Document eBRrBB9br45XK0OqprYKJeQE

November 18, 1935 D r . $ a . C. Compton American Bu ild in g Cin cin n at i,, Ohio Dear Dr. Compton* My exam in ation o f Mr. Fr id ay showed t h at he had Improved somewhat sin c e h is l a s t exam in at ion * He h as l e s s a t a x i a and i s somewhat st r o n g e r . I foun d no evid en ce o f l o c a l i si n g sig n s on which to b a se a d ia gn o sis b u t a s I in d ic a t e d in ay teleph on e co n v er sat io n , I th in k i t would be w ise to r e q u e st the a u t h o r isa t io n o f an opth alm olog ic co n su lt at io n and p o ssib ly , a l so , a n eu r ologic con su l t a t i o n . Accor d in gly I have w r it t e n t o Dr. H ayh urst as per en closed copy. I hope t h is man con t in u es to in prove bu t I am sk e p t i c a l . In an y case I would li k e ver y much to se e him again an d h ave ask ed him to ge t in touch w ith u s e it h e r d ir e c t ly or th rough you whenever he r etu r n s to the c it y . I have a lso given him sam ple c o n t ain e r s fo r th e c o lle c t io n of two u r in e sam ples in or der t o see whether th ere i s any in cr e ase in h is le ad output a ft e r th e use of calciu m th erapy. Very t r u ly you rs, RAKjis RoberV A. Keh oe, m'.D. 0016508 lii^eiber\X8r D r . E . R . Hayhursfc Con su lt an t . In dus t r i a l Hygiene St a t e o f Ohio Department o f H ealth Columbus, Ohio . D ear Dr. Hayhurs t s A lio me t o th an k you fo r your c o u r t e sy in recossn en din g t o Dr . Compton t h at he giv e me a ch an ce t o se e h i s p a t ie n t H r. MMHP* . h ose i l l n e s s h e r e p o r t e d t o you some - time ago from th e Globe Un ion Ba t t e r y Company. . Both Dr* Machle and I h ave seen and examin ed t h is man and so f a r a s we ar con corn ed, the d ia gn o sis la by no means c e r t a in . I h ave looked in t o th e fa c t o r y co n d it io n s and X can se e no good r easo n why t h is man sh ou ld h ave d evelop ed su ch an xum sh al type o f le a d p o iso n in g. Oth er men a sso c ia t e d w ith him in th e same work have been symptom f r e e . 'She ab sen ce o f si g n i fi c a n t blood ch an ges and our com plete fa ilu r e to fin d sig n ific a n t amounts o f le ad in h is blood or h is e x c r e t a a f t e r r e p o st o d e xam in at io n s, makes me dou bt ver y much th e in flu e n c e o f le a d in hi p r e se n t c o n d it io n . I f t h is man h as le a d p o iso n in g, he i s th e f i r s t c a se we h ove ev e r seen w ith a c t iv e symptoms w ith out d e fin it e an aly t ical eviden ce of in creased lead a b so r p t io n . On p h y sic a l exam in at ion th e Only sig n s p r e sen t in g th em selves ar c eviden ces o f b r ain in volvem en t. Acute c e n t r a l n ervous system le ad poison in g i s alm ost in co n ce iv ab le h n le ss t h or e was some ext r em ely u n u su al fa c t o r o f su sc e p t ib ilit y . Con sequen tly I su sp e ct t h at th e m an *s co n d it io n i s due t o some c e r e b r a l , in volvem en t in th e n at u r e o f e it h e r in fe c t io n o f some t y p e , or tum or. *?e ar e k eep in g him u n der o b se r v at io n and I f e c i r at h e r st r o n gly t h at he sh ou ld have a fu r t h e r exam in ation a t th e hands o f an op th alm ologist and a n e u r o lo g ist . The l a t t e r n ay p o ssib ly fin d som eth in g which n e it h e r Machle or m y se lf hnvo been a b le to d isc o v e r . A ccor d in gly I h ave recommended to Dr . Compton t h at he r e q u e st th e a u t h o r isa t io n o f t h ese co n su lt at iv e m easu res. Dith k in d e st p erson al r egar d s, KH 0016599 Sin cerely you rs, M19381.01