Document xdkO38JvJ9gvyv1VmB46p7D6E

t l e a i I ii t a sfm e s ssM a fiiiit ANDREW FLETCHER, PRESIDENT K. C. BROWNELL, VICE PRESIDENT J. A. MARTINO, VICE PRESIDENT M. M. 20 L.L.ER, VICE PRESIDENT ROBERT L1NDLEY ZIEOFELD, SECRETARY-TREASURER e o E A S T 42ND S T R E E T N E W Y O R K 1T , N . Y . M AN FRED BOWDITCH D IRECTOR O F H EALTH AN D SAF E TY May 1 5 , 1958 Rob er t A. Keh oe, M. D. D ir ecto r , Ketterin g Laboratory U n iversity of Cin cin n ati Eden Avenue C in cin n at i 19, Ohio Dear Bob: H erew ith ar e a copy o f . a r e c e n t l e t t e r t o H a r r ie t Hardy and an e xce r p t com prisin g th e p e r t in e n t p a r t of h er r e p ly . The p ap er by S. M oesch lin , t r a n sla t e d b y Br u gsch , i s a d ou b le- sp aced a f f a i r o f 19 p a ge s, w ith t h e t i t l e ''The C l i n ic a l P ic t u r e and Th erapy o f Lead I n t o x ic a t io n w ith Report o f a F a t a l Case of Toxic N eph rosis Treated w ith Cal cium V e r se n a t e ," th e German v e r sio n h avin g been p u b lish e d in a Sw iss m ed ical jo u r n al l a s t August. I th in k i t w ell worth co n sid e r at io n by you, w ith th e p o ssi b il i t y of th e p u b lic a t io n o f a l l o r some p a r t o f th e t r a n sl a t io n in one o f ou r jo u r n a ls in mind, b u t I fin d i t o f enough v alu e r ig h t h e r e n ot t o w an t t o l e t i t ou t o f my h an ds f o r t oo lo n g. Do you f e e l t h a t you cou ld r ead and r e t u r n i t t o me w ith you r comments r e aso n ab ly soon ? I f n o t , I can su bm it i t elsew h er e, pen din g a tim e when you ar e l e s s r u sh e d , assu m in g t h a t so m ir acu lo u s a cir cu m st an ce ever tran sp ires. MB: GP En closu res LEAD INDUSTRIES ASSOCIATION 60 East 42n d St r eet New York 17, N. Y. M AN FRED BOWDITCH DIRECTOR O F H EALTH AN D SAF E T Y Hay 2 , 1958 H a r r io t L. H ardy, M. D. 'M assach u setts Gen eral H o sp it al Boston 1L, M assach u setts )ear H arriets rih an k you f o r t h e copy o f t h e p a p e j^ i^ ^ o e sc h lin ,' ' t r a n sl a t e d by 'r u t sc h , which I n ote t h at you h are iaspoi^t\3^s$h in k * iV Bein g r a t h e r isore th an r u sh e d ^ \ can n ot /p r e t e n d t o h ave r ead t h e 19 p a ge s in f u l l , b u t I h ar e gon e t h rou gh i h Nui`fie I & iit ly t o b e o f two m in ds, o r perhans three or fou r. .... .... X v - '/ Cau sat io n of the fi^ st ... two ""-vl of,, th e \ X<\ f bur, c a se s is at t r ib u t e d to lead t e t r ae t h y l r esid u es in p is$e' and automobile en gin es, and t h is n ay be c o r r e c t . Bu t th er e h as been so rsuchj ir r e sp o n sib le j ijrablish ed t a l k ab ou t lead h a ssr d s t o th e p u b lic from isotor e xh au st s t h a t 1 wohld want t o se e t h is d iffe r e n t i a t i o n stressed . \\ // / C > ... I n / t h e l a s t o f t h e fou l*"c a s e s , t h e o ccu p at io n o f t h e p a t ie n t i s n o t st a t e d , Kblph / seem s u n fo r t u n at e . UX Ad\,tp t h e r ap y , /A ^&t in t h e f i r s t c a se i s n o t st a t e d , t h a t in t h e second a p p e a r sxt o h ave beeh sodium c i t r a t e , fo llo w e d b y EBTA, t h a t in t h e th ir d a oombinkttpn"Of5-2fiTA and BAL, and t h a t in t h e fo u r t h EBTA alo n e, th e l a s t two bein g th ose t h a t wound up f a t a l l y . Q u it e a t h e r a p e u t ic asso r t m e n t . J^iT 001436a Harriet L. Hardy, M, D. -c- May 2, 19$8 Oranting t h at lead t e t r ae t h y l h as i t s h ygien ic drawbacks and t h at i?e have our r e se r r at io n s a s t o EDTA, i s th e auth or Ju st ifie d in M s two q u it e emphatic recoim en dation s (X) t h at th e lead t e t r ae t h y l in xot or gaso lin e s b replaced by ben zol, and (2) t h at we abandon ED and go back to sociu n c it r a t e ? In cid e n t ally , th e DBTA used in th ese case s was apparen tly th e Sw iss produ ct, Calcium Hausisann. I have a sin gle ampule of t h is* Mould i t be worth wh ile to turn t h is over to a h igh ly competent ch e aist , to look, fo r p ossib le d iffe r e n ce s between t h is and th e Ajssricaa product? I have d iscu ssed th e paper b r ie fly by teleph on e with Hervcy, and we nay t a lk fa r t h e r about i t w h ile I am in Boston n ext Monday, Tuesday and Wednesday, cm what I an t icip at e t o be something of a whirlwind t r i p . He ap p ar en t ly knows noth ing of th e au th or , and doubts i f Dr. Brugsch coca e it h e r . I would be glad t o commone with you a lso , i f your in t e r e st i s such as to war rant it . fin a lly , tdiat would you chirk of seekin g Kh oe*s r eact ion to t h is r at h er sin gu lar document? Sin cer ely , 3 GP ccs Dr. ZLklns K 0014370