Document b5OkZ7w69874y1YvL8b5bpQy0

1' W. liCKPEl-DT, S u pk r i n t k n d b n t Jo h n T. Le w is &Br o s . Co . FACTORY: 2545 ARAMINGO AVENUE P h il a d e l p h ia , P a . Dec ember 18, 1944 Dr . Rober t A. Kehoe Labor at or y of Appl i ed Phy s i ol ogy Uni v er s i t y of Ci nci nnat i Ci nei nnat i , Ohi o Dear Dr . I Cehoe: W'e have submi t t ed under , separ at e cover a bl ood speci men on obt ai ned Dec ember 12, 1944 f or l ead det er mi nat i on, We i ave r epeat edl y at t empt ed t o obt ai n a ur i ne s pec i men , whi c h t he pat i ent was unabl e t o submi t f or us. We ar e t her ef or e r et ur ni ng t he c ont ai ner as cont ami nat ed. ' We r eques t an addi t i onal bl ood and Ur i ne cont ai ner f or f ut ur e use. We cal l y our at t ent i on t o t he f act t hat we di d submi t a pr evi ous bl ood and ur i ne speci men on t hi s pat i ent and r ec ei v ed y our r epor t of Dec ember V, 1945. Me consi der t hi s pat i ent t o be a car di o- vas cul ar - r enal case. He has a hi st or y of wor k i ng wi t h l ead f or appr ox i mat el y t went y - f our year s. Our r ecor ds do i ndi cat e t hat i n 1936 and 1938 he had an excessi ve absor pt i on of l ead as evi denc ed by hi s bl ood st i ppl i ng, dur i ng whi c h t i mes he was r emov ed f r om t he hazar d. At no t i me was he cons i der ed t o have ei t her an acut e or chr oni c l ead poi soni ng. Our pol i c y al way s has been t o r emove t he i ndi vi dual f r om t he haz ar d when t he i ndi cat i ons ar ose t hat t he el i mi nat i on di d not k eep pac e wi t h absor pt i on. He gi ves a hi st oi y of hi s f at her havi ng di ed of a st r oke and hi s bl ood pr es s ur e of 124 i n 1936 has mai nt ai ned i t sel f i n t hat pr ox i mi t y wi t h a sl ow r i se t hr u 130, 134, dur i ng t he y ear s 1939 and 1940, t o a pr es s ur e of 160 dur i ng t he y ear 1941. Hi s bl ood pr es s ur e has c ont i nued t o r i se and mani f es t ed i t sel f i n f l uc t uat i ng manner , r angi ng f r om 190 t o 245 dur i ng t he y ear 1944. Si nc e summat i on of our l ast speci men t o you, we have c ont i nued t hi s pat i ent on what we consi der a non- haz ar dous occupa t i on, t he bl ock, i n whi c h onl y wet past e i s handl ed. Al s o si nce our l ast speci men submi t t ed t o you, t he pat i ent has mai nt ai ned a hemogl obi n f l uc t uat i ng bet ween 84 and 110 and hi s Wr i ght s t ai n has been c ons i st ent l y negat i v e f or st i ppl i ng except f or a si ngl e - exami nat i on of Sept ember 15, 1944 when he was f ound t o have one st i ppl ed cel l per t wo oi l i mmer si on f i el ds. Si nc e t hen he has been negat i v e and hi s hemogl obi n has been -- Cont i nued-- 5-., - T. CJ o h n Le w i s & B r o s . o CONTINUATION No. 2 t o . Dr . H. A Xehoe Dec ember 18 i >33t4 over 84;>o and hi s r ed bl ood cel l s on Dec ember 1 wer e over f our mi l l i on. Hi s ur i ne has been negat i ve f or r out i ne exami nat i on. He has had a consi st ent l y negat i ve . / asser man dur i ng t he past ei ght year s. Dur i ng t he past f ew year s, neur o- ps y c hi at r i c al l y t hi s pat i ent has been somewhat of a pr obl em, havi ng been a c ons i st ent l y har d wor ker , who di d have per s onal pr ob l ems of hi s own, wi t h r egar d t o hi s home l i f e and s ever al aut omobi l e acci dent s, whi c h l ast epi sode of t he past sever al weeks has been qui t e di st ur bi ng and i s con si der ed i n a l ar ge meas ur e t o have i nf l uenced hi s phy s i c al condi t i on. He com pl ai ns of di zzi ness, shor t ness of br eat h and bl ur r ed vi si on. He has compl ai ned of i nt er mi t t ent i mpot ence. Ver y t r ul y your s lit A. Hoer ber Pl ant phy s i c i an KAK/ MG 001j 7 j