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May b.7, 1 9 &
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Hr,' G* Dea Belin
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."'President
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E I, duFonb de lemours and Co,*
Scranton* Pa, '
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Dear Mr,
7 '^ '* *
J n accordano with the instructions of
Dr, G, H,' Gehrmann I am sending you today by express
two chemically clean containers for the collection
. of samples of excreta, -,
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- In order, that we may make a proper
interpretation of the results* it is necessary that
the samples be obtained with a considerable amount
of care. A single fair siaed faecal evacuation is ,
required which should be obtained directly into the
container* and which,should not be contaminated in '
.any way by the addition of any foreign bis terial.
It is especially important that*care be taken against
contamination by dusts. Therefore as soon aSi the
sample has been takenF the container should be carefully
closed* and returned to a paper bag* The sample of urine
should be collected directly Into the container over such
a. period of time as will permit the collection of not -
. less than 3 liters of urine. The exact time period
ia not important. We are not Interested in twenty-four
.hour or forty-eight hour samples since the concentration
of lead in the urine is the important consideration*,^;^ '
Her again* however* it is necessary bo take?the l; `"-`T'''
, strictest precautions against contamination which will
result from the use of any intermediate container. The
patient should vole directly into the gallon jug which
'should be kept tightly closed in the interim* and when ,
the jug is as much as three-fourth8 filled* it should
be returned to the bog and shipped baok to us by express.
It is important that the faecal sample should be collected
without the use of any medication* as for example* a
cathartic. It is particularly important that no Epsom
Salts shall have been taken during the twenty-four or
forty-eight hours preceding the collection of the faecal
sample, the reason for this being that Epsom Salts commonly
contains such amounts of lead as will confuse our findings,
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Very truly yours*
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RAKlIS
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Robert A. Kehoe* M*D,