Document vyNjgy3OOgZBd8zk3raE5wbnR
JL
V.
Nam*
c. . -* ~~rPlant: Millington, New Jersey
No. 255J1
Reading Date 7-23~68
.Interpretation of yk*n **7-/-68
sin gle
oentgenogram ot cheat
/
A comparison of the current film to those of earlier dates shows a slight progression of the extent of the pleura thickening on the right. In addition, there is ealcification in this area. At the left costophrenic angle there is an eliptical, poorly defined shadow which may be in the pleura or lung and in retrospect was present as far back as 1962. I am not certain but I believe there are shadows within the lung at both bases.
These films would be consistent with asbestosis. and have shown slight progression since 19501
V GEORGS W. WRIGHT, U. D.
Salat Lake's Hospital
11311 Shaker Boulevard
Cleveland, Ohio 44104
O'"
' Nam*
No. 25501
Interpretation of
single
taken on 4-14-66
Plant: Millington, N.J* Raiding Oat* 4-26-66
roentgenogram of ekett
There is extensive obliteration of the right costophrenic angle with other evidences of pleural thickening at the right base* The .resainder of the long appears within norwal Units* These shadows have been described before and there is no change fooa filas previously described*
If new enployee do not hire*
FHZ ii/27/66
GtORGI W. WRIGKT, M. D. Saist Lnka'a HocptUi 11311 Shaker Boulevard Clovelaad, Ohio 44104
4
Naas
25501--------
No.
Plant:
Millington, N.J*
Reading Date 3/2/64
.V
Interpretation of single
roentgenogram of cheat
& M*
taken on
2/6/64
i
The film of this date shows no shange when
f
compared to that of 1962 and previous ones back to 1953. The opinions previously wxpwxt expressed
remain unchanged*
I GSOBSZ W. WRIGHT, M. D.
Saint Lake's HosplUi
11311 Shftktt BottlTzd
Cleveland 4, Ohio
Nam*
Plant:
Millington,
No. 31-62 Interpretation of
takes os
6/22/62,
ingle
Reading Date: roentgenogram of cheat
7/5/62
The changes previous described at right base do not
appear to have changed and are considered to be caused by s
previous pleurisy.
GEORGE W. WRIGHT, U. DSalat Lak'i Hovpittl 11311 Sb4kr 8oi**xd Cl#T*lnd 4, Ohio
NGC
Name No.
31-60
*lant: Millington, New Jersey
Reading.:
Interpretation of single
roentgenogram oi cheat
taken on 3/22/60
compared with
taken on
Comparison of this film with that of 12/31/57 reveals no change. The opinion expressed after viewing the stereo pair of 1954 is still to be held.
GEORGE W. WRIGHT, M. D. Saint Luka'* Hospital 11311 Sfcakar Boulavazd Cleveland 4, Okie
KIC " ^670
Hua*:
Plant:
Millington, N. J. (NGC
No. 39-57-B
Interpretation of
Single
Reading Date: roentgenogram of chest
1.13-58
takes os
12-31-57 compared with
takes os
No change from previously described shadows.
6ZOSGS W. WRIGHT, M. Saint Lake's Hospital 11311 Shaker Boulevard Cleveland 4, Ohio
K* George W. Wright, M. D.
OtFARTMCNT O F Experimental. Medicine
'
January 16, 1956
T. yyfct** HOSPITAL
tun sharer slvo,
CLEVELAND 4, OHIO
No. 55n25-B Name'
National Gypsum Co. Interrelation of 'single roentgenogram
Millington, N. J.
of chest taken on 12-7*55
compared with
taken on 4-7-54
No change.
t.
S'/
P*
Kk
George W. Wright, M.D.
Department of Experimental Medicine
saint luke's hospital 11311 SHAKER ILVO. CLEVELAND 4, OHIO
No. ioi
Name
Natl. Gypsum Co. Millington, N.J.
Interpretation of single roentgenogram
of cheat taken on
9.16.53
compared vith
taken on
In the lover l/2 of the left lung there are stringlike shadows extending fro the left cardiac border almost to the peripheral chest vail vith a background of a "ground glass" homogenous density over the entire area. The samething exists on the right but the density is more marked. In addition, on the right, the horizontal fissure is visible in its proper location or even lover in the chest than normal. The right costophrenic angle is obliterated.
In the presence of an history of adequate exposure to the inhalation of asbestos fibre, the abnormal pattern seen in this film vould virtually establish a diagnosis of asbestosls.
The appearance of a shrunken lover and middle lobe on the right makes one
wonder whether or not tumor of the lung is also present.
u
1-
George W. Wright. M.D.
Department op Experimental Medicine
SAINT LUKE'S HOSPITAL 11311 SHAKER BLVD. CLEVELAND 4, OHIO
So.R T7--?
5ao<
Natl* Gypsum Co* Millington, N*J*
interpretation of stereo roentgenogram
of chest taken on 4*"7--54
compared with
taken on
The stereo films of this date are technically much superior t that of 9-16-53.
There are numerous stringlike shadows in the lever right lung field together with a markedly thickened pleura* These are evidences of an old healed pleurisy with seme unknown earlier parenchymal infection*
These films now show nothing of an occupational significance*
okir 174
PHYSICAL EXAMINATION RECORD
__ _ DATE_^3<? '
__ PRE-EMPLOYMENT ___ REINSTATEMENT
PER1UDK. HEALTH
NAMeJ
_________________________ ADDRESS
_
JF BIRTH lO/lJ./OOCAGE _fa_ 1
"SINGLE SERRIED OTHER
LAST EMPLOYMENT TTafrl nr>g1
f!r>Tr>pany
HEIGHT
DISFIGUREMENT - FACE. HEAD OR NECK
crV' / % "A- *'*-*'
ft dAuuJSL
VE1GHT
C.R.E. 20^0 | 20/
/fc*
f
jt <-*-0 A-vi-cXs
I'.L.E. 20,'^tJ jj 20/
HE.^HT
P^JLXr CHEST <X Yf jclX
HEHNIA ^
CONFIGURATION CHEST EXPANSION
UcNGS
f,
Q
BLOOD PRESSURE
Z'+o/'tO
INGUINAL RINGS v
OPERATIVE SCARS
6 "jUr tfaJi
BACK AND EXTREMITIES -EDEMA. .AMPUTATIONS, FUNCTIONAL DEFECTS, DEFORMITIES
Vasserman
jLsf--
URINALYSIS
hi,:
SUGAR X^u, ALPI'MJN
ABDOMEN fL.M.P.
AJ. *4- L
NORMAL
NJ
Xcxo
SP TIC FINDINGS - NECROLOGIC AL SkIS ERCPTION
5l\MAR\ OF PERMANENT DEFECTS, IMP A1RMLNT>: EXAMINEE HAS BEEN ADVISED OF SIGNIFICANT FINDING'
>&-c.
V
NATIONAL GYPSUM COMPANY
Sales District Office
Name Date AprjJI 17. 19W9
18, Color W
Arthritis Operations -- Venereal Diseases
Address
Pleat mi
Check No.
MW
Children
PHYSICAL RECORD (TO BE COMPLETED BY PERSONNEL DEPARTMENT) Epilepsy__________________________________________Hernia ~
List on reverae aide any hoepital admiasioaa ia peat S year*. _
Tuberculosis
Liquor
Tobacco
Drugs
Other Illnesses
%Injuries -- description, location. disability
Compensation Received
Have you a hietory of ailicoeia or ear other duet diaeaae?
Do rev bare workmen'* eoapaaaatioa eaac pending lor either injury or illaeea?
Have you ever been ia military aerrice?
Have aay of your pareata or brother* or aiaters bad Tuberculoaia, Caacer, Diabetea, Epilepay or Iaaanity?
Last previous employment__________________
1 certify that tbe above aaewers are true, correctly recorded, and that I am ia good health, aad that 1 have oever auffered from Silicoaia, except (history)
Signature of Applicant
Witness
' If divorced, give date iand place
jigbt
r 'S: Right
Left
Pupils Lungs Heart Ears
^ y y
s'
Throat and Tonsils
y
Abdomen Spine
y
PHYSICAL EXAMINATION
(TO BE COMPLETED BY DOCTOR)
. Weight
/V /
y Corrected: Ri*ht
SCornea
Shortness of Breath
^
*yBlood Pressure ^ _//-?,/ Hearing: Right
wi. / /`VC
Hemia
^
^Hemorrhoids
Over Weight Under Weight Left
Chest X-Ray
Pul.. , ,
Teeth Left
Binocular Vteioa
.
Extremities Scars Skin Reflexes Blood Test
y
/
/
y
%(Note of defect# if aay coat)
Glands
(Head aad aack oaiy -- give loeeooa)
Meotalitv
^
Urinalysis
Muscu,lature S'
Genitals
^
General Condition: Good
^ F air
Poor
Nutrition: Good
^ Fair
Do you recommend applicant for work? /V
Type of Work?
Remarks
s
Poor
APPROVED
FOREMAN
Safety SUPERVISOR PLANT MANAGER
/" , / 4
Date y - / 7 -
Examined bv
(
THIS EMPLOYEE'S CONDITION IS KNOWN BY HIS SUPERVISOR. Vfe
(
*w
CLOCK NUMBER
JWAVE
10DESS
^
// " 4/-n/X
1CITT A STATE
** *
BX40B TEST
ETES ^ ^ EARS u
U NOSE THROAT ^
*
A- 4* ~
o
/? ^d> -Jo " #.
EEAET BACK
(X
BIOOU P3EESUEE SERBIA ^
I M he
i!
*
.+ '* . *
uzt;:j: analysis
Y-ZAT
UC__________
-
'
'PREVIOUS INJURIES
*
Jt'. i
? 'physical ajkouaxcaT' *' *k
CLOCK KU?IBER W_________ _
...........................DATE.. -
NAME_ ADDRESS
CITY
BLOOD TEST ^
EYES'
L
iLht
-
t- lifiD ""'" ".......... ~~ / '
' EARS""t/........... _______ -i/- - -- ............
SOSE THROAT: ^
HEART *
BLOOE
PRES SORE
W."
l'-jj
ORINE ANALYSIS ^
X-RAY
^
: /
i
REMARKS
Physician's Signature
NATIONAL GYPSUM COMPANY
Sales District Office
Name Hate U/^/61
Dept.
Addre*
PlanMilXington,N. J. Check No. ily
*e fel
Color
Arthritis Operations Venereal Diseases
_________
S M W D*
Children
PHYSICAL RECORD
(TO BE COMPLETED BY PERSONNEL DEPARTMENT)
Epilepsy
Hernia
List ea reverse aide avy hospital edaiseioaa ia past S yetra. --
Tuberculosis
Liquor .. s.
Tobacco
Drags
Other Illnesses
%Injuries -- description, location. disability
Compensation Received
Have rou a history at silicosis or anr other dust disease?
Do you have a vorkaes'i coBpenseaoo ease peadiap for oitbar injury or illaeso?
Have you eeor beta in Military oerviee?
Here eny of your parent* or broebera or aiatera bad Tuberculosis. Cancer, Diabetes, Epilepsy or lasaaity?
Last previous employmeat
l certify that the above answers are true, correctly recorded, sad that I an ia cood health, and that I have never suffered from SUieoai*. except (history)
Signature of Applicant
Witness
: If divorced, give date and place
Rbt
S'S1'
m4
l ' J: Right
Pupils IS
PHYSICAL EXAMINATION (TO BE COMPLETED BY DOCTOR)
Weight /4>
Left 5^2-
Corrected: Right - "7 Cornea 1/
Lungs
Shortness of Breath
Heart y
Blood Pressure
Over Weight
j/'
None] Weight ^
Under Weight
Left
Binocular vieion
Chest X-Ray Pulse 7 2"
Ears
iThroat and Tonsils
Abdomen Is
Nose
Hearing: Right
Hernia
^
Teeth c Left
Spine l*
Hemorrhoids t*
Extremities
Scars //
Skin 1/
CReflexes uBlood Test
(Note ft of defocta if aay exist)
(Head aad seek only -- five location)
Glands ;,
Mentality ; .
Urinalysis Z'
^General Condition: Good
Fair
Poor
Nutritioo: Good
YjDo you recommend applicant for work?
_____________________Type of Work?
Musculature Genitals i
Fair
Poor
tinarks
NATIONAL GYPSUM COMPANY
Sales District
Name
^ate
nee 62
Color
Arthritis Operations ^ Venereal Diseases
Office
P Dept.
Address
Plant Hlllincton. H.J. Check No.
S M W D*
Children
PHYSICAL RECORD
(TO BE COMPLETED BY PERSONNEL DEPARTMENT)
Epilepsy
Hernia
List on reverse aide any hospital admissions ia paat $ yean. --
Tuberculosis
Liquor
^
Tobacco
Drugs
Other Illnesses
%Injuries -- description, location, disability
Compensation Received
Have you a hiatorr of ailicoaia or ear other duot diaeaae?
Do you have a workmen'a compensation cooe ponding for either injury or illness?
Hove you over been in military oarvice?
Have aoy ef your parents or brother* or ai*ter* bad Tuberculosis. Cancer, Oiahetea, Epilepay or Insanity?
Last previous employment
I certify that the above aaawera are true, correctly recorded, and that 1 am ia *ood health, and that 1 have never Buffered from Silieosi*. except (hiatorr)
Signature of Applicant
Witness
1 If divorced, give date and place
, r'/c"
a_.es: Right
Pupils iS' Lungs S' Heart S Ears ls//'
Throat and Tonsils
Loft
PHYSICAL EXAMINATION
(TO BE COMPLETED BY DOCTOR)
Weight /^ 3
Corrected: Right
Cornea
Shortness of Breath ^
/ __
Blood Pressure
Nose t/
/' *
Hearing: Right /"U>
Over Veigbt Normal Vaighi"1 Under Weight
!*
"*
S3l`Binocular 2^/
Vision
Chest XRay ----
Pulse /2--
Teeth Left
Abdomen
Spine S'
Hernia ^
+S- Hemorrhoids
Extremities^ Scars Skin Rfflexes Blood Test ^
-------
_
* (Note % of defect* if any exist)
Musculature <---
(Head sad neck only -- give location)
Glands
Genitals 4-^
Mentality ^
Urinalysis
-
General Condition: Good , ^ Fair
Poor
Nutrition: Good
Fair
Poor
Do you recommend applicant for work?
/v
Type of Work?
smarts
KK^.ZC,----------------7------------------------------------------------------------------------------------
NO--
APPROVED
FOREMAN SAFETY SUPERVISOR PLANT MANAGER
i
| j
Date C/rX^/c^l_
Examined bv
/> . / /i
' THIS EMPLOYEE^gJ)jft|^)t^l^^^elAI^lERVl^t? tes ^ NO __
NATIONAL GYPSUM COMPANY PHYSICAL EXAMINATION RECORD
PLANT, OFFICE. SALL? UbTRlLT______________________
_ DATE A/^/AA
__ PRE- EMPLOYMENT ;___ REINSTVTLMF.N I' X PLRIOim HI \L1 H
v vMF
__________________________ ADDRESS
^ .h OF BIRTH 10/14/00(AGE66_>
j^NGLE j~ MARRIED OTHER
LAST EMPLOYMENT___ _1
HEIGHT >
DISFIGUREMENT - FACE. HEAD OR NECK
VISION-DISTANT 1 VISION-NEAR VASSERMAN
Ho:
WEIGHT /re
HE .ART
A'<$A
CHEST
A*- rt-*-->
CONFIGURATION CHEST EXPANSION -------------- At c 7f
BLOOD PRESSURE / S/r
LUNGS J?-
T> ./ /'
C.R.E. 20. +C 20/
IRINALYSIS
U.L.E. 20/JO 20/
HERNIA
---
SUGAR /Irf.y- ALBUMIN .\BDOMEN /-fL.M.P. A_____ -------------------------------------------------
INGUINAL RINGS -
R
L
OPERATIVE SCARS ~ '-ft--*
____
A''*-
NORMAL ENLARGED RELAXED
,, /7w---c7
B\CK AND EXTREMITIES -EDEMA, AMPUTATIONS, FUNCTIONAL DEFECTS, DEFORMITIES
i A'cA c /.
.TC FINDINGS - NECROLOGICAL
SklN ERUPTION
SINNARY OF PERMANENT DEFECTS, IMPAIRMENT?; EXAMINEE HAS BEEN ADMSLD OU SIGNIFICANT FINDING?"__ YENO
EMOTIONAL STABILITY ^ ^
APPLICANT'S ^"NATURE JOB ASSIGNMENT
| AcycS-rHCAocft-otpi:t. laIRfjec: PHTslCUVS SIGJ'AT'UEv1 PHEVIIBl.S MEDICAL
-
COMPANY APPROVALS
PERSONNEL
MANAGER
BUFFALO
DATE PART EXAMINED
X-RAY REPORT - RADIOGRAPHIC FINDING'
FILM NO-
DISTRICT SALES MV 'ER
:T
?--"71 y
S.AFET* ft7/-. ft/ !
KK
M. D.
\i. } .
Surgeon's Report
Complete and send immediately
To.
Pile: .......
Employer: Carrier: ..
The 1`atieut
The Accident
1. Name of Injured Perq^^
2. Address: No. and St..
S. `Name and Address of Employer.
Agfu jL
Sez:..m.XO.
.City or Town . Jt..*...w
State.
4. Date of accident or onset of disease:.....7-28-65...Boar......4P.S..M. Date disability begim...n0....t.le..lQSt
. ^Staie In
' moving
paatielnot'as cownowfordms wahetree rainadlhso,w
accident
dust
occurred oc occupational disease
entered both eyes*
was
caused:
........
0. Give acurate descripti- n of nature and extent of injury or disease sad state your objective flndings:...?.P.?!..ifr
bodies...ln..te.th....i.eyea,.... conjlSTOti-ntiejs______________
The Injury
7. Will the injury result in (a) Permanent defeet?...~..$?..........If so. what?.
(b) Facial or bead disfigurement? ....
(I'frtDooeoi disability such as losa of whole or parts of Assert, facial or bi*sd dlsflruremefit, ie.. must be accurately marked os rii.ift i>u rv*ere due of thia report).
8. Is injury above referred to the only cause of patient's condition?...... 79.9.....If not. state contributing causes:
9. It patient suffering from any disease of tbs heart, lungs, brain, kidneys, blood, vascular system or any other disabling condition not due to this aeeldent?.....ft&.........Glve particulars:............................................................................
10. Is there any history or evidence preeent of prerioue accident or disease?...........9$.. Give particulars:
11. Has normal recovery been delayed tor any reaeon?..XlO..........Give particulars:...........................................
Treat'
ment
12. Date of your first treatment:.....7*?..!7.5................Who engaged your services?.....$.?.Jift4...........................
13. Describe treatment given by yon:..RflI?>O.Tftd....tbr.flfl..X.Q3?.giSP...b.Q.difl8...7X.OBi>,..XftC.t....flyfl....&nd
two from right
symptomatic medication prescribed*
14. Were X-Rays taken?....RQ...By whoa?................................................................................................ When?.
(Name sad Addrras)
16. X-Ray diagnosis:.................................................. ...................................................................................................
16. Was patient treated by anyone else?.....&&............. By whom....................................................... When?.
(Nsmc sad Address)
17. Was patient hospitaIlsed?...Jifi......Name and address of hospital:..........................................................
18. Date of admission to hospital:................... .............................. Date of discharge:........................................
19. Is further treatment needed?..11.0................................. For how long?.....................................................................
20. Patient
5, able to resame regular work on:........HQ...fci.(DQ...Xfifit.*.
Disability 21. Patient wWjlu# ^ able to resume light work out...................................-.................
28. If death ensued give date:............................................................................................
REMARKS: (Give any information of value not included above) ....................
*ai'"Jer*ey`
1 am a duly licensed pbysldaa la tWse of .......
`Barton
I was graduated from................................................................. Medlcal^e^i^irlrf'.^g.
*T92*4`"
Tear.
Date of tbie report:............................................... .....(Signed
Mi-7-04
This report must be signed pereonally by pbysleian. Address:......................77.7..................................... Telepbooe.
Duinbuted by ALBERT l. ALLEN Cj . Inc Workmen'* Campenxtton Service
121 S<'
H"Iarnthurs. r*nnir
KK *' 4 >/T *. r* '