Document wgoz1MZoJY6LvRnqdxQmVbG04

FILE NAME: Norfolk & Southern - WC Case - Ancel Wheeler (NS) DATE: 1951 Sept 27 DOC#: NS029 DOCUMENT DESCRIPTION: Physician Report k V \ September 2J, 1951 S353 Ng| > * 4 __ i Ur. V. R. Whitman Chief Curseon Norfolk and Western Roanoke, Virginia 4 Railway Company Dear Dr. Whitman: Re: ISr. Ancel Wheeler R. R. #1 Nheelersburg, Ohio Patient was-Beon-ev-cae-Good Samaritan Hospital at the request of Dr. Ralph G. C u r o t h e r s . ............. ......... . -- Chief Complaint: Pain In the right chesty dizziness. Present Illness; In October, 1930, patient developed sorness and pain in the right lower chest anteriorly. This pain was increased with deep breathing or movement of the chest. He continued to work until November 17. Since that date he has not worked because .of this distress in his chest. In April, 1951, he was examined by Dr. H. Charles Schock of Cleveland, Ohio. He was told b y Dr. Schock that there was evidence of dust inhaled into the lungs, particularly on the right side. He was told by Dr. Schock that he was one hundred percent, permanently, totally disabled. He was told to go home and rest with no work. At present he continues to complain of soreness in the lover right chest anteriorly. He also has nervousness and spells of dizziness. He states he has some cough but no expectoration, no blood spitting. He does not mention shortness of breath. He has no wheeze. Appetite is good. He has always been over-weight. At present he weighs about 290 pounds. Bowels axe regular. Urination is normal. There is no swelling of the ankles. He states he sleeps poorly but can lay flat, using only one pillow. Past Medical History: Negative Family History: Vife, one daughter, living ana well. Patient does not smoke, so alcohol. Vark History: Patient has worked for the Norfolk and eastern Railroad in the engine repair shop at Portsmouth for six years. He worked in a rocsn crushing asbestos which is removed from the engines while being repaired. He states there is so forced ventilation in the room. He dees not wear a mask. He states the dust is very thick in the room. He has worked at thlB Job about six years, averaging four days a week. fcffrs; Pago 2 September 27, 1951 Re : Ancel Uheeler Patient is an obese, -white, cole, ege 39 He docs not appear acutely ill. II He -was sitting in a chair "with no apparent discomfort, breathing vas normal '$51 and resalar in type. Pulse: 7U 10 160 systolic, 100 diastolic Pupils equal, reflexes normal i Restive iterative Much, v o m Tonsils: Large Thyroid: normal Cervical Rodes: Small H eart: Rhythm is regular, no murmurs C h e st: Broad, square, deep. The diaphragm dullness is normal in position and sheers normal excursion. Percussion reveals normal resonance. Few in p Abdomen: constant rales heard over both bases posteriorly. Obese. Liver not felt. Spleen not felt. Iio hernia. Extremities: Iio cyanosis or edema. a OI-' -- vrm *53 ; *ti V* J-i ag IfTr>s"- E3J During tvo days observation in the hospital his temperature remained normal. Urinalysis; Alkaline; specific gravity 1.0l6; albumin, negative; sugar, negative Blood Count: Eb. 89, 1 3 grams KBC U,420,000 UBC 9,000 Differential: P . 70 L. 29 M. 1 X-Ray Chest Films: Bony framework normal; diaphragms normal; heart is broad in transverse diameter; aorta normal; trachea in the midlinej few small calcified areas both hilura. Right Lung: Pleura slightly thickened over the lover loba. Lung field clear. Left Lung: Clear X-Ray Diagnosis: Pleura thickened over the lover right lobe. Ho disease within the lungs. Conclusions: It is my Judgement there is no evidence of disease within the lungs. There is slight thickening of the pleura over the lower right lobe. I do not find sufficient evidence to moke a diagnosis of pneumoconiosis of any nature. Very sincerely yours. SEhII JHSsrl JOim n. SKAVLEM, H. D