Document pe8ojgxBEVjzXe13V78ogM91B
Shell Oil Company Shell Chemical Company
A Omson ol She*Oi Company
Deer Park Manufacturing Complex RO. Box 100 Deer Park, Texas 77536
R. A. Hughes, M.D. Medical Director Deer Park Manufacturing Complex (713) 246-6304
July 6, 1990
Bernard L. Bradley, M.D. 4003 Woodlawn Pasadena, Texas 77504
RE:
Dear Dr. Bradley:
This forty (40) year old male has shown some evidence of pleural prominence along the right lateral chest wall. He started at Shell in 1973, so he has only been here for about seventeen (17) years. We are sending along chest x-rays with him, and also the copies of spirometry. We would like your opinion as to the cause of this. He denies any injury, and certainly no operation to the chest at all, and I felt that we should at least get a baseline on him at this stage whether or not it is related to asbestos.
Thanks very much in anticipation.
Yours sincerely.
Robert A. Hughes, M.D.
RAH:mlb
Enclosures
cc: Employee Medical Record
ABS-055533
LAM 032140
S-1329O(4/B0)
006061
PULMONARY REGISTRY
CONFIDENTIAL - MEDICAL
NAME Of EMP^OYEF-
| EMPL<">vCC U| iMnEfl ,
LOCATION ,, JiMC-
... ?........................................ '.....................................................................................>.>............................................. ............................
REASON FOR REVIEW
1. CHEST X-RAY REPORT INDICATING: a) Possible pleural abnormalityL' .
7. Has the employee had a job where it Is possible, or likely, that he has been exposed to some other agent known to cause a dust disease of the lung, (e.g., Silica, etc.)? If so, list
,,. ,--. --. . I I YES Ixt-fflo -- 1--1
b) Possible fibrosis
2. PULMONARY FUNCTION TEST ABNORMALITY: a) FVC Ipss than 7R<*h of piwlirtpri
8. PLEASE LIST JOB TITLES AND NO. OF YEARS IN THAT POSITION
tJr*r? ---------------------------------------------------------
h) Other ,, Other reason
for review
9. is there any history of other respiratory illness that could account fa (he X-ray abnormalifies under consideration? If so, list
|--i vcc (--i 1___1rtb 1 |N(J
4 Time of ' service
t. . / /^
5. Has the employee worked In a facility that used asbestos so that It Is possible that a pleural plaque could be related to job exposure?
6. Has the employee worked at a job (e.g., bricklayer, insulator, etc.) lor a sufficient time (usually at least 10 years) fa it to be likely that asbestosis could have developed?
. RESULT OF REVIEW: ^ ^ ^
rrx/ i--i 1 UfYES | | NO
10. Is there a history of exposure to a pneumoconiosis producing agent outside of employment at Shell (pria to working at Shell or associated with a parttime job, or avocation)? If so, list
1--1 Itj YEb 1__ 1NO
<7T12A4f^c*^--
,--. ,--, YES NO
-- --1
Recc/mmendation: '
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/} -> ] /Jk**-*L
) NOTE^g&k list ot actions to be completed by the Company doctor and j&tffrffg^rregistry in Houston, with one copy to be retained m employee's
( IP SLEURAL CHANGE
Patient counseled:
OSHA Form 200:
i V /^n
wooer's Compensation:
N
*
EMPLOYEE REFERRED TO DR. (Please send copy ot consultation when available)
COMMENTS:
DATE j
fa*! Iff 6
Ah
T
i drsname
f A,
7
IF POSSIBLE FIBROSIS Patient counseled: OSHA Form 200: Worker's Comoensation:
-rj* 7
DATE
CONTEMPLATED FOLLOW-UP
__________
^PERIODIC EXAM
Q OTHER
INSTRUCTIONS: PART o1 -. WvcHiITi nE wCOrnPYov- L.OrrCvAoTpIOnoNAMTEFDMICFAnLiCDAEiPAoRfTpMaEpNtmT fnt
ABS-055534 _
LAM 032141
-j'^f
S-12972 <11-86)
ILO PULMONARY SURVEILLANCE WORKSHEET
EMPLOYEE NAME (Rnt. MMrife ' -
COMPANY ^company
D
1A. DATE OF X-RAY
BV&lStl
EM *-- --DATE OF X-RAY READING
7-10-89
OTHER (Sp**ri
TYPE OF EXAMINATION asbestos s.uca
OTHER
mmmmmmmmmmmgsmasrn
18. FILM QUALITY
IT* 3 7^1
if Not Grade i Give Reason:
1C. IS FILM COMPLETELY NEGATIVE?
^'ll rV` K<1'----------- 7
YES 1 1 Pro"1 o
1--1 Section S
NO F7I Pioeeeb to
Section 2
2A. ANY PARENCHYMAL ABNORMALITIES CONSISTENT WITH PNEUMOCONIOSIS?
2B. SMALL OPACITIES
*. SHAPE/SIZE
PRIMARY
SECONOARY
b. ZONES
YES COMPLETE
28 and 2C
NO
PROCEED TO SECTION 3
c. PROFUSION
V- % % */ V. 7* V. Vi Vi Vi Vi v+
2C. LARGE OPACITIES
SIZE
OA 8C
PROCEED TO SECTION 3
3A. ANY PLEURAL ABNORMALITIES CONSISTENT WITH PNEUMOCONIOSIS?
YES
COMPLETE 38. 3C and 30
NOQ
38. PLEURAL THICKENING
a. DIAPHRAGM (plaque)
3C. PLEURAL THICKENING . .. Chest Wall
a. CIRCUMSCRIBED (plaque)
b. OlFFUSE
PROCEED TO SECTION 4
SITE |'0 R L
b. COSTOPHRENIC ANGLE
SITE
R T|
30. PLEURAL CALCIFICATION
SITE IN PROFILE
i. WIOTH ii. EXTENT FACE ON iii EXTENT
0n 'JD A e C
.0 1 2 3
10H12131
\Q L 0A 8C 01 23
t 23
SITE
a. OlAPHRAGM .. b. WALL.............. c. OTHER SITES
o R 0 0 0
EXTENT 1 23 1 23 1 23
SITE IN PROFILE
i. WIDTH ii. EXTENT FACE ON iii. EXTENT
*> R OA 8 C 01 23
[T 1 2 T|
,0 L 0A BC 0 t 23
EL
a. DIAPHRAGM.............. b. WALL.... ......................
0 0
c. OTHER SITES........... 0
EXTENT 1 23 1 23 1 23
PROCEED TO SECTION 4
4*. ANY OTHER ABNORMALITIES? 48. OTHER SYMBOLS (OBLIGATORY)
YES
COMPLETE 48 and 4C
NO Q
PROCEEO TO SECTION 5
ax | bu ca cn CO cp cv di ef cm es fr hi ho sjd ih kl
Report items which may be ol present clinical signifi cance in (his section
(SPECIFY od.)
P* P* rp tb
Date Personal Physician notified?
MONTH
1
OAY
YR
I
1. CLINICAL INTERPRETATION
2. B-READING COMMENTS
i/nc-re ic a c-nioifird srar.uioou in ".he rion . lover 1 ZT'.y field and ::ie
of ::*? r.i <r.t. iiaidiravr;* is
s-x.S' ir.airjtirct. Ar; ur.-
caiciJxtv. pL aural pi'C;-.:'- is .i-pi-T r?!iov-.o.
in cris ncim uo-vf/r
lunu lieid. dxceoL tor coo it*!stincr. hi.'.; :nra.p. cn c.?a current exac-
i:i .tTion no- .uucfi inco-rod i cliar-ge iti coon a ."iC3 0-3. I~b 1 -
PLEASE TYPE OR PRINT
NAME OF PHYSICIAN
E. SHEERER. M.D. / R. A. HUGHES. M.D ao^ELL OIL COMPANY, P. 0. BOX 100
V:iTYJs*tibapcaic\r\, 1 EXAS 775o6
PHYSICIAN S SIGNATURE
, /
SIGNED
' / -/-
oate signed
i/
ABS-055535
NSTRUCTIONS: WHITE COPY - FOR CORPORATE MEDICAL DEPARTMENT
LAM 032142