Document rB1xob70EGOj52z9j2DzxK0ZV

^i HE 0016779 C h- > \Ca 3 C3 2! OO p 'V< 1> ^0 N19459 T --" > ; J ' -tv**-' 3^ ^ p 'V;V:<00^^f : ' W o r k m e n 's Co m p e n s a t i o n # /? T h e In d u s t r ia l Co m m is s io n o f O h io tfitf \ r" v... ^ Claim No. _ 0 ... .,,, ..2 0 5 3 2 4-,-- ow-claimant SPECIALIST'S .' ,US. QSrOAY S I 3 l'p d g f. vjo-eveasnc, uni*r: .... l- i Date of Ex;miination..9f.._Fi^.q_?..-AEr.il....?.2.*...12i^------- REPORT NOTE: Submit report under following headings: ;`(1) History. (2) Complaints. (3) Examinations,! . including X-ray and laboratory work. (4) Discussion. (5) Opinion. Sign and mail THREE. , copties to the MEDICAL SECTION--Retain one for your file. REPORT OF. EXAMINATION TO BE RETURNED W ITHIN TWO WEEKS - , FOLLOWING REQUEST. > h i s t o r y - Factual baokyowi .V The review of tills case file discloses the following general statements ^ Of facti ' ; ; ` . ' ', " :.. (1} The deceased ( H H H H R P suffered an Illness in 133& which resulted in his being or vo.m'For s o b months'*"' The diagnosis^f" "* pulmonary tuberculosis was made at this time, and apparently on adequate medical evidence* The possibility that there was concurrent lead pci scaling has been suggested , but there is no basis in evidence for such an assumption. The reported occurrence,of stippled erythrocytes in ^the r peripheral blood is without point, in .this connection. There had been , occupational lead exposure for nearly twenty years prior to this period of illness, but there is no evidence:as to its severity, and bhero is -T no claim of any previous illness duo to lead absorption. t.,, . 12} After, returning -to,work, following the .apparent arrest of- the# roulou; process , 'the "decessed continued' his:.occupation until, fecetber of 1940, at which time he became illvith a condition that was diagnosed a$ lead poisoning by more than one.physician. The record, however# does not provide adequate proof.`of the correctness of the diagnosis After, being off work for about four months,he returned; to a light ^obifori about two months, but was unable to contine because of illness. At this time his condition: became clearly recognisable as pulmonary tuberculosis* v ~ ** ' .r* c ~*y ' (3) From this time on the case ran a nofc-unusual course# death - : occuring in September of 19^3 Hecropsy disclosed the existence .ofed-\ '\mnc4 i s s ^ i n a t ^ ;'ttb|^iois*^viH''.-v-. . . *. *9i-. . m ' i. V {4} samples of certain tissues were analysed for their lead content, and are reported, as having had an high lead content. ,-4r - - . - V i-'W . (5) The argument. Was advanced, in June of 19k0 that the recurrence of the tuberculous process was activated by the lead absorption associated with the occupational exposure, and that the tuberculosis was infact.du to the lowered resistance Induced by lead intoxication. On this basis, ' ccsspensatiea for temporary; total disability of occupational origin was NOTE: Submit report under following headings:'. (1) History.' (2) Complaints.. (3) Examinations^ including X-ray and laboratory work.' (4) Discussion::/(S) Opinion. Sign and ma" '* r'-^S| g| jCopieP^f:o the M E D IC^ I^ .^ CTIp N f-E e te i^ d n e fo ryo u fcfile :"%i-' :M REPORT f o F EXAMINATION. TO R E T U R N E D W ITHIN TWO WEEKS CROLLOWING, REQUEST- - HISTORY ^ . - ..... ' ... ' - [ - T1 review of tei ctt%le disclose the following general stfet of facts ., y _ . ..-V-'V , : (1} Tte deeeaaed H H H H P uff e ^ Y a l l l a e s l49^idich resaltad listels tesis olx voi* ror sag cwtttliiT^Thfe''dltg|^l#l5pr^T pulsenary tubrculoisvas issde at thitin*'and apparently on'adequateb!|t~b dissi evidence. ;teeCpossibility-.that:..tteer#.-.iiftis;concurrent lookpoi- " a m n g hftf.tteeca.>ttggaaMfefeiit vtl^r^ ls o r ti; b&'lUl w*& ` tltaa lectfexposurffakaipplyiti __(f ^ rprvlaif^lliaesdue to of-;X940Vat.sftilcte t l a o - . t e ridirai1 *... not provide adequate proof of tbe o , -teelagioff VQrkVfer.'about ;'tifeiis|s#-teit-'vasr.unable'tbf .,, . . clearly recognisable 4s pulmonary tuberculosis#-\'~i7;-- Af-.l ., ... - "' -- Y ' V'-'-V' ' . -sr `"T-r? ''- ^'T'~S(2)~* Fs^^ttelsiti^^mittee cad# roa a not-unueual^dour# death ~s#*r>r 'MgSfenxiaig-la.'Septanfe*#*ofl542. ffberopejr aleloed the exiejfcetecjaf*d~yv ' venced disseminated tuberculosis.e. "e^r. - so u?. ;.? k:jo :i --.a-v - ' 7^o2 *. -:v <?* r ca> ; i...., (4) Staples of crtala tissues vere, analysed for their leadcontent. end;.'^ c '^ported. havinghaden M^rlefdVeciiteat* :i-sv' t.vi *t' ' ,irrt- * , ^ -V-".-/ ft-. r --j ;?.:**.V-.'-:-.*3-***, ' *. (5) Che argiaseat vas.advanced in June of ,1940 tteat^tte# recurrence of ttee tuiserculoua process ess activated,tey..the lead atesorptlcn.associated.:,^. ...Mth;':tte.1occupstioiml.e^3?osur* ^6o:;ttee levered resistance Induced.tey lead Intoxication. "<tet-4tteis^basis#.4.-',,. : -iC^ensavicn.,;,fC3r.;:ieiK|^:toslidtste^ vas "T`r - = V*' J`\ " fi"rr"?3 '^1-j P g ^ ^ S a ^ r y ^ y v .yir s'tr^L '^W-. 'Z z l --'vr > '* ::>' n--i ? ?. vv%- J . ,-;.j*A^teV.' ` ' "...... ......................... .. \* v 5 * ;>' ' " y .7 . y:;. V *. - --v ^r \ -;<jV.': T .: daS ? S!?.*.? *5^*a,,trrJ'r<lne't8*5aopin"ioWn,orp'?ii"wndion?noert;vb.att}talS?gSliim?tt?bsUnsfhotr*m'it*e^tet;f^e'FllhKe^aaie.^ ;' ' : question or ttee terminal one# fo^;ttee following reasonsi kx''J-G.f r f O' :i:-}7- ^.,^r; .;r.'fr.`v ^ ^ -;`v -V. ' ' - - ,i w e . " ^ Presence of..lead in the tissue is pertinent 1 felation tO *7' "fr ' .............^..b__::.-.^_l .m, D. (Signature of Examiner) '. > (CONTINUE REPORT ON REVERSE OF SHEET--NOTE INSTRUCTIONS) _ 'co-j.rrt; " -., tiC": - . W$i (CONTINUE REPORT D O W N FROM HERE) illness or death only then the character of. the terminal illness justifies a eiiiiie&l diagnosis of lead poisoning. In this-'instance ih of:>:4esth/'hlesrl|r;:m s tuberculosis. - - . xacentratione reported In the soft tissues are not in .. ' - -.......... ^r;:ce^h./to:''ea:''.fitid lit i refe. net.:'.remarks* ... .. certain oos&rverstraxy, Here :^nfftveap of. relationship or 12J. U u TM ie skeleton- toy into the soft i* Kovever* the be brought 'Ipppej ''hiimore > 0$' i^S; iso It baly in.i3i- niQjt fit `into the ojily^ 'study?' Ifeble In- tMs if The original role of lead poisoning In the etiology of the tuberculous process'in this case Is a matter of pure- conjecture. The 'writer knows of only one tonic compound in induetrial use* vhich vhsn taken into the body lo definitely and demonstrably responsible for the activation or erelietier of tuberculosis - namely silica. *xhe theory of non-specific reduction of resistance as an exciting factor in the invasion of the tubercle- bacillus and other pathogenic microorganisms is an attractive generalisation* tout it has little meaning in the specifie Instance, except s.t a convenience. There is nothing in this case that ho old justify the* application of this theory except one* natural sympathy for an .unfortunate vorknan end for his vi'dov* On this account the reviever believes that the original grant for occupational disability vac unsound, sad that the further extension, of compensation is unjustified. , bM. ef. ToSS?fiX ,.,"Se5oe ir 'Vi'hA T~i$pnes ^ 't3 _=. /, 2 _ / -- T? 1 /<-v-<-s--* = f f R. M. A N D R E , M. D. S u p e r v i s o r Me d i c a l s e c t i o n j's C o m p e n s a t i o n . Co m m is s io n o f 31 C A L S E C T I O N ILUMBUS IS Oh io fc i4 - /,f 3 M No.. 0,3 20533 - Dee* d. {Ja ^ vfy ^ / ~_ 0 *f* April 15th, 1944, tu * s , i /.?( V V iA V g V V i Cincinnati, Ohio. nati, , Dear Doctor: We are forwarding the above captioned file to our Cincinnati Branch Office to be delivered to you for review and opinion as to relationship of de cedent's death to his occupation, your opinion to be based only upon the medical proof which is found in the file. Form C-lll is enclosed for your report, together with Form C-19 for your fee bill. Very truly yours, BA/MMW. E n c 's . R. M. Andre', M, D . , Supervisor, Medical Section, H e 0016783 TOST- IN R E PL Y IN G , A LW A Y S R E F E R TO CLAIM N U M B ER N19459.01 s" \ fcAKE, C h a i r m a n a* w h i t e . V i c e C h a i r m a n ,D FFIN B E-RRT ,P H KLAP-P, SECRETARY Th e W o r k m e n 's c o m p e n s a t io n In d u s t r i a l C o m m i s s i o n o f MEDICAL SECTION C O LU M B U S 15 Oh io M. A N D R E , M. O. S u p e r v is o r Me d ic a l S e c t io n IN RE CLAIM Nn- 0D 30555 - Dec* d April 15th, 1944. Dr. R. A. Kehoe, University of Cincinnati, College of Medicine, Cincinnati, Ohio. Dear Doctor: - We are forwarding the above captioned file to our Cincinnati Branch Office to be delivered to you for review and opinion as to relationship of de cedent's death to his occupation, your opinion to be based only upon the medical proof which is found in the file. Form C-lll is enclosed for your report, together with Form C-19 for your fee bill. Very truly yours, BA/MMW Enc *s . R. M. Andre*, M. D . , Supervisor, Medical Section. Klz 0016784 53ST* IN R E P L Y IN G , a l w a y s r e f e r t o c l a i m n u m b e r NOTIFY TH E CHIEF IF YOUR INQUIRIES ARE NOT ANSW ERED W ITHIN TEN DAYS. D e o d . wid ov- cl a l m n t i.-illax'd atorage Ba 7 Co., ;ril C 3 1044 eviev and Haru on tiie aoove Oaae 1 j 00 K E 0016785 10 00 v w i t .e , V i c e C h a i r m a n FINBERRY i KLA PP, SECRETARY The W o r k m e n 's C o m p e n s a t io n NDUSTRIAL COMMISSION OF MEDICAL SECTION GLUMBUS 15 OHIO S u p e r v is o r m e d ic a l , s e c t io n IN RE CLAIM Nei. QD. 20555 Dec' d. April 15th, 1944. Mr. Raymond M. Clifford, Branch Office Deputy, Industrial Commission of Ohio, 41 Duttenhofer Bldg., Cincinnati, Ohio. Dear Sir: - We are sending you herewith the attached file to he delivered to Dr. R. A. Kehoe, University of Cincinnati, College of Medicine, Cincinnati, Ohio, for review. Will you kindly see that he receives this file, and also see that it is returned to this office as soon as it has served its purpose. Very truly yours, BA/MM8T. Enc. Entire Eile R. Me Andre', M. D ., Supervisor, Medical Section. K* 0016786 g g g p - IN REPLYING, ALW AYS REFER TO CLAIM NUMBER " NOTIFY TH E CHIEF IF YOUR INQUIRIES ARE NOT ANSW ERED W ITHIN TEN DAYS.