Document q08Dp7p96JYpM504kYr6M85K

FILE NAME: RT Vanderbilt (RTV) DATE: 1968-1995 DOC#: RTV054 DOCUMENT DESCRIPTION: Medical Records of Patients with Mesothelioma with Doctor Cover Letters SENT BYiXarox Telecopier 7021 ; 2- 8-85 i11553AM i i 2028874108- 35i# 2 W JtC . MORGAN, M.D. FRCP(Ed},r FRCP(C), FACP CHE8TK8EA8HS UNIT T1018}fl-58Oe F (518) 3-5232 Unfrrafty HotpM PAB5339 338WliutenninRwd ' Union, Ontario KSA5A5 Febnia^ 1,1995 RE 2have had forwarded to me a numberofmedical and other recordspertaining to the above subject I shall review diem in their order o f presentation. ` * . t. The first item for comment is s Work History and some background information aggregated by Charmeme Hauff, Claims Examiner. .I t seems th a tM g M H E worked fo^RT Vanderbilt from August 1934 until March 1994. During this time he urns t miller operator crushing talc fenn 08/54 until 09/54, a labourer from 09/54 until 10/54, and from 10/54 until 01/33 us a second m iller operator on foe machines that separate foe ore. From 1955 until 1979 MnW M H P worked in quality control testing measuring material, Le. in 41* esse tale. While working in foie capacity, 85 per cent o f hi* time was spent in the laboratory which was separated from the mill and the other five per cent o f die time was spent in mill. From 1970 until 1994 riM P M M nf was supervisor of quality control and during this time ho spent 75 per cent o f his tim e in a laboratory end foe other 25 per emit in tire miiL th e latter was often dusty. <ktv was assigned a respirator in 1974 and was required to wear it white in dusty areas o f foe mill. "M M JM P M s stated to have smoked 20 cigarettes a day since foe age o f 16. The d u s t x-rays taken on 02/29/88 are said to reveal lung scarring either in the parenchyma or foe pleura o f both lower lobes. The next item for comment is a report of a chest x-ray taken on 03/06/86. There is said to bo scarring either in the parenchyma or pleura o f both lower lobes involving foe diaphragm*. The x-r&y was said to-be unchanged from prior'examinatlon*. RTV002363 SENT BY^iJACKmiE LAW FIRM CONFIDENTIAL" M2V-85V4ivl-cl s:i0V4VAiVMv;t 4TH FLOOR RErCeEuPTIONx--*v ? iU J^ 357 f 3/12 N o . 1/0 P .O d VVJCC. MOR3AN, M-D. FRCfHEty, FRCP(CJtFACP OKEST Di8EABES UNIT Ftx <518} M 3-32M *l ViWh V HfttplW P.C lB **g33 * hM h m ii km< ten d o n . Onterf Na\*s February 1, 1995 JREt l have had forwarded to m a a.number o f medical and other record* pertaining to the above subject I sfcalt review them In Their order o f pmentstJon. The fu st Item for comment Is b Work History and some background information aggregated by Cbarmaine Hauff, Claims Examiner. It Mem that IH M M m f worked for KT Vanderbilt from August 1954 until March 1994. During this time Ho was miller operator crushing talc from 08/54 until 09/54, a labourer from 09/54 until 10/54, and from 10/54 will! 01/55 a* a second RjiiJer operator on the madiuws that separate the ore. From 1955 until 1970 M M M M f worked in quality control testing measuring material, Le. in this ease talc. While working in g ib capacity. 85 per cent ofh b ttme was spent in the laboratory which was separated ftm a the mill and dm other five per cent o f fee time was spent fa milt. From 1970 until 1994 T M M M p fo * * * supervisor o f quality, control and during this time he spent 75 per cenr o f hi* tim e to a laboratory end the other 25 per cent In (he m ill The latter w u oficn dusty. M M to n assigned a respirator In 1974 and was required to wear it while in dusty areas o f fob miB. M N M H h tts stated to have smoked 20 cigarettes a day since the age o f 16. The chest sways token on 02/29/88 are said to reveal lung scarring either In the parenchyma o r tire pleura o f both lower lobes. On the next page there is a letter from Kenneth S. Goldman addressed to State Insurance Fund, Liverpool, New York and dated December 1,1994. H ere it indicates that D r. AShraf diagnosed cancero f the lung a* well a* a pleural effosiou. There i3 soma discussion in the report bout an alleged mesothelioma. I ti* letter indicates that prior roedlcnl records should be obtained and evaluated. Mention is also mad* o f the fact that iM M M B f fcu carcinoma o f the prostate. The next item for comment is a report o f a chest x-ray taken on 93/96/86. There is arid to be scarring efther In tba parenchyma or pleura o f both tower lobes involving (he diaphragms. T he x-ray was said to bo unchanged from prior examination*. RTV002364 "' '***%Xu" SwE*-N` T- .BTY7*Mir*A.CKv E. tN- ZIE LASu iFiIvRvMv t . ;*2-i~- 2i w-8.5w ;1j m1:0j s4/AuMj j 'ij 4TH FLOOR REr afftiifTlONt VvS i U * o # N Q *U,,U,,*tf aSPj *. U,,4i /12 Lawrence A f r ib r s /- 2 N ext there re *ome Progress Notes which re dated 04/28/92. There appears to be no signature on these notes, or if there is, it is illegible. It it noted that in 1292.jgM M M Bf was still Brooking and he was given Nicoderm patches to help him stop. In October 19$2 Mr. iM M M i went to Gouveroeur Hospital complaining o f right sided chest pain. A stress test was performed at that tim e and this showed no ST segment depression. Hie was, however, noted to have hypertension. On 03/22/94 he was seen complaining o f tiredness, fatigue, and shortness of .breath. Decroered bresth spnnils stth c rig h t base werenotMm.thM.thne, .The.chest x-ray was saJd to sb O w * ii^itsid ed 'p l ff leaii3 io n ,G n 0 2 i2 9 /9 4 ftlsi !ied riielrit* ipatietrfisPSAtv6s high and that the prostate was said to he nodular. The comment was nttde th at the patient may have primary cancer o f &e prostate, metastatic to fee lung, o r possibly a mesothelioma of the hm g. JHJQRtePuafwas to be referred to a lung specialist From what I can gether, M M M M w as seen by Dr. El Bayed!, Syraense, N ew York, for a ifsfst thoracentesis. He considered mesothelioma to be a p o ssib ly . M te M M u f rafttsed chemotherapy and further treatmentfrom the Cancer Center in Watertown. - There to then an Histoty and Physical Examination from Ds. 19 Baysdi which is dated 06/03/94, V M H r was smoking one package o f cigarettes a day when seen, an habit that h e bad bad fb r AS years. Here It Indicates that be worked with various substances in manufacturing "pent". 1 presume (hit should rend "trio?. Silicates and tririUcates are also mentioned, however, it was uncertain whether any asbestos was involved. A pleural u p w as carried out end this showed mononuclear celts in rite Bind fo r the most part. The pleural fluid cytology w as arid to be suijdclou* but not diagnostic o f adenocarcinoma. The efftislon was noted fa be largo and almost 3/4 o f the way up the right hem!thorax. The PSA was 9.7. Mr. dM M M bxd a work up canted out and be was fbiatd to have an adenocarcinoma of tlmptostafe- *qH M M M Pw a$ subsequently admitted to hospital on 06/03/94 fo r multiple wedge excisions end pleurectomy. The pleura was noted to be thickened, there were multiple Bothdaritfe, and multiple calcified pleural plaques. The appearance* o f the lungs at operation w ere said to b e compatible with a moaoAritoma. The prelfmlnaiy pathology rxports indie m ostly an iaflam rnataiy process. This is tellow ed by a Discharge Summary relating to the admission to St. Joseph7* Health Center on 06/03/94. The biopsy was reported as showing a m alignant mesothelioma with calcified pleural plaques and pulmonary ferruginous bodies. The latter bodies can be assumed to be composedo f trio, I M M M I v a i also noted to have aortic valve disease with mild tricuspid regurgitation. He WMsubsequently seat by H r. El By*dl on /o n e 30,1994 as an out patient Mention u made that tits slides were looked at by Dr. Anna Louise K atsenstrin who frit that there was * mesothelioma present W e next move on to a letter Horn Hr. Koinane o f Watertown, New York dated duty 28, 1994 and addressed to tor. AriuuT. Here it indie! the M N M N ttta d bad a pteurodoris and th a t ho was reeling much better. It le rise noted that be was being recommended for radiation therapy to bis prostate. Dr. Komeno did no t feel that chemotherapy o r radiation was indicated which, as far as I can say, constituted sensible advice. Additional outpatient notes follow dated 1992 and 1993. RTV002365 VAf r t l SENT, BYMACKENZIE LAW FIRM ; 2- 2-9S ; 11:05AM i 4TH FL008 RECEPTION 33 IU -JS 85;# 6/12 NQ.UU P.U b L umwhc* M tJbcuf-4 A ch sit x-ray t*k*a on (W/04/84 1* reported a* showing a slight increase in pyJmonaiy markings in the lower halfo f both luftgt fields. There re then ttumerouB x-rayrtporta from Dr. RivelHai indicating that b o b longs are clear, etc. 1 can only conclude that Or. KivsUini did not see the shadows diet others have alluded to. The earliest chest x-ray read by D r. RivalUni goes back to 1971 and at that time it was said to be norm al Chest x-rsys taken in the I960* at Edward John Noble Hospital are likewise reported as normal. ,. There are then sonjB O&or jobs as a moulder at Carthage Machine in the 1940s and 1950s, possibly at foundry, and also bt construction. Ho seems to have worked at these jobs very eady in his life, and before he started working for RT Vanderbilt company. Numerous other medical records and other notes follow. All Indicate that M M H M V had no significant radiographic abnormelitio fat tho lute 1979s and this probably go* for foe early 1980. Sfonmaty and Conclusion* ' bviourly has significantcalcified pleural plaques affecting both tides o f the thorax, Ifw se can be attributed to h it exposure to talc dust whHe working for RT Vanderbilt. It is apparent that they did not become evident on the chest x*ry until wan Into the m id or late 1980. iveloped a large right pleural effusion is early 1994. Its onset was relatival? sudden and without doubt la malignant. The question arises as to It ctwre, namely, is It consequence o f extension o f a oardnonw o f w e lung, is it related to a carcinoma somewhere else in tire body, 1, the prostate o r gut, o r is It a mesotholionia? Based on foe evidence available so far ills not possible to say The sudden onset o f a large pleural cifosion Is omwhat against a mcectfaeiiom which usually presents more *lowly with chest pain and a sm all o r moderate cRWoru tn favour ofthis being related to lung cancer which he? spread from tho lungs to foe pleura is the fact that iM H M v h a s nodule in foa right middle lobe. This was n o t biopsied a t foe tim e he had his thoracotomy, ' H ie description Indicating that there were ferruginous bodies present In foe lungs goes along wifo exposure to talc. The presence o f ferruginous bodies Indicate that foe exposure has been feiriy high, b at not necessarily enough to produce parenchymal fibrosis. Before reaching a diagnosis, ft Is essential to have /briber studies o f foe pathological specimens obtained including tn Cnslysis o f those available portions o f foe lungs to sc whetherthere is any asbestos present In this connexion, ft is essential to know for w f t o n r M f l B i worked before RT V anderbilt He did not start working for the latter company until he was aged 22 and he may have bad exposure to asbBstor prior to starting work for ST Vanderbilt. A s mentioned earlier, there is some suggestion that he worked hi construction and In a foundry. is uncertain. There is, however, no doubt tin t his lung function detw iortted fd rly rapidly between the late 1980s and the early 1990s (vide supra). The on# set o fpulmonary function tests RTV002366 . _ . -.-iVH- -- '*-A4/;il * MJ+f SENT BV-HACKENZIEUH? FIRM : 2- 2-85 ;li:06AM; 41 FLOORRBCEPTJWh 35;# 7/12 -- -- ......w . n u heo .y b lu io ti Na.UOy F .O / L m t'ttn c eM tS b o tf- 5 thst wss eoeompanlcd by iridga olearfy iodcsfed Itta tM flB M B R ltii restrictive lmpairtnent. Huit w asat n e befpre he -was know to bave developrd h pleural ffiasion, fce nly long ftmctin tests are annmd d u lower m it o f normal. fcowever, th c fa c tih a t they wwe in the norm al nm geJndjcute tha ven ifib e y v e rs so t t sx lin itf;')V !JS ji|p R m IIJ paW e o f cbisving joScicat alrftow t put tara into th aao rm tl range. >lte aufcaequant tests are well below fi normaf range. Ifcus there r rtiong evitience fiiatsera* change tolc place in bis long ibnroniu tfeel^lP B O s.andforw T M seJuu^^ U om patftldw lii pdm oM ^ b ro fiR -M o w v ir.t^im o u jo ^ place et O6/0/94, mention kjnatkofw w lgeiriopsfes bdngpedbrm eti oftfce abnormal looibtg lung tissus, but uafbrtunateiy no miceoecopc description o f fi longs givea. Faatly, lhere is no better explanation thaa pulmooaty fibrosfa, La. pBeumecomosIs, for tbo rduction in Jung fmotion tiian that noted above.. WKCMrV i RTV002367 W-K.C. MORGAN, MX>. FRCP(Ed), FRCP{Q, FACP CHEST DISEASES UNIT T el (518) 6S3-3SC8 Fax (518) 653-3232 April 23, 1995 S Unf/etsUy Hocpttal " C O N FID E N T IA L " PX). Box 5339 3 3 9 Wntfwtnare Road London, Ontario NSA5AS RE SS# I have had forw ard to m e a Discharge Summary relating to an adm ission on 03/22/94. I t seem s th a tltM H H H p K ia d been in Florida in d ie eariy part o f 1994 and w hile coming back h e developed crackles and fever. H e also complained o f tiredness and fatigue and shortness o f breath o n minim al exertion. H e had stopped smoking fo u r weeks prior to being seen but prior to th at had sm oked a package o f cigarettes a day. H is right Jung was found to be dull to percussion w ith absent breath sounds. The chest x-ray taken at that tim e show ed a large right pleural effusion. A thoracentesis w as carried out and he was noted to have a calcified pleural plaque associated w ith soft tissue pleural thickening on th e right diaphragm, surrounding the right posterior base. I t seem s that iM N M M M ftad several thoracenteses carried o u t w hile in hospital w ith approxim ately tw o litres o r m ore o f fluid being removed. The pleural fluid was admitted fo r cell block and w as fe lt to be suspicious for adenocarcinoma. T he other m edical data have already been seen by m e and I have nothing further to add. In th is case w e need a complete occupational history going back to file tim e N M N M flH I le ft school. I also believe it is essential to have tissue that has been rem oved examined by a thoroughly com petent pathologist W KCM:k W . K . C. M organ, M .D. RTV002368 W.K.C. ORGAN, M.D. FRCP(Ed)., FRCP(C), FACP CHEST DISEASES UNIT Tai (are) esreaoe Fax (519)683-3232 M ay 10, 1995 uN E5S====e ' UnivcrcBf H&spftat " C O N FID EN TIA L P.O.Box 533S S39WWeww Road London, Ontafe N8A5A5 RE: SSff I have had som e additional m edical records forwarded to me on T hese originate from S t Joseph's H ospital Health Centre, Syracuse, N ew Y o ii. These are som ew hat m ore inform ation In that they mention th at IM M B M b lia s an history o f asbestos exposure, having previously been exposed to silicates and silicone pow der. M ore im portant is th e fa c t th at the biopsies w ere reported as showing pulmonary ferruginous bodies. This report is signed by D r. K alish and is dated 06/15/94 and describes a biopsy o fthe rig h t long and pleura. A diagnosis o f malign ant m esotheliom a w asm ado and pulmonary ferruginous bodies were noted. T hese can be further exam ined to show whether they consist o f asbestos - hr one form o r another, w hether they are fibres derived from talc, o r w hether they are asbestifbrm treraolite or nonasbestiform tremoKte. These w ould have to be examined probably b y TEM to decide. 1 note th a t w e still have n o t g o t them but they obviously do ex ist W KCMtk W . K . C. M organ, MX). RTV002369 BERTHA M. GARCA MO. FRCPtCJ. FCAP. MAC Assodala Piotasvwol Pathology Oeciot ol Cytology Surreal Palholaglst U niversity H ospital sSiiabM "CONFIDENTIAL" July 6 , 1995 Dr. K. Morgan . Orest Medicine University Hospital 339 Windermere Hoed London, ontaria N 6A 5A5 , ' ' . Dear Dr. Horgan: Please find enclosed review report on W M H H N ( As yon can see from my report the material ve received vere two cell blocks which have cytology highly suggestive of adenocarcinoma. Unfortunately the quality of the specimen is less than optimal and Z wonder what type of processing or fixation they have '.done with t h e specimen because apparently it interferred with bur imnunohistochemical stains, so my diagnosis is purely based on morphology and in m y experience', such cellularity and the high degree of cellular atypia is more consistent with adenocarcinoma. I t is unfortunate that the specimen is less than optimal in quality. ' I hope you find this satisfactory and thanking you for allowing me t o review this case. sincerely yours. 3 Owr><t3A0OperatedbyLondonHeaftfeAssodaibn * 339 W indermere Road. London. O ntario NGA5A5 Telephone (519] 663-2954 Facsimile (519) 663-3743 RTV002370 ` 'i ( a - University Hospital, London, Ontario - R U N ON 06/07/95-1502 DEPARTMENT OP PATHOLOGY ^ v /m u /a ix M A li' PAGE 1 RUN FOR 06/07/95 CYTOLOGY CONSULTATION: **-******#********* **-* D .o .e. Age: Sex: N 95:CY0001411S S000092B0 REFERRED OTHER 26/06/95 ' SP EJUCNI MEE2N6S, UB1M9I9T5TED! S U B M I T T I N G PHYSICIAN (S) : Dr. W.K.C. Morgan, U.H. cci Lewis County General Hospital Department of Laboratories Lowville, NY, 13367 CLINICAL INFORMATION: . Re f e r red from Lewis County General Hospital, Lowville, NY, #C94-377. M u e Icarmine and Intmuno stains ordered. SPECIMEN: I: PLEURAL FLUID ** DIAGNOSES ** PLEURAL FLUID: SUSPICIOUS FOR ADENOCARCINOMA. COMMENT: ATYPICAL REACTIVE MESOTHELIAL CELLS AND SOME HIGHLY ATYPICAL CELLS WITH M O R E IRREGULAR AND HYPERCHROMATIC NUCLEI A R E F OUND IN COLLECTIONS WITHIN T H E CELL BLOCK SPECIMEN. THE MUCICARMINE STAIN IS NEGATIVE. IMMUNOHISTOCHEMICAL STAINS ARE EQUIVOCAL. 03/8 8 / Iw * S I G N - O U T : PATHOLOGIST, DR. B. GARCIA ___________________ RTV00237I University Hospital, London, Ontario RUN ON 06/07/95-1503 DEPARTMENT OF PATHOLOGY CYTOLOGY CONSULTATION: * 4HHHt*JMHi4H H H H fX * * * * * * * 9S:CY0001412S u u rsx u i!, iiM i PAGE 1 RUN FOR 06/07/95 Sex: H S000069280 REFERRED OTHER 26/06/95 SPECIMEN SUBMITTED: JUNE 26, 1995 S U B M I T T I N G PHYSIC IAN (S) : Dr. W.K.C. Morgan, U.H. cc: Lewis County General Hospital Department o-f Laboratories Lowville, NY, 13367 CLINICAL IWDRMATION! R e f e r r e d from Lewis County General Hospital, Lowville, NY, #C94-378. Mucicarnine and Immune stains ordered. SPECIMEN: 1: P L E U R A L FLUID - ** DIAGNOSES * * PLEURAL FLUID: MARKED ATYPIA. COMMENT: ATYPICAL CELLS SHOW ENLARGED AND HYPERCHROMATIC NUCLEI. STAIN IS NEGATIVE. IMKUNQHISTOCHE THE HUCICARHINE SIGN-OUTt PATHOLOGIST, DR.D. GARCIA K l> RTV002372 "CONFIDENTIAL" TH E UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL School of MnSdne Dcpr[ffK*uol NktfKint Dinston of Pitfmaiw.v Disease* & Critical Care Medicine 3a.xma.ry 37, 3996 The of North Cerotto nt Chsjwl Hit CO* 3020. 124 8urnet*Utomaci GuMtnf Chapef HOI. NC 2W 9-7C W: (919) 906*233) EhX' (919) 9A6.7CH? Jo h n K else M anager, O ccupational H ealth & Safety R .T . V anderbilt Company, Inc. 30 W infield S tre e t N orw alk, C T 06855 D ear John: I review ed th e chest radiographs from Ju n e 1994 on I M a M l M H M V and show ed th em to o u r chest radiologist a s welL A fter a large right pleu ral effusion w as d rained th ere was som e residua] p leu ral thickening along th e right la te ra l ch est w all but no definite pleural m ass. 1 see nothing which Specifically suggests a m esotheliom a but th ere does appear to be a lin ear density along th e right hem idiaphragm consistent w ith a calcified pleural plaque. 1 don't see any o th er plaques o r calcifications. The chest radiograph is n o t very specific fo r ruling o u t a m eso th elio m a b u t 1 w ould say th e re is nothing o th e r th an the possible pleu ral p laq u e w hich raises th a t suspicion. I h o p e th is is helpM . A lso, J w ould like to sta rt planning fo r the trip to G ouveneur so le t m e know about th e tim e fram e. I hope you had a good holiday. Sincerely yours, B rian B oehlecke, M -D. A ssociate P ro fesso r o f M edicine RTV002373 " C O N F ID E N T IA L " (\ ) R.T. Vanderbilt C om pany, Inc. MMSIOVt. VnHtRMSMOCHEUCMS " W a s STREET-po ao* sua. NanwKut.Connecticut ceess-nso [past w-uw fax<joil asa-ua cask "butvan-. norwauc. Connecticut - Tvnt Tio-*e&-i June 27,1995 M edical Records Department St. Jo sep h 's Hospital Health Center 301 Prospect Avenue Syracuse, N Y 13203-1898 Re: Patient: 6/3/94 to 6/18/94 O utpatient: 5/17/94 and 5/5/94 G entlem en: A s p e r die attached request (6/14/95) we have obtained an updated authorization from M V NM iV^I in response to our request o f 6/6/95 (attached). Specifically, w e seek all chest radiographs and interpretative reports as w ell as all biopsy tissue specimens (o f die right lung and pleura) add interpretative reports. P lease forward these m aterials to W .K.C. M organ, M L . at the address below. Please contact Dr. M organ's office I f you are unable to satisfy th is request Radiographs and all unused tissue sam ples hail b e returned. Very truly yours, R . T. VANDERBILT COMPANY, INC. John W . Kelse Corporate Industrial H ygienist M anager, Occupational H ealth & Safety JW K /sk attachm ent cc: W JC.C. M organ, M .D. - Chest Diseases U nit U niversity Hospital 339 W mderemere Road London, O ntario N6A 5A5 M s. R ose O 'Connor - Pathology - S t Joseph's Hospital S t. Joseph's Hospital - Radiology Department Theco*e`Hio*fi**ourtefl*ouiWttitfcwebaittiuDoaietisaofevrtiiBbefcWe H<wc*rtwedcrwi9v***c**ece*uSH0tciWco RTV0O2374 SENT BYiRTV NORWALK 5 6-21-95 S11J27AH ! RTV RSO BIOS-* 315 207 09*878 2 MEDICAL RELEASE AfTJTTORTZATTON T O :__________________________________ i_ _ _ I herebyanthorize my primary care .physician, all other persons .who have medically evaluated-or 'attended m s'(to include hbspitalfacilities) 'to permit yiatninaiion and reproducdoa o fall or any potion o f the following by (ho R. T. Vanderbilt Company, Inc, ot its authorized representatives: - A ll medical records, pulmonary evaluations (to include x-rays, x-ray interpretation reports), laboratory records and reports, tissue samples and all tests o f any type and character pertaining to my current pulmonary condition, treatment, diagnosis,prognosis or etiology, A photostatted copy o f this authorization shall have the same effect as the original. The Undersigned authorizes the R, T. Vanderbilt Compsury, Inc. to redisclose any and all records obtained pursuant to this authorization to its counsel or individuals or organizations retained as medical experts to act on its behalf 'W IT N E S S E D : On the33^ day of AAv/us- . 1955, before me personally appeared Mr, JhpM M riM M felaunvii to be the individual described in and who executed (he foregoing Instrument ) NOTE: < 2 muss DONALDE VJNCEHT,SR. *><yPuMfcb!A,Sl HUY* OviBMhWtttOaUwMM lOaoatr Tide authorization shall he considered invalid after 90 signed. I f presented after foattima, obtain anew anthorizatioa. J -r RTV002375 V jifa o Z s U a w ty & 3 - q y - i o b - / / ' il)- p J k ' S T . J O S E P H 'S H ospital# Health Centi TO : / / ` L iJ e J jd ^ FROM : \$ f liV u * & :J + /JU DATE: 7'//- f S Patient Name; RE: Recent Request for Medical Records We are in receipt of your request for medical record information regarding the above named individual, however^ we cannot process your request at the present time due to the following reason (s); _____ We have no record of treatment for this patient. We have no record of treatment for dates of service indicated. Insufficient patient identifying information. Please include date of birth s or social security number. Authorization must be signed by parent or legal guardian if patient is under 18 years of age S not an emancipated minor. Please indicate date{s) of service for visits. A patient's authorization was not received with the request.' Please submit a patient authorization so we can process the quest. Authorization is out-dated. Our policy requires the authorization to be signed and dated within 90 days for receipt. Our Authorization form is enclosed. Signature on Authorization does not match signature in the medical record. The Authorization does not give St. Joseph's Hospital the authority to release information. Our Authorization form is enclosed. Requested medical records were sent on_______ ;____________ _ i Please forward your reply to the attention of: l l MEPICAli RECORD DEPARTMENT \j!* \ CORRESPONDENCE SECTION o iv Correspondence Section <315) 448-5857 Si. Joseph's Hospital II d illi C cnier * 301 Prosperi Avenue Syracuse. New York ) 3203-18SR (3 I5 I-H 8 -3 IJI RTV002376 " "tUINfLIJLfYnAJL R.X V an d erb ilt C om pany, Inc. mMOmOSInfK.Mu.IM!NII W U>A>KimDOr CU1iiCnAmU "* W lttf} S J ) STREET P O . BOX $150. NOflwW X CONNBCnCVT OSS5C-5I59 * (203) CSJ-1400 ftOf te<)53.145? CASCE "'BllTUMI*NQftWMXCONNECTICUT TWXn0-4&-2940 June 6,1995 S t. Joseph's Hospital Health Center M edical Records Department 301 Prospect Avenue Syracuse, N Y 13202 Re: G entlem en: I have been informed by our m edical consultant, WJC.C. M organ, MJD. that be received additional records regarding tire captioned patient (per our request - see attached). D r. M organ rep o rts that biopsies o f the right lung and pleura w ere performed on this patient at St. Joseph's H ospital and the additional records did indude a biopsy report signed by D r. R elish and dated <5/15/94. W e ask now that you forward to D r. Morgan th e actual specimens (slides o r tissue) referenced in this report if at all possible. A s pulmonary ferruginous bodies were noted in th e rep o rt, w e would like to perform &thorough m ineralogjcal analysis on the core o f these bodies. Inform ation gleaned from this exercise shall b e shared w ith appropriate parties. Please contact Dr. Morgan's office if you are unable to satisfy tins request (address and p h o n e attached). All'unused samples shall be returned. Very truly yours, R. T. VANDERBILT COMPANY, IN C. John W . Kelse Corporate Industrial Hygienist M anager, Occupational Health & Safety JW K /sk attachm ent cc: W .K.C. M organ, M.D. S. G. Ei Bayadi, MJD. T*etoco(rcMfeHnsio'virtf>'Hrftie<'atB*tttti*ciivpc*<cs!ib<*rvt<M9A<fcifefe Hmevw*<d9Wgwer<eyw<e*t#6sef<5Swd RTV002377 R.T. V an d erb ilt C om pany, Inc. IaKif0lUlI&MTttB*]l UUMMSKAMAuAat<iuOCnMnEcMuImDI4*S * *" SOWtttFtHJQ8Tft?.PO <^&!6aNOawttX.COHNeCTCUT<K6$`Sl9Q*f3R}e3'S499 FAX 23) * CABLE "BjO VA W . Ntyw*U.K, OfWTtCT - T W X T H M S S -W O May 31,1995 Jovea G . Kuan, MD, F.C.A.P. C hief Pathologist Lewis County General Hospital D ept, o f Laboratories Low viile, NY 13367 Re: Dear D r. Kuan: J have been informed by our medical consultant, W JCC. M oigan, that he received a D ischarge Summary (Dr. Hoyat) relating to adm ission on 3/22/94 to Carthage A rea H ospital o f th e captioned patient (as per our request - see attached). It a p p e a iS M H ffH f had several thoracenteses carried out while in die hospital w ith approximately two liters o r m ore o f fluid being rem oved. This pleural fluid was then adm itted fo r cell block. A s our m edical release and correspondence reflects, w c hope to obtain the actual tissue sam ples reflected in th e hospital reports for additional pathologic and possible mineralogic analysis. W e believe th is to be key to our review . W e believe the specimens were subm itted for cell block to Lewis County General Hospital and the report read by you. Please contact D r. Morgan'? office i f you are unable to provide him w ith these b lo ck s) (address and phone number attached). Unused sam ples shall be returned to you and additional inform ation ( if any) shared. V ery truly yours, R . T. VANDERBILT COMPANY, IN C. John W. Kelse Corporate Industrial Hygienist M anager, Occupational Health & Safety JWK/sk attachm ent cc: W JC.C. M organ, MD C arthage Area H ospital, Medical Records Tws#<oiTwedieeiitfoiupew-m*fngsie6Wd0iwek%,tlvittiMl6*ial* n^w*.** j^TV002378 R.T. V anderbilt C om p an y. Inc. MHATMA1WUUMBpUtAUUeAANUDKCnHiCUUH1CMAfIRS * * 90 Y fittR S IQ STOCCI. P O BOX fttW NOflWAl. CONMECnCOT 09SSS*8t0 <300] t t 3 'l 0 9 FAX a t m s 9 .1 4 9 ? C * 8 L l -SlLTVAM". W O W M X . CO N M 6C TO I* TWX *10-46*9940 April 3,1995 Carthage Area Hospital M edicalR ecordsD eparbnent 1001 West Street Carthage, NY 13619 Re: SS Patient 3/22/94 - 3/26/94 Dear Medical Provider Attached please find our original correspondence to yon and a medical release authorization concerningOT M V In response to this request you did forward assorted medical summaries and reports we are most grateful to have received. Unfortunately we have not yet received some detailed laboratory reports and all radiographs and tissue specimens referenced in some o fthese documents. . As a foBow-up to our original request, we are again requesting these materials. I f you do not have such records and specimens, w e would appreciate any advice you might provide as to where such material might he found. Clearly, it is not possible tor our medical consultants to properly complete then review without access to such key diagnostic records and specimens. In addition to Dr. Boehlecke (mentioned hr our earlier correspondence), we have retained another pulmonary specialist, Dr. Keith Morgan. We would like the detailed laboratory reports, pertinent chest radiographs and tissue specimens associated with Mr. Malbeufs pulmonary condition sent to Dr. Morgan (see address and phone below). W e would be happy to formally assure the security and return o f these records and specimens to you after our review. If you have reservations in this regard, please contact me o r Dr. Morgan directly. We would like to complete our review o fdlls case as soon as possible and appreciate your cooperation on this matter. Very truly yours, R. T. VANDERBILT COMPANY,INC. /obnW .Kelse Corporate Industrial Hygienist Manager, Occupational Health & Safely please forward additional records and specimens to: W Ji.C . Morgan, M.D. FRCP (E d ), FRCP (c), FACP University Hospital, Chest Diseases Unit 338 Windermere Road London, Ontario N6A 5A5 Canada Phone: 519-663-3806 Fax: 519-663-3232 Iherecommendjioncicruseolovinw^rieterebtteOupontcstibtimdtotHnH* RTV002379 " CUINJ4! ^ 1'' HHPICAI, RELEASE AUTHORIZATION T O : ________________________________________________ I -hereby authorize my primary care physician, all other .. persons who have medically evaluated or attended me (to include hospital facilities) to permit examination and reproduction of all or any portion of the following by the K-T. Vanderbilt Company, Inc., or its authorized representatives: All medical records, pulmonary evaluations (to include x-rays, x-ray interpretation reports), laboratory records and reports, tissue samples and all tests of any type end character pertaining to my current pulmonary condition treatment, diagnosis, prognosis or etiology. A photostatted copy of this authorization shall have the same effect as the original. The undersigned authorizes the R.T. Vanderbilt Company, Inc., to redlsclose any and all records obtained pursuant to this authorization to its oounsel or individuals or organizations retained as medical experts to act on its behalf. WITNESSED: On the_ t, before me personally appeared known to be the individual described in and who executed the foregoing instrument. NOTE; W itn ess M e. This authorization shall be considered invalid after 90 days of the above date signed. If presented after that time, obtain a new authorization. RTV002380 OTRL P.02 R.T. V an d erb ilt C om p an y, Inc. MtNS^UnEVTrKaMji.MNi rfRtiMirSMiimmCrM. rEiU)fC*Mli.rS * * 3 0 VWNFIEIO STREET F O 0 0 3 SISO. NORWIHK COMNECTICul 6ES SIS - IJO B U -M O O FAX (70S) S3.M S7 - CAGES G tTVA H WOFWAEK CONNECTICUT 1WX TW-ASO-TSAO A p rit3 ,1995 Sherif G. El Bayadi, M.D. . Pulmonary Health Physicians, P.C. 101 Union Avenue, Suite 701 Syracuse, NY 13202 FSS Patient at St. Joseph's 6/3/94 -6/18/94 D ear D r. Bayadi: A ttached please find our original correspondence to you and a medical release authorization concerning M l M H m m In response to this requestyou did forward assorted medical summaries and reports we are most grateful to have received. Unfortunately we have not yet received some detailed laboratory reports and all radiographs and tissue specimens referenced in some o fthese documents. A s a follow-up to our original request, we are again requesting these materials. I f you do not have such records and specimens, we would appreciate any advice you might provide as to where such material might be found. Clearly, it Is not possible for our medical consultants to properly complete their review without access to such key diagnostic records and specimens. In addition to Dr. Boehiecke (mentioned in our earlier correspondence), we have retained another pulmonary specialist, Dr. Keith Morgan. We would like the detailed laboratory reports, pertinent chest radiographs and tissue specimens associated with Mr. M albeufs pulmonary condition sent to Dr. Morgan (see address and phone below). W e would be happy to formally assure the security and return o f these records and specimens to you alter our review. If you have reservations in this regard, please contact me or Dr. Morgan directly. We would like to com plete our review ofthis case as soon as possible and appreciate your cooperation on this matter. Very truly yours, R. T. VANDERBILT COMPANY,INC. . Please forward additional records and specimens to: W.K.C. Morgan, M D. FRCP (E d ), FRCP (c), FACP U niversity Hospital, Chest Diseases Unit 338 W indermere Road London, Ontario N6A SAS Canada Phone: 519-663-3806 Fax: 519-663-3232 'John W. Kelse Corporate Industrial Hygienist Manager, Occupational Health & Safety RTV002381 :y:^'i^'is&~iv=miSj^idS&sSsid*j3c MEDICAL RELEASE AUTHORIZATION TO:. I -hereby authorize my primary care physician, all other persons who have medically evaluated or attended m e (to include hospital facilities) to' permit examination and reproduction of all or any portion of the following b y the R.T. Vanderbilt Company, Inc., or its authorized representatives: All medical records, pulmonary evaluations (to include -rays, x-ray interpretation reports), laboratory records and reports, tissue samples and all tests of any type and character pertaining to my current pulmonary condition treatment, diagnosis, prognosis or etiology. A photostatted copy of this authorization shall have the same effect as the original. The undersigned authorizes the R.T. Vanderbilt Company, Inc., to redisclose any and all records obtained pursuant to this authorization to its counsel or individuals or organizations retained as medical experts to act on ite behalf. WITNESSED: On the 3 * ^ ,dav ot .1994, before me personally appeared known to be the individual described in and who executed the foregoing instrument. NOTE: Witness 3Ms ^ authorization shall be considered invalid after 90 days of the above date signed. If presented after that tome, obtain a new authorization. RTV002382 1 T3TPL P .0 2 X1 L M M 0IRML M W B m s ANDCH3CAS 1 STReet. p g ox siso, nokwack. cow ecncur ottS4<si3d * tzo a esa-noo m x (aos) 8S344S2 - CASlE 'B W 'W , OflVWtfJtCOKNfiCTlCl/T - 1WX7tO-6<2940 April 3, 1995 Mcrza M- Ashraf, M.D. 1001 W estSireet Carthage, NY 13619 ' Re: M H M M M IM n X S S iV M M W Dear Dr. Ashraf: Attached please find our original correspondence to you and a medical release authorization concerning M V V H In response to this requestyou did forward assorted medical summaries and reports we are most grateful to have received, Unfortunately we have not yet received some detailed laboratory reports and all radiographs and tissue specimens referenced in some of these documents. As a follow-up to our original request, we mo again requesting these materials. If you do not have such' records and specimens, we would appreciate any advice you might provide as to where such material might be found. C learly, it is not posable for our medical consultants to properly complete their review without access to such key diagnostic records and specimens. In addition to Dr. Boehlecke (mentioned in our earlier correspondence), we have retained another pulmonary specialist, Dr. Keith Morgan. We would like tire detailed laboratory reports, pertinent chest radiographs and tissue specimens associated with Mir. MalbeuFs pulmonary condition scot to Dr. Morgan (see address and phone below). We would be happy to formally assure the security and return o f these records and specimens to you after our review . I f you have reservations in this regard, please coatact me or Dr. Morgan directly. W e would like to complete our review o fthis case as soon as possible and appreciate your cooperation on this matter. Very truly yours, R. T. VANDERBILT COMPANY, INC. John W. Kelse Corporate Industrial Hygienist Manager, Occupational Health & Safety Please forward additional records and specimens to: W.K.C. Morgan, M.D. FRCP (Ed)., FRCP (c), FACP University Hospital, Chest Diseases Unit 338 Windermere Road London, Ontario N5ASA5 Canada .Phone: 519-663-3806 Fax: S19-663-3232 (w<ocOTme^mie<ulivMnitaiislia4pw>t*SKlKiiMt'>l>noit KmrMKAaeutfinl'tMmttsigMmMiM RTV002383 ^ tMf^ wCO?lDEOTIALw R.T. V anderbilt Com pany, Inc. MXOTlUmiAUS<SCtfHCU w m f u >s n t c n ro . b o x m m . N O A m u e c o m c c n c u T ou s m u m at a F< (M 3) S3-WS2 * C -W T W N -.N O M W U C . CONNECTICUT. TW* TlCJW -2B M October 4,1994 Gaithage Area Hospital Medical Records Department 1001 West Street Carthage, N Y 13619 Dear Sir o r Madam: - A s h is former employedwehave contactedW H M P a n d received his permission to access his medical records. A copy o f the records release is attached. For many years die Gouventenr Talc Company has maintained an active medical surveillance program. Over die last ten years we have coordinated this program through a pulmonary specialist at H ie University ofNorth Carolina at Chapel Hill. The company is aware thatoverexposure to its ta b dust-indeed any mineral dust- canresult m adverse pulmonary effects. W o arc therefore concerned about reports wo have received ab o u t^ H H H M fe pulmonary condition, wish to be informed on this condition and to assist 1" any way we can. On behalfo f all our talc miners and miners we te d we have a commitment to do so. . It is our hope to obtain a copy o & V M H M B s medical record along wife available tissue samples for review by Brian Boehlecke, M D . (our pulmonary medical advisor) and a pathologist femIHar wife histology possibly associated with this case. Whatever is learned from this review will certainly be shared with you,diMSHMMf'or any additional p a rrie sri^ B B H P f might later designate. 4 H H |ttB w a s a patient at the hospital from 3/22/94 to 3/26/94. I f you could provide a copy o fV H M Q B fc medical record pertaining to his pulmonary status and any related tissue sam ples available, we would be most grateful, please forward this material to my attention. Please feel free to contact D r. Boeblccke a t 919-966-2532 ortrio pt203-853-1400 }fwe can clarify this requestor help In any other way. , Very truly yours. K. T. VANDERBILT COMPANY, INC. Corporate Industrial Hygienist Manager, Occupational Health Si Safety JWK/sk attachm ent cci Brian Boehiecke, M.D. Mr. Dana Potman Tfc#9CO'Pfflft4lfiOt<*teruSc>fwBt*UtfeMde0OAt0*ttOofev9dlobar<*afato*fenvQrtifon8Ciia(gMeis'tfrfelDtoetttaMtf 3? i w m * u/JDn i ia jj @ R.T. V anderbilt C om p an y, In c. wM On UicEmI)m] .U>tntECKMlUUJWmeCNHMBC<CU*Clt . aa vmmajo sroitT . ko sox 515Q.nonvumt,cotwcencuru a u -siso (am m -m m ft20BM-l<S?-Cm^'8HTVWr.K0RWAK.COHHECTlCUT . TYYXnO.45S.imO October4 ,1994 M irza M. Ashraf, MX). 1001 W est Street Carthage, NY 13619 Dear D r. Ashraf: As his former employer we have contacted IVMHHMBasd received big permission to access his medical records. A copy o f the records release Is attached. For many years the Gouremeor Talo Company has maintained an active medical surveillance program. Over the last ten years we have coordinated this program through a pulmonary specialist at The University o fNorth Carolina at Chapel Hill. The company Is aware thatoverexposure to its talc dost - indeed any mineral dust- can result in adverse pulmonary effects. We arc therefore concerned about reports we have received nbout^PH H M K 'g pulmonary condition, wish to he informed on this condition and to assist in any way we can. On behalfo f all our talc miners and millers we feel we have a commitmentto do so. tissue sam ples available, we would be most grateful. Please forward this material to my attention. Please feel free to contact D r.Boehlecke at 919-966-2532 or me at 203-853-1400 ifw e can clarify this requestor help in any otherway. Very truly yours, JL T.VANDERBILT COMPANY, INC. John W. Kelse CorporateIndustrial Hygienist Manager,Occupational Health & Safety JWK/sk attachm ent B rian Boeiilecke, M O. M r. Dana Putman thf<econvr>er<iignstQi uotQtuncH<}d>U m#b*so<?t4X>rtiestcb?Gcvtfi9to<9*4to b e C W *<* r j V002385 MEDICAL RELEASE AUTHORIZATION TO;. I .hereby authorize my primary care physician, all other persons who "have medically evaluated or attended me (bo include hospital facilities) to permit examination and reproduction of all or any portion of the following by the R-T. Vanderbilt Company, Inc., or its authorized representatives; All medical records, pulmonary evaluations (to include x--rays, x-ray interpretation reports), laboratory records and reports, tissue samples and all tests of any type and charaoter pertaining to a y current' pulmonary condition treatment, diagnosis, prognosis or etiology. A photostatted copy of this authorization shall have the seme effect as the original. The undersigned authorizes the R.T. Vanderbilt Company, Inc., to redisclose any end all records obtained pursuant to this authorization to its counsel or individuals or organizations . retained as medical experts to aot on its behalf. ' WITNESSED: O n the. day of Ss&elL _1994, before me personally appeared known to be the individual described in. and who executed the foregoing instrument. ROTE; witness Ibis authorization shall be considered Invalid after 90 days of the above date signed. If presented after that time, obtain a new authorization. RTV002386 TSTRL P.02 3 WNFIEID S in e e T . C O BOX ISO. HORWAIK. CONNECTICUT OHSC-SKO R 0 3 B53 M W r* x ( S H ts j.K ; -C /y jiC a m van- N O ftw m x. Connecticut tw x n g o H v g October 4, 1994 Mirza M. Ashraf, M.D. 1001 West Street Cartilage, NY 13619 Re: Mr. S S ti DearOr. Ashraf: . As his former employer we have contacted ftBH M M Band received his permission to access his medical records. A copy o f the records release is attached. For many years the Gcmvemeur Talc Company has maintained an active medical surveillance program. Over die fast ten years we have coordinated this program through a pulmonary specialist at The University ofNorth Carolina at Chapel HiU. The company is aware that overexposure to its talc dust- indeed any mineral dust - can result in adverse pulmonary effects. We are therefore concerned about reports we have received aboutM t f f M R pulmonary condition, wish to be informed on this condition and to assist in any way we can. On behalf o f all our talc miners and millers we feel we have a commitment to do so. ' It is our hope to obtain a copy o f l M B M f e medical record along with available tissue samples for review by Brian BoehJecfce, MJ>. (our pulmonary medical advisor) and a pathologist familiar with histology possibly associated with this case. Whatever is learned from this review will certainly be shared with y o n . ^ H W or any additional parties h d M M fe ra ig h l later designate. I f you could provide a copy o f t^ B W V h a m e d ic a ] record pertaining to his pulmonary status and any related tissue samples available, w e would be most grateful. Please forward this material to my attention. Please feel free to contact Dr. Boehleckc a t919-966-2532 or me at 203-853-1400 if we can clarify this request or help in any otherway. Very truly yours, R. T. VANDERBILT COMPANY, INC. John W. Kelso Corporate Industrial Hygienist Manager, Occupational Health & Safety JWK/sk attachment Brian Boehlecke, MJD. Mr. Dana Putman 1ttei#ermeoffiiefir^iuscn,on<wiiftiail|iiseciwno,eict6h?*<hfr<nMvmiud<etwrvrrwr i qnci os t dn. RTV002387 . ............ C A R D tO LO G Y . NAME .... PROGRESS NOTES SMWO O A TE O fS IfllH H ISTO RY ft PHYSICAL -v -v '- a ^ t - j J ^ - T r o ' I Y - AGE ^ n ^ _ 4/27/92 Patinet has known history of hyptension. The is no dizziness, syncope. No chest pain. HEENT is normal. Heart is RSF lungs are clear. No pitting edema leg. Patient wants to stop smoking. Nicoderm 21 mg. od is being.given. Will see him bSfck in one month for a smaller patch. -J . ** * m 7 . 5 / 2 7 / 9 2 This patient has known history of hypertensic There is no dizziness or syncope. There is no chest pain. HEENT is norma Heart is HSR. Lungs are clear. Abdomen is soft. No pitting edema'of leg. The patient has been advised to take Dyazide, od and Tenormin 50 m g .f o ' He is trying to stop smoking. Nicorderm Patch will be given- He is AcWii not to smoke. * As^odMrtr^ fA /ia 3/r*f op () 9 / ^ 9 % J { / *- S # / U f l f S ? J 6 - S ^ a Z t T7<cssrrJJUU<-i . Ml - fT i v^mmmmm^rr^mmMKrnm 6/29/92 This patient complains of tiredness and fatigue There is no dizziness or syncope. There is no chest pain. HEENT is normal Heart is RSR. Lungs are clear. Abdomen is soft. No pitting edema of leg. Th patient is not smoking. BP is stable. The patient is quite nervous aij anxious. Ha has panic disorder. { 9 9 - 92- O V y v T ^, 0 V"Y>VH Oi? (^5 2 tfL /* C AO-- 'fo tJ ( o /nK < i OQ Z > tajJ P l b jv . h IIS K ) l/ r } % ' 10/20/92 This patient had right sided chest pa yesterday and went to Gouveraeur Hospital, The pain was brief. There is dizziness or syncope. There is no dyspnea. HEENT is normal. Heart is RE Lungs are clear. Abdomen is soft .No pitting edema of leg. The patient wj get an EKG for further evaluation. He will be scheduled for a stress test EKG was regular sinus rhythm. , ' V .*?*s m a s n . ' o m u l t a r i L * 1 K 1 h ' f t i r f o vn ip u a tiM r% .n u u ftm u in , of Potassium Supplements Plessft set eodosedfull prescribingWomtado S-X40*t4 RTV002388 wl -Tesi T O R Y * PHYSICAL U - n 8 t(e itfg D , . - 11/16/92 This patient haB chest pain, A stress test was * he Patient was able to walk for a few minutes. There was no ST segment depression. A i ll ? / ' 1/18/93 This patient has known history o f hypertension There is no dizziness or syncope. There is no chest pain. HEEBT is normal. Heart is RSR. bungs are clear. Abdomen is soft. No pitting edem a, of leg. Tne patient has been advised to continue Tenormin. We will see him^oacK in two months for follow up for hypertension. I0rv.g t*c f5 b ^ 3 i > l^rvo-viU r} t o l l s ' & \e } _ .- -- -- -- 4/--26/-9-3 This patient has known history of hypertension. There is no dizziness or syncope. There is no chest pain. HEENT is normal. is HSR. bungs are clear. Abdomen is soft. No pitting edema of leg. The patient has been advised to continue the Tenormin 50 mg. od. He is quite nervous and apprehensive. He is taking BuSpar for anxiety. ?3 d u fi m j9 }/^% 1 7/26/93 This patient has known history of hypertension. There is no dizziness or syncope. There is no <*et Pain. HEENT is normal .Heart is RSR. Lungs are clear. Abdomen soft. No p i t t i n g e d e m a o f l e g . He is quite nervous and anxious. He is taking Tenormin 50 mg. od. and Zantac 150 mg. bid. We will see him back in three months for follow up. lob tfra 10/25/93 This patient has known history of hypertension. There is ho dizziness or Byncope. There is no chest pain. HEENT is normal. Heart is RSR. bungs are clear. Abdomen soft. No pitting edema of leg. sh will continue the Tenormin 50 mg. od., Zantac 150 mg. bid. and BuSpar 10 mg. od. We will see him back in two months for follow up. He is going to Florida. , F u ll-c o u rse a n tib io tic H ie ra p y w ith ju s t S o n c e -d a ily clo se s For mild to moderate infections such e$ acute bacterial exacerbations of COPO doe to HaemophilusMUiemae. The most common side effects are diarrhea, nausea, and abdominal pain. n w iih in o n s TVM2389 fiwTERWAL MEDiCIWE Ename v Yn ^ R 3 / h o ^ L PROGRESS NOTES S" C DATEOFelRTN u t? /L/avmTM *i PHTEICM. ^ J ff^ - U tn *\ =*v AGE *g -il-. *7^ |PilfME 12/27/93 This patient has known history of hypertension. There is no dizziness or syncope. There is no chest pain. HEENT is normal. Heart is RSR. Lungs are clear. Abdomen soft. Wo pitting -edema -of leg. The patient is advised to continue Tenormin SO mg. bd. The patient wants a complete physical. He will be scheduled for a complete physical and stress test in 3 mos. S-M -iU *L /> /j\ ft 0 { S i* ) c & J iif lC /St M i b v '(& u ) 3.1c/-//J S S M O o C S t) d Jti p/~ v v d 'p * * -* l ^ /s ' fiJ fL (L a s K ' * /V I / - ' . V7?<?- i -- i , 3/22/94 ,, c h i e f COMPLAINT: This patient c/o tiredness, fatigue and dyspnea. He canno walk only a few'steps. He has dyspnea with minimal exertion for the last on PHYSIC61- e x a m : Heart is RSR. Lungs reveal diminished air entry right base Abdomen soft. . ,,,, , Rff^R^RMRWT: Rule out CHF, Rule Out Pleural Effusion PLAN: Chest x-ray and EKG will be done. . . Continuation: This patient will be admitted for pleural effusion, right. fa-JJf'Wl 1ll- -C^n-VuUjO a,v0o\ A as! Hi- II) I IFf aua Ml l - c o u r s e c n a f _--------------------------- ------ * --tibio. vMic. t h e r a p - - - __________ y wSHt fu st 5 o n c e -d a ity d o se s for mltd to moderate infections such as acute bacterial exacerbations of CQPO due to Haemophilusmflumae. Hie most common side effects are diarrhea, nausea, and abdominal pam. i-m-Tn-inrff-inMi i,^- vii.n ..|i ..if.. P&crLtU RTV002390 . -PT w L / HISTORY & PHYSICAL '- v w u jK n T I A L '' B pl Formedic H p M M p n R M M E 3/29/94 Patient's PSA level was high. Rectal examination is being done, patient does have a slightly enlarged prostate on the right side of the prostate with nodularity. On examination, patient does have diminished air entry right lung. Heart RSR. He will be referred to Dr. Sherman and Dr. Pluinpton. w -- iw # / / /1 4/4/94/ This patient saw Dr. * o the pulmonary specialist in Syracuse. He has been scheduled for a bronchoscopy on the 14th of this month. His FPD is positive. Hantoux skin test was positive, hongs reveal diminished air entry in the right lung. Heart is RSR. Abdomen is soft. The patient still has right sided pleural effusion. There is a question of whether the patient has primary CA of the prostate metastatic to the lung or possibly a mesothelioma of the lung. The lung specialist will do all of-.the work*-up. 5 l / 3 l4 UP JoL/h o m m m m m jm m m m m 5 / 13 / 9 4 CHIEF COMPh&iHTi This patient has known history of hypertension. There is no dizziness or syncope. There is no chest pain. He went to a lung specialist. Dr.____________ to discuss possible laser treatment for right pleural effusion. He has known history of CA of the prostate. PHYSICAL EXAM: HEENT is normal. Heart is RSR. Abdomen soft. PLANT He will be rescheduled to Bee Dr. Sherman for bone Bean. He has an appointment with Dr. Bayadi in Syracuse for right thoracentesis. M B M V J M M M M M M B 6 / 1 4 / 9 4 NURSES NOTE, said he is still an inpatient at St reschedule when he gets home. His wife stopped by the office and Joes Hospital. She said she will % Specify ~ -. Ec erCnnOtaAet Tre EincD V s t rm i i -b o o b e e c h a m in arthritis and cardiovascular disease T H E MIRACIJE O F ASPIR IN M ADE SAFER Enteric aspirin available in 325 and 5 00 mg  - "tu ^ rii^ /n i W m m m m qm m m m ^ 6/ 22/94 . CHIEF COMPLAINT; This patient recently had recent thora CaAcg/'fX-y^' . He is waiting for the reports from the doctor Is Syracuse. He c/o ciredness anc fatigue. He has right sided chest pain. - PHYSICAL EXAM; HEENT is normal. Heart is RSR. Lungs reveal diminished all entry, right base. Abdomen soft. ASSESSMENT; Possible -ry. * . PLAN: Await results of reports. Ft. might need pain medication. 0 - v% \ tfl*K \ p l ~ - 1 V a* -- H g ^ a p a p ^ g . 7/7/94 NURSES ROTE Dr. Elbayadi's office called and s. that Is* fine that the appt. has been set up for Larry with Dr. Poggi J* 19th. They will be sending Dr. Poggi reports and also they will contact office to see if they want films from Syracuse. Larry will be taking films from CAH. O -h k ip & jfp l m m m m m rm m m m m m 7 / 2 6 /9 4 CHIEF COMPLAINT: This patient has diminished air entry, right lung. He tiredness and fatigue. There is no dizziness or syncope. The patient also known history of CA of the prostate. He does not want any chemo or redlatherapy. PHYSICAL EXAM: HEENT is normal. Heart Is RSR. Lungs reveal diminished entry, right lung. Abdomen soft. No pitting edema of leg. CTl rnttMCtoa B--chem M JCbw m w r& vntfs in arthritis and cardiovascular disease Enteric aspirin available in 3 25 and 500 mg _ l~80O>BCMAM <w8Sfrn*Minp-- .w C onto^ 8*efr SPHW3 P*adkUiA ^ Jwua> RTV002392 *%&' vl-p?s a t J id -no SK H _oM P L fliS.r T8/ , i 0/ 'i , * TM |s r c il" tin tTM er; t.if ..nor alra" n ssSo " ^ c i .t .f ,1i "ln l=hed " * entry, ^ O t^ y S * - ? * t ^ -7 / \f- % im m m m m * * m m m m m 1 0 / 4 /9 4 , CHIEF COMPLAINT t This patient has diminished air entry, right lung. He c/o tiredness and fatigue. He, has dyspnea with exertion. There is no dizziness or syncope. , PHYSICAL EXAM: HEENT is normal. Heart is RSR. Lungs exam reveals diminished air entry, right base. Abdomen soft. PLAN: The patient ___________________ . He will continue the current medication. ' . J 1 !} i I i *1. .-11 21ii RTVQ02393 . "CONFIDENTIAL" ST. JOSEPH1S HOSPITAL HEALTH CENTER 301 PROSPECT AVENUE - SYRACUSE, NEW YORK HISTORY A PHYSICAL PATIENT NAME: M H H P H H W M.R.# ROOM #: ACCT #> 1S02 D ADM DATE: 00024254989 8S/03/94 PT. TYPE: I I MED ATTENDING PHYSICIAN: SHERIF G ELBAYADI, MD*45 CHIEF COMPLAINT: Shortness of breath. HISTORY OF PRESENT ILLNESS : This is a. S3-year-old white male with a 45 year history of 1 pack per day smoking, who continues to smoke. He has worked with various substances in manufacturing pelk with silicates and trisilicates, and is not certain whether there was asbestos involved in the material he worked with, but he doee not think the material was pure, and has worked there for over 39 years with dust from shavings from the material. He was evaluated by Dr. Mirza Ashraf, and had an admission for pleural effusion, and had two pleural taps. Fluid analysis from the discharge summary showed 1,778 white cells, 994 mononuclear cells. The LDH was 207 and his protein 5.5. The p H was 7.27, I'm not sure of the exact handling of the specimen. He was evaluated by me and bad a very small pleural effusion, end I performed a bronchoscopy to rule out endobronchial lesions due to the recurrent pleural effusion, and a suspicious, but not diagnostic pleural fluid cytology for possible adenocarcinoma. Bronchoscopy was negative. There was n o evidence of tuberculosis, no evidence of malignancy, and no endobronchial lesions. He again, was brought for another tap to obtain more fluid for analysis and cytology. The cytology was read b y Dr. Riccio, as negative for malignancy initially. On rvaluation, consultants in the pathology department felt the fluid to be suspicious for malignancy, and felt that it -was not completely benign-appearing cells. The patient has had progressive increasing shortness of breath without wheezing, fevers, or chills. He was evaluated in my office and he had increased pleural effusion that was almost three-quarters of the way up the right hemithorax. Due to the recurrent rapidly reforming pleural effusion, h e is being hospitalized for chest tube drainage, pleural biopsy, and workup of this problems. He has not had any vomiting, loss of consciousness, fevers, chills, abdominal fever, visual changes, or bone pains. He has had an elevated prostate specific antigen that was 9.7, and had a workup by urology and found to have adenocarcinoma of the prostate. This was done in the interval between m y initial evaluation April x, and bis first tap. - - continued - RTV002394 "C O N FV D FK nA l/ Page 2 PATIENT NAME: \ h i s t o r y & p h y s i c !. ADM DATS: 06/03/94 PAST MEDICAL HISTORY: That mentioned above. Ho doea have a history of hypertension and anxiety. FAMILY HISTORY: Father died of a tumor of the tongue, and hia mother passed away from bone cancer. REVIEW OF SYSTEMS: Unremarkable. CURRENT MEDICATIONS: Atenolol 50 mg a. day. Zantac ISO mg b.i.d. Buspsr 10 a day. ' Ventolin inhaler 2 puffs p m g.i.d. PHYSICAL EXAMINATION TEMPERATURE: PULSE: RESP: BP: WEIGHT: HEENT: Pupils equal and reactive to direct and cansenual light. ExtraocuLaur movements intact. HECK: Supple. Ho jugular venous distention or adenopathy. LUNGS; Decreased breath sounds over the right base with dullness to percussion. PMI was not shifted. ABDOMEN: Soft, non-tender. Bowel sounds were normal active. e x t r e m i t i e s : H o edema, clubbing, or cyanosis. NEUROLOGICAL: Grossly intact. GENERAL IMPRESSION: Recurrent large pleural effusion in a patient with a history of newly diagnosed prostate cancer with history of asbestos exposure that is likely to have been present and mixed with pelk and silicon powder. DIFFERENTIAL DIAGNOSES: 1. Bronchogenic carcinoma. 2. Metastatic carcinoma. 3. Benign asbestos pleural 4 . Mesothelioma. 5 . Hypertension. effusion (s a f e ) . ' - continued - RTV002395 ' -CONFIDED i 1^ Page 3 HISTORY S PHYSICAL PATIENT NAME; M M p M M I ADM DATE; 06/03/94 The likelihood that this is a benign effusion is low, especially with the rapid reaccumulation. The suspicious cytology also suggests that this is a. malignant effusion. PLAN; 1. H M M M M K will be admitted to the hospital-for chest tube "drainage of the large symptomatic pleural effusion. A pleural biopsy will be performed at the same time. If the fluid is drained sufficiently, he'll undergo a CT scan to look for pleural changes. If the biopsy and CT scan are nob helpful, further evaluation with a pleural examination under direct vision with fluoroscopy may be needed. 2. H e has bad an episode of loss of consciousness with his taps done at the outside hospital, and I have pretreated him with Atropine for his thoracentesis and he did well. Re will give him Atropine prior to the chest tube placement if agreeable with Dr. Barreto. 3. His medications will be continued. 4. Dr. Riccio' will be notified of tissue and fluid samples being obtained today for analysis. . 3d D; 06/03/94 12:2S Ts 06/03/94 13:28 SHERIF ELBAYADI, M.D. CC: SHERIF G ELBAYADI, MIRZA ASBRAP, MD-Ca _ . WILLIAM SHERMAN. MD-Carthage, NY RTV002396 V-' ST. JOSEPH'S HOSPITAL HEALTH CENTER 301 PROSPECT AVENUS - SRACOSB, NEW TORE OPERATES. REPORT PATIENT NAME: M M W M M K M.R.#: ROOM #: ACCT 1502 D OATS: 00024254989 06/08/94 PT. TPBs I I MED SURGEON: A. BARRETO, H.D. ASSISTANT: B; PHILLIPS, P.A. PREOPERATIVE DX: Rule out malignant right pleural effusion. Rule out mesothelioma. POSTOPERATIVE DXj Same, pending pathology reports. PROCEDURE: Multiple pulmonary wedge excisions and pleurectorny with video assistance. ANESTHESIA: General endotracheal. Anesthesiologist: Dr. Regan, Dr. Catania. Findings: The entire pleura was abnormal. It was very thickened, inflamed with multiple nodularities throughout the entire parietal pleura. There were multiple calcified plagues. Thera were several nodules on the visceral pleura of the lung and the whole picture was compatible with a mesothelioma. The pathologist could not make a certain diagnosis of malignancy on frozen section. They felt that what they were seeing was mostly an inflamnatory process. There was a blood loss of approximately 150-200 ccs. DESCRIPTION OF THE PROCEDURE; The patient was placed under the effect of adequate general endotracheal anesthesia. Attempts to place a double lumen tube were ineffective as the tube could not be passed into the larynx. Then, a uni-vent endotracheal tube with a bronchial blocker was utilized to obtain one-lung anesthesia. This took quite a bit of time before it could be accomplished. The position of the blocker was confirmed lay bronchial examination with the fiberoptic pediatric bronchoscope. The patient was then placed in the left lateral decubitus position. The right hemithorax was prepared using Betadine and draped in a sterile manner so as to expose the same. The chest tube having been placed preoperatively was removed before the preparation of the skin. Four small openings were made into the right pleural cavity, one anteriorly, one posteriorly, and two lateral and inferior. These allowed manipulation of the videoscope and operating instruments. Exploration of the pleural cavity was performed and then several wedge biopsies of the abnormal looking lung tissue were performed. The endo-GIA stapling device was utilized, both the 30 and X6 mms. The majority of the parietal pleura was then excised. Multiple frozen sections were obtained and the pathologist could not give us a diagnosis of malignancy. After most of the pleura had been removed, the pleural cavity was drained with two #28 French Argyle chest tubes. The two most inferior incisions were utilized for that purpose. The email incision where the - continued - XV002397 CONFIDENTIAL" Page 2 PATIENT KrtME: OPERATIVE REPORT previous chest tube .had been In place was left open and covered with a dressing and allowed to heal b y second intention. The most two posterior incisions were then closed with 3-g Dexon and subcuticular closure of 4-0 Dexon. Sterile dressings were applied over the smaller two incisions and over the one that was left open. The two chest tubes were secured to a Pleurovac unit. The patient was then transferred to the Recovery Room in stable condition. mdc D: 06/08/94 @ T: 06/14/94 9 12-.43 AMILCAR BARRETO, M.D. SHERIF E h BAYADI, M.I MIRZA ASHRAF, M.Ds AMILCAR BARRETO, M.D. 41t .1 RTV002398 "CONFIDENTIAL" ST. JOSEPH''S H O S P I T A L H E A L T H C E N T E R Type Of Report; DISCHARGE SUMMARY . Patient Name; ' ^ H H H M M S H H R S R S K Hospital Number; 91-26-43 ADM: 06-03-94 DIS: 06-18-94 Attending Physician; Shrif El-Bayadi, M.D. DISCHARGE DIAGNOSES: . 1. Plnr1 effusion. 2. Malignant mesothelioma vs. benign asbestosis pleural disease. 3. Prostate cancer. 4. Hypertension- 5. Anxiety. BISTORT OF PRESENT ILLNESS: The patient Is a 63 year old white male with a 45 year history of one pack per day smoking who continues to smoke until admission. He had worked with various substances and manufacturing with silicates and tri-silicates and is not certain whether there was any asbestos involved in the materials he worked with, but he does not think the material was pure, and had worked there for aver 39 years with dust from shavings from the material. Ha was -evaluated by Dr. M - Ashraf and had an admission for pleural effusion and had two pleural taps. Fluid analysis from Discharge Summary showed 1,778 white cells, 99% mononuclear cells. The LDH was 207, protein .5., pH was 7-27, not sure of the exact handling of the pH specimen. H e was seen for evaluation and had a .small pleural effusion. Bronchoscopy was undertaken to rule out endobronchial lesion due to recurrent pleural effusion, and a suspicious, but not diagnostic pleural fluid cytology for possible adenocarcinoma. Bronchoscopy was negative. There was no evidence of tuberculosis, no evidence of malignancy end no endobronchial lesions were noted. Be, again, was brought for another thoracentesis to obtain more fluid for analysis and cytology. The cytology was read by Dr. Riccio as negative for malignancy initially. On rvaluation, consultants in the Pathology Department felt the fluid to be suspicious for malignancy and felt that it was not completely benign-appearing cells. The patient has had progressive increasing shortness of breath without wheezing, fever or chills. He was evaluated in the office and h ad increased pleural effusion that was almost threequarters up the right bemithorax. Due to the recurrent rapidly recurrent pleural effusion, it was felt that hospitalization would be required for chest tube drainage, pleural biopsy and work-up of the problem. He had no had any vomiting, loss of consciousness, fever, chills, abdominal pain, visual Changes, or bone pain. He had had an elevated prostatic specific antigen that was 9.7 and had a work-up by Urology and found to nave adenocarcinoma of the prostate. This was done in the interval between initial evaluation of 4-1-94 and his first thoracentesis. ' PAST MEDICAL HISTORY: As mentioned previously. He does have a history of hypertension and anxiety. ' FAMILY HISTORY; His father died of tumor of the tongue, and his mother passed away from bone cancer. RTV002399 "CONFIDENTIAL" REVIEW OF SYSTEMS; Unremarkable . CURRENT MEDICATIONS: Atenolol, 50 mg. a day. Zantac, 150 mg. b.i.d., Buspar, 10 mg. a day. Ventolin Inhaler, 2 puffs g.l.d. PHYSICAL EXAMINATION: Temperature was 99.2, pulse 2. Respiratory rate 12. Blood pressure 154/72. Head, eyes, ears, nose and throats The pupils are equal and reactive to direct and consenusal light. Hie extraocular movements are intact. Heck is supple. Ho jugular venous distent ion -or ,,adenopathy. T h e lungs,had.decre.ased.breath,sounds,'over the . right base with dullness to percussion. The abdomen was soft, montender. Bowel sounds were normal -active. Extremities; No edema, clubbing or cyanosis. Neurologia exam is grossly intact. HOSPITAL COURSES: The patient was admitted with the impression of recurrent large pleural effusion in patient with history, of newly diagnosed prostate cancer with history of asbestos exposure that is likely to have been present and mixed with ______ and silicone powder. The plan was for further diagnostic studies to rule out bronchogenic carcinoma, metastatic carcinoma, benign asbestos pleural effusions, mesothelioma and hypertension. It is felt that with the rapid reaccumulation of the fluid that is unlikely that this would be a benign effusion. Also with a suspicious cytology, also pointed to a malignant effusion. The patient was admitted to the hospital. Thoracic Surgery consultation was requested, and on the day of admission was seen by or. Barreto who placed a chest tube. ' Pleural biopsies were taken at that time. Pathology reports were waited upon, and although suspicious, were not confirmatory. Because of this he underwent thoracoscopy with wedge biopsies on 6-8-94 without complications. Results of these biopsies returned as malignant mesothelioma with calcified pleural plaques and pulmonary ferruginous bodies. This was a preliminary diagnosis. Slides were sent out for further evaluation, and final diagnosis is pending at the time of this dictation. The patient did have an echo obtained during his stay which revealed fibrocalcific aortic valve disease with normal left ventricular size and function and mild tricuspid regurgitation. The remainder of his hospital course from the time of his wedge biopsies on 6-8-94 until the time of his discharge on 6-18-94 was relatively uneventful. Fluid from his effusion gradually decreased, and air leak from chest tube also resolved. H e was taken off of suction. Chest x-rays were followed without increase in pneumothorax. On 6-17-94, he was left off of suction. There was no air leak present. Chest x-ray was obtained on the morning of 6-18-94 and prior to review of film, after removal of chest tube, the patient was discharged. The films were reviewed after the patient had been discharged, and these revealed a small increase in the size of a right pneumothorax -which appeared to be loculated in the right costophrenic angle. The patient is to be contacted for a follow-up chest x-ray to be obtained as an outpatient, and if this showed increase in his pneumothorax, he will be instructed for further treatment. Room air oximetry obtained on 6-13-94 prior to discharge was 95%. All cultures obtained from the thoracentesis fluid were negative. CBC from 6-13-94 showed WBC's of 11,000 with 58 segs, 5 bands, 24 lymphs and 10 monocytes. Hemoglobin and hematocrit j were 13.7 and 40.1. Electrolytes from 6-13-94 showed a sodium of 135, ! > . I RTV002400 "COriFIDENTIAL" m 2 potassium of 4.7, chloride 55, carbon dioxide 35, glucose 121, BON 11, creatinine 1.1. Results from pleural fluid showed there were 2,333 WBCs with 99* mononuclear cells. The glucose was less than 25, protein -was 5.5. Amylase was 55. LDH was 1,908. Specific gravity was 1.033. Be had an ANA obtained which was negative, and a rheumatoid factor which was less than 30. As previously mentioned, the patient was discharged on 6-18-94. Results of follow-up chest x-ray as an outpatient are unknown at the time of this dictation. DISCHARGE DIET: Regular. DISCHARGE MEDICATIONS: 1. Zantac, 150 mg. p.o.b.i.d. 2. Atenolol, 50 m g . one time a day. 3. Buspar, io mg. two times a day. 4. Atrovent metered dose inhaler, two puffs four times a day. 5. Tylenol, 10 grains p.o.g. 4 pin for pain. a c t i v i t i e s /l i m i t a t i o n s .- a s tolerated. FOLLOW-OP: He is to call for follow-up appointments with Dr. Barreto, Dr. El-Bayadi and Dr. Sherman. He is to call Dr. Barreto's office for any increased shortness of breath. kc ID85189 D: 6-22-94 T: 6-29-94 Robert XOsinski, N.P., dictating for: Sberif El-Bayadi, M.D. W. Sherman, M.D, - Carthage, NY R. Kosinski, N.P. - Respiratory Care Dept RTV002401 "CONFIDENTIAL" PU LM O N A R Y HEALTH PHYSICIANS, P.C, D iplom ales,American Board ofInternal Medicine and Dr- Thomas R . Aiello-1 Dr. Edward T. D owning-1, 1,3 D r. SherifG . E lB ayaii-1 Dr. MichaelJ.Hhttrop PulmonaryDteeaseincjud' ~ 'idbSitation AUergy/Im m C ardopultom arym ts#ng ' Sleep-Related BrealhingDisorders M^rza Ashraf, M.D. West street Road Carthage, New York 13619 RE: M M M M M M Dear Dr. Ashraf: ' M M H M p t returned to ay office today for follow-up, He has no symptoms after being discharged from the hospital and had a fpllowu p by Dr. Burke to evaluate a residual pneumothorax-after removing * a chest tube and was found to have resolved apparently and was discharged. He on examination appears to b e alert,* oriented, cooperative. His pupils are equal and reactive. Lung examination reveals inspiratory rales over the right base. `Thera is no hyper resonance to percussion and there is no tracheal shift. His heart is regular with a normal SI, S2. His abdomen is' soft and nontender. . ' - . = * His pathology was very difficult to finally obtain apd, as you . . know, he did have to have a thoracoscopic procedure with partial pleurectomy and biopsies. The initial reading was- malignant mesothelioma, calcified pleural plagues, and pulmonary ferruginous bodies. That was also sent out for consultation to Dr. nna Louise Katzenstein who agreed with the diagnosis' of malignant _ .mesothelioma. . , * * tV , I have discussed this diagnosis with WhiqHlMiMqtiannd his.wife and/' ' have suggested, if okay with you and with nr. Sherman, to haye an '. oncologist evaluate the situation at this point. Multi-modality 'therapy for malignant mesothelioma is.an option, but. in conjunction ' with a prostate tumor, there may be variations or certain con- siderations that should be kept in mind. 1 will be happy to sea MWMmWmrtN* in follow-up if needed and will have a chest x-ray done - today to follow-up his changes after being discharged from the - . hospital. . Again, thank you for letting me participate in caring for this very . pleasant man with an unfortunate medical problem.' ' S i n ---- She radi, M . D . , F.C.C.P. S G B :ACCU\Med :cdm cc: William Sherman, 101 Union Avenue, Suite 701 Syracuse, New York 13202 (315)475-8401 M.D.1, 2. Diplomale,American Beard o fSleep Medicine 3- Diplommaa!te,American Board o fAllergy and Immunology RTV002402 5100 West TaftRoad.Saite3D liocrpool,New York13088 (315)452-2300 r "CONFIDENTIAL'* SAMARITAN MEDICAL CENTER ONCOLOGY UNIT '830 ..WASHINGTON STREET WATERTOWN, N.Y. 13601 July 28, 1994 Dr. Ashraf W e s t St. Kd. Carthage, NT 13619 Dear Dr. Ashraf: ' T h a n k yo u for asking me to see who was seen in our office July 19th.- H e Is a pleasant 63 y e a r old man w h o was diagnosed I n Syracuse as h a v i n g a right sided m a l i g n a n t 'meaothellotoa status post thoracoscopy and chest tube drainage with sclerosis. He presented by virtue of shortness of breath o v e r a 2-3 week period and had bad a thoracentesis X 2 in June of this year. C u r r e n t l y there is no significant shortness of breath. H e notes narked improvement is bis sense of wall being since tbe plenrodeeis. I n addition, there is no chest pain or hemoptysis. He denies fevers, chills or night sweats. No abdominal discomfort, focal weakness, numbness, paresthesias or hone pain. He denies significant weight loss, loss In appetite or energy. There ere no urinary symptoms. In addition, be was recently diagnosed April of 1994 with prostate cancer, I believe stage B. Radiation therapy being recommended by Dr. Plump ton. PSA level was 9.7. H e h a s a 45 one pack, year history of smoking. He does not abuse alcohol. He tins n o k n o w n allergies. Medications a r e Zantac, Atenolol and Buspar. P a s t med i c a l history I n c l u d e s .hypertension i n the past, aidepigsstric pain for w h i c h he has taken Zantac. H e ' s b een admitted to St. Joe's in Carthage this year, related to his mesothelioma. There has been no other significant hospitalisations or surgery other than appendectomy or medical problems. There is n o other prior history of cancer. Social history and family history includes four children. He is accompanied today by his wife. He is retired. He has had exposure to industrial dusts. He has a "border line positive PPD". . BXV002403 "CONFIDENTIAL" E x a m revealed an alert, healthy appearing m a n w e i g h i n g 167 lbs- Pulse Is 86 and regular- HEENT e x a m showed d o icterus. Extraocular muscles are intact. Pupils are equal. Disks are not examined- There is no pain on percussion o ver "the-aplne,'no-adenopathy,, no-palpable thyroid. -Ho-shin. nodules, joint swelling or clubbing- Chest shows a few rales at the right base- The left lung is clear. There is a regular rate and rhythm without murmur, gallop, rub o r pedal edema. Th e r e is a healed right chest tube scar. . The abdomen is soft, nontender without organomegaly or masses. Prostate and testicles were not examined. Gait is of normal cadence. . Laboratories include thoracoscopy performed at St. Joseph's 6/8/96 showed that the entire pleura was abnormal, thickened and inflamed with multiple _ ; nodularities. There was also involvement of the visceral pleura of the lung. Chest x-ray reviewed originally showed a right pleural effusion 3/6 up the hemichorax. IMPRESSION: 1. Malignant mesothelioma by biopsy, right chest, asymptomatic, status post chest tube drainage and pleurodesis; 2. Well differentiated prostatic carcinoma, at least stage B. ' A discussion was held regarding the natural history of mesothelioma. 1 offered the patient a range of options from very aggressive therapy for which he might have to be seen at a center such as Memorial to chemotherapy to ' observation. The pros and'cons of each approach, In light of the natural history of this d i s e a s e was explained. Pox the time being, since he is asymptomatic and since there is no good chemotherapy nor has radiation or surgery shown to impact positively the natural h i s t o r y of this disease, only observation 18 warranted. I n ny opinion he has had the main treatment Chat is drainage and sclerosis to improve his sense of well being and performance status. ' Regarding the prostate, given the history of mesothelioma 1 do not think radiation or surgery would he indicated. If he start to have difficulty from the prostate then treatment with hormones or antagonists can be used. Be has a return visit in 2 months. ' RTV002404 01K G D O C T O R 'S R EPO R T (* c t) toCcr5C*S6*Q. | CMtRCRCASCNO. STATE OF H E R YORK W O R K E R S ' C O M PEN SA TIO N B O A R D . "CONFIDENTIAL" | row. OMANCDo7rJKMCsmr CHECKTYPS O F POCTOfl: roractw i F I Seoft&<sCw*oHviT&Oj*nvuvunwtiaorctctfftteo I f T CHPOPRACTpR WASOWCS.JSPSCC.OWH.-C 3-94 gotJv l r n s u r , h i OUVttEO (ft-ffNanc) . fU-M,1,8*4 tUttMoR MC MORCSS|MM49LNfj PERSON T0l9NONa NQ. EMPLOYER* GOUVSKNSXiR. 5ALC X3OTERHBXIH.; NY 1 3 6 4 2 ftCtWAHARNJ0g*E SUPHPSttHCVlAtSNNG- <**> SS&SB ISSOK& KCS t v s a . 1 0 4 5 7 S S KOKCH S t LIVERPOOL,i X '8M ds>ait8 ftndai*4w4*tl>*VF&LarVA'WSt.ifcaia*fEMPLOYERsa SampascalwDOMSOBaitacm")(*Mm 13080 MXX& VOR 2 0 TO 3 0 TER R S WXTH EX gOS ORS TO TKLC O U ST. e'TFOwReTeH&t$EMdJU?Ri_V_f PJLtoYoVcTrOon6R :*rticfiii anyHvoaVorEvipeKogofwteoSTW^Brl * * zx&cr m m sm rsxcm * . uOG^SrCnReJBpScMnA'.TiMC A 0 O ertM T C P K*W W N O K R G P Q ftte? INJURY O ft: cw cikok mn CPCOFtCAUrVt Qr AWCHAWSC^COtfOmOSBJDr ' 4 . DA' ON tsw scp . 3 - 2 2 - 9 4 g o 3 - 2 6 - 9 4 , 4 - 4 , - * * ^ 2 2 - 9 4 j ZE S_________ <*gA "2M gH g A D E S C n r e i TREATM ENT ReXDCRSt AND PU U iN S O FVTH6 -JREAIWeNT. Xf PATIENTWAS H O S m A U 2 E 0 . S O STATE AND GIVE K **t ANO LOC*TJOM O F H O SPITA L AND CATES O p HQSPrTAlKATlON. - B O S P IX B i CASK 0 1 OSTXC3S R IS K S , W WAS ADMITOZD SO C&RZH&OS &K2& H O SPIT A L O 3 - 2 2 - 9 4 SO 3 -2 6 -9 4 rtws'wiwaYReaocrwf frsyoescw te jif - 1 ? ^ ? ^ __-" fREsOSfiQuitowhS ^ S yiKo~"1bS""5nstKwroc" p ^ tm S S m - j: mPAmngeMwTaiw*r ^ TESii^"--CHEr CHi O* NE 1 gg" gT!l 1 ' DATEI 3 Q O TQULWsmm SSSf 10 . to> ANY FA C TO R S OELATWG reSO V EH Y ? F -^ e r* o e $ C iv se < b )l$ M D A L AND/OR VOCATIONAL YES NO Q O w R S H A e i u r A n o N s n o k a t e o T F n r C S - G*V R E F C R * t PCTAILS 11. EN TER H R e ADDITIONAL P O TTW C N TIN PO RN A TK ^W gflK U M tTA TIO N S. F A N T . ETC. ! R VOuF(OSlt<r>Ofty S h9vl4 b < M ^ c S U ry n 3 c 3 $ ,p { tM $ n d i i9 t h e c^Qri: o f trv w * sx u n d day \AM o r F^Q A r tnoex c iv h le m w vow for tfifo r o n x x v ; D ta* j T ypM *<P rin te d N tm e < AncmSug g a c to r * .. Addm * F A U m O fO iaiO N fO R dP 6C (A L S E R vm i$ R&QUIRSD, S G E IT 0 4 S 4 AND 5 ON W-VEAJSL 9 - 9 - 9 4 ________ [M IR ZA M . flS B R a y # K P WCftRataeCo ) WC9 SJK 4 21B499 315 -4 93 -1 4 50 X 0 0 I M SST ,9 T K P C A K ffiA SS, KT 136X 9 > i. ji *j i\ . j t iI N -V L v . ' - n ; . i V \ v , i A C tw tO PA A C T O R O B TOWATBJST m (B Io I M S B S P O r C 5M B 05S THAT'- T H E _ M ttR Y 0E S C K 8E D CONSISTS SOLELY O f A C O T t tT O M f W H IC H MAY lAW FUU-Y B E TREATED A 3 DEHNED M U S ' E 0 0 C A W N U W H i e M w E o p e r s o n t o c o n s u l t a ph y sic ia n o f w siH ER c h 5 k T . AND. W H E R E ' IT DOES N O T . HAS ADVISED - rSVoAC4/CADMI) U > M V m t fW V K1 fK VCSlONv RTV002405 / ! f'rAS <. E f'p :`*E - vrrw ca CA50. Td.v. pf Known) $\i i ./. ***7;'*'> <*.' ;.*w Jute62f * / ^ person r . employer-.< }: .lo ::'.- iG O -W6UHAHCE. - CARRIER.; s fe i CARRIERCASEKO.S*i.A -PATEOFiWURY^JivA , ; - . : . U (, /Do^ss.wKeBeiKJimY cccunR E cr^^^v^^ ;LdNA>A0PERSON'S i t * fed", t # 1KiWtiVi>Sfti 3 tfi/i IgiAnot m ,3&1c if? ftiT W ^^{OrfrToWn brjyilW) i?3?^8oa^ec.wo.). * 4 3i ! ; s*}AGE- ADDf ? s a ? s 5 "& ,-* M ti O V B S tS iiliA ljA i^ W iM ^ is i- \ >! u- io 4 5;;? ? T H .iN iiW JK iaTO c - . - m m ^ -- ^kw . R 3 T O 0 ll< ' Y S 1 S 0 B 8 - T * :* HiS iW W U & ^ a ' f e B VreiSc' VAWBtW iS :E M fL b ^ R ,iii flibto posted . 1 - & -1 M lis F frB fe * t |& Jv/ y jk\ '.',.* 11, ENTEH HEREADDITIONALPERTWENTjNFOftMATlON,WORKUMnfATIONS,tF J U a ^ P i^ r '^ ^ v r ': - v-. ' >'*?-''-i.1'. /'^ ''" K^ v " Bybortes6m^*Kx^lWftctt86rylR,lhtc<flvpl6ftfl6: vviLfiV v-'A ,' - -o tf* !, r. T y p e d o r P jln to d N 4 f AltoiyflnpDoctor - I r p L i ^ ' k f i 'a s WCB RbUho Cate ; r , - f , . : WCS Authcriialicn No. , Tl*phon* No, mW p y - n r j y ^ c '- \li h y x ^ A '> ^ '- h c, * ` ` `i'AufkoRlZATION FORSPECIAL SEtTVIcW IS \ ; ' " ? r t . M i l TREQUIRED. S6E ITEMSTaNO ON REVERSEfL.H <S - v> Aidreioijwu^.t>t-.4;; . u . i ' ,' hs-j ...-..a'. a > ^ & ^ i% lV ^ ' `^ ' ' T i .A.;.!': ikiSY'A v ' <;. ' " t f r .'>` i 'l < ' 0 f : i i S T - . B T ' i m . ' C A R T H A G E , ' N Y - i'1 3 fili> . B 3 H * ' - \ L 2 1 8 4 9 ^ ; ^ n s r .4 9 3 -1 4 5 0 l A CHIROPRACTOR ' OH . PODIATRIST FILING THIS REPORT CERTIFIES 7HAT/THE-- INJURY., OESCRISEO ! CONSISTS SOLELY TIONtSJ WHICH ` MAY LAWFULLY BE TREATED AS DEFINED IN . THE YEOlfcATJON'V LAW AND, WHErfE-A IT DOES NOT, THE INJURED PEHSON TO CONSULT A PHYSICIAN OF HIS/HER CHOICE. ' --- ! . , v, . OF A/CONOJ*HAS w>VISED RTV002406 STA TE O F NEW YORK DING DOCTOR'S REPORT W O R K E R S' C O M PEN SA TIO N BOARD (*311") :igj B<,r,At-lia lPBOoaes3l r I '** < 'vcgLMa ' CABWI^EKRbCOAwSpICMO. oPMERuSnOeNo V*hwI (kSedtefetiSaQ CHECK TVFCO F DOCTORS W T O C W t } 1 1 8 r s s r - ^ *MqEsiS S S if$ SScyRRBB 3 -9 4 gotJv e k k b u r , b y 0 (Lnouat) os AOOBESS<hc^*AeLNo^ POWAWnST | | | CWflOFWtCTOR JUseftEeDsPeEeR.SOaN* w m rn T&PHONE HO- EMPLOYERw GCTOVBBKBUR XAX>C SX&XB 1KSBBABCB PDBD . - .......... m m l 1045 TUB HQ&ro 6 1 BXVBHPO0X..1 Y 13088 06 4 iVOn^ KtnwtiwntwsarantovOumivrt)*VFbi.'VAWBliWemployer<*<pe%mu <fti>M m rlC 'IM O - A .S Iw re H tw . Y 6S HO I.A N P.C O M PtETEIiaW W T B B O W . M ILL rO K 2 0 TO 30 B IB S WTXS EXP OSURE -J: iBFU'MflErMcoSusanOsMiE. TO XAZ>C U B S *. a.ws PAniaMrpreviouslyunder T * g CARS O FA SO RfeRO O CTO a FORTHBBM OW T ~f---i s-- i j I j I AW . W W I* "1 2 . IP Y K t W l IS A V tsiSTOAV OR EVETEWCE O F P ftE E X IS R N O WAIRY." & W ERE KRAYS rREPORT. CABC3K0KA- I.UHC, PMSOBAX BFJtJSIOH 73-- 2222,-9 84 - 3T0O 3- 25- 94, 4- 4 , ; TOS________ ;ASASHgHTES IF PATIENTWAS KOSPITAUZEO. S O STATE A H O C IT E NAME A N O LOCATOR O F ' BO SPIX ai GABS AHO O W IC K KXAMS, P I HAS ADMXIZBD TO CABEBlAGK ARKA. SOSPXXAI. CBfir 3 - 2 2 - 9 4 TO 3 --2 5 --94 iWr Q m F -vis* bescRisE ____ PeRM A- ISm EM ENTT -.{MaroN.wrwwoaaaopatent.. . .,,NO rS umED 5 n ^ w ^ '3 / ^ S ko" jrlsvmsK K Tw ot rtP W T Q S S S te fx } ** . j DATE? B O E C TOTAttHtAaiUTT iNPOFMAATK^THHtSi^im^ 10. () AWTPAOTORS OEUYIHQ RECOVERY? (F tcS^DGSCniBc (bj PISE%H*AmWCrAAXT.AI*OtONfOINXWVOCCAAlTioIOl NAL a IF -Y G S F g JVB R E F E R * . 0 E T 4 & $ Yfis,,,.M9L I 71. TER UgHCADOiTfOKAz.POTWEMTFORMATION.WORK.UMTTXTIONS, IFANr.1C, k WO* t M O w i y i w * t f in ttas C K i p u n s* M e a te m e o r m t WMic M d Hi m o ( d q r (AM o r M Q TOOalOQmwdofttw you liard a m o n x -- : 9- 9-94 SJK4 |TVj s o r p m i l N t m t <* A a to c m g o w M2RZA H . ASBBAP, KD [w caA M ho*itioN o; 218499 Toicpbon* ffo. 3X5- 493-1450 A4*m > A* SIFOAUUlBTHaJOrSWKZIATTEWMNSPAOARHSPOe.CiCIA)l.' 1003. ttKST.ST HP CARTHAGE, NT 1 3 6 1 9 {t Ho>Acw m t \ ^ '-..vv 'v '.I ` - VV V - ''- '.1 * 41 ( i t NO 'WOdlAHJ MltrKUCilON yfV002407 ATTENDING DOCTOR'S REPORT STATS OF KEWYOHK WORKERS' COMPENSATION B O A R D : j V - ,1* . .i '5 <' ' T V. . ." -J cteocTwira'KXfrwt . WCo&rKCnAoSwEnN) Q. . CMtfD$LEtftotCASCNO; * ^ WTEOFWJURT , t./i T iM sr`M*.: . ADDf^we^tNJUfrrcoQunReD^ ** ` ' ` %'**-' .*.-\** . i. A <*^ : ^ ? 4 " ` " G O U V B B ^tn C -J V ) injured (HANtWi ^ . S, *.* V (UtfKMMT AOE ACt>K&9QtKk>dAf*.N(>l*' - t . r;.' . petsort lELCPHCWENO. -J At IPlJOYffl* . . - r.\* - / -.tw;ri P*X t'riy ; g o o y b r k etjr t a l c ^ - nVnr ~f** n WGSfUiPF&UNmCe* BTATR 1K3TJBASCB,3fO.RlS- , Ms -t . *: f`;i> 1 0 4 5 7T H 0 a ^ . ^ r L l W p O O l i , H I 1 3 0 8 6 ^fiPiJHfSYWSCiSWNHQ' Of0^1 , i,i * _t . t , *, , , . *> r8tiiiM itiM m i*m l*M H fliiV rS L gV W S L jhC T yM B H flO Y g}l?i8tH tlgO liga)uiK gtili)niij(rttr*'X "l> :-D ` 1 . HAVE YOU H IE D A D E V IO U S REPORT SETTING FO R TH A HISTORY C l; mE.W JUF|YY.. . - ' ' *<' ` K**X^*H11---------J1 inF c' "nYiErSa"laENaTmERmD-ATTE -' YES HO lANDCOMPlETEITEMSMl BEtXHK. wrawlDKi 1 l~ ' -. ' 'W .C O N P IE T E *-- -- -- 1" -------- 1 AU-TIEM 8BELOW . MOLCJQeOCCUPMlGNAi.HtgfOftYAND n ----- 1 I------- 1 F " Y E S " ENTER HISIHEH NAMEAND awEfgxwwsT j j | { j M K ^ a y H D r ea so n fo r transi TAKEN? . . -- S . tt= W E R E B ANY HHJTORY O S EVIDENCE O F P H & S s n W W jim Y , DISEASE O R W Y S iC M . H ^A M M E fa;0 E 8 C { M g "a P E C lR C A U .Y i Joi g L oJ E L . y M C T REPORT. , cjm ciK cm w rosios^ . ' v J :. : '' y . . ?J 2, ................ - -,i .'-.v-C.-ib XT**?'f.i iv/.".' ' ' > . m s e c f t h e n ^ v / D r o b r a t e i U T Y o p A W p U 5 r m , t . y . - j . ! n * **t ''*. ....... . I? I . 1' t o f t ) ANY FACTO RS D g A T IN a R B eO V eB Y ^- F <' in e s " d e s c r i b e . E li? ' ' 9: " tF^VE^GWERS^RALOEWJlS TTSHctJ ^ -`' i - " . - _ - ' . .'> j V-->^ i 'i^1^m..o.nm-gf-yioiatW_..&....An,a._ew.twi^y.ln_r _i._c_a*eV,|.fcrwuon ' -. ' i m 4 - N* . . !VpadrPihteti#mofAttandbisOocfar jf ' .. , 1 0 - U - W 4"' WCOlWinoCod i t o i A ; A s s i i i rr s H i) - r ' ' ' ' : WALthwbSiiQft NO. TUpfeoi)Jio. fityV* {*'.-<s - i * - <"i': .* " 'S i t - ''V-ViS'.S `S T ; SSTWCSS g c R&QUREQ,8 S ITEMS4ANOfi REVERSE.* * ... tfBBtt? g g '3b~C&RTHXl M L_nS2Jt S JH 4' ;: ; 2 1 B 4 9 9 .. .. . U 5 - 4 5 3 - I4 $ 0 . A CHIROPRA CTO R O B PODIATRIST F& JN S THIS R EPO R T C ST T IR E S T H A T 'TTHHEE .'INJURY T O N I YW ICH MAY I A W U U Y B E TREATED AS DEFINED IN THE .E D ttC A jC H . LAW T H E H ilU R EO PERSO N TO CONSULT A PHYSICIAN O f HB/HEH C H O K E . ' ' DESCRMIBED \ CC0ONNSSIIS TJ 3S S8 O0 tELl YY O P A /C O NHDtI-. A N A WHEHE-' IT C O ES HOT, H A S AW I8E0 . RTV002408 Rg$NCe 4 IA 79 9 10 Hsu w e e j a w r e c i of KEWYOflK STATE DEPARreSENT OF HEALTH CERTIFICATE r siAitHttNuwuai 1 OF DEATH i_ J TwSe^sT fa iflooue gas* ggg& 2-& X : ttttf KUU aCstC^beUH : *ggH cay rraa;----- a u ..n O IH p I06f 5:15 a. TCraSE3t5~7' i ,, reA0UrfTHk ..te a m MT TTaL. o.o* Q Samaritan ca: a s 4*01UjUink(C-- j cmwer iuukr tornar KLQ5 _S5_ *s.cw jtnvoFokH ! O ! -ToftWpqi wau^niliiSnninotiSti.--ay----.y**--,mmyncyrt .Aot J *ukcehitiA rikomtoxt `in.ajnosMortmnrtaimv >s.i*A^bkatEtlBf ! a. ! im *oa < i BK W :^ j Lewisburg, New orkj C, riwdg#rc*;*fi>.*sj ta9HHMMCOMOUtfyfWVxM ii.oecsgeiy>6Puc^Tiq>u5giayqtfeeig<gwW White S M im m i O __________tC_S_Smn^SS^^?9Siip***SS!m1 &2 SHi7C*g h p ((M H sojuim W OK0 ts^VMtt.oecuMnraa^mn--if SitfLoWtmoxFSuusLasit^siSP l f e w P 'i. OlGl^OFGaWWOHBn laboratory Supervisor fflntng Gouverneur *Ealc, Gouverneur, HY * --------------------------------------------- * -- * . i - i n i i u M ' . f j g OK "IW & SS 99 9t Oh ocoo CM4CEH HSi J 3 E 1 B S 5 E 5 v 5 w K m& _____H o w o a n . ... HllUsidsCeinetery !H atoral Bossuot Xuny FUneral Hone 500 State St. Carthage Naw York 13619 New York is s r CZA|MMeoFffVIFMLgiReROR; SSCT!3^A m u m .ibAuuhi H aAwogaam ar- P. Lundy liu n E O F R E o an w . ifc-adg^sa 03038 M p- H ^kjcvH ^ a X f e E C E B 9 2 S -99 COMPLETED BYCCCTlFtW Cl FHTSJOAH ~f W i -- O -- n M S J3-*JC O M H tETED B Y C O B O H EB O H JteW C A l.eX A J sm ji i ^tTWCa.OrAi1AaAoeKOMp^ucwe^AHMOHoyoearioTmHoECwAAUlCgtaOarTWAiatHe oCSOSMSI? _ M IOKM . B a n d ' yacss5S5?S@fchbbsbu {--a r i m i i . m . I 1 r ratmi--..r ,-XHR !_____ m-- >ig.wW7Wo^i^ft^wffkmgrgFwvycwi.yOW0<TO3T mtwulw AOCMMNT wwooc suettf^ccusri %to 4| w^SSSSSS -CK1 a V , O O. O! -- O / N cownogwnw. s e e w a rR u c n o H sh e e t fo a co m pletin o q a v s a p o e a th omiKHWL WlPWTHWA8CW$gtW> jBHTetOHtVOHgQttfl8FtWgffilW8lA&<gl4 mgTAWcmP/SMlt. H O T im uG B O T O w sg: &T'>3Ab0^S'C0FT M e d e * '2^ ^ x ^ ^ C f ^ A '/tfo d f . s ^nsnofXS^SuESSESF- MAT.OOI&HURMaOuHTtFNOLNfTKCoOntsxjonOcMNSiCscoNwOfSNStWfKHAOifiioriM"": auUifrgfty.oftT^r ~ WffTH j i TEWT J 3l.L0CMITY: mm? **) 1 ai&CTora HtW mHr oocimnsoT aaw A ceo ew iw s DQH-199 (1/8$) 31. (HJtiflY A f WOAK7 K9 VIC Do Gt 339.CW^EOF D O M B tn UOHTH V Vgltf vs- fersmtf{ftpfctotorHA"# RTV002409 - *Sv v ^CONFIDENTIAL" c INTER-OFFICE MEMORANDUM Dat: December 14, 1993 -To: ATT Employees From: D-C. Putman Subject: Retirement of Iand Promotion o f E ffectiv e Tuesday, March 1, 1994, taHfmiMlMfcf w ill r e t i r e from Gouverneu r Talc Company a f t e r 39 years and 7 months o f employment. sta rte d work, -at Gouverneur Talc on August 4, 1954 following a four year en listm en t in the U.S. Mavy, a la rg e p a r t o f which he spent as a radarman on the d estro y er USS Cone. P rio r t o h is service In. the Wavy , JM Irtw orked fo r 5 months a t Carbola Chemical Co. GBMteworked as a Laborer from the beginning o f h1s employment w ith GTC u n til 9-3-54 when he became 1 st M ille r (Ho. 1 K ill Crusher O perator). became 2nd M iller (Hardfnge Operator) on 10-25-54 b u t was quickly promoted to Laboratory A ssista n t on 1-17-55. Since 9-1-70 tV M has,been the Supervisor o f Quality Control. dgHRfek knowledge o f the science and a r t o f th e production o f o u r products I s unsurpassed. Ue have been fo rtu n ate th a tS B M I p o stponed'his re tirem en t from th e d a te he o rig in a lly selected by more than one y e a r. During t h a t y e a r he has guided us___ through the f i r s t step s o f e sta b lish in g a TQM process. has agreed to continue to be our TQM f a c i l i t a t o r and an ad v iso r on q u a lity m atters as a co n su ltan t on a p a r t time b a sis. w ill become Supervisor o f Q uality Control e ffectiv e 3-1-S4. i%M>has a Bachelor o f Science degree w ith a Major 1n Biology and a Minor in Chemistry from Western Kentucky U n iv e rsity . M ijb h a s been w ith GTC since 4-18-88 1n the p o sitio n of Laboratory Technician. During the p ast 5 years he has had th e opportunily to work c lo s e ly w ith experienced lab o rato ry pe rsonnel, m ill s h if t foreman and under the direction S M B s work experience has provided him w ith th e opportunity to p repare fo r the d u tie s he w ill assume. On January 2 0 ,`1993 completed an ICS course tn Laboratory Technology which w ill a ls o be valuable to him 1n h1s new jo b . We wish MMMPsuccess a s be assumes th e duty o f t h i s Im portant and demanding p o s itio n . ' dcp/cmv R T v 002410 -'V iU 'IWiXlJ n m o o c t o v s r e p o r t STATE O F M EV YORK W O RK ERS' CO W EM SA TI0H BOARO CHECK TiP C f OOCTOAr ( ^ ) : Q p E D jgxLPftoca^ t 1 i ^ i ^asssi* " GMBUCttCASINO. j p j r w s c w I I I p o p w n u a r | {~~~| cxaopRA T Q a AOORESSW^IMRAffCgCUaReO "Htans* tPHEARStoeON <RrrtNJU*ci 3-94 GOiJVKRSEOS., N T (MUttMN {Ultflfenwf Aog 4afleB5f)Cfe0f0t.NaJ MM . TSlgFMDNENO. EWttJV** GOOVBBSBR ALC *@888* STATE INSRHCK -OHD 10 4 5 m n o r t h s s w v k k p o o i ,,j X 13088 SS S S f 1.: <*> tfananii^r>ndwWw^frtVPgl.orVAWBCyhow8MPLOYCTO>c*<bte|)ofBcglgqWft8fta>a<<>tafy*bfe: O n n a F-Yes' Bfrciuwre YES MO I S S w S ^ S m g i ^ T HEUWf. a m FOR 20 TO 30 X5KRS WCS EXPOSONS TO XK&C DOSI. * ? 'KMKnTRREVraLVtMDER rent [-- . f-- i r " w s Q Q jfi z.irwsiuis^Wri^bnVto'sTOEHoeoFmEegBTiiMkuunvr avTtAKiSKx7Aivs vm SSur jH L S l 1 . VOE 4STC RRBEPEONSATn. M C A W EXTCHTo r * o r n O >0<nO >ltU U RV oJt1 CASCINO* LOBS, VhKV&M. EPKSIOH a n t charge o P o o N o tn sw " " 7 -2 2 , 8-30 3~22~S4 gp 3 -2 6 -9 4 ,4 -4 , "J>niwrVam--tfstcno*nrtwiW> JmiPn-VDEiSrroeVia*tsei)Ma !P"ag*gs ?8SISM > CARS AND O rFICJS SXMCS, I T E t ADKITTED TO 3 -2 2 -3 4 SO 3 -2 6 -2 4 * " 3 a - KQ r^ W 'eie " ODIW ^ T T - _^ v n iw fu i Fff5fS^Tit lSST^woe^tiriKI ?5"*' iRJ Ei TSUitME REGULAR TIGRX Xt (* OATEl CRTHGS AREA. HOSPITAL 1 __ _ Y w *ii !l I p m u t.a sw rr ^ I T ! 1 |R > ' WALWttBW; w.WpW~ymesf^fipOeRsscrDEeUiwaFEcoveiw S8? nKPH ESSK 1, emERHEn^AOHnONAt to o itte H r WRORMAtiON.WORK YES NO FAKT. ETC, H^ tW^M^AwfagBHWyftWt4Wt.> ywotcowwwfert losotf lbf<frtawn04c_ l>pd or FicmmfanctAncatfnfOoctar Atfdroes F O R _______ ANO S O N 9-9-94 HCB.fU*oqC*Sm 80K4 HZBZA . SHRAF, KD 1061 gar ST BP VlCtMMvo*"* WepteftoNo 2X6499 015-493-1450 f%SwSw?A*W\t' t r - oo OOUTKiyt .HL ,WQ tHHtiSsfNeftchoke. .. j , 0 & * l|S no; Kl SBkW BKttrOn MKO**A*J <h)mK.||08S CARTHAGS, NT 13619 . 'i(Vv\ v \ ; ; <i| J i _____ SOUO-Y o r A CMOW IT O O ES NOT. HAS AOVISSO TOTAL P .0 2 RTV002411 "CONFIDNTIAL" c CMUVBBHEEB T ilC C O ., XHC. aoonmsEDB, h e w x o k s : r a o m o x poe HffiLcmjEKf Nana i n F u l l So, end Straotj Position Dssirad G onrem sur, H , T . 19S~$ 5ge Z 3 Phase a -- B fiE _ --- r-- A S & # /$ J2 /a te+$t a t a f t ) u } |/jK V Salaiy Expooted Waighl / Seigfcfc S ' ' i v Sactied or Z t J > Osla o B i r i j 5 ( ( ( B B 5 ( 5 j 5 _ _ S o a L l S e m u iiy Eo, s i C odition.<^|/ i ^ Hilitaiy Servies lv ~ 5 , / J , S . /P & O 'l/ __ Eesarve States A / s c* . Khan. d id you lsa v o lasfc p o s itia a ? ' _________ Tgg? Kgjg OF SC3O0I. OR COEEB^KXaSam laaamg) coobse m ts s a r ^ i - -^ - - fa g M a jp a * . nrsraifor ..'------ IL rfz& fa iM y . ^ & SaeoigL - tboymeib liste s Q iv a'H o . fieT a r ^ U J /d e A is x iL S k a /i/ rM # ? e . (ie > ` / E&toEiteuB - Pire a accarate (ronedogical stafcaaeat o tea positions ypa hgve h o M Bnnlnyaea Maasa aad M a rg e s P o s itio n BeM Basson. 1 e r Lea W ?c Q fi L /n H L a h i> / ( a . l J s e /t a. ^ 2 fj^ /J -S , /y l> y s & L a m ' _ ____________ 3, BBEBRBBtgSS.OEHBB g E B ERBEB3g3 JEHELCTZBE tmmr U r z / J t) cw m ssst T M V , ooCTmcoH . She ebova enasrers are obsolccto3y tras x m u * RTV00241 A y U iu u /a iu im j" GOUVERNEUR T AL G CO. , ( C. GOUVERNEUR, NEW TORK N c v/ RECORD OF JOBS HELD ' \ ' ' ! name mmrnm-- m D a t e of Hire 8/4/54 From DATE To JOB CLASSIFICATION DEPT. 8/4/54 9/2/54 Laborer Mill . 9/3/54 10/24/54 1st Miller (SO Mill 10/25/54 1/16/55 2nd Miller Mill 1/17/55 8/31/70 Quality Control Mill 9/1/70 3/1/94 Supervisor Quality control __ Kill_______________________ E a r l y retirement, h e 63. under Tension Plan DA-325. < RTV002413 "CONFIDENTIAL' 'CARD IQPULttONARY SERVICES E. a. NOBLE HOSPITAL 77 WEST BARNEY STREET GOUVERNEUR NY 15*42 ABDUR 0ALALAI M.D. MEDICAL DIRECTOR PULMONARY FUNCTION REPORT (pr*g~ Summary) Page l Name: ID ft: Age: 8H* Sex: M Height: 8 in- Weight: 172 lb. Stocking history: 40 pack--years Race: C Doctor: RIGOR ' Tech: FERGUSON File created: 09-30-1993 09:14:53 Disk created: Predicteds: Crapo File: HALABWBA Report ft: 1 E.O. NOBLE SCREENING PF Diagnosis: SCREEN Comments: Interpretation: ' * Mild obstructive pulmonary impairment. Restrictive pulmonary impairment cannot be excluded by spirometry alone. (Subject to physician's review} ----------------- -V E X p /In S p ------------- ---------*------ --------------------------- (Pra~: 09-30-1993 09*21:28) Best Incn Function FVC FEV1 FEVt/FVC FEV3 PEFR FEF237. FF507. FEF73SC FEF25-75X FIVC FIV1 Comments: (L> (L) (L> _/> -- (L/s) <L/s> <L/s) (L/s> ,<L> (L> Preti 4.39 3.45 0.79 4.05 8. 32 7.63 4.95 1.85 3.30 Meas 2.52 1.89 0.75 2.37 5-OT 4.50 2.01 0.49 1.45 2.54 2.38 %Prd 57% 55% 95% 59% S9X 59% 41% 26% 44% Meas 2.42 1.79 0.74 2.25 4.85 4.52 1.88 0.46. 1.31 2.84 2.78 %Prd 55% 52% 94% 56% 57% 597. 38% 25% 40% MW <No Pre- M W performed) Function MW\ (L/min' MW (U/s) Test timo (sec) Vt (L) FiR ' (farths/fflin Comments: Pred 117.43 1.96 Meas %Prd . Incn Meas %Prd 2.41 35% 1.77 51% 0.74 94% 2.23 55% 4.65 557. 3.50 46% 1.64 33% 0.44 24% 1.30 39% 2.37 2.14 RTV002414 Name p ` T T r \cARDIOPULMONARY SERVICES E.O. NOBLE HOSPITAL 77 WEST BARNEY-STREET 6QUVERNEUR NY 13642 ABDUR 3ALALZAI H.D. MEDICAL DIRECTOR PULMONARY FUNCTION REPORT (Pre-- Summary) - Pago 2 ID #s RTV00241S " CO NFID ENTIAL" SLJ7NOBLE HOSPITAL. TTMSrtUUlWY *" . GOUVERK,HEWTOWC1W ` . * aOt!1Av f T' . 4 .'*4-- - aver 1 j : : i r .--- -- . -------. ` ... - \ Family Nam `Treatment , ' O Examination - "* cHh*-. PA Attending Physician . ------ D r. Ptm a FtetName Name-Part ------a X-RAY REPORT Midd(oN*ma * . .J. * -- . I *" -------- RoomNo. Hasp.No. * 1 QgP . Sex Age--Years X-rayNo. ` # F Oats 13627 O.P.D. No. 2 /2 0 /9 2 Rsport; ' " __ !CHEST PAs Ho pathology is noted. Th "exaia-is essentially stable since 3 /2 0 /9 0 . : ' = * - .^ * P * **m r*. 1 I. w-a*' w- -C J `* r* I ' . * j . o j o ] cr- : - t : - I . S i , <J. r 1 1 t -- i .a *m iff . `^ - "w * '-A * ^ ` V L'fr < ' (Sbrtfr/v xr.i ? YES >"Oe 19 iM* C * * "1 W -- j;--it }j--;n -- j-l Ii--Ji r~ ,- j1--a -- - 1 C ' %; - t ( f - \ M * * * 'A O f .-V .I by '* 1 ` o.oa t 0; _. T: 'OkilCl '. - - -r-* Y 2/JL4/51T 2/20/92 2/21/92 . ' * .-- , ~ -Sl^KtACIVO "y ; // >\*. : -Oyrjr "'.`r-cif y. Pelton,M.D./iab gnti#f*< flwwt^enofo^ RTV002416 " C O N F T O E im A L " X-RAY IRTERPRETATION N v n s (F finti 1A . o * ta < * X -r*y 18. S ocle? S ecu rity NvntlM f HintmOuflty//fA9t0ndir G A vffM M tf;.' IO . Is pam pH tfS iy N egative? _LgF 4 ^ if a a oav* 1yvl r r 1 I 1..1 "1" I ~ T 1 I 2 A . A n y N r e w h y n ^ A b f l e n p d ^ C f l ^ i t M t v r i i h P n eetm o co ato si ? V C S jS P roceed to Sceiion S 2 a . sm / l O q p a c it ie s 8. $H A PE/S(ZE . PRIM A RY SECONDARY NO C om plete S ection 2A YESQ .PROFUSION b. ZONES 5. > *n C t t P p t e t t l B u d i C __________ N O C J SC . LA R G E O PA C ITIE S P roceed xo Section 3 P *40 Vi Va <r 1 */* *ya */ J/2 V* V SIZE lt R t 3 A - 4 t f Y P L E U R A L A B N O R M A L I T IE S C O N S IS T E N T W I T H P N E U M O C O N IO S IS ? YES C om piete 3 8 , 3 C aii 3D 3 8 . P L E U R A L a. C IRCU M SCRIBED fp tq u / 3C . P L E U R A L TH lC K EFtiM G .. . C h o t V I M T H IC K E N IN G fcOMute s . O iap h n a g q (pfm gue) SIT E 0R S IT E I NO. S IT E IO R I L b . C o n o p h ie n ie A ngle S IT E l . ? J R ih \ In P roni I.W W th 1L E x ta n t Face O n IB. E x te n t 0 A8 C 01 3 I 1 1* l 3 H I Profile {.W idth 8 . E xtern Face O n lit. E x ta n t Uh Proceed to S aetto 3 SP er occtieoend 4t o oL o A hi 1 JU 0 TEEI S O . P L E U R A L CA LC IFIC A TIO N S3 * D iaphragm bwW all . . . . c . O ther S tw S IT E R EXTENT O X3 0 X23 a X 23 a.O b f4 v eg m . b.VMl...... , c. O therS it* .. 1 L E X T E N T 0 Xz3 0 Xz3 01 z3 Proceed to S ection 4 4 A -4 /V Y O T H E R A BN O RM A LITIES? C o m p leta 48 end4C NO P roceed to Section 9 4 8 . O T H E R SYM BO LS (Q 8U G A T O R Y 0 9 | Ci* W d | < a n | r t ^ T j w r j t a I d | fit R E P O R T IT E M S W H ICH MAY 8 6 O F PRESENT C U N tC A L SIG N IFICA N CE p -- t IN T H IS SE C T IO N . b j- (Specify o d j D ata Fanone* ftry ild e n ootiitaJP | Month Day { Y e a r ~ | 4C. o t h e r c o m m e n t s S H O U L D W O R K E R S E E P E R S O N A L P H Y S IC IA N 8 E C A U S E O F C O M M E N T S IN S E C T IO N * C t | VWtW l P toem dT Q S M tionS P H Y S IC IA N 'S S IG N A T U R E D A TE O F R EA D IN G ffay/M ohth/Y ear RTV002417 e. NOBE HOS'PtTAU C O U V n-vresruiw ERKEW, MEW Er OSK DSt.x "CONFIDENTIAL Family Name Q Treatment Q Examination 01 Attending Physician ChestPA Sr. Pong FfnstName X-RAY REPORT Middle Name Name-Part CGTC) Sex ii F Cate Room Na 0FD Age-Yean 3/29/88 Kosp.No. X-rayN a 235 o.p.aNo. Report: CHEST PA: Comparison was ma d e with the last xaa dated 3/6/88 PXHDIBGS: X Scarring either I s parenchyma o r pleura of both lover lobes seas through h enrldtaphra g m s , unchanged from prior exams. 2. Otherwise normal. T h e lung fields are. otherwise d e a r . Heart, mediastinum, boaos and the rmwlnricr of the soft tissue shooed no abnormalities. O.O.B. D: T: /W 3 1 3/29/88 3/30/88 RTV002418 Robert Andrews .H.Pvdb X-RAY REPORT ` "C O N F li> E X T [A L '' X-RAY DiTERPRETATIOK Name IP/Kf tO . I t R ita C ocnptetdy N s ta d n ) 1a . 0 i o f X a y r n is T Z H 'tT m a o ay m S o d a) S eew ity K um btr - '" 3 ~ TC. FUmGwtfty I//dC Gt*Sc lyC /** fl**<Ort/j 7* i..j i i > r i- Z 2A . A n y PerenchY tnel-A bftO tm erftl C o w n t l w ith Pnew m ocontetlf? Y E W P ro c e e d t o S e c tio n ft 26. A C JT ieS B. S H A P E fS IZ E PRIM A RY SECONDARY NO J C om pleta S eed o g ZA Y 6SO .PROFUSION bo Z O N E S V t C o m o t e t e a g c n d S C __________N O C 2Co LARGE OPACITIES Proceed to Section 3 2/0 hi *n zt* */3 S IZ E %n 3/t SP er occtieoend ^t o R ____ L _ 3 A .V W T P L E U R A L A BN O RM A LITIES C O N SIST E N T W ITH PNEUM OCONIOSIS!' YES C 3 om plete 3 C tfltf 3 0 3 r NO 3 8 . PLEURAL o . C IR C U M SC R IB E !) (pim quaf 3C .PL E U R A L T H IC K E N IN G . . . C h a t W i g T H ICK EN IN G LOhphyiyi (pfatjut) S IT E <3 f t b* D iffuse S IT E S IT S ft L In Profile LWidth O A a c In Pratile LV tiddt 8, b , C O tto p h n n le A nsie I t E xtern 912 2 Paca O n S IT E 1R t 1- I ULExtent 1 I t U I I I I IL E xtent Pece O n 10. E x te n t 1.1.1.1 * 1 P S r e o c ceed tion t 4 o 3 0 . P L E U R A L CALCIFICATION e . Ofap h ra ^ ii . SITE 1 A EXTENT l za trO M n . L EXTENT 1 0 1a X b. wil ........ c . O therA tte . 0 1za 0 t za b.V M I . . . . . . cO tfe rS tla , . 912 3 0 Xa * Proceed to Section 4 4 A .A N Y O T H E R A SN 0H M A U TIES7 .O T H E R S Y M B O L S (O BLH SA TO H YI E ex | touj q r r R EPO R T it e m s w h ic h m a y BE O F PRESENT C L I N I C A L S ta N I F I C A N C S , ------ - IK T H IS SECTIO N . U0 I fiptwiyodi C om plete 49 *nd4C m a ri S ic tfaa 5 | Bl U o f CM | Date fyiiQflt! Pfcyrteien noticed? Month Oay Year 4C . o th er com m ents nun S H O U L D W O R K E R S E E PE R SO N A L P H Y SIC IA N BECA U SE O F COM M ENTS IN SECTIO N 4C? P rooted to S ection S P H Y S IC IA N 'S S IG N A T U R E : . h>' b ? f i -- DATE O P READING D a y /M o fith /V e a r ;taa.i. RTV002419 -w ix I E iN H A t" BATS: (B~</*SV PATIENT NAHEs AGE: HEIGHT: S * g WEXCaiT: L2o_ EEWHD JOHH NOBLE HOSPITAL PUIKOttAHYFUNCTION-RESULTS DOfcXER; tobos CLINICALDIAGNOSIS _______ ? ? /* w j& M sr/r# -- **> ' 'T J t (L PREDICATED OBSERVED TC . cc POST . 2 OP PREDICATE BHQNCHODILATOR IMPROVEMENT ec * . cc ETC V3 S 0 7 ? e > ~ P 7 < CC FET1 3$3* 1 . 79 MP * . ~ 7 S o cc & * '7 3 . * I/s Uz ^> * *1*^ . 0A * HHV } ' Um ' ' BREir PATIENT HISTORY: i/n . '* CC -- f ..... I/o ..... . -- " TM '- hAn. COMMENTS: ' . /* RTV002420 Jimlly Nom' Treatment ^ Examination- ** Attending Phyrtdan X-RAY REPORT FirstName Middle Name Name-Part Chest PA < C o w ,r Dr. Dodds ......... Room No. OPD Sax Abo--Year tt-P qfa 11/22/7 Hoxp. No. ' Xrray No. O. P.D..No. R epoit ' CHEST Pa s Tbs heart shadow is .within noral limita. Both lngs are olear. 3MB ESS3DH: R adiographically normal heart and longa. am C O K 7 4 S I f le e i RrlulMk 0 A t i n n , b v a . o. Rivellini, o tA*mtfM t(9U x-ray report HJV002421 Edward. John N oble Hospital ROENTGENOLOGY CONSULTATION AJeytndot Bay O Canton 1 i OoaTfflirar O a w titci? N o rth C ountry H o spitals n n iM H c r k it n u u a e hunt xbx name w anax MX 2U3X 't U M M l l t t l t HR. f 'U - y PROVISIONAL DIAGNOSIS HOSPITAL PATIENT O CLINIC PATIENT 37 som os FOR1kJ1fOCMTE*8 D istress a D otation Type M om 1 a Jaundice W eight Loca d Blood In Stools D Previous X-Kay .H ere a lirew hcre D escribe Operationa o a D esafee * Give Dates Am bulatory D a S tretcher da W heel Chair- d D airau^) Baqtwntol-fcy NO. ft ocavrsenox O Chofecyrtoemn Wtreerin O Te O No D Cbolangiogram Etphsgut a Gastroduodenal O Sma8 Intestine Q Barben B aos Regular O iest O H eart Stze a u Tract Pyelcgrtm Intravenous Rctrognide QiUttam Bagolar FeM s O Cervical Spins Q Thoracic Spine Lumbosacral Spine K tg u IarS leu ll Stam e* Mastda P Localize F- B. Ee Abdomen Brunchogtam D Myelogram Q Oil o r A ir F ru ta re (S tate S ta ) ROENTGENOLOGISTS REPOST 7 A CH3F shows clear lungs, normal heart, normal osseous i h a r a d o ataiotures CCNCHISXOM Normal chest T- D ictated__ Transcribed -m ** 9/ 1 7 /5 8 (date) RTVQ02422 --*'..-6 J. ft **... * x v n r u f j ^ n ixxixj IfA&ILY-Hi? rO K V / o J ? I : ^ r< tw<w I (&k*>; *55- , r &* H ^w fongjh* you?or iro n y p: c lw c ir' Dcjjvoa ond yJu Ujgpt. f a t to y o u r te m p i j }^ y m h a |-- **-- * - o n */*# pdAnl B ! V , 3 , j ! M ____;______._____ s. * -------------------------------p _ urn SJ 3N E 0___ :v Q - 1 j V J * I X -R ay Ftpdb>st Migratoreo ExaminasPhyskm ij * J ,,iL i_ J . , . ; 1-- ! ! i ia # h i -U I (&> : -i i, t S w d IJ'rHi - d'^d 4i *^ / : - s M L n - LVJRi h km /<-'* r <je* RTV002423 "y -*i t.jt^*. "CONFEDENHAL" Oflpiraic.XAMINA'nON Dtt. ICiolorbN- \ J'.lgi j/io wlhGitsufefiMBai)^S S> * w ^ s f i -. 3 rr * h "" ` ! ! i i ! t i s * i ^ . T j ^ w 1. cChflpjfhliarg *V --1 s . i i -i i ! V tf o iliu ' ' T 1 V ' * H 88 s- & .O A a 3 ' t t * . 5 J ___ * 4 ^ 1 S ' i l W . 3 MO. ^ r % y . i'ff- ', -% t i ^*NnJ * ` ~ V . 1 * 4 r U, * < <& r 1 h .5 ' ? s s t f i \` > i i l.T ! 1"" -- -4--'TJi -------- k : 5 v jr ; . 4*< - S - . IW ; . 1*7* : U. JJ-- .. . I E S E T bb 1 2 E JZ ----------Mrtir i*-< 17. Htfc* 6? /*% -- i/ t t NttyMiStMOB-RdMa i ----------- _ ,t * a*. $#* - g - * JA ^- J2*-.-- / n-v. . L/ <JU^- -- " -!/--........._1 COB O .O B C ru r .GLASSES M-fttOlCAL H.ftttRMAl OEBUtSON G0WSBEU8TLC<f31 Tr*>BaBEZarZKFtCT RTV002424 AM1LY.JHISTORY A*#*rr , s]- Convufoeos. ~77Tr - r l D tebct y 1? A/ V ~ n r * [ ^ s Vstt*al Ditta* / j : -1 f J ^ js iS fc w* __ ___ . o u tlin e d sxwe? ' S Y * ( DgwriLo! k? y Q r ' i -.t S :'g ^ . -----T----- T------ *4 r~ < V w d ^v'VtmS:w'cC- I i ^ , w (c saretlW , . a __. Hgblooalai yoJor BdiouT'a I f j inan^padu fir b A ^ c i|d * O g v o o c b n s i d s f y o u r s t U In g r festfejwur`bonfstetot?;, < > j S lg N E D ___ 1 i "5. i T T ^ 4? ! ' ......................... dih? ; V fe^l l i _____ 1______________ * ;, i * i ..!.7..... - ..... : --"" - .............. -- ..... . t t . . 5 "I t X-Ray FJpRns J\ ! s \V \.b i^ L ^ d |> te b d . m ik i^ ^ - ^ < jc* ! i , R TV 002425 V V /iir FAMILY Afie - AsealDcvlh . Any Mstorir ofTvbncvlotb? . Hhetitn&lbiri? . fcbctetf __ Oi Imc OutstentfiRsK<rdUv Cenrfirtoni . Cxirfp*9th------ Coptocn wilfi Tuberculosis ftx*> HISTORY. ... <, v/ ,i *.*. - D .*.- >i >. , !, I] 1 gS 044^44 '. . father^ * ofCh3*w y A * H O fT H E R l -SSf- X4- gf, s 1 J i-u . L>l j j I WAft&X. " . g ^ o d f o U d f A I j i C atih u ^ . '* = '< *' i ` ' * t ' > "*' a ' PERSONAL rilS T O R t \ Ii ! H w y o a e v e r h id a n y o f th s:loUowtns cow RO oni? WhoafjngCotqh . Mbe . ies `rio fo&ttOtO. i Pirorlsy-i__ :__ i j i L . . P nM im w fa \n f ifi BhcurnodeFever] J& L Tyj&aM Fcvrcr -# - if Kiy Fever Aalhmi -j / f f _ ' Chronic Cough * Any olher ans* B n e s m l roenUonn St. VUusD ines '- J f O'_______ Entphysents -- ~ ' " *V v* 5 D oyou smoke? Y&g V 3 H V V * % H to , dial (cigarettes, P i p e . d e a r s , d w A r g to b a c c o )? ' G t j A g & l f e s 1 g . * > * ' H o w to n g h a d e y o u o r didvouaatokrf z T y m ; l ' 8 I t -c A .-% H o w m a n y p o d o r bo w ll*s p ae r d a y ? / ! ' ' ;} . 1 4 ' ^ D o y o u co raid er youraeS In good health? If o p t , d a l is y o u r c o m p la in t? . Have jKdi tw j any vt^cil < ------ ? / r l j d - t j ' j t . rj.- j" t y '\ _. = 1 SIGHED XrRiyFinding _ ; ! j . 1 U ; ; j ! i i - V s l-rJ M > -- '/j-hffirduiMfufrczot.*vP* / Signature si ExanMng Physician - a * r I dj* RTV002426 JUL-2T-1395 0t<46 FROM SOUM.TfiLC.co.3052070349 TO 12038310343 P.02 State o f New York - Workers' Compensation B oard ____________n o t ic e o f d e c is io n W.C.IAWJUDGE fiAXBOStfEAtfttfGi OlSTtttTGFR: , HEARWGPOINT Lavgne zn/35 Syracuse ; Cotton --vW.CB. CASENUMBER 1CARRIERI.D.HUMBERi 1 1 1 W2C400 CARRIERCASENUMBER -- ; DATEOFACCIDENT ' SOCIALSECURITYNUMBER ; 03/02/1984 , NAME OF CLAIMANT CSCtSWHDULYFtDAJ>SERVEDON ! "BY FORINFORMATIONONDUSCASE, . 2/14/95 1A CALL {315)428-44 " Gouveroeur Talc TOAu.PAtmesin tiiin w r ao POftTWT i POBcxflfl i. Gotivemeur. NY13342-0083 r ' o. .. . e o p 1 Oot, TftscWous 1 Assoc, i 8pcfafFunds Sec 15-8 -- ^-F ascsrw tt---------------. r o t o w w i f a ) tTWfw j Oim j Hi m *S tv^trw M m ftm fV P O M i f-tg-t-fgT<--<t0.Wn.*tM^ttOf*pf.m*%*Ugr-fejtm-frwcg:tA-ftf*.fW.B...r.<c..*.<t.$a./--.<.f.nf.Wa.t.i.o..nw.i.p.r.t.te.i.(ty im W MWit'BI8BMtf*nwww*tmhM' *Olwi iinwWiieMgeitemi M6brtr>%t e i*h if j m w faF W v ^ w * 4 ^ * iim ro b r ****<**4fcPt<M*> A.cWtMrtwfcafc m eyw*i6et iw xow?cectoxw)4wyvffl K*MMa*4AC0te.YJ9U& AWARD: THE EMPLOYERORINSURANCECARRIERARCDIRECTEDTOPAYTHE *00.00 .LESSPAYMENTS ALREADYMADEBYTHEEMPLOYEROSCARRIERFORTHEPERfODSWWCAfEDBELOW;UNLESS EMPLOYERORCARRIER FILESANAPPEALWITHIN30 DATSAFTERTHEDATEONWHICHTHEDECISIONWASDULYFILEDANDSERVED. fordisabifitYovera period of j WBoks ) from I to I 49.0 * z n m i 2IHS5 | St 1st DerwBok S4Q0.00 the sum of |Adt^^.9./,W j^JBC ia00 f t j i i* j ) * 6 . j Carrier atinjte paynenta at I ____________\______________ _J______________ ____ _____ ____ FOBS Asten onabfivavraMpayablebyseparatechseicbycarrier . . - To .............. $2000.00 Oct ThsddausB.,S Assoc. TO CLAIMANT'S REPRESENTATIVE OR ATTORNEY: DECISION: o c n p itio u l d li * , notice and causal relationship established COpnausuaeaiesi*. Average weefcly rage established at SS67.20. Ciaiawnfc classified a permanently to ta lly disabled. Trsatoeat auhboxizad. Xhia clain Is subject to the provision of tec. 15-*. The carries ay request reinbureMnt: after payment of the first. 104 rails of d isab ility and death peyxxcts. Section 15-8lee) ipyiioo. Sate of disailoaoat l/lf9\. stipulation, cu rler to pay outstanding and ftitucc b ills for treatment to the longs. Case is closed. RTV002427 Barlwe C.MI1MM Chvwman A. BARTON HEPBURN HOSPITAL ogdansburg, aw York 13669 DR. PALAO amocssioajsxsgPRy & p h y s i c a l (page 2 n 5/6/94 EXTREMITIES: N o cyanosis, edema, or clubbing. GEMITALIA deferred. RECTA L eicam deferred; NEUROLOGIC exam essentially negative. .IMPRESSION: 1. Pulmonary carcinoma, right lung 2. Right pleural effusion PLAN: Bronchoscopy "CONFIDENTIAL" ACO 63X47 Diet, & Trans. 5/5/94 MP/jsl _________;________ Manuel Palao, M D i I RTV002428 . . . f.V.* y v ' . / `> W v - --.o .. .., .-v V .i^ V g-e-V ^ ` "CONFIDENTIAL" l O B io ad w ty M utande AlflAN Y 1 2241 S ta t a O ffic i ulJnQ 44 H tw foy S tria i 8MGHAMT0N 13001 1 8 0 LWtn&ocan $V *t BROOKLYN 1 1 2 4 8 S ta io O ttica Sudino. 126 M ilo $ v a t BUFFALO 1 4 2 0 S * 7 6 FWWft A v w tf HEMPSTEAD 1 1 6 6 0 ,, ; . ISO .M ja g tf y t W . ROCHESTER 1 461A S ta ta O f fa uSdlft E ta t Y fafitagton fit. SYRACUSE 13202 DATE O F HEARING 12-11-96 wc^S Sh ^ C if ri e r C0 H a . STATE OF NEW YORK W ORKERS' COMPENSATION BOARD W.C. L A W JUDGE DECISION D ULY FILED O N B Y LaVigne 3-13-97 dk O icadent C a rte r Corf W2040Q2 NOTICE OF DECISION IN DEATH CASE C laim ant:. Employer. A ttorney:. RT Vanderbilt Co Inc 30 Winfield St Norwalk CT 06855 OoC & Assoc 503 E Washington St Syracuse NY 13202 **CQREECTIOH** f i n d i n g s : O s s e continued. Accident, .notice and causal relationship established f o r death. Sole-, dependent ot deceased 0f b i r t h J H B B p ^ d a t e omarriage9-7-57. ________ ;_______- , , .. . . ... '_________. . . wed.nat-. fes-- p r e s e n t at next nearing, section iS-Bea held in abeyance. Attorney fee $2000.00 payable to O ot & Associates. Average weekly wage $967,20. Death 9-6-95, ' S o c i a l S e curity offset as follows (413.40 i ,50 x 12 divided by 5 2 " 447.70). RTV002429