Document Qg4ZxwXK6eg52bjN1j4NGL1M6

GjC # Occupa tional June 9 1939 gflflflHHk , 6^1 Richmond Street, Cincinnati, Ohio 37 years of age - married - no children (no miscarriages or stillbirths} Employed by Eagle-lieher head Company. Has had pain In left side of belly for past months - normal otherwise. Was laid off from work Monday, June 5, account of no work. Appetite fair - eating three meala a day including breakfast. For breakfast has bacon, eggs and toast. Best weight 187 since working* Usual weight l80l85* Present weight 170. Believes has lost some of grip of left hand. Hand and arm cramp at times. Has had no disability. 2f sickness during past year. Some constipation, for which pills were taken about three per week, No constipation now* Was in shaking out" in 193? Began in 1950 - started in " shake out", continuing until 1934 without lost time, then transferred to yard work, handling bark and pig lead, where continued through 1936, Then in "shake out" in 193?> working there until February, 1938? then to yard again* Was never disabled .but felt bad at times with stomach, During last 8 or 9 months has been engaged in wcleaning up" In shop in addition to some yard work. States it was dusty but he wore gauze type mask while sweeping, Cashed his hands at noon before eating and in evening when finished working. States he could taj<te dust at times - "tasted like chalk, sort of sickening and sweet", Ee saw Dr. Clark one visit last week and was referred here was given no medication. Had been seeing the company physician at.regular Intervals and was given cathartic pills. Also took two Nature's Remedy cathartics weekly. Ho other medication. About a year ago the company doctor gave him a quantity of large white tables (Ca ?) to take when routinely examined. Told him to eat no pork meat* At that time he had no complaints* C.I. Systems For the past two months appetite fair but not as good as usual. Breakfast couple of eggs, bacon, bread and usually milk. Pork chop sandwich at noon and one pint of milk. Meat, potato and other vegetable at night - no coffee. Occasional nausea but no vomiting. About Mareh last vomited for two days and was seen at home by a Dr. - dagner of Clark Street, das told he had "stomach upset". Consti pated past year and takes company cathartic pills regularly Hemorrhoids at times - no bleeding. Never jaundiced. Has been having cramps and pain in lower abdomen mostly on left - none in epigastrium. Cramps occur usually in morning and forenoon. Teeth have been aching and gums bleed easily. Occasional nocturia - no frequency, pain or burning. G.0. in 1929 - treated for six months at shoemaker Clinic. I history of syphilis. C.B. Ho cough or pain in chest* Occasional "colds", No hemoptysis and until recently no afternoon fatigue. About''three weeks ago had intense pain, over precordium lasting JO minutes had to lie down - disappeared and no symptoms since. Mo shortness of breath. Neuro. Quite nervous recently - wpretty bad nights at times". Awakens and unable to sleep. Ho dreams. Occasionally on awakening in a.m, feels dizzy and "head sYarns'1. Has occasional pain in left arm extending from elbow to hand. Hone on right side, has pain in left hip and extending down left leg. Fain is "deep seated" and no hyperasthesia of skin. Family and Past history Mother living and well, father dead-past eighty years. Three brothers living and well - one dead of T.B. Five sisters living and well - one dead (post operative). Family have been healthy. He had measles in childhood no other disease. Has-been healthy all of past until past few months. Ko operations. Only injury was large laceration of back: with razor in 1921*.. Eyes Ears Hose Mouth and Throat Physical Examination Age 57. Height 5*10". height 168-1/2. Temp. 98.2. Pulse 8ip. Resp. 20. Blood Pressure 158/78. Grip; Right 120, Left 105, Patient is a well developed and well nourished male Negro, not acutely ill. Skin is clear and mucous membranes - good color. Posture is erect. Pupils are equal and regular. React to L and A. Arcus senilus present. Negative. Some enlargement lower turbinates, but ample passage. Mucous membranes good color. Tongue furred, in midline, no tremor. Teeth poor - lower molars on left have large caries. 'Two gold crowns on upper incisors* Teeth dirty and discolored. All fairly firm. Gums infected. Recession about lower incisors, particularly lower centrals where gums are boggy and exudate expressed. There is a lead line present medially Kk 0.016722.................. . lower left molar and lower incisors. Tonsils small appear healthy. Pharynx clear. Glands Mo adenopathy * trachea midline. Cheat Well formed chest - expansion is good and equal. Large scar across entire back over upper'chest* Lungs clear on- ? and A, 1, Heart: Rate and rythra are regular. Sounds of good quality* Ho murmurs. Reacts well. Heart not enlarged. Abdomen Liver and spleen not palpable# Mo masses. Some tenderness over lower left abdomen. Mo spasticity of muscles. So hernia. Rings are small* Id iuetle scar noted# Reflexes K.J. -H-H- Bicep +++ Abdomen -t Crem. + Romberg negative. Mo tremor* ilx treat. Equal in size and no atrophy of any muscles noted. Mo tenderness of skin or on deep palpation. Impression Lead intoxication. Pyorrhea ana dental caries. Blood 6-9*1959 RBC k,760,000 WBC 7,k30 Poly. 55.5 Band. 9 Lymph. 28 Mono. 5.5 Eosin. 1.5 Baso. 0.5 Stippling lij.6 6-15*59 RBC ii,ykO,000 WBC 6,700 Poly. 61.5 Band, 11.5 Lymph. 22,5 Mono. 5 Eosin, 1 Baso. 0*5 Stippling 116 Lead Content (6-9-1959)* Mgs Pb/100 gms (Spectrographic) O.I35 Mgs Pb/100 gas (Bithizone) 0.H5 Urinalysis Faintly acid to Methyl Red. Albumen and sugar negative. Microscopies Occasional pus dells and occasional casts in uncentrifugalized sample. Lead Content (6-9-1939): Mgs Pb/Liter O.35 0016 723 Leslie J. dchradin, M.D, Blood 6-21-1959 *-> uippXin^ 9^4* KE 0016724 JL. LB- Q&d^^3 CLa MAJj Lur<^dks*Js*> /g-J) 0L<-+aS2. Sa^CP-0* f La s *& ""fj "^furt fr, 4 LdJ?u uUrJ^J -^4-IrS^-tiL A. t\^vva4 1 iSl jAj/^jrm/H&a <g>S) ^ - 0h~r^hJ) 4^ Jtgyi*-- O-ZQsh'Q *^t~ ^^*wV twirv^L liM. 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