Document QgXErxzeVDDQM2NOq1azw9OaE

C. A. HUME, Business Manager THE DELAWARE HOSPITAL AND TRAINING SCHOOL FOR NURSES FOURTEENTH & WASHINGTON STREETS WILMINGTON LUCILE E. DUGAN, R. N-, Directress ofNurses May 12 193^ v Dr. Robert Keyhole: Dept. Chemistry University Oincinnatti Ohio, My Dear Dr. Keyhole: Under separate cover, I am sending you a specimen of Urine and Feces obtained from a patient under my care in the O.P.D, of The Delaware Hospital. Win you please analyze same for Lead as this Patient is in close contact with Tetra-Ethyl- Lead. In brief, his History is as follows: 1. Mower Abdominal cramps past two years. 2. Insomnia or restless nights interrupted with frightful dreams. Constipated for several years. 4. %nging in Ears, past two years. 5. Change in outlook on life. 6. Occasional joint- pains. 7. Bleeding from throat past six weeks- about five small Hemorrhages in all. 8>. Three Fainting Spells in past six weeks. Patient has lost 7 lbs. weight in two weeks and has noticed 'that the eating of raw food, such as apples gives him upper Abdominal pain. The Patient who is a married man has noticed for past several years that he is gradually becoming impotent. Past Medical History and Family History: Negative. Physical Examination : Disclosed the following positive findings: B.P. 110/60 Palpable .sub-Maxillary Nodes, Bilateral. Lungs: Negative Heart sounds are distant but no murmurs heard. A siight Hypertrophy of the prostate gland. A blood count which was checked several times showed nothing abnormal. His Urinalysis was negative. A Gastric AnaiySis disclosed Hyperacidity in all eight specimenstotal , and free acids. There was ccult-Blood in the & specimens. These specimens were each withdrawn at 15 minute intervals. This Patient is working: as a Mechanic specializing in Car buretors. Due to this work he is constantly coming in contact with gasoline containing Tetra-Ethyl-Lead. Because of this fact I am C. A. HUME, Basinas Manager THE BE3LAW11E HOSPITAL. AND TRAINING SCHOOL EOR NURSES FOURTEENTH & WASHINGTON STREETS WILMINGTON LUCILE E. DUGAN, R. N., Directress ofNurses (Continued--- #2) before looking for other sources a cause for this trouble. I have had this patient for three weeks' on an Egg and Milk diet. His pains have become somewhat less acute, and he is now enjoying two to three good nights sleep per week. I have also kept him away from hie work for a period of ten days now, I realize that it is necessary to consider a possibility of Gastric Ulcer, Gall Bladder infection and Peritoneal Tuberculosis. If you have any pamphlets on Tetra- Ethyl- Lead, please send them to me. I would appreciate it very much. If there is any charge associated with this examination, please send a bill to'me and I will see that you are recompensed. Thanking you mostkindly again, and hoping this has not caused you ny inconvenience, I remain. Sincerely Yours, O.M.Stern , Chief Res. Physician. O.M.S./ N.R. HE 0017448