Document zdaNn2zgYY1RJ2q2Njx8Rv3om

FILE NAME: Metropolitan Life (ML) DATE: 1950 DOC#: ML074 DOCUMENT DESCRIPTION: Documents Related to Dr. Lanza1 Relationship with New York University i ; 3'13 CI v s o 3 Vv. / News and Comment POSTGRADUATE COURSE IN COMPENSATION MEDICINE Ur. Anthony J, Lanza, professor of industrial medicine at the New York Uni versity Postgraduate Medical School and director of the Institute of Industrial Medicine, has announced a postgraduate course in compensation medicine to be held at the New York University Postgraduate Medical School from Feb. 27 to March 4, 1950. The course is being eo-sponsored by the New York University Postgraduate Medical School and the American Academy of Compensation Medicine. It will lie an intensive one, covering all aspects of medicine in compensation work. The tuition will be 25. Leading physicians from New York and 'he surrounding area are participating and covering both the general and the specific specialty problems that arise in compensation medicine. For example, there will be symposiums in such fields as dermatology, arthritis, peripheral vascular disease, pulmonary diseases, orthopedic problems, occupational diseases, neuropsychiatry, rehabilitation, minors and radiology. This comprehensive and intensive program is highly recommended to physicians and others whose work reituires a general knowledge of the broad phases of medical practice involved in compensation medicine. Any one interested in this postgraduate course should write to the Olfice of the Dean. New York University Postgraduate Medical School, 477 First Avenue, Note York 16, N. Y. > copy 19, jo y) ^ r . X. X. Crrrtl4* Ui., T K l / i r r t l > L t * ( > ! . L>: ShI m a a t ? ' e w In U m A xb * * lA * k, .' ir jr , U r Kr. rahlt X Wa i t # U la sl^!t a frtUtiMrjr r* A U t Wttl&f ^ U k. U ^ pl*C At V* e 2 r * t l t * l* of ! a ^ t : t r i a r t c t c l M , C o l - - t l * i * i r * n i t f , < f o r k , o n 1 ?, 19X >. V a n IrttMi: lr. X Laau. cr. . S~1Ut. lr. Xo 1o*a . ir. ^lU. ir. >. U r U a r , TI **AA a d j a c u axpoW C\ rtttjtH ih o fallala<i t r. U i r a -**11 a a l U t U U t b*:. la r ! le < I t u ^ e u llr o 5 tt.4 ..rial i- i t t i t o U i c . r - v f *u'.y rt5*>rf o r c u r v o y o r - c u r - . i l -itl Conc*r :.. f c r u . t ^w r-o.-e -ra. . . .*._!va -_r >^iw 4 .*..T4 bt-M f r o . fr-r.n ii. r-orlrl Jo; l u i tc lha l u i t of Iirt-i* i r i i l : *C5ctn un .ir Cr*. : . L 4 *. .*>IU. +rj? >lsac c*it a Vritf af l U tnvolvoA !a t itwcy oa I a ;o*.ti.iial L-.r,rc of ideilo* fItir* 9 core Ito..Ic f t cUr, Melt r Ili cutitl of: - p copy 1, * tV r. 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C. ^ I t n . jr* .-a # i r , va Va*rtf., .C . Faal Crtlar# X.l. NEW YORK U N IV ER SITY-B ELLE VUE MEDICAL or vi TOi c ^ u i m PCAT GRADUATE MLDCAL SClirOt. T1*11T AVISVf Nt-10*1 U ' CENTER r r ttn m r < * -M iiiim w n cw O tR n *.)>M A1U* ' 5, 1950 Cr ~ lennath Ssllh Jch*t->'XTll_l Ceepe.cy At bat lot, Casada >vr tv< 1er* Sailli u d Cirtitn d tii* U t i l of K f di*csales vit): ycortara# thla m i x e r and furthr. tuc of Ih* probit, v anould 11* lo t u r r i l D a fai leciti for our CcBtlartUea. 11 pparri l v .1 t U r * r* tvo dirtlcet v*yj la M e t v* r (rcur* * aora a e r i m i * *trIm v U b of ir.r por r1bla t.rcleofw ic it y of abacio*. Tha flrst of thara aa apldaaioloflcal l iu-lloo of prr.ril and prit arpoaad populetloo*. Tita aacaod va asiani lattisi of auapactad starisi*. Vili rrjpael 1 Uta flrit of tha*a, that r Idaalolcrlcal * ror/ , i t la ruffaatar* Ihr t bafora daflolto pas* cr coda ta ralia of auch alad/ ba d a t e n i s e d fcy a viali lo Tctifcrd isd Aabeatoa al vuich Ileo ti. trillatila aourcaa c i inforna U o o vouli b* rariavad vllt jo. Tba cacotvi prt, ttt la, tt* esixal laatlsf p r e g n e , a arerai - h u t a . *a yon too*, thire 1* sov 00 lachle bgr vhidt va cao, vith carte.ioly, avlutta Uta erel#ot-letty of salariait for lur. U t rut. -rperux b/ lo V i o H o c le cuccar stuoie* ha* eoi yt* bees eilaviivty apiorrd and la, tt tba contol, of catplttal/ isileovu rt'.litility. Tha lattiiula la et Iti* Ile ltylcf pita* for tba aalfctllibncol of a loo.-nss* pror*e lnvclrla a baalc lova*tiUoo of tadinlct far ti.a itiidy of luc cascar arlalcf ty laro 1-li oc. of e.iroiooi_'>* of aoay n r l o u a lypa. A atudy baaad cm letalc tics of etcflo* fltres, in our o;ial:r., oust ba dont. It lo beiiirrd, ho wv ar , lhat thla aiuti/ vou'.d ba soci affretira lf lt Vara nada a part of t.ic k.rfar rroert-r emtloc*] atora v U c b veuld ba io Itti Ih reliait/ of t> techric; tvployad, uslBf a ririrt/ cf r.ovm ci-.icVnoctti* tnd s r rlct> cf cpeti*t. for th**a re-tco*, a te'.lerr lhai va v U l ba lo a b e l U r j-s^lltoo ta aut*at cc.-.errir jl'ra fer Lrr~.lt-lion . U n i e * le thr* or fiur auolha Ibaa va ara nca*. There rca*ir, hovr*. r , 1s Ite ir.i.t 1 laallnc p rogr** Ir.i o e c e f iity for a v t.'a e tin r It.a c.-.U r i t i * V3 a o re e a ls f tea* aueb e* lc p l.n t.U v n i l t h a a tr/e n te lus;; ll a t u t i s i lo tr r tr char l in je c tio n . IW m i k 41n cas bc r< u U * rW c c t L i t i f n b la fr l id e a r la a Ut a / lahalat'-co ilM jr f le c a d o* te k U r l ' l , alce* tb*y r l ^ t w r j Wall p n U C ala Ter M ^ ictU a f e ta rla la te r u*a le tea cora a lita r ti* t ik U c U r x c l n . tt* M th* l o t i te i* ca u li p i dar wr aiQr tic a f'* r Saytacbar l a t . ... S>jck a ta /lM m a li ieratica flM ita T T ls f la a t a tlc e aari/er U jK llc a o f a tro? o f e t ta rla la to te dctardaad Jolctljr, calar U cfcilc aa %u* aiflc/ad bjr Zte. * lilU a l , f a lt k . 9cen a at a l / , v h ltk old la flu ii a aoebar c f ca ta r ia la would coca te a to u t 110, 000.00 fa r a aa* r*r atuqr. S a ct p rcja ct M a li ba oarrlad o a t cariar e eoatr a c t a i tba trpa aeclaaari. l a a c c a r j r i ( 1) Ve R ^ M t t b t t tb a e e t e m i t y f aa fidacial allea i eteri/ to itto n ia id m tba t e d i af a r i a lt te yacr f l e t e i (ir) ttekt d arla Ita fic c a iter aa U te ltU a a i t e t i ba d a frrra d f a r k m e r fee r eoatb a; (J) t t e t r r e U t a ta d le by laylaaW tlaa mt/mr l a ] M U a ba a l e r ta d l a c f l a t a l y . S lM tn S r *J. Cba& nw a U aU babaadladaatrlalIterileaa r iJ liic b e l. C.C.I Ite. . r . Vocdmrd I r . f . CarUcr ' - , *.t^` - OCTOBER 20. 1950 : : `Mary Haines^-* Dr. I ^ i n g Li, ;rApplel)aam Dr. Samuol 'Sninner ' , DECEMBER 1 s t. 1950 \ Dr. E.G. 'Pendergras '. r4 7 Dr. Leonard J . B risto l 80 Dr. Arthur Terwald 112 Dr.Anthony J . Lanza 132 DECEMBER' 15. 1950 No w itnesses IllSSi ^ -24; ^ 69 91 116 136 TELEPHONES MITCHELL 2*7550-1 WILLIAM C. O 'B R IE N AND A S S O C IA T E S S U P E R I O R C O U R T EXAM IN E R S - NOTARY 1 0 6 0 B R O A D ST R E E T N E W A R K 2 , N . U. Vorwald-croes th a t ha be continued* we usually aacomaodate 1. instance* The nan d o n 't wish to ba qhanged* 3 Doctor| among the th in g s, among the various d iffe re n t types of a sso c ia tio n , you said you followed soma organization of compensation medicine? A Yes* 3, What organization i s th a t? A That i s an a sso c ia tio n f o r compensation medicine, Hew York City* Q, And you rep resen t whom? A Z represent no one, I am a member* <4 Oh, I see* A Of the assooiatioi Q, Who i s your sponsor, doctor? A I d o n 't have any sponsor* Q, Well, is i t sponsoring of big Industry? A Ho, no* MR. WILSON: I think th a t i s a ll* MR* HALL: Thank you, doctor* (Witness excused*) MR. HALL: Dr* Lanza, please* DR. A N T H O N Y J. L A N Z A , called as a witness on behalf of the Respondent, being first duly sworn, testified as follows: Lanza-direct 133 UR* WILSON: May I say In the in te ra c t of economy of tim e, Z would be very happy to admit Dr Lanza*a q u a lific a tio n s , he enjoys an eminent reputation I think a l l of us have had opportunity and th e pleasure of reading h is books and we know hia work* Ie th ere any p a rtic u la r importance of spreading his q u a lific a tio n s on the record? I am p e rfe c tly w illin g to concede th a t Dr Lanza enjoys one of the most eminent reputations in h is f ie ld in the country UR* HALL: In th a t f ie ld , and you w ill fu rth e r ag ree, Ur Wilson-- MR. WILSON: And radiology* MR. HALL: In in d u s tria l medicine? MR* WILSON: In d u s tria l medicine MR* HALL: Including asb esto sis and pneumonoconioais ? MR. WILSON: Oh, yes, I have no q u arrel with that* I have had the pleasure of reading Dr* Lanza*s books* MR. HALL: All right* DIRECT EXAMINATION: BY MR. HALL: Q, Doctor, what la your present position? Lanza-direct 134 A I am profaaaor of in d u stry a t New York U niversity, Bellevue Medical C enter, end Chairman o f the I n s titu te of In d u s tria l Medicine, in the same place* Q, And you have been studying pneumonoconlosis, including a sb e sto sia , fo r a g re a t many years? A Yes, sir* Q, Since about what d a te , doctor? A 1914* Q, And, as Mr* Wilson, has so kindly in d icated , you are the author of the leading tr e a tis e on the subjeot, i f I may put i t that<way, ia th a t rig h t? A Well, also , along w ith other people* Q Yes* Are you s t i l l carrying on stu d ies in these field s? A Yea, sir* 3 Now, doctor, baaed upon your studies and experience, p a rtic u la rly w ith the methods av ailab le for the diagnosis of a sb e sto sia as known to the medical world today A The h isto ry of exposure and the c h a ra c te ris tic x -ray film* Cl Are both required? A Yes, sir* q In other words, th e re can be no diagnosis with only one o f these two elements th a t you mentioned? A Right* q Now, doctor, you have had occasion to examine the x-ray film s of the decedent now in evidence here, Lanza-direct 135 exhibits R-l to R-17, and P-1 and P-2, hate you not? A 7e, sir* 4 When about, did you do th a t, i f you ean re c a ll? A Oh, sometime in November of l a s t year, 1949* Q And without reviewing every film , in order to save tim e, w ill you summarize fo r us, g en erally , what these film s showed to you, w ith reference to the condition of Mr* Haines* chest? A I w ill say th a t these film s showed no evidence so fa r as an occupational disease o f the lungs or pneumonoooniosls Q Were th e re any changes in them of any slgaifiC anc from the e a r l i e s t film in 1936, R -l, to the l a t e s t ) r* film in Ootober, 1946, P-2? A No, sir* - Now, you heard the h y p o th etical question / th a t I proposed to Dr. Pendergras th is morning, you were in Court? A Yes, sir* Q, And you heard a l l the fa c ts se t fo rth in that question? A Yes, sir* 0, And without repeating them, with the consent of Mr* Wilson, 1 w ill simply ask you the inquiring p a rt of th a t question: Based upon the fo o ts se t fo rth th e re in , and on your examination of these film s, and in the lig h t of your tra in in g and experience, did John Haines have asb esto sis a t any time during the period of the film s? A No, air* Lanza-direct 136 0, And why do you aay th a t, a ir? * Beoauae there i s ab so lu tely no avidones of it* ^ You mean nothing in the x -ray film s? A Nothing on the x -ray film s, yea# Q, Did he hare any o th er d isease of the lung th a t i s shown by these film s? A Nothing in h is lung* Q, You a lso heard th is morning, I th in k , my hypothetical question to Dr, Pendergras, reading from the records o f th e testim ony,of Dr, Applebaum as to h is in te rp re ta tio n o f e x h ib it P-2, do you agree or disagree with that opinion? A I disagree, Q, Why do you say t h a t , s ir ? A Because there is no evidenoe in the x-ray film to support the statem ent, MB. HALL: You may cross-exam ine, CROSS-EXAMINATION: BY MR. WILSON: 4 Then I take i t , doctor, you mean by th a t, that is your opinion as to the fact that there is no such evidenoe to support th a t statem ent? A That ia r ig h t , and baaed upon many years of experience. Q, Of course. Doctor, did you not advise, in the Lanza-oross 137 coursa of your ritin g a th a t known s i H o o t lea or thoaa suffering from pneumonoooniotic disease be restored from exposure? A I think before Z answer th a t question-- q Z ju s t asked you th a t question i f you d o n 't mind, Dr* Lanza* A What? q Z just asked you a simple question, and Z think that can be answered yes or no* A I c a n 't answer yes or no, because i t depends on circumstances q Well, d o cto r, Z s ta te d , did you n o t, in your w ritings make the statem ent th a t known s illo o tic s or other people su fferin g from pneumonoooniotio d iseases, Z d id n 't say the exact nature of th is disease, should be .removed from fu rth e r exposure? A Z d o n 't think so, not a ca te g o rial statement of th a t kind* q Well, q u a lifie d ly , would you make th a t statem ent? A q u alified ly ? Yes* q What are the q u a lific a tio n s? A We have made many stu d ies a t the p lan t-- q At what? A The plant* q Yes* A Industrial plants including asbestos plants* Now, in the given cases, X mean, of a sb e sto sis fib re which involves exposure to asbestos d u st, you have got people working th ere, and they may have taried degrees of a sb e sto sis, but i f Lenza-dross 138 the p lan t la oleaned up, i t the dust i t removed, then th ere la no objeot o f throning e l l these people out o f work and they do oome baok end s t a r t working again, beeause you know then th a t the amount of asbestos th ejn are going to be exposed to from than on i s not su ffic ie n t to m a te ria lly a ffe c t th e ir pulmonary condition. The same thing holds tru e w ith o th er v a r ie tie s , I mean, you oan go in to s i l ic o s is , Q. Zf the p lan t i s not oleaned up, and kept clean, you would advise the p a rtic u la r indiv id u als removed? i A I f he had a sb e a to sis, y es, <4 Well, dootor, t h i s man d o esn 't have tu b ero u lo sis, does he? A No, s i r , <4 He d id n 't have pleursy? A I don't think so, no, Q, He d id n 't have b ro n c h itis? a No, s i r , not w ith the evidenoe on the xraya Q, He d id n 't have any other pulmonary disease whloh i s m anifest on these x-rays? A That is right, Q And s t i l l for years he kept on coughing, do you know why, doctor? A No, s i r , <4 For years he kept on expectorating s tu ff th a t he inhaled in the p la n t, did he not? A No, s i r Lanza-crosa 139 UR* HALL: Where i s th ere any evidence i t was s tu f f th a t ha inhaled in the p lan t? UR* WILSON: Wall, black s tu f f th a t ha expectorated, ha inhaled i t beeause o f exposure* UR* HALL: th ere is no evidence of that* THE DEPUTY DIRECTOR: Well, the wife t e s tif ie d th a t about A pril 26, 1946, he had a coughing s p e ll th a t he passed up a l o t of black dust* He got sons medicine; he would use i t a t the n ext'coughing s p e ll and a f te r he got its h e did not observe any expression of pain; th a t th ere was lo ss o f weight, about twenty pounds; he f e l t a lo t worse in 1946 than before* That i s some of the testimony with regard to .th e observations of the wife concerning the petitioner*s condition a t th at time* UR. WILSON: Well, I think I have lo s t my tr a in of thought* May I have the l a s t question, Ur* Schumann? (The previous question read by the reporter as follows: Question: "For years he kept on expectorating stuff that he inhaled in the plant, did he not?") Lanza-oroaa 140 UR WILSON: X w ill withdraw tha question I think tha quaatlon la improper BY UR WILSON: q Thera ara x-rays taken in December of 1948? A Yes, air q I am talk in g about P-1 and P-2? A Yea Q, Would you put them in fro n t of you, i f you d o n 't mind I want to read a statement A Yea q I w ill read th a statem ent and ask you i f you agree with that UR HALL: I o b jeo t, i f the Court pleaae unless-- THE WITNESS: 10-30-48, i s th a t rig h t? UR HALL: Yes, I o b ject to reading tha statement unless th is oonoerns the ease, to see whether i t ia proper or not THE DEPUTY DIRECTOR: Let him finish UR WILSON: I w ill make the statement MR. HALL: Yea BY MR. WILSON: Q I make th is statem ent, doctor, and ask you whether or not you agree w ith i t : X-ray examination of the chest shows the trac h ea, h eart and mid-sternum to be normal, the rig h t hilum is moderately prominent, and th ere s tip le d i n f i l t r a t i o n in both upper lobes, more marked on the r ig h t, the balanoe of the lung fie ld s Lanza-cross 141 arc clears do you agree w ith th a t? UR* HALL: I o b ject to that i f th e Court please There is an a t t e s t to read here something in to evidence some kind of re p o rt by somebody I haven*t the s lig h te s t idea who, and i t i s not the proper way to do it THE DEPUTY DIRECTOR: 1 don't understand what the question is You are asking the doctor i f he agrees w ith a ce rtain statem ent made by who and a t what time? And w ith respect to what? MR WILSON: X am making a statem ent th a t was made to us as a hypothetical question to lay a foundation for reb u ttal The s ta te ment was made and presented by th is dootor* Dr J . C, Boyes, M.D., FACS, a roentgenologist of P lain field New Jersey . MR. HALL: Well the way to prove the statement is to call the doctor MR. WILSON: Well w ill your Honor note t h i s , I am asking him the doctor may agree with th e statement then i t wouldn' t be necessary to c e ll him. THE DEPUTY DIRECTOR: Well, as propounded, I w ill sustain the objection. Lanza-orosa 142 BY MR. WILSON: Q. Doctor, do 70a b a ll ova th a t the film ahowa tha rig h t hllum to ba moderately prominent, and th era is s tip la d i n f i l t r a t i o n in both upper lo b es, more marked on the rig h t? MR. HALL: X o b ject to th a t on tha same grounds THE DEPUTY DIRECTOR: I w ill allow tha^ question. BY MR. WILSON: 'l Answer tha q u estio n , please THE DEPUTY DIRECTOR: Did you find th a t condition, d o cto r, on P-1 o r P-2? THE WITNESS: No, s i r . BY MR. WILSON: Q, Did you find any i n f i l t r a t i o n in both upper lobes? A No, sir Q With the h is to ry th a t th is man found i t , doctor, as furnished in tha hypothetical question, i f he had I n f i l t r a t i o n , would you than believe h is complaints to be due to a sb e sto sis? A I f you say the i n f i l t r a t i o n was a c h a ra c te ris tic type of a sb e sto sis, but there i s nothing even remotely resembling i t th ere. MR. WILSON: Will you read th a t back, please' Lanza-cross 143 (The l a s t answer o f the witness read by the reporter) MR. HALLi By, " th e re ," yon mean ex h ib it P-2, doctor? THB WITNESS* Tea, s i r . MR. WILSON! I think th a t i s a l l . MR. HALL! That i s a l l , doctor. THE DEPUTY DIRECTOR: Doctor, fro a the h y pothetical question and fro a your examination o f the x-rays film s, and fro a your experience, Y did you a rriv e a t any conclusion as to what condition th is aan had been suffering from, during the period oovered by the x-ray film s? THE WITNE33: No, s i r . the DEPUTY DIRECTOR: That la a l l . MR. HALL: The respondent r e s ts . MR. WILSON: I th in k , i f your Honor please in the lig h t of th is l a s t answer we have to beg leave to produce Dr. N. G. Denny. MR. HALL: For what? MR. WILSON: I ascertain ed , apparently, he sent th is re p o rt, th a t i s , the report of Dr. I . C, Boyea, M.D., EACS, to Dr. N. G. Denny, I assume th is i s the re p o rt which