Document b22aVpKVgnzmLn0yvYDjvQRZ

St andar d Oil Co mpany (iNCOBPOKATRO N MKWJERSEY) 30 ROCKEFELLER PLAZA* NEW YORK 20t N. Y. ROBERT COLLIER PAGE. M. D. GENERAL. MEDICAL DIRECTOR KENNETH R. FOURCHER. M. D. ASSOCIATE MEDICAL. DIRECTOR THOMAS C. KIENZLE. M. D. RALPH F. SCHNEIDER. M. D. Ja m e s r . mc mil l a n , m. d . ASSISTANT MEDICAL DIRECTORS JOHN M. DALEY. M. D. WILLIAM E. WAKELEY. Jr .. M. D. HARRY F. COLPKR. M. D. PHYSICIAN'S AT LARGE June 10, 1954 RICHARD E. LEE* M. D. CONSULTANT D1AONOHTKCIAN T. ARTHUR PEARSON. M. D. CONSULTANT KADIOLOQIHT THOMAS Ci. RIONEY, M. D. EXAMINING PHYSICIAN SARA P. WAGNER. R. N. DIRECTOR OKNURSE Dr . Ro b e r t A. Kehoe Th e Ke t t e r i n g L a b o r a t o r y Co l l e g e of Me d i c i n e - Ed e n Ci n c i n n a t i 19, Ohi o Av e n u e De ar Bob: Yo u r l o n g d i s s e r t a t i o n t o me u n d e r da t e of Ap r i l 26 t h has n o w b e e n r e v i e we d b y a l l of us i n t hi s of f i c e , t o g e t h e r wi t h t he me d i c a l d i r e c t o r s of i n t e r e s t e d a f f i l i a t e s . I mu s t i n f o r m y o u t hat i t i s t he g e n e r a l c o n s e n s u s t h a t y o u a r e mu c h p e r t u r b e d a b o u t s o me t h i n g wh i c h, i n t h e o p i n i o n of my s e l f a n d my a s s o c i a t e s , c a n e a s i l y be h a n d l e d i n t he c o mb i n e d i n t e r e s t s of a l l c o n c e r n e d . Th e r e a p p e a r t o be t wo s e p a r a t e d i s t i n c t as pe c t s : ( 1) t he s t r i c t l y me d i c a l p h a s e h a v i n g t o do wi t h p e r i o d i c i n v e n t o r i e s ; a n d ( 2 ) t he i n d u s t r i a l h y g i e n e - ma n a g e me n t c o n t r o l a s p e c t . I t i s wi t h r e s p e c t t o t he f o r me r t h a t our i n t e r e s t l i es . For ma n y y e a r s now, we h a v e p r i d e d o u r s e l v e s on our a b i l i t y t o p e r f o r m v e r y t h o r o u g h a n d c o mp e t e n t p e r i o d i c e x a mi n a t i o n s n o t o n l y on e mp l o y e s wh o ar e e x p o s e d t o t o x i c h a z a r d s but a l s o on t h o s e wh o ar e i n no wa y a s s o c i a t e d wi t h o c c u p a t i o n a l d i s e a s e p o t e n t i a l s . I t has b e e n our p o l i c y f or s ome l i t t l e t i me n o w t o i n t e g r a t e p e r i o d i c e x a mi n a t i o n s of t h os e \ i rho a r e e x p o s e d wi t h t h o s e wh o a r e n o t ex po s e d, a n d v e r y s a t i sf act or y r ecor ds ar e kept . We ha v e d i s c u s s e d at c o n s i d e r a b l e l e n g t h wi t h y o u t he p r o b l e m wh i c h a r i s e s wh e n an out s i der , c omes i n a n d p e r f o r ms a r a t h e r c u r s o r y e x a mi n a t i o n as c o mp a r e d t o t he d e t a i l e d one wh i c h our d o c t o r s hav e b e e n s c h o o l e d t o p e r f o r m. We f e el v e r y s t r o n g l y t h a t t hi s a s p e c t of t he t e t r a e t h y l l e a d e x a mi n a t i o n p r o g r a m s h o u l d be t he di r e c t r e s p o n s i b i l i t y of t he me d i c a l d i r e c t o r of t he i n d i v i d u a l p l a n t . 0004733 N7158 To s u b s t a n t i a t e t hi s t h o u g h t , a l l u n i t s c o n n e c t e d wi t h J e r s e y St a n d a r d wh e r e s u c h e x a mi n a t i o n s ar e n e c e s s a r y h a v e a l r e a d y been, or ar e e l i g i b l e f or , c e r t i f i c a t i o n b y t he Oc c u p a t i o n a l He a l t h I n s t i t u t e . Wi t h r e f e r e n c e t o t he s e c o n d p h a s e , n a me l y t he i n d u s t r i a l h y g i e n e - ma n a g e me n t c o n t r o l p h a s e wh i c h , as y o u h a v e o u t l i n e d t o us , a l s o has v e r y s t r i n g e n t l e g a l a s p e c t s , we f eel t hat i t i s e n t i r e l y y o u r p r e r o g a t i v e t o f o l l o w t h r o u g h i n a n y ma n n e r of p r o c e d u r e s wh i c h y o u ha v e a l r e a d y e s t a b l i s h e d , a n d t h at a n y c h a n g e s wo ul d, of c our s e, be t h e r e s u l t of d i r e c t n e g o t i a t i o n s b e t we e n y o u a n d t he r e s p e c t i v e For y o u r a d d i t i o n a l i n f o r ma t i o n , i n ma n y of our i n s t a l l a t i o n s f u l l - t i me i n d u s t r i a l h y g i e n i s t s , wh o ar e e mp l o y e d by a n d wo r k u n d e r t he a u s p i c e s of t he r e s p e c t i v e me d i c a l d e p a r t me n t s , ar e e q u a l l y a l e r t t o t he p o t e n t i a l s of t he o c c u p a t i o n a l h a z a r d h a v i n g t o do wi t h t he h a n d l i n g of t e t r a e t h y l l ead, and wh e r e v e r t h e s e i n d i v i d u a l s ar e e m pl oy ed , y o u ma y r es t a s s u r e d t h at t her e i s an a d d i t i o n a l gr ou p wh o ar e mo s t al e r t not o n l y t o t hi s p o t e n t i a l h a z a r d but t o al l o t he r s wi t h i n t he pl an t as wel l . I do hope t hat y o u wi l l f i nd i t p o s s i b l e t o c o o r d i n a t e t he s t r o n g l y me d i c a l a s p e c t s of y o u r a c t i v i t i e s wi t h t he r e s p e c t i v e me d i c al d e p a r t me n t s . I f t hi s i s p o s s i b l e , i t wi l l ma k e o v e r - a l l c o o r d i n a t i on wi t h i n t he c o mp a n y mu c h mo r e s a t i s f a c t o r y , a n d at t he s ame t i me wo r k i n c l o s e r u n i s o n wi t h t he Et h y l Co r p o r a t i o n as we l l as wi t h t he du Po n t pe op l e . Awa i t i n g f u r t h e r wo r d f r o m y ou, I am, i y your s, RCP: ma Dr . K. R. Four c h er Dr . R. E. Ec k a r dt Dr . L. J. Wa d e M. D. KE 0004734 2- -