Document vVNYDBXrwKakbBKj4D3LkkDMw

t February 10, 1953 D r . Charles 2. Jackson Caylor-NIckel Clinic 505 South Hain Street Bluffton, Indiana Bear Doctor Jacksont The problem stated In your brief note of February 5 1 not a ncv or strange one . Most men recover spontaneously vhen removed from exposure to lead, and without sequellae. The disease is essentially self limited, and I personally have not observed that any specific type of therapy has influenced materially the progress of recovery. The relief of immediate symptoms, especially that of colic, can be accomplished in a variety of ways. I have not seen any remarkable benefit from sodium citrate therapy. Unfortunately soma patients continue to have difficulties, which I think are over-emphasized by a variety of circumstances, but particularly by apprehension and failure to return to work as coon as their symptoms subside. This is augmented by one's wish to have them avoid further exposure of the 3ame type chat caused their illness. Tnat is, their working life is interrupted, and the cor.? equenoes cf this are very carious . Only rarely is there good reaton to believe that the disease still exists in any very significant form, after a period of freedom Ihcm expo cur-:. In these eases one is dealing, usually, wi t h persistent high levels of lead content in the tissue*?, os the result of unduly prolonged severe exposure to ls*ad. I suggest the desirability of establishing by analy s i s >of blood and urine, the status of your patient, with reference to lead absorption. I think when this has been done you will be in better position to know what to do. I assume that this has not been done. If you so desire, ve can send containers and instructions for obtaining the samples. If then you would send me the full story of this c?-.?e and the clinical information, I might be able to give 3ome useful advice. Cordially yours, RAX ef Dictated but not read Robert A . Cetioe , I T T U T I 00294