Document dQpwKz2b1r28y67r4xbdQbx86

FILE NAME: Norfolk & Southern - WC Case - Ancel Wheeler (NS) DATE: 1951 June 19 DOC#: NS031 DOCUMENT DESCRIPTION: Physician Report DC. JOHN H. OKAVmi OTi# D. W* HEUjIN'KVELD VIRGIL PLoST-lNGOl UIuoN CENTRAL LIFE HIDING TrJLbTHGNlS* ISain 0G21-Q322 Cincinnati 2, Ohio Juno 19i 1951 Dr. Vl. R. Whitman Chief Surgeon Norfolk and Wos t e m Railway Company Roanoke, Virginia Dear Dr. Whitman* Res Ancel 'heeler Industrial History: Grcdnatcd frea high school in 1933 Supervised newspaper route until 1936. Part-time grocery clork during the holidays. Cold insurance one year. W.P.A* time-keeper four to five years. Clork in supermarket nine months. Present job with Norfolk end Western Railway, six years. Quit work November 17, 1950. Present Occupation* He worked in a room approximately twelve by twelve. His job consisted of ahovolling asbestos dust from under a grinder into another bin. The asbestos was used as insulating material in locomotives and was ground to.be reused. At times the dust was stated to be so thick the door could hardly be seen. He never wore a respirator. Ho worked in this room about three days a week for six years but wa3 exposed to asbestos in some form very day. Chief Complaint: Soreness in the chest, worse when arising, not present every day but occurring two or threo times per week. Cough mostly after exertion* Present Illness: The patient bogan to notice oorenoss in the right lower chest which seemed to penetrate from the nipple through to the shoulder. There wa3 a sensation of rigidity in the right chest as though there was a rod exerting pressure perpendicularly in this side of tho chest. The character of the Boreness changed somewhat to a fosling of pressure in the chest which was not noticed when lying flat on the back but with tortion of the chest, it would reappear. It could be aggravated by a bad spell of coughing, was not associated with normal breathing and hcjbtatos that he is unable to take a deep breath because it is cut short during inspira tion. The soreness is relatively the srr.c in recent weeks. Ho denies sputum, blood, and fever. Thera has been an insignificant loss of weight from 287 to 231 pounds* He states that ho is short of breath on exertion but has some dyspnea most of the time, even at rest. lie donies any change in the color of his skin and noted no swelling of tho extremities. n other respects his health is considered good* He states that he has dizzy spells at times which on questioning occurs with climbing stairs or when stooping and then raising up. Ha has never fallen, had double vision or blacked out. He is not subject to head colds or headaches and denies postnasal discharge. In reference to other body systems, no pertinent information is obtained* Ur. .hitman Fr-ze 2 June 19 , 1951 ?3: heeler Family History Wife, 37 years old, living and well; no nlscarriagos* Cna child, throe and ons-half ysars old, living and wells No known tuberculosis contact* Weight: Maximum 310 pounds, 1948, usual 280 pounds. He dories the uso of tobacco and alcohol. He sleeps wall; has always had tho habit of biting his finger nails. Physical Examination: Obese, whits male. Doss not appear ill. During tho examination it was noticed ha has an occasional non-productive cough.. T <T- .. rvrrw Respiration: / . IS. . . .. Ears: Negative Eyes: Strabismus; pupils react to light and accommodation Tonsils: Large, clean Teeth: Many missing, curler Hearts Size cannot be determined accurately because of ' obesity. Sounds are normal* ' Chest: . Moderately large sebaceous cyst on the loft back. Lungss ` . ' Clear on percussion and auscultation, no lag, >domes not determined accurately because of obesity. Abdomen 1 Obese but no abnormalities aro noted. Extremities: Negative Temp.: 98.6 Pulse: 80 .HLood Pressures 160 systolic, 100 diastolic 136 systolic, 8^ diastolic 'ff7`ftj'V'V Urinalysis: fClear, ember, specific gravity - Q.N.8.; Albumin, j negative; Sugar, nogative Blood Count: t WBS 4 per low powered field; p. few; hemoglobin, 93, Ermas 13*5; BBC 4,700,000; NBG 6,100; P. 68; L. 32; H. 1; Stabs 1; Shift 1 Blood Sugar - 90 Urea Nitrogen, June 20, 25.6 mgo. pcrcont hr r June 22, 22.8 mgs. percent K* .Urea, ` Juno 20, 54*7 mgs. percent June 22, 48.7 mgs. percent These figures arc increased and indicative of 1% impairment of renal function. Creatinine - 1,5 mgs, percent lw Vital Capacity: Sitting, 3 2/3 liters lying, 2 3/8 liters Sedimentation Rate: 20 per hour Basal Metabolic Rate: f2 Dr. ',,`hitman Fago 3 June 19, 1951 Ro* Wheeler X-Ray Reading Chest Films; Bony framework, trachea, aorta, heart, diaphrasaa- negative; '' minimal hilar calcification Left Lung: Clear Right Lung* Clearj Pleura thickened along the axillary lino. X-Ray Diagnosis: Negative for aJpostosis; thickened pleura right lung. f ` Conclusions: 1 find no evidence Of abestosia. The thickened pleura over tha right lung ie the result of`come previous condition and it la not related to his eapdoyrnsn: He has impairment of kidney function, not 'related to his employment. ' Iho vital capacity is lower than normal, but 1 am unwilling to accopt it as a finality without c.oro tests. Very sincerely youra, (a) D. Vi. Heusinkveld D. W. I1EU3INK7ELD, 1. D. DVHjrl