Document bBBN0wEKmdk7kX71EaxRr76N0

Lezropoli IVAIV SABOURIN ADVOCATE Montheal. November 6th* 1944. 4*- Uy dear doctor: BE: HEALTH SURVEY Z ft? In receipt today of yoor letter mailed November let* I was indeed glad to bear from you. I expect to make the Pittsburg trip. As suggested by your good self and Bill Fenhel I will surely seek an opportunity of speaking with Colonel Lanza. Dr.Gardner was glad to hear that you had suggested this Pittsburg conference to me and intimated strongly that I should be there. BE: POSSIBILITIES AT A CLINICAL DISCUSSION OF ASBESTOSIS BY HECOGNIZED EXPEBTS SHOULD TAKE PLACE IN THIS PROVINCE OrGardner's suggestion. Dr .Vestal (Chairman of the North Carolina Radical Board of the State Industrial Commission) should be invited. Indeed the standards for X-ray examination and diagnosis of asbestosia are greatly needed in this Province* It seeasi may I suggest, that asbestosia is very seldom a compensable condition of the lungs. At least, in this Province, I do not believe that asbestosia at anytime was cospensated as a condition which existed alone. She compensated cases of asbeatoslw here were rather cases of asbestos is which came under examination olocvo CONTINUATION SHEET NO- 2 R* HEALTH SURVEY ahan acconpanied by or associated with, another condition each as tuberculosis, a heart or long condition*'etc* And esbestosis in all theae conpensated cases was less associated to a condition which was in say disabling. Should there be any relationship between some degree of diagnosed asbestoaia and each other ac companying condition the aspect of'"causality" appears to be tbs crucial one and there proper standards of 2-ray examination and diagnosis would be most important to appreciate the coefficient factor of aabestosia (as a causative factor). BBi CT.THTr AT THETFOPD CTTOS Dr.Cartier has not yet definitely accepted I shall keep yon fully informed. I am looking forward to receiving your plan of am Industrial sarvice at Thstford Vines and I am sure the producers there will find seme a great help. vV Answering your inquiry Z might say that under our Workmen's Compansatian law in this Province the patientclaimant has tha privilege of retaining his own physic ian. Tip to a few years ago ths patient-claimant waa subject to treatment by the plant doctor. But the law as it now stands gives the patient-claimant tha prlvllaga of curing earvieaa by hla own physician. At Asbestos, where Canadian Johns -yanvilla Company Limited are operating* Dr.Stevenaoa la acting as a company doctor. Uoreover, the eospany is there operating a hospital (in which is situated ths clinic yon visited tha other day) ax the hospital is under tha direction of Dr.Stevenaon* assisted by Dr.Smith. But the patients there may ha treated by their own respec tive physician. As a matter of fact* Dr.Stevensan has always made it. a point to direct an employee (whenever an alarming condition or a suspicious condition was' disclosed by examination* to bis om physician. His thus enjoys tha confidence of the local physicians and of tha employee* as well, v BE: TUBERCULOSIS X-RAY SURVEYS ZB COMMUNITIES OUTSIDE THE ASBESTOS INuUSTRY____________________ Dr.Cartier Is exactly tha physician in charge of tha Province of Quebec Anti-Tabercnioala Laama CONTINUATION SHUT NO. g Re HEALTH SURVEY at at kon.treal. I am, therefore* communicating to him the. views you expressed* at the suggestion of Dr.Gardner, (paragraph 2 of your letter, page 2) re: Sizes of X-rayfilms, for the general population at Thetford kines as distinguished to the collectivity of workers engaged into the asbestos industry. You are right when you state that Dr.Cartier held the seas views you expressed In this con nection. The regular else films are those which ought to be used for workers (and this has been the practice followed at Asbestos by Canadlsn Jbhne-iianville Conpany Limited - Dr.Stevsneon sines 1S35 at which time Colonel Zauiza and Dr .Gardner Bade suggestions in connection with the setting-up of m X-ray there. I shall keep you fully informed and only too glad to take op with you at anytime any point which may arias* the whole as suggests! by you (paragraph 2 of page 2 of your letter}. Thank you for the two reprlnte and your report an your trip to Montreal* Asbestos* Thetford Mines, Quebec* October lth - October 20th* 1946. Kindest personal regards. IS:BS Yo faithfully, nur jt, .vC