Document pNbYr4Lz5g85N6nqkdaza0g6

COPY November 5, 1043 Mr. 8. French Iteevea, Vic President K* A. Koerber, M. D., Plant Physician 2013 Oxford street Philadelphia, Penna. Bora July 4, 1S99 Employed slay 29, 1920 ii& submit: herewith an abstract of the medical record Samples of blood and urine hay been submitted for analysis, These were taken according to the specific instruction of the Kettering Laboratory. This patient's annual physical examinations, aside from hi3 lead history, have been essentially negative since 1932. On March 30, 1935, he was first examined by the undersigned, who reoortis him to have been in the hhite-Lead department for sixteen years and to have had a lead line, oral sepsis and moderate post cervical adenopathy. At that time his blood studies showed a hemoglobin of 00, red blood cells 4,020,000, stippling 4/, which means that he had froxa three to ten stippled cells per oil immersion field. Annual examination of November 14, 1936 showed a hemoglobin of 70, B B* 0, 3,940,000, stippling 3/, a very faint trace of albumin and a few hyaline casts. January 11, 1938, physical examination was essentially negative except for hemoglobin of 69, h, b . G. 3,520,000, 3tippling 2/, albumin a very faint trace, February 20, 1939, hemoglobin 86, a . b . 0. 4,410,000 and occasional stippled cell. February 9, 1940 hemoglobin was 03, B. B. 0, 3,960,000, occasional stippled cell, cloud of albumin, ten to fifteen white blood cells, .arch 20, 1941, patient had a blood pressure of 160/110, H B* 0. 3,820,000, hemoglobin 90, cloud of albumin, hyaline casta, eight to ten white blood cells, v/assexm&ns in 1936, 1937, 1933, 1939, 1940 and 1941 negative. His dispensary record from 1936 forward included the usual run of headaches, colds, intestinal disturbances and occasional minor non-related injuries from which he recovered and a fracture of radius and ulna on July 2, 1943, fro which he has fully recovered. --Continued-- COPY lAr* 3, jj'renoh beeves, V p. November 5, 2 This nan's sexual life bears watching. In 1936 ha reported married for sixteen years, no children living or dead. October 10, 1939 ho reported mere approach of female causes orgasm. Ootober 8, 1940, dispensary record carries this nota tion: "Apparently a nymphomaniac. Now complains again of same condition as on 10/10/39. Painful testicles, no injury, no excesses, no swelling. Prom that date to the present data, this patient has oomplained continually of pains and swelling in the loft testicle and impotence. At no time has the undersigned found any subjective findings to substantiate his subjective complaint. The en tire genitalia and inguinal region and perineum were found to ba .negative on physical examination. Qn January 1, 1943, the patient reported that ho was no longer impotent, following the use of strychnine 1/60 after meals. This patient has been examined at monthly Intervals, ue report herewith the dates when positive findings occurred, the rest of the record being essentially negative. July 13, 1936 to November 10, 1938, this patient presented a hemoglobin which would fluctuate between 60 end 92 and a stippling which would fluctuate between negative tmd 3/, with the exception of September 8, 1936 when it was 4/. Subjectively, the patient offered no complaint. From November 10, 1928 to tiax-ch 3, 1941, the patient's lead history was essentially negative except for an occasional stippling or 1/ stip pling. His lowest hemoglobin Lad been 76 and his highest 100, generally fluctuating between BO and 93. From 1941 to September of 1942 this patient's blood presented an occasional to a 3/ stippling and a hemoglobin which varied from 77 to 95 and an occasional aniseo cytosia, poikilo cytosis and polychromasia. Prom October 1942 to the present data, this patient has presented only once an occasional stippled cell otherwise always having been negative. Ilia lowest hemoglobin 72 and hie highest 100, generally fluctuating between 00 end 06. This patient from time to time was considered to have had excessive absorption of lead and various orders were issued from time to time, which are given ea follows; September 1936 the patient received calcium therapy, intravernously and by mouth. In 1938 he was reported as "always dirty, sloppy habits.*1 In November 1938 he was recorded as having been in Sunshine Gang a number of times and then placed on a ro tating schedule a number of times and returned to the White-Lead Lapartment on the block on Aeptember 26, 1938. The block ie a wet process, Nay 1940 he was placed on Vitamin 0 and noticed no change in his general feeling of well being, in March 1941 wa recorded him as having been in white-lead filling, no dry lead, since hepteaber 1938, prior to this in the Sunshine Gang and prior to that a miller in mill house for a number of years, also in jail for nine months. April 1941 he was again placed on Vitamin G for two weeks. In Geptaruber 1941 an attempt was made to delead with ammonium chloride but he was unable to tolerate this and he was given calcium lactate. In February 1942 ha received calcium glu conate intravernously. From Febtunfyr until June he received several courses of calcium therapy, at the end of which time he was again started on a course, on June 26, it was recorded "Has boon assigned to water mill for one h.ur daily." August 21, 1942, it wa3 recorded, "Remove permanently from lead hazard." --Gontinued-- f 3 COPY Sir* ii french Reeves, V B. November 5, on September 23, 1942 was recorded, "Frequent aohromic cells, no stippling, ranerai condition improved.11 In October, "Continue on block, slowly improved.*' This order was continued to the present date. It is believed advisable to explain our method of calculation of stippled cells. 1/ is one stippled coll per two oil immersion fields, 2/ is one stippled cell per field, 3/ is two per one field and V is three or more per field. It la believed that our iiunshine and rotating gangs need explanation. when an individual has excessive absorption or intoxication due to lead, he is removed from Uia haaard and placed on what wo call our iiunshine Gang. `Phis is a yard gang that have odd jobs thruout the promises in the open air and free from any exposure to lead. Uhen the individual has been on the iiunshine gang a sufficient length of time to have Jiad satisfactory hemoglobin ana u, B, C. and absence of stippled ceils for a period of three months, he is placed upon what we call our rotating gang, This is the same group as the iiunshine Gang except that they re turn to their former occupation by successive degrees. If all goes well, it takes approximately four months full time to their regular job. luring the first month they return to their occupation for one week and then to the iiunshine Gang for three weeks. If the blood studios show continued improvement, the next month they return to their regular occupation for two weeks and into the hunehine two wooka. Ihe third month they are in their regular job for three weeks and in the uunshine for one week, if all has gone well, they are returned the fourth month for regular occupation for a full month. This patient has come thru this procedure a number of times and has been out of the load haaard since August 1342. Hl3 work on the block is ''wet." The work on the water mill does produce a wet spray which we have considered a hazardous occu pation. He was last assigned to this duty in June 1942 for but one hour dally to oversee this work and have another man trainod to replace him. ^fter sixtydays of this one hour daily, he was removed permanently from -chis occupation. In conclusion, we have abstracted the high points of our dispensary record and will bo glad to submit further information should if be requested. K&K/MG 151-xx fte: 0013789