Document VGDEDKx8oMNNapr7JjrjJY8qq

___ n,\ic cr n:^!Nr' Tl5 74 DATE OF THIS DOUCE 5 22 74 LA M V.C.'I r - N... 7^;o 57C1 IJ*t> f At Qtr||l 6 & 73 Wul >erii| ^u:>b*r 131 10 0235 C.J .V| A 6a 5749^ Cj/Tk*^ fAwl* 91 59o (.Jtiiiur.i , Elsie Boaner Arcadia Trailer Parle Ilev.-arfc , II. Y. 14513 ljil.rr Oarlock, lac. CLAIMANT READ IMPORTANT INFORMATION ON REVERSE SIDE. If case waa "Continued" and ennnuin* *> directed. it ih^ll he mede at the rate Ate the ^nri ahall be continued iS*tr*ftef until the employer or carrier hat m**Ucil or patroll ei*lncc rf a cb*n$r of conditwo aoH give* ootirc thereof to the Chairman. ^rknm' aation Doard, unle*% mSrrvi^ p*ivi<l*d in tbe drriM<>i A further hr ir.e,; will be held ia a "continued" cac to determine the eurnt of further disability. if any. Palryra* II. 2. Ur522 A. ?avals Abb^r Harcal -w Loaox-- P* 0. Bore 132 110 VJ. Union It. Iler/.-s-rie, II. Y. 14513 Alter henring on dale listed above the Mo*rif: D**:ion trio Avwd was mi<i and uu>< filed i:*i day. AWARD: THE EMPLOYER AND/CR THE INSURANCE CARRIER ARE DIRECTED TO PAY AT ONCE fi*i tl^bili.v o%cr :i j*r*Lni nf 'Hr4 . at r.'tc per \. r-k ihe surr. r.f TO: %j CLAIMANT LESS PAYMENTS MAUF- COVERING Trlla PF.IUOO. rta linn on a-rd pavalrie'hv *-pai-jte chav1* bv carrier u. CLAIMANT'S RKPHKSEViATIVF. OH ATTORNEY j fee to DOCTOR for a'fo^snce at hearing DECISION: Our .as Closed until such tins as bhers is icedical c-Tideace the this claimant: ia totally disabled It reason of cast ocoosuro- _Cccupjs dlpr^l_jaq^5p^i__aa^_np17ce.j^stabliahed,___ Dade of disablement. ..0r.tabli?hd_as of 6/6/73. Fiadiagrt Claimant has cardial .qlcabjli-- *ll 1' r .11 (' 'i , h j*r. Lv ' 0:'* '!*it(*i i* Ifljilr cr<lr !' Vi * i .1* - ,r- L, wi t1.- * !****> s I ! < r in* i'n*rni. in vit**r r*n, lhi . i**we ** **i u*t ' rile V*trMrfi` ItP;r uiia>A lu*. C-7 2 U0-7.T, //? / 0:^7 fi fk:A>,a /) Oltnirtu-n V. SI7'l1l7lI Cirf NT'// YYCC"-"- ATT2MD]NG ?HViC ! A' 5 IVQSXJVISJJ'S COf.>i?Z;-.:S>.JG?J ECAPD .houh rs?okt FlSASc PRINT 05 TYrr wca case no (II Kaoa) -- INCL'JOS 21" COr.: HI AIL A0D5SSS2S -- CLAIMANT'S SS - MUST Zl EMTS5S3 'E'.C.V CASE no. (tf Known) LAlt C*' INJUrf AN'J Tir.^fc ADD-ESS WHtRf injury CCCuaSED fCty. Town or VtHogel SCC'AI ':C^--Y N^'rjtC cu .ro:;, 1 i Dec. T'-T? 1 i;n**y'*** PERSON name n l%t"'TT . AGE ADD-ESS UUn 2CC.C-iUT Ws!1 or 1TUT alj "* fMPlCYfR Oarlock's !V.c . "1 _ -- - ** V - J, r-*->o INsUftAWCC C/.r?pl?R _m2r-rcr' s o: Un'urru ?.U. Ikr: 0--ccv-o. :`c-r Ir.-': 1" ). Stole how *mwry occurred ond gi*e wuict ol thu inlormetion. (If <lom> n for occupot'onof dispose, include occwpo'ionol history ond dole o> o>et ol rec y*nptmi). * J- ' rcl'er to< a jtacked * tl '. . ! `! ... N 2. U there o hutorr of wncontciovinrti? ! s 3- Wot po:*er.t hotp'tolned? i n- - NO NO [ If "Yet. ` for 2 how long? ti J It `'Yet.** stote nome end cdoreit ol hesoitol: 1l . 4. Wot put*ei preview*!/ under the core of onotahteher rpphhyynucciotonn lot fhit injury? j .. _..E: NO S. Dexnbe r.oture end eiient of injury or ctttote end ipeciijr oil port of body inolrfd; _____ *y>r ______ _________________ Wert X-fioyi token? YS ^ If "Yei." enter hit *eme end oco.'eu. and reoso for frontier vnotr `'Ptr^o*v`, (Item 1 Ol. 6. Ncfur* ol tieofment* S I c^onir^f r-~r' n n 1 MAI Com Ol yov hrM tr-oi^itnl: ( J II Ueotmeni t continuing. citimote lit duration. I ?. r-,.cr'; crl"1 >1 T If troctmem it nut con**r.uing, it. this yowr imnl report? yes CH0 If "Ye," v:c:e dele o< isvi treotme nt* DiSA. tUlTT 7 A*oy the injury *e ;u.l m pem.onent r: ;;tiOO, totol or pc*'iol leu ol function of a port cr rei*fc?r, or pe'.*nc*>ent loci *1. heod or neck d:tlz jfement? * ., . . _____________________ vor._^r^-c.?rr: 8. lv patent working? _ \QJyEs [3-o *> peifnf d.vob-ed? - NO | If ( dwrot.on of c'ocii**y; C A USAl 1 K'UTIOM i ,n yowr opinion, wet tho occwrreocv dcc*ctd obo*e t^.e tomp-tsni producing cowie of the injury ond ditobiUry (.1 an>) w>toir*d? 10 Enter hve odd>tonol mformolroo of voiwv reqwexi for eutnontotion. etc.: iv s t ;r;^ r> r-'~'V--.-r M A r K S ssaAvL_ 10 (of Mcd'Coi te^t'mon* it occotionoll* r*c,i;tred l yovt tsr*monv $houl* Of n-tfucr; in , 1h* co\e.*p^ecte mdicote dftyt ol t^e :. {ond houttl r^cvi <on*e**en to yo lor !h*% pv*"0*.e: lypi d P Printed tiprre of Atte.oin^ hh/^e.rn AcJJsi t i wC 8 hoting C wle . .t* * A R--V -V-V-C--5-A--w-tr-.o-r-ri-O-tf--OA No *r;.s'r/*'"*> . k-R --- U- f'ph^i.* No " '.'-lie t -4^7. nd.no I-y-o.- of N^ \ \ A^SV/ga AIL Qucj t -.5. MVViiJ USs Or INDLrrIMlic 7-17'AS ''.V. lv CONSULTATION June 6,1973 PATIENT: Elsie Bohner l This 49 year old female enters primarily because of progressive shortness of breath. The patient states that she has worked at Carlocks for the.past 22-23 years, working in asbestos directly over the concentrated areas of asbestos fibers. She wears no mask and is provided with no mask. She has noted over the past f&r years, progressive short ness of breath which now definitely interferes with her normal activities. She can ride her bike which she normally enjoys doing only very short distances, has some dif ficult}!., cn one flight of stairs, can now only mow part of the lawn without, scopping due to dyspnea, and has problems with any type of exercise program including dancing, v;hich she normally thoroughly enjoys. She does smoke roughly one pack per day and has smoked since age 17 or roughly for 32 years. She has occasional small amounts of AM sputum production. She has attempted to cut down over the past few months to less than mack per day. Mo episodes of hemoptysis. Had an episode of bronchitis requiring one month's leave of absence two years ago, but no episodes of definite pneumonia. She has-, no his tory of known heart disease of any type. She has no exposure to any other specific respiratory allergens, including in prior work before Carlocks. She is able to sleep on one pillow without paroxysmal nocturnal dyspnea, has no significant ankle edema, no major palpitations. She does have occasional episodes of sudden shortness of breath and associated light headedness without syncope. She admits to being i.iudeiatci/ uc.vous much of her life. PAST MEDICAL HISTORY: Extensive and is well contained in her Medical Center records. There is no known allergy including drugs. PHYSICAL EXAMINATION: Well developed, well nourished. Color fairly normal. Blood oressi 103/78. Weight 136 lbs. Pulse 76 and regular. Head and hair negative. Pupils round, Tegular, equal, keact to light. ENT benign. Meek supple. Carotids equal bilateral witho'. bruits. Meek veins not distended at 45 . The thyroid is within normal limits. The ches shows equal bilateral and good expansion. The lungs seem fairly clear to percussion am auscultation. There^'is no wheezing or bronchosapsm. The heart is not enlarged. Ucgula sinus rhythm. No S3 gallop, no rub, and no arrhythmia. Heart sounds are of good quali The abdomen is soft, non-tender. No liver, kidney, spleen, or masses. There is no club Nopetechia, no peripheral edema. The patient's chest >:-Tays have been reviewed and do show some increase in interstitial fibrosis involving all lung fields. Simple pulmonary function studies reveal a total vital capacity of 2.4, FEVj_ 1.9. An electrocardiogram revealed sinus, rhythm with normal AV and IV conduction. The P wave is inverted ir. AVL. P waves are slightly peaked in 2,3 AVF, but still within the broad limits of normal zr.d non-diagnostic of any definite pattern of chronic lung disease or right atrial enlarge.' IMPP.rSNTr/.:: This patient has distinct evidence to support asbestosis and with her now working in the uncontrolled atmosphere over a 20 year period, there is no question, tr.at ska is a candidate for increasing complications at this point, including lung cancer, mesothelioma, and possible Cl cancer. Aside from fact that she will undoubtedly devei< increas'd evidence of chrcnic obstructive lung disease. Her cigarette smoking is a di: tinct contributing factor. It is my feeling that this patient is as yet not physic-allinr.apac i l -i ted from hor disease and is able to work, but that she is definitely to be removed from this atmosphere. It is my feeling that her dise-ase is compensable. have order* a Alpha 1 Antitrypsin enzymes, avtcrio bicod gases and it would be worthwhile, Elsie Bohner 2 June 6, 1973 although if negative, of no importance to get a sputum for possible asbestos bodies. Do not feel that a lung biopsy is indicated at this time. JMQ/lab ' Copy: Douglas A. Devens,?l.D John M. Davis,H.D. STATE Of MEW YORK WORKMEN'S COMPENSATION irr Q Enter "X"ioSnom Type at Rew 15-OAV R6PCRT BOARD PROGRESS REPORT ATTEMOIMC; i;c: A", s SU'flEK'EMTAC' K E pOK T NAL e^e PLEASE PRINT OR type - INCLUDE ZIP CODE IN ALL AODRESSES - CLAIMANT'S SS * MUST BE ENTERED BELOW WCB CASE NO. (tf Known! CARRIER CASE NO. Of Known 1 OATE Of INJURY AN0 TIME AOORESV^CRE PiAJRY OCOLf'REO i SOCIAL SICjRit* (Crrv. Town or V<iie*r> numbe b ` y INJURED NAME PE RSON EhrunrER Aiftlb hoftptf rdLfUhCZ ............. OlTlPCt * I CARRCR *"W* ^ * AGE h& ADDRESS AixmAlR lreLLer fax*., (APT p j Mmtarit, 1.1. " " TIUl ------------------------- AifrtW5K^D15Frofflf. ZWnfasE op indefinite 1. Mem vow fuad Form &4|. or omar cepory wrtinQ form history? res NO M-- |tf 'No.** MM i 1 la) and lb) t ial Staia how mttry occurred and |m source of dio^ntormeuon. (If etanc i tor accwawriofw 4m and data of onset of related vymptoms). M I t T. O R r lb) Was patwm pmiOMii) unoar tha care of another pnywoen for thu mjtay ? 3. It than a*y history or evidence of pm eaotinf aiiury, boat.* or phyool impairment? yes N0 o A If "V*." enter ha name and addrett. and r*m )for vender under "Remark!** litem 10). ilf "Yet.** oeserfee acifceMy1 3. Present condition Imctwda diapnotit, subjective fpmpJsino. ootccTwe fmdinps, and any qtanps of condihen wnca tact leoort. if pas ms hosortaiired arnea lest report. m te and fa nano and ararm of hovial): nmjule THtRWIT.Tflp~! fnemnn-l Yin, ..erin/iATy enwme nrnrwui, ' Present condtltlom Stehle 4. Nature of vestment: CW #ARA7A11II first oeatment: Date of your moet recant treamtant: Are you commump ] treatment? j ] j YES It MM ntimat* m probobM duration, tf it has larimnoted, indicate racaon. S. Mtv the injury result in pemwnent raitfiction. total or partial tom of funeupn of a part or yes - member, or permanent facial, head or nock diff^urement? D I S A 6. On whet daiar do you trunk oauant mi or mil da able to: It pauant worktop? I IL (a) Return# bmuad work of any kind9 Oata: T jib) Resume bn reputtr i ! Oata: yes D" r 7. If patient m wnebte to do h repwter work, out een do limited work, aseetfy hit work limitation* owe tnn mitA- CAUSAL RtiATTOM YKft. In your ocwnien. was the occurrence flatgipad adon lor in your pmavi report mch for* tht information) tha comoment product** cava of the atiury and diMdility Of any) tuasinod? f. la rehabilitation peatmant or arvon or evaluation therefor advned? yeS {Eapcam: I J_______ ' H rehabilitation vestment or rvet or anoiuatttn a dnafl, hat referral bean made? yes [] j If ''Yet.** to whom? I If MNo," Indicate why. 10. Enter hare additional information of miuc, reowarts for authorization, ate.' Dated WC^WMgASbda J C-4 (12-73) Typed or Prmtad Name of Attandmd Physician wafSiECSra^Ppwai^O^ Sr: Tjrr ^ZBCS52imgh^t,, Umnrl^AAs JftlJ Attend** 'Y*"/. / / f/`/ / ANSWER ALL I NS. AVOID USE I See Reverse Side WORKMEN'S COMPENSATION BOARD DATE OF HEARING 5 15 74 DATE OF THIS NOTICE 5 22 74 LA NOTICE OF DECISION 'Iq7%S 5701 lDate q/ Accident 6 73 Social Seeurn & Number 131 10 6255 Camer Case No. . A 64 5749$ Carrier Code . 91 4 998 CUimjini Elsie Bohner Arcadia Trailer Park Newark , N. T. 14513 ' Emnpoloyver Garlock, Inc* CLAIMANT READ IMPORTANT INFORMATION ON REVERSE SIDE. If cim was "Continued" and continuing payment *u directed, it shall be Biade at the rate for the period staled and shall be contioued thereafter until the employer or earner has medical or payroll evidence of s change of condition and |im notice thereof to ibc Qiairman. Workmen's Compennation Board, unless otherwise provided in the decision. A further hearing wU be held ia a "conunoed** case to determine the esient of further disability, if nay. Palnyra, B* T. 14522 -A* Pavela Attjr Harold A* Kosoff P.0. Box 132 120 W. Union St. Newark, N. T. 14513 After faearing on date auted above tfae following. Decision and Award was msde snd duly filed this day. AWARD: THE EMPLOYER AND/OR THE INSURANCE CARRIER ARE DIRECTED TO PAY AT ONCE for disability over a period of *eeks from to at rate per Ueek the sum of TO: 1t CLAIMANT > ss lien on swmrd psvtfalc bv separate check bv carrier to CLAIMANTS REPRESENTATIVE OR ATTORNEY t-ESS PAYMENTS MADE COVER1NC THIS PERIOD. fee to DOCTOR for attendance at bearing DECISION: Case was _ Closed unftl gunh tAma there is medical evidence the this ctatrmnt is totally disabled by reason of dust exposure* Occupational ggposure and notice established* Date of disahleaent established as of 6/6/71* Findingt Clainant has s partial disability 'If the WCB Case No. ia preceded by *T.* dus daoaioc in made under the Volunteer Firemen s Benefit Law. and the liable nhticnl subdivision ia daemad to be the "Employer** of the volunteer fin man In all ether raaea. this 4sqm is made under the Workmen s Campeeaaii-- lav. C-23 (10-73) Qiairman EMPLOYERS INSURANCES WAUSAU ois-ia ns Claim numblr acc:D Sate 1-1-73 ios account no 1L-07W37 PAY TO THE ORDER OF BUFFALO GCNCRAL HOSPITAL 100 HIGH ST. BUFFALO, N.Y. 1M203 INSURED ELSIE 30HNER CARLOCK, INC cure issued L-m-71 Voa jticr 60 Davs Iron- Dai* ifs^ea no 3601177 *31.sn*** PAY EXACTLY employers mutual liabilit' insurance COMPANY OE WISCONSIN POLICY NUMBER mm-on-o27L2t POLICY DATE 1-73 PYMT KINO f o S LINE ANO COVERAGE ni 300 I AMOUNT ESTab NO mass-auto Only CLMT NO ANAL LOSS j. i CHECK SIGNFS T0TA1 iI !; 11 !! - . 1 1 i EMPLOYERS INSURANCE OF WAUSAU Claim NUMBER OiSaB 0 = ACClD 3at AJ-bM-57Hfi 1-1-73 'S ACCOUNT NO 072-07-2?k1 PAY TO THE ORDER OF A. ARTHUR CRABAU-. R. 250 LINWOOD AVEBUFFALO-. N. Y. 1M2M DATE ISSUEO N-12-7M von jhcr 60 Oavs i/on* Dale issueo NO 3533377 3S.75*** PAY EXACTLY FOR INSURED ELSIE BOHNER CARLOCK-i INC EMPLOYERS MUTUAL LIABILITY INSURANCE COMPANY OF WISCONSIN POLICY NUMBER 0*3m-D0-027L2L POLICY DATE 1-73 PYMT KINO 01 LINE AND coverage 300 AMOUNT ESTAB NO MASS AUTO ONLY ClMT NO | ANAL LOSS '' I II!i CHECK SIGNER T0TA1 r fTATI MfW tOtl HTI^OIKf. \ WORKMEN'S COMPENSATION I0ARD (-** ~X* f W- IfP* Wm**, j 1 l(*0*l a nocit:i KOti ritaAi ruui mint cm rm . Mauot x>r coot in aai acckuim - cuumantih# Mini h in-tiiid iko*1 j WCt CAM HO. . i COIfl CaSI mQ. 4 PaTI 0 *;0T j aOMIII * (If l>l^ I n* l AHO Tim( CClfcrtSiO I lOC-t bAwkA''* _________111^____ - 1-- _____ 1 tojUtID ' I l____ P*l >Mpir_____________________________kfl li--TH T11 n1 HA. Unit. .I. JUvn, l Tt msmuci j ^- (AflUf 1 Mr.lflff Tmb. bJ Id--% . las IflLS. Iwut, I.X. 13301 *NSWIB All QUESTIONS. AVOID USE OE INOEfINITE TERMS SUCH AS "UNKNOWN' v-tmm j~ Mu) f^oCr-M.'W Qtm Ono n -f-l? () m4 {b> "ETC M) ito to- -tor wiwtH * 9<w wifi ( M ). ( , Hmi-) a*d ** a* mw) at *!)< nyMpm i i|. > wayliiiii mvMm t ffc) * 1. b tor tour) M-i Qm toLTiltort " Q*<> in i*r I* taO I M HMf a*4 *44tit M4 dar tmd' `IkmAi* ftw 10). (fecthda fofiM, ' abpciMa aad *? <kafc *4 im4am rV~~< -*--AiAtol |to. -- ' j -- -toto-y .to., to. -->wUM*.Ubi laai . a-1. v *#< 0 tat.* iy II--j" Da*a at yaw*1 i ^1 rMM/rHTa7animat* a* pnababU . ia*a* ar panmi ku f IvMHwi at part ar > tariat. kaad a* aab <al^nwiif? --------- i--r-*^ Q* Pm On artad data* da jaw dwai pa**at *i a* b pafcaat aa*mgt (a) 1*mm bMd af way liWl | (b) law** (mi agrt*r aab? I -L. T NO 7. I pa*va* a mWi *o da b Ragwtar wak. bwi n d* fawaad **< itacity ba wafi kamahaai dwa at ** CrpUl I A. raw* ayiAwa. *oi dw b(aMH) fka w *a*cribad abam (a# <a yawr p~awi rmpmrt k*k pnadhcii*add <**-- ( *W wfw7 aad ditabit^ fit awy) ruaiaadtl * ." "= i itotto.. P"! ^ J l* _ I I 1 I ns |aaa ar fmca m f"t , > tou.M to- -to.T I--1"I__ | no *A. imm t*m I H tat,* * abpat I I -H, Ommd . ' J/rt/Tk Ihiilii A. hm, 1.1. 301 Chant At.. MCA Nmi Cato * --i__________ nam----------- jg-jgfl-------- An*Mda ffrtttmk / C-4 h-nj / 1.1. U513 . - B u ffa lo General H o s p ita l 44 o uo o uo u<ooy <9u 00 u 01 9 <>Q 44 0> 0 JZ P c V > 9 X I* 0) 0>1 zo >s C 9 U 01 3 o 9Q. CL 9 14 c0) X0 4444 C3Q ^c4n JHZ 0*41 ^C4D W O 0c) 9 00 *o4 T3 00 <cw LO* 00 c 01 .O 0 CO 9 U900 u 9 JZ 9 JZ __ CL j i STATE OF NEW YORK WORKMEN'S COMPENSATION BOARD 1SS MAIN STREET WEST ROCHESTER, N. Y. 14614 c January 30th, 197V RE: 7730 5701 Elsie Bohner vs Oarlock, Inc# d/a 1/1/73 Carrier Ho. A64 57498 Employers Mutual Llab# Ins. Co. ~ 1633 Broadway Hew York, Hew York 10019 Gentlemen: We are sending you Dr. Henry J. Brock's report dated January 16th, 1974, concerning his examination of claimant In captioned case. We are scheduling the case for a hearing for the Referee to consider Dr. Brock's report. Very truly yours, LLC:jah CCSv Copies to: Elsie Bohner Arcadia Trailer Park Newark, New York 14513 WHUORAKbAMEN' 6 COMPENSATION BOARD /& ,avei Dawrence L. Culiano W. C. Examiner Anthony Pawela Special Funds Conservation Committee 568 Ellicott Square Building Buffalo, New York -A.f 07 16, 197k Leonard T. Toncsak, District Adciaistntcr . torkmen's Compensation Board 155 Bain Straet, test Itoohester, Hew lout Bet WCB #77305701 Slslc D. BofaiMT -. ... Oarleek Ixa, Dur Kr. Tomoaeki 8.D. 2/3/2b ExamloadI 1Z/Q/73 Tbc following is a stannary of the findings in the ease ef the ab^/ve-captioned elaimant. Elsie Bohaer. / 0CCSPAT7&AL HISTORYt The claimant wrfced fbr Oarleek Imc., Ilaira, low lord from Xoresber 6, l?5o to the presest time. For 20 years the ru a braider operator braiding with asbestos yarn, froa which dost waa amitted. She eat the yarn with sheers and worked with eaant of a liqnid type. She was also exposed to powdered graphite for 20 year*, a material whieh was present In the air although there was more asbestos dust than graphite. At the end of tha day mho would hows asbestos dost in her heir. For 2 years she wsa a floater doing all hinds of work Including filling In on cochins*. Ho mssk was ever worn, la June 1573 aha was transferred downstairs to the shipping dapartcont. She now works in an axes in whieh thera is paper dost and graphite dust. Her haaSfcerchlaf la full of graphite after blowing her nose. In 195 for nine months aha worked in a food processing plant. From 1?26 to 19ij9 she was unemployed. For fivo aonths she worked for a peper box factory sad waa exposed to some paper dust but no mask waa worn. For one year aha was a VAC in the 9.6. Ssrrioe but she oarer vent overseas. For two years she worked for Eastman Kodak Corp. as an inspector or cameras. There wes no dust exposure. CP, I r7 yy.^L/.XHTt Eysceer. on exertion of one years duratire. hlL'TvZS G:~ 71L^I-rSi On* year ago the claimant noticed ^rspnaa which has rmainec stationery since that time. She denies heviag cough although occasionally she expectorates l/a teaspooaful of medium consistency sputum (white) in U hours. Sio has no chest pain. ?'V7 l:liTCSft The relevant peat history wws at follows* fhm claimant has an$sr*l good htaith all of bar life until the present illness. A pilonidal cyst was reaored from her spine in 19h9. In l.68 she hud a cholesystectcxy for pH" stonas In December 1968 a complete hyatcTecto^ was carried out. PASITS: She packer sersn cipsrsites a day. Forwrly she smoked one packagw of c_(;rxc btec daily be^innin-; at age 20. She drinks as occasional highball. Tonsillectomy and adenoidoeto^r ear* carried out la l&l. An uppendecto^r and a resection of an ovarian cyst ware serried eat in 1952. ACCIDENTS* Nona. ... fbe claimant has noted palpitation with axertian. She sleeps on one thin pillow at night. She has gained tea pownds weight in the past year. Ha: Elsie D, Bohner ygSICAl EUVIKATIDlfi Temperature 9.6, polxa 72, height 65 lA*, weight pounds, blooa pressure 120/60. The el*i*xnt lx a well developed, veil nourished xliphtljr ebexe vosan who doex not appear acutely ill* There vu no clubbing of the fingers, but there wax a elicit deformity of both nail flayers. SOV & Ri.IB.1 There were a few^lgmeated dwtI of the face , Deck aad cheat anteriorly. There wax Blight hlmtixa of the upper lip. Th axillary hair wax spans. me l FACEi Negative. CTXSi TISSi !fD3Et Pupils reset to light Kid eeoonodxtloa. *adua lnatiomi normal vessels and semi. . Hearing grossly Boreal, Otoeooplc examination negative. Uucoux meabrene wax sligfctly Injected. There vac a flight mucoid diecharge. There max alight deviation of the sxptua to the right. .-. . KOOTHi There vxx x complete upper dentere and a partial lover denture. Tonsils were out. Othawise the south max negative. KTCIs No thyroid or lynpfe glaid enlargement. The arteries andvainx were norsal. The claiaent exhibited slight dyspnea on dressing herself. CRESTi Shape of chert max norsal* . -' LlihuSt Kortal resonance sad clear. Ko rales or rhonchi were beard* HTACT: Sounds mere regular and of fair quality. Grade l/VI systolic aurair vac hoard at the baas of the heart. BLOOD VESSELSi Soft radial tad brachial vessels. ABD&XE?:* No enlarged organs, Basses or tenderness. ISIRKIIIES* Legs: ooIot normal. Feet were cold to the touch. There mere no varicosities. Dorsalis pedis and posterior tibir.l pulses were cornel. The knee ^erks ana ankle terka were .xnsal. There was no eoesa of the ankles. Tbe Sebinsici was neyative. UBO.IAp.T STUMSSs TBC 8,000, RPC i,110,000, bbg. UJi grass, hot. U3.5 grass, polyr, 36;- lyopbocytes, 1* nones, 2?J eosin. The sedisentatior. rote t?*e 17. Spirccotry revealed a vital capacity of 2,6>0, predicted 2,80C or of the predicted vales. The forced expiratory volume wax 2,lu0 or 81;' in one second. The mxjgtfl irLc--expiratory flow was 2,1*0, predicted 2.?7 pin* or ainus 0.59. The lanxic.?! voluntary ventilation waa U5, predicted wax &^ or 1371. The arterial blood geses retooled a fS ef 7*39, PaflOj cf 37j NGO3 of 22 and a P1O2 of6S rulrorwiry- function tests performed at Strong Nemorial Hospital revealed a vital capacity of 2,?0, predicted waa given ax 2fh05 or 76* of the predicted. Torced errirr.tory volte* in one second waa 2,lfe0, predicted 2,595 or S2J* of the predicted. The csrtlmc breathing capacity vox 115 liters per minute, the predicted 79 or 1167. Tbs diffusing capacity wax lu.k ssKg., the predicted wax 20 or 72* cf the predicted* The arterial bloodgases revealed a FE of 7,37 at rest, after exercise*7*35* the PCO2 waa 37,7 wEc* at rest. After exarc lee 7*35* T* . FCOj was 37.7 Kfig. at rest, after exereixx 735 The plasaa QO? FU 22 .b mq/lp after axaroixe 21,3. The POg was 69,5 nsHg, at rest, and 07*7 scHg* after exercise. The Oj saturation was fCJtat rest and 97^ after axaroixe. The hot* aa hJ'S, This wax interpreted m rrrexllnc tbs lung lanes being lex <>or*le Tbs ITT. and tbs xexiras eld-expiratory flow rata vers normal. The diffusing apaolty wm normal. The FCo rises significantly with exercise, Ar olcotroeardiogr* revealed tixma rhythn, rate PS interval .12, Q&3 .08. Thera were peeked f wares in leads 11 and aTf, 2iix was interpreted as revealing no diapiostio cVrrrrlitirT. The TTT". elide test was noa-reactive. Urinalysis revealed a FI of R*i Elaia D, Bohaer 5.2, apecifie gravity 1.021, albumin vu negative. licrowoopio examination revealed 0 to 3 *BC and occasional epithelial Mils anA occasional REC par hpf. 1-RATSt An x-ray fila of tha cheat taken on May 26, 1968 at the Cowronlty Hospital reveeled the hill to be normal it aise. There m a large caloific denalty in the left hilar region which was 1,7 cm, in dlaaeter* The markings ere increased throughout with extensive rmtinulatlon and eoatterod fine nooulation. The diaphragm waa alightly flattened bilaterally. The heart waa nornal in site. Transrerae oardlao diameter waa 11 cm. Tranaveree thoracio diaireter waa 2$ on. The aortic knob was normal. Thera la alight calcification of the aortic knob. The pulwonnry eonus war alightly proolnent. The film of Daceabcr 21, 1972 reveal a no significant change, fro* the film of May 26, 1968. The filn of April 27, 1972 revealed no change fro* the fila of December 21, 1972. In the fila of December 21, 1973 taken by Or. 1. Arthur Qraban there i* no significant change fro* the film of April 27, 1972* The bill were nornal in else. There was a large caleifie density at the upper pole of the left hilun* There waa an increase of the markinga bilaterally with extensiva reticulation and aoattered fins nodulation. The diaphragm waa slightly flattened bilaterally. The heert waa normal In site. Transrerae cardiac dimeter waa 11 cm* Transverse thoracic diameter waa 25 ea. The palnonary oozxns was alightly prominent. The eortlc knob was normal. An expiratory fila revealed an excursion of the diaphragn of 5 ea. on each aida. There was no shift of the mediastinum. A left lateral film revealed an increase in the antero-poeterior diameter of the cheat. The antero-oosterlor diameter of the heart was normal. The aorta was normal. The earkings were increased throughout with extensive reticulation. There was slight flattening of the diaphragm bilaterally. Compared to the film taken on May 26, 1968 there is more flattening of the diaphragn than in the previous fila and slightly more blotting out of the markings in the posterior-inferior chest. Otherwise there ie no significant change. . . OPTJJICSt The history, physical examination, laboratory studies and x-rqr films are compatible with a diagnosis of pneumoconiosis due to the Inhalation of asbestos dust oaueally related to the claimant's occupation and producing a partial pulnonaiy disability. Tha inhalation of graphite dost may also have contributed in,-a minor degree to the development of this pneumoconiosis. The claimant should not work in any atmosphere in whieh she la srpoced to noxious dust. She should have careful medical supervision for s number of years. .Signed, Subscribed and sworn to before ns this 17th day of January 197U, rise L* Vryer, Rotary Public qualified in Erie County Ixp. dute 3/30/75 1' a^ o L-" p od (3 2 o V rJS a w e-* >\-1v o M ac <xw <\ cv <I Of VA r' V K W CO 03 fw o OO 5 oca V a) CO <M ro a O o > > E? >> P fOt C0/43 083.0t3Uas i-J u d 4-> o P as ^-~ 0. to h a, px.ra<i w a i: av> (4 o c- u il il il .i o o. X < 53 tu tv m o rH o>S>i p td s-> & w TJ 4-1 O OC v LE >-- X a co p as -p c a; > >>ti o c, cS E i P C3 C 3 i~i O > d : EE 4 - X fj > TO rj CM o m cu as O O O :0= 0d 3a 0as I EMPLOYERS INSURANCE OF WAUSAU O.AivsUS'BC O'SAG 0 ACC.O OATE A-bM-S?^ 1-1-73 Is ACCOus' SO lk-37432:H PAY TO THE ORDER OF STRONG ncnORIAL HOSPITAL 5L0 CRITTENDEN DLVD* ROCHESTER-! H- Y. 14L42 FOR INSURED ELSIE BOHMER M3C11D0S GARLOCtS INC oa:( issue: 1-3-74 VHOo'frln*MDCal'e6t0^kDu*evoS OC/J J1 PAY EXACTLY EMPLOYERS MUTUAL LIABILITY INSURANCE Company OFvmscOnSin POLICY NUMBER a*il4-aO-D27k2b / POLICY DATE 1-73 pymt KIND LINE AND PH S COVERAGE 01 300 AMOUNT ESTA0 NO MASS AUTO ONLY Clmt NO ANAL LOSS CHECK SIGNER TOTAL 5 03 650 7 e 70 CLAIM CHECK - COPY O'nec **OUM; AMOlNtuINT OMLf %J COPY noun Kaltuciocm. m. O. )4 no*tm oqqoman tTnerr # OCHCSTCK. NEW YOUK >4*07 Septcnbcr 23, 1973 TUlPMOItl 4^2-3230 Employers lnsurar.ee of V'auscu 57 honroc Avenue h'ittsford, "ss: York 1^53^ . Attention: hr. Richard E. F.eid Re: Elsie Bohner Vs: Garlook, Ire. File A 6i'-57b?3 Oentlcr.m: The shove claimant r:as. csr.--iir.sd st ry office on September 7, 1973 si year rceucst sad the follox.-iny is a report of test coirsiretieni The c.laiur.rrV. is a i-T-ycar old divorced reran i.iio has been employed by Girloc::, Ir.c. since Fovcsbcr 6, 1953* raring tills tine she has -.-iiy st r.c -V-,. A>:,aJt. is, she opcratcc a braiding rachirr. rerfcrr:inT this operation, she braids asbestos yam. This is dene by r. rassine and the claimant states that it is suite dusty. The her r -err use:' a fe.ee rash. She hue rorhed in thin sar.c operation until -%.a:c 1373 vhrr. she eras bransf erred to the shir-pint rcer and at the present tie, she is ret crossed te my asbestos fibers. The rcer. in vbirh r'e verbs, she states, is a lory r.arrcsr ere vith hi- h ccilir.ys. T::c ether do the. sere ;ee ei nor.-: is do in y. Vsr.ti- . latisn is nature'-. There is no forced ventilation. There are virdevr. cn cit'ur ride cf the buildiny au.d there are ventilatcrr. at the tea. .'.'rut e:u- year a~o, she first rctieed the onset of sh.ertr.c:.s of treatbL'v.::-s i. Trerc-siny in iatemit/md it is rare easily pro-soked. sh.e -..slil tie.: :e:r- :.ild vlv-esiny. The has u:ry infrecent chest colds. . he ha: re pam i: the br.t states tint she has a he aw feeler" no blond ssiitiiv:. There is re listery cf chills, fever er ynerrenia. The c.lai-a-.t ha:, "eked a paah of ci-srettes daily for r.-;;.-ea:i:-.atrly thirty y--r::. The no-.* evokes ciyht -to ten ciyarettcs dr.ily. FAfT IITTCIY: ~-r general health ;u: al---ys been yeod. The Ins never been seriously ill. The has l:ad a r.unbar cf operations: a T and A, apr-crdrr'.c'-y, chelecye.t-ctcvy, a ce-plcte hysisreotevy md a removal of a eilcnida! cyst. . There is no history of headaches or diaainess. Vision is nerval ruth "las: ss. Feystira. He: Flair Dohner Pose 2 Septmbcr 23, 1973 TATT HISTORY: (continued) Hose: Infrequent headcolcs. Youth: Teeth have been extracted above. She has a denture and a partial elate fceLov. Ailer-ie History: ?':c~ative. Tndocrir.e System: There is no history of diabetes or thyroid dys function. Cardie-respiratory Tystcn: Entirely negative oneopt for the present illness. There is no history of edera. C-astro-intestinal Syr-ter-.: Aeeetite is rood. The has been pa inin p a little veipht recently. There is no history of peptic _ ulceration. The hovel rovenents arc regular. There are no abnorr.alities of the stool. C-cnitc--urinary ays ten: "rpative rucept that she had an ccisodc of cystitis several years aqo vhich vas cleared *.:ith therany. .cnstrual History: She lass had no rrnstrual periods since her hystcrcc- to-y in Tece-bcr of . Fcvrc-ruscular System: "epative. . YAillTAL fl'.j FA' ILY FI5''C~Y: _ Tn-hurbar.d is livir.p. The hats one daughter livin'; and veil. Father died in i>'0. I othrr is livir.p ar.d veil at The has four sisters and three brothers, all livinr ar.d veil. Thero is no sister" of ml-.er.ary disease in the farilv. IT '.L r'AFIC': -rr tr- bsr-tv.re -as culse 7r. respiratory 2T, bleed pr-srure llO/IT, h.eisht dfp" and voi-h.t ib-3 povr.dr. The rll-devs-leers and a vrll-nev.rir.hed vevan of Y9 years "he does not :----- * 1 1 f* 1.4 fiends: The rucou cyanosis. - - --^ J r- *"^**C ^ ** 1 - i r\. no '*> Fosc: outh.: V V ..i^ ^ m Ireacts: Lur.ps: heart: Ic-stive. he retire. Coarlrte \ _.Q s.-- j, 7hr tr.yTC in Tj.s-.etnc: ali-h.tly : Hcpative. entirely < lot enlar ?.o: :.leic 1'ohr.er T-illZlZAl ~A-.r:ATIG": (continued) Pa-e 3 f< eatcnbcr 22, 1573 Abdorcn: T'cyative. There arc a niraber of vcll-hcalcd curpical ocarr. -..dihcnt herniation. 7civic and P.rcial '.hcar.ination: Vat perforr.ed. Skeleton and Seine: Ve-stivc. "rtrr-'itica: relative. Vcvrclr-ioal 'bra-.ir.ation: r.cyative. Lf/'CSAICr-Y VATA: Tho urine vas nractive adth a specific rravity of l.OC railrotation rate var? cliphtly elevated at Zo m./hour. The henatocrit vac r_._rr_. .a:a i.i. . ' 7::o follorinn blood eountr. and blood che-.intrica rare p'rforr.ad by the "ra lil -Tronion a- leal Laberater;' of Viator, Vc- Verb: 7:::- unite blood cc LL count va' 711C vith the follcvir.n differential count: lir.atro ahilr. 7-"- , l;**tl.ccfta:: 23". The oalcinr. 'a 10, piar.eh.orva 3", aluoose '17 1Z, uai: a:id 5. total obolrrtercl l?C and total bilirubin .3 `--. T.'tr -total ::er:n- rrotedn van 5.9 and alba-in -'-.2 t.. Alkaline -boaehnt van 35, 177 </! and dtCd 3b mite. All of three 'valv.cn are vithin near a 11-its. ,'r. cV.eireeariie-van cho-r, a r=r--al nirae rhrt:r -dth a rate ci :7r:tr.-atr. 7-' int-rval and qr.:- tire - nerral. dir.--oa tie ;rin: in - a. ;?v j.'re. i. en.".L: j.*.- . -- f-r -- or conea 1 - *-- * ' *7e :-i--.i'lr--'.t n'.-vr*.l :.bnee~ - lit*.- :cen. no ,:CC."Z17'H7" : r -------; i- ----------- "L r- - --,, 'Irrro are fine rrtlav.le-roda'.ar dmr.iticr. dirtrirated three'-v.oat tbe lanv fieVia rrr.aiatrrt *dth ate hirtory of arc lender. rrpoevro to aabrataa. cr crate die-a.-e. 71c: Flr.ic roller LAVCr.ATCII DATA: (continued) Fero Sect: O - 1573 (Ccrtin-cniior. o' ::-roy report) "If cLir.icc.ll7 vorrentrd, conrorir.cn in.tr. I.'rrorl:- tyre .'orritoi no;.' be of voire." /k/ Horry J. Finn!:?, 0 ctr.ir.er. D. v.d there filr.r. or.d this clni*:cnt:s ::-rov zr.o:: very enters iv:; fir.r rrlievlc-ncdulor densities sc ottered threu-heut both lv ' l'vlrcnr-ry function torts ircro perfcr.-cd on S enter, ct U, 1573 'ey the I'toL- curry J'isrorc Vr.it :-.t 5tror~ 1 croriol Hoscitol. I o- cr.elosir- 0 eery of 7:;: of f:i-. cror.inctie::. Vl:?rc is r.o evi: cr.cc- of dc- rtrr.ccivr -otter:*. \.y *uV euury durst icr. t**.iir~ foot one -cold c::ccct - itli fr-'.r:. o rrd ircroi.ifi:. in the vitot. cr-ocitv or.d the fibrosis. v -'. to this clr.i: :.r.t. ----- -- f * "*?"*** "- * . ^ r Ci * *' * ^ ......... '. - ^ j.-- - -* ^ ......... ,, w -w ~ .................... .......................... ........... .... - ' . *.**" tt*.wii* ^.c* -- **** -- - -- --- y t "ilr. r'c.**'L*'* *"** .: * .. * ....................... ^**** 'i +r * Criv2 CC! cc: L C rutrr DONALD l-C. SUN, M.D. - HARRY J. PINSKY, M.D. 135 MEISS STREET ROCHESTER, N. V. 1-4607 V716) 2-4-4-5030 PRACTICE LIMITED TO RADIOLOOV September 7, 1973. Nolan L. Kaltreider.M.D. 16 No. Goodman Street Rochester,New York 14607 Dear Dr. Kaltreider: RE: BOHNER,Elsie #131-16-6235 CHEST: '. FA and lateral projections of the chest reveal the heart to be of normal size and shape. No chamber enlargement is seen and the aorta is unremarkable. Some calcification is seen at the left lung root; the lung roots ~ show no enlargement or nodularity and the mediastinum appears normal. There is a diffuse increase in the parenchymal markings throughout all of both lung fields of a fine reticulo-nodular nature. No conglomerate densities, or consolidation is seen. No significant pleural abnormality is seen. There is nothing to suggest pericardial disease. The bony thorax is unremarkable. CONCLUSIONS: . The heart is of normal size and shape. There are fine reticulo-nodular densities distributed throughout the lung fields consistent with the history of prolonged exposure to asbestos. r- No pleural or pericardial disease is seen. There Is nothing to suggest active or acute disease. If clinically warranted, comparison with previous films obtained at the Newark-Wayne Hospital may be of value. Thank you for referring Elsie Bohner. Sincerely KJP/bs Employer: Garlock Inc. Injured: Case #A64-57498 WC3: S.D. #207995 Harry J. PInsky,M.D I f j will 0< HIM ro*r -WORKMEN'S COMPENSATION BOARD 4 ` I* M !* ** ---/* [ ^ 1 i.4t ii*hit j____Jr*. iof >*w UiU mim; o* itm IMClUOl 2# coot IN Ail AODUtn CiAlMANt n>: MUi. * inlHft. U> i rmttfii^A, totol t poio> low el <wa(I>oa r.t o &<i>t *, #r pi i mmnm ImmI, fcood o oo*k 0>t^w*o<oni* " !_ 1 IH rr'rr ti- -' TM - * -r A-/-71 . I 4. O* wkoi 4m*mt -- ymv ' *01 * wil b b% 1 1 h oan*ni *uii ! <) lti faiad wk oi ooy kind? -I I (b) lwfw kn ro^wkor wfi? | 0: ' . . ! Dow, 7. V po*m n 4*o*fcio tm 4m <*9w> wvrk. bwt con do bouipd oort, tp#ti*y *m\ *> `nittijAi Jatlant Jhp^ULw'a" ^nriiwd Crai tha atrap<iarg in 4<f>p-r-Aj rttfUi I op***#*. m* WCaifMO <(KnM o0o* (* *owr pftfWwi rpo" wkk go*-,* T-r.IIU1IM i Am Mo^kptiooi) * tmmpammt um* < tho tfv'y o*d tffoiw*<f t*f on*', -,o*to<rrd?i 1 ~ n t tUiW: I_! 'r IfMlHI * ___ / . ' M* | l ofc0W>*O*M MUMM o * o j r mk n.mdrnmd. W* *o**ol Ooo no4o* J------ j)''** P--| ! \ N > *1 to kv* H "N " imdmo** I lo. IM> k* PMfMO<WA Ot IQW, (OVWOtlk to* PWlf.blkietlPA, ffc .. . I or h *< 1 lwr 1.,7slfrCTo3*--,wci . mwaMi .Hwtwff kfc'. ir mrn~1T I I~rmi Tl***^7 ' tt;r" , .I , |a**0m.9 w . . ANSWEI All OUESTiaVl5"'AVOlD USE OP INDrflKITE'tES'wT W< tmw. w. Elsie Bohner Arcadia Trailer Park, Newark , NY ylt&J Jf> '** r/ 7 , ''?* *Zj IAS" - ^ (^cJjjh, /Vo- - /Lfj -? ii Ib./faz^ f o 7- ?)' Cr-^^ ]4~^4 |t fctr f^b^' ^ * U<X* LA 0>*-*uA-- "" b r\ r\ A ~N Mrs. Sila Wulfrank Garlock, Inc. Palmyra, New York 14522 Employers Insurance of Wausau S7 MONROE AVENUE P1TTSF0RD. NEW YORK U534 PHONE C7I6J 381-0460 Elsie Arcadia>Jriler Itok iv Tork 14513 August 23, 1973 Elsie Bohner - Garlock, Inc. A64-57496 Dear Ms. Bohner: Arrangements hare been Bade for 70a to be examined by Sr. Bolan Ealtreider at his offices at 16 North Goodman Street, Rochester, lev York on Friday, September 7, 1973, at 1:30 p.B. Should you hare any questions regarding this consultation, please contact me promptly. n BRR/cv ec: Dr. Bolen Ealtreider Mrs. Sila Yulfrank/Garlock, Inc. Pt (.M- *> 1H 'V'i \____ STATf Ol.l-W YORK Workmen's compensation board PLEASE PRINT OR TYPE -- INCLUDE ZIP CODE IN AU ADDRESSES cwrn am no CAVRirR C AST NO UlDAH iniuRY |ll Smiiwh) |ll Khawa) AND IIMl ATTENDING PHYSICIANS'^' I 4fl-HOUR REPORT ' r' v -- CLAIMANT'S SS 0 MUST BE ENTERED BELOW ahoui v. wilier inhiwy Oiiuvkrii '.Hi IAI M i i ih Ilf|t town Villugi NI'A'MI V uwu ly72 uurlcL^ nt jorlock'o oinjijri PERSON name ACE lifl ADDRjiErSaS cdla T. railer 1*0x.1:, il&>arl:, ---------------------------------- -------------------------------------- ... 3i. employer Oarlock's luc* ^alryro, HZ 1j>22 insurance CARRJElk l-rplxxycr'a jJdk lliiS, ujorocuso, lieu IVrl: I'j ` how i symptoms). ^curved ond give source of this miormotion. (M ctoim * 4r occupohonof drseose. include cccupotionol history end dot* o onset el relate refer ta attached 2 is there o History of unconsciousness? 3. Wos patient ' Hospitalized? PTM| VPII Tf* II 1* I 0 NO ! W "Yes." lelor ! how long? + |] H "Yes." state nome and oddress of Hospital: 4. Was pattern previously under iHc core ol onotber physician YE5 ____________ :_____rs ctnttri < r.t.trrrtra i Describe noture ond extent of injury or diseose ond specify oil ports of body involved: -------------------------------------------- f'P ----------------------------------------------------- NO Wert X*Royt token? YES NC 2 If "Yes," enter His nome and address, ond reoson 2 foi tronsler under "Remarks'* (Item 10). 6- Nature of treotmenf: T tI rypvm'lrag Jnr) T-rl IT i;flVQ 1 f*ollou UT fUT tag .7l.td<3U !' r AI7 Dote of your first treotment: 6-S-73 TN It treotment is not continuing, is this your fmol report? VES [> H treotment is continuing. estimote its durotion. 1 awre. call If "Yes." state dote of lost treotment: PISA. JUITY CAUSA1 RIUTION 7 Moy the injury result in permon^nt restriction, totol or portiol loss of function of O port or member, or permonenf foool, Sod of wch di.ligu.emrwi;^ ^ %jgI qjJ 8- Is potient working? TES NO Is potient disobfed? ns I--I Nrt CS I | ! | duration of disability; 9 In your opinion, wos the occurrence described above the competent producing couse of the injury ond ditobiliry (if ony) sustomed? 6-1-73 2] ^es . n 10 Enter here odditionel information of volue. requests for outhorizotion, etc.: patient *V-_i enu Dr. S'- UolThcx;- 'YHi uar n epnfmlt fnr 3g. 3. Juvcm sQSttr ttT 10 to) Medicol testimony is occovonotly required If your testimony should be necessory in this case, pleose indicate the doys of the week (ond hours) most convenient to you for this purpose: Doted _____________ 6-7k -7t 3^ WCB Rotmg Code `-7 Typed or Printed Nome of Attending Physician WC8 Authonzotivn No- 209-hrc M *. Telephone No 332^331C Addrtu SUKTriirdj^bfoct, --Q V JAtmTen signature oV /^ -- Attending rhye^ion \ Icmrx;., CONSULTATION June 6,1973 PATIF.NT: Elsie Bohner This 49 year old female enters primarily because of progressive shortness of breath. The patient states that she has worked at Garlocks for the past 22-23 years, working in asbestos directly over the concentrated areas of asbestos fibers. She wears no mask and is provided with no mask. She has noted over the past f years, progressive short ness of breath which now definitely interferes with her normal activities. She cnn ride her bike which she normally enjoys doing only very short distances, has some dif ficulty on one flight of stairs, can now only mow part of the lawn without stopping due to dyspnea, and has problems with any type of exercise program including dancing, which she normally thoroughly enjoys. She does smoke roughly one pack per day and has smoked since age 17 or roughly for 32 years. She has occasional small amounts of AM sputum production. She has attempted to cut down over the past few months to less than I; pack per day. No episodes of hemoptysis. Had an episode of bronchitis requiring one month's leave of absence two years ago, but no episodes of definite pneumonia. She has no his tory of known heart disease of any type. She has no exposure to any other specific respiratory allergens, including in prior work before Garlocks. She is able to sleep on one pillow without paroxysmal nocturnal dyspnea, has no significant ankle edema, no major palpitations. She does have occasional episodes of sudden shortness of breath and associated light headedness without syncope. She admits to being moderately ner vous much of her life. PAST MEDICAL HISTORY: Extensive and is well contained in her Medical Center records. There is no known allergy including drugs. PHYSICAL EXAMINATION: Well developed, well nourished. Color fairly normal. Blood pressui 106/78. Weight 136 lbs. Pulse 76 and regular. Head and hair negative. Pupils round, reguLar, equal. React to light. ENT begign. Neck supple. Carotids equal bilateral without bruits. Neck veins not distended at 45 . The thyroid is within normal limits. The chest shows equal bilateral and good expansion. The lungs seem fairly clear to percussion and auscultation. There'is no wheezing or bronchosapsm. The heart is not enlarged. Regular sinus rhythm. No S3 gallop, no rub, and no arrhythmia. Heart sounds are of good quali t> The abdomen is soft, non-tender. No liver, kidney, spleen, or masses. There is no clubbi Nopetechia, no peripheral edema. The patient's chest x-rays have been reviewed and do show some increase in interstitial fibrosis involving all lung fields. Simple pulmonary function studies reveal a total vital capacity of 2.4, FEVi 1.9. An electrocardiogram revealed sinus rhythm with normal AV and IV conduction. The P wave is inverted in AVL. P waves are slightly peaked in 2,3 AVF, but still within the broad limits of normal and non-diagnostic of any definite pattern of chronic lung disease or right atrial enlargemer IMPRESSION: This patient has distinct evidence to support asbestosis and with her now working in the uncontrolled atmosphere over a 20 year period, there is no question that she is a candidate for increasing complications at this point, including lung cancer, mesothelioma, and possible GI cancer. Aside from fact that she will undoubtedly develop increased evidence of chronic obstructive lung disease. Her cigarette smoking is a dis tinct contributing factor. It is my feeling that this patient is as yet not physically incapacitated from her disease and is able to work, but that she is definitely to be ^ Temoved from this atmosphere. It is my feeling that her disease is compensable. Havel ' ordered Alpha 1 Antitrypsin enzymes, arterio blood gases and it would be worthwhile, /J, Elsie Bohner 2 June 6, 1973 although if negative, of no importance to get a sputum for possible asbestos bodies Do not feel that a lung biopsy is indicated at this time. JMD/l'ab Copy: Douglas A. Devens,M.D John M. Davis,M.D. TO: OF 2 * -Vy FOREMAN OR SUPERVISOR V UNIT L SECTION AREA OATE ISSUED: I Employee's name: , No.MAS BEEN REPORTED AS having AN occupation; ILLNESS CD, ,mrO WITH LOST TIK C0*ENC|NC AS OF . PLEASE ARRANGE AT ONCE TO TM EMPLOYEE'S T|M card REMOVED FROM THE RACK AND DO NOT PERMIT HIM TO PERFORM ADDITIONAL WORK UNTIL YOU HAVE RECEI* NOTICE OF CLEARANCE FROM THE MEDICAL SECTION. I -^Employee's nak y* WORK ON BE UNABLE TO RETURN TO WORK UNTIL , NO. 7*3 L- HAS REPORTED THAT HE WAS UNABLE TO REPORT T DUE TO A NON-OCCUPATIONAL ILLNESS V \ KJURY ]~~| AND INDICATES THAT HE I I Please arrange at once to have the employee's ti> card removed from the rack and do not permit him to perform adoiti WORK UNTIL YOU HAVE RECEIVED NOTICE OF CLEARANCE FROM THE MEDICAL SECTION. Upon COMPLETION of five WORKING days' absence, please arrange to have the em*.oyee's tik card REMOVED FROM THE Rack DO NOT PERMIT HIM TO PERFORM ADDITIONAL WORK UNTIL YOU HAVE RECEIVED NOTICE OF CLEARANCE FROM THE MEDICAL SECTION. I ~ JPON COMPLETION OF MORE THAN SEVEN CALENDAR DAYS'. ABSENCE, FLEASE INSERT THE INFORMATION REQUESTED BELOW AND FORWARD FORM TO THE EMPLOYEE BENEFITS DEPARTMENT. TO THE EMPLOYEE BENEFITS DEPARTMENT: The ABOVE-NAACD EMPLOYEE has BEEN ASSENT FROM WORK OVER SEVEN CALENDAR DAYS DUE TO A NON-OCCUPATIONAL DISABILITY. The PERTINENT INFORMATION RELATIVE TO THIS CASE IS AS FOLLOWS: Date OF LAST DAY WORKED:__________ ' Probable length of disability: 'ATE ABSENCE COt*ENCED: '/ Date: ______ ' J / /S Normal workweek: Signed: (1) (2) Original: Copy: Foreman or Supervisor To be retained by Employment Section /A__x__:_-_4_. _____ ^ Foreman or Supervisor ) ^ G.P.Co. 485^ NOTICE OF RETURN TO WORK ROM A LEAVE OF ABSENCE ..o yiuj^L/ FOREMAN OR SUPERVISOR UNIT // t s'h /DATE ISSUED Employee's Name No. MAS RECEIVED THE APPROVAL OF THE MEDICAL SECTION TO RETURN TO WORK FOLLOWING: I ] A PERSONAL LEAVE OF ABSENCE IN EXCESS OF 30 CALENDAR DAYS FOR NON-HEALTH REASONS nz'^an ABSENCE DUE TO A PHYSICAL DISABILITY. YOU HAVE AGREED THAT THE A.H., P.K., ON ^//A? EMPLOYEE IS TO REPORT TO WORK AT AND UNDERSTAND THAT THE FOLLOW|NC PHYSICAL LIM1TATY0F ap*.y: State NONE, if none. f-b^ </ ZT&////?? ) Should the employee fail to report in accordance with the above, will you kindly notify the Employment Section. Signed r /~ (/O/?1 (1) Original to Foreman or Sur*RvtsoR (2) Copy to Employee Benefits Departicnt G.P.Co. 1570 13 JUNE 1973 I, ELSIE BOHKER, AUTHORIZE URW PRESIDENT VINCENT BURNS TO REQUEST THE RELEASE OF KT MEDICAL RECORDS PERTAINING TO COMPENSATION CASE . /- / / // / ' - /.' /*'*/ ->^1 <<_.-^7 ~ / w Jf --. /z <: * si/* * ^ - /' C-^y* '** *** tS / .y<-~c . ^t; . ' -sCc^. Cc. <T^ic ry . -^-c.'.--it<< 7 ../^ dV> / 7 t STATE OF NEW YORK WOMEN'S COMPENSATION BOARD PLEASE PRINT OR TYPE -- INCLUDE ZIP CODE IN ALL ADDRESSES WCB CASE NO. fit Known) CARRIER CASE NO. |ff Known) DATE OF INJURY AND TIME ATTENDING PHYSICIAN'S 48-HOUR REPORT l CLAIMANT'S SS* MUST BE ENTERED BELOW ADDRESS WHERE INJURY OCCURRED SOCIAI SECURITY (City. Town or Villoge) NUMBER ap.rc::. Dec. 1972 vcrJrJjy n-t Jariock's INJURED PERSON name i "'Icie '.sihncr . AGE LB ADDRESS ' Arcadia Trailer Perl:, !:e.jark, K.Y. lL EMPLOYER ~crlock's "re. I'aLryra, i:.Y. ll;922 INSURANCE CARRIER .vpirycr '3 -/ciur.l of 'ausax Dgt: IC-'iS. i.:y*acv.so, Tier.: York 13' 1. Slot* How injury occurred end give source of this informotion. (If cfoim o for occupofiono/ diseose, include occupotionol history ond dot* of ons*t of relcn symptoms). refer t: r.'tvclxd 2- Is there o h ...ory ol I unconsciousmness? .I I Y,, I NO I If "Yes." for { how long? Were X-Roys token? Q S 0 NC 3. Woi potient hospitolized? * 0no J H "Yes." srote nome ond oddress of hosprtol: 4. Was potient previously under the core of onothcr phyucion || for this injury? v . ^ I I^ 5. Describe notur* ond extent of injury or discos* end specify o/f ports of body involved: 0I y'lr ________________________________ A G N0sI s I If "Yes," enter his nome ond oddress. ond reoson , for tronsfer under "Remarks'* (Item 10). 7 R A T N 7 DI5AIliITT CAUSAL RELATION 6. Noture of treotment: Dote of your first treatment: rex: 1 jiv* - T"! v-- T fr.' 1 '"l' r*~ '`- -** ' - VI -rrV j If treotment is continuing, estimate its duration. * w r _i 1 vrrr- c.-ll It treotment it not continuing, is this your final report? tes [Hno i ................................................. ............ 7 May the injury resuft in permanent restrtciron, totol or portiol loss of function of o port or member, or permonent focioi, heod or neck disfiOurement?/ - _ r.z xcr ,. . rttrc.Trn YS NO IXZi e. j If "Yes," estimate 6-1-73 til;. ] duration of disability: '-i 1-7-3 9 in your opinion. wo the occurrence described oboe* the competent producing couse of the injury ond disability (if any) sustomed? Q YES Q NO 10 Enter h*re odditionol information of value, requests for oufhonzotion. etc-: 8 I vra r f>:r A 8 K S 10 lo t Medico) testimony is occasionally required- tf your testimony should be necessary in this cose, please indicot* the doys of the week fond hours) most convenient to you for this purpose: CONSULTATION June 6,1973 PATIENT: Elsie Bohner ( This 49 year old female enters primarily because of progressive shortness of breath. The patient states that she has worked at Garlocks for the. past 22-23 years, working in asbestos directly over the concentrated areas of asbestos fibers. She wears no mask and is provided with no mask. She has noted over the past fw years, progressive short ness of breath which now definitely interferes with her normal activities. She can ride her bike which she normally enjoys doing only very short distances, has some dif ficulty on one flight of stairs, can now only mow part of the lawn without stopping due to dyspnea, and has problems with any type of exercise program including dancing, which she normally thoroughly enjoys. She does smoke roughly one pack per day and has smoked since age 17 or roughly for 32 years. She has occasional small amounts of AM sputum production. She has attempted to cut down over the past few months to less than ^ pack per day. No episodes of hemoptysis. Had an episode of bronchitis requiring one month's leave of absence two years ago, but no episodes of definite pneumonia. She has ho his tory of known heart disease of any type. She has no exposure to any other specific respiratory allergens, including in prior work before Garlocks. She is able to sleep on one pillow without paroxysmal nocturnal dyspnea, has no significant ankle edema, no major palpitations. She does.have occasional episodes of sudden shortness of breath and associated light headedness without syncope. She admits to being moderately ner vous much of her life. PAST MEDICAL HISTORY: Extensive and is well contained in her Medical Center records. There is no known allergy including drugs. PHYSICAL EXAMINATION; Well developed, well nourished. Color fairly normal. Blood pressur 108/78. Weight 136 lbs. Pulse 76 and regular. Head and hair negative. Pupils round, regular, equal. React to light. ENT begign. Neck supple. Carotids equal bilateral without bruits. Neck veins not distended at 45 . The thyroid is within normal limits. The chest shows equal bilateral and good expansion. The lungs seem fairly clear to percussion and auscultation. There^is no wheezing or bronchosapsm. The heart is not enlarged. Regular sinus rhythm. No S3 gallop, no rub, and no arrhythmia. Heart sounds are of good quality The abdomen is soft, non-tender. No liver, kidney, spleen, or masses. There is no clubbi Nopetechia, no peripheral edema. The patient's chest x-rays have been reviewed and do show some increase in interstitial fibrosis involving all lung fields. Simple pulmonary function studies reveal a total vital capacity of 2.4, FEVj, 1.9. An electrocardiogram revealed sinus, rhythm with normal AV and IV conduction. The P wave is inverted in AVL. P waves are slightly peaked in 2,3 AVF, but still within the broad limits of normal and non-diagnostic of any definite pattern of chronic lung disease or right atrial enlargemer IMPRESSION: This patient has distinct evidence to support asbestosis and with her now working in the uncontrolled atmosphere over a 20 year period, there is no question that she is a candidate for increasing complications at this point, including lung cancer, mesothelioma, and possible GI cancer. Aside from fact that she will undoubtedly develop increased evidence of chronic obstructive lung disease. Her cigarette smoking is a dis tinct contributing factor. It is my feeling that this patient is as yet not physically incapacitated from her disease and is able to work, but that she is definitely to be removed from this atmosphere. It is my feeling that her disease, is compensable. Have ordered Alpha 1 Antitrypsin enzymes, arterio blood gases and it would be worthwhile. Elsie Bohner 2 June 6, 1973 although if negative, of no importance to get a sputum for possible asbestos bodies. Do not feel that a lung biopsy is indicated at this time. JMD/lao Copy: Douglas A. Devens,M.D John M. Davis,M.D.