Document z9VGyX0v8XQ94zvkm5OKX5Oa

May 4, 1059 Dr. C. D. Waither Texaco Medical Department Texaco Incorporated P.0. Box 712 Port Arthur, Texas Dear Doctor Walther: I feel sure that you are aware of the facts of which I shall speak in relation to this case, but no harm will have been done in mentioning them. With reference to the analytical results, first, I think it wise to point out that the absorption of tetraethyl lead does not elevate the lead content of the blood materially, but it does elevate the urinary lead concentration greatly and promptly. In this instance neither fluid is high in its lead content, and thu3 no exposure to lead, either organic or inorganic, has occurred. There is only the slightest exposure to lead in connection with the' handling of leaded gasoline (it is, in fact, theoretical, rather than significant). Lead absorption must be severe and prolonged in order to induce paralysis. I have never seen such a lesion otherwise. The absorption of teti'aethyl lead has never been known to induce peripheral neuritis or paralysis of any other type. I mention these matters only because they seem to be pertinent connections with a medical problem of this type, and certainly the matter must be looked into, as you have done. Cordially yours. Enclosures RAK:ss Robert A. Kehoe, M.D. Dictated but not read. N13185 Material: Submitted: Required: Urine and Blood 4-24-59 by Dr C. D. Nalther, Texaco Medical Department, Texaco Incorporated, ?. 0. Box 712, Port Arthur', Texas Lead Analyses URINE Analysis Number Volume Specific Gravity Mg. Pb/Liter 59A-4234 55 ml. 1.030 0.03 BLOOD Analysis Number Grams Mg. Fb/100 Grams 59A-4235 S pec tro,graphic Dithlzone 14.3 0.04 16-3 0.02 The levels of lead concentration in the urine and blood are at the mean normal values. This man has not absorbed abnormal quantities of lead from any source recently. N13185.01 Signed x.. Robert A. Kehoe, M. D. Samples Collected: Samples Received: Samples Reported: 4-20-59 4-24-59 4-29-59 KETTEH ING LA BORAT ORY UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE REQUEST FOR INVESTIGATION Name c-f Ra.ce Negrdoex M Age A& S M W D Address 219 W. 12th Streetf Port Arthur, Texas___________________________________ Request by Dr. g. p. Waither> Texaco Medical Dept. ho s p 11 a 1 y Ward Date 4-20-59 History: (Including nature of exposure, actual time of exposure if known or surmised, una especially the last day or hour of exposure; character and time of onset of illness; course of illness and present status; previous pertinent medical history.) Was pouring gasoline at home and had a fair amount of pressure on his left arm due to his position. Developed immediate wrist drop within the following 5 minutes which persists. Physical Findings: Has definite wrist drop, weakness of his extensors and thumb. Laboratory Findings: XTiP-Trssj-on: Traumatic Radio-neuritis, non-industrial Treatment (specify date(s): None Investigation Desired: 'Would like to obtain leqd levels a for medical legal purposes. Note: The Kettering Laboratory makes a charge for eimbursement of the cost of services rendered on the customary professional basis of the economic status of the patient as determined by his physician. K 0012621 N13185.02 April 29, 1959 Dr. C. D. Valtfcer xaco ?ieeical Department Texaco Incorporated P.0. Box 712 Port Arthur, Texas Dear Doctor Walther: I am sending you herewith the results of ihe analysis of -the urine and blood of -cogether with invoice covering the cost o^aualysS^fHo interpretation as being sent at this times since Dr. Aehoe is absent from the office, hut the matter will receive his attention when he returns if he feels any further comments are necessary. V.;?v truly yours. Enclosures. S. Bkora, Secretary to Dr. Kehoe N13185.03 HB 0012 3 2 (L THE 'KHTTHHIHG LABORATORY COLLEGE OF HEDICIHE h d ;t i ad d Vii-.miODA av s h o k s CIHGinOATI 19, ) 10 April 29, 1959 To: Texaco nodical Department Texaco Incorporated P.O. Box 712 Port Arthur, Texas Attention: Dr, C. D. Dalthor For: Hoiribursement of The Kettering Laboratory i*or the analysis of the urine and blood of Tor the determination of lead. 2 Analyses at ,12.50 each 925*00 N13185.04 K* 0012-323