Document o93KgBJ88jYVBLmkO849wd3EX

P. O. JONES. M.O., F.A.C.P. 7777 SOUTHWEST FREEWAY. SUITE 442 HOUSTON. TEXAS 77074 777-4217 R- S. CONTE. M.D. March 14, 1984 Dr. Barry Kern Medical Dept. P.0. Box 100 Deer Park, Texas 77536 Dear Barry, I saw in my office on March 1,1984 for complaints of coughing and chest congestion. Examination at the time of his visit revealed mildly decreased breath sounds, but his condition was overall unchanged from his previous evaluation. asbestos is of the lungs which we have known about in the past. This does not appear to have increased in severity since his last visit. He does however, at the present time demonstrate significant problems with sinusitis and bronchitis complicating his underlying lung picture for which he has been placed on the appropriate medications of Erythromycin, Medrol dosepak and a decongestant. I feel that upon improv ement by these med ications, he should go back to his previ ous level o f act ivity and the re fore hav e no sign ificant d i sability. I will be ha ppy to see h im i n follow-u P if inde ed he do es not gro ssly improv e on the curre nt r eg imen. Re spectfully yours, Robert S. Conte, M.D. RSC/bc LAM 032187 ABS-055580 r $-13260(4/69) 006061 NAME OF EMPLOYFF PULMONARY REGISTRY CONFIDENTIAL - MEDICAL EMPLOYEE NUMBER LOCATION DfM c REASON FOR REVIEW 1. CHEST X-RAY REPORT INDICATING: a) Possible pleural abnormality I b) Possible fibrosis. 2. PULMONARY FUNCTION TEST ABNORMALITY: a) FVC less than 75% of predicted. 0\< 7. Has the employee had a job where It is possible, or likely, that he has been exposed to some other agent known io cause a dust disease of the lung, (e.g., Silica, etc.)? If so, list /or i ^ rW ,--, YES NO 8. PLEASE LIST JOB TITLES AND NO. OF YEARS IN THAT POSITION __________Su. tJo cU. H b) Other , Other reason for review 9. Is there any history of other respiratory Illness that could account for me X-ray abnormalities under consideration? If so, list | |vcc fTTIm I__ ITtb I___ 1NU 4 Time ol ' service 51 M U 1^57 Has me employee worked In a facility that used asbestos so that it Is possible mat a pleural plaque could be related to job exposure? 6. Has me employee worked at a job (e.g., bricklayer, insulator, etc.) lor a sufficient time (usually at least 10 years) lor it to be likely that asbestosis could have developed? 0YES NO 10. Is mere a history of exposure to a pneumoconiosis producing agent outside of employment at Shell (prior to working at Shell or associated with a part- time job, or avocation)? If so, list ^ES DnO D?Y'ES ! jNO RESULT OF REVIEW: mb Uy k CtR ^> Recommendation:A n REVIEWED uM'qW*BY IF PLEURAL CHANGE Patient counseled: OSHA Form 200: Worker's Compensation: 1, J ,, -Co I ,M, cA _ (? E>r qi EMPLOYEE REFERRED TO DR. (Please send copy oi consultation when available) COMMENTS: DATE l &Ar<\ lNOTE: /(checklist ol actioris to be competed by the Company doctor and returned to registry in Houston, with one copy to be retained in employee's chart) IF POSSIBLE FIBROSIS DATE Patient counseled: OSHA Form 200: Worker's Compensation: CONTEMPLATED FOLLOW-UP | | PERIODIC EXAM inctoiirnnwc- oaot i ia/lutc podv . i rY'annw ucmrii hcpaotijicmt | | OTHER ABS-055581 LAM 032188 S-12972 (U-06) ILO PULMO RY SURVEILLANCE WORKSHEE EMPLOYEE NAME (First. Middle. Last) company (--| SHELL j--1 SHELL CH6M i--i SHELL DEV 1 1 OIL COMPANY 1 1 COMPANY 1 1 COMPANY EMPLOYEE NUMBER 0ATE OF X-RAY READING 8@2$-'bQC\r. other x A /m r TYPE OF EXAMINATION fxi n.r--r / )-K / )\ X1SpeCilyl-----l^i-1 1 1--------------------- ASBESTOS SILICA OTHER (~| ISoeal*l 1 A. OATE OF X-RAY m\ IB FILM QUALITY 7a 2A. ANY PARENCHYMAL ABNORMALITIES CONSISTENT WITH PNEUMOCONIOSIS? 28 SMALL OPACITIES a SHAPE/SIZE SECONDARY H Not Grade * Give Reason 1C IS FILM COMPLETELY NEGATIVE9 YES Il Sljj Spreccteioend5to NO LI _JI Sperocctieoend2to YES I I COMPLETE 1----* 28 and 2C NO I I I---- 1 PROCEED TO SECTION 3 c PROFUSION %%% 7o 7. 7? V- Vj Vj 7j 7* 2C LARGE OPACITIES SIZE OA 8C PROCEEO TO SECTION 3 3A. ANY PLEURAL ABNORMALITIES CONSISTENT WITH PNEUMOCONIOSIS'? 3B PLEURAL THICKENING a Diaphragm <piaque) 3C PLEURAL THICKENING a CIRCUMSCRIBED ipiaque) YES COMPLETE 38. 3C and 30 Chest Wall Kir. | i NU | | PROCEED TO SECTION 4 SITE | O | R | L | b COSTOPHRENiC ANGLE SITE O fill 3D PLEURAL CALCIFICATION SHE IN PROFILE , WIDTH EXTENT FACE ON hi EXTENT a DIAPHRAGM D WALL c OTHER SITES 0R 0 0 0 EXTENT 'hi 3 i | 2j 3 'M 3 SITE IN PROFILE . WIDTH I. EXTENT FACE ON i.. EXTENT a Diaphragm b wall c OTHER SITES 1 L 0 0 0 EXTENT 12 2 '12 3 3 3 PROCEED TO SECTION d 4A. ANY OTHER ABNORMALITIES'? 40 OTHER SYMBOLS (OBLIGATORY) O ax bu ca I cn I co cp 1 o Report items whicn may be ol present cimica! signifi cance in this section (SPECiF y od ) YES complete d8 and dC NO PROCEEO TO SECTION 5 es Mr ht j no pi I P< | fp | lb | Date Personal Physician notified'-1 ,iONTf 1 1 CLINICAL INTERPRETATION 2 B-REAOING COMMENTS Small noncalcifled pleural plaques h ave been questioned bilaterally on previous films. I am not certain that I can see any on this exam- ination. The heart size is normal. The lungs remain clear. PLEASE TYPE OR PRINT name OF physician E. SHFPPFR M n / R A HI Mn AODRESS bHELL Oil COMPANY, P. 0. BOX ICO city/stBe/Es^cJomkK, i FXa5 7/536 PHYSICIANS SIGNATURE 1 , ! 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