Document ppVwjVqeO6BB13j95gyD354vw

y/iC/57 - Present: Drs. K. Smith, D. 7. DuBov, E. D. Morrill, and C. Aw* w"? C V, Hahn, and E. Gattor. , J.' - , fI;*!;incc, John - #100 - Dopt. 957 (continuation of follow-through) Getter - Report free Dr. Douglass a3 follows: "Although the lesion we are curr` watching is basal, I feel the safe procedure io to accept the report that has cone in of a positive 3putua as diagnostic of an active basal PLAINTIFFS EXHIBIT T-236a tuberculosis. I would recommend complete rest and institution of specific drug therapy. Considering all the complicating factors it would appear to ns that the sanatorium would prove the preferable location for hi3 treatment. If he is to remain at home, I trill be glad to advise in regard to the drugs, but if he is to be admitted to the sanatorium, it should be 3afe to postpone and leave the choice of drugs to the sanatorium staff." Hahn - Our usual procedure is to notify the man he is not to work and to go on a LOA. . DuBow -- What about contacts? Shecklor - Ho is a patrolman - fire watch - I wouldn't think you would consider he has contacts. Smith - Call the man in and explain that thi3 i3 a contagious disease and right then tell him ho cannot work and then notify his manager or supervisor. Sheckler - Kow would I know what i3 being done? Kahn - We rake out the regular forms and then rocorcmend a 6 month LOA duo to medical reasons. __ Sheckler - I have notified Pat - management - that he ha3 this condition and cut him on notice that there is a man vho i3 a possible non-occupaticn case and wc have tabbed his folder. Smith - The plant manager has to initiate the LOA and tni3 is non-occupatior.al and the Medical Dept, just has to net ify management that thi.3 individual * should be on a LOA. Hahn - We do not notify the plant manager, and we have not in the past. The triplicate form goes to the supervisor and he is the one to initiate the LOA. Sheckler - Wo have initiated a new system. I think you should executo proceeding sane as before but I will notify O'Brien that the man i3 going on a LGA. Smith - If Dave found an active VD caae, we would not .bother you with that. DuBow - Thi3 io a medical problem, I do not think it is an acute natter for management. Sheckler - I thought we would handle all T3 in one way. I do not agree that__you_ should write a note to Merrill or Slack. O'Brien should not hear it from the supervisor. Y^u do your usual routine but it cay not gst back to O'Brien for 3 or 4 weeks. 0'3ric*n should know what is going cn as soon a3 the supervisor. ` EXHIBIT A OOUOi Sheckler - Ho- will I know what io going on? Helm - Slip doss not say wliat i3 wrong, ju3t that it is illness. DuBow - Vehavo not been sending a diagnosis on paper when it is a purely medical ratter. Dr. Smith, i3 it your feeling that a diagnosis should be on the slip3. . Smith - Ho,I do not think so, Hahn - We will continue the sane routina than, Du3crw - Tou do what you want to Cliff, wo will follow the regular routine. MAHY KOETAS - #343 - Dept. 126 Sheckler - About a year ago, vre had quite a se33ion. She had been counseled by ' the Medical Departcantand then she and Ben Stanton got into quite a hassle and after her health counseling she claimed that she had a nervous breakdown and had to be hospitalized by her family doctor and then she and Stanton got into a terrific fight over the bill and she felt that JM should pay. The counseling had upset her so she felt it was cur responsibility. She came in to see me the other day and wanted to speak to zee but I was out. She is cosing in to see ns again this week and I want to know what I was talking about. She is very nervous and high-strung. Snith - Did wa pay the bill? . Sheckler - I do not know, I kept out of it. a DuBow - This case was prepared as an S-54 on the ba3i3 that this woman submitted v an K&A fora with the doctor's diagnosis of Asbestosis and the bill was submitted by Dr. Ulompus. After reviewing the X-rays and examining this woman, I expressed the opinion that she had no evidence - X-ray . or clinical - she had no evidente of an occupationally derived illness and this was confirmed by studies of her family doctor at Somerset Hospital. I studied her on the basis that there were some slight changes on the upper right lung. Gastric studies were negative. However, he did submit the K4A on Asbestosis and the Insurance Co. . refused to pay it. He called me up and asked me if wa would pay. I told him we would not and I told Mr. ITaylor not to pay. She was out about 6 weeks. Bristol studied her and agreed that it was not occupational. She was transferred to another place that was less dusty. * Smith - Yfacre wa3 she working? DuBow - In Tcxtilos. She has been transferred and I understand that she is now har.jy. Sheckler - What was she told when she v/&9 counseled? 000U2 DuScW - Dr. Merrill told her of changes In the upper right lung field but never inferred that it was occupational. She ashed could aha take these . films to her family doctor and we let her. Shccklsr -- This was prior to her hospitalization? DuEow - Ye3. Her doctor? s report was not judicious. I am not sura whether Blue Cross honored tho hospital bill or not. Smith - lrfny is she being brought up? Shockler - She i3 coming in to talk to no about her medical condition, I want to know what to say. This is definitely a potential case, I an sure of it. Adas Chase is involved in it* Smith - She was in Textiles? ' . Sheckler - She has been a winder and weaver from 1929 to 1955* at which tins we . transferred her to ii.P. and then to the Packing Dept, bo she i3 out of dust at the present tics* I think the thing that is confusing the issus*i3 a difference of opininn here, Dave, a3 to what brought the S-54 on* Chase sent css- a letter about her and what wo intend doing about her* The thing that is confusing to me - in your correspondence to kaylor on 11/1/55, you have your X-ray readings _ but in your very last paragraph there was a reading of possible early Asbastosis. Following letter shows regression and not of any known pneumoconiosis. Now my question is - what do you see as of today? Smith - Minimal TB at right apex which i3 apparently unchanged. No Pneumoconic3i . ` whatever. The dust that she night have inhaled would have no effect on T3. Impression was that she might have sons asbestos changes but . the changes are of SB origin. Reading is of TB - inactive. I would advise to keep her out of dust and on days only, but minimize the asbeotesis phase* Minimal TB, arrested, no occupational disease* Sheckler - 1* 2* 3. 4. 5* 6. Tab . Ho AHS .. Hot to work in dusty area Day work only (2nd shift is all right) Advise plant manager. S-54 (Getter - has been done) One shift or first and second shift would do. 3rd is no problem but alternating is a problem. It becomes a union problem. DuBow -- Our policy has been not to make any issues about 1st and 2nd shift but ` we have made issures about a 3rd shift. Smith With that c '.aunt of T3, I would not worry about 2 shifts. Whenever we have star :cd a new plant, we are starting a 3 week rotation, but it is --- Lo in an old .plant.______ ______________ ___ _________ 00003 Koblis, Joseph - /fO^l - Dept. 920 49 years old. Getter - Placed on K.D. in 1954* and has been counseled by us and '07 Dr. Dcuglic; Dr. Douglass was the treating doctor while he was on LOA. Sheckler - Was employed 5/17/29. He has had possibly 6 months of exposure in Pip Covering as a packer. 1929 - Roofing and uorking there until 7/30/30. On 2/23/31j he went into Perror House a3 night oiler. 6/27/33 he was a fireman. 11/36 as foreman in Power Houso. 9/43 watch engineer to dat in Power House. Ha may havo had bituminous coal. _ Getter - There was one positive sputum. He was out grr-a for 7 months DIAGNOSIS: Inactive TB. X-ray reading - A^ea of infiltration right upper lung, subclavicular area in the region of the 2nd interspace anterior. F.e-X-ray in 6 lids. Sheckler - 1. 2. . 3* * Tab Ko AHS Do not notify plant manager. rotating shift. He works in & clean job but it is a DuBow - lie is on a no 3rd shift basis. Thai can make a good case. Smith - Tou could not get a doctor in the whole world to say it would do him any good. EuBow - You aggravate a medical condition with that 3rd shift. Sheckler - The man is a specialist and that is tha only thing he can do. Smith - That i3 a management decision. DuEow - Management is taking a calculated risk. Smith - Thore should not be any 3rd shift. I do not think it i3 our position to say 3 or 4 or 5 day week. He cannot control workings of other people. Yfe want to make sure that he does not have more than a certain amount of work per day. Sheckler - linen I speak to O'Brien, should I say no more than an 8 hour day? Sometimes there is a double shift. DuBow - Ko, no, he should not do this. Mon like this, with his background, have bean drilled - they must gat a full night's sleep, lihen a man has worked 8 hours and ha ia put on 8 more hours, you are doing hy him ham. Shockler - Then no doublo shift. Very often they trork the damndest shifts end vsry often they work 16 and 1C hours. Tney work long hours and then_ take several clays off. Smith*- this r.an i. culd have regular hours of work arid rust and eating. Sheckler - I will tell O'Brien. T>ir>-v; _ iio is up to (1 hours a day. The a.? follows era being followed by Takacs.- Andrew - 539 - Dept. 99$ 25 years old. Getter - Hungarian refugee - Had TB in Hungary but was treated by medication and optir.nl health conditions, was a student at the tine. Cane to this country and put in Glen Gardner for one month, ho said he received no treatment of any kind, just rest. Sheckler - Hired in 3/4/57 *3 an electrical dosignsr. Getter - He was- put on a Ho Dust restriction, preventive basis. G.E. was notified of this and he was hired with this information. Smith - I would not employ anyone like this. They knewof the restriction? Getter - They were notified this ran did not meet company requirements and had a Ho Dust restriction, and they hired him. DIAGNOSISi Moderately advanced arrested T3. X-ray reading - Area of infiltration in rifeht apex and below right clavicle. X-ray in *6 ro3. Sheckler - 1. 2. 3. 4* Tab Ho AHS Adviso manager Has been H.C. They hire him and then if they send him to Lompoc, and it has happened, and he works there for 2 or 3 months, and then you have a claim. DuBow - They hired him even with our restriction. Kahn - They say they need engineers, and they do, so they have to hire him. Merrill - They even hired a man with dementia praecox and thayknew all the facts. Sheckler - The calculated risk is a legal risk. (On Takacs) Smith - It is also a medical risk. This man has TB and can break-down at ary time. Sheckler - I have a suggestion to mako. They understand money. In cases liks thin, if he i3 spreading disease, that is a legal risk, it could very well be, they should know ny opinion on this end they should know the risks. I will call S ith and lay it on the line, and tell this information to them. ri ~ Smith - To get back to ,the dementia pnascox - where did he go, what department? Merrill - To the Patent Dept. Srith - Do not rocc./r-nci employment, that is all you can zivizs mi it in th: bj-3t you car. do. Lut if they go on from there like this, I v.121 enter the picturo. Morrill -- Do wo not recomend and then give no explanation? ouuo Smith - Do not tell them. Herrlll - Vie never tell diagnosis. DuBow - In new employees, we have a right to toll what wo find, because hi3 employment depends or. our findings. Smith - Preemployment i3 not considered the same as privileged information. I would like' to cea it in writing. DuSov - How about qualifying? Smith - The main thing is to have it in writing, that you do not recommend hiring this man. Du3ow - Sometimes they bring in reports from other doctors saying they can do regular work* LESLIE, FRANK - #14233 - Dept. 740 42 years old. Sheckler - Hired in 7/^Q/46 Presently is a painter in divisional maintenance. From 194o to 1947 - worked as unloader in Shipping and Receiving. 1947 - 1951* fisceiving checkroom and truck driver in I Bldg. In 1951 transferred to ESdl as laborer for 1 month and then went to Divisional Maintenance - ever since, as a painter. 5 years potential exposure to silica, portland cement, and asbestos. Getter - Had T3,was in Glen Gardner. Out from 11/19/56 to 3/25/57 with bed rest . and medication, incipient TB - lesion. 13 under the care of Dr. Stol Stolow said there was nothing wrong. Employee was angry with us for what we did. . DuBow - He is doing all right. . Smith - Get another X-ray with full inspiration. DIAGNOSIS: Arrested TB, minimal, right upper lung. No evidence of occupational disease. X-ray reading - Area of infiltration markedly diminished, right apex. Re-X-ray with full inspiration. Sheckler - 1. Re-X-ray and medical dept, to notify CLS 2. Tab ' 3. No AHS This ran will get into dusty areas with his job. Ha goes up and dust off boars before ho paints. 2,. i.ocny plant mnuger uOw *.0 v/o..m duja.... lfork steady days. `)U -7- BRADY, JCoZFH - #947 - Dept. 993 50 yrs. Sheckler - Hired in 1932. From 1932 to 1944 he was a millwright and welder in E&R. 1944 to date in R.C. a3 section nan and millwright. Minimal exposure to silica, asbestos fibre, psrtland cement - 12 years - HR. Little or no exposure in R.C. I have a hote - permanent Light bork for 2 years,'to be evaluated by Dr. Fitch for radiculitis condition. DuBow - Thought he eight have right apical infiltrate. Blunting of left costo phrenic angle* k&?(53x3s Equivocal aroa of increased density right apex* Irregularly shaped X-RAY right hemidiaphragm,present in previous X-rays up to 1947. There is r~~ indefinite infiltration richt riddle lung field opposite 4th rib anteriorly which has changed from 1951 to 1957* In present film, this area has several shadows resembling blebs. Yearly. DIAGNOSIS: Might be infection or tumor. N0 occupational disease or TB, X-ray ` i changes of unknown origin. Sheckler - 1. 2. 3. 4. No tab No AHS Do not notify plant manager No H.C. SHUCilXO, JOHN - #1517 - Dept. 413 58 yrs. Getter - N.D. in 1955 and has been H.C. Shecklor - Hired in 1929* Present job is machine tender, in Roofing, saturator, wrapper in Roofing, utility, Merrill operator to 1956. Then went to machine tender. Slate dust and free silica* Getter - Hs 'has had 14 years in the coal mines. Sheckler - Do you know Ken, what year silica was removed? Can we have a guess as to possible exposure? Smith -- I would guess none* We had one case -- 1946 or 1947 ~ beautiful case of ' * silicosis. Was in Roofing and never had any other exposure but tal was uced. That tins they cams with 35? silica. . Sheckler - I do not know too much about previous usage. Talc they use now is safe. In nV*n .-ut-irnriM saturation room, he would be away from granule * operation, on Merrill slitters, it is slit before granules are put on. s. Smith - Whether or not he had any exposure, he had coal mining before he cams to JM and there is no change to any pattern. . DuBow - Early film would show something of previous employment. C30CJ -3- Kahn - There was no pre-ereplojsant film. First film io 1932. Getter - He says he had pleurisy and hie son and fathsr-in-lav died of TB. DuBov - t'm*r-i - la this one of the type that had no exposure but developed later on? . Sreith - VJere P&S dona on hire? Getter -,P&S were neg. in l/57. DIAGNOSIS; Bilateral moderately advanced apical TB, unstable. Ko occupational disease - but we cannot rule it out. 1-ray reading - Bilteral apical infiltration both apices. 6 month X-ray. Sheckler - 1. 2. ' 3. ' - 4. Tab Notify plant manager AHS Should work in non-dusty area. BLANK, ANNA - #6351 - Dept. 116 49 yra. Sheckler - Hired in 1941. Presently & weaver. 16 yra. of potential exposure to asbestos in Textiles. Has been a weaver and spooler during JK employment. Getter - II.D. in 1952. Worked for 15 years in Raritan Wool Hills. Has been H.C. . ' about Pneumoconiosis. DIAGNOSIS: 123DERATELX ADVANCED ASBESTCSIS, precipitated by earlier infection. Hahn - She bacares upset when she was advised. DuBow - If we can give her reassurance, she would feel better. m Smith - She should not work in dust. She is moving fast. She should have no dust exposure. Sheckler - Should we do an S-54? DuBow - For one reason I do not believe it should be done. Psychologically, it might be bad. Sheckler - It would just mean setting up an accrual and sending films to Bristol, ` etc., - no doctors outside would be involved. Smith - The minute you start talldLr.g transfer, she will be upset. It does not mlany difference, she will be upset anyhow. Via had better set up S-54._ Sheckler - Then vra do do S-54. DuEow - To prepare an S-54 without a physical examination? norm -9- Sxith - When was her last exsnira tion dons? Getter - July, 1956* * Saith - We need a better and tore up-to-date physical, you had batter do ono. .Sheckler - 1* 2 3. 4* Transfer .to non-dusty area Tab Ko AHS Do s-54. Saith - When doing her examination, try to find out whether ks she has had her csnopause. Transfer nay upset her and nay cake her decide to leave the couroary. She night be too disturbed and refuse to take ary other job, she cay becocs totally disabled. If she has passed her csnopause. we do not have to worry too cuch about her being emotionally upset. ^-ray reading - Areas of increased densities with placqus foraation and discrete * areas of tare pronounced densities in the left lower lobe and to a ndnor degree in the right lower lobe. The donas of the diaphraca are slightly irregular. The left leaf shows sons areas of increased densit; The border of the left heart shows straightetiing and is not too well defined. BOWMAN, JAMES - #6874 - Dept. 542 42 yrs. Sheckler - Hired in 1941* Fron 1941 to 1952 - Has had potential exposure to silica, asbestos, and portland cecent in Transits Pipe. 1952 went to _ F/.-R - Divisional Maintenance. In 1942 to 1952 - Crane operatorl * GK etter - Worked in coal siines for 10 years. Is N.D. and has been H.C. DIAGNOSIS: Mixed Pneucoconiosis, codarate. I-ray reading - Scattered areas of fine circumscribed densities bilaterally, with some linear densities in the right niddle lobe. Soce hilar adenopathy. Yearly X-ray Sheckler - 1. 2. 3. Tab Advise plant nanager to work in a non-dusty area, not to work in Textiles. No AHS ' Do we prepare S-54 Smith - No need if he is out of a dusty area. . uoo -10- SMITH, MARSHALL - #19913 - Dept. 113 2o years old. ' Getter - Ho was studied for asthma and shortness of breath. H.C. in I956 and R.D. in 1956. ` Shecklor - Hired in 1950. Section ran in Carding in Textiles. 7 years potential exposure to asbestos fibre. . Getter - Dr. Douglass' report of 5/15/56 ~ Serial X-rays show a normal chest until Kay 1956, when a fairly unifora density with a sharp bordar of decarca- . tion was noted in the right second interspace. In view of the history. This will certainly bear watching, although its appearance is that of a pleural thickening, I would advise Re-X-ray in 2 months. Merrill - In 5/56 - He was said to be a contact at work of two known cases of T3. Reported hemoptysis several timss during summer of 1955. Attacks of shortness of breath, usually while in bed, since 12/55* Reported to be receiving treatcent for asthma. Sonorous and sibilant rhonchii in expiration in both lung3. DuBow - If ha is asthmatic, you cay have a situation like Tile McGill, ary dust might aggravate this condition. ~ Merrill - P was 2 plus. In 8/55 he came to the Medical Dept, and said he raised and spit bicod this coming and also during past sucar. Ec said he is a contact of Ivy Johnson and IV7 Patterson. Told to report to his family doctor - Dr. Rosie. Hahn - Ivy JChnson went to Bonnie Bums. Merrill - Sputum in 1956 was neg. Culture reports were also neg. He was H.C. in 6/57. Sheckler - He has studied Textiles - I believe he is being gccxxsoefct grooned and education, I presume for & foreman's job. He is being taught. DIAGNOSIS: Residual pleurisy right base. No occupational disease. Arrested T3. X-ray reading - Some thickening at right costophrenic angle. Merrill - Dr. Douglass said ho will bear watching because of blood, etc. U Smith - Pulaonary TB. . . X-ray reading - There is an area of infiltration in right 2nd intercostal space anteriorly, prominent in 5/56 and not so prominent in 6/57 X-ray. * X-ray in 3 mos. Sheckler - I cannot recommend taking this man out of Textiles. Smith - T^is is an exceptional case in to >ms..of--what-hs is being. hr.1Tr.3d for.__ If ;;s do not believe :/.:at he is d iig will react ve his condition -- well t. 000 :- Wb :.an tab his Ci1:, * : -.<'j ;:t .i h: Checklnr - ?>.2, 2. 4, Tab ' Aaviso ulait nina-jn'. allowed to continue in Ik-. `-iLv- ,. > i.x.'.a br into sUioa o:<T_c::ure-i <kS . Sring-up, by nodical dept, in 1 jeer. - \ci!'hcjb0':c, iiihccibzo - 6432 - Detp. 646 44 jm fitter - 6 yean in the coal mir-ea. II.D. in 1957* H.C. in 1957* Shoddor - Hired in 1941 ar.d is a millwright, oiler - lad. Products - . .e; w > _ Started in 1941 as a general laborer. Worked on riscur and :: hen \en; to rook handler and then signal nan - crans - general '.fat e: operator, moulder repair ran. In 1951 vent as millwright a' , to da'-e. 16 year3 potential, exposure to asbestos fibre, il;a? sr. . io-ts oartii (calcined and natural)* <>t^or - Tie says he worked in dust bin in S Sldg. v'?i?rVlo? -- then K>C vrhat vran us told. Jett or - X-Vry ^vidoaca of riwxsaconiosis ' -IAC-'.;.43IS: iiLcod early Fnauascccriosia. *-ray -oadia* - Scattered area d discrete fine densi-h we 'Hitorally, ' orlarged. Cccd excursion of diaphragms. j:b.:riy> She icier - 1* Too, to work in non-dusty area 2m Check work ax*oa 3* notify plant manager' 4 Tr.n3far out of raercobestoa if ne-tessTj;/., swrr*x, - 20153 - Dept,. 072 43 years. Center - Kan been K.C* PIS nag* iu 1/57 3h~. 'iler - hired iu 1.941. is r-.chins .-auger in fra: :u.I to Pipe. 'lrvs> Jiy ear.ent si'i'a? p , o or- : /'ing> l-f.'t JH to work on fern y 3/ 5 *. \.b.3 rc~evplo/fru in .,'?/- ' . m dry. few/-i *00033 in bralo 1.*;. -v-t clutch facing and th is i 4 vent to '.?* Tn .1954 t) \ .'1. Pico as a.'ul!': 1 *\au \ . ear p c': i e:*.po-3*.'oo to .- ..t- ` 'b * 3 ^ 1 j 'J. , ^ ^____ n ^ . , ^ >' *i.v >, *. >rcI'-.u-i :.nd . -J ' ,*0 .' c\ iVansite Ibro. ' *0 h v , V '.`j j reported .-.Ldn-. To j ii' 000 -12- 'DIAGNOSIS: Minimal TB, right apex, presumably arrested, should be under ccntinuic check-up and testing. H0 occupational disease. X-ray reading - A^ea of infiltration right infraclavicular area and right apex. X-ray and sputuna every 6 nos. Shecklcr - 1. Tab # 2. AHS * 3* notify plant managor DuBcv - Is he on shift work? Sheckler - Probably. BEG/LNE, STEPHEN - 1515 - Dept. 413 53 years. Getter - N.D. 1952, "Pneumonia in 1952.Old X-rays showed Pneumoconiosis. Worked fo: Oilles Eearing Co. 5 yrs. _ Sheckler - Hired in 1926. Is machine tender in Roofing. Laborer in Roofing and Fitch man and runner. In 1942 went into U.S.Q. ana returned in 1946. Also crane operator plus above jobs. Roofing 1932 - 1957. I do not know what ha did in previous period. 27 year3. with r-.ini-nl potential exposure to silica, talc, and slate dust. Smith - Cn you find out where he was between 1926 and 1930* ghedder - No. In 1929 - coating rolls with asphalt - saturated. He says he work: in Oilles Eearing (core maker - 'foundry) Smith - Core maker about 1945 - was most hazardous job in faxrifcr foundry - silica. DIAGNOSIS _ EARH-KODERATZ PHEUMDCOHIOSIS. - . - X-ray reading - Scattered areas of niliary nodulation bilaterally with hilar adeno pathy. Prominent left border of heart. Yearly. Smith - He will not get into any trouble in Roofing. Sheckler - 1. tab 2. Notify plant manager 3. AHS cr.T.c-, iia;:?.Y - ,;-22S3 - r.c. 41 yrs. Sheckler a Hired in 1943* Instrument technician in R.C. Getter - Scar right posterior thorax. Sputucs in 1955 were negative. Dr. Douglas: reported - 5/24/55 - lo there a scar over the right posterior midchest? Fuaed rib', indorlyin'.; fihrosin, flattered ciia^iiragia and obliterated ; .1 V* .* ** ** " * > 'n * A n 1 ' .ll'/ HOT Addendum:' Our records give a history of at the age of 2 jeare. . A compariaon with outside films taken in 1935 shewed the oaza condition. . essentially unchanged for 20 years. Shsdkler - 1935 - 1932 - Calco Chemical Co. 1936 to 1947 - Servico Utilities. 1947-1949 aaTiX self-employed. 1949 Instrument mechanic. Interesting j; for what it is worth. Is supposed vacation end then go to Colorado [ to pick-up his son who is there for reasons of health. Apparently hi3 ji son died in 1956. - ! Merrill - Positive patch reaction. Is on H.D. restriction. No familial T3 . history. S were neg. i ; DuBcw - Scar? Surgery? ` Merrill - Empyema right side. Dr. Pauly recomanded K.D. when hired in 1949 DuBcw - Has segmental area of atelectasis right lung field* | DIAGNOSIS: X-ray changes of undetermined origin* No occupational diseasa. * X-ray reading - Segmental area of increased densities in right mid lung field. Ar of atelectasis with sons fine linear densities in right lower lobe. Heart in not enlarged. Left diaphragm is higher than the right cn expiration. Yearly. ; Sheckler - 1. Tab 2. Notify plant manager. KRZXSTOW, JOHN - #1306 - Dept.' 255 46 years. Getter - N.D. in 1954* H.C. in 1956. S - neg. Patch 4 plus. Sheckler - Hired in 8/12/29. 23 years potential expoHaro to asbestos fibre, diatoaaceous earth (calcined and natural) in Magnesia* Getter - Advised of X-ray changes. Merrill - When records say X-ray changes due to Pneumoconiosis, ve would not uss the term Pneumoconiosis to patient. DuBcw - I 8poke to thin iran and told him of the changes in his lungs. He 3aid he is in a clean area. _ Sheckler -- Started as canvass cover and went entire Magnesia* Ke says it ia a clean ou ea, I disagree with him -- it is dusty. w. DIAGNOSIS: Early : Lxed Pnounoconosis, plus old arrested TB in the right mid lunj field. Ltcr.-d fine miliary r.rivlaticri hih1.trrally, and small aria caldeposit in left mid lung field. Heart not enlarged. Shacld.or - 1. Tab 2. Not :y Pluhi manager ouu gAV.-Llk, SEVEN - #5939 - Dopt. 991 37 years. C-atter - N.D. in 1955. H.C. of X-ray findings suggeativo of TB. Sheckler - Hired in 1940. Io a carpenter presently. 1940 to 1947 in B Bldg. 1947 wsnt to R.C. as gardener until 1931. Fron 1951 to date, he is a carpenter. Potential exposure for 7 years to graphite. Merrill - Dr. Douglass reported - 6/21/55 ~ Serial X-rays since 1940 first definitely visualize fibrotic changes in the right apex in 1949. - * These have increased very slightly but progressively. I believe they should be classified as m-trytmal tuberculosis and X-rays should be taken every 6 months. Patient would be well advised to maintain optimum health conditions. DIAGNOSIS: Minimal arrested right apical TB. No occupational disease. X-ray reading - Infiltration in right apex, unchanged for the past 6 years. X-ray 6 Sheckler - 1. Tab 2. Do not notify plant manager 3. No AHS :. ~ - LUKACS. S7FVK - #3885 - Dept. 210 39 years Getter - Worked in coal yards for 10 months. Sheckler - Hired in 1936 in H Bldg. Stripper in 1936, punch press in 1937 in . * R.S. Stocksr in Textiles in 1939 to 1942. Separated in 1943 and rehired in 1945* Shipping and loader in Paper Mill and Magnesia 1949* . In 1949 - handler in Magnesia - clean tanks and pipes until cr.d If 1949. Sheet slitter and section man on bands until 1954* Went to Thermoflex as Jr. operator until 1954 and then pipe cutter in Fire Felt. Potential exposure of 19 yean to silica, diatomaceous earth, asbestos fibre. N.D. in 1952 and H.C. 1956. * DIAGNOSIS: Mixed Pneumoconiosis, moderate. X-ray reading - Diffuse parenchymal changes, bilateral, consisting of very fine _ miliary modulation with sons calcification along the right mediastinal pleura. No cardiac enlargement. Yearly. Sheckler - 1. Tab 2. Notify manager . 3. AHS HITCilSli, GIORGS - #20oC4 - Dept. 072 Gott9i* - 11 years in hard coal nines. 41 years 000.