Document pe4RmZKLrDJr5Jbb6QanB35qB

A p r il 1 , 191+1 Dr . Lle w e llyn Sa le 1+5-'3 O liv e t r e e t S t . Lo u is Missou r i Deer Do ct o r S a le : In c o m .a c t io n w it h t h e e s s e b r o u g h t bo y o u r a t t e n t io n b y t h e S h e l l O i l Company a t Wood R i v e r , I s h a l l b v e r y g la d t o o o o p e r a t e in ob t a in in g any in fo r m a t io n w hich may be u s e fu l. In su ch co n ve r sa tio n as I have had w ith Mr, G i l l i s over th is ca s e , I su gge ste d the a d v is a b ilit y o f h a vin g a thorough go in g exam in ation a t th e hands o f a com petent in t e r n is t fo r the purpose c f d eter m in in g c le a r ly the ge n e r a l n a t u r e an d d e gr e e o f an y d i s a b i li t y w h ich he may have a t t h e p r e s e n t t im e . The q u e s t io n o f le a d e xp o su r e has a r is e n in t h is c a s e , and no d oubt a t th e p r e se n t tim e i t w ill b e d i f f i c u l t t o s o lv e t h is q u e stio n by en y la b o r a t o r y o b s e r v a t io n s . D e s p it e t h a t f a c t , I am e n t ir e ly w illin g to su p p ly you w ith co n ta in e r s fo r the c o lle c t io n o f ce r t a in sam p les, and a ls o t o send in s t r u c t io n s fo r t h e c o lle c t io n o f th e s e sam p les in su ch a way t h a t no o p p o r t u n it y w ill be o ffe r e d fo r con ta m i n a t io n , Th is w ill e n a b le us bo see w hether a t the tim e o f your exam in ation th e r e is any e vid e n ce o f abnorm al le a d a b s o r p t io n . Th l3 raay be u s e fu l in th e in t e r p r e t a t io n of any e x is t in g evid en ce of in t o x ic a t io n . In h a n d lin g th e m a t t e r in t h is fa s h io n , you w i ll o b v io u s ly be fr e e d o f any p r e co n ce p t io n s o f an y k in d , and can a r r iv e a t w h atever co n clu s io n s seem ju s t i fi e d on p u r e ly c l i n i c a l gr o u n d s . At th e same tim e I s h a ll be a b le to su p p ly you w ith a n a ly t ic a l e vid e n ce fo r the purpose o f e v a lu a tin g th e e ffe c t s o f le a d exp osu r e, i f such e ffe c t s have p e r siste d to the p r esen t tim e . Our e x p e r ie n c e p e r m it s u s t o s a y t h a t an e xa m in a tio n o f t h e b lo o d and o f a sam p le o f u r in e , taken p r a c t ic a lly s im u lta n e o u sly, w ill r e ve a l th e s t a t u s o f t h is man w it h r e s p e c t t o th e g e n e r a l le a d c o n t e n t o f h is b o d y a t t h i s t im e . An e xa m in a t io n o f t h e s p in a l fl u i d can s c a r c e ly h e r e ga r d e d as u s e fu l fr om a d ia g n o s t ic p o in t o f view fo r a number o f r e a s o n s , c h ie f among w h ich i s . t h e fa c t t h a t no one h a s w or ked ou t a d e q u a t e 2 s ta n d a r d s Tor the d iffe r e n t ia t io n betw een nor m al and ab n or m al v a lu e s . Mor eover th e r e la t io n s h ip s b etw een the le a d co n ce n tr a tio n in b lo o d , t is s u e s and s p in a l flu id have not been s tu d ie d a d e q u a te ly, an d , t h e r e fo r e , no s u it a b le i n t e r p r e t a t io n ca n be m a d e . On t h e o t h e r h a n d , i f you a r e in t e r e s t e d in o b t a in in g a sam ple o f s p in a l flu id in t h is ca s e , I sh ou ld be gla d to send you a s p e cia l n eed le and a s p e c ia l r e ce p t a cle fo r th e s p in a l-flu id . In our exp e r ie n ce i t i s u s e le s s to exam ine th e s p in a l flu i d u n le s s i t i s o b t a in e d by means o f a s p e cia l n e e d le p r o p e r ly p r ep ar ed and cle a n e d fo r t h e p u r p o s e , and u n le s s t h e sam p le i s id. th d r aw n in t o a s p e c ia l ch e m ica lly c le a n c o n t a in e r . The q u a n t it ie s o f le a d in vo lve d are so s lig h t t h a t i t i3 a lm ost c e r t a in o t h e r Aloe t h a t co n t a m in a t io n o f th e sam p le w i l l o ccu r an d d e s t r o y the s ig n ific a n c e o f any d a t a w hich m igh t be o b t a in e d . We h a ve s t u d ie d a number o f c a s e s p u r e ly fo r I n v e s t i g a t i v e p u r p oses, and I s h a ll be a gr e e a b le to d oin g so in t h is ca s e , i f you are In t e r e s t e d . I e n clo s e h e r e w ith in s t r u c t io n s fo r the c o lle c t io n o f th e b lo o d and u r in e sam ples and w ill send you , s e p a r a t e ly , co n ta in e r s by m a il. Co r d ia lly you rs, HAK i s Ro b e r t A. Ke h o e , M.D.