Document bynQ4MeM7zgwwvv2gOn68QLj0

FILE NAME: Asbestos Z>> DATE: DOC#: AC> OCUMENT DESCRIPTIONDZZZdZ& jL!Eft! CEJ.MPACII Albert. Ch~ap. TbettOl'd Cl.1zde rUe Jo. 2))S (SanAaa La.bon.t.or,- 10. P-S'17) 1be ~t.a ad materl.&l perta1nSDl' to the ebaYo UlIHJd caN Yen reoa1Te4 rra. PaBl. Cartier, II.D., Di:rector or tho .ThettorU I~ Cl.in1c, TbeUord mu.. n.a oons1.n or U. toll~1 1. 1batrut. or ~cm&l !I1.stol'T 2. ~b.tnet. or PC!1c..l b1storT 3. Chut. ~tgeDO.-raa1 or L. Grot. Us.."e .~UI kiaaera ll-nr, .~l.eQ, aDd the lueg, hMrt.., Qeegm.t1ogal H18tgm hbeato. Corpon.t1oD. Ltd. DrUler - o~ ?it hc,er teautv TiDm\It' SlIDp .J.j)&rl b'oIa 1 ,..ar . . & ba"er~ W. aploT" ooc.l4 Dot be t:oaa1dere4 to ban worked 111 dut oecapct.1=~ !t41ftl H1atom 1'1:-et. eer...tJU. UlD... bepn 1D 19A6 at. Yb1eh t.1ae t.De aJ)1o,... took aide 1 " " tor d.x " . . . bllCllllM of 'b84 eold.. h 1949 M DOttced tr=dtory ,eh 1D tbe l.tt cMet. I.%Wl h 'both &ft8 ~")1~ d'tH' ilion.. Th1e vu a~eochted ~th iDere&.\z2& tin4Deu. The 4Blplo,... died nddeol,. em Icmcber, " . l'l~ vbU. att,ecUac .. te1l.7 ~. CJmrk . ~tgef19Q'5f1 .. , nee. "lD"rpr.t.a.t1~ ot .te1"eOll'&pbio ehNt 1'Oe!:LtctmO- crats parport.1ac to he t,b)se of one ~mr CiiJl!?.a.zn, .. 1:nw~rl.:l& ldeout1eaUOIl /23" a4 clAW 1.6, l~. ASB!21OS (x)Rro!lJ:!IOI LID. n. cH.&~ are uomaliD iX)slt1cm aDd contour, but tlMre 1.. allght bllmt1ag o.t the lstt oolto-phro!de IJ2Cle, e.n4 a suue.uoa ot bl;mtiD& (lIS thta rl.&ht. the t... ~" s1J.bguet-te a.od. ~t. ~l. ar. vtthin aoaaal l1a1 Tn.ehe& 1. in the Jddl1ne, W1d toM "QWW' lMd.1& - et.i.Jsa 1. DOt. w1dea.~ -1- p-m I. L. n . l.1u:& tiel" a.H clur. q(1 \bIt:e 1. no ~auc" or d.1a\ort.loa or the l~ root.. ftlII,ot 2/22/5l, ~ with t.h!t &boTe, rneaa, It. 1.. net. 18 aov 4e11.D1te blwtt.1ni o.t the len, coart.o-phrcdc &all.., vh1ch e.x1Antt. abort d1.at.eee up tbe lat.TU or IIoapeot ttt. ha1t.aoru. Tber.., 111 el80 noted a 'ftY7 or tiD. cunU.1n<M.1" UN 1aCT'eue4 boIIogeo~U8 c1e:laltry &loDe the des. of t~ hdd1~aga, baTing the .~r &He Qf cal.c1n~UCL There b nov . . . cloud1ftC of the utra:u l.efi epa sad out.r porU,OQ or tlaa ln ctt.ertoJ' 1... J1la of 3/19/5'. ~ ","1t.h above, ret'Mla !10 ~ O?DIEnh -1lb1l. tM t1..ftd1Dc. ill t.b1. caM, are"t. t.r.-1cal . of a~, 1.\ 1a c;a.1t. CODcei:rable t~t t . ~. . ia both coB'to-phreDlc nlc1, \."1t.h &lJaoc1~t~ tn1.ek~ ~ tlM pleura u tlw.. rspOD5' eepech.l ~ OIl the lett, eould be .,~ eM-l,.. aan1testat.1oG or eueD a 00Dd1t1oD. ~Cl', len. I bell... trut tbe UzusU.,. h tM .~, .tirwt ~t..d or 1a 19n, ~4, 'becaue it.. locaUs, .qpn t.he pneeaoe of ~l"ftl.ou lesioo. or LIOIUD J. BRIm'OL, K.J)., Bead., ~. "WSoltC7.- Grog Delterlntlqa tesrct 1'b!! len 1=1 1& or &boat. B:t1'lll1l. ala but. 1. erle:1.e1Yel,. heel'4bd b7 \be ecbal.Jser'. t.rocar. !be?lGN 1. tam. but ia,_.nUT IIEICOUa end th1a. The .8OOCIhl'7loilul~r .-pta are ~t. ~tu.t.ed b7 't.ll. preateee ot bl~ ~m1.. Tb. tiaAa 1$ ,ec.nll7 ~.cou 1a coadJt.eAq. Oa eect10n tIM pal.!IouU7 tillAe .~, . 'or u..u.. I-en1.l7 a1~t.'D'''' ad \he alnoU AppMr e-BtlCUall7 \I!11tOftl 1Jl abe. t.hmI&h portIap. ~t coarse. The MeODd41'7 loblll&r "pta aN wll aeca.ad are aoaewbAt acceut\mted br bl..ck ~UU<Z1 but e.n 1d.tboat ..n~ ~. t11Jro1la At. the ut.zwae epa of tM uppu lobe ~ 1. & aarrov SCM of 1"1' ~ baMdia\el,. bea.catll t!w plwra ad ~ 1. C!L 1D CT"tMt tleptll. Y1t.h1a tld.. arM or .-rriDg, tiaet'e are ~t.ed ,en1 IDOOtJU,. .llu4 ..,aeu "fU)'1nc u-p to , _ . ill cI1aat.r aDd htel'prete4 . . d1l1t.ended ~toua &!YfJCIli.. llbert C~. P-'5?'1 "!dckzl.... n. !neb!! !pd P!Opcld.' t~ha aDd bl'Oftch1 an or Zlo..-ul 81ua n.e ed thdr walla aN of llonMl I!IIlOOM 1. leaae:al.l7 .1Dtact., lIIOOth e.Dd pale.. .. Inchtobwebial Lmgla wodtlt %.... an ot ~ ~ftIal. d....DC! ~ -' cona18tenc7. On .Mt1011 t.be .art_ 1. eMIl to be back in eclor eDd 1I01trt. -. HMr\1 The hMn 1. d1rl1ne\l, e:lat'Ee4 Ni\ the c..~T. or t~ t"O a1d.H Ie. at Ilomal rel.atln ai.._. tu ~ e.!Id eadocardia an ~H BOOth IID4 tbia. 'lobe 'ftl." 1'1Dp u . ot DOtUl. d lac_. .,.,Ml.. _boY. ..... _.ul maU.... a1~ e.1IId their cups an c!611cate. &ad tI'MlT .",Mbl.. the eol'01J*17 -rt.eri.. m .. 1&oraaUJ' a.d follow AO'1':aAl eou...... t.bouch t.hq ...... 8~lIat tonuou 0. D\III~ enu aecUoa. all........ta &~ ~t.ect to be pert1~ cal.osn- . eapec1&117 1D tbe1r pnuiMl portJ..aGa. n. left ~"-~or d~ . em 7fJllov ecle%Vtio pl&qll". rlurod.n& ta l:&a:eD to 1;', or 1/5 1\a~.nul 81s.. Irt \be nc10a of se or theM plaqu.. \ber. i.1I gray.bb-re.1 ~I! _tmel:oceludinc tIM naa1D"q ~ ~rd1lm 18 f!lT the 1IIOat !H!rt. ~eneou in color e4 -cou1tt.n07 anI! aeuaru 1.9 au. 1D tJdctm..a at the 'ba.. at tU lett. nntr1cl.s 0.8 ca. CPt "'he rlcht. hul..-U. ot the lI)'OCU'diua 1n t.ba 1D~t.r1cal..%" uptaa aear the &l)ft meals aaerou t'l.n arq .treet. of .car u.. . . . ~ ~lBR hftte, bovtl'Hr. 1. ~ aol"Ml. thlckft.... . ~rtq. Tbe-ort& 1. ~t. l.L~er 1a d1aaeter t.b6zl DOZ'IIAl. aDCi 1to. . lM'tlo1V 1e cl1at1Dotl,. dbdA1Ge4. OIl eeet1= there are notC 1I1IIl.l'OIl8 ~ . .~ eclwoUe p1ac;ua. ~1!'P' n . ~1. . is nell aM 1ts captrtal. 1. vrbkl.c5 md ,1"67. On Md:10ll tM ti. . . 11! enD to 'be 8Oii8tIM.t mtol}'Md bat. Dot oth~m ~rUble. . or L1ysn The ~ft1.cI!l 11,",," .m..1ttM 1J ftOt. ,...ftabl. 1D "he &'1'01'. es:ce;rt. ro~ .atclyB1e. n . .s. ll;ml . left kldD.,.l. ot Itbout. ~mal. It, ~ _ nrips v:!.tb e2t.!rft 10 ~ e. . .roll~ 8!mOt.h erf'aee-_. a1tbOuah theN are ecatie1"ed 4..,re,~ 'foci ~'1If' to 5 -.au. 1.8 ;~ dlaaeter. OIl .ect1ca the cor\.u aDd 'MdullAl are pre.-t 1D DOraal . rtlaUn UIOGIlU, UDept 1B t...U: 81tu or t.~ o.eprwMCi IIC&.I'I DOt.N ut..maU7 vbere 't!le eort:sx. 11' ~ tb1zm~. n. cortical aa4 1De4all&I7 _r~'.are .uoma1:17 pnalnct. n. rJ.p\ k1dM7 N.ecb].q til. left:. -3- -. P-5TI Lung" or ~ t1l>TotM a1....'cfth1qo'uocucladr.hD1fnt t. .~o-ctcJ u1.o7ul1rNp.iar patcb nUcala1" At, _ 0apeopin:t.e.~t!.M. .!ih.Jt'.O. Uofe tp .a. ~ l)l.ftneM. ueoGlUfp'oaoiJU.Al~ ni=Ua7 1.uTpGalTrhcc~. u.. or 1Utk~_H,prSoaJ~CCl!cllwtpoernp.orAl1loai toM treque:!tl1 OOU' t.bfJ ut.844. nth. abert. b~.rlob:alar .~ta.. ~ 1. towsd ....aoular $~ \oM Uuu.., eoul"H .ou of tJae ot IIOiM of lol.wt aD occaa!0D61 ~ ftGpi:-sto17 ~~c: 11_ p& tea tJM.u1&. u.. a.n tr.q b It oee&U'II . .u._~, also ... I!IIII1ll. ,.tch. . tocal ~ ~tcbeb.nmwc!dheibol1.n.TaOZLl4,.. HQU7l'a1&atu V&lla L... th1ck....s &lose \M al"ftOl.n &nG cU.atoria4 ~u.. r 1a t.t. th. ttbl'OW h mm.. h~ Uzon m n . u ad.ier;otodrAtet.4.tqadU4~t\ oa1 .l 7 .IIalQ.!~&"la"tl.7 cd tM cor'!'$.~ d11aW. there u .~C. ~n. al.o - .t.ct ~~. J9BM or .'kt vh1.oil ~t.l7 tM p1cJM ~rn.~DHO rneht1Uae;u-eh11,. aa \.1) q o~alt'tlfU tM t1bro tsln'od.., hrupeaoato.wtaote\4M.for mU... a1t.A, tbiGe lol. r Ybe tat ~ tn"e. .4Io :'3.e. e o1t.d1~oe;th..w~.cttM& Uc cmmot or trM 1U1-. taeN ia no eddenee :-oa.oti~ ~. m..th to crra~lll~e n.. _ad! tJa. pSp=t1\.beroete.1sOanplaf1teWa M OODtdD ....tt.ertJd black ?1p_'- III tica, l~ oud a..l1JI'oW. . lW . aanc~ oll C1INapt.M. .u.'f\1tOb1leahrUY&. l.lfar.N 1A ~ Sbd.l.ar or the D1p &l.'ftOl.ar t.u ... aG~ ee:lt.I4e:lrr.-r ._1.. a... 1a \M lot. aU t 100.. oormect1ft U P ~~ h tbo.. .... ~" locdd _t. aoae ia of OCCU1nal .p1eaaD1.!.oft~.tdl.Duut.tor~ J' l"t1tiCt.1aa. ClOft 8CruUq .oa. 111 41soJ.o._ aa &" . . . hwahlfctJa...t:..~ ~1'p7roadJ.to.lbnqtlatlr.. ~ SoIte, aaerbe ~ beoladl o1ea"l &.fNNrooc mlco m..cl eted 4J~bubt.o, dtif.lf.l in w!dl.leHh W~Hrtl..'1N1101ta1 .aVre!l]wn;'u '''r~ "T ~n:o~ there aH ".:tur~ a~ "oorl7 or deteet e:e4..1~ s1l1" b l'1'O'babl,. tJa t:aq r " " h Y1ta. Ud" l bl e GG rp 4. ,. . 3 ,. ftal 111 17 t the .1. . .'-hl panac~. a f t 1:1 out.U!q;. the "_t. he.,' bloo4 .~l": e o.ult ~u' for JIOCU" fbat1.oD u4 Jd.eroRO?le Jrbtdy. techrliC2U. In ~!w1. cU.fI1cll.i.7 TblN t . JIO ~ ~ htarteat1t.0at1'~ .~UoaS\IIfIUn&en"It',d.t:.rUau m......... threa1;1 Uttao't 1utn-pul'WQDIOZ'Y....c.lu . ...n Scatt or the ftA"U". at & 2114 1.uaacbl -=tad.&. tz4 b~ch:1al ~ are 1ImU!M1J1 d1lat.ed. otU:'~. The 'nMtre ia DO eY1denn ~ltbeUal of .. l.h:.1.anr,eUICDlCanrwl.all7l,.ttrbe1eaoar d.maodoat.. or ..".,nd.abl. ~rolU'.l'&t.1oa. . tl:&. .ub.rt~ 'Tne~!9broaah1!l. Lmh laCe.a noe.. ta. .xh1b1\ IlCAt1i4tnd 'back ~t, . " t CODCeOt.n.\ed 1a .mow toM MdDll&.~ lXJrliou of ths nod The p1gaeoW &naif ~~~ hC!'M.N 1J1 ret..jeuJ..p t:ibel"L b celt.-n.l, bn:enr. the;-. 18 CIIIlly u. ~ Jd.l.4 .~e.n. ~. . to t.ha pipet. .ubut.oa bodi. . are - Dot _~r.wi 1Il U. DOd. ~rt '!h. wroc..rd1lm J)&rUo1llulr 1ll eocUoce or t.he lett. Yentrlcl.e ud ot the ~ l'WYHl. !ocU aut! lin-ear patchsa of nbrom ,",~ch obllt."t.e q4 r~l&H &ppn.oi.Ql. CWo. a! &:lKl.. tl~evl'.-..re t.he AUCleS. an o!tc ftl.aZ1C64 -b !'elt;U",' tQ ~ ~.J.V& aiel- bundl. nn. r...tv. aauertt tlw prucce of...,ocaftUAl. ~r\ro~. t,.. u"'w .- . TM're 111 lI(Y Tf!!!la'Dbl. almomalJ tMt'e 1. :lo1.hiq as.&aU1cq\. Pon. ~ ch.u1le 1e l'J'GnOWlced. -U4::uttl' e." TM 'cortez .bows 1I1dal7 Mpar4t..d Uw!er foci o:t ~ vtaloh on.. nch 111 auU ~ oella. Thlt glQl!!l8rill ~i.l:d.a ~ tool an ~l1ni1..M ADd ~he w'bQl ar. obllt.erate4. ~ art.r1cl... rftaal . . nue .... .;.~l'ad.Ml. iat.1ul. th1c:kelll.Dg on. ~tla al.Dost ~...... occl\l.1oG of the ~.,. 1 - - . ~~ r. 1u\.e%prwt.d u .dd_oe of aoclerau al'tc1ole-l:t~laoaelerod... ID e4j1tiO!l to tlH AboY., i l l sMt!=~ c:xmb1t. ~ .,rtc olIaDCe. .....ver. or Th.-t ~lIODAi'7 daa.af" perldn1.ftc to the ut.ct. tibrotde e.zaci tbe deCm of ClPbttze& are 1DdNd s.imarel. .'I~t. tlbJ'Ofd.. occur!' 1a a.uoc1,..UOrl 'Vit.:l d.po~.t.. fir blsU J):1rt.!col.at.e p!.&__t ei1 C&\ oeccsiGhl III fom4li ~ellto.-~ :.'b:;xq. DOt. aU. ~t. '01' iliek ~t are a.ccoapan1e4 bT_~bft.s... '1'h1a i ...ture 1AJg...t.. tbe..t. at leaat ~ or ~ (!a~. he4 & low b!Dl~oal acrt1'f1~. ttw other po.a.bU1~,. 1_ ~bat. t.Mt. duatt. YU d.,.,u,t.c1 &~ a rela.t1wlJ J'KKi. 48." I.D.~ tUraroN cU.d not. .... t..1:M te aserl J.ta a.ct:nl"H bfiHeM heroN d.dh of \JW -pIlUent. . n . tooa1. ;pr(l....T7 IltS'llOftbage 1- blt.erpret.a4 sa au ent1aorl.c n_~ It probUl,. occurn4 tend 0&11-1' .-111 related to his card1o-~ c11...... vti. tat 41..... ap,areDt17 ~c c:ae. A1tbD~}a it pnTt'Ok~ eard1ac -5- b.1.111nt "NltL~ ~ l~l'ft:leut. or t~ COl"DGa17 ~~,ae'P...rt.baleu it ap)).... r. that. th9 di.MM vu ba.a1ceJ.11 11 ~ert..ndoo lihlch va. no- n~t.d also in A ~e..-:l.t.el.l Ad~e.d amrio1o-n~b..-oJCI~J'Qdl'. Tben 1. DO nidlll2c. ~t. ~o: &1St it.. COIl~uent. canUo-n.allal'- rentl dillt!t:e. bn'a Il J'Iel~t1U1\sb1p \0 tt. taMlaUOD of e.~.rtol du5~, or ioo It. J::U'JIOiIeJ"T depotdt1ms. &!l2d neulunt a.sbeatot1c ttbroeU r.1Ch PHI"t b tot. l~ :Ot tta ..... ader nrtew. - ~trl2!U It 1f' rq a,ln1oa. tbRt .U~rt ~!lH dlee of p:1.Jl&!""J C'3~ ~cul.er re:u:l. d1J:8llse '11th ccm.et,-Uct. oelsrosill or ths eorcmLl')" vaaSt&l .nd flbrow ot trut ~rd1.ia n:nd nt.h .oduat.f!ly d...~t:fld n~r.)Klal"Od.~ \:h1cll hAT!! no zi*d!'1c Hlat.i.oasb1.p to hi. OCCU?f>.'UM. 21. lunG. 6.'Ili1b1t. .;anly a. Y~r:- &Ud c.s~5,tct10 .f1.brota1. ~eb 15 d1Jl:QT"<JMd y.-..!;,M10f!1oall;r but \--hieb wg Dot !N!t1c1utly c1ettaed tO'l' o-tect1<J11 1'MDtc~f)lUCHn7 ~~I'1Dc 11r ~.~ J.rtlm- J. Voneld, M.D. p:-ort8l1Or, Depa~t or Iudusb:1nl MeC1ch ..,.. Ua1TW1"81t.7 CoU.,. of Med.1c1ae DeUo1t. Hlc!daaa