Document NE0yvJwNkOabKEwdJO1D34z0y

y X *1 r' / 'V*Vv...... E.rE*c** fMfttCY. *.B. F.C.c.F. * WHPTX HCWNlC P>*f ^ <0 L- H,**T*. M. A own < 4U John P* McNally, R.P* 0n-Corning fiDerglas Berlin* Mo* Jersey 00009 Oeart Doctor *eN*Ily Be* Royden Brqdddocfc age St Atsanton-New freedom Road Berlin, N.J. 08009 Herewith reootta of examination* wads on the above named at this office oh July ? 1971 as per your request, Occupational History* Employed at Owens-Corningn past 20 years is special assembly, ad production. Past Radical Historyt Sarletina age ID, Pneumonia, lobar , S years ago? Pleurisy twice, bronchitis, frequent, Nq operations ox serious illness other than eentioned, Smoked since age IS, cig arettes, 2-3 pkgs daily* Chief Comolelntsi Chronic cough* sputum, thick, white, No blood. Wheezing moderate, worse lying down. Dyspnea on walking one block, working fast and with anxiety No chest pain elicited eith exercise, frequent chest colds in winter, General Physical examination! Head 4 Neck! Eyes and ears normal. Cranial nerves intact. Thyroid normal, ho adenopathy, Cnestt Breath sounds elicit wheezing mild, general!red, few fine rales bilaterally, Breath sounds axe slightly diminished, riuroscooic examination of the chest reveals the heart to be normal in size and oulsatSon. Sotn diaphragms move fairly well. Xrays of the chest reveals the heart and supraeardiac structures to be normal. The hiiat areas, especially the left, present multiple, small caclcific densities. There is a definite increase in the bronchovascular markings into the lower lobes. The aocies and peripheral lung fields are clear. The central and lower lobe areas bilaterally snow increase fibrosis in a fan-like pattern typical of asbestosis, Tne lateral projection also shows similar picture. Some early barrel-shaped configuration of the chest noted with slight increase in the anterior mediastinal air-space, and flattening of the diaph ragms. Comparing present films witn films over the past several years tnere is a definite increase in the fibrosis pattern. Impressions Pneumoconiosis, asbestosis, modeiate, occupational. Early pulmonary emphysema? Pulmonary function Studys Predicted yital Capacity^ 43?0cci Performed VC- 356Ccc* S7% Timed Vital Capacity- noTmal, fiaximuffl ventilatory volume- 61 .IL/tnin? Jtoderate reduced, flow rates A- Normal i 8- slightyl reduced. Impression* S,igt\t reduction! Early fibrosis pattern. Cardiac* Normal sinus mythm. No murmurs meted Pulsations normal Slcod pressure laa/BO. Abdomen: Soft relaxed, Ncn-tanderj No viseromegaly. 02 200 0675 - WZJ31189 fc SBENCgft PAISLEY. M.O. r.C.C.P. ot wxrrm houi piu HA0OON MCI4WTS. M. J. (1*0S3 #2 fioydan Braddock- CU System* Essentially noraal sale. Bones ftAd Joints* Essentially noraal. Neurological* Essentially normal. Skint Clear* No peripheral edesa. P. P* 0 Xntsraadlate negative. Impression* Pneumoconiosis, moderate, asPeatcsls, occupational SecoBoend he be moved to ate favorable environmental site. Thank you for the privilege of this evaluation. Very truly yours. JS /,/ y r rY" ev t C.^4oBncar Paisley. Enclosures* Craohsj Statement. 02 209 0676 PREDICTED / UZASVRtO :.l PREDICTED FVCr* 'f`t* A< 4U r * f6^H * IfVO i <*** `I *FEF,~*n* ?*> S' FF &. .1 MVV.7- 5 ; /-Vi r s ^ *n _____ ^------------- .L 4 Jiil 4J lift 4 6PEKCER PAtU:r. H.O.. F.C C.P. , nr v*ho Hone n*r MXOOON HCiflKT*, M. J, 0OS , . v 21 July, I97t > John P. WcNally K.D. Qwens-Corning fibergla Berlin. New Jersey 08309 Oeert Doctor Really* . flei Hoyden Sredddock one Si WAtsontosn-Ne* freedom Road Biirlin* *UJ. 0*5039 Herewith'reports of examinations made on the above named at this office on July 7* 1971 as per your request. Occupational History* employed at. Gwens-Corningn past 20 years is special assembly, ad production. ; Pest ftedical History* Sarletina sgc 10. Pneumonia, lobar ,* 5 years ago* Pleurisy twice, bronchitis, frrguent. nQ operations or serious illness other than mentioned* amoved since age IS, cig arettes, 2-3 pkgs daily. 4 Chief Comolaintst Chronic cough? sputum, thick, white, Wo blood* Wheezing moderate, worse lying down* Dyspnea on walking one block, working fast and with anxiety . No chest pain elicited with exercise, frequent chest colds is winter. General Physical examination* He?d 4 kick* Cyfes and ears normal* Cranial nerves intact. Thyroid norm*!, No adenopathy. Chest* Breath sounds elicit wheezing nild, centralized* few fine rales bilaterally. Great* sounds.are slight}/ diminished, fluroscopic examination of the chest reveals the heart to be normal in size and oulsatoon. Both diaphragms neve fairly well. Xrays of the chest reveals the heart ond supracardiac structures to be normal. The hilar areas, especially the left, present multiple, snail caelcifie densities. Thure is e definite increase in the broncho- vascular markings into the lower lobes* The apeies and peripheral lung fields are clcai, The central itvi lower lobs areas bilaterally show increase fibrosis in a fan-like pattern typical of asbestosis. The lateral projection also shows similar picture. Some early barrel-shaopd configuration of the chest noted with slight increase in the anterior mediastinal air-spac?, and flattening of the diaph ragms. Comparing present films with films ever the oast several years there is a definite increase in the fibrosis pattern. Impression* `Pneumoconiosis, asbestosis, modeaate, occupational. Early pulmonary emphysema? Pulmonary function Study* Predicted Vital Ceuaeity_ O?0ccj Performed VC- 3360ccs 82;. Timed Vital Caoacity- normal. Maximum ventilatory volume- 61.?t/f;inj federate reduced. flow rates A- Normal ? B- slightyl reduced. Impression* 6,lent reduction; Carly fibrosis pattern. Cardiac: Normal sinus rhythm* No murmurs moted Pulsations normal 8iood pressure Abdomen: Soft relaxed. Non-tcnderj Nc viseromegoly. 02 20.9 U67S E. SPENCE* PAISLEY, M.O- P.C.C,P. sot WKfTC **( Bin* maooo* mcwmtc. k. j- oes i/2( Hoyden Qraddock- CU System essentially normal sale.* Bones kftd Joints* essentially normal. Neurological! essentially normal. Skim Clear. No peripheral edeoa. * P. P.D Interaediate negative. . Impressioni Pneumoconiosis, moderate, asbostosis, occupational Hecommend he be moved to more favorable environmental 'situ. Thank you for the privilege of this evaluation* Very truly yours, \ enclosures* Craohs; Statement. b2 209 0679 L itlg a tio n Boydon Braddock (B e rlin ) t .. I'-uisa