Document mqZLLenLmYpxbykeJ7k0KqOOd

C 4 654 AVENUE C, 2ND FLOOR BAYONNE. NEW JERSEY 07002 WILLIAM M. BURKE. M.D.. F.A.C.C. INTERNAL MEDICINE AND CARDIOLOGY DENIS S. SCHISANO. M.D.. F.A.C.C. INTERNAL MEDICINE AND CARDIOLOGY JOSEPH V. BOCCHINO. M.D.. A-B-P.S. PLASTIC. HANDS AND BURN SALVATORE GENGARO. M.D.. D.A.B.O. OTOLARYNGOLOGY JOHN BOOZAN. M.D. OPHTHALMOLOGY February 28, 1991 cr MED-fcVAL GROUP MAILING ADDRESS 276 ESSEX STREET M1LLBURN. NEW JERSEY 0704 1 <201 > 376-851 1 330 LIVINGSTON AVENUE NEW BRUNSWICK. NEW JERSEY 08901 DOUGLAS A.S. CHALMERS. M.O.. F.A.C.S. ORTHOPAEDICS FRANCIS N. DELUCA. M.D.. F.A.C.S. ORTHOPAEDICS A. RONALD SORVINO. M.D.. D.A.B.P.N. PSYCHIATRY MELVIN P. VIGMAN. M.D.. D.A.B.P.N. NEUROLOGY r edac t ed Addie Carter-Lester CIGNA Media Comp Center P.O. Box 171 Media. PA 19063 RE: V VS: The Sherwin-Williams Co. NO: 395 C 288869 9 D/E: 9/28/90 Dear Ms. Carter-Lester: This is a 62-year old gentleman employed by the respondent from 12/9/46 to 10/1/90 in the capacity of a material handler, alleging exposure to the dust, fumes and chemicals indigenous to this industry until his retirement, stating he presently feels better. During the course of his employment he noted the onset of shortness of breath and a non-productive cough for 20 years, alleging the above mentioned exposure. He has seen his family doctor. Dr. DeMayo and Dr. Mazzarella ofNutiey, NJ and takes Tagamet, Iberet, Folic, diuretic and has internal bleeding, he states. In 1988 he had unemployment compensation. He was in Overlook Hospital in Summit, NJ in 1990 for internal bleeding and in 1988 was in Clara Maass in Belleville, NJ for same. Past Medical History: Denies additional significant medical or surgical illnesses. Social History: He is married with three children. He is a non-smoker. Family History: Non-contributory. Review of Systems: No other minor complaints referable to other systems, Currently takes medication noted above. rn Physical Examination: Well-developed, well-nourished, in no distress, o 5 fff? rn If? Height, 5', 9"; weight. 180; blood pressure, 120/80; pulse, 74 and regufijfr. 3* -o? m O1 -H---E---E---N---T-- : PERLA <^2 4-- O oas Neck: Supple, no thyromegaly, no bruits. 35" Chest: Good excursions bilaterally. Clear to auscultation and percussion. Breath sounds normal in all lung fields, with normal and accentuated breathing. 0007-SWP-00580307I r\ c CIGNA February 28, 1991 Page 2 RE Cardiac: Normal palpatory findings, no murmurs, gallops or rubs appreciated. Abdomen: No LKS, no bruits. Extremities: No cyanosis, dubbing or edema. Neurological: Normal sensory motor exam, normal reflexes, normal cranial nerves. EKG: Normal sinus rhythm. Normal axis. P-R and QT intervals normal. QRS and ST-T all normal. Interpretation: Normal record. Chest x-ray: Bony thorax intact. Lung fields are clear. Cardiac silhouette not unusual. Interpretation: Normal chest x-ray. Pulmonary Function Studies: FVC predicted 4.39 liters, patient 2.18 liters, 50%; FEV l/FVC ratio, predicted 75%, patient 78%; FEV 3, 100%. FEF values, 51%; Sa02, 98%. Interpretation: Decreased FVC, FEV l/FVC ratio and FEF with a normal Sa02. Comment: This patient alleges a pulmonary disability arising out of employment by the respondent. Based upon chest x-ray, pulmonary function studies, Sa02 studies and physical examination, there is a decrease of FVC, FEV l/FVC ratio and FEF and with the normal Sa02. there is a 3% partial total pulmonary disability, regardless of cause. Conclusion: 3% partial total pulmonary disability, ^regardless of cause. Thank you for referring this interesting case for our evaluation. (Signed, but not read) G007-SWP-005803072 CONFIDENTIAL