Document N2ny3gx663vnNROmD9jpdvQn8
WORKER'S compensation
coNF^iv^
.3ksM VOICES STATUS OF DISABILITY INVESTIGATION Clua No.. FiW No., ttc.
an R3 on ArtN!"~
2-7-86 27 26 BILLS, iBTWTt Paljsyr*. ST, farthaiia Trailer 71:
f22t
MCttJCTTO* -k* rrwo tddkUOMAi aarjaLLm or
BRANCH OFFICF, S7SACSS-------
Ti^Kr.w T1S 4^x 288Q
Ptm Operator
Due of r A-7-Jt?
;aceina io
Wrhc Kja
;J2 VHTP7 Lot #2 Northaida Tr Pk
Palsyra, HI
2*5-86 pen
for e,rrr. CN na 4 tddma of hwct uj (mu
Soarca Indicates subject resides lot Z1 la tbs perk, kaown bia for sereral Tears sad confirmed he is aasbls to work, bat did not know his szsct condition, Net aware of any specific health problees.or what it was called Medically, that would cases subject to be tzaabla to
work. Sees hi* dries his car, leaves tha perk, coeea back after abort
while.
~ -irrfnT StTTfca lac.
.'am I96M-1-OUJJL
IMPORTANT--Continued on reverse
PLAINTIFF'S EXHIBIT
G-273
CofldiiBailoa
ot Report <xl
-2B2ILS.HTBC
Na SS669U3
IdnofiaasB 803,82,001
h la lying doa tasting an hi* bad nr coach, ha Has ea right aids only. 5a stays srooad boas, listening to ancle sad latching 7T. Ba *11 ocrasiooally go act is his track, to shop, visit frlsad, trill ba goes for so boor or ao sod retsnu Ba stated ha did aaaka asary ysars ago, ba qolt assy yasra ago, sad also stopped drinking, which was only an s social basis, haring an occasional drlak la asrly 12-83* Ba la 5-6}*, weighs 227 and seas doctor an a aoothly basis. Sa la presently aa Ospotaa which la only asdIfstion ha takas, prescribed by Dr. Salth, taking t tablet, two Has dally. Osiatat stated he wonld never ba able to man to sort das to
hlo condition.
BOKBtAia CLLPUITx dalasst Is alaglo, resldlag alone In aoblls boss, lot 21 In Borthslds Trailer Park. There are fear roaaa. 5s is skis to do mam light cooking,washes dishes sad sons of his Issndry. Be has a daughter who will com In and do aejer hooped waning sad work needed. Be doss not hrve asch property at the aoblls hone site, bat there Is acne laws that aseds to bo sowed aad this Is also dona by either neighbor or mmethmr of his fsally, ms ha la also not able to do this. Bo triad this a coopie of tlaao lost mmmmr sad bacons vary short of breath, was naahls
to do it.
202JLL L0CAI70B: Is yea lssrs Palayra going north aa It 21, shoot 1 ails
to village
aa right sldo of Kt 21, is Borthslds Trailer Park.
Enter the park, ten right, go straight to the and, torn left, aad claiasat
trailer is the first on right aids. Lot 21.
R.B. GIGE: EqDZFAZ CULPS ST21CQSZ ZSC:fa
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NOTICE TMAT_ PAYMENTOFYoMPENSATIONFORDISABILITY HAS BEEN STOPPED OR MODIFIf
ANSWM ALL QUESTIONS EUUY
WORKERS' COMPENSATION BOARD
DATE OF HEARING
11/21/82 "*CB Cu> No
78205922 Camet Gut No.
w c. LAW JUOGE
DeSio
Dtu of Acndcat
0/00/00
Cunu doS
DECISION DULY PILED ON
-r
12/8/82
Dd
Social Secumy Numecr
115-20-1228
803-82-001 Clamant
WL21758
NOTICE OF DECISION
Arthur Bills, Sr.
"orthside Trai ler Park Lot #21 PsW--a . Uov; Ynr*V "'L5?? Eaployer '
Garloclc, lac. Div. of Colt I-d.
1666 Divisio- Street
Palnyra, "ew York 11522
./
AL3A:T FIuAi*CE CLAIMANT
READ LMPORTANT INFORMATIONON REVERSE SIDE
Aet-a Life I-s. Co. (DBC) c/o Garlock I-c.
Garlock lac. c/o Laverack & Hai-es
Dr. '.'illian L. Craver. 220 Alexa-der Street
Rochester, He'. : York 11.607
Special Funds Co-S, CoizTi
A/tor heartn*. iho foOowtnj Daaoaa and A*sd was mode.
AWARD THE EMPLOYER AND/OR THE INSURANCE CARRIER ARE DIRECTED TO PAY AT ONCE
for diubiim over * period of
%etn from
IO
it nu per Week
the wm of
TO
l i
21 2/5 6/7/82 11/21/82 * 105.00 * 2562.CC CLAIMANT Carrii ir to cor ti-ue to pay at : >105.00
LESS PAYMENTS MADE COVERJNC THIS PERIOD.
u lien on aard payable by spanic cheek by earner 10 CLAIMANT S REPRESENTAT1VE0R ATTORNEY fee to DOCTOR for attendance it heana*
DECISION:Cuew closed. Zr.oloyer will ray S25.00 Dr, Craver's Bill. Occupatio-al co-ditio-, -otice a-d causal relatio- established for asbestosis. Date of disability 6/7/82. Reimburse D3 carrier as rec.u Fi-di-s oerr.a-e-t partial disability. 15-5 applies. Average v:ee.:ly
------------ ,.,a,5 ;2?,3.qC..---------------------------------------------------------------------------------------------------------------------------------------------
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liS D*Jwm An*. UFTALD. K. Y. 14202
LAVEHACE & RAINES. Inc.
au orsnumcz > moot DOAtrsorn
Evacuttv* Park bat ALBANY. N. Y. 12203
>90 9aaw North it UVBVOOU N. Y. 130SS
Report of Hearing
529 FMji Amum NEW YORK. N. T. 10017
Clalaanl
CLAIM Mo_ 303-62-001 __________________Data ei Aocidont 6/7/32________________
EaptoTT carlack Ire.Date sd PI--ol Hesing 11/24/32. a**va
Hoariag Bo(oro
DeSk,Hooriag lUportor Sterc Burdick
Just prior to today's hearing the writer had the opportunity to speak
to the claimant who advised that his condition Beans to be getting verse as
time ^>es on. He complains of being very short winded with dyspnea on the
effort of any stair climbing. In via/ of the claimant's progressive symptoms thewriter felt it was important to have this case established and classified and closed today. Mr. Brege of the Special Fund and the Veits'
agreed to co-operate and jointly urge the Judge to closed cut the case today
rather than vait the normal two years. The claimant had indicated a desire bo move to a warns climate because of his condition.
When the case vas called the writs raised the issue of degree of disability and took the position that the claimant vas partially disabled. Mr. Brege joined the writs and we both urged the Judge to make a classification today so that
the case could be closed. The Judge made findings of occupational disease, notice and causal relation
for asbestosis. Date of disablonent wes established as 6/7/82. The farms avsage
weekly wage vas set at $290.80 based on the statanent of claimant's Minings
for one year prior. An a\rd vas rade from 6/7/82 to date at S105KE. The claimant vas declared to be peraanently partially disabled with payments to contimie at S105.00RE pas week. Reimbursonent to the Disability carris vas
directed to be a lien on the avard. The Judge furths found that this case cones
within Section 15-ee of the law and the case vas closed. This sployer will be entitled to reimbursonent ran the Special Fund afts
104 weeks of payments and our first application to the Special Fund should be
node in Decanber 1984 far the first 26 period of reimbursoent. Claimant's activities should be checked at least once ps yes.
The sits contacted Pan at Garlock and advised her to step disability pay
ments as of 11/29/82 and to file a CB471 so that reimbursement can be made to Aetna. She will do ao. When EB471 is recirved payment to the disability carris should be made and payments to the claimant can be instituted per the avard.
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PALMYRA X-RAY
aiHn(M
aid W74i2*
patient...aLLS, ARTHUR- Ag* 50
DOCTOR ... ptnoa
CLINICAL INFORMATION: Garioclc physical
DATE ... ; 2'
X-RAY No...........
Cher.:
remains abnormal, bur probably alighrly Improved aincc prev.^uo v. _ ...... .
tvas obra-ued. Abnormal patterns of either vessel engorgement or infiltration rcjuatr .
hilar rocs. Cardiac .narglnation la feathered Rod IndiaOrec cilateidlly. TLc hilar ra.j .... .
appear c t^r0-ed. The marilAattaun la'better defined on current examination anc see is .kjr v.
as done t ,e sortie arch. Peripheral lung areas are clear, including costophrmu- rer.c..
.
dinnorar: .1 is not unusual.
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. Earlier reports are revlswad, tad k i notat^lhal diagnostic conclusion ljAbeao reached in ih:.-
patient's case, akboegb there tjce h^nta of underlying aafritnvascular abnormality.
NOTICE OP HEARING
r-JEr.
i
WORKERS' COMPENSATION 30a
IT--
CITY HALL' .
47 CASTLE STREET GENEVA, NEH YORK
'' `
____ '-14454
01 11/24/12
9*50 AM ROCHESTER
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1 5 J6.
CLAIMANT
78205922 N82I758 . BILLS,' ARTHUR SKA'
801-82-001 . s * k-
garwa .0/00/00
115-20-0226
MAM. TO
AETNA LIFE INS.'-CO.'
I GARLOCK INC..;,
1466 DIVISION ST.
PALMYRA, N. Y
*
(DBC1 ' 14522
r - ... r S ;
--
M,LOT*
CASH 1C A
GARLOCK, INC.' DIV. OF
COLT INDUSTRIES GARLOCK INCORPORATED C/0 LAVERACK t HAINES
COPIES TO*
. .. %
SPECIAL FUNDS CONS. COMM,-'
AETNA LIFE 1*3.-CO. (OBCJ
...
NOTICE OF PRELIMINARY HEARING*
SEE REVERSE SIDE FOR IHPORTANT.INF0RMATION ABOUT THIS PRELIMINARY HEARING.
BOTH CLAIMANT AND CARRIER ARE.TO BE PRESENT PREPARED TO FURNISH THE
INFORMATION DESCRIBED ON REVERSE SIDE IN ORDER TO FIX A CUTE FOR TRIAL
HEARING. ON THE DATE SET FUR TRIAL HEARING, THE CASE HILL BE OECIDED ON
THE EVIDENCE PRESENTED. THERE HILL BE NO FURTHER ADJOURNMENT AT THAT TIME
EXCEPT FOR GOOD AND SUFFICIENT CAUSE.
,
A-1 DR. hILLIAM CRAMER'S BILL DATED 4/19/82. TO DEVELOP THE CLAIMANT'S
MEDICAL-INDUSTRIAL HISTORY.
EVIDENCE TO be produced*
BY CLAIMANTi CLAIMANT TO BE PRESENT TO TESTIFY.
'
BY EMPLOYER OR CARRIER* CARRIER TO PRODUCE HQPSITAL RECORDS AND X-RAYS.
DATED*' 11/03/82 c. i (t-tn 5
TC IOAAO IMPlOTt AMO ItlTVtS TX MtHOlCtfWB WTTMOUT
OtSCftlMIMATIOM AMO AJSUAC1 NlAAlMO LOCATION*
|
TO TMC--OTtSMAlAMLlOINC.OMNTMACtlT TM( NIAAIIT (OWAAMO o*wca
WILLIAM KR0E6ER
CHAIRMAN
18
RECEIVED
c GARLOCK
ooon o. cukxic, m. o.. r. a. e. e. OCT 5 '82
WILLIAM A. C9LCMAN, M. O.
JOHN . DUCT. M. O.
SICHASO o. dcnt, M. o.
LAW DEPARTMENT
R.W.W
r
Wtiruu Ata< mioical Ccht
I
234S IOutm
avc.
September 9, 1982
o
Laverack and Haines, Inc
135 Delaware Avenue Buffalo, New York 14202
RECEIVED
Hr. Arthur Bills Garlock, Inc.
Gentlemen
I
?
I 78205922 * 803-82-001
The above claimant was examined in this office at your request on September 2, 1982, and the following is a report of that examination.
The claimant is a 60-year-old widewed man who had worked for the Garlock, Inc., in Rochester, New York, since 1950. He states that he started in the "textile" department in 1950, and his first work was that of an "roving carrier." In this capacity he was involved in taking stock to different locations on three separate floors. This stock consisted of a mixture of loose asbestos, cotton and rayon. The textile mixture was made on the lower floor and was conveyed, by the claimant to the two upper floors in a large
bucket. On these two upper floors the material was carded into spools, and when these were made he was then responsible for distributing these. The textiles on these spools was then braided into cloth. During the course of
this operation he describes a considerable amount of dust in the air.
Later the claimant was transferred to the "card" roam. There he was responsible fc. taking raw asbestos out of one hopper and putting it into
another. The asbestos was then fed into a machine and carded into spools.
The claimant states that in 1970 the State authorities came in and "closed down the operation." According to the claimant, the reason for this closure was that the operation "did not meet safety requirements." The claimant was then transferred to the "cut gasket" department, and here he was responsible for working with an oven to cure asbestos stock for molding into
the gaskets. He then states that he was put on a cutting machine for the cutting up of asbestos.
Over the course of the last four to five years the claimant has noted increasing shortness of breath. In April of 1982 he ccrsJbed his personal physician, Dr. V. E. Smith in Palmyra, and at that time was found to have an elevated blood pressure. He was placed on medicine for this. In addition to this, an x-ray of his chest was taken and following this he was referred to Dr. William Craver, thoracic surgeon of Rochester, who in turn referred him for pulmonary consultation to Dr. Michael Finigan. Reports frem Dr. Craver and
Dr. Finigan are contained in the medical file, and these were reviewed.
The report of Dr. Finigan is under the date of May 20, 1982. In this report Dr. Finigan also relates the claimant's history of erasure to asbestos, and his findings an examination. A review of the chest x-rays taken on the
claimant over a twenty-year period was made by Dr. Finigan, and he notes that
perihilar fibrosis was noted in 1976, and is described as having progressed jl
o
, . Re: Mr. Arthur Bills
c
2 September 9, 1982
over the last six years. Unfortunately, these x-rays have apparently been misplaced and are not available for review. Dr. Finigan performed pulmonary
function tests, a copy of which was enclosed in the medical file. These tests showed "marked restrictive lung impairment due to lung fibrosis." In his opinion
Dr. Finigan stated, "Mr. Bills has pulmonary fibrosis secondary to asbestosis related to his work exposure from 1950 to 1970. I believe his impairment is such (about 55 percent total lung function) that I would like to see him not exposed in the future to any dust or fumes, and thus I would be inclined to have him retire at this time. As mentioned abase, 1 believe that his problem is work related. I would certainly reccnmend that he get an annual chest x-ray."
At the present time the claimant states that he is short of breath with exertion. He has some wheezing at night, and has a cough which is productive of white mucus. Fortunately*he does not snaked and has not smoked since World War II.
PAST HISTORY: Apart from the above the claimant has enjoyed relatively
good health. He was hospitalized for gall bladder disease in 1961, but did not undergo surgery at that time.
SYSTEM REVIEW: Ihis is essentially non-contributory. As noted above, he does not snake but states that he "likes a beer." Since quitting work he has gained approximately twenty to thirty pounds.
MEDICATIONS: Current medications consist of Dyazide, one capsule daily for blood pressure.
PHYSICAL EXAMINATION: -
Temperature 98.4 Pulse 88 and regular
Respirations 24 Blood Pressure 160/100
Height 5' 8 1/2" Weight 219 lbs.
The patient is an obese, garrulous and friendly man, who appears somewhat short of breath on exertion, but whose color is good.
Skin: Clear; no cyanosis or jaundice.
Head: Normal.
#
Eyes: Pupils equal; react to light and acccrrodation. External
ocular movements normal. Funduscopic examination negative.
Ears: There is wax bilaterally.
. Nose and Throat: Negative.
Mouth: He has a dental plate in the upper jaw. The lower jaw is
edentulous.
Neck: Supple. Trachea in the midline. Thyroid not enlarged.
No cervical vein engorgement. No carotid bruits audible.
Glandular: No lynphadenopathy.
Thorax: Syrmetrical.
Lungs: Percussion note was resonant. Ch auscultation no rales
or rhonchi were audible at the present time.
Heart: Not enlarged. There is a grade II out of VI systolic
ejection nurmur audible over the aortic region which
radiates up into the neck.
C
Re: Mr. Arthur Bills
-3-
C September 9, 1932
Abdomen: Soft. No masses, tenderness or rigidity. Liver and spleen not felt. No herniae.
Genitalia: Normal male. Rectal: Not performed. Spine: No tenderness on percussion. ^ctremities: No finger clubbing or peripheral edema. The
peripheral pulses are all palpable.. Joints normal. Neurological: Within normal limits.
LABORATORY DATA: Urine: 0 albumin; 0 sugar; microscopic examination negative.
An electrocardiogram was taken. This shows the presence of biphasic T-vaves with inversion of the T-wave in leads V-3 through V-6. These are non-specific T-wave changes which could be compatible with myocardial ischemia.
As noted above, the patient's x-rays have been lost. In view of this, be was referred to the office of A. Gordon Ide, M.D., and his associates for an x-ray of the chest and the following report was received from the radiologist:
"There is a mildly prominent interstitial pattern noted in both lung fields, though to a greater extent cn the left. No mass lesion is appreciated. The hila are not well marginated, but also no mass is identified there. The costophrenic angles are sharp. The heart size is normal. The bones and soft tissues are normal. Impression: Interstitial disease with poor hilar margination. Though no calcific plaques are present the findings are ccnpatible with pneumoconiosis . such as asbestosis."
My cwn review of this x-ray indeed does shew bilateral interstitial infiltrates ccrpatible with a diagnosis of asbestosis.
OPINION: This 60-year-old claimant has a 30+ year history of exposure to asbestos. On the basis of physical examination and x-ray findings, I believe it is fair to say that he has asbestosis.
He can no longer work at his former employment, and indeed must avoid all dusty and contaminated atmospheres. He has a high degree of disability. It is just possible that he could manage seme sedentary form of occupation in which he would not be exposed to fumes or dust, but at his age and with his work capacity I believe it is only reasonable to say that, in all probability,he is unejrployable and therefore probably totally disabled.
l
In addition to his pulmonary disease, there are electrocardiographic changes not diagnostic of but ccnpatible with a diagnosis of nyocardial ischemia.
GDC/w
Grig: VO 3 cc: Addressee
Gordon D. Currie, M.D SJ 205463
RECEIVED GARIOCK
OCT 8 *82
LAW DEPARTMENT R.W.W
LAVERACK & HAiNES, INC 135 Delaware Avenue. Buffalo, New York U202 Telephone 716/852-3C65
July 13. 1982
Colt Industries Inc. 430 Park Avenue New York, New York 10022
Attn: W!11 lam G. Davis Claims Manager
Re: Emp: D/A:
WCB: Carrier:
Arthur Bills Gar lock, Inc. 777
78205922 803-82-001
Oear Hr. Oavts:
Thank you for yours of 7/7/82 and the attachments. However, also attached were three copies of your letter to me and I am returning same as they may be for other parties.
As you know this asbestosls claim has been controverted on several Issues as per our C-7 dated 6/15/82. Also, we have sent a "A-l" to all the medical providers to place their bills under arbitration pending adjudication of the Issues.
Asbestosls Is a pneumoconi ousts and therefore comes under Section 15-8ee, as amended, (silicosis) of the New York State Workers' Compensation Law. In accordance with said section your maximum liability Is two years of permanent partial or permanent total disability and 104 weeks of medical care. Hence, your excess carrier will have no liability what-so-ever.
Our office has bean In consultation with Robert J. Eck, Regional Manager of the Special funds Conservation Committee, the protector of the Special DIs ability Fund under Section 15*8ee. This Fund will reimburse us for all Indemnlty and medical after the 104 week period assuming that the claimant Is success ful In his claim. We conferred with Bob so that our defense could be coordlnated and to solicit his expertise In the silicosis area.
1907
tVINTY.FIVf YIAM OF StRVICt
1989
I
2-
Frankly, sines Chit employee did work with asbestos Is In your employ we re not at all optomlstle regarding our controversy. Prior to the amending of Section 15"8ee the claimant had to be totally disabled and had to prove "Injurious exposure". There was a Panel of State Chest Consultants who ex amined and reimbursement was made after 260 weeks. Now, since the amending, the reimbursement period was reduced to 104 weeks but the claimant need only be partial and Injurious exposure is no longer a major factor.
In conjunction with Bob Eck we will continue to defend this claim and
;'"t* -*e have now received a report dated 7/7/82 from Dr. Craver rendering
prlma facta evidence we wl11 now arrange an exam of the claimant by a chest
consultant of our mutual choice. We must be very careful to make sure that
this dale only concerns a pneumoconi ousts type disease and not an asbestos
related cancer condition. If the latter develops our reimbursement from the
15~8ee Fund would be seriously mitigated.
.
If you desire any further Information please feel free to contact our Buffalo Claims Manager, Casey Wilbert. Thank you for your concern and help In this matter.
Very truly yours
LAVERACK C HAINES, INC
William E. Neuman Vlca President/Di rector of Claims
cc: R. LaFevre /Js
RE: Arthur 5^ * 1S
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Garlock*
Macnameal Packing Oiviaion
16M Omaion Sl'Mi Palmyra. Naw Tort 14522
OCCUPATIONAL INJU' A DISEASE RECORD
RECEIVED GARLOCK
DCT 5 *82
LAW DEPARTMENT
R.W.W
WORKMEN'S COMPENSATION BOARD
tun or ntw root
EMPLOYER'S STATEMENT OF WAGE EARNINGS
L W lataraf aaalaiaa h aaBtary wdn M*| Ik* 53 aa4 pariaO taaraJtaMlT araeabiaf *ba fata af aad4arf.
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ANSWER ALL QUESTIONS. AVOID USE OF INDEFINITE TERM
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RECEIVED OARLOCK
OCT 5 *82
LAW OEPWtTMBfr R.W.V{. '
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RECEIVE? GARLOCK
OCT 8 *82
LAW DEPARTMENT R.W.W
MOtAO. M. FNC^/i MO, FC.C.F. CAIU3 *. 0*T3. MO, F CCT. WOMTINT
^'
THE GENESEE HOSPITAL An A/Rluird Hoipiol ol
THI UNlVIXiiTY OF XOCHL5TTJ. SCHOOL OF MIDIONJ AND DtNTISTXY
224 Airxandn Sum XocSoitt. Ne Ysrk 14607
F*Ul V Han to- Piiwn,
TMt f 'Nlil* HOtrnAL
May 20, 1982
v.
D.* T* ,*`-tw- 6-i-%- WtaMA .\. 3606 Cor. E. Foster Sc. Palmyra, NY 14522
Ext. at Howell
--. 1-- ^ \ A t V., .JJ - -,co7
Re: Arthur Bills
'.
Dear Dr. Sairh:
As you know, we saw Mr. Bills in the office recently and did the attached pulmonary function tests, and reviewed his chest X-rays which dace back to the 1950's.
He was referred because of his shortness of breath. He has worked for a number of years, as you know, with asbestos at the Garlcck Corporation, and had at least a 20 year exposure from 1950 to 1970. He.wore a mask intermittently. He now has been working, for the last 7 or 8 years, cutting gaskets with some minimal exposure to dust and any fumes in the area, but certainly not a great deal of exposure. He has been short of breach for about 3 or 4 years, and now notices any significant walking upstairs or heavy lifting leads to shortness of breath. He has stopped hunting because of his breathing problem, and he only smoked for about 4 years from 1941 to 1945.
He denies any orthopnea or PND, and denies any fever, chills, or sweats. There is rare wheezing. His appetite has been excellent
and his weight is stable. He occasionally gets some vague anterior chest discomfort which only lasts a couple of minutes, and it does not appear to be related to effort.
His past health is quite unremarkable, except for one bout of rer.al
colic in 1960. The only medicine he cakes is a mild diuretic for
high blood pressure. He has no allergies, and drinks 2 or 3 beers
a day.
'
`
/
His family history shows that his wife died in 1977 from a motor vehicle
accident, and he.has 6 children with 2 of them possibly having diabetes.
On physical examination he weighs 216 lbs. with a blood pressure of
140/95. Respirations were 20 and regular, and pulse 68. The head ar.d n#rk were unremarkable. The chest was fairlv clear with a few fine
fte : Arthur Bills
3775732-------
Page 2
an occasional wheeze, but the lur.g exam was fairly unremarkable general
The heart was Tegular with no curtur or gallop, and the abdomen was
obese, but no masses noted. The extremities were negative, and there
was no edema or clubbing.
'
A review of the chest X-rays over a 20 year period shows that in about 1976 perihilar fibrosis is noted, and it has progressed over the last 6 years.
The attached pulmonary function tests show a marked restrictive pulr.cn2 defect with normal arterial blood gases. His vital capacity runs about
547., and his total lung capacity is 63Z. There is no CO2 retention or. the blood gases. A, carbon monoxide diffusion test will be dene in the future, but could not be done today.
In my opinion. Hr. Bills has pulmonary fibrosis secondary to asbestosis
related to his work exposure from 1950 to 1970. I believe his ir.pairm.e is such (about 55" of total lung function) that I would like to see him not exposed in the future to any dust or fumes, and, thus, I would be inclined to have him'retire at this time. As mentioned above, I
believe that his problem is work related. I would certainly recommend that he get an annual chest X-ray.
There is no treatment for this condition at this time, and he is a
non-smoker. Some of these patients have an increased risk for lung cancer and mesothelioma, which is a pleural malignant tumor. A yearly chest X-ray is the only way to monitor for those problems.
I have not made any return appointment for him, but he will be contacti you to discuss this report. If there are any questions please let
Thar.k you very much for letting us sec him.
HMF/bb end. XC: Dr. W. Craver
0
\'
RECEIVED CARIOCK
THE GENEsEE HOSPITAL 224 ALEXANDER ST. ROCHESTER N.Y.
PULMONARY INTERPRETATION REPORT
OCI s *82
UW 0PART7rtNT
LW.tf
ASBESTOS EXPOSURE
NAME: ARTHUR BILLS
IB#* O.P
AGE: SEX/RACE* HEIGHT:
UEIGHT:
SO MALE / CAUCASIAN
69 IN 216 LBS
SPIROMETRX ' (BTPS)
..
FVC `
LITERS
PRED 4.47
BATE*
TEMP/PRES: PHYSICIAN:
TE3TEB BY:
5/13/92 2* C / 731 r`nKG FIMIOAN,inlT H
SHEILA EBCOr
`PPE>RX
ACTUAL. y.pREi 2. 43 54
FEV1
LITERS
, 3. 17
FEV1/FVC
'A
71
FEF25-757. L/SEC
3.05
PEr .
L/SEC
3.37
FIVC
LITERS
4. 47
FEF30/FIF30 UNITLESS
<1.00
1.97 62
SI 2*20 72
3.56 102 2.24 52
0. 96
MW F
' L/MIN 1 /MIN
137 126 92 120
LUNG VOLUMES (BTPS)(KEY IN)
VC LITERS 4.47
TLC LITERS
6.42
RV LITERS 2.30
RV/TLC X
37
FRC LITps
3.27
2.49 4.07
1.53 29
1.93
56 62 69
39
- RESTING VENT. (BTPS)
VE
.
L/MIN
TV LITERS
F ' 1/MIN
16.6
' 10.4 0.62 17
62
DISTRIBUTION (KEY IN) LCI . UNITLESS
7.0
9
* OUTSIDE NORMAL RANOE
P03-S0201-19
N-OlOl-lO .
INT-0201-03
.
COMMENTS* Arterial blood gases: pH-7.41, pC0,-41, pOj-SO. 02 saturation-941
TECHNICAL
INTERPRETATION* PFT's show reduction in FVC and luC consts rent with a marked restrictive lung impairment and no evidence 0 obstructive lung disease. Arterial blood gases are normal. ' A CO diffusion to detect lung fibrosis will be done later as there
was difficulty with the test on this day.
. o-te. !
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