Document OzKEEDdwr55QDmDM2N6z97r2w

FIFE-COPY August S, 1949 h. C. Bart / \ 2i 2>HT ............oM /.'Hi/1*3 Industrial! HygIono - Astseto SUr?ey cl0]?in In T)u s by.'fire'ua YV ' *. m ..............'.........-nr.-fV... Attached lo a report prcpcned a. few nonius '/.go by-_ Dr. Ken Sziith, of..Asbeotod', behoving, th.3-rcs>.ilts of. his 3tudj\ of tb-o health condition of. 708:ne:n work-' ing in 30.10 of the"'dustj areas., Tbo conclusions'.;, seen unavoidahlo.-T-that. tbci-dnst. is..causing sig-- nlficant lung changos^ in raanyucases, it largely ` . , being a ir.atth^ of tine,"end 'the'furtherYconclusion that many casen^nre. lihely..to .result in cloiac. The portinent polnts^of this reporb'are marked. There is now pending an appropriation request for duot rceoval at Asbestos. In view of the hezerds and ccst exposure involved, as previous Informa tion and the attached report bear out, I think serious consideration should be given to favorable action on this epproprietion. -( u Ena ccx A. R. Fisher -C.-W. Eito'.l r::c: vc-:*`: " Zl J;-J /.r 5 : 4-J.l/v hood ard ^ I. `h- : ijlQ ' j --: j exhibit c 1 ' " {'r^Sent; Pro# K. T. DuBov, E. D. Merrill', and C. L. Sheeklor i H Hahn, find Jl, Gutter. jj Jono - {il07.0 Copt. 937 (continuation of follovz-thrcugh) C-?ytcr - Ccjrort frcrr. Cr. Psuglnss as follows: ''Although the Icsicn ua are currently vafccbiflg 13 bZiZ?l, I fo-ul ti) cafe procedure io to accept the report that baa come In of a positive oputun 03 diagnostic of an active basal tuberculosis# I would rccor.rand complete rest and institution of specific drug therapy. uon3idsring all the complicating factors it would appear to ms that the eanatoriun would prove the preferable location for hi3 treatment. If he is to remain at horns, I will be glad to ndvi.se in regard to the drugs, but if he is to bo admitted to the sanatorium, it should be eafo to postpone and leave the choice of , drugs to the sanatorium staff,*1 Hehfl - Our usual procedure j|s!to notify the nan he is not to work and to go on ft LQA. . i * BuEow ~ Vfnat about contacts? Shcekler - He is a patrelmn - fire watch - I wouldnft think you would consider he has contacts. tt 4 \ gmith - Call the ran in and e;q>!ain that thi3 is a contagious disease and right then tell him he cannot work and then notify his manager or supervisor, Sheeklor ~ How would I know what is being dona? Hahn V'e maka cut tha regular fores and then rocojsasnd a 6 month LOA due to radical reasons. gheekler - I have notified Pat - management - that ho has this condition and put his on notice that thcra is a man who is a possible non-occupation case and v/e lvave tabbed his folder. Smith " The plant manager has to initiate the LOA and this is non-occupationa! and the Medical Uept. just-has to notify management that thi3 indi'*= should be on a LOA. Hahn Y>V do net notify the plant laanager, and we have not in tha past. The I i i triplicate form goes to the supervisor and he is the one to inlti d* j the LOA* ` j I ( / SlxecXlep We have initiated a new system. I think you should execute p.--'-'" . same as before but I will notify 0*Brien that the nan is ` Smith -> If Dave found an active YD case, ws would not bother you with ' '' L\i2ow TM This is a radical problem, I do not think it is an acute rat-"1* ! management. Sheeklor .X thought we vould handle all TO 5n one way. I do i'f,t ' should write a note to Merrill or Slack. 0:S:-i a fr.'U the supervisor. X u do your usual routine ;.r. to O'Srien for 3 A weykJ. C'."nc.-i s.i-ui'-i - .< -a ,v t.h-e ru- erviuc-r. , ; Shecklor - Now will I know what is going on? Kahn - Slip does not say vJiat is wrong, Jus.t that it io illness, DuSow -- Vc have not been sending a diagnosis on paper when it is a purely medical ratter. Dr. Smith, is it your feeling that a diagnosis should be on tho slips, . 4 Srdth - No,I do not think so, ''* Kahn - VTe will continue the ears routine thon, . PuBow -- Ton do what you want to Cliff, wo will follow the regular routine. HAH? K05TAS - 313 - Dept. 126 Sheckler -- About a year ago, we had quite a. session. She had been counseled by ' the Medical Departmeatand then she and Ben Stanton got into quite a hassle and after her health counseling she claimed that she had a nervou3 breakdown and had to be hospitalised by her family doctor and then she and Stanton got into a terrific fig;it over tho bill and she felt that JM should pay, The counseling had upset her so she felt it was cur responsibility, Sho cane in to seo na the other day and wanted to speak to re but 1 was out. She is cording in to see me again this week and I want to know v;hat I va3 talking about. She i3 vary nervous and high-strung. Smith - Did ve pay tho bill7 Sheckler - I do not know, I kept out of it, DuEow. -- This case was prepared S3 an S-54 on the basis that this woman submitted an HiA form with the doctorTs diagnosis of Ashestosi3 and the bill was submitted by Dr. Sloe-pus. After reviewing the X-rays and examining this woman, I expressed the opinion that she had no evidence - X-ray .or clinical - she had no evidence of an occupationally derived illness end this wa3 confirmed by studies of her family doctor at Somerset Hospital. X studied her on the basis that there were 30ns slight changes on the upper right lung. Gastric studies vero negative. However, he did submit the J3!sA on Asbcstosi3 and the Insurance Co. / refused to pay it. He called me up' and asked me if we would pay. X told him ve would not and I told Mr. Naylor-not to pay. She wa3 out about 6 weeks. Bristol studied her and agreed that it wa3 not occupational. She was transferred to another place that va3 less dusty. * Smith- - Y-bcrc was she working? DuBow - In Toxtilos. Sho has been tranyferred and I understand that she is new happy. Sheckler -- rhnt <'S3 she to]d when she tmo councelod? -3- DuBcvf - Dr, Kerrill told her of clicnges in tho upper right lung field but never inforrea that it was occupational, She asked could oho toko these filnn to her family doctor and vs'let hor, Sheckler -- This was prior to her hospitalization? DuBow - Yes. Her doctor?a import 'was net Judicious, I an not sure whether Blue Cros3 honored the hosuital bill or not. Smith - V<"ny is she being brought up? Sheckler - She is coining in to talk to cs' about her nodical condition, I want to know what to cay. This is definitely a potential case, I am sure of it, Adam Chase! is involved in it. Smith - She was in Textiles? Sheckler - She ha3 been a winder and weaver from 1929 to 1955, at which tire we . transferred her to K.P, and then to the Packing Dept, so she is out of dust at the present time. I think tha thing that is confusing the issue i3 a difference of opininn hors, Dave, as to what brought the S-5A on. Chase sent r-a a letter about her and what wo intend doing about her. The thing that is confusing to ms - in your correspondence to Haylor on ll/l/55, you have your X-ray readings but in your very last paragraph there was a reacting of possible early Asbastosis. Following letter shows regression and not of any known Pneumoconiosis. Now my question is - what do you scs as of today? Smith - Kinixt-il TB at right apex which is apparently unchanged. . Ho -Pneumoconiosis ' whatever. The cust that she night have inhaled would have r.o effect on TB. Impression was that she right have sons asbestca changes but . the changes are of 3 origin. Reading i3 of TB - inactive. I 'would advise to keep her out of dust and on days only', but minimize tha asbestesis phass. Minimal TB, arrested, no occupational disease. Sheckler - 1. 2. 3 A* 5*' 6. Tab Ho AHS . Hot' to work in dusty area Buy 'work only (2nd shift is' ell right) Advise plant manager. - S-5A (Getter - has been done) . One shift or first and second shift v.-ould.do, 3rd is no problem but alternating is a problem. It becomes a union problem. J DuBow -- Our policy has been not to make any issueo about 1st and 2nd shift but' wo have made insures about a 3rd shift. Smith - Kith that amount of T3, I would not worry about 2 shifts. V.henevcr wo Jihvo started a now pleat, we arc starting a 3 week rotation, but it is hard to do in nr. cld plant. Kcblia, Joseph - '0515 - Dept. 920 49 years old. Cottor - Placad on H.D. In 1954, and has teen counseled by us and by Dr. Douglas3.d Dr. Douglass was the treating doctor while lie was on LOA. Shecklor - has employed 5/17/29. He has had possibly 6 months of exposure in Pipe Covering as a packer. I929 - Pnofing and working there until 7/30/30. On 2/23/313 he went into Fewer House a3 night oiler. 8/27/33 he was a fireran, ll/3 as foreman in Power House. 9/43 watch engineer to dato in Power House. Ha ray have had bituminous coal. Getter - There was one positive sputum. He was out fern for 7 months DIAGNOSIS: Inactive TB. I-ray reading - A^ca of infiltration right upper lung, subclavicular area in the region of the 2nd interspace anterior. Re-X-ray in 6 mos. Sheckler - 1 2 .3 Tab Ko AHS Do not notify plant manager. rotating shift. He works in a clean- jjob but it is & Bu3ow - lie is on a no 3rd shift basis. That can make a good case. Smith - You could not gat a doctor in the whole world to say it would do him any good* Du3ow - You aggravate a medical condition with that 3rd shift. Sheckler - The man is a specialist and that is the only thing ha can do. Smith - That is a management decision. DuSow - Management i3 taking a calculated risk. Smith - There should not be any 3rd shift. I do not think it is our position to cay 3 or 4 or 5 day week, lie cannot control workings of other people, V.'e want to make sure that ha does not have more than a certain amount of work pr day. Sheckler - then 1 speak to O'Brien, should I say no more than an 8 hour day? Sometimes there is a double shift. , DuSow - Ko, no, he should not do this. Men like this, with hi3 background, have been drilled - they must-get a full night's sleep. Yihen.a man has worked S hours and ho is put on 8 more hours, you are doing hy. him ` harm. Sheckler - Then no double shift. Vary often they work the damndest shifts and very often the}' work 16 and IS hours. They work long hours and then take several days off. Smith - This ran liould have regular hoi of "work p.sd rust and eating. r.h.-ckler - I will tell O'Rr.icn. . TSr.'.cs. Andrew - fib39 - Dept. 95& 25 y-'ars old. Gettor - Hungarian refugee - Had TO in Hungary but me.s treated by medication. end optical health conditions, v.-'as a student at the ti-ce. ' Come to thio country and put in Glen Gardner for oryj month, ho said ho received no treatment of any kind, just rest# Shecklor - Hired in 3A/57 aa an electrical dcsignsr. Getter - He wan put on a No' Dust restriction, preventive basis. G.E. was notifiod of this and he vas hired with this information. Smith - I would not employ anyone like this. They kr.ewof the restriction? |i Getter - They were notified this nan did not rect cocipany requirements and had & No Dust restriction, and they hired him. DIAGNOSIS: Moderately advanced arrested TB. X-ray reading - Area of infiltration in ri&ht apex and below right clavicle. X-ray in'6 r.03. She elder - 1. 2. 3 4* Tab Ko AKS Advise manager Has been H.C. . ' ' ]*.*. .. They hire hin and tnan if they `send him to Lompoc, and it ha3 happened, and ho works, there for 2 or 3 months, and then you have a claim. DuBow - They hired him even with our restriction. Hahn - They say they need engineers, and they do, so they have to hire him. Merrill - They even hired a man with dementia praecox arid theyknew all tho facts. Sheckler - The calculatsd risk io a legal risk. (On Takacs) Smith -- It is also a medical risk. This man has TB and can break-dovni at any time. Shsckler - I have a suggestion to cako. They understand money. In cases lika thio, if he is spreading disease, that is a legal risk, it could vary well be, they should knew nj opinion on this and they should know the risks, i will call S ith ana lay it on the line, end. tell this information to them. m Smith - To get back tooths dementia psaecox - where did he go, what department? 1 Merrill - To the Patent Dept. Srith - Do rot reccrraind employ-.v.ent, th'-.t is all you can nh/ise and it ir tha test you car. do. Ik t ir they go on fron \\:svs li\ o thin, I will enter the picture. Morrill - Do we not reco. 'rr.d ajil_th.cn g'vu no o>><!;______. Smith - Do not tell them. HerrlH -- Vo never toll diagnosis# Du3ov - In new employees, ve have a right to tell what vo find, because his employment depends on our findings. Smith - Prcemplqymnt is not considered the same as privileged information# I would like' to ees it in writing. DuBcrw - How about qualifying? Smith - Tho main thing is to have it in writing, that you do not recommend hiring this man. DuBcW - Sometimes they bring in reports from other 'doctors saying they can do regular work. T.EST.TE, FPJ1JK - fQ4233 - Dept. 740 . 42 years old. Sheckler - Hired in 7/30/46. Presently is a painter ir. divisional maintenance# Fro/a 1946 to 1947 - 'worked as unloacler in Shipping and Receiving. 1947 - 1951, Eeceivirg checkroom and truck driver in I Bldg** In 1951 transferred to Eill a3 laborer for 1 month and then went to Divisional Maintenance - ever since, as a painter. 5 years potential exposure to silica, portland cement, and asbestos. Gettor - Had T3,vas in Glen Gardner. Out from ll/l?/56 to 3/25/57 with bed rest . and medication, incipient TB - lesion. Is under the care of Dr. Stolov. Stolow said there was nothing wrong. Employee was angry with ua for what we did. , DuEow - Hs is doing all right. Smith - Gat another X-ray with full inspiration. DIAGNOSIS: Arrested TB, minimal, right upper lung. Ho evidence of occupational disease. ` X-ray reading - Area of infiltration markedly diminished, right apex. Re-X-ray with full inspiration. . Shecklor - 1. Re-X-ray and medical dept, to notify CIS 2. Tab 3.- Ho AHS Thin can will get into dusty areas with his job. off beams before he paints. 4. notify plant manager mot to war!: in dusty arc He 023 up end dust3 -7- > EEADT, JCSZFH - 947 - vpt. 992 5.0 yrs. Sheckler - Hired in 1932. From 1932 to 1944 He was a millwright and weldor in ER.' 1944 to date in R.C. as section can end millwright. Minimal exposure to silica, asbestos fibre, portland cement - 12 years - EZR* Little or r.o exposure in R.C. I have a hole - permanent Light \.`ork for 2 yearsto be evaluated by Dr. Fitch for radiculitis condition. / DuEcrw - Thought hs eight have right apical infiltrate. Blunting of loft costophrenic angle. X-RA.Y ------------ Equivocal area of increased density right apex.' Irregularly shaped right herddiaphragm, pro sent in. previous X-rays up to 1947* There is indefinite infiltration rirht riddle lung field opposite 4th rib anteriorly which has changed fron 1951 to 1957* In present film, this area has several shadows resembling bleb3. Yearly. DIAGNOSIS j light be infection or tumor, changes of unlauxm origin. N0 occupational disease or TB, X-ray .Sheckler - 1. Ho tab 2 Ho AHS 3. Do not notify plant manager 4. Ho H.C. SIEICHXO, JOHN - #1517 - E2?t. 413 53 yrs. Getter - H.D. in 1955 and has been H.C. Sheckler - Hired in 1929- Present job is machine tender, in Roofing, saturator, wrapper in Roofing, utility, K-orrdU operator to 1956. Then went to machine tender. Slats dust and free silica. Getter - He has had 14 years in the coal mines. Sheckler - Do you know Ifen, what year silica was removed? Can we have a gus33 as to possible exposure? .- Smith -- I would gue3S none. Vie had one case - 1946 or 1947 - beautiful case of * silicosis. Has in Roofing end never had any other exposure but tal was used. That tine thoy cama with 35% silica. Sheckler - I do not Jcnovr too much about previous usage. Talc they use now is safe. In chksxakiaman: saturation room, he would be away from granule operation, on Ihrrill slitters, it is slit before granules are put on. S.ith - Vhsthsr or not hs had any exposure, he had coal mining before ho cams to JH and there is no chruige to any pattern. D.Zow - Early film show something cf previous employment. -S- Hahn - There was no prc-cmploymont film. First film i3 1932. Cotter - He says ha had pleurisy and hia son and father-in-law diod of TB. DuBow - IrTrTX - la this one of the type that had no exposure but developed Later on? .. s Smith - Here PoS done on him? " ** Getter -.P&S were ncg. in l/57 DIAGNOSIS: Bilateral moderately advanced apical T3, unstable. No occupational disease - but W3 cannot rule it out. X-ray reading - Bilieral apical infiltration both apices. 6 month X-ray. Shecklor - 1. 2. 3. * A* Tab Notify plant manager AHS Should work in non-dusty area* BLANK, ANNA - 6351 - Dept. 116 49 yrs. Sheckler - Hired in 1941. Presently a weaver. 16 yrs. of potential exposure to asbestos in Textiles. Has been a weaver and spooler during JK employment. Getter - K.D. in 1952. Worked for 15 years in P-aritan Wool Kills. Has been H.C. * about Pneumoconiosis. ' DIAGNOSIS: 1-10DE3ATELY ADVANCED AS3EST0SIS, precipitated by earlier infection. Hsbn -- She became upset when she was advised. DuBcw - If we can give her reassurance, she would feel better. Smith - She should not work in dust. She is moving fast. She should have no dust exposure. Sheckler - Should ve do an S-54? ' DuBow -- For one reason I do not believe it should be done. Psychologically, It might be bad. Sheckler -- It would just man setting up an accrual and sending films to Bristol, etc., - no doctors outside would be involved. Smith - The minute you start talking transfer, she will be upset. It does not make any difference, she will be upsot anyhow. We had bettor sot up S-54. Sheckler - Tr.cn we do do S-54* f.ur-v.f - To p.M-paro an S-54 without a physical errm'ration? Sr.ith - l.'ncn va3 her last expiration done? Cotter - July, 1956. Smith - Ke r.esd a better and tore up-to-date physical, yen had bettor do one. Sbcckler 1. Transfer.to nan-dusty area 2. Tab 3. NoAHS y A* Do S~54t Smith - Vhen doing her examination, try to find out whether ka she has had her menopause. Transfer ray upset her and ray mho her decide to leave ' the compary. She night be too disturbed and refuso to take any other job, she nay become totally disabled. If she has passed her menopause, va do not have to worry too much about her being emotionally upset. ^-ray reading - Areas of increased densities with placque formation and discrete areas of more pronounced densities in the left lower lobe and to a minor degree in the right lower lobe. The doms3 of the diaphragm are slightly irregular. The left leaf shows soma areas of increased density. The border of the left heart shows straighteiilng and i3 not too well defined. EOV.l'AN, J-A-MSS - 6874 - Dept. 542 AS yrs. ' Sleekier ~ Hired in 1941 Frcn 1941 to 1952 - Has had potential exposure to silica, asbestos, and portland cement in Transits Pipe. 1952 went to E&R - Divisional Maintenance. In 1942 to 1952 - Crane operatorl C-ctter - Worked in coal mines for -10 years. ft DIAGNOSIS: Mixed Pneumoconiosis, coderate. Is N.D. and has been H.C* . X-ray reading - Scattered areas of fine circumscribed densities bilaterally, with soma linear densities in the right middle lobe. Soma hilar adenopathy. Yearly i-ray Sneakier - 1. 2. *3. Tab Advise plant manager to work in a noa-dusty area, not to work in Textiles. Ko AHS " Do wo prepare S-54- Smith - No need if he is out of a dusty area. SllITH, MARSHALL - 19913 - Dept* 113 2o ye are old. Cotter - Ko was etudied for asthma and shortness of breath. K.C. in I956 wid 17.D. in 1956. Shecklor - Hired in 1950. Section nan in Carding in Textiles. 7 years potontieJ. exposure to asbestos fibre. . # * Cotter - Dr. Douglass* roport of 5/15/56 - Serial X-ray3 show a normal chest until Key 1956, when a fairly uniform density with a sharp border of decarca- . tioa v;as noted in the right second interspace. In view of the history. This will certainly bear watching, although its appearance is tliat of a pleural thickeiing, I would advise Re-X-ray in 2 months. Merrill - In 5/56 - Ho was said to be a contact at work of two known cases of 73. Reported henoptj-sis several time3 during surmsr of 1955. Attacks of shortness of breath, usually while in bed, sines 12/55- Reported to b9 receiving treatment for asthma. Sonorous.and sibilant rhonchii in expiration in both lungs. DuBow - If he is asthmatic, you may have a situation like Tile KeGUl, any dust night aggravate this condition. Merrill - P was 2 plus. In C/55 he cams to the Medical Dept, and said he raised and spit blood this morning and also during past surmer. Me said ho is a contact of Ivy Johnson and Ivy Patterson* Told to report to his family doctor - Dr. Reals. Hahn - Ivy JOhnson went to' Bonnie Bums. Merrill - Sputum in 1956 was neg. Culture reports were also neg. He was H.C. in 6/57. Sheckler - He has studied Textiles - I believe he is being gumeuamebt groomed and education, I presume for a foreman*3 job. He is being taught. DIAGNOSISj Residual pleurisy right base. Ho occupational disease. Arrested TB. X-ra>y reading - Soma thickening at . right costophrcnic * angle. Merrill - Dr. Dougla-ss said he will bear watching because of blood, etc. U Smith - Puluonary T3. , * .# X-ray reading - There 13 an area of infiltration in right 2nd intercostal 'spneo anteriorly, prominent in 5/56 and not so prominent in 6/57 X-ray# X-rcy in 3 nos, Shecklor - I cannot recommend taking thi3 nan out of Textiles. Smith - Ty,is io an exceptional case in do nof hall:/e vknl he i dc Of V/M wi M ho is being trained for. if otive his condition - well t" ' -11- Sheckler - Ve can tab liio file, ho will not get into silica. Sheckle 1. Tab 2. Auvise plant manager, allcv.-ed to continue in Textiles, Do not transfer into silica exposure, 3. AHS . 4. Bring-up by radical dept, in 1 year, ! KASTP.03U0KC, JLHCCExZO - ik32 - Detp. 646 44 yrs. Getter - 6 years in the coal Ednas. K.D. in 1957, H,C. in 1957, \ j. Sheckler - Hired in 1941 and is a millwright, oiler - led. Products - E feint. Started in 1941 as a general laborer. Worked on ndxar and then went to rock handler and then signal nan - crane - general wet end operator, moulder repair ran. In 1951 went as millwright and oiler to date. 16 year3 potential exposure to asbestos fibre, diatoraceous earth" (calcined and natural). Getter -- He says he worked in dust bin in E Bldg. Shecklor - When K.C.what va3 hs told. Getter - X-ray evidence of Pneumoconiosis. DIAGNOSIS: Mixed early Pneumoconiosis. ^-ray reading - Scattered area of discrete fine densities bilaterally. Heart not enlarged. Good excursion, of diaphragms. Yearly, ' Sheckler - 1. Tab, to work in non-dusty area 2, Check work area 3, notify plant manager 4, Transfer out of Themobsstos if necessary. SVJI7AX, JOH!I - ^20153 - Dept. 0?2 43 years. Getter -- Has been IJ.C, P4S neg. in 1/57* Sheckler - Hired in 1941, Is machine gauger in Transit a Pipe. Crush and dry cemnt bag, scrap pipe covering. Left JH tc work on fam 7/1S/52. Was re-employed in 9/9/53, on dry form process in brake lining and clutch facing arid then" in 1954 went to II.P. In 1954 went to Transits Pips as mouldor. Ka3 had 1 year potential exposure to asbestos fibre, 3 yrn. potential exposure to silica, portland coxent, and asboaios fibro in Trcnsiif Pips. Cotter - Dr. Douglass reported minimi TP, inactive. -12- ^ DIAGNOSIS KirJjcal TB, right apex, presumably arrested, should be under continuing check-up and testing, }!0 occupational disease, X-ray reading - Apia of infiltration right infraclavicular area and right aoex. X-ray and spratuns every 6 do3, ** Sbecklcr - 1, 2. 3 Tab AH3 Notify plant manager DuScrrf - Is he on shift work? Shcckler - Probably, BECAME, STEPHEN - #1515 - Dept. 413 5S years. Getter - N.D. 1952,'Pneumonia in 1952.Old X-rays showed Pneumoconiosis. Worked for Oillcs Ecaring Co, 5 yrs. Sheckler - Hired in 1926. Is machine tender in Roofing. Laborer in Roofing and Pitch non and runnsr. In 1942 vent into U.S.o. ana returned in 1946, Also crane operator plus above jobs. Roofing 1932 - 1957. I do not' knew what ha did in previous period. 27 years, with r-.in-VI potential exposure to silica, talc, and slate du3t. Smith - Cn you find out where ha was between 1926 and 1930* gheckler - No. In 1929 -- coating rolls with asphalt - saturated. Ke says he worked in 0.111 e3 Bearing (core maker - 'foundry). Sndth - Core raker about 1945 - was most hazardous job in fcrmxtx foundry - silica. DIAGNOSIS _ E-iRLX-liODBlATE PNSUKOCOIIIOSIS. X-ray reading - Scattered areas of niliary nodulaticn bilaterally with hilar adeno pathy, Prominent left border of heart. Yearly, Sndth - Ho will not gst into any trouble in Roofing. 3heckler - 1. 2. 3. fab KBtify plant manager AHS cpj.y.c, k-:::p:{ j/raco R.C 41 yr: ;c.-cjLcx' Hired in 1 Vi -uent icecriciin in R.C. Cetirir - Scar light posterior thora.r. Sp-ilve-s :i 1955 " re i:trativ ;. -Dr. ror.gl.vja rev. .v -ft - './r\\/f>5 - I:i there r. or a <r.vr* trie right root-ri or ridche :< l? ! I I ti -13- Addendum: Our records give a history of erpyona at the age of 2 yearn. A comparison with outside films taken in 1935 6howad tho cam condition . essentially unchanged for 20 years. Shcckler - 1935 - 1532 - Calco Crie.-d.cal Co. I93S to 1947 - Sorvico Utilities. 1947pl549 xaH-t sclf-cuplcyed. 1949 Instrument mechanic. Interesting for what it is worth, Is cupposed vacation and then go to Colorado to pick-up his son who is there for reasons of health, apparently his con died in 1956. .. h'orrill - Positive patch reaction. Ia on N.D. restriction. No familial T3 history. S vere nag. DuBcv - Scar? Surgery? lierrill - Empyema right side. 'Dr. Pauly recommended 1!.D. when khaH. hired in 1949. BuBcw -- Has segmental area of atelectasis right lung field. DIAGNOSIS: X-ray changes of undetenrLn&d origin. Ko occupational disease. X-ray reading - Ssgr.ental area of increased densities in right rid lung field. of atelectasis with sons fine linear densities in right lever lobe. Heart in not enlarged. Left diaphragm is higher than the right ca expiration. Yearly. Area Sheckler -- 1. Tgb 2. Notify plant ruanager. KEZYSTOVJ, JOHN - #1306 - Dept/ 255 46 years. Getter - N.D. in 1954, H.C. in 1956. S - reg. Patch 4 plus. Sheckler - Hired in S/l2/29 23 years potential exposaro to asbestos fibre, diatoraceous earth (calcined and natural) in Hagnesia. Getter -- Advised of X-ray changes* Herrill -- YJhen records say X--ray changes due to Pnevmoconio3i3, ve would not uss the term Pneumoconiosis to patient. . DuBcv - I spoke to this ran and told him of tho changes in his lungs. He said he Is in a clean area. _ * Shecklor - Started as canvass cover and vent entire Itagncsia. Ho says it io a clean area, I disagree with him -- it is dusty. DIACh'GSIS; Early mixed Pnc\rcoconiosis, plus old arrested TB in the rigjit mid lung field. '.y r. r.g - Scattered fins r:`l' -y mdrltiicn If rally, and small nm cal ft cv:osii3 in left irid lc.i iiele. acit vnJ.-irg-'d. '-1 - 1. Tab -H- 1 FAv.UK, STdVE?! - #5929 - Dopt. 991 37 years. C-=ttor - N.D. in 1955* H.C.-of X-ray findings suggestive of TB. Sheckler - Hired in 1940. Is a carpenter presently. I940 to I947 in B Bldg. 1947 vsnt to R.C. as gardener until 1951. Froa 1951 to date, ho is a carpenter. Potential closure for 7 years to graphite. Merrill - Dr. Dougla53 reported - 6/21/55 - Serial X-rays since 1940 first definitely visualize fibrotic changes in the right apex in 1949. These have increased very slightly but progressively. I believo they should be classified as minimal tuberculosis and X-rays should be taken every 6 months. Patient would be well advised to maintain optisun health conditions. DIAGNOSIS: Minimal arrested right apical TB. Ko occupational disease. X-ray- reading - Infiltration in right apex, unchanged for the pant 6 yearn. X-ray 6 no Sheckler -- 1. 2. 3. Tab Do not notify plant manager Ho AHS ;. ' U?KACS,_STVK - #3235 - Dept. 210 39 years tetter - forked in coal yards for 10 rr.-onths. Sheckler - Hired in 1936 in H Bldg. Stripper in 1936, punch press in 1937 in - R.S. Stocker in Textiles in 1939 to 1942. Separated in 1943 and rehired in 1945* Shipping and loader in Paper Mill and Magnesia 1949. In 1949 - handler in Magnesia - clean tanks and pipes until end If 1949* Sheet slitter and section ran on. band3 until 1954* V.rent to Thermoflex as Jr. operator until 1954, and then pipe cutter in Fire Felt. Potential exposure of 19 years to silica, diatonaceous earth, csbastos fibre. H.D. in 1952 and H.C. 1956. DIAGNOSIS: Mixed Fneusoconiosis, moderate* X-ray reading Diffuse parenchymal changes, bilateral, consisting of very fins miliary modulation with sore calcification along the right mediastinal pleura. Ho cardiac enlargement. Yearly. Sheckler -- 1. - 2. 3. Tab Notify manager ars MlTCTNIl, GdOkGS - i'T:0o04 - Dept. 072 G-.-tLer - 11 y-vus in h:-.rd c'-tl 41 years -15- o Ehcclclcr - Hirsd in 1951 In Roofing. Present!/ io a pipe-nactae curer in Transits Pips. 1951 slate ran and leader. Separated in 1951* Rehired in 1954 R.S. as unlo&dcr in 1954 Total about 3 years exposure to silica, portland cement and asbestos fibre. DIAGNOSIS: Early nixad Pneumoconiosis anthracosis. Unchanged for 6 years. Appears to be o X-ray reading - .q-rpn-rga Bilateral diffuse fine ciliary nodulation, unchanged for the past 6 years. Do hilar adenopathy. Yearly. She drier - 1. Tab 2. notify plant manager 3. AHS [I, ' Tie go not have many non-dunty areas. It has to be -worked onl Getter - Would you clarify -- does the AHS report come to the Medical Department. Sheckler - I trust you do not put anything about the AHS in the medical folders. JZshn -- Do you recall at the first meeting, we decided to use initials to denote what has been done, via need somethingto show we did something about changes when they ware noted. Sheckler -- Say referred to the Safety Dapartcent. Hahn -- This is a change from what we decided at the first conference* Smith -- If we put in AKS, it means we have advised you to have a survey done but no reasons are recorded in the files. An attorney might say what did you do. Thsy can answer vs requested studies and they then can say thsy do not know the results of thess studies. Du3ow -- But if it is requested and. you do not get satisfaction. Smith - That is not your responsibility. I think it good for your two doctors to know what the dust counts are but I do not think we should give any advice on that. Dust counts are not currant* And with.our 'present engineering changes, you would not have the latest changes. Ip anyone is worried about their work area. Cliff vrill handle the whole thing* W9 ti. 7/23/57 - Present: Drs. K. Smith, D. T. DuBow, E. D. Merrill, and C. L. Sheckler 4 II. H?>:: and A. Getter. * *| JOSEPH PALOOHaO - j,20>6 - HC. - 31 y^ars old. /* / Getter - N.D. in September, 1954* P4S done January, 1956 - P wa3 3 plus and S was neg. Dr. Douglasses report of 9/II/56 - "Serial X-rays show multiple calcifications of the left mid-chest and hilum. This has the appearance of a healed primary tuberculous complex. ' Sheckler - He has had 11 years niniri exposure to Perlite and asbestos fibre, DIAGNOSIS: Arrested primary T3. Unchanged since deployment film. X-ray reading - Multiple discrete parenchymal and hilar calcific densities left side. Kochange. Yearly. Sheckler - 1. 2. 3. 4. Tab Notify plant manager Review work area with Cheatham and do AKS if necessary.Keep employee out of Perlite and Silica dust. < SUVA, EDV'AUD - ;;2c07 - H.C. - 46 year3 old. Getter - N.D. since 11/52. He was H.C. in 3/55* Sheckler - Hired in 1935 did worked in Packing until 1936, and then was layed off Re-engaged in 1942 in Shipping and Receiving a3 a loader until 1947, Shipping checker in R.V7. until 1950. In 1950 he went to Textiles until 1952. R.C. in 1952 as janitor and then a gardner to date. Getter - On 6/^6, he was out with chronic upper respiratory infection. Sheckler - 6 years of potential exposure, to Asbestos fibre, and possibly Diatosaceous earth and silica. No exposure on present job. Smith ~ Some of the early films ray have given the impression of O.D. but I cannot see any O.D. I would not worry about trouble here. DIAGNOSIS: No evidence of O.D. X-ray reading - Exaggerated linear markings and diffuse haziness in left low lung field. Yearly. Smith - If he got into heavy silica exposure, it would be a different story* Shoe Id or - h'ould you H.C. for a man with this much change. I appreciate f !ul' y conditions in 1955 were different today. Vhen you H.C., you a;'-' almost asking for a petition. V 2krrill - At tire, it had been decided that j.oopL-* with O.D. or ch.vs o.< '' -in. L ernm.in'alion as the time <' ' 2 Hany times when I K.C. then, it was on the basis of reports in the record. It was on an or.-thi-epot basis. It was in the record that the man was an O.D. or that there were changes. Ka changed our y minds about sore of the cases later. Sheckler -- 1*. Ho AHS 2. Do not notify plant manager 3. Tab / DU55CKY, P5T5R - #2526 - R.C. - 40 Tears old Sheckler - Hired in 1936 and is presently employed as a lab assistant, in Asbestos Cement products. 'From 1936 to 1939 - blad~ passer in R.S. In 1939 to 1945 - in R.S. - machine tender. 1945 to Date - R.S. in R.C. 9 years potential exposure to silica, Portland Cement, and asbestos fibre. 12 years minimal potential exposure. ', Getter - II.D. in 1956 and H.C. at that tins. Dr. Douglass*s report of 9/H/56 "1936 X-ray shows some calcifications among the vascular markings in both uppir lung fields. These become less conspicuous in succeeding year3. In the last two X-rays, 1954 and 1956, there are exaggerated markings peripherally in both upper chests. I am not inclined to attach any great significance to them at this time as they are not much in excess of a normal appearance, I presume that they are related to the findings of twenty years ago." FdS ware neg. Shecklsr - h'orked in Rube raid for 16 cos. DIAGNOSIS: Apical Silica-Tuberculosis, X-ray changes are present. Sheckler - Are we facing a liability. Smith -- No. y Sheckler -- I cannot agree with you. The man has been H.C. and had 20 years exposure. I would see a nice fee as an attorney. Smith - I guess ry thinking has been tempered. Sheckler - If you toll me thi3 Is O.K., than that is that. Smith - Petitioner's doctor cannot call this O.D. X-ray reading - Apical infiltration on rt. and some on left. X-ray in 6 cos. Sheckler - 1. 2. 3. 4. Tab Notify plpnt manager To work in non-ausiy area Review work area v:imb Cheatham ani do AI!3 if necessary. rljnWH. t'M'CAR-vT - 49 years old'- .47439 - Dent. 114. Ccttor - N.D. 1x1 !952 and H.C. 7/55.' Sh-jcklcr - Hired in 1929. Frior to JH employment, he worked in a cigar factory. From 1941 to date - ha has been a spinner in A Bldg. 17 years potential exposure to asbestos fibre. In H.C., v;kat was he told? Getter -- X-ray changes showing Pneumoconiosis. DIAGIIOSIS: First stage Asbesto'sis. X-ray reading - Fine stippling and linear densities both lower lobes with irregular left cardiac border. Yearly. Smith - The way they are cleaning up that area, two years will not cake much different. DuBow -- If you were to prepare this according to S-54, you ray precipitate something in the calling of of the patient for examination. After all, . they are producing and taking hors a good pay, you nay be creating a - crisis. We ray aggravate this into scrothing decisive. Cheekier - 1* .2 3. A. 5* Tab ' -- . Advise plant manager JffiS Attempt to cl an up area in 1 year. Conference in 1 year. MAHGIODS, DOMHUCK - ,74266 - Dent. 726 - 44. years. Kerrill - In 1955, * noticed respiratory wheeze in the left upper chest. In the periodic examination last month, we heard no wheez* X-ray changes . were noticed and films were sent to Dr. Douglass on 8/56. Dr. Douglass reported "In 1935 there is a suggestion of a healed pleurisy at the left base. The pattern of vascular markings at the third Deft inter space is conspicuous, as is also the aortic knob. Ihe absence of X-ray findings in a patient presenting a localized wheeze need not be a deterrent to further investigations." FoiS were negative. Shcckler -- Present job is inspecting. Hired in 1935 and until 1942 was inspector in R.W. From 1942 to 1946 - U.S.K.C. - came back in 1946 as- inspector and has done that to date. Mo potential exposure in R.W. I cannot justify any exposure as an inspector in Asbestos paper mill. Can you Ken? Smith - Do. In paper Mill, can anything blow in from other departments, I do not think so. Shec.iler -- j*o. DuDov: -- Do exposure to Silica? Thecklcr - Nono at all. ih:bnw - This is not a normal chest. Has emphysematous blobs, 'Diffuse type of fibrosis. SaiiUi - of stuff in the left upper lobe and. it has changed over the years. | DuBow - Since childhood, has had asthmatic bouts and wheezing. DIAGNOSIS: INTERSTITIAL FI3R03IS. Bronchitis. Current infection? Bronchiectasis? X-ray reading - Scattered areas of densities predominantly on right side with emphysema and depressed diaphragms.- Yearly. * Sheckler - 1. 2. 3* Tab , Review work area and do AH3 if necessary Notify plant manager : * ; t Ii V; liOlffAX. PAX - 2126 - R.C. - 66 years old. Getter -- 6U years old. NO DUST since 1957* Shsckler - Hired in 1920. Went out in 1922. Back in 1923. From 1923 to 1929, he worked in Carding in Textiles. In 1930 he cane back as a laborer in Textiles and a log-room tender. Getter - Worked 23 years, out 6 years and 5 iconths. Potential exposure 6^ years, according to Work History supplied by Ben Stanton. Ho also worked in the soft coal mines for 7* years. Also has hypertension. Shockler - U years potential exposure to asbestos fibre. 1-| years potential exposure to Talc plus years in the coal nines plus 5* years of unknown exposure. DuBow - We have to say nixed Pneumoconiosis and hypertensive type of heart with cardiac enlargement* .. DIAGNOSIS: Koderate Pneumoconiosis. Getter - H.C. by SC7A and by us that he had signs of Pneumoconiosis. Ho said that he had chest X-ray3 by SCTA Nobile Unite and Pd> test. X-ray reading -- Diffusa linear exaggeration and small nodular densities. Hilar adenopathy. Cardiac enlargement. No change* Sheckler -. 1. 2. 3. Tab No ARS Advise plant manager.  Y^T:vr>'?.KY. Gr.OP-OE - #?1AC7 - Beet. 760 - 33 years. 5/ Cettor - Was with the Somerville Iron Works. Shscklcr -- Hired in 1952. Presently a packer and truck driver in Roofing. Started in 1952 in Paper Mill as winder helper for several .months* Then transferrod to shipping In Roofing, to date, No potential exposure in Jii* Kerrill -- There is no past medical history in the records* diagnosis; unstable tuberculosis. No evidence of O.D. 2-ray readings - Shows a suggestion of a poorly-defined mottled density, extreme left apex. In retrospect, in film of 6/26/56, there appears to be a mottled density underlying shadow of 1st rib and clavicle in left apex. This appears to have cleared considerably in fils of 6/6/57* Sheckler - 1. * 2. 3* 4* 5. Tab H.C. Report to SCTBA No AHS* Notify plant manager FANNING, JAMZ3 - r'26B9 - R.C. - LO years old. Getter - ir.D* since 1955* Sheckler - Started working at JM in 1935jhas an office job. Getter - Dr. Douglass report of 5/23/55 - "We have followed this case a3 a rejected draftee since 1942. The lesion has been remarkably stable. The classification lias been minimal tuberculosis healed. It has been our assumption that he was acquainted -./ith his condition but our records show that he has never given us the name of a personal physician to whom to report* He is supposed to be X-rayed at intervals of six months. DIAGNOSIS; Apparently stable old inactive TB. Present in initial X-ray. X-ray reading - Multiple calcific densities left apex and infraclavicular area. No change-* Yearly. Sheckler - 1. 2. 3. Tab Employee has been H.C. Advise plant manager to work in non-dusty area. K:--^sr.O. JX-JTH - .^133 - ?.C* - fc) yrars old. * Catter - H.D. In 1952. H.C. on 1^5^* PJS 3/57 6 Sheckler - Hired in 1937* Presently a janitor in H.C. 1927 - nixer run in P..S* 1939 - floorran in Trar.eite Fipc. 1939 - 2aater ran in Paper Kill* 1940 -- nixer ran in T.?. End iioorran. 19^*6 - crane operator* Transferred to Clutch Facing and Dic-cuc, Lonider, until 1947 Trans ferred to K.C. 9^ years potential exposure to Silica, Asbestos, and Portland Cement. DIAGNOSIS; Kixod Moderate Fneuroconiosis, X-ray reading - Diffuse small.nodular densities and reticulation. Some coalescence. Hilar adenopathy, pearly. Sheckler - The ran has 5 years to work. Smith - That i3 the big point. Sheckler'- Ho one up there with ary trouble, he surely brought this from the * plant. * - . -...................................- r ; DuEov - Ho is prone to ccnplicaticns. ) ' Sheckler - 1. Tab .- . 2. Advise plant manager not to vork in dusty area 3. Ko ahs ...... .k SZUHL1CZ, STZrHFJ? - ff>86 - Dept.222 - 60 years old. Getter - 8^ years vrith a Cutlery Company. Sheckler - Hired in 1921. 25 years potential exposure to asbestos fibre* * ^.. DuBovf -- Do they use any Celite? S'neckler - Ho, but recently they use Perlite. Smith - Fa-X-ray, a poor film Bring up to next Conference, after He-X-ray. y Cette* - li.D. in 19?4. Iii3 pricr ennlojiueu'c. vsu a3 a carton maker. r-.._.>-Wr - tfSred in 19^3 Presently a packer and inspector in asbestos* Transferred in 19'-A to E.C. Transferred in 19^5 back to Il-i~eoin - mis cellarooua handling. In 19^5 Vent to the Hcvy until l-h5. Then back to miscellaneous handler in Kagaenia, end bend env tslxjff, and brni saw operator. IS'jr years of potential exposure to osbeatoa, celixe, and silica. jjarxill - X-ray reading in as folicv3: Diffuse fine linear and reticular densities. final1 circumscribed density in rt. kin. anterior interspace. He-X-ray in 3 ms. DJA.GT0SI3: Early Preisroccriceis, nixed. Sherkler -- Has ha been bop'1 th counselled? Getter - I7o. DuBovGet deep inspiration cn He-X-ray. finith - Do' not do anything for 6 maths and bring up for conference then. Du3cv - Do va do AES? Eheckler - As a block packer end every tire be does his job, there is dust. DuBctj - If you take thiB ran off, you will put another cm ca the earn Job. The area mat be cleaned up. - fedth - That is a long-range idea._ ... .. Eheckler - 1. 2. 3. 1*. Tab AHS Advice plant monger, to clean up area. Bring up in 3 ninths to conference after Z-rayo. f ! .j fiedth - I do not think the plant nanager should be adviced. There my be changes in the' picture. Ve can givo a batter decision after a chert period of tics. i Eheckler - I think tbs plant manager should be told there is a potential liability. 1 Also, here 3 a Job that chould be cleaned up. I work all the building in the AHS not to inks it too obviou3. Edirdon, Charles f -v21'i7 - IV.C.cu lip years old. GetteF--n.D.' iirlp;?*" ------------------------------- Cheekier - Elrod in 19^7- Is presently a cheni t in -clastic and resin section. Ho exposure to toxic dusxu. DTA'JbOilS: Arrcatc-1 13 or fungus infecu its. v-rry reading - lhiltiplcdiccrotc T.srcr.chjml calcifications end cense hilar calcificat .......1 ir-ni' - iv left hiker region, h3 charge. V-u.rly, Getter - He was deferred because of his vork. pHeckler -- 1 2. 3. Tab Advise plant manager be Is to work in non-lusty area.. Check vork area vitb Ckeatbun. LESLIE. FRAKX - #lU233 - !>=pt. 7?K> (second conference) X-ray reading - 7/22/57 - There Is a snail density in tbs right first interspace la the inspiration filia. In she expirathn filn, this tends to be concealed under the shadow of the clavicle.- Opinion is that this is not a reactivation of the old disease and till the sura shade./ is probably also concealed under the shadow of the clavicle in the filn of 6/5/57. ' ; ORSA.G, FRARX - #3565 - Lett. (second conference) X-ray reading - Re-X-ray and cut down, much too dark. Bring up to conference. PROMtO. ZTZ'011 - #1807^ - Dept. 252 (second conference) Sheckler - Presently mould operator in llagnesia, Hired in I9W, cleaned pipes and tanks. Kiln operator. 9 years potential erppsure to diatcnaceous earth asbestos fibre. .- Getter - H.D. in 1955* Has not been H.C. Merrill - Reading just shoved right apical densities. ^Possible rt.- apical density. Diffuse linear exaggeration. Thickened interlobar fissure on rt. Prominent hilar shadows. Email round density left kth anterior interspace, not definite! seen on former flls3. Question of shadows?" . ... - * DIAGNOSIS: Hormal chest. Some parenchymal charges, of moderate degree, without any specific causation. Smith - X-ray changes of unknown origin could he a definite disease. It really neons there is something there hut you can't pinpoit its cause. I have seen this in. people vho work in potato fields, vhere they have fdirly dusty soil. It is not a precursor of silicosis. X-ray - Same as above. Re-X-ray in 6 norths. Sheckler - ^Jhy don't I put it dcr-ra as a normal chest and as it cones up again, vs will know there is a change. Sheckler - 1. 2. 3. Do tab. * ::.c. Ho action. IV.rPLSY. DflKISL - ^13772 - Perot. 731 X-ray - Reg. HUDAK, JCET? - ^99h - R.C. - years old. ,. Getter - 5*9" tall, veigh3 253 lbs. H.D. in 19^7 19 years in the coal nines. Sheckler - Hired in 15^1. 6 years potential exposure to Portland Cement, asbestos fibre, and silica. In P.igis Shingles - mixer and tray mixer. In IShj, he vent to R.C. as sweeper. DIAGNOSIS; - Mixed Pneumoconiosis, moderately advanced. ' X-ray - Parenchymal and pleural changes. Widening of rt. border of heart and mediastim Rotation of trachea. Yearly. Sleekier - S-51*? Smith - Ko, ve night set up an accrual or tell tbs plant manager. Sheckler - I do not think ve should do special tests on the S-i&'s. DuScv - I think ve should, and together vith the information va have and combined vith the X-rays, ve could vrite it up properly. Smith - Accrual and S-5^ are two separate things. Ha has ks been counselled? Getter -Ho. Sheckler - 1. 2s . - 3. Tab. Advice the plant manager. Ko H.C. Saith - 1 think that ve are off base. XF ve axe going to do an S-5^-^ it is because there is an impending claim cm vhich ve are going to pay in the near future. I do not think it fair to set up an accrual cn last years examination. I see no reason to bring a mm in like this, it is dangerous. DuScv - Rev take that Elanik woman, she is very nervous, if she is called in, she vlll get hysterical end I am sure you vlll hove a claim on your hands. Smith - I Kill go along vith tint, but vhen you do X-rays, do a physical as veil. It is not fair to set coney aside. Hahn - 2? she is transferred to another Job, wcrul&nft that also precipitate something. DuBcv - lirs. Blnnik is working vith no complaints. It is one year since she vaa H.C. Smith - As a doctor, you cannot leave her where she is today. Halm - If there are bad working ccndlticr.s, she is to bo tranorerr zen? faith - You are precipitating the situation by transferring 10 ,,.v _ If you replies her vith someone else cn the Job, someone else will be in the Biu'" Sn-; If you feel tbe rroa vill be cleaned up. a year or tvo vill r--i-r- no dilicrence, but if no improvement io made in the forking conditions > then it io mother story. Cheekier - By the sene token, I cannot Justify to ny supervisors, the fact that I knew she-had moderately advanced Pneumoconiosis, and I did not set up the accrual ^ for her. I do not vant the responsibility of leaving kr.r there for tva years. I can only depend, on you people to tell ne certain facts, There is core to this entire probled than appears on the surface. There in the community relation problems, the employee problem, and political problem;. What If she gee3 to Formal Court and it ceres cut ve knew she had moderately advanced Pneumoconiosis and ve left her in the exposure. Saith - 1? you take a normal healthy person and put than there, in 5 years they vculd not get into trouble in Textile. I think it vill take us 5 years to clean it up. ^ DuBov - Suppose after her transfer, ve do S-51*, do ve have to coll her 'in fear a complete physical? Sheckler --S-54 means I vant the opinion from various doctors the: so that if this venan has this .condition, then ve should approach her on this, and r~ke a Just settlement. . DuBcv - Than ve send her to new York. > Shackler - Sot on a S-^k. design Kerrill - The only thing I can see to do is bo think up and tbvr/L..a some routine. Pu3av - than is the transfer to be dona, before or after the examination. Sheckler - It does not matter, vhether it is before or after. DuBcv - Will you explain the transfer to her? Sheckler - Either I or the plant manager vill discuss this vith her.' I. think ve should tell her the reason ve are transferring, to place her in a non-dusty area. If ve cannot transfer her, I vill come back to the conference and say - "What shall I do?" . 'V . . Eaiith - We vere going to explore, vita the manager - the phases of transfer. If ye cannot transfer, then ve vill come back to the conference and see vhat io vhat. Dave h Ed vould give evaluations and I vill recommend that she does not vork any more in the dust. Your plant manager will be notified. Sheckler - That was if the venan had not been II.C. If she has been H.C. there is no need. DuBcv - I vill discuss this vith her and soften this for her. I vill say - ve have recommended -- etc. Shackler - Wo, I do not vant it to he said that you recommended diucee^c- ul.a :>z; os ability of a transfer u::d l h* . Si: - mil:, this'in the futi:era. If you say you recommend and it is 9 It v* OX J Say that ve have / contact her about 1. dene, she vould ve da not knew vhet::-: r>..r> _ rp i-1 -- b.,-- -int r-\>-fillii^rp,, The d/'n-ha3 been done. Ghccklcr - I cn not cpticlctic about this. Thera ere different areas vh^e ve can cake icore rapid changes than in Textile. ~ KASCEMt, GZQjGa - 0705 - Dept. 915 ..... , . . ... .. Sheckler - Case has been settled - both of disability and disability retirement. TTT^rTJZH, RAYKGHD - f"lc&35 - Dstrt. 2c0. - 58 years old. r Steelier - He vas in to see ns about 2 vests ago ana said he vanted to be transferred out of Friction Internals because he had just returned from the Sanatorium. Merrill -.Vs had a latter frees Dr. Ambrose on 6/27/57, and he vas CK'd to return to vor on 7/i/57> but not la dust. Sheckler - Raymond vns gassed in World War I. I think he is a very sensible and I transferred him and he fits in very nicely. He is in a dust free area. Ha vao hired in 19V7, in brake lining. Separated in 19^9 - lay-off, cars back in I949. In 1957, he ins transferred to tbameflex. 10 years potential exposure to asbestos fibre, KerriH - Gassed several times in World War I, mustard gas. Sheckler - Would gacs show on the X-ray. . DuBcv - Hot gas, but the results of gas. . . Merrill - In 1955, out for kidney infection, pain in the back.' January1, I957, nut since 10/56, because of so-called ruptured vein in leg. Lumbar -sympathettcny nerve block - Dr. Glesuan. Was Gent to Her York Medical Center by Dr. Ambrose far pains in the chest. Was told about spot on right lung byt nothing about pa in the left, chest. End fer,f faint rhonchii lung bases. V^9/57 ~ coughing frequently, cough productive. Recommended he stay out of verk for 2 nore veeks Felt better when he cars back in 7/l/57, had been out since 5/31/57, because of cough and uhseming. Dr. ItuDov sent to Glen. Gardner for X-ray and sputum test. Also had Ca cell test in sputum. All vere negative. Dr. Stolcv told Hn hio bronchial tubes vere stopped up with dust. DIAGNOSIS: Arrested minimi T3 in right rrmimams apex. Unchanged since 1S&9, otherwise neg. Enlargement of left hilar region. X-ray - Small calcific area in right sub clavicular area in region of first anterior interspace, left hilum enlarged. Yearly. Sheckler 1. Tab - 2. Advice plant manger 3- , STtLLA - IS9& - Dept. 116 - 41 Tears old. ks^ter -- N.D. in 1953* Sheckler - Hired'in 1929 and then lajed off in 1929. Hired again in 1931* and then layed off end rehired in 1933 snd worked until 1910 in Textiles* Left in 1910 because of sickness. Came back in 1942 end vent out in 1944* Then back again in 1944* 23 years potential exposure to asbestos fibre in Textiles. .. DuBow - Could be obesity thata causes sens changes. DIAGNOSIS: P=euncconiosis, predon. Asbestcsis, noderata bo advanced. I` Sxith - This is not as far advanced nor progressing like Anna Blauik. the sane. This is not X-ray Heading - Diffuse hasir.e33 and linear densities in aid and lover lung fields. Possible cardiac enlargement. No change. Yearly. Shekler .1. Tab 2 Advise plant manager 3. Ko H.C. 4. AHS 5. Ho transfer until briag-up for conference in 1 year. B5CKL5Y, GEORGS - #16709 - Dent. 760 - 30 years old. . Getter - N.D. in 1957 and H.C. in 1957* On 1/22/57, Dr. Douglass reported, 'The initial X-raj of 10/ll/43, shows well concealed exudate at the left apex. This is most narked at the upper border of the nnntapVi. costochondral junction. 10/23/50, shews considerable spread of the disease, so that it involves the left first interspace as well. 10/9/5H 52, is indicative o shrinking and clearing. ll/l/54, shov3 further shrinking and clearing. Cur X-ray of 1/15/57, shews a residual lesion of punctate scars, chiefly in the left first interspace, Minimal tuberculosis, not active. Although the patient ha3 done very well, I believe he should know.he has recovered froa a minimal tuberculosis and should imiintain optimal health. There should be an X-ray follow-up of not longer than six months. I presume that the earliest films established a service connection for thi3 condition. Sheckler - Hired in 1948. Worked as a shipping loader and unloader in BIBg. Prod. up to 1949* Then he went into Roofing a3 a loader. Separated in 1950. Re-eaployed in 1950*Shipping loader to date. Little or no exposure. DIAGNOSIS: Arrested chiral T3, left apex. Present on X-ray of 1948* X_r-v r-ndjrc: Svall punctate densities left infraclr.vieulnr area. No change. Yea: 13 KOLcs.-rr. vhlliam - ;v2?66 - R.c 49 years old. Sheckler - Hired in 1929- Presently lab assistant in asbestis paper section. At P.esearch. 1929 to 1933 - Roofing as laborer. In 1933, for 2 r.onths. Rigid Shingles as packer. 1933 to 1936, supply nan dipper in Rigid Shingles* 1936 - 1937, laborer in brake liner. 1937 to 1941, crane operator in Trar.sitc Pipe. '1941 to 1942 - valve operator. 1942 to 1948 - x machine ter.derin Transits Pipe. Xn 1948, transferred to R.C* as lab assist to date. 19 year3 potential exposure to asbestos fibre, silica, Portland Ccnsnt, and slate dust. DIAGNOSIS: Arrested nininal TB, left apex, not occupational disease* X-ray reading: Slightrcsidual infiltrate, left subclavicular area, present in X-ray 1940 and core prominent in that year. Shecklcr - 1. Tab 2* Check work area with Cheathan and to work in non-dusty area. 3* Advise plant manager 4. H.c. 5* Send -to Dr. Douglass BABIKSKI, MATTHEW - #02282 - Dept. Patent (new enployee) - 33 years old. Background to bs checked. KOPLA:J07ICH. ANNA - #11593 - Peat. 120 - 64 years old. Sheckler - Janitress in B Bldg. Hired in 1923 and worked in B Bldg, until 1925. 1943 to 1945 - Braider operator. 1945 to 1947 - lubricating end windings. Then a janitress for 4 years. Potential exposure to Asbestos Fibre. DIAGNOSIS: Old, healed '13. No occupational disease. X-ray reading: Linear and hany densities left lower lung and snail discrete rounded density rt. infraclavicular area. No change. Yearly. Skeckler -- Mo action rccuired. MASON, JOSEPH - '2665 - R.C. - 55 years old. . ShecEcler - Hired in 1936. Presently riilwright foreman in R.C. 1936 to 1938, neck? in Rack wool. 1938 to I939 - Machinist. 1939 to 1947 - Millwright. Fron 1947 to date; foreman. Getter - N.D. in 1954, brother died of TB. Skrr.klur - No potential exposure to dusts at JM. 14. Getter - PIS esc* la l/57. DIAGNOSIS; Minimal T9,_old, arrested, in right apex, X-rcy reading: Calcific densities rt. iniraclmvicular area. Yearly* Shecklor -- 1* Tab 2. Advise plant manager 3* To work in noa-dusty area. 4. No AHS 5. H.C. 6* Films to Dr. Douglass. Il \ is. HENXSL, EHP.0 - 1293 - Dept. 255 -o2 years old. Cetter - H.C. in 1956. N.D. - 1953* Coal nines 7 years. Has worked for JH since . 1917. Sheckler - 39 years potential exposure to diatonaceous earth, asbestos fibre* Presently miscellaneous handler ia Hagnesia. Getter - 2/57 - P was 4plus, S-neg. DIAGNOSIS; Fixed Pneumoconiosis, noderate. . X-ray reading: Diffuse parenchymal densities. Yearly. Threocnti ;Drs. -fb,'3oy^ jKerrlll,, -end frith; C. Kbeckler, H. Eahn, pail J\, (Goiter.' mKUySSI, TTA.TK - f!5?2 -Dcnt.JiVs .-(brlng-up) -Shockler - Ho Is working -now. Was -at Glen Car doer In 1950 for about 1-|- years. % - ;Ko change basically. (ECTgA Is yatchiug bln end X-rc.ycd Mn ia February. They Inforned- bin ybrough bis family doctor that he has to go to the y JEkyiatoriua. held vc tops ;X-mys in December and did not tell bin jonythlng and now he van told by SCEA that he has to go back. I think jthpi;o ^Lre more changes in 2/2p/$Q* Dr. Douglass agreed on this. The (employee van upset and implied that ve are trying to hide things fron - bim. lie care l-n this i:oncjry and cove us a fora letter requesting an (Our X-rays of bln,. 1 requested he give us authorisation and thkt ve -jypuld -then be happy -to aend the ;X.-rr.ys. We have to send these films (Glen Gardner tut ;? -wanted -then for conference. * -Sheckler - ;I [think -there -will be -litigation. EiB brother hen been talking llti^tion for a -while,. -His brother was involved in a box car accident fggL thorp fp a '3 action,. <&nith. - 'jKas -IMa ;chn -working about any other people? V '1. -r * '' - /*- * gieckler - ilo, he has been -vorking mostly by himself. lie would separate rejects for those -that could be sold end those that could he sold for scrap. DuEoy - 1 wonder if -orocedure.-yi se ye could be criticized about our handling - .. : ,? tile esse, hp -ye took yl-rays end ha van not told of changes. Should ye not change our procedure when TB io involved. Re could ell $he *aa -that -ye are seedin'; -these X-rays to SCIEA. sad let them follow -through. .- - Cdth - They should follow -up,. They dp sputums. Re do not. It is their responsibility. 1>u2ov - l>r,. Douglass called and discussed this with U3. This man, according -to Dr, Douglass, did not go tp his family doctor and did not go to 6(JTEA and had a bad yirus infection - everybody is a little involved. pmith - Saranac ip worried about continued medication because of resistance. * . .% . fi-ySoy - Then -you shift, /change the drug, ... . ' - pmith - In selected cases continued therapy is indicated. He will be in Glen Gardner for a time end when he comes out, there will be litigation and he will have to find another way of living. Shecklcr - 0 years enploynant end he is 52 years of age. Khat is the answer pir-ability Retirement? Kc is getting VA benefits on the basis of TB. * 1 S.-5t has bean pro-pared, I foresee 101^ total disability. They have us oyer a barrel, lucre is a r.cy case lav, 50u nruct cake a bonnfi&e offer r.o r.r.rarj .0 i c'.vis ve 00 or ve 10 nos co at. n.csc v.ic'iic no auo ^'* 1 -.j no; have to ovt'ucco will file. T'.uha - I do not think it is too Vila. a. gueoo. llic brother cold "I told him never to go back to E Bldg. vith his cheat, it will kill him." G.eith - Even if ho gets through thin ono , he vill break down before ho ia 65 ycara old. ) Shecklcr - What about procedure? -*.**# ^ DuEow - I tVd rv ire should go each to our old oystca. radically, as & doctor. I aa responsible. SCT2A would carry on from there. Shecklcr - I don*t think ve raised any objection to SCT2A but only after conference. DuEov - But prior to that, ve would send films to Dr. Douglass on a routine y basis. This in procedure around, here. Two doctors - Douglass wnd Etolow - ere on elite salary. They go to various institutions. y'" Eheckler - If that is their function, should industry have to assure these responsibilities. Would they not be Dr. Dougina a* functions? Smith - We take the X-rays for our own protection, not for social obligation. There is no problem sending them out, tut after conference. Shcckler - I do not see anything wrong how David handled this. I -KMwV that . ' - - Dr. Douglass fell down.' v- DuBov - He did not fall down on this. Prior to this, vo would send Dr. Douglass files whether there vara changes or not. Two months La a case like this ^ ....... could be vital. Smith - If you took 50 r.sn, half would see TB changes and half would not. Sputums are the final and gastric are the final. There is no difficulty in pro cedure, after conference, send to Dr. Douglass, ifonly for his information, not to have too much radiation. Shecklcr - It is all right as long as I know they vill be sending them. I can ^ tab the records. Dr. Douglass has been very cooperation. I can see .. Dave's point. Dr. Stolov has been very good aboutthis too. X-ray - Jiultble large densities in rt. upper and xoidlung field and also in the left infraclaviculor area. Diffuse fine nodular densities scattered " through0*^ both lung fields. Obliteration of rt. costophrenic angle and evidence of increasing lateral vail thickening at rt. base. Otherwise no change. RAD0NIC5, GSORGS - $*711 - Dept. 070 - (bring-up) BuBov - George ia going downhill. Ha is getting Uop disability. He ventilates at rest - 10 per minute. Eheckhr He is 62 years old. 21 years exposure to silica end asbestos in Transit" pipe. In 19?3j I settled kGp. dinr.Mlity. f-v/e, you mentioned the other day, you thought ritireux-nu is i;i order. Belov - I am afraid saii'd:lag vill ?t--.ppen. g.-Ith - Ue \<! 11 pay, our liability io there. ;!nhn - He nays hs docs not. work, ho sits nOBtly in tho ron'o rocn. There i0 VJX economic situation. Ho has to think about nonoy. Cbekkler - I think ve should ntort the toll rolli ng about retirement. DuBov - Gould usually requests this. I should talk thin over vith Rodonich. Cheekier - Get your letter started if you think there is 75$ disability end va vill rsi-icw this vith hiu. i/o vill change the disability to 100$. Ve vill reviev the financial ancle vith Ms, it is something that worries him. '/ fiKERZSSSKI, SIGMICT - /Q21p3 (salary) - Dmt. 072 - ago 52. . I! Cheekier - Hired in 1933* 23 yras'3 potential exposure to Silica, Cerent, prwj Asbestos - Transits Pipe, Is presently shift foreran. Getter - Worked as truck driver 1921 - 1933 Was H.C in 12/p4. PIS vere neg. 2-antion of Pneuzooconlosis in 1952. Smith. - Advanced. Pneumoconiosis. Sbeckler - Should ve change him? Smith - Won't jeake any difference. PuEov - If ho hits 65 I ''rill he surprised. Cheekier - Us is to be watched carefully end retire 1. Tab 2. Ifotify plant nungsr 3. Do not transfer 4. Watch carefully ...' 5. Retire if necessary ca disability, ............. ' if necessary. X-ray - Diffuse discrete nodular and cealescent densities throughout both lungs. Enlargement of the hilar shadows. Sene blunting of both costophrenic angles. left cardiac border poorly defined. There is a suggestion of highlights in the rt. second anterior interspace. There has been sons progression since the film of l/2l/57 --d marked progression compared to the filn of 12/12/55* Excursion of diaphragms appears to be limited to \ in. ' '. VACSHICKI,. CTAEIES - -5-323.5 - Dept. 290 - age 51* Cheekier - Hired in 1924. 5 years potential exposure to Asbestos in Textile Pi'-n 23 years rialml e:rposure to Piato.~ac.cous earth in Asbeat03 end Eagnesie. G tie: I7o rcccrd of previous enployr.ent. N.D. in 1952* rr.aurocopiosio r-eationed in 1950. nrurocc-uio'.ti i ode.ate X-ray - Trachea deviated to left. here Is bilateral Increased parenchyral phnr.-?3 nt "both las03. Left border of heart Is not veil-defined, aorevfcnt irregular cad cheesy. Jbdinstirrun on rt. 13 core prominent. Excursion of dinphraga Is sorrvhat limited. Sheckler - 1. 2. 3. Tab ITotlfy pleat manager Present Job suitable. *\ ' V: STSS'iOS. JCSEP3 - #lSl8 - Dapt. 991 P.ss. Center - age 56. \ Sheckler - Hired in 1923. Presently Pilot Plant operator in R.C. 3 nonths exposure to asbestos dust. Other than that, earlier employment Xn H.W. . es nacker. . Getter - Ho Past in 1952. \ in 1957* Hr- DuEcv sent a letter reconnending v retirement on a medical basis. Pneumoconiosis mentioned in 1952. *'\ Ho E.C. Dr. Douglass report of 3/1/57 - "First available X-raya - tyl9!iO, shov3 no abnormal i ties. In 1951* there is thickening of the ; right interlobar fissure -with some evidence of pleurisy, lateral to it - and nt the left lover rddehest. By 9/53* there is scattered chiefly nodular, fibrous in both lover chests. By 2/po, there is more dense . and confluent especially on the right. The heart has been steadily increasing in sine during this tine. In the current X-ray, the ill sense 1b somewhat more extensive. Unless there is'some chronic infectious * ' __ process vhich the patient does not acknovledge, it vould seen that this 1b another one of your cases." Sheckler - Before any other cement, I had better go bank and see Cheatham. BuBov - Evidence of infarction and Pneumoconiosis. .' - * v . * * Enith - Could I suggest that ve go bach and get a detailed history of employment, * * something is vrong vita the background as it stands. Sheckler -.Do you really think that it is PneucoconiosSs? Smith - The nicture shovs that. .. .. - *'T .. Sheckler - Checking over, there is a period of roughly years of exposure. I vill check in more detail at R.C. and bring-up in next conference. | I 1 j i 1 I Jvfl - >^907 - Snot. - r>na ^3 5 - UiraO. in 1937> i;- a laboratory si; rJL stoat. Ko potential '.apo.s.vn-a `iscvcu l-jttsr - 'forbad in Itill. Da l2.C or agnation of It^\i-3ocon03i3. p\)pV - T/iia 'OiJ rtcruldbo to Dr. Evouvjlaoa for po.^iblo 'ZPt art prcrrraihioa. ?ItCS3l3i pD3jiibia 53j giniram^ prrtiyity QTiaat.i.cri.'bLe. 2-m/ - I-ax^a cbloifisd nod* in xh. bilnx radices. vibh an^saiicn of old atina* Vt? infiltrate la rfc, Ibid rnri-xrior int^xstnoo, In rotrosp^t, thfcro r-iy *o^r>a a fort c^tAxing infiltrate in re. 1st anterior Latix-spaas in filn of 12/33/^. - " iTJie^ilas* 1. 32. 3. i>. SsS . Il to Dr. Doaslm-* Dohliy pnst innrupnf PrtJiPMtt jo a o'-sitablo. pit-PYAX. ??2fP?3 - -912 - Esc*. 0?2 - c~3 H3. r<-.. tin Crltt'SX - Tf'.rrd in 1S^. 3 y^ro rx;.ait:i Pin*:. 1?> yrora Ur/ * TM JSC. -ibo'.rt cha-st oi^n^a. vy* Pro^sntly a cr'-m crtcrs.tor in e^p-o^ura 'to Silica, CrJ*at'*x*A dnbesi'tos. p-trlori* isdio-nr* ftnnic3iu in i'i>'4. DlSCi'CSPS; ~o4 03 ia. --X7r Ziffm* linisw ar^.3* ration. Diffn*. b-t^r &rtn.*ity in lt-^t lovw linn. Coi-dina c-ortbsr is poorly idfirjHi. Calcific vonsitioa ia lilt1, rilrpu Cnrdinn (anlnrpssvsnb to left. 3o dos&s* ina$ prrrriena fils. Thasklnr 1. tab 2. Sotifer plant arnarpir 3. 2ao 2.3 in vorrri job in I 3H3. h. Isats ca tin job vatil rsvi-icf oftar h3 r.axi pbydicul* CicdSh - A nsa Mo 253 ro'ill bo vcxth -.^orbia.i ir?. Si3 b-oart chadcy is cbns^dns end so is the luortio bos, ibrat ia hi j Z?. Cottar - 110/50. ixt vray, do s. 'nri'xa yrallov era! "at a Lateral filn slr.o. Pbc-ttlor - I bats to thixt of his ca aia job. laith losrn bin there until Cctotir. ,V.-l*-?., 7^.f')j'r0 - f-li5 - D;.-pt. 605 - ape hf. 6 Shncklar - Presently take off mm In Thcmobestos. Hired In 1930. 12 years potential cxposxire to Asbestos, 11 years potential exposure to Asbestos and Diatcmccous earth, *% m *. Cetter - Records indicate HO DIET, cane closed. . ~. DIAGNOSIS - Early mixed Pnrrcoconiosis. . ' X-ray - Diffuse linear exasperation and fins niliary nodulation. The hllor shadows appear enlarged end fuzzy. Left cardiac border is poorly defined. Eazy densities er.d cone evggestion of honeycombing at the left lung base. Ebeckler - .1. 2 ; 3. Ttib Hotify plant r:eraser' * Cheek vork area and transfer if necessary. TRILO'TE, FDT??. - - Dept. 072 - age U3. ------ -- -------------------------------------------------------------- * .'l * 7>V*"**: 1 * Sheckler - 21 yearn closure to Silica, Cerent and Asbestos in Hoofing. Also in Transite- Hips. Getter - U.C. on T3. l~.o nenticn of Pneumoconiosis. Dr. Douglass, on b/30/57 reported " Serial X-rays starting in 1937 ohev no etnormlity prior to 0 tote 15s$ vhen a fine nettled infiltration in noted in the right upper Iatera chest. In the X-ray of b/lf there is cn area of infiltrate which could veil be in a procan eons stage. I consider the only acceptable tentative diagnosis is n minireI, active tuberculosis. I anticipate your tuberculin test confirmed this. The question here vould be whether anything less than rest end specific thempy could be considered. If patient continued to vork, he should be X-myc-d at least once a month." Dr. Douglass, on / 7/15/57 reported CThe depression in this film is that the lesion is v becorain" core sharply defined. Is the patient -willing to consider therapy? - - Advise re-X-rcy in one month. Dr. Douglass, on h/28/58, repotted "There are indications that the lesion ct the right second rib and interspace is growing lcs3 conspicuous. Advice re-X-ray in 2 months." ,T03IS: Edrly rdxed'mcunoconiosis, and .tuberculosis C-rcy - Shadow previously present opposite the second interspace on the right is still present-and less vcll-defincd, as in previous X-rays. heckler - ! 2. 3. ITotify plant jaannger - Do not transfer f-*on f3 reminds Job. ;` -1th - Hatch this mm clone-ly 6 r.on'ch brirg-iro. Tnic t-r; of TL cm go fast. V.'c ckcull have a 7o;r - Dr. Ctolow i3 vr.lcMng hln. ir. 1 ... 7 ^heckler - forking area 1a not ouitnble. He io a lot In the ofrt.ee but still COiJ-o out. Enith - Dosn he *j:er a respirator? Sheckler - I'o. I vould rather see us novo hln out than vear a respiratory. All the'key con, salaried enrployscs, ore in this area. If I rove Trilore, 1 right as veil see hln off. DSSADTIS, AIPHOIISO - $k02 - Cent. 0?2 - age $0. v. Shadier - Iliretl in 1925. Pipe mthine opentor. 22 years exposure to Silica, cerent, end Asbestosfin Trrrsiie Pipe. Carpenter for 4 years. Getter - H.D. in 1948. Pne'Troconiosis cautioned in 1954* H.C. in 1956 of X-ray charges. .'- DIAGNOSIS:- Hrly to roderste nixed Preuroconiosis. X-ray - Diffuse, scattered, high, nodular densities, core pronounced in the lover lohe3. Pnirly good excursion of diaphragm. lio change since previous film . Sheckler 1. 2. 3. ' Tab' IJotify plant mraccr Check vith Vender" Be eh. Tn - Should these cen be advised? ` -I Eheckler - Vs esn put Transito Pipe out of business froa this list alone. KLDSWICZ, BABY - l6770 rapt. 943 - age 60. Hhechlcr - Hired in 1947. Bo exposure to JM. .Tsaitress. DuBov - Shouldn't these filE3 0 to Dr. Douglass and should ve. tell him there is no closure at JK? Snith - Definitely. .- DIAGNOSIS:- Possible ninim.1 T3, nsynptqcatic. X-ray - There is a snail nxc-a of increased density in outer zone in the region of the 4th interspace, anteriorly on the left. This density is present in X-rays of 1953, >5, r=i `7> -a. rre i3 sour blunting and iraightuning of the left h-a'alOiephmipa. lor - 1. Tab 2. h'otiiy plant narrer 3.. f-T.d to Dr. Do-v'l-.r.o' T??Zn - 1032 - Dowt. 5*3-8 - r.gc 63* 6 Sbecfcler - Eircd in 1929* 29 years exposure to dusts of all types, very little to minimi. . Getter - Bard coal nines for 3 years. E.C. about chest changes. Records indiccto advanced Fnnurocoricnic, predominantly Silica. Patch ts3t in I957 \ms 3 plus. Could not get Sputums. Dr. Douglass, on a-~yr H/21/44 reported "-'edulnr rad conglomerate fibrosis of both lung fields* apparent in 321 X-i-ay-3 of 5/32, and very slovly progressive. Third.cta.7(/ silicotic not other-vise significant if free from clinical symptoms; altho dust exposure isy vlll be avoided in the future." .* . Smith - Good inspiratory effort. DIAGNOSIS - Pneumoconiosis, advanced 1 questionable T3. . ; X-rcy - Multiple large conglomerate plaques and numerous fine nodular densities scattered throughout the upper 2/3 of both lungs. Easy infiltration in rt. epex end rt. infraclaviculnr area. Trachea is deviated to rt. Thera * ha3 been no change. Excursion of diaphragms is approximately 1 in. Sheciler - Family vorhs for Jl-J and lives together. Smith - Study all the family's X-rays. If T3, theye will be signs in children. DuBov - Send to Dr. Douglass. Shechler 1. 2. 3* 4. Tab Uotify plant manager Sand to Dr. Douglass. Present Job suitable. POI-gAJSr, CSARLOTTS - 380 - Dent. 996 O.S. - age 31. Ehechler -- 4 years at dll. IIo J1I exposure. DIAGNOSIS: X-ray changes of unknovn origin. Do O.D. Tuberculoma. X-rcy - left lateral, left ent. oblique, rmnbrlrrft is neg. Left lateral - there is a suggestion of density noted in standard PA view. Just underlying the posterior border of the heart shadow. ... Shccklcr 1. 2. ** Send to Dr.^ Douglass I'o further action. -  y/5S, - i'ceaeiM.. . o-rg - recti'.: V ' ' - -r *.> /(. Setter zz:?:zrr, jorai - J' Ah - Pr-pt, 133 -g a CO 52 Cotter * Worked > Gc-tl"- - Verbre icr Rrthlqhsa fpjp H years, Records negative for mntion of O.D.- ' - ->* - * ^ offustion yith fibrosis in left lover lobe. *( Ko O.D. * X-^r^v ~ rtord"'1-n3: oo&tophronlc angle and thickening of left lateral *`N tcrck.r! cbena owjjoo cjo na present in X-ray of 1/29/5?. Re-X-ray. DuEav - Should 1,, ,, ., PjiSay - Should hi! family doctor be inerted.? f^rith - Vdov- voui'* tha, fnradly- doctor- dp? pu3o^ " oQj to&tod., Should ye. Set the raa'o permission to send these i> Mf.% doctor?- Hp. issy be. a source of infection. Snith - If yon c,ir. -.''Aild nni-tr 5. vob5i2j, he. vuld have a 3 loonths X-ray end then you oeo -^f' there. oro. any changes. If there are no changes, then you can ... ... . -JTit 'ird %se v'nut happens- is the future. ' - DuBsy - Vs hev , t-Icv - Vcwcr;'. ^ tho- pr.-ob,. dprp, tho-usual rouhir-o about Dr. Bragins 3 and the * alerts the non but does not alarm bin end ve ore ^,^-^t'ing- preventive Ecddcinau. Eh^chicr - *-V- *hir-r E^o> beenedarting- these-people and ve should not do this, JferriU -- I-f* iior--ill vtir>--v -tchtell the-xean corythiiig, vhy take an X-ray? If ***** V{!'*tobchi&,, v&.fcBMfca?:.respoasinility . /. ....... Eahn - Kia P.;.. , . .. * , . F-ln - i'-'. r: iodic- ciuyoina-tio-as- cre:.not e,nusz. ' .' t ... ' .. Sbeckler - Y.,,, ` .. , . ;'- .*-.t--r-v--- '.-'-- * s- -' tTMh~e*yV B u* st*,: ti-iat' io~ ^*`a*- ro' om site. ** * f .* :' -. * Smith - Pert ' ** ^ ( ''''tc-ciojririn.ticvnn-ore-not- recuired.^. dn.iic is voluntary. If you csllcl ^^ tp^his faoily doctor. Ins .can say *zhy didn't you tell cn 3h.\Bov -- I v\ n,. _ .v h-. :cv - r -,.-AJ.^: tcker.ojaptfccrrX^ray-!,. . ...........' * .-'-jVdccidn-.nou -vhat^i^ . Ve ha-s to put our ova label on this* -- I \\ 1 .. ^r- isonnlly cpuld^not-nclce arciingno3-_n, could, you? ,. 1-y though v ,, ' t '.* /*! imv chould- cc-ct>nlicAi, You ha-.- n to do diairostic vork. n.-iith - An *,. rcr-X'-roy should be tikrn.. v ,w'\ i i^ypu ir.yo^rrot'-.cr *.>-rry. '`cc.-.icr - t:t m'u another doci.ott-'-1 f > Tab M.Llfy n1r-.it rv-.?;ier: T> ho M-i.'.ycd i.iu t:ought up - c .o.er. n-.-.*. c. 1 * ior to 1C*1 in Pap - l9 year Y.'-.i.- 0=1:1 7.7.7 1. C. J O .. ~* V--- S-i ' ............ _ -- - - -^nic oleura .........!t <c.~... * - :.v ' - - 5-ic5: ct -rt * __ , . '("here is s' ' ' , / '''sent. -!T= o BhnfiOV. 2 1-32. 8 ycaro .--per Mil. - =rr_ro. --^ ----iRy vitli 6000 rmrving davrn.'ard refiltrr.tion In rt. lung base, rvnns hazy density - change except w tv' Tcx-illca - rutive lr..s5 "V - 'it prior to - ^2 Dr. IV- ov able V> V end not "" - "'3 dl Gch-.r;;' : itted h/J 7/ -is trend' *.?' " "iivith h ',s '-0. nlrroel rft. He ;.-v o?'Ony nr."'-"' feel if - '%ar-for vork. ; teen a. JV* x - l`1 * l..: r 1. . . '*\ in' . , mi.-. ; .. - gion, pr"-' . r ' ' ''of _. - ry dens' '' . greater mil-e , . .1 1/ i-j/yf. t ( ^nis. Records no JM at ITtolov wrote n=o return to full . -exposed to dust." sired from N.J. 17/51 for a rt. ssson is satisfactory ^nouro daily.H s.rs 3 years ago. He ...'.ns lost 8 Its. ' -"srchycal pathology _:~r is to caintain -- rri:. Perhaps worker for 20 yra." .rent in previous cs in loth basal -ran the right, - lateral vail Sleekier - Hired in 192p in Pips Covering Dept. 33 years potential exposure to Asbestos duet. Getter - Records indicate A-bestosis in 2/51. >'.an vns advised about duet in his 2 in l/55. I>r. Douginas reported on 2/l/p7 "Original undated X-ray cbova no elcsmolity. In 1939 there is a.peripheral lesion in the rt. second interspace suggestive of a pleural fibrosis. It subsequently dialniched hut by 19^9 "a laterally yvhitc Line of pleural thickening can he identified along the border of both lungs. The pulmonary car'rings are also increased vith a currostion of fine nodulatioa vhich is core pro- nouncod in the lever chest. Frcn that date on the changes occur more rapidly vith evidence of bilateral fibrosis and nodulction. The progress appears to be further nccelerared in the past tvo years. Current lateral X-ray visualises the interlobar fissures. In the absence of clinical or occupational data, it is rot rr/ belief that tuberculosis is a factor "... in this uituaticn. -It does not resentle any silicosis vith vhich I an familiar. It seems to me to he cue of the cases of pleural involvement you Leap oending m, manifesting parenchymal elenents after eighteen years. I vould still advise occasional sputum examinations pnd X-rays at ai:t month intervals." . .1 .......... * * * . DIAGNOSIS: Early to moderate PreimoconiosiB. ` X-ray - The right apex shov3 an area of increased density present in previous X-rays. Opposite the first interspace cn the right are cone linear densities present in previous X-rays. They appear to he somevhat more prominent than in X-ray of 1/25/57* Left hilar region appears to be a little more prominent than cue vould e:pect. In addition, there in bilateral basal diffuse mottling, extending from the lung root in the direction of the contepkrenic auric. There i3 bilateral thickening of . - the lateral vail. (Right bemidiaphragm shevs scalloping.) .Left herd-. diaphragm is irregular and nottoo veil-defined ana shovs seme '.blunting at ... - costophrenic sulcus. Left cardiophrenic border is not vell-cie'fined. border of the heart is not si amly indicated. -- \ V,\ * Left Sheckler -- 1. 2. 3. Tab I7otify plant manager Do not transfer ' 1 . 'j '\ L. Pending future changes indicated by the Ikidical Department. BSEDPICXSOrT, ? UDDER - #15329 - Dept. h30 - bring-up. DIAGNOSIS; Minimal T3, arrested, hut there is a question of activity? Shockler - Since the Inst conference on this man, ve have done rJLot of vork. . {There is a very bad dlica situation there, aloooj) solid send. DuDov - I vould like to pass thin on to Dr. Poug'r.ns. ShcckLer - If ve tend iiin, vast ve have to resolve him. k fcaith - Vs have -to Esnd hi=. Vs hnvo a responsibility here. Thcrc vus a case in Cnk Rides wherein the employee clnimd ha vas not told. Va have a cedir^i obli cation. Jh&ov - Ve have to do something, because this aan can he spilling hugs and if 6 or 7 ---n -t TB, you have core responsibility. It is a state lav that you have to report these cases. Ehoeklex Sand to Dr. Douglass and erployee to he health counselled. KICEP15CIT, RU?U5 - ffLlSh^ - Dept. 991 R.C. - (bidng-ue) . -- Getter - On 3/20/58 - Dr. Douglass reported - "Presence of a solitary lesion at the right 5th anterior rib and interspace, is confirmed. I an unable to . . identify it in earlier filrs, although it is suggested a year ago by a rrueh snallcr slight density. A question is raised as to vhether a cinilar density lies peripherally -to it. I vould advise this lesion being evaluated. Solitary nodules raise a question of neoplasm as veil as T3 vhich should not he ignored." VaZo'f - Vaen va received thin report, ve had not H.C. the nan.There night he a case if the ran vers not' H.C. and ve needed the family doctor. I thought ve should re-X-ray the ran andthen go through proper procedure. Fortunately it disappeared. He had been told nothing. It is a flexible situation, Eaith - Do O.D., no cancer, no TB. Re-X-ray in 6 nonths. Sheckler - Vould you say a normal lung7 DuBov - Yes, maybe many years ago, he ray have had a pleurisy. Bring up in 6. tenths. X-ray - The circumscribed density deen in rt. lung field at level of rt. 5th ' interior in rib in the film of 3/h/^Q, has completely disappeared.- Re-X-ray in 6 months. .- KZ2DTH, JOSH - f?3739 - Dept. 2o0 - ace 55......................* ' . . : - Cheekier - Hired in 193S snd to 195^ - Textiles. Frca 19>^ to dato, Thermo flex. l8 years of potential exposuro to Asbestos dust. Getter - Prior to JM, vorked in cafeteria for 4 years and 10 years on a fnrn, H.C. in 9/5^ e_r.d in 195^ there x;as mention of Pr.euroconiosis. Dr. Douglass - on b/27/5`5 - r: ported (T.?srLr.l X-rays charting in 1930, show calcifications in left r.eeh, upper and hi ?u*., r.s of .vr. old heeled tv.herrv.lcris Infection. In ? i ~ j r.zre ir. c .vjgtssicn cf i i.uc i.->du- hvtlon th rouge lath 1 c >g fields \ hi eh is r.ot so i>.t. ii.ur.t subsoqi'.rntly. In July, 1993, there is t:-!uir:g of the p-'.rt'-e.-oir.-a nlo.eg the left border Ojl t.ikj ir. *r jjj ^* i-** -*j io l1 ni \* 1 -.i :iu, tolJcU.ier ui i*li a su* p1 j..as 5 t^t nputun cxaainations have been rate. Thin is the kind of lesion *"* _QUld ^r*r.c v-^-, intrr.hrc~chiel tuberculosis umch in turn could hove bem cauled by nice---tion ih-ca a tuberculous node la tho hllvn. Ofch*-r 3nti*"bro*,chial lesions should bn co.ir.j.u.ercl. X feel test tnio patient night profit fron hospital admission for diagnostic studies, Vhich might eventually include lipiclol instalation." p--11-h -- East is the ouestion? Getter - Dr. Bnifcran did not vent a 3rd shift Ha requested it in. 195^ We have a jrsno iron Jir. Hedges - dated 4/7/58 - requestin" information as to -whether this nan could vork a third shift. _ Ehecl'JLer - Eadses cannot show partiality, the questbn is - 3rd shift eeZ or cone off the Joh. h.. Saith - He have to be practical. I would oOX bin for 3rd shift, he Is in a non-uusty area. Otherwise he my be out of is a Job, precipitate a rlwln and everybody is involvbd and in trouble. DIAGNOSIS: Early Asbestosio and arrested T3. X-my - Old T3. Eesidu&l of pleural reaction in left lower lobe. Sheckler 1. 2. 3. .. 1*. . ... Tab . .. pV.v..* ** ITotiiV plant manager OX 3rd shift work proiiding it is in the Therroflex Dept. Present Job suit-able. KUI.T*, YXNCIIsT - y03l6 Sal. - Dept. 9S5 - (bring-up) Getter - Dr, Douglass report of 3/28/58 "Serial X-rays starting in 1940 ohov a fibrous cap at the left apex. Dy 19^9 slight capping is also visualised .on the right end there is a question of infiltrate laterally in the left first interspace. This is core conspicuous in 1951* It is believed there . ; . has been appreciable' progression by 1955* but the shoulder blades obscure the area... The current film suggests glight fibrosis at the,right apex, with bullous emphysema. The fibrosis on the left appears to be less extensive than in 1955* X believe this case should be classified as pulmonary tuberculosis - r.Iniml - probably not active. Considering bis ego I would advise X-rays at 6 month intervals. He should be told of the diagnosis and adviced on the mintnineace of optimal health, " EuSov - Thin ran bna not been H.C. Dr. Sanford notified the can and he has been H.C. by his family doctor. Ho O.D. - Ee-X-ray in 6 months. 6. ' had called regarding Frank Datula.. I informed hie that no telephone c-ll tad teen received reed should one cone l'raa lie. Blumb&rg, X vould cd\i-~ hin to talk to you* . He informed ice that Mr. B.tule. ted sought }ir.' B'Vrberg's legal opinion With respect to his chest. Dr. Stolcr related that he had seen. * Mr'. B..tula vhilo he vas under the care of Dr. Marcus for recurrent heart attacks and had noted chest chengas but did not believe tha changes contributed, in any eigeifleant degree to the disability of Mr. Eatula end ban so advised Hr. Slubbers. .. On July 29, 1957, n letter recocraending radical retirement because of recurrent urglrsil episodes (beert pain) vas cent to the Betircssant Committee. His nedical disability van considered to be at least 75jS jDaSov - Our reading -as early aired Jneunocordosis, Asbastosis. Eovever, hia basic trouble is engine. pectoris. IuBPKDSQT, SSailSfr - #1237 - D-ypt. U21 - (brlrg-up) Dulow - cervical node - biopsy dona and. it vas negative. Has extensive emphysema. uith marled clinical disability. This is a potential, . Smith - There 1b nothing to be done about it noir. * . . . L--'-. e ' `' SHTTn, iT/ZriTIT - {0031 (sal.) - Dept. 723 - (brong-trp) . . Sheckler - lir. Fischer says he is in a safe area, DIAGNOSIS: Ehovs coma progression. 73 in relatively inactive, XhiBov -There is scree progression. Very prominent right pulmonary vessels, . j f i ! j j j j Shecklcr - Eos there been a change? Active or status quo? DuBov - Relatively inactive. . j I DHADICO, IDUIS - 02272 - Pont. 2cO - etc 32. Shock!or - Elrod In 19'; 6 - to 1951 - Transi to ?ip 5 years potential :sr.jOr.;U'i to Oilier,, C_ 1951 to date - T>u>: v, v--d H`w G r..*mls nv^sttve fo 0.1'. :I'l ? -<\ O". !.I'. r n y - vv*..-ni i vc 1 * -? +0 Glen Ca riser o/l/79'J iuiA dLscb-igju 9/51* i 7 '< Dr. Douglneo reported on G/2/55 " "Patient ha3 teen under our 0b3crvn.ti.0a einco 19p0 for a bilateral pleurisy of undetermined etiology fir3t shown in jm film of 95s- There has beer: very little tendency to clear during tbs peat three years. I would assume that the lesions have uerlously reduced his vital capacity." DIAGNOSIS: Bilateral pleurisy. Do evidence of O.D. * X-ray - Parenchymal changes previously described in 7/23/57 indicate an increase in densities in left nlcllung field. Straightening of right hemidiaphragn vith lateral vail thickening and scalloping. Sene blunting at left contopbrenic angle vith left lateral vail thickening nnA a widening of the upper right paratracheal area. These findings are present in previous X-reys end apparently ere ctaaic. Sheckler 1.. Tab , ll. 2. Kotify plant manager 3. Present Job us suitable. - -' : DOVACK, GABRIEL - #7093 - Boot. 6S3 - age hi. - V. . 1 Sheckler - Hired in 1944* Mini sal exposure to asbestos, 14 yrs. Getter - IT.D. in 1955- Mention of silicosis in 2/1944. Worked in coal mines for 2 yearn. Do H7C. 2 years in S Eidg. 1944-1946. DIAGHOSISi - Early nixed Pneumoconiosis vith questionable unstable T3. X-ray - Diffuse exaggeration of linear markings and diffilse fine linear and reticular densities vith some fine modulation scattered throughout the upper 2/3 of both lung fields'. Do change since previous film. Excursion of diaphragm 3/4 to 1 inch. Sbeckler 1. 2. 3. Tab ' ' ' Notify plant manager No further action required at this tima. .? j RABAY, JACK - #1319 - Dept. 745 - age 4p. * \ . : - ' Sheckler - Hired in 1933* Presently a Millwright - maintenance - Rigid Shingles. 25 yearn potential cirposure to Silica, Cement, and Asbestos in R.S. and he has had as lad an exposure ns it is possible to get. * Getter - Records are negative. Do H.C. Prior employment in a stone quarry. 1) IAS- Old Z` rested tv.borce/lo: ich if. pit ml ri iCt .blo. 3 o' vit :0 ill-do fined t h.-0 I '* *lev"l than the right leaf. There is Ill-toianca a:--~. . density^in the outer none of the right intercostal space in the right 2over icte. Trio O.c.r-ity io present in previous X-mys and is noted, rather poorly io X-ray oi U/^o, 5Y. The changes present currently exo slightly r.ore do fined hut not very narked. R.-X-rey in 3 nontha. yrnpekler - T.o further action. ZtaTvIIZS, m?d~-C - &)lh35 - Dsnt. 930 - a,~e 53. * Sheckler - Hired 1952 (about) Ho exposure since 1932 - presently a patrolman. | 10 yearn exposure to asbestos dust. Getter - Records indicate Pneumoconiosis in 195^. In 1955; he indicated a \ Ixioyluads of Prunnciconiosas, but vas not concerned. % DIAGNOSIS; Ilixeu moderate Pneumoconiosis, ray be complicated by TB X-ray - There are bilateral diffuse densities throughout both lung fields end rather uniform. flight and left hi her areas are exasperated and the pulronary conus appears to ba prominent. Shechler - 1. 2. 3. Tab Hotify plant manager Present .Job suitable. ZIIZaiSKY, AUGUST - ^305 - Sent. - ago 53. Shabbier - Hired in 1919- Has in Service. Has been, in Textiles 39 years and had c-xposuro to asbestos dust. Getter - Ikntion of Pneumoconiosis in 1952." Advised of this in 195^ DIAGNOSIS: Sirly asbestosia. . . !' '. X-ray - Present film, compared >;ith film of 1/17/5T; there is nov an increase in rib and cardiac chadov. Right hilar shadov also appears to be enlarged. Otherwise there is no change. Ebecklcr 1. 2. 3. Tab Notify plant nsngger Do not transfer. m . ` - * *w .. . ' :