Document QXv0wKvwyM8rg5NJZRa73DkbL

FILE NAME: Ford (FD) DATE: 1977-1983 DOC#: FD046 DOCUMENT DESCRIPTION: Workmen's Comp Claim with Medical Records i O-t P*tT3 3 CnOIVl'I* wtk See* >441 St I THE OHIO WO*tMIT| COMPENSATION ACTT rry nflefrr ekef! * ,, _ . > l l u m m r . ..>*# k* fes mel?*1 1 lb* t* n lh lf to kle rw "t W 4 r*MM Ik* n T k# !dtMtJlI C*t'fHt** t----- , m r r l i r l i r r trp. T H U i l A H A P P L I C A T I O N P O P P A Y M E N T O P C O M P E N S A T IO N A N O M P O I C A L 1 X > X N S .> . -I >-. i f- c i - *, tfiM fctlify ! n o r t l u i ** day*. P a n t 9* tkia lrw a u n ke af^p lntd 9*4 lf**d k y U d iM t l i ir-, Lper Tart It al* fi n m k t t u v u < by the etopleycr ky k e ypUc v a a fe sU ytd wfcaa kia d lie k ilit y birfe a i kl* t k a r lft i at**l P*n UI a( ! Ie-m at be m a u l ky tka e*4te y k y m ta * . A e e '-Ueite (< tempeste (at ettrt teee) >a*4 a I t f w r r N*rJ c* ra ()! mih TM let'trial Cam tliai^ 1 Ok em ki I t X M O n T H S after d ite b lm y < ta toe bee. E X C E P T fa u<r* 4 far aittkfllty Hm SILICOSIS # DISEASES e* O' EESPIEATOXT TtACT rMultltf Ira whit ** eppllm4 *e ara fa* kwnf altee SU4 wttola ONI TEAK altar total ajteklllty Hlu. D a ert write U this color n 1 l e t , PART I. W ORKM EN S COM PENSATION T H E INDUSTRIAL C O M M ISSIO N O F O H IO Claimant' Report of Occupational Diaeaae C ltia No. O.D._ Xacjtlae (Om.) * Tetefiepenfiled' WOODIE THOMPSON CLAIMANT'S N A M E _____ 1 2 5 1 8 E ir.^ i^ R o a d (M iC ilt LaJm l) (Last) 2. Horn* Address (Number) S__o_c_ia_l (Street) (C.ty) FO RD (M<5!? '6 r CO 3. Age.... ...........Security N o........ X 6 - - - 3 0 O 4 1 3 ------------- Employer:------------------------------------------------ otto ef DUeb. W eld er Occupation: .... - ...................................................No. and relationship of d e p e n d e n t s __________________ ui A sb a sto a is 4. Prom what disease art you suffering?.......... ......................................................................................------------- ---3. What parts o f the body are affected?-- ------- llir u ^ S .......... - -- ........-- ------------------ ..-- - -- TtoSTT Give date your symptoms first ap p eared ...3.r..-L&2-J--Name of employer when symptoms appeared: ............... ................................How lone in employ of this employer before symptoms first appeared?______ FORJ>-K< 2 I OBc-eapeiie 6. Location of plant where you worked, when disability began:.. CkLyAhg>^A -- M arch, 1975 "* 7. When were symptoms first reported to employer?-------- Describe exactly how you were exposed to the substance, which, is your opinion caused your disease:_________ _______ ______I w a s w e l d l n c e n g i n e b l o c h t . v .___We u s e d a b a e t o a t.a k e e p tfr .... Heat olf. The abestos would turn Into dust and I inhaled I t 7" "CfenST XrvwFTRewiy Give name and address of physician who first diagnosed your disease as being occupational, and date dagnoas nude: ___________ ~ G r o v e __ Cleveland ,,Clin.lc_.S.5.ftP...JEi-WCl-,.l*.|4-.AVfi__ClftYfi.,.. 10. Have you previously itiffirraed from the disease for which this application is made, or any other occupational disease?______ l x ^ O t o , _give details (dates of attacks, name and address of p b yricias)________ __ - .. 1 1 . D ite quit w ork:__ * r e t u r n e d ______ p or w tut rtu o n ? ____ U n a b l e t o ._ w o f k ___________ 12. Date returned to work:.-- _______ 13. Occupation when disability began;... when disability began:........................-- ...... -...Type of work:. W eider ___ W eld er ..Type of work you were doing .Xength of tima is this type of work (a) immediately prior to onset of symptoms:----- . 2 3 y r s (b) During llf ttlm :____ ?iS ?------------------------------- 14. Were you exposed to dust in youx work?.... Typs of dust:_____ ^ . .I t O _ B ______ Describe briefly how you were exposed:..........h5..-h9.fc....i?.iSjSiS_______________________________________ ____ T h e s h o o t s t u r n e d t o d u s t a n d I i n h a l e d t h e d u s t , _____________ SIWT h lV , Tye et Dltokto Hemrt e( Diub. hn el Bedy WJWh . " Over what periods were you exposed in your employment?---------- ---------------------------------------------------------------- A m in We Date of last exposure to dust:. ~, 1 9 7 7 13. If you were exposed to the substance which allegedly caused this diseaae in other employments, give the names and addresses of the other employers, and dates of employments:---------------- --- .................... .............. 16. Have you filad a previous application concerning this or any other occupational disease? If to, giva claim number:. -- -- ------------------------- ----- ------ By plat tkie sratketfe* I prtetly wtlvt. ee btbslf ef mytU s*4 si any per** S* alult beve tny totereet la thli clslw. sTI frewUlese of I orkidiaa aar fbyticiaa ec atber aerees vb* bee boretefere etiea4*4 er ettAtoeC . r h ktttthvt stia4 * ! at, fta eidMin< eey baawitCt er iafemenM vbtcb they tbereby eeeeire. 1 h in reed ell the uie^eoi caau(a4 bere u 4 bae tbe lame te k tree iM terree- I ktreky eatboria a Udiertoi C-- > t yy am* mrafut which/G} A ewvUeS Swaet to Ike | i m a riaSartss ecmee p a n sa i to ikle sptlitMto* fe f j m m t ai at toe ftuto O y y < itoiJ D>feee 1 ^ ` "KF^VTCSr jrv Law (XI ersltoeat elaae by toerk rwe witaeeeei at her.) --------------------------------------------------------- --------------- D it . report >nt to tm ploytr__________________________ (Sicweiare el tkfLeeat. II aaekl to eifa^berb wM be wSe.) Strt Addrtw----------------- 1-- 1 2 5 X 8 _ E o a r y --A v e City or Town_______________ C l e v e l a n d . O h i o 1(135' PART 1L Employer' Report of Occupational Duease 1. Nomo ot .m pl o y - r : .- c ^ e ) . 2. O Ses addraaa: ^ j_________________________ Of? u sbew^ e Uaaraaee Certiieete) -- - - _______-- - - X Nature of business:. (Perniai, cael alaLsf, eu.) Type of orgaaltatioa: (Cr^. perumtoip.) 4.1 The ctruings of the iaJurd<tstployM for sarrieta rendered at time of occupational Utas are being reported on , ... 7 sT*p " ... ' Ti-ro^ SUaeeU* . ' toe .' - . ^ n . t i r - - - u report o f RJ.k N s --- j j --M inali N o. . ... il; 5 0 3 '' C4Ap' " '--V U L . . : : ~ 0 ".i0 r v r . . v c r v;<j" r ! : , i,r c o m p h id a t io ; 7 Al !L) . . Tii'. m rU ST R IA L COI M is s io n OF OHIO . ... OFJGTTAL RECORD OF PROCEEDIIIGS . . V -- -- ** Sticet and No----- :-- S-:---------- City Employer ------ T ^ ' f.T. _ s f r r * ' Street and No.---- City -- r" --z*"-},___ T ." .;' .Claim No- .(SUte) ____ L _ _ -- _ ------ r '? 7 .Date oi Injury..!--: ,'------ .(SUte) r-*-> r v Findings oi Facts and Minutes Present (or Claimant-------- -- Present lor Employer-------- E li-- On this day tils was heard and findings and orders were made as follows: . ............ . rr 1-- f*r."*r r-tt t*** C T ^ t'* '- r t ? ; . . - r c- r r-r- r - r --, rrr* -,v i . . , . . . . . . c* : , v - - r v c :-- - r ~ .: r i c 3 r - r - . *.'* * . 7^^ * . . '' -- c? *\-n rrir.-j er Csrr^rsiea t*53 ^ .- . , r: c*;3r*~--3crr'tt tst thelcafes*bHrf*7eb*Xctsxii* .I ' .. '.VI ......? , h-,-7 r-*7Trt tter-T^rfrt t h Cttc^et* rirr wd ' ; - : ) f r T e r r e s * ' t * f i l e d r l i t t a r r c i t b s c l tTtf 5 * -- . . Dried at______ lutrctrinl Coinmlgaton of Ohio .tills. -doy of___ : --Bureau oi Wooers' Cou"*. !!' . Ad'* $007 04-50 l 'c : . -a r ; :; i a l i.j v c a l a m o r , ! : ' .. J i r f . ---- ,i`- tzz phyr:':*1h cot f o 't : . itmcnt as p2:rt *M L* t i* f 'v > p :d ., I I" ."' y * '-- I-* r ~ ~ t t r z " , tr-o, ecrrecil7 recorded and thet this record msy be retained In the files of th To:d -- f ; ' . 2 . v '.;ru j'c'fh a fa 'Jccir.r'tirsacae or conditions: .. ' ' ' I >. 1^/^* r -" - ^ n :--- *"* - hpjrttnrn I __ AtthtUl----- LlLi >rC' ; --- TVh*`-a Arridenti____h i P .: ___ Tuberculosis___ h i U . 1/ V i* * "--____ * ''n r lr.tln g r p d l i RrV Xllmrnt.i___ (M tf . 1 : .. , n~ ' " S , c.-o W - A & - W u k ~ , ' : .> 'V v r ......... / < * S * < c ' / ' i / U '- ' ' > / >* ^ * * / ' / i / / - i / - i v - -/--* . -------- ------ Now Hlr. ^ D:.'. - ^ ~ ^ 1 * S ^ _____________ --Interviewer. -Reinstate. . PRE-EMPLOYMENT PHYSICAL EXAMINATION ; f ; - . . x - ' V ' - - ' . f-y L>C<\ _____ lIndirac. Weight- \ ]S[ Lbe. \'V r 'e r d Pr-t.--T f--<-- ,-- '.'*1 f1* ' Vir-en, u3Z5r C':- si--Ii'prctlon- *VV ' ! - r - iv \o . -With Glasses. -W ith Giessen. Murmurs. ii < Abdcm eri-- (Nots scars, tenderness, tension, tumors, etc.). A geJ2 _!^ -------Se-- X -Re y_ r -Development: Good_L -Pali. -Poor- __________ Nfear Vision__________ :____ A m w iitaH nn ^ ____ ,f - -- __ > ------- H 1______n________ * . - -Rhythm____________L iJ____ ; ii--*-:'--__!___!____________ __ ~ i l ; V )___ 'J L In a''r s l R c jlo r (Note Glands, Condition of rings, hernia, sice and type, etc.). f \ v\ | L f t / * ' . _______________ Evtrriv.Ulre and T ru nik -- (Norte anv dslonnlties, limitations of motion or aammputstlons.). j a J O .flC^S !pp*wf V t V r f c o i f t ' ^ _____ Temeiei DX.M ^ ri JPciiodn. -Regular--!____ Scantgr. U unrnlnweit ,.. . Hliwrt Hamlngv .t C crrrrnrated Injuriee--(Describe and giva pat cent disability ii "y ) *1 ^ JHeaty- Fil&iuL WM ____ -- .Dlmbling. I i I r HU \ r I I % I 1 I I 0 * i > l 1 ,v ., CL:vC`-.Ai!L) CLIM'C HC'3riTAL THOMPSON, Hr. Woody ( ) ' ______ Age________40 ' , ' Coie Bronchoscopy; left thoracotomy; biopsy Ptfl<4.rD5.-.7 7 ---- V . . --- -----G-e--n-e-r-a-l-------- - ' ""'_______ :________ R oom Dr. L.. K. G r o v e s Jt: on____ --- ------------------- --------------------------- A s s is ta n ts ____ P T.-- Mj-- P filLfir^Mr. F .s ky FP.LOPSRATIVE DIAGNOSIS: Left sid e d p l e u r a l e f f u s i o n * e t i o l o g y urt'deterrined. rOSTOPERATIVE DIAGNOSIS: Mesothel ioma. ' ' PATHOLOGICAL DIAGNOSIS: OPERATI F 1 i s T 0 R*Y : The p a t i e n t is a 4 6 - y e a r old black male ytho has had progressive shortness of breath on the left side with pleural e f f u s i o n on c h e s t x-ray. T h i s was tapped and 2000 cc. of fluid was r e mo v e d from there. This was c h o c o l a t e colored. . and cytology was negative. Bronchoscopy was unremarkable. When the chest was opened, a b o u t '2500 cc. of chocolate colored . fluid escaped and there was diffuse infiltration of fibrosis all over the pleural surface. The left lung was contracted and small in size. A b i o p s y showed on frozen section m e s o thelioma. . PR0CEUDRE: Under general anesthesia, bronchoscopy was performed using a rigid bronchoscope. This was unremarkable. The patient was intubated, positioned for a thoracotomy on the lateral side with the left side up. Routine thoracotomy incision was made and the chest was e n t e r e d in the fifth interspace. On o p e n i n g the p l e u r a , a b o u t 2 5 0 0 cc.- of c h o c o l a t e fluid e s c a p e d '.' This was aspirated. The left lung appeared small in size and had diffuse f i b r o s i s a r o u n d it. T h e e n t i r e pleural surface was found to be studded with m u l t i p l e i n filtrative lesions. Three of these lesions were biopsied and frozen section showed mesothelioma Two chest tubes were placed for drainage purposes and the chest wound then closed in r o u t i n e fashion. The p a t i e n t tolerated the procedure well and was transferred to the Intensive Care Unit in good condit i o n . ' . Dictated: Typed : I .D . Dr. M. P e t e r for Dr. L. K. G r o v e s / 0 4 - 0 5 - 7 7 04-08-77/mal 04-05-77/001 S037 M A R S .1970 f / i t : : c v .o c : : a l p x r c r j thcmpsc;:, Hoodie ___R.cc'rn No_____ .Clinic No__ 1-42G-475-2 Service Dr, " Hev/lett J 'otil. I Ic*. Date__ ll: PATHOLOGICAL DIAGNOSIS: . / * . -* . * * * ' . FINAL PATHOLOGIC DIAGNOSES - / ' 550-8772A 370-8772A t20-nn?.A 2/5-P77ZA 060-8772A 659-0772A 657-8772A 350-4971 : . ' /' ' '. : . ' ' ' , MESOTHELIOMA EXTENSIVELY INVOLVING MEDIASTINUM,'PLEURA, PERICARDIUM, DIAPHRAGM, AND PERITONEUM, WITH SEROSAL COATING OF ADCOMJUM VISCERA. .METASTASIS TO PARA-ESOPHAGEAL AND LEFT SUPRACLAVICULAR LYMPH NODES AND EPISTERNAL SUBCUTANEOUS TISSUE. LUNG BIOPSY April 1977, Surgical Path. #77-5123. ' . . ' .... INTRA-PULMONARY ASBESTOS BODIES. . . . . - >: ' 410-13X 410-900.6 CARDIOMEGALY (580 gm.) WITH LEFT VENTRICULAR HYPERTROPHY ( 2 . 0 cm. ) . ` Dilatation of right ventricle, right atrium, and left atrium." ; Congestion of liver (1550 am.), kidneys, spleen, and lungs; : 1 Edema, right lung (660 gm.). ; ' " . . Atelectasis, right lower lobe. , ... ;` Cerebral edema (1780 gm.). ` ; Arterial and arteriolar nephrosclerosis. ; ; ' 1 Cortical nodular hyperplasia, adrenal glands, mild. Divertlculosis, sigmoid colon. ' Hydroceles, bilateral. ' Hyalinized granuloma (1 cm.),' liver. '. UfL ' KP/ Howard S. Levin, M.D.. wt: n r ='.'L \::d CLINIC lOriTA!. f PATHOLOGICAL REPORT ________ _ _C lln lc No.. 1-426-475-2 , Pnth M ^ 1 0 9 8 5 5ervlcer>r Hewlett ________;________ , Dn>a 12-20-77 PATHOLOGICAL DIAGNOSIS: Date and time of death: Date and time of autopsy: Restrictions : Performed by: 12-20-77 at 1 :35 a.m 12-20-77 at 11:00 a.m None K. Pontius, M.D. CLINICAL DIAGNOSES Mesothelioma, respiratory failure, and metabolic acidosis GROSS EXAMINATION S b OCR EXTERNAL EXAMINATION: The body 1s that of a 49-year-old, black male, w weighing approximately 160 pounds and measuring 66 inches In length. The v; body appears wasted, except for a protuberant abdomen, the hair 1s black and shows a rale balding pattern. The conjunctivae are clear but show marked edema.- The irides are brown; the pupils are unremarkable. The ears, nose, and mouth show no abnormalities. The teeth are natural and in fair repair. The neck .. is of normal configuration and there 1s a palpable node withtithe left supra- clavicular fossa. The thorax is symmetrical and normal 1n configuration. . . There is a well-healed thoracotomy scar running around the left thorax and measuring 30.0 cm. in length. Inferior to this are two well-healed scars, one measuring 1.0 cm. and one measuring 2.0 cm., apparently representing tubal.' orifices. Tho breasts are of normal configuration and there are no palpable .. masses. The abdomen is markedly protuberant and a fluid wave is present. There is a 3.0 cm. ecchymosis located Inferior to the umbilicus 1n the midline. The external genitalia are of normal conformation, and there are no external lesions. The extremities appear normal, and the joints are not deform,ed. There is a trace of pedal edema.. The skin is of normal pliability and texture and shows some depigmentation across the upper extremities fn that there are patches of lighter colored skin fronting on the darker pigmented skin. There 1s no icterus. Other than the described supraclavicular node, there 1s no . palpable lymphadenopathy. There are numerous ecchymoses present In both antecubltal fossae and on the radial aspects of both wrists. . . INTERNAL EXAMINATION: Pleural Cavities: Upon removing the sternal plate, there is noted to be numerous nodules of gritty white neoplasm present both \ beneath the sternum and external to the sternum. The tumdr likewise encases the ribs. The right pleural cavity contains approximately 1500 cc. of a : slightly cloudy serosanguineous fluid. The right lung 1s matted to the apex .... and vertebral side of the pleural cavity. There are numerous small tumor " nodules studding the lower lobe of the right lung as well as studding the . . parietal pleura in the lower aspect of the pleural cavity. The left lung 1s . rot observed due to encasement by tumor. This 1s filling the pleural space from apex to base and adhering to the pericardium. ,, ; ' ; ` Mediastinum: .Numerous tumor nodules arc present . within the mediastinum and adherent to the sternum, as previously described. - . Peritoneal Cavity: There 1s an accumulation of. approximately 5000 cc. of slightly red-tinged serous ascites. The peritoneum ' - ' r ' " . ' ! P CH'V. . , P A T H o i O F i r A 1. r:rr,o::r 'o : An c _ A l t.'oo'lio -Room No.. -Sorvlco .Clinic No.- V -^ .R - `17T>~?. J n i'l | : -Dots J.- PATHO LO GICAL DIAGNOSIS; Gross Examination - Pngo two as well as the omentum, mesentery, and sorosnl curfncrr. of nil pbdomlniil Vl?l?vrfl . arc studded bv nodules of tumor. Tho abdominal vlscrrn occupy their noNial anntr;;'ii:o.l positions. The diaphragmatic leafs nro clovntod, The r-l'jlr Of \ th- li'cr is in proper relationship to tho costal margin find llin r-Hfnin of Lit * spleen is nondetoctable due to encasement by tumor, . . r r.r ; : 015ruLAi sYSTrfi; . Heart: Weight CCI) prams.. The coronary m tert^. Fa "normal anatomic distribution and multiple cro.18 sections shov/ no Slt/Alfi* c e n t narrowing of lumlna and no evidence of thrombosis. "f:c epicardium shows numerous adhesions to the rorlcnrdlliiii find, 1n faet* th: rricardial space 1s obliterated by these adhesions. Thst'fi 1 no t' nr.*r ' '' p i : 't cn the rplcardlal surface. There 1s o notrol amount of r*fCj r d i ^ l fal i its distribution 1s normal. The myocardium 1s of norm'll con51 r - ' -.i r rr.ercnce. The right atrium, right ventricle, and thi left fltilim U C 1 r:'-' *,.j dilatation. The left ventricle shows a normal configuration, fill' h ' M h . . . ; l ! . . ! 1 ft ventricular v;all Is markedly hypertrophied. Thp pre-Jt VfiS'nla n t f e r d 1 rive the hr:rt In a normal narr.er. Tho septa aro 1 n U c t, find ibfh* dr 719 y c r - *: -.Hal atrerr?! itles. The left and right ventricles are 2,0 c/'.nnd 0/i ,c."i y , rccccctivrly. The heart va'vc: are thin, pHfiblr find diHGSt*, t i i cc ty. Valvular r^surc'ents m ts fisrtls 7 6c*/# > 1 12.C c~., ptlrcnic 1G.C cr., ?-.d tricuspid ('*, fr.rt-i V ` V-tlcr Ti t SOf i S : f i,i - - U . ' "iccirel hT -'c*:S ara cater'i "' } roueL.ft, Tire SrS f/S Sf- cr ir-.rs cf sirrificant r.irrorfr? rreF't, " ` - V'-- '-'r 7*"^ ir T V v } Tlf ' ; ' -- =-; c- V"'2 c i v z f ktz t t i z l r 't 2-`T- iritb `eri fi.'f f ,.i. Jib sic'if tcc.rt z r e z t v f e x tr fr .z fz cr Irrt.riffle. sieitssls g f V!1**. *....... f t:t ; c "cznzr5 Lrr'm; ITS |Cw^*C- Tr.'. `Siry*' iff'ya./ fs- ercftn i?. Tjrjti v?r.i .V;y*'t rtmi:1.'*': T;;<? f'OiF'S' f tr.Tj ;... i;ri - rs& if c-iblir-acisa:.* Vlt\r .ta.'> u;p: : iiC q-ims,- fre* Ts.fi tuvi i;<> m t i*' w~-f 1*'tt cRi frd -srvi; fs cil? .*>fcj :r : v : Tift c*scrrli 2.r c ** c'rri 'tiie- ?.*;ic*!l cT.rr? jrif j.'hi>.i|rr.F i* r$ if.i t. ' : t* v.".r..c.Tu-. viTT'-*.C'i-~' f ncj T!;i: a'ap'ttrcs cf wii? r-t tbmxs t* flilf:':.'rV _. f "t crn*.- Ths Tc'.'V'.r Tcie. fj ' R^C: cT.`,d frt'a if?.. '* T'*'-/ rr;Li *y j'rttiv"inc cm td:i? irfijji't Ti'jrrg: xv cf ernirf>' en'tf iltVSin^ / i.*>s - 3 ! ^ ? : i :> :::h ~ :h u t s \ . . Tte spf.jym (tV' <sm;. tfo^.i'rcg tff wz ;rj;ir . rlj cniumr.. Tns tcimror tis l>r;ni%v P tW cfflSllsP tfif Slie s *' Ou sioitsi-., tir.' siTtcnra i s a*f mormiiT <sortif>Tinnj$ smtl qjp&wttnK?* ' ' .. - tlvmuri' TloUnc:: fr 7j V Ifynjjih mpd? ii f: fmtomtine sumrsitTi'Afmihrr mwv. antf ait; mtt sunflau apiwimk ifip tte jtspjleiwr B^V .C*' mtiupHicm. tt tloe arerSKiesaiptwiBttT! jjjurc;\or^ Tlynjpi' mute [resuming Tl.^ mv fi?//. 3007 :459 PQ r v : . f'W . D c n ; ;<j n u r 'iiAL PATHOLOGICAL REFOKT Ml \%. r.i:TN rSON, Wood0 .ClinicNo.. 1-426-475-2 -Path. Nil.,, Age_Jl2_--RoomNo____J_____ServiceDrJ!f!!l^-------------'-------!-------;-----Date-----V'~P ~ ? L ' . *<' ' .. - PATHOLOGICAL DIAGNOSIS: Gross Examination - Page three. ' . . present and on cut surface shows part of the parenchyma to be replaced by firm , white tissue. . ' . ' . Bone Marrow: The vertebral bone marrow presents a '' normal appearance. . PASTRQiNTESTINAL TRACT: The esophagus 1s free of lesions. The stomach has a Jv norma'Pconfiguration and the serosa of the stomach is coated by tumor nodules. .> Tko mucosa is thrown into rugal folds. There are no areas of ulceration. The V \ \ retroperitoneal portion of the duodenum shows no involvement by tumor; however, . the peritoneal extension of the duodenum shows serosal coating by tumor nodules.' The jejunum, ileum, and colon show marked coating of their serosal surfaces by tumor. Numerous diverticula are present within the sigmoid colon. The appendix' " likewise shows marked serosal wrapping by tumor. The anus 1s normal. . , . LIVER: Weight 1550 grams. The capsule 1s studded with tumor nodules, the largest measuring 0.5 cm. The liver configuration is normal. Multiple cross sections reveal a hyperemic cut surface but no accentuation of the lobular architecture. The inferior surface of the liver shows a thick tumor coat. ' ' The gallbladder 1s of normal size and configuration. The wall is thin. and the mucosa 1s bile-stained. The viscus contains a normal amount of green- . black bile. The cystic duct, the right and left hepatic ducts, and the common duct are patent and free of calculi and other Intrinsic lesions. '' ... ' ; " PANCREAS: The pancreas is soft and mushy 'and on cut surface the lobulated patiern is present but the parenchyma appears yellow and soft with areas of hemorrhagic discoloration. There is no evidence of fat necrosis. The ducts are patent. . ... . ' GENITOURINARY SYSTEM: Kidneys: Right 140 grams. Left 150 grams. The n 5 * 0 .OOP right and left kidneys are s i m i l a r . T h e capsules strip with moderate difficulty to reveal finely granular subcapsular surfaces. There 1s a 1.0 cm. depressed wedge-shaped scar 1n the cortex of the left kidney. The renal arteries and veins are patent and free of stenoslng lesions. On section, the renal cortices are of normal thickness and the cortico-medullary demarcations are distinct. The cut surface of the kidneys shows marked hyperemia of the parenchyma. The pelvo-calyceal systems are normal in appearance. The ureters are unremarkable, c k Bladder: The bladder is of normal configuration. .;- l y The pelvic fat surrounding the bladder 1s studded with nodules of tumor. The * mucusa is intact and free of ulceration. There is a small .submucosal hemorrhage present in the posterior wall of the bladder. . . =' .v " Prostate and Seminal Vesicles: A portion of ~ the prostate is examined and sections of this reveal rubbery, firm, gray-white parenchyma, free of unusual characteristics. .... ; . , .. Testes: There are bilateral hydroceles present '! but otherwise no abnormalities. . . . ' r ;l . - ;. ENDOCRINE SYSTEM: ' Adrenals: Right 10.0 grams. Left 15.0 grams. '.'V*"'- T h e adrenal cortices show marked convolution and nodularity. They.are bright yellow . In color. The medullae are unremarkable. . ' .> Thyroid: Weight 23.0 grams. Multiple c r o s s ' * : sections of the lateral lobes and Isthmus reveal no parenchymatous nodules or . . . ' .i _ * nsrop.r Vi'A'1''SUN, Vluo.Ma J V w n No.. .ClinicNqj -426-475-2 .Scrvico br Hewlett P o t h . N ^ - l 1 ' 1 ' ^ 77_ f* \i .'!' *L'!CAL IMAGNOSIS: Cross Examination - Page four '.V kstuns. . ; . . Parathyroids: Two parathyroid glands pro : ' iikd, l.hich era grossly unrc-arl.ab)e. P itu ita ry : The p itu ita ry 1s unrcrrorhoMc, i ' .;*1 I f J l v r M S V S TT M : C r a i n : .H e ig h t 170 g r ? r ; . T h e r e fr, r - ' !" * ? . ning'oi t;/h tyr1* There is no uncal notching tut the right ccr-^;)ter tchoil is somewhat soften?.!?, ' ' Tl.e 'toajor cerebral arterlES show no significant atherosclerosis cr Ci .OiiiO l i e s * Spinal c/rd: The spinal cord end i t s c o y e rtrg s 1'i'C unremarkable. > ' ' " 1_NUSITT05,kTLETAL SYSTEM: The axial and .appendicular skeleton show VO t.jnonnaliFies. The exposed musculature .is unreniankab]^ .. . ' ' , , ` ' * .. \ *' : ADD^NbUr*: :Lcft_ILi,JTiL: The left lung 1s removed from the ployrel (Cfrv.fty v/ltth - * ; greet difficulty due to an encasement by neoplasm.. The Tuny tis formal An ; '" , Thr>-'Mated for three days prior to sectioning.. Crocs sections through .r\ erilfi'O lung Shov; a '0.5 ito 'S.O om. coating by gritty -.white rvoplcsm,. The f.urror -_. hue el so 'encased the pericardium amd the diaphragm. The -.ent1rp iplteiWH Purfoce v" . -ov U'o Tung is covered '.by tumor, and tumor nofliiliis -extend fnto the snibpTenrol 'plfporidhyma at several -'areas. In one -of these areas there fc a -r.'tm -of rcompr?r>r.ftS lulig parenchyma which is -unite firm as tcormrared to ..the surrounding tlung -fctesiie.. '' The lung .'parenchyma away from the tumor shows oiniform-ei.r spaaes vwfthput <$v1.tlenp <bf -siibpieural buTlae. The bronchi are pulmonary .arteries show rPP S ^ n i f l s a n t 'abnormal ity. Several neribronchial lymph nudes are present pt ihe b:1furoofcipn `of-the'main stem bronchus and on cut *urfame show 'sigrificont antjhrecQklc pigmentation. Sections -of the Hung are .submitted for microscopic rstudy. W.-eul 5007 04 1 * * ' r i.:;uLAr ciJ'C Lr/ :t\ TATKOLOGICAL REPORT ( . THOMPSON, Hoodie ' . Kl 1-420-475-2 A g c _ _ i f ________ Room No_____________ _____Service D r .- ftgwl eA t ---------------------- PATH O LO GICAL DIAGNOSIS: MICROSCOPIC DESCRIPTION . . , 1 Path. N o . ^ 2 ^ O 'i* - 1 2 -2 0 -, v . CARDIOVASCULAR: Sections of the left ventricular wall and Interventricular septun show hypertrophy of the muscle bundles manifested by an Increased amojnt of cyto plasm and enlarged nuclei. The epicardial surface shows fibrous scar. , RESPIRATORY: A section of trachea shows it to be wrapped by mesothelioma ' which 1s characterized by dense fibrous tissue containing malignant colls with vesicular nuclei and basophilic cytoplasm, which are arranged in papillary structures and tubular structures. Special stains for hyaluronic a d d show that the major secretory component of the tissue is Indeed hyaluronic acid. A section of diaphragm shows neoplasm to be coating both its pleural and peritoneal surfaces. Sections of left lung reveal the pleural surface to be replaced ly neoplasm which superficially invades the lung parenchyma. Sections of the left lung taken away from the tumor show severe congestion of the alveolar septal capillaries . and edema fluid in the alveolar spaces. There are frequent asbestos todies present. These stain positively with an Iron stain. . . Sections of the right lung show similar severe congestion and edema as well as organizing intra-alveolar exudate and areas of hyaline membrare formation. The parenchyma of the right lung likewise shows frequent asbestos bodies. There is no evidence of interstitial fibrosis, however. LYMPH NODES: A paraesophageal lymph node and left supraclavicular lymph node show metastatic mesothelioma. LIVER: Sections of hepatic parenchyma show centrilobular congestion v/ithout necrosis. The capsular surface of the liver shows studding with tumor nodules. These do not penetrate the capsule into the parenchyma. In addition, there is a hyalinized granuloma present 1n a subcapsular location. SPLEEN: The capsular surface of the splenic sections is coated with mesothelioma. The parenchyma of the spleen shows severe congestion. PANCREAS: Sections of pancreatic parenchyma show autolytic changes. ADRENAL: Sections of adrenal gland show a nodular cortical hyperplasia characterized by small nodules of adrenocortical cells s.tudding the adrenal cortex. GASTROINTESTINAL SYSTEM: A section of peritoneum shows' its surface to be entirely replaced by mesothelioma. A section of jejunum shows serosal meso- ^ thelioma. A section of appendix likewise shows it to be entirely enveloped by . ' mesothelioma. GENITOURINARY SYSTEM: Sections of the right and left kidneys show numerous cortical scars and hyaline sclerosis of the renal arteries and arterioles. There is moderate congestion of the glomerular capillary loops. '. - < v ; S007 C442 c s i k o t :-:; - .......... T n.-- , Ci-HVLI-At'D ClUC HOSPTA*/ ' : * . ^ PATHOLOGICAL REPORT . '`* **'--: > . * ** . ' K'nm: THOMPSON, Woodie Ago__12_____ Room No.. _ _ C lln )c Kft M 2 6 - 4 7 5 - S :_____ Poth. Nof a o ? C ,, -Servlco Dr. Hpwlet.t. -- !------------------:-----Dota..---T & ib .7 7 ci PATHO LO GICAL DIAGNOSIS: Microscopic Description - Page two . V DONE MARROW: A section of vertebral body bone marrow 1s nortnocellular with ` a slight erythrold hyperplasia. ' ..... .. *** SKIN: A section of subcutaneous tissue taken from the eplstemal area shows ' nodules of mesothelioma.- DRAIN: Routine sections of rectus gyrus, basal ganglia, hippocampus, mammillary bodies, midbrain, cerebellum, pons, medulla, and spinal cord show no significant changes. K P :eat (ama ere %/ iOO7 0^63 '^JLI-VELAND C M N I C HOSPITAL/-^ . PATHOLOGICAL REPORT '."r; . ^Nome--TH--O--M-P--S--O-N--,----W-o--o--d-i--eA g e _4_Q _____ Room No.. _______ __a,nic 1-426^475-2 _ pQth Service r>- Hewlett________________ ______Dote___ 12-2Qr7i PATHOLOGICAL DIAGNOSIS: BRATN AFTER FIXATION: The dura shows no lesions, and the sagittal sinus Is . : patent. THe" leptbmeriTnges show some thickening and clouding over the frontal and temporal aspects of the brain. They are not thickened, however, at the -- . base of the brain. The convolutional pattern shows some flattening of the gyri. There 1s no evidence of subfalcial, uncal, or cerebellar tonsillar herniation .present. The major cerebral arteries show mild segmental atherosclerosis and appear to be patent throughout. Serial coronal sections through the cerebral hemispheres show poor fixation of the brain but a grossly normal cortical - ribbon and underlying white matter. The basal ganglia and diencephalon show . no gross abnormalities. Serial cross sections through the brain stem and . sagittal sections through the cerebellum fail to show any gross lesions or , abnormalities. The ventricular system is symmetric and of normal size and configuration. SPINAL CORD: Serial 1.0 cm. cross sections through the spinal cord and the cauda equina show no gross abnormalities. . . KPreat T 007 0466  " t, :'v'P; r j ! - - V i.. .,*4, .'i ... '' ' V-' . r ,. V IT - V-- - O':' ) ; >> / ~ -- i . - ' - ''* ' *r , , '" >f r'- <-.W ^ t ~ !_ -' Sf *> - >. . -* ' " f/s/L a ____ \ n /: i ; .-1 - , ; ; i i NOSE _ PARTICI N COMPIETE \ DATES- `ROM .-v:>!T-i -RV-^ER snir-rrvyr*N3 mciut . ceat^ _ automt ___ ____ ____________________________ ^ fE iiC v v__________________ 1]_______________________________ a: ' lO'-sG - - . ; . ]\l r -P WAS HCWAUZtD -OR Al rOl'RS 01 lO'-OlR CO/.'.sLET REVERSE C-r. M T a'Z C;17'-M0 C- S^V-vtR^ ^.VSE'C N V.a StER RECORD crvi-uNi q i n 'c A 'S * %> Cf 3007 0465 A D `.-.!O-ON-DL'CKAP.GrRFCr:? ar***.'. ^ z> ' . MAR 9 jgj V V  V - y. / . ' . 1* I i > I r * li l!`j r i \ J `J 0C7 0 f 9 MARS W O L.- 'JAMES bi WISMAR.. M.D. 0 1 OI.D OAK rOmtVANR W i l l *H . MlDDKIUnO HtlOHTt OriHI..O..***110 'TWwtWW M tlll :..i Fobruaj^ 10, 1978 * f. Robert K. Hianay i- Supervisor, Ins, Relations Dept. Cleveland, Chio Wtlhl Re: Kr. Vioodie Thompson . Pear I'r. Ilisnay: Enclosed please find copiec of hr. Thompnon'n aar.ittlnf, history and physical exam, hocpltal discharge suir.r.axy and letters iron the Cleveland Clinic relative to his care at that Institution, iy last contact vith hia was on i-'arch 19, 1977, r I * i ,) ' t i . \. l 3037 0t7C h Cl . F A L I A N D CLINIC. TH l CLINIC C f N R J0 0 EU Cim A V fN i;i. C llv E .A N D . OH 44I0A. U S A it.- -v; M or heMMoiOGr A V V t.'.C A i O N G G I^ - iy -*" ... MO * .,o . V - M f \j XI'" }' MO* r M ' ''TviOv M MO . 21G-444 2200 ~CAIE. C lt V C l'S .. r January 9, 1978 Janes D. Wismar, M.D. 7225 Old Oak Boulevard Middleburg Hts., OH 44130 Dear Doctor Wismar: RE: Mr, Woodie Thompson CLINIC //1-426-476-2 I regret to inform you that your patient, Mr. Woodie Thompson, with the malignant mesothelioma was admitted to the Cleveland Clinic Hospital through the Emergency Room on December 17,' 1977 in a preterminal condition. He was given supportive care but expired on December 20, 1977. Permission for an autopsy was granted. We regret that there was nothing we could do for Mr. Thompson at this late stage of his disease. Sincerely yours JSH/ha/M-6395 b(aq7 0471 PO W OOf-IE. ,114-2 ISO 77-31C32-3 . : : ..Admitted 3/4/77 ` . Dr. '.-.'iGmar ` ' 1 * >' *> , ' )**% \ -y . r * M w* ./ . - 4 3 year old Black male admitted to the hospital because of left pleural effusion., . ' ' ' ' '. HISTORY 0? PRESENT ILLNESS: He states that he was well until approximately x nesl: prior to admission to the h o s d t i l when he began to experience cough and exertional dyspnea, These s;/i.im&o;r.o ineecasel, were not associated wit.i a n y chills or fever and promote 1 aim to be seen in the E.R. on /o/77. At tr.it time, it was felt that his problem was tracheobronchitis. He was stirtel on antibiotics and cough expectorants. He was seae by the u.ileP3i;-nei on the day prior to admission to the hosnital with no significant i-rrover.ent. AT that time, clinical sir^s were consistent witn left pelurai offuiion and x-ray examination showed .massive density of the- left hemitnorax with siilft of the mediastinum to the right. It was felt he snouli be .i)sriauli/.e 1 for further investigation and treatment. ?Ar7 HISTORY: is significant in that the patient has had known hpperteu3ion i--., ^_ p_e_r__i_o_d of o -v years. he was additionally treated with antinyperter.sive cnerinf/ anj nus not- taxon any medication in the oast six months. In 1973, ' '? wis hospitalised at SWRK for a ''enechup'1. At that time, he was told - iat 'ho nal a ii.ibetes and was treated with diet, but did not followup any `.further medical care for tills problem and has not had any symptoms . ' sug-eative of pplyuria, polydipsia or unexplained weight loss. Hls_ health .' ' nas otnerlrlse been .pood. NTo allergies. No injuries. HABITS: DOes nbt use tobacco. Drinks alcohol only socially and currently ills 'only medications include Erythromycin and courh expectorant from the emergency room physician. - FAMILY HISTORY: His father died in hi i 00s from c o m m u t a t i o n s of hypertension. Motner is living at 6p yrs. in Rood health. He has 3 male and 1 female s i d i n g all of whom are well. Patient is married ,has 3 children, ail of whom are in good health. The patient works as i wilder for ^ord Motor foundry. . SYSTEM REVIEW: HEENT- doe3 relate some diminished vision especially in the.rlgnt eye recently, but no other symptomatology. C-?- his only distress has been slight right sided pleuritis like chest pain, cough has been productive ofl only scant amount of mucoid 3putum. GI - negative. 0U- not remarkable. MS- not remarkable. , * ''1 'V \\ ''\ .* i\ 007 C4?2 11^-2 LlO 2/V77 :ar w e n developed, well nourished, alert, cooperative Her,ro male In no acute diotresc. Vital signs - B/P 200/130 in both arms; pulse rate 88 regular' ^ rcrrirations lb but not labored at rest. ' ' " ' *'* ' S'.T`: No remarkable findings; .' '' ' \ t `-vf ~ V-,E: .Bilaterally responsive pnrils. Arcus sinilis was present. \ Funduscbpic ' examination showed copper wiring with r.arked tortuosity and AV crossing defects an 1 scattered waxy dxddates, bit no microaneurysms or nemormages. ' . ho papnlliedema. . * . . i * nothin,", remarkable. ;C" : Supple, no thyromegaly or ude.nor athy present. ;rc.- ai3e.it on the left side,' praent or. the right. Supaaclavicular pulsations i: Expansion appeared to be somevrhta limited with aefinite diminished r-jiBfi .sounds and dullness over tnc left hemithorax witn markedly reduced ' .r.isntrea emonuonatc ami E to A change. No rales or rhoacni were audible. EAST: difficult to aso e 3s , mediastinum was definitely shifted to the right : .nd tne nearfl sounds were more pronounc id on the right than on the left". HHBere'. , s no manifest enlargment. First and second neart sounds appeared to *, normal. 32 was more pronounced over the pulmonic region. S3 Sd were ' . .bsent and no murmurs were present. ' . . ,BD0:i3W: Showed slight tenderness to deep palpation in the right upper uadrant. Mo definite organs,. masses were felt. Bowel sounds appeared to e nornoactlve. .xternal genitalia not remarkable. ' : IXTRSillTICS- peripheral vascular examination was within noraal limits. '.ZCTAL: No.remarkable findings. * ' MPuESSIOM: Left pleural effusion, etiology unknown. , R/0 underlying tuberculosis, malignancy"with ' metastatic disease, empyema etc. associated with bronchopneumonia. ' 2. Hypertensive cardiovascular disease. 3. Diabetes mellitus, historical. ' i. Hypertensive retinojathy. ' 3/b/3/b/77 ,0C7 C<73 PQ J Wianar, M i r\ -/ . 1.77 .Left pleural effusion, ezlolory unknown Hypertensive vascular disease Diabetes mellitus, noniusulin dependent Leukopenia, mild, possibly related to Dx. #1 i. ; > \ > . i . i _ Ne ideal and surgical including repeated thoracentesis, '^arjnostic workup . ` t ; V 3007 047 _ The patient is a U6 year old black male admitted to the hospital on 3-4-77 arid discharged on 3--19--77. He eos admitted because of chest oaln and exertional dyspnea. History and physical examination are as dicataed. ' Laboratory data are as follows: Chest x-rav showed a massive left pleural effusion with shift in the mediastinal structures to the. night. Intravenous pjrwlograms including aamlnograohy, oral cholec^stogran, upper 01 series. 5ariun enema and liver acan were all within the normal range and chest x-ray following adequate thoracentesis revealed no significant new findings tnd no expansion of the left chest was noted. EKO was within normal limits. Examln- . - it ion of the pleural fluid showed no evidence of any malignancy. The L?H was j)2 units and amylase was 126. Hematocrit of the pleural fluid wa3 2.:. ` . ' Cultures were nonreactive. A tuberculin test was negative." Hemograms showed. persistent mild leukopenia with a white count of 3700. Hemoglobin was normal m d differential showed no abnormal cells with the exception of the third " nomogram which showed a loJC eoeinophll count on differential. Electrolyte . : pattern showed nothing remarkable. SMA-12 showed creatinine to be 1.5. all , rther parameters were essentially within range. S e rum amylase was 8**. Serole . ' r.v was nonreactive. Rheumatoid factor was negative. Urinalysis showed nothing -- .ignificant. ' . '' Heepital Course: The patient was tapped on two occasions with 600 ar.r'1230- i- 's of fluid removed and sent for studies. The fluid was a dark, reddish, -. .logany appearing color. The patient tolerated the poocedure well. Kith a .egatlve workup otherwise, it was felt that thoracotomy with exploration was . / *' ndicatel and arrangement were made and ne was seen in consultation by (CONTINUED) .. - r.lThmflVE SUMMARY THOMPSON V'OODIC 77-01832-3-, .'rtcrp to Qo this, procedure, however, the p a t i e n t 'refused to`i ! . - V.- 'cratlon done on the dayi-of its schedule. Accordingly he will -; ".mi : red at hlo request to the Cleveland-Clinic for probable exnlorn- n and further dirfrnostlo workup as indicated; T h e .llkllhood ,Of this \ Tf-- .PhoTna appears to-be quite high. ' .: .' ' r on Dlsch'arne-- Unchanged ' ", i Pi?charfe n?dicatlon6 include HydroDIURIL. 50 rrir,. b i d `for control .of hvner tens ion. '" ' - . ` >. . ` , ** . , 4 ) i: -rv 3-21/ -ld-77 ); `-TD.' Wlsnar; M. D.` V ' ' . '*'! '**?r,1*' -007 C W 5 PQ , * Casting Division Ford Motor Company February 1978 Cleveland Casting Plant 5600 Engla Road Brook Park, Ohio Mailing Address . P.O. Bo* 9900 Cleveland, Ohio 44142 J. E. Slingluff, M.D. ' 2223 Fulton Road, N. V. Canton, Ohio +709 Ret Voodie Thompson s.s. /A16-30-0I113 12518 Emory Avenue Cleveland, Ohio U+135 Dear Doctor Slingluff: . * Prior to his demise, our employe, Voodie Thompson, vas seeking lost time and other benefits from us for a physical problem vhich he vas ex periencing. Ve understand he had been under your care for this problem. In order to properly evaluate his claim, it would be very helpful if you would provide us with a report of your findings, including Hr, Thompson' history. Enclosed is a waiver signed by Mr. Thompson authorizing release of this informdtion. Please enclose your fee bill for the compiling of this infor mation along with your report and it will have our prompt.attention. Very truly yours, FORD MOTOR COMPANY 'C ( 0 \ ./ / / / / y >/ Robert M. Hisnay / , Industrial Relations Department Cleveland Casting & Epgine Plants R M H ipr . E no. 30I7 ?476 r ;i)fp' nif'rt'sun ll/OB/77 11/00/77 Name ` t 1 J 111 -.in .f a | NnnMAU RAMCJKr n COMMENT \'-cn% . 96 , L MI O/Li : ; to routin '' *'...,'9y 0*- 10-0'*ME.*i.*v;> : :" UM .'' _ 136 MEQ/L 135- 145 ME * AUTOMATA MEDICAL SERVICE^ POTASSIUM 3.1f MEQ/L 3.5- 5.0 ME ' OF OHIO, INC. 'l.lf.tlUiLYtC, RAT* 68 1*1 tIS MaatlUU. OkW44901 INffrpff'OIMULE SEE-A'TTAUCHMENT iu : 00- 25 IU E SLiNGLUFF.DO TRIGLYCERIDE' 119 MG/DL 10- 190 MG 23 FULYON AVE.N.W nil FERENTTAL SEE ATTACHMENT UON OH . i.o 2 28 HMOL/L . 2l- 31 MM ' *4720 SPOT . 167 IU/L " SOOT ^ -A'NQRM.M 17-55 F 13-A5 tNo bilirubin (.80/ H MG/OL 0.00-0.60 MG ACCT. NO. 520*127 OlRECT BILIRUBIN 770 HG/DL 0.00-0.40 MG PAOB NO. |UR CHARACTER CLOY *.J TH ABBT. M.O.. F . O . P . . F.A.S C .P UR COLOR. ornge ' -Y6L , aotciktwieio 1 RA898* HOODIE THOMPSON | Ac/; No 1 , NAM E j ' Tfi^t j RESULTS UR SP. GRAV* 1.010 Ur PH 5.0 UR ALBUMIN NEG UR SUGAR NFG Ur ACETONE NEG UR RILE ' .NFG R OCCOlT BLU NEG UR HOC NEG Ur roc NFG Ur EPtTH NEG Ur bacteria H Ur amorph * Ur crystals NEG Ur casts NEG lUR MUCOUS NEG UR Mt SC* NEG [j|11f/f0*0T.fV890/77|j11/P04W8/771 NORMAL BANOr OB COMMENT ! AitS .015-.030 - 6.0 -NEG -NEG -NEG -NEG -NEG 0- l 0- l ' 0- l -NEG -NEG -NEG -NEG -NEG jtiuii AUTOMATED MEDICAL SERVICES OF OHIO, INC. * AtS AUntfiU, Ohi. 44KI !1 * E SLINGLUFF*DO t 23 FULYON AVE.N.W NTON OH **720 ACCT. NO PA SS NO 520*127 A J. THABfcT. M D . F C.A * . F A tS>C*rr*r> 5*898*' HOODCE THOMPSON A tC NO ] NAMt VtST bkSulTS j UR ME SC* NEG nUN/CREAT RAT* TO FOLLOW CALCIUM SFRUM 9** . MG/OL PHOSPHORUS 3.9 MG/OL GfUCOSE H MG/OL run 13 M6/L URIC ACID 7*3 MG/DL C i. C L `STEROL 171 MG/DL V I PROT G*6 GM/DL a'.tl'mTn 0 * i 3 X Cn/DL `MLlRURtN TOTAL 1^0 MG/DL I.K PHOS / 2 13\ h mu/ ml LHH 's~?8* mu/ ml SGCT ' 2L. . MU/ML GLOBULIN <!*>>> GM/L AG 0.9-1 11/o0*8*r/77.11/r>0-8/77! *rrfVTb | 'proffMro normal danoe of comment ". * AjiS; / 8.5-10.5 MG 2.5- 4*5 MG 65- 110 MG 10- 20 MG 2.5- 8.0 MG 150- 300 MG 6.0- 8.0 GM 3.50-5.00 GM 0.2- l.D MG 30- 115 MU 90- 200 MU 10- 50 MU 1.3- 3.2 GM AU70MAJID MEDICAL SERVICES .OF OHIO, INC. 1*1 41$ . IReniti*U,Dkn 41101 E SL.INPUTFF,00 OH **720 ACCT. NO. PACK NO. 520*127 4 J . T N A B ET. .D . P.'C.A.P.. FJk.S C N c** otvwcrm* I >y ( ) DOCTC f> HOr'FlTAL MV'.ILIO/J, OHIO x-r.AY r e p o r t EKin-.maTion cl Thompson, X - A Y NO. 77-13403 . Hoodie DATE 11/26/77 Report: N&UC H O SPITA L NO. 119865 Chest, Abdomon . ROOM NO- O .P .O . %# on. . 160-2 Slingiuff Chest: 1n tv;o projections revealed the presence of an increased density noted within the left lower lung field. Infiltrate was noted throughout the left lung ` , field. On the lateral projection, the suggestion of a left pilural effusion /as noted. A left lateral decubitus projection 1s recommended for further evaluation. Discoid streaking was noted within the right mid lung field. Adomen: 1n supine projection revealed the presence of homogenous density noted throughout the entire abdomen. This may represent evidence of peritoneal ! fluid. An absence of gas was noted within the left mid abdomen. This may represent the presence of a mass 1n this area and an IVP 1s recommended for further evaluation,' Hypoplastic ttth ribs were noted bilaterally. Other variation not Identified. RPL/gp Name T h o mpson H o o d i e ...Rt owojm, mN0o...... l1600r-0022 ,, ,, .S P Lab. No,7_7-f-rA3Cl Resident, Dr......... ........ ...................... Intern, Dr.___ Pre-Operative Diagnosis (Clinical). Operation............................................. Post-Operative Diagnosis (Clinical) Tissue Removed. P a r a c e n t e s i s fluid MICROSCOPIC: l.:e I d e n t i f y n u m e r o u s hi st iocytes tog et her wi th e r y t h r o c y t e s and small cell clusters with somewhat Indistinct nuclei. Others of these c e l l s appear having a vacuolated-type cytoplasm and the nuclei appear displaced to the peripheral margin. Some of the cells also appear to have prominennucleoli. Inflammatory cells are also seen, being part of the background- Thc large clusters of cells described appear most consistent with adeno-, carcinoma, mucus-producing type cell. ... IMPRESSION: ' PARACENTESIS FLUID. POSITIVE CYTOLOGY. ( 2Y60-0143) M. R. Du r l s h l n , D. 0 Pathologist 11-29-77 Ik N < 19/8 0G7 04?9. 'Jr > - DOCTC.TS HCrTITAL , r.w i'!u .o r/. oh io <. . X-flAY REPORT - of Thrrpcon. X.HAV NO. 77-13403 1/rcdfo DA T Z 12/12/77 Report: NAME . . H O SP IT A L NO. ' 120260 t \ Chest, ABdomon > ; . ' ROOM NO. O .P .O . " 1 142-1 Sllrgluff Chest: 1n AP projection utilizing the portable apparatus: .. Cc-par1son made to previous examination on 11/30/77. The loft lung was unchanged as compared to previous examination. Pleural effusion with left lowor lobs 1 Infiltrate was again noted. Right lung field revealed marked Increaso In ' Infiltrative changes throughout the portion of the lung as compared to previous examination. Consolidated Infiltrate was noted within the right baso extending up tov/ard the apex, this was most likely secondary to pneumonitis or pulmonary Infarction. The carxllomedlastlnal silhouette was unchanged. Abdcr.cn: 1n supine projection revealed a generalized haziness notod throughout. the abdomen. Fsoas margins wore not noted. Tho U v e r border or splenic border . could not be visualized. We could not vlsuallzo the renal contours. Those findings suggest peritoneal fluid. No evidence of gaseous distention was noted. Other 1 variation not Identified. " . ' t i ^ i r a r i 4 ftor* r' ft / rnm uz 1:1' 5007 / 1.. V- lidCLKAR r'LDICirilZ i( '!:: if:'1, '.'m-llc _ ______ It--. ' / / - ] I i2/u/77._- _______ 1.!'.:-.; scan: ` . Lu.'iy scan; Liver/spipeii s jim I >**< '+ iw. J m ; . i ;i .. s t m' v. \ 142-1 .. Lsnii'jiuff- : . ** . , ' I. t>iii1u1 s'.^eci perfusion soon in noli': mper 1 field and inright base. There is infiltration and offuuion i these areas on the chest x-ray and differential diagnosis would exist tween tumor versus Infarction versus- iniau. :onitis. ...... Left lini'j; 1. Lircronsud ii_r*fus1on 1s scon lower portion of loft lung field. . flier:. is effusion and Infiltration present on chast x-r/iy and these findings chain present differential div ..sis exists between pneumonia Versus Inf rctlo.i. Clinical correlation Is sunoeslad. .. . .Llver/Spluon Scan: 1. Sn.u areas of Increased uptake are seen 1n loft lobe of liver. This is scvetliros Sean with ut-srruc ;icr. of the superior veoa cava. ' A s t u d y of t iio superior vena c:\:a u ;il Icing Technetium is raceamended fo.` furt'nor evlaiiaticui. ' Liver is otherwise unrorxtrbaLlo. 2* Spleen oppuars to be within normal limits. . flJr/gp "'" ' W 1978 PHYSICIAN'S COPY <* ... I o037 c - : |;c- a! Mission no'tes/ discharge sum. iy T j- ;;?A!Tn 0=11-70___:__ W. Thompson - 120260 ' . '. ' MASS'UOii, u:;: : II!.G P7ACN05T.S? 1, Carcinoma of liver and lungs. ' -, ` ' -. .L DIACI OSIS. 1. Carcinomatosis with hepatic lesions primary site lung.' ' l' ' . '. ?he patient was admitted because of abdominal distention with shortness of breath A s c l r TM believed to be tbe p r i o r y difficulty. He as seen on consult by Dr. T h o ^ L l i e r " jo reccr.-cnded a paracentesis. . ,r Ills 2 hour postprandial blood sugar was 110. BUN was 19. Electrolytes showed ml potassium at 4.4. chlorides at 104, C02 at 26. VDRL was nonreacl" he urine aT e U ^ i y hazy, pH of 5, specific gravity 1.030. Protein 1+. White blood cells occasional e? ly 20 hyaline casts with eosinophils occasional and 1+ uric acid Th calcium ,, / a q ! h?WCC was 4.7. Total protein was 8.0. The albumin was 2.9. G l o b u l i was 5? T t o C ^ 0.6. Choiesterol was 166. Uric acid was 8.3. Total bilirubin 0.2, SGOl'was 18 LDH w a s ^ i ` Alkaline phosphatase was 99. CBC showed 5.5 thousand white cells 4 2 million r J 14;` 10.0 grams of hemoglobin, 31Z hematocrit. 74 MCV, 23.3 MCH wich is very 1TM , 31.4 S c H C ^ t h 3 Begs, 2 bands, 21 lymphocytes, 4 monocytes. 1 nucleated red blood cell per 100 white cell Adequate platelets. 1+ hypochromia. 2+ anisocytosis, 2+ poikilocytosis slight stippling. Repeat studies were essentially unchanged. Paracentesis una a * ?fS7 Z** The patient had had a previous paracentesis which was positive for malignant cellsmi1hihed' previous admission to this hospital. Chest x-rays were taken and werel e n t i a III TM cL ' ed as far as the left lung was concerned and question of pleural effusion of the lower lffi ? * was noted with an infiltrate and ascites was suspected. A lung scan was taen showedI L ed piofusion of the right lung upper field and right base. Left lung showed decreased profu * sion throughout the lower portion of the left luna The i K ea aecreased profu- in tbe left boba of L livar. < . S! aal" t t a COw rSe W3S nV f continued difficulty with this ascites and complications of y ' WaS Cransferred t0 cl - e l a n d Clinic for further orb up and t o u t e d d: 1-7-78 t: 1-11-78 JES/gl : - W A K V 1970 J.E. Slingluff, D.O. NOTES MUST BE SIGNED BY PHYSICIAN 8007 04*2 PQ < [. ' I ; ^ - *' r: ( . r '. : Ji ~ r)T 7-20-77 r V.ISSSON* NOTES/DISCHARGB SUi('' *ARY UocUic Thompson - 119G65 MA::-! LO : * . Lr:.r. of A'lr.isfion: H - 2 5 - 7 7 ... r aCc of D ischarg e: 12-6-77 . .' - '' " ' . . . . . \ ... ' This patient was admitted with obvious ascites. History of carcinoma of the lung. Gave hint c f having had a thoracotomy at Cleveland Clinic. Was seen on consult by Dr. Halter who felt lhat a paracentesis was indicated, as the ascites was probably secondary to.metastasis to . liver. - - ' . . - . The Urine was yellow and clear with pH of 5. Specific gravity 1.018. Protein negative, ougai negative, acetone negative, blood negative, bilirubin negative, urobilinogen negative. The urine was loaded with uric acid.The serum sodium was 142, potassium 3.7, chloride 99. C02 was 28. The glucose was 83. The BUN was 18, calcium was 8.7, phosphorus 3.3, total protein 6.1. Albumin low at 2.3, globulin high at 3.8, A to G ratio was 0.6, also abnormal. Cholestt 171, uric acid wa9 8.3, which is elevated. Total bilirubin was 0.4. SGOT was 12, LDH was 13i alkaline phosphatase was 80. Triglycerides were 153. CBC showed 8,100 white cells per high powered field, 4.16 million red cells per high powered field. 9.9 grams of hemoglobin. 30.2 hematocrit, 72 MCV, 23.9 MCH, 32.8 MCHC with 73 neutrophils, 21 lymphocytes, 2 monocytes and 4 eosinophils showing hypochromia poikilocytosis, microcytosis and anlsocytosis. A protein electrophoretic study was abnormal showing total protein low at 5.7, albumins low at 2.49, globulins showed slight elevation of the alpha 1 at 0.45, normal alpha 2 at 0.82, normal bet at 1.05, normal gamma at 0.99. A to G ratio abnormal at 0.7. 13 was 30.4, T4 was 7.7, T7 v;as 7.8. Repeat study showed continuous low albumin. He was supplemented with IV albumin: which improved until the time of discharge. Chest x-ray showed increase density noted within the left lower lung field. Infiltrate was noted throughout the left lung field and discoid streaking was noted in the right lung. The abdomen was suggestive of ascites. Repeat chest x-rays showed the cardiomegaly to be evident. Some tortuosity of the thoracic aorta. Suggest of effusion was noted. Lung scans were taken showing almost no uptake in the left lung field Decrease uptake in the right lung field suggestive of pleural effusion. EKG showed ao abnorm EKG with generalized nonspecific ST-T wave changes consistent with Ischemia and/or electro lyte Imbalance. Paracentesis was accomplished twice by Dr. Halter and the paracentesis fluid showed a positive cytology consistent with adenocarcinoma of the mucous producing type. The patient's course was some improvement with relief of 6ome of the symptoms following rema of fluid. He was discharged to be followed aB an out patient. d: 12-23-77 t: 12-28-77 JES/gl 19TB a o o~n| o J.E. Slingluff, D.O. CO NOTES MUST BE SIGNED BY PHYSICIAN Inter Office Personnel and Organization Staff Mr. Paul E. Toth April 28, 19 78 Subject: Asbestos Exposur-Cleveland Casting PlMt An investigation of Mr. 'Woodyihompson* s death was conducted at the Cleveland Casting Center on April 25, 1978. Short meetings were held with D. Simmons, D.O., Messrs. G. Short, Security Supervisor, K. Hisnay, Supervisor Worker's Compensation, R. Finnessy, Worker's Compensation Administrator/also former floor supervisor in Mr. Thompson's department, and h. McDaniel, Floor Supervisor, Department V 7B9 . In general, the operation of concern was a two-shift operation consisting of repair welding on cast parts. This operation was initiated in 1951 and was terminated in November of 1976. (The job was free effort and no production standards existed for it.) Approximately 35 to h5 people were employed on this job at a time. A total number of employes holding this classification was not obtained. An attempt was made to determine if all employes formerly employed in this operation could be identified. This question could not be fully answered but it appears that identification will be somewhat difficult requiring review of individual records. .nn attempt was made to define conditions of the operation (furnace welding) which would influence employe asbestos exposure. A plant layout of the cleaning room is attached with the position of employes doing repair welding shown in red. Mr. Thompson's job was repair welding on heads or blocks. These parts were preheated in a furnace to facilitate welding (maintain welding temperature and stress relief of parts). To provide radiant heat shielding while performing the operation sections of asbestos millboard was used. The sections of boards would vary in size and shape due to the type of repairs being made. The asbestos board would have been shaped by the employe to expose minimal surface area of the part. Information concerning medical responsibilities in this caser was received from Dr. Simmons, a review of the record indicated that oh-May 6, 1977> Cleveland Casting Plant medical department was informed oF the diagnosis of Mr. Thompson's mesothelioma. Mr. Thompson's medical jacket contains five chest x-rays, the most recent being 19 7 ^* It was normal procedure to give yearly x-rays to employes in this area. It would seem that procedural problems (difficulty with scheduling, noncompliance by production personnel with medical requests) precluded getting x-rays for every year of Mr. Thompson's exposure. hr. Faul E. Toth (2) April 28,-1978 I was informed that medical records of other employes in the area should contain the same type of data. Dr. Simmons also checked the OSHA log during our interview and found that Mr. Thompson's death was not reported or recorded. This case was not considered recordable. Discussions with Mr. Hisnay revealed that no other cases are pending on asbestos related disease from this or any other area of the plant. However, it was reported that two other deaths of former department 1*789 employes have occurred. These do not appear to be asbestos related. Death certificates are enclosed. Discussions with Mr. Vi. Kosicky, Material Control Clerk, revealed that the material used was asbestos millboard, 1*2" x 1*8" x supplied by Allan hacking Company. The current manufacturer is Philip Carey. Allan Packing Company has been the supplier for the years of production use except for an approximate three-week interuption of supply. Mr. Kosicky's estimate of usage was 50 sheets per month during the production welding operation. lb attachments Keith Lee Attachment The shaping of the board was done by simply scoring the asbestos millboard with a sharp object and breaking it. It was stated by both Messrs. McDaniel and Fimnessy that no grinding, sawing, or power cutting of any type was performed on the boards. Mr. Finnessy and Mr. McDaniel both stated: a. The area was clean relative to other areas in the plant b. Employes did not wear respirators. However, welding faceshields or goggles were worn by the welders c. Housekeeping in the area was above average d. No training in the hazards of asbestos was conducted for the employes e. Employes were supplied with Company issued coverallo and those may have been taken home f. Little abuse of the asbestos boards occurred, except to write names of messages on them with the acetylene gas (this left a black residue on the boards) g. The boards were not used as bumpers or parts stops h. Some employes, as personal preference, ate or smoked at their job location i. Each employe did his own shaping of the asbestos boards. In some instances, the set-up man might prepare a few boards for the welders but generally each man made his own j. No air blowoffs were remembered k. The area was well supplied with air-supply ventilation to provide air for cooling. There was no exhaust ventilation l. Neither man could remember any habit unique to Mr. Woody Thompson which would have increased his exposure greater than other employes in the area m. The asbestos was disposed of with any regular rubbish- generated in the department, no special provisions were made 'for it n. Furnaces used in the area were not lined or insulated with asbestos o. Material was delivered to the area in U-2" x lv8n x sheets '007 0^P6 T Y P F '< P R I N T IN P E R M A N E N T INK if' f 1341 C umilia USUAI RESIDENCE W H U ! DECEAS10 |(V0 IF DEATH o ccu rred in INSTITUTION. C'VE RESIDENCE IEFORE AOMISSlON. o m sz csrnr c3'iilX vaTiuu. "SHOT Beg Dut No ________ P n m if) Hr* D>f N o . O H IO D E P A R T M E N T OF H E A L T H ; ''7 DIVISION O F VITAL STATISTICS S'`" F'" N" " C E R T I F I C A T E OF D E A T H Krfmart No s f v a (a )~ D E C E A S E D -----N A M E 1m l Middle Grover R A C E W htt. negro, omencun A G E ---- L n i U N D IC I TE Ab indiun. //. tSProff) htrthju) (ytun) A lo i. J<j JlidL So CiTT. yiU A G E . 0 LOCATION OF OEATM Sb INS-Of ClTT UMiTS fSpecih fft or no) 7b Middlehurg Heights 7t Yes JlA T f 01 IH IM III <M/ /H U.S.A., citizen of what c o u n t s 8* ftorth Carolina S O C ' A l S E C U t i T r NUMftER USA_______ w a s DECCASEO CVt in U. S T) et, hi), or unknou n) Lati t SEX DATE OF DEATH U jj. Yt* GRAVES , Male 2__ April 25, 1977 UNDER 1 0 *T o u t 01 K IT H I W0.1//.. D.n C O U N T Y O F D E A T H lionet Sc '1 1 1 . June 28. 1916 n_ Cuyahoga M O S H A I OR O I h J I i n s t i t u t i o n -- * a ( / I f *i'W t t h t r , g n f % t t f f t u n d ) u _____ Southwest General Hospital_______ ___ io Married A*ARf I( 0 N ( Vf A lt (0. w iOOw id Oi>CCED (Specif)) Su r v iv in g S' Ou SE (If utte, gut muiJen nume) i. ' Sophronla K, (Wesley) A I mEO FORCES' (f yt p i# dotes of s0 1 ) Welder USUAL OCCUPATION f(,ite bind ol uoeb done during mott Of u n rh n f /if if re'i'fd) .. _ . n. Ci n O OF I u Si n ESS 01 INDUSTRY iJo Ford Motor Co. RESIDENCE-- STATE He OhlO fa TmCR--n am e fm i COUNTY lib Cuyahoga MtJJle CiTr. VILLAGE OR LOCATION Berea wi es 7 2 h Shelley U ( tN$>0E C ity l im is (Speeify i t ; 0 ' no) STREET A*iD N j J [ R u. U u mO ImLR--NAION NAMf / ,r,< y\imjit Parkway Lau Morris I N F O R M A N T -----N A M E Graves MAILING AOCRESS Rosellne - Simoson tSttttl V' K.f ,U. i til O' .4.*A* ifu lf. up ) l?0 Mrs, Sophronla Kt Graves 1 7r 1 2 h Shelley Parkway Berea, Ohio 44017 A R* I Q * ` J N * L t A u n >; 1 ANQ DEAi** ie m u r m u r c rv AA iVtc)ct Condition 1 . if ony. /, u hi(h gai e tutto \ 1 " C tfA jo U . C l -r\ OUE TO. OR AS A CONSEQUENCE OF; 1 lb) C-c U a ' H iL c v c L i (L i W i \ : la _ l ju .v ! (c) ttuting tbt under- ) i) m g (jute un y O ut TO. OR AS A FAtT U. QTmCR S 'G N i,/ i CANT CCOOnNODiITIONS ( CONSEQUENCE ^/yVln'A* k- co>ttnbufiflj to deutl> but not rtloted to luutt gn en in puil i*7j) ! a J*.OFS 'i'* "1IF t ES u t't ) ei 0 ' no;j HI J r t f '" lin in g ip i.u r i - t / 0> J e . . '- vjj^oyV^CW c.v^c. ACCIDENT. Su'C 'DE. h o V ' C i OE. D a t e o : i n ; u r \_ O R Un O ETER m i n CO O p f u h J A Io h i //. O u ) . V / u r JCb HOU 33- o n*e mQ w i n j j I t OCCUR RED 11`Ht* nuth if *! in-u'f in pu't I o' pu*t If .r1 / * M 704 _ |NJUT AT W0L RlACE OF INIURT 4.' h-nne. f.iern. itffft. lutto' ( S p e c i f ) >*> o t n 0 iiHue bUg.. ttt. (Specif)) IC C a T'On i "i n t e: m H l . 1 ) . 'io .. 1 >t i t i tl.'. i i t i : - t t . H P 1 Duy U.i) CERTIFICATION^ Month Rh t S ` CAn IATTE OED n the TO if - n -7~? h' i \ - 2s - 7 1 J'o d ecea sed from L CE*Ti Fi Ca TiO n -- CORONE R O n (he bum ol (he exunttnuiton of the bod} ,ind. o* the tut enigution, in nit opinion, deuth Onu'ffd on (he dute unJ due to the tuutt(t) tluted. ?0q____ ) eur AND l* S T Saw Mi / MI s Alivfc C*i Month 'j4 ) eur |. I M Z t-0* . : ` A t - OCCURRED i Vi w - r O ir, iOuR) 'A^TLRDEa 'h I i 1 -n , \ '1 71 ( Ij - ( [, - f I , ? !3 n * C v /lM Hour of dt.tth l h t d t i t J e n t u w> h* , n. t - o r .i M onth U .I> ) I 11 it t'-e ptu.e. On /'/ und. to ib e ? e o* m * inou tJge. dut tj the t+iue* t) ttuttJ HOU' ??o CERTIFIER-- n am e (Type ot print) John A. Pupillo m a il in g ADDRESS-- CERT/Fi ER SIGNAtUIE- j y) ,. lift rt O' title 73b J . !yj- yn VX- STREET OR * F 0 NO M Cl t r 0 v il l a g e Cate S'GnED - 27/77 ^lU RiA l CEm aTiO NomApr. 28, N A M EO FCEm ETER YO RC R EM A TO R Y LO CA TIO N M i.'i ii.-.ige,orcount)) tStjtee irSirlal 7b 1Q77 ji, Woodvale / J A KlddleburgHeights. Ohio___'____ N A M EO FfM IA lM EI U 'CN O1 s siqnau ^ u*c N0 * ?5 Richard A. Baker 58^0-A 77 Baker Funeral Home 206 Front Street Berea. Ohio W)17 OATli FrEiI*mii Ti ti nssguico SiCN A tutt P FltSO N .jSSuiNG RtlMH O'ST. NO 30 ' / / j ? / ? ? 3- 7 7 / / ) m J ./ j ? /... . / / y ......... y ...................... /J/s>. -- i \ -i iiL2 y.i(u7 7 / . d . / * .<f 3007 0C7 UwhSUiAlLeoteSclOcCAsNiCo! LIVED IP DEATH O C C U ltfO IN in s t it u t io n . G ive ICSiDENCI iip o ie ADMISSION. K** Dim. No---- ------ j T Ptimtty fire Dit No. V / T OHIO DEPARTM ENT OF HEALTH S u it fil N o ._ (V IS IO N O F V IT A L S T A T IS T IC S C E R T I F I C A T E O F D E A T H RcX'tietr No.. ns ^ D E C E A S E D ----- N A M E I m i Middle Lett SEX D A T E O F D E A T H f.Mouf/, D*j, Y tor , JOSEPH FESGHSON L HAL] , JA N U A R Y 1 3 . 1 9 7 7 Cit y . omerieon If.- NEGRO Vi ll* G E . 01 VOCATION Or A G E ----- L*,t UNDEt > T (A f bitihdoy yt'iti) M0i. Oort s kr> >6 DEATH INS'OI c u r lim its no) 7b v a r h e n s v il l e STATI O f ftilTH III *'/l in U . S . A . , n o m e tountry ) , GERGIA_________ CITIZEN Or WHAT COUNTIT , USA UNDEt 1 OAT Hoort Se. ATia . Date OP I i IT h fMonth, Ooy, C O U N T Y O F D E A T H ) to*) 3 -2 R -1 9 2 3 7. CU YAHO GA H O I'IT A I o n O T n ff INSTITUTION--NAME (if not tm m/htt. g,,t ttreet ond mrnmbtr) S U B U R B A N C O M M U N IT Y H O S P IT A L m a MICO. N C v Il M AIIUO W lOOwfD. DivO tCED Ibpetify) ,o KAftRIED____ SU.VIVING S'O U St III u lit. fnt mtiJrit n*m,) 11 kary fanning SOCIAL S tC U I'U NUMIt w a s DECEASED EVI in U. S. A Im EO P O K E S ' iV o , wo, or nnknou n) (j yet. give dotet of tenner) 2 5 5 -3 6 -1 0 6 7 . J b ______________ NO USUAI OCCUPATION fCttt kind of u orb dont during moit o) KIND O ' SUSlNtSS 01 iNO USriT iJt AUTO INDUSTRY uotmg hit, Ufi tf retired) \U W ELDER ItSiO tNCt--Sfblf COUNTY CITY. VILLAGE O t LOCATION in s id e C it y lim it s SrtfET AND n j m i Ei - ,)i;i or no) wo O H IO u . CUYAHOGA Uf C LEV E LA N D I 40 - - J 1 6 U 0 9 v a l d o i: A V E . . tnt Middle L a ti MOTHEt--.AMIDEN NAM[ I til/ Middle " UNKNOWN I N F O R M A N T -----N A M E M MAILING AOOtESS MARY FERGUSON fbtreet or K.f .Li. no., *//) Or Holt, til** NARY FERGUSON l6 W 9 W A LD KH A V E . C L E V E L A N D . O H IO U U 1 2 ? PAIT D E A T H W C A U S E D B Y : .<ewnin i m * une poi tot. fot. and j: APAtX-MA lN ' M *A l H T w EEn O n se t a nd D U T * L JV\^ T \ t> it a oO M i0 f a b * * - . im m e d ia t i c a u s i , Due/S o i"a co)NNsSeio^iitEhNCf or: ConJthOMt. if vr,, u bn h gene ,b ,G r^ tmmtdutf cerne itetmg th onde oui io . o CO>NnSsEeQ6UuEehNCE OP. lying toit hi.l.l... ;;1 JcJ__________ ^a IT il 01* i S'G N i PiCa n COn OJ IONS < enditiOMi contributing to Jeelh but not reUted lo ionie fiten tn poti t (o) ibo AUTOPSY f} O or not [/1 .A j IP Y(S we*e finding, lov.tdfein Jtitintmmg Ceo,r ot DATI OP INiU*y fMouth. Ooy. Yeor) HOU MOW iN ju tT OCCUIIEO ff.nftr neiurt of mint} tn p.tt I or >*rt //. utm ni it ;o< M 70<3 70e ______ _ I?0 I N j j l f AT W U PIAC E OP I N W i r . i t h o m e , f o r m , it re t t . f. ii fO r > .{ l O C A t l O N (bpeuls yei o* n<t uffue bldg., eh.. fSpeCilf/ JC' CIlT.PiCATiO r Ph t S.Cia n I AT7ENDC0 The ______________________ *) ) tJr j M u mlh Uw) ear a n O LAST a l iv e On Month f btreei Or H.l .U. >1 0 .. Cil) Ot tihigt. ItjH, Saw mim/ h EI Do) ) tor j Qi0/QiQ NQ7 O Ia Th O C C U IIID v ie w fVt G5Y IHO U ll A P T it DEATH. 71 DECEASEO ftOZ 7 / i M . . . i a h 7 } l < / ' 1/ n n h 2>d 71. M ifll .1; the p!o%r. on m e dmte. onj. to tnr beri of m y mou ledge, Joe to the tome t) tuted. C E ITi PICATiOn--.COGn EI On tht b ^ m of the exominitio* of the body ond/ot the tnteuiguhon, m my opinion, deoth oMurttd oo the dote end dot to the cooieft) ttottd, Hour of JtMb 7 be detedem o ji pronooiued dt.d Month uy Yeor Hour Tktr.** 72 C U T i p i u ^ W i if fjfifo Ot punt) ! 7 1 / iijpiit ,TtY y j i ET.O I P O. NO. / ^ / CITY O i A i a GE / 0aT7T3nT0 f ~ _ . / / V 7 7 . / ) j STATE . 9 il tfjU Z s Lw i z y ' t u l i Al C IE maTi On DATE NAM| Of CLM dEIT 0 . C liM A tO .r LOCATION Httt. tiitoge. or %omnt%t (itole) r'StiRIAL ,.b . 1-18-77 NAmE OP EmI a im EI }4< HIGHLAND PARK CEI-1ETERY 74. CELEVELAND I1IC NO.I PUN E / ^ D lU C T O I S SlO N A m iE n _ OHIO . |tlC. NO.J ,,___EDWARD E. STRONDER 56^5 A 76 c J L awu^11 c' . x v **6U0 'U N IIA l 'lM an o AOO.ISS IS H tlT NO.I ICltT) '* l*AH| (II.) y STROWDER FUNERAL CHAPEL DiOATCEA lliCt i'pO IY t ir ? r < T . 3 L K EG lSTkA l/ S>Gn a LU* " 8l8 EAST 105th STREET CLEVELAND OHIO SlONAlUtf O F M .JO N ISSUING M tM Il ---?- !" ii-i-'T-r t-- U4108 out. NO. * r-. . ,/ '.Z . r +, /i/o rr, o JPA2<lt977 F E B 3 1977: 007 %2i - -/ . . ... . _ , * ' * .. A .. t A # s'mv n N C A L Ai ' J VFMAMUQ ' ^ * ' * 'u *' r * '' Inter Olfice Mr. D. Schultz Safety Engineer Cleveland Casting Plant Personnel and Organization Staff 25 July 1983 Subject: Material Analysis A sample of material that you submitted was analyzed by the Industrial Hygiene Laboratory. You expressed concern that it contained asbestos. The material is comprised of a red fibrous matrix which included a granular gritty material. The fibers appear to be organic which was confirmed upon ignition above a Bunsen Burner. Approximately one-third of the material ignited leaving no ash or residue. A course granular material remained which was examined microscopically. The particles had the appearance of sand which was subsequently confirmed by your office to be core sand. Asbestos fibers were not demonstrated microscopically. Since asbestos is non-ignitable, the fibrous portion of the sample is assumed to be a material similar to wool, cotton, or wood. No fiberglass was indicated. Rogev Vabeke, Supervisor Industrial Hygiene Services Employee Health Services Jb 007 c;$9 FORD MOTOR COMPANY INDUSTRIAL HYGIENE LABORATORY SAMPLE IDSNTIFICATIO$l,ANALYSIS REQUEST & RESULTS REPORT. By Vhom taken: Date taken: / l 5 " Date submitted to lab: ? / / ? 'U U -U 7X-7ZV/ . Name of Plant: -- x r v x -- i .`- .jl# i \ o 3 / 1 . A l i l n U 1 L b , . X y U L i A lvu& i A lL n b A O iO . C \ L 'i: 'O U ^ 4 / C 4 L ^ /> -W XLL0 U L iO rn ty u iL L / u ru ^ ix K n u r u iiu n x ^ o 4fUdti L ^ -C x w A aJLaJ jO-\. >(*+ $ * ... 6 ` t/tr L* ^ v v > -< x x ^ v tt A rlTtf D j& x V < 4 l % L . X . ..... 4) C I T . \ <a A If J Date reported froa lab: 7 / 0 . 2 / 0 Remarks: Analyst(s& ( { L W TV S Concur: a CO 7