Document wrejzJ2NZ0LzdarjxMbobZNZJ

\s. April 50# 1935 D r. Graham E dgar Ethyl G asoline C orporation C hrysler B uilding Mew York C ity Hew York Dear Dr. E dgar: I am e n c lo s in g h e re w ith copy of ray r e p ly to Mr. W. G. V ioletfce o f th e S tan d a rd O il Company of K entucky a t L o u is v il le in o rd e r to com p lete your f i l e . Very tr u ly yurs, RAKils Robert: A. Kohoe* M.D. i A p r il 2QS 19 5 5 Mr. W. 0 . V io le tt o . - ! ^tmndard O il Cwwpcmy X*Qulavllle, K entucky; - . '' Dear Mr. V io lo t te :- Your 1 fetter o f A p r il Obh addressed to Mr. fiebh o f th e Bfcbyl G a so lin e C orporation baa been r e fe r r e d to sie sine i t concerns, on o f pour em ployees who has been thought to show c e r ta in evidences of lend absorption. I have gone over the re p o rt from th e Hogan Clinics from which th e fo llo w in g f a c ts .on to be show n. Mr. WtB* and Mr. V H H k ap p eared to nave shown e l i c i t ev id en ces o f carbon monoxide ab so rp tio n * This m e t have been the r e s u lt of exposure to e x h a u st g ases and i t , o f c o u rs e , hr.a no r e l a t i o n t o le a d a b s o rp tio n . Yho exam! n e t ion o f Hr, b lood seems a ls o to have shown c e r t a in a b n o rm a litie s i n th e form o f a few abnorm al re d s e l l s and on o r two p o r c e n t of abnorm al w h ite c e l l s . Yhis is the only s u g g e s tiv e ev id en ce which I can make out In th e e n tire rep o rt1th a t any lead absorption has occurred. I t should be pointed out th a t stip p le d red c e lls occur in a number o f co n d itio n s and they can n o t, th e re fo re , be r e g a r d e d ajs d e f i n i t e v id e n c e o f le a d a b s o r p tio n . I t may be t h a t one o f th e p h y s ic ia n s in th e c a s e h a s regarded the presence of these c e lls as in d icativ e of lead absorption or a t le a s t suggestive of lead absorp t i o n . On th e o th e r hand th e v e ry ten siv e i n v e s t i g a t i o n o f han d lers o f le a d e d g a s o lin e w hich we have c a r r i e d on o v e r a p e r io d o f now more th a n te n y e a r s , h as f a i l e d to show any evidence o f le a d a b s o rp tio n in th e se workmen. I do n o t t h i n k , t h e r e f o r e , t h a t we re J u s t i f i e d In d isreg ard in g a l l o f the evidence accum ulated over a period of years in favor of a sin g le c lin ic a l te a t which Is u n c e rta in in I t s in te r p r e ta tio n . f:" I f th e r e a r e any f u r t h e r developm ents in connection w ith th is c a se , I should lik e to be in form ed o f them in o r d e r t h a t we may t a k e any s te p s w hich seem to be J u s t i f i e d . However, I do n o t reg ard th e v. .M. *2 Mr* W. CJ* Violetta - inform ation av ailab le a t present as s u ffic ie n t .ju s t ! f io .e t le n f o r any I n v e s t i g a t i o n on o u r p a r t* As I see i t th e r e r.s no ev id en ce w h ate v er t h a t t h i s man has absorbed lead * .and th e r e I s every reaso n to b e lie v e th a t he d id n o t absorb s ig n if ic a n t amounts of le a d from h is o c c u p a tio n * T h erefo re * u n le s s son c irc u m sta n c e d e v e lo p s to make an i s s u e o f th e m a tte r* I c o n s id e r i t v:j.3g to ta k e no a c tio n * Very tru ly yours* RAKslS Itot)e r iT A Kories* UVd 0010746