Document VGYGd9e8VxZrDBGND8mZGXwrj

Feb r u ar y & 9 19*K) Dr . Su lliv a n G-. Be d e ll 512 G reen leaf Bu ild in g Ja c k so n v ille , Flo r id a Bear Doctor Be d e ll:- The d e sc r ip t io n o f t h e case o f in t o xicat io n in your le t t e r o f February 3rd i s an u n u su al on e. I t d oes n ot f i t in t o th e custom ary c lin ic a l p ictu r e o f gaso lin e In to xicatio n as I have seen i t . T h e r e fo r e I am d isp o se d t o b e l i e v e t h a t th ere were ce r t ain ad d it io n al fa c t o r s in t h is nan* 3 i l l n e s s . Ju st what t h e se a d d it io n a l fa c t o r s w er e, i t i s n ot e asy a t t h i s tim e t o sa y . The d ist e n sio n an d t h e c y a n o sis w h ich you sp e ak o f giv e me some su sp ic io n t h a t t h i s n an may h ave b een exp o se d t o t o x ic con cen t r a t io n s o f h ydrogen su lp h id e in ad d it io n t o ga so lin e v ap o r s. T h is, h ow ever, i s by no means c e r t a in and th e n ecropsy r e p o r t does n ot giv e any su p p or tin g eviden ce. - One t h in g in t h e n e cr o p sy r e p o r t i s a l so somewhat q u e st io n a b le in i t s si g n i fi c a n c e . One would ga t h e r from t h e m icr o sc o p ic e xam in at io n o f t h e b r a in t h a t t h e r e h ad been some t y p e o f c e r e b r a l in flam m ation . Ju st what cou ld h ave produced th e lympho c y t i c i n f i l t r a t i o n , wh ich i s d e sc r i b e d , i s somex-jhat beyon d my pow ers o f d e d u c t io n . C o n sid e r in g t h e h i st o r y o f exposu re, th ere are ce r t ain fr c t o r s in th e c lin ic a l p ic t u r e which ar e su g g e st iv e ,b u t by no means c o n c lu siv e , o f lead ab so r p tio n . Th is poin t in th e p ict u r e in t e r e st s me v er y muoh in d e e d , an d b e fo r e m akin g-an y fu r t h e r comments on t h e c a se , I sh ou ld l i k e t o do w h atever can be done tow ard t h e st u d y o f t h i s q u e st io n . I t o c c u r s t o me t h a t t h e p a t h o lo g i s t may h ave p o r t io n s o f th e o r gan s o f t h i s u n fo r t u n a t e man, an d i f h e h a s, we sh o u ld s t i l l b e a b le t o d eter m in e whether or not le ad cou ld be r egard ed as a sig n ific a n t fa c t o r in h is i l l n e s s an d d e at h . W ith t h is id e a in m in d, I sh o u ld a p p r e c ia t e i t v e r y much i f you w ou ld se e w h eth er you co u ld o b t a in fo r u s some b i t s o f t h i s m an *s t i s s u e s . We co u ld make u se o f an y t h in g t h a t i s a v a i l a b l e fo r a n a l y s i s sin ce ou r meth ods ar e v er y d e lic a t e , bu t i t would be h igh ly d e si r a b l e i f we cou ld h ave p ie c e s up t o 100 gram s o f t h e l i v e r , k id n eys, b r ain or w h atever e lse rem ain s. I f t h e se t i s s u e s a r e a v a i l a b l e in th e p a t h o l o g i s t *s la b o r a t o r y , and i f t h e y a r e im m ersed in some f i x i n g so l u t i o n , i t w i l l a l s o be d e si r a b l e t o sen d u s some o f t h e f i x i n g so l u t io n in o r d e r K E 0021124 - 2- t h a t we may exam in e l t a le a d co n t en t a s a ch eck on t h e p o ssib ilit y o f th e con tam in ation o f th e t issu e s. I f we sh ou ld fin d sig n ific a n t q u a n t it ie s o f lead In t h e se t i s s u e s , I sh ou ld .w an t t o make & v e r y com preh en sive in v e st ig a t io n o f th e whole se t o f co n d it io n s un der which t h i s man w or k ed. I f , on t h e o t h e r h an d , t h ey sh o u ld be n egative o r normal In t h e ir le ad co n t e n t , t h is fa c t o r w i l l b e e lim in a t e d an d we can th en giv e se r i o u s c o n sid e r a tion to the p o ssib ilit y of oth er in toxican ts. I t is p o ssib le , o f c o u r se , t h at t h is w h ole p ic t u r e was produced by gaso lin e in t o x ic a t io n , an d yet th e outcome was so u n u su al t h at I sh ou ld be lo at h e to a r r iv e a t t h i s d ia g n o sis, excep t by the p rocess of exclu sion . ~ In con clu sion I hope you w ill be a b le t o o b t ain some t i s s u e s f o r U3, b e cau se I h ave a gr e a t d e a l more th an th e mere academ ic in t e r e st in t h is c a se . Very t r u ly y o u r s, P A Kjia Rob er t A. Ifeh.be,' H e 0021125