Document rByp0moQ4a9yQD81MOERbV5E

; Mr. E. \7. Webb, c/o Ethyl Gasoline Gorp., 25 Broadway, Dew York City* lily dear Mr. Webb: I have your letter of June 2 2 enclosing your correspondence with Dr. Calingaert and also the report of Dr* Sehoenleber. From what we know of the Yonkers Laboratory other than what Dr. Calingaert has stated, I am inclined to be very skeptical about any relationship of lead to the illness of Mrv.fMHHlBfcand the other man who works in the same capacity. Th<p symptoms of illness which have been described in connection with this man are by no means specific, and a diagnosis of early tetraethyl lead poisoning must needs be made only after the most careful consideration. There are so many other things which can produce weakness, loss of appetite, and subnormal blood pressure that I should find myself quite unable to make a diagnosis of lead intoxication from these symptoms of it. However, it is obvious that in the presence of certain hazards connected with handling tetraethyl lead it is best to regard any illness as due to the occupation, unless one can find very good reasons for believing otherwise, for the reason that one must always regard the safety of these men as the most important function of an industrial physician* I can sympathize, therefore, with Dr. Sehoenleber1s effort to bring about a critical examination of the conditions under which these men are working. I do not, however, share his feeling that the man*s condition may be con sidered as due in all likelihood to the absorption of lead. I have several reasons for feoling this way, reasons which it is not immediately necessary to dlspuss. Under these circumstances and particu ; larly if M r . J i ^ H r h a s riny anxiety about his condition, I b^lieye it would be advisable if he made a visit to Cincinnati arid remained here for sufficient time so that we could not only give him a careful physical examination but make such laboratory tests as would make it possible to arrive at a diagnosis and either convict him of having symptoms due to lead absorption, or definitely rule out that possibility. It is not well to allow things of this sort to go on in the hope that they will turn but all right, however, if any suspicion attaches itself to the hygienic conditions of the Yonkers Laboratory some very embarrassing situations might arise* ' We have from time to time inspected the Yonkers laboratory and have gone into the question of care in handling fluid and gasoline repeatedly, and we have no reason to believe that precautions have not been well taken. I think, however, the next time I am in the East 1 will make it a point . .a ' V -" E. W W. #2, 6/25/28 i . . to visit the laboratory unannounced and carefully look into ; certain of their procedures# If you have any reason to feel that this should be done at once please let me know. However, I have no Immediate worry about the manner of handling hazards at the Yonkers laboratory# If the above suggestion meets with your approval I wouldsuggest that we be notified a day or two in advance of Kr.tiSim. coming in order that I may be certain to ib present'When he ahiilves* It will not, be necessary for him to go to a hospital, but he can spend his time very comfort ably at a hotel for forty eight to seventy two hours while we are mkaing the necessary observations* I do not know by what processes of examination Dr* Schoenleber and his associates have arrived at !the conclusion sot forth in the report and it is perhaps top early to speak authoritatively about such a matter, but I cji not b u t wonder whether it Is good policy to have employees of|the Corporation cared for by men who arrive at conclusions of fthis importance on what seems to mo to be scanty information# The present ndidenit alone does not justify such a question In I: my mind - I cannot but remember that both Schoenleber and his associates have shown a considerable inclination to be stampeded and to regard every sort of symptom that appears as being due to tetraethyl lead# I wonder, therefore, to what extent a n d _ ^ ^ in v/hat manner they have discussed their opinion with and v/hat his point of view will be: about the whole matter am sure you will appreciate the importance of this when you remember the difficulties which hake been had in the past with men whose symptoms have been more or less indefinite* If such a man gets the Idea, and especially if he gets it from a medical i source, that he has been injured by tetraethyl lead it becomes very difficult to disabuse him of the idea, and if he happens to be of such character as to willingly take advantage pf his employer it becomes immediately a serious thing. I may b anticipating difficulties which have no possibility of occur rence, and in this instance I am merely thinking aloud in order to give you some notion of what takes place In my mind when this type of incident occurs* The vdiplp matter causs me to vender if It would not be bettor In every way for us to go to some little inconvenience in order to keep these ken under our own observation* I would appreciate knowing what ypu think about it. " Very truly yours, RK EJ H 0017023