Document jmj3m569J8Nong3O8Z2K56Mz2

,, T. BLAKE j&EPH. J. SCANLON, SECRETARY- Th e Wo r k me n 's Co mp e n s a t io n In d u s t r ia l c o mmis s io n o f Oh io MEDICAL SECTION COLUMBUS 15 May 12, 1952 MEDICAL SECTION Dr. R, A. Kehoe University of Cincinnati College of Medicine Cincinnati 19, Ohio Dear. Doctor Claim No.. Name Address,,^5Q6.?orr,,Stpee^ Toledo, Ohio We ate referring the above claimant to youf or....review..Qf.;.he..me.dic.al proof and opinion as to whether or not the proof is sufficient to .J.y.?^.U'r..9.11owanpe..pf .the..claim,,pn.tM..Msls..;Qf...l.e.a^..intQXioatlQii..... ..The._only. s_ubjeptive_.s^ptpms.. recprd.ed...a.r.e..."f.atigiie,...nau3.e.a..Jand..neuritif and the laboratory reports do not appear consistent with lead in toxication. ..?.^e _is np.mention..of .cpliQ.,...oon.s.tip.a.ti.oii..or...lead..liELe.....Tha.baao.phillo stippling (16%) is much higher than we have ever observed in .l4..9ases__dnd..W:e..are. incline.d..^Q..^oubt..the...Gorractneaa..nr...slgnlfioanc of it. Apparently there was no anemia or reduction in hemoglobin. The blood and urine lead examinations accomplished at your laboratory some months following disability were well within normal. (contid. on We are enclosing, for your convenience, forms C-Ill, Report ofrever8* Examination, which should be submitted in triplicate, and C-19B^ej Physician's Eee Bill, both of which should be sent directly to the MEDICAL SECTION of the Industrial Commission. May we stress the importance of a prompt report as the claimant's compensation is withheld pending the receipts of this examination. pear- f-or-1h i s -rtot-i-ftlcationr--K-indiy "appear. RMAjmpt Enc. --A--pst- eerd -i^-eiK>A-oee4-f-er-tfeis y-s~at- ese-e- -i-f-"Oia-i-saftt--faile-1a Yours very truly R. M. ANDRE, M.D SUPERVISOR, MEDICAL SECTION. OD 72927 t While our investigators report a lead hazard at this plant over a short period of time, we are unable to arrive at a definite con clusion in view of the absence of more positive findings. Your prompt consideration will be appreciated and of material aid to us in the disposition of this claim. The Cincinnati Branch Office will make the file available to you for review. RMAsmpt I HE" 0016475 V' THOS. M. GREGORY Ch a ir ma n L. E. NYSEWANDER J. W. BEAI.L. A. D. CADDELL SECRETARY Wo r k me n 's Co mp e n s a t io n Th e In d u s t r ia l Co mmis s io n o f Oh io Me d ic a l Se c t io n COLUMBUS H. H. DORR, M. D. Ch ie f Me d ic a l e x a min e r Dec. 31 1935 0D 10043 Claim No .QP,,.126J_9 Dr. Robert A. Kehoe, College of Medicine, University of Cincinnati, Cincinnati, 0. Dear Doctor NAME ADDRESS.iQ.7..S..Montgomery...51., Dayton, 0. .......................................................... i We are referring the above claimant to you fo^ion, report,and opinion as to degree of disability now present which can be the ..injury..____________________________ _______ _________________, You may notify the claimant at the address given above when to appear at your office for this purpose. We are enclosing, herewith.....P.oth__f.iles,__and_.ro3t6s.t...that_.yiou........ return them with your report. which will give you a history of the case, as shown by our files. Kindly send your report in TRIPLICATE, together with your fee bill, direct to the Medical Section, as soon as possible. The extra form enclosed is for your files. In preparing your report, please use the following subheadings in the order given:-- (1.) HISTORY---of injury and treatment, past medical history, pre vious injuries, family history (if applicable). (2.) PATIENTS COMPLAINTS--describe in detail even if they have no apparent connection with the injury. (3.) EXAMINATION--include all objective findings, clinical, lab oratory and X-ray. (4.) DISCUSSION--summary and treatment Indicated. (5.) OPINION--extent of disability (total or partial). If total how soon will he be able to work. If partial, estimate degree on percentage basis If possible. Use the Form (C-lll)enclosed and continue your report on the re verse if necessary. Very truly yours / /' H. H. DORR/fc D?T~ Chief Medical Examiner. MED. 11--5m--2-35. jffp IN REPLYING, ALWAYS GIVE CLAIM NUMBER. WEE/ eh NOTIFY THE CHIEF IF YOUR INQUIRIES ARE NOT ANSWERED WITHIN TEN DAYS. HS 0016476 N19316.01 WORKMEN'S COMPENSATION THE INDUSTRIAL COMMISSION OF OHIO . ,, OD 10045 Claim No...... Claimant. Address ...4Q.T.S*..J^^ Date of Examination.... SPECIALIST'S REPORT < ----......Age--------f-------- V# NOTE: Submit report under following headings: (1) History. (2) Complaints. (3) Examination. including X-ray and laboratory work. (4) Discussion. (5) Opinion. Mail THREE copies to the MEDICAL SECTION--Retain one for your file. HISTORY 0,0* Craspa in belly, Persistent cough sines Sepfc,1933 * heat constriction dyspnoea Sons chest 2 months - cold persistent (2 weeks), stiffness of left hip and soreness in Vaa mil* of the. back,;.. .- ?.X. Onset of present illness night of Ohly 12th, 1955 While at work, with headache* weakness and dissiness, Was able to continue nntil quitting * tim* ' aeadache-:and weakness continued, unable to return to. work* Sad- ': ; been; working at penning molten lead 2 to'4 hrs, dally is- binotype : operating room, exposed to fwm and dust* sine August 11th, 1933* without illness or lost time* For a month prior to illness had been feeling badly . with iio&anj#**weakness of hand and wrists# loss of appetite, loss of weight, and stiffness and soreness of Joints* Had two the Sta ._.jks of cramps, diagnosed as pluabisn, on earlier date, ie* in svsasp of 1951, at which, tine'he was off .a week (not reported to ", '-ih spring of 1932,- When- off 2 weeks* In addition. to these he > .11, after a progressively increasing weakness of. a south* - ' April of %93% ms under treatasnt .at this tine for k months, : symptoms, diagnosed and compensated as plussblsci* Eesoterdd ,- ':.: "' ;9/w&3&; Jtag*-1955$ and ha - worked since until present illness,. by boo tor as able to return to work in Sept*1935# b;ut no ` ifevi:ouS,^?iy^nt*.'-Applied, t B and .Banned whose doctor i ?ae. offerings from lead line/-and circulatory offsets of . - ' llm continued under treatment of Doctor, who in October gave his' an attack, with nausea end vomiting- after 2 weeks in- & ;-apt,impieved:.gieafcly but is still weak, with pains'In ough and with cramps, especially after eating* Fo^. ` frequency of defecation (3 or k times daily), ' Frequency of urination! dayticae, but.not at night rise 1 indefinite* ^ ; .. ; _ - N19316.02 K 00164? *, (general faming), then to Amy in Infantsy from 1929 Stationed at Fort BenJ* Harrison* Thonce to iremn as^ Section hand, about 1-1/2 yoars* Then to Pb* 1930* Began aa Janitor but spent 2 hour metal* Other duties sweeping office and composing sidcrable amounts of metallic dusts, but a duetiesc used, and^.an olly 2ua cloth* Most of exposure . . ^ ,,, 1hea*dingWs: (1) History. Discussion. (5(2) )OCpomi.piLMstMfesiiV.TM<) Examincaotpioiens. to ie mId ICAL SECTION Retain one for your file. STORY b.117. . Por1.1^t;^'yW8.p.X9?5-^ chest rai^tf psrsistontT2 w#ok|# iJJJ end soron?? at the buck* 1 -W Wgmmp* Of present of italy 12# } waknosr end dixslnesa* Wes abi feo ** tine* E*ee<5h* std` verVmss continued, tsnoble iL???*!? ^ been ^rM.rrr ft r#rin rolhcn load 2 to 4 are* d<my to itoetype cp^jTiin# fecrs* expcred to fin sod dust siaoe AugetX*th, 19p 3c * ** ihr-wf i* ttd t&. For a^#|| ifftL , oifci. errapi* weekne!! of ii&a^ aad w2d0tot tos* V and stiffness cad soreness of .Sad' too attacks of crcuapa, Si&ne*iipilJi|i^^ 1f ^ ; . -;.^ : the early ruiKicr of....1..9..5..1. * a.t...s...k..l.e...t.i......seise mi off ft seek Coot reported to a.tot)# cxd in sp............ ............................ . !f 2 weeks* la addition to these he ____ a snfeho m-.tjZ'jf ,.t 4 n in ^iiadiF .trsataent /-it.-thih'- %!|ss -:fbr-lf,i mentfaa,_ n and oooponsated os plunbima* ReeottNBtid - :: nd has worked since until pretest1 illness*- to return to work in Sopt*1935, hut no * Applied to B and 0 lie'!road whose doctor lead line, and circulatory, offsets. of , .< , treatment of Doctor* who in October gave1 b^ooiWa,1 attack sttfa nausea - and :iS*J.*`jSl hot, ibjbwetl greatly pains in' .-j&s&e^, """* too zaohfms 'has ' J |l!;Mpiiwith erases*. es^fefeiiipaPlfeiip ssiiliiis^y of ^daifetoi^^ dally) WL -I A WilAjlt.V cf urination/ but no night `ludeflait#*;.; Occupational liistf Fans cork an yc.--ih--fb--fe*ir, (general faming)-* *' then to Amy in infantry free - until April 1929. Stationed at Fort BemJ# Harrison* Usance to t'FZ* c" ilraaaoimd section-hands, about 1-1/2 yearn* Then to yC'c3vbc^geL)$nd r*i?ly**ep.isuriCio.jpatS* t195* 0*OtBheegradnuatsiesJasnwiotoorpibbnugutt-osfpfiecnet 2&anhdocuorms posing ^c*n jtlhrrc were eo|b|detoile snoento r c^tallio dasto* but h duofclena fe-v^cplb'? eore-wa wr^|:|he'e#*=l&iA,.m,oily,dust.oloth* Most of exposure toliiyvpd by patient ?srlsi;:.*roa ttelti^ pot9 which gave off fs-aad v crjcke.f{ion opened* -during tot- last period of work (i*e. since j*n turn, ofter l^th illness)* Ho toer persems known or believed to haro 1h:--Co7 phrC, Jffcnfd* rlthccigh: eoito of the linotype, operators had hem in their ?_?_*_'_*__f ? r*' .. ^ -, Ci ( ":Msn' -' '*- Ssf Illnos^l *' * la operation 1925 - tcmailleoto Bo mosjory .... M. D. (CONTINUE REPORT ON REVERSE OF SHEET--NOTE INSTRUCTIONS) KU 0016478 (CONTINUE REPORT DOWN FROM HERE) of illness for which, doctor called no venesSal disease* ,nt defecation, 3-4 * for same* Cj ;ho lost-ad \ T OCalS#.. worse and' lae* tlte all keep awake rj'^ajasik in; Oct* ;*. OfaspS' lEceon* ' tO pain r{*0 Dyspnoea* :-ob*ste .a mtcrisi} ly aosoc j> so ang" - height 'tbes lot illness* sons loos* elated productive rent* Dyspnoea t 133i 2 .ness* Has jtelMlMsinaMM Height* 68*9/4 -ibightt 151 Tone* 99& Pulses 8 Blood. Pressure seated) IJrlj/TO* * Rasp* 19 Cell developed*. wall nouriLshsd young mu* of good color cud appoaroao^tp with -a bad cough and an active cold* . ' . Svea ~Uo nystagmus* Ho lid tremor* Some photophobia apparently* React to and A - Extrinsie modes Ok - Visual fields not obviously diminished*'- .Faadi' unsatisfactorily visualised without paralytic dllltotlcn* . .:p. Fare Right entirely normal,;left drum covered with Masses * audition nonad*/> Hosf SSuooua aombrane red* desatous* Inf* turbinates' boggy*, purulent discharge beneath both# I perforation or obstruction* , * r : it Red, edematous m*m* Purulent material on post pharynx* Extremely sensitive pharyngeal reflexes* > - Tooth erd aleelng above and below* asp. solars, left lower End molar oaric-v.: retraced* Little purulent gingivitis* Ho lead lino anywhere* ?. Heck _C_h_e__st pguft protrudes' in aid line* Ho gross tremor* * *u Indorsee*. of both traposli. Ho marked asyactry* Ho difference In Jen? demess-, on frstu sides* Adenopathy not remarkable* Thyroid isthaaa Tondomeas -at insertion f left occipital tip . of stmo*el@id^saetold^ muscle* - . - r. ' : iic rt borders apparently noxml. Hax* Imp* 5&* iafc* 0 cm* from mid line* Ho trill* II abnormal sounds. Sounds of good -quality* Rather marked a inns orryfchala. ' 'She left chest shove' some1., diminution of Kroenig1. Itjsua reduction of resonance'over the upper lob posteriorelly, and ocastonal_ rales and sqim&ks which disappear on coughing. There la acme asymstry Of fciie .two sides' but no atrophy, and no reduction of motion of the cheit well or of the fewer lung borders* There Is ho evidence of moisture at the bast The nh&ot&ea Is not remarkable except for a right hernial "soar* HCM masses are palpable * there is no die tons ton, and the liver and spleen are not /palpable, 3cm soreness I complained of on deep palpation but there la no reflex spasm. * - t remarkable* Ho demonstrable weakness or atrophy of muscles* Mtftt. Tendon reflexes generally .elicited with - great. difficulty - Abdominal and crematoria active* Bo paralyses, no sensory disturbances, no ataxia* Re. Romberg,, Bo demonstreble autonomic instability* ..........' ''" K 0016479 - Heights 6Qlfk Ighti ip. ' 9mm 99*6 Puleet 82 ` Hasp, If . Blood Pssrie4sitl| 2Lfl|/W . , well developed*- mil nourished ynag man*' of good odor and appearance*:" with -a tad cough and an active odd*' . -\. ; ' Sma Mo nystagmus* Ho lid tremor* Some photophobia apparently* React to I* and'; "* A sxtrlnaie assades Ok * Visual fields not obviously diminished* Fundi I uRaafcisfaetorily .tlaaaliwa. wlfckoait ililtetlon* . Ears Right entirely normal* left drum covered with eertss*i audition aoxeal* - Hose Mucous membrane red* edematous* Inf* turbinates'boggy*; purulent discharge'' . beneath both* lo perforation or obstruction*. -, threat Red* edematous m*m* Purulent material on post pharynx. Extremely sensitive pharyngeal reflex* . .- ll^m. Teeth .end-missing above and bole, nap. molars* left loser End molar cariour "^mTS^maa retracted* Little purulent gingivitis* Ho load lino anywhere* / ifengno protrudes in aid lino* Ho gross trowe** Hook ^Pndorneas of both trapesii* 1 narked feysietry* Ho difference In ten dersosis on two aides* Adenopathy not remarkable* Ssyrold isthmus palpable* Tenderness-at Insertion of left occipital tip of storno-oleldomastold , . muscle* - Chest Heart borders apparently normal* Has*- lap*, gth 1st* 8 cm* fro aid line* Ho trill* Ho abnormal sounds* Bounds of good'-quality* Rather marked sinus orrythmla* The left chest shove some diminution of Kroenig*s Isthmus reduction' of resonance'over the upper lobe posteriorally, and occasional'' -- rales and squeoka which disappear on coughing* There is some asymebry of = the two sides but no atrophy, and no reduction of motion of -the chest nail or of the lower lung borders* Thor is no evidence of moisture at the bases The abdomen- Is not remarkable- except for a- right hernial scar* He i masses are palpable - there ia ne. distension* and 'idle liver and spleen are-' not palpable* ' Some soreness Is complained of'on deep palpation but there is ho reflex spasm* Extremities Hot remarkable* - Ho demonstrable weakness or -atrophy of muscles* a*W3. Tendon reflexes generally Xicitid with groat'difficulty - Abdominal and cremasteric active* Ho paralyses* no sensory disturbances* no ataxia* . Hog* Romberg*. Ho demonstrable autonomic Instability. See attached sheet (DO NOT WRITE BELOW THIS LINE) (ana s ih x isoaa ONidxx snmiNoo x o k oa) HE 0016480