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FILE NAME: Insulators Workers' Comp Claims (IWC) DATE: 1963 DOC#: IWC036 DOCUMENT DESCRIPTION: Claimant - Meyer, Edward  J*Sr BMIBP M E M A. H. FHLSCR, Referee J U l y 8 1063 JUltOGSS P L O T HOBBES ASBESTOS WORKS, et al, and INDUSTRIAL D U S K PITY CO., at al Cala Ko. SF W - i t l In.1: Aabeatoala REPORT OR REPEREE OR CEDE APPROVING COMPROMISE ARP RELEASE_______ Aabestoe worker, b o m April 1*, 115* claims aabeatoala is tie result of exposure to asbestos Albers In the course of his ork for verloue employers In California extending over the period1- 1*37-81. t * - * It la proposed to settle the claim by the payment of $20,000.00 nothing having been paid heretofore. \ course^of an exploratorythoracotory performed^ on A p r U l l , 162, it as -ascertained that applicant was suffering from carcinoma of the lung. Biopsies of lung tissue also disclosed tabestosls. The redlcal record Indicates that the carcinoma is-a v * inoperable-and thatapplicant la ^permanently disabled fur* any employment, the prognosis being extremely poor. His claim for Social Securit y pension has beenraccepted .cn the basis of total preted as strongly suggestive of pulmonary occupational disease* There Is/therefore reasonable support for one of the asserted reasons for settlement, namely, doubt whether the natter Is not barred bt limitations of tine. * * * .'-f* - ` The Industrial character of the carcinoma as a complication of asbestosls finds support In the medical reports,,although It is not conclusively established. Dr. Leon Lewis has given us a partie* ularly fine dissertation on the subJeet~:of~the possible causal established. Detailed epidemiological work, such as that reported by Braun and Truan, suggests the possibility that autopsy data may be misleading. The increasing frequency of lung cancer among both sexes, and the apparent correlation with use of tobacco and in* halation of smog, undoubtedly confuse the issue" Applicant was a regular smoker for many years, smoking a package of cigarettes a day. Some of the applicant's past employment In asbestos Installation was In connection with new ship construction on board vessels lylrg in the navigable waters. The recently decided case of Calbeek v. Travelers Ins. Co. 370 U.S. 114 raises a substantial question of whether the State any longer retains Jurisdiction in such cases. In still other employments applicant worked entirely with fibreglass, or with both fibreglass and aabestoa materials for varying periods. At tines In his asbestos wo~k he worked In situations where considerable dust was generated; at other times under conditions of good ventilation. The determination of which - 11 EXHIBIT 5 ? MESER*.2 employment or employments could properly bo hold liable for the harmful exposure la not an easy one On the record as a vho?e I would conclude that the settlement is fair and adequate and should be approved. Department of Employment has filed Its claim of lien for U.C.D. benefits paid to the applicant duriny the period Kerch 22, 1062 to Sept. 1, 1*162 in the total amount of $1820. Do allocation is proposed by the parties to the satisfaction of the lien claim upon the ground that the injury caused no temporary disability, all of the disability being permanent. While I think it is evident on the record that the applicant is now totally permanently disabled, I ai* unable to conclude that none of the past disability was temporary in nature. It la reasonable to conclude that a condition of permanency was attained upon the discharge of the applicant from the hospital on April 21, 162, following medical determination that the lung lesion was inoperable and irreversible. Department of . employment is therefore entitled to a lien based on the formula aanetlened by the Supreme Court in the Baird case. 28 C.C.C. Adv. * p. 77. So computed, it is entitled to a lien of 8114.63. '' ' * *2. . "JtqV.V '?>;**.; ; ; - - BISFOSITICRt: . - ........... . .* ' Order- Approving?Compromise -and Release, sub lect to lien of $114.63 totbe. deducted andtpaldtoDepartrect of Employment, andfeattorneyefifees of.*$2l6R,91 toshespaid; cwtipfithats portion of a n d / o r 1Exchange,*' Order dismiaslng Wundet Cork Corp. and w . * Dreisbach dba Dreisbach Bex t Lumber Co. AHN:mlm I ; I 1 1 1 ! II II I II 1 II 11 It i - / : i i l l * COKI, M J . u o m ifU .M . . SHUCK MiltCCH. M .. ioiunuiiiur x u m y {m w u WTHI o 1 *' ' , April 2J, 1963 . " `" ' % INTtaAl ttfO'Cfttf Hanna and trophy 15^0 San Pablo Avon Oakland 12, California Attention: Mr. Ivan A. Schwab Re: MEYER, Mr. Edward vs Plant Rubber and Asbestos Works, at al * IAC Claim Number; SF I9$ . | M ________ . Gentleman: . Mr. Meyer was examined today at your request at the San Leandro Memorial Hospltil. He Is a *B year old male, married, with two adult children. Em ployment h i s t o r y : . Plant Rubber and Asbestos Works, asbestos Insulation worker, five or six years to March 902. During 21 years he worked for nine different employers, always performing the same type.of work, covering pipes end boilers with asbestos t molds# The meteriel used wit ceiled cy{ mijActiun pipe covering#* * p h y s i c u v Ss ... R. M. Adams, M. D.; C. Stephens., M. D.; K. Hardy, M. D.; C. M. Chr 1stlansen, M. D. (radiology therapy). . HOSPITAL!2ATI0H; Doctors* Hospital, San Leandro, March 22, 1962, for ? days; April 10 San Leandro Memorial Hospital, April 1$, 1963, to the present. fAM ILY HISTORY1 * 21, 1962. Father died et 66 of a ''streke"/ Mother died et 60 of cencer of the liver. One' brother died et 39 of a stroke"; enother living brother has beck trouble. Two sisters ere **oll. Mr*. Meyer's wife has chronic pancreatic Insufficiency. His two adult children ere well. There are no other Instances of cancer In the family other then his mother. There Is no family history of diabetes or tuberculosis. PERSONAL HISTORY . ' . Mr. Meyer was born April 8, 1915, In New Haven, Connecticut. Hit family aoved to the Day Area during his childhood, and ha has llvod hero aver since, Ha a #<  1K U M CCHX. K .ft. w UON IIIIS. M J. . # I SNIDOK M U C H , K .I. .. A*: HCYCA, Hr. Edward , April 23. 1963 ; Pega 2. completed the first year of high school. There was no military service. He limited the use of tobacco to about ore package of cigarettes dally for many years. Alcohol was used In iroderetIon. Hr, Hcycr has been certified for Social Security benefits on the basis of disability. - HAST HCDICAl HISTORY; He recalls no significant past Illnesses. In 1952 there was a head Injury with skull fracture while he was Installing Insulation In *he b o l t of a ship and a ballast weight dropped on M s head. In 957 craniotomy was performed for removal of subdural hematoma due to the Injury five years previously, (V, |, Allen. H. 0.) During the Interval between head Injury and craniotomy he ' developed post-traumatic epilepsy, and Dilantin therapy was Instituted. He has cpnllnucd-the use of this drug to date, although he has had no recurrence since operation. On occasions he sees Dr. L. Lawrence for follow-up of his cerebral Injury. Appendectomy was performed (date not recalled). He developed a post-appendectomy fistula and required secondary repair. He was once thought to have ulcerative colitis. In 1958 or 1959 he was hospitalised at Providence Hospital with the diagnosis of pneumonia. . SYSTfMIC REVICVi ` ' ' . Hr. Heyer Is too distressed to Interrogate In detail. He has suffered from constipation recently, possibly resulting frem medication. His principal symptoms are Indicated by the Chief Co ^l al nt s. CHter COKPLAIXTS; * 1. Persistent chronic cough, productive of whitish expoctoratIon, of several years' duration. 2. Increasingly severe cough since Herch 1962. 3. Progressive shortness of breath. b. Acute episode of shortness of ireath four days ago. - HISTORY nr THE PRESCWT ItltfSS: On April 19. 19^3. Hr. Heyer entered San Leandro Kcmorlal Hospital on the advice of Dr. Robert Adams, because of acute dyspnea, cough and fever. On .April lb he was chilled when he was caught In the rain. He developed an acute respiratory Infection, and became very dyspnelc the following day, Pr. Hardy suggested that he use a steam tent at home, but his cough became worse, more productive, end the temperature rose to 103* f. On April 19 his chest beceme quite painful, and ha was ordered to the hospital. `" - ........ I I I _ inU K (OKI, M.I. O U O I lifts. N.I. SHlllOX KllltK. K.I. Re: MCYCR, Hr. Cdwerd April O . 96) i q ) . . *r* For approximately three years prior to a thoracoicmy In Aprt1 9W. W . H e ^ e / h a d noted progressive shortness of breath. This became very much worse before hit hospitalIzatlon a ye*r ego. In Apr 962 Dr. K . Hardy performed a thoracotomy for biopsy of the lung. Hr. Hcyer says that "they got a tumor on my chest". . Hr Hcyer ascribes the shortness of breath to a tumor and damage to the lung j _ ft ifthilitloft of asbestos. t>uflr*9 tbe 21 years he has worked with asbestos Insulation, he has **>rked without respiratory protective * at times In situations where considerable dust was gerfcreted, and at times where ventilation prevented dust accumulat Ion. He workers with whem he has been associated have ~ r n masks or other protective devices. * Since surgery In 9f.2 Mr. Meyer has been totally disabled. Ha has Enable t o ^ l k more than a very short distance without having very fkW shortness of breath. He has spent the time at home. He JeJ* !?...* of radioactive cobalt treatments, under the supervision of Dr. This did not prove helpful. He has re t i r e d under the supervision of Drs. Hardy and Adams. . ' * PHYSICAL CXAHIKATtON: . estimated weight. 170 pounds (or less), estimated height C8 t * ; pressuro 166/96 (recorded blood pressure values on the hospltel chart are a In normal range). , Hr Hever Is a moderately gnccmfortable. obviously dyspnelc white me!#, of ere bilateral scars of the frontal area and one of the eft tenoral area, there 1 a right thoracotomy scar, and a right abdominal Incision. . M l fro. Ih. .c.r. ... .1I9M 1 t. i " " ' 1 th. ere cleer. The mouth Is edehtVilous, well compensated. . . The neck Is free of palpable lymph nodes, and there are none In the axillae, m ;;;?!< g U n d Is not enlarged. Carotid artery pulses ar. normal. The thore. Is .symmetrical. The right hcmlthora* J J There Is gcnerellied Impairment of resonance end .^broncho- trealh sounds are distant, almost absent at the f_ 9 * y j ^ Inspiratory vesicular to bronchial.In character throughout. J h* " " * [ * 'T J . jh, / r t t 0 f rales of both lung bases, more marked on the right then the left. ; t on I i : i .J i -- Mil >!>!'-- ` --inir ~~ -- * mu*conn, k.i. 0 llfiX tfVIS. M .l. ; SHtlSOK MiRCCK.M.l. . M : H C H R . Hr. tdward . . . \ Apr II 2), 196) 1 Page 1. . . cardiac dullness cannot be made out. Heart rate and rhythm are normal. The aortic second sound Is somewhat accentuated. There are no murmurs. The abdemen Is soft. There are no palpable masses. The liver Is not enlarged. The genitalia appear normat. The extremities show slight cyanosis of the fingernails. The toenails are all somewhat abnormal. Several are markedly horny and thick. There Is no clubbing of the fingers or toes. . \ . . neurological Examination; Hr. Hcyer Is well oriented. Intelligent and cooperative man, who seems to bear his exTreme disability with remarkable equanimity. HI* manner ll . . friendly, and hi* mood Is not remarkably depressed. ' As tested In bed, there ar# no apparent abnormalttles of the nervous system. Cranial nerve exwnlnetlon Is negative. Sensory and motor function are Intact. Reflexes are physiological. . . RCVICW Of HCOICAL REPORTS! An early radiograph of February 10, 1962, Is reported by J. 0. Coats, H. 0., as showing: a soft tissue shadow protruding fro the right side of the medi as ti num at the level of the aortic arch and " bilateral thickening of the bronchovasculer shadows In both lo-er lobes, as described on previous examination April 22, 1961". Or. Coat# thought the changes In the lower lobes suggested pulmonary occupational disease. Biopsy specimen! from thoracotomy on April II, 1962, consisted of two pieces . of lung, one of which consisted mostly of timer showing the microscopic character of oat call bronchogenic carcinoma. This section, as well at tha one without timor, showed a few asbestos bodies and variable fibrosis. AI though" there are no raport* on /lie directly from Dr. K. Hardy, tha thoracic surgeon who performed theracotomy, there Is a report from Dr. R,-H. Adams which Indicates that he considered Hr. Heyer permanently disabled, "mainly because of his Inoperable carcinoma of the lung . . which he thought "directly connected with the esbestosls vAilch he developed as a result of his employment". . . This view Is supported Vy Dr, R. C. Dlckenmen, pathologist, In a report of Hovnber 27, 191-2. He reviewed the biopsy material and listed four references dealing with pulmonary asbestosls and carcinoma. Tha articles referred to . wera published between 19)9 and I9*S. . lili III II I I AKU K CKK. M .l. O KON K ill. H .l. SKlltOX HIKOIK, K .l. . A; K t U . Hr. U - * r d A ^ m t ) , 196) Ptj $ .. M ,* , 9 a baa-- fi*> *> annotated BICUOCAAFHV: . Three of the er'tteles, referred to by Dr. Dicker*TM were submitted for review by Hr. James J. Vonk of the State Compensation Insurance Fund. I. Cureton. A. J. A.. " S q u a d s Cell Carcinoma Occurring 1" Asbestos!* of the lung*', British J. Csneer, 2:2*.9, I9U8. The author reports cese of a )? ycer old ~ m a n who worked *" J " kl" sbestos pipe cover* for seven years between ages 15 end 22. * h* f * * ! '?p*J . severe respiratory symptoms. terminally pleural effwston, and clln 1 * 1 suggestlng neoplasm. At autopsy a bronchogenic carcinoma wa found In the left lower lobe. On histologic examination, this was considered to be * " * keratIntr^ng s ^ a ^ u s H i t carcinoma. There was also ^ - p l e u r a Jlbr!. thought due^toasbestes!. Typical giant cell. " * * 1 ' ' ' ' * * e` ^ observed. The author refers to prior observation* In 19 ea,#* * 5* ' assoc lated with asbestosl* up to 19.). and state* that h* relationship between the twodlsorders could not at that time be peclf e . , ^ s u r 0tr f 'The C o i n c i d e n c e of Frlmary Carcinoma of the lungs and * PulnonaryVsbestosIs: Analy*! of Literature and Aeport of Three Cases , A f r i c a n J. Fath.. 13:797. September 19*). * Homburger report* " at least 19 known u U J a w r l ' t h "^ * of asbestos Is associated with pulmonary carcinoma. In h * 1 or* were four Instances of carcinoma in eight cases of asbestosl* examined. In . tabular s^rmary of the reported cases, It l . duration of exposure varied from 19 n t h * to 25 years, t h a t I I I of freedom frem exposure before death for as long as 15 year*, that a l w t all of the tumors wera quamou* or oat cell type, and that a " " . . lower carcinomas ara Indicated as having ceurrtd In either the right or left le I b e . ' ' . ` ). Hueper, V. C.. " Envlrormental and Occupational Cancer, U. S.-Aublle'' Health Service, Supp. 209, 19*<9. h rDorts 23 cases of " asbestos cancer of the lung" In the American, EnglishI Ia f w u l e i . . * -- . . u utBe. ...... that histological charactar of the cancer* and hlstoganetlcsbettos derivation " support a specific causation of these reactions by Inhaled as dust". _ . S 1t`. . 7\ - % _ '"^ L I > ., l __ .AKUK COKK. N.l. . If OK UWIJ, M.l. SHflBOK M1XSIK, M.l. 0***~.*y"* **''"`*'y " * * **. ' . ' Am 4k w Re: KCtfR. Mr. td-erd ; April 2 ). 196) Peg 6. The folio-log addltlonel summaries re submitted, et elected from a lerge number of ertlcle reviewed: U. Bonser, C. K.. Foulds, J. S.. end Ste-ert. M . J . . "Occupational Cancer: of the Urinary Bladder In Dyestuff Operatives end of the Lung In Asbestos Teictlle VorWert end Iron-Ore Miner", A. M. J Clin. Path., :!2fc, Februery 195$. Thl tudy from the University of Lcedi, Cerltjle, Cnglend, States thet In 1928 one of the euthor (MJS) began to collect date fro worker In t* fectorle end eventuelly hed e serle* of 80 autopsies Jnong worker exposed to esbcjto. In the lung of 8 person eutopsled, there were smell number of esbestos bodies, but no pulmonery esbestosls. A totel of 72 subjects -- Uf, mele end 2b femele -- hed ebetols, end emong these 12 mele end J females hed developed tuberculos I*, end 12 male end 2 ferreles hed developed lung cencer. In other words, emong the mele 26.11 developed cancer, end emong the femele 8.7X developed cencer. The everege ego et death -et 5b. The euthor point out thet "no edequete comparable post mortem materiel frati persons worklns under factory conditions and not exposed to asbestos dust 1 evelleble with which to compere the Incidence of lung cencer In v esbestos -orker. The Incidence here cited 1 very high, end Ip comparison -Ith the incidence in iron-ore miners must be highly significant. The occurrence of occupetlonel lung cencer In the exposed femele l* note-orthy. The euthor tete thet, following Introduction of reguletlon for the control of esbe*to dut, the occurrence of both esbettotlt end esocl#ted cencer ho-ed e definite decline. ` 5. Doll, R.. 'Mortality fro Lung Cencer In Atbeitot Vorker", B r i t . J-j o f Indust. Hed.. 12:81. Aprtl 1955. . Poll report the eeu*e of death es determined et autopsies for 105 perion* employed rt one esbestos work, lung cencer we* found In 18 Initence*, 15 time* In essocletlon with esbestosls. * * * The following Interesting commont occurs In the sirrvary: " I D men who hed worked for et Icest 20 yeers In pieces where they were liable to be exposed to esbestos dust were followed up. end the mortellty emong them compered to thet which would have been expected on the basts of the mortal Ity experience of the whole mele population. J9 deaths occurred In the group; 15.< expected. The excess was entirely due to excess deaths from tung.canjer (I against 0.8 expected) and I r m other respIra tory and cardiovascular diseases (22 against 7.6 expected). All the cases of lung cenccT were confirmed ST." . histologically, end ell were associated with the presence of esbestosls. (Note: Underscoring by l.L.) > . i " e 4K U N (OH*. M .I . IfOXltVIS. M .l. shuioi H in n . k .i. He: MEYER. Mr. Edward April U . '963 Pij 7 6 . Lynch. K. M.. Mclver, F . A.. Cain. J. R.. "Pulmonary Tumors In Mica Exposed to Asbestos Oust." A. H. A. Arch, dust. Hcaj.th., Ji-207. . . March 1957. , ]|,... workers at the Harvard School et Public Health exposed m.ce to dusty a ^ ! p i . g a i n i n g asbestos fibers. 127 animals, killed after 17 month, exposure w*re compared to 222 controlled animals. Primary lung tumors were found In'both groups: kCX of the dusted mica end JtX of the Multlole pulmonary timors were demonstrated In lOZ of the dusted and ol of the controls The authors were unable to establish proof of malignancy. T x e e y * r i C a b l e to demonstrata any proof of tha carcinogenicity IJ th. ...ditto of tht. ..p.r . . . % but *>* ' ' * < . lncldc.ee of ooltlfl. lung tirort In dulled .nlnjlt ult be r t j t r M 1 . noiitble acccntuatloa by the Inhalation of asbestos dust of an existing tendenev to d c i e l o X n l tixrors". They disclaim any significant contr butlon o f t h l s ystudy to solution of the problem of relationship bet-een asbestosls and cancer In man. . . ' . . ' n nifl toldemlologteal Study of lung Caincer . f .no;.,. *..>. w . *... * . This comprehensive article reviews the evidence for tlon o f l u n g cancer with asbestos exposure and asbestosls. The *thoirs^ polni out.that there has been a serious defect In w t o( *v n0 namely, that they were concerned only with the dead and n o t / 1`felt Illy 9 workers In the asbestos Industries. In order to remedy this defect, they studied causes of death among a U r g e segment of population In,5" * * * T r ^ T . 'r i f M T u 3 .. U . . J w r W H ' groups In Quebec, according to accepted statistical methods. They state: "The mortality rate for 1ug cancer as computed on the basis of 9 'proved' deaths mong the cohort (I. asbestos exposed. L. k*) !a, 2 5 j W lootooo. Vhen the 3 smell 'suspected' cases total Uate' for the cohort was.33.8 ." According to 1 1 J*tJ Iiir, authors thought the mortality rate from lung cancer did not with length or degree of exposure - facts which they considered strong evidence egelnst the carcinogenicity of asbestos. ::w rate fro lung oa"*r -- ^ ^ x r x b l e tagments of the general p o p u l a r ' Thl* article does not give an account of the mineralogy of asbestos In Quebec. Thi study was made possible through a grant fre the Quebec Asbestos Mining Association.. . . ' -- Uta. i U l M (OHM. M .l. . M O KUVIS. M .l. SKU60K K1XCCX,M.l. fto; KCYCK. Mr. Edward A p r il 23. 193 Paga 8 . 1 --V > 'l-l.v w Braun .Ad Tru.n quote Coldbl.tt end Cotdbl.lt. who contributed a section edited by . A. A. hcrcwclher, the head of offlct. Industrial My9ln< for Cre.t Britain, entitled: "Industrial Carcinogenesis and Toxlcol^y* . The ColdblattJ said, with reference to asbestos, "there 1 no reliable criterion bv which one can anticipate carcinogenicity and, at ! well known, relatively minute change In the tructure of a chemical carcinogen are sufficient to diminish or eliminate carclnogenct1c *tlon. * J * asbestos Is Indeed to be regarded as a carcinogen, the need 1 i . H to demonstrate some property which can be regarded as something more than Inertness". They thought that until evidence of direct carcinogenesis was established, asbestos might be considered as a "co-arclnogerf . This point Is, In our opinion, very Important, since It known Chemical carcinogens, such as those In ^ b;" concentrated by absorption on asbestos dust and fibers. " . w t w . br . . . M 1 approach to further Investigation. / Is possible that J ^ The possibility . M . h . nuitf.i ' 8. A b l e r , J . . C . p . 9 . F . A . . " A i b e i t o . l t C . r e l ^ of th. U ,: C.te Report *o< Review of be tlter.lufe", Areb. of Cevleoeoeetei Health. J,:27, July I$o0. . 4 This ft another single case report of a 52 year old man who vorkad for 30 veers as an abestos Insulator, both Inside and outsldo, In new and old buildings. He wore no protective gear at any time. In addition to he was f.posed to flberglas. He wes e heavy smoker until flv. P ' ^ J l, his death, having smoked "three packages of I g e r e t t e s d e l y for any years . The autopsy findings revaalcd diffuse asbestosls with typical asbestos bodies, alveolar^septal thickening, and thickened pleura. There "J* * J ^ a i i T mass of the right hilar area which, on microscopic examination, revealed bronchogenic carcinoma. Thl. c.ir report lltvitr.iei th. difficulty of e*re,~ ` Cj genetic affect of other pulmonary Irritants from that of tobacco. C - DISCUSSIOH; In an early article on asbestos hazards published by the 1mtermotIon.I Labor I'M" U ,lhlh; n . ,w * t * 2 *!S \ ! m 2 !t, u ! ^ r (l)e t * # occupation iconcerned there should be sufficient association of a vork.r with a swbst.nc. 1___( I___I \___I 1__ I 1___I I -- If l J 1 1 ' * -- I ,, ~ . ^ --.. -i .!,** -- * -, ,V ' _ : -, - -- : _ I.AKlftM (OHM. M.I. ! * . . IfON ItllJ.M.I. ' JHlliOX Kilt!*, M.t. 1 ' Rei MtYCA, Hr. Edward April 2). 1963 Rege-S. ' siiti * provod c*perImcntat1y to have cercinogenetic proper ies ." At that time the author aid, "These two postulate* cannot yet be regarded as having been fulfilled In the case of the asbestos Industry, but there Is sufficient evidence to warrant careful observation In tha future.'* In l ^ ) , absolute not been by Braun leading. apparent 25 years after these remarks were written, ft can still be tald that proof of causal relationship between asbestos and lung cancer has established. Detailed epidemiologica I work, such as that reported and Truan, suggests the possibility that autopsy data may be mis The Increasing frequency of lung cancer among both se*es, and tha correlation with use of tobacco and Inhalation of smog, undoubtedly confuse tha Issue. ^ Despite the absence of certain proof, however, there are several suggestiva Indication* of relationship between asbestos Inhalation and lung cancer. These are: " - 1. Tha unusually high percentage of cancer deaths a^ong Individuals with " proved asbestos!. , . 2. The relatively high frequency of lung cancer In wenon asbestos workers -- data observed before the frequency of lung cancer In the female began to rise In the genere! population. . J. The high prevalence of carcinoma of the lower lobe, es contrasted with a mre rand distribution end relatively high Incidence of upper lobe carcinoma In general. . . f. The frequent occurrence of squamous and oat cell carcinoma In association with asbestos!. 5. The decline In the frequency of asbestosls and of lung cancer among British operatives after tha Institution of dust control measures. On the baste of the established diagnosis In this case and the admittedly dlsputable.but generally posItIve evidence of correlation between asbestoslt and lung cancer, It Is our opinion .hat Mr. Edward Meyer Is suffering from a disease which has as part of Its etiology occupational exposure- to asbestos fibers. oiACHQSts: - ' 1. Pneumoconiosis: Asbestosl*. ; ... 2. Oat call carcinoma of tha lung,-. . _ /. I 111* (OKI. M.|. 0 KOI UVIS. M.l. SKfLDCI HlHil, M.l. , Re: K Y C I . Hr. Cd**rd April 23 ISO Fege -10. i l , II JL m imt* -* II I I C 3 . History of post-treumotIc epilepsy end U t c surglcel treatment of suldurel hcmetom. Sincerely your. lit Ik % .* t . t * ' < * . . } i t f l ] CODE h- /gq ^/oj mmm MED HOSP -- _ JS ^^ 1-- 7 1-- 2 1 ^ ___ 4------j------- -- * r X-RAY OTHER EXPLANATION CK NO FROM THRU AM T. /-- ____ Lk L - - / / ' / /O - ^ & <t>. , ,<?,, ' L y( 2_ 0 _ j. G -- ii ^<r)ra woao TOTAL RESERVE 1,000. V / C .} _____ t _ - Le/? / ______(l . (dL L t'c/a / U /Jc & C LO SLO JJ,A id e *C~ ? , <3 -0/ W ./9 f - / // / <2/# _ 7 ; iM f . */( / A t . 0 ? -^f /9Y /V/ " " 1 *)L^o.3'V7yj y'/ -y/ /%r Cl ilS M i / Q j0 7 V7- c c . '-A J U H k jkUK ABESTOSIS INJURY SUSTAINED CHEST PART OF BODY INJURED U/S MECHANICAL. CONDITION ADD IL INFORMATION! TYPE OF ACCIDENT AGENCY AGENCY PART U/S PERSONAL FACTOR