Document wDjKXaBeGMwLQbZmzq3ZE453V

occ.ei,.rtiimi-i,im*nie.r *,'vmtsa **.< .&**a< e. SPSNCEft PAISLEY. ** 0- F. *<H WMn M6t WM KAAOOM HCIftMTa. M. J. MOSS John P. ftcNally. .D. Ommne-Cornlng fiberglas Coro. Berlin. N.J. 08009 0#*r Doctor *cN*llyi In hot Albert finger# ago 4? 138 Atco Ave, Atco, N.J. 08004 Herewith roporto of examinations made on tha above named patient at thie office on November2 19,1971 at par your request. Occupational Historyi Uotk for OWC ptat 12 yoara in all phases of production. Past Medical History* Usual childhood diseases. Pneuaonia 1943i Partial gastrectomy for ulcarst gallbladder removal and appendix raaovad at ena oparatlon in 1963 at Chtrry Hill Hospital by Dr. Silvers*ni Spinal fusion in 1964 at Coopar Hospital by Or. Heines. *ey, 1971 gastracopic axaaination at J, f. Kennedy Hospital* ftscent rib fractures, right posterior. Chief*eplaint#*. ftscant cheat ain due to rib fracture, right. Usually no specific respiratory complaints despite sacking history ainca age 14 at 1* 1*5 pks daily. Ceneral Physical examination# Heed and Neck* Cyst normal. Cars noreal. Ho adenopathy. Thyroid normal. Cranial nerves intact Chest* Breath sounds are normal. No sheering noted, expansion is normal. Tender to touch over posterior 9th rib- fracture site. Xrrays of the chest in the PA and left lateral projection reveal the -heart in .bar--top.normal in -sire* -Both dfryphragm's -wove 'but are rest ricted moderately. The suoracerdiac structures eppera noraal.'Tns hilar areas are not remarkable. The btonchovascular markings are alightyl increased bilaterally Inot the bases. There is a fine, lacy pattern into ooth loser lobes typical of fibrosis. Tnere is a smell fibrolinear atreking underlying theright third anterior fib. The lateral projection reveals.elevated diaphragms with fibrQlineel and nodular appearance of the loser lung fields, typical of e pneumoconiosis. Otherwise tie cheat is not remarkable. Impression* Pneumoconiosis, moderate, aabestosle, occupational. Pulmonary function S?udy* Predicted Vital Capacity- 4350cci Parformed VC- 38S0- 89*. Timed Vital Capacity- normal Maximum ventilatory volume- 124i/ffiin- Normal. flow rates A- Normal. 6- slightly reduced. Impression* Normal graph. c examination* essentially normal. No murmurs, 6. P. *40/80. 02 200 0843 WA01197 E **04064% PMSLtT U. D_ F. C C. P. of wxrrz momc r<* KAOOOX KOWTi. N. J. DOlf #2* *lbart finger .AMtti Obt#t N0n-t*ndr. No brganoaagaly, No harniaa* Kato~ Scar of ooarativa ot*# nentandar* CU Syateat CntntUUy noraal sale. Oonai and Joints* Casantlaiiy nor*sl Scot aplnal fusion* urological axaainatton eaaintiilly n*r*al Skim Claar* No tfaraatitla No pttloharal aflaas. No varieoaitlM# P* P* D. intaraadiata 2* raactlon. Laboratory NOrk a# followst Haaoglobin 16 taas Haaatecrit 47* N8C 10-3i Saga 63? Lyaphs*30? Ne<\oa2i Casina* * fileod eodlu* 13? aaot botaasiu* 6 aaQt Chloride 102 atQt CQ2 2*, Urinas S*C-4%005? ilbuaen sugar acetone all negative* ftieroscooic eaaenfcimlTF ne$Hive. fiCP^ Slucoae ISCLtAlkaline pboa? UMi Sgot all alightly elevated* Naaixnoar althin noraai Haiti* lapraaaioni 1 Pneuaoconical*, aoderate, occupational* aabestcsia. ' ' 2*'Ca*trectoay, partial* choice?atectosy, soorndecteay. 3* Elevated blood glucose diabetic atae? Enclosed plsasa find original of laboratory studies and graph* Thank you for tha privilege of this evaluation* Vary truly youra. t * / ENclosurest Laboratory cork 02 200 0844 P.j ' ui!50' PM. Oe<.o*r i. utt. is >a*.a-> ' A..r. t 4i, JLii c:oBr t, u, in ,;n~`itfla ' t *, IHim - john'P. RcNaily. .0. Guana-Corning fiberglsa Coro# Beriin.N.J. 00009 4 December. 1971 ' Dear Doctor RcNallyi In Rat Albert finger, age 4? 138 Atco Awe, Atco, N.J. 08004 ' Herewith resorts of examinations made on the above nested patient ot this office on November. 19* 1971 as per your request* Occupational.-History* Work for 0WC past 12 years in ell phases of production. Past medical History* Usual childhood diseases. Pneumonia 1943* Partial gastrectomy for ulcers, gallbladder removal and appendix, removed at one operation In 1963 at Cherry Hill Hospital by Dr. Silverman* Spinal fusion in 1964 at Cooper Hospital by Dr. Hainea. hay, 19?1 gastrscopic examination at J, f. Kennedy Hospital. Recent rib'fractures, right posterior. thief Complaintsi Recent cheat pain due to rib fracture, right. Usually no specific respiratory complaints deapitb smoking history since age 14 at 1- 1.6 pks dally. General Physical examination* Head end beck* Eyas normal, tars normal. No adenopathy. Thyroid normal. Cranial nerves Intact Chest* Sreeth sounds ere normal. No wheezing noted. Expansion is, normal. Tender to touch over posterior 9th rib- fracture site. Xrrays of the chest in the PA end left lateral projection reveal the heart to be top normal in size. 8otn dlaohcags ^KM^but <`e>re'"rest ricted moderately. The supracardiae structures appeca normal. The hilar areas are not remarkable. The bronchovascvlar markings are slightyl increased bilaterally inot the bases. There is a fine, iecy pattern into both lover lobes typical of fibrosis. There is a small flbrolinear stroking underlying therlght third anterior rib. The lateral projection revealselevated diaphragms with fitorOlineal and Yiodular appearance of the loner lung fields, typical of a pneumoconiosis. Otherwise tt chest la not remarkable. Impression* Pneumoconiosis, moderate, esbestosis, occupational. pulmonary function S^udy* Predicted Vital Capacity- 43SGcci Performed VC- 3880- 89^. Timed Vital Capacity- normal Maximum ventilatory volume- 12Al/Win- Normal, flo rates A- Normal. B- slightly reduced. Impression* Normal graph. normal. No murmurs. 8. P 140/80* 7 02 209 OS46 <.k ot t*p*.rii(.*u, mi. in asu.k Z H2l* * ;' 0^ # C 9PCNCCR PAtSIXt, M. D.. r. C. C. I*. , Mt wwjtc hMIl n*c . * KAOO* MCMMT*. . 00S #2*Albert finger +*+ 4 9 Abdomeni Obese. Non-tender..No organomegaly. No Hernias. Hepato*pgely?7 Scar of operative sack, nontender. CU System* essentially normal male. 'Bones end Joints* essentially normal. Scar spinel fusion. Neurological examination essentially normal. Skim Clear. No dermatitis. No peripheral edema. Mo varicosities. . P. P. 0. intermediate 2^ reaction. ^ *TM # Laboratory' HOrk as folloms* k Hemoglobin 16 Csi Hematocrit *1%t WSC.- 10,3; Segs 63i Lymphs.- 301 flionos.2* Cosins* 4, , Blood sodium 139 meqi Potassium 5 meqj Chloride 102 moot CO2 Urinet 5.G I.OOSt Albumen sugar acetone all negatives Microscopic essentially"negative. RCP~ Glucose 1501 Alkaline phosi LBH| Sgot all slightly elevated. * 1 RemaInder""itMn normal limits. Impression* 1. Pneumoconiosis, moderate, occupational* asbestosis. 2. Gastrectomy, partial, cholecystectomy, appendectomy. 3. Llevated blood glucose diabetic stae? enclosed please find original of laboratory studies and graph. Thank you for the privilege of this evaluation* Very truly yours. <r/ ,.o / ./V. t' / Xf-Spencer 'Paisley^M.D. '\ ENclcsuresj Staartpenmj enti Laboratory wofck. i -ftV" 02 209 A lbert Finger (B erlin) *1 *. *CS.*13