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'% V r-tkr */ AC^*v^V 6-fi-<y*-o, ftU-4- 0 fy^y-y--t fl- a . * * - cA&t O U& a^&y,^ y- ao^JL) " '1 _ (Za a x A^v ,,- A**l>t'r>e^ *' 0-0 f vt*-0./jE^ f ^--------- > OSZtToy J*y ~ \t*+~r/fy.+-& --g-^),-N.* -- La *****- ^ ^Ws# ** * "f^ * *r mJ ^ c~t~ryy T4 nA C*-^vt ^ <C^-- 0~-^ U~& O^J KE 0016774" &: E* Osterhout Employe of Socotiy Vacuum Oil Company In Garage Repair ^hop Albany* He York Hovember J.6* 193? Patient, seen to determine If Ms lead poisoning due to absorption in painting or to determine cause of illness# {Ho Question as to lead absorbed from gasoline*) Until past six seeks patient has been feeling badly although able to work most of the time* Hi symptoms consisted mainly of ease of fatigue* vary rapid pulse and "pounding*' of his heart with occasional "fluttering11* also pain at times over his precordium* insomnia* and very irritable* neuritic pain circling lower left cheat and both arras, numbness of his upper extremities at times* dissiness and vertigo* He also complain of pains in his epigastrium and hyperacidity which he ha had at tines for past few years# Other than occasional cramp-like pain, no complaints* Ho vomiting or diarrhea* Ho blood in stools* Ho hemorrhoids* Ho loss of weight* Appetite fairly good all of time* Essentially negative. Chest clear* Above symptoms. bead Exposuret History of painting trucks in garage previous to past year and again during past six weeks* This Is spray painting and practically all don with enamels (Socony) and thinner (Socony) which contains no lead* From his history he has had no appreciable lead exposure# For the past year his work (until past six weeks) has been manipulating the degreases using trlehlorethylene as the solvent* This necessitated considerable exposure to the vapors Auto parts were put into the compartment vie a crane and the solvent vaporised with steam coils. They were later removed and at times dried with air hose* He worked at this about 6-8 hours daily# Approximately one time every 2 seeks he entered the compartment to remove the sludge using a canister type of mask. On the past I4.-5 occasions he used an air-line mask. He states he could always smell the vapors when nearing the canister mask* He also emptied th 55 gallon drums of the solvent into five gallon dans* In going over his record I find at varying times in the past year (a dosen or more) he was absent from work from one day to a week because of above symptoms particularly abdomtn&l pain. KE 0016775 Els past history is essentially negative - not a heavy drinker and one pack of cigarettes dally* Family history negative* :!xarn nation '.veil developed shite man certainly not appearing ill* ' Seen. iO'.-ho-tes'l roots* Color good and stein relatively clear, warm and moist. Posture good and erect* $**&* '98*6 Weight; 180 Eyes Ensoular function good and eye sight 20/20 20/20 Ears Canals and drums clear - Hearing Cte Rose Hot remarkable* Smell Ote Mouth Cuma good condl tion* Setae carious teeth and questionably viable to be investigated* Pharynx clear* Chest Expansion good and equal <* Clear on P and A* Heap; 18 Heart ROD 6 cm ECO Ij. % 10 Pulse; 90 Bl.P* 135/9^ Sounds good quality - no murmurs* Bate and ryfchm Ote and reserve good* Abdomen negative - Reflexes All obtained and normal response. Urine Alb 0 Alte Sugar 0 Lead Analysis (large sample) G*0ij. mgs* per liter Feces ' n " 0*52 mg* per sample 0*10+ lags* per gram of ash Blood Stipple cells 0 Impression; Trichlorethylene intoxication with no residuals* Recommendations 1 Use of air-line mask* Avoiddnce of vapors Removal of above patient to other work (was done six weeks ago) Advise patient to see dentist* KE 001677a L* J, Schradin* M.D* Kettering Laboratory s January 6, 1938 Mr. W,, J. Maxwell Socony Vacuum Oil Company Claim Department 26 Broadway Kevs York Dear Mr. Maxwells- I am sending you herewith arepor^f Dr. Schradin* exam nation of Mr. jHflffMHpmade ei ther at your request or at tha^o^^ "weotner member of Socony Vacuum* I am not sure about the circumstances in connection with Dr* Schradinfs examination of this patient, or whether his results should be reported to someone else* However, in as much as Dr* Schradin is away on a visit which will absent him from Cincinnati for a period of weeks. It seems best to send you the report now that the analytical results are available to confirm Dr. Schradin*s opinion that there was no evidence of abnomial lead exposure* If there is any other matter in connection with the'case which Dr* Schradin may wish to take up either with you or with some other person in the organization, he will take care of this on his return. I trust that the information given will be satisfactory for your purposes* However there is one matter^in connection with this case which seems worthy of consideration* It is my opinion that the use of fcrichlorethylen for degreasing automobile parts constitutes ijjcssary hazard, To my knowledge 30m garages are using a grade of Kerosene for this purpose with satisfactory results# and this material would seem to be from every point of view much safer. I dare say trichlorethylene will clean the parts somewhat more rapidly and perhaps also somewhat more thoroughly, nevertheless I would advise against its use for this purpose. You are at liberty to transmit this advice to anyone in your organization or to anyone else who might be interested in it* In my opinion the practice of making , use of new and physiologically un-explored solvents for a variety of purposes, is very unwise, and in this Instance KE" 0016777 N19458.01 2 where the material is known to have a fairly hightoxicity* it seems not only unwise but unnecessary. Very truly yours. RAI'-sis Rober t' A. Kefaoej' M*D,, 0016778