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AMEBTHCBIOLQ9Y C- f. DAVI9, M.D. C. O. TERRELL. M.D. . e. WEI 9LE, M.D. DCKMQOLOar K. . SNIDER. M.D. T. K. LAMB. M.D. GENERAL THORACIC! AND Cardiovascular surder F. F. CAJBIDY. M.D, J. R. EMLET, M.D. V. A. 9CELLER. M.D. J. I. WIMBERLY-, M-D, J. LOOAN INLET. M.D. Internal Medicine w. *. JORDAN, M.Q. ALLERGY H. E. HERRINS. JR.. M.E. CA RDIOLOa Y W. P. HIXON. M.D. J. W. FLEMINO. M.O. CURTIE WILLIAMS. M.D. OASTROENTSHOLCOr W. M. CALVERT. M.D. Hamatoloar R. C. PALMER. JR.. M.D. OIASITEI AND ENOOeRIHOt.OSY S. pEIDLEMAN, M.O. NEPHHOLOOY R. W. MILLER. M.D. PULMONARY DISEASE* J. D. WILLIAMS. JR.. K. 3. Neuroloov MACK D. JONES. M.D. NEUROLOGICAL SUROERY T. 9. HOLMES. M.D. H. T. DUKES. M.D. E. P. CYSTER. M.D. NEUROPSYCHIATRY W. M. C. WILHOIT. M.O. P. L. CREEL. M.D. T, J. MARSHALL. M.O. GYNCCOL09Y AND OBSTETRICS A. E. MOCK. M.O. r. a. HODNETTE. M-O. W. U. COLMER. JR.. M.D. K. f. SKIOER. M.D. T. H. WYATT. M.D. OPHTHALMOLOOY V. L. SMITH. M.D. L- V. TYLER, JR.. M.D. 9. E. CLEVENGER. M.D. J. R. HATTON, JR.. M.D. Orthopedic Suroery L. O. FISHER. JR.. M.D. P. 1. BATSON. JR., M.O. J. D. HOONETT. M.D. C. P. SMITH, JR.. M.D. L. O. FISHER. III. M.D. W. R. HOOPER. M.O. OTOLARYNOOLaar E. 9. WOLF. M.D. M. KEENER TlPPINS. JR.. I I.D. R. L. KINS. JR., M.O. J. L. PALL1N. M.D. PEDIATRICS CONLEE PICKENS. M,D. R. K. WILSON. JR., M.D. PEDIATRIC CARDIOLOOY L. E. HOFFMAN. JR.. M.D. Radiology NATHAN ARENSON. M.D. A. T- HORNSBY. M.O, J. N. JOHN. M.D. J. J. CRITTENDEN, M.D. THERAPEUTIC RADIOLOGY I. H. AMOS. M.D. Urolooy LEE SHARP. M.O. A. L. MILLER. JR.. M.O. ALEX aup, M.D, . aE medical center clinic 1790 NORTH FALAFOX STREET PENSACOLA. FLORIDA 3X901 April 26, 1974 Hr. Joseph Odom Personnel Manager Air products & Chemicals, Inc. Us S. Highway 90 Face, Florida 32570 Dear Mr. Odom: Following our conference with Dr. Kotin, in your absence 1 hava arranged through your office for liver scans for four additional employees. These scans were recommended by Dr. Kotin on the bssis of the repeat liver function tests of which you already have copies. The man are: There will be a subsequent note from me summarising his additional recommendations. Hr. Spurlock and Hr. McKiLLan recoomended that these liver scans be done ae soon as pos sible end have aeked that reports be sent to you as will as to me at the earliest possible time. BB/jb t 3i v. ODOM f^pp.30 \9TA AP00030750 THE MEDICAL CENTER CLINI^- ANESTHESIOLOQY C. Ei DAVIS. M.D. e. O. TERRELL. M.O. S. C. WEISLE. M.D. DermaSolooy K- . SNIDER. M.D. T. H. LAMB. M.D. General Thoracic and Cardiovascular Surbei y F. F. CASS ID Vi M.O. J. R, EMLCT. M.D. V. R, BOELLER. M.O. J. E. WIMBERLY. M.D. J. LOOAN CMLET. M.O. Internal Medicine W. S. JORDAN. M.D. ALLERGY H. I. KERRI NO. JR.. Ml). CAA&IOLOOY W. F. MIXON. M.O. J. W. FLEMINB. M.D. CURTIS WILLIAMS. M.D <JATFOENTEAOLOOY W. M. CALVERT. M.O. HMATOLOY R. C. PALMER. JR., M.O DIASSTCS AND IHDeeRINSLOaV B. BEIDLEMAM. M.O. MlFHROLeav R, W. MILLER. M.O. PULMONARY DISEASES J. . WILLIAMS. JR.. M D. NEUROLOOY MACK D, JONES. M.D. NEJROLOOICAL SUROERY T. 0. HOLMES. M.O. H, T. DUKES. M.D. K. f, EYSTER. M.O. NEUROPSYCHIATRY W. M. C. WILHOIT. M.D. F. L. CREEL. M.O. T. J. MARSHALL. M.D. Gynicolooy and Obstetrics A. I. MOCK. M.O. P. B. HOONITTE. M.D. w. M, COLMER. JR.. M.D. . f. OEIOIR. M.D. T. H. WYATT. M.O. OPHTHALMOLOOY V. L. SMITH, M.D, L. Y. TYLER. JR.. M.D. C. E. CLEVENOER. M O. J. R. BHAYTON. JR..M.D. Orthopedic Suroery L. C. FISHER. JR.. MO, F. O. BATSON. JR.. M.D. J. 0. HODNETT. M.D. C. F, SM ITH, JR.. M.O. L. 0. FISHER. IK, M.O. W, R. HOOPER. M.D. OTOLARYNSOLOOY K. O. WOLF. M.O. H. KEENERTIPPINS. JR.. M.D. R, L. KINO. JR.. M O. J. L. PALLIN. M.O. PEDIATRICS CONLEE PICKENS. M O. R. K. WILSON. JR.. M.D, Pediatric Cahoiolosy L. S. HOTFMAN. JR.. M.D. RADIOLOOY NATHAN ARCNSON. M.O. A. T. HORNSBY. M.O. J. R. JOHN. M.D. J. J. CRITTENDEN, M.D. THERAPEUTIC RAOIOLOOV I, H. AMOK, M.D. 11J0 NORTH PALAFOX V1K1KT PENSACOLA. FLORIDA tlKl April 12, 1974 l j. ODOM APR 1 5 1974 Mr. J. F. Odom, Personnel Manager Air Products and Chemicals, Inc, P. 0. Box 467 Pensacola, Florida 32592 Dear Mr. Odom: In addition to the information recently sent, please be Informed that the following man has the mild abnormalities Indicated: - Triglycerides 300 mg. X - Triglycerides 174 mg. X - Uric acid 7.2 mg. X (Normal 3.0 to 7.0), possibly indicating gout. I will be away taking a graduate course at the Mayo Clinic until Sunday, April 21st. I have moved ell of my appointments from Tuesday, April 23rd, to my day off, Wednesday, April 24th to clear the way for Dr. Kotin's visit. I suspect I will find some correspondence on my desk when I get back regarding his time of arrival end proposed schedule. In the meantime, Z have sent him copies of the summery sheet on the employees with ab normal liver function testa on the first go-round, including the results of the expanded liver profile done the second time as well as the reports of the liver scans done on the two men. Best personal wishes. BB/btn UROLOOY LEE SHARP. M.O. A. L. MILLER. JR.. M.O. ALEX OUP. M.D. AP00030751 ANISTKItlOLOOY C. 1. DAVIS. H.D. C. O, TERRELL. M.O. WEiaLE. M.Q. .AlDLOOY K. . SNIDER. M.O. T. H. LAMB. M.D. Several Thoracic and Cardiovascular Sorcery r p. CASSIOV. M.O. J. R. EMLET. M.O. V. R COELLER. M.O. J. E. WIMBERLY, M.D. J. LOCAN EMLET. M.D. INTERNAL MEDICINE W. S, JORDAN. M.D. ALLEROY H, E. HERRING, JR.. M.D. CARDI0L09T W. P. HIXON, M.D. J. W, FLEMING, M. 0. CURTIS WILLIAMS. M.D. Oastxoknterolooy W, M. CALVERT. M.D. HEMATeLoev R. C. PALMER. JR.. M.D. oiaictcs and EWoe*iKOLoar B. BEIOLEMAN. M.D. Nepk.oloov R. W. MILLER. M.D. PULMONARY OISEASES J. D, WILLIAMS. JR., M.D. NEUROLOGY MACK D. JONES. M D. Neurological Surgery T. e. HOLMES. M.D. H. T. DUKES. M.D. E. F, EYSTER. M.D. NEUROPSYCHIATRY W. M e. WILHOIT. M D, T. L. CREEL. M.D, T. J. MARSHALL. M.D. ecology and Obstetrics L MOCK. M.D. S. HOONETTE. M.O. W. M. COLMER. JR.. M.D. E. F. OEIGER. H 0. T. H. WYATT. M.D. Ophthalmology V. L. SMITH. M.D. L. V. TYLER. JR.. M.O. C. E. CLEVENOER, M.O. J. R, BRAYTON. JR.. M.D. Orthopedic Surgery l. c. fisher, jr.. m.d. P, A. BATSON. JR.. M.D. J. O. HCDNETT. M.D. C. P. SMITH. JR . M.d. L. C, FISHER, III. M.D. W. R. HOOPER. M.D. Otolaryngology E. 0. WOLF. M.D. M. KEENER TIPPINS. JR.. M.D, R. L, KINO, JR.. M.D. J. L. PALLIN. M.D. PEDIATRICS CONLEC PICKENS. M.D. X. K. WILSON. JR. i M.D. PEDIATRIC CARDIOLOOY L. C. HOFFMAN. JR.. M.D. RADIOLOGY NATHAN ANENSON, MB, A. T. HORNSBY. N.O. J. R. JOHN. M.D. J. J. CRITTENDEN. M.O. Therapeutic raoiolooy E. N. AMOS. M.D. Urology LEE SHARP. M.D. A. L. MILLER. JR.. M.D. ALEX SUP. M.D. L. -- - -- ... a rIE MEDICAL CENTER CLINIC 1750 NORTH PALAFOX STREET PENSACOLA. FLORIDA *1901 March 26, 1974 j, 29 ^ Ur. J. F. Odom Personnel Manager Air Products and Chemical, Inc. Peat Office Box 467 Penaacola, Florida 32592 Dear Mr. Odea: Dr. Paul Kotin In Philadelphia has sent me & stack of literature about two Inchea thick which X have finally wadad through. Although there ia no unanimity of opinion, there are two types of changea on hand x-rays which are attributed by aome to vinyl chloride expoaura. Aa you know, ia the only on^f^tav^^cund^ ae far with frank oeteolyala, has marginal tuft defect a and lm in anatomical situation described aa "dubbing." Some investigators feel that these two types of changea may be preliminary changes to the development of ecro-osteolyela. Finally, it goat without saying that these three man aa well aa all of those about whoa I have written you regarding retesting liver function should be removed from direct contact with vinyl chloride vapor. Beat personal wished. Sincerely, ^^7 BarkleyBei^^nRn, M.D^, F.A.C.F. BB/cr , AP00030752 ANEBTHE9IOL.OCV S. E. DAVIB. M.D. - o. TERRELL. M.D. . WEJOLI. M.D. l. MA<OLCGY K. B. SNIDER, M.D. T, K. LAMB, M.D. GENERAL THORACIC AND CARDIOVASCULAR SURGERY f. R. CABBIDY. M.O. 3. R. EMLET. M.D. V. R. COELLER. M D. J. E. WIMBERLY. M.D. J. LOGAN EMLET. M.D. Internal medicine W. t JORDAN. M.D. ALLERGY H. E. HERRINa. JR.. M.D. CARDIOLOGY W. P. HIXON. M.D. J. W. FLEMING. M.D. CURTIS WILLIAM*. M.D. GASTROENTEROLOGY W. M. CALVERT. M.D. HEMATOLOGY H, C. PALMER. JR.. M.O. DIABETES AND ENBOCRI NOLOGY B. BEIDLEUAN. M.D. NEPHROLOGY R. W. MILLER. M.D. PULMONARY DISEASES J. D, WILLIAMS. JR.. M.D. Neurology MACK D. JONES. M.D Neurological surgery T. 9. HOLMES. M.D. H. T. DUKES. M.D. E, P. EYarEH. M.D. NEUROPSYCHIATRY W. M C. WILHOIT. M.D. F. L. CREEL. M.O. T. J. MARSHALL. M.D. 1COLGOY AND OBSTETRICS C, MOCK. M.O. . . B. HODNCTTC. H.D. W. M. COLMER. JR.. M.D. E. P. GEIGER. H.D. T. H. WYATT. M.D. OPHTHALMOLOGY V. L. SMITH, M.D. L. V. TYLER. JR.. M.D. C. E. CLEVENGER. M.D. J. R. BRAYTON. JR.. M.D | ORTHOPEDIC SURGERY L. C. FISHER. JR.. M.D. P. G. BATSON. JR.. M.D. J. D. HODNCTT. M.D. C- F. SMITH, JR.. M.O. L. C. FISHER. III. M.D. W. It. HOOPER. M.D. Otolaryngology c. 9 WOLF. M.O. H. KEENER TIPPI NS. JR . M.D. R. L. KING. JR.. M.O. J. L. FALUN. M.D. PEDIATRICS COHLCE PICKENS. M.D. R. K. WILSON. JR.. M.D Pediatric Cardiology L. E. HOFFMAN. JR.. M.D. RADIOLOGY NATHAN AHENSON. M.D. A. T. HORNSBY, M.D. J. R. JOHN, M.O. J. J. CRITTENDEN. H.D. Therapeutic radiology E. H. AMOB. M.D. UROLOOY LEE SHARP. M.D. A. L. MILLER. JR.. M.D. ALEX GUP. H.D. iE MEDICAL CENTER CLINK 1750 NORTH PALAFOX STREET PENSACOLA, FLORIDA 32*01 March 26, 1974 id MAR 2 9 1974 Mr, J. F. Odom Personnel Manager Air Products and Chemicals, Inc. Post Office Box 467 Pensacola, Florida 32592 Dear Mr. Odom: I have been in touch again with Dr. Paul Kotin at Temple. Ee recommends that ve proceed with the addi tional studlas mentioned on those employees who turned up with even a single borderline abnormal liver function test. Incidentally, this was also the recommendation of Dr. Maury Johnson at B. F. Goodrich in Akron. Dr. Kotin now also recommends that liver scans be done. The following men will need the second liver profile -- (to consist of alkaline phosphatase, totsj^prot^ln, AG ratio .^l**0** and indirect bilirubin./LAPl gGPT^ SGOT, factional LDH^ SGPD, protime and c.b.c.witn platelec^connta) :V ^ res-rj addition, because they have more then one abnormal liver function test on the original profile, should have liver scans. We may need them on some of the others eventually but these two require them now. Please have your secretary call Mr. Chuck Shannon In the Radioisotope Laboratory at Sacred Heart Hospital and arrange for these two scans. AP000307S3 Mr. J. F. Odom Page Two March 26, 1974 Dr. Kotin wants to visit us sometime when all these results are back. Thanks again for the opportunity of assisting with this challenging problem. BB/cr cc: Mr. Chuck Shannon Radioisotope Laboratory Sacred Heart Hospital Mrs. Nell Boyett Medical Center Lab AP00030754 ANEBTHEBIOLOOY C. 1. DAVIS, M.D. C. O. TERRELL, M.D. 1. WEIGLt. M.D. .A^OLOOY K. , SNIOER, M.Q. T. H. LAMB. M.D. GENERAL THORACIC AND Cardiovascular svroery p. P. eASSIDY. M.D. J. R. EMLET, M.D. V. R. OCELLER, M.D, J. E WIMBERLY. M.D. J. LOCAN CMLET. M.D. Internal Medicine W. t. JORDAN. M.D. ALLKHOi H. E. HERRINS. JR . M.D. CARBIOL09Y W. P. MIXON. H.O. J. W. FLEMIN0. M.D, CURTIB WILLIAM*. M.D. CAT9MTBRDL04 V W. M. CALVERT. M.D. MCMATSLOaV R. C. PALMER. JR.. M.D. DIABETIC AND ENDOCRINOLOGY B. BEIDLEMAN, M.D. NEPHROL OOY R. W. MILLER. M.D. PULMONARY ClfEAJEl J. D. WILLIAMS. JR., M.D. NCUROLOOT MACK D. JONES. M.D. NEUROLOCI CAL SURGERY T. a. HOLMtB. M.D. H. T. DUKES. M.D. NEU ROPBYCM1ATRY U/ U I- W1 I LJAI P. L. CREEL, M.D. T. J. MARSHALL, M.D. ^ SffCflL&OV AND DMTCTRICI X. MOCK. M.D. 4. HODNETTE. M.D. W. M, OOLMCR. JR,. M.D. E. r. OEIOCR. M.D. T. h. WYATT. M.D. OPHTHALMOLOGY Y. L. BMITH. M.D. L, V, TYLER. JR., M.D. C. C. CLEVENOER. M.D. J. R. BRAVTON. JR.. M.D. Orthopedic surocry L. C. FISHER. JR.. M.D. P. O. BATBON. JR.. M.D. J. D. KOONETT. M.D. C. F, SMITH, JR.. M.D. L. C. FISHER. Ill, M O. W. R. HOOPER. M.D. OTOLARYNCOLOOY E. O. WOLF. M.D. H. KEENER TlFPINB. JR.. M.D, R. L. KINO. JR.. H.O, J. L. PALLIA. M.D, PEDIATRIC* CQNLEE PICKENS. M.D. *. K. WILSON. JR.. M.D. PEDIATRIC CARDIOLOGY L. C, HOFFMAN. JR.. M.D, RADIOLOOY NATHAN ARCNSON. M.D. A. T. HORNSBY. M.D. J, R. JOHN. M.D. J. J. CRITTENDEN. M.D. Therapeutic raoiolooy E. H. AMO*. M.D. UROLOGY LEE SHARP. M.O. A. L. MILLER. JR.. M.D. ALEX our, M.D. xriE MEDICAL CENTER CLINK 17S0 NORTH FALAFOX STREET PENSACOLA. FLORIDA MS01 April 8, 1974 :'* ODOM ApR 1 1 1974 Mr. J. F. Odom, Personnel Manager Air Products and Chemicals, Inc. P. 0. Box 467 Pensacola, Florida 32592 Dear Mr. Odom: Following is a list of employees who have been surveyed recently and found to have abnormalities in laboratory function tests apart from possible PVC toxicity. It is suggested that the employees be given the results of these tests and advised to consult their family physician if they so desire as to whether or not further investiga tion or treatment is necessary. In all instances, borderline results are not here reported but definitely abnormal results are. Incidentally, normal cholesterol for our laboratory is said to be 150 to 250 mg.7*. Values up to 155 mg.7e are not reported here as abnormal. Some doctors feel that anything under 300 is really Q.K. Normal tri glycerides are 30 to 150 mg.%. Name Cholesterol Triglycerides Other 00 co 266 mg.% 293 mg .% mg. 7. 278 mg.% 219 mg..% 270 mg,.7. 178 mg,.% 166 mg,.% 289 mg, 167 mg,>% 198 mg..% 285 mg. 7. 325 mg. % 262 mg.% 270 mg.% 288 mg.% 290 mg.% 260 *ng.% 362 mg.% 267 mg.% 334 mg.% 267 mg.% 183 mg.% 308 mg.%. 260 mg.% 258 mg.% 173 mg.7. 300 mg.% Apparently requested blood type: type^A," Rh positive. (SGOT was 44 units,not definitely abnormal.) L~ AP00030755 To: Mr. Joe F. Odom 2- - April 8, 1974 teme Cholesterol Triglycerides 306 mg. 7. 267 mg.% 277 mg.7. 406 mg.7. 166 mg .7. 171 mg. 7 184 mg. % 289 mg. 7. 262 mg.% 318 mg.7. 236 mg.7. 278 mg.% 270 mg.% 278 mg.% 302 mg.% 290 mg.7. 274 mg.7. 292 mg *7. 262 mg.7. 312 mg.7. 277 mg.7. 261 mg .7, 167 mg.% 160 mg.% 196 mg. % 191 mg.% 161 mg.% 348 mg.% 406 mg.% 275 mg .% 319 mg .% 262 mg .% 260 mg .% 356 mg.% 162 mg.% 166 mg.% 422 mg.% 258 mg.% Other Blood type "A", Rh Pos. Chest x-ray shows small, irregular, soft tissue density measuring about 1.3 cm. in diameter. This may represent an old scar but an active process cannot be excluded. Comparison with any old films aval able would be of great value. Fasting blood sugar 117 mg.7. (normal 70 to 110). X-ray of the hands show mild degenerative or osteoiirthrltic joint changes of fingers. Fasting blood sugar 112 mg.%. Serum milky Chest x-ray shows old pleurisy with no evidence of tumor or active in flammatory disease. Mr AP00030756 To Mr. Joe F. Odom -3 April 8, 1974 Cholesterol Triglycerides Other 286 mg.% 285 mg.% 292 mg.% 318 mg.% 297 mg.7. 302 mg.% 275 mg.% 272 mg.% 272 mg.% 282 mg.% 280 mg.% 327 mg.% 310 mg.% 156 mg.% 155 mg.% 262 mg.% Chest x-ray shows a nodular density measur ing about 8 mm. - in diameter, probably a pulmonary artery.Com parison should be made with any old film9 avail able. If none are avail able, further work-up such as a repeat lateral view and possibly special views such as tomography should be obtained. BUN 19,5 mg.% (normal 8 to 18), Fasting blood sugar 117 mg.% (normal 70-110). Chest x-ray shows a rounde shadow toward the right lung base, probably a nipple shadow. Chest x-ray should be repeated with a nipple marker to rule out a small nodule in the lung oo <N 206 mg.% mg.% 250 mg. % 184 mg.% 250 mg.% 165 mg.% 171 mg.% Uric acid 7*2 mg.% (normal 3.0 to 7.0), X-rays of hands show some small metallic foreign fragment near the tip of the right thumb. Respectfully submitted, SB/ wmh Barkley Beidlefcjan< KT D., F.A.C.P. AP00030757