Document ZJO02mKYZmJzYr6mddYpwYnKZ

[ __ ._ I I J . W . BEALL CHAIRMAN 1 WILL T. BLAKE C L A R E N C E H. KNISLEY A. O . C A D D E L L , SECRETARY . Th e - Wo r k m e n 's c o m p e n s a t i o n In d u s t r i a l Co m m i s s i o n o f M EDICAL. SECT IO N Co l u m bu s Oh io DR. SIDNEY M cCURDY. Su pe r v is o r o p Me d i c a l s e c t i o n Dr. R. A. Kehoe University of Cincinnati College of Medicine Cincinnati, Ohio 2-15-40 ' Claim No..0D.,i445i. NAME. ADDRESS_12Q2..Lakeaide.Ay.e..,, - Dear Doctor;-- We are referring the above claimant to you for...e L..ta.determine the c la im a t!^ ...p ra a e jx h .n o n iii.tij3n ..& ..a!h eth er,.o r..n o t..saE ie,,is..attE ih n ted ..to ..lead ..p Q iso n in g yfhigh .clt, allegedly contracted on 1^18-37.................. .................. You may notify the claimant at the address given above when to appear at your office for this purpose. We are enclosing, herewith..Qapy..sf..meM.Qal.-r.SBP.rt....... ......... which will give you a history of the case, as shown by our files. Kindly send your report in TRIPLICATE, together with your fee bill, direct to the Medical Section, as soon as possible. The extra form enclosed is for your files. In preparing your report, please use the following subheadings in the order given;-- (1.) HISTORY-- of injury and treatment, past medical history, pre vious injuries, family history (if applicable). (2.) PATIENTS COMPLAINTS-- describe in detail even if they have no apparent connection with the injury. (3.) EXAMINATION-- include all objective findings, clinical, lab oratory and X-ray. (4.) DISCUSSION-- summary and treatment indicated. (5.) OPINION-- extent of disability (total or partial). If total how soon will he be able to work. If partial, estimate degree on percentage basis if possible. Use the Form (C-lll)enclosed and continue your report on the re verse if necessary. SMH:mpr Very truly yours, DR. SIDNEY McCURDY, Supervisor of Medical Section. MED. II--SM--5-39. IN R EPLY IN G , ALW A Y S G IV E CLAIM N U M BER. _ NOTIFY TH E C H IE F IF YOUR IN Q U IR IES ARE NOT ANSW ERED W ITH IN TEN DAYS. "lUUv nhceiae Ave., ; /:<ycn, Chic. . .^ , - - f -."' ?- ,,.^ ' *coijT,cr,c5.si Printing & J4.tho.Co, January 5, 1940 REPORT Claimant alleges lead poisoning. However, after reviewing file, -it'5-is Questionable if.claimant had lead ; poisoning in view of nature of her employment, 'namely/,a- press ' , feed operator \ in any event, exposure must have been mild,/ . , ' Dr*//JenKins (apparently Company physiciaa) diagnosed ''anemia, secondary: type; neurasthenia accompanying, * menopause," Dr. P, A* Davis examined: claimant on Kerch 12 ana 17,'193?, shortly after inception of disease* He found a - ,, slight mitral xaurmur (compensation good), ,B.P. 150/70, no ': anemia, some leueoeytosis and 2$ stippling;.urine showed a - trace of albumen and many, bacteria, but no lead. He was of opinion that claimant had'/a-mildcaseof ;chronic lead absorp- ' ' tion. ; , / v/'l'-,' ' K / ,;///iiim - /' K;/ She was''-'examined:.recently (September 29, i" : 1939) by Dr. A, P. Ormond who found same cardiac pathology, . definite arteriosclerosis, hypertension, B.P. 220/110, no anemia, some leucocytosis (10,530); and a traGe of albumen in urine; also a neurosis. Ee attributes condition to lead poisoning and -was of opinion claimant was totally and permanently disabled due to secondary effects of lead poisoning. i ; COMMENT: :"v-;: - It would seem that there should, be vejry little residuals present from any possible mild exposure-to lead that claimant had at this late date, isome? two and one- half years after inception of disease, ; .. J;>5Vw, * ~'v" `'- OPINION: ' ... h ' v :Stf- . . ./. Recommend that claimant be sent to Dr, R. A. Kehoe, associate professor of Physiology, University of Cincinnati, Medical School,, tin outstanding authority on-lead poisoning, for.hospitalization, observation, consultation, review of entire file, etc., for-opinion as to present cOn dition, relation to lead poisoning and degree of disability - due to same,' '/: ` ' "' :' '' . , m Sespeit JB-J.ly.submitted, .  January' 5, 1940 - .\ ' * REPORT r ' A V V--' '*' ' ' '-i v... 'V ^ r TM ; rinTM ir^ ^ . - . V" ' , Claimant a lle g e s lead poisoning. However, 'after reviewing file, -it is questionable if claimant had lead poisoning in view of nature of her employment, namely a press feed operator}.in any event, exposure must have been mild. . ' '" . ; Dry 'aTenKiiis {apparently Company physician) diagnosed'*anemia,' secondary type; neurasthenia accompanying menopause.* Dr. P." Ai Pavis examined claimant on March 12 and 17;' 1937,. Shortly after`inception of disease. He found a - slight mitral .murmur (compensation good), E.P. 150/70, no anemia,- sons leucocytosis and Z% stipplingj urine showed a ` *' ' '``trace`of'albumen arid cany bacteria, but no lead. He was of . - opinion that claimant had1a mild case of chronic lead absorp- tiort.' , ' * ' w ' She was examined recently (September 29, ' 1939) by Dr. A. P. Ormond who found some cardiac pathology, : definite arteriosclerosis, hypertension, B.P. 220/110, no ,v; anemia, some leucocytosis (10,550); and a trace of albumen in , 1 urine; also a neurosis. Ee attributes condition to lead . poisoning'and was of opinion claimant was' totally ana permanently disabled due to secondary effects of lead poisoning. .' -yV - v ' -- -//'yi- It would sees that there /should be very . . : little residuals present from any possible/mild' exposure to . lead that claimant had at -this late date, 1some, tiro and .one- ` half years after' inception of disease.. -./ >,i;- OPIHIOHt". b -:r. ....r.-............. . .. . . .. . , f , Recommend that claimant be sent to Dr* R. A.' Kehoe, associate professor of Physiology, University of .- v y Cincinnati, Medical School, an outstanding authority on lead ." poisoning, for hospitalization, observation, consultation, ' . review of entire file, etc., for opinion as to present con- . dttion, relation to lead poisoning and degree of disability ' due to same, * "4" l ;'' '/ '-.-v ./ Respectfully .submitted, - - Sidney iicCurdy, k.D. ` r; ` r" ' * ' t , HospF,' ~' -V T-" ,4 ' . * ` ><m \ y *>5 qa fli rti isSVSSlJSs'.S ~a* fc.+> et<rir* jjl8 r82S3 |S g is ||F s r i f3its, P 'ftqd->fa*o ' e i K <Ha*-v* _ %>K f ,s l s % . i s JO'T'P* Subnut reptji t. ***--o ---- o - Vi- > >- - * including X-ray and laboratory work. (4) Discursion. (5) Opinion. Mail THREE copies to the MEDICAL SECTION--Retain one for your file. - history pain in id* trio `- the . >oe* wher<| presses':.. wjl Mutrw n w w uuu^vik u m uu ;u**ohlnes Ventilation voider in:.*10 years period ever -had pXsas&iis though, nearer to source of exposure* _ .... ... ? # l . * ; ; . tSr iao# P.!* - aotallQ tast#:in twuth for about 1 year'-':l sot think sensation .of taste bas rturned to- normal.! severe past m years- tpaanfeeld* in that tia'witii-''--1' after wakens 't night: with ffsplit!ngB pain. 'Glass;to t In head at time hen patient bessne* nervous* ' _s since except for 3 pregnancies Call term}* Mo _ .. _ and Feb# 1940 flow unusually groat* Bearing doyn atlon#!|l^oet-saonths* "" ' - - ' vgtait* .til glass milk daily - 3 cups cofe dally. Bo tobacco abIts-Sleep is restlessr-'frequent bad dreams - insomnia frequent, satel-Ctafonerstiver- well balanced - History apparently reliable. . x - m * * , : ..;Wv5.#j, i -, fh-Bloal Bj^ lntlon . - -.... ; .. ^ ism a y - - - > <- ---- &-- " inn I . H I , tmum H rn il. ! * P ? W * 3 2 fc ' Is tk s ^ ' " * height*--3YCKr; 1 * 2.0 ***'* ff - not acutely ill, nervous, e t r t n 'm <ft 1t r a . w* |H*eaVd n` egKativl eS r ^ o h e ^ n io S ? - ,o , 0J^> ^lti7# -Pole.:V Bars negative * Tympanl clea r . : V `J " 22- ; oe ? s .r w- ' 0a`h OE S X S C l e f t h0,>k V ^ "1 gutaa ftnd n a g .. 2**1SSJSr 0l0nr' SOft * * * " W **" * na d lotortaa by 00ar. Chest Clear ' ;' '.- . . - . :* *- * _, * ... ^ J -.* - * ,> % 1 ` : - (SignatureofKxamlner) - (CONTINUE REPORT ON REVERSE OF SHEET-- NOTE INSTRUCTIONS) (CONTINUE REPORT POION FROM HERE) ' I ' "" :: !>":IT. ",l'/l'. r-- ' H e a r t Ton clear * no b #c*d * inatei/ bdcmn Obese - numerous 'nd- ''Inv'BEsali elvs x trots* stm* Miseri- ri ' ' .v-:.1'. t SSillri, 85 oxtra yatol/ nln, f.S.D 7,'' ___ _____ :1# hjpochondrlUBS/ .v-; * il **S-TO*^OfciV* ^^ .' *'4.': Orto giovi parasthosi and dittar* '^m'ak diital balf, of hands mirino, cloudy* pale ambor* 'itoti Alternala.-m - ^ugSEr' - negati' ' * - np*Or*- 1*913 ' Sierocoople - nuaorous pus and pithelialcella - soK-1anr epitfeftlitis -, ha.easts no erythrocytes*; .: .:.. "' $ toad-anfratti 0*03 sg-per -liters - ' ' ' BlOOd-. ai 14 m ?oiy e:1*.5 S t u b s ,2 # S I(siaph 26*5 Sono* 6*5 Eooin* 1*5 Baso* 1*5 "Olmo4*756,000 ' IBS l#600'- ; Stippled erythrocyte# * non per Sty field ad analysis | 0*02 sags per 100 grani,:. Discussion '' , /. '^boreris no evidence of residual dams do* to load absorption* and from th history there Is considerable doubt as to the correctness of .OJi. th original diagnosis of lead poisoning* There Is a well defined there* ecloroois* with hypertension and circulatory impairment*'- There 1;no:- .adsquatc feaeon for attributing th-disability frost:this, condition to coot patlonal illness in tha fora of lead intoxication* That is to say* th - circulatory condition in our opinion 1 not a residual effect of load poisoning* . '' 'V-r >.i,J.v ReeKgiemdat.l,<mg - . '.' : ..... need medical attention - h istory of 5 years, ago "suggests :e;vs- period o f. cardiac daeaopansatlcn fres-eat slig h t..enlargement.-of liver, ,,% hemorrhoids* albusaimrla and edema o f extremities indicate low r e s e r v e ' at present*' The pain in dorsal and lua&ar pixie*.with"vague deep ps&hs'`;f ad stiffness of back are consistent with presence of spinal arthritis^l or setae residual of # ie injury, sustained 'in 1936* -There, is no clinical^-; evidence of menopause* The-condition of skin and breasts end.the type. of cells in urine Indicate that adequate estrogenic substarve-is present*- fetient is lightsncurofcis .and. varo^hasl*#*. 'her symptoms*!teat:tb --' existence of symptoms ,ie. -not questioned* -- ... '' ' ;:-e - Patient should receive treatment* X-ray examination of spine mud ; proctologic examination are indicated* / "v ' ` %' The sensory disturbances of the hands appear to be of circulatory origin and are .associated with low skin temperature and slight cyanosis* k'E 0016671 ! \ 3-10-1940 Complete qllnical examination \ !\ (consisting of physical examination, \ microscopic blood examination (^ed count, white count, differential count, haemoglobin deter mination, count of stippled erythrocytes), urinalysis, lead analysis of urine and lead analysis of blood) ,, . $35 00 K 0016672 .$ 35 00