Document gDnGV0dm0x0VOn91qokR7YR2J

T6LCPHONC: M ADISON 5 --1 3 0 6 M ADISON 7 --3 2 3 8 EARL. F . R O SE . M . D. D EPU TY C H IE F M ED ICA L EXAM INER OFFICE DEPARTMENT OF HEALTH O F THE C H IE F MEDICAL. TIDEW ATER DIVISION 4 2 7 EAST CHARLOTTE STREET N O RFO LK lO . V IR G IN IA EXAMINER June 7, 1963 RAMON A. MORANO. M. Sc. TO X ICO LO G IST M. T. HURLEY AD M IN ISTRA TIV E A SSISTA N T Robert A. Kehoe, M. D. University of Cincinnati Department of Preventive Medicine and Industrial Health The Kettering Laboratory College of Medicine - Eden Avenue Cincinnati 19, Ohio Dear Dr. Kehoe: This is to acknowledge receipt of your publications on lead metabolism and to express my sincere appreciation not only for the reprints but for the opportunity of meeting you. Needless to say, the discussion was most stimulating to me personally. I hope that you understand my position with respect to any analysis on which I am called to perform. I have no vested interest in any group and in this case certainly not in a position of making a diagnosis of lead intoxication. I am however, interested in obtain ing accurate results and giving a proper interpretation to those results. With regard to the survey, I will agree to carry out a limited number of analyses but cannot participate in an extended number simply because time is not available for such a project. I am sure you can aopreciate my position in this respect. While this survey is of no interest to the Commonwealth as such and in view of the few analyses which I anticipate, no fees would be necessary. I would like to send along to you the history and laboratory findings (the Medical Examiner has not yet filed this report) of a two years old, colored male, who had a history of eating painted plaster and expired June 5, 1963 as a result of encephalopathic plumbism. The post-mortem examination was performed in this office and the pathology found was con sistent with lead intoxication. It is interesting to note, however, that an ante-mortem peripheral blood smear showed no basophilic stippling. The other laboratory findings are as follows: 6/3/63 6/4/63 Entered hospital with convulsions and a long history of eating painted plaster* X-rays - Positive heavy metal line (lead). Cerebrospinal fluid protein - 80 mgs % No C.S.F. oressure performed. SUN - 14 mgs % ' Hemoglobin - 8.2 Gms. ETEr m Resident 0 Non-resident COMMONW EALTH O F VIRG IN IA DEPARTMENT OF HEALTH y O FFICE OF THE C H IE F M EDICAL EXAM INER TIDEW ATER DIVISIO N 42 7 EAST CHARLOTTE STREET NORFOLK. V IR G IN IA R E P O R T O F IN V E ST IG A T IO N BY M ED IC A L EX A M IN E K -y DECEDENT Middle ADD R ESS -20Q Meat 27 th. S tra ti Morfolk . Number u d S e n t City or County T Y PE O F D E A T H : In prison Suspicious 0 ______ Sudden in apparent health: Instantaneous without obvious cause 0 After unexplained coma Q After unexplained rapidly fatal illness 0 AGE :JUELaa_SEX ^faaaiaRACE : negra.. .M W S D O CCUPA TIO N: ________________ suspected means ' Unattended by a physician: Found dead without obvious cause 0 Unattended during fatal illness Q Stillbirth attended bv midwife 0 Unusual Violent or Unnatural Means: Lead polSOOii DATE TIME LAST SEEN ALIVE INJURY OR ILLNESS DEATH MEDICAL EXAMINER n o t if ie d 8 / 1 / 6 2 ... 8*20 P.M. a / i / 6 2 ____ a / i / 6 9 8*20 P.M. 10i45 P.M. VIEW OF 800Y 9 00 A.M, POLICE NOTIFIED IF MOTOR VEHICLE ACCIDENT CHECK ONE OF THE FOLLOWING RIVER PASSENGER PEDESTRIAN a NOTIFICATION BY: .Scn Hn Go-- Uhlts LOCATION CITY OR COUNTY TYPE OF PREMISES (E. O.. HOSPITAL HOTEL HIGHWAY, ETC. INJURY OR ONSET OF ILLNESS 2 0 0 W,, 27th s tr e e t N orfolk D w elling DEATH K in g ' s Daught.Hr* Hnp .______Vnr-fn ir______________ VIEWING OF BODY BY MEDICAL EXAMINER Ho t f o i le G enas!- R e s a i 4 t y f 4 l f c -------------------- DESCRIPTION OF SOOY NOSE MOUTH EARS NON FATAL WOUNDS RIQOR UVOR CLOTHED UNCLOTHED 8 PARTLY CLOTHED HAIR_____ b l k + k - b e a r d ______________ Mu s t a c h e ________ CIRCUMCISED PUPILS; ___ 2.1t BLOOD FROTH OTHER (Sand, dkt. wttcr, ate.) jCL 0 0 FATAL WOUNDS: WEIGHT___ 2 5 1 h f f LENGTH BODY HEAT: cold -0- 4X- ABRASION G BURN G JAW CONTUSION La STA 0 NECK GUNSHOT i.j INCISED , BACK ARMS i~ : CHCiT u G ABDOMEN G COLOR ____________________ ANTERIOR POSTERIOR LATERAL D 0 LACERATION O * * LEGS -" collet FRACTURE i s c a l p u f a c e r: n e c k g c h e s t B 4 W___ i DISTRIBUTION: t BACK c ; ABDOMEN ; . ARMS H LEGS C! REGIONAL TYPE (GUNSHOT. INCISED, STAS. ETO.) . SUE SHAPE LOCATION t ' PLANE. LINE OR DIRECTION ' . - - . -. Probable cause of death: Chxanic laad poisoning Manner of death (Che. k c-ne ,'n'y) i . -a. c i r - ' i r * , Acculent 3 Suicide 0 Hom icide 0 Natural 0 Unknown 0 Pending 0 DISPOSITION OF CASE: * N"t a medical examiner case 0 2 . Aytonsy authorized Ijy ; __.ll& xt"afrfcia . , - Pathologist &&rf. G fn a g a j H e g g . I heretrv declare that after recerring notice of the death described herein I took cha the cause of death in accordance with Section 19.1-42. Title 19 o f die 1950 Code contained herein regarding such death is true and correct to the best of my know af the body tm d made inquiries regarding as amendedT'and that the information ______ August 2, 1962 Due its - - Horfolk C ity Ciry or County of A ppointm ent JUN 7 k COPY TXSTS: 1963. Signatur o Medical Examiner ROBERT A. MGRTQN, U. 0 . A N , GINA MEDICAL AND OTHER PERSONAL HISTORTi F SYMPTOMS AND DISEASE, PAST AND PRESENT: A ddiction to N arco tics A norexia A phasia A phonia C h ills Coma Convulsions C3 Coryxa CJ Cyanosis Cj D eliriam LJ D iarrhea C1 Dyspnea Lj Edeaaa Fever "Indigestion" G H abituation: n Sedatives n Jaundice Nausea Alcohol Pain: Q Headache " H ead Cold" P 0 H em orrhage from Abdomen Back Chest Body Orifice* P re c o rd h u a Q Vertigo Radiating to Arma Q Visual Panlysia Q Disturbances Skin Rash Q Vom iting o Somnolence y Weakness R StiC Neck Syncopa Q W eight Lota >Q W eight Excess l O THER PE R SO N A L H IST O R Y : Suicide attempts Suicide threats Q Hobbies, aptitudes or skills with firearms, chemical! etc. Domestic, premarital or marital conflicts Financial or business reverses Q Social or religious conflicts Legal diffi culties Criminal record Unemployment Fear of disease CONDUCT BEFORE D E A T H : Efforts to prevent help Efforts to obtain help Suicide attempt: Admitted Refusal to talk Written declaration of intended suicide Accusations against others Denied MEDICAL ATTENTION AND HOSPITAL OR INSTITUTIO NAL CARE: NAME OF PHYSICIAN OR INSTmjTION ADDRESS DIAGNOSIS OATS PREVIOUS CHEMICAL OR MECHANICAL INJURY: MANNER O r INJURY PLACE: CHARACTER OP PREMISES CHARACTER OF INJURY DATE C I R C U M S T A N C E S O F D E A T H ! __________________________________________________________________________________ ! NAME ADORES* FOUND DEAD Y LAST SEEN ALIVE SY .......... i1 H - a. . s its , u- n.__ H. G. Silit, hL. D. WITNESSES TO INJURY OR ILLHESS A N D DEATH Jam E. Yancey 11W i u j ' a n a u g h + O Y * H n t p i t a M ev rfrslIr King's Daughters H ospital, Norfolk 200 eiest 27th S tr e e t, Norfolk .............. NARRATIVE SUM M ARY OF CIRCUMSTANCES SURRO UN DING D E A T H : This 18 no. old colored female child f o i l down the stop on July 6th, 1962 and struck her head. Sht was sean at Norfolk Ganrtral Hospital that day and no sig n ific a n t injuria* ware datactad About 2 waaks la ta r sha beeana rather sleepy and drowsy but was not seen by a doctor u n til July 31st when she bee; sem i-conscious, developed voniting and convulsive seizu res. Sha was admitted to King's Baughtara Hospital at 1115 A.M. on July 31st in a coaatose convulsing s t a t e . Sha had m ultiple burr h oles parforaed because of a suspected subdural hematoma but no evidence of bleeding was found. The blood count showed heavy stip p lin g of the red c e lls and she was started on treatment for lead poisoning. The patient remained in a poor condition and died a t 3*20 P.M. on August 1, 1962. A pra-ssortera blood specimen was subsequently reported as showing 0.28 mgs. o f lead . An autopsy was authorized by the father and th is showed rather marked cerebral edema. Post-mortem x-Tay studies of the bone showed changes con sisten t with lead poisoning. This child was said to have eaten most anything around the house. The mother stated that one time recen tly the child ate some type of in sec t powder but apparently develooed no acute symptoms. The mother was unable to find the container of th is in secticid e* *