Document zQ7VwdV4LQ2XqwDJB1mKkNEjR
FILE NAME Fibreboard FIB
DATE 1984 DOC FIB025
DOCUMENT DESCRIPTION Legal - Deposition of Henry A. Perlmutter with Barry
Castleman Notes
1118-5878-0 TMJ
a
Dr. Henry Perlmutter , witness for Fibreboard Fibreboard Fibreboard med sch 1933
17
became asat < "
hrs 29
from mornings dayp 37
Patrbiedco 38
ppllaantnttried keep all old 44
25 %
to Dr. Wable at Fibreboard Fibreboard Fibreboard 1938 EmeryvilElmeeryville
of allhishis
patients Camefrom from Palco
returned returned
the War in 1946 to same
as co
doc
at Pabeo , mornings
dayp ick & call
loadedradiologistradiologist
Pabco
workers workers
Fong was used for X rays
to ray tried
the
Dr.
also
consultceondsulted
consulted
consulted
on chest chestXrays
sent
sent
reports
reports
47
Pabro 52
64 He Christopher Asis clse 6161
PabPraobro also madeleadedleaded ppaintaint roofing roofing at EmeryvilleEmeryvilleEmeryviEmlelreyville
Perlomitton B. Christopher
Adamson replacePerdlomit on Perlomitton affabin affabin affabin 19.50
Asinin affabin learnedabtabt
Asinin mudical mudical school schsocohlool scho l jjooccioirorjociorto 1958
Hehasnever seen a caseof
Asis at PPabacorbcoorPabcoor
clse
insulation insulation
Everywille
PabcoPabco asbeEsvteroywilleEverwywilhe ile anytime conscidoenrsider cancer an
disease adequate exhaust 66 Dact control in ththee plant by
very adequate
at Palco exhaustfan
copied by infips very 67 Pubco's dustcontrol waswas
other
Petro was
strictabthaving sack
ovearovear
having
openers
respristor
respristor
by fabec 89 There were hundreds ofchestXraysrays ordered
fabec &
Harey Hopes system- designed 2525 were chest X rays rays
97
He
was toltdold
the
X
rays
had
99
Harey
designed designed that
great 105.6 Noone NoonNoeone ever showed showed
been destroyed
dustcontrecontent contentcontent
dust dust
studies
HP any dust studies Workers comfortable 110
said
rubber masks weren't comfortable
the weren't 125 In 1946-50 HP tooli on responsibility for
incomp incompprogram attly plant
Pabcocorporate Emeryville 126 HeHehad reodffidceer CorporaCtoerporate Corporate
Emeryville
ofi's in SF
and Spac
They called cacalleld ed him
130 EmeryvilleEmeryvilleEmeryville plantemployed
1570-7008 1570-7008
Periodic employed plant 131
heat
were not take
didn't Asis had 146-7
didn't know rays
delayd
delayed caxt caxt
a delayed plant had just just
119941 41 20
The opened nwonder nwonder nwonder thing w eren'twweren't wweren't any ) Casio
164
tetereceivedreceivedHHMAMA
HMA
but
has but
has
no
recollection
recollectiroen collection recollection
the 1949 editorialeoditonrialon editorialon a shortes
to
ofaking have paid He would woulwdould expect to
have
that in this duties duties in 149
noteto
THE ININ THETHE
IN THE
SUPERIOSUPERRIOR FOUR SUPERIOR SUPERIOR SUPERIOR SUPERIOR
SUPERIOR SUPERIOR
FOUR
FOUR
THE STATE
IN AND FOR THE COUNTY OF ALAMEDA
OF CALIFORN
_
1
IN RE Fibreboard Plantworker
Sey
Asbestos Cases Kazan & Kilbourne
See?
Consolidated for Discovery
Se
_
See
See
IN RE Shipyard and Applicator ~ . ene
Asbestos Cases Kazan & Kilbourne
Sey
Consolidated for Discovery
Sane
See
Na
IN RE Asbestos Cases Consolidated
See?
for Discovery
tee
Set
tet
IN RE Consolidated for Discovery
See?
Related Shipyard and Applicator
Ne
Cases
Martin Harrison & DeGarmo
See
Set
Se
IN RE Sterns Brown & Finney
Mea?
Consolidated for Discovery Related
Smell
Shipyard and Applicator Asbestos Cases Ta
Sea?
meet
IN RE Related Asbestos Cases
ett
Consolidated for Discovery Knapp
ee
ee
No. 537064-7
1
XN
No. 537868-7
No. 529948-7
No. 569084-0
No. 573686-9
No. 568328-4 GENERAL DISCOVERY
FILE
REPORTER'S TRANSCRIPT of
DEPOSITION of
HENRY A. PERLMUTTER M.D. Videotaped
Monday October 29 1984 Tuesday 30 1984
Reported by
Harry A. Cannon Cert 68
CSR
RECEIVED
HARRY A. CANNON INC
Certified Reporters and Notaries
HIBERNIA BANK BLDG SUITE 550 201 CALIFORNIA STREET
SAN FRANCISCO CALIFORNIA 94111 415 391-7421
THE ror PUoR e aE e OTIS IN AND
SUPERIOR ME det Re
COURT COURT ase
fe
FOR THE COUNTY
STATE CALIFORNIA OTFCHOENTRA OF THETHESTATSE TATE
STATE
COSTA
Beran
creme
weer OE
Pages. 1
van t-
4
IN RE RELATED ASBESTOS CASES
PETER SANDO Plaintiff
on 2
vs.
LINCOLN ELECTRIC et al
Defendants
el
ee
el
ee
te
ee
ee
No. 247468
ee
1 1
ee
REPORTER'S TRANSCRIPT
Or
DEPOSITION DEPOSITION
_ OF
HENRY A. PERLMUTTER M.D.
1984 Videotaped
y
Monday
October 29
Tuesday October 29 1984
Reported by
HARRY A. CANNON Cert 68
CSR
HARRY A. CANNON INC
Certified Reporters and Notaries
HIBERNIA BANK BLDG SUITE 550 201 CALIFORNIA STREET
SAN FRANCISCO CALIFORNIA 94111 415 391-7421
FOr:
Dae,
:
IN THaEe
COURT IN SUPERIOR THE
COURT
COURT OFTHE SSTTATAE TE CALIFORNIA
CALIFORNIA STATE IN AND FOR THE CITY AND COUNTY SAN
CALIFORNIA
oa ae ea
-
fi~
=
IN RE Jennie Azzopardi and all Halley )
:
Cornell & Lynch's and McCarthy Johnson
) Nos 783714 & 792978
& Miller's Related Asbestos Cases
)
IN RE Related Asbestos Cases
Consolidated for Discovery Knapp
IN RE Sterns Brown & Finney
cy
Consolidated for Discovery Related
Shipyard and Applicator Asbestos Cases
IN RE Shipyard and Applicator Cases
Brayton Clapper &
Discovery
Consolidated for
IN RE Discovery for Related
Shipyard Asbestos Cases Herron
IN RE Consolidated for Discovery
Related Shipyard and Applicator
Cases Martin Harrison & DeGarmo
) No. 804896 GENERAL DISCOVERY FILE
.
) No.
)
)
) No.
)
.
)
) No.
)
) No. No. )
805555 804416
795582
768071
NORMAN BANKS
Plaintiff
) ) No.
791576
) vs.
-
MANVILLE et al
)
Defendants
)
JOHN KOMAR et al
)
vs. Plaintiffs } No. 771595
vs.
}
MANVILLE et al
)
Defendants
)
HELEN CALDWELL
)
Plaintiff
) No. 765264
vs.
)
MANVILLE et al
)
Defendants
)
REPORTER'S TRANSCRIPT of
DEPOSITION of
HENRY A. PERLMUTTER M.D.
Videotaped Monday October 29 1984 Tuesday October 30 1984
Reported by
Harry A. Cannon Cert 68
CSR
CAAN . CN ANNO ON N INC
Certified Reporters and Notaries
MIBERNIA BANK BLDG SUITE 550 201 CALIFORNIA STREET
SAN FRANCISCO CALIFORNIA 94111 415 391-7421
IN AND SUPERIOR THE COUNTY OF SOLANO
IN RE
Clapper & Brayton
)
Shipyard and Applicator Asbestos
Cases Consolidated for Discovery|
)
No. 959
\
E
REPORTER'S TRANSCRIPT of
DEPOSITION of
HENRY A. PERLMUTTER 11.D.
Videotaped
Monday Tuesday
October October
29 30
1984 1984
Reported by
Harry A. Cannon Cert 68
CSR
HARRY A. CANNON INC
Certified Reporters and Notaries
HIBERNIA BANK BLDG SUITE 550 201 CALIFORNIA STREET
SAN FRANCISCO CALIFORNIA 94111 415 391-7421
E
3
Ay tla
IN THE UNITED STATES DISTRICT COURT
FOR THE NORTHERN DISTRICT OF CALIFORNIA
IN RE
Related Asbestos Cases ) Sm 5 .
}
) ) ) )
IN RE Related Asbestos Cases
>
Richard F. Gerry
)
)
)
)
)
\
.
No. 79-3588 RFP
~~
No.
83-6251 ALL CASES
RFP
REPORTER'S TRANSCRIPT of
DEPOSITION
of
HENRY A. PERLMUTTER
Videotaped
Monday October 29 Tuesday October 30
M.D.
1984 1984
Reported by
HARRY A. CANNON Cert 68
CSR
,
HARRY A. CANNO INNC
HIBERNIA BANK BLDG SUITE 550 201 CALIFORNIA STREET
SAN FRANCISCO CALIFORNIA 94111 415 391-7421
iad oe SeaSoAS E.ae
er
i
1
QUESTIONS DIRECTED NOT TO ANSWER
y
10 11 12 13 14 15 16 17 18 19
20 |
21 22 23 24 25
201 CALIFORNIA STREET
LINE
91/3
98/75 | 112/6
112/8
113/4
113/10
116/11
117/13 135/14
154/1
159/19 163/5
166/17
167/4
173/19
205/11 205/20
207/15
HARRY A. CANNON INC
TELEPHONE
<4OR
DEPOSITION OF HENRY A. PERLMUTTER
Monday October 29 1984-1984-
%
Examination by
y
10
MR DAGGETT MR KAZAN
11
SESSION 12
AFTERNOON
13
14 15 16
Tuesday October 30 1984
EXAMINATION BY
17
18 19
MR WARTNICK MR BURNS
20 21
MR DAGGETT
22 23 24 25
201 CALIFORNIA STREET
HARRY A. CANNON INC
Page
15 73 70
182 209 195 207 202
TELEPHONE
Number
ay
1
Extract The Journal of the AMA
Volume 140 pages 1219 and 1220
2
Extract PATHOLOGY
An Introduction to
10
Medicine page document
11
y
12
13
14
15 16
17 18
19
20
21
22
23
24
25
201 CALIFORNIA STREET
HARRY A. CANNON INC
Page
TELEPHONE
BE IT REMEMBERED that pursuant to Notice and
Videotape Deposition and on Monday October 29
1984 commencing at the hour of 10:15 o'clock a.m.
thereof
at KQED
500 8th Street
4
Studio B San
.
at
Francisco California before me HARRY A. CANNON a
Certified Shorthand Reporter and Notary Public in
and for the State of California personally appeared
HENRY A. PERLMUTTER M.D.
oe
called as a witness by Fibreboard Corporation who
10
being by me first duly sworn was thereupon examined
11
and testified as hereinafter set forth
12
13
--STEVEN KAZAN Attorney at Law 171 Twelfth
14
Street Suite 300 Oakland California 94607
15
appeared as counsel on behalf of plaintiffs and
16
CARTWRIGHT SUCHERMAN SLOBODIN & FOWLER 160
17
Sansome Street Suite 900 San Francisco
j
18 19 20 21 22 23 24 25
California 94104 represented by HARRY F. WARTNICK
Attorney at Law appeared as counsel on behalf of
plaintiffs and KENNETH L. KNAPP Esquire 695 Town Center
Drive 1000 Costa Mesa California 92626
represented by PATRICK BURNS Attorney at Law appeared on behalf of plaintiffs and
HALLEY CORNWELL & LYNCH 25th Floor 50
me
201 CALIFORNIA STREET
wre mimes CALIFORNIA CALIFORNIA CALIFORNICAALIFORNIA 01411 6001
HARRY A. CANNON INC
RESOSITIONS RESOSITIONS
NOTARIKO
TELEPHONE
416.201.7101 416.201.7101 416.201.7101
a
(
x
.
1
California Street 94111 represented by J. KENNETH
2
LYNCH Attorney at Law appeared as counsel on
3
behalf of plaintiffs and
| 4
MARTIN
HARRISON &
DeGARMO
501
Shatto Place
5
Suite 100 Los Angeles California 90820
-
| 6
represented by GUY LEWIS Attorney at Law appeared
7
on behalf of plaintiffs and
PHLEGER 8
BROBECK
& HARRISON One Market Plaza
9 : Spear Street Tower San Francisco California 94105
10
represented by ROBERT S. DAGGETT Attorney at Law
11
appeared as counsel on behalf of Fibreboard
D
12
Corporation and
13
ROPERS MAJESKI KOHN BENTLEY & WAGNER 655
14
Montgomery Street Suite 1600 San Francisco
15
California 94111 represented by EUGENE J. MAJESKI
16
Attorney at Law and THOMAS C. NORTON Attorney at
i
17
Law appeared as counsel on behalf of Fibreboard
|
18
Corporation and
19
WINNINGHAM ROBERTS FAMA and THOMPSON 425
20
California Street 4th Floor San Francisco
21
California 94104 represented by LYNN M. PETTUS
22
Attorney at Law appeared as counsel on behalf of
23
Eagle Picher Industries Inc and
F
24
MCCUTCHEN DOYLE BROWN & ENERSEN Three
25
Embarcadero Center San Francisco California 94111
201 CALIFORNIA STREET SAN FRANCISCO CALIFORNIA 94111-5091
HARRY A. CANNON INC
DEPOSITIONS - NOTARIES
TELEPHONE 415 - 391-7421
represented by KEVIN K. CHOLAKIAN Attorney at Law
appeared as counsel on behalf of GAF and
MULLALLY & CEDERBORG
Oakland California 94612
1405 Central Building
1
represented by LAURIE K.
ANGER Attorney at Law appeared as counsel on
behalf of Keene Corporation and
&
10 11 12 13 14 15 16 17
HARDIN COOK LOPER ENGEL & BERGEZ 2300
Ordway Building One Kaiser Plaza Oakland
California 94612-3686 represented by ROBERTA E. NALBANDIAN Attorney at Law appeared as counsel on
behalf of Western MacArthur and
BLEDSOE CATHCART BOYD ELIOT & CURFMAN 650
California Street Suite 2828 San Francisco
California 94108 represented by KATHERYN L. ANDERSON Attorney at Law appeared as counsel on behalf of Flexitallic Gasket Company Inc and
HOOPER KENDALL & KUBANCIK 499 - 15th Street
18 19 20 21 22
Suite 401 Oakland California 94612 represented by JOSEPH J. KUBANCIK Attorney at Law appearing for ST CLAIR ZAPPETTINI MCFETRIDGE & GRIFFIN 235 Montgomery Street Suite 635 San Francisco California 94104 as counsel for Nicolet and
23
Law Offices of WILLIAM DUKE 433 California
24
Street Suite 330 San Francisco California 94111
25
represented by CHARLENE P. ROSACK Attorney at Law
201 CALIFORNIA STREET
CAN CAN FRANCISCO FRANCISCO FRANCISCO FRANCISCO FRANCISCO FRANCISCO CALIFORNIA CALIFORNIA CALIFORNIA CALIFORNIA CALIFORNIA oe ee
ee
HARRY A. CANNON INC
en
TELEPHONE
appeared as counsel on behalf of H.K. Porter
Company Inc and
:
LAW OFFICES OF JOHN J. MURRAY First Interstate
Bank Building 702 Marshall Suite 250 Redwood
City California 94063 represented by JEROME
-
HARRISON Attorney at Law appeared as counsel on
behalf of United States Gypsum and
HASSARD BONNINGTON ROGERS & HUBER -3500 Wells
Fargo Building 44 Montgomery Street San Francisco
10
California 94104 represented by EMILY BROCKMAN
11
legal assistant appeared as counsel on behalf of
T
12
Pittsburg Corning and
13
-GUDMUNDSON SIGGINS & STONE 235 Montgomery
14
Street Suite 710 San Francisco California 94104
15
represented by SUSAN PIERCE Attorney at Law
16
appeared as counsel on behalf of Armstrong World
17
Industries Inc and
18
POPELKA ALLARD McCOWAN & JONES 601
19 20 21 22 23
Montgomery Street Suite 2022 San Francisco California 94111 represented by CAMILLA D. COCHRAN Attorney at Law appeared as counsel on behalf of Owens Corning Fibreglass and
STEVENS & DRUMMOND 1910 Olympic Boulevard
24
Suite 250 Walnut Creek California 94596
25
represented by GARY T. DRUMMOND Attorney at Law
i
201 CALIFORNIA STREET
ee
ee
ee
eee ee eee oPOeAA a a 500450045004
HARRY A. CANNON INC
ACRATIZIA ACRAN TIZIANOONOTARIFE NOTARIFE NOTARIFE NOTARIFE NOTARIFE NOTARIFE
TELEPHONE
116 8 2017101 2017101
E
appeared on behalf of ACL and
LA FOLLETTE JOHNSON SCHROETER & DE HAAS 100
Van Ness Avenue 19th Floor San Francisco
California
represented by
Wee
foal
5
MELANIE
SCHROETER
Clerk appeared on Flin oftFk lio ntt koe te and
Law
ERICKSEN ARBUTHNOT MCCARTHY KEARNEY & WALSH
Inc. Pier 1-1 The Embarcadero San Francisco
California LUEBKEMAN
94111 represented by THEODORCE.
Attorney at Law appeared as counsel
10
behalf of NAAC
11 12
ALSO PRESENT ROBERT A. BECK Esquire
13
14
15
16
17
18
19
20
21
22
23 24
25
201 CALIFORNIA STREET
SAN FRANCISCO CALIFORNIA 94111-5091
HARRY A. CANNON INC
DEPOSITIONS - NOTARIES
TELEPHONE 415 - 391-7421
HENRY A. PERLMUTTER
-
being first duly sworn testified as follows
rs
1
MR DAGGETT
are on the stenographic
.
record
Don't roll the tape yet
:
This deposition is taken at this time and place
by notice served and filed in the cases in which the
deposition is being taken I am Robert Daggett
:
appearing as counsel for the witness Dr. Henry
10
Perlmutter and also as counsel for Fibreboard
11
Because of certain minor conditions of health
12
commonly associated with Dr. Perlmutter's age We
13
are going to break at four o'clock this afternoon
14
and resume if necessary at this time and place at
15 16
ten o'clock tomorrow morning At the moment we are on the stenographic record
17
only and the video tape has not begun to run
18
Does any counsel have any observation comment
19
objection or anything else that would be more
20
appropriate to the stenographic record than the
21 22
video tape record
All right
Hearing no such shall we run the
23
tape Following proceedings on videotape
24
25
EXAMINATION BY MR DAGGETT
201 CALIFORNIA STREET
HARRY A. CANNON INC
TELEPHONE
MR DAGGETT
Dr. Perlmutter now that you
have your
taken the oath as a witness will
full name sir
>s
~ .
A.
Henry Abbott Perlmutter
you
\
\ \
tell
us
-
Q.
Where do you live
A.
I live in Tucson Arizona at 460 Valle
Del Oro Road
What is your profession
10
I am a surgeon who has retired this year
11
You are retired and not actively
12
practicing at this time
13
-A
That's correct
14 15 16
Q.
Where did you go to medical school
A.
Northwestern University Medical School
Q.
When did you attend Northwestern
17
A.
From 1933 through 1937
18
Q.
Did you receive the M.D. degree in 19377
19
A.
At Northwestern at that time at the
20 21 22 23
completion of the academic work a Bachelor of Medicine was conferred and after the required year internship the M.D. was given to each
candidate
24
Q.
Where did you take your internship
25
A.
At Santa Clara County Hospital in San
201 CALIFORNIA STREET
HARRY A. CANNON INC
TELEPHONE
16 | ; as an co ee a eae
y=
.
oo
2
Q.
In California
.
3
A.
Correct
4
Q.
And over year was that doctor
.
1937-38 5
A.
That was
-
16
Q.
After you took your internship at Santa
7
Clara what did you do
8
A.
I went into general practice
9 |
Q.
Where did you do that
10
A.
At Berkeley California and I also did
11
half time industrial work at Fibre -- at that time
12
it was Pabco in Emeryville
13
Q.
How did you come to locate your general
14
practice in Berkeley
15
A.
I was looking in the Physicians Register
16
and looking for some senior doctor who had graduated
17
from Northwestern and there was a typographical
18
error in the Register and instead of Illinois 6 --
19
16 from his school the 1 was obliterated and it
20
said Illinois 6 which was the code for
21
Northwestern University Medical School
When I Baw
22
his age which was in the late seventies I called
23
him and asked him if I could come and talk to him
24
which I did and we discussed the possibility of his
25
taking on an assistant
And I was hired half time
201 CALIFORNIA STREET
HARRY A. CANNON INC
TELEPHONE
1
at Pabco and I opened an office a couple of miles
|
2
away from the plant
.
3
Q.
Who was this doctor who was either
4
typographically accurately or inaccurately Illinois
|
,
*
5
6
-
6
A.
His name was Henry Wahle
7
Q.
Did he have a practice in Berkeley at that
8
time
~.
7
9
A.
No. He did no private practice
He had
10
retired from private practice years ago He had
11
come to California and worked in the shipyards for a
12
"-
13
14
15 16
17
while as a physician during the war
Q.
Was Dr. Wahle at Pabco at the time you
first talked to him
A.
Yes he was
Q.
And as a result of your conversations with
Dr. Wahle did you become a time physician at
18
Pabco
19
A.
Yes I became a part physician after
20 21
our discussion
Q.
As Dr. Wahle's assistant
22
A.
Yes
23
Q.
When was this
24
A.
This was in 1938
25
Q.
And then at the same time did you open an
201 CALIFORNIA STREET
SAN FRANCISCO CALIFORNIA 94111-5091
HARRY A. CANNON INC
DEPOSITIONS - NOTARIES
TELEPHONE 415-391-7421 415-391-7421 415-391-7421
1
office for the general practice of medicine in
-
2
Berkeley
.
3
A.
Yes I did
4
Q.
Where was that
\
I think ,, ,
A.
That was up -
it was Shattuck >
6
Avenue
It was in the American Trust Building
7
Q.
When you opened your office for general
8
practice in Berkeley did you practice by yourself or
|| ~
9
with some at first
yy
10 11 12 13 14
A.
I Was a solo practitioner
Q.
All right
Did you work five days a week
at Pabco or some other number of days a week
A
I worked five days a week and I was on
call at other times
15
Q.
What hours in the day did you work at
16
Pabco at the beginning
17
A.
From eight o'clock until noon
18
Q.
Mornings
19 20
A.
Correct
Q.
And what did you do with your afternoons
21
A-
I took care of my private practice
22
Q.
What was nature of your private practice
23
in Berkeley
24
A.
I was a general practitioner and I stayed
25
in this type of practice for many years
201 CALIFORNIA STREET SAN FRANCISCO CALIFORNIA 94111-5091
HARRY A. CANNON INC
DEPOSITIONS - NOTARIES
TELEPHONE 415-391-7421 415-391-7421 415-391-7421
10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
Q.
Now tell me again 80 We are very clear
on it Doctor what was the year you began working
as a part plant physician at Pabco
A.
To the best of my recollection was
.
%
.
1938 immediately after I had finished my internship
Q.
All right
19387
A.
Now wait a second
It was either late '38
or early '39
me
Q.
It is only about thirty years ago
isn't it
A.
Yes
Q.
Tell us please what were the nature of
your duties at the Pabco plant as a plant physician
.
beginning in 1938
A.
I was instructed by Dr. Wahle to take care
of patients as they came into the medical department
I was to decide whether the particular injury that
was sustained - because most of the people coming
on sick call were there because of trauma --
I took -- I would take care of them and send them
back to work if they were able to work or send them
home
If I saw that they had something that was an
illness that had been taken care of by their private
physician or that they had some disease entity that
needed continuous care then they were referred to
201 CALIFORNIA STREET
HARRY A. CANNON INC
TELEPHONE
their private doctor
-
Q.
Tell us in language a juror might better
understand what you mean by trauma
any
A.
Trauma is any injury sustained during
laceration particular condition a
cut a -
fracture of a bone a foreign body in the eye
Q.
All right Now did your attention to and
treatment of a worker at Pabco differ according to
whether the injury or condition the person had was
10
work connected or not work connected on the job or
11
not on the job
12
A.
Would you explain --
13
0
Yes Maybe that's too long a question
14
A.
Yes
15 16
Q.
If somebody came in with a connected
injury an the injury what was the nature of
17 18 19 20 21 22
the care you gave
A.
If it was a minor surgical procedure such
as laceration we would suture the wound and dress
it and have the patient come in for dressings daily
until it was healed
If it was a fracture and it
was serious we would call a specialist in
23
orthopedics
24
Q.
Suppose a case in which a worker came into
25
the plant in the morning after he bumped his head in
201 CALIFORNIA STREET
HARRY A. CANNON INC
TELEPHONE
is
1
car accident the night before would you treat
2
that any differently What would you do there
3
A.
Well we would examine the patient and ask
4
him what symptoms he had If he had headaches or
indicate that 5
double vision or something
would
:
|
67
possibly serious trauma he would be sent back to
67
his private physician for treatment
8
0.
Did you take care of workers Pabco who
.
9
had a work connected injury or complaint
10
A.
Yes
We took care of minor things like
11
upper respiratory infections minor dermatitis
12
condition
13
|
..Q
Did you refer those people to their
14 15
private doctors
A.
If it warranted serious follow up yes
16 17
If it was just something that could be taken care of
in one or two visits we would handle it
18
Q.
And was there any difference in the way
19 20
you treated the injuries or conditions
A.
You mean were there two different classes
21
of treatment
22
Q.
Well was the length of the treatment and
23
the scope of the treatment any different with
24
job injuries or conditions than those that
25
were not job
201 CALIFORNIA STREET
SAN FRANCISCO CALIFORNIA 4111.5091
HARRY A. CANNON INC
DEPOSITIONS DEPOSITIONS - NOTARIES
TELEPHONE 415 - 391-7421
y
A.
We took care of them if we accepted
treating them until they were okay and needed no
further treatment
Q.
What was your practice with respect to
referring people to their own private physicians at
the Pabco plant
A.
If they had anything that we considered
serious we care of the
would call individual
the and
physician who was taking
discuss the problem and
10
the findings on examination that we had with their
11
doctor
12
Q.
Were medical specialists available to you
13
for consultation and treatment of patients at the
14 15 16
Pabco plant
A.
Yes they were
Q.
What kinds of specialists were available
17
A.
We had orthopedists general surgeons
18
pulmonary or chest physicians we had
19
ophthalmologists -- dermatologists that we would
20
send skin conditions that we felt were beyond our
21
scope of treatment -- and anything else that would
22
require specialty training
23
Q.
All right
Did you typically refer Pabco
24
employees to a specialist if the patient's complaint
25
was for job work connected problems
201 CALIFORNIA STREET
HARRY A. CANNON INC
TELEPHONE
oy Bagge
A.
We'd ask them first if they had their own
physician and to go to see their physician and they
might be referred by their physician but we did not
1
tell them where to go for medical treatment if they . medical
had their own doctor
-
Q.
Did you refer connected injuries to
specialists that were available to you
~
A.
Yes
Q.
Who paid for them in the case of
10
connected injuries
11
A.
Our insured department
12
Q.
Was your work at the Pabco plant related
13
in some fashion or other to workmen's compensation
14 15 16 17 18 19 20 21
A.
Yes
Q.
How was that
MR KAZAN
Excuse me
Let me object for the
record on the grounds of ambiguity
You haven't
developed it but the doctor had several tenures at
Pabco during which his duties may have differed from
time to time
And since you have not defined the
time with which this question deals I think it's
22 23
vague MR DAGGETT
I will define the time now
24
And then I will get to later times in a minute
25
Q.
I am talking about the first year or so
201 CALIFORNIA STREET
HARRY A. CANNON INC
TELEPHONE
x,Fina,
we
you were at Pabco Doctor
What connection or
association was there between your duties as you
understood it and
at the plant
A.
We would
workmen's compensation for people
4
:
\
\
.
file a first report of injury and
decide that the patient needed treatment that he
might or might not have to be taken off the job and
we would decide what treatment
the follow up would fall under
was
the
necessary and
usual routine for
industrial 10
accidents that was carried on all over
11 12 13
the state
The only difference was instead of being
with a private insurance company the company took
care their own insurance
14
Q.
The company was self insured
15 16 17
A.
Right
Q.
All the time you were at Pabco it was
insured
18
A.
Correct
19
Q.
And will you tell us whether or not in the
20
case of an job injury or condition Pabco paid
21
for the treatment by you and also for any
22
specialties
23
A.
I didn't have dual compensation
I was
24
paid on a monthly basis and - unless it were after
25
work hours and then I would charge the usual
201 CALIFORNIA STREET
HARRY A. CANNON INC
TELEPHONE
industrial fee
Q.
You were paid a salary by Pabco
A.
Correct
.
\ was
,
Q.
How much was that
A.
Initially it was at around 115 or 125-
This was --
Q.
A.
Was that a day Doctor
It Was a month
10
Q.
A month
thirties
This was in the late nineteen
11
A.
'38 when the depression had hit the Coast
12
very hard
13 14 15 16
0.
Do you know how the specialists to whom
you referred workers with the injuries were
paid
Do you know anything about that
A.
The specialists
17
Q.
Yes
18
A.
Yes
They adhered to the fee schedule set
19
up by the California Industrial Commission
20 21 22 23 24
Q.
Now from time to time did a worker you
saw at Pabco become a patient of yours in your
general practice office in Berkeley
A.
Yes they did
Q.
Will you tell us whether or not one of the
25
reasons you took the job at Pabco in those
201 CALIFORNIA STREET
HARRY A. CANNON INC
TELEPHONE
1
depression years was to help you build a private
.
2
practice
.
.
3
A.
That's correct
4
Q.
Can you give us any order of magnitude
large 5
about how many or how
a group of Pabco workers
st
6
became patients in your general practice office
7
A.
Well I had a successful practice
8
personal practice from the time I started
Dr.
9
Wahle would refer patients to me
He never -- many
10
of the workers wanted to see Dr. Wahle as a private
11
physician and he explained repeatedly that he did
12
not do any private practice but that he had a young
13
trained nice physician with him and he
14
referred them to me
15
Q.
Can you give us any estimate even though
16
its thirty odd years later of approximately
17
how many patients a year at the beginning in your
18
general practice office came from the Pabco plant
19
A.
I would say percentage it would be
20
twenty percent of my patients came from Pabco
21 22
roughly
Q.
All right
Now if a Pabco worker came in
23
to your general practice office as a patient will
24
you tell us whether you believed yourself to be
25
responsible for the general health care of that
CALERANCISCO
201 CALIFORNIA STREET CALERANCISCO CALERANCISCO CALIFORNIA CALIFORNIA 04111.5001
04111.5001
HARRY A. CANNON INC
ISITIONS . NOTARIES
TELEPHONE
415- 415- 391-7421
so
e te
S E
TT
patient to the extent he brought his problems to you
A.
Yes
And that they weren't industrial
If I saw him I would sometimes feel that this was a
problem that was due to his work and I'd ask him why
he didn't see me down at the Pabco medical center-
there
And I would tell him to go there and I
wouldn't take care of him privately
the
Q.
Let me see if I can get this straight If
could person had an the injury then he
10
see you at the Pabco plant without paying any
11
professional fee
12
A.
Correct
13
Q And if he came to your general practice
14 15
office and paid a fee normally would that be because he did not have a workmen's comp job
16
condition or injury
17
A.
Correct
18
Q.
All right
Now how long after you
19
started in 1938 did you stay at Pabco as a physician
20
A.
Well I stayed until 1942 when World War
21 22 23
II broke out
Q.
And when World War II broke out then did
you do something else
24
A.
Yes
25
Q.
201 CALIFORNIA STREET
What did you do HARRY A. CANNON INC
TELEPHONE
A.
Did you say what
What didI do
Q.
Yes
I don't want all your war stories
Doctor you did Pabco
but can you just give us
during
World
War when
~
in a
brief
V
way
what
you were at
.
-
A.
I was in the army initially in an
infantry division following which I was sent
overseas and was referred to the Surgeon's Office
and I worked in the Surgeon's Office for some time
10
Actually I was never officially on the rolls of the
11
Surgeon's Office but they had me on detached service
12
from the 36th General Hospital which was the Wayne
13 14
University
Q.
Were you in the army as a doctor
15 16
A. Q.
Yes
How long were you in
17
A.
I was in approximately four years
18
Q.
What was your rank
19
A.
I went in as a first lieutenant and I came
20
out as a lieutenant colonel
21
Q.
All right
When did you come out
22 23
A. Q.
Let's see --
19
-- 1946
What did you do then when you came out
24
A.
I came back and saw Dr. Wahle and he was
25
eager to see me and he said he was leaving and I
201 CALIFORNIA STREET
HARRY A. CANNON INC
ene
TELEPHONE
C
304201 304201
won't go into it in any details but he just left
Q.
How old was Dr. Wahle then if you know
A.
Gosh he was around eighty
Q. And you came back from the war and: saw Dr. ~
Wahle is that right
-
-
A.
Correct
Q.
Did you return to time employment at
Pabco
10 11
A.
Q.
Yes I did
Were the hours and the days the same
mornings five days a week
12
A.
Yes
13
-Q
Did you --
14
A.
And on call subsequently
15
Q.
Yes
Did you resume your general practice
16
in Berkeley
17
A.
I did
18
Q.
At the same address in the American Trust
19
Building or at a different place
20
A.
No.
I moved to 1611 San Pablo where I
21
bought a duplex and converted one side to medical
22 23
offices Q.
And lived in the other side
24
A.
25
Q.
201 CALIFORNIA STREET
Yes Initially
How long after you got back from the army
HARRY A. CANNON INC
TELEPHONE
in 1946 did you continue at Pabco
A.
Until roughly 1950.
It had always been my
intent --
Q.
No just tell me how long it was you
continued at Pabco
-
A.
From roughly 1950
Q.
And during period 1946 to 1950 did you
also have your general practice on San Pablo in
Berkeley
10
A.
Yes
11
Q.
Now did your duties responsibilities or
12
regimen at Pabco change at any time between 1938 and
13
1950 allowing for the period you spent in the army
14
A.
Well slightly
15
Q.
How is that
16
A.
I did everything as before
I was in
17
charge of Emeryville and Dr. Wahle had been in
18
charge of all the various offices medical offices
19
but I only had responsibility to Emeryville
20
Q.
After Dr. Wahle left were there any
21
changes
22
A.
Yes
23
Q.
What were they
24
A.
Instead of Dr. Wahle running the
25
insured program the San Francisco office took
201 CALIFORNIA STREET
HARRY A. CANNON INC
TELEPHONE
10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
that over and I would be consulted regarding the
people at Pabco
.
Pabco Q.
The San Francisco office of
took
over
the A.
insurance
~~
-
-
Well that's where the
insured
office
was
Q.
All right Who was in charge of that do
you know
A.
I don't remember who was in charge at that
time
Subsequently I heard that Mrs. Hanson had
been
Q. what you
All we are
knew during
interested in here
your time at Pabco
today is
between 1938
and 1950 allowing for the war allowing for being
gone for the war
Now taking into account that
there were some changes in the insured workers
compensation program when Dr. Wahle left did your
duties responsibilities as a physician at the Pabco
plant in the mornings change
A.
No.
Except as I mentioned that I would
have to discuss the length of time an individual
would be staying off and whether that case should go
to trial or whatever
Q.
By a case going to trial you mean if a
worker had an job injury that needed to have
a hearing --
10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
Q.
Board
A.
~~ before the Workmen's Compensation
we
Correct
-
Q.
And after Dr. Wahle left did your
responsibilities as a doctor also include people
going off work
A.
Yes
for injury and returning to work
"
It always -- I always had that
responsibility
If it were a problem case I would
discuss it in consultation with Dr. Wahle but --
either I would do it or during the times when I was
on vacation and someone else was taking my place
the decision would be made by the doctor
Q.
All right
Is my arithmetic right that
you were at your duties as a physician at Pabco
part time for about eleven or twelve years up to
1950 except for your absence in the army
A.
From 1938 until 1950 minus four years in
the service
Q.
All right
Did you come to know or have
any idea during that period how common or uncommon
it was for a manufacturing company like Pabco to
have a medical department right in the plant
A
Well it was not common
y
MR KAZAN
Excuse me
I am going to object
and move to strike the answer as nonresponsive
MR DAGGETT
Q.
Go ahead and answer the
question Doctor
I think it was responsive
It
*
.
may have been a little bit broad but that's the only
way I know at the moment how-
MR KAZAN
You asked him if he knew
10 11 12 13 14 15 16 17
MR DAGGETT
Oh I see
o
MR KAZAN
And that calls for a yes or
no
answer
ay
MR DAGGETT
All right
Q.
Doctor they want you to be a little bit
precise here
Did you come to know how common
or uncommon it was in the Bay Area for manufacturing plants like Pabco to have a medical department at
the plant
The question is
did you come to know
that
18 19 20 21
A.
I would say there were --
Q.
Doctor they want to know -- the lawyers
want to know just if you knew that or if you didn't
come to know that
22 23 24
A.
Well yes
Q.
See this is what lawyers do
A.
Yes
25
Q.
201 CAL IFORNIA IFORNIA STREET
Yes you came to know that is that what
MADDY MADDY A CANNON INIC
memes mmm ttm
10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
25
you're saying
A.
Yes I came to know that
Q. what did
All right Now the question
know
about
you come to know about that
is N
Doctor
A.
I knew that there weren't many industrial
companies that had a medical department on the
premises
did Q.
Did you know anybody else who
A.
I knew the sugar refinery in Crockett had
a full -- I think they had a full time or half time
I don't know but they had a medical deparment
Q.
What company was that do you remember
A.
C or --
Q.
C
A.
C
Q.
All right
Did you know anybody else who
had a medical department part time or not
A.
Let's see now
No one in Emeryville that
I can recall
There were some steel companies that
I heard had it but didn't know personally
Q.
All right
Can you give us a kind of a
best description in words as
you can of where the
medical department was at the Pabco plant and what
it consisted of what the floor plan or layout was
A.
It was a small department in relation to
10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
the number of square feet
It consisted of two
examining and consultation rooms
These were
jointly used as both examining rooms and as
consultation rooms There was a much larger room
taken up by the nurse with her records and files and
with the area where she would clean instruments and
autoclave them
-
Q.
Was there one nurse or more than one nurse
.
at any given time
A.
At the time I was there there was always
one nurse and for a time we had a secretary also
Q.
Was the nurse a registered nurse or some
other classification
A.
The nurse in the medical deparment was
always an RN
Q.
All right
When did the secretary start
to work there if you recall
A.
I don't recall exactly
Q.
What did the nurse do
A.
The nurse would help me in the event that
there was a suturing that had to be done and she had to bring the instruments and help prep the area
and hand me the instruments if need be
These were
minor 80 that she always could do it very easily
Q.
By minor do you mean minor office
io
10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
ieee
surgical procedure
A. Q.
A.
Q.
Minor office surgical procedure
Like stitching up cuts
\ . .
Right
Se
%
Anything else
A.
That's all -- well foreign bodies removed
from the eye foreign bodies removed from the
fingers avulsion of finger nails a good dressing could be applied
and
tidying
up so
:
Q.
Cleaning up the wound do you mean
A.
Yes cleaning up the wound when the
fingernail is avulsed the shreds of tissue
This
was relatively common injury
Q.
If somebody broke an arm or a leg while
working at Pabco did you set the fracture at the
plant
A.
No we did not
Q.
Did you have an ray machine at the plant
A.
No we did not
Q.
plant
Did you ever have an ray machine at the
A.
We never did
Q.
A.
Did you take rays at the plant
Never -~ well rays were taken at the
plant under only one condition
.
Q.
What was that
-
A.
That was when the Alameda County TB
Association sent the mini--
mini
films of
Q.
The
chests kind of
=.
&,
Ne
truck
the
vans
out to
\
that
we
.
can
all
take
step
into
off the street sometimes to have a chest picture
taken A. Q.
.
_
That's right
But Pabco and you as Pabco's time
10
physician took no rays
1
A.
No.
We purposely did not
12
Q.
Why purposely
13
.A
Because We felt that we needed a qualified
14 15 16
technician to do it and we needed a qualified
radiologist to examine the -- to read the film
Q.
When rays were taken of Pabco workers
17 18 19 20 21 22
where were they taken and who took them
A.
We sent them to Providence Hospital some
to Meritt occasionally to Herrick Hospital and
fairly frequently to a private radiologist who was
boarded in radiology and who did only radiology
His name was Edward Fong
And I don't know if he's
23 24
still in practice or not
Q.
Was there some reason that you used the
25
radiologist at times at least who was not on the
201 CALIFORNIA STREET
HARRY A. CANNON INC
TELEPHONE
7
staff of a hospital
A.
Yes
Q.
Why was that
A.
Because the hospitals were considerably
busier than the private radiologists and we got -
just superb service
If we wanted an ray and we
wanted to see it right away it would be delivered
to us
Q.
When rays were taken away from the Pabco
10
plant of Pabco workers what happened to the ray
11
films
12 13 14 15 16 17 18 19 20
A.
The ray films were ordinarily
transferred to our department mailed to us or
some would personally deliver them
But in
several instances -- well quite a few actually
--
the hospital kept the ray in their files and if
We knew that it was there we requested they be sent
There weren't many
But every so often we Were
informed by the hospital that it was time to get rid
of their old rays and they were going to destroy
21
them unless we wanted them
Well of course We
22
wanted them
We kept all our rays in two large
23 24
ray filing cabinets
Q.
So you kept or tried to keep rays at the
25
Pabco plant
301 CALIFORNIA STREET
HARRY A CANNON INC
TELEPHONE TELEPHONE TELEPHONE
~
A.
Yes
10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
Q.
Where were they kept there
A.
They were kept right next to where the
nurse's desk was located
,
* .
Q.
In some kind of cabinet
=
A.
Yes
Specially constructed ray cabinets
that were universally used in hospital and elsewhere
Q.
right
A.
An
ray
cabinet
for
the
rays is
that
.
Correct It's a much larger filing cabinet
than usual
Q. All right
During the time you were a
time physician at Pabco allowing for your four
years away in the army did you belong to any
professional associations or groups concerned with
industrial medicine
A.
Yes
I did
had forgotten about it
before
I joined when they had the -- when they
formed the Western Industrial Society -- I can't
even recall the name of the group
Q.
Some kind of Western Industrial Society
A.
Yes
Q.
And you joined
A.
An offshoot of the American Industrial 0
25
whatever
201 CALIFORNIA STREET
HARRY A. CANNON INC
TELEPHONE
Did you go to meetings of that group
A.
I only went to two as I recollect
One
Was the
-- I can't remember the name of the doctor
the behind who was at & but he was
spark plug
|
the
organization of the group
-
Q.
Was it a local San Francisco Bay Area
group or a West Coast group
A.
I can't recall exactly
Q.
Did you stop going while the organization
10
continued or did the organization stop
11
A.
They didn't stop because I left
12 13
14 15 16
Q.
-A
Q.
A. Q.
Did
leave
you
It was never too --
Doctor my question was
Did I leave
Did you stop going
did you leave
17
A.
Yes
18
Q.
Why did you
19
A.
Well I didn't think it was a very
20
effective organization
21 22
Q.
Why not
A.
There was no tremendous enthusiasm for the
23
group
The programs were very pedestrian and didn't
24
seem worthwhile
25
Q.
201 CALIFORNIA STREET
Do you remember what the programs were
HARRY A. CANNON INC
TELEPHONE
about
;
A.
Well there were discussions about trauma
and different problems and I can't remember any 0
-
\
the programs
_ os,
Q.
Did you belong to any other associations
during your time at Pabco which you understood was
interested in or had to do with industrial medicine
10 11 12
A.
No I did not
Q.
Did you during your time at Pabco read any
professional literature for doctors which you
considered to be directly related to your work at
Pabco
13
A.
No.
14
Q.
Did you get any publications at your
15
general practice office
16 17
A.
No I did not
Q.
You did not
18 19 20 21 22
A.
When you say publications are you
referring to industrial publications --
Q.
Yes
A.
-- or just medical ones
Q.
No I am referring now to publications
23
directed to industrial medicine
24
A.
25
Q.
201 CALIFORNIA STREET
I might have
I can't recall
Did you read while you were at Pabco any
HARRY A. CANNON INC
TELEPHONE
professional publications for doctors having to do
with the general practice of medicine as opposed to
industrial medicine
A.
Yes
a
|
Q.
What were they
~
A.
Well I had joined the American Medical
Association and read the Journal of the American
~~
Medical Association regularly
Q.
Did you ever stop doing that before 1950
10
A.
No.
11
Q.
Did you read anything else to keep up to
|
12
date
13 14
A.
Well I also read some -- the New England
Journal and I took that for a short time
15
Q.
For how short a time
16
A.
Oh approximately a year or less
17
Q.
Now was it your practice to read these
18
publications from cover to cover enthusiastically or
19
in some other way
20
A.
I would consult the index and see what
21
articles I was particularly interested in
I read
22
most of the Journal -
23 24
Q.
A.
25
Q.
201 CALIFORNIA STREET
Did
- Excuse me
-~ of the American Medical Association
Did you have any medical texts in the
HARRY A. CANNON INC
TELEPHONE
1
medical deparment at Pabco
7
:
2 A. We did not :
3
Q.
Did you have any medical texts in your
4
general practice office Berkeley before the war
.
5
and after the war
-
6
A.
I had some
Most of my texts were at home
7
Q.
I beg your pardon
8
A.
I said I had some in the office most
>
9 10 11 12 13 14 15 16
of my texts were at home
Q.
Were at home
Did you have a practice of
buying new medical texts or adding medical texts to
your library during the time you were at Pabco
A. Q.
Yes I did
What if you remember did you add or buy
A.
Well I read
- I'd bought some texts on
orthopedics texts on minor surgery textbooks of
17
medicine
18
0.
Let me go back for a moment to something
19
we talked about a little bit earlier
Among the
20
specialists you said you referred Pabco workers to
21
you mentioned chest specialists
22
A.
Yes
23 24
Q.
Can you recall the names of some of the
people in the chest specialty that you referred
25
Pabco workers to
201 CALIFORNIA STREET
CAN FRANCISCO CALIFORNIA 94111-5091
HARRY A. CANNON INC
DEPOSITIONS - NOTARIES
TELEPHONE 415 - 391-7421
A.
We referred all our chest problems to Dr.
Harold Trimble's group
I
--
Q.
Where was Dr. Trimble
Oakland A.
He was in
\ on Pill Hill
And
.
he
had a large effective group I remember Dr. Eaton
and -- I can't remember the other names
slip my memory it's been so long
They just
|
Q.
Are you able to tell us in general terms
the circumstances in which you would refer a Pabeo
10
worker to Dr. Trimble as a chest specialist
11
A.
If after examining a patient who had some
12
respiratory complaints and doing a physical on the
13
patient taking a history if we felt that the
14 15
patient should have an ray We ordered an ray
And we would call Dr. Trimble and tell him where the
16 17 18 19 20
ray was
Usually -- both Dr. Fong and Providence
Hospital was virtually across the street or slightly
kittycorner from Dr. Trimble's office and he would
go and look at the rays and I would send the
patient to him if he thought he should see him
21
Q.
Was it Dr. Trimble's practice in chest
22
cases to provide you at Pabco with a report
23
A.
Dr. Trimble after seeing the ray or
24
seeing the patient he always phoned and discussed
25
the patient with me and always sent a written report
wea hi
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ear
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for our records
.
Q.
Were those reports of Dr. Trimble kept
someplace
A.
Yes
NSN
oY
Q.
Where
-
A.
They were kept in a special file where we
had our initial history and physicals when the
employee was first given a employment physical
|
and any reports were then stapled to this form
10
which was a soft cardboard piece of paper
11
Q.
If you are able to do so recall for us
12
please in general what kind of chest symptoms were
13
referred by you to Dr. Trimble in the case of Pabco
14 15 16 17
workers
A.
If the patient had any chest discomfort
if he had a cough if he would be cyanotic there
would be some discoloration in the peripheral blood
18
in the hands or even in the face and we would --
19 20
Q.
Maybe you better stop for a minute and
tell the jury what cyanotic means
It sounds just
21 22
awful
A.
Yeah
If the individual would have a
23 24
change in color this would be due to the fact that there was not enough oxygen in his system and the
25
blood in the tissues would be darker
201 CALIFORNIA STREET
HARRY A. CANNON INC
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10 11 12 13
Q.
In the case of such chest symptoms Were
you able to tell right there at the plant examining
the patient whether the complaint was connected
or not connected. fi 4, % .
A.
If the patient -- if the employee worked
in an area that was hazardous from the standpoint of
|
breathing if there was a lot of dust if he was
complaining about the atmosphere in his workplace
|
we would want a checkup by a specialist to see
whether this was work related and would explain to
the specialist before he was seen what sort of job he was doing and what were the atmospheric
conditions where he worked
14 15 16 17 18 19 20
Q.
Was there dust manufacturing dust
generated in some parts of the Pabco manufacturing
plants
A.
Yes there was
Q.
Where were they
What parts
A.
Well they were in the asbestos area
where asbestos was used
21 22 23
24
Q.
Anything else
A.
In the roofing
Q.
In the roofing Anything else
A.
There was some wood dust in the floor
25
covering
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Floor covering Anything else
A.
Well there was dust in various places
Q.
Incidentally Doctor while you were at
Pabco was there a paint manufacturing operation
there
-
A.
Yes there was
Q.
Was there any testing of employees in the
paint manufacturing operation for any dangerous
|
substance
10
A.
Yes
11 12 13 14 15 16 17 18 19
Q.
What was that
A.
There was lead used in the manufacture of
paint we had one or two people who had lead
poisoning or beginning lead poisoning The laboratory results indicated lead poisoning And as a result we regularly every year would run tests
on paint workers to be sure they were not developing
any lead poisoning
Q.
What was done with the one or two
20
employees who developed lead poisoning
21
A.
We called in consultant who was an
22
internist interested in this problem and who had
23 24
extensive knowledge of the problem
We treated the
individuals
We called in the foreman and the
25
superintendent of the paint area and we felt that
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there Was some problem in sanitation ~~ the
individuals were not careful about washing their
hands before eating smoking and what not and we
tried to see that their clothing was kept clean so
that they didn't carry lead around with them
-
Q.
And do I understand that as a result of
these one or two cases there was an annual program
for testing lead content in people in the paint
10 11 12 13 14
department
A.
Yes there was
Q.
What year did that start do you remember
A.
I can't remember if Dr. Wahle had
initiated it or if I had but as far as I can
remember we always did this
But I can't
15 16 17 18 19 20 21 22 23
recollect --
Q.
Did the lead testing program in the paint
department start so far as you know as soon as Pabco knew it had one or two cases of lead poisoning
A.
That's correct
Q.
And how long did that testing program
continue
A.
It continued all the time Every year
Q.
All the time you were there
24
25 l
Q.
201 CALIFORNIA STREET
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HARRY A. CANNON INC
TELEPHONE
say Doctor that you left Pabco in 19507
A.
Yes
.
Q.
What happened to cause that
A.
.
resumed my
my training I had resumed
training
training
training
in
in medicine
which started with my following my mentor's advice
to go into general practice and become a doctor and
then go into a specialty
10 11
Q.
Who was your mentor
A.
Well it so happened that the one who
mentioned this was Loyal Davis the President's
father and I was one of his clinical clerks
12 13 14 15 16
and he had suggested that it would be a good idea
for young doctors to go into general practice an,
this advice was echoed by some of the others
Q.
Where did you come in contact with Dr.
Davis
17
A.
Dr. Davis was head of the Department of
18
Surgery at Northwestern University
19
Q.
At Medical School
20 21 22 23 24
A.
Right
Q.
All right And he said to you it's a good
idea to become a doctor by being a general
practitioner and then specializing
A.
Yes
25
Q.
201 CALIFORNIA STREET
And you decided to specialize
HARRY A. CANNON INC
TELEPHONE
ya
A.
Yes
10 11
Q.
And what did you decide to specialize in
A.
In general surgery
Q.
How did you about that
* .
A.
When I was overseas I had been with a -
Wayne University Unit and while I was on detached
service I spent time with them on the wards and
I thought they were a very good unit andI decided
I was going back there
But meanwhile --
Q.
Where is back there Doctor
A.
Back in Detroit
2
Q.
Back in Detroit Michigan
13
~ A.
Yes
Wayne State Medical School was in
14
Detroit and the principal university hospital was
15
Detroit Receiving
16
Q.
I'm just trying to find out Doctor
17
wholly apart from Michigan whether you went back
18
there
19
A.
Yes I did
20
Q.
And when did you do that
21
A.
Well I did it by increments
I started
22
out in the area of where I was practicing doing
23
general practice and I started working in pathology
24
with Dr. Fishback at Herrick Hospital and all my
25
spare time I spent doing autopsies and I then took
201 CALIFORNIA STREET
HARRY A. CANNON INC
re
TELEPHONE
em ama
residency in -- let's see -- I then took a residency
at French Camp at San Joaquin Valley in orthopedics
and
when Q.
I returned I returned inside
Just a minute Doctor let's
of a year -not have you
return yet
You went in increments to Michigan to
take a residency
A.
Yes
But I was ahead of that
I said
that
I was
--
to go back
Receiving Detroit to Receiving
I did
~
that in increments
I was still practicing my
10
general practice and doing my orthopedic -- my
11
surgery residency at San Joaquin where I could come
12
in over weekends and carry on some general practice
13
Q All right
Now at what point in this
14
further medical training did you stop being a
15
time doctor at Pabco
Can you give me a year
16
A.
It was probably '51 or '50 151
17
Q.
'50 '51
18
A.
huh
19
Q.
And you left your duties at Pabco to take
20
a residency and specialize is that right
21
A.
Yes and I went to these various places
22
Q.
And what specialty did you train yourself
23
in
24 25
A. Q.
201 CALIFORNIA STREET
General surgery
Did you become a general surgeon
HARRY A. CANNON INC
TELEPHONE
Yes I did
-
2
0
Did you become board certified as a
3
general surgeon
did \ 4 A. Yes I om a
;
,,,
Q.
All right
When you left Pabco did any -
6 || doctor replace you there
7
A.
Yes
.
8
Q.
Who was that
9
A.
Dr. Christopher Adamson
10
Q.
All right Now following your
11
certification as a general surgeon did you return
12
to the San Francisco Bay Area
13
A.
Yes I did
14
Q.
As a surg^'
15
A.
Yes
16
Q.
Did you open an office
17
A.
Yes
18
Q.
Where was that
19
A.
InitiallyI worked in my old office with
20
Chris until I located an office on Telegraph Avenue
21
in the Medical Building there
22
Q.
In Berkeley or Oakland
23
A.
In Berkeley
24 25
Q.
All right
After your return to the Bay
Area did you have any professional connection with
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1 Pabco workers as a surgeon ~
2
A.
Yes
-
|
3
Q.
What was that connection
one 4
A.
I was listed
of the surgical
one
.
5 consultants -
6
Q.
Did you have Pabco workers who needed
7
surgery referred to you
8
A.
Dr. Adamson or Dr. Blaisdell would send me
9
industrial injuries that required a general surgeon
10
Q.
the injuries
11
A.
On the job
There weren't many of these
12
Q.
All right Not many the injuries
13
that required surgery
14
A.
No.
15
Q.
Now did you receive off surgical
16
cases as for example someone who needed his
17
appendix out
18
A.
Yes
19
Q.
And some of those were Pabco workers
20
A.
Yes
21 22
Q.
And how long did this referral of Pabco
workers to you go on after you came back to the Bay
23 24
Area A.
Well it went on in an increasing amount
25
as time went on
INCOLNCISCO
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115 . 201.7121 201.7121
Q.
How long
-
Until what year
A.
Well until the medical department in
Emeryville was discontinued
Q. And when that
A. I don't remember the exact time It was
sometime in the early seventies I think or late
sixties
Q.
The medical deparment was discontinued
A.
Yes
10 11
Q.
Did you learn why or in what circumstances
it was discontinued
12
A.
Well they were doing less work
I think
13
the total number of employees had diminished enough
14
so that they didn't feel -- the people in management
15
didn't feel it warranted having a regular staff in
16
the medical department and they had contracted with
17
some group in the vicinity
I don't know which
18 19
group or where they were located
Oo.
You think that Pabco contracted with a
20 21 22
medical group
A.
industrial group yes
Q.
All right
Now can you tell me again
23
what year it was that you came back to the San
24
Francisco Bay Area a a general surgeon
25
A.
Around 1955
201 CALIFORNIA STREET
HARRY A. CANNON INC
TELEPHONE
Q.
When you came back in 1955 did you go down
to the medical department at Pabco in the mornings
and see patients anymore
A.
No I did notesnotes
.
Q.
You confined yourself to practicing
2
surgery
10
A.
Correct
.
Q.
After 1955 how long did you remain in the
7
San Francisco Bay Area
A.
I remained there until 1971 I think it
11
was
12 13 14 15 16 17 18 19 20 21 22
Q.
What did you do then
-A
I went back To Wayne State Medical School
Detroit Receiving and finished up my residency
there
Stayed there around four years
I had
approximately -
Q.
No.
I'm afraid that my question wasn't
understood by you Doctor
My question was
After
you finished your residency and returned in about
1955 to the San Francisco Bay Area how long did you
stay in the San Francisco Bay Area
A
Until 1971
23 24
Q.
And did you then take some further
training
25
A.
Yes
201 CALIFORNIA STREET
en am ete om Pte Cm had Pear
HARRY A. CANNON INC
ee ee ee me anaae|h lk
AEE
TELEPHONE
pa
MAG 97aa
Q.
Back at Wayne State
A.
Pardon me
I sort of mangled the answers
as to when I startemdy residency and I was trying
started and | to show where I had
in
increments
|
keeping up some practice
-
Q.
All right
Why don't you treat those
mangled answers as a.doctor now and see if you can
make them well
I am going to ask you this
When
did you leave Pabco what year to start your
10
further training leading to certification in surgery
11
A.
That was in 1946
12 13
Q. -A
1946 you left Pabco Let me see now
14 15
0
I think you testified before it was 1950
16
A.
Yeah but I left for my residency in '46
17
Q.
You did
18 19 20 21 22 23 24
A.
Yeah
Q.
And how long did the residency take
A.
Roughly four years plus the time I had
spent at French Camp and at Highland
Q.
Can you remember what year it was you
didn't work mornings at the Pabco plant anymore
A
When I returned in 1950
25
Q.
201 CALIFORNIA STREET
When you returned in 1950 HARRY A. CANNON INC
TELEPHONE
Vibe wee RRR F
A.
I didn't -- no longer worked a regular
hour shift
Q.
Between 1946 and 1950 did you work regular
hour A.
morning
shifts
mat
the
Pabco
plant
No.
1946 to 1950 I was out of the
area
Q.
All right
So you stopped working at
Pabco in 1946 as now you recall
10 11 12 13
Q.
How old are you now Doctor
A.
Seventy
Q.
How are you feeling
A.
Just like a seventy person
should feel
14 15
Q. in
You're in great shape for the shape you're
16 17 18 19
A.
That's right
Q.
All right
We are about to have the need
to change tape
Let's take a five or ten minute
recess
20
Short recess taken
21 22 23 24
MR DAGGETT
Q.
Now that we have had a
little recess Doctor I want to ask you the
questions agaitno which you gave the answers you
referred to a few minutes ago as mangled
25
Now first of all when did you start working
201 CALIFORNIA STREET
HARRY A. CANNON INC
TELEPHONE
ee ee
as a time doctor for Pabco
A.
1938
Q. War II
A.
When did you
leave ~
for
the
army for
:
\
World
1942 -
0
When did you get back from the army
A.
1946
10 11 12 13 14 15 16 17 18 19 20
your
Q.
And
doctor's
when you got back duties at Pabco
did
you
return
to
A.
Yes
Q.
And how long did you continue
A.
From 1946 to 1950
Q.
And in 1950 what did you do
A.
Then I left Pabco and went back to Detroit
at Wayne State Medical School Detroit Receiving Hospital
Q.
So you were with Pabco as a part
doctor from 1938 to 1950 except for four years in
the army
A.
Yes
21
Q.
Now during the period 1946 to 1950 after
22
you got back from the army did you do some
23
part medical work which counted for your
24
residency later
25
A.
Yes
201 CALIFORNIA STREET
HARRY A CANNON INC
TELBUQUE TELBUQUE TELBUQUE
Q.
Does that have anything to do with your
telling me you got all mixed up about those year
periods which after all are only thirty or
eek \ aa
forty years ago
mo
A.
Yes
:
Q.
Did that have something to do with that
A.
Yes it did
Q.
In 1950 you went off to Michigan for your
residency to learn to be a surgeon did you
10
A.
Yes
11 12 13 14 15 16
Q.
When did you finish that and get certified
as a surgeon
A.
I finished the training in '55 and I got
certified shortly thereafter
There are two parts
to the examination and I think it took a year a
year and a half
17
Q.
When you finished the training in 1955 in
18
Michigan where did you go
19
20
I returned to the Bay Area And you were a surgeon
21
Yes
22 23 24
And did you get some cases from the Pabco
workers as you have said before
A.
Yes
25
Q.
201 CALIFORNIA STREET
And how long did you practice as a surgeon
HARRY A. CANNON INC
TELEPHONE
1
taking referrals of Pabco workers from time to time
patients 2
with your other
:
3
A.
Until 171 just intermittantly occasional
4
cases that Chris Adamson would have -
\
5
Q.
All right Now did you go someplace else
6
in '71
f
7
A.
Yes
8
Q.
Where did you go
~
|
9
A.
Went to Tucson Arizona
10
Q.
And how long did you stay there
11
A.
I'm still there
12
Q.
You have been there ever since
13
.A
Yes
14 15
Q.
And did you practice for a time in Tucson
A.
Yes
16 = |
17 18 19
Q.
And then did you retire
A.
Retired within the last year
Q.
Retired within the last year
A.
huh
20 21 22 23 24
Q.
And is it fair to say that from 1950 --
I'm
--
sorry
from
1971
- now
I'm doing
it
-
from
1971 until the present time you haven't ever
practiced in the Northern California area
A.
No.
25
Q.
Just came here to visit
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ee,
wea
1
A.
Yes
-
;
2
Q.
Like today
.
3
A.
Yes
4
Q.
All right
When
you
were
in
medical
becoming 5
school at Northwestern do you recall
-
6
familiar with a condition called asbestosis
7
A.
Yes
i
8 9 10 11 12 13 14 15 16 17
Q.
In medical school prior to 1938
remember what you learned about that
can you
7
A.
In our course in pathology we had occasion
to use Boyd's PATHOLOGY AN INTRODUCTION TO MEDICINE
and there was a short reference regarding THE
PNEUMOCONIOSES and listed among the pneumoconioses
was asbestos and resultant asbestosis
Q.
Did you learn in medical school at
Northwestern what pneumoconiosis was
A.
Yes
18
Q.
Tell us what you learned
19
A.
We learned that this was a disease of the
20
lungs primarily that was caused by dust containing
21
irritants containing silica anthracite material
22
and also asbestos
23 24
Q.
All right
Did you learn in medical
school before 1938 that asbestosis was a kind of
25
pneumoconiosis
201 CALIFORNIA STREET SAN FRANCISCO CALIFORNIA CALIFORNIA 04141.6001 04141.6001
HARRY A. CANNON INC
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himwanmEa
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BS
A.
Yes
~
;
Q.
Will you tell us what you learned in
medical school if you have anything to add to what
you
said
A.
about asbestosis `
Common to most of the
pneumoconioses
the
particles that caused the pneumoconiosis would cause
irritation inflammation and subsequent fibrosis in
the healing process and it would contract the lung
Q.
You learned about that in medical school
10
from your book and in class lectures
11 12
A. Well the amount of discussion was very minimal It -
13 14
Q. A.
Please don't --
Yes
15 16
Q
Please don't tell me that yet because I am
coming to that
17
A.
Okay
18
Q.
Now what you learned about asbestosis in
19
medical school you learned from a book and from
20
class lectures
21
A.
Correct
22 23
Q.
In medical school did you ever Bee a case
of asbestosis
24
A.
No.
25
Q.
201 CALIFORNIA STREET
Can you give us any idea from your memory
HARRY A. CANNON INC
TELEPHONE
Dr. Perlmutter forty or more years ago how much
medical 2
time was spent in your
school class on
3
asbestosis
4
A.
Virtually none
;
;
\
5
Q.
Now after you got out of medical school
6
in your internship did you ever see a case of
7
asbestosis
00
A.
Never
--
9
Q.
During the first period at Pabco from~
10
1938 until about 1942 did you ever see a case of
11
asbestosis
"
12
13
A.
Q.
No.
After you got back from the army from
14
1946 to 1950 did you ever see a case of asbestosis
15
A.
No.
16
Q.
During the period of your surgical
17
residency training between 1950 and 1955 did you
18
ever see a case of asbestosis
19 20 21 22
A.
No.
Q.
As a practicing general surgeon from 1955
onward did you ever see a case of asbestosis
A.
No.
_
23
Q.
Now my questions which follow relate
24
solely to the period you were at Pabco 1938-1942
25
1946 to 1950.
I do not want you to answer it with
201 CALIFORNIA STREET SAN FRANCISCO CALIFORNIA 94111-5091
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respect to what you may know as a physician and
surgeon now and I will not permit interrogation of
you by other counsel of what the present state of
t
your medical knowle madygbee Confining yourself . ~
to the time you were at Pabco were you aware at any
time during those periods that Pabco workers were
handling asbestos
-
A.
Yes
10 11 12 13 14 15 16 17 18 19 20
Q.
In what plant or departments were they if
you remember
A.
In the Plant Rubber and Asbestos that had
moved up to Emeryville and started building a new
plant the plant was in operation either at the
end of '41 the early part of '42
Q.
What kind of a plant was it
A.
It was a plant that produced asbestos
products to safeguard equipment that had high temperatures
0.
Did Pabco also have a plant at some time
at Redwood City California
21
A.
Yes
22
Q.
Did you have anything to do with that
23
A.
None none whatsoever
24
Q.
None whatsoever
All right
Now during
25
your time at Pabco and until you left in 1950 did
mann
201 CALIFORNIA STREET
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HARRY A. CANNON INC
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1 2 3 4 5 6 7 8
9
10 11 12 13 14 15 16 17 18
you believe that Pabco workers handling asbestos
every day were exposed to any risk of cancer from
asbestos
A. I did not know this \
that Q.
Did you believe
Pabco workers 2
handling asbestos every day were exposed to any risk
of any other threatening or disabling disease
from asbestos
.
A.
No.
Q.
Did you believe as a doctor at Pabco
during the time you were there that any of the workers handling asbestos were exposed to a risk of
asbestosis or any other severe restrictive lung
disease
A.
No I did not know that
Q.
Did you know during your time at Pabco in
general that there was any association between
cancer and asbestos
19
A.
No.
20
Q.
Did you at some time read the works of Dr.
21
Irving Selikoff of New York on asbestos and health
22
A.
During what time
23
Q.
At any time
24
A.
Why I have read it recently
25
Q.
How recently
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ee
A.
Well within the last two years
Q.
Were you aware of Dr. Selikoff's work on
asbestos and health at any time that you were
working at Pabco
mS,
A.
No.
-
Q.
Or at any time that you were in the Bay
Area taking surgical from Pabco
A.
No.
10 11 12 13
Q.
Did you nonetheless believe Doctor while
you were at Pabco that it was necessary to control
or suppress general manufacturing dust for the
health of the workers
A.
Yes
14 15
Q.
there
Was that done at Pabco while you were
16
A.
Yes
17
Q.
What was done
18 19 20 21
A.
The removal of dust some of which
contained asbestos particles was removed by a very
adequate exhaust fan and by a vacuum type removal
because of the difference in pressure in the room
22 23
Q.
How effective did you believe that system
or systems was or were while you were at Pabco
24
A.
It was very effective
25
Q.
Why do you think so
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1 2 3 4 5 6 7 8 9 10 11
A.
Because the area when I went to look at
it at different times was remarkably free of dust
Also the fact that other people heard of the dust
removal system at Pabco three manufacturers in
England licensees the States and one in
became
of -
the technique employed at Paraffine
Q.
And you knew that
A.
Yes I knew that at the time
-
Q.
Was there use by employees at the
Emeryville plant of something called a respirator
A.
Yes
A
12 13
Q. used
What was the kind of respirator that was
14 15
16
17 18 19
20 21
A.
Well there were several different types
The throw mask type the filter mask
Principally these two types
Q.
Was there any requirement for use of
respirators while you were at the Pabco plant at any places in the manufacturing operations that you can
recall
A.
Yes
22
Q.
What were they
5
5
23 24
A.
They were very strict about having the
workers in the area where the asbestos fiber was put
25
into this hopper and mixed into a slurry and in the
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1
bag room where the dust was brought out
2
Q.
Do you know whether or not the rules for
3
respirator use were followed while you were at Pabco
4
A.
I asked people who were workinign the
how this 5
area and were in charge
effective was
were
6
they able to keep the workers in masks and they
7
said it was a very difficult thing and they had to
8
be after them continuously
~
9
Q.
Did they say why
10
A.
They said because it was uncomfortable
11
Q.
As a doctor at Pabco during the time you
12
were there were you responsible for plant safety
13
A.
No.
14
Q.
Were you responsible for preventing injury
15
accidents
16
A.
No.
17
Q.
Were you responsible for preventing
18
occupational disease such as lead poisoning
19
A.
When we became aware of it we gave advice
20
as to what had to be done to prevent it
21
8
Who if anyone had plant safety
22
responsibility at Pabco
23
A.
Safety engineer
24 25
Q.
A.
Who was that or what people were they
Well I remember some of them
Not all of
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2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
Q.
Give Us the names you can remember
A.
Oliver Hitchcock Homer Lambie I can't
remember the other names
Q.
All right Are you aware of any visits to
the Pabco plant while you were there of State of
California safety inspectors
aware A.
I was
of it after the fact
Q.
But not at the time
A.
No.
Q.
Were you aware at the time while you were
at Pabco of any studies or sampling of dust
A.
No I did not know
MR DAGGETT
All right I think now we will
take our day recess because of the hour and
let's see if we can be back at about one o'clock
Luncheon recess taken at 11:45 a.m. to 1:00 p.m.
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AFTERNOON SESSION MONDAY
2
OCTOBER 29 1984 1:18 P.M.
:
-
3
4 5 6 7 8 9 10 11 12 13 14 15
DAGGETT EXAMINATION BY MR
Resumed AN
.
Sy
-
MR DAGGETT
Q.
Dr. Perlmutter the
questions I put to you earlier in your deposition
testimony related almost entirely to the period
1938-1950 or 80.
Can you
memory for details during
tell us whether your
the period twenty
thirty thirty or more years ago is good or in
what condition do you regard your memory to be
A.
It depends Sometimes it's very good for
some of these questions and sometimes it's not SO
good
16
Q.
Do you remember meeting before the
17
gentleman who sits to your left down the table two
18
persons
19
A.
Yes
20
Q.
What is his name
21
A.
Mr. Steven Kazan
22 23
|
Q.
He represents the plaintiffs here
Do you
recall having your deposition taken once before on
24
video tape
25
A.
Yes
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Q. Was it taken by Mr. Kazan -
10 11 12 13
A.
Q.
A. Q. A.
Yes
:
Wa it about two years ago
Yes
oy ee 7
\
.
Do you remember the month and year
-
I don't remember the exact month
It was
two years ago
.
Q.
Was it the only other deposition taken
from you on video tape
A.
That's correct
Q.
And was there a written reporter's
transcript of
that
|
deposition
as well
A.
Yes
14 15
Q.
At that time were you represented by
other counsel
16
A.
Yes
17 18 19
Q.
At that time was Fibreboard represented by
other lawyers
A.
Correct
20
Q.
Do you have any recollection of when if
21
at all you saw the written transcript of that
22
earlier deposition
23
A.
Yes It was many months afterwards
I
24 25
had asked the counsel who was representing Fibreboard why I didn't have it so I could correct
SAN
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it
It was my understanding that I was to get it
right after
:
Q.
Did you want to make some corrections in
that transcript
mn
A.
Yes
-
Q.
Did you do so
A.
Well the copy I ultimately got was many
months old
i
Q.
Did you complain about that
10
A.
I told my attorney that
11
Q.
Did you feel that you were not able to
y: 12 make corrections in that transcript that you may
13
have wanted to
14 15 16 17 18
A.
Yes I couldn't remember detail real
sharp detail on what happened
Q.
Do you think your memory for details some
time ago is about as good today as it was two years
ago
19
A.
About the same
20 21 22 23
Q.
About the same
Now Dr. Perlmutter as
you were leaving this room for lunch today did you find yourself walking near Mr. Kazan
A.
Yes
24 25
Q.
A.
Did he make a remark to you Well he asked me how I felt and I said
SAN
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HARRY A. CANNON INC
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.
mir
Q.
Did he say anything else
A.
Yes
He said Well I'll -- if that's
SQ he says
mentally
I torture you physically but
: .
-
MR DAGGETT
I have no further questions of
Dr. Perlmutter at this time
Other counsel are free to examine
I am told
that Mr. Kazan has some scheduling time problems and
10
would like to examine now
If there is no objection
11
why doesn't he
=
12
13
EXAMINATION BY MR KAZAN
14
15 16 17
MR KAZAN
Q.
You've reviewed your transcript
of your 1982 deposition recently haven't you
Doctor
18 19 20 21 22 23
A.
Not for some time
Many months
Q.
You didn't review that in preparing for
your deposition here today
A. Q.
I went through it and some months ago Did you ever see the video tape of that
deposition
24
A.
Yes I saw the video tape
25
Q.
When did you see that sir
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10 11 12 13 14 15
A.
That's some time ago
Q.
Have you reviewed any other video tapes in
preparing for your deposition here
1
A.
Some
Yes =
5
a
Q.
And which ones have you reviewed
-
A.
The video tape given by Mr. Oliver
Hitchcock and the video tape of a - let's see -- of
Mr.
Brady
--
I
think
his name wa -- I
can't
remember for certain
And also Dr. Adamson
Q.
And did you also view --
MR DAGGETT
Excus me Mr. Kazan
I know
the fact if you want assistance with it
The second
deposition was not one of anyone named Brady It wa a deposition of David West taken in this room
A.
David West
16 17 18 19 20 21
MR KAZAN
Q.
And did you also review the
deposition on video tape of Miss Hanson
A.
No never Baw it
Q.
The video tapes that you did review
however were done at the suggestion of Mr. Daggett
isn't that true
22
A.
Yes
y
23 24
Q. Tucson
Did he send those to you at your home in
25
MR DAGGETT
Mr Kazan let me be of
CALL
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assistance
I didn't send them to him I took them
to him and not prior to this deposition here today
but prior to another deposition taken in Tucson in
you counsel
other
litigation
in
which
you
are
not
counsel
MR KAZAN
Q.
Doctor Mr. Daggett is
-
talking about your deposition in the insurance
coverage litigation Do you remember that
deposition sir
A.
Yes
10 11 12 13 14 15
Q.
When did you give that deposition
A.
Well it's several weeks ago
Q.
And in preparing for that deposition you
viewed the video tapes of the depositions you just
mentioned that have been taken here at KQED
A.
That's correct
16
Q.
Did you just watch the tapes or did you
17
read the transcript
18
A.
I just watched the tape
I didn't see the
19
transcripts
20 21
Q.
In connection with preparing for that
deposition in Tucson did you also view the video
22
tape of your deposition
23
A.
Yes It was difficult because of the
24
errors in the -- typographical errors and other
25
things
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1 2
3
4 5 6 7 8
Q.
My question Doctor was whether you --+
7
A.
Yes I did
:
Q.
- viewed the video tape
A.
Yes I viewed it .
n .
video Q.
And was that
tape an accurate -
recording of the questions that were asked of you
and your answers that you gave when the deposition
was taken ~
S
9 10 11 12 13 14 15 16
A.
Yes
Q.
A.
Q.
A.
So the video tape itself was accurate
Nods head
Is that correct
That's correct
Q.
At some other time you also read the
written transcript
A.
Correct
17
Q.
And you had some problem with the accuracy
18
of the transcript
19
A.
Yes
20
MR DAGGETT
He hasn't said Mr. Kazan that
21
it was just with accuracy of transcription
He has
22
testified with respect to his right to correct the
23
transcript and we all know there is no way to
24
expand upon a video tape
But he said he wanted to
25
do it with respect to the written transcript which
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aow
lt
lw
is the only thing he can do it with
MR KAZAN
Q.
Did you in fact make some
notes or propose corrections to your video tape or
written transcript of November '82 in recent weeks
when you reviewed those materials in connection with
this other deposition
A.
Didn't take any notes no
Q.
Did you make any record of any kind of the
corrections you now would like to make in that
10
transcript
11
A.
Of the transcripts of '82
12
Q.
Yes
13 14 15 16 17 18 19 20 21 22 23
A.
I would like to see an accurate
transcription
Q.
So that just to make sure we are clear
after Mr. Daggett's comments you feel that there
were some errors in the transcription but not in the
video tape itself
A.
That's right
Q.
All right
And you mentioned that at the
time of that deposition you were represented by
other counsel
A.
Yes
24 25
2 A.
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Who wa that other counsel sir
Mr. Hothem and his group
HARRY A. CANNON INC
TELEPHONE
2 3 4 5 6 7 8 9 10 11
You were represented by Mr. Hothem at that
time Doctor
.
the
A.
By Mr. Rappeport and
counsel for Fibreboard -
~
Q.
All right
Hothem
was
\
actually
-
|
MR DAGGETT
Mr. Kazan I want to point out
that the witness hada right under the law to
correct more than transcription errors his former
deposition He had a right to expand or qualify his
answers and his testimony in answer to my questions
was consistent with the desire to exercise that
12
right
That lest you think that the only thing open
13
to was to correct transcription errors
14 obviously a video tape does not have any
15
transcription errors and his rights were not so
16 17
limited
i
MR KAZAN
0
Doctor are you still with
18
me
19
A.
Yes
20
Q.
All right Now in 1982 it's correct
21
isn't it that you were not represented in any way
22
by Mr. Hothem
23
A.
That's correct
24
Q.
The only attorney representing you at that
25
time was Mr. Rappeport an attorney in Tucson
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A.
Correct
--
2 3 4 5 6 7 8 9 10
ll
12 13 14 15 16
Q.
And did you ever get a copy of your
transcript from Mr. Rappeport at that time
A.
I did not
\
ae
.
Q.
Did you ever get a copy of the transcript
from him any time in the months following
A.
No.
.
Q.
Did you ever discuss with him where that
transcript was
A.
I asked him and it is my understanding
that he called Mr. Hothem and had him -- had someone
in his office get a copy of it for me
.Q
Isn't it true Doctor that Mr. Rappeport
refused to let you sign that transcript until he was
paid money
A.
Not that I know of
17 18
Q.
A.
He never told you that he was holding
Never told me
<--
19
Q.
~~ the transcript of your deposition
20
hostage for money payments from plaintiffs counsel
21
A.
No.
22
MR DAGGETT
Objected to as argumentative
23
A.
No.
24
MR KAZAN
Q.
Now is Mr. Daggett
25
representing you today
201 CALIFORNIA STREET
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mma tha
Q.
When did you hire him
MR DAGGETT
You don't have to be concerned
with when you you ask me to
hired
meThe
meThe question
ar
be your lawyer
is
when
did
-
A.
Before the last deposition I had insurance
people .
MR KAZAN
Q.
And do you recall
approximately when that deposition took place
10
A.
A couple of months ago
Well it's not
11
that long
It was within a month roughly
ro
12
Q.
And how long before that deposition did
13
you ask Mr. Daggett to represent you
14
A.
It might have been a week ten days
15
something like that
16
Q.
Okay
And that would bring us back to a
17
time maybe a couple of months ago at the most
18 A. Roughly
19
Q.
Is that correct
20
A.
Roughly
21
0.
Before you asked Mr. Daggett to represent
22
you was anyone else representing you in connection
23
with asbestos litigation in any of its forms other
24
than Mr. Rappeport
25
A.
No.
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Q. and 1
Let me go back
ask you some things
2
about what you discussed this morning During the
3
time you were practicing at the Pabco plant -- at
convenience can it 4
Fibreboard if we
call
that for
:
~
existence 5
sake -- were you acquainted with the
of .
6
any other factories or industrial facilities
7
manufacturing asbestos containing products in the
8
Bay Area
9
MR DAGGETT
Is this during Pabco or before
10
Pabco
I'm sorry
11 12 13 14 15 16 17 18
MR KAZAN
No.
During that time period
MR DAGGETT
During Pabco
.A
When I was working there
MR KAZAN
Q.
From 1938 to 1950 were you
aware of the existence of any other asbestos
manufacturing facilities in the Bay Area
A.
I knew there was a factory in Redwood City
and I didn't know any other factories that were
19
Q.
When you say a factory in Redwood City
20
are you referring to Fibreboard's factory or the
21
Manville factory
22
A.
No. Fibreboard And I'm sorry I did
23
know that there was a Manville Manville
24 25
factory in the Bay Area somewhere
Q.
Did you know of the existence of their
SAN
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plant in Pittsburg California
what 2 A. I think that's it was I'm not
.
3
certain
4
Q.
Did you know whether that plant had a
5
time medical deparment or had a withdraw
:
6
that
Did you know whether that plant had a
7 physician under contract in much the same manner
8 that you were working at Fibreboard ~.
9
A.
I know there was a doctor there
I don't
10
know what arrangements there was
ran
11 12 13 14
Q. Do you know whether there was an ray machine at that plant
A.
Q.
No I don't
Do you know whether there was any kind of
15
medical examination program at that plant for
16
workers
17
A.
I didn't know anything about the details
18
of the program
19 20 21
Q.
You knew though that Johns Manville had a
factory and had a doctor connected with that factory
in some capacity or other
22
A.
I knew there was a factory and I knew
~fl
23 24
vaguely there was a doctor
I wasn't sure what
hours he worked whether it was full time or what
25
the arrangement was
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Q.
Did you ever have occasion to meet a Dr.
David Wise
A.
David Wise
Q.
Yes
ms .
A.
No.
-
Q.
You mentioned to us earlier that Dr. Wahle
was the medical director at Fibreboard when you
~
started in 1938
10 11 12
A.
Correct
Q.
Do you know how long he had served in that
capacity
A.
Before I came
13 14 15
-Q
Yes
Or do you know when he started
A.
Oh it was some years before
I don't
know the exact time
He had been there for some
16
years
17
Q.
As I recall you and Dr. Wahle spent a
18
fair amount of time talking about subjects of
19
interest to Dr. Wahle
20
A.
Correct
21
Q.
He liked to tell stores about his growing
22 23
up on the prairies of Wisconsin or some place
A.
Yes Wisconsin
24
Q.
Wisconsin
And I remember stories about
25
the Army of Virginia
Is that correct
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TELEPHONE
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A.
That's correct
Q.
And did he tell you about his own
professional experience in years before he came to
Fibreboard
hee
an
%
A. Correct -
0.
You mentioned this morning that Dr. Wahle
had worked as a doctor at the shipyards in
-
California
10 11
A.
Yes
Q.
And that would have been during World War
I
12 13 14 15 16 17 18 19 20 21
A.
As I remember he was at Moore Dry Dock
It was during the war so it must have been the
preceding war
Q.
Okay
Do you remember how long he worked
at Moore Dry Dock
A.
I don't know
Q.
Do you know whether he worked for the
Moore Brothers or that company
A.
I think it was Moore Dry Dock
I'm not
certain
22 23 24 25
Q.
It was your understanding that he was
employed by the shipyard itself
A.
Yes -- I didn't know any details
We
never discussed it
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Wet
a.
ee
Q.
Do you know how long he worked in the
shipyard 5
A.
I have no idea
No accurate idea
as I
MR DAGGETT
calculate it
Mr.
Kazan
we
are
now
on
events
of sixty years ago
-
MR KAZAN
That's very interesting Does
that comment have some relevance to these
proceedings
MR DAGGETT
10
mind
Go ahead
Relevance is what was in my
11 12
MR KAZAN
Q.
Doctor do you know when
Columbus discovered America
13 14 15 16 17 18 19
MR DAGGETT
Doctor were you there
A.
I came a little later
MR KAZAN
Q.
The point is Doctor I am
not asking you what you remember about events during
World War I.
We're talking about what Dr. Wahle
told you during the years of your association with
him
20 21 22
A.
Okay
MR DAGGETT
Since I'm paying for this can
I tell why Columbus was a Democrat
He didn't know
23
where he was going he didn't know where he was when
24
he got there and he did it all on government money
25
MR KAZAN
Would you now like to make a
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RE
speech about the nuclear freeze debate
MR DAGGETT
Yes but I won't
;
MR KAZAN
Q
Did Dr. Wahle tell you what
.
his duties were at the shipyard
shipyard
A.
He handled trauma as it came in
He saw-
patients for various things
Just as I did at the
Pabco medical center
10 11 12 13 14 15 16
Q.
And you understood from Dr. Wahle that
during the course of the shipyard work he had
occasion to see men at work not just in a
dispensary is that correct
A.
I don't know what his -- what he did other
than work as a doctor at the Moore Dry Dock
Q.
You understood from Dr. Wahle that at
least he was familiar in general with how shipyards
worked
17
A.
I guess
18
Q.
You mentioned this morning Doctor that
19
you used various facilities to get rays taken of
20
workers at the Fibreboard plant
21
A.
That's correct
22
Q.
And you mentioned I think that Dr. Fong
23
did very fine quality work
24
A.
Nods head Yes
25
Q.
201 CALIFORNIA STREET
Were you concerned that when rays were
HARRY A. CANNON INC
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SL
balen
Re
ordered that they be done with the highest possible
level of professional skill
:
.
A.
Correct
Q. And that they be interpreted similarly
with care and skill
-
10 11 12 13 14 15 16
A.
That's correct
Q.
And you told us also that there were
occasions when hospitals would call and tell you
that they were about to be destroying some old
rays and that you would ask that those rays
instead of being destroyed be sent out to the plant
A.
That's right
Q.
And that was because you wanted to keep as
a part of the permanent records of workers at your
plant their old rays
A.
Correct
17
Q.
These obviously would be rays that would
18
be what five ten fifteen years old
19
A.
We never threw any away
20
Q.
And before -
21
MR DAGGETT
Excuse me Mr. Kazan
I don't
22
understand about how old they would be
If he knew
23
of rays kept at the latest in 1950 they would be
24
thirty years old today wouldn't they
25
MR KAZAN
That's not what we're talking
201 CALIFORNIA STREET
HARRY A. CANNON INC
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MR DAGGETT
Well I'll try to keep up
MR KAZAN
Okay
If you need some help Mr.
Majeski probably understantd hiss and he can explain . \
it to you
-
MR DAGGETT
Oh I know he does but I'm
10
11
_
12
13
14 15
16 17
18 19
20
proud .
MR KAZAN
Q.
Doctor at the time you
would get these rays delivered they would be at
least five or ten or fifteen years old
A.
It Was rare indeed that we had any rays
at the hospitals but there was an occasional ray
that would slip through and stay there and they as
a matter of courtesy because we were good customers
of theirs they would call us
did we want it and
we said yes indeed we wanted it
Q.
Do I understand you correctly then that
the general practice was that when you would send
someone to the hospital for rays after the films
were interpreted the films would be sent to you at
21 22 23
the plant
A.
Yes that's correct
Q.
And was some proportion or percentage of
24 25
these films chest rays
A.
Yes
And one of the reasons for it being
201 CALIFORNIA STREET
HARRY A. CANNON INC
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taken most of the time in the Oakland area because
if it was a chest film it would be read by Dr.
Trimble's group and it would be readily available
Q.
Can you give a ballpark estimate of the
.
percentage of rays ordered by your medical
-
department that were chest rays
MR DAGGETT
Over his entire time at Pabco
MR KAZAN
Yes
If you can give a
10 11 12 13
ballpark figure
A.
Oh I would say there were hundreds of
chest rays
I have no idea how many we ordered
It would be just conjecture
I have no idea
Q
Okay Well the question wasn't the number
14 15
of films that you ordered but the percentage of the time that when you ordered rays they were chest
16
rays as opposed
to arms
or
legs
or
-
17
A.
Oh I would say twenty percent
18
roughly
19
Q.
Were chest films
20
A.
Yes
21 22
Q.
And it was your policy to keep those films
as a permanent part of the workers records
23
A.
We kept all rays including extremity
24
rays and that
25
Q.
201 CALIFORNIA STREET
Did you have occasion to order contrast
HARRY A. CANNON INC
TELEPHONE
1
studies
2
A.
What do you mean barium enemas enemas
3
Q.
Barium enemas upper G.I. series
4
A. Yes we would occasionally do that
5
Q.
And similarly you would keep those as
6
permanent record
7
A.
Yes
00
Q.
And you mentioned I think either today or
9 Hh the last time we met two large ray file cabinets
10
A.
Correct
11 12 13
Q.
And these contained rays dating back
let's say as of the time you left in 1950 dating
back far
14 15 16
A.
I don't remember if we got the second
large ray file in before or after I left
I can't
remember which one and what time
17
Q.
There were times after you left though
18
that you'd have occasion to go back and visit at the
19
|} plant
20
A.
Not very often
21
Q.
But were there times when you would go see
22
Dr. Adamson or Dr. Blaisdell
23
A.
I don't remember visiting either of them
24
except socially at their homes or their office
I
25
had nothing -- the only occasion I had was if they
201 CALIFORNIA STREET
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115 , 301.7401
asked me to come and see a patient that happened to
be in the medical area
:
Q.
Were there occasions after 1950 where you
would see patients in consultation at the medical
deparment in Emeryville
-
A.
I would say maybe once or twice
I
can't - I'm not even certain of that
10 11 12 13 14 15
Q.
A.
So
->
I would be called but I couldn't remember
whether I +-- I saw the patients but they were in my
office ordinarily
Q.
You do though remember that the rays
that were being kept as permanent parts of the
record were there in 1950 when you left your regular employment with Fibreboard
16 17 18 19 20 21 22 23 24
A.
Yes
Q.
And you don't ever remember a time when
you would be at the plant after that where you did
not see rays is that correct
A.
I did not examine rays or see them
Q.
No.
No.
That --
A.
They're always --
Q.
They're They're always there
A.
In the files
25
201 CALIFORNIA STREST
HARDY 2 NNON INC
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;
A.
:
2
Yes
a
v
: t
they were always there Never
examined the interior afterwards
Q.
But the cabinets were there
A.
The cabinets were there
Sy .
Q.
Were there stacks of rays piled on top
of the cabinets also
A.
No.
No.
|
0
Everything was --
A.
They were all placed in alphabetical order
10
Q.
Okay Do you know where those rays are
11
today Doctor
12
A-
No.
13 14 15
-Q
Has anybody connected with Fibreboard told
you about the destruction of those rays
A.
No.
16 17
MR DAGGETT occurred
Objected to as assuming this
18 19 20
MR KAZAN
Q.
Has anybody at Fibreboard
ever told you that the rays were destroyed
A.
No one
Wait a minute
I talked to
21
someone - I said -- as to whether -- where were the
22
rays -- because when I first heard there was some
23
pending litigation I said I would like to see the
24
rays and the charts
And they said it was not
25
available
And I asked where they were
And they
201 CALIFORNIA STREET
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2
mcagenata e
-bilnet :
said they didn't know
They thought the rays were
destroyed at the time they demolished the medical
offices
Q.
Is that Mr. Beck that you were talking to
A.
No.
Well I talked to Mr. Beck but I
=
didn't discuss this
10 11 12 13 14 15
Q.
About the rays
A.
He didn't know about the rays
Q.
Do you remember who you talked to about
the rays
A.
I really can't remember
It was a nurse
or whether it was Chris Adamson
I can't remember
which it was It wasn't anything of tremendous
consequence because the rays obviously weren't
available
16 17 18 19
Q.
And you mentioned that at the time you
heard something about what this litigation was when
you asked about the films
A
Yes when I --
20 21 22 23 24 25
Q.
And approximately when was that Doctor
A.
Well that was approximately when -- let's
see - about -- it was over two years ago
Q.
All right
Was this sometime -- let's go
back
Your deposition that I took in Tucson was in
November of 1982.
Was it sometime in the summer of
wean
201 CALIFORNIA STREET
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po
Pea Veh
1982 that you first became aware that there was some
litigation
A.
Yes
Q.
And was that the time when you made some
attempts --
:
A.
Yes
Q. around
-- to see.if there were rays still
-
A.
Yes
10 11 12 13 14 15 16
Q.
You mentioned that there was no medical
library or medical books at the medical department
of Fibreboard is that right
A.
That's correct
Q.
They never subscribed for you to any
journals in occupational medicine or industrial
medicine medicine
17 18 19 20
A.
No.
Q.
At the time you said that you had your own
medical library of some kind
A.
Yes I still do
21
Q.
Have you preserved the library that you
22 23
had all along
A.
I got rid of books that were twenty and
24
thirty years old
They're all pretty current now
25
Q.
When did you get rid of the older books
201 CALIFORNIA STREET
HARRY A. CANNON INC
TELEPHONE
A.
When I moved down to Tucson
Q.
What did you do with the old books
Did
you just throw them out or did you give them --
A.
Just threw them out I tried to`g give them
away no one wanted old medical books
-
Q.
But as I recall you still do have your
old medical school pathology text
A.
Yes
Well it's the oldest d it's an
10 11 12 13
antique I'm going to keep
Q.
And you are referring there to Boyd's text
on pathology that we discussed at your first
.
deposition
A.
AN INTRODUCTION TO MEDICINE
14 15 16 17
Q.
All right You did keep that book and the
one that you have at the present time is in fact the
actual physical textbook that you used in medical
school
18
A.
Yes
19 20 21 22
MR DAGGETT
I've still got Mechem on Agency
and DeFuniak on Equity and I'll bet you do too
MR KAZAN
Q.
Now have you kept any other
books let's say that predate 19657
23
A.
Yes I was very fond of my professor of
24
anatomy Dr. Arey and I kept his book on embryology
25
Q.
Anything else
201 CALIFORNIA STREET
HARRY A. CANNON INC
TELEPHONE
A.
Yes I have some other old ones Let's see
Some old surgeries - I can't remember which ones
Q. said
A.
You viewed Dr. Adamson's video tape you
Yes
\
om
x
.
aoe
\
-
Q.
And do you recall seeing in that that Dr.
Adamson and I discussed some ten or fifteen books
from his library
m
A.
Yes
10 11 12 13 14 15 16 17 18 19
Q.
Did you own any of those books
A.
Books that he discussed no
The books I
have noW are almost exclusively anatomy surgery
orthopedics pathology and I have a few books
medical books
Q.
But in terms of the books that you had but
threw out when you moved to Arizona were any of
those among the texts -~-
A.
No.
Q.
-- that Dr. Adamson talked about in his
20 21
deposition
A.
I can't remember If you could --
22
MR DAGGETT
If you recall Doctor
23
MR KAZAN
Q.
If you recall
24
A.
No I don't recall any of them They were
25
primarily medical texts as I remember
201 CALIFORNIA STREET
HARRY A. CANNON INC
TELEPHONE
Q.
Have you ever gone to the trouble of
indexing or cataloging your medical library Doctor
A.
No I haven't
Q.
All right you give me an estimate of
~ .
how many texts you still own that were published .-
before 1965
A.
Before 1965
Q.
MR
Or 1970
DAGGETT
if that's an easier dividing line
7
Mr. Kazan let me ask
I
10 11 12 13 14 15
believe this is pure discovery looking to the
possibility of a demand on your part to inspect at a
later date Dr. Perlmutter's medical library at home
Would like to stop the video tape and just do
this on the stenographic record
MR KAZAN
No. This is fine
16
MR DAGGETT
All right
That's said with an
17
awareness that my client is paying for it I'm
18
afraid
19
MR KAZAN
That's what happens when you
20 21 22
notice the deposition
Q.
Go ahead Doctor
question in mind
Do you have the
23
A.
Repeat it
24
MR KAZAN
Mr. Reporter would you be good
25
enough to read it back for us
201 CALIFORNIA STREET
HARRY A CANNON INC
TELEPHONE TELEPHONE
Pending question read
-
A.
Fifteen to twenty
s
Q.
Doctor
providing us with
MR DAGGETT
would you have any objection to
y
a list those titles and authors
a
.
I will respond to that if you
will direct that to me
As I have already told you
on the telephone I will respond to that and will
take that under advisement with every indication of
-
considering it favorably
10
MR KAZAN
Is that a yes
11
MR DAGGETT
That's an answer from his
12
lawyer
You will get no answer from him
13 14 15 16
- MR KAZAN
Do you instruct him not to answer
my question
MR DAGGETT
Yes I represent him And you
make arrangements with me and everything will work
17
MR KAZAN
Q.
Doctor would you have any
18
objection to making those fifteen to twenty
19
books available for our inspection
20
MR DAGGETT
Instruct the witness not to
21 22 23 24 25
answer
I'll take care of that Dr. Perlmutter
MR WARTNICK
Would you please certify those
two questions
THE REPORTER
I do this ordinarily
MR DAGGETT
He certifies all of those
201 CALIFORNIA STREET
HARRY A. CANNON INC
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-
MR WARTNICK
Thank you
MR DAGGETT
All I am asking is that counsel
direct discovery requests looking to the future to
as his counsel and they will receive speedy
action
Kazan I have already told Mr.
we
-- -- --no
-
reason why this can't occur
MR KAZAN
Q. You mentioned something this
morning about the dust control at the Fibreboard
plant and you referred to some licenses
10
A.
Yes
11 12 13 14 15 16 17 18 19
Q.
Would you run that by me again so I am
sure I understand what you have to say
A.
I had talked to Harry Hoopes years ago
when I was working at Paraffine and I asked him
about their program for removal of dust and he was
proud of this
He had a great deal to do with the
development of the dust removal program
And I
said -- I asked him if it is indeed true that I
heard that some other people have been interested in
20
this and that some asbestos factories have been
21
licensed to get the technique that was set up at
22
Pabco
And he said -- and in addition they had a
23
licensee in England I think it was in Darlington
24
England
That's how I heard
25
Q.
201 CALIFORNIA CALIFORNICAALIFORNIA STREET
And Mr. Hoopes told you that Fibreboard
HARRY A CANNON INC
TELEPHONE TELEPHONE
made available to these companies the techniques and technology of manufacturing the insulation materials
A.
Well under some sort of license I didn't
go into details
BN
&,
\
Q.
But he also told you that they made
-
available under license the techniques and
technology that they used to control the dust is
;
that true
10 11 12
A.
Yes
Q.
And this was something that Mr. Hoopes
told you at the time when you were still employed at
Fibreboard
13 14 15
A Yes Right
Q.
And you knew at that time that he was
working for Fibreboard also in some executive
16
capacity
17
A.
Yes
18 19 20 21 22 23 24
Q.
You told us this morning that there was
some program at the Fibreboard plant directed toward
the prevention and surveillance with respect to lead
exposure do you recall that testimony
A.
Yes
Q.
There was a program involving some form of
testing of workers who had potential lead exposure
25
is that correct
301 CALIFORNIA CALIFORNIA STREET
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TEI CALONE
101
HAP
A.
Correct
7
0
And what were these blood tests of some
kind
A.
Blood and urin~ -
\
time Q.
Do you know in
when that testing -
program began
10 11
A.
I can't remember whether it was initiated
by Dr. Wahle before I was there or afterwards but
it had been there for years
I can't remember I
remember vaguely that the --
I better not -
12 13 14 15
MR DAGGETT
Doctor try to confine yourself
to answering the questions as they are put and leave
out vague recollections in which you don't have
confidence
16 17 18
A.
Okay
MR KAZAN
Q.
So this testing program was
in place when you first came there
19 20 21
A.
I said I can't remember exactly if it was
before or just after I came there
Q.
At the time you first came there had
22
there already been cases of lead poisoning
23
A.
I was told then
I knew subsequently
24
that there was some lead poisoning and I can't
25
remember whether I was present when we discovered
201 CALIFORNIA STREET
HARRY A. CANNON INC
TELEPHONE
this or not
.
10 11 2 13 14 15 16
Q.
Do you know whether the cases of lead
poisoning were discovered before or after the
testing
A.
program was
They were
begun
a,
.
suspected
before
and
they
were
tested and indeed they had high lead levels
Q.
So it's correct then that Fibreboard
through its medical department initiated program
of testing workers for signs of lead poisoning based
on a suspicion that there might be a problem from
lead exposure at the plant
A.
There was ---- -~-
MR DAGGETT
Objected to for lack of
foundation
There is no testimony here that the
program was initiated by the medical department
MR KAZAN
Q.
Doctor do you know who
17
initiated the testing program
18
A.
The medical department
19 20
Q.
Thank you
MR DAGGETT
Now there is
21 22 23
MR KAZAN
Q.
This program was initiated
in response to a concern that there might be a
problem of lead exposure causing disease among the
24
workers is that correct
25
A.
Yes
They realized this because they had
201 CALIFORNIA STREET
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two - one or two patient~s- workers -- who had
problems and -<
Well go ahead.
Q.
Okay
ne
7
x
A.
I'm just here to answer questions not to
talk
10 11 12 13 14 15 16
MR DAGGETT
That's right Doctor
A.
Right
MR DAGGETT
This is not a seminar You have
come here as a witness to facts while you were at
Pabco to answer questions
A.
Okay
MR KAZAN
Q.
See it's different
When I
ask the questions you are supposed to be brief and
not volunteer anything
And when Mr. Daggett asks
the questions it's different
17 18 19 20 21 22
A.
No he didn't -- he makes me answer just
the questions
MR DAGGETT
No Mr. Kazan can't remember
even what happened this morning much less
thirty years ago when he was barely here
MR KAZAN
Q.
Now
--
23 24
MR DAGGETT
Maybe he was barely here
I
don't know
25
MR KAZAN
Q.
Doctor were there cases of
201 CALIFORNIA STREET
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TELEPHONE TELEPHONE
diagnosed lead poisoning at Fibreboard before the testing program was initiated
A.
When the testing program was initiated two
cases
--
one
to
two cases
don't remember
certainly which it was but enough to make US
-
concerned that we didn't want any exposure that
wasn't monitored
It was a known problem
Q.
And so once they knew that they had a case
your medical deparment decided that they better do
10
something to examine workers on a regular basis
11
A.
Yes
12 13
Short recess taken
MR KAZAN
0
Doctor back at the time
14 15
when you and Mr. Hoopes talked about the licensing
that we discussed a few moments ago did he ask you
16
about what you or the medical profession considered
17
to be safe levels of asbestos dust exposure
18
A.
No.
19
Q.
Did he ask you anything about what you
20
felt medically would be appropriate precautions to
21 22
protect workers
A.
No.
He didn't ask me that
23 24
Q.
Did anyone in the Fibreboard management
come to you and ask you for advice or information
25
concerning what the medical profession thought to be
201 CALIFORNIA STREET
HARRY A. CANNON INC
TELEPHONE
safe levels of dust exposure
MR DAGGETT
Objected to as assuming the
medical profession thought anything about that at
the time
eee
* BN
Ot
If you can answer go ahead
-
A.
No one asked me about this
MR KAZAN
Q
At the time you worked at
Fibreboard were you familiar with an organization
called the American Conference of Governmental
10 11
Industrial Hygienists
A.
I didn't know the name of this group
I
12 13
knew there were hygienists in government
Q.
Did you know also that there was a group
14
of hygienists in government that set threshold
15
limit value levels for various airborne contaminants
16
MR DAGGETT The question is simply
aid you
17
know that Doctor
18
A.
No.
19
MR KAZAN
Q.
Did anyone at -- withdraw
20 21
that
Did Mr. Hoopes come to you and ever show you
dust studies or dust counts done at the Emeryville
22 23
plant
A.
No.
24
Q.
Did anyone in management ever show you
25
such studies
COCALFORNIA COCALFORNIA COCALFORNIA STREET
HADDY A CANNON INC
YCI CDuane
mtn
Q.
Did anyone in management ever discuss with
you whether such studies would be advisable
A.
No.
^'s *
Q.
During your discussion with Mr. Hoopes was
there ever any mention of the California general
industrial safety orders that applied to
manufacturing workplaces
10 11 12
A.
No.
MR DAGGETT
Objected to as vague
What
discussion please
MR KAZAN
Q.
Doctor did you understand
13 14 15 16
that I was talking about the discussion you mentioned earlier with Mr. Hoopes concerning
licensing
A.
Yes
17
Q.
All right
During that discussion did
18
you and he talk about the general industrial safety
19
orders promulgated in California
20
A.
No.
21
8
Did you ever discuss those safety orders
22
with Mr. Hoopes
23
A.
No.
24
Q.
Did you ever discuss those safety orders
25
with anyone in Fibreboard's management
201 CALIFORNIA STREET
HARRY A. CANNON INC
TELEPHONE
A.
No.
2
3 |
4 5
Q.
Did you ever discuss the California
regulations as they related to asbestos exposure
with anyone in
working at the
Fibreboard management
oN
plant
while
you
were
6
A.
No.
7
00
.
9 |
10
Q.
You mentioned that you understood that
two masks were used in
areas of the insulation
factory
A.
Yes
11 12
Q.
Do you know what kind of masks were used
A.
They had a filter mask and they had a
13
disposable mask similar to the surgical mask they
14
have now
|
15
Q.
And you understood that the disposable
16
type surgical mask was used in certain portions of
17
the insulation plant
18
A.
I wasn't certain where they were used
19
The instructions were that in the area where they
20
dumped the asbestos into the hopper there and where
21
they -- where they were taking care of the bag in
22
the bag room they were supposed to use a filter
23
mask
24
MR DAGGETT
Doctor excuse me the question
25 | is simply whether you knew where they were used
201 CALIFORNIA STREET SAN FRANCISCO CALIFORNIA 94111-5091
HARRY A. CANNON INC
DEPOSITIONS - NOTARIES
TELEPHONE
415 - 391-7421
. -
108
.
|
1
MR KAZAN
Okay You have to answer audibly
2
80 that we have a transcription that is accurate as
-
3
well as a video tape
4
A.
Repeat the question so I that can -~-
it You at 5
Q.
Okay
Let's go
this way
-
6
understood that the filter type mask was to be used
7
among other places in the room where the raw
8
asbestos was dumped into the mixing process
9 |
A.
It was my understanding yes
10
Q.
All right You understood that that mixing
A
.
11
room or batch room as they called it was on the
12
third floor of the insulation factory
13
14 |
A.
Q.
Yes
And workers there were handling bags of
15
pure raw asbestos
16
A.
I don't know how pure it was
17
Q.
Well
-- but they were handling asbestos -~
18
A.
Yes
19
Q.
-- the material mixing it into the
20
slurry is that right
21
| |
22
A.
Yes
Q.
And this filter mask that you are
23
describing this is a rubber face mask with a felt
o
24
filter that snaps in and out
25
i
A.
I don't know the exact components present
201 CALIFORNIA STREET SAN FRANCISCO CALIFORNIA 94111-5091
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TELEPHONE 415-391-7421 415-391-7421 415-391-7421
in it in the mask
Q.
Did anyone in Fibreboard's management come
to you and ask you whether that mask was adequate to
protect those worker - sx
A.
Never
-
Q.
Did you know whether those masks were
adequate to protect workers from inhaling dangerous
~
levels of asbestos dust
A.
No.
10 11 12 13
MR DAGGETT
Objected to as assuming there
was any knowledge of dangerous levels at that time
MR KAZAN
Q.
Do you have the question in
mind Doctor
14 15 16 17 18
THE REPORTER
He answered
MR KAZAN
And what was the answer
THE REPORTER
No.
MR KAZAN
Q.
Did you know whether the
filter mask was more the same or less effective at
19
protecting workers from inhaling dust than was the
20 21 22
surgical type mask
|
A.
Not from personal observation
Q.
Well from any other way
23 24
A1
It was supposed to be more effective
The
problem was it was difficult to make people use it
25
It was uncomfortable and difficult to use
201 CALIFORNIA STREET
mat memanimirmrrun Mid iePathaiin
macau erm
HARRY A. CANNON INC
ue a ee
TELEPHONE
emt
Q.
And did you learn that from talking
workers directly or just from management
:
MR DAGGETT
Learn what
with
| That MR KAZAN
the masks were uncomfortable
.
to use and difficult
:
A.
From the workers
Q.
What was your understanding of the
discomfort or the reasons that led people be
unhappy about using them
10
A.
They said it was difficult to get -TO- to
11
breathe well
12 13 14
Q.
Doctor
A.
Have you ever worn such a mask yourself
No.
Never
15 16 17
8
You have worn a whole lot of surgical type
sks in your life
A.
Yes
18
Q.
Are those tolerable for breathing
19
A.
They're They're difficult after awhile But
20
they're used to it -- you get used to it
Used to
21
it
22 23 24 25
Q.
Did anyone connected with the management
come to you and ask for your assistance in helping
to educate workers about the necessity of wearing
masks
201 CALIFORNIA STREET SAN FRANCISCO CALIFORNIA 94111-5091
HARRY A. CANNON INC
DEPOSITIONS - NOTARIES
TELEPHONE 415 - 391-7421
1
A.
No.
2
Q.
Did anyone in management ever come to you
3
and ask for your advice or counsel with respect to
4
whether the use of masks was the best way to protect
ms
; |
5
workers
Be
6
A.
No.
7
Q.
At the time you worked at Fibreboard did
8
you have an opinion as to whether the use masks
|
9
was the best method to protect workers from inhaling
| |
10
dust
11
A.
I always felt that the best method of
12
protecting workers was prevention so that the
13
employees would not be breathing any of this dust
14
H
and that the exhaust fan and the complete dust
15
prevention program was an excellent program at
16 | Fibreboard
17
Q.
You understood that it was more desirable
18
to use engineering and exhaust to remove the dust
19
from the vicinity of the worker as a means of
20
protecting the worker
21
A.
Should've been used in conjunction -- I
22
mean both things depending on the amount of dust
23 24
present
Q.
But that the ideal method was to control
25
the dust through engineering techniques so that
201 CALIFORNIA STREET
SAN FRANCISCO CALIFORNIA 94111-5091
HARRY A. CANNON INC
DEPOSITIONS - NOTARIES
TELEPHONE
415 - 391-7421
1
there would not be dust in the actual vicinity of
.
2
the worker
.
3
A.
Correct
4
Q.
Did you ever discuss that concept with the
5 safety directors or other management persons at 2
6
Fibreboard
7 8 9 10 11 12 13 14 15 16 17 18 19
A.
No one came by to discusis t with me
Q.
Was it your understanding that they knew
this as well you did
MR DAGGETT
Now don't answer that Doctor
It calls for somebody else's state of mind
MR KAZAN
Q.
Well I am asking about your
statoef mind Doctor
Was it your impression that
other members of management knew this as well
MR DAGGETT
Instruct the witness not to
answer on the same ground
MR KAZAN
Q.
Doctor did you know whether
other members of management knew that the best
method of dust control was to use engineering and
20 21
not to rely on masks
A.
I didn't know that
However they did use
22
a very good system of exhausting the dust particles
23
Q.
You didn't know whether they knew it or
24
not is that true
25
A.
I can't tell you what they thought
They
201 CALIFORNIA STREET SAN FRANCISCO CALIFORNIA 94111-509
HARRY A. CANNON INC
DEPOSITIONS - NOTARIES
TELEPHONE 415 - 391-7421
1
recognized the single most important thing in the
2
prevention of exposure to dust particles and that
3
is exhausting and cleaning the air
4
5 |
Q. MR
How do you DAGGETT
know that they
I instruct the
recognized it
witness not to
6
answer I will permit no more testimony from him on
7
states of minds of other people whether he thinks
8
he knows or not that are more than twenty
9
years old as of today
10
MR KAZAN
Q.
Doctor are you anxious to
11
come back to San Francisco for another deposition
12
MR DAGGETT
Don't answer that doctor
13
This isn't the first time this man has threatened
14
you
It may not be the last
But he is not going
15
to get away with it
16
MR KAZAN
You should be ashamed Robert
17 18 19 20 21
Q.
Now Doctor did anyone in the Fibreboard
management ever ask you whether in your medical
opinion the dust control system in the plant was
adequate to protect workers from exposure to
asbestos dust
22
A.
No.
23
MR DAGGETT
Asked and answered Mr. Kazan
24
Go ahead and answer it again Doctor
25
A.
No.
201 CALIFORNIA STREET SAN FRANCISCO CALIFORNIA 94111-5091
HARRY A. CANNON INC
DEPOSITIONS - NOTARIES
TELEPHONE 415-391-7421 415-391-7421 415-391-7421
MR KAZAN
Q.
Did you view at any time
one of your responsibilities to be the counseling of
workers with respect to potential occupational
disease hazards at the Fibreboard plant
%,
A.
No.
There was already a program
-
instituted by the safety officer
Q.
My question was whether you thought that
Wa one of your responsibilities
A.
No.
Because there was something already
10
in effect
11 12 13
Q.
You understood then that someone else
had that responsibility
A.
Correct
14 15 16 17
Q.
And to your understanding who had that
responsibility
A.
Mr. Lambie was recruited as a safety
officer
Prior to this he had been used as a
18
consultant when
he was with
one
of
the
--
a
19 20
university or a state -
MR DAGGETT
Dr. Perlmutter the question
21
was simply who by name had that responsibility
22
A.
Okay
23
MR DAGGETT
I must suggest to you that when
24
you add these additional details you put examining
25
counsel under pressure to follow up with all the
mann
201 CALIFORNIA STREET
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HARRY A. CANNON INC
ae eee ee ee
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TELEPHONE
emma
stuff you have added that wasn't called by the
question .
MR KAZAN
Q.
I think Doctor the
question was
who had the responsibility
~
A.
The safety officer
-
Q.
You mentioned a Mr. Lambie
Was he the
first safety officer to your knowledge that was
employed by Fibreboard
~
A.
No.
yo
10 11 12
Q.
Do you remember who was the safety officer
in 1938 when you came in
A.
No.
No.
13 14
Q.
Do you know whether in fact they had one
at that time
15
A.
I don't remember
16
Q.
Was it your understanding that when Mr.
17
Lambie came to work as an employee at Fibreboard
18
that he had responsibility for the counseling of
19
workers with respectto occupational disease hazards
20
A.
Yes
21
8.
Did you ever discuss occupational disease
22
hazards with Mr. Lambie while you worked at
23
Fibreboard
24
A.
Not in any depth
He just chatted with me
25
He never brought up a real problem and asked to go
mani
201 CALIFORNIA STREET
we nk ahh wa ae Mlk amen
Mh
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HARRY A. CANNON INC
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TELEPHONE
par
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con. wegee tn
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over it with me
Q. Lambie
A.
Q.
Did you ever discuss asbestos with Mr.
;
No.
an
%
Did you ever discuss the question of lead
poisoning with Mr. Lambie
A.
Yes
10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
Q.
Now you told us before that there were
perhaps one or two cases that led to the institution
of this testing program
Are there various forms of lead poisoning
Doctor
MR DAGGETT Just a moment please
I
understand the sincerity with which that question is meant Mr. Kazan but I am going to instruct him not
to answer any questions including that one calling
for present medical expertise
He is not a medical
expert who has come here to express opinions about
the present state of the art or his present
knowledge
He has come here to testify and he
testified on direct examination to what he knew
while he was at Pabco
If you want to put the question about different kinds of lead poisoning in terms of what he
remembers when he was at Pabco that will be fine
201 CALIFORNIA STREET
HARRY A. CANNON INC
TELEPHONE
MR KAZAN
Well without accepting your
misstatement of
the doctor's role
let
me
,
go
on
and
say
Q.
At the time you worked at Fibreboard were
you aware of different forms of lead poisoning -
A.
No.
10 11 12 13 14 15
Q.
What to your understanding at that time
did lead poisoning mean
A.
Well I don't quite understand your
previous question
That's why I said no
But 88
you're bringing this up do you mean severe cases
mild cases or what
Q
Well okay
Are there various degrees of
lead poisoning
MR DAGGETT
I instruct the witness not to
16
answer
The question relates to the present state
17
of his knowledge
18
Relate it to the time that he was at Pabco and
19
he will
20 21
MR KAZAN
Q.
Prior to 1950 did you know
if there were various levels of severity of lead
22
poisoning
23
A.
I just answered that there are severe
24
there are mild and there are the average type thing
25
Li} If that's what you want
Prin
201 CALIFORNIA STREET
HARRY A. CANNON INC
TELEPHONE
Q.
Well prior to 1950 did you know whether
there was a chronic form of lead poisoning
A.
Yes
lead
Q.
Did you
poisoning
know if there
was
an acute
form of
-
A.
Yes
10 11 12 13 14 15
Q.
Was there a chronic form
A.
When we discovered the fact that the
employees concerned had elevated lead levels we called in expert consultation and they handled the
problem
Q.
My question Doctor is whether you knew
by 1950 of the existence of a chronic form of lead
poisoning
A.
Yes
16 17 18 19 20 21 22 23
24
Q.
And you also knew of the existence of an
acute form of lead poisoning
A.
Yes
Q.
Did you know at that time of various forms
in which lead poisoning could become symptomatic
A.
I never was an expert on lead poisoning
The question you are asking is characteristic of all
disease entities chronic severe cute and
this is what I knew
25
MR DAGGETT
Doctor it's not necessary for
201 CALIFORNIA STREET
HARRY A. CANNON INC
TELEPHONE
10 11 12 13 14
you to explain or defend something that you are not
an expert on
Just answer the questions as they are
put to you please
A MR
All right
x...
.
a
KAZAN
Q.
Did the
two
\
.
cabes
the
one
or two cases of -- let me withdraw that
Is it
correct that what prompted Fibreboard to call in
consultants and institute a surveillance program for
lead exposure was a finding of elevated lead levels
in the blood or urine of one or two workers
A.
Yes and there were symptoms in at least
one of them
. Q.
A.
What symptoms were there
I don't remember
15 16 17
Q.
Did you know before 1950 what symptoms
were connected with lead poisoning
A.
Yes
18
Q.
Okay
Do you now remember what you
19
remembered or knew in prior to 19507
20 21 22 23 24
A.
Well there are changes in peripheral
nerves and lead line that you have in rays
Q.
What significance if any did the fact
that one of these men had symptoms of lead
poisoning -- in your decision to call in consultants
25
i
and institute a surveillance program
201 CALIFORNIA STREET
HARRY A. CANNON INC
TELEPHONE
y
ee
MR DAGGETT
It's a little bit vague
you understand the question
Do
A.
No I don't because I ~-
MR DAGGETT
him Then --- don't say 2
don't because
Just ask him to repeat it
I
-
Rephrase it
It will make it quicker
A. the --
Repeat it because I had made an answer to
~
10
MR DAGGETT
Not because ~~ why you don't
understand the question is not something we want to
11
spend time with
12
A.
Okay
13
MR DAGGETT
It's his job to make it clear
14
A.
Reword it please
15
MR KAZAN
Mr. Reporter would you repeat the
16
question please and let's see how we're doing
17
Pending question read
18
A.
We acknowledged the fact that we weren't
19
experts in this and we wanted it taken care of
20
promptly and expeditiously This is why -- the
21
reason why we called specialists in this area in
22
Q.
Was the reason that you called in
23
specialists the fact that one worker developed
24
symptoms of lead poisoning
25
A.
No.
The fact is that we had a potential
201 CALIFORNIA STREET
HARRY A. CANNON INC
TELEPHONE
problem there and we had someone with positive
findings and we wanted to correct it .
Q.
elevated
And lead
positive findings
Tone
levels in the blood
refers to the
\
or urine -
A.
Yes
Plus some --
-
Well that's all
Q.
A.
The answer is yes
Yes
Yes
And -=-
10 11 12 13
Q.
Okay
Now did you know at that time
whether elevated lead levels in and of themselves
necessarily meant that someone would develop
symptoms
A.
Yes
14 15 16 17 18
19
Q.
Did it mean that they would have symptoms
A.
Not necessarily
Q.
Would it be fair to say Doctor that by
1950 during the period you worked at Fibreboard
you understood that abnormal laboratory results of
lead levels served at least as a marker that a
20
worker had potentially hazardous exposure to lead
_ 21
MR DAGGETT
Objected to as vague and
22
indefinite in form both scientifically and in plain
23
English
24
MR KAZAN
Q.
Go ahead
You can answer
25
the question
COLCAFANUA COLCAFANUA COLAFNU COLCAFANUA COLAFNUA COLCAFANUA COLCAFANUA STOCET STOCET STOCET STOCET STOCET STOCET
HADDY & ANNON ING
TEI FAUONEFAUONE
MR DAGGETT
If you can answer it go ahead
A.
With this chit chat would you repeat it
please
MR DAGGETT MR KAZAN
wants
,
\
He wanttso know if --.
No -- excuse me Counsel
I will
~-
ask my questions
If he would like the question
|
repeated ask the court reporter
MR DAGGETT
It is objected to in form as
grotesque Mr. Kazan but if you want to stick with
10
it go ahead
11 12
MR KAZAN
question back
Mr.
Cannon
would
|
you
read the
13
Pending question read
14
A.
That's correct
15 16
Q.
And that was sufficient in your mind to
justify steps to institute surveillance programs and
17
test workers and take precautions
18
MR DAGGETT
Objected to as assuming that
19
Dr. Perlmutter took those steps He said he can't
20
remember whether they were taken after he came to
21
Pabco or before
22
MR KAZAN
Q.
Go ahead Doctor
23
A.
That's true
24
Q.
Thank you
Now you were asked some
25 ul questions earlier about your duties during the two
201 CALIFORNIA STREET
HARRY A. CANNON INC
TELEPHONE TELEPHONE
CeO ST
Bm tee wpe UR
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Bo pins Byer Arne
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periods you worked at Fibreboard and if I
understand you correctly the first year period
approximately you worked with
medical
care
at
the
sme ... x
Emeryville
Dr. Wahle
plant is
providing
\
that
correct
A.
Yes
Correct
10 11 12 13 14 15
Q.
At that time did you have any
administrative responsibility for the workers
compensation insured program
A.
The only administrative problem was
filling out the report dictating it to the
secretary or the nurse
Q.
At that time Dr. Wahle was the medical
director of the entire corporation
A.
Correct
16
Q.
And one of his duties had to do with the
17
administration or supervision of the insured
18
program
19
A.
Correct
20 21
Q.
And that covered all the Fibreboard plants
A.
Right
22
Q.
Other than your involvement perhaps as a
23
treating doctor seeing an industrial injury you had
24
no administrative or supervisory responsibility for
25
the workers compensation insured program
201 CALIFORNIA STREET
HARRY 2 CANNON INC
TEL FAUANP FAUANP
10 11 12
during the period 1938 to 1942 is that correct
A.
That's correct
.
Q.
You came back after the war and resumed
.
right sometime in 1946 is that |
A
Yes
.
Q.
Do you remember what month it was that you
returned to Fibreboard
A.
I think it was November
certain
Q.
Of 1946 or 1945 Doctor
I'm not
.
A.
In '46
I think I would have to change
that
I am not sure if it was the end of '45 or the
13 14 15 16 17 18 19 20
first part of '46
Q.
Okay
When you came back as I recall
you told me last time Dr. Wahle greeted you put on
his hat and left for retirement
A.
That's right
MR DAGGETT
Dr. Perlmutter don't answer
with respect to what he says you told him last time Answer with respect to the fact as you now recall it
21 22
if you do
A.
Dr. Wahle said Hello to me and
23 24
Goodbye *
MR KAZAN
Q.
And left you with the
25
Emeryville medical deparment
201 CALIFORNIA STREET
HARRY A. CANNON INC
TELEPHONE
Perciegess
Se
EMS, ~_
2 .
ree
POR
,,-
1
A.
Right
2
Q.
And from 1946 to 1950 did you have some
3
administrative responsibility for the insured
\
workers compensation program
A.
At Emeryville only
=
=
60
Q.
Was there ever another Dr. Perlmutter to
7
your knowledge who worked for Fibreboard
8
A.
There couldn't have been
10
Q.
The answer I take it is no you don't
know of any
11
A.
No.
12
Q.
All right Now do you recall being given
13
the title of Medical Director of Fibreboard in 1946
14 15 16 17 18 19 20 21 22 23 24
A.
I was the medical director of Emeryville
for whatever that means
It was nothing -- I had no
jurisdiction over anything except Emeryville
Q.
Do you recall a time when you were
authorized to sign checks drawn on Fibreboard bank
accounts or one bank account
A.
I might have
I can't remember
I was
responsible for the Emeryville employees
Q.
And do you recall the board of directors
conferring upon you the title of Medical Director
A.
No.
No I don't remember that
25
Because --
201 CALIFORNIA CALIFORNIA STREET
HARRY 42 CANNON INC
TELEPHONE TELEPHONE
MR DAGGETT
The question was do you
remember that Doctor
%
1,
A.
No I don't remember it
MR KAZAN
Q. Where did you maintain your
office from 1946 to 1950 as it related to your =
duties with Fibreboard
A.
Down in Emeryville and I would spend a
few hours in San Francisco
10 11 12 13 14
Q.
A.
Where in San Francisco Doctor
At -- I don't remember the address -- it
was Bryant Street or -- where the offices were
Q.
Is that on Brannan Street
Brannan or -- yes
don't remember the address
I suppose
|
that was I
15
Q.
But at least it was at the offices of -
16 17
A.
Q.
Right
-- Pabco
18 19 20 21 22 23 24 25
A.
Right
Q.
And did you work in a particular room or
rooms at the corporate offices
A.
Well I was allotted some space there
I
didn't have a private room or anything
Q.
Did you have a desk
A.
No.
I sat down wherever there was a place
to write
201 CALIFORNIA STREET
HARRY A. CANNON INC
TELEPHONE
Q.
And was this in the office that ran the
insured medical program
A.
I don't know what part of it was
I just
okayed the patients worked at Emeryville
.
Q.
Was the office that you worked in when you
went to the city the same office where Miss Hanson
had her desk
A.
No I didn't know Miss Hanson I don't
remember her
10
11
12
Q.
Did you receive medical reports and mail
at the San Francisco address
A.
I could have
I don't know because I was
13
therea couple of times a week
14
Q.
Did you go there on a regular schedule
15
Doctor
16
A.
I don't remember
I just had to show up a
17
couple of times a week
18
Q.
And when you showed up it was to sign
19
papera
20
A.
It was to review any medical problem that
i 21
would have to be taken care of by the insurance
22
company -- our insured company
23
Q.
By the insured
24
A.
Yes
25
Q.
And when you say any medical problem
201 CALIFORNIA STREET
HARRY A. CANNON INC
TELEPHONE
Atos
wor
does that refer to workers at places other than
Emeryville
A.
No.
Absolutely not
Q.
So are you tellinmge then that you were
_
never asked to review or comment or pass upon
=
workers compensation claims brought by workers from
any other Fibreboard facility
A.
I don't remember ever having done that
|
other than Emeryville
10
MR DAGGETT
Excuse me Mr. Kazan
He said
11
that at San Francisco his duties included okaying
12
Emeryville employees You want to get what that
13
means or let that lay
14
MR KAZAN
Sure
15
A
Okay Okaying that they were eligible for
16
compensation or whatever because of their injury or
17
illness or whatever anything that had to do --
18
that was compensable under the laws
19
Q.
Going back to the time you started at
20
Fibreboard in 1938.
Did you have occasion to
21 22 23
perform employment physicals on workers
A.
Yes
Q.
And of what did those examinations consist
24
Doctor
25
A.
History and physical
201 CALIFORNIA STREET
mm mm mt
mm tk Bi
HARRY A. CANNON INC
ee
TELEPHONE
ee
Q.
In 1938 do you know whether Fibreboard
had insulators working out of the Emeryville complex
A.
I didn't know about any at that time
Q. Did you ever learn that Fibreboard had insulators working out of the Emeryville complex
who
applied Fibreboard insulation in shipyards or
buildings or anywhere else
one
A. told
I never me about
discussed this with anyone
the insulators
I was under
No
the
10 11
impression that they were contract workers
Q.
What did you understand contract workers
12
to refer to
13 14 15
A.
That they contracted from some _ with.
some firm for application
I did not know that they
had any definite standing with Fibreboard
16
Q.
You did on occasion do physical
17
examinations and provide treatment for these
18
insulators is that right
19
A.
We provided treatment I don't remember
20
doing physicals on them
I can't be sure this far
21 22
away Q.
All right
Do you know whether insulators
23
who worked at Emeryville went through the same
24
employment screening program that factory
25
workers went through
201 CALIFORNIA STREET
HARRY A. CANNON INC
TELEPHONE
I can't remember if they did I was under
2
the impression that all the people I was examining
:
3
were employees of Pabco
4
Q.
And how many employees were there in
5
Emeryville in your first year period if you-you-
6
recall
7
A.
I think that it was well over a thousand
00
I think it varied between a thousand five hundred
9
and over two thousand
And I am not certain about
10 11 12 13 14
it
Of course during the war years they had
multiple shifts and everything
Q.
And after the war what was the size of
the work force as best you can estimate it for me
A.
Around a thousand
15 16 17 18
0
Did the employment physical
examination program at any time you worked at
Fibreboard ever include chest rays
A.
Yes It was not a routine portion of the
19
examination
20 21 22
Q.
What circumstances would lead to a chest
} |
ray being taken
A.
If someone gave a history of being a miner
23
a hard rock miner we would take rays or if he
24
had been exposed to severe upper respiratory
25
infections recurrent pneumonias or what not
201 CALIFORNIA STREET
SAN FRANCISCO CALIFORNIA 941115001
HARRY A. CANNON INC
DEPOSITIONS NOTARIES
TELEPHONE 415 - 391-7421
1
Q.
During your years at Fibreboard was there
N
ever a regular periodic physical examination program
.
3
for hourly factory employees
4 |i 5
A.
A regular om, .
~
Q.
Yes
\
.
-
6
A.
No.
7
where |
Q.
No program
they would come in once a
| 8
year or once every two years to be checked- over
9
A.
No.
They were entitled to come in and ask
10 | for a physical examination if they felt they should
11
have one
I mean if they said they didn't feel
12
well and so we did a physical on them
But this
13
was just a history and physical and if we found
14
anything they were immediately referred to their own
15
doctor
That was a little touchy at that time
16
Industrial doctors were not to take care of private
17 |
18
doctors Q.
patients
Was there
during your years at Fibreboard
19 | a program whereby management personnel were given
20
periodic physical examinations at company expense
21
A.
Yes
22
Q.
And did those examinations include chest
23
rays
24
A.
At a certain time -- I can't remember the
25
Wl exact year -- it was popular to run physical
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examinations on key employees so that there would be
available some back in the event of physical
7
disability or death
Q. Maybe I follow but how does the
periodic physical examination program of key
:
employees produce backup if there is a disability or
death
.
A. Well at that time it was felt that yearly
physical examinations would prevent serious illness
10
They could be picked up in the embryonic stage of an
11
illness and something could be done
Since then the
believe D
12
doctors do not
that this merits all this
13
without any symtomatology at all
14 15 16 17 18 19
Q.
Back at the time before 1950 did you
accept what I think you have just said was the
conventional wisdom of doing yearly physical
examinations for preventative purposes
A.
Each executive type employee was offered
this examination by the medical deparment Not
20
everyone took it
Many of them elected to go to
21
their own doctor
For example we wouldn't do
22
sigmoidoscopic examinations and that sort of thing
23
in the office because it would tie up a room too
24
long
25
Q.
201 CALIFORNIA STREET
My question though Doctor was whether
HARRY A. CANNON INC
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at the time you believed that yearly examinations
Was a useful tool to pick up illnesses early
A.
I wasn't convinced of this but it was a
request of the medical department and I didn't feel
strongly enough to deny that -
Q.
And this examination program that was
offered to executives included rays didn't it
chest rays
A.
And some of them refused rays and some
10
of them we would discuss whether they wanted rays
11
or not
12
8.
Did any of the -- withdraw that
13
Approximately how many employees fell within the
14
classification of key executives or executives that
15
were offered this yearly examination program
16
A.
There weren't very many of them
I would
17
say roughly thirty maybe fifty at the most
18
Q.
Were these all from the Emeryville plant
19
A.
All from the Emeryville plant
20
Q.
You told us some things this morning about
21
what you learned in medical school with respect to
22
the subject of asbestos and I would like to spend a
23
few moments talking about that if I may
You
24
learned that asbestos could produce a form of
25
pneumoconiosis
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Yes
And that that form of the disease was
asbestosis
Yes
mo.
.
.
1
Did you know in medical school when the -
disease asbestosis was first described in the
medical literature by that name
A. Asbestosis
10 11 12 13 14 15 16
Q.
Yes
A.
I don't remember the exact date
Q.
Did you learn approximately -- was it a
disease
that
had
been
~~
a
term
that
had
been used
for hundreds of years fifty years ten years
A.
I just can't remember anything -- I mean
it wasn't wasn't considered important enough to discuss in
detail
17
Q.
You learned though that asbestosis was 10
18
form of pneumoconiosis
19
A.
Yes
20
Q.
You learned that inhaling asbestos
21
particles or fibers could produce an irritation in
22
the lungs
23
A.
Yes
24 25
Q.
And that this irritation could go on to an
inflammation
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A.
Yes
-
Q.
And that that inflammation could resolve
with the formation of scar tissue
10
A.
Yes but --
. ~* x,
.
Well I'm just going to answer the question.-question.-
Q.
And you also learned that that scar tissue
was called by physicians intersticial fibrosis
A.
Yes that's okay
Q.
You mentioned this morning that you
learned that asbestosis could contract the lung
I
11
think that was the term that you used
12
A.
The fibrosis would cause some contraction
13
in varying amounts throughout the lung
14 15 16
Q.
And what happens when there is contraction
of the lungs
MR DAGGETT
I instruct the witness not to
17
answer the question framed as it does to get his
18
present medical understanding
19
MR KAZAN
Well it wasn't framed that way
20
at all
21 22
MR DAGGETT
Do you want it read back
Do
you want to hear the words what happens when
23
That was the question
24
MR KAZAN
Q.
Doctor we're talking what
25
you learned in medical school
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MR DAGGETT
Fine
-
A. this
I did not learn anything specific about
-
MR KAZAN
Q. Okay %
You didn't learn in
medical school that asbestosis could produce a
-
6
restriction of the lungs
7
A.
Asbestosis as per se was not discussed
Q.
Did you learn in medical school that
pneumoconiosis could produce a constriction or
10
restriction of the lungs
11
A.
Yes
12
Q.
Did you learn in medical school that
13
pneumoconiosis could produce a narrowing in the air
14
spaces of the lungs
15
A.
Yes
16
0.
Did you learn in medical school that
17
pneumoconiosis could produce a reduction in
18
breathing capacity
19
A.
Yes
iva
20
Q.
When you were in medical school was a
21 22
distinction drawn between obstructive lung disease and restrictive lung disease
23
A.
I don't remember that far back
24
Q.
You don't remember if that distinction was
25 i drawn
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Q.
When you were in medical school did you
learn that pneumoconiosis could produce shortness of
breath
*
A.
Yes
\
.
Q.
Did you learn that pneumoconiosis could
produce dyspnea on exertion
Q.
And that refers to shortness of breath
10
with activity or exercise doesn't it
11
A.
Yes
12
Q.
Did you learn in medical school Doctor
13
that pneumoconiosis could produce cyanosis
14
A.
Yes
15 16 17 18
Q.
And Mr. Daggett asked you to explain that
earlier The cyanosis referred to the development
of a bluish tinge in the extremities or other
portions
19 20 21
A.
In many places
Q.
And that -- what did you learn was the
cause of that bluish discoloration
22
MR DAGGETT
Be told you this morning
Tell
23
i him again Doctor
24
A.
Restriction of the lung and inability to
25 | have the proper percentage of oxygen
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SALESBANCISCAO LLEBANCISSCALLOEBANCISCO SALEBANCISCO SALLEBANCISCO SALLEBANCISCO SALLEBANCISCO SALLEBANCISCO SALEBANCISCO OeCLLIFOBAICLLLAIFOBAILA CLLIFOBAILA CLLIFOBAILA81111811118001 8001
HARRY A. CANNON INC
gain hake genim
2 4m 5 ee 4 n0
TELEPHONE
14530478nt30478nt 30478nt 30478nt
10 11 12 13
MR KAZAN
Q.
And did you learn in medical
school Doctor that pneumoconiosis could produce clubbing of the extremities
A. Q.
Yes
mh 3
mo
And would you tell us
.
please
what you -
understood clubbing to refer to when you were in
medical school
;
A.
Clubbing was a thickening and widening
-
of the extremities of the fingers
Q.
And did you learn in medical school that
the pneumoconioses could produce changes on ray
A.
.Q
Chest ray
|
you
say
Yes
14
A.
Yes
15 16 17 18 19 20 21 22
Q.
What did you understand to be the ray
changes that could occur with pneumoconiosis
A.
Well there are various things and you
would have to specify what form of pneumoconiosis
silicosis anthracosis that sort of thing
Q.
What did you learn in medical school about
the ray appearance of silicosis
A.
There could be foreign materials evident
23
in the lung
24
Q.
Did you learn that silicosis could produce
25
particular types of ray pictures
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Yes
Q.
Did you learn that that would include the
appearance of generally round opacities in the lung
fields
Stee
*
\
.
A.
Foreign materials yes
-
Q.
When you say foreign material are you
referring to the formation of fibrosis or scar
tissue as a result of exposure to these materials
10 11 12 13
A.
Right
Correct
Q.
Did you learn in medical school that there
could be in some forms of pneumoconiosis the
development of a haziness in the lung fields
A.
Yes
14 15
Q.
Of opacification of the lung fields
A.
Yes
16
Q.
Of some calcification around the lungs
17
A.
Yes
18
Q.
And did you learn in medical school that
19
there were any treatments for pneumoconiosis
20
A.
The only adequate treatment was prevention
21 22
Q.
That was something that was clear to you
from your medical school training is that correct
23
Doctor
24
A.
Yes
25
Q.
201 CALIFORNIA STREET
And so you learned that there really was
HARRY A. CANNON INC
TELEPHONE
10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
no treatment per se for somebody once they developed
a pneumoconiosis
A.
Correct
the
Q.
All right That the goal was to prevent
development of the disease preferably with
engineering controls to keep the worker away from the pneumoconiosis producing dust
A.
That's right
Q.
And the term pneumoconiosis Doctor
means dusty lungs doesn't it
A.
I think that is the definition
Q.
You learned in medical school that
pneumoconiosis in its various forms was a group of
illnesses that fell within the field of chest
medicine
A.
Yes
Q.
And that you learned obviously that chest
specialists could be expected to know a whole lot
more about these diseases than general practitioners
A.
It was a specialty
Most specialists know
more about their specialty than general
practitioners
QO.
At least one hopes that they do
A.
Yes
Q.
All right
You learned in medical school
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that respirators dust
masks were not the best way to prevent
pneumoconiosis
MR DAGGETT that Doctor
The question is ae
did you learn
A.
No.
MR KAZAN
Q.
Did you know during your
medical school time that getting workers to wear
respirators was a problem
10
A.
No.
Not -- ----
11 12 13 14 15 16
Q.
Doctor I believe from your curriculum
vitae as I recall you were born in Canada
A.
Q.
A.
Yes
At what age did you move from Canada
Five
I was five and a half years old
MR DAGGETT
You want to ask him what month
17
that was
18 19
A.
Yes I'll tell a --
No I won't
20
MR KAZAN
Q.
You're not to tell me unless
21
Mr. Daggett says it's okay
22
Did you or your family have any involvement --
23 24
let me withdraw that
Were any members of your
family involved in any of the mining industries in
Hl 25
Canada
FALLERANCISCO
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par) 8 tee Baers
A
No.
No.
We knew there was lot of
mining
-
Q.
During your medical school training did
you develop industry
any
familiarity with familiarity
the
Canadian
mining
A.
Yes
I knew that they had asbestos mining
going on and I always felt that asbestosis was
contracted in the mines because of the heavy
9
concentration of asbestos fibers and dust
10
Q.
This was something you felt in medical
11
school
12
A.
Yes
13
Q.
All right
And tell me if you will
14
Doctor what was your understanding at that time of
15
the concentration of asbestos dust in the asbestos
16
mines
17
A.
I have no idea what it was
18 19 220 220 22 23
Q.
Tell me what you understood in medical
school to be the concentration of asbestos dust for
example in asbestos textile mills
A.
It was very heavy
MR DAGGETT
If you had an understanding
Doctor
24
A.
What's that
25
MR DAGGETT
If you had an understanding of
mak
wm
201 CALIFORNIA STREET
hi mia)
mm lk imamimeita
Aw aA
HARRY A. CANNON INC
a
TELEPHONE
CS
Se
A. Yes I did It was very heavy
MR KAZAN
Q.
Did you have an
your training 4
understanding during
medical school
as
%
.
| 5
to whether the levels of asbestos dust
exposure were
6
greater in the textile mills than in the mines
7
A.
All I can remember is they were both --
8
they were both heavy exposures
ae |
Q.
In your medical school education where did
10
you learn about the mining industry and the asbestos
11
textile industry
12
A.
Heard it in lectures somewhere
I can't
13
remember exactly Or the hour that it was given
14
Q.
Do you remember reading any medical
15
literature that dealt with asbestos or asbestos
16
mines or textile mills
17
A.
Not at that time that you have --
18
What time do you have reference to
19
Q.
While you were in medical school
20
A.
No.
21
Q.
Do you know -- withdraw that
Did you
22
ever read an article in the medical literature that
23
|| dealt with asbestos at any time up until you left
24
Fibreboard in 1950
25 |
A.
No.
201 CALIFORNIA STREET
HARRY A. CANNON INC
TELEPHONE
3 es
ir ee
cp
]
Q.
There is a specific report Doctor that I
2
|} would like to ask you about
I refer to an article
3
entitled A HEALTH SURVEY OF PIPE COVERING
4 ; OPERATIONS IN CONSTRUCTING NAVAL VESSELS authored
5
by Fleischer Viles Gade and Drinker published in
6
the Journal of Industrial Hygiene and Toxicology in
7 | 1946
8
Did you prior to the time you left Fibreboard
9
ever read that article
10
A.
Not at that time
11
12
Q.
Do you know what article I am speaking of
A.
Yes
13
Q.
Did anyone at Fibreboard ever discuss that
14
article with you prior to 1950
15
A.
Never
16
8.
Did anyone at Fibreboard discuss that
17
article with you at any time prior to your leaving
18
California
19 20 21 22
A.
No.
y
Q.
Did you yourself ever read that article
|
prior to leaving California in 1970 or '71
A.
No.
23
a
Q.
From your own knowledge Doctor do you
24
know of anyone in Fibreboard management either
25 | medical or safety or corporate management who
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2422 301.7 91
actually read that article prior to the time you
2
left Fibreboard in 1950
3 A. I have no knowledge of that ~
4 |
5
Discussion off record
Q.
You knew Doctor
re tape time remaining
from your medical school
| 6 #
training that asbestos dust was potentially
7
hazardous is that correct
8 9 10 11
MR DAGGETT
The question is did you know
that from your medical school training
A.
I knew that since asbestos was one of the
pneumoconioses
12
Q.
Okay
And you knew that any dust which
to 13
could produce a pneumoconiosis would have
be
14
something that you would consider to be a
15
potentially toxic dust is that correct
16 |
A.
Yes
17 18 19 20
MR KAZAN
This would be a convenient place
to take our break while we change the tape
MR DAGGETT
Yes why don't we change the tape
and leave five minutes on it and then start with a
21
fresh one
22
Short recess taken
23 24 25
i
MR KAZAN
Q.
Doctor before the recess
we were talking about the things that you learned in
medical school and just so that we are clear did
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you learn in medical school that pneumoconiosis
could be a disabling disease
@%
: +
A.
Yes
Q.
And did you also learn that it could cause
Pra
death
A.
Yes I suppose it could
Q.
Did you also learn in medical school
anything about whether pneumoconiosis was an acute or chronic disease
10
A.
It was a chronic disease
11
Q.
You learned that it was a disease that
12
would develop over time following exposure to the
13
pneumoconiosis producing dust
14
A.
Yes
15
Q.
And you learned at that time that there
16
was a concept of maturation or latency involved in
17
the development of pneumoconiosis didn't you
18
A.
I'm not certain about all the
19
pneumoconioses if there is a latency period that is
20
significant
21
Q.
Did you learn about a latency period in
22
any of the pneumoconioses
23
A.
No.
24
Q.
Did you know from medical school that
25
i there was a latency period between exposure to
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1
asbestos dust and the development of disease
2
3 |
A.
No.
o
Q.
Did you know that during your years at
|
| 4
Fibreboard
\
~
.
Sy
5
A.
No.
6
|
0.
Did you learn -- withdraw that
7
Fibreboard opened the Plant Rubber and Asbestos
8 Works insulation factory in late 1941 approximately
|
9
Do you recall that
10 11 12 13 14 15 16 17 18 19 20 21 22
A.
Yes Well I didn't know it was opened
then
They were working on it and it either opened
at the end of '41 or the early part of '42
you
you Q.
Did
understand at that time when
returned to Fibreboard in 1946 that a worker
exposed to asbestos dust would ordinarily not become sick for a period of years if at all
A.
No we did not know about it
0
In 1942 is it correct that you would not
have expected to see any disease related to asbestos
exposure from exposure that took place in 1941
MR DAGGETT that
Oh my
Could you rephrase
23 24
MR KAZAN.
Q.
Doctor you would not have
expected in 1942 to see any disease related to
25
jf asbestos exposure from 1941 would you
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me eo mn a
TELEPHONE
A.
We did not appreciate the latency period
at that time
:
Q.
If somebody's exposure began in 1941
expect show Doctor you would not
them
to
|
asbestos disease by 1942
MR DAGGETT
I instruct the witness not to
answer the question which in form calls for a
~
present medical opinion
MR KAZAN
Q.
My question was with respect
10
to what you knew in 1942
11
A.
I did not know about the latency period in
12
1942
13 14 15 16
Q
You didn't know that it took some time
from the period of first exposure for asbestosis to
develop in 1942
A.
No.
17
Q.
Did you learn in medical school that there
18
was a relationship between the extent of exposure to
19
pneumoconiosis producing dust and the development of
20
disease
21
A.
Repeat it again please
22
Q.
Yes
When you were in medical school did
23
you understand the concept of a dose response
24
relationship
25
A.
am hae
mm
201 CALIFORNIA STREET
me
eam nn tm
kl
I appreciated the fact that any exposure
HARRY A. CANNON INC
TELEPHONE
149
149 2. : < ra
1
to dust would depend on the total
exposure
I mean
2 if it was a massive exposure in mines yes
3 |
Q.
You knew that the risk of development of
exposure 4
disease was related the extent of the
.
| 5
A.
Yes
6 7 8 9 10
Q.
And that someone with a relatively small
| | exposure all other things being equal would be
less likely to develop disease than someone with a
greater exposure
A.
Yes
11
0.
And that's something you knew from medical
12
school
13 14 15 16 17 18 19 20
But
.A
they
I don't remember where I knew
never specifically spoke about
this from
any of these
things
am trying to get across the fact that the
pneumoconioses were discussed very briefly
| Q.
Were you aware Doctor of any general
public concern about silicosis during the nineteen
thirties when you were in medical school
|
A.
Yes
21 22 23 24
Q.
And did you know Doctor in your years at
| Fibreboard whether silica was used as a raw material
;
| in any of the Fibreboard processes
A.
Not at that time
25
Q.
Okay You did not know while you were at
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me ie ne m n me
TELEPHONE
Fibreboard whether they used silica
A.
No.
.
Q.
|| A.
That's That's
correct you
correct .
correct
didn't
know it \
~
Q.
Did you know Doctor whether Fibreboard
at that time used any diatomaceous earth
A.
I did not know that
10 11 12 13
Q. disease
Did
you
know at
that
time
that
there
was a
|
called diatomaceous earth pneumoconiosis
A.
I knew that diatomaceous earth was a
hazard
I did not know it at that time
Q.
You never knew while you worked for
Fibreboard --
14
A.
I
15
Q.
16
disease
No.
~~ that diatomaceous earth could produce
17
A.
I did not know that they had diatomaceous
18
earth in their product
19 |
Q.
My question though was whether you knew
20
that diatomaceous earth was a potential producer of
21
pneumoconiosis
\ 22
A.
At that time no
23
|
Q.
Now in July of 1982 the summer before I
24
took your deposition you were visited by
25 | representatives of Fibreboard weren't you
201 CALIFORNIA STREET
HARRY A ANNON INC
TELDUANE TELDUANE
A.
In Tucson
Q.
In Tucson
A.
The attorneys from an insurance
company
Q.
No. In July of 1982 weren't you visited
-.
sit ing
.
by Mr. Beck who is sitting off on the side of the
room <-
A.
Yes
10 11 12 13 14 15 16 17 18
Q.
~- and a Miss Nanette Hudson counsel
with Mr. Hothem's office
A.
Yes
Yes she was representing an
insurance company
Q.
Did she tell you she was representing an
insurance company or Fibreboard
A.
Well she was representing Fibreboard
|
through an insurance company
Q.
And she came to see you to talk about what
you knew and remembered from your years at
Fibreboard is that true
19
A.
Yes
20 21 22
Q.
And at that time she attempted to retain
you as a consultant to Fibreboard didn't she
A.
Not as a consultant I don't think
As a
23
witnes or whatever -- I don't -- she Wanted me to
F
24
discuss some of the matters
25
Q.
Didn't she ask you if you would -- if she
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oe
TELEPHONE
1 2 3 4 5 6 7 8 9 10 11
could retain you and have you come to San Francisco
and talk to them and serve as a consultant to
| 7 Fibreboard in this litigation
said
know A.
I don't
the exact
I was to be a consultant or
terminology she
;
whatever M because
| I was never an expert on this sort of thing
Q.
And she discussed with you when she was
there the question of whether you had coverage under
| your Fibreboard's insurance policies with respect to
own acts as a doctor during the years you worked for
Fibreboard
12
A.
I don't remember her saying anything about
13
that
14
Q.
You don't recall her telling you that
15
|| there was a question as to whether you were a
16
potential defendant in malpractice cases arising out
17
of the Fibreboard factory
18
A.
I don't remember her discussing that facet
19
of the problem
20
Q.
And you don't remember her telling you
21
that there was a question as to whether if you were
22
sued you would be covered by Fibreboard's policy
23
A.
I can't remember that
24
Q.
Miss Hudson discussed with you what you
25
knew from medical school and what you knew about
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ye
asbestos while you worked at Fibreboard didn't she
A. Yes .
Q.
asbestos
And when you
told
te. oy
her you
learned
\
to some degree from your pathology
about
textbook
she told you that you must be mistaken didn't she
A.
Well she asked me specifically if I could
mention anything any text or any reference to what
it was
10 11 12 13 14 15 16 17 18
Q.
And that led you to on the way home from
dinner to stop by your office and get the Boyd's
textbook and show it to her
A.
0
Yes And --
A.
That --
Well never mind
Q.
Well if your answer to my last question
was incorrect or something --
A.
No --
19
Q.
=
you
are
certainly
free
to
change
it
20
A.
It isn't incorrect
I am trying to curb
21 my garrulousness
22
Q.
Following your meetings with Miss Hudson
23
you then made some inquiries on your own into the
24
medical literature didn't you
25
A.
Yes
31 CALIFORNIA CALIFORNIA STREET
--- &
----
anime
y
Q.
And how did you go about doing that
Doctor
6
MR answer
DAGGETT
I
We are taking
instruct the
the position
witness not
x a
here and we
to are
taking it quite clearly that such inquiries into
the medical literature as Dr. Perlmutter made with
reference to prior depositions and with respect to
may this litigation and such opinions as he
hold as
a doctor today are not germane to the subject of the
10
action or likely to lead to discovery of admissible
11
evidence and there will be an instruction on this
12 stuff I think you are very close to work product
13
with these questions but I haven't said anything
14
until now
15 16 17 18 19 20 21 22 23 24
MR KAZAN
I am not close to work product
Until two months ago he wasn't working for
Fibreboard
And I am entitled to explore what this
witness knows when he learned it and whether that
refreshed his recollection of things he knew before
You are not entitled to limit the scope of this
deposition
I would request that you permit him to
answer questions on this line or we will ask the
court to have him come back and we will do it some
other time
25
MR DAGGETT
Mr. Kazan I have to tell you
201 CALIFORNIA STREET
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10 11 12 13 14 15 16 17 18 19 20
in very plain English that the questions you put to
Dr. Perlmutter on November 13 1982 in
the
Crittenden and related consolidated cases was a
hopeless jumbled up
when he was at Pabco
mixed salad of what he or Fibreboard and what
knew
he knew
as he sat there at his deposition and that hopeless mixed up salad was not the result of ineptness on
your part but a high degree of
which nonetheless related in a
professional skill record which so far
as the issues in this case to which his knowledge
relates is grotesque and incomprensible
Now I will instruct him with respect to
present knowledge how he got it what his opinions
are and he will be instructed not to testify with
respect to matters after he left Pabco unless and
until after notice and hearing there is a final
court order that says otherwise
MR KAZAN And I take it that is a blanket
instruction and we therefore have a blanket
stipulation
21
MR DAGGETT
No sir you don't have a
22 23 24 25
blanket instruction and you don't have any kind of
blanket issue or certification
We'll have to get
at this as we go along because there may be areas in
which a contrast between what he knows subsequent to
201 CALIFORNIA STREET
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the time he left Fibreboard will be helpful in
flushing out what he knew while he was at Fibreboard
or Pabco
But those will be very small or
infrequent instances
...
...
x
+
And I am determined that no
lawyer
*
for
the
plaintiffs here will succeed again in
confusing
obfuscating and mixing up the difference between
that mind
which
today
may
and
be in Henry Perlmutter's professional that which was in his mind before he
10
left Pabco for the
purpose of arguing to a jury
11 later that his present knowledge and opinions were
Yo 12 knowledge and opinions he held when he was working
13 for Pabco We just aren't going to do that again
14 I think that any court having an opportunity to
15
consider the question carefully and deliberately
16 will see that the distinction is an eminently
17
reasonable one
18 19 20 21 22 23 24
The problem in these cases essentially is
mind trying out states of
that in some cases are
forty forty thirty thirty years ago There are severe evidentary problems and mixing things up even though done with a high degree of
professional skill results in obfuscation and not
the truth
25
MR KAZAN
Chat
201 CALIFORNIA STREET
PA warren
lel
lw].
That's a very pretty speech
It
HARRY A. CANNON INC
TELEPHONE
is irrelevant It is incorrect The doctor's prior
2
deposition is clear on its face
.
3
MR DAGGETT
The doctor's prior deposition
4
has questions --
\
are ,
| 5
6
MR KAZAN MR DAGGETT
Counsel I didn't interrupt you
I'm sorry
Go ahead
7
MR KAZAN
The deposition is clear on its
| 8
face His testimony is clear And the appropriate
want 9 trier of fact can make whatever decision they
| that 10
My question today is -- you have now indicated
11
you will instruct him -- since you have now
12
apparently been engaged as his counsel -- not to
}
13
answer questions concerning anything he has done
14
since he left Fibreboard
Given that I am not
15
going to sit here and ask two hundred questions so
16
that you have a script in advance to prepare him for
17
when the judge tells you that you're wrong I was
18
| right and he has to come back to do this over
19
|
MR DAGGETT
I wish you wouldn't threaten
20
this seventy year man with having to come
21
back
22 23 24 25
MR KAZAN I'm sure not going to Tucson again
I did that because of
once
If he
the attitude
has to
you're
come back
taking in
it's this
deposition
201 CALIFORNIA STREET SAN FRANCISCO CALIFORNIA 04 .5704
HARRY A. CANNON INC
an
ote...
TELEPHONE
qy
MR DAGGETT
All right You're not going to
see his medical books at home unless want to go
.
to Tucson
Now when you're you're through you tell me and I want
to add something in response to what you just said
MR KAZAN
Well I think we'll defer your
speech till four o'clock when the doctor and I are
going to leave because I don't want to waste my time
MR DAGGETT
I'm sorry but you make your
10
record here and I make mine and I'm going to tell
11
you this
Number one the questions put to him by
12
you on November 13 1982 many of them perorations
13
which run sixteen eighteen lines in length are bad
14
in form and if put again they will be objected to on
15
that ground and number two I don't hesitate to
16
have you test this position in court if you wish to
17
do 80.
And I urge you to do so
I am making no
18
blanket instruction
What I am doing here is trying
19
to state for the edification of all on the record
20
what I believe to be a consistent position and a
21
position which should and might have been taken on
22
November 13 1982 and was not
23
MR KAZAN'
Q.
Doctor -
24
MR WARTNICK
Mr. Reporter would you please
25
certify that question in my shipyard cases
Thank
201 CALIFORNIA STREET
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159
MR DAGGETT
Dr.
Perlmutter
there is
ee
nothing to this baloney about certifying questions
| automatically It's done
and this record is going to
be in shape for presentation of the question to the
oad
i court if anybody wants to do it
MR KAZAN
Q.
Doctor --
10 11 12 13 14 15
MR DAGGETT
I don't believe that you have a
-
right to conscript this man as a present expert
medical consultant and I don't hesitate to say as
I have said before that you would not engage Henry
Perlmutter as an independent medical expert if you
jj} had the opportunity and you don't
MR KAZAN
Are you finished with your speech
MR DAGGETT
I am finished with the remarks
16 17 18 19 20 21
I consider necessary to making my own record now
|
yes
MR KAZAN
Very well
| Q.
Doctor after your meeting with Miss
Hudson you indeed went and reviewed medical
literature from the thirties and forties and fifties
22 23 24
and sixties didn't you
|
A.
Yes
MR DAGGETT
I instruct the witness not to
25
answer
I think he just said yes but I am going
201 CALIFORNIA STREET
em mantam
madd eh
HARRY A. CANNON INC
om oe meen
ftw mee
TELEPHONE
48 201.7401 201.7401
1
to instruct on this line Dr. Perlmutter I think
2
MR KAZAN
Q.
Now you met with me in
3
November of 1982 do you recall that
4
A.
Yes
a
;
5
Q.
We spent several hours with your attorney
6
discussing your experience at Pabco and what you
7
knew about asbestos and disease do you recall that
8 |
A.
Not the intimate details but I recall
9
discussing this with you
| 10
Q.
And do you recall Doctor at that time
11
you expressed an interest in seeing more of the old
Vw,
12
| literature about asbestos
13
.A
I don't remember specifically but --
| |
14
Q.
Do you remember Doctor at that time I
15
gave you a set of abstracts of medical literature
16
from the period between the thirties and the
17 seventies
18
A.
Yes
19
Q.
And you reviewed those did you not
20 21 22
A.
Yes
Q.
And do you recall that I came back - that
was on a Monday and I came back and met with you
23
again on Friday evening in anticipation of your
24
Saturday morning deposition do you recall that
25
A.
There were a lot of meetings then I can't
201 CALIFORNIA STREET
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RMPRASEMEIC
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TELEPHONE 415 - 391-7421
remember in detail about this
2
Q.
And you recall Doctor I take it that
3
when we met on that Friday I gave you copies of some
4
medical articles that you had expressed an interest
5
in seeing do you remember that
6
A.
I don't remember it specifically
I
7
remember discussing something about it
B
Q.
Do you remember my giving you copies of
9
some articles
10
A.
Yes
11
Q.
Now sometime after that conference the
12
day before your deposition you in fact reviewed
13
those articles didn't you
14
A.
Sometime
15
| 16
Q.
Do you still have those materials
A.
I think so
I have to look for them
17 |
18
Q.
And you still have the abstracts
A.
Somewhere
19
Q.
Now Doctor I am going to show you a copy
20
that is unfortunately somewhat marked up of an
21
editorial from the Journal of the American Medical
22
Association sometime around July or August of 1949
23
And if you want to mark this Mr. Reporter
You can
24 25
make a copy of it and return that to me It's a three document that bears some of my writing on
201 CALIFORNIA STREET SAN FRANCISCO CALIFORNIA 94111-5091
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DEPOSITIONS - NOTARIES
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Three document The Journal of
American Medical Association Volume
the
140
comprising
marked for
cover pages 1219
.
iden Exhibit 1
and 1220
MR KAZAN
Q.
take a look at this
Doctor I would like you to
A.
Examining
| MR DAGGETT
There is no question Dr.
Perlmutter 10 The question may in my mind be
11 appropriate or inappropriate Wait for the question
12
please
Don't
say anything about that until you
13
have one from Mr. Kazan
14
A.
Examining
15 16
| MR DAGGETT
Before we
|
proceed would you pass
it down and let me glance at it
17
Examining All right
| 18
MR KAZAN
Q.
You told us this
morning
19 Doctor that you received and regularly read the
| 20
Journal of the American Medical Association
21
| 22
A.
Yes
MR DAGGETT
It isn't quite what he said
23 24
| But I think he has it in mind
MR KAZAN
Q.
You've just had an
25
opportunity to glance over this editorial
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10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
A.
Yes
Q.
Would you read for the record the title of
that editorial
LUNG AND A.
ASBESTOSIS
CANCER OF THE
CANCER
.
Q.
Doctor was this afternoon the first time
in your life you've read that editorial
MR DAGGETT
I instruct the witness not to
answer
I will give you the ground whichI assume
you want
You have now muddied the waters Mr.
Kazan by testifying with his approbation that you
handed him a whole bunch of old stuff when you saw
him in Tucson I am not going to permit him to
testify about stuff you gave him and that he read
within the last couple of years
If you want to ask
him whether he read that at or about the time of its
publication or before he left Pabco he will answer
but we are not going to have another mixed salad
here of whether he read some old stuff because he
read it when he was at Pabco or whether he read it
because you handed it to him in Tucson a couple of
years ago
MR KAZAN
Q.
Did you read this Doctor
when you received the Journal in 19497
A.
No.
I explained that I did not read it
the Journal of the AMA cover to cover
I read
201 CALIFORNIA STREET
HARRY A. CANNON INC
TELEPHONE
ban
"tier
selected articles
And I don't remember reading
this Q.
you
A.
Q.
.
You read articles that were of interest to
.
,
ne
-
Yes
And you would look at the table of
contents or the index --
A.
Yes
| Q.
-- and pick out articles that had some
10
bearing on the things that you found pertinent to
11 12 13 14 15 16 17 18 19 20 21
your practice
A. Q.
Yes And I missed this
Doctor in 1949 was it your practice to
read articles in the Journal of the American Medical
Association that dealt with asbestos
A. Q.
Yes if I -- and I missed this
Okay
How do you know that you missed it
A.
I would have remembered it
Q.
If you had read this this would have
stuck in your mind
A.
Yes
22 23
A. Because it related to the asbestos that we
24
had in our plant
25
Q.
In 1949 had anyone at Fibreboard
201 CALIFORNIA STREET
HARRY A. CANNON INC
TELEPHONE
management told you that they had some concerns
2
about whether asbestos was a potential carcinogen
3 4 5 6 7 8
|
9 10
11
12 13
A.
No.
.
you Q. Do you remember a patient that
treated
in your private practice in the mid to late nineteen
sixties by the name of Dean Walker
A.
I don't remember Dean Walker
Q. If it would help your recollection he was
saw in surgical consultation for Dr.
a patient you Adamson on several occasions for a question of an
ulcer or other G.I. disease who in 1969 when you
had hospitalized him for G.I. workup was found to
have mass on chest ray and who underwent lung
14
surgery for lung cancer by Dr. Maegher --
15 16
e -- assisted by you
MR DAGGETT
The question Dr. Perlmutter --
17
MR KAZAN
Q.
Does that refresh --
18
MR DAGGETT
- does that refresh your
19
recollection whether or not all that testimony by
20 21 22 23
Mr. Kazan is the fact
A.
Yes that refreshes my memory
MR KAZAN
Q.
Do you recall such a case
even though you can't put the name of Dean Walker on
24
it
25
A.
Vaguely I remember I know I referred a
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man neammein NATABIEN NATABIEN
TELEPHONE
15.301.7421 15.301.7421 15.301.7421
case to Dr. Maegher from the plant
-
Q.
And --
MR DAGGETT
nineteen sixties
A.
Yes
The question went
Doctor ,
|
~
.
to the
5
late
ie
MR KAZAN
Yes
A.
And this was someone who had worked at
Pabco
I had not been treating him
I had not seen
him before
As I remember I saw him in
10 11 12 13 14
consultation for another surgical entity and then
referred him to Dr. Maegher after doing the
preliminary chest rays prior to surgery
-Q
Okay
And you knew at the time that this
was a man who had worked at Fibreboard
15
A.
I
don't
--
I
just remember the whole
case
16
very vaguely I can't tell you definitively
17
Q.
In 1969 at the time of this case that you
18
have some recollection of were you aware that
19
asbestos was thoughtto be a cause of lung cancer
20
MR DAGGETT
I instruct the witness not to
21 22 23
answer
It's too remote to the time he was with
Pabco
Doesn't make any difference whether he knew
that in 1969 or not
He was gone
24 25
MR KAZAN
When you get a robe you can
decide whether it makes a difference
201 CALIFORNIA STREET
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TELEPHONE
MR DAGGETT and the record now
I have to protect the witness
The robe comes later if you
wish to go see it
MR
patient
KAZAN
who you
Q. NOW ! did
recall somewhat
you tell this
vaguely that
you
thought his lung cancer was a result of asbestos
exposure at Fibreboard
MR DAGGETT
Instruct the witness not to
vv
10 11 12 13 14
answer
Same ground
MR KAZAN
Q.
During your years at
Fibreboard were you ever aware of the existence of a
physician by the name of Anthony Lanza -- -
A.
And what time was this
During the time --
Q.
During the time you worked at Fibreboard
15 16
or before
A.
No I didn't know
I think I remember the
17
name subsequently
18
Q.
During the years up to 1950 were you ever
19
aware of any recommendations published by the United
20 21
States Treasury Department in the Public Health Reports with respect to examination of asbestos
22
exposed factory workers
23
A.
The years again
24
MR DAGGETT
Up to 1950
25
MR KAZAN
Q.
Up to 1950
201 CALIFORNIA STREET
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TELEPHONE
nr aoe? eees
Q.
Did you ever know up until 1950 that there
3
were recommendations in the medical literature that
4
new employees in factories using asbestos as a raw
physical 5
material should be given
examinations -
6
including chest rays and rejected for employment
7
if they showed any evidence of tuberculosis or
8
pneumoconiosis
-
9
A.
Where was this article from
You're
10
reading something
11
MR DAGGETT
The question is -- no Dr.
12
Perlmutter he can read and frame a question from
13
his reading and in this instance you're not
14 | entitled to ask him about that
The question is
15
did you know that at any time up until 1950
16 17 18 19 20
A.
I didn't know the article I never heard
of it
And I don't know if it's actually pertinent
there that everyone should have rays prior
MR KAZAN
Q.
My question Doctor was
whether you were aware that that recommendation had
21
been made --
22 23 24
A. Q. A.
No I did not know -- at any time before 1950
No.
25
=|
0
Were you aware before 1950 at any time
201 CALIFORNIA STREET
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DEPOSITIONS . NOTABIES
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ce
1
that recommendations had been made in the medical
2
literature that employees in asbestos utilizing
3
manufacturing plantbse examined physically
A
5 :
preferably every year but at least every two years
an the examination to include
ray examination of
6
the chest
||7
A.
No.
;
8
Q.
No one in management ever brought that to
|
9
your attention
10
A.
No.
11
0.
Did anyone in management ever seek your
E
E
E
12
advice or counsel with respect to what medical
13
precautions if any should be taken to protect
14
workers who were exposed to asbestos
15
MR DAGGETT
That is Pabco management up
| | 16
until the time he left
17
MR KAZAN
That's right
18
MR DAGGETT
All right
19 20 21 22
|
A.
No.
MR KAZAN
Q.
Did anyone in Pabco's
| management up until 1950 ever ask you to do any
research into the hazards of asbestos
23
A.
No.
24
Q.
Did anyone ever ask you in Pabco
25
H management to go to the library and see if there was
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AST ASTHAUS H ASTHAA US US ASTHAUS hee ee
TELEPHONE
oe
ey
z
anything in the medical literature that was
important for management to be aware of as it
related to the risks of asbestos exposure
A.
No.
\
Tr.
8
>
.
By
Q.
During the years that you on occasion saw
patients in surgical consultation for Pabco that is
1950 on did anyone in connection with management
either medical department or insurance
department or other management ever ask you for
10
information concerning the health hazards of
11
asbestos exposure
12 13 14 15
A.
No.
Q.
read any
Doctor at any
of the articles
time up until 1950 by Dr. Cook in the
had you
British
Medical Journal dealing with asbestos
16 17 18
pulmonary fibrosis MR DAGGETT
Is the British Medical Journal
the proper name of the publication
19 20
MR KAZAN
Yes
Q.
Is it Doctor
21
A.
I think 80
22
Q.
All right
23 24 25
the
A. No never read it
Q. Up until 1950 had you ever read any of
articles written or published by Dr. Gloyne of
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10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
England
;
A.
Q. A.
Dr. who
.
e
Dr. Gloyn-e- y
No.
nm
YY s .
Q.
Up until 1950 had you ever read any of
the articles published by Drs Lynch and Smith in
the American medical literature
A.
Q.
Gloyne
No.
Did you read any articles by Drs Wood and
A.
No.
Q.
Did you ever hear the name of Dr.
Merewether -- w
A.
No.
Q.
Did you know prior to 1950 of the
existence of the Office for the Inspection of
Factories in the British government
A.
No.
Q.
Up until the 1950's were you aware of any
regulations respecting the use of asbestos in
English factories
A.
No.
Q.
Or in American factories
A.
No.
Q.
Including California
A.
No.
0.
In your medical school training Doctor
did you become familiar or acquainted with a text by
\
Dr. Lanza called SILICOSIS ASBESTOSIS
A.
And that's --
-
10 11 12 13 14 15 16 17 18 19
MR DAGGETT
Doctor
A.
No.
MR KAZAN
That's in medical school
,
:
~
Q.
Did you become familiar with
that text or portions of it at any time after its
publication in 1936 up to and including 1950
A.
No.
Q.
Did you become familiar with that text at
any time subsequent to 1950
A.
I heard the name Lanza and that he was
interested in this type work
And I haven't read
anything by him
Q.
You never read Lanza's text
A.
No.
20
Q.
You never read a report that is commonly
21
called the Lanza Report published in 19357
22 23 24
A.
From --
Q.
Public Health Reports
A.
Public Health -- no
25
Q.
a. BULL
ATAS
It was a survey of asbestos
ata bemris B&B
Mee eehawmendn bhi
10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
workers
at
the
i
Canadian
mines
and
the
asbestos
textile mills in South Carolina largely
recall that
Do you
A. Shakes head . \
a
Q.
Never read it
A.
Never read it
Q.
Were you acquainted at any time prior to
1950 with a report by Dr. Dreesen studyin thge
asbestos textile industry in South Carolina
A.
No.
Q. time
Have you ever read that report since that
A.
No.
Q.
At any time prior to 1950 did you review
or read any other articles in the literature that
dealt with the subject of asbestos and lung cancer
MR DAGGETT
Prior to 1950 Dr. Perlmutter
A.
No.
MR KAZAN
Q.
Did you read such articles
at any time after 1950
MR DAGGETT
Instruct the witness not to
answer
The only relevance in this case of Dr.
Perlmutter's knowledge is that it might on one legal
theory or another be Pabco's or Fibreboard's
knowledge and Dr. Perlmutter's knowledge after he
201 CALIFORNIA STREET
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Mttee
a
left Pabco is not relevantt o anythinign this case
MR KAZAN
I think you've said that before
MR DAGGETT
Well I didn't say it quite
that way
You can't seem understand it That's
why I did it again
-
MR KAZAN
Well before it took you ten
minutes
You've now boiled it down to thirty
seconds
10 11 12 13
MR DAGGETT
I'm improving
Are you
I
guess I shouldn't say you don't understand it Mr.
Kazan I think you do understand it .What you won't
do is accept it
MR KAZAN
That's because you're wrong
14
Q.
Doctor
--
15
MR DAGGETT
You will see maybe
16
MR KAZAN
Q.
Doctor prior to 1950 did
17
you read any articles in the medical literature from
18
any country that raised the question of connection
19
between asbestos exposure and lung cancer
20
A.
No.
21
MR DAGGETT
Mr. Kazan may I call your
22
attention to the hour and our four o'clock breaking
23 24
point
MR KAZAN
I think you just did
25
Doctor at this point subject to reconvening
201 CALIFORNIA STREET
HARRY A. CANNON INC
TELEPHONE TELEPHONE
your deposition after the court educates Mr. Daggett
-- --the law that applies to your deposition I have no
further questions
I will not be
that Mr. Daggett
present tomorrow and I assume
~
you have no intention of changing
your position or agreeing that I am entitled to ask
the questions to which you have objected and
~
instructed the witness not to answer
MR DAGGETT
No sir I have no such
10
intention
11
MR KAZAN
All right
At this point then
-
12
for the sake of the record let me say that it is my
13 14
position and I would ask the reporter to so note at
the end that at the time when this deposition
15
concludes I exercise my statutory option to recess
16 17 18
the deposition rather than adjourn it for purposes of being reconvened at an appropriate later date to
go into the areas that I am confident the court will
19
permit me to explore
20
Thank you Doctor
It's a pleasure to see you
21 22 23 24
again
MR DAGGETT
Thank you ladies and gentlemen
We will reconvene in this room at ten o'clock
tomorrow morning
25
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pee
mrs Disha
1
Adjournment taken at 4:02 o'clock p.m. to
2
10:00 o'clock a.m. Tuesday October 30 1984
10
11
N}em.,
12
14
15
16 17 18
19
|
20
21
22
23 24
25
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keaP)
thw Bare
177
1
INDEX
2
DEPOSITION OF HENRY A. PERLMUTTER M.D.;
3
Tuesday October 30 1984
4
an
~
5
6
Examination by
\
.
Page
-
7
MR WARTNICK
;
182,204
00
MR BURNS
9
MR DAGGETT
195,207
;
202
10
11
be
12
13
QUESTIONS DIRECTED NOT TO ANSWER
14
LINE
15
205/14
16
205/23
17
207/15
18
19
20
21
22
-
23
24 25
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HARRY A. CANNON INC
DSITIONS
NOTARIES NOTARIES
TELEPHONE
115 301.7804 301.7804
EXHIBIT EXHIBIT S
Number
wa. as
2
Extract PATHOLOGY An Introduction
to Medicine
page
*
doc
Page
200
10 11 12
F F
13 14 15 16 17 18 19 20 21 22 23 24 25
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HARRY A. CANNON INC
REBACITIONE NOTIDIES
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sae
ANCESTRA ANCESTRA
BE IT REMEMBERED that pursuant to adjournment
of Monday October 29 1984 the deposition of HENRY
A. PERLMUTTER M.D.
1984 commencing at
resumed on Tuesday October 30
1
hour the
of 10:10 o'clock a.m.
.
Studio thereof at KQED 500 8th Street
B San -
Francisco
California
before me
HARRY
A.
CANNON a
|
Certified Shorthand Reporter and Notary Public in
~
and for the State of California
HENRY A. PERLMUTTER M.D.
10
called as a witness by Fibreboard Corporation who
11
being by me previously duly sworn was thereupon
12
examined and testified as hereinafter set forth
13
14
CARTWRIGHT SUCHERMAN SLOBODIN & FOWLER INC
15
160 Sansome Street Suite 900 San Francisco
16
California 94104 represented by HARRY F. WARTNICK
17
Attorney at Law appeared as counsel on behalf of
18
plaintiffs and
19
KENNETH L. KNAPP Esquire 695 Town Center
20
Drive 1000 Costa Mesa California 92626
21 22 23
represented by PATRICK BURNS Attorney at Law appeared on behalf of plaintiffs and
MARTIN HARRISON & DeGA 501 Shatto Place
24
Suite 100 Los Angeles California 90820
25
represented by GUY LEWIS Attorney at Law appeared
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on behalf of plaintiffs and
BROBE PHLEGER & HARRISON One Market Plaza
Spear Street Tower San Francisco California 94105
represented appeared as
by ROBERT S. DAGGETT Attorney a. t ~
counsel on behalf of Fibreboard
Law
-
Corporation and ROPERS MAJESKI KOHN BENTLEY & WAGNER 655
Montgomery Street Suite 1600 San Francisco
California 94111 represented by THOMAS C. NORTON
10
Attorney at Law appeared as counsel on behalf of
11
Fibreboard Corporation and
C
12
BLEDSOE CATHCART BOYD ELIOT & CURFMAN 650
13
California Street Suite 2828 San Francisco
14
California 94108 represented by ELIZABETH
15
DREYFUSS Law Clerk appeared as counsel on
16
behalf of Flexitallic Gasket Company Inc and
17 18
Law Offices of WILLIAM DUKE 433 California Street Suite 330 San Francisco California 94111
19 20
represented by ROBERT PESTLEWAITE Attorney at Law
appeared as counsel on behalf of H.K. Porter
21 22
Company Inc and HASSARD BONNINGTON ROGERS & HUBER 3500 Wells
23
Fargo Buildin4g4 Montgomery Street San Francisco
24
California 94104 represented by EMILY BROCKMAN
25
legal assistant appeared as counsel on behalf of
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OS
:
TELEPHONE
pat
304 7891
1 Pittsburg Corning and .
2
GUDMUNDSON SIGGINS & STONE 235 Montgomery
3
Street Suite 710 San Francisco California 94104
4 | represented by SUSAN PIERCE Attorney at Law
behalf World 5
appeared as counsel on
of Armstrong
-
6
Industries Inc and
7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
POPELKA ALLARD McCOWAN & JONES 601 Montgomery Street Suite 2022 San Francisco
California 94111 represented by CAMILLA D. COCHRAN
Attorney at Law appeared as counsel on behalf of Owens Corning Fibreglass and
MCDONALD PERUSSINA & CULLOM 731 Market
Street San Francisco California 94103 represented by JONATHAN BACON Attorney at Law appeared as counsel on behalf of John Hondialle Inc. and
ERICKSEN ARBUTHNOT MCCARTHY KEARNEY & WALSH INC Pier 1-1 The Embarcadero San Francisco
California 94111 represented by THEODORE C. LUEBKEMAN Attorney at Law appeared on behalf of
NAAC
ALSO PRESENT ROBERT A. BECK Esquire
23
24
25
hi
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1 2 3 4 5 6 7 00 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
Pala
HENRY A. PERLMUTTER M.D.
being
previously duly sworn
testified as
-
follows
Lo
tke,
EXAMINATION BY MR WARTNICK
1
HN
MR WARTNICK
Q.
Good morning Doctor How
are you today
A.
Fine
Q.
Good
:
.
Doctor my name is Harry Wartnick
I represent a number of plaintiffs in shipyard
applicator cases and shipyard bystander cases
I
have a very few questions to ask you this morning
First Doctor during the period 1938 to 1950
did you own a copy of the Encyclopedia Britannica
A.
No.
Q.
A.
Did you have one at home No.
Q. A.
Or did your children have one at home
No.
Q.
Beginning in approximately 1941 you knew
that Fibreboard was making a thermal insulation
product at the Emeryville plant is that correct
A.
I don't know if they started yet
They
were building the building in '41 and I'm not
certain that if they commenced production in late '41
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int
10 11 12 13 14 15 16 17 18 19 20 21 22 23
24 25
Q.
Okay They previously told us that it was
very late 1941 when they commenced production
So
if we can go forward with that assumption
Did you know what product it was that was being
manufactured there
A.
No.
That was just about the time that
World War II broke out and I was in the midst of
getting in the army
Q.
You returned in 1946
A.
'46 that's right
Q.
And worked as the plant doctor corporate
doctor --
A.
Correct
Q.
-~ until about 1950 correct
A.
Yes
Q.
During those four years you knew that an
insulation product was being made at --
A.
Correct
Q.
-- Emeryville
is that correct
A.
Yes
Q.
And you knew that that product contained
asbestos
A.
Q.
Yes
You knew that that product was being used
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a
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eae
30-400 30-400
10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
for insulation purposes at shipyards and
construction sites and oil
correct
refineries
is
.
that
MR DAGGETT MR WARTNICK
Objected Objected to as compound
ee y
I will rephrase
Q.
Doctor you knew the product was being
used in shipyards
correct
for
+
insulation
purposes
is that
A. Q. use
Yes
Not precisely where or how
But you knew it was being put to shipyard
A.
Yes
Q.
And you knew it was being put to use at
construction sites
A.
Yes
Q.
And you knew it was being put to use in
oil refineries
A.
Yes
Q.
And you knew it was being put to use in
other locations where temperature insulation
was needed is that correct
A.
Yes
Q.
Now during the time that you were at
Fibreboard you've previously told us that you knew
that there was a disease called asbestosis
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3017104 3017104
A.
Yes
Q.
And you've told us that your education
concerning that disease was very limited is that
correct
A.
Yes
they
:
.
~
\
.
-
10 11 12 13 14 15 16
Q.
Can you estimate for us how much class
time in medical school you actually had about the
disease called asbestosis
=
A.
It was infintesimal
I would say less
than one percent of all the time - much less than
on percent
MR DAGGETT
Mr. Wartnick please forgive me
but let me interrupt for just a minute Can we stop
the tape
Discussion off record Short recess taken
MR DAGGETT
Can I ask that the record show
17
that we took this short recess because it appeared
18 19 20 21 22
to those viewing the television monitor that through
some kind of lighting mischance Dr. Perlmutter for
the first few minutes today had a left eye that was black and the lighting people have now corrected that and if he looks just a little bit better
23
lighted as we begin again that's why
24
MR WARTNICK
Q. Doctor would you estimate
25
the amount of time which you spent studying about
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ee
ke
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ns
o
asbestosis in medical school to be an hour or less
fraction 2
A.
It was a
of one percent a very
|
3
small fraction of one percent
4
Q.
An hour or less .
\
discussing 5
A.
Oh they were
at the time -
6
mining procedures and the problems of miners and I
7
always associated asbestosis with mining
8
Q.
You would estimate the amount of time to
9
be about an hour
10 11 12
A.
A portion of the hour
They didn't
pinpoint asbestos or asbestosis
Q.
From the time that you left medical school
13 14 15
until you went to work
for Fibreboard
did
you
do
.
any study on the subject of asbestos
sbestosis
16 17 18 19 20
A.
No.
Q.
In the period that you worked for
Fibreboard commencing in ~~ well strike that
You
kn when you were working for Fibreboard that they
Were making a thermal insulation product which used
21
asbestos correct
22 23 24
A.
Yes
Q.
You knew from medical school that asbestos
could cause disease
25
A.
Yes
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And you knew that the disease asbestosis
could cause disability correct
.
row
A.
Yes
Q.
And you knew that the disease could cause
|
death correct
-
A.
Yes
Q.
You also knew from medical school that
there wa no cure for the disease asbestosis
correct
10
A.
Yes
11
Q.
That the only way to prevent the disease
A
12
or that the only thing to do about the disease was
A
13
to prevent it from occurring in the first placies
14
that correct
15 16 17 18 19
A.
Correct
Q.
Your total knowledge of the disease
however was that less than an hour which you had
received in medical school correct
A.
From recollection that's about all I can
20 21 22
remember
Q.
You knew that asbestos was being used at
the plant in the insulation correct
23 24
A.
Q.
Correct And you knew that that insulation
25
being used at sites correct
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em)
ah wane
1 2 3 4 5 6 7 8
9
10 11 12 13 14
-
A.
Yes
Q. Doctor from the time that that thermal
until insulation factory opened at Emeryville
you
left Fibreboard in 1950 what
what
you make to learn what amount
efforts any did
.
of asbestos exposure
was necessary to cause disease
MR DAGGETT
I object to the form of the
question as assuming responsibility Mr.
that any effort was his Wartnick he's testified
that
it was his impression that people working with
asbestos in places like the Fibreboard plant and in
sites didn't get asbestosis
places like applicator
He said he thought it was in the mines
MR WARTNICK
Q.
You may now answer the
15
question Doctor
16 17 18 19 20
A
Repeat your question
Q.
From the time that the thermal insulation
plant opened in Emeryville in
left Fibreboard's employment
late 1941 until you in 1950 what efforts
if any did you make to learn what amount of
21 22
asbestos was necessary to cause disease
MR DAGGETT
Where
I object to the form of
23
the question as indefinite Where
24 25
MR WARTNICK MR DAGGETT
To any human being To any human being doing what
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10 11 12 13 14 15 16 17 18 19 20 21 22 23
24 25
MR WARTNICK asbestos
Breathing dust containing
MR DAGGETT
Anywhere
.
MR WARTNICK
Anywhere
.
yy .
A.
I never asked specifically the amount
I
Was aware and talked to the people who were working
to eliminate dust and I felt that the procedures
being undertaken cut the amount of asbestos dust
down radically
Q.
To what level did they cut the dust down
A.
I don't know
I didn't have any figures
on the level
Q.
Did you at any time endeavor to learn what
level of asbestos exposure was safe
MR DAGGETT
Objected to as assuming that at
that time methods to do that were available
MR WARTNICK
You may answer the question
Doctor A.
Q.
I didn't know any level Did you make any effort to find out
A.
No.
Q.
What efforts did you make to learn what
levels of asbestos exposure workers in shipyards using your thermal insulation products were exposed
to
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1 2 3
4 5 6
7 8 9 10
MR DAGGETT
Objected to as assuming he had
any duties respecting those workers
:
:
Answer if you can Doctor
A.
It's true had no duties respecting
~ .
those workers 2
MR WARTNICK Q.
Did you make any effort to
find out the levels of asbestos to which they were
exposed from products manufactured by your employer
A.
One of the things as I brought out I wa
not certain whether these were contract workers
11 12 13 14 15 16 17 18 19 20 21 22
whether they were employees of Pabco and to this
day I don't know if they were
My impression was
they were contract workers
Q.
Doctor my sole question to you is
what
effort if any did you make to learn what levels of
asbestos exposure these workers were exposed to
A.
I didn't make any effort regarding this
Q.
During the years that you worked for
Fibreboard you a were member of the Alameda County
Medical Society is that correct
A. Correct
Q.
And they maintained a library
23 24
A.
Yes.
Q.
You had access to that library
25
A.
Yes
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'
Q.
And you knew from your medical school
training how to use a medical library ;
A.
Yes
Q. During the years that you worked at Fibreboard the University of California maintained a
library at its medical school in San Francisco
A.
Correct .
Q.
And you as a licensed physicihaand access
|
to that library
10 11 12 13 14 15 16
A.
Right
Q.
During the years that you worked for
Fibreboard Stanford University maintained its
medical school in San Francisco is that correct
A.
Correct -- part of -- around that time
they moved but they were there for awhile
Q.
They moved in the late fifties or sixties
17 18 19 20 21
I believe
A.
I don't remember what part
They did it
by increments
Q.
And they maintained a medical library in
San Francisco at the medical school
22 23
A.
Q.
Yes And you had access to that school
24
A.
25
Q.
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During the years that you were at
HARRY A. CANNON INC
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ae. ON
1 2 3 4 5 6 7 8 9 10 11 12 13 14
15
16 17 18 19
20
21
Fibreboard what efforts did you make to learn about
asbestosis the disease process of
>
MR DAGGETT
Objected to as assuming that he
had any reason to at Fibreboard as assuming that
duty any facts gave him any
to
-
Answer it if you can Doctor
It's the same
question
It's not a different question because he
7.
asked it again
A.
We did not recognize at the time that
there were any cases of asbestosis or anyone was
suffering from the problem because of it
MR WARTNICK
Q.
However you knew at that
time that the only solution to the problem of asbestosis wa to prevent it before it occurred
correct A.
Correct
And we did our level best to see
that the area was free of asbestos fibers
Q.
What efforts did you make to see that
workers in shipyarddisd not inhale unsafe levels of
asbestos fibers generally
A.
I had nothing to do with their work
22 23
practices
Q.
Did you at any time research what was a
24
safe level of asbestos exposure
25
MR DAGGETT
Where
To whom
When
And
CALL
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TELEPHONE 415 - 391-7421
193
1
under what circumstances
-
2
MR WARTNICK
Q.
During the period that you
at 3
worked at Fibreboard did you research
any time
exposure 4
what wa a safe level asbestos
for human
:
~
5
beings
-
6
MR DAGGETT
Objected to as still vague and
7
indefinite in form
'
7
8
Answer if you can Doctor
level 9
A.
I
did
not
find
out what
the
--
any
10 11 12
that was safe
MR WARTNICK
Q.
And you did not attempt to
find out is that correct
13
-A
No.
14
Q.
No you did not attempt to
15 16 17 18 19 20 21 22
A.
No I did not attempt
Q.
Thank you
Doctor just one other line of
questioning and I will be finished Yesterday after lunch Mr. Daggett asked you some questions about
comments that were made between you and Mr. Kazan
before lunch yesterday
When you had that
conversation with Mr. Kazan before lunch yesterday was it your understanding that the comments that
23
were made by both you and he were in jest
24
MR DAGGETT
I object to that as calling
25
Dr. Perlmutter to determine Mr. Kazan's state upon
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1
of mind at the time
;
2
I will permit an answer Doctor
:
3
A.
that I just commented on the fact
-- what
4
he said I made no interpretation of it at all
5
MR WARTNICK
Q.
You didn't feel threatened
6 7 8
9
10
by what he said did you
A.
I thought it was a little queer but it
~
didn't worry me
MR DAGGETT
I think the doctor's demeanor
on the video tape in answering that probably says
11
more than the answer
po
12
I wish you wouldn't pursue it
I think it was
13
something Mr. Kazan wishes he hadn't done and I
14
think in the hands of a very seasoned lawyer and
15
counsel of record here it was a dismaying thing to
16 17 18 19 20
do with a witness
MR WARTNICK
Q.
Doctor there were some
other discussions off the record during some of the
breaks yesterday also correct
A.
You have to be more specific
21 22
Q.
Well -
MR DAGGETT
The doctor had none Mr.
23 24
Wartnick He was in another room
MR WARTNICK
Q.
Well Doctor you were
25
present yesterday afternoon when Mr. Daggett came up
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to Mr. Kazan in your presence and suggested that you
anesthesize Mr. Kazan to level 6 you remember that
MR DAGGETT
stage
No.
No.
me,
It was to the sixth
.
MR WARTNICK
Sixth stage
Thank you
-
MR DAGGETT
Yes
10 11
A.
I have no comment
MR WARTNICK
Doctor thank you
further questions
I have
no
|
MR DAGGETT
Other counsel have questions of
Dr. Perlmutter
12 13 14 15
MR BURNS MR DAGGETT
I have just a couple Counsel Very good
NATION BY MR BURNS
16
17
MR BURNS
Q.
Doctor my name is Patrick
18
Burns
I also represent plaintiffs
And I just
19
have a few questions for you please
20
.22
First of all you told us yesterday that
Fibreboard had a dust control system that wa
22
instituted in the plant
23
A.
Yes
24
Q.
And do you recall about what year`that year`that was
25
started Doctor
201 CALIFORNIA STREET
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1 2 3 4
" 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
A.
I can't remember the year these plants
were built but the original engineer at that time
>
wa aware of dust problems and commenced some sort
of removal Now subsequently much more complete
were the dust removal techniques
instituted in
-
asbestos plant including very powerful exhaust
fan -- fans -- I can't remember if there was more
than one -- and differential in pressure so that it
wa a sort of a vacuum effect at times
Q.
And Doctor what was the name of this
first engineer who instituted the control system
A.
I am not positive of the name
One of
them was Mr. Rosen And he's dead now
Has been for
years MR DAGGETT
Doctor
--~-
excuse
me
--
but
these simple plain questions don't call for a
monologue
This question just calls for
do you
remember the name
A.
I don't remember for certain I just
remember that one name
And I don't know when he
21 22
23 24
was there
MR BURNS
Q. All right And I believe
yesterday you told us the names of some of the other
gentlemen who held that position --
25
A.
Yes
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Q.
e+including Mr. Hoopes later on
2
A.
Mr. Hoopes I know that definitely
3
Q.
All right When this first system was
4
started by Mr. Rosen or whomever at that time was
5
this prior to your going into the army
:
6
A.
Yes
7
Q.
So it would have been in the period of
8
prior to 19427
-
9
A.
I don't know how effective it was at that
10 11 12 13 14 15 16 17
time
Q.
All right
And was it at this time that
the system was licensed to the other companies
A. Q.
No.
It was after that
This was after you returned from World War
II that it was licensed to other companies
A.
Oh wait a minute
I can't remember the
exact time it was licensed I had nothing to do with
18
the arrangements
19
Q.
Of course
20
MR DAGGETT
Doctor you don't have to
21
explain to this record or these lawyers why you
22
don't remember
23
A.
All right
24
MR BURNS
Q.
All right So you're not
25
sure --
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10 11 12
MR DAGGETT
Doctor I want to advise
you of
something A fair case can be made for the
proposition logically that there is never any reason
why
you
don't
remember Please
4,
necessary always to give one
don't
.
consider
it
=
MR BURNS
0
You are not sure then Doctor
whether service
this that
was
the
before or
licensing
after your military
agreement took place
A.
No I can't remember the time
Q. All right And do you recall the names of
the companies in the United States who bought the
license
13 14 15 16 17 18 19 20 21 22
23
.A
I don't remember them
MR DAGGETT that Mr. Burns
There wasn't any testimony of The testimony was that he thinks
there was a license to people in Darlington England
MR BURNS
Q.
Well my understanding of
yesterday's testimony and please
correct me if I am
wrong Doctor was there were three companies in the
United States and one company in England
A.
That's what I remember
Q. But you don't recall any of the names of the companies
24 25
A.
None of them no
Q.
Fine
201 CALIFORNIA STREET
HARRY A. CANNON INC
eo
MR DAGGETT
I stand corrected Excuse me
MR Q.
BURNS
Doctor
Certainly
at the time
this
=
dust control
system was instituted did you have any discussions
with Mr. Rosen or any other company official -
regarding the desire to eliminate the asbestos dust
from the atmosphere
10
A.
No I had no conversations with Rosen
Q.
Or any other company official
A.
No.
11 Q. Was your advice ever sought regarding the
asbestos 12
removal of the
dust from the plant
13
-A
No.
14 15 16 17
Q.
At any time did any company official official
discuss with you any hazard of asbestos dust to the
workers in the plant
A.
No.
18 19 20 21
Q.
Doctor I would now like to hand you four
or five pages that have been stapled together
Counsel if you would like to take a look at it
first
22 MR DAGGETT Yes I would Thank you very
23
much Mr. Burns Examining
24
This is the well known extract from what the
25
doctor called
201 CALIFORNIA STREET
the antique Boyd on
HARRY A. CANNON INC
Pathology
ee
cry
copyrighted in 1934
MR BURNS
That's correct
10 11 12 13 14 15 16
MR DAGGETT
still another time
I assume you want that marked
|
\ ~
;
y
MR BURNS Please
Yes
-
Five document extract A TEXT
of PATHOLOGY AN INTRODUCTION TO MEDICINE
by William Boyd marked for identification
Exhibit 2
MR DAGGETT
All right
He'll probably ask
you if you have ever seen that before
MR BURNS
Q.
Well Doctor I believe in
fact that
after
your
last
deposition
that
you
copied
.
that yourself and forwarded that either to the
reporter or to the attorneys for Fibreboard or Mr.
Kazan
17
A.
That was the first discussion I had with
18
anyone concerning my previous knowledge
19 20 21 22
MR DAGGETT
Mr. Burns you've struck a
major blow for the truth in discovery
At long last
we know why that copy is illegible
MR BURNS
I'm sorry Would you read back the
23
doctor's last answer
24
Answer read as follows That wa my first
25
discussion I had with anyone concerning my previous
201 CALIFORNIA STREET
HARRY A. CANNON INC
TELEPHONE
knowledge
0
Of asbestosis Doctor
x
MR DAGGETT
Doctor the question was
whether back to
you the
copied that
reporter or
from
a
*
the
book
lawyers
and sent
it
one of the lawyers
That
was the question
A.
I did not copy this
Hudson --
Miss Nanette
--
10 11 12 13 14 15
MR DAGGETT
Doctor the question didn't
call for who copied it
It just said
A
No I did not copy it
did you
MR BURNS
All right
. .Q
Was that copy made of the book by
Professor Boyd that was in your possession
A.
Yes
16 17
Q. Doctor
All right
And who did make that copy
18 19 20 21 22
A.
Miss Nanette Hudson
Q.
All right
And Doctor that book that we
have here PATHOLOGY by William Boyd that was the book that you had studied while you were in medical
school
23
A.
Yes,
24 25
MR BURNS
All right
Fine
Thank you
I
have no other questions
201 CALIFORNIA STREET
HARRY A. CANNON INC
TELEPHONE
MR DAGGETT
Other counsel have questions of
the witness
No response
7
iu
Thank you
ay +
.
* .
-
FURTHER EXAMINATION BY MR DAGGETT
MR DAGGETT
Q.
I have just one or two on
redirect Dr. Perlmutter which will focus very
briefly on testimony you gave in answer to questions
10
by Mr. Kazan yesterday respecting the transcript and
11
video tape of the deposition Mr. Kazan took of you
12
on November 13 1982 I believe in Tucson
13 14 15 16 17 18 19 20
I call your attention to your testimony
yesterday in answer to Mr. Kazan's questions that after you received the reporter's transcript of your deposition you noticed certain corrections you would
have liked to make and I call your attention also
to your testimony yesterday that you knew of no
inaccuracy in the video tape recording of your
deposition testimony
with that background I will
21
ask these few questions
22
When you got the written reporter's transcript
23
of your 1982 deposition and you read certain of the
24 25
questions and answers throughout the transcript
were you satisfied with the answers you gave at the
201 CALIFORNIA STREET
HARRY A. CANNON INC
TELEPHONE
2 3 4 5 6 7 8
g
10 11
12
13 14 15 16
A.
No.
MR WARTNICK
Objection
6.
It is vague and
ambiguous
a .
\
upon
MR DAGGETT
Q. Were you satisfied
Doctor
reading the questions that the answer you gave
was the answer you wanted to give to the question as
you read it rather than heard it
A.
No I was not satisfied
Q.
Do you recall whether
or not some of the
questions at your 1982 deposition were rather long
A.
That's correct
0
Did some of the questions have assumptions
or elements in them which you identified when
you
read the questions which you were unaware of when
you heard them
17 18 19 20 21 22 23 24
A.
That's correct
Q.
And as a
opportunity would
result of that if given the you have liked to have amplified
some of the answers you gave
A.
That's correct
Q.
Tell us whether or not
you would have
liked to have qualified some of the answers you gave
A.
Correct
25 Q. 201 CALIFORNIA STREET
And would you have liked to have added to
HARRY A. CANNON INC
TELEPHONE
y
-
some of the answers you gave
A.
Correct
wa,
Q.
And were there some that you just plain
would have liked to correct
A.
Yes
MR DAGGETT
Thank you
-
I have no further
questions
MR WARTNICK
I have one or two on your
|
10 11 12 13 14 15 16 17
18 19 20
examination
MR DAGGETT
Very good
That's your
microphone over there FURTHER EXAMINATION BY MR WARTNICK
MR WARTNICK Q.
Doctor the answers
reported in that transcript are the answers which
you gave correct
A.
Some of the sentences as they were typed typed
out Were a little garbled
Some of them as I
started reading them and saw the printed word and
the sentences and paragraphs were a little
confusing and I would like to have had them
21 22 23
clarified
Q.
When was it that you saw that transcript
MR DAGGETT
He said that yesterday
But go
24
ahead answer it again Doctor
25
A.
I called Mr. Rappeport because I expected
201 CALIFORNIA STREET
HARRY A. CANNON INC .
TELEPHONE
the attorney -- "
.
MR WARTNICK
Q.
The question Doctor is
when did
you see that transcript
A. Months later Months later
Q.
That would be two
years ago now
-
A.
Yeah
10 11 12
Q.
Have you made
any corrections in the past
two years to that
transcript
MR DAGGETT
I will stipulate Mr. Wartnick
that no corrections of record have been made
MR WARTNICK
Q.
that correct
You have not Doctor is
13
A
I have not
14
Q.
Do you intend to
15 16 17 18 19 20 21 22
MR DAGGETT
He's not going to answer that
We're not quite sure what we're
going to do about it because his present counsel discovered this only
recently
He has testified
yesterday that during
been the interim he's
in doubt about whether he had
the right
But he'll make up his mind what to do
and that will either be
nothing or something and he
will do it with counsel I hope
23 24 25
MR WARTNICK
Q.
You agree Doctor that
you have had
approximately two years within which to
| make those corrections
Po ae ee
201 CALIFORNIA STREET
ereee
HARRY A. CANNON INC
wee
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
MR DAGGETT
Don't answer the question in
that form Doctor That assumes that he knew what
his rights were and he knew of the procedure to use
in enforcing his rights he's testified that he . and
didn't
MR WARTNICK
Q.
Did you receive a letter
from the court reporter telling you you had the
right to make corrections to the deposition
A.
I don't recall what was in that letter I
understood that I was to get the transcript immediately as it was typed and that I would have an
opportunity to correct it
MR DAGGETT
Perhaps Mr. Wartnic cak n tell
you Doctor how you correct a transcript you haven't got because you have a letter from the
reporter saying you can
MR WARTNICK
I am now totally confused
MR DAGGETT
That's pretty much what it is
MR WARTNICK - We finally found something we
can agree on MR DAGGETT MR WARTNICK
We have now reached -~Doctor I have no further
23
questions
24
MR DAGGETT
This is epistemological
25
equilibrium
Apparently there are no further
201 CALIFORNIA STREET
em AUKARNIA AUKARNIA AUKARNIA AUKARNIA
111.5001
111.5001
HARRY A. CANNON INC
DEPOSITIONS - NOTARIES
TELEPHONE
415-391-7421 415-391-7421
1
questions
;
2
MR BURNS
Just
a couple other Counsel
3
MR DAGGETT
Oh excuse
me Mr.
Burns
BY 4
FURTHER
EXAMINATION
MR BURNS
Perlmutter 5
MR BURNS
0 Doctor
at that
6
deposition
approximately two years ago you were
counsel 7
represented there your own
were you not
8 A. Yes ~
9 10
Q.
That was in addition to
attorneys for
Fibreboard Fibreboard
11 12
13 14 15
16 17
18 19
20 21
22 23
;
24
A.
Correct
Q.
They were not
one and the same
different attorneys
A.
Correct
They were
Q. And do you recall at the time of that
deposition that the attorneys did make objections to
certain of the questions that were asked
MR DAGGETT
itself Mr. Burns
MR BURNS MR DAGGETT
The transcript will speak for
He's not going to answer that
All right
No other questions
All right
Dr. Perlmutter apparently there is no further
examination of you at this deposition Thank you
25
201 CALIFORNIA STREET
SAN FRANCISCO CALIFORNIA 98111.5001 98111.5001
HARRY A. CANNON INC
7
TELEPHONE TELEPHONE
1
Deposition closed at 10:45 - see page re
2
Mr. Kazan's remark re adjourning of deposition
4
-
~~ he
*
.
5
N
.
\
,
. *
. .
50
Signature of Witness
10 11 12 13 14 15 16 17 18 19 20 21 22
23 24 25
201 CALIFORNIA STREET ea mee CALCODNIA 81444 5001
HARRY A. CANNON INC
REBOSITIONS - NOTARIES
TELEPHONE
415 - 391-7421
STATE OF CALIFORNIA
.
}
10 11 12 13 14 15 16
17 18 19 20 21 22
23 24 25
CITY AND COUNTY OF SAN FRANCISCO
)
Ak
.
=
,
~
I hereby certify that the witness in the
foregoing deposition named
HENRY A. PERLMUTTER M.D. was by me duly sworn to testify the truth the whole
truth and nothing but the truth in the entitled cause that said deposition was taken at the time and place therein stated that the testimony of said
witness was reported by me
HARRY A. CANNON
a Certified Shorthand Reporter and disinterested
person and was thereafter transcribed into
typewriting and that the
pertinent provisions of the applicable code or rules
of civil procedure relating to the notification of
counsel the witness and
for the parties hereto of
the availability of the original transcript of
deposition for reading correcting and signing have
been complied with
And I further certify that I am not of counsel
for either or any of the parties to said
or attorney
deposition nor in any way interested in the outcome
So
HARRY A. CANNON INC
TELEPHONE
of the cause named in said caption
IN WITNESS WHEREOF I have hereunto set my
hand and
affixed my seal of office the 5th day of
\
>
November 1984
~
yY
10 11 12 13 14 15 16 17 18 19 20 21 22
23 24 25
201 CALIFORNIA STREET
HARRY A. CANNON INC
TELEPHONE
.
.
-
.
Ee
7
-
Henry Perlmutter M.D. / Brobeck Phleger & Harrison
One Market Plaza
Spear Street Tower
San Francisco Ca 94105
Certified Reporters and Notaries
HIBERNIA BANK BUILDING . SUTTE
201 TS
CALIFORNIA STREET
SAN FRANCISCO CALIFORNIA 94111
TELEPHONE 415 841.7691
==
550
Date
November 9 1984
In Re
ASBESTOS
PRO PRO DUCTCASES DUCTCASES
Dear Dr. Perlmuter
Pursuant to the provisions of 2019 e and f CCP 1/1/79 and as
amended by AB 4/2/79 you are advised that your deposition taken in
the above matter on
October 29-30 1984
is available at this office for your review reading and signing and the
making of such corrections as you deem necessary
Section 2019 provides that you have thirty days following receipt of this letter within which to avail yourself of the opportunity to read correct and sign your deposition There is an alternate provision i.e. The deponent may correct or approve or refuse to approve the deposition
for a period of 30 days following this notification by means of a letter
addressed and mailed or delivered to our office Underlining added
.
.
;
Very truly yours
HARRY A. CANNON INC
Invoice
190
Mun ...,_
HITZ
BR
rane
oe
ACD
Certified Reporters and Notaries
HIBERNIA
BANK BUILDING
-
SUITE
550
/ Brobeck Phleger & Harrison
One Market Plaza
Spear Street Tower San Francisco Ca 94105
Date
BAN FRANCISCO CALIFORNIA 94111
TELEPHONE 616 391-7621
an
November 9 1984
In Re
Asbestos Product Cases
Dear Dr. Perlmutter
Pursuant to the provisions of 2019 e CCP effective 1/7/77 and
FRCP 30 e you are advised that your deposition in the above matter
taken on October 29-30 1984
is available at this office
for your reading and signing and the making of such corrections as you
deem necessary
In the event you have not read and signed your deposition by
December 15 1984 the Court unsigned
, it will be filed with the Clerk of
.
Very truly yours
HARRY A. CANNON INC
Invoice # 190
Reporter Harry A. Cannon CSR
Fed
teh
Dt *
4
a
7 -
-
7
4
_.. The Journal :
American Medical Association
.
. .
.
. .
.
.
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.
.
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.
-
.
-
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.
.
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. .
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. .
;
. .
;
.
.
EDITED FOR THE ASSOCIATION UNDER THE DIRECTION OF THE BOARD OF TRUSTEES BY
MORRIS FIShbein M.D.
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EDITORIALS EDITORIALS
1612
?- accelerated
accelerated in the magnetic field of the
ydrogen target machine ASBUnErtieSlcTenOtSeIS by investigatorosff Until
recently
recently
the the
coincidence sice the assumptionassumption
was
ofthe the
granted
that
neutrons
were
cer
cer
a
AND CANCER OF THE LUNG
recente recente recente recente
lung theconsidered
manyinvestigators
coincidence Since 1935 23 such cases were recorded
no more than five times as effective as roentgen rays by American English and German pl~-ysicians Wedler
or biologic purposes Recent work 'and the sad expe-
ience ofthese young physicists point to the probability
hat a grave underestimate was made and that for cer-
zin organ systems such as the lens and the gonads
eutrons may have four to eight times the effectiveness
about a noted 14 cases of asbestosis cancer in
series of 92
necropsies on patients with asbestosis or
per cent of cancer of the lungin persons who died
from this industrial disease The exposure time ranged
from 3 to 27 years average 15 years The ages
Unfortunately asbestosis originally suspected
.
in 17 cases were 35 to 75 years average 50 years
for the physicists protection pro-Until now the question of a causal relation between
edures and exposure limits were based on the earlier
and caucer of the lung has been an open
ssumption Once again as in the past with roentgen one The recently published Annual Report of the
ays and radiumi people have unwittingly been injured Chief Inspector of Factories in England for 1917
efore an adequate understanding of a hazardous agent
as had Furthermore even now dosimetric methods
for neutrons are unsatisfactory
-
23 provides additional data on the actual existence of such
interrelations During years 1924 to 1946 inclu-
interrelations
sive 235 deaths either caused by asbestosis or in which
An understanding of the mechanism of interaction of radiation with the components of biologic matter
ecomes important In the case of roentgen rays the energy is first given to electrons which move at high peed through the tissue These electrons in turn Hissipate their energy by collision with biologic matter causing chemical alterations However the damage to my one cell by one electron is relatively small
asbestosis had been established at necropsy were reported to the Chief Inspector Cancer of the lungs or pleura was found in 31 of these cases 13.2 per cent Of the 128 male deaths in this group 22 172 per cent were complicated by cancer of the lung while of the 107 female deaths 9 8.4 per cent were
similarly affected The mean age at death from asb
tosis complicated by cancer the lung was 52.1 years
A causal relation between asbestosis and cancer of the
In the case of neutrons the energy is principally dis- lung is supported by the following observations The
cipated component cipated
by collision with the hydrogenous
t<issue The high speed protons thus set in motion
iberate a large amount of energy per unit length of
incidence rate of cancer of the lungin this group is
excessive since the normal death rate from cancer
of the lung among adults examinedat necropsy at
path Thus the passage of one high energy proton present is about
per cent of all necropsies Moreover
through a cell may produce sufficient destruction to there is a distinct shift in the sex distribution of cancer
njure it permanently
;
of the lung in the series of asbestosis cancers reported
There is evidence that roentgen rays are relatively from England The female sex ratio is 24
qualitatively effective only against dividing cells while neutrons inay while it is 5 for cancers of the lung in general
ajure the cell at any phase Thus the biologic effects - This shift indicates that an environmental and eviproduced by neutrons may be both quantitatively and dently occupational carcinogen was active in the asbes-
different from the effects of the roentgen tosis group tending to equalize the incidence rate of cancer of the lung for both sexes Recent experimental
ray The urgency for researchin this relatively unex- observations support this interpretation of clinical evi_
plored field is evident
-
dence Nordmann and Sorge exposed mice to inhala-
In a broader sense the experience of these young tion of asbestos dust and found that in 20 per cent
physicists points to the tremendous responsibility of the surviving animals developed squamous cell
devolving on those the engineers and cancer originating from the bronchial mucosa while
the agencies supporting their work are concerned other types of epithelial proliferation were present in
with exploring the new frontiers of the physical 42 to 57 per cent of these animals in addition to di^-use
sciences It is not enough to dismiss the responsibility or nodular fibrosis of the lung The histologic character
with the mere warning that a danger may exist or of the cancers
cell cancer instead of adeno-
squamous to extrapolate as was done with the neutron fro carcinoma seen in the spontaneous cancer of the lung
histogenetic inadequate analogies The hiologic implications of the of mice and the
derivation of the tumors
new unknowns should be subjected to investigation bronchialmucosa instead of alveolar epithelium of the
parallel with their physical implications and with equalspontaneous type indicato spreihe factor of
vigor
.
& Stone K. .; Neutron Therapy aml Spaci^-e Junization Ain J. Scentgrind 59 771-785 1June 1918 Krany T. .: The Lfects of Small Daily Inces of Fast Neutrons on Mice Radiology 50 SU
sche1. Wedler H. W Asbestu...e un Lungrakeen Deutsche nel Wicha 19 573 1913 2. Extract from Annual Report of the Chel Inspector of Factories foc
the Year 1947 Medical Section London His Majesty's Summery
Quice 1947 19. 15-17
1. Xudumu M. and Sorer .:
Luzzestrede Luzzestrede Zurch Kompo .. ^fi
fa.
oe
CURRENT COMMENT
exogenous origin represented by the inhaled
responsible fatest was
for the bronchial
patient why was
fatest
didicating ? tos producing syregion ne
and Since
satic
f
oud workers
age employed
dance
ashes uphritis
a death
fatest of
chic glomer
industries of this
in the
ufentia Such
occurred with the
and many aditional perhaps additional
country and Canada
changes in the kidney are
thousands in various asbestos interpreted as accidental
consuming industries increased attention to this
direct relationship to the necropsy findings with
able syndrome discuss .
occupational hazard of
prob- A disease rabbits
under
in medical
cancer of the lung by the
apparently analogous to that
profession is desirable Cytologic examinations of the bronchial secretion
panicultis may well be included in the
nonsuppurative
by
panniculitis
in
man
has
been
descri
Reynals and others The
periodic examination of workers
Christian's disease is unknown
cause of Wel
dust whenever clinical
exposed to asbestos
1
or roentgenologic evidence indi-
vette,
\
* cates the possible existence of a pulmonary
CRISIS IN SCIENTIFIC
cancer As the available evidence shows that the
Further evidence that
RESEARCH
of cancer of the lung is related to
occurrence coordinate and
the medical profession m
7 uy _ and is not merely a possible seqpueullamoonfareyxpaossbuersetostios carry on experiimnetnentsailfystiutsdipersotoenctiaonnimoaflsthien right
lato tories is provided in
asbestos dust in all fatal cases of asbestosis there
should be
in the District of a report on this type of legislati
Representatives os
logic
postmortem examination with detailed histo-
Columbia
twenty national
fr
analysis The anatomic lesions produced by hospitals lay
health and science
f
asbestos dust in the
groups and
lungs make difficult at times dis- united behind
governmental agencies ha
.
tinction by clinical and roentgenologic diagnostic tory use of theSenate bill 1703 providing for labor
unclaimed >.
methods between changes of pneumoconiotic
7,000 to 10,000
and destroyed each
dogs to
those that might
nature
frenzied
year in the District pound The us
indicate a cancerous growth
distortion and political
sectionists have placed the bill in pressure by antiviv
.
Medical the
National
National
Society
Society
for
jeopardy, according
i
Research It Current Comment -
society qeuffect otes Dr. A. IvyIvy its
Christian's disease Hower to the mittee
effect
that
members
of
the
secretary
:
NODULAR ,
PANNICULITIS
mittee to whiwhichch the bill was referrespdecial Senate con
CHRISTIAN DISEASE
favor of it but the bill
are personally i
Lf
out
Dr.
Ivy
has
probably
issued
will
not
be
repate
or nonsuppurative nod-
ular panniculitis is characterized by recurring episodes
sons write letters of
an appeal that interested per
of
endorsement
Rhode
to
Senator J.
McGrath of fever and the development of numerous painful and sure and Senator Island who introduced the met
mo
slightly tender subcutaneous nodules In only 3 of
Margaret Chase Smith of Maiz
chairman 33 recorded cases was death apparently due to the
of the subcommittee Some such Maiz
-
disease In the case reported by Kritzler in which
action is
concerts concerts
necessary at state as well as national
. necropsy was done the nodular lesions were limited
to beat back efforts of a
obstruct
small misgaided
leve
;
science 7
to the subcutaneous fat However fat emboli
the advancement of
group
group
1
were
. found in the lungs and there was widespread acute .
:
Te
.
oy
necrosis of the liver and spleen In the case examined at necropsy by Spain and Foley necrotic areas were
FIRST
TELEVISION NETWORK
:
SHOW
HEALTH
first found not only in the subcutaneous fat but in the
The
health education
mesenteric omental and pretracheal fat Fat emboli
on a television network
program ever present
was viewed and heard fro
were not found in the lungs nor were areas of necrosis
far west observed in the liver or spleen However foci of fat June 16. Transmitted as
as
necrosis were present in the region of the pancreas program titled Your Good Health
Chicago u
A third case investigated at necropsy was that of Mostoh and Engleman in which nonsuppurative pan
Atom
was
arranged
through
the
and the Might
Bureau of He
Education of the American Medical
. niculitis involved the skin the epicardium and the peri- > produced under the supervision
pancreatic periadrenal perirenal and mesenteric tissues Hester radio coordinator for the
Association :
of Mrs. Har
The nodules in the fat are of variable
gram dealt with the use of
Bureau The pr
medicin The earliest lesions consist of small
appearance
particularly
radioactive
radioisotopes
iodine
in
of laden macrophages what larger lesions that
accumulations
Later there are some-
small
Chief
isotopes
Dr. Paul
Division United
C. Aebersol
nergy Commission Oak
States Atem
present
areas of central
necrosis in the immediate vicinity of which are lympho-
viewed by an NRC
Ridge Terai was inte
announcer on the
cytes polynuclear leukocytes and laden mitto-
radiosetivity With a Geiger counter principles specially any
phages In still older nodules the necrotic material
identified is decreased or absent and the lesions are partially or
fied Dr. Achersold demonstrated first how
can be traced and afums
radioactivi
Later with a
completely replaced by fibrous tissue In Spain and
furnished by Dr. Sidney C. Werner Columbia pazis
of Physicians and Surgeons and Presbyterian
Col
1. Kritzler .; A Case of
Presbyterian Path Sc 1959-1931 1959-1931 p 47
2. Spain M. and
Christian's Disease
Proc
New
York
he demonstrated concentration of radioactive Hioodsipniet
Path 20 1st 1994 Foley J. M Suppurative Pouniculitis A the thyroid
-
eee ee
AN INTRODUCTION TO MEDICINE
-
BY
WILLIAM BOYD
~.
M.D. M.R.C.P. Fl F.R.C.P. Lond Dipl Psych F.R.S.C.
PROFESSOR OF
PATHOLOUT IN THE UNIVERSITY OF MANITOBA PATHOLOGIST TO THE
WINNIPEG GENERAL HOSPITAL WINNIPED CANADA
SECOND EDITION THOROUGHLY REVISED
ILLUSTRATED WITH 416 EngravinGS AND 8 COLORED PLATES
LEA & FEBIGER
PHILADELPHIA
PREFAC PREFAC
ALTHOUGH only
book was publishe
The order of the
COPYRIGHT COPYRIGHT LEA & FEBIGER
1034
ation of the dege turbances especial leads up naturally whilst immunity follow in logical seq
from tumors The
ter in which an end
so that the student
Acumpad,
starts upon his jour
is occupied mainly
disease concludes
the constitution of 1
SECOND EDITION Copyrighted August 1934
Reprinted October October 1931
dence and progress bacterial infections
more logical order a immunity and allerg largely rewritten A second part of the b of the teeth regarding
Among other new
trauma von Gierke's
dren the localization
ry,
causation of anginal
angiitis obliterans m
born duodenitis sta
PRINTED IN U. A.
ture in chronic Brigh the ovary sweat glas roid tumors Cushing
tension monocytic h Geschickter and Cop
aR a sae,
a
agerg ete
ae
eS
Fy
sos Tee
oy
stone
dust conta
of time
iz The pa
ra 4%:
te brane brane by
be, are sharp
a
is slowly chemical
and the-
respondin to the to
{ Fig 1757
Palpated Palpated
Fibrosis Fibrosis
THE PNEUMOCONIOSES
cause inhalation of certain irritating dusts may
dust The continued
konis
;
pneumoconiosis a
chronic
interstitial
pneumonia
known
is
as
entirely
dependent
on
the
pres
The outcome of tohfesseildiucastindtihseeadseusst The dangerous pneumoconios fatal
fatal be disabling or
ence and amount silicosis and asbestosis both of which may
cond
of carbon in
aArnethracosis a condition caused by the inhalation
.
ee
the sa
Fe
dust is harmless in comparison
of the dust diseases and pro- 4s
lics patier
Saldanwoe
Silicoseriosus Tihiss is the most important industry in certain districts
fF lics dust
bronna
districts Ae? Sr
vides a serious hazard in the mining
Ontario If
K
aete
the South African Rand and northern
a smuicnhinags hard rock has to be drilled through miners
whe ro
suffer Other occupations in which there is danger are mining
working grinding and blasting In all of these
dust containing fine particles of silica may be inhaled
cases
of time
over long periods
in The particles which are taken up from the bronchial mucous meta-
brane by phagocytes and carried into the lymphatics in the
are
sharp
and
angular
but
the
real
danger
lies
in
the
fact
stroma that
is slowly soluble in tissue fluids and in this form
silica
chemical action When injected subcutaneously it preoxdeurctsesanescpercoisfiisc
and the slow reaction in the lung results partly necrosis but to
much greater degree in fibrosis The fibrosis is at first
responding to the deposits of silica in minute
patchy cor-
to the terminal bronchioles and takes the forlmymopfhsifloilcloictliecs naodjdaucleenst
Fig 175 composed of concentric layers of fibrous tissue and
palpated in the lung These nodules gradually coalesce anrdeadily
fibrosis becomes widespread In extreme cases the
the
lung becomes stony stony
ailica
the result of irritation by particles of
X 12
hard and in one instance I had to saw the lung in two The functional capacity of the lungs is greatly interfered with and the chief is marked dyspnea The necrotizing action of the silica maysylmepadtotmo destruction and cavitation but these changes are usually due to an accompanying tuberculosis
_
Most silicotics die of tuberculosis because the
the
tissues
favors
the
growth
of
tubercle
presence of silica in bacilli
degree This was shown by Gye and Kettle who to an astonishing
we
of silica
and
tubercle
bacilli
into
mice
and
injected
observed
a
mixture
ae .
opment of the tuberculous lesion When silica is injveecrtyedraspuibdculetvaenle-
e ously tubercle bacilli are injected intravenously on the following
day the same effect is observed The tuberculous infection to which
ene
the patient succumbs may be acquired before or after
ge
silica dust
exposure to
.
me
OT, Pulmonary asbestosis is due to the inhalation of asbestos dust which
emr
ITT contain over 50 per cent of silics The disease is acquired either duringmtahye teeem
Ee. e me ee
me
460
THE RESPIRATORY SYSTEM
crushing of asbestos rock or in the process of carding the asbestos The lung shown the airless and fibrosed condition found in silicosis and on the cut sur-
face there are areas of cascation with cavity formation The characteristic
microscopic feature in addition to a large amount of silica dust is the presenc
of large angular particles which are probably fragments of asbestos fibers and
curious golden bodies with a globular end and
segmented body Fig 176. The latter structures
which may be called asbestos bodies are pathognomonic of the condition but their exact nature is not
understood
Anthracosis due to coal dust is the commonest but
lenst harmful of the dust diseases It found in coal-
miners but a varying amount of coal dust is present
in every lung at autopsy and no sharp line can be
drawn as to the amount which constitutes anthracosis
insoluble It does not cause much irritation as it is
and a lung may be loaded with it yet show littl fibrosis The carbon particles are taken up by mono-
nuclear phagocytes and deposited in the interlobular septa the deep layers of the pleura and the bronchial
lymph nodes All of these structures and especially the lymph nodes acquire a black color Anthra
cosis does not predispose to tuberculosis indeed
miners are singularly free from that disease
right i Foreig forma
sinuse down absces the for prognc
4. Cause }
S being
abscess
be in
is large
abscess
3. T