Document N2oDqO19a0Ox9J60dqMKKrRjp

Z{ 5< ! O! CI 21 Zi wi g! "w | 'll zI o 1 TM.c= 'f'f'ST) =fe-vm FEF 25%-75% 3,b IMPRESSION: ^taCRMAL^^ -yKjd 'E-v= iiters/sec M. V. V. OSSTRUOIVE 9/// F.E.V.,= J (p liters/minute RESTRICTIVE <=>*?* / ELECTROCARDIOGRAM Anoxia: Q P Pulmonale: Right Heart Strain: Abnormalities of rhythm: Abnormalities of conduction: Othor: NO DIAGNOSTIC ABNORMALITIES ST-T segment changes 31000 COUNT NORMAL ABNORMALITIES BLOOD CHEMISTRIES SMA 12/60: See Attached SERUM ENZYMES: SERUM ELECTROLYTES: No* K+ Mg+ + SERUM ALPHA I, ANTI TRYPSIN___________ SERUM ELECTROPHORESIS: See Attached BLOOD LEAD:__________ - . MICROGRAMS % MISCELLANEOUS: ACHLORHYDRIA (DIAGNEX): OCCULT BLOOD:______________ URINALYSIS: ALBUMIN SUOA URINE LEAD CHEST XRAY^Q3 NORMAL ABNORMAL MICROGRAMS/LITER j URINE SULPHATE RATIO ;, UICC/C1NCINNATI % Moderate fibrosis of both roots. Moderate fibrosis of all lobes. Some few areas, fibrosis is already is assuming fibronodular properties. Lateral projection Indicates some increased PA diameter of the chest. No evidence of pleural dysplasia. Compared with #9124, taken 6/75 indicates in essence no ------ change.----------------------------------------------------------- ---------------------------------------------------------- --------------- OTHER ENVIRONMENTAL DATA: Sample type ASBESTOS: Number Fibers > 5 Mu./Cucm. OTHER: SILICA Mg>./M3 duration . eiiMMAni. Veit M 1 m I-1 mi a l:inl I oa nrs oniirol.r ini riiiol . Oliool t-rar is miolimii: oil. Ami iinuu Lric oxaiiijiia t Li)it iinliuutoa tialil bilateral liourin^.AaMb j-irobubly oi acoustic origin. Please advise examinee. -M.D. / P Pulmonale: Right Hoar! Strain: Abnormalities of rhythm: Abnormalities of conduction: Other: BLOOD COUNT NORMAL ABNORMALITIES BLOOD CHEMISTRIES SMA 12/60: See Attoched SERUM ENZYMES:___________________________ SERUM ELECTROLYTES: No+ K+ Mg++ SERUM ALPHA I, ANTI TRYPSIN SERUM ELECTROPHORESIS: See Attached BLOOD LEAD:_____ .MICROGRAMS %' MISCELLANEOUS. ACHLORHYDRIA (DIAGNEX): OCCULT BLOOD: URINALYSIS: ALBUM! URINE LEAD. -MICROGRAMS/LITER URINE SULPHATE RATIO CHEST XRAY ABNORMAL U1CC/C1NCINNATI Mild prominence of the root areas, some calcific densities noted on the left. Peripheral lung fields generally not remarkable. The lateral pro jection would suggest some increase in radiolucency behind the sternum, but this is not grossly abnormal. Heart shadow normal in size. Bony cage --------------- is" nuniiiji-:--In- essence, liu change -from- previous- film #6691, taken-10/21/7f other Chest x-ray considered satisfactory for examinee's age. Incidentally, no evidence of pleural dysplasia. ENVIRONMENTAL DATA: Somplo typo ASBESTOS: Number Fibers > 5 Mu./Cucm. OTHER: SILICA Mgs./MJ duration Misc & summary* History of some shortness of breath noted. Studies include only ` ventilation and chest x-ray,are both noted to be satisfactory and compared favorably with the previous studies. Audiometric examina tion likewise satisfactory. Please advise examinee. ____M.D. roS IT JO N TH IS EDGE NEAREST C ABIN ET s t J Right Heart Strain: Abnormalities of rhythm: Abnormalities of conduction: Other: BLOOD COUNT NORMAL ABNORMALITIES BLOOD CHEMISTRIES SMA 12/60: See Attached SERUM ENZYMES: SERUM ELECTROLYTES: No* K+ Mg++ SERUM ALPHA I, ANTI TRYPSIN SERUM ELECTROPHORESIS: See Attached SLOOP LEAD: MirBOnPAAAC % MISCELLANEOUS: ACHLORHYDRIA (DIAGNEX): OCCULT BLOOD: URINALYSIS: ALBUMIN______ SUGAR______ __ -URINE LEAO _________ MICROGRAMS/LITSR URINE SULPHATE RATIO % CHEST XRAYOt j'f V NORMAL / ABNORMAL UJCC/CINCJNNATl Mild prominenqe_j>^the root areas Peripheral lung fields generally not re markable. Trachea is inmidline. Diaphragms are smooth and all sulci are clear. There is some very equivocal evidence of pleural dysplasia along the left par ietal border. It is not marked. Heart shadow, bony cage are normal. Chest x-ray should be considered satisfactory. OTHER ENVIRONMENTAL DATA: Somple typo ASBESTOS: Number Fiber* > 5 Mu./Cucm. OTHER: SILICA Mgt./M3 duration i lie* CUMM-n,. PMne if I III rpirnnl I;o H*o f*liP I: T--TV Mll VottMln M nil I 11*1 t i.iQ liil lit! iiitliliiltiiiLiil'y, ailVIiiU. Ailil I |. *' I ti t> Lmiy ii at this tine is quite satisfactory. ___ M.D. BU^ALO IXDUS72AL ;.E3sCA3. C2MT22 71U TONAWANBA ST30T (UffAlQ, N. V. 14207 Telephne. (75-1414 PREPLACEMENT EXAMINEE:. (MPinvpg K2AZXG SVALUATOR SU?7i2r;337 129-20-4666 49 -S.S. No.: . AGE Georgia Pacific JOB ASSIGNMENT: PERIODIC BASELINE fYeTf No] PREVIOUS DATEi POt WHOM. IS PERSONAL PROTECTIVE EQUIPMENT WORN I Yes I No 1 hriiml Occupational History .- -- .. . . SCAtVJKAuGN hfliMM Madicol History. Allary iat_ Hoad Injury-- tinging la Ean_ Mice. ... , -Poinful fan. -VertigoJUnniog Eon_ Military ServicePuliat -- _ .... . Duration- APPLICANTS EVALUATION OP HEAPING STATUS Normal Q Not Normal Q Constant Vartadla Q Q Ontat 0 Progression Q Hat trouble boaring la Group* Q in Audiloria 0 la Nalty Placet 0 At Distance 0 Close 0 Telephone 0 Radio-TV 0 Womea and Children 0 because of tinging ia Eon 0 San Drums Cana! New Three? Tunin'] rork R L Date: 2.10.77 AU3:orj7?jc ______ Interval since last noise exposure: SOOPIEQUENCT - HERTZ (Ha) & & g & ISO 1000 3000 ORSlHfMA CPaSrO&PVOSSTEMtDMs SYST_lEaMft_._far_ / 0 '250 5 500 Jp 1 J/os^ nu cr> /<? _MLj 1000 MOO2000 M MOO4000 AT.VStO.IROInAOGdbf /f2<:rJ\ JLL AUDIOMETER AM. NATL STAND SPEC (ANSI-1969) AIR HPT EAR RIGHT CAR XSLUE UD i O BONE Cd! ol Examinee's Signature* Examiner: 7400M L PO SITIO N TH IS EDGE NEAREST C ABIN ET P Pulmonale: Right Heart Strain: Abnormalities of rhythm: Abnormalities of conduction: Other: BLOOD COUNT NORMAL ABNORMALITIES BLOOD CHEMISTRIES SMA 12/60: See Attached SERUM ENZYMES: SERUM ELECTROLYTES: Nc+ K+ Mg++ SERUM ALPHA I, ANTI TRYPSIN__________ SERUM ELECTROPHORESIS: See Attached BLOOD LEAD:.............................. _ MICROGRAMS % MISCELLANEOUS: ACHLORHYDRIA (DIAGNEX): OCCULT BLOOD: URINALYSIS: ALBUMIN______ SUGAR______ URINE LEAD --MICROGRAMS/LITER URINE SULPHATE RATIO % CHEST XRAY NORMAL . ABNORMAL . - * UICC/C1NC1NNATI Moderate fibrosis of both roots and all lobes. Some few areas, fibrosis is beginning to exhibit flbronodular characteristics which is generally re flecting examinee's body build. Heart shadow, bony cage are nrml. Very min imal Increase in peripheral fibrosis as compared to previous film #9125, ------ taken--ll/S/-75e-------------------------------------------------------- ------------------------------------------------------------------------------------------------------------- OTHER ENVIRONMENTAL DATA: Somple type ASBESTOS: Number Fibers > 5 Mu./Cucm. OTHER: StUCA Mgs./M3 duration _ __ V*Mtilnt.i.on study quit, pat I a fno fcory, in foot (Somewhat. f n|i*o vol over IM. . c. .iimhaui . j(jlo almly of l')`/5. (!||oaif ji~ y (lonoi'a l I y :(. rotun i li I u. i:< of ploural dysplasia, which would suggest any asbestos exposure, rleusu ad vise examinee. M.D.