Document jgn7Evo79BaopaKLap48NJQ5p

KfcPOOm Kctwn, M. j. BMII John P. McNally, IB.O. Owens-Coming fibarglsa fiarlln, Horn Jersey 08009 Hear Doctor McNallyt In Re* Edwrd Saunders aga 47 Box 7C Taunton Read Berlin, N.J. 06009 30 Juna, 1971 . i w n* }*. - .* rr* Herewith reprote of examinations made on the above named pats' lent at this office on 74 Kay, 1971 as per your request* Occupational History* ork at formigli Coro with cement for 7 years prior to joining Gwens-Corning. Oast 17 years has worked in alX parte of the plant on Maintenance sotk. Past 6 years on produet ionj #2 line and fork lift truck. Handling all types of materials asbestos end fibergles etc. Past Medical History* no serious illness, operations or injur* las. No respiratory problems. Kes smoked since age 13. cigarettes, one seek daily until one years agoi has stopped, for past year. Chief Complaints* Spates M left knee seems numb at times. Has a chronic slight cigarette cough? Mild dyspnea on exertion. General Physical examination* Head and Nedkf essentially nsr- wal. Cranial nerves intact. Nq adenopathy. Chest* Silateral equal expansion. Srectn sound are normal. \c ` . rales noted. Tluroscopic examination of the chest reveals the heart tc be normal in size and pulsation, doth diaphragms move but are slightly restricted bilaterally. Xrays taken at West Jersey Hosnital South, Serlin, X.J. on 5 fray, 1971 reveal the heart and suoracarOiac structures to be normal. The hilar areasare not remarkable, the id-iurg fielcs bilaterally show fine ground-glass appearance extending to the per iphery with some infiltrations into the upper lobes. The apeits end * peripheral lugg fields are clear. Imoressiom Pulmohary fibrosis bilaterally mid-lung fields. Paeumo- eonioeis, occupational, asbestosis, mdarate. These changes on the xrays have shown a progression since 1965 on the yearly films. Pulmonary function Study as follows* Graph enclosed. Predicted Vital Capacity- 38?5ce* Performed VC- 2110 w 55*. Timed Vital Capacity- normal. ___ ' maximum Ventilatory Volume- 80.4 l/tfin.- Moderate reduction, flow Rates A i 8 both slight reduction. Impression* restrictive pattern, pulmonary fibrosis. . Cardiac examination essentially normal. No murmurs, CXC studies not accomplished at this time. To be done atv your discretion. vAbdoment Obese. Non-tender. No viseromegaly. System essentially nornal Rale. \ f?es ?neS Joints essentially normal. Skin, Clear. No peripheral edema. K;o clubbing of fingers. ^03 0726 WA0119Z < fc SPENCE* PAISLEY. M.O. F.C C.P. Ot WWTS MIKPIR maoow MMMTS. H. J. NM1 #2 Edward Saunders, Laboratory *ork as follows* . SP* 12- all items within normal Halts, electrolytes and C02 ell jioymel. Hemoglobin IS,5 Cfcai Hematocrit 4?Jt, SBC- 5,4) Sags 5S*i Lymphs 42* i Bonos 1** Eosin.- 2*, Urine examination essentially normal. Reports enclosed. Impressions 1, Pneumoconiosis.^'ashestq sis, aedarata severe, In visa of the' above flic dings this aaployaa should be re located out of any anvirenaental hazards detrimental to his pul monary condition, * Thank you for the privilege of this evaluation. Vary t /< Enclosures* Graph* Laboratory work reports. 0^ 20.0 0727 **<? etc a, )**. ia U`UPJ u- 4-- * *, . SPCNCCR PAISLEY. M. 0- F. C. C P- 8oi wrHmt monu piM MACOOM M. 8. wn> John P. McNally, &.Q, Owens-Corning Fiberglas Berlin, New Jersey 0S009 Bear Doctor Recall yi ^ In Re* Cdard Saunders age 47 Bo* 7C Taunton Road Berlin, N.J. 00009 30 June, 19?1 ' t7 ^ -*' -* u. 'v ?. ^ 7? -* `~ Herewith repruts of examinations made on the ubovt name3 pats'1 lent et this office on 74 hey, 1971 as per your feeuest. Occupational History* Work at Forniqli Cora with cerent for 7 years prior to joining Cwens-Corning, -ast 17 years hss worked in all parts of the plant on maintenance wotk, Past 8 years on otoduct ionj fl*2 line and fork lift truck. Handling ell types of saieria`ls asbestos end fiberglas etc. Past Medical Historyj to serious illness, operations or injur ies. Ho respiratory problems. Has smoked since age 18. cigarettes, one'pack dally until one years agoi has stopped, for past year. Chief Complaints* Spates hi left knee seams numb at times. Has a chronic slight cigarette cough? Slid dyspnea on exertion. General Physical examination* Head and Neck} essentially nor mal. Crenial nerves intact. No adenopathy. Chest* Bilateral equal expansion. Breath souhd are normal. No rales noted. Fluroscopic examination of the chest reveals the heart to be normal Jn sire and aulsation. Both diaphragms move but are slightly restricted bilaterally. Xrays taken at `Jest Jersey Hospital South, Berlin, \`.j, on 5 Ray, 1971 reveal the heart and suoreeardiac structures to be normal. The hilar areasare not remarkable* th* -id-lung- fields bilaterally show fine ground-glass apocaranee extending to the oet- iphery with spme infiltrations into the uoper lobes. The epcies and peripheral iugg fields are clear. Impression* Pulmonary fibrosis bilaterally mid-lung fields. Peeumo- cofttaets, occupational, asbestosis, mtierate. * These changes on the xrays have shown a progression since 1965 on the yearly files. Pulmonary Function Study as follows* Graph enclosed. Predict* Vital Capacity- 38?Scci Performed VC- 2110 * 55Tk. Timed Vital Capacity- normal, Kaximun Ventilatory Volume- BO.4 iAin.- federate reduction. Flow Rates A & Q both slight reduction. Impression* restrictive pattern, pulmonary fibrosis. Cardiac examination essentially normal. No murmurs, EKG studies not accomplished at this time. To be done atv your discretion, Abdomen? Obese. Non-tender, No viseromegaly. Gl? System essrntially normal male. Bones and Joints essentially normal. Skin. Clear. No periohetal edema. H clubbing of fingers. * U2 L'OD 0729 - ** < f.u* ** *c<eo ><, Octee.c , 1M, in -`agnon v. ^ *t a*. ji-uhi #2# tfward Saunders* E. SPENCER PAISLEY. .* F.C.C.P. 91 Mnt*9*M9\KC MiOOM MM. 4. MO* Laboratory, work as follows* * SKA 12- all items within noraal limits, electrolytes end C02 all normal. Hemoglobin 15,5 Cast Hematocrit 47. W0O 5.4Segs S5 lymphs 42^1 Kenos.- 1| Cesin.- 2, Urine examination essentially normal. Reports eneiesed. Impression* 1. Pneumoconiosis* asbestos!*, moderate severe* . , occupational. in vleip of the above flrr. dings this employee should be f-' locatted out of an* environmental naxztdp tn hi* nonary condition. Thank you for the privilege of this evaluation. Very truly yours. , S J */J\ (Sl '<L~ V*!** <J t. gpencer Paisley, ffl.D. Enclosures* Graph* Laboratory work reports. *\ 02 200 0700 *' 44 IJ.UKK (trtta & g ) easpuneg po'supg -u o |i ? n T 1