Document dnBBv9YdGOaoV3XnR7Xgbkxp5

/ -8084 S WkT.OF*- es t a b l is h e d ia02 E. I. du Po n t d e N e m o u r s & Co mpa n y INCORPORATED Wil m in g t o n 98, De l a w a r e M E D I C A L D I R E C T O R 'S O F F I C E February 22, 1945 h.r Dr. Robert fi. Kehoe Kettering Laboratory University of Cincinnati Cincinnati 19, Ohio ' My dear Bob: I have just returned from a trip west and find your letter of February 2 asking for ideas on the treatment of acute tetra ethyl lead intoxication. , You will recall that I came into the TEL picture in 1926 when we were just reopening the lead area after a shutdown. I had had no experience whatsoever in eithr the diagnosis or management of the cases which had occurred prior to the shutdown. Since 1926 you full well know the history of the incidence of TEL intoxication and based upon this incidence you can readily appreciate and realize that my experience in treatment has not been of sufficient extent to put me in the specialist class or even approaching the classification where I might offer worthwhile suggestions. I have relied upon the advice which you have given us and have always found it to be excellent. I feel that in view of your experience and knowledge on the subject, you are entirely capable of outlining the type of treatment we should use when the need arises. My opinion, if that is worth anything, would be that they need sedation, increased elimination, and probably alkalinization and from there on we simply hope for the best. With my very kindest regards, I am Yours very truly, MEDICAL DIVISION - G. H." Gehrmann, mT'd ^^"'""^ Medical Director GHGjMTF t 0001396