Document dYQk3KRNB9dzQ4XDKMJvVzypR

December 1* 1950 B r , Ralph C, flcott Fisher. Bodr Co* ' if726 Smith Rd,. Cincinnati 12,!Ohio 'Re Bear Dr. Scott* .... I s&v on lX-2350t ;'-Ee said that he'had had no pain nin.ce I saw bin initially and that he was on the sane job as before,1doing metal finishing,.He -did,not oral* eggs fr'-'D his diet an I suggested, ; The physical examination shows the faint lerid line as before Lo.l.icry rtv.dies rhov an erythrocyte eotmt; of *+956o9OOQ and a hemoglobin of 12.0 gr?>n?. Two s?tip?>Xed cells were found, in 50 fields. I regret that I neglected ro'get a repeat examina tion on the blood and urine for lead. / I think this boy's blood lead is too high for his to continue with his present work. His mild anemia is unexplained. Con ceivably it could be due to the toxic effect of lead on the erythropoetic system. It is very interesting to me that M s pain, has disappeared. It certainly does not support my initial impression that the pain was due to sensitivity to egg protein. I am unable to make a definitive diagnosis of the nature of his recent illness. I certainly would, like to see- him again if his symptoms recur. At that time we could study the blood and urine concentration of lead again and determine the eopro- porphyrins In the urine* * Thank you for referring him to mo for study. Sincerely yours 9 EWE iSR Kenry W v Ryder, M."D.