Document re2jrj0o8ZqQJjpBva5aBzG70

KETTERING LABORATORY O F APPLIED PHYSIOLOGY COLLEGE O F MEDICINE-- EDEN AVENUE UNI VERSI TY OF CI NCI NNATI CINCINNATI 1 9 . OHIO March 27a 1948 CABLE ADDRESS: KETLAB. CINCINNATI TELEPHONE: UNIVERSITY 2 6 6 5 Mr. Wm. E. McCormick, The E. P . Goodrich Company, Akron, Ohio. Dear Mr. McCormick: I send you herewith the analytical results on your employees. In view of the receipt, of your telegram I should point out to you that it takes a little time to carry out such amrnber of analyses by working them into p u r regular daily quota. Except under the most unusual circumstances involving the immediate serious danger of the personnel, we ibould not dislocate our regular analytical regimen -by undertaking to complete such a number- of samples as this In any one batch. On this account the results came to my desk only yesterday and are being forwarded without any additional delay. . ' ' ! -' I a m not sure that I have discussed the situation presented by systematic analyses of this type with you^or with Dr. Wilson. I think, however, that I should make a few comments concerning the interpretation and disposition of data of this type. Thex*e is a . tendency to look at these figures in much the same manner* as one would air analyses I decry this tendency very much, since the significance of the results is much greater than results of analyses of the air. These ere primarily individual clinical data, and they should not be allowed to be gathered and dealt with in any other fashion., They should be recorded on medical records,and while it is not absolutely necessary that they be regarded as confidential, they should certainly not be bandied about for the consideration and interpretation of people other than those immediately concerned with medical records and medical results. They have great medico legal significance and,in certain specific instances, they have great diagnostic significance. If I make these comments unsolicited, it is for two reasons. We have had some considerable experience with this problem, and we have seen these data misused to the very considerable embarrassment of everybody concerned. Moreover, the matter of obtaining these re suits is expensive, and they should be studied carefully along with the clinical and environmental data so as to obtain every bit of information from them that can be extracted. Otherwise# In my opinion, it is much too expensive a way to obtain the necessary information. This is one of the matters that I had wanted to dis cuss with Dr. Wilson vhai, some time ago, I called your attention to the fact that I would like to talk with him at some mutually conveni ent time. Frankly, we do not like merely to carry out analyses of this type without knowing that the data are being used effectively. Mr'. Vm . E . M c Co r m ic k - (2 j - M a r c h 2 7 , 1948 The fact is that we do not like to do these analyses merely as a technical service, since our whole use of this procedure has been for the purpose of obtaining medical and physiological information. W e believe that we can take your data and obtain much more informa tion from it than may now be being obtained. We think that either you should supply us with the information on the conditions of the work of these men, together with the pertinent employment and clinical data, or else that you should take all of the information, put it together and study it properly. Otherwise we are both working somewhat in the dark. In other words, we are not giving you our best advice .because of our ignorance ef your situation, and lor the same reason we are not learning anything of consequence in the conduct of this work. A few specific points in the results should be noted. I have underscored certain high results. It is not possible for me to advise what should be done in the case of these men, since I do not know the facts. However, the results on the high men should be checked, unless it is certain that they are representative of the lead exposure of these men. Some appropriate action should be take in the case of Howard Fessier, at least, although, as I say, I am not in position at present to say what action should be taken. Cordially yours, RAK ef Enc. R o b e r t A . K e h o e , M. 1>. ii Name LEAD STUDIES ON URINE AND BLOOD FROM EMPLOYEES AT THE B* GOODRICH COMPANY, AKRON, OHIO URINE Analysis Number Volume ml. Mg. Pb/ Liter IiB a -1358 I18 A-I56O [.8A- 1 5 6 2 1iBa **1561iiiSa -1566 [1-8 A-156 8 k 8A-1570 li B A - 15 7 2 lt8A - 157P P 8A- 1 3 7 8 -P8A-1382 lt.8A~l656 18a ^1584. 1l8a ~1386 i|.8 A "i;8 8 [[ SA-1390 100 100 10 0 ' 10 0 100 100 100 25. 10 0 100 100 100 100 M 10 0 10 0 10 0 o.op PPl 0 .10 * 0,08 P-Pii P lP 1 0252 P P J1 0 .0 6 P_P1 . 0 .0 3 0 * 0? 25- 0 .16 0 ,0 7 0 .0 9 o.ali. Analysis Number P8A-1359 U8A-1561 .M a - 13-6 h SA-156 5 M A-13 6 7. MA-13 6 9 M a -1371 M a - 1373. M a - 1373. 4-8A-X3J.2L M a -1579 P8A-1383 t f A - 16 3 7 {.8A-1383 4-8A"1387 M a - 138 9 M a - 1391. BLOOD Speotrographio Weight Grams Mg. P 1 6 17.0 o.oU IP. 15 .6 15 5 O.Op 0.12 0.05 2 1 *j 8.8 9.P 20.8 I 6 .O 13.1 111 7*0 11.0 0 .0 3 PP 0.03 P.-0 0.03 pp 0 .0 5 21 O.Olt 12 a i j . 0 ,0 6 1 1) 1. 7 16 .6 O.Oli Pi2k 0 . 0i Ar HtA URINE H om e Analysis Number Volume ml. Mg. Pb/ Liter k8A-1392 k8A-139k Il8a ~1596 kSA-lkOO I|8a ~1|02 k8A-l659 -8a ~1398 k8A-ili.Qk Jj.8a - i i 06 k8A-l638 4.8a -i1i.i o k8A-iko8 Jb.8A-lli.12 k8A-ikik Ii.8A-iij.l6 k8A-lklS k8A-1580 k8A-lij20 100 100 100 100 il 82 82 100 100 100 10 0 10 0 100 10 0 100 100 il 1.00 .i0,i.110ni. 3 0.12 0.0 6 0 .0 5 0.08 MX- o .o 6 0 .0 6 0,08 0.12 0 ,0 8 0 .0 7 MI 0 .0 6 o.ok o.ok o.ok 0 .10 wBoth analyses run from the same sample. Analysis Number M zm k8A-1595 M z im .. k 8A -lk 0l 1i8a ~11|Q3 k8A-lk60 i8a -i 1[_Q5 il.8A~lii.07 k8A-lk6l k8A -ikn 1|.8a -11i09 jfe ik il kSA-lkl5 k 8A -llj!7 k 8A -lk l9 k 8A -l38l k 8A -lk 2l BLOOD Spectrograph!e Viieight Grams Mg. Pb 1Q0 g. 2Za2. l 6 ,6 6.8 11.2 O.Qk Contam inated O.Oli o.o6 13..0- l6 .i 8.0 8.0 6 .0 1 7 .7 10 .8 j- ? l il ili 20.8 6 .5 Mk 0.05 91 0 .-P1 MI 0 .0 65 M il P- 0 .0 5 0 .0 6 O.Ok O.Q65 AM MI 0 .0 65 lame A Analysis Number URINE Volume ml Mg. Pb/ Liter hS k-lh22 It.8A~lIi.2lt. k8A-lli26 lj.8A-lk28 lt.8A~lii.52 .M M lL k ii8A~lii.56 lj.8A~lit.58 lj.8A~lltli.O li8A"lltli2 l|.8A-lltl|li. k8A~lltij.6 lt.8A~litij.8 it.8A-lij.50 lt.8A~1lt.52 lt .8 A-1ii.56 lj.8 A~ llj.58 100 100 100 100 100 100 J21 100 100 100 100 100 1Q 100 100 100 85 10 0 100 0 .0 5 0.10 0.06 Mk Ml Ml ML 0 .0 6 Ml ML Ml MIL Mi 0.075 0.05 Ml 0 .0 8 0 .11 0 .0 5 BLOOD Analysis Number Jd M i. JriM Z . ,4.8a ~1[{29 lt.8A~llj.51 it.8A~llt.57 lj.8A~lltij.l Jfe L M M 4L l4.8A~l.lt 51 it.8A~llj.55 j^8A~lk57 Spec trographic Weight " M g r w Grams 1 0 0 ft 1 5 .0 ML 1 0 .9 0.06 i il 8 .5 5 .7 1 0 .5 1 0 .5 22L 1 1 .1 JM 0 . 0 . tf O.Oit. O.Oit. 0 .0 5 0 .0 5 0 .0 5 5 MkL ML 1 1 .0 1 7 .1 M 10,2 lit..It. 1 5 .Q Ml ML ML ML MLL 0 .Q. MIL Mk Q.0 5 Mk jj.8A-llt.59 I9 . 2 Samples Received} Samples Reported; O.O5 2-l6*ij.8 5~25~i|-8