Document mqY8qYOn1aOY1BxpaDBoa8KYO

WORKMEN'S COMPENSATION INDUSTRIAL COMMISSION OF OHIO ' , -m SPECIALIST'S REPORT nation... ... '<' , .v- - - _ ^ .....Aj'e...................................-........ - 0TE: Submit report under 'following - headlng^(l)'-':Histoiy<;--' .(2) Complaints.' (3) Examination- including 'X-ray and; laboratory workisf(4) Discussion. (5) Opinion. Mail THREE copies e MEDICAL SECTION--Retain one for your file. . - U ', HISTO 7',C, "Lead Poisoning" Jiijgf.^ ?>v. i................ ,f . r' ,,im; ^ ...................... V^?`Kr. , .v - ?,.I, April '193 began^to have pain and cramps in abdomenj most severe about umbel!eus'. Left workand went to home.5 That night colic was much worse and had nausea and vomiting'. Remained in bed 5-6 weeks with almost continuou abdominal path,, weakness* anorexia and marked constipation. Seen by company physician Ik** Ma tusks who cored for patient over a 4 week period, la Hey 1956 about I|i-5 weeks later as able to leave bed. After several days placed self in care of another physician ho continued to treat patient over 2-3 eeks period* At this time as ambulatory end week with, especial eakness in lege and forearms. Suffered 2nd attack colie In January 1937 so months after dljttmtiming treatment 1th fesily physician Thie attack lasted aboutweeks with anorexia# weakness and colicLC, -J=u:.-. ' A ; / t - w.-sr^-V* - r ..' c ' > L ass occasional attacks of indigestion after eating solid be markedly cosstipatedf^;iPe0iresi eathirtie 2-3 x week. - Since beginning 1938 is definitely better, than in 1937 but still feels un&'ol to work. Can do lightwork about house hut usually feels ill the following day* lost 25-30 lbs in 1936, has regained about 15 lbs, past 2 years. Gives , q history of fleeting Joint pains* numbness and tlngling-in extremities during . l ;priodjhf. acute illaes but history $m vague on this matter and is not entirely reliable. . -s l\,' if % ~ - 5,7vf' I,H ; School till '21* Pipe fevasdry till-Eds Tannery worker tlll28 - no work till .. s. <^130 WheoWdsase to Cincinnati aud began work at Eagle Richer1' {fall of 1935 ** * ly (193Mfj.kea 2-3 ##ks in yard and then on pans* shovelling white lead {into carts* wore respirator which,fitted well - no dust accumulated In did not taste-the eeaiouod*. *" , ?.M.E* Negative except for chilSiood disease**<' '* - S *' 11 Jl * : - T - U/'?'1 * F.H. Mother 6l living and wen* Father died edwae end "age unknown, 2 siblings living and well - 1 sibling died *age 25 -- souse Unknown Vis unmarried. Rr % ** ^k%'- ^ 'holds * otherwise negative* ,> . - X 41 * --*?, ' '^>3 ><. - - : ~rZ#S N19503 "W` * tawmMsfr . ;..' Poisoning'' ' '_ '- / '' 3936 "began, to have pain and cramps in abdomen, most severe about ` j.ouov Left,,work and, went to home.-'That night colic was much worse fil'd "had nausea "'and vomiting*. Remained in bed 5"^ weeks with almost continuou pain*'weakness*' anorexia and marked constipation* Seen by company rrt-r icien Dri M* tasks, who- eared for patient ever 4 seek -period* in, May -rl-out reels later war, ptle to I^rve "bad* After' several day placed s'olf in car,of another ptyelcien who continued to treat patient over 2-3 necks periods ,Ab this time was ahnlatory end week with special weakness in legs and feronrae* Suffered 2nd attack colic In January 1937 some months after disceatimlac treatment rlth firstly phyrlclan* This attack lasted shout "2 mmlm rithVrereria* w^akucsr and colic* , . Since January 1937 has been feeling better and 1$ gradually regaining strength although has ebcWaldri^ j At&titfk# of Indigestion after* eating solid -feed, and tend to be earE^d^^^<bsti^&ted * retires eataartlb 2-3 ^ week* Since beginning 1938 is definitely better then in 1937 but still feels enable to work. Can do light work about house but usually feels ill the following day*v lost 25-5 lb In If5%, 'tw regained about If lbs* past 2 years. Gives c history of fleeting jeint'liS^ine^lbwb^e m& tiM&lngln'mtrmiltles during 5;.. - period of scut' illnese bdt'i'HlIitbfelr is vague on this matter end is not entirely reliable* - - X*H* School till 21* Pipe foundry till 26* Tannery worker till 28 - no work till *30 when same to Cincinnati mid began work at Eagle Richer fall of 1935 or' ec: j.'., ly 1936 - norites 2-3 wdeks In yard and then on pan, shovelling white lead ' into carts,-nor respirator'which fitted well -- no dust accumulated in nostrils - did net taste the compound* , - ' -;-.---> F.M.H. negative except for childhood disease*'-:; ' .. * F.E. > ,-v C*R* Mother 6l living and wel`> * Father died`cduae'and *ag@ unknown* 2 siblings living and well - 1 sibling died 'age 25 - cause tinknown Vis uisaerried. ' ' _ ... - -? - *" . : >...< V- '-. - y f: X ^ seldom has colds - otherwise negative* G*E* Appetite poor since P*I* -- frequent constipation since P*X* Indigestion -sed-sets) ting wecly-eince^snset ------------------------- -- ,G*W :a 1928 - Z wm&M9*> : -=** - ' f- -* , .*/ * >. - - ^ ... M.M* Frequent headaches since F*l*~ - usual tic^ onset in A.if.aftar exertion of walking* Me paralysis ** inso^sla m Sromm^:- . v?^r; ' wgfet* -iel Wolfit it - t*W`Hf-1936* Ui5, 1936* P* W* I56* - Habits Sleeps average 8-10 hours nightly - restful* Eats poorly balanced diet - 1 vegetable #ally - little milk in past year or two* bo alcohol - few - cigarettes m! day* >v' * -:> A<r . , s .- * S -" Jli 3 - -(10160^4,. *L*rhf -t- ^ JJ (Signature of ! aminerV^jL M. D. (CONTINUE REPORT ON REVERSE OF SHEET--NOTE INSTRUCTIONS) ' A ^CV -|_, v u i j t i h -LIL -r-- T -- telJtfe_________ - - __ w ... _. . . Idiots fa bis medical his fcory# Feol* light corfc* that at confused improving and can do '' <r*f ` Wr** *----- 1 ---Jl Phvsleel Brwalcat! or? ' '* \ -- .nourished young negro about. 50 years 1$ tig^^Byea' rip \- 'domed - '-' site^ - faint marginal deposit :f^TliiWliii*. ^ougu r-.f-j: staiil sad. edematous - ai and teoSeir'* post, o^rvteOi chain shoddy*- "`fv",' 5 at ia* * r#i* left 8. B*Bi *t$*t 6*5 * ,; ;.. .. - ;* 1WU rt* t 7*5 `t and Bangs normal* B*s soft .vesicularheart tones diear - n ''eiission h#a^fc :a^ears, tO:-ho ' sli^itly largo for build*; ., - Abdomen * Scaphoid doughy Ceema distended clth gas and is tender on palpation. Pelvis -l vVoeraal *- - .. fcs?^ '- 'Y tetiwB*^ Formal , * \--<- -- -: > -$1 \ r Musculature - cell developed - symmetrical ~ muscle poser noraal.- nor-atrophy Keflex tendon normal Superficial *+* Equal, ait Iprsaal - So; static or locomotor ataxia Sene oritem ;5omal >.-* t ,-*-> na* : --- ye -^k- : - ^ Mental . Is dull * cooperative but dim* memory fairly good orientation - 03 Jud.> - if * ent good* - . 0 . r * crT^" moods t B0;_ 4550 . . BBC . 250000 - .. r^S` a ^^hssis.of 280 $xlf$ls f;Tv- ' ;,-. ?" *' 'I;lysplss . ||0*.;.... .Bssd,Flys 0*5 . ;,. fes; . HangrtM 10.5'';^.,;? , ;. . . . greats"- ;...- -.-T". :,sfa0ite.. '54 - ;: I ' ^rn*m *.z '< - Tr ^ -- '-V ;V* -,, _.... a&ttMA 'm#--'.m>- gS.Kx **bb!'i''T;^':!^,'i.:. wM-;,,:4- :r;:,; ,aativsft S-T . -rUi; JJ. .-. yi '- . ^ . end 'eojao;^C' v'.:;\GJ,: /malysif .-for, losd : *-,, ` to-19^ ; o:S7-SS:; 8^58 u -- . v . -;. />> nv^ltw "' 0.055mss. m&s a : geeoQ K 004692S -i im&s/k0;; 0*39 > ead/a*ih f sas^l . 0*18 % Esse 9<w * V 1. > ' Negative old scar over-Wgat;:^**, Bofe drums 8ll|htX7 retracted* __sight reflexes normal X* - spurs preseat - passages small. r*^**pi c *ib yactovnva; t* *->th and gma'ln poor condition small granule at extraction site 'lower right** gssss heavily pigmented - faint marginal deposit. V% upper central le|sbrs * thermite neg. for lead-line^ -*ongue' badly coated* Breath fetid. Tonsils small and edematous anterior ^ A: ' |M|.ars reddened * __jiller nodes palpable and tender post eervteal chela shoddy, ft T- ., B*S*D. 6.5 -iUO** 2.5 x 32*0 E,I". left 8. - !>& right 4*5 * vHJ*V * -S,* -K.X*rrt. f# : E.B* left ?*5 Heart and lungs normal. B.S* soft vesicular heart tones clear on percussion hsfe*t shears, tat he sllg&tly large for build* - fetfW Scaphoid doughy * Ceeuxa distended with gas and Is tender on palpation* Horns! s' r*._' ``Al***-' o ' *:'* * f ,s > * - - \ f. % t- ^ * -is' turn * well developed syametrlcal ~ muscle power normal tier' atrophy Tsnfioa normal + Superficial **+ E<pal* -n?r Hemal - He. static or ioccffiofcor sbsxle:--; rlum. . Sonnl - .- * / *s <'**'. ** w h '.t ;;, ? , Is dull ~ cooperative but dim. smory fairly good - orientation - -*- * jud^paent good* : ' * -r-~!< > .... ,: I ;:i ' v sc/ J^j..VTdl--------- __________ I^herftfcory Beeerd r fe-->Tsi'*;%V V-.S moods HB . $1^ ... BBC,.,1^50 2iB 5250000 ._>>* ,...,. *' . '3 " ' ... On .the basis, .of 203 ..css* counted ,, . tosiysia for. Lead - 0.06 Egs/10>; Lpsphs . 1|0 .... .Band ?lys. 0*5 .'Polys " 1|2*5. Hoaocytes 10.* ostisopii;v: v^>:v c.i v '-'if'-' grams ** S." . . , .. t j3t-' - '-S'* * -.iirttas -i4 < - tJrine >5- J!- Sp.G*_vnot .naoghsem|le IS 'L*.*r i'1 _> 'S-A'' j A u.; .j o - ->C-T 1'G -Boaotlesij^.111.5* 3*i#: he^Mve; .i'; TU J - -SdimQt' ^'and 'ieu" oplIhelUtl cells# ^alysts-f^-.Lead ;-;.s..,. , V. 1 <' ';% ,,:;/j c . 8^-1938 ; 8-8-1938 (Vuter - 0.055*s*>. - " . --f | Et2f, ^ ''lead Pow^^-'T, U&s/tte-w*" ' , ^tyste: fcr^lead:'-4:^' - ^ s&mpl^-; .. J*6l-`s^. Jrs/qc:. "____ 5> 7 ______________________ __ _________________ :-..... ...................... ........ (DO NOT WRITE BELOW THIS LINE) . -S? - . , .' V:'--' ' *v` * * - ' ' ' .*j y.'t~ ' * rs^r " * N* ss - i- - s tfa " 4 s'-i :."v.' 0 0. 169 ?< * ,`*S; iS51 SSlC-1'> O OHfcEK:i.l'- OHiC of sample 0*18 c . ; Jl..- w .'.:v / Dlsetiaalfetif Patiosfc Hm* s die ability m mtds#dbf oorjsTip^TiSt^j ^fchor gaibro*lat@3 tlsel disturbs* @S faltor# i rsgstii #giife aW feyeagfeS*# i &..!*#''as* elevation of bleed pressure* sees apparent srdi itlargiiaeob ami sen vltteeo of rgssi feidaoy fisamgo* Si itggr# be bleb ibr* rrr,bn.I fey nod tho pbyricsl afaofssalifet described SIP vc:;ifVafl effect f r-rovi-u eod pprsafely boo fid plaod of ol'rstf et er-onofe ho determined 1th erfeoir.fey* `but in feb a'r.::;nert ef cfe'wr* er-or.;. base fey til preseat osmditi'..* &m l.i noii justified f.n~.lrtnrinc oeoapafciaool factor* Xhe lead ssrlyaoe* cva trould he" o;;pcc54 fros* lh<ti tie; shieb lie olped si.iof: febf* eorcefeios of oo.ilo^stenfe* ladlesfe feh&fe lecd content of Xi blood nfi sereto (an oil a fell other tissue of feh body) ? sitbis ^orsaol' limits* t;lM gsm Ift^Btgjfe duo to lend Cewr-1 t* in o:r opinion#) Sherofcro* chsterer 1lines sx'-ll rrs-ftii-ia is cot u/.c r?oult of abnwasul Quest! .;cs -oliii&ftttfig load at this ttse#' "brjtts^ if ^:;:l^|}i .offiife: of pr?vl:,u8 tc-xio injury* 3piafgtt* 'gho'oafeiiti# is able to any m light uorh ad should tinft[TY1 Lo ao sit^t-er hi 'otaal disability en bast b i",:ih to 0NsphSht|Oh' # ; ; s oar. ifilffron*. ho^id",; fe^: Ardi fc smsh a not vfllm tfe* l&ismot. of Ifart In hi mn behalf* gk> He 0016327