Document by2yBp7B9LX6VDngO8VOdXKm0

February 10, 1953 Dr. Charles 2. Jackson Caylor-Kickel Clinic 505 South Main Street Bluff ton, Indiana Dear Doctor Jacksont The problem stated in your brie! note of February 5 is not a ncv or strange one. Most men recover spontaneously when removed from exposure to lead, and without sequellae. The disease is essentially self limited, and I personally have not observed that any specific type of therapy has influenced materially the progress of recovery. The relief of Immediate symptoms, especially that, of colic, can be accomplished in a variety of ways. I have not seen any remarkable benefit from sodium citrate therapy. Unfortunately some patients continue to have difficulties, which I think are over-emphasized by a variety of circumstances, but particularly by apprehension and failure tc return to work as coon as their symptoms subside. This is augmented by one*a wish to have them avoid further expocure of the 3ame type chat caused their illness. That is, their working life is interrupted, and the ecusequences of this are very carious . Only rarely is there good reason to believe that the disease still exists in any very significant- form, after a period of freedom Ikom expo cur-:. In these casei one Is dealing, usually, with persistent high levels of lead content in the tissue*?, os the result of unduly prolonged severe exposure to lead - I suggest the desirability of establishing by analysis>of blood and urine, the status of your patient, with reference to lead absorption. I think when this has been done you will be in better position to know what to do. I assume that this has not been done. If you so desire, we can send containers-.and instructions for obtaining the samples. If then you would send me the full story of this c?. ?e and the clinical information, I might be able to give some useful advice. Cordially yours, RAX ef Dictated but not read. . Robert A. 2CeHoe7*irr,lJ7 00294