Document OJ4QXJb338NedX1z0RRQp16Kw

( CO P Y) BERNARD L . BRANLEY, M. D* 315 M edical Arts Bld g* T u lsa , Oklahoma December 1 5 , 1958 Sk e lly O il Co* Sk elly Bldg* T u lsa, Okla* A t t e n t io n Mr* Swims Re: m mI exam ined *33? 4 se v e r a l tim es d u r in g O ctober and November o f 1938* In Feb r u ar y 1936, I at t e n d e d him a t h is home b e cau se o f a lu n g c o n d it io n , a sso c ia t e d w it h cou gh , e x p e c t o r a t io n , fe v e r and h em op t y sis ( s p i t t i n g up o f b l o o d }* In March 1936 I h a d .x - r a y s made o f h i s c h e st w h ich fin d in g s I w i l l giv e l a t e r in t h i s r e p o r t * Rep eat ed e xam in at io n s o f h i s sputum a t t h a t tim e r e v e a le d no t u b e r c le b a c i l l i * I a d v ise d him t o d isc o n t in u e w or kin g f o r a few months and a f t e r a few w eeks I le ar n e d t h a t h e h ad sou gh t m ed ical aid elsew h er e* I r e c e n t ly le ar n e d t h a t he r et u r n ed t o work in Ju n e 1936, somewhat im pr oved* From Ju n e 1936 t o Jan u ar y 22n d 1938 Mr* worked r e g u la r ly a t h i s job d r iv in g a g a so lin e t an k wagon * H is d u t ie s requ ired the f i l l i n g of h is tank at th e bulk st at io n w ith a h ose, t r a n sp o r t in g an du n load in g g a so lin e a t v ar io u s f i l l i n g st a t io n s* The u n lo ad in g was u su a ll y don e w it h a h o se , b u ^ ^ ^ ^ i o n a l l y b u ck et s h ad t o be u se d * In November 1937 M r * . j c o n s u l t e d D r . C. D. H e asle y , O st e o p at h , b e cau se of "weak s p e l l s " , h ead a c h e s, l o s s o f st r e n g t h and cou gh w it h e x p e c t o r a t io n o f p u s* He c o n su lt e d t h i s d o c t o r on se v e r a l o c c a sio n s betw een November 1937 and Jan u ar y 22nd 1938 th e l a s t d ay he w orked* On Jan u ar y 22nd 1938 Mr*H H W per for m ed h i s u su a l d u t ie s an d fin ish e d h i s d ay s work a t ap p r o xim at e ly 4 :4 0 P * M* On d i r e c t q u e st io n in g h e s t a t e d t h a t h e per for m ed no u n u su al d u t ie s and n oth in g u n u su al happened in th ef perform an ce o f h is d u t i e s . How ever, h e f e l t b a d ly a l l t h a t day, and vom ited se v e r a l tim es d u r in g th e d ay * A ft e r r e ach in g t h e w areh ouse t h a t even in g and w h ile s i t t i n g In th e w areh ouse ju s t b e fo r e q u it t in g t im e , h e cough ed v i o l e n t l y an d f a i n t e d * He soon was r e v iv e d an d w as a b le t o d r iv e h i s own c a r home alt h o u gh h e vom ited on t h e way h ome* On r e a c h in g home, h e w en t t o bed an d rem ain ed t h e r e f o r t e n o r tw elve w eeks* Durin g h is st a y in b ed , h e st a t e s t h at h e had fe v e r e v e r y day f o r a number o f w eek s* He cou gh ed c o n sid e r a b ly and cough ed up a l o t o f pu s an d b lo o d * He l o s t ap p r o xim at e ly 40 pounds in w eigh t * I t was n e ce ssar y f o r him t o sle e p in a s i t t i n g up p o sit io n b e cau se o f sh o r t n e ss o f b r e a t h . He im proved somewhat and w as a b le t o g e t up and aroun d a f t e r se v e r a l m on th s* Durin g t h e p a st few months he h as com plain ed o f w eak n ess, d i z z i n e s s , cough an d e x p e c t o r a t io n o f p u s* He a l so com p lain s o f t r a n sit o r y p ain s in var iou s jo in t s, su ch as k n ees, an k le s, w r i st s and e lb o w s* When h is jo i n t s f l a r e up h e s t a t e s t h a t h e g e t s a m e t a llic t a s t e in h is mouth and h e n o t e s a b lu e ish c o lo r t o h is l i p s * Th ese jo in t p a in s t o ge t h e r w it h a sso c ia t e d symptoms ar e n ot c o n st a n t , b u t come and go a t v a r io u s i n t e r v a l s * He a l so com plain s o f a t t a c k s o f abdom in al crampe and a lso o f gase o u s d ist e n sio n o f h i s b o w els* H is bow els move r e g u l a r l y w it h ou t l a x a t i v e s and M s a p p e t it e i s f a i r l y good* In 1934 I ' r .^ ^ m ^ w a s operated fo r a r e c t a l f i s t u l a which i s e n t ir e ly h e a le a ^ ^ ^ ^ ~ P h y sical Exam in ation : : W eigh t 168 p ou n d s* Blood p r e ssu r e 1 4 6 /8 0 * P u lse 8 0 * Tem peratu re 9 8 *6 * A w e ll d evelop ed and w e ll n ou r ish ed a d u lt w h ite m ale, 52 y e a r s o ld * H is c o lo r i s good an d h i s ge n e r a l ap p ear an ce i s good* Head; Scalp n orm al* E a r s, n o se and e y e s OK. T e e t h , some a b se n t , some m ild p y o r r h e a* T on sils p r esen t, n ot badly d iseased * Lu n gs: Expan sion good * Normal r eson an ce th rou gh ou t* Br e at h sou n d s n or m al. Ho r a l e s h ear d over ch est any where* H e a r t ; Normal in s i z e . H eart soun ds o f good q u a lit y Ho murmurs Abdomen: Normal G e n e t a lia : Normal Rectum: Con siderable sc ar r in g around an al opening . r e su lt in g from op er at ion fo r f i s t u l a several years ago. E x t r e m it ie s: T h e r e .is no edem a. The deep r e f l e x e s ar e n orm al and e q u a l on b o t h s i d e s * I have stu d ied a l l lab oratory r ep o r ts of blood, urin e and sputum in t h i s c a se . Th ese fin d in g s a r e o u t lin e d in Dr * Br ogd on 1s r e p o r t * Con clu sion s and o p in io n : ,. I h ave examined th e se r ie s o f x - r a y p la t e s taken o f Dr* Dun can 's c h e st betw een Feb r u ar y 1936 an d November 1938* He h ad some d e f i n i t e p at h o lo gy p r e se n t , p r o b ab ly o f an ac u t e in flam m a t o r y n at u r e in h is l e f t lu n g in 19 3 6 , and a l s o some o ld f i b r o s i s 001098 ( in t h e a p ic e s o f b o t h lo n g s* H is l a s t x - r a y in November 1938 show no ev id en ce o f an y a c t i v e d i s e a se in h i s lu n gs a t t h i s tim e an d 1 know o f no r e a so n fo r an y p h y sic a l d i s a b i l i t y * Yours very t r u ly , Bern ard L* Bran ley Ber n ar d I *. Br a n le y , M* D. pC-0010388