Document ga2w6OXad1X5RQgjbQRBO77jV

CONFIDENTIAL Interoffice Communication To Mr. E. Marcus Smith - Aberdeen Chemical Plant From Charles L, Whetstone, M.D* - Ponca City Date i Subject May 20, 1974 MEDICAL DIVISION REVIEW OF MARCH, 1974, LABORATORY DATA ON ABERDEEN EMPLOYEES I have reviewed the laboratory studies (complete urinalysis, hemoglobin, hematocrit, WBC and differential, chemistry profile including glucose, BUN, total protein, globulin, uric acid, cholesterol, total bilirubin, alkaline phosphatase, S.G.O.T., calcium, phosphorus and LDH) performed at your plant March, 1974, The following employees were all reported as normal: Jodie Adams H. K. Alexander Ken Archer John Bailey Spencer Bailey Lee 0. Benefiel G. D. Bird Ellis Bowman William Browning Willie Burley William Carroll Samuel Carter Bobby Chaffin Jesse Clay Ken Couch -V Tommy Cummings Charles Davenport Fred Davis Willis Dobbs Jim Edwards Leo Ezell Charles Flynn Gary Fritch Joe Gann L. T. Gathings Lawrence Goodwin Robert Hamilton William Hardy Drew Hayward Charles Holcomb J ame s Howe11 Hampton Hyder Canty Jernigan Susan Adams Wardell Andrews Charles Baggett 1 Randal Bailey Hansel Baughn Don Bennett Frank Blanchard Ruby Boyd William Buckner Harold Butler James Carter Shelby Carter Ricky Christian Paul Cook Billy Cummings Ken Currie Charles Davis Wayne Davis Alan R. Dove Austin Eisemon William Ferguson Coy Flynn A. F. Gallagher Dwight Garrett Ronnie Gilreath James Grace Tyrus Harden Don Haynie Howard Hill George Hopkins Johnny Hull Bobby Jenkins Arlis Jones TW m I VAB.0001050428 E. Marcus Smith Page 2 Les Kamery James Corrothers Alex Jordan Marvin Keaton Steve Lawhon Dennis Lindsey Charlie Little Gary Long Dwain Lucas Jean Mays Willie McCotry Ray McGhee Frank McMillan John McWhirter Charles Miller Ed Mize Casey Morton Terry Noland Billy Oliver William Parks Ken Pitts John Randle , Lonnie Rea Will Ridings Charles Rooks Chesley Scott Joe Shackelford Mike Skinner Roe Spellman Linnell Stegall Angelo Thomas Quinton Thompson Willie D. Troupe Jack Vardeman Charles Warren .. Jack Wertz George Whitfield Amy Whitt Nathaniel Wilson Lonnie Woods John Young Robert Clopton Sam Kennedy George Reynolds Joe L. Trimble Joseph llartman John Keaton Shedrick James Lander Keaton Joe Knight p David Lewis Horace Lindsey Ernest Long Tom Low Hollis Martin Bobby McClendon Joe McDill Mike MeHale Quincy McMiIlian Dexter Metcalfe Bob Miner William Moore Larry Munn Robert Ogden Bobby Owings Randy Patterson Mike Quigley Cecil W. Ray Charles Reed Jerry W. Roberts Aubrey Sanders Frank Scott B. P, Sizemore Houston Smith Tommy Staten James Sykes Billy Thompson Jack Trimm Jerald Uptain Brenda Warren James Wells Victor White W. D. Whitfield Richard Williams # William Woodridge Jerry Wright Richard Young Robert Freele James Mixon Woodie Taylor Martha Donald Q. C. Townes I find no abnormalities among any of these employees which would indicate job-related toxicity. A VAB.0001050429 E. Marcus Page 3 4 The following employees have a single finding of a slightly elevated alkaline phosphatase (normal value 9 to 35): * Willie Akins Robert Bristol George Carnatham Paul Collette Darnell Cook M, J. Hickman Clyde Lenoir Billy Luker Ken Moore Drennan Strawbrige Michael Sullivan Henry Tallie, Jr. Jimmy Walker Bobby Ward 38.5 43 36.5 48.5 51 39.5 37.9 38.5 37.8 38 54 39.5 37 45 With the exception of Michael Sullivan and Paul Collette, both of whom I would like sent to the hospital in a fasting state for a repeat examination, I find no evidence of toxicity among the remaining individuals. Bobby Ward was 65 in February, 1974 and now only has an alkaline phosphatase of 45. Please repeat Bobby Ward in 3 months at the hospital. Admittedly, these are slightly above the accepted averages but in the absence of any other abnormal laboratory findings or symptoms, no additional studies need be carried out at this time. The following employees have the single findings of an abnormal white blood count (using 5000 to 10000 WBC's as normal): Albert Barr 11,200 John Dixon 11,200 Richard Frohreich 3,100 Larry Jackson 3,700 J. W. Lowe 4,000 Earl Pennington 13,500 Luther Threadgill 12,900 Tommy Dendy Herman Dodds Herb Jackson Robert Jackson Jack McLaughlin Bob Seymour Willie Wilson 3,300 14,500 11,100 13,500 12,800 12,800 3,900 Tommy Dendy, Richard Frohreich, Larry Jackson, and Willie Wilson are slightly lower than normal. Herman Dodds, Robert Jackson, Earl Pennington, Bob Seymour and Luther Threadgill are slightly above the expected normal. Please have these studies repeated at the local hospital laboratory and results submitted to Medical Division along with a differential blood count. The remaining individuals mentioned are not sufficiently out of line, iii light of the other normal studies, to merit repeat studies before the next 6 months. The only abnormal S.G.O.T. (using 2 to 45 as normal) was Sam Brown - 50. In view of the otherwise normal blood chemistries and studies, this slight elevation is not felt to require any special medical attention nor does it reflect any toxicity. / * VAB.0001050430 E. Marcus Smith /f0m\ 4 The following individuals have an elevated calcium (using 8.8 to 10.7 as normal): D. W. Clark Essie Eubanks 12.4 14.3 In the absence of any other abnormal laboratory studies performed at this time this single value probably represents a standard deviation and is within norma1 limit s. The following individual had a slightly elevated total protein (normal 5.5 to 8.0): Scott Goforth 8.6 This single slightly elevated value of 8.6 does not signify any disease process or represent toxicity. Using 150-300 as the normal, the following individuals showed an elevation of blood cholesterol: Ray Beauregard Frank Frantz Willie C. Troupe Morris Williams 320 320 312 325 As you are probably aware, the blood cholesterol is a highly variable test. The results of the individuals listed above are so near borderline that I feel they require no special attention. Irregardless, these results would not represent toxicity, but they might be interested in relaying this infor- -^ mation to their own attending physician. Individuals who in particular are overweight and have a high normal to slightly elevated cholesterol certainly should be on a reducing diet. The following are individuals who have abnormal blood sugars (using 70 to 115 as nopnal) : David Cox Ray Hodges Gladie Hollis George Howell Edward Jackson Erskin Morgan Charlie Peden Ray Reeves 55 50 50 60 45 55 50 55 Blood sugars slightly below normal can represent unusually long periods of fasting, prolonged storage of blood before the test is performed or a hypo glycemic reaction from some illness. There is no known correlation at this time between toxicity and low blood sugars. These people will be re-examined in six months with this same test. At the present time, in the absence of any other abnormal blood chemistry, I see no need to proceed with any further testing * h VAB.0001050431 E. Marcus SmiUi Page 5 Those individuals listed below show an abnormal bilirubin (using normal 0-1.5): Jerry Crosby Randy Rye A. J. Whitfield 1.6 1.7 1.8 These tests are near enough to normal that no unusual significance can be attributed to them. The following individuals showed an abnormal urinalysis (normal 0-2): David E. Corruthers Bernard Garth James McMiIlian b Jim Morgan Helen Pruitt Jerry Roberts Rex Shackelford Andrew Young, Sr. RBC 1 s TNTC WBC 1 s TNTC WBC 1 s TNTC WBC 's TNTC 10- 15 WBC RBC 1 s TNTC WBC ' s 15-20 WBC ' s TNTC WBC 1 s 20-30 *Too numerous to count White blood cells in the urine generally represent urinary tract infections which are quite common. These individuals should be referred to their own doctor for definitive evaluation. The problems certainly are not related to toxicity. David Corruthers and Helen Pruitt have red blood cells in large amounts which is abnormal and not related to toxicity in the absence of any other abnormality. This, however, merits repeat examination. Please have them go to the hospital laboratory for repeat urinalysis. If this is again abnormal, these individuals should report it to their attending physicians. The remaining group of''femployees have 2 or more findings that are outside of the designated normal ranges: James Barr Hgb. 11.2 Hct. 35.5 WBC's TNTC This represents a slight aacmia and urinary tract infection. He should consult his own physician regarding proper followup. This does not represent toxicity. Robert Calvert Hgb. 11.6 Hct. 36.5 WBC's TNTC LDH 148 P This represents slight anemia and a urinary tract infection. The LDH is slightly elevated but could be accounted for on the basis of the aforementioned problems. Mr. Calvert should consult with his family doctor. This does not represent toxicity. * VAB.0001050432 r E. Marcus Smith Page 6 if Eugene Dilworth UA 7.0 S.G.O.T. 76 Since the S.G.O.T. is elevated 30 points above normal, I suggest this be repeated at the hospital laboratory to be sure he is in the fasting state. Lasper Ealy Total protein 8.8 Bilirubin 1.7 These two findings are within normal limits and they merit no special attention until the next designated time for repeat studies. 4 James Emerson BUN 25 Tot.Prot. 8.8 Choi. 400 Total Bilirubin 4.8 Calcium 13.8 4 Since five of these values are abnormal, there is always the possibility the specimen may have been contaminated or the blood spoiled. He should have a repeat of the SMA-12 in the fasting state. Harold Fooshee UA 7.9 Choi. 310 Neither of these values are elevated. They are just slightly above normal and are of no diagnostic significance. The repeat tests in six months should be adequate. Don Geddes V * 'v WBC(urine) 10-15 UA 8.0 Tot. Bili. 2.3 Aik. Phos. 45 S.G.O.T. 250+ The S.G.O.T. of 250, phosphatase slightly elevated and total bilirubin elevated could be of diagnostic significance from the toxicity standpoint. I recommend immediate repeat examination. Followup report will follow. Tom Gilleylen Hgb. 11.8 Hct. 37 Since most of the chemistries are elevated, the question of whether or not he was fasting arises. I recommend repeat of his SMA-12. Joe Hackman WBC (urine) 20-30 Aik. Phos. 64 The elevated1. WBCTs in the urine in all probability represent a urinary tract infection and certainly are not of diagnostic significance so far as toxicity is concerned. The alkaline phosphatase, however, is 19 points above normal. In * VAB.0001050433 E. Marcus Smith Page 7. the absence of any other abnormal blood or chemistry studies, this is probably just a spurious result. However, I recommend repeat of the alkaline phosphatase immediately. Willis Harlow Hgb. 11.7 Hct. 36.5 These figures indicate a slight anemia. He should report this to his own doctor for proper followup. Ken Killian UA 8.3 Glucose 50 This elevated uric acid which is slight, could represent gout. If the employee is not already under the care of his family doctor for this, he at least should report this laboratory result to him for proper followup and evaluation. This does not represent any toxicity. Dennis Knight WBC*s 11,300 Glucose 47 1 The WBC is slightly above normal but not of. diagnostic significance. For an explanation of the low glucose, please refer back to abnormal blood sugars. Mike Langford WBC's 11,100 Alk.Phos. 37.5 Both of these findings are borderline and are of no diagnostic significance. J.C. Lockhart WBC's 15-20 Tot.Protein 8.2 Choi. 310 Total protein and cholesterol are slightly above normal but are of no diagnostic significance, in the absence of any other laboratory abnormalties. The white blood cells in the urine in all probability represent a urinary tract infection and he should consult his own doctor for proper followup in this regard. Robert Merhundrew WBC 3200 Segs. 43 Lymphs 53 This white count is slightly below normal with a relative increase in lymphocytes seen many times during virus infections. If he had any sort of symptoms at the time, this probably was the case. Irregardless, he should be rechecked in six months for a proper followup. VAB.0001050434 a E. Marcus Smith Joyce Miller Choi. 350 Glucose 52 Cholesterol is significantly elevated. This individual is overweight and should go on a reducing diet. This abnormal finding should be re ported to her own family doctor for proper medical followup. This does not represent any toxic state. Willie Nails Choi. 310 S.G.O.T. 63 The cholesterol is borderline. This should be reported to the doctor. Mr. Nails should certainly be on a low-fat reducing diet if he is over weight. The S.G.O.T. is elevated slightly. With all the other laboratory findings normal, I do not feel this is of diagnostic significance at this time. Repeat examination in six months will be adequate. Curtis Outlaw Calcium 11.9 Phos. 1.1 These abnormalities are, in the absence of any other abnormal laboratory findings, not of diagnostic significance. Repeat in six months will be adequate. Jerry Powell Tot.Protein 8.2 Tot. Bili. 1.7 These are very slightly elevated above normal and are of no diagnostic significance since the other laboratory findings are reported within normal limits. Willie Robertson WBC 12,200 WBC TNTC (urinalysis) * Glucose 60 &V The white count and blood sugar are of no diagnostic significance. The large amount of white blood cells in the urine represent a urinary tract infection. He should report this finding to his own doctor for proper followup. Melvin Tallie Tot. Protein 8.2 Aik. Phos. 39 These results are borderline and in the absence of any other abnormalities, these are of no diagnostic significance particularly from a toxicological standpoint. Roger Thomas Aik.Phos. 37 S.G.O.T. 63 These results are borderline and in the absence of any other abnormalities, are of no diagnostic significance particularly from a toxicological standpoint. r VAB.0001050435 E. Marcus Smica Page 9 Owen Tubb WBC 3600 Segs. 45 Lymphs 55 A A white count slightly below normal and a shift in the differential with an increase in lymphocytes generally signals a viral infection in the absence of any other symptoms. It is possible that he had a mild respiratory infection at the time the blood was drawn. If, however, this information does not happen to be the case, he should then consult his own doctor. It is, however, not a symptom of toxicity. Olen Verner Glucose 55 Choi. 308 To explain this glucose abnormality, refer to the section on abnormal blood sugars. The cholesterol is slightly above top normal. He should report this to his own physician for proper followup regarding dieting and/or weight reduction. Charles Worlow Choi. 336 Aik. Phos. 38 The cholesterol is elevated significantly that this individual should report this to his own family doctor for proper followup of diet. The alkaline phosphatase is borderline and is of no diagnostic significance, particularly toxicity. Proper followup in six months will be adequate time. This information concludes all the blood studies done on your people since the beginning of 1974. After the additional results have been received from the Aberdeen Hospital which have been requested, we will then submit this brief report to you with proper recommendations. Charles L. Whetstone, Mr.D. Assistant Medical Director bjc VAB.0001050436