Document NEzmDKX70GQzx1V7mDRwBoEe8

Jerome OtlsuJL re* GfcGSSC Idashev -2- p*at focr year* had bes exartteaai dyspvoea. TMt had became caealderabiy vara* fcr t*e r*^ f no year* tad tti aev afiacttag Hb la moderate ecfirttiai. tele fax* ta my, sacra tartig ax ftaxlMdca ta 1S$0 tuflrtt* that ao atgvlflcstt exernaeal iytVMA tu taea preeeat. This saortssa at breath m vftheet tppareat com taa^ar u U ea ev*crwC va aiedsstsiy liaatatag, u aot prtesx at teat tad tu pr*~rt- stn. &ne of to family Itsiary, tywaa reelev, ate. rvrtakd iertft| *t algalficasca curt fra t cask tajsy maay yean tjo vMIe at UKa Aaheesaa vttk aeeaalaul recerrac; peia is &4 bach store. Tiers ven also aadensely ireqsts heartaches, moderate alccLoiic tetaxt ud moderate nnofciag, Mr. Groeti j caretaUy refined by myself aad ay associates, Dr* lobe fi. Joeiacea?d Dr. Dcrld SLctX Cspl*ie physical rsavtarnifle failed ta reseat aaytfciag at ci^aliicbm a^ar: from tie hags. Ben, Chen van coanseart beemh leioils ted atoderate rates at bets bases. 'Weight, vt&ott cleches, via MI-3/4 lbs, aad height vaa 70". The renaAoder of the (Toi physical custaadea waa Mt figHAcas except ter rather sorted el^bteg the Gager*. Meed scedUs 4i al sha larsert Memorial Hoepttil U fstertfiB revested a heaegtcfeii al 13 {sa, red blood celte 3, 030,000* vfctta Mood const 7. ISC eta 51% aestropfeil pdye tad 4t% lyspUtTtta Raaaexit vaa 44^ Bximluzi at lla arvran above* ao add fine bacteria. ClecCrocardlepas dame m Her, 17. l$S4 m set nmarxable cad serological Crate far cyphtUs vrt eepttre. Dechotli dxcatefioa fine was IS.2 in mlt X-rtj * the chest U sttcctly afaeermsL Films tahaa a Rev. 33, BS4 shoes c very fist aafciUr teflfcrrttee prodoniataciy ta (he lover third at the Uag field, dlaHaciaa of the Tteosler marttag* to* ntfddZa md lover thirds M the taif fields, IrxsgsUxliUs la; the nedal halves al the <S^feragAstl leant, ta vsG as nertmra rsticiUtlna al ths tasg fields ta the eater thirds. Then vee mu jmeifreri ef the reeader marttaf al the fcitec. The heart coetoar U eersaL Ha this flUe la compared m eta ta my pocacaeioa. tabs* Paceher 2U 1950, there has bao couldtrabU pn^rosotno el the dlooooa. M that CLva, then vaa tattle eigalfl- caar ehnge la the chart flies, at Wear al a specific cadre. The cheagce ta ths x-ray as the pmevt One, hncrer, are got >eciflc tar ccbeatacia, hataf Cha drfiitrtra roes- geeeiegieei fiedtap ta dds dUleee. . Appeeded ta this rspert ta a rpoct m pebvsery acofiaa partaraed m Dee. 7. 14 by Or. Martins I. Veds, ICO. aod Klcherd A. Seds, ICO. s tae Cardl>-pel- nsary Xeeesch UtanntyVAa ML fivi ffaarirat Tary cvrrplMa datafied atatflea vert one sad the data afctafeed U, u aacsd, appteded harvta. tt ta veU fcaava that Biter s arrestsally era rwatanie r<flrMv j iHsmm 007 taU te he rMlected ta 01 07(5 1096 Jersae Geisea. Ssq. re: Croesi* busbar* - - J- hsetisi ft2ie* *ii tffcfeMqttea preaearfy available, deftitfr ebunrsuilrr faroo 1 s chr um Mr. Croesi, Eiere, ettboc*b redUcioi U tpperwMy sdU cJ twcnrlca thereof is easily yet detected, {U escheats Chrscyfc tb* *03-9 U fascd to >e dcecCTe. There vu 1 definite dtsiiTMrtoa ta th* axyyq setaratioe U tbe arterial tiM a eaerti*. TV coeeiuslaa M Dr. Mertlasr . Aader end Dr. RlcVro a. &*er is qyated. "Soeb * ftadiag U dVCaetty aharmil asd reflects (a* ptired $u erciaace Oder tbs street et exercise,* Mr. Cmti U seffertag roa put* nctery asbescoste, TfeU U ttoderacaly severe. ! votld oat be paxtfcalarly ccaceraed **th Ms esg^b or *ith the drt*i*3 pala sad ttjhosss feU seres* tV aaurlar chest. 01 aueh. yrtater Inpert ta fiie iXww M bresA ape* mrtloe *at this tua Vs 'or the past several years cad vbict Vs becomt such verse a the peat year er ceo. At :?. V Vs so respiratory dUficaltica. TMs Is reflected V the aart&al ^dzaeasry fonccoe studies Mealaed at rest. Bo*ever, srttb cxertiea be tu abort of breech. 7U aysla t reacted ta the ataeraai peiaoeary frartoa stadia ofcttdhed dating cter- da ad fsaad to be Coe a s delect la Ms ability to affect fu eachnfe (urnea) throe?* Ms Usfs. TMs parallels very well vlth the x-ray fiadlafs of cearidenbl* Aasesdsced pulMury dnu|fc At the presear ttse 1 veeld eerir.ata that Mr. Croesi Is disabled to the extest of 75$ of Ms tstal disability, 1 do tot otlctpete. tf V stays seay troa asbes tos dest. that this liability *1U Increase, Wt say stats thM tt la 00* pemsasat. However, ! as ace coaspietrty fxajotns about Ms prof&aste, There is aos dsfiaerty raeo?tt*ed that the deader of eareiae&a f the tag* U casiderably lacreaeed la people *10 pul.*2eBs?7 asbeeeets, as is the daayt M the dorsloptneat of petaoeary mbsrcalosU, Thus, ta eddlCee to Ms sJfMflcsst pelajcearj disability peceliax to the aabestaeU, tiers Is the eosslderebty taereased daiysr or cancer M the May asd mborcaloals ta this sc. For these poesfbittBes, tottrir, so stfitrsca: of dUabiltxy eaa be Bade at the prases: ttae. " ' * IJSsl cc' Dr. fell Dn, W.E. stftA.Bsde . Tory traty yours. >* 4 \ Irrlsf J. Mftcfi, XL a . 01 7S 1037 Irving Seliioff, X.B* David Roth. M.B. Robert U4 X.&. Cctootr t 4k. r*. ; Batort on Xatthav Croesi fee. 171 1954 ii^iU . s.$.a. i43c :-:2 Predicted Iflac Ixpiratory rtixr* toIsb Inspirator? capacity Vital capacity (calc*/ *V (oba.J Residual Tolac* Total capacity * '.* itBOae too 1450 5940 * 1100 M 7110 Residual Voligt Total capacity ivrxi nai bretulas eapaaity Alvtolar Hitrosta Iftar 7 mlzAtca cqrgaa Breathing iTUr 1 Hirste standard Standing 2330 cc 5220 U Iy*ln 1 KfeU fet< Mimita Ventilation 20 l/mia Breathing mtm Ratio tsi 1 ad*. 20;i s ESSgZ . 2^2U 3 llBi 1 ala. 5 sin 4 12 12.7 e.10 6.46 ** * 91 94 . 95 dyspnea# ties following sxareist Ism thaa u ximeta* * * 01 076 1098 t s i. ^Oc-.ot>r , s. ;! 1 6* too Brehaagt? ccqr^ta costast, ctpooitr *f Mturattoo lora^l 4t mt to isre&Mi tto coma M.tcra.- *1*b la th trtorlAl llooi to 5> TMa la atadBol* . fee* li mo Tldo&e af rrtastlan rf eorbca diaxid#. fea rsplrst7 dad fpta* 1* tligfetly tecrmajtd. Socsstt fee alr tlg4lfleag> olaoautl flndiag la the arterial 0. cn txorclM* fela iasaircd TatilL5tion- jerfwica yl*tlquMpe duri&f cxarelso* Saeh a f tr.riinr is olstinotlr afeaaaal aad refloat* taya.V^d 400 cxetaagt seder tilt *tr*aa T taerclae* . 01-076 1099