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FILE NAME: RT Vanderbilt (RTV) DATE: 1989 Feb 23 DOC#: RTV047 DOCUMENT DESCRIPTION: Medical Report of William Bowman Refering to Asbestos Exposure as an Increased Risk for Lung Cancer or Mesothelioma -H 6 C K \.| 4 0N6 / ; x vww Iu m ||NITIAl 1 T I D IW II -- 1 |H ' _ |PROQRESS| | , PINAL e wcacAse n o . L I lf Known) C A R R I ER.C A S E NO. (If Known) 1 6 A S E JU R E D William P R ERSON (First N un.) 'Douglas (M id d le Initial) N EMPLOYER* v- T St. Joea Resource Co O INSURANCE R C A R R IE R Guardian Claims . DATE OF INJURY AND TIM E lata 197018 Bowman A G S ( L u t Nsms) 6 3 CHECK T Y P E O P DOCTOR;____________________ lg Ph ysic ian ] | (pooiatrist| | Chiropractor AODRSS WHERE INJURY OCCURRED INJREO PERSON'S S O C .S E C .N O . Balatat, NT A D D R E S S (IncludoA p t No.1 r t f G GA7 Gouverneur, NY 1323 Bo* 721-07-4499 telephone n o . 287-0432 Balmat, NT V SUPERVISING v. * * P PHYSICIAN E (If nyl . * II tiaatment was rWKfered under tlW V o lu n W f FlwBflfltew* Benefit Law show 3 EMPLOYER the liable political subdivision and n(r "X" haw O 1. H A V E Y O U F IL E D A P R E V IO U S R E PO R T SETTING FORTH A HISTORY O F TH E IN JU R Y? _ r-T l WO j { ip YES'* ENTER DATE O F SUCH R E PO R T:__________________ `.A N D COMPLETE ITEM S 3 -1 0 BELOW . j IF "N O " C O M PLET E I A L L ITEM S BELOW . A. S TA TE HOW IN JU R Y O C C U R R E D AN D OIVE SOURCE O F TH IS INFORM ATION. (IF C LAIM IS F O R O C C U PA TIO N A L DISEASE. INCLUDE o c c u p a t i o n a l h i s t o r y a n d D A TE OF ONSET O F r e l a t e d s y m p t o m s .) . f f o n f i g - i n e m i n e r w h o w o r k e d f e St. Joea Resource. Co.-for 41 yrs. About 10-12 years alo^e 5igtn*ex^e?l2n?lngD sBSrfSeiti1 s o f breath on exertion cough chest pain and wheezing. These symptoms have progressed anc T aeereveredeaed hw'nragent hr a variety of e m r lr n n m a n e a l M i m i H - 0 a.. Ww aa qs p Aa tTiiee nu Tt pS rD eCvuimo un esil vy uu nu dn et nr rIM 'I ! I I IIPF *" *YYeBSS"" EENN TT EE RR uHiISv/Hu bEoR NAME AND C. W ERE X-RAYS R THE CARE OF ANOTHER DOCTOR Y FOR THIS INJURY? NO I ADDRESS, AND REASON FOR TRANSFER } IN IT E M tCL TAKEN? * NO 2. IP TH ER E IS A N Y H IS TO R Y O H EVIOENCE OP PR E-EXISTING IN JU R Y, DISEASE OR PH YS ICA L IM PA IR M EN T. OESCRIBE SPECIFICALLY; None -J* I. DESCRIBE N A T U R E A N D 'E X T E N T OF KNOWN O R R E P O R T E D INJURY OR OISEASE WHEN E X A M IN ED , A N D IP APPLICABLE. A N Y c h a n g e q f c o n d i t i o n s i n c e l a s t r e p o r t . The patient has pneumoconiosis which la most likely asbestosis and popslbly silicosis. He has restrictive lung disease as a result of the pneumoconiosis. Hia airways have been affected by his workplace exposures also and he moat likely has a-lbronchoapastlc component to his disease as well. D A T E (SI O F E X A M I N A T I O N ON^WPMCH T H IS R E P O R T 2/23/89 D A T E OF Y O U R FIRST TREATMENT 2/23/89 pra *ARE YO U CONTINUING ! IF " Y E S '*WHEN W ILL <TpR(Ei eAiTY M EP Ni iT* 4? ( jPuAvTi Ic Ek Ni TT Be eE eSfEi BEMN I I9 AG AIN? DESCRIBE T R E A T M E N T 'R E N D E R E D AN D P L A N N E O F U T U R E T R E A T M E N T . IF PATIEN T WAS HOSPITALIZED, SO STATE ANO GIVE n a m e a n o l o c a t i o n o .f h o s p i t a l a n d d a t e s o f H D SPITALI2ATIO N. The patients pulmonary status was eval uated. A future treatment should Include avoidance of dusts and Irritants that may be toxic to the respiratory tract and agresslve treatment of any pulmonary infections. CKALUAWTIIOLN M A Y TH E IN JU R Y R E S U L T IN P E R M A N E N T RESTR IC TIO N . T O T A L O R P A R T IA L LOSS O F FU N CTIO N OF A PA R T O R M E M B E R . DR PE R V A N EN T FA C IA L. H EAO O R N E C K D ISFIG UREM ENT? IF "Y E S " DESCRIBE NO The lung disease IS PATIEN T W O R KIN G ? I IF " YEc mS " wOiN W H A T D A T E ( S ) D ID P A T I E N T I RESUME LIM ITED WORK OF A N Y KIND RESU M E REG ULAR WORK YES 2 2 : O AT6; OATE: is permanent and irreversible IS P A T I E N T D ISABLED ? ,rp NO IF "Y E S " CHECK ONE PA R T IA L DISABILITY jK [t o t a l d i s a b i l i t y " WM AA ST ITOHNE) OT HCEC UCRORMEPNECTEE NOTE SP CR OR ID8UECOI NA GB OCVAEU S( OEftOIFN TYHOEU IRN PJ UR ER VY I OA NU DS RDEI SP AOBRITL IWT YH IIClFH AGNAYV)ESTUHSITSA IINN EF DO ?R NO ItM AIIll tATIO R & A R KS () A N Y F A C T O R S D E L A Y I N G R E C O V E R Y ? IF "YESX.DESCRI8E ._ (b) IS M E D I A L ANO/O R V O C A T I O N A L REHABILITATION INDICATEO? IF " Y E S " GIVE R E F E R R A L O S TA ILS YES 5 0 YES RECEIVED APR i 6 -VT* 10.EN TER H E R E A D D IT IO N A L P E R T IN E N T IN F O R M A T IO N , W O R K LIM ITA TIO N S , IF A N Y , ETC. Because of hia ahle?tps exposure the patient la at Increased rlekkfor lung cancer and mesothelioma* He jihoulld be examined annually with these possibilities in mind*_________ . H V O u r tM tim o n y sh ould b*ncO TS*ry In th iie te * . plaa J IF A U T H O R I Z A T I O N F O R S P E C I A L S E R V I C E S IS o .t.a, y'k sfeq I PM YCB Rating Coda Typod or Print! N . m . of Att.ndln Doctor Michael W. Lex, M.D. W C S Autnorifation No. T.lopnono No. 176488-$ 473-6422 Ada'"`59rlt5Il!0Tc52o5uile 300 Writton SiQn.lur, ol /) / \ I Ci 1/ ) T lD N fS I W HICH M A Y L A W F U L L Y B E T R E A T E D AS D E F IN E D IN T H E E D U C A T IO N LAW ANO . W H E R E IT D O E S 'N O T . HAS ADV1SE0 t h e INJURED PERSON TO C O N S U L T A PHYSICIAN O F HIS/HER C H O IC E . :ombmM C-4 / C-44 13-W1 ICC ( V I N K BIO* F O R IMPORTANT INSTRUCTIONS C A R R IE R 'S C O P Y