Document b5BdYxxzjykkNpJX2JMpn2pQy

o W . M O R S E , CHAIRMAN /N A R D D IC K E R S O N . VICE CHAIRMAN ,, T. BLAKE jSEPH.J.SCANLON. SECRETARY W o r k m e n 's C o m p e n s a t i o n T h e In d u s t r i a l c o m m i s s i o n o f M EDICAL SECTIO N COLUM BUS 15 Oh io May 12, 1952 R. M. ANDRE, UFCRVtEOII OF MEDICAL SECTION Dr. R. A. Kehoe University of Gincinnatl College of Medicine Cincinnati 19, Ohio Dear. Doctor Claim No,. ..9?....?.?.?.??'...... Address....6506..Porr.Str1eet.... .Toledo, Ohio We ate referring the above claimant- to youf or....review..Qfi.hg...me<3.ie.al proof and opinion as to whether or not the proof is sufficient to .ly.?.P.U'r.llowanpe..pf .the..claim,,pn.tM..MMs..;Qf..Xe.a^..intiQ3:ioa.tlQii..... j tiye_.symptoms.. reoprded...a.r.Q..."f.atigie,...naus.e.a..Jand..neuritif and the laboratory reports do not appear consistent with lead in toxication. .............. feejs^..np.me.n.ti.on..of..cQliQ.,....o.on.s.t.ip.a.ti.oii..OT...lead..liELe..Tha.baao.phillo stippling (16%) is much higher than we have ever observed in .l^..9ases..dir..we..are..incline.d..^Q..oubt..the...oonractiieaa..nr...slgnlfioanc of it. Apparently there was no anemia or reduction in hemoglobin. The blood and urine lead examinations accomplished at your laboratory some months following disability were well within normal. (contia. on We are enclosing, for your convenience, forms C-Ill, Report ofrever8* Examination, which should be submitted in triplicate, and C-19B ^ e j Physician's Eee Bill, both of which should be sent directly to the MEDICAL SECTION of the Industrial Commission. May we stress the importance of a prompt report as the claimant's compensation is withheld pending the receipts of this examination. -PA-ea-s-e-fletify-tfee--QAe4aan^-^s-to-.tha-plao-r-.boiir--and-date-ta-ap.- pretrr* f - o r - 1 h i s -- A--p s t - e a p d r -ir& --eoA -oee4 - f - o r ~ t f e i s -not-i-ftl-cationr-- E-indiy-nat-ify-s~at-ese-e--i-f-"O-ia-i-santr--f-a-iAe-1a "appear. RMA:mpt Enc. Yours very truly, `R. M. ANDRE, M.D. SUPERVISOR, MEDICAL SECTION. Med. II \i. QD 7292? - t' While'our investigators report a lead hazard at this plant over a short period of time, we are unable to arrive at a definite con clusion in view of the absence of more positive findings. Your prompt consideration will be appreciated and of material aid to us in the disposition of this claim. The Cincinnati Branch Office will make the file available to you for review. ; RMA:mpt K f 0016475 T H 08. M. GREGORY C h a ir m a n !.. E. NY6EWANDR J. W . BEALL A. D. CDDELL SECRETARY Th e W o 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 c o m m i s s i o n o f O h i o Me d ic a l S e c t io n Co l u m bu s H. H. DORR, M. D. C h ie f m e d ic a l e x a m in e r Dec. 31 1935 0D 10043 Claim No .QD.1^619. Dr. Robert A. Kehoe, College of Medicine, University of Cincinnati, Cincinnati, 0. Dear Doctor NAME ADDRESS. M 1 Dayton, 0. ................. ............................... ! We are referring the above claimant to you for...k^L?.Vi:S^..^ion, report,and opinion as to degree of disability now present which can be | ^iiD ibut.ea,,tp__t.te ________________________ ______ _______ ______ _ You may notify the claimant at the address given above when to appear at your office for this purpose. We are enclosing, herewith................................... return them with your report. 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, previous 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. . Very truly yours/ / / . ' H. H. DORRy^.- d V7~ Chief Medical Examiner. WEE/ eh j f f p IN REPLYING, ALWAYS GIVE CLAIM NUMBER. NOTIFY THE CH IEF IF YOUR INQUIRIES ARE NOT ANSW ERED W ITHIN TEN DAYS. 1 f | ' S : WORKMEN'S COMPEN SATION TH E INDUSTRIAL COMMISSION OF OH IO Claim No Claimant Address D 10043 Sti*~Bsyton, 0 Date of E x a m i n a t i o n . . . . " ---- SPECIALIST'S REPORT ...Age--50. NOTE: Submit report under following headings: (1) History. (2) Complaints. (3) Examination. including X-ray and laboratory work. (4) Discussion. (5) Opinion. Mail THREE copies to the MEDICAL SECTION--Retain one for your file. ^ HISTORY 0,0* Cramps in b e l l y , P e r s i s t e n t cough s in c e Sepfc,1935 * e h e s t c o n s tr ic tio n dyspnoea - Sene e h e s t months c o ld p e r s i s t e n t (Z week&), s t i f f n e s s o f l e f t h i p a M s o r e n e s s 1 feh@ s m l l . o f t h e b a c k * ; . .... ; . .. . ..... . . " ? , I , O nset o f p re s e n t i ll n e s s n ic h t o f ^ a ly l th ," 1955 W hile afew ork, w ith h e a d a c h e , w e a k n e ss and* d l s s i a e s s * Was a b l e t o c o n t i n u e u n t i l q u i t t i n g ' t i m e 'a e a c h t :.:and;:w e k m s s ' oatlintd#. u n a b le t o r e t u r n to . w ork* Sad- b@@n; p o r t i n g . . a t p o u r in g m o lte n l e a d t o k h r s v d a l l y i s - l i n o t y p e : - - o p e r a t i n g ro o m , e x p o s e d -to fum e a n d d u s t,.- sin e A u g u st 11t h , 1935, w ith o u t': i l l n e s s o r - l o a f tik e * - F o r a month p r i o r t o i l l n e s s had been f e e lin g b a d ly . . w i t h iieftHBjpfe* ' w eak n ess o f h a n d s a n d w r i s t s , l o s s o f a p p e t i t e , l o s s o f w e i g h t, and stiffn e ss-a n d soreness of Joints* , . . Had tw o '-attack s o f o rsisp s, d iag n o sed a s piB & laa, on e a r l i e r d a te , i .e # i n t h e e a r l y s i s s a e r o f 1931, a t w h ic h tim e h o was o f f . a w eek ( n o t r e p o r t e d to.,:-: ' Stsfei)i*uehd s p r i n g o f 193a ,- When- o f f w eeks* l a a d d i t i o n . t o t h e s e h e > ; -- w a-3 Quit i l l , a f t e r a p r o g r e s s i v e l y i n c r e a s i n g w e ak n e ss of. a s o u th * s - . d u r ^ i f e l J 'i n : : p r i i ::@f 1933* under treatm en t .at th is tin e f o r 4 so u th s, : f t lt h s im ila r sym ptom s, d ia g n o sed and eosponsafced a s plurnblsm* B e e n te rd d - ' a n d :feiN to # e d it o 'w oik ug* - 1933, e n d has' -w o rk ed s i n c e u n t i l p r e s e n t "i l l n e s s - N19316.02 ' , . f"-y t~n~mine headings: (1) History. ' (2) CompMas. V.<) Examination. includinrX-ray^nd laboratory work. (4) Discussion. (5) Opinion. Mall THREE copies to the MEDICAL SECTION-Retain one for your file. "raSmTpOlaRYilan-*"b.sSoo_l*t_lsyo.-ch.e.st 2 BflntkUU*.Md M :' -- * Sopt,1955 - best eonstriotlon. poriIstont (2 veolzs), stiffness of Hip ad Boroaea; ^ sf;$h took# . - - "* `,rI Ultoes atehrof July 12th, 1955 J1* atjBofci-AJ& hodttclio, weakness and4dlssinea Was able to oouwinue until quitting . tl.ar- $* 'weakness continued, unable <*o rotori! to work* Hid benn wrsrklrar ft paring rclton lead 2 to l|.hrs* dally in linotype' -` opsrrtins roan* expered to fane and dust, sine Angustilth, 1935* without - JUr-wrf ip csi! ti^. For a contai prior to l l l n M ^ ^ W M i 'fMllng badly eltL sr^apL, weelmeo of bands and wrist, Ime.Qt appetite, loss of weight, '*< -.if Had too attacks of ttsn&s, dlagntoo^<*j$^ `essile* dato, i.e* in V*>%' t h e e a r ly entamer o f 1951 ^t'W kU htttaC h# was o ff a week (not reported..t<M Ctefcc), and in a{ring o f on i f f 2 weeks* R e d d itio n to th ese.h e m qulto ' a sonth* .- . ', duration, . treatiatnfe Wt-ithli'' t i t o -tordit' months,'\ end ooepensated os plunbiaa* H e e e to ^ l- _ i d has worked sine u n til present Hines*, to rotum to work In spt*1955* Applied to B tod' 0 ** '^ ^. no doetor / lead lino, end treatment of D< * ? Gotober g attack with m ussa -and. wsmaLag ..igiW^-ia^ ` "..w e d -greatly but is still 'ind hip, with norths has bed 3 with orasi}, specially- sj of.def@esf.tIos :|f*Sy;;ii|;|f|! with pains In In comings# of Illness otil" f .'u rin atio n . ' in d e fin ite * 1:1JL" it n ot I t n igh t nai History^ r?, 1*'>:? then to Anzsy In in fan try froca' ,. .; _Fort BenJ# Harrison* Whence t o % ` fj*)d sectio n h o to , shout 1 -1 /2 years* !Sh@n t I':' ^'3ten Linc'-.yr*^" 1 (cvcrege) firijy pourla ts r-.c-n ihrr* ear:rdo: 1930* Began as Janitor roometo off mfeta lllic t o t spent 2 hour doatoe, t o taandtocoomtlpeossing fr-'fpiii'i.eaxrsvind wrr used, and.an o ily dust o le to* ffiwl' t f b k S ^ l* o v ra by p' tiersfc to a rise frta m elting p ot, which gave o ff fasts nd a~ ^ rhen 7cod mask during the last'period of work"(UT SiSee rstors after X*e.. illness)*, Ho other persons known or believed to have l>5 . j f c f W * W f ggsrstors haabeen lntbelr iitooT-d;.- t*. t Jgea?ly,,JUP!jffy. - -- H ctb or and fa t h e r dSed l a s e o ld e n t In t h e l- f nrfct r i e t t r iao in fo r s r t t io r f. E a r r le d fo r ? vo sr a iJ 2L b * *' ' Si ^,, t h ef and ono `^ 5^, In cc^l health* . Paavt oufl IlMtoi^l;;:jg~ * - ^ no deaths or Uomft|tor o p er a t io n 1925 . t o n o llle c t . We EGSory -........-M . D. (CONTINUE REPORT ON REVERSE OF SHEET--NOTE INSTRUCTIONS) (CONTINUE REPORT DOW N F R O M HERE) of i l l n e s s t o r w h ich doctor c a l l e d im venehbi disease* ent defecation* 3*4 a* fop. paste>2, same* Orss^pb after seeIs.and ' " h o l o s t - o ' " '.... " " ............ ......... t m eals*. ,. ,. worse aod'M# to "" tits fair* all `` im&p awake ' " la Oct* *. Otam#*' * 'Idscoh*' ; IO 'paia : ; Cyspnoea* .' octette 'a material) n " ly associated < *. iso angina, ' rjeight.tt^ .... 'tehen 1st illness* sene loss* ` roduofclve Oyspsoea. t 155* 2 ness. Has .. . Heights. 68**l/4 -bightt 1$1 Diced pressure(seated) IJlyTO" . . 99$ Pulse* 82 Heap* If cell developed*; well nourished young Ha#: of good color and appearenoe*" with -a bad sough and an active' cold . ' ' -' ; &' Ho nystagmus.* Ho lid tremor* Some photophobia apparently* Beast to l and A - Dxtrlnste muaoles ok <* Visual fields not obviously diminished* Fundi unsatisfactorily visualised without paralytic dllitcstion, . . 'u - va m Rlght entirely norm!* left drum covered with cerumen audition nosml*?::- `OS' Slaoous membrane red* edematous* inf* turbinate'boggy*- purulent bteehspse beneath both Ho perforation or obstruction* . . . - ^4 t ilod* edematous 22,1a* Purulent asterisk on post pharynx* Extremely sensitive pharyngeal' reflexes* ' . . .. ... -lpiA> Teofch crd. missing above and below* asp, molars* left lower-2nd molar eerlov: " retraced* little purulent gingivitis* Ho lead Mu anywhere* ?..,, Hock U8nm..pretrutf6S'in'mld line*- Ho gros3 tremor* ^ *' ' ts&Qmm . of both traposii* Ho narked asyaetry* Ho difference in tea demesa on tw6' sides* Adenopathy not remarkable* Thyroid istissue palpable* Tenderness.- at insertion of left occipital tip of 3temo*oloidcmiatoi4.5; muscle. - .. .r. '' ' : ' Ghost liO'-rt borders apparently aoiml* Max* Imp* 5th int* 8 cm* fro mid line* 1*0 trill* Ho abnormal sounds* Hounds of good .Quality* Bather,marked_ airaaa orrythraia. 'The left chest shows 'soma, diminution of Kroonig,s Isthmus reduction of resonance'over the upper lobe posteriorally* and occasional ralesi and squeaks.which disappear on coughing, 'flier is aoa nsymstry of th two sides but no atrophy* and no reduction of action of the chest wall or 0f'm^ i0 J-Cf30r'lung borders* There is ho evidence of moisture at the best The abdomen is hot remarkable except for a right hernial soar. W&i masses arc palpable ~ there Is no distension* and the liver and spleen es* laho^llfllS'apS *e*em*9 is Cexplained of bn deep palpation but there - Hot remarkable. Ho demonstrable weakness or atrophy of muscles* olloltM 1,as EMoc difficulty - ibdonlnol and unfit?c.=05,<lo?:.fSibieSr.c",6HroodiemBonostPrWaobllyeooaau,tonnoomsiocneIonnsytacblillsittuyr*baraoo, no ataxia s o ig ilti *83/tf, selgbfci X$1 ' T # * 99*6 Pul 82 ` R esp. 1#; . Blood Pessur|acatad| Sjji|/TC . ... . ,7 m t 1 develepod noli nouriohd youaft san '^ 3 od eotor and- appoarsn: wltih -a bod oough m s m aettir- cI."' . aves lio nyatagmus* .lo lid tremor, Sorne photophotola apparenbly* neact fe I and . A SxtrinaSe asumi Ok ** Visual flelds nofe ofcvlously dlainished* Fund ! una&tlafactortl? ^snalsod/wthout ''^rs&yti' dilitatlon* , - ' m m Rlght entiwly norm left rm w#fc tfitfc.eertss sucltlon noxsal* - los Muaoua mombran red daaatous tnf* turbnate/feoggy; puraXonh discharge' . ' bonoatb feotb* lo p#frabin r obs&xua&ion*. . ' . - .\ edemfcous a,m* Puruleufc material n poat pilarlas. Sxfcrandiy sensitivo yageal rcflexsa . . *. :,. :,. ; ,. ix c,r salsslag abova and balo esp* solas Xaft losar 2ad solar eariour retraoted* Llttlo purulent gingivitis* lo lod lino anywhere ' m protrudoo lo mid lino* i@ groas tremor* -. ' . orneas of both trapos!!, 1 tsar&ed asymetry* So difieren in tm* doraoss on two aldea, Menopathy nt remrk&bl* Ssyroid Isthajua palpable* Tenderocss- ab Insortion of leffe occipital tip cf strabolldosstoid , muscle, - ghost Heart border apparently noiml* .Ha*'-Imp*. $th 1st* 8 cm*^froa aid lino* ` .. Ilo trill, Ho abnomal sounds Sounds of go^d -quality* Rather rosrkcd 3 lima orrythmla* The loft chest show some diminution of Kroenig*s twthsma reduction' of resonance over the upper lob poefcerlorally, and occasional - rales and squeaks which disappear on coughing* There is son asymotry of : the .two sides but no atrophy, and no reduction of notion of -the chest all or of ta lower lung borders* Thor is no evidence of moisture at the hasei The abdomen-is not rassarkable-escept for a-r ig h t hernial soar* 80 i - masses are palpable * there, is ne. dietans!on and the liver and spleen are.' not palpable* 'doss soreness is complained of'on deep palpation but there ; is ho reflex spasm, ' ' Sxfcreialties - Hot remarkable* .Ho demonstrable weakness or atrophy of muscles* ' 0*H*3#. Tendon reflexes generally-elioltid-with'great"difficulty. Abdominal and cremasteric active* So paralyses no sensory disturbances, no ataxia* Hog, Romberg, So demonstrable autonomic instability* Se@ attached sheet (DO N O T W R I T E B E L O W THIS LINE)