Document Znz7N1JeN5jnvREyXkQ7aQxD7
SIR CHARLES GAIRDNER HOSPITAL
THE <3UI;KN EUZADPTIi H MEDICAL CENTttE
WOHANOS. WTSTEilN AUSTRALIA. 0009.
T^.-vluu*- JSrt <22 YH. AA91SI&
IN C*CY runACC CUOTE If TELETHON! NO PtEasC
ASK ton
6th January, 1900.
Unit No. A0070101
Dr, Ong,
P.O. Box 252,
MANDURAM
W.A.
6210
Dear Dr. Ong,
Re: Hr. Walter SIMPSON
Walter Simpson was previously a patient of Dx. Hall who Z gather has rtoved to Gcraldton.
This patient worked at wittenoom Gorge but only for about 3 years when he was a Loco. Driver, underground. He was initially seen by Dr. Peter Brown the * Senior Registrar. ' :ir. Simpson was certain he had asbestosis but clinically we were not convinced as he had no crepitations, no clubbing and no significant X-ray changes. His symptoms were out of proportion to his chest signs and indee his ventilatory function tests. He had been a very heavy smoker. He also had symptoms-suggestive -of rhinitis and prick -shin tests were strongly positive so there is undoubtedly an atopic element.
Because he was convinced he had asbestosis and because a lung screen did in fact show an unexplained defect in gas transfer, he had an open lung biopsy, this she fibrosing alveolitis, there was no sign of asbestosis.
Mr. Simpson has been told that he has a fibrosis in the lungs, that this is minimal and that it is not related to asbestosis. He has also been told that this appears stationary at present but that he does need to be seen occasionally for X-ray and lung screen.
He can neither read nor write which is a considerable disability these days.
He was STTfCavy smoker but I
ho has now stopped. This is excellent new*
as it lessens his chance of ge* ? lung cancer particularly as he worked at
K'ittenoom.
Today he again complained of b' below the xiphiseernum to the : ination he had a gap between b>r thickening on the left and I fv
* hiessness after a heavy neal and painful swcl
which ho thought was getting bigger. On cxa.
i 'fccti but there was only very vanm* diffuse
this is within normal physiolog*
limits.
WV-004116
rnrnmm
2-
I cold him that this was simply slight fatty swelling and of no consequence.
He is a fairly anxious chap, he has evo job, he spends a lot of t,iwe swiwming and sometimes after swimming he suffers from a blocked nos for some days and I have therefore prescribed Avil retard to take at night on these occasions for 3-4 nights.- X odd him that if this helped then vouVould pVofcaSI? iupply'lwn plain if he visited you in the future but 1 warned bfti to take only at night. Lung screen today still showed a defect in gas transfer but there had been.no change since April *7. X have therefore re-assured him that his fibrosing alveolitis appears quiescent, but X will see him'again i:\ 6 months.
Yours sincerely.
JANET b. ELDER Physician Department of Respiratory Medicine XI.
DR- W, J. VAHAIA OR.T. K KEARNEY
OR. V. . STEWART
HOUKS ev AWOIWM6NT
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