Document QJ6OyNLJe8LR67ma5D3J8naY4

A. RAY W IL E Y , M. D., F . A. C . S . 8 1 2 MEDI CAL ARTS BUI LDI N G TULSA. OKLAHOMA June 17,1936 Re : H i r a m B a i z e v s J o h n s o n O i l R e f i n i n g Co D r.R obert A.Kehoe . U n iv ersity of C incinnati C incinnati .Ohio. *. y Dear Dr.Kehoe: ,V I am w r i t i n g you a t t h e r e q u e s t o f t h e J o h n s o n O i l R e f i n i n g Co.'" and I.'r .Y.G- .Hawki n s o n , l o c a l r e p r e s e n t a t i v e o f t h U n i t e d S t a t e s f i d e l i t y and Guaranty Co. . . T h es e p e o p l e r e c e n t l y a s k e d me t o ex am in e Ur for them. T his exam ination was made i n r e f e r ence to an a lle g e d in ju ry of July 3,1935 in which U rj^ flB ^ ?la im s th a t he received l e a d p o i s o n i n g f r o m some e t h y l g a s o x i n ^ r ' The d i r e c t o b j e c t i n s i t i n g you i s t o s e c u r e i n f o r m a t i o n on th e e f f e c t s of le a d p o iso n in g by e th y l g a s o l in e ; i . e . , t h e 'symptoms and methods of determ ining whether or not an in d iv id u a l has . receiv ed e th y l gaso lin e lead poisoning. I understand th a t you have had the o p p o rtu n ity to do c o n sid era b le research .w o rk along t h i s l i n e and t h a t you h a v e some d i r e c t c o n n e c t i o n w i t h t h e m akers of e t h y l l e a d used i n g a s o l i n e . I am i n c l o s i n g a copy o f t h e p h y s i c a l e x a m i n a t i o n made b y me and two o t h e r l o c a l s u r g e o n s , on th e p a t i e n t m e n tio n e d . I would a ls o l i k e to know i f your o f f i c e has record, of a p h y si c a l e x am in a t i on o f ^Bm. made b e f o r e J u l y 3 , 1 9 3 5 . I u n d e r stand t h a t th e e th y l company makes p e r io d ic exam inations of e m p l o y e e s h a n d l i n g e t h y l g a s o l i n e , . I would a p p r e c i a t e any com ments you h ave on t h i s p a r t i c u l a r p a t i e n t . U i l l you p l e a s e send me r e p r i n t s o f r e p o r t s o f y o u r work i n c o n n e c t i o n w i t h e t h y l lead poisoning. -' Your c o o p e r a t i o n and. o p i n i o n i s e a r n e s t l y d e s i r e d to a r r i v e a t a accurate analysis of th is patients true condition,both for his w e l l - f a r e , a s w e l l as f o r the Johnson O il R e f i n i n g Company and th e . U.3.U.& G.Co . f n i l e I h a v e no a u t h o r i t y t o i n c u r a n 3? e x p e n s e i n t h i s c o n n e c t i o n I f e e l q u ite c e rta in th a .t.the insurance c a r r i e r s would pay for any reasonable expense incurred by th is c o n su lta tio n . * . c c J j-h Claimant, vs. Johnson Oil Refining Company 1' r . . I a w k i n s on .3.:'. i c. co. Tuie a, Oklahoma Des-r h r . T a v k i n s o n : ' ' ' . - . - r e p o r t e d t o my o f f i c e on ' " ' i 2 1 , 1 9 3 6 ' f o r p h y s i c a l h i s exa,irlna.tion v/as made a t my o f f i c e wi t h T)rs. "'red V.Cronk and 1 P ' h i t e , b e in g p r e s e n t . E x am in a tio n was made i n r e f e r e n c e to an a l l e g e d i n j u r y on J u l y 3 ,1 9 3 5 when i t i s cla im e d t h a t he v;s e x p o s e d t c g a s o l i n e funi-' s . The p a t i e n t w a l l s w ith a s l i g h t s to o p in g p o s t u r e and r a t h e r am bling g a i t ana a p p e a r s i l l and f e e b l e f o r h i s y e a r s . Re g a v e h i s age a s 53. '"e i s 7 21" i n h e i g h t and w e ig h s 147 l b s . r e was a r e r p r o f - o e p a p u l a r e r u p t i o n on t h e f a c e and n e e x .liCv'O - /jaj. : showed t c o n t i n u e on t h e u p p e r p o r t i o n o f t h e c h e s t a n d '***** ' ***^4***** r i d e r s . . The s c l e r a c t h e e y e s shewed a s l i g h t ye 1lord. eh. tin tJ r J J t* * .h'-1 t h e o a t i e n t i s p p a r e n t l y h a r d o f h e a r i n g . , 7-?nv`JJ.tA. Lf.a "vtl fi-r, n,w M UnJLgj , 'is p -st h is to r y of any i ll n e s s i s e n ti r e l y negative vi th the ^ .reaction- t h a t he had son? s l i g h t i l l n e s s in c h i I d h c o d , which he V ,z\z r o t r e m e m b e r '"'e t h - r it ' " a s t y p h o i d o r p n e u m o n i a . I n 1 0 1 9 = - ' a r - t h e r s e v e r e f r .a ct a r e of the r i g h t a n k l e . "is complaints were that he became ill following exposure to gasoline fumes and that he has not been well since aim is unable to: work. ' Tx-vv.ir.ationi The e s r drums a r e r e t r a c t e d . D e f i n i t e t e s t f o r a c u i t y of h a r i n g was. n o t made.,bi.it t h e p a t i e n t c a n h e a r o r d i n a r y c o n v e r satio n ' most of the tim e, but a t other tim es the voice '-rs to be e l e v a t e d f a i r l y w e l l .above n orm al t o make him h e a r . The nose shows no p a th o l o g y . The t e e t h a re e x tr e m e l y p o o r . The gum s. show c o n s i d r a b l e p y o r r h e a , b u t no s w e l l i n g of th e gums. There i s no b l u i s h n s s c a b o u t t h e gums a s i s some t i m e s f o u n d i n l e a d p o i s o n i n g . T onsils are average in siz e and th ro a t i s m oderately congested. P a p u la r e r u p t i o n of th e f a c e h a s been n o ted above. The eye grounds ahov/ c o n s i d e r a b l e ' t o r t u o u s i t y o f t h e b l o o d v e s s e l s n e a r t h e d i s c , b u t no o t h e r r e t i n a l c h an g e s were n o t e d . The r e f l e x e s o f th e eyes rs -n. r-: -'ar. ^ ^ ^'w r e lu a. s l i - h t i n c r e a s e i n t h e s i z e o f t h e cervical g l a n d s o f th e ;:-=c o t h e r w i se t h e n e c k i s . n o r m a l . jC tL 00 i 075 4 N8017.01 Tne upper e x t r e m i a r e norm al w it h th e e x c e p tio n t h a t he h a s c ratrier narked deforz& ty of the r ig h t l i t t l e fir m e r , vM ch -e savs nv;oarsm al th r o uargih o u t, -h c h ild h o o d . Re f<l'e x: e s- o f thr,,e u*o*osr a r--- s V- e The oloc p r e s s u r e 2 l o / l 2 5 . P u ls e r a t e 110. Tem perature &9.1, The heart" w a s.p e n d u lo u s type w i t h s l i g h t h y p e r t r o p h y , r a t h e r h a r s h . Ox 8c l zzxo i/ic o r t i c . . h S c u n d , o t l i e p w i s e lics.r*fc v/as nors'-O . \ : ?>- C o n t o u r o f t h e c h e s t s'' owed : s l i g h t a r t h r i t i c d e f e r - n s o f t h e ^ b i n e ' r 1 s l l Sht bowing o f the upper, dorsum. There was s l i g h t m o istu re m i/^e p o s t e r i o r l e f t - re s t w i t h s l i g h t r cu/rhened h r e - a t h s o u n d s . The e x c u r s i o n a p p e a re d to he a b o u t normal.. -, The a b d o m e n ^ i s q o r n k i n c o n t o u r . .Thereewas r a t h e r marked upper abdom inal r i g i d i t y . Th- e a p p e a re d t o `be a f i x a t i o n of the u m b il i c u s n-Ti-- q u e s t i o n a b l e p a l p a b l e mass j u s t ab o v e t h e u m b i l i c u s . P a t i e n t s t a t e d t h a t he h a d c o n s i d e r a b l e d i s t r e s s i n t h a t r e g i o n l a t e l y - ; vut.i a g r e a t d e a l o f g l n d i g e s t i o n and s o r e n e s s . There h a s been some n a u s e a , b u t q e 1h ad n e t a t a n y t i m e v o m i t e d a n y b l o o d or b l o o d s t a i n e d v o n i t u s . V i s c e r a l o u t l i n e s o t h e r w i s e a p p e a r t o be n o r m a l . There are. no h e r n i a s p r e s e n t , . * n,. I g n i t e - u r i n a r y system, norm al. Anus and p r o s t a t e nor a l . ' '>1 ' " h e r e mas r a h t e r marked v e r i c o s i t y a b o u t, th e c a l f : e f th e l e f t l e g . `T e r r e was c o n s i d e r a b l e d e f o r m i t y o f t h e . r i g h t a n k l e due t o an o l d i n j u r y . The r e f l e x e s :o f t h e l e g s and. abdomen w e re n o r m a l t h r o u g h out . t '' 'v The p a t i e n t ' s a b i l i t y to s to o p and. bend th e body "/as somewhat l i m i t e d . H i s ranne ,r end a c t i o n w ere t h a t o f a . man mucli\ o l d e r t h a n t h e n .-e s t a t e d . ' C m . kwd.'o mv; .. up, \ t Tl i z s p e c i m e n o f . c u r i n e and s p e c i m e n o f - b l o o c k f o r b l o o d a n a l y s i s and blood count were secu red , A copy of th ese in d e t a i l are a t t a c h e d . These, show n o t h i n g u n u s u a l , e x c e p t ' t h e r e was some album en in the urine. . _. . . . Then Dr ."White .and D r . C r o n k , a s w e l l a s - t h i s - t / r i t e r , c o n s i d e r e d i t ad v isab le to flu ro sco p e the ch est and to''determ ine i f p o ssib le the condition-.of ' the upper abdominal. a re a s k lu ro s c o p y of the chest showed c o n s id e ra b le f i b r o s i s th ro u g h o u t, exten d in g f a i r l y w ell to t h e p e r i p h e r y . The c o s t o p h r e n i c a n g l e s , w ere c l e a r . T?ae h e a r t showed no u n u su a l p a t h o l o g y . 'The p o s t^ c a k d ia a r s p a c e j- h o w e v e r , .was narrowed.. The p a t i e n t was g i v e n a b a riu m - m e n.l . B a r i u m e n t e r e d t h e s t o m a c h , ; . . . "o o b s t r u c t i o n in .th e esophagusgStomach was f a i r l y low.There"was r a t h e r c o n s t a n t i n d e n t a t i o n on t h e g r e a t e r c u r v a t u r e o f t h e s t o m a c h , a lth o u g h t h i s did. not appear to be f i x e d . The rn g g i of the stomach a p p e a r e d t o be norma.1, T h e r e was c o n s i d e r able-- ds f o r mi t y a t - t h e k , . p y l o r i c end of the s to m a c h .` Abnormally formed cap. was n o t seen . 0010755 c : i '5- - > ~ \ \/ . 0010756 N8017.02