Document k6yNOn11E7jjY8QwDgd5obDOE

IOC win.) tmai ncrwi `O ncuuinew OWOWATOW Of WESSA04 lAlkOmOmAi. 4 OURICATl; RETAIN SRO 4 4' PERSON RB^STNO REPtY 0T10WER HAtronoC RETAIN ORIGINAL FOR Y S T 0 0 I3 5 8 3 Par nnr mnwr^tlon today. I will file this until the IAB requests an E-l. There was no distinct date of an incident involving reap....only a test made by 1MD I"5~]ra/i wniefa indiciTSg'a <|ue3'cigaaBia itisg dancer ana later..eauncer-aragimsed by nr Tflnkin. a a af-nrp hrnneMtig.---- He never tenorted an? incident (Indus trial) involving respiratory problems. I'll send you a copy of file on 1971 if you need it. wg MAY 1 TO 3-ea tcco ORIGINAL 396519 NOOF INJURY AND CLAIM FOR COMFEj^ ION '*rexas Workmen's Compensation Lai* Hooso II _ > rto*T Mteoin > W**ti U*mi He. t Wot i0|00* * Weo *# la Tatatf Vgp 2C.:,y..CHEMICAL CQ-MHANY. AHl Freeport, Texas JL____________ 17__________ 1955 Freeport, Brazoria Texas ONTM OAT rtAS CIT* COUPT V ITATt It Aciimoot OtieriM OatitAo On Wfeot PoTt Went tM TmertiwM * io*o WtNwr MaMlM OlWW<t -- ---- .-- ........... OM 7m Wot* f Total Fir TAN latotoro# lMrf Trettiwilt . _ --- --- _ . I Wot Wo#*Mlt .--, - M*wtt ** 0T 3 - 04ft H Woo* #t i 11^ 00 _ Mt A.m* ^ .,, w#o*r wf w s -4-4Q ^00 No* C4H fo4 Too Am WwtlM for tan tipioyoe/ 2 a Yfttri _ _ Hf ^0**** MOM A . OAT a will . MONTH Wo*o Tea A**4 WofM #* 0#*O # **#** -- ............... -- -- ......... .. I l*IW< l*UM ?* O*-------- A#o V% *< Too Amo Ao44 If I*. How Cl<**TAP*/ I .. -*lfl........,,...--I An? CoMfMONOOMO/ ,, .Alflf ...... ........ -- OA 000 W*ofcf -- -.......................MONTH - - .............OAT For Moo Mono Wooftt MOOO TOO 111 T(A1 -- - Moot Too lltTOM ro Wo#*/ I - - I .....................- U 1* * * - MO, ------------------ At W*o* Wopof - -- -- OAT TO Of* HQUA . OAT - will a MONTH Pootnft* *aovot M tww Nmmtt it* m* * WfTTtari lift 1 Mil 111flT > Applied Iftd lnittlttiftB containing asbestos. Ho protective measures were provided--breathing asbestos dust did damage to lungs. T00 I 3584 Wat a.T Yaw af Taa* *a *<aaatata*f Ko If la, Maata Maw*a aaa Cl*a fwtl af Aanaafama. Waaa Tm Int la a Oattat > NawM It Yaat faiafaaat at Mia laaataaaa Caaaaaaaf ftllll CIVt At MUCH Of TM( IQUOWlm INflKMATION At YOU NAVI NtM a.t .aati. Daniel E. Jenkins, Baylor College of Medicine, Houston, Texas 77030. ** --------- r, g:- Fiaker-M.D., Medical Dept., Dow Chemical CoTexas Dirts ion; Freeport / Tx Savior College of Medicine i Wot #TOSO**Ol*tO* flTMO NM Of UtMMYl lAMftMCI C*#T To MNOaMaOwOtal a*ac*a0aaraw*ttt ai Msgr.*jyjxma L' ee --H..-e..n..d...e..r..s.o- n____ I Aerefty *<# o**t i*i#t o4 t*o !* to# coooo*otio 4mA i ttqUCST THAT THe IN0USTIIAL ACClOSNT IOAI0 CHICK 0N| mo# wnRnii's Cn--ooofm-- too # Tto. Q No* Toke Further Action Unttl Requested by We. O Act on My Cloim os Soon os Possible. Tut %.1`ieo ggsatepf TO t<OOAU T, .* ainttr 396520 i nn i s xzus* (L lllcox ANTHONY ,*LUCKYm TOMBUN S 140E. SAN ANTONIO ST, SUITE I SAN MARCOS. TEXAS 78666 (912) 398-2*00 July 25. 1980 91 3Vt CONGRESS AVENUE AUSTIN. TEXAS 78701 1912) 472-2389 Industrial Accident Board P.O, Box 12757 Capitol Station Austin. Texas 78711 Re: Claimant: Board No: Date of Accident: Employer: Dow Chemical Co. Place of Accident: Freeport, Texas Dear Board Members: I am enclosing herewith a Notice of Injury and Claim for Compensation in regards to the above-captioned individual. He was injured on or about (to be determined), while working with Dow Chemical Comapny. I request that you register the undersigned as attorney of record in this case. Thank you for your attention. Sincerely yours AWT/skg Enclosure KXIOiW w* WWW*'*'' 396521 THE DOW CHEMICAL COMPANY TEXAS DIVISION FREEPORT TEXAS 77341 August 23, 1971 Joe H. Chandler 8-101 Ref: Industrial sick leave for During a routine sputum test in July, 1971, established to check insulators for possible lung damage, tests were found to be positive and indicated the possi bility of lung cancer. No time was lost, but it was considered significant by Industrial Medicine, and a first report of injury showing no time lost was sent to Texas Employers on 7/21/71. On 8/8/71 began losing time, being placed at Dow expense, in Methodist Hospital, Houston, Texas for a further Diagnostic work up. A report was made to the Industrial Accident Board concerning this lost time on 8/12/71. has since returned home. Recognizing that this case plows virgin soil, I have asked that Texas Employers not pay any bills until top management has been informed. I personally feel that since Dow checks for damage of this sort on a periodic basis and since we placed him in the hospital, we must at least pay his current medical bills, and would, depend ing on the final diagnosis, possibly be in a weak position to all of a sudden declare it personal. vh Bob Mayo 396522 S T 0 0 I3 5 8 7 EMPLOYER'S SUPPt. AENTAL REPORT OF INJURY XmivmI by !. A. I. A, 1. C Send to-. INDUSTRIAL ACCIDENT BOARD. AUSTIN. TEXAS State's Number For: File:............................................... .................. Camer:............................................... Employer:........................................................... earner's File No..................................................... (The spaces sbove not to be filled in by Employer) If Employer'! First Report of Injury did not show that the injured had returned to work, an Employer's Supplemental Report of Injury should be completed and filed immediately after return to work of the employee; or at the end of SIXTY daya. In the event of the death of the employee, this report should be filed immediately. L Nab* of r-r>-r~ Texas Division - THE DOW CHEMICAL COMPANY_______ _________________ 2. Office address: No. and St______________________________________ City or Town _ _________ State.----_______ 3. Insured by Name of Company.............TOXaS EmPLOYBBB' inBURSnCB ASSOCianorl...... ................................ (F'upm Niw) (Midi* iauiaU 5. Present address: No. and St....................... ...................................... --City or Town.. Stats-- (L&u NumI ------------------------------------------------------ 6. Date of Injury JJJl/lX 19_____ Day of week------------------------------- ------------ floor of day________ --A. M.------------------P. M. 7. First day absent from work8/8/7.X---------------------- ------- ------------------------- 19------------------A. M-----------------P. M.................. 8. Has injured returned to work? 7.6.S ---------- If so, date and hour S/Ui/Zl--*-------------------------------- A. 14.------------------P. M. 9. la injured person earning same wages as before injury?---------------..--...... .If not, explain----------------------------------------------------------------10. If disability has not terminated, state probable date of termination of disability--- -------------------------------------------------------------------------11. Has injured died?If so, date of death----------------------------------------------------------------------------------------- -A- tt----------------- P. M. was released to return to work on 8/14/71, however 8/14/71 and 8/15/71 were his days off, thus he did not actually begin work again 8/16/71. Date of this report 396523 9/15/71...............................................Finn Name Texas .JDiv. .-.Xha..Daw..ChermcaL..Co........ Signed by...........................................................................................TitleXKXIC&a?* J. K. Chandler Mgr. nnc;r; 1on 1; THE DOW CHEMICAL COMPANY TEXAS DIVISION FREEPOST TEXAS 77J4I September 16, 1971 Industrial Accident Board State Insurance Bldg. Austin, Texas 7S711 RE: REPORT CP INJURY ON Gentlemen: During a periodic examination at our Industrial Medical facility, appeard to have an abnormal sputum test. Dow's Industrial Physician then made arrangements for a diagnostic work-up to determine the source and seriousness of problem. Due to an oversight on our part the above sequence of events was reported as an industrial injury. Our con clusion that problem is not industrial is strenghtened by the enclosed report fr.-m Dr. J. E. Jenkins of the Baylor College of Medicine, which I am happy to say, found evidence of only subacute bronchitis. If I can be of further assistance, please let me know. Very truly yours. Bob Mayo Insurance Department BM/ib end. 396524 OCTMYMCNT Of [STltKlL MCBtCIK* <7131 623-4961 Baylor College of Medicine Texas Medical Center Houston, Texas 77025 August 18, 1971 Dr. Raymond Flake Dow Chemical Company Freeport, Texas RE: CO cn CO CD Dear Dr. Flake: Many thanks for referring Enclosed is a copy of his pulmonary functional profile and his hospital discharge summary. You will recall that in view of his long history of asbestos dust exposure aud pap smear which you obtained, it seemed advisable to admit him for a more thorough study. Enclosed is a copy of the pulmonary function studies, including copies of the computer plots and compliance curves. As you will note, there is a slight obstructive ventilatory defect with improvement after an inhaled bronchodilator, a borderline reduction in DLCO is noted and the studies on mechanics are essentially normal. is a chronic cigarette smoker and I do not believe that his past history of asbestos exposure has contributed significantly to the minor physiologic defects seen at present. This could just as easily be due to his smoking. In view of the long history of asbestos exposure, however, I strongly advise that he stop smoking and have indicated so to him. You are well acquainted with the greatly increased risk of developing lung cancer in such persons. Finally, we have obtained five additional spec im^-.s of sputum cytology at Methodist Hospital all of which are negative. W. iceen.,erg has reviewed two additional sputum specimens, one of which wau ,h.av; md one of which showed some squamous metaplasia and mild dysplasia, out ,u- evidence of malig nancy. He also reviewed the specimens submitted by you (if32477) and found that it also showed squamous metaplasia and mild dysplasia, but no evidence of malignancy in his opinion. I think it is possible to give a reasonably clean bill of health. The symptoms which he has at present add up to a subacute bronchitis (of insufficient duration co be classified as chronic bronchitis). Since he does not have any continuing exposure to asbestos but is working largely with other materials such as Fiberglas and polyurethane, 1 would consider nts risk 396525 Page 2 Dr. Raymond Flake Augu3t 18, 19' of developing future respiratory disease much less. Thank you very kindly for referring help, please let me know. Sincerely yours, '' \ If I can be of further CO DEJ/kmh Enclosure Daniel E. Jenkins, M.D. T00 i 3590 P.S. For reasons which are not entirely clear to me, che intern at Methodist Hospital requested an exercise EKG study on There is nothing in hi3 written history which suggests angina, but because of the fact that he has taken Paritrate and there has apparently been some doubt in the past about his EKG tracings, che exercise study was done. Somewhat to my surprise it revealed the following: (1) The resting heart rate was 63/minute. The patient exercised one minute and 55 seconds into stage 5 when the test was terminated due to his legs hurting. The rate upon stopping was 160/minute. ST wave depression of 2 mm. occurred in lead V 5 and 1 mm. in V 3. Impression is a positive treadmill test. Obviously these changes are of slight magnitude but none the less exist and I pass them on for whatever they are worth. Should he become symptomatic in the future, perhaps coronary arteriograms and further study would be indicated. c. V ,~T * '-71 - 396526 STANDARD FORM EMPLOYER'S SUPPLEMENTAL REPORT OF INJURY Aptrowtl Iw I. A. I. A. I. C. -- State'* Number For; File: . Carrier;............................ .. . Employer:............................................................ Send to: INDUSTRIAL ACCIDENT BOARD, AUSTIN. TEXAS r-r- :: TEXAS EMPLOYERS' INSURANCE ASSN. earner's File No. (The spaces sbove not to be filled in by Employer) If Employer'* First Report of Injury did not *how that the injured had returned to work, an Employer'* Supplemental Report of Injury should be completed and filed immediately after return to work of the employee; or at the end of SIXTY day*. In the event of the death of the employee, this report should be filed immediately. 1. Name of Employer.....Texas Diviaion - THE DOW CHEMICAL COMPANY..................................... C/ 2. Office address: No. and St................................................................... City or Town..... ..................................................State ....T..*-* 3. Insured by Name of Company...........TCIXSa EmPLOYeRS1 insuMnCS ABBOCiaTlon ....................... Name of Injured (in full!............. {First Smmm) {HkikOm 5. Present address: No. and St---------- _____________________ _______ City or Town. ............. (Law Naaw) .... State--------------------- & Date of Injury......Zttlr.Zl...............19...... -Day of week......................................__ ____ Hour of day..................*mA R.--.--...--..... P. M. c c c* a e T. Pirn day absent from work............ .................... .................... .....19K. M_.................................. ..... P. iL............. 3. Ba injured returned to work ?DO...........................If so, date and hour..... .............________ _____ ____________ ___...A* M_--..........--P. M. 9. Is injured person earning nnt wages as before injury T................... -............If not, explain.......--....... 10. If disability has not terminated. state probable date of termination of disability.................................. XI. Has injured died?....................... If so, date of death..........................................-..........................--------------- To correct; report of 8-12-71. 396527 Date of this report .13-71....................................................Firm Name Xc^s..JDiY-..=.Xiift.J3ow,,CheaujcaI.Co....... Signed by.T ..Official TiUe.lA.5.,.,S.Upy. *. \;y Env.ur.v : I r,, -*1 .: Injury* < r*v ..... .'w ; ' '.he ac.-'-i:, *,* th* cr.-.i-i :wv, ;;;.s r'-u.in Lr-.u.^. '. * . ;;\c i:**: *'>,<: i ;vd ; *: *'-r.Auv ir\*uinv''' ; t. rv:!jioy n Eni^iov*'r - Suppien&Atci Heoort of :* *snn of EIXTV days. f th2 event of 1. Name of n.T.pioyer Texas DivisiC'.i - TllTZ DO V; CTIZD'.liC AD CQv.1T ANY 2. Office _'4-Jie;s: No. and St..................................................................... City or Town .. .Fr**?or........................ State. Texas 3. Insured ry Name of Company........... TeSfSS CmPLOYeKS' in3US2nS2 ASSCCSTiCn ....... 4. Na.::: rf Ir.;ured (in full). 5. Present address: Ms. and St.. (Fim Ntui*i (Middle laiti*i) ..City or Town <L*l hint) ........... State............................... G, Date of Injury........................................ 19..........Day of week .................................................... Hour of day.................... A. M.................... P. M. 7. First day absent from work 8"8--.i.l................................................................................... 19.................... A. II.....................P. M.......... ........... 8. Has injured returned to work?................................ If so, date and hour............................................................................A. M.....................P. M. 9. Is injured person earring same wages as before injury?.................................. If not, explain...........................................--.......... ................ 10. If disability has not terminated, state probable data of termination of disability.......................... ........................................... ...................... 11. Has injured died?........................If so, date of death ........................._..............-........................................ .................... A. M--........... .......P. M. ST00I3592 Date of mss report 396528 Signed by ..Firm Name iesas Di.v, ..-.Iha..Daw Cheraicai.Ci , CL. ------- Official Title ir.s, ..Supv