Document daZeak3nX60vL7rVmKB8mz9yB

FILE NAME: Contract Unit Workers Comp Claims (WCC) DATE: 1978 June 15 DOC#: WCC021 DOCUMENT DESCRIPTION: Workers Comp File - Coll, Vincent P Contains all documents found in the Claimant's file, with one blank page between each separate document One of the Armstrong Cases from New York Vincent P, Coll Mr. Coll was a pipecoverer for 4-7 years, and made a claim for temporary total disability on 1/15/57 against Armstrong Cork. He had worked for Armstrong only since November, 1955 (s0 Armstrong saw him in his weakened conditior, I reason), and after finding that he had an occupation-related disease he filed for compen sation, The word asbestosis appears on some of the doctors* statements, and the death certificate. The Board issued its decision awarding compensation for per manent, total disability from asbestosis, on July 30* 1957 Armstrong's carrier Travelers paid $684 for the period through 7/18/57 as a result of the decision, which Armstrong apparently did not contest. Poor Mr, Coll died the next day after the award was made (7/31/57)of cancer. His cancer, which was of the kidney or G.I. tract or both, was judged to be unrelated to his occupation by the Board, in a decision dated 1/7/59. There were no other industrial defendants, only "Special Fund Cons. Comm.". The relevant papers from the claim file were obtained and photocopied by Lou Brown of the Compensation Board, in response to my telephone request. He was not able to locate the file for Wm Dean, another NY case (i960 claim) on the Armstrong list. We were lucky to have Lo u 's help, considering the Board's reply to my written request for access in February (permission of claimants declared necessary to inspect records). Note that Armstrong's list cites the Coll case as settled without payment. The error apparently arises from the fact that they beat the claim on death, after paying out the claim on disability. ,tQS v W ,i WORKMEN'S COMPENSATION 1 STATE OF NEW YORK * r -, H. BOARD NOTICE OF CONTROVERSY V l f th e em ployer controverts this claim an d the ca rrier is no t paying com pensation directly and w ithout w ait ing for an aw ard, this prescribed Form C-7 must be com pleted and filed with the Chairm an, W orkm en's Com pensation B oard at the office of the district in which th e alleged accident occurred, on or before the 18th day after disability began or within 10 days after em ployer first had knowledge of the alleged accident, whichever period is g reater. C opy of this notice shall be sent to the claim ant a n d to his representative, if any. 1. W.C.B. Case Number 2. Carrier Case Number and Code J. Date of Alleged Accident 4. Date Alleged Disability Began 85702510 B -8 2 8 4 9 1 9 69 1 /1 5 /5 7 Name 5. Injured Person h TT| Vincent P. C oll 6. Employer Arm strong Cork Co. Address to which notices should be tent (Give Number and Street, Citjr, Zont, State) Social Security No. 719 C le v e la n d D riv e , Cheektow ag N .I Employer U.l. Ray, No, 1 6 7 4 Aeranor o Ay s . . Bu f f a l o 2 1 . M.X 7. Carrier THE TRAVELERS INSURANCE COMPANY 4 2 4 M a in S t , B u fi'n 'i o 2 , New Y o rk 8. Nature of alleged accident........... ........... ..................................... .......... ............. .......... ............................................................................ 9. This claim is contested by the employer and compensation therefore is not being paid by the carrier, for the reasons stated below: (Check each item of controversy and explain below, grounds for position taken.) (a) | | Notice of accident was not given as (e) Q Jurisdiction. required. (b) Q Claim was not timely filed. * (f) Q J Claimant is not disabled. ( 0 |~~| Accident did not occur. ( g ) Q Disability is not causally related, (d) Q Accidental injury did not arise out of and in the course of employment. (h) Other reason for contesting claim Attach supporting medical reports. If already filed with Chairman, identify. Explain reason for controversy separately for each box checked in Item 9 above. ( h ) No p r o o f d e a th on 7 /3 1 /5 7 c a u a a l l y r e l a t e d t o o c c u p a tio n a l d i s e a s e . 10. Has notice been sent to Disability Benefits carrier? (See Sec. 206 subd. 2 ) ................. ........ Yes No If "Yes", give name and address of Disability Benefits carrier (or employer) to whom notice was s e n t : __________________________________________________________________ Has medicai report also been sent?____ Yes No 11. Date "Employer's Report of Injury" first received: (Self-insured employer enter date of first knowledge of alleged 12. COPY OF THIS FORM C-7 HAS BEEN MAILED TO Q CLAIMANT Q CLAIMANTS REPRESENTATIVE Carrier Name THE TRAVELER S I N SURANCE COMPANY Dated: August 16, 1957 Signed C-472 REV.8 -5 5 E r in to d In U .S .A . C-7 C-7 O(fidai Title...........> hipv& ...A djnaiar. C-7 . d ^......... ...... I __ A* A U ^ / e r fc 'jr,'4 i^ t C /a 'VMl. """,Ariw. S~7lv"c>v\c>5----O--"^ -. ' - - : '~. .J.1 -' .'. . '. ..... '....:. - : .V. 'V " ' .. I ..T ^ 'vK.-*';-V.'^..-_..r. .... '-V. ' . ". V' - ... V,. T-, i'-,7. ' ... ytx. - . .-. >/%.,";'u ' *. " v. t\ -:;S . - ' _ ... - _ OoJh _____ ... ..... ? t u l s n l ___ - - - ' " -r.lZ'H. - . ;V'V-- ; . - , 'V 'JT. %A* *' - ; --u4'.> ;W' ,*`( - " ' * , ` /*51; . 1 ^ -t- ' ' , . ." * V - 1 >. BAITIMORC NEW YORK CLARKSBURG IULSA ST. LOUIS CHICAGO LOS ANGELES ATLANTA PITTSBURGH SAN FRANCISCO NEW ORLEANS MIAMI PHILADELPHIA v L * *' A '-, .0 a .-/; 1 a ALEXAXDKK & AlJTCXAXa^IElR INCORPORATED INSURANCE AVERAGE ADJUSTERS CONSULTING ACTUARIES 2 2 2 5 NORTH CHARLES STREET, BALTIMORE IB, MD. / TELEPHONE TUXEDO 9*4304 BELL SYSTEM TELETYPE BA 582 CABLE ADDRESS "ALEXBLUE" November 16th, 1959 Hr. R. C. Schiedt, Jr. Insurance Department Armstrong Cork Company Lancaster, Pennsylvania Dear Mr. Schiedt: Vincent P. Coll. 1/15/57 - ^Voi'k Claim B 8284919 Referring to your letter of November 3rd, 1959 on the above case, the matter was further discussed with the Travelers Insurance Company and we attach hereto copy of their letter of November 10th, which will be found self explanatory. We trust this is the desired information, however, if any additional data is needed, please let us know and we shall endeavor to secure it for you. Sincerely ALEXANDER & ALEXANDER, INC. LOSS DEPARTMENT R s % o / Z e '( / tY / t y Z / 'J y 3r 3n+tf&>% kUtmiu* iernfatm * Sfcm +t/it- ,%tA w <fy, StANCM owa 737 M wn i m w UTfAlO 9, H fw YOSK T ill,M m II,Mim 0V 0 November 10, 1959 Alexander A Alexander, Ir\e. 2225 N orth C h arles S tr e e t B altim ore 18, Maryland . k - f f *'J*.*r A* ^ i vV, * *t ' v W t. tti <!*t" * *i . B-823a919 A rm strong Cork Co, Re: V incent P , C oll A ccident: 1-15-57 , < ' . - -V . G entlem en: ' * . In re p ly to yotprs o f November 5, 1959, on th e above c a p t i o n e d . f i l e , may we a d v ise t h a t t h e . com pensation aw ards were made under S e c tio n 1 5 -8 -EE o f th e coopenaa- ' * tio n Law, w ith reim bursem ent from th e S p e c ia l Funds to be secured a f t e r payment o f 2b0 weeks o f d is a b i lity . The c la im a n t d ie d from m e ta s ta tic carcinom a o f th e * iu n g a f te r " o n ly 20 4 /5 weeks o f u i s a b i l i t y . . * ' Under S ectio n 15-S ubdiyiaion 8 , the l i a b i l i t y fo r compen- '* "s a tio ri and m ed ical expense i s t h a t o f th e l a s t em ployer, f <*' ^ * and Chere i i no apportionm ent a g a in s t the p rio r em ployer. * ___ if l ' . ; . A. i " ' v-v- i ` `i' .{ * -t * l CFO'H/mea : ' " Very tr u ly y o u rs,' C.P. O'Hearn Supvg. A djuster HOME O i M C f 700 M A I N STI EET, H A I T f O l O IS, C O N N E C T I C U T T ii ^ I o r b a r 3, 1999 Mr. 0 . H. T ln la y A laxm dar k A laxm dar, Ino. 2225 I . C harlaa 8 tr a a t B a l tia o r a 18 MdL Daar Mr. jFialay* Sahjaoti t Tlnoaat f .C o ll ola Thanka f o r y o u r Oo to b a r 30 l o t t a r ahovlna f i n a l p a y a m ta o a th o abova v o rk m ' i ooapanaation o a la . I f v a add th a o o ap an aatio n p a y a a n ta f r o a J u l y 18 1957 to J u l y 31 1957 vhioh v ara n o t in e la d ad la th a l o tic a o f D aolaion laaaad by th a Voxkaan'a Ooapanaation Board, va t a ln v lth th a taap o rary to ta l ooapanaation o f $748.80 ahovn l a your l a t t a r . A pparantly th a $1,441.57 a a d io a l axpanaaa v a r a ln c u r r a d f r o a J a l / 1 1997 th a d a ta o f h ia o p a r a tlo n , to J u l y 31 1957 th a d a ta o f h ia d aath . Raaorda in d i o ata C oll vaa aboat alx ty -tv o y aara o f tf a a t th a tia a o f h ia d aath , and h ia l l f a t i a a aployaant v lth Anaatron* oovarad a th ra a -y a a r p arlo d , durlng vhioh ha volitad a to ta l o f flfty -n ln a vaaka fb r A m atronf Cork Oonpany. Ara a p p o rtlo n a aa t prooaadinca b a ln f l a i t i a t a d by T rav alara ln o o m aotloa v lth th ia aabaatoala alalaf Tary tru ly youra, B. C. S ah lad t, Ir . Xnaoranoa D apartaaat m \ BALTIMORE NEW YORK CLARKSBURG TULSA ST LOUIS CHICAGO LOS ANGELES ATLANIA Pit t s b u r g h SAN TRANCISCO NEW ORLEANS MIAMI PHILADELPHIA AX3 A X 1 DIK'd* INCORPORATED INSURANCE AVERAGE ADJUSTERS CONSULTING ACTUARIES 2225 NORTH CHARLES STREET, BALTIMORE 18, MD. October 30th, 1959 ('" y TELEPHONE TUXEDO 9AJA BELL SYSTEM TELETYPE BA S2 CABLE ADDRESS "A LC X U LU l" Mr. R. C. Schiedt, Jr. Insurance Department Armstrong Cork Company Lancaster, Pennsylvania Dear Mr. Schiedt: re: Vincent P. Coll January 15, 1957 - New York Workmen's Compensation Claim No. B 8284919 ____ Thanks very much for your letter of October 27th, 1959 submitting copies of correspondence pertinent to the above case, It so happens that we have today received closing report from the Travelers, which indicates final payments as follows:- Temporary total Medical Expense $ 748.80 1,441.57 828.00 We trust this information will enable you to close your file on this old case. S incerely ALEXANDER & ALEXANDER, INC. GENERAL ADJUSTER R \ \ - i 5" * 5 ^ October 27 1959 Nr* O* B. fln la y Alexander & Alsxandsr, In e. 222$ I . Chari* 8trt Baltimore 18 Md. Dar Nr. fin la y t 8ubjscti /V iaM B t P. O oll ' 1 A 5 /5 7 - iw Xork Workman* a Compensation Claim #B-284919 In reply to your Ootobr 23 l tt r , th i 1 an asb astoala e l ala whioh had bsan lis t e d on your Tarious I om xpsrivaos ex h ib its for th year 1957. Th f ir s t rstro sp so tir ratin g adjuatsut for th 1 yar l i s t s th follow ing r*rrsi Mdiol - $1,600 Gasmansatlon - $11,005 V do not haw a oopy o f th o r ig in a l raport. V are, hoverar, d o s in g eopios o f soma oorraspondan whioh sig h t bs o f os halp. Traralsrs B uffalo o ff ie handled th is d a is . Vary truly your, ABKSTfOlQ CORK COMPAll sn to d o suras K. 0 . Bohisdt, S r . Insuran Department BALTIMORE NLW YORK CLARKSBURG TUL'-A ST LOUIS C H IC A G O LOS ANGELES ATLANTA PITTSBURGH SAN FRANCISCO NEW ORLEANS MIAMI PHILADELPHIA A i ,k x a x aawa* <&; \ i ,k k >\;M):k,r INCORPORATED INSURANCE AVERAGE ADJUSTERS CONSULTING ACTUARIES 2225 NORTH CHARLES STREET, BALTIMORE 18, MD. i o #LH October 23rd, 1959 /) G j TELLPHONL TU XLDO `43Ci't SELL SYSTEM TELETYPE BA SU2 CABLE ADDRESS "ALEXULUL" Mr. R. C. Schiedt, Jr. Insurance Department Armstrong Cork Company Lancaster, Pennsylvania Dear Mr. Schiedt: Vincent P. Coll. 1/15/57 - New York Workmen's Compensation Claim B 8284919 ______ We have your letter of October 21st pertinent to the above accident inquiring as to its status. We cannot locate a record of this case and would appreciate it very much if you would let us have a copy of the original report and information as to whether we have previously written you on the matter. Upon receipt of your reply, we will contact the Travelers. Sincerely ALEXANDER & ALEXANDER, INC. GENERAL ADJUSTER R October 21, 1959 Nr 0 . H. Finlay Alexander & Alexander, In e. 2225 B. Charlea S treet Baltim ore IS , Nd, Bear Mr* Finlayt Subject* /Tin omit F. C oll y i/i5/v - n r r r * Workman* a Compensation Claim #S-*2SA919 Ve are rendering about the etatua o f the above claim . Our reoorde in d ica te h is life tim e employment with Armstrong covered a period o f 59 weeks during the years 1955 1956, and 1957* The la s t n o tice we received was a oopy o f Fom C-7 f ile d by Travelers August 16, 1957, contestin g th is claim . A le t t e r from our d is tr ic t o ffle e indicated Nr. C oll died July 51, 1957. Tery tru ly yours, AJM8TB0IB 0 0 00NPABX &. 0. Schiedt, J r . Zneuranee Department JE2  1 * "> -1 ^ WORKMEN'S COMPENSATION BOARD ^ l-w ,,,, c p * STA TE OF NEW YO RK NOTICE OF CONTROVERSY ^ ' f 'the employer controverts this claim and the carrier is not paying compensation directly-and without wait ing for an award, this prescribed Form C-7 must be completed and hied with the Chairman, Workmen's Com pensation Board at the office of the district in which the alleged accident occurred, on or before the 18th day after disability began or within 10 days after employer first had knowledge of the alleged accident, whichever period is greater. Copy of this notice shall be sent to the claimant and to his representative, if any. 1. W .C .B . Cam N um ber 2. C arrier Caae N um ber and Code 3 Dele of Alleged Accident 4. Date Alleged Disability Began 85702510 1-8284919 Name 69 1/15/57 __ ---- Addret to which notices should be sent (.Give Number and S t--t. City, Zmm, State) 5. Injured Person MS*-S'] Vincent P. C oll 6. Employer A raatrong Cork Co. Social Security No. 719 Cleveland, P riT , Cheektowag i N.T r - Em ployer U .l. Reg. No. 167b Kenmore Avn.r B u ffa lo 2% K .T . 7. Carrier THE TRAVELERS INSURANCE COMPANY M*jn S t ., B ufi'alo 2, Mew lo rk 8. Nature of alleged accident______________ .____________________________________________________________________ __ 9. This claim is contested by the employer and compensation therefore is not being paid by the carrier, for the reasons stated below: (Check each item of controversy and explain below, grounds for position taken.) (a) | | Notice of accident was not given as (e) Q Jurisdiction. required. (b) Q Claim was not timely filed. * (f) Q ] Claimant is not disabled. (c) Q Accident did not occur. ( g ) Q Disability is not causally related. (d) Accidental injury did not arise out of (h) E Other reason for contesting claim and in the course of employment. Attach supporting medical reports. If already filed with Chairman, identify. was sent: Has medical report also been sent? ...... Yes No 11. Date "Employer's Report of Injury" first received: (Self-insured employer enter date of first knowledge of alleged a c c id e n t)__________________________________________________________ ------------------------------------------------------- 12. COPY OF THIS FORM C-7 HAS BEEN MAILED TO Q ] CLAIMANT Q CLAIMANTS REPRESENTATIVE Carrier Name THE TRAVELERS IN SURANCE COMPANY_____________________________________________ _____________ Dated: Aag--t 16, 1957 Signed____ m ------------------------------------------------------------------------ C-U782 REV.8 -5 5 P r i n t e d In u. s . a. C-7 C-7 Official T itle........... A d j u s t e r --------------------------------------------------------------------------- C-7 C-7 C-7 fcc,' Inter * Office Communication Armetrong Cork Company To R . C . S c h i e d t , J r . , I n s u r a n c e D e p t, L a n c a s t e r ftom M. A . D ic k s o n , I n s u l a t i o n D iv n , B u f f a l o . Subject VINCENT P . COLL A u g u st 7 1957 I n c o n n e c ti o n w i t h Mr P e n d l e t o n 's p r e v i o u s cora-nuni c a t io n s t o you on J u ly 31 h e re a re th e h o s p i t a l o p e ra tiv e re c o rd and th e Compensfcion B o a rd 's N o tice o f D e c isio n c o n c e rn in g t h i s p e rso n , to com plete your f i l e . Md Form 1501 10-46 5 iMT O f f i C l COMM UM! CATION To R. C. Schiedt J r . Insurance Department Lancaster From M.. E. Pendleton, In su la tio n D ivision, B uffalo July 31, 1957 (D iet. 7-29-57) Subject Vincent P. C oll - Occupational Disease Supplementing our memo of e a r l ie r today on th e same su b je c t, here are some a d d itio n a l comments fo r what they may be worth For a number of y e a rs, C oll was employed by E, J . Eddy Co asbestos c o n tra cto rs of Buffalo, frequently as a supervisory employee. A fter the death of the head of th a t company, C oll l e f t fo r personal reaso n s. We picked him up as a mechanic because of. h is known a b i l i t y and wide experience. S h o rtly a f te r C o il' s i ll n e s s began, our superintendent D, J . S olly v is ite d Coll a t h is hone. A re p re se n ta tiv e of T rav e le r's Insurance company was th ere and to ld S olly th a t Coll had worked fo r a number cf co n tra cto rs over the years in B uffalo and th a t any claim would be p ro -ra te d on the d in each shop. We assumed t h is to be e sta b lish e d proced MBP/rk CC: > J . S olly - Buffalo FORM 1*01 * ( c S IN TE OFFICE COMMUNICATION To It. C . uchiedt Jr. Insrrnrce department, Lancaster From K. Pendleton, Insulation Division, Buffalo JuV (Diet. 7-29-n7 ) Subjscf Vincent P. Cell - Occupational Disease This is in reply to year request for information of Ji.ly 25, 1957 First of all Coll was net laid off: He was unable tc word because of illness. Cur records dc not shevr this but we have checked with our sv.i erintendent to clear the joint. There is no particular reason for Cell V7crkin>- cn snail jobs. No power saw was used on any of his jobs but we have employed him on occasion tc cut beveled cork la[5 cn cur warehouse bard saw. Me are toll that there are no children under 18 years cf ape. Coil's birth FORM >Ol # M. B. Fandlatoa, I iw U tla n S ir i d o n , Buffalo 1 0* Sohiodt, J r ., Inaurano Bapartnant, Lanamatar iaoaat ? . f r U Ooonpatlonal SLaaaaa Juljr 25, 1957 Aoaordlag to a notlaa raoairad froai our inaurane brokar, T raralara haa atahliahad a $27,BOO raaarra on aa aabaatoaia alala fila d by Tineant P. ^ C oli. Although tha data of tha aeeldaat la show aa J anumry 15 lS U . payroll raoorda bara la Lanoaater in d laata tha la a t day aowaST^r th ia non vaa Marah 29, 1 9 5 7 , a t hi oh Urna ha aa la ld o ff daa to no oik* Za rarievlmg hla Mploymmt reoord, a fiad ha vorked a to ta l of 59 waaka for Amotrong, and only half o f thia tima, approxlaataly 1,100 boaro, vma apaat oa joba ahioh oallad ihr tha um of prodaata aontalnlng aabaatoa, air oall and nagnaoia laaalatloa. 1 rarlev o f tha p^ rrolla Indlaata O oll uaoally axhad Ith a anali gmg, f l to man or la n e. V ora oadorlag i f tharo na any p arti colar ranaoa fo r th ia , ad baoauw o f tha an ali fand, aauld a afaly aay that a power aa vaa not uaad an any o f hla joba or any p raliain exy ork ha night har per faraed la tha arahouaa. Coold you g ira aa h i a data o f b lrth and hathar or a o t ha haa n y ohildraa adar 1$ yaars o f agf lo o r rapila 111 ha uaod la aa ffo r t to baro Traralara radaoa tha |27,BOO raaarra. Aooordlag to tha tona o f or laaoraaa p o llo y , $25,000 la tha naainai o u n t Traralara aay ohorga fOr ooa a la la . Bovarar, han tha flr a t ratraapaotlra ratin g la nodo* Axaatroag i l i ba raquirad to dapoalt v ith Traralara th ia B a rin ohargo o f $25,000 pina l i . 032$ or a to ta l o f $2S,508. Tha f lr a t ratroapaetlra rating i l i ba nodo ahortly a fta r July 1 , 1950, and aobaaquant ratroapeotira ratiaga i l i ba nada a t tornir nonth in tarrala. Za tha ab equant ra tin g s, tha aaount o f tha dapoalt on th ia o la ia ooold raxy oonaidarably* Idjaataanta ora nada to r e f i aot tha aotaal Io ta iaeurrad l f tha o a la haa baoa aattlad, ar tha aatiaatad ooata i f tha a la la la a t l ll opm . JU J* V. L id d o ll, Ir , Zaaolation B irlalon C-3, (7-3S> ALBANY 4 ,.A BINGHAMTON 1949 N O RTH BROA.pW ^Y\ 22 1 W A S H IN G T O N ST BUFFALO 2 2 1 0 F R A N K L I N ST NEW YORK 13 8 0 C E N T R E ST RO CH ESTER 14 SY RA CU S E 2 1 5 5 MAIN ST W 2 1 4 SO. W A R R E N ST V H* * CP' no 4 . D a te of H e ar in g WORKMEN'S COMPENSATION BOARD STATE OF NEW YORK NOTICE OF DECISION 2. Ca r r ier C ase N o . a n d C ooe N o . 3. D ate of a c c id e n t * 2*1919 S. Da t e of R eser ved D e c is io n 69 1 <m 1 15 57 6 . D a te o f t h is N o tic e ------- 7 U 57---------------- C la im a n t Yla c a t ? C a ll 719 clv*JL*&4 fir .........tineettawaAe-I l ........................ E m plo yer twufeBMw c o rk Co 1571 &4IOKMP AVO ......uf i a la * - * - ! ..................................... .... p o la i *uada Cana* voon 920 Cooeseo ^ 4* SufflAlOp A X ..................... G*or& j y r t t i f fl&a&c Om ^ s m v I w b o t t H 5 5 ^ `A t t i l a v A t 4 4 4 F l o o r Uom X & r * 4 7 ___________2 10 57_____ TO THE CLAIMANT. 1. Any com pensation due will be sent to you by check by the employer or his insurance carrier. 2. Keep a careful record of the payments received in order that you may have evidence of payment ur non-payment in case of dispute. 3. No compensation shall be allowed for the first seven days of disability. However, if the injury results in disability of more than thirty-five days, compensation shall be allowed from the first day of disability. 4. Do not pay money to anyone representing you. The fee, if any, for such representation is deter mined by the Board or Referee and will be de ducted from your award and paid by the em ployer or his insurance carrier to your represen tative or attorney. COPY TO: After hearing on date stated above a Decision and Award was made and duly filed this day as follows: AWARD: THE EMPLOYER AND/OR THE INSURANCE CARRIER ARE DIRECTED TO PAY AT ONCE for disability over a [hthhI of at rate per week the sum of weeks from to TO: 2 A / S 1 1 5 5 7 2 4 5 7 > > 6 . 3 0 * 1 0 0 * 6 0 CLAIMANT 1 /S 3 la 57 3 15 57 36*30 7 20 . ft 0 yi'C S * ArV*l' 2 /5 3 a> 5 7 3 2 2 5 7 3 6 .3 3 1 4 * * 0 less payments made covering this period. IS 3 /5 4 1 57 7 M 57 3 6 .0 0 - a t# - as lien on award payable by separate check bv carrier m CLAIMANT'S REPRESENTATIVE OR ATTORNEY F i n d i n g l a n o d e U w t 1 4 1 a c * * e e o a # * y lx 4 1 a t o p u r v l& * 0 1 L e e 4 lo a l j o f t i * o r i t a o a * C o m tw tta a t I o n La v * . a a d t h a t t b * c a r r i e r 1 a v t i t l o d to r e la tiu r a a e M m t f r o m j a l a i iiu m8 f o r o i l o o M p a a a A tlo n o a d s- M K ilc o l jtp o a a eo p a id aubae^ uoc % t o 2 6 0 a k a F in d in g f u r t h o r a d o fee to DOCTOR for attendance at hearing o a t 1 p i r& w m tX X y m t o t a l l y 0ta b b ie d . DECISION: Case was l 0 * 4 4 0 C O & V iU * A t 3 4 * 0 3 ttX & il i* U # d oooa* la eaaiitlaa or fiadias ora U*r*ls aaria .........q m t a A s a o t o A i a o o u c o u * * 4 * 1 r o l a w l ^ a * # 4 4 4 1 4 * 4 * 4 irofc <i*&o dt JU 1/X5/57* folX ttlX tg If case was "continued" and continuing payment was directed, it shall be made al the abuse rate for the period stated and shall be continued thereafter until the employer or earlier has medical or pus roll csidcuce of a change of condition and gives notice thereof to the Chairman, Workmen's Compensation Board, unless otherwise provided in the decision. \ further hearing will be held in a ''continued" case to deteimine the extent of further disaliilils. if uns. C-23 C-23 C-23 C-23 C-23 > sai# i u MILLARD FILLMORE HOSPITAL OPERATIVE RECORD 7 1 9 Cleveland Dr*, Cheatctowaga, H*I. Nome C o l l # B T e T iO W W t - A g l* Case No. 6 - 5 8 7 Date Qf Operation 7 ~ 1 * 5 7 Surgeon S V * P * V (M ID O H M JJI Assistants & * C # Johnson e Anesthetist instrument Nurse B t S S B l l c n l l f A Anesthetic L M B L Sponge Nurse B l S S B o l t O Began P lb O A e B * Closed 10 23 A .U . a-OKSATfVi RECOSO Pre-operative diagnosis complete fwlaonary insufficiency from probsbls ssbestosis with s sodssetely pia doan-hlll oouess ths last ala Booths and recent development of node, loft neck* Operation ra-TSTmt tm m a u LEFT PtaansnonttTiiMLB ge figcn. What was done C a d e r p X O O O lO O l o f l l t l O t l O d O H O e th O S lO i n t h e S u p in e position the bead turned towards the rlgat, a straight 3ou Incision aas vado in tha loft posterior triangle of the neck, earned down timi the skin, fat, platysoa, and than bar blunt dlasaction the node was dissected out, which lay on the brachisi plaxsut. Bleeding wss alni,sal, nothing bad to ba clasped Tba wound aas closed in two layers, using interrupted and te* a eentiauaoua subcuticular of triple plain catgut. f.0 . Betastatl* neoplaaa te soda, left oeok. ? Technique n.oo Clean 9 VO*Dtnoe cci^ Dr. Carl Conrad Recorded by MJG 1 ^ r.ofco r' * O' 7 ^ - o> c*` <v* C? f~~-. ~v c,i t u ^ 03 -s> ^ -*J ^ C*J '-- -s\ ' 7 i ^ v V/ l> 'k U tj3 1-1 A' 1 / _ ^Jt C* O a 1 r> <r> V) rtrty J -ftiA A s y fj g u -vj/< ? i't4 ^ t/* 7 JT % V "T> h i o t I 5 r? 5 7 7 / \ l / '-- < - -- fyrf/t'nr) --^ -- % 'Si fl- hA V aX T^ {Jrjt TM'r^ ' ^ 7 {> ; ? ? U? -^ 3 T ?? ^ TrvvV It? Jr J b tj _SJ_ 7 . tnc V --- p _____ ^ Y * " ^ ' y^Orv-v-^ p^tyyv? b taP r'' -$ ( ^i _______ tyrji/usv t fp^OYv 7, C ( " )?7 7 S ~ Z ?j T U~ ~^ t>H w* -fri lI J+l1 0_ C- I inrw'T' C J? C J F TM 10 J - H a^i t. y 4 N/ - f U- L I O ' A ' ^ _____ 4 < - <P-crytriXrx. ____ te. r fi.