ployed at 4v&r':thAir particular job, witness replied,: it dope hotVsem relevant when you hav a fcisfoix that "is* so *iong ;ih tlae o f .exposureShe has, mted that he worked- .///;-'ina storeafter schoolyiji .his; early youth/.Then while still In school he, ^i;v***hork'^"fr^two-`years fof the Bston Floating Hospital. He; worked at Pilgrim S ' i % ^ 5ess^as"'shipper also/ He'workd:thereabout;- year. Her next notation 1 y s:s. *^^^iiat he worked at Waverly Heating .for.;one year; Following; that he did: syyy; ? *VVt *.v >v a>asonwork, he ;Worke& off :and on with his grandfather in this cement work.- He ^ s n started at what; he oalled heat and frost insulating and did it off ' and^on for about 30 years,"he out and' sawed asbestos board .to, fit pipes,t/ y ^boilers, etos She was Interested In this 3Q'years*\ employment In thlsT/yy^y: particular trade. Asked Insofar as what he did while working for a period of Ij5'(months for one employer or two years for'another employer at the * particular time when you received this, history you were not too Interested ^ in finding out the,,detalls of that,witness replied, that's right Asked, * .and* nowhere In the record does it Indi oat how much asbestos he came In con S`V tact with while in the employ of the Bancroft Company and nowhere in they.; :iK;Y/fyrecord,does '11 indicato the oal'lber of the asbestos while working for the ;;/// Bancroft^Company, witness replied, yes Working with asbestos, requires - -yy onest have'proper ventilation or the wearing of a mask and then It can be f"V>V`'-',dohe:i^'^ ^ 4-';ln8oihr `as her records are concerned she doesn't know whehter /. while ,wonuhg for the Bancroft Company he was out in the open or in a con- fined space, what tne situation was with reference to ventilation. She y ; saw_this patient, during his _last admission to the hospital -- thelast i-cr ,** partyofyNoveaver and first part of December. She was not they so-called :;'*:yy 'V'y-^-v attending physician'at that time; the man was on the ward She had nothing yy'V' to do with the preparation of the death certificate; that was done by the . house officer She had nothing to do with the preparation of the final; 'V yv/v diagnosisa The diagnosis of asbestosis throughout the hospital record y yy was questionable but that antedated the postmortem. That is true lhsofar .' as the hospital reoord Is concerned./ TO COUNSEL POE TRAVELERS:On looking at the slides following autopsy she observed some olub-shaped, brown-colored bits of fibers and y because of their length and contour and duration in the bronchial tree of tl lung she concluded they were asbestos fibers. Asked if she had an opinion v as to. whether they had been there a year or ten years,witness replied, no. ' i .V . Asked, they had certainly had been there longer than a year in your opinion y - witness replied,I don't think I g^v you an opinion on time. Asked, the * .,y ; fibers that caused the oanoer which produced the death had been there much longer than a year, that Is a fair statenent, witness replied, that seems, y .certainly more than liksly/Asked If In her oplniopihat Is true*witness * ,Replied* .j wish I mould bo awfully flat-footed but I 'm oertalnly willing to aloiag^with you on .that y>/v ./ /-v . y . , . . y .. ; .- y yv-'i-y.r/;y:/ `.y/-y.' /.\ . y . ? y 5 - ' y y -a ' 'r? :COUNSEL FOR THE CLAIMANT: Asked, the diagnosis of asbestos is willCh was nlaoed on th honnit:! r ,n < i Q A lf A /% A A 4 m -V; -; "f!:-:-.-,;.'.testified she reoognizes th aeabrandua [ bk whloh oonsel has in hihand* She found that in the pocket ..:' th coat her husband wore to work. Asked to look at the handwriting ; ' r t; . in !that book and tell if she recognizes it,witness replied{yes. It is s- '* nheerr nhuussobaannad''Sse, *v-`?.;u* i** '. i * -, %-`i -A?..;'"- ^ `> V..' >. ^> . "-y? %. ,.v. .`\f`\4,vis A.'. H* /Counael for clalaant offered this Heaorandua Book for this -/ ^^ reooi*d as an Exhibit,stating it is*a work reoord kept by the decedent fro* Monday, Ootober 28,1951 through February 19i 1952, that In it the^%?7 je' : employee listed fro* day, toJday the work ^that he did, that it Is apparent this an had'some sort of supervisory bapao1ty^on this Job; counsel for , Utloa objected to'the'adnisslbn of.this Meaorandu* Book; CoaaiBSloner, .`ruled the Heaorandua Book was to be admitted as an Exhibit and exception is Saved for counsel-for * ?i'V,'r'T*'' -r*'" .JTOHiHDVJ JT.. WHlUIGftHWERiSl, /o>ao1ll1eAId^ and questioned by counsel for jc%l^an4immamnmtV-;' ' J- testified he presently lives on Barry Street, y Dorchester. Hies occupation 1b that of asbestos worker. He is a member of the Heat ahd Frost Insulation Workers* Union. He has worked as asbestos worker about 35 years.(Counsel for blalaant stated he was offering 7 this aan as an expert Witness on the trade of a heat and frost Insulator.) During this 35 years he has worked as insulator on boilers,pipes,saoke flue and stacks. In doing this wdrk. he only had to *ix .up the asbestos with water - that was the only mixing he did* He has. done that work himself,- In.that trade he had oooaslonto out'cylinders of prepared Insulating materials; Hd haB done that work hiaself He has blocked boilers,flueB and saok? stacks hiaselfc (Counsellor claimant again stated he offers this aan as an expert witness on^the trade of asbestos worker and heat and frost insulation aan.) Blocking'.a flue"was-'part of the insulating Job. The sane ' material was not always used to blook a ;flue. * There are ,a .pertain limited number of aaterial* used for "blocking"a; flue. Asked, what are the materials used for blooking a flue1, witness "replied, 85 per oent Magnesia would be - one; air oell board would be another - this-is Just an asbestos paper; and application of aagnesla'beaent alone without blocking. Asked, In any of these three insulating oaterials^. that you.have Just sentloned is aebeato /used,, witness replled,yeSoj.It;Is used in. the, lagnesia. .'Eachybr,the-^sSlff'77 material tob used speoifioal.iy7 in^^lnsiilating,' for heat, saving*;;They also V .oeaent ;Asked, -if.;a'4 i # i u ^ j ' * 'fi'p;-t ^S'partioidiir.jSie*lo f^tHo'b;,,foui*ylasua replid^!y esX? . Vr.-x:;'-Asked* 'what would 'be thefbli^'s^^tahclsa' under Khlhn'rvou would- iiaa j1 1J l \ ? V t;*4-*1 r f. trSaVof a heat id frost Insulating aaa and asbestos worker, Is it the cus of that trade that the men on the Job mix this asbestoB cement as they need it:(objection by cotinsel for Utloaas being immaterial, question allowed) witness'replied, yes. He has done that? himself pi. - - - 5 7 2:m-I .'irH- k X' % ' % I & ? ;4v r*-.- THE .COHMissi'OMEB:; Asked ;tp tell what he aotually observed when this 'cement was; ^xed,, [witness replied^ the :dustnaturally,,/*^.ises tip . When the'-oeaent,strikes the.hibocin 74- 5>. TO COUNSSL POa THE CLAIMANT: Blocking a boiler Just means h-' applying the inaulatin9' That is done In the same manner os blooking a flue When blooking' boiler you'generally iuaed the Insulation direotly In oontao with th boiler beoause no air space was called for but in a flue they b:kV;<: i\V hi t - "used an air spaoe lath to give air space when blocking ltfl The army used th air spae Asked, you said in answer to a previous question that 90 per cent, of th tine the material used in blocking a flue was this asbestos oeneat, 'would that same figure apply in blocking a boiler or would it be a different proportion, witness replied, no, it's the sane thing. He would 'say that 90 per cent of the tine they used this asbestos oeaent to finish; in other cassB they used the asbestos oeaent to stick the blocking to the f ; ' V- -" i'-*: -' I boiler but that vaas not a general preotioe with every person* Asked to tell how he would go .about covering a steam pipe, witness replied, a steam pipe up to ten inches is generally stuck on with paste. The insulating material ^ Is generally magnesia Asked, 1b it loose material or does it come In the fora of cylinder, witness replied, no, it# & molded material. Asked to tell what he ae&ns ty that,witness replied, it comes in a molded form up to ;approximately ten inohes and then molded in segmental form from ten lnohearon. He means it oomes pre-shaped* They do have to out it to fit0 t" : Asked^ ^oxi' the'jflaterlal that ytu used is there any label or other tag statin what th material is oomposed of(objeetlon noted by oounsel for Utloay question allowed and exoeption is Baved) witness replied,yes0 He ohly . Tr, knows of four oompanleB who manufacture this material - they are Blsbee & Materson, Johns-Manville, Phillip Carey, Everett Asbestos.Asked,is your 4: "4 ^ - 7" memory sufficiently strong today so you oould tell us' today what appears on the labels of the molded pipe ooverlng produoed by any of those four maniifaoturers {objection noted by oounsel for Utica, question allowed)^ ' witness replied, 85 per oent magnesia and that Is all Asked, does it say ; : anything there about what the other 15 per oent is there,witness replied, never stated to my knowledge* Asked, what dofB the phrase `oeaeatlng a boiler' refer to,witness replied* that is simply finishing up the work. Asked, what Is the substance that is used in that operating, witness replied, asbestos oement* Asked, what is the phrase 'finishing fittings' mean^witness replied, putting on the asbestos oement and canvassing.. ;-:l' TO COUNSEL FOR TRAVELERS: He didn't know Mr. Rothwell very well* He was on the same job with him but never worked direotly with him. He never w o rk d direotly with him bo he never saw what work he had been doing Asked, there are a lot of the duties on this job that are not dusty, witness . replied, I would not say a lot,it's really a dusty Job.Asked, you mean the , mixing is dusty,witness replied, even the application Is dusty. Asked, after you have mixed th water with th material that isin this bag, then -when you apply it it's wet and there is no dust, is that right,witness . ... replied, no, there Is dust when, you apply it. Asked, whan you wet it, witness replied, you're not appiy/Nmis wet stuff to the boiler or flue, when yott apply it to the magnesia block it's dusty, They put this bag material -;ld a pail or tub and'pour water on it Then it's wet0 The mixing oan be -7 ^ 1..done ,in a few minutes. Then the men who are going to usethat take some on .HOr^aT/.'bpard or pail. They use -A trowel These men take some in a buoket ; ;.and than apply, it with t rowel. One man oan six enough for 100 men. On . :\*7: an average Job there would 0 e ten aea* One man, In ohe hour, oould mix 'y,.-.i,' oeaent for al^the man for the day*; So the other dine sen oould go "V'.fco the.^fcov^bd'get; a pail or bucket full of this material and take it to S j j f i i 'arniilaa" initiation to a boiler; There.are ali '.-? y /i. iittW?"* ^ ? B..of= ^ " ^ i ^ . - ^ . i ^ B b e i t o a to'jour knowledge'you don't u .rjr u r * a w ( j v " l ^ ^ ^ ^ > i i ^ i ^ S i S r e i i S : - X e K S T i S a t l i the usual eaterlal that li agnesia ' * 1 n ;a3 ^ ___ ___ SS^woulH^ii^wako *any*"differehoe9wheire you were 1nstailing* these abided of ^thedust that would getron you,;would sone BOO*" *'*- _^ nOo o nnen rtiinotnirtM f WKf.?>v*; , '.->*:-1nstslllfig -- -___ -- ____ filing and the floor aboveTobJeotion noted b y `counsel'for Utica, question admitted de bene) witness replied; I don't think that question Is put, correotly as far hb we are concerned because between a celling is not so, jadwdf- ' you're not between a oelltng when you're applying that, you're open ':' although It's between the celling when the Job Is ooapleted, you're In the* ^ o p e n when you apply it. The floor above Is In place. Asked, you're working above against a floor, witness replied, yes* Asked, Is that work ore dusty id;. than other work or less dusty, withesa replied? I think the answer would be `v- Just about' the saae> .-16: C-;*/1- C V " * *i 7'iy-t^WiT^'r i-! 'iXJ& ' K "TO'COUNSEIi'-FOR "t h e UTIGA: That depends on the conditions on the ?: Jobo-u'i ; .^OUMSa* FOR THB GLAlhAirr:. Asked,; so If -X;`understand yourr , 'anewere;vthere*are three parts of:the Work that are dusty, one of It is .=-; rv- ' mixing of the ftsbeBtos beMent- ijne Beoona ls when you place the asbestos v oenent* against the -magnesian block and the third Is when you out the :; :>- 15$|v;_aol d ^ segm^te to put "on pipes;'Mb there any other part of the work that , -is'/dusty,witness `replied/* as far* as dusty, now as I understantythat v question to be le the work dusty, yes, it's dusty but I won't say It's dusty for all materials; > ^vi. ,, - .. , ;. ' i- ` -- ^ .i-1* i ' TO THE COMMISSIONERS The work was dusty when he used their material In nixing or cutting o r applying. ' TO COUNSEL FOE TRAVELERS;Asked, on theBe Jobs where you were applying or this material that you were cutting, there was a considerable dust that was not as result of your materials, is that true,witness piled, that is true, I Bald yesc Asked, In other words on boilers that you night : be working on there,ay be a thlok ooat or ordinary house or building dust, ,,so~oall<,d* 18 that right,witness replied, yea* Asked, and on pipes that iUv J * f 0VIrl? there night likewise be thick floating of houe -- -- ***** "*** no, in / Bisceaent... A "* i.sAy is what,the procedure when you apply naterlal either to a boiler or s?i fe; to these pipes you night disturb the dust that was on these pipes, witness ;.v replied, athe answer would b e '-- ---- -- * d i2'* L/Awlrin*^ W.Wnvia 4-kt A.el*i' - ound0^He did Bay" 90:per bent of - f e ^ : a B ^ ^ "SutSiS*sPit;coM rofnit,di2SawmSatt?er^ilaall ccoosseess wwiitthh 6olloott"h'wrapped ^ iuf,lP/=aterlal oL^s thit1^ , ^Itg'olgth f '. ^.. , ' - ':;v" C v ^ r;|f^v ;/Vv ' t-,X>-5 nVv; -1, ^ --- ; i' the'larger work or w u n worn, up w.vofl tnonB. m u /.'v_ * r*'* :^ - k W Wltii material izp:;tt ten" inches alt would >e;.oovered:with, clotli,Witness r;r it "wouid>eo .^ls,'>t ;cea^t;;was" applied*to, a holler or wpther . with "a trwel;Vwhro^thftt;-.,iiftai^tJ^lt^'as^^pl|ed ojjt ***oW*: That ahswer, does' not'apply^idieavlt'.ilp, applied ' @ ^ ^ | ,'-hBUati6tt5on th boiler4Tfty apply .;tH#Insulation, wi;,the _>oiler first ;if*}-'::*.> *nd^tfcen'finlsh^h' the cement'_Asked;tonthe:stufT;you;apply dlreotly -r ;B % to- the holler you put that, on directly! with a trowel. and tjhat is wet, . ; ''"IwxtiieSs -iepl^d /"'ao :^'**>y.8ilAfter .li;put:'*he I ,** # ; W t wt bernent; AekhiniittedvU A/trwel* .Then,they put on one p^tr*t tl*, t the bollr that you touch when you put on the ^ m ^ f w 4t:;W*eatt.Mth:the;tMwel,:'ls that part which heooaes wet/-,,you don*t^>i|-. ~ a n yother pjarrtiiwii*tnuecsDsD r eplied- t"he wZe"tZt_cvrm*eTn`'*ty h"i*t1s2 one pa*r*t- .o~f~ t&^.'the holler -find Invariably disturbs the dust that Is on-there* They out ^these molded f o r t with; a'saw.Asked/ and when you-cut the with a saw ?/' %1^4;f:l"?d you?usually put the down on something And saw down on them, witness '^t^4^^r^tid/'"l-:would say `no* to that question. That is usually done by layini itf down on a :flat surface and cutting" across it*It is done like on.a..-v^r.^, &J.Vr!$ & Stable and out across. It cuts easilyAsked, and the" material that you f ^^^v^oiit'-lB ^usually covered; with oloth/ up; to. ten: Inches,witness replled,yesB r " Asked, Vou don't know whether Nr.Bothwell used any material over ten *vYs questioned by counsel for .testlfted(Quallficatlons v?- v admitted ab"pathologist) he has had the Opportunity to review the : ; [ ,'V record of rMassachusetts Genejfal HospitAl'and the autopsy record 0f the i;'r* `4 ;, Massachusetts General'Hospital/ pathology department* He haB formed an'f-W. ; opinion as-to the cause of death In this case. In his opinion thls;4 nan*s' death was caused by adenocarcinoma of the lungv`,;r that was fch.iVi|'t /' death' with extension to the heart; pleura, diaphragm, tissue.' on 'the.left, adrenals, kidney and the lymph nodes* liisk'edi;;'j^'^he're any' other pathologioalbondltion 'thisTjaan had which was a p i ^ E b o h t r l b u t lag *fa c to r ;In h is death ,{obJeot io n knoted\ by 'obtinse l f or :Utioa/ ri_0 iM fz__`._H_i b_V_e_x_ce_p_t _io_n_'4_1_s' _sa_v_e_d_)' w__it_n_e_s_s r_e p_l_ie_d,, ttheerree were other contributing 4. factors*A8ked, what were they In order of iaporfcanoe, witness replied, ; r this'man 'had asbestosls with pul*onr.ry fibrosis, congestion of the liver, 'lnflaoatlon"of the external surface of his heart, inflaaaatlon of his rlgh ; lurg. externallyi and he had approximately a quarter Of fluid la his right 'T;: ohestc Asked to tell-what there 1b in the hospital record which leads him v^;V;! to the opinion this nan had asbestosls, witness replied, In the lorosoopl< examination of his lung tissue the characteristic nodular shaped bodies th* one sees la asbestosls were present, these are diagnostic of asbestosls f'Asked If he has an opinion as to whether or not there is any causal _ relationship between the asbestosls and the oanoer from which this man died,witness replied he has. His opinion la that due to the longstanding chronic Irritation,as result of the inhalation of asbestos fibers, that thli la an adequate cause for the development of his cancer which led to his dee Asked, did the. asbestosls itself, apart from its effect In producing the cancer, did tile aabeatoaia Itself play eny part In his death at the time that he died,witness rolled, I don't think so, no. Asked, I want you fi-V'A*--' to assuue that this employee worked for A. V. Bancroft Company between ^ 5^ ; I>doember 17^1950 and Karh ljl, 1952, that during that time he performed ,bfv `'b^t:-\i'and. fTOBt ^eulafcloa worker ;pr asbestos ^ 1kl ' : 7'.worker"as'It'is^ordlnarlly described, that this- work, and speolfloally k; period from October 28,.,1952 and .February 19/ 1952 inclined days> f;- tSu!a5l 55|nSaf I ' g ^ S l g i l ^ g f J 3v M % % e/ 0fo " thit aust .fro th, Insulatlonj: 5 ob*rthat the widow test Ifial a fact that he. coughed, that the clothe. * A___ ^ ^^i k ne r aT n i' ^ wwainitt ytfofliil ttao ;a i W M further that > : - ln.eJanuary l952 he developed the onsstof a harsh,hacklngoough ^xloh was iorse^lS tii?irnlii and productive, ofi> anali amount of. browaleh jputun, 5that shortly'thereafter he noticed that on exertion he was short, of breath 'and had a harp boring pain below the angle of his left kaulder blade, Tt,-- that he was out of work fro February 21 to February 29,1952 and returned .t tiafroia th:*ob whiolv & was doing away from home and was t rested for. what ' the"doctor told him*was gripped that he then returned to work for Weeks 'and ^flna^j^^ceaSed work for t he %uioroft Company on March 19,195* rt-^7 and vfent to work for t he'Axwstrong Company: fro March 20, 1952 to April 25, 1952;'*hat^'b^ d t h e ^ r k pf^a heat ihd frpat. Insulation .worker - for .tlie 'A'Mstioiig' 'Company;7 that ''he"'finally stopped wor^ In April 1 9 5 . A following consultation with2'a physician; because of these symptoms described :;before",' n ^ \ i ; ^ ^ ^ n s B ^ p ^ b r e e A L : p i i exertion, pain, below his left ?. -7 7 7 :i shoulder and oough;^now,7 iujeumlng1those faots to be true .as to his work i;-. ^history and the history of the onset of his sraptoas, do" you* have an opinion ; as to whether'or not the work this man'was doing while In the employ of the A* V, Bancroft Company, that would be. Deoeaber l7,1950.to March 19,1952/ .c? V1was a^-causative factor In producing the"^asbestosis and bronchogenic > 7 7H> ftrrcarolnoaa7^lGh he died, witness replied,(oounsel for Utloa objected, questioi 'admitted de bene, his exceptions are saved) I do. It is his opinion that sometime during 1951 this man developed a flallgnanoy of his lung as secondary to hls aBbestosls, the asbestosls was a faotor In causing the 7 malignancy to start, that Is as far as he can go, Asked, do you have an - opinion as to whether the Inhalation of dust fro Insulating materials in his work during 1951 was a faotor, aggravating or preolpltating faotor,7 ./ : In the asbestosls and thereby of the oanoer(objection noted by counsel `. " for Utloa,, his exception Is saved) witness replied, If he Inhaled dust v containing asbestOB during the period o f tine it would aggravate his ;? oondlt Iona Asked, do you; have an opinion asrto whether "or not hls work i-'-':fro March 20,1952 up to April 25, 1952,for the Armstrong Cork Copany,'7'; assuming that he inhaled dust fro Insulating materials at Ills work, Including asbestos, was a faotor In the asbestosls and oanoer froa which he died, witness replied. I have an opinion. It Is hls opinion that it Aid not play any role0 Asked to give hls reason for that opinion,witness replied, because he had oarolnoma prior to the time and carcinoma was the oaus of the death. Asked, didn't the further inhalation of the asbesto dUBt during the last six weeks play any part In the aggravating or worsening hls condition witness replied, no, I don't think so. Asked, did it play any part in pro ducing the death at the time that he died,witness replied, 1 don't think so0 TO COUNSEL FOE THE UTICA; Asked, you say that there was long standing ohronlo Irritation due to the Inhaling of fibers which you say was an adequate cause for the oanoer,witness replied, that 1b correct, Asked, when you say longstanding ohrohlo irritation, can you telide how ; long, witness replied, I don't think anybody can tell you that; we do Imam that one,of the causative faotorB In the production of malignano/ la a > ohronlo irritating prooess, when that begins I don't think anybody can ^ narrow it down as to a week or a aonth, we know that oanoer takes a/ . .. oertaln length of tlae to develop, onoe it startslt depends on the looation, ;lt dependon whether It can be removed or not, this man's cancer was too:. -7 advanoed to remove, they took HI to the Massachusetts General and attempted to remove It and found they could not because of "the advanced stegec when ^7 hls oanoer began I can't tell you because the lino of demarcation between ' - normal and abnormal no one ever sees, I don't think anyone "can fcellw' Asked, IS _??** hather or not *th oanoer had its Inception prior to M a r c h i - 20.- i.Q<2 nr* ,t. that';'date,-> t 1aiw-!rep'iid^# ^lfc^hd^its. Inception tetvmaoed when they , j . ' < V r '!' . " ' 'U,. ' l 1' t.; -*-y _ _ _ ........... .................. ..... w i^^m m w h ..........._ _ assume that t ^ s tti^ w orked^'a^ the same job subsequent ,,to March 20,1952 up to Aorll 25, 1952, doing the same sort of thing that he had done between th* : p e r i ^ o f 5ioSber 1950V 0 March,20,1952/ dp you have^an opinion as to^whet* c ox not the' work "subsequent to March 20;1952, would be detrlaeni^ to hl*^-v havink 1 n kind *the fact-:; that lt.was your opinion at that time he had, first, r stoestoais ndfseond/o^oer'(>osl. f0$ ^^TraTele^rstated^that the dooto^ has already answered the question) witness replied;, here's a wn.who by:yy% ' 1 9 5 2 was doomed to death fro* his mallgnanoy, his malignancy was then far '`advanced, I doubt the inhalation of "anything, further accelerated; the growth ^ of his Ifelignanoy* Asked, do you have an opinion as to whether or not worklx during that period:of time m s dettiaental to him (objection noted by y.yAy; / oourtaol for Travelers, doctor allowed;to jahiwer the quest ion) witness -A A ~ *y replied/ there are"certain:^ pat lents`,with malignanoy thatyou advise contin- /'Juing their -Job and ':wrtcihg?imtil^tt day^hey die, there ai^ 'other patient# y'.wfcb completely collapse? once you tell the* they have mallgnanoy and never y - rtTreturn to work* I don't think the workrfactor playsmuch of a role in the?; -"advane eaent of malignant disease Asked, the malignant' diaeaB' wasaggravate ; '^was it not, by the inhalation of asbestos after the malignant disease had? / /started in hi8 system,was it aggravated by ,the asbestos dust/ in 'your '= //; '"ropiion,witness replied, I think that once his mallgnanoy began, that for a ;* period of possibly four or five or six months following the beginning of ' ? his malignancy he might have aooelerated the growth a little bit byy A ; "'inhaling more of the factor that was one of the causative agents In his S malignant condition, the mallgnanoy noe It started was not aggravated too * muoji by the further inhalation of asbestos, that 1b In and of itself, in substanoe it's not known to oause death per se Asked, asbestosis,witness replied, yes Asked, but your answer was that it was not aggravated very, y much, witness replied* I don't think it was aggravated very much by his ; work after his mallgnanoy started. Asked, but It aight have been aggravated soaewhaf,witness, replied, slightly. -r A v a j A . *-Y-.* : * v -yl$ *4 ;.i a f A ( i Aa.- v-, ,, y .v > T TO COUNSEL POH TRAVELERS:Asked, did I understand you to say in; your opinion the man's work fro* Maroh 20th until the date he finally stopped work, suoh a sbestoe as he might have Inhaled, If any, played no port in \ either the aggravation or acceleration of the disease nor did it bring about his death sooner than It otherwise would have occurred, is that a correot . statement, witne^s/replled,.`that is correot jA-A- '' :y; ';,-y.y ?y,r:y:,-";>/|y';*.******'-^4*'*****#**#*#-********#****# A . Counsel for Trailers'made a. motion the claim against thea be dismissed,, The notion was taken under advisement, ****#****#*#****** , Counsel for olaiaant requested the Autopsy Report of December b-, 1952 - Unit Number 778205 - be made part of this record. This la done by reference and may be found in the Board file The anatoalo diagnose reported thereon are: Bronchogenic adenooarolnoaa, left lower lobe with extension to left upper lobe, heart,pleura, diaphragm,and retroperitoneal tissue oh left and metastases to right lung, adrenals, kidneys, and hilar, mediastinal, left supraclavloular and para-aortlo lyaph nodes; Asbestosis with moderate ; pulmonary fibrosis; Hpatio congestion, moderate; Pericarditi, fibrinous, Pleurltis, right; Pleura effusion, right (800 co,); (Pulmonary osteoarthropath; fingers, mildT*y/AAy A ,,,;v v , -y'*.yiy-yy -\v - *,<A;,-~+A'SH` .-.... *" ##*## ^ - ' " '! - t t: ' Bothwell (dec'd) > s dboisjon This hearing wac -id to d d i.-rnlne whether the employee suffered a personal injury eu'ising :f an-* in tb? course of hiB eaplcyaent and, if so, whether his death wa* cto-i!*.'*'' y 'elated to s^id injuryc The claim w*s brought s > o insurer - Utica Mutual Casualty Coapany which covered the A.. W : Ue-.- t Company and Travelers Insurant) Coapany which covered the Arnfi'';.'ors, :;ork wOBpany, The enplcyee worked fer the .v. ' Bancroft Company froa December 1?, 1950 to March .19# 1952 and lie worked for the Armstrong Cork Coapany froa March 20, 1952 to April 25f i952 There is evidence in this record upon which I find that this 46-year old oecedent, with & 9'v'*&r work history aft an asbestos worker, was last employed as a pipe ct^tor nr.d haat and frest insulator for the two aforcEv'.ntioned companies This work with the twohnsufed finas entailed the handling and installation of aatestes In the covering of pipes and also as an insulator Rgnlnst heat and frost,in various forms and under various conditionst There is evidenoe upon which I find that the decedent's work exposed him to the Inhalation of asbestos dust particles, I find he did inhale these partiles It is also a fair and reasonable inference-- and I so infer-- that asbestoslB is a disease contracted only by people who are expcrjpd to the * j, 4 inhalation of asbestos fibers in their workc It is ooaiaoa knowledge that persone who are not so exposed do not suffer froa this progressive disease for which there 1b no known cure There is additional evidence that the eaployee died on Deceaber 1952 and the further evidence upon which I find that death was due to ~ bronohogeni0 oaroinoma, secondary to asbestoBlSp I aooept and adopt the opinion of Dr. Harriet L,, Hardy, under whose supervision the deoedent was treated during his entire period of hospitalization and who had an opportunity to review the entire autopsy profcoool and who saw sene of the terlal in conneotion with the autopsy. Dr. Hardy testified- V-the work the decedent ,Rothwell (dec&) performed as a pipe cutter end ho anl froat insulstor and the disuse tha resulted In his death "fall in together" .> I accept and adopt the opinion of Dr Janes Stewart Rooney, a pathologist, who testified ''that Bowetlnc during 1551 (when he was working for A,, W. Banoroft C-.peay} ihia ?ar developed a malignancy of hia lung as secondary to his asbestos!s,, tn? rhvs30oai> 'aa a factor in causing the malignancy to start w I find, therefore, that iris asbestos dust which the employee inhaled at his work resulted in asbeBtosle^ This, I find, constitutes a personal injury arising out of and in tha course of his employment. I find further that the asbestos is oaused a lung malignancy which resulted In his _ death on Decesber 3* 1952; The fibers that caused the cancer which produced the death of the. eaployee had been in the ecplcyee' lungs ouoh longer'than, a year in the opinion of Dr, Hardy., "That is a fair eteeoaeat, B Dr, Hardy testified, adding, "that seeas certainly *oro than likaljl and I so find* This considered oedlcal opinion would certainly relieve the last insurer of any responsibility for the payment of ooapensatlon alnoe it was in the year of his death that the employee ocamenoed work for the seoond Insured- This opinion, too, Is shared by Dr.: Rooney He testified, and I bo find, that "the man's work frea March 20 until the date he finally stopped work, such asbestos as he night have inhaled, if any, played no part in either the aggravation or acceleration of the diseases nor did it bring about his death sooner than it otherwise would have occurred*," Dr. Rooney,who ?a prOainent in the field of pathology and whose qualifications were emitted here, testified it is hia opinion the cancer started "subsequent to l?5 0 o * * * I would say probably 1951 fron the description of the canoer," I aocept and adopt Dr,Rooney's opinion and so 4 find. The decedent was in the eaploy of the A, W, Bancroft Coapany, the first insured, throughout all 1951v I find, therefore, that the industrial injury which resulted in a lung canoer and caused the employee*s death is causally related to his -19- ( iibthwell (deo1d) eaployaent with the A rW. Hanoi*c*.'t Company, covered by the Utica Mutual Casualty Company, There Is evidence In the record that the employee's last working day was April 25, 1952v Between the e r r w M e n of nis eeployaent and his death, he was three tlraon confine-"; 0 ; t-.r hospital and in addition to these three con?Inenents roc^i^-y- < patient care* There 1b no evidence to tn?. contrary and go I infer and find, that the employee Via3 totally ir.oapac Hated for work between April 26,1952 and December Z} 1952 due to the aforementioned co&ponsabie Industrial injury, namely lung canoer, The Utloa Mutual Casualty Company is direoted to pay total incapacity compensation for the above-mentioned period, at the rate of 030*00 a week, plus $15<00 a week for dependency,in the total aua of $1420,71;(Sec Atamian's Case, 265 Hass. 51) The Utica Mutual Casualty Company Is further directed to pay the claimant widow the sum of C20,.00 weekly dependency coapensatlon, iron Deceaber 3 , 1952 to date and continuing, subject to the provisions of the Act. The sun of $905*71 1b due to the filing date of this decision. The Utloa Mutual Casualty Company Is also direoted to pay tjhe olainant widow the suia of $25,00 weekly dependency compensation, for the care and support of five minor children in accordance with the.provision* of the Aot, The sum of $1132,14 is .due in weekly conpensatlon benefit for the children to the filing date of this decision* The total sum due the claimant widow under this decision to the . filing date, Ootober 16, 1953 is $3458.56 v/hloh the Utica Mutual Casualty Coapany is directed to pay forthwith. The Utica Mutual Casualty Conpuny is elso direoted to pay the V claimant widow the additional sun of -300.00 under Seotlon 33 of the Act* The Utloa Mutual Casualty Cocpnny-is ordered to nake the payment of $500.00 to the State Treasury in accordance with Section 65N of the Aot I find equity and Justice required the testimony of Doctors Hard r and Rooney and they are each entitled to $50,00 under the provision* of Section 9A of the Act, Rothwell (deo!d) The o ltin : denied and d ie a is s c d . t the Travelers Insurant Company la hereby j . ogldkn ^789,^ * "u\.\ Oi DEC ISbS 8 BECEIVBP m C s V 'to n i? / BALTIMORE, MD. NEW YORK. N. Y. CLARKSBURG. W . VA. TULSA, OKLA. T . LOUIS, MO. CHICAGO, ILL. LOS ANGELES. CAL. Alexander 8c A lex an der INCORPORATED INSURANCE AVERAGE ADJUSTERS C O N S U LT IN G A C TU ARIES 5 0 3 ST. PAU L PLACE, B A LTIM O R E 2, MD. September 29th, 1953 TELEPHONE MULBERRY 8*SS40 BELL SYSTEM TELETY PE BA 0 8 S CABLE ADDRESS " ALEXBLUE" Mr. E. M. Vegman, Manager Insurance & Real Estate Department Armstrong Cork Company Lancaster, Pennsylvania Dear Mr. Vegman: Travelers* Policy RUB 2047242 Re: Richard Rothveil Wilmington, Mass. _________ Workmen* s Compensation We inquired of the Travelers* Boston Office as to the status of this case and they write us on September 22nd, 1953 that the hearing has been concluded and that they are presently awaiting the decision of the single member and when it is received, they will advise us the result. This infoxmation will be passed on to you when it is received here. Very truly yours ALEXANDER & ALEXANDER, INC. S DEPARTMENT Mrl T* R. Hunan, Building Material Division, Boston March 11, 1953 E, M. Vegosa, Insuranos and Beal Sstate Department, Lancaster Dear Torn) Xou will recall that last Fall a Mr, Rlchard..Rathyall of Wilmington, Massachusetts, was seeking compensation from us for an alleged occupational disease supposedly contracted while working for us. The matter was reported to the Travelers Insurance Company and they have reported to our agent aa follows Please be advised that va have concluded our investigation of this claim and have advised the deceased1 counsel that we do not feel that the deceased1s employment with our assured aggravated his pre-existing carcinoma of the left lung The matter will be reached for a hearing shortly at our Department of Industrial Accidents, and we shall keep Mr* Hunan, Manager of the assured* Boston Offloe, acquainted with the progress of the claim* Ve shall keep you advised of any developments* EMWlAJP Copy to Mr* V. H. Hartman BALT1MORK, MO. NEW YORK. N . Y. clark*buro , w Vi TULSA. O KLA. T . LOUIS, MO. CHICAGO. ILL. LOS ANGELES, CAL. A L E X A N D E R 8c A L E X A N D E R in c o r po r a te d INSURANCE AVERAGE ADJUSTERS C O N S U LTIN G A C TU ARIES 3 0 3 ST. PA U L PLACE, BA LTIM O R E 2 , MD. March 5th, 1953 TELEPHONE MULBERRY A S40 BELL SYSTEM TELETYPE BA BSE* CABLE ADDRESS ALEXBLUr* Mr. E. M. Vegman, Manager "Sisurance and Real Estate Department Armstrong Cork Company Lancaster, Pennsylvania Dear Mr. Vegman: Workmen's Compensation Policy RUB 20A72A2 Travelers lou advised us on September 17th, 1952 that Mr. Richard Rothwell of Wilmington, Mass, was seeking compensation'from the Aimstrong Cork Company for an alleged occupational disease, supposedly contracted while working for yfur company. The matter was reported to the Travelers and on October 13th, 1952, we quoted letter which we received from them on the case. On February 27th, 1953, we followed up the matter with the Travelers and are now in receipt of a letter from them, reading: "Please be advised that we have concluded our investigation of this claim and have advised the deceased's counsel that we do not feel that the deceased s employment with our assured a^grevated his pre-existing carcinoma of the left lung. The matter will be reached for a hearing shortly at our Department of Industrial Accidents, and we shall keep Mr. Nunan, manager of the assured's Boston Office, acquainted with the progress of.the claim". file. We thought you might wish this information for your Very truly yours ALEXANDER & ALEXANDER, INC. ARTMENT R BALTIMORE, MD. N E W YO RK . N. Y. CLARKS BRO. W . VA. TULSA. OKLA. ST. LO UtS. MO. CHICAGO. ILL. LOS ANOELES. CAL. Alexander & Alexander INCORPORATED INSURANCE AVERAGE ADJUSTERS C O N S U LTIN G A C TU A R IES 8 0 3 ST. PAU L PLACE. B A LTIM O R E 2 . MD. TELEPHONS MULBERRY 6340 BELL SYSTEM TELETYPE BA SI CABLE ADDRESS A L E X B L U E " O cto b e r 1 5 th , 1952 S M r. E . M . Wegman, M anager In s u ra n c e and R eal E s ta te D epartm ent A rm s tro n g C o rk Company L a n c a s te r, P e n n s y lv a n ia D e a r M r . Wegman: W orkm en' s C o m p e n sa tio n T ra v e le r s In s u ra n c e Company R e fe rrin g to y o u r l e t t e r o f S eptem ber 1 7 th in w h ich yo u a d v is e d th a t M r. R ic h a rd B o th w e }! o f W ilm in g to n , M ass, was s e e k in g co m p e n sa tio n fro m y o u r Company f o r an a lle g e d o c c u p a tio n a ld is e a s e , we have r e c e n tly fo llo w e d up t h is m a tte r w ith th e a d ju s te r 'o T 't h e T r a v e le r s In s u ra n c e Company a t B o s to n , and we now have h is r e p ly to o u r in q u ir y , re a d in g : "We a r e m a k in g an i n v e s t i g a t i o n , h o w e v e r, when i t i s c o m p le te d , we w i l l be m o re th a n p le a s e d t o l e t you have a re p o rt o f o u r fin d in g s . "We r e c e iv e d a n am ended n o t i c e w i t h r e g a r d t o th e d a te o f in ju r y i n th e c la im s fro m th e e m p lo y e e 's a tto rn e y , y e s te rd a y . I t is w e ll to n o te th a t in a d d itio n to th e c la im as a g a in s t o u r a ssu re d , a c la im has been made a g a in s t A . W. B a n c ro ft, a n o th e r e m p lo ye r in s u re d by th e U tic a M u tu a l In s u ra n c e C om pany." J u s t as soon as we r e c e iv e th e T r a v le r s * f u r t h e r re p o r t, th e in fo rm a tio n w i l l be passed on to yo u . V ery tr u ly yo u rs ALEXANDER & ALEXANDER, IN C . IS DEPARTMENT R BALTIMORE, MO. NEW YORK. N . Y. CLARKSBURG. W . VA. TULSA, OKLA. ST. LOUIS. MO. CHICAGO. ILL. LOS ANOELES, CAL. ALEXANDER & ALEXANDER INCORPORATED INSURANCE AVERAGE ADJUSTERS C O N S U LTIN G A C TU ARIES 5 0 3 ST. PAUL PLACE. B A LTIM O R E 2, MD. S eptem ber 22nd, 1952 TELEPHONE MULBERRY S S 40 BELL SYSTEM TELETYPE BA 8 8 * CABLE ADDRESS " ALEXBLUE" M r. E . M. Vegman, M anager In s u ra n c e and R eal E s ta te A im s tro n g C o rk Company L a n c a s te r, P e n n s y lv a n ia D epartm ent D e a r M r. Vegman; V o rkm e n * s Compensation Ve h a v e f o r a c k n o w le d g m e n t y o u r l e t t e r o f S e p te m b e r 1 7 th w h e re in you a d v is e th a t M r. R ic h a rd R o th w e ll o f W ilm in g to n , M ass, i s m a kin g c la im u n d e r th e co m p e n sa tio n co ve ra g e w ith th e T ra v e le rs f o r an a lle g e d o c c u p a tio n a l d is e a s e , s u p p o se d ly c o n tra c te d w h ile w o rk in g f o r y o u r Company. Ve a re w r it in g th e T ra v e le rs In s u ra n c e Company a t B o sto n to l e t u s know th e r e s u lt o f t h e ir in v e s tig a tio n o f th e case and ju s t a s soon as we have t h e i r r e p o r t, we w i l l p a ss th e in fo rm a tio n on to y o u . ve ry t r u ly yours ALEXANDER & ALEXANDER, IN C . DEPARTMENT \ R September 17, 1952 Alexander & Alexander, Inc* 503 8t, Paul Plaoe Baltimore 2, Md* Gentlemen* t ' ... W^tuJh ^ iu Z M X l Subject* Workman*$ Compensation Saffsto Ve have recently learned from our Boston Office that Hr* Bichard Bothvell, Faulkner Road, Wilmington, Maes&ehusette, is seeking compensation fro the Travelers Insurance Company for an alleged occu pational diseaae supposedly contracted while working for our Company* Since this is the first case of this type which ve have had, ve are anxious to follow it oLoealy end should appreciate your securing for us periodical reports on Its status* Very truly yours, AEHSTRONQ 03BK QOMPAHT m t%m K* M* Vegcaa Manager, Insurance end Beal Estate Department I Confirming our telaphone .conversation "of % # ' date,we are enclosing herewith copy of the report ade by :-#|vK^ Dr* Elkins,Chief of Laboratory,Commonwealth of Ha ssachuset Department 'ofLabor and Indus tries,Divlaion of Occupational! * *V' 1- Hygiene* Jfibii.^hould be helpful in, disposing of the above " i , y*r L ^';*% "i ^ v;H^,,. -*'?' ' Distriet Manager ` iv- '. : /> '.v^t%'-';,,*>;''.r:,. _.-v '*'v;v,T^ ; ; - * ! ->Yr:, '*. --.a' .- ..''*'*?'$?C~ ' **.".';V`: . -' ' . / l * 0 r - ,,L ~r;'"--..-/.*' X ^ '-.V ,,^1 +, 'J, - v.'..--Vf." V.rl * THH^sLSt l A .; X - ` ' '- 'V- v : .-. A -:.>".'.l.; V; V : : i V v ^ ; 0 >'; V - - c c - M r . J W . L i d d e l 1 'v./->; *.. * - . v x - B u i l d i n g M a t e ri iaa llss D i v i s i o n L a n c a s te r .^'" -.- - ::^ - ; ., - - ' - i ' --v,. s . . .i c r ' . ' . . ? ! < < -." -1.. - - v r V . . - ^ S - h ' i '!". ;'ir :-- r-r & - s -p.-> : ' .. "=*'*i u . , -i-" . - i ' &S-? '' : .; - - * <,, 7^yr -.. '.r:r" ..r ; ` r'h:.'. c V - i - ' . ' r - * ' V - --V . -. -, . *, / , ': ;' ..S ' ; ^ , (-*a . -.-'4 f r "C 0P " "con" THE COMMONWEALTH OP MASSACHUSETTS DEPARTMENT OP LABOR AND INDUSTRIES DIVISION OP OCCUPATIONAL HYGIENE 286 Congress Street, Boston 10 August 19, 1952 3-32 P. S. Thorsen Company 45 1/2 L St. South 3oston, Mass. Gentlemen* On Aug. 8 our engineer, Mr. Elise Comproni, visited your operations at the Salem Willows Power Station in connec tion with a Study being made of exposure of workers to asbestos dust during piping and boiler installation. Enolosed is a copy of a report by Mr. Comproni in which the findings of this study are summarized* matter. We wish to thank you for your cooperation in this Very truly yours, Enc. HBExMM Hervey B. Elkins, Chief of Laboratory ss: Rothwell (dec'd) W ITNESS : H e le n V . R o th w e ll D r. H a r r ie t L . H a rd y John J . Hughes D r. Jam es S te w a rt Rooney TE S TIM O N Y ON PAGE 2,3,4,5,12 5,6,7,8,9,10,11 12,13,14,15 1 5 ,1 6 ,1 7 ******************************************* Rothwell (dec'd) REPORT OF EVID EN C E A l l th e m a te r ia l e v id e n c e is re p o rte d h e r e w ith : The U tic a M u tu a l C a s u a lty In s u ra n c e Com pany is d e s ig n a te d a th e F ir s t In s u r e r and th e T r a v e le rs In s u ra n c e Com pany is d e s ig n a te d as th e S econd In s u re r. ******************************************************** HELEN V . ROTHWELL, th e c la im a n t , q u e s tio n e d b y h e r a t t o r n e y , is th e w id o w o f R ic h a r d J . R o th w e ll, th e y w e re m a r r ie d D e ce m b e r 2 5 , 19 3 0 a t S ta te o f th e Sea C h u rc h , E a s t B o s to n . T h e re a re f iv e c h ild r e n o f t h is m a rria g e u n d e r th e a g e o f 18 a t p r e s e n t. J o y c e w as b o rn J a n u a ry 1 3 , 1 9 3 8 , M ild r e d w as b o rn May 3 1 , 1 9 3 9 , Jam es w as b o rn o n A u g u s t 8 , 1 9 4 1 , H a ro ld was b o rn Decem ber 29, 1 942, and T h e re sa was b o rn J u ly 6 , 1 9 4 8 . H er husband la s t e m p lo y e r w as th e A rm s tro n g C o rk C om pany. She h a s n o t g o t th e d a te s h e w o r k e d f o r t h e A r m s t r o n g C o r k C o m p a n y . ( I T WAS AGREED h e w o r k e d t h e r e fro m M a rch 2 0 , 1952 to A p r il 2 5 , 1 9 5 2 ). A ske d i f a t a n y tim e w h ile w o rk in g f o r th e com pany h e r husband t o ld h e r th e n a tu re o f h is w o rk , w itn e s s r e p lie d y e s . He t o ld h e r he was a p ip e c u tte r and h e a t and f r o s t in s u la to r and a s b e s to s w o rk e r-- i t was know n u n d e r a l l th o s e nam es. P r io r to w o rk in g f o r t h is e m p lo y e r, he w o rk e d f o r A . W. B a n c r o ft C om pany. She k n o w s h e w o r k e d t h e r e o v e r a y e a r . ( I T WAS AGREED h e w o r k e d f o r t h i s c o n c e rn fro m D ecem ber 1 7 , 1950 to M a rch 1 9 , 1 9 5 2 .) A s k e d , d id y o u r husband t e l l yo u a t a n y tim e t h a t he w o rk e d f o r th e A . W. B a n c r o ft Com pany w h a t th e n a tu re o r t i t l e o f h is o c c u p a tio n w as? ( o b je c tio n n o te d b y c o u n s e l f o r U tic a q u e s tio n a llo w e d in , in s u r e r ' s e x c e p tio n is s a v e d ) w itn e s s r e p lie d , y e s . A sked w h a t w as th e n a tu re o f h is o c c u p a tio n th e re a c c o rd in g to w h a t he t o ld y o u , w itn e s s r e p lie d , ju s t a p ip e c u t t e r , th e sam e w o rk he a lw a y s d He h ad d o n e t h a t ty p e o f w o rk b e fo r e he w o rk e d f o r th e A . W. B a n c r o ft Com pany. A sked fo r how m any y e a rs b e fo re had he done i t , w itn e s s r e p lie d , p r a c t ic a lly a l l th e tim e we w e re m a rrie d e x c e p t d u r in g th e d e p re s s io n ; we w e re m a rrie d 22 y e a rs , a b o u t 16 y e a r s . A s k e d , d id he d e s c rib e a n y o f th e d e t a ils on c o n d itio n s o f h is w o rk d u rin g th e tim e th a t he w o rk e d f o r th e A . W. B a n c r o ft C om pany ( o b je c t io n n o te d b y U t ic a , e x c e p tio n s a v e d ) , w itn e s s r e p lie d , y e s . A s k e d , w i l l yo u t e l l us w h a t y o u r h u sban d t o ld yo u a b o u t t h e n a t u r e o f h i s w o r k t h a t h e d i d w h i l e i n t h e e m p lo y o f t h e A . W. B a n c ro ft Company (o b je c tio n n o te d by U tic a -c o u n s e l fo r U tic a s ta te d he i s m a k in g a g e n e r a l o b je c t io n t o c o v e r a n y th in g w h ic h th e d e c e d e n t t o ld w itn e s s a s t o h is e m p lo y m e n t w h ile e m p lo y e d b y A . W. B a n c r o f t C om pany h is e x c e p tio n i s s a v e d ) ,w itn e s s r e p l i e d , I kn o w t h a t s o m e tim e s th e a s b e s to s cam e a ro u n d a c y lin d e r fo rm ; th e y h a v e t o c u t i t , a n d s o m e tim e s , i cam e lo o s e and th e y h a ve to s o r t o f m ake w h a t he c a lle d mud and p a c k i t on a B o ile r and c o v e r i t w ith canvas and do th e p ip e s . A ske d , d id he t e l l yo u a n y th in g a t a l l a b o u t th e c o n d itio n o r c o n d itio n s u n d e r w h ic h he w o rk e d , w itn e s s r e p lie d , s o m e tim e s h a d t o c lim b h e ig h t s a n d s t a i r s , s o m e tim e s h e w o rk e d u n d e r th e c e i l i n g s , s o m e tim e s o n th e f l o o r , s o m e tim e s he w o rke d in w h a t he c a lle d t ig h t c o rn e rs . A ske d , w hen he c u t th e a s b e s to s tu b in g d id he e v e r t e l l yo u w h a t i t was lik e when he c u t i t , w itn e s s , r e p lie d , he b ro u g h t home some one tim e and I c o u ld se e w h a t i t w as l i k e , i t was h a rd on th e to p , s o ft in th e c e n te r and s o r t o f pow d e ry when you c u t i t . W itn e s s a lw a y s d id th e f a m ily w a s h . She d id o b s e rv e th e c o n d itio n o f h is w o rk c lo th e s w hen he came home fro m w o rk . A sked to t e l l w h a t she o b s e rv e d a b o u t th e c o n d itio n o f h is w o rk c lo th e s w h ile w o rk in g f o r th e A . w . B a n c r o ft C om pany, w itn e s s r e p lie d , th e same as a lw a y s . A ske d to t e l l w h a t th a t w as, w itn e s s r e p lie d , I ju s t had to ta k e h is o v e r a lls b e fo re I w ash e d th e m and h a d t o ta k e th e m o u td o o rs a n d s h a k e th e m h a rd a n d g e t a l l th e s t u f f o u t o f th e m in h is p o c k e ts . She h a d t o s h a k e lo o s e l i t t l e fe a th e ry s t u f f , t h is was in th e p o c k e ts and in th e c u ffs and ju s t a l l o v e r. The w o rk s h ir t s w o u ld be c o v e re d a ls o , i t c lu n g t o e v e r y th in g . A s k e d , w h a t w as th e c o n d it io n o f y o u r h u s b a n d 's fa c e a n d h a n d s w hen h e cam e hom e fro m w o rk , was i t c le a n o r w h a t, w itn e s s r e p lie d , ju s t c le a n . The f i r s t p h y s ic a - 2~ (Rothwell (dec'd) c h a n g e s s h e n o te d in h e r h u s b a n d 's c o n d it io n w as he g o t o u t o f b r e a t h . She f i r s t n o tic e d th a t a ro u n d J a n u a ry 1 9 5 2 . A ske d , and had you n o tic e d any change in h is p h y s ic a l c o n d itio n b e fo re J a n u a ry 1952 fro m th e c o n d itio n th a he was in when y o u f i r s t g o t m a rrie d , w itn e s s r e p lie d , y e s , d e f in it e ly ! She n o tic e d t h a t he s ta r te d to lo s e w e ig h t. He s ta r te d to lo s e w e ig h t b e fo re C h ris tm a s , 1 9 5 1 . She had n o t n o tic e d a n y c h a n g e in h is p h y s ic a l c o n d itio n p r io r to th a t. A ske d , n o th in g a t a l l , w itn e s s r e p lie d , e x c e p t in th e m o rn in g he h a d to c le a r h is t h r o a t , h e h a d a d ry n e s s in h is t h r o a t , A sked to t e l l w hen she f i r s t n o tic e d t h is c le a r in g o f th e th r o a t, and d ry n e s s o f th e t h r o a t o n a w a k e n in g in th e m o rn in g , w itn e s s r e p lie d , a b o u t a y e a r o r s o . T h a t w a s a y e a r o r s o b e f o r e D e c e m b e r 1951. H e r te s tim o n y i s t h a t th e f i r s t p h y s ic a l c h a n g e o r sym p to m s h e n o te d in h e r h u s b a n d w as t h i s c le a r in g o f h is t h r o a t o n a w a k e n in g in th e m o rn in g and th e d ry n e s s in h is th r o a t, th e se co n d th in g she n o tic e d was th e w e ig h t lo s s and th e t h ir d th in g was th a t he g o t s h o rt o f b re a th and t h is was a b o u t J a n u a r y 1952. S h e k n o w s w h e r e h e r h u s b a n d w a s w o r k i n g i n J a n u a r y 1952 i t w as a t F o r t K e n t, M a in e . She w as n o t w it h h im a t t h a t tim e . He came home f o r W a s h in g to n 's B ir th d a y w h ic h w as in F e b ru a ry . P r io r t o t h a t he w as a t F o r t K e n t a n d cam e home f o r C h ris tm a s . She saw h im a t C h ris tm a s and th e n o v e r W a s h in g to n 's B ir t h d a y w e e k e n d . A s k e d , a t th e tim e y o u saw h im o v e r W a s h in g to n 's B ir th d a y d id h e t e l l y o u a n y th in g a b o u t th e c o n d it io n o f h is h e a lth b e tw e e n th o s e tw o d a te s , w itn e s s r e p lie d , (o b je c te d n o te d b y U tic a , e x c e p tio n is s a v e d ), y e s . H e r h u s b a n d h a d c a lle d h e r u p . He a lw a y s c a lle d h e r-h e c a lle d h e r e v e ry w eek o n T h u rs d a y . A s k e d , d id he t e l l y o u a n y th in g a b o u t h is h e a lth in th e s e te le p h o n e c o n v e rs a tio n s b e tw e e n C h ris tm a s and W a s h in g to n 's B ir th d a y o f 1 9 5 2 . (g e n e ra l o b je c t io n n o te d b y U tic a to c o n v e rs a tio n s , e x c e p tio n is s a v e d ), w itn e s s r e p lie d , he s a id he w as n o t f e e lin g w e ll, w itn e s s r e p lie d , n o t to o m u ch .A ske d ,w h e n he cam e h a n d saw y o u o v e r W a s h in g to n 's B ir th d a y d id he t e l l y o u a n y th in g a b o u t th e c o n d itio n o f h is h e a lth d u r in g th o s e tw o m o n th s b e fo r e ( o b je c tio n n o te d b y c o u n s e l f o r U tic a and T ra v e le rs , t h e ir e x c e p tio n s a re s a v e d ), w itn e s s r e p lie d , he was s ic k a t F o r t K e n t, he had been v e ry s ic k . A ske d , when he t o ld yo u he had been s ic k a t F o r t K e n t d id he d e s c rib e to yo u how he had f e l t and w h a t he had f e l t w hen he was s ic k , w itn e s s r e p lie d , I c a n 't rem em ber c le a r ly . A s k e d , do y o u know fro m w h a t y o u r husband to ld yo u th e re a s o n he l e f t th e B a n c ro ft Company (o b je c tio n n o te d b y U tic a and T r a v e le r s , e x c e p tio n s a re sa ve d f o r b o th ) , w itn e s s r e p lie d , he t o ld me t h a t th e r e w as a b o u t fo u r in c h e s o f w a te r w h e re he was su p p o se d to be w o rk in g , he s a id he t o ld M r. B a n c ro ft th a t he was s ic k and ju s t c o u ld n o t w o rk th e r e , so he ju s t l e f t . He th e n o b ta in e d t h is jo b w ith th e A rm s tro n g C o rk C om pany. A s k e d , d id y o u r h u sb a n d , w h ile he w as w o r k in g f o r th e A rm s tro n g C o rk C om pany a t s o m e tim e b e fo r e a n y c la im was b ro u g h t in t h is c a s e , d id he t e l l yo u th e n w h a t was th e ty p e o f w o rk he w as d o in g in th e e m p lo y o f th e A rm s tro n g C o rk C om pany, w itn e s s r e p lie d , y e s . A ske d , and w h a t d id he t e l l y o u , w itn e s s r e p lie d , he was an a s b e s to s w o rk e r. A s k e d , and d id he t e l l y o u a n y th in g a b o u t th e c irc u m s ta n c e s o r n a tu re o r d e ta ils o f th a t w o rk f o r t h is p a r t ic u la r com pany, w itn e s s r e p l i e d , h e d id t e l l me h e h a d a l o t o f s t a i r s t o c lim b o n t h i s jo b . A ske d , d id he t e l l yo u a n y th in g e ls e , w itn e s s r e p lie d , i t was a new h o u s in g p r o je c t . T h is w as lo c a te d in R o s lin d a le . H e r h u s b a n d w as d o in g th e in s u la tin g in t h is p r o je c t. She does n o t know w h a t th e in s u la tin g w as. A s k e d , i f he t o ld h e r w h a t in s u la t in g m a te r ia l he w as w o rk in g w ith , w itn e s s r e p lie d , no I d o n 't know th e m a te r ia l he w as w o rk in g w ith a t th a t tim e . W h ile w o rk in g f o r th e A rm s tro n g C o rk Com pany she a ls o w ashed h is w o rk c lo th e s an d s h ir t s a nd s la c k s . A s k e d , a nd d id y o u h a ve o c c a s io n w h ile he w o rke d f o r th e A rm s tro n g C o rk Com pany to o b s e rv e a n y th in g a b o u t th e c o n d itio n o f th e s e w o rk c lo th e s as to d u s t, w itn e s s r e p lie d , I d o n ' t re m e m b e r. H e r h u s b a n d l e f t th e e m p lo y o f A rm s tro n g C o rk C om pany on A p r i l 25, 1 9 5 2 . D u r in g t h e t im e h e w o r k e d f o r t h e A r m s tr o n g C o rk C om pany he liv e d a t hom e. A ske d , t e l l th e c o n d itio n o f h is h e a lth as you o b s e rv e d i t d u r in g th e p e r io d fro m M arch 20 to A p r il 2 5 th w h ile he w o rk e d f o r th e A rm s tro n g C o rk C om pany, w itn e s s r e p lie d , seem ed to g e t w e a k e r, n o t b e t t e r . A s k e d t o t e l l w h a t sym p to m s s h e o b s e rv e d a b o u t h im d u r in g th e p e rio d he w o rke d f o r A rm s tro n g C o rk C om pany, w itn e s s r e p lie d , he was -3- Rothwell (dec'dO s ta r tin g to g e t ir r it a b le and he n e v e r was ir r it a b le , th a t was a ch a n g e , and he was t ir e d and was n o t e a tin g g o o d , he ju s t d id n o t lo o k g o o d , th a t is a l l I ca n t e l l you (o b je c tio n n o te d b y T ra v e le rs to th e s ta te m e n t t h a t h e j u s t d id n o t lo o k g o o d , e x c e p tio n i s s a v e d ) . W hen h e cam* home fro m F o r t K e n t th e y w e re liv in g in W ilm in g to n a n d h e r h u sb a n d w e n t to D r. G e ra ld F a g a n o f C la r k S t r e e t , W ilm in g to n . T h e y w e re n o t l i v i n g in D o rc h e s te r when he w o rke d f o r th e A rm s tro n g C o rk C om pany. H e r husban d saw th is d o c to r e ith e r on th e 22nd o f F e b ru a ry o r th e day b e fo re , i t was in th a t v ic in it y . A ske d i f D r. F agan c o n tin u e d to be h e r h u s b a n d ' s d o c to r u n t i l th e tim e he w e n t to th e M a s s a c h u s e tts G e n e ra l H o s p ita l, w itn e s s r e p lie d , n o t in e n t ir e t y , n o . A t some tim e he saw D r. E dw ard H ogan o f 6 L y n d h u rs t S t r e e t , D o r c h e s te r . He saw h im in M ay. A s k e d , h a d h e b e e n u n d e r th e c a re o f D r. F a g a n fro m F e b ru a ry u n t i l M ay, w itn e s s r e p lie d , m ore o r le s s , I mean th e d o c to r came a c o u p le o f tim e s to th e h o u s e , and he w e n t to th e o f f ic e a c o u p le o f tim e s . A s k e d , do yo u know w hy y o u r h u sb a n d l e f t th e e m p lo y o f th e A rm s tro n g C o rk C om pany ( o b je c t io n n o te d b y T r a v e le r s , e x c e p tio n is s a v e d ) w itn e s s r e p lie d , y e s . A s k e d , a t som e tim e b e fo re y o u r husban d s to p p e d w o rk a t th e A rm s tro n g C o rk Company d id he have a c o n s u lt a t io n in y o u r p re s e n c e w it h some p h y s ic ia n , w itn e s s r e p lie d , y e s . T h a t was w ith D r. H ogan. F o llo w in g th a t c o n s u la tio n w ith D r. Hogan h e r husband s to p p e d w o rk a t th e A rm s tro n g C o rk C om pany. Then a t some tim e he w e n t u n d e r th e c a re o f th e M a s s a c h u s e tts G e n e ra l H o s p ita l. A f r ie n d , G eorge B o y la n , J r . , r e f e r r e d h im t o th e M a s s a c h u s e tts G e n e ra l H o s p it a l. She b e lie \ he f i r s t w e n t to th e M a s s a c h u s e tts G e n e ra l H o s p ita l on June 2 3 , 1952. C o u n s e l f o r th e c la im a n t o ffe r e d th e re c o rd o f M a s s a c h u s e tts G e n e ra l H o s p ita l f o r t h is re c o rd . C o u n se l f o r th e T ra v e le rs o b je c te d to i t s a d m is s io n in i t s e n t ir e t y , s p e c if ic a lly o b je c tin g to th e h is t o r y and a n y d ia g n o s is b a se d on th e h is t o r y , h is e x c e p tio n is s a v e d ; c o u n s e l f o r U tic a o b je c te d to th e a d m is s io n o f t h is re c o rd , h is e x c e p tio n is s a v e d . The re c o rd o f M a s s a c h u s e tts G e n e ra l H o s p ita l - U n it # 7 7 82 05is made p a r t o f t h is re c o rd b y re fe re n c e and may be: fo u n d in th e B o a rd f i l e . C o u n se l f o r T ra v e le rs re q u e s te d h is e x c e p tio n be saved to h is re q u e s t f o r some p a r t o f t h is re c o r d to be d e le te d . TO COUNSEL FOR THE U T IC A : S h e d i d s a y h e r h u s b a n d w a s u p i n M a in e d u r in g D e ce m b e r 1 9 5 1 , J a n u a ry a n d F e b r u a r y 1 9 5 2 . H e r h u s b a n d cam e home W a s h in g to n 's B ir th d a y a n d s h e i s n o t s u re w h e th e r h e th e n r e tu r n e d to F o r t K e n t. A s k e d , y o u t h in k h e cam e hom e o n W a s h in g to n 's B ir th d a y and th e n d id n o t r e tu r n to F o r t K e n t, w itn e s s r e p lie d , I d o n 't th in k s o . H er h u s b a n d d id come home f o r C h ris tm a s and th e n e x t tim e a f t e r t h a t was o n o r a b o u t W a s h in g to n 's B ir t h d a y , w h ic h w as in F e b r u a r y . O f h e r own k n o w le d g e she d o e s n o t kn o w w h a t h is c o n d it io n w as in J a n u a ry 1 9 5 2 . A s k e d , and when yo u to ld us a l i t t l e w h ile ago th a t yo u n o tic e d he g o t s h o rt o f b re a th in J a n u a ry 1952 th a t was n o t as r e s u lt o f an y p e rs o n a l o b s e rv a tio n s w h ic h y o u m ade, w itn e s s r e p lie d , I w as n o t th e r e in J a n u a ry . A s k e d , t h a t i s w h a t y o u t o ld u s , w itn e s s r e p lie d , th e o n ly tim e I w o u ld h a ve se e n h im w as w hen h e l e f t a f t e r New Y e a r 's . I f sh e s a id p r e v io u s ly t h a t sh e f i r s t n o tic e d he was g e ttin g o u t o f b re a th in J a n u a ry 1952 th a t is n o t so a s s h e d id n o t se e h im th e n . A s k e d , a n d y o u r m em ory now is t h a t y o u h a v e no c le a r r e c o lle c t io n a s to w hen y o u f i r s t n o tic e d h im g e t t in g o u t o f- b r e a th so to s p e a k , w itn e s s r e p lie d , t h a t is c o r r e c t. H e r h u sb a n d came home in D ecem ber 1951 a fe w d a y s b e fo r e C h ris tm a s . She w o u ld n o t sa y he s ta r te d to lo s e w e ig h t in D ecem ber 1 9 5 1 . She d id t e s t if y th a t c le a r in g o f th e th r o a t s ta r te d in Decem ber 1 9 5 0 . A sked i f th a t seem ed to g e t p ro g re s s iv e ly w o rse a s tim e w e n t on o r re m a in e d th e sam e, w itn e s s r e p lie d , g o t w o rs e . B e fo re h e r h u sb a n d w o rke d f o r th e A . W. B a n c ro ft Company he w o rk e d f o r th e New E n g la n d I n s u la t io n C om pany. He w as d o in g th e sam e ty p e o f w o rk t h e r e . T h a t i s th e w o rk sh e h a s d e s c r ib e d h e r e . She t h in k s h e w o rk e d a t th e New E n g la n d I n s u la t io n Com pany q u it e a w h ile . I t m u s t h a v e b e e n o v e r tw o y e a rs . H er husband w e n t to w o rk fo r th e A . W. B a n c ro ft Company d ir e c t ly a f t e r le a v ir h is e m p lo y m e n t a t New E n g la n d I n s u la t io n C om pany. T h e re w as no l a y o f f p e r io d o r a n y th in g o f t h a t n a tu r e . He w e n t t o w o rk f o r th e B a n c r o ft C om pany w it h in a w eek a f t e r h is le a v in g th e New E n g la n d I n s u la t io n C om pany. A s k e d , c a n y o u r e c a l l f o r whom h e w o rk e d b e fo r e h e w o rk e d f o r t h i s New E n c rla n d 4- Rothwell (dec'd) I n s u la t io n C om pany, w itn e s s r e p lie d th e r e w as a w h o le l i s t o f th e m , I c o u ld n o t g iv e th e m i n o r d e r , I d o n ' t kn o w i f I c o u ld g iv e th e m a l l . B e fo re he w o rk e d f o r th e New E n g la n d I n s u la t io n Com pany he w o rk e d f o r th e I n s u la t io n C om pany o f New J e r s e y . T h e re he d id th e sam e ty p e o f w o rk t h a t he d id f o r New E n g la n d I n s u la t io n C om pany, A . W. B a n c r o f t C om pany a n d A rm s tro n g Company He m ay h a v e w o rk e d f o r th e I n s u la t io n C om pany o f New J e r s e y a b o u t a y e a r . D u rin g h e r h u s b a n d 's l i f e t i m e h e d id th e sam e ty p e o f w o rk a s she h a s d e s c rib e d h e re t h is m o rn in g ; t h a t w as h is tr a d e , in o th e rw o rd s . He had been engaged s t e a d ily a t th a t tim e d u r in g t h e ir m a rrie d l i f e e x c e p t d u r in g th e d e p re s s io n . D u rin g th e d e p re s s io n he w as o u t o f w o rk s ix y e a rs . T hey w e re m a rrie d D ecem ber 2 5 , 1 9 3 0 . H e r hu sb a n d w as w o rk in g a t th a t tim e . S o m e tim e i n th e e a r ly T h i r t y 's h e w as o u t o f a jo b . I n th e l a t e T h i r t y 's he resu m e d w o rk in g a g a in a t th e ty p e o f w o rk she h a s d e s c rib e d . She re a d in th e p a p e r t h a t M r. B a n c r o ft f o r whom h e r h u sb a n d w o rk e d h a d d ie d . She u n d e rs to o d t h a t th e M r. B a n c r o ft f o r whom h e r h u s b a n d w o rk e d ha d a s m a ll s h o p . H e r r e c o lle c t io n is th a t th e d a y h e r h u sb a n d s to p p e d w o rk in g f o r th e A . W. B a n c r o f t C om pany h e th e n s t a r t e d t o w o rk f o r th e A rm s tro n g Com pany th e n e x t d a y . She d id n o t h a ve o c c a s io n t o w ash h is c lo th e s w h ile he was up F o r t K e n t. H e r h u sb a n d d id n o t se n d th e m hom e. A s k e d , and y o u d o n 't know o f y o u r ow n k n o w le d g e u n d e r w h a t c o n d it io n s h e w o rk e d w h ile a t F o r t K e n t, w itn e s s r e p lie d , ju s t w h a t he t o ld m e. When she t o ld t h is m o rrin g a b o u t th e c o n d itio n s u n d e r w h ic h h e r h u s b a n d w o rk e d t h a t w as som e t h in g h e r h u s b a n d t o ld h e r . She d id n o t f o llo w h im a ro u n d . TO COUNSEL FOR THE TRAVELERS: H e r h u s b a n d b r o u g h t h i s o v e r a l l s hom e e v e r y tw o w e e ks f o r h e r t o w a s h . S he i s p o s i t i v e o f t h a t . He u s e d t o le a v e th e o v e r a lls in h is t o o l k i t w hen h e d id n o t b r in g th e m hom e. A s k e d , so when yo u t e s t i f i e d t h is m o rn in g as to th e c o n d itio n o f h is o v e r a lls y o u o n ly saw th o s e o v e r a lls o n ce e v e ry tw o w e e k s , m ore o r le s s , w itn e s s r e p lie d , y e s . A fte r h e r husband saw th e d o c to r on F e b ru a ry 2 1 s t o r 22nd he w e n t b a d to w o rk f o r th e B a n c ro ft C om pany. He c o n tin u e d to w o rk f o r t h is com pany u n t il M arch 19, 1 9 5 2 . The n e x t d a y he w e n t to w o rk f o r th e A rm s tro n g C o rk C om pany. From th e tim e he saw th e d o c to r in F e b ru a ry 1952 up u n t i l he saw th e d o c to r in A p r il 1952 w hen he s to p p e d w o rk in g , she o b s e rv e d th a t he was d if f e r e n t , he w as i r r i t a b l e , a t tim e s he was n o t e a tin g g o o d , he was n o t s le e p in g g o o d . A s k e d , a n y th in g e ls e , w itn e s s r e p lie d , ju s t was n o t fe e lin g g o o d , he was n o t h im s e lf. A ske d , was he c o m p la in in g to yo u a b o u t a n y th in g d u r in g th e p e r io d fro m F e b ru a ry 21 o r 2 2 , 1 9 5 2 , w itn e s s r e p lie d , he c o m p la ir o f h is c h e s t. A s k e d , w h a t d id he c o m p la in a b o u t in h is c h e s t, w itn e s s r e p lie d , one m o rn in g he g o t up and w e n t to th e b a th ro o m and came b a c k h o ld ir h is c h e s t t ig h t ly , he s a id ' I c a n 't b re a th e , c a n 't b re a th e l.A s k e d , you t e s t i f i e d he s ta r te d to g e t o u t o f b re a th in J a n u a ry 1 9 5 2 , v /itn e s s r e p lie d , I m eant he fo u n d i t h a rd e r to b re a th e . A s k e d , w h a t d id yo u o b s e rv e a b o u t h im d u r in g t h a t p e r io d fro m F e b ru a ry 21 t o A p r i l 2 5 th , a n y th in g e ls e ,w itn e s s r e p lie d , I d o n 't k n o w . A s k e d , b u t t h a t i s th e c o n d it io n y o u o b s e rv e d h im to be in fro m F e b ru a ry 1952 u n t il A p r il 2 5 , 1 9 5 2 , w itn e s s r e p lie d , y e s . P r io r t o t h a t sh e h a d n o t se e n h im f o r s u b s t a n t ia lly tw o m o n th s . A s k e d , and y o u r 'r e s u re t h i s w as th e c o n d it io n h e w as in fro m F e b r u a r y 2 2 n d t o A p r i l 25 \* itn e s s r e p lie d , y e s . A s k e d , no q u e s tio n a b o u t i t a t a l l , w itn e s s r e p lie d , D R . H A R R IE T L . HARDY, c a l l e d a n d q u e s t io n e d b y c o u n s e l f o r c la im a n t, t e s t if ie d h e r p ro fe s s io n a l and a d d re is M a s s a c h u s e tts G e n e ra l H o s p it a l, M e d ic a l D e p a rtm e n t o f M . I . T . in C a m b rid g e She i s a p h y s ic ia n a n d lic e n s e d t o p r a c t i c e m e d ic in e i n th e C o m m o n w e a lth o f M a s s a c h u s e tts . A sked i f she has a p a r tic u la r s p e c ia lty in th e f ie ld o f m e d ic in e , w itn e s s r e p lie d , she m akes a s p e c ia l s tu d y o f o c c u p a tio n a l d is e A ske d i f she h o ld s a n y p o s it io n w ith re g a rd to t h a t s p e c ia lty , w itn e s s r e p lie d , y e s , I h a ve c h a rg e o f th e o c c u p a tio n a l m e d ic a l c l i n i c and a t M .I.T . I am a s s i s t a n t m e d ic a l d i r e c t o r i n c h a r g e o f t h e o c c u p a t io n a l m e d ic a l s e r v ic A sked i f in th a t f ie ld h e r w o rk is p r im a r ily one o f tr e a tin g p a tie n ts o r p r im a r ily one o f re s e a rc h , w itn e s s r e p lie d , i t ' s a c o m b in a tio n o f b o th th o s e fe a tu r e s . In c o n n e c tio n w ith h e r s p e c ia lty sh e d e a ls w ith d is e a s e s o f th e c h e s t. The d e c e d e n t m t h is ca se was a p a tie n t o f h e rs a t M a s s a c h u s e tts G e n e ra l H o s p ita l. She f i r s t saw h im o n J u n e 2 3 , 1952 a t h e r o f f i c e . A t t h a t tim e s h e r e c e iv e d a h is t o r y fro m h im . A s k e d t o t e l l th e h is t o r y sh e re c e iv e w itn e s s r e p l i e d , h e g a v e me a h is t o r y o f g r a d u a l o n s e t o f c o u g h in g i n th e m o rn in g c a u s in g h im t o v o m it i n J a n u a ry 1 9 5 2 w it h o u t o th e r sym p to m s ( in by c o u n s e l f o r T ra v e le rs w itn e s s s ta te d t h is h is to r y is now in h e r -5- Rothwell (dec'd) p e rs o n a l r e c o r d s ) , he k e p t w o rk in g f o r th re e w eeks in s p ite o f t h is c o u g h , he was t o ld to s ta y home b y h is fa m ily p h y s ic ia n who s a id he had th e g r ip p e , th e n began to h a ve s e v e re p a in in th e l e f t s h o u ld e r b la d e , w o rs e in th e m o rn in g , b e tte r w hen he m oved a ro u n d , m uch w o rs e a t n ig h t , th e re was in c re a s e in co u g h and a b o u t t h is tim e he b e g a n to be a w a re o f i n c r e a s i n g s h o r t n e s s o f b r e a t h , h e d a t e d t h a t a s a b o u t M a r c h 1 , 1 9 5 2 , i t Wc so tro u b le s o m e t h a t he h a d t o do s o m e th in g a b o u t i t , a b o u t A p r il 1 , 1952 he w e n t to h is p h y s ic ia n in D o rc h e s te r, D r. E dw ard H o g a n , and she h a s ta lk w it h h im . She g o t h e r h is t o r y fro m th e p a t ie n t . She g o t th e h is t o r y and th e n d id th e p h y s ic a l and th e n ta lk e d w ith D r. H ogan. The p a tie n t gave h e r th e h is t o r y o f D r. H ogan t e l l i n g h im a f t e r h is x r a y s t h a t h is lu n g had c o lla p s e d (c o u n s e l f o r T ra v e le rs o b je c te d to t h is b e in g a d m itte d , h is e x c e p tio n is s a v e d -c o u n s e l f o r U tic a a ls o o b je c te d to t h is b e in g a d m itte d and h is e x c e p tio n is s a v e d .) H er h is to r y c o n tin u e s th a t fro m t h is p e r io d o f tim e in A p r il 1952 th e p a t ie n t h ad be e n ta k in g p e n i c i l l i n and ir o n and s u lp h a d ru g s ,h e had some c o n s tip a tio n and a b u rn in g s e n s a tio n in th e l e f t a r m p it, he re p o rte d a w e ig h t lo s s o f 16 pound s s in c e J a n u a ry , a s h o rtn e s s o f b re a th t h a t he n o te d b e g in n in g in M a rch and was g e ttin g w o rs e w hen se e n in J u n e , h is a p p e tite w as f a i r , th e m e d ic a l h is to r y th a t he gave in s o fa r as i t was im p o rta n t was th a t he had b r o n c h iti 8 y e a rs a g o , he had had s lig h t s in u s in f e c t io n w ith som e c o u g h in g b u t n o th in g s e v e re e n o u g h t o k e e p h im o u t o f h is w o rk , h e h a d x r a y s ta k e n fro m tim e t o tim e i n c o m m u n ity s u rv e y s a n d h e w as n e v e r t o ld th e r e w as a n y th in g w ro n g , h is fa th e r was th o u g h t to have tu b e r c u lo s is , th a t d ia g n o s is was n o t c le a r , th e p a tie n t gave i t to w itn e s s and she p u t down a q u e s tio n m a rk a f t e r i t , th e man sm oked b o th a p ip e and c ig a r e t t e s , a v e ra g in g a b o u t p a c k a d a y u n t il h is p re s e n t illn e s s , h is o c c u p a tio n a l h is to r y was th a t he began w o rk in g in a s to r e as a c le r k w h ile s t i l l a t s c h o o l and he d id e rra n d s a t B o s to n F lo a tin g H o s p ita l f o r tw o y e a rs w h ile s t i l l a t s c h o o l a n d d u r in g th e sum m ers h e w as a s h ip p e r a t P ilg r im P re s s C om pany, he s ta te th a t a b o u t 29 y e a rs a g o , w hen he was a b o u t 1 7 , he w o rk e d o f f and on s o m e tim e s w it h h is g r a n d fa th e r a n d w it h a n u m b e r o f c o m p a n ie s , a t w h a t he c a lle d a h e a t and f r o s t in s u la to r and h is d e s c r ip tio n o f th a t jo b was t h a t he r e c e iv e d a s b e s to s b o a rd s , i t s s o u rc e d e p e n d in g o n th e com pany w ith w h ic h he was w o rk in g ( in a n s w e r to c o u n s e l f o r T r a v e le r s q u e s tio n as to w h a t p e r io d o f d e v e lo p m e n t sh e i s now t a lk in g a b o u t w itn e s s she is t a lk in g a b o u t th e h is t o r y he g a ve h e r c o v e rin g 29 y e a r s .) He gave no d e s c r ip tio n o f h is tra d e o f h e a t and f r o s t in s u la t o r . H is p a r t ic u la r jo b was to c u t and saw th e a s b e s to s b o a rd s to f i t p ip e s and b o ile r s as n e e d e d f o r in s u la t io n . W itn e s s d id a p h y s ic a l e x a m in a tio n a t th e tim e . As i f sh e fo llo w e d h im w h ile he w as in th e h o s p it a l d u r in g h is v a r io u s a d m is s io n s , w itn e s s r e p lie d , w ith th e e x c e p tio n o f h is a d m is s io n in J u ly w hen I w as aw ay o n my h o lid a y . She fo llo w e d h im in J u n e and h e r a s s o c ia te k e p t in to u c h h e r . When he r e tu r n e d to th e h o s p it a l a f t e r t h a t she fo llo w h im . A f t e r h is d e a th an a u to p s y w as p e rfo rm e d . She h a d a ch a n c e to re a d a u to p s y p r o t o c o l a n d th e d i f f e r e n t a u to p s y m a t e r ia l. H a v in g in m in d h e r e n tir e c o n ta c t w ith th is ca se she p re s e n tly has an o p in io n as to w h a t th e d ia g n o s is o f t h i s m a n 's i l l n e s s w a s . She d id t e s t i f y t h a t sh e fo llo w e d t h is man th ro u g h o u t h is e n t ir e p e r io d o f h o s p it a liz a t io n , t h a t she re v ie w e th e a u to p s y p r o to c o l and saw some o f th e p a th o lo g ic a l m a te r ia l in - c o n n e c tio n w ith th e a u to p s y . h o s p ita l re c o rd it s e lf . In a d d itio n she is f a m ilia r w ith th e TO THE C O M M IS S IO N : S he d i d e x a m in e t h i s m a n . H e r f i r s t e x a m in a tio n was on Ju n e 2 3 , 1952 w hen she d is c o v e re d th e man had a c o m p le te c o lla p s e o f h is l e f t lo w e r lu n g , he o b v io u s ly had lo s t w e ig h t f o llo w in g he h a d c h e s t x ra y s w h ic h she v ie w e d w it h th e r o e n tg e n o lo g is t and d is c o v e re d t h a t he n o t o n ly had th e c o lla p s e o f h is l e f t lo w e r lu n g b u t he had e v id e n c e o f d e n s ity b y x ra y s in th e lo w e r r i g h t lu n g .O n th e bas o f t h e s e f i n d i n g s s h e _re c o m m e n d e d h i s h o s p i t a l i z a t i o n f o r d i a g n o s t i c s t u d ie s . He w as h o s p it a liz e d . T h e se w e re m ade b y h e r c o lle a g u e s in th e h o s p ita l a t h e r s u g g e s tio n , she was n o t th e r e . A sked i f she p a r tic ip a te d in some o f th e m , w itn e s s r e p lie d , o n ly to th e e x te n t o f s u g g e s tin g t h is . The h o lid a y cam e d u r in g t h is p e r io d an d w hen she cam e b a c k th e y w e n t o v e r th e ca se to g e th e r . A ske d i f she s u p e rv is e d o r c o n tr o lle d th o s e s tu d ie s o r - 6- Rothwell (dec'd) w e re th e y ju s t m e re ly a s u g g e s tio n on h e r p a r t , w itn e s s r e p lie d , I s u p e r v is e d th e m t o th e e x t e n t o f b e in g th e s e n io r o f f i c e r w ho i s d o in g th e re c o m m e n d in g ,th fe re w e re o th e r d o c to r s a ro u n d . T he r e s u lt s o f th o s e s tu d ie s w e re made a v a ila b le to h e r . B ased on th e h is t o r y she re c e iv e d , th e p h y s ic a l e x a m in a tio n she c o n d u c te d , th e d ia g n o s tic m a te r ia l w h ic h was made a v a ila b le to h e r , sh e a r r iv e d a t a d ia g n o s is in t h is c a s e . H e r d ia g n o s is w as c a rc in o m a o f th e lu n g and a s b e s to s is . TO COUNSEL FOR THE C LA IM A N T : A s k e d a f t e r s h e r e a c h e d t h e d ia g n o s is she has ju s t t e s t if ie d to , d id she have any f u r t h e r c o n ta c t w ith th e man d u r in g t h is p e r io d o f h o s p it a liz a t io n , w itn e s s r e p lie d , y e s , I d id . T h is f u r t h e r c o n ta c t w as t h a t s h e w e n t to se e h im v e r y o fte n w h ile he was in th e h o s p ita l, c o n s u lte d w ith o th e r p h y s ic ia n s a b o u t th e c o u rs e o f tre a tm e n t o n ce th e d ia g n o s is was made and fo llo w e d h is ca se to th e tim e o f h is d e a th , she was n o t a w itn e s s a t th e a u to p s y b u t fo llo w e d o u t v e ry c a r e fu lly w h a t th o s e fin d in g s w e re . She h e r s e lf p e r s o n a lly v ie w e d som e o f th e a u to p s y m a t e r ia l. She p e r s o n a lly v ie w e d a s lid e o f th e lu n g . In th e c o u rs e o f h e r m e d ic a l t r a in in g she has had o c c a s io n to r e c e iv e t r a in in g in th e f i e l d o f p a th o lo g y . A ske d to t e l l w h a t th e t r a in in g w as, w itn e s s r e p lie d , she had th e u s u a l a m o u n t o f p a th o lo g y a s a n u n d e r g r a d u a te , m e a n in g s h e to o k le c t u r e s and so o n , th e n w hen she was h o u se o f f ic e r a t P h ila d e lp h ia G e n e ra l H o s p ita l she h a d in te n s iv e t r a in in g in p a th o lo g y w h ic h in v o lv e d d o in g a g re a t a m o u n t o f a u to p s ie s , th e n she to o k one s e m e s te r in th e d e p a rtm e n t o f p a th o lo g y in C o r n e ll U n iv e r s it y m a k in g a n in t e n s iv e s tu d y o f c e r ta in p a th o lo g ic a l p ro b le m s , s in c e th a t tim e i t ' s been h e r p r iv ile g e to a s s o c ia te w ith D r. T ra c y M a llo ry in p a th o lo g ic a l s tu d ie s o f o c c u p a tio n a l d is e a s e s . A s k e d , do yo u fe e l th a t yo u a re q u a lif ie d to v ie w th e s e p a th o lo g ic a l s lid e s o f M r. R o th w e ll's lu n g tis s u e (o b je c tio n n o te d b y c o u n s e l fo r T ra v e le rs and U tic a , t h e ir e x c e p tio n is n o te d ) w itn e s s r e p lie d , y e s . A ske d to t e l l w h a t th e s lid e s re v e a le d ( o b je c tio n n o te d and e x c e p tio n sa ve d f o r c o u n s e l f o r T ra v e le rs a n d U t ic a ) , w itn e s s r e p lie d , show ed w h a t is know n a s p u lm o n a ry f i b r o s i s , m e a n in g s c a r t is s u e a n d r e a c t io n a ro u n d th e b r o n c h ia l tu b e s , la r g e g ra y c e lls w h ic h a re u s u a lly a s s o c ia te d w ith th e p re s e n c e o f fo r e ig n m a te r ia l, I saw w h a t a re know n a s a s b e s to s b o d ie s a nd I saw c e lls o f m a lig n a n c y (c o u n s e l f o r T r a v e le r s o b je c te d to th e te s tim o n y a b o u t th e a s b e s to s b o d ie s and h is e x c e p tio n is s a v e d ). A ske d to d e s c rib e th e a s b e s to s b o d ie s f o r th e p u rp o s e o f th e r e c o r d , w itn e s s r e p lie d , th e a s b e s to s b o d ie s a s s e e n i n t h i s m a n 's lu n g a re c lu b sh a p e d b o d ie s t h a t ta k e an ir o n s t a in w h ic h m eans th e y lo o k y e llo w is h w it h th e in h a la t io n o f c e r t a in s ilic a t e s o f w h ic h a s b e s to s is one (c o u n s e l f o r T r a v e le rs o b je c te d t o t h is te s tim o n y b e in g a d m itte d , h is e x c e p tio n is s a v e d ) th e s e a s b e s to s b o d ie s a re b it s o f a s b e s to s f ib e r s s u rro u n d e d w ith b lo o d p ig m e n t w h ic h h a v e c lu n g to th e a s b e s to s b o d ie s d u r in g t h e ir lo n g p re s e n c e in th e s m a ll b r o n c h io le s w h ic h is th e s m a ll p a r t o f th e b r o n c h ia l t r e e , t h e i r sh a p e v a r ie s , d e p e n d in g on th e le n g th o f th e a s b e s to s f ib e r s and th e le n g th o f tim e i t ' s b e e n in th e b r o n c h ia l tr e e . A ske d , do yo u now have an o p in io n , based upon th e c o n ta c t yo u had w ith t h is case as yo u have t e s t if ie d , as to w h a t th e d ia g n o s is is in th e c a s e , w itn e s s r e p lie d , y e s ( o b je c tio n n o te d f o r c o u n s e l f o r T ra v e le rs and U tic a and t h e ir e x c e p tio n is s a v e d ). H er p re s e n t o p in io n is t h a t t h is man d ie d o f b ro n c h o g e n ic c a rc in o m a , s e o c n d a ry to a s b e s to s is . A s k e d , have yo u an o p in io n as to th e r e la tio n s h ip o f th e a s b e s to s is and h is w o rk as p ip e c o v e re r (o b je c te d n o te d by c o u n s e l f o r U tic a and T ra v e le rs , q u e s tio n a llo w e d , t h e ir e x c e p tio n is s a v e d ) , w itn e s s r e p l i e d , I h a v e s a id 'y e s ' I h a d a n o p in io n , my a n s w e r i s b a se d on th e le n g th o f tim e th a t t h is p a t ie n t w o rk e d in th e in d u s tr y in v o lv in g e x p o s u re to fin e a s b e s to s fib e r s d u rin g th e c u ttin g and s a w in g o f a s b e s to s b o a rd s , th e le n g th o f tim e I w o u ld l i k e to e m p h a s iz e and th e d is c o v e r y o f a s b e s to s b o d ie s in th e lu n g s d e f i n i t e l y n ro v e th e r e la t io n s h ip b e tw e e n e x p o s u re a n d th e d is e a s e d p ro c e s s , i t ' s my o p in io n th e s e tw o th in g s f a l l in to g e th e r - h is w o rk a s p ip e c o v e re r an d th e d is e a s e t h a t r e s u lte d in h is d e a th . A s k e d , d id t h is man g iv e to y o u a t a n y tim e d u r in g th e p e r io d t h a t y o u saw h im a n y s p e c if ic in fo r m a -7- Rothwell (dec'd) t io n a s to h is w o rk f o r th e A . W. B a n c r o ft Com pany b e tw e e n D ecem ber 1 7 , 195( a n d M a rc h 1 9 , 1 9 5 2 , w itn e s s r e p lie d , he d e s c r ib e d t o me h is w o rk w it h th e B a n c ro ft Company as we w o rke d b a ckw a rd s in to h is e a r ly l i f e h is to r y and he t o l d me t h a t h is w o rk a t th e B a n c r o f t C om pany w as p r e c is e ly th e sam e tr a d e as I h a ve e a r lie r d e s c rib e d to y o u . A ske d , d id he g iv e yo u any in fo r m a tio n w ith re g a rd to d u s t c o n d itio n s in h is w o rk f o r th e B a n c r o ft C om pany, w itn e s s r e p lie d , n o th in g a b o v e th e g r in d in g a n d s a w in g w h ic h I h a v e s ta te d p re v io u s He d id n o t p ro d u c e a n y a s b e s to s m a t e r ia l t o show how h e c o n d u c te d h is w o rk . A s k e d , i f she g o t a n y in fo r m a tio n fro m h im a s t o w h e th e r o r n o t th e c u t t in g a n d s a w in g o f a s b e s to s p ip e c o v e r in g p ro d u c e d a n y d u s t,w itn e s s r e p lie d , y e s . He t o ld w itn e s s t h a t w hen h e w as c u t t in g a n d s a w in g m a t e r ia l t h a t he h a d to f i t on th e p ip e he o fte n d id i t d ry and had to use a g r in d in g w h e e l o f one s o r t o r a n o th e r o r m e c h a n ic a l ty p e o f saw t h a t he pum ped w ith h is f o o t o r h a d some e l e c t r i c a l e q u ip m e n t i f i t was a b ig g e r com pany a n d a t t h a t tim e th e r e w as a g o o d d e a l o f d u s t f l y i n g a ro u n d a b o u t th e a i r , t h a t w as the k in d o f h is t o r y sh e w as t r y in g to d ra w o u t o f h im (c o u n s e l f o r T r a v e le r s o b je c te d , s ta tin g th e q u e s tio n was a ske d w ith re g a rd to h is w o rk a t B a n c ro ft Com pany and i f th e a n s w e r is n o t c o n fin e d to i t th e n he w o u ld l i k e i t ta k e n o u t.) A sked i f she g o t any s p e c ific in fo rm a tio n w ith re g a rd to th e v/o rk a t th e B a n c r o ft C om pany, w itn e s s r e p lie d , he ta lk e d a b o u t t h is a t g re a t le n g t h b e c a u s e e x c e p t f o r t h i s v e r y b r i e f e m p lo y m e n t a t th e A rm s tro n g Company th a t was h is m o st re c e n t jo b , and in th e d is c u s s io n o f th e o p e ra tio r i t was o b v io u s ly th e B a n c ro ft Company he was ta lk in g a b o u t, we ta lk e d a b o u t th e c h a r a c te r o f th e jo b and he t o ld a b o u t th e tim e s t h a t he d id n o t do th e w e t, s o m e tim e s t h i s jo b w as d o n e w e t. He d id d e s c r ib e t o h e r th e o p e r a tio n o f m ix in g th e a s b e s to s pow der in to a m ud. A ske d , d id he d e s c rib e th a t o p e r a tio n as h a v in g bee n p e rfo rm e d w h ile w o rk in g b e tw e e n D ecem ber 1 7 ,1 9 5 0 and M arch 1 9 ,1 9 5 2 , w itn e s s r e p lie d , I h a ve no su ch n o te . A s k e d , d id he t e l l y o u a b o u t h is w o rk f o r th e A rm s tro n g C o rk Com pany b e tw e e n M a rch 2 0 , 1952 and A p r il 2 5 , 1 952, d id he g iv e yo u any s p e c ific in fo rm a tio n w ith re g a rd to th e c h a ra c te r o f th a t w o rk , w itn e s s r e p lie d , th e o n ly n o te I have is th a t th e m o st re c e n t w o rk was s im ila r to h is e a r lie r w o rk b u t I d o n ' t have th e p r e c is e d e s c r ip tio n o f h is w o rk a t th e A rm s tro n g Com pany b e in g d i f f e n t fro m th a t o f th e B a n c ro ft Com pany. A s k e d , do yo u h ave an o p in io n a s t o w h e th e r o r n o t t h i s e m p lo y e e 's d is e a s e a n d d e a th w e re c a u s a lly r e la te d to h is e x p o s u re as yo u h a ve d e s c rib e d i t in y o u r p re v io u s a n sw e r w h ile in th e e m p lo y o f th e B a n c r o ft C om pany b e tw e e n D e ce m b e r 1 7 , 19 5 0 a n d M a rc h ,19 1 9 5 2 , w itn e s s r e p lie d , n o . A ske d , do yo u h a ve an o p in io n as to w h e th e r i t vas r e l a t e d t o h i s e x p o s u re t o th e sam e ty p e o f w o rk t h a t y o u h a v e m e n tio n e d in y o u r a n s w e r t o th e p r e v io u s q u e s tio n w h ile in th e e m p lo y o f th e A rm s tro n g Com pany b e tw e e n M a rc h 2 0 , 1952 and A p r il 2 5 , 1952 w itn e s s r e p lie d , y o u 'r e m a k in g i t to u g h f o r m e, n o . A s k e d , in y o u r p r e v io u s a n s w e r yo u t o ld u s t h a t y o u f e l t th a t h is d is e a s e and d e a th w e re r e la te d to th e le n g th o f tim e th a t he was e xp o se d in h is w o rk as p ip e c o v e re r, w itn e s s w itn e s s r e p lie d , y e s . A s k e d , do yo u h a ve an o p in io n as to w h e th e r o r n o t he re c e iv e d any a d d itio n a l in ju r y to h is lu n g s w h ile p e rfo rm in g h is w o rk fo r th e B a n c r o ft Com pany b e tw e e n D ecem ber 1 7 , 1950 and M a rch 1 9 , 1952 a c c o rd in g to in fo r m a tio n t h a t y o u r e c e iv e d a n d t o w h ic h y o u h a v e t e s t i f i e d t o h e re to d w itn e s s r e p lie d , y e s , t h is is a m e d ic a lly sound o b s e rv a tio n . I do have such an o p in io n . A ske d , do yo u have an o p in io n as to w h e th e r he re c e iv e d any a d d it io n a l in ju r y to h is lu n g s w h ile w o rk in g f o r th e A rm s tro n g C o rk Com pany d o in g h is w o rk a s y o u h a ve t e s t i f i e d to b e tw e e n M a rch 2 0 , 1952 and A p r il 2 5 , 1 9 5 2 , w itn e s s r e p lie d , y e s , I have an o p in io n . A sked to g iv e h e r o p in io n in re g a rd to t h is a d d it io n a l in ju r y t o h is lu n g s w h ile w o rk in g f o r th e B a n c ro ft Com pany, w itn e s s r e p lie d ( o b je c tio n n o te d b y c o u n s e l f o r th e U tic a , s ta tin g th e re was no s p e c ific in fo rm a tio n as to w h a t he d id fo r th is com pany c o u n s e l's e x c e p tio n is s a v e d ), th e h is t o r y fro m w ay b a c k up u n t i l and in c lu d in g th e B a n c ro ft Com pany g iv e s s u b s ta n tia l e v id e n c e o f e x p o s u re to v e r' fin e a s b e s to s d u s t be ca u se o f th e n a tu re o f th e o p e ra tio n s and th e p re p a rin g o f th e a s b e s to s b o a rd f o r use as in s u la tin g m a te r ia l (o b je c tio n n o te d by c o u n s e l f o r U tic a and T ra v e le rs and t h e ir e x c e p tio n is s a v e d ), th e s tu d y o f 1 c a s e v e r y c le a r ly in d ic a t e s a lo n g s ta n d in g p ro c e s s , d e p e n d in g o n th e p re s e n c o f a s b e s to s fib e r s o f v a r y in g s iz e s in th e s m a ll b ro n c h io le s w ith r e s u lta n t r e a c tio n a ro u n d th e s e b r o n c h io le s an d w h a t a m o u n ts to l i t t l e p a tc h e s o f p n e u m o n ia ,w h e n th e s e l i t t l e p a tc h e s o f p e n u m o n ia ta k e p la c e b i t s o f th e lu n g become in c o m p e te n t, th e y a re no lo n g e r o f a n y u s e , now d u r in g th e e x p o s u re a t th e B a n c r o ft Com pany he in h a le d m ore a s b e s to s d u s t o f a f in e e n o u g h c a lib e r t o re a c h th e s m a ll b r o n c h io le s , he p lu g g e d th e s m a ll b r o n c h io l 8- Rothwell (dec'd) w h ic h r e s u lte d in r e a c tio n (c o u n s e l f o r U tic a o b je c te d to th e d e s c r ip t io n o f ' s m a ll c a l i b e r o f a s b e s to s ' w h ile w o r k in g f o r h is com pany,, q u e s tio n a n d a n sw e r a d m itte d de b e n e .) A ske d , in a n sw e r to th e p re v io u s q u e s tio n a b o u t t h i s m a n 's e x p o s u re w h ile i n th e e m p lo y o f th e B a n c r o ft C om pany, t h a t is to s a y f o r h is e m p lo y e r b e tw e e n D ecem ber 1 7 , 1950 a n d M a rc h 1 9 , 1 9 5 2 , yo u d id n o t t e l l us a n y th in g as to th e s iz e o r c a lib e r o f th e p a r t ic u la r a s b e s to s f ib e r s t o w h ic h he w as e x p o s e d , d id y o u o b ta in a n y in fo r m a tio n fro m h im a s t o t h a t , w itn e s s r e p lie d , n o . A s k e d , w h a t do y o u b a s e y o u r s ta te m e n t to y o u r p re v io u s a n sw e r w ith re fe re n c e to th e c a lib e r and s iz e o f th e a s b e s to s b o d ie s t o w h ic h h e w as e x p o s e d w h ile in th e e m p lo y o f th e B a n c ro ft Com pany, w itn e s s r e p lie d , th e a n sw e r is v e ry s im p le b e ca u se o f th e fin d in g o f th e a s b e s to s in th e lu n g , i t had to be s m a ll e n o u g h to g e t th e r e , th e r e c o u ld b e a n y n u m b e r o f th e m a r r iv in g a t one e x a c t m o m e n t, b u t b e c a u s e o f th e q u a n t it y o f th e m a n d th e c h a r a c te r o f th e m w h ic h I h a v e d e s c r ib e d t o y o u e a r l i e r a s e v id e n c e o f th e a s b e s to s b o d ie s i t seem s re a s o n a b le and c e r t a in ly a n e x tr a num ber o f f ib e r s re a c h in g th e lu n g s e t up a r e a c tio n d u r in g th e p e r io d y o u h a ve ju s t been d e s c r ib in g to m e, m e a n in g 3 y e a rs p r i o r t o h is d e a th (c o u n s e l f o r U tic a o b je c te d to th e q u e s tio n and a n sw e r and th e y a re a d m itte d de b e n e .) A ske d , d id y o u re c e iv e enoug h in fo r m a tio n fro m t h is man to fo rm an o p in io n as t o w h e th e r o r n o t he h a d s u s ta in e d a n y a d d it io n a l in ju r y t o h is lu n g s d u rin g th e p e rio d fro m M a rch 2 0 , 1952 to A p r il 2 5 , 1 9 5 2 , w itn e s s r e p lie d , __n o , I h a v e n o s u c h t h i n g . S h e d o e s n o t h a v e e n o u g h i n f o r m a t i o n o n t h a t . A s k e d , in a p r e v io u s a n s w e r y o u t e s t i f i e d t h a t th e b ro n c h o g e n ic c a rc in o m a s e c o n d a ry to a s b e s to s is , w i l l yo u g iv e us y o u r re a s o n s f o r th a t s ta te m e n t, w itn e s s r e p lie d , my re a s o n s a re b a se d on e x p e rie n c e and s tu d y e x p e rie n c e o f o th e r c a s e s o f in d iv id u a ls w ho have a s b e s to s is and h a ve d ie d o f b ro n c h o g e n ic c a rc in o m a , p r e c is e ly w ith th e same c l i n i c a l fa c ts and p a th o lo g ic a l s tu d y as M r. R o th w e ll and w hen I sp e a k o f s tu d y I r e f e r to my k n o w le d g e o f l i t e r a t u r e p lu s t r a v e l l i n g in E u ro p e a n d b e in g a t S a ra n a c s y m p o s iu m i n O c to b e r , 1 9 5 2 a t w h ic h tim e th e w h o le s u b je c t o f a s b e s to s is and c a n c e r o f th e lu n g was re v ie w e d . She has had e x p e rie n c e w ith in d iv id u a l c a s e s o f a s b e s to s is and b ro n c h o g e n ic c a rc in o m a o th e r th a n th a t o f M r. R o th w e ll. A ske d to t e l l w h a t h e r e x p e rie n c e has been in th e s e o th e r c a s e s , w itn e s s r e p lie d , p r e c is e ly th e same - a lo n g h is t o r y o f e x p o s u re to a s b e s to s . A s k e d , do yo u h a ve an o p in io n as to th e m e c h a n is m w h e re b y th e a s b e s to s is i s c a u s a lly r e la t e d t o th e b ro n c h o g e n ic c a rc in o m a , w itn e s s r e p lie d , y e s . I n h e r o p in io n th e a s b e s to s f i b e r w h ic h is s m a ll enough to re a c h th e b ro n c h io le s is n o t b ig enough to r e a lly p lu g in and w h a t happens is th a t d u rin g in s p ir a t io n and e x p ir a tio n th e a s b e s to s f i b e r s w in g s b a c k a nd f o r t h a nd a c ts a s a m e c h a n ic a l i r r i t a n t and we know o th e r m e c h a n ic a l i r r i t a n t s t h a t h a ve p ro d u c e d m a lig n a n c y , t h a t is th e b a s is f o r th e o p in io n th a t th e a s b e s to s is ca u se d th e b ro n c h io g e n ic ^ c a rc in o m a . TO COUNSEL FOR THE U T IC A : A s k e d , y o u d o n 't w a n t t o t e l l us y o u know w h a t c a u s e s c a n c e r, w itn e s s r e p lie d , in some in s ta n c e s , I w o u ld be g la d t o , we h a v e a p r e t t y c le a r e v id e n c e in re g a rd to p ip e s m o k e rs , e t c . A s k e d , p e o p le fo u n d th e r e may be a g r e a te r in c id e n c e o f c a n c e r am ong p ip e sm o ke rs b u t t h a t is ju s t one o f th e f a c t o r s w h ic h y o u h a ve fo u n d " in y o u r s tu d ie s , w itn e s s r e p lie d , y e s , b u t i f he d id n o t sm oke th e p ip e he w o u ld n o t g e t th e c a n c e r, t h a t is a l l . A s k e d , is i t tr u e t h a t y o u a ls o f in d c a n c e r o f th e lu n g am ong p e o p le who d o n 't sm oke a t a l l , w itn e s s r e p lie d , y e s . A s k e d , i t ' s a ls o tr u e y o u f in d c a n c e r o f th e lu n g among p e o p le f o r whom y o u d id n o t d is c o v e r i n th e h is t o r y o f t h e i r o c c u p a tio n o r b a c k g ro u n d o r a n y th in g e ls e th a t th e lu n g had been i r r i t a t e d in any way w h a ts o e v e r, w itn e s s r e p lie d , b e ca u se we c a n 't f in d i t does n o t mean i t does n o t e x is t . T hey h a ve fo u n d c a n c e r o f th e lu n g in su ch c a s e s . I t is tr u e t h a t h e r th e o ry t h a t i r r i t a n t s p ro d u c e m a lig n a n c y d o e s n o t fo llo w th r o u g h in a l l c a s e s . A t th e tim e o f t h i s m a n 's f i r s t a d m is s io n t o th e h o s p ita l she d id n o t fo rm th e o p in io n th a t he had a s b e s to s is . She was on v a c a tio n d u r in g J u ly o f t h a t y e a r . On Ju n e 23 h e was in h e r o f f i c e as an o u tp a tie n t, he was n o t c o n fin e d to bed th e n . A t th a t tim e she re c e iv e d th e h is to r y she has s ta te d . M r. R o th w e ll was s t i l l in th e h o s p ita l when she r e tu r n e d fro m h e r v a c a tio n in J u ly . A s k e d , i f she made an" e x a m in a tio n o f h im o r a s s is te d o r s u p e r v is e d th e m a k in g o f a n e x a m in a tio n o f h im a t t h a t t im e , w it n e s s r e p l i e d , y e s . On t h a t p a r t i c u l a r a d m is s io n h e w as d isTM -9- Rothwell (dec'd) c h a rg e d on J u ly 1 8 , 1 9 5 2 . She d id n o t p re p a re a d is c h a rg e d ia g n o s is a t th a tim e . A ske d , was th e re one p re p a re d and a s p a r t o f th e h o s p ita l re c o rd , w itn e s s r e p lie d , th e re m u st b e . A s k e d , w e r e n 't y o u in c h a rg e o f h is c a s e , w itn e s s r e p lie d , d o y o u w a n t t o u n d e rs ta n d th e a d m in is t r a t iv e m e c h a n is m , t h a t w o u ld b e h e l p f u l . X am i n c h a r g e o f th e o c c u p a t io n a l m e d ic a l c l i n i c , I recom m end th e s e c a s e s f o r a d m is s io n f o r d ia g n o s tic s tu d y a nd tr e a tm e n t b u t t h e y g o o n t h e w a r d a s a r e g u l a r p a t i e n t an<3 I d o n ' t ' b o s s ' t h e j o b , I go a ro u n d and h e lp w o rk th e ca se o u t b u t i t ' s n o t my u ltim a te r e s p o n s ib il a b o u t w h a t is w r itte n on th e c h a rt and w h a t is done to th e p a tie n t, th a t i s j u s t th e m e c h a n is m o f th e h o s p i t a l . She saw th e m an i n h e r o f f i c e on Ju n e 2 3 . He w as la t e r a d m itte d to th e h o s p it a l. He w as a d m itte d to th e h o s p ita l w ith a te n ta tiv e d ia g n o s is , th a t is th e way i t is d o n e , she sees on th e re c o rd t h a t i t s ta te s 'a s b e s to s is * w ith a q u e s tio n m a rk . She has th e o r ig in a l o f th e h o s p ita l re c o rd . A ske d , and do yo u fin d in th e o r ig in a l re c o rd t h is n o ta tio n u n d e r J u ly 2nd w h ic h re a d s ' f i r s t M a s s a c h u s e t G e n e ra l H o s p ita l r e c o r d o f t h i s 4 6 -y e a r o ld w h ite m a le w ho e n te r s w it h d ia g n o s is o f " p o s s ib le c a rc in o m a o f lu n g " , w itn e s s r e p lie d , y e s . The q u e s tio n m ark s ta n d s f o r p o s s ib le , q u e s tio n a b le . A s k e d , a t th e tim e o f h is a d m is s io n to th e h o s p it a l, i s th e r e a n y re fe r e n c e in th e h o s p it a l re c o rd o f any a s b e s to s is t h a t y o u ca n s e e , w itn e s s r e p lie d , on J u ly 3 ,1 9 5 2 i t sa ys h is t o r y is c o m p a tib le w ith a d ia g n o s is o f a s b e s to s is -th e s e a re n o t my n o te s . A s k e d , w h a t I'm t r y in g t o g e t is t h i s , who w o u ld p u t t h a t f i r s t q u e s tio n a b le d ia g n o s is t h a t w as in s e r te d th e r e u pon a d m is s io n , w o u ld t h a t be s o m e th in g t h a t w o u ld com e fro m y o u r re c o rd a s a r e s u lt o f y o u r e x a m in in g a n d s tu d y in g h im o n J u n e 2 3 rd , w itn e s s r e p lie d , n o , I j u s t e x p la in e d to y o u , th e a d m in is tr a tio n has n o th in g to do w ith m e, th a t is im p o rta n t, th e re a re te c h n ic ia n s , re s e a rc h e rs and x ra y m en, I d o n 't d ic t a t e o p in io n s to th e m . A s k e d , so i f I u n d e rs ta n d y o u , y o u 'r e n o t re s p o n s ib le f o r any o f th e o p in io n s e x p re s s e d in th e re c o rd i t s e l f , w itn e s s r e p l i e d , I c e r t a i n l y am n o t . S he s tu d ie d th e r e c o r d c a r e f u l l y . A sked i f th e re is a n y p a r t o f th e re c o rd she d is a g re e s w it h , w itn e s s r e p lie d i t w o u ld be a w f u lly q u e e r i f th e r e w e re n o t, b u t I d o n 't see t h a t e n te r s in t o my o p in io n . She h a s re v ie w e d th e r e c o r d . T h e re is no tr e a tm e n t f o r th e d is e a s e o f a s b e s to s is . I t is a p r o g r e s s iv e d is e a s e w ith o u t a n y tr e a tm e n t know n t o h e r . A s k e d , w h a t w o u ld be th e e f f e c t o f num erous x ra y s on an in d iv id u a l's c h e s t w ith re fe re n c e to t h is c o n d itio n o f a s b e s to s is , w o u ld i t a g g ra v a te i t , w itn e s s r e p lie d , y o u 'r e t a lk in g a b o u t th e d ia g n o s is o r th e r a p e u tic r a d ia t io n . He re c e iv e d q u ite a num ber o f th e s She th in k s he b e g a n to h a ve t h is on h is se co n d a d m is s io n -- he had a l o t o f x ra y s ta k e n a t th e o u tp a tie n t d e p a rtm e n t. A ske d , i t ' s a fa c t , is i t n o t, t h a t th e r a p e u tic x r a y tr e a tm e n t w o u ld b e d e tr im e n ta l t o h im in s o f a r as th e a s b e s to s is c o n d itio n is c o n c e rn e d , w itn e s s r e p lie d , n o , I d o n 't th in k one ca n d ra w a n y su ch c o n c lu s io n . She does n o t b e lie v e t h a t , in f a c t c o u n s e l g a ve h e r an id e a in t h a t s h rin k a g e o f th e tis s u e m ig h t do some good The th e r a p e u tic x r a y in g w as done to 'k n o c k ' o u t th e c a n c e r c e lls , s h r in k th e tis s u e and m ake th e man m ore c o m fo r ta b le b u t no o n e h a s th e s lig h t e s t i o f t r e a t in g w ith th e id e a o f c u r in g h im , i t w as s im p ly a c a s e o f p u t t in g o f f h is day o f d e a th . A ske d , so i f th e re c o rd i t s e l f in d ic a te s th a t'th e h o s p it a l was t r e a t in g t h is man f o r c a n c e r fro m th e d a y o f h is f i r s t a d m is s i th a t is s o , w itn e s s r e p lie d , as soon as th e d ia g n o s is was m ade. A s k e d , th a was made on th e f i r s t a d m is s io n , w itn e s s r e p lie d , I th in k th a t w as made a b o u t J u ly 1 0 th . A s k e d , w o u ld n 't th e r a p e u tic x ra y s ca u se an in c re a s e d f i b r o s i s o f th e lu n g , w itn e s s r e p lie d , t h a t w o u ld d e p e n d on how m uch o f th e lu n g was e xp o se d to th e r a d ia tio n , u s u a lly t h is is f a i r l y lo c a liz e d tre a tm e n t, c a re b e in g ta k e n n o t to g iv e g e n e ra l r a d ia t io n , I c o u ld t a lk i t o v e r w ith th e r a d ia t io n man i f y o u w a n t me t o . She d o e s know i f one g e ts e n o u g h r a d ia t io n o n th e lu n g a s a w h o le y o u c a n g e t p u lm o n a ry f i b r o s i s . She d o e s n 't fe e l q u a lif ie d to e x p re s s an o p in io n in t h is re g a rd in t h is c a s e . A sked i f in th e tre a tm e n t o f a s b e s to s is w h e re th e b r o n c h ia l tu b e s a re re d u c e d in s iz e in o rd e r to a lle v ia t e th a t c o n d itio n do th e y n o t a d m in is te r a d ila t in g d ru g f o r t h is , w itn e s s r e p lie d , we u se i t b u t h a ve n o t been a b le to p ro d u c e any good r e s u lt w ith a s b e s to s is . They d id n o t do i t in t h is c a s e b e c a u s e th e r e w as to o m uch c a rc in o m a . A s k e d , and t h a t was a p p a re n t to y o u fro m th e o n s e t o n th e f i r s t d a y y o u e x a m in e d h im w it h th e c o lia p s e o f h is lu n g , w itn e s s r e p lie d , th e re was no q u e s tio n b u t th a t is w h a t t h is w as. - 10- Rothwell (dec'd) A ske d , yo u have n o te s w ith yo u w ith re fe re n c e to th e h is to r y th a t yo u r e c e iv e d fro m h im a s t o th e e m p lo y m e n t o v e r th e y e a r s , w itn e s s r e p lie d , I d o n 't th in k th e s e a re s a tis fa c to r y ; th e y a re my w r itte n s c rib b le d n o te s . She has no d a te s in th a t, she was t r y in g to g e t a d e s c r ip tio n o f h is w o rk as h e a t and f r o s t in s u la to r . A sked i f she w ro te down a l l she g o t, w itn e s s r e p lie d , one does n o t do a l l t h a t , th e re a re a good m any th in g s t h a t a man l i k e t h is t e l l s me t h a t a re n o t w r it t e n d o w n , p r e c is e ly I h a v e n o t g o t down h e re th e e x a c t days when he w o rke d fo r t h is com pany and th a t co m p a n y. A s k e d , w hen y o u f i r s t e x a m in e d t h i s man y o u w e re n o t in t e r e s t e d in f i x i n g l i a b i l i t y o n a p a r t i c u l a r in d iv id u a l in s o m u c h a s y o u w e re in m a k in g a d ia g n o s is , w itn e s s r e p lie d , y e s . A s k e d , a n d i t w o u ld b e im p o r ta n t in m a k in g a d ia g n o s is t o d e te r m in e how lo n g th e in d iv id u a l h a d b e e n e m p lo y e d a t t h is p a r t ic u la r jo b , w itn e s s r e p lie d , i t does n o t seem r e le v a n t w hen y o u have a h is t o r y th a t is so lo n g in tim e o f e x p o s u re . She h a s n o te d th a t he w o rke d in a s to re a fte r s c h o o l in h is e a r ly y o u th . Then w h ile s t i l l in s c h o o l he w o rk e d f o r tw o y e a rs f o r th e B o s to n F lo a tin g H o s p ita l. He w o rk e d a t P ilg r im P re s s as s h ip p e r a ls o . He w o rk e d th e r e a b o u t a y e a r. H e r n e x t n o ta tio n is t h a t he w o rk e d a t W a v e ry ly H e a tin g f o r o n e y e a r . F o llo w in g t h a t he d id m ason w o rk , he w o rke d o f f and on w ith h is g ra n d fa th e r in t h is cem ent w o rk . He th e n s ta r te d a t w h a t he c a lle d h e a t an d f r o s t in s u la t in g a n d d id i t o f f and on f o r a b o u t 30 y e a rs , he c u t and saw ed a s b e s to s b o a rd to f i t p ip e s , b o ile r s , e t c . S he w as in t e r e s t e d in t h i s 30 y e a r s ' e m p lo y m e n t in t h i s p a r t ic u la r tr a d e . A ske d in s o f a r as w h a t he d id w h ile w o rk in g f o r a p e rio d o f 15 m o n th s f o r on e e m p lo y e r o r tw o y e a rs f o r a n o th e r e m p lo y e r a t th e p a r t ic u la r tim e w hen y o u re c e iv e d t h is h is t o r y y o u w e re n o t to o in te r e s te d in fin d in g o u t th e d e t a ils o f t h a t , w itn e s s r e p lie d , t h a t 's r ig h t . A ske d , and n o w h e re in th e re c o rd does i t in d ic a te how m uch a s b e s to s he came in c o n t a c t w it h w h ile in th e e m p lo y o f th e B a n c r o ft C om pany a n d n o w h e re in th e re c o rd does i t in d ic a te th e c a lib e r o f th e a s b e s to s w h ile w o rk in g f o r th e B a n c r o ft C om pany, w itn e s s r e p lie d , y e s . W o rk in g w it h a s b e s to s r e q u ir e s one to h a ve p ro p e r v e n t ila t io n o r th e w e a rin g o f a m ask an d th e n i t can be d o n e . ______ ___ . I n s o f a r a s h e r r e c o r d s a r e c o n c e r n e d s h e d o e s n ' t k n o w w h e t h e r w h ile w o rk in g f o r th e B a n c r o ft Com pany he w as o u t in th e open o r in a c o n fin e d s p a c e , w h a t th e s it u a t io n w as w ith re fe re n c e to v e n t ila t io n . She saw t h is p a tie n t d u r in g h is la s t a d m is s io n to th e h o s p it a l-- th e la s t p a r t o f N ovem ber and f i r s t p a r t o f D ecem ber. She w as n o t th e s o - c a lle d a tte n d in g p h y s ic ia n a t th a t tim e ; th e man was o n th e w a rd . She had n o th in g to do w ith th e p re p a ra tio n o f th e d e a th c e r t if ic a t e ; th a t was done b y th e house o f f ic e r . She had n o th in g to do w ith th e p re p a ra tio n o f th e f in a l d ia g n o s is . The d ia g n o s is o f a s b e s to s is th ro u g h o u t th e h o s p ita l re c o rd was q u e s tio n a b le b u t th a t a n te d a te d th e p o s tm o rte m . as th e h o s p ita l re c o rd is co n c e rn e d . T h a t is tru e in s o fa r TO COUNSEL FOR TR AVELERS: On lo o k in g a t t h e s l id e s f o l l o w i n g a u to p s y she o b s e rv e d some c lu b -s h a p e d , b ro w n -c o lo re d b i t s o f f ib e r s and b e ca u se o f t h e ir le n g th and c o n to u r and d u r a tio n in th e b ro n c h ia l tr e e o f th e lu n g she c o n c lu d e d th e y w e re a s b e s to s f ib e r s . A ske d i f sh e had an o p in io n as to w h e th e r th e y had been th e re a y e a r o r te n y e a rs , w itn e s s r e p lie d , n o . A s k e d , th e y had c e r ta in ly been th e re lo n g e r th a n a y e a r in y o u r o p in io n w itn e s s r e p lie d , I d o n 't th in k I g ave y o u an o p in io n on tim e . A ske d , th e f ib e r s t h a t c a u s e d th e c a n c e r w h ic h p ro d u c e d th e d e a th had b e e n th e r e m uch lo n g e r th a n a y e a r, th a t is a f a i r s ta te m e n t, w itn e s s r e p lie d , th a t seem s c e r t a in ly m ore th a n l i k e l y . A ske d i f in h e r o p in io n th a t is tru e w itn e s s r e p lie d , I w is h I c o u ld be a w f u lly f la t - f o o t e d b u t I 'm c e r t a in ly w i l l i n g to go a lo n g w ith y o u on t h a t . TO COUNSEL FOR THE C L A IM A N T : A s k e d , t h e d ia g n o s is o f a s b e s t o s is w h ic h w as p la c e d o n th e h o s p it a l r e c o r d on a t le a s t s e v e r a l o c c a s io n s as b e in g a p o s s ib le d ia g n o s is , w as th a t c o n firm e d b y th e p o s tm o rte n , w itn e s s r e p lie d , ye s. TO COUNSEL FOR THE U T IC A : A s k e d , i s i t a f a i r s ta te m e n t t o s a y t h a t y o u h a v e no o p in io n a s t o how lo n g th e a s b e s to s f ib e r s w h ic h y o u v ie w e d on th e s lid e s had been in h is s y s te m , w itn e s s r e p lie d , y e s . A ske d , and o f c o u rs e th o s e w o u ld b e th e f ib e r s w h ic h p ro d u c e d th e c a n c e r w h ic h c a u s e d h i; ___________ i n y o u r o p i n i o n , w i t n e s s r e p l i e d , n o , y o u c a n ' t b r i n g t h a t i n t o w h a t _________ s a i d b e c a u s e t h e a s b e s t o s f i b e r s m o v e d a r o u n d . A s k e d , w h i l e t h e y m o v e a r o u n d _______________ w i l l n o t l e a v e t h s y s t e m w i t n e s s r e p l i e d , y e s , t h e y w i l l ___________________ __________ l s a v o t h e s y s t e m , t h e y m i g h t l e a v e i t a t a n y t i m e . Rothwell (dec'd) C o u n s e l f o r U tic a re n e w e d h is re q u e s t t h a t th e q u e s tio n s and a n s w e rs a d m itte d d e b e n e b e s t r ic k e n fro m th e r e c o r d a n d C o m m is s io n e r th e y be a llo w e d in u n t i l th e e n t ir e re c o rd h a d b e e n s u b m itte d . ru le d ******************************** A t th e c o n tin u e d h e a rin g h e ld in t h is ca se in B o s to n on F r id a y , J u ly 3 1 , 1 9 5 3 , th e fo llo w in g e v id e n c e w as r e p o r te d : APPEARANCES: L . L o c k e , E s q u ire , f o r C la im a n t. A .J . M c L a u g h lin ,E s q u ir e f o r U tic a M u tu a In s u ra n c e Company R. P lu n k e tt, E s q u ire , fo r T ra v e le rs In s u ra n c e Company ************************************************************* HELEN V . ROTHWELL, th e c la im a n t , q u e s tio n e d b y h e r c o u n s e l, t e s t i f i e d s h e r e c o g n iz e s th e m em orandum b o o k w h ic h c o u n s e l h a s in h is h a n d . She fo u n d t h a t in th e p o c k e t o f th e c o a t h e r h u sb a n d w o re to w o rk . A ske d to lo o k a t th e h a n d w ritin g in th a t b o o k and t e l l i f she re c o g n iz e s i t , w itn e s s r e p lie d , y e s . I t is h e r h u s b a n d 's . C o u n s e l f o r c la im a n t o f f e r e d t h i s M em orandum B o o k f o r t h i s re c o rd as an E x h ib it , s ta tin g i t is a w o rk re c o rd k e p t b y th e d e c e d e n t fro m M onday, O c to b e r 2 8 , 1951 th ro u g h F e b ru a ry 1 9 , 1 9 5 2 , th a t in i t th e e m p lo y e e l i s t e d fro m d a y t o d a y th e w o rk t h a t h e d id , t h a t i t i s a p p a r e n t t h is man h a d som e s o r t o f s u p e r v is o r y c a p a c ity o n t h is jo b ; c o u n s e l f o r U t ic a o b je c te d t o th e a d m is s io n o f t h i s M em orandum B o o k ; C o m m is s io n e r r u le d th e M em orandum B o o k w as t o b e a d m itte d a s a n E x h ib it a n d e x c e p tio n is saved fo r c o u n s e l f o r U tic a . JOHN J . HUGHES, c a l l e d a n d q u e s tio n e d b y c o u n s e l f o r c la im a n t , t e s t if ie d he p re s e n tly liv e s on B a rry S tre e t, D o rc h e s te r. H is o c c u p a tio n is th a t o f a s b e s to s w o rk e r. He is a m em ber o f th e H e a t a n d F r o s t I n s u la t io n W o rk e rs 1 U n io n . He h a s w o rk e d a s a s b e s to s w o rk e r a b o u t 35 y e a rs . (C o u n s e l f o r c la im a n t s ta te d he was o f f e r in g t h is man a s an e x p e r t w itn e s s o n th e tr a d e o f a h e a t an d f r o s t in s u la t o r . ) D u rin g t h is 35 y e a rs he h a s w o rk e d as in s u la t o r o n b o ile r s , p ip e s , sm oke f i r and s ta c k s . In d o in g t h is w o rk he o n ly h a d to m ix up th e a s b e s to s w ith w a te r-- th a t was th e o n ly m ix in g he d id . He has done th a t w o rk h im s e lf. In th a t tra d e he had o c c a s io n to c u t c y lin d e r s o f p re p a re d in s u la tin g m a t e r i a l s . He h a s d o n e t h a t w o r k h i m s e l f . H e h a s b l o c k e d b o i l e r s , f l u e s an< sm oke s ta c k s h im s e lf. (C o u n s e l f o r c la im a n t a g a in s ta te d he o f f e r s t h is man as an e x p e r t w itn e s s o n th e tr a d e o f a s b e s to s w o rk e r a n d h e a t and f r o s t in s u la t io n m a n .) B lo c k in g a f lu e w as p a r t o f th e in s u la t in g jo b . The same m a te r ia l w as n o t a lw a y s u s e d to b lo c k a f lu e . T h e re a re a c e r t a in lim it e d num ber o f m a te ria ls used fo r b lo c k in g a f lu e . A ske d , w h a t a re th e m a te ria ls u s e d f o r b lo c k in g a f l u e , w itn e s s r e p lie d , 85 p e r c e n t M a g n e s ia w o u ld be o n e ; a i r c e l l b o a rd w o u ld be a n o th e r -- t h is i s ju s t an a s b e s to s p a p e r; a n d a p p lic a t io n o f m a g n e s ia c e m e n t a lo n e w it h o u t b lo c k in g . A s k e d , in a n y o f th e s e th r e e in s u la t in g m a te r ia ls t h a t y o u h a v e ju s t m e n tio n e d is a s b e s to s u s e d , w itn e s s r e p lie d , y e s . I t i s u s e d in th e m a g n e s ia . E a ch o f th e m a te r ia ls w as u se d s p e c if ic a lly in in s u la t in g , f o r h e a t s a v in g . T hey a ls o u se d an a s b e s to s c e m e n t. A ske d i f a p a r t ic u la r ty p e o f f lu e r e q u ire d a p a r t ic u la r one o f th o s e fo u r in s u la tin g m a te r ia ls , w itn e s s r e p lie d , y e s . A s k e d , w h a t w o u ld be th e c irc u m s ta n c e s u n d e r w h ic h y o u w o u ld u se th e a s b e s to s c e m e n t, w itn e s s r e p lie d , in 90 p e r c e n t o f th e c a s e s y o u used th e a s b e s to s cem ent fo r fin is h in g . A ske d , how is th a t a s b e s to s cem ent p re p a re d , w itn e s s r e p lie d , i t com es r i g h t fro m th e m in e s . T hey g e t i t in ba g s and d ro p i t in t o a m ix in g b o x and a p p ly w a te r . A s k e d , is i t th e c u s to m o f th e -12 Rothwell (dec'd) tr a d e o f a h e a t and f r o s t in s u la t in g man a n d a s b e s to s w o rk e r is o f t h a t tr a d e t h a t th e men o n th e jo b m ix t h is a s b e s to s ce m e n t a s i t ( o b je c tio n b y c o u n s e l f o r U tic a as b e in g im m a te r ia l, q u e s tio n w itn e s s r e p lie d , y e s . He has done t h a t h im s e lf. i t t h e __ th e y need a llo w e d ) when when TO THE C O M M ISSIO N ER : A s k e d t o t e l l w h a t h e t h is ce m e n t w as m ix e d , w itn e s s r e p lie d , th e d u s t th e cem ent s tr ik e s th e b o x . a c tu a lly o b se rve d n a tu r a lly ra is e s up TO COUNSEL FOR THE C L A IM A N T : B lo c k in g a b o i l e r j u s t m e a n s a p p ly in g th e in s u la t io n . T h a t is done in th e same m a n n e r as b lo c k in g a f l i w hen b lo c k in g a b o ile r y o u g e n e r a lly u s e d th e in s u la t io n d ir e c t ly in co n ta c w ith th e b o ile r because no a ir space was c a lle d fo r b u t in a flu e th e y u se d an a i r sp a ce la t h to g iv e a i r sp a ce w hen b lo c k in g i t . The arm y u se d th e a i r s p a c e . A s k e d , y o u s a id in a n s w e r to a p r e v io u s q u e s tio n t h a t 90 p e r c e n t o f th e tim e th e m a te r ia l u se d in b lo c k in g a f lu e was t h is a s b e s to : c e m e n t, w o u ld t h a t same f ig u r e a p p ly in b lo c k in g a b o ile r o r w o u ld i t be a d i f f e r e n t p r o p o r t io n , w itn e s s r e p lie d , n o , i t ' s th e same t h in g . He w o u ld sa y t h a t 90 p e rc e n t o f th e tim e th e y u se d t h is a s b e s to s ce m e n t to f in is h ; in o th e r cases th e y used th e a s b e s to s cem ent to s t ic k th e b lo c k in g to th e b o ile r b u t th a t was n o t a g e n e ra l p ra c tic e w ith e v e ry p e rs o n . A sked to te how h e w o u ld g o a b o u t c o v e r in g a s te a m p ip e , w itn e s s r e p lie d , a ste a m p ip e up t o te n in c h e s is g e n e r a lly s tu c k w it h p a s te . The in s u la t in g m a te r ia l is g e n e r a lly m a g n e s ia . A s k e d , i s i t lo o s e m a te r ia l o r d o e s i t com e in th e fo rm o f a c y lin d e r , w itn e s s r e p lie d , n o , i t ' s a m o ld e d m a t e r ia l. A s k e d to t e l l w h a t he m eans b y t h a t , w itn e s s r e p lie d , i t com es in a m o ld e d fo rm up a p p r o x im a te ly te n in c h e s a n d th e n m o ld e d in s e g m e n ta l fo rm fro m te n in c h e s o n . He m eans i t com es p re -s h a p e d . T hey do h a v e to c u t i t to f i t . A ske d , on th e m a te ria l th a t you used is th e re any la b e l o r o th e r ta g s t a t i w h a t th e m a te r ia l is com posed o f ( o b je c tio n n o te d by c o u n s e l f o r U tic a , q u e s tio n a llo w e d a n d e x c e p tio n i s s a v e d ) , w itn e s s r e p lie d , y e s . He o n ly know s o f f o u r c o m p a n ie s w ho m a n u fa c tu re t h i s m a t e r ia l-- th e y a re B is b e e & M a te rs o n , J o h n s -M a n v ille , P h illip C a re y , E v e re tt A s b e s to s . A ske d , is yo m em ory s u f f i c i e n t l y s tr o n g to d a y so y o u c o u ld t e l l u s to d a y w h a t a p p e a rs o th e la b e ls o f th e m o ld e d p ip e c o v e r in g p ro d u c e d b y a n y o f th o s e fo u r m a n u fa c tu r e rs ( o b je c tio n n o te d b y c o u n s e l f o r U tic a , q u e s tio n a llo w e d ) w itn e s s r e p lie d , 85 p e r c e n t m a g n e s ia a n d t h a t i s a l l . A s k e d , d o e s i t s a y a n y th in g th e re a b o u t w h a t th e o th e r 15 p e r c e n t is th e r e , w itn e s s r e p lie d , n e v e r s ta te d t o my k n o w le d g e . A s k e d , w h a t d o e s th e p h ra s e 'c e m e n tin g a b o ile r ' r e f e r to , w itn e s s r e p lie d , th a t is s im p ly f in is h in g up th e w o rk . A ske d , w h a t is th e s u b s ta n c e th a t is u sed in th a t o p e ra tio n , w itn e s s r e p lie d , a s b e s to s c e m e n t. A s k e d , w h a t is th e p h ra s e 'f in is h in g f i t t i n g s ' m ean, w itn e s s r e p lie d , p u t t in g on th e a s b e s to s ce m e n t and c a n v a s s in g . TO COUNSEL FOR TR AVELER S: He d i d n ' t k n o w M r. R o th w e ll v e r y w e ll He w as o n th e sam e jo b w it h h im b u t n e v e r w o rk e d d i r e c t l y w it h h im . He n e v e r w o rk e d d i r e c t l y w it h h im so h e n e v e r saw w h a t w o rk he h a d b e e n d o in g A s k e d , th e re a re a l o t o f th e d u tie s o n t h is jo b th a t a re n o t d u s ty , w itn e r e p lie d , I w o u ld n o t s a y a l o t , i t ' s r e a lly a d u s ty jo b . A s k e d , y o u m ean m ix in g is d u s ty , w itn e s s r e p lie d , e ve n th e a p p lic a tio n is d u s ty . A ske d , a f t e r y o u h a v e m ix e d th e w a te r w it h th e m a t e r ia l t h a t i s in t h is b a g , th e n w hen yo u a p p ly i t i t ' s w e t and th e r e is no d u s t, is th a t r ig h t , w itn e s s r e p lie d , n o , th e re is d u s t w hen yo u a p p ly i t . A s k e d , w hen yo u w e t i t , w itn e s s r e p lie d , y o u 'r e n o t a p p ly in g t h is w e t s t u f f to th e b o ile r o r f lu e , ' y o u a p p ly i t t o th e m a g n e s ia b lo c k i t ' s d u s ty . T h e y p u t t h is b a g m a t e r ia l in a p a il o r tu b and p o u r w a te r on i t . T hen i t ' s w e t. The m ix in g can be done in a fe w m in u te s . T hen th e m en who a re g o in g to u se t h a t ta k e some oi a m o rta r b o a rd o r p a i l . T hey u se a t r o w e l. T hese men ta k e some in a buck< and th e n a p p ly i t w ith a t r o w e l. One m an ca n m ix e n o u g h f o r 100 m en. On an a v e ra g e jo b th e r e w o u ld be te n m en. One m a n ,in o n e h o u r , c o u ld m ix e n o u g h ce m e n t f o r a l l th e men f o r th e d a y . So th e o th e r n in e men c o u ld go to th e tu b and g e t a p a il o r b u c k e t f u l l o f th is m a te ria l and ta k e i t to w h e re th e y w e re w o rk in g and a p p ly i t w ith a tr o w e l. T h a t is th e u s u a l way i t is done. TO COUNSEL FOR U T IC A : He w as n o t w o r k in g u p i n F o r t K e n t,M i w it h M r. R o th w e ll; he w as n o t o n t h a t jo b . He w o rk e d w it h h im a t th e L y n n ______________T h a t m a y h a v e b e e n t w o y e a r s a g o . I t w a s s o m e t im e i n 1 9 5 1 . -13- Rothwell (dec'd) T h e re a re d if f e r e n t means o f a p p ly in g in s u la tio n to a b o ile r . T h e re a re a l l d if f e r e n t ty p e s o f in s u la tio n u s e d . A s k e d , and w h e th e r o r n o t in any g iv e n p e r io d o f tim e M r. R o th w e ll w as u s in g a s b e s to s to y o u r k n o w le d g e y o u d o n 't know , w itn e s s r e p lie d , n o . TO COUNSEL FOR THE C LA IM A N T: W hen o n e i s a p p ly in g t h i s w e t c e m e n t y o u ' re g o in g a g a in s t th e d ry s u r fa c e and w hen y o u a p p ly w e t s t u f f on th e d ry s u rfa c e yo u b r in g b a c k th e d i r t . He d id s ta te th e a s b e s to s c e m e n t was used as th e fin is h in g c o a t. As a g e n e ra l r u le i t was used as a fin is h in g c o a t o n to p o f s o m e th in g e ls e . A s k e d , w h a t is th e u s u a l m a te r ia l t h a t is p u t on b e fo re th e a s b e s to s c e m e n t, w itn e s s r e p lie d , t h a t is 85 p e r c e n t m a g n e s ia . A s k e d , i s t h a t in th e fo rm o f a p re -m o ld e d s e g m e n t o r s e c tio n o r i s i t a l s o i n t h e f o r m o f a w e t b a s e , w i t n e s s r e p l i e d , 9 0 p e r c e n t o f t h e ____ i t ' s i n m o ld e d fo r m s . B e s id e s th e m ix in g o f th e c e m e n t w h ic h i s d u s ty .A s k e d a n d w o u ld i t m ake a n y d if f e r e n c e w h e re y o u w e re i n s t a l l i n g th e s e m o ld e d s e g m e n ts as to th e e x te n t o f th e d u s t t h a t w o u ld g e t o n y o u , w o u ld some p la c e s be m ore d u s ty th a n o th e r s , w itn e s s r e p lie d , y e s , on ope n c o n s tr u c tio n th e r e w o u ld be m ore w in d . T h a t w o u ld m ake i t m ore d u s ty . A s k e d , how a b o u t i n s t a l l i n g in s u la t io n on p ip e s t h a t a re in th e c e ilin g , b e tw e e n one c e ilin g and f lo o r above (o b je c tio n n o te d b y c o u n s e l f o r U tic a , q u e s tio n a d m itte d de bene) w itn e s s , r e p lie d , I d o n 't t h in k t h a t q u e s tio n is p u t c o r r e c t ly as f a r as we a re c o n c e rn e d b e c a u s e b e tw e e n a c e ilin g is n o t s o , y o u 'r e n o t b e tw e e n a c e ilin g w hen y o u 'r e a p p ly in g t h a t , y o u 'r e open a lth o u g h i t ' s b e tw e e n th e c e ilin g w hen th e jo b is c o m p le te d , y o u 'r e in th e open when you a p p ly i t . The f lo o r a b o ve is in p la c e . A s k e d , y o u ' re w o rk in g ab o ve a g a in s t a f lo o r , w itn e s s r e p lie d , y e s . A s k e d , is t h a t w o rk m ore d u s ty th a n o th e r w o rk o r le s s d u s ty , w itn e s s r e p lie d , I t h in k th e a n s w e r w o u ld be ju s t a b o u t th e sam e. job. TO COUNSEL FOR THE U T IC A : T h a t d e p e n d s o n th e c o n d it io n s o n th e TO COUNSEL FOR THE C LA IM A N T : A s k e d , so i f I u n d e r s ta n d y o u r a n sw e rs, th e re a re th re e p a rts o f th e w o rk th a t a re d u s ty , one o f i t is m ix in g o f th e a s b e s to s ce m e n t th e se co n d is w hen yo u p la c e th e a s b e s to s c e m e n t a g a in s t th e m a g n e s ia n b lo c k a n d th e t h i r d is w hen y o u c u t th e m o ld e d s e g m e n ts t o p u t o n p ip e s , i s t h e r e a n y o t h e r p a r t o f th e w o rk t h a t is d u s ty , w itn e s s r e p lie d , as f a r as d u s ty , now as I u n d e rs ta n d th a t q u e s tio n to be is th e w o rk d u s ty , y e s , i t ' s d u s ty b u t I w o n 't sa y i t ' s d u s ty fo r a l l m a te ria ls . TO THE C O M M ISSIO N ER : T h e w o r k w a s d u s t y w h e n h e u s e d t h e i r m a te r ia l in m ix in g o r c u ttin g o r a p p ly in g . TO COUNSEL FOR TR A V E LE R S : A s k e d , o n th e s e jo b s w h e re y o u w e re a p p ly in g o r t h is m a te r ia l th a t yo u w e re c u t t in g , th e re was a c o n s id e ra b le d u s t, th a t was n o t as r e s u lt o f y o u r m a te r ia ls , is th a t tr u e , w itn e s s r e p lie c th a t is t r u e . I s a id y e s . A s k e d , in o th e r w o rd s on b o ile r s th a t yo u m ig h t be w o rk in g on th e r e may be a t h ic k c o a t o f o r d in a r y h o u se o r b u ild in g d u s t, s o - c a lle d , is th a t r ig h t , w itn e s s r e p lie d , y e s . A s k e d , and on p ip e s th a t y o u w e re c o v e rin g o r r e p a ir in g th e re m ig h t lik e w is e be t h ic k c o a tin g o f house o r b u ild in g d u s t, w itn e s s r e p lie d , y e s . A s k e d , and when yo u say th e jo b was d u s ty yo u mean in y o u r o p e ra tio n s y o u d is tu r b e d and k n o c k e d lo o s e a l o t o f t h is d u s t in a ro u n d th e r e , w itn e s s r e p lie d , n o , in my s ta te m e n t. A s k e d , I sa y is th a t th e p ro c e d u re when yo u a p p ly m a te r ia l e ith e r to a b o ile r o r to th e s e p ip e s y o u m ig h t d is tu r b th e d u s t t h a t w as on th e s e p ip e s , w itn e s s r e p lie d , th e a n s w e r w o u ld be 'y e s . ' T h a t w o u ld f l y a ro u n d . A s k e d , w hen y o u e x p la in e d th a t th e jo b was d u s ty yo u m e a n t th a t d u s t as w e ll as o th e r , w itn e s s r e p lie d , n o , I d id n o t in th e q u e s tio n th a t was a s k e d . As he was w o rk in g th e r e t h is o th e r d u s t w as f ly in g a ro u n d . He d id s a y 90 p e r c e n t o f th e m a t e r ia l is m o ld e d . Some o f th e m o ld e d m a t e r ia l com es w it h c lo t h w ra p p e d a ro u n d th e o u ts id e o f i t . A l l o f i t d o e s n o t come t h a t w a y . A s k e d , b u t a l l y o u r p ip e m a te r ia l com es th a t w ay w ith c lo th on th e o u ts id e , w itn e s s r e p lie d , n o , up t o a p p r o x im a te ly te n in c h e s , y e s . A s k e d , w o u ld y o u s a y 90 p e r c e n t o f y o u r w o rk in v o lv e d th e u se o f m a te r ia l up t o te n in c h e s o r w h a t p e rc e n ta g e w o u ld y o u s a y , w itn e s s r e p lie d , I w o u ld h a v e t o w ith h o ld fro m th e p e rc e n ta g e s , I w o u ld n o t know t h a t a n s w e r. A s k e d , w o u ld y o u s a y a b ig -14- Rothwell (dec'd) m a jo r ity in v o lv e d m a te r ia l up to te n in c h e s , w itn e s s r e p lie d , on th e w o rk I fo llo w e d i t has been w ith o u t c lo t h , m o s t o f th e w o rk I h a ve b e e n d o in g has been la r g e r w o rk . He w o u ld n 't know w h e th e r M r. R o th w e ll w o rk e d w ith th e la r g e r w ork o r w ith w o rk up to te n in c h e s . A ske d , b u t i f he d id w o rk w ith m a t e r ia l up t o te n in c h e s i t w o u ld be c o v e re d w it h c lo t h , w itn e s s r e p lie d , i t w o u ld b e . T h is w e t c e m e n t w as a p p lie d t o a b o ile r o r o th e r o b je c t w ith a tr o w e l. When t h a t was d o n e , i t w as a p p lie d o n ly a s e c tio n a t a tim e . T h a t a n sw e r does n o t a p p ly when i t is a p p lie d to th e in s u la t io n on th e b o ile r . T hey a p p ly th e in s u la t io n on th e b o ile r f i r s t and th e n f in is h w ith th e c e m e n t. A s k e d , on th e s t u f f y o u a p p ly d ir e c t ly to th e b o ile r yo u p u t th a t on d ir e c t ly w ith a tro w e l and th a t is w e t, w itn e s s r e p lie d , n o .A s k e d , yo u p u t th a t on w ith b lo c k s , w itn e s s r e p lie d , y e s . A f t e r he p u ts th e b lo c k s o n , th e n he p u ts on th e w e t c e m e n t. The w e t ce m e n t is h a n d le d in a tr o w e l. Then th e y p u t on one p a r t a t a tim e . A ske d , so th e o n ly p a r t o f th e b o ile r th a t yo u to u c h when you p u t on th e w e t c e m e n t w ith th e tr o w e l is t h a t p a r t w h ic h becom es w e t, y o u d o n 't to u c h any o th e r p a r t,w itn e s s r e p lie d , th e w e t cem ent h it s one p a r t o f th e b o ile r and in v a r ia b ly d is tu r b s th e d u s t th a t is on th e re . They p u t th e s e m o ld e d fo rm s w it h a s a w .A s k e d , a n d w hen y o u c u t th e m w it h a saw do y o u u s u a lly p u t th e m dow n on s o m e th in g a nd saw dow n on th e m ,w itn e s s r e p lie d , I w o u ld s a y 'n o ' to t h a t q u e s tio n . T h a t is u s u a lly d o n e b y la y in g i t down on a f l a t s u rfa c e and c u ttin g a c ro s s i t . I t is done lik e on a ta b le and c u t a c ro s s . I t c u ts e a s ily .A s k e d , and th e m a te r ia l th a t you c u t is u s u a lly c o v e re d w ith c lo th , up to te n in c h e s ,w itn e s s r e p lie d ,y e s . A s k e d , yo u d o n 't know w h e th e r M r. R o th w e ll u se d any m a te r ia l o v e r te n in c h e s o r n o t, w itn e s s r e p lie d , n o t d e f i n i t e l y . DR. JAMES STEWART ROONEY, c a l l e d a n d q u e s tio n e d b y c o u n s e l f o r c la im a n t, te s tifie d ( Q u a lific a tio n s a d m itte d as p a th o lo g is t) he has had th e o p p o r tu n ity to re v ie w th e re c o rd o f M a s s a c h u s e tts G e n e ra l H o s p ita l and th e a u to p s y re c o rd o f th e M a s s a c h u s e tts G e n e ra l H o s p ita l, p a th o lo g y d e p a rtm e n t. He has fo rm e d an o p in io n as to th e cause o f d e a th in t h is c a s e . In h is o p in io n th is m a n 's d e a th w as c a u s e d b y a d e n o c a rc in o m a o f th e lu n g - t h a t w as th e im m e d ia te c a u s e o f d e a th - w it h e x te n s io n t o th e h e a r t , p le u r a , d ia p h ra g m , r e t r o p e r it o n e a l t is s u e o n th e l e f t , a d r e n a ls , k id n e y s a n d th e ly m p h n o d e s . A s k e d , was th e r e a n y o th e r p a t h o lo g ic a l/ c o n d it io n t h is man had w h ic h was a c o n tr ib u tin g fa c to r in h is d e a th (o b je c tio n n o te d by c o u n s e l fo r U tic a , h is e x c e p tio n is sa ve d ) w itn e s s r e p lie d ,th e r e w e re o th e r c o n tr ib u tin g fa c to r s .A s k e d , w h a t w e re th e y in o rd e r o f im p o rta n c e ,w itn e s s r e p lie d , t h is man h a d a s b e s to s is w it h p u lm o n a ry f i b r o s i s , c o n g e s tio n o f th e l i v e r , in fla m m a tio n o f th e e x te r n a l s u rfa c e o f h is h e a r t, in fla m m a tio n o f h is r ig h t lu n g ,e x te r n a lly , and he had a p p ro x im a te ly a q u a rte r o f f lu id in h is r ig h t c h e s t. A s k e d t o t e l l w h a t th e r e i s in th e h o s p it a l r e c o r d w h ic h le a d s h im to th e o p in io n t h is man ha d a s b e s to s is , w itn e s s r e p lie d , in th e m ic ro s c o p ic e x a m in a tio n o f h is lu n g tis s u e th e c h a r a c t e r is t ic n o d u la r sh a p e d b o d ie s th e one sees in a s b e s to s is w e re p re s e n t, th e s e a re d ia g n o s tic o f a s b e s to s is . A sked i f he has an o p in io n as to w h e th e r o r n o t th e re is any c a u s a l r e la t io n s h ip b e tw e e n th e a s b e s to s is and th e c a n c e r fro m w h ic h t h i s man d ie d ,w itn e s s r e p lie d he h a s . H is o p in io n is t h a t due to th e lo n g s ta n d in g c h ro n ic ir r it a t io n , a s r e s u lt o f th e in h a la tio n o f a s b e s to s f ib e r s , th a t " th is is an a d e q u a te c a u s e f o r th e d e v e lo p m e n t o f h is c a n c e r w h ic h le d to h is dea A s k e d , d id th e a s b e s to s is i t s e l f , a p a r t fro m i t s e f f e c t in p ro d u c in g th e c a n c e r, d id th e a s b e s to s is i t s e l f p la y any p a r t in h is d e a th a t th e tim e t h a t he d ie d ,w itn e s s r e p lie d , I d o n 't t h in k s o , n o . A s k e d , I w a n t yo u to assum e t h a t t h i s e m p lo y e e w o rk e d f o r A . W. B a n c r o f t C om pany b e tw e e n D ecem ber 1 7 ,1 9 5 0 and M a rch 1 9 , 1 9 5 2 , t h a t d u r in g th a t tim e he p e rfo rm e d th e re g u la r d u tie s o f a h e a t and f r o s t in s u la tio n w o rk e r o r a s b e s to s w o rk e r as i t is o r d in a r ily d e s c rib e d , th a t t h is w o rk , and s p e c if ic a lly d u rin g th e p e rio d fro m O c to b e r 2 8 , 1952 and F e b ru a ry 1 9 , 1952 in c lu d e d days in w h ic h he c o v e re d ste a m p ip e d w ith in s u la t io n m a te r ia l in w h ic h he b lo c k e d f lu e s , d a y s in w h ic h he b lo c k e d b o ile r s , d a y s in w h ic h he c o v e re d p ip e s , d a ys in w h ic h he fin is h e d f i t t i n g s , t h a t in th e s e o p e r a tio n s he u s e d i n s u la t in g m a t e r ia ls , in c lu d e d am ong w h ic h w o u ld be a s b e s to s c e m e n t, he u se d m o ld e d in s u la t io n m a t e r ia l a n d m o ld e d s e g m e n ts , t h a t i n c o n n e c tio n o f c o v e rin g o f p ip e s he had t o o u t and saw th e a s b e s to s b o a rd , t h a t he had to c u t i t to f i t a ro u n d p ip e s a n d f i t t i n g s th a t came w ith th e p ip e s th a t he was c o v e rin g . -15- Rothwell (dec'd) th a t t h is w o rk was d u s ty , th a t th e d u s t in c lu d e d d u s t fro m th e in s u la tio n m a te r ia ls as w e ll as b u ild in g d u s t w h ic h w as p r e s e n t in a c o n s tr u c tio n jo b , t h a t th e w id o w t e s t i f i e d a s f a c t t h a t h e c o u g h e d , t h a t th e c lo th e s she w ashed c o n ta in e d d u s t p a r t ic le s and I w a n t yo u to assum e f u r t h e r th a t in J a n u a ry 1952 he d e v e lo p e d th e o n s e t o f a h a r s h ,h a c k in g co u g h w h ic h was w o rs e in th e m o rn in g and p r o d u c tiv e o f a s m a ll a m o u n t o f b ro w n is h s p u tu m , th a t s h o r tly th e r e a fte r he n o tic e d th a t on e x e r tio n he was s h o rt o f b re a th a nd h a d a s h a rp b o r in g p a in b e lo w th e a n g le o f h is l e f t s h o u ld e r b la d e , th a t he was o u t o f w o rk fro m F e b ru a ry 21 to F e b ru a ry 2 9 , 1952 and re tu rn e d home fro m th e jo b w h ic h he w as d o in g aw ay fro m home a n d w as t r e a te d f o r w h a H th e d o c to r t o ld h im w as g r ip p e , t h a t h e th e n r e tu r n e d t o w o rk f o r a fe w w eeks and f i n a l l y c e a se d w o rk f o r th e B a n c r o ft Com pany on M a rch 1 9 ,1 9 5 2 and w e n t to w o rk f o r th e A rm s tro n g Com pany fro m M arch 2 0 , 1952 to A p r il 25, 1 9 5 2 , th a t he c o n tin u e d to do th e w o rk o f a h e a t and f r o s t in s u la tio n w o rk e r f o r t he A rm s tro n g C om pany, th a t he f i n a l l y s to p p e d w o rk in A p r il 1952 f o llo w in g c o n s u lt a t io n w it h a p h y s ic ia n b e c a u s e o f th e s e sym p to m s d e s c r ib e d b e fo r e , n a m e ly , s h o rtn e s s o f b r e a th on e x e r t io n , p a in b e lo w h is l e f t s h o u ld e r a n d c o u g h , n o w , a s s u m in g th o s e f a c t s t o b e t r u e a s t o h is w o rk h is t o r y and th e h is t o r y o f th e o n s e t o f h is sym p to m s, do y o u h a ve an o p in io n as t o w h e th e r o r n o t th e w o rk t h i s man w as d o in g w h ile i n th e e m p lo y o f th e A . W. B a n c r o f t c o m p a n y , t h a t w o u ld b e D e c e m b e r 1 7 ,1 9 5 0 t o M a rc h 1 9 ,1 9 5 2 , was a c a u s a tiv e f a c t o r in p ro d u c in g th e a s b e s to s is and b ro n c h o g e n ic c a rc in o m a jw n ic h he d ie d , w itn e s s r e p lie d ,( c o u n s e l f o r U tic a o b je c te d , q u e s ti a d m itte d de b e n e , h is e x c e p tio n s a re sa ve d ) I d o . I t is h is o p in io n th a t s o m e tim e d u r in g 195 1 t h i s m an d e v e lo p e d a m a lig n a n c y o f h is lu n g as s e c o n d a ry to h is a s b e s to s is , th e a s b e s to s is w as a f a c t o r in c a u s in g th e m a lig n a n c y to s t a r t , th a t is as f a r as he ca n g o . A s k e d , do y o u h a ve an o p in io n as to w h e th e r th e in h a la tio n o f d u s t fro m in s u la tin g m a te ria ls in h is w o rk d u rin g 1951 was f a c t o r , a g g ra v a tin g o r p r e c ip it a t in g f a c t o r , in th e a s b e s to s is and th e re b y o f th e c a n c e r(o b je c tio n n o te d by c o u n s e l f o r U tic a , h is e x c e p tio n is sa ve d ) w itn e s s r e p lie d , i f he in h a le d d u s t c o n ta in in g a s b e s to s d u r in g th e p e r io d o f tim e i t w o u ld a g g ra v a te h is c o n d itio n . A ske d , do you have an o p in io n as to w h e th e r o r n o t h is w o rk fro m M a rch 2 0 ,1 9 5 2 up to A p r il 2 5 , 1 9 5 2 ,f o r th e A rm s tro n g C o rk C om pany, a s s u m in g t h a t h e in h a le d d u s t fro m in s u la t io n m a t e r ia ls a t h is w o rk , in c lu d in g a s b e s to s , w as a f a c t o r in th e a s b e s to s is a n d c a n c e r fro m w h ic h he d ie d , w itn e s s r e p lie d , I h a ve an o p in io n . I t is h is o p in io n th a t i t d id n o t p la y any r o le . A sked to g iv e h is re a s o n f o r th a t o p in io n ,w itn e s s r e p lie d , b e c a u s e he h a d c a rc in o m a p r io r to th e tim e and c a rc in o m a w as th e ca o f th e d e a th . A s k e d , d id n 't th e fu r th e r in h a la tio n o f th e a s b e s to s d u s t d u r i th e la s t s ix w eeks p la y a n y p a r t in th e a g g ra v a tin g o r w o rs e n in g h is c o n a iti w itn e s s r e p lie d , n o , I d o n 't th in k s o . A s k e d , d id i t p la y any p a r t in p ro d u c in g th e d e a th a t th e tim e th a t he d ie d ,w itn e s s r e p lie d , I d o n 't th in k so . TO COUNSEL FOR THE U T IC A : A s k e d , y o u s a y t h a t t h e r e w as a lo n g s ta n d in g c h r o n ic i r r i t a t i o n due t o th e in h a lin g o f f ib e r s w h ic h y o u sa y was an a d e q u a te ca u se f o r th e c a n c e r, w itn e s s r e p lie d , t h a t is c o r r e c t. A s k e d , w hen yo u sa y lo n g s ta n d in g c h ro n ic i r r i t a t i o n , can yo u t e lI d s how lo n g , w itn e s s r e p lie d , I d o n 't th in k a n yb o d y can t e l l yo u th a t; we do know t h a t one o f th e c a u s a tiv e f a c t o r s in th e p r o d u c tio n o f m a lig n a n c y is a c h ro n ic i r r i t a t i n g p ro c e s s , w hen th a t b e g in s I d o n 't t h in k a n yb o d y cart n a rro w i t down as to a w eek o r a m o n th , we know th a t c a n c e r ta k e s a c e r ta in le n g th o f tim e to d e v e lo p , o n ce i t s t a r t s , i t de p e n d s onth e lo c a tio n , i t d e p e n d s o n w h e th e r i t c a n b e re m o v e d o r n o t , t h i s m a n 's c a n c e r w as to o a d v a n c e d to re m o v e , th e y to o k h im t o M a s s a c h u s e tts G e n e ra l a n d a tte m p te d to rem ove i t and fo u n d th e y c o u ld n o t b e ca u se o f th e a d va n ce d s ta g e , when h is c a n c e r b e g a n I c a n 't t e l l y o u b e c a u s e th e lin e o f d e m a rc a tio n b e tw e e n n o rm a l and a b n o rm a l no one e v e r se e s, I d o n 't th in k anyone can t e l l . A ske d , so yo u c a n 't sa y w h e th e r o r n o t th e c a n c e r had i t s in c e p tio n p r io r to M arch 2 0 , 1952 o r s u b s e q u e n t to th a t d a te , w itn e s s r e p lie d , i t had i t s in c e p tio n p r i o r t o 1952 b e c a u s e i t w as f a r a d v a n c e d w hen th e y o p e n e d h im up a t th e G e n e ra l. He c a n n o t g iv e a d e f in it e d a te on th e in c e p tio n o f c a n c e r in 1 9 5 2 . He c a n n o t g iv e a d e f i n i t e d a te on t h a t f o r 1 9 5 1 . He t h in k s i t b e g a n s u b s e q u e n t t o 1 9 5 0 . A s k e d , s o t h a t y o u s a y t h a t s o m e tim e i n 195 0 o n , w itn e s s r e p lie d , e it h e r t h a t - I w o u ld s a y p r o b a b ly 1951 fro m th e d e s c r ip t io n o f th e c a n c e r. I t c o u ld h a ve be e n 1 9 5 0 .He h a s se e n th e a u to p s y r e p o r t. A s k e d , t h is m an, a c c o rd in g t o t h a t r e p o r t , h a d a h is t o r y o f h a v in g w o rk e d 29 y e a r s i n t h e a s b e s t o s is b u s in e s s , h a v e y o u a n o p i n i o n a s t o when the asbesto f i r s t com m enced, w itn e s s r e p lie d , I w o u ld s a y th e a s b e s to s is h a d b e e n p re s e n fo r many y e a rs . T h a t is so b e ca u se o f th e a p p e a ra n ce o f th e lu n g s . A sked -16- Rothwell (dec'd) assum e t h a t t h is man w o rk e d a t th e same jo b s u b s e q u e n t to M a rch 2 0 , 1952 up to A p r il 2 5 , 1 9 5 2 , d o in g th e same s o r t o f t h in g t h a t he had don e b e tw e e n th p e r io d o f D ecem ber 1950 to M a rch 2 0 , 1 9 5 2 , do y o u h a ve an o p in io n as to whe o r n o t th e w o rk s u b s e q u e n t t o M a rc h 2 0 , 1952 w o u ld b e d e tr im e n ta l to h im , h a v in g in m in d th e f a c t t h a t i t w as y o u r o p in io n a t t h a t tim e h e h a d , f i r s t a s b e s to s is a n d , s e c o n d , c a n c e r (c o u n s e l f o r T ra v e le rs s ta te d th a t th e d o c to h a s a lr e a d y a n s w e re d th e q u e s tio n ) w itn e s s r e p lie d , h e r e 's a man who b y 1952 was doom ed to d e a th fro m h is m a lig n a n c y , h is m a lig n a n c y was th e n f a r a d va n ce d , I d o u b t th e in h a la tio n o f a n y th in g f u r th e r a c c e le ra te d th e g ro w th o f h is m a lig n a n c y . A s k e d , do y o u h a ve an o p in io n as to w h e th e r o r n o t w o rk d u r in g t h a t p e r io d o f tim e w as d e tr im e n ta l t o h im ( o b je c t io n n o te d b y c o u n s e l f o r T r a v e le r s , d o c to r a llo w e d to a n s w e r th e q u e s tio n s ) , w itn e s s r e p lie d , th e re a re c e r t a in p a tie n ts w ith m a lig n a n c y t h a t y o u a d v is e c o n tin u in g t h e ir jo b and w o rk in g u n t i l th e d a y th e y d ie , th e r e a re o th e r p a tie n ts who c o m p le te ly c o lla p s e o n c e y o u t e l l th e m th e y h a v e m a lig n a n c y a n d n e v e r r e tu r n to w o rk . I d o n 't th in k th e w o rk fa c to r p la y s m uch o f a r o le in th e a d va n ce m e n t o f m a lig n a n t d is e a s e . A s k e d , th e m a lig n a n t d is e a s e was a g g ra v a was i t n o t, b y th e in h a la t io n o f a s b e s to s a f t e r th e m a lig n a n t d is e a s e had s ta r te d in h is s y s te m , was i t a g g ra v a te d b y th e a s b e s to s d u s t, in y o u r o p in io n , w itn e s s r e p lie d , I th in k t h a t o n c e h is m a lig n a n c y b e g a n , t h a t f o r p e r io d o f fo u r o r f iv e o r s ix m o n th s f o llo w in g th e b e g in n in g o f h is m a lig n a n c y he m ig h t h a ve a c c e le r a te d th e g ro w th a l i t t l e b i t by in h a lin g m ore o f th e f a c t o r t h a t w as o n e o f th e c a u s a tiv e a g e n ts in h is m a lig n a n t c o n d itio n , th e m a lig n a n c y o n c e i t s ta r te d w as n o t a g g ra v a te d to o m uch by th e fu r th e r in h a la tio n o f a s b e s to s , th a t is in and o f i t s e l f , in s u b s ta n c e i t ' s n o t know n to ca u se d e a th p e r s e . A s k e d , a s b e s to s is , w itn e s s r e p lie d , y e s . A ske d , b u t y o u r answ e r w as th a t i t was n o t a g g ra v a te d v e ry m uch, w itn e s s r e p lie d , I d o n 't th in k i t was a g g ra v a te d v e ry m uch by h is w o rk a f t e r h is m a lig n a n c y s t a r t e d . A s k e d , b u t i t m ig h t h a v e bee n a g g ra v a te * s o m e w h a t, w itn e s s r e p lie d , s l i g h t l y . TO COUNSEL FOR TRAVELERS: A s k e d , d id X u n d e r s ta n d y o u t o s a y in y o u r o p in io n th e m a n 's w o rk fro m M a rc h 2 0 th u n t i l th e d a te he f i n a l l y s to p p * w o rk , s u c h a s b e s to s a s he m ig h t h a ve in h a le d ,, i f a n y , p la y e d no p a r t in e it h e r th e a g g ra v a tio n o r a c c e le r a tio n o f th e d is e a s e n o r d id i t b r in g abou h is d e a th s o o n e r th a n i t o th e r w is e w o u ld h a ve o c c u r r e d , is t h a t a c o r r e c t s ta te m e n t, w itn e s s r e p lie d , th a t is c o r r e c t. ***************************************** C o u n s e l f o r T r a v e le r s made a m o tio n th e c la im d is m is s e d . The m o tio n w as ta k e n u n d e r a d v is e m e n t. a g a in s t th e m be ****************************************** C o u n se l f o r c la im a n t re q u e s te d th e A u to p s y R e p o rt o f D ecem ber 4 , 1 9 5 2 -U n it N um ber 778205 - be made p a r t o f t h is re c o rd . T h is is done b y r e fe r e n c e and m ay be fo u n d in th e B o a rd f i l e . The a n a to m ic d ia g n o s e s r e p o r t th e re o n a r e : B ro n c h o g e n ic a d e n o c a rc in o m a , l e f t lo w e r lo b e w it h e x te n s io n tc l e f t u p p e r lo b e , h e a r t, p le u r a , d ia p h ra g m , a n d r e t r o p e r it o n e a l tis s u e o n le f and m e ta s ta s e s to r ig h t lu n g , a d re n a ls , k id n e y s , and h ila r , m e d ia s tin a l, l e f t s u p r a c la v ic u la r a n d p a r a - a o r t ic ly m p h n o d e s ; A s b e s to s is w it h m o d e ra te p u lm o n a ry f i b r o s i s ; H e p a tic c o n g e s tio n , m o d e ra te ; P e r io c a r d it is , f ib r in o u s , P le u r itis ,r ig h t; fin g e rs , m ild ). P le u ra e ffu s io n , r ig h t (8 0 0 c c . ) ; (P u lm o n a ry o s te o a r th r o p a th ******************************************* -17- Rothwell (dec'd) M E M B E R 'S D E C IS IO N T h is h e a r in g w as h e ld t o d e te rm in e w h e th e r th e e m p lo y e e s u ffe r e d a p e r s o n a l in j u r y a r is in g o u t o f a n d i n th e c o u rs e o f h is e m p lo y m e n t a n d i f s o , w h e th e r h is d e a th was c a u s a lly r e la te d to s a id in ju r y . The c la im w as b ro u g h t a g a in s t tw o in s u r e r s -- U tic a M u tu a l C a s u a lty Com pany w h ic h c o v e re d th e A . W. B a n c r o ft Com pany and T r a v e le r s In s u ra n c e Com pany w h ic h c o v e re d th e A rm s tro n g C o rk C om pany. T he e m p lo y e e w o rk e d f o r th e A . W. B a n c r o f t C om pany fro m D ecem ber 1 7 , 1950 to M a rch 1 9 , 1952 and he w o rk e d f o r th e A rm s tro n g C o rk Company fro m M arch 2 0 , 1952 to A p r il 2 5 , 1 9 5 2 . T h e re is e v id e n c e in t h is re c o rd up o n w h ic h I f in d t h a t t h is 4 6 -y e a r o ld d e c e d e n t, w ith a 2 9 -y e a r w o rk h is to r y as an a s b e s to s w o rk e r, w as l a s t e m p lo y e d a s a p ip e c u t t e r a n d h e a t a n d f r o s t in s u la t o r f o r th e tw o a fo re m e n tio n e d c o m p a n ie s . T h is w o rk w it h th e tw o in s u r e d fir m s e n ta ile d th e h a n d lin g and in s t a lla t io n o f a s b e s to s in th e c o v e rin g o f p ip e s and a ls o a s an in s u la t o r a g a in s t h e a t and f r o s t in v a r io u s fo rm s and u n d e r v a rio u s c o n d itio n s . T h e re is e v id e n c e u p o n w h ic h I f in d t h a t th e d e c e d e n t' s w o rk e x p o s e d h im t o th e in h a la t io n o f a s b e s to s d u s t p a r t ic le s . I f in d he d id in h a le th e s e p a r tic le s . I t is a ls o a f a i r a nd re a s o n a b le in fe r e n c e -- and I so in f e r -- th a t a s b e s to s is is a d is e a s e c o n tr a c te d o n ly b y p e o p le who a re e x p o s e d to th e in h a la t io n o f a s b e s to s f ib e r s in t h e i r w o rk . I t is common k n o w le d g e t h a t p e rs o n s who a re n o t so e xp o se d d o n o t s u f f e r fro m t h is p ro g re s s iv e d is e a s e f o r w h ic h th e re is no know n c u re . T h e re i s a d d it io n a l e v id e n c e t h a t th e e m p lo y e e d ie d o n D e ce m b e r 1952 a nd th e f u r t h e r e v id e n c e u p o n w h ic h I f in d t h a t d e a th w as due to b ro n c h io g e n ic c a rc in o m a , s e c o n d a ry t o a s b e s to s is . I a c c e p t and a d o p t th e o p in io n o f D r. H a r r ie t L . H a rd y , u n d e r w hose s u p e rv is io n th e d e c e d e n t was tr e a te d d u rin g h is e n tir e p e rio d o f h o s p it a liz a t io n and who had an o p p o r tu n ity to re v ie w th e e n tir e a u to p s y p r o to c o l and who saw some o f th e p a th o lo g ic a l m a te r ia l in c o n n e c tio n w ith th e a u to p s y . D r. H a rd y t e s t if ie d -- and I so f in d -- th e w o rk th e d e c e d e n t -18- Rothwell (dec'd) p e rfo rm e d as a p ip e c u t t e r a n d h e a t a nd f r o s t in s u la t o r a nd th e d is e a s e th a r e s u lte d in h is d e a th " f a l l in to g e th e r." I a c c e p t and a d o p t th e o p in io n o f D r. Jam es S te w a rt R ooney, a p a t h o lo g is t , w ho t e s t i f i e d t h a t s o m e tim e d u r in g 1 9 5 1 (w hen h e w as w o r k in g f o r A . W. B a n c r o ft C om pany) t h i s man d e v e lo p e d a m a lig n a n c y o f h is lu n g as s e c o n d a ry to h is a s b e s to s is , th e a s b e s to s is w as a f a c t o r in c a u s in g th e m a lig n a n c y to s t a r t . " I f i n d , t h e r e f o r e , t h a t th e a s b e s to s d u s t w h ic h th e e m p lo y e e in h a le d a t h is w o rk r e s u lte d in a s b e s to s is . T h is , I f in d , c o n s titu te s a p e r s o n a l in ju r y a r is in g o u t o f a n d in th e c o u rs e o f h is e m p lo y m e n t. I f in d f u r t h e r t h a t th e a s b e s to s is c a u s e d a lu n g m a lig n a n c y w h ic h r e s u lte d in h is d e a th on D ecem ber 3 , 1952. The f ib e r s t h a t c a u s e d th e c a n c e r w h ic h p ro d u c e d th e d e a th o f th e e m p lo y e e h a d b e e n in th e e m p lo y e e ' s lu n g s m uch lo n g e r th a n a y e a r in th e o p in io n o f D r. H a rd y . "T h a t is a f a i r s ta te m e n t," D r. H a rd y t e s t if ie d , a d d in g , " t h a t seem s c e r t a in ly m ore th a n l i k e l y " , and I so f in d . T h is c o n s id e re d m e d ic a l o p in io n w o u ld c e r t a in ly r e lie v e th e l a s t in s u r e r o f a n y r e s p o n s ib ilit y f o r th e p a y m e n t o f c o m p e n s a tio n s in c e i t w as in th e y e a r o f h is d e a th t h a t th e e m p lo y e e com m enced w o rk f o r th e se co n d in s u re d . T h is o p in io n , to o , is s h a re d b y D r. R ooney. He t e s t i f i e d , and I so f in d , th a t " th e m an' s w o rk fro m M arch 20 u n t i l th e d a te he f i n a l l y s to p p e d w o r k , s u c h a s b e s t o s a s h e m i g h t h a v e i n h a l e d , i f a n y , p l a y e d no p a r t i n e it h e r th e a g g ra v a tio n o r a c c e le r a tio n o f th e d is e a s e s n o r d id i t b r in g a b o u t h is d e a th s o o n e r th a n i t o th e r w is e w o u ld h a ve o c c u r r e d ." D r. R ooney, who is p ro m in e n t in th e f i e l d o f p a th o lo g y and w hose q u a lif ic a t io n s w e re a d m itte d h e re , t e s t if ie d i t is h is o p in io n th e c a n c e r s ta r te d "s u b s e q u e n t to 1 9 5 0 . * * * I w o u ld s a y p ro b a b ly 1951 fro m th a d e s c r ip tio n o f th e c a n c e r." I a c c e p t and a d o p t D r. R ooney' s o p in io n and so f in d . T he d e c e d e n t w as i n th e e m p lo y o f th e A . W. B a n c r o ft C om pany, th e f i r s t in s u re d , th ro u g h o u t a l l 1951. I f in d , t h e r e fo r e , t h a t th e in d u s t r ia l in ju r y w h ic h r e s u lte d in a lu n g c a n c e r a n d c a u s e d th e e m p lo y e e 's d e a th i s c a u s a lly r e la t e d t o h is -19- Rothwell (dec'd) e m p lo y m e n t w it h th e A . W. B a n c r o ft C om pany, c o v e re d b y th e U tic a M u tu a l C a s u a lty Com pany. T h e re is e v id e n c e in th e r e c o r d t h a t th e e m p lo y e e 's la s t w o rk in g d a y w as A p r i l 2 5 , 1 9 5 2 . B e tw e e n th e c e s s a tio n o f h is e m p lo y m e n t a n d h is d e a th he was th re e tim e s c o n fin e d to th e h o s p ita l and in a d d itio n to th e s e th r e e c o n fin e m e n ts re c e iv e d o u t - p a t ie n t c a re . T h e re is no e v id e n c e to th e c o n tr a r y a n d so I in f e r and f in d t h a t th e e m p lo y e e w as t o t a l l y in c a p a c it a t e d f o r w o rk b e tw e e n A p r i l 2 6 , 1952 a n d D e ce m b e r 2 , 1 9 5 2 d u e t o th e a fo r e m e n tio n e d c o m p e n s a b le i n d u s t r i a l i n j u r y , n a m e ly lu n g c a n c e r . T he U t ic a M u tu a l C a s u a lty C om pany i s d ir e c t e d to p a y t o t a l in c a p a c ity c o m p e n s a tio n f o r th e a b o v e -m e n tio n e d p e r io d , a t th e r a te o f $ 3 0 .0 0 a w e e k, p lu s $ 1 5 .0 0 a w eek f o r d e p e n d e n c y , in th e t o t a l sum o f $ 1 4 2 0 .7 1 . (S ee A ta ra ia n 's C a s e , 265 M a s s . 5 1 ) . The U tic a M u tu a l C a s u a lty Com pany is f u r t h e r d ir e c te d to pay th e c la im a n t w id o w th e sum o f $ 2 0 .0 0 w e e k ly d e p e n d e n c y c o m p e n s a tio n , fro m Decem ber 3, 1952 to d a te and c o n tin u in g , s u b je c t to th e p ro v is io n s o f th e A c t. T he sum o f $ 9 0 5 .7 1 i s d u e t o th e f i l i n g d a te o f t h is d e c is io n . The U tic a M u tu a l C a s u a lty Company is a ls o d ir e c te d to p a y th e c la im a n t w id o w th e sum o f $ 2 5 . 0 0 w e e k ly d e p e n d e n c y c o m p e n s a tio n , f o r th e c a re a n d s u p p o rt o f f iv e m in o r c h ild r e n in a c c o rd a n c e w ith th e p r o v is io n s o f th e A c t. The sum o f $ 1 1 3 2 .1 4 i s d ue in w e e k ly c o m p e n s a tio n b e n e f it s fo r th e c h ild r e n to th e f i l i n g d a te o f th is d e c is io n . The t o t a l sum d u e th e c la im a n t w id o w u n d e r t h i s d e c is io n t o th e f i l i n g d a te , O c to b e r 1 6 , 1 9 5 3 , i s $ 3 4 5 8 .5 6 w h ic h th e U tic a M u tu a l C a s u a lty Company is d ire c te d to pay fo r th w ith . The U tic a M u tu a l C a s u a lty Com pany is a ls o d ir e c te d to p a y th e c la im a n t w id o w th e a d d it io n a l sum o f $ 3 0 0 . 0 0 u n d e r S e c tio n 33 o f th e A c t . The U tic a M u tu a l C a s u a lty Company is o rd e re d to m ake th e pa ym e n t o f $ 5 0 0 .0 0 to th e S ta te T re a s u ry in a c c o rd a n c e w ith S e c tio n 65N o f th e A c t . I f in d e q u ity and ju s t ic e re q u ire d th e te s tim o n y o f D o c to rs H a rd y a n d R o o n e y a n d t h e y a r e e a c h e n t i t l e d t o $ 5 0 . Q0 u n d e r t h e p r o v i s i o n s o f S e c tio n 9A o f th e A c t. - 20- Rothwell (dec'd) The c la im a g a in s t th e T ra v e le rs In s u ra n c e Company is h e re b y d e n ie d and d is m is s e d . HUGH J . GOLDEN - 21-