Document npMa4Q223k2Xj1akw9qrxZ8x2

Shell Oil Company Shell Chemical Company A Division of SheH Oil Company B. J. Kern, M.O. Medical Director -- Manufacturing Complex Deer Park Manufacturing Complex 713-476-6303 June 7, 1988 Dear Enclosed are the results of your recent post-retirement Asbestos Examination. . Your blood pressure was 150/90, slightly TievatecH Yotne- pul se rate-'W3T~'8T""^ per minute. Your hearing test shows a hearing loss in both speech and high frequencies, worse in the right ear. There is no change from previous years. Your chest X-ray again shows significant changes in the left lung field. I am sending your newest films to Dr. Fischer, the specialist you saw previously. After he evaluates the most recent X-Ray, we can decide if you need to see him at this time. The EKG shows some very minor changes but basically unchanged from previous years. The breathing test is actually slightly improved from last year. The cholesterol count is 189 compared to 154 last year. All other laboratory tests are normal except for one type of protein, the globlulins which are slightly elevated. I don't believe this represents a serious problem but will perform a special test on these globulins on your next visit. The urinalysis was entirely normal. On the physical examination, there were some, signs of a pinched nerve in your back at the L-5 area on the left; this is accounting for the numbness in your left foot. Otherwise the exam was normal. There was no blood found in the stool. CH8G8815903 - 0001.0.0 ABS-055396 LAM 032003 ntioned above, I am sending your X-Rays to Dr. Fischer and will notify -of the results. Continue your exercise and do the back exercises we Jarry J. BJKrmlb cc: Medical Record CHBG3815903 - 0002.0.0 ABS-055397 LAM 032004