Document zoO4450g3Y59Xn4eyXyvw1zgg

SIONEY E. FRIEDMAN, M. D-. P. A. 900 STUYVESANT AVENUE UNION. N. J. 07063 TELEPHONE: 686-6034 SIDNEY E. FRIEDMAN. M.O.. FC.C.P DIPLOMATS. AMERICAN BOARD OP INTERNAL MEDICINE CHEST DISEASES 12, 1M0 Prawr. * Bui Esq. 24 Comaerce St. Kawart, H.O. 071C2 anciojaent MSI Age 11 File NO. 3**74 C REDACTED At your request was re~ejuuainea la my office oa PSbru&ry 2, 1996. fkt bad bean jJpuMUBcq oa October 25t,'1*t3 and a report we* iruut to you oatoa Dece&oer lu, 1385. Since that tine he bee had continued saploynant and upo&ur la tUa workplace to deleterlour aubstaacu*. Kc workea for hnerwia Williams Paint Co. for IS1* year* and was Qkv.p^'i to dirt, dusts, time*, aabastos, cbeaicaia, benzene, pigswnta and **ny imtanu. : a worked near the coadeeutea Piouaond alkaline plant where dioxin and other hazardous , tioaicaia were ia the air. Be developed difficulty breathia% over the years as well as ait. leer, and had ulcer surgery is )970. he was told of an ab&ern&l bleed count In the past. ^ ne complaint* include difficulty breatning, cough sad shortness of broath* problems with >w4ision ecu hearing} pain in the neck, hack and extremities* stocapa creaps j fatigue and weakness} and worry about all the conditions. u has an occasional cough which is worse in the Burning, productive of yellow sputum. Be j k chest pain, tightness, congestion, pressure anc Whaasirtg* is? uses l pillow to ease ftis breatniag. Be is short ot breath walking 1 block, cllabxga stairs, lifting and carrying, tte baa palpitations whan be coughs. Be bas arthritis ia his shoulder and nock. Be bad ulcers in IS70 and 137*. tte continues to have a "low blood count*, h* bad left hernia surgery in the past, a beal spur referred on the left, surgery to bis right band left elbow. Be had 2 eye operations as well. Be saoked for a few years in bis 'tease ed drinks an occasional t-uack or eor. he is oa izoa and vitani&s twice a day as well 'a* Tagamet. PtililCAi. EXAH1HATX015 appearance* be Is average in height and weight 3: as 30 C3 O' Height 6S* Haight Pulse dd, irreg. pounds Rasp. It R.P. 120/14 Bead and neck* tne neck Is supple* there is no edeoopatny Ryes* pupils are equal and react normally EBT* clear to exasdnation* partial edentia Chest and lungs* no ralea, rhoschl or Wheezes Cardiac* regular raytha with no nurwars or gallop sounds kbccxmitt soft, r.on-tender * no organs or ms s s s palpable* surgical scars Extrtaaitiest so clubbing, cyanosis or sdeaa* scars left heel, left elbow <fn 5 CO mo > UxInaljsist alhuaia and glucose -0 0007-SWP-005803075 CONFIDENTIAL 2nd exam Chest, x-ray j tns heart is normal in else, me left peala1aphragm is elevated. There are bilateral biles calcification*, sore so on the left. Interstitial and bronchopulmonary markings are prominent bilaterally. There is a fine reticular pattern throughout both lungs, mostly in the lower lobes, ccspatible with e pneumoconiosis. The skeletal struc tures appear normal. Pulmonary function testing! There were 3 computerised spirograms done, the best effort ^-qas used fox computation. A copy of the spirogzae graph is appended to this report, praere is evidence for restrictive disease. C0NCUJ&1ON&* Based upon the history and the findings, it is my opinion that t__ < has cnronic lUcupetioaal bronchitis with restrictive airways disease, pulmonary fibrosis, pneumo- ^""d&nloals, with the probability of pulmonary asbestosis, for which 1 would estimate a disability of 45 of total. Baaed upon his history it is my opinion that this condition a result of the dirt, dusts, fumes, asbestos and irritants in bis wort at Sherwin liams Paint Co, The symptoms, pulmonary function testing and chest x-ray substantiate diagnosia. Bxposuxe to asbestos poses a threat to future health due to the known clnogealc effects. Be should have yearly chest x-rays to monitor this possibility. orthopedic, opnthalmologic, otoiaryngeal and neuropsychiatric consultations. incerely yours. SIDNEY E. FRIEDMAN, K.D. SEP Ob =ar ^ rO rrt' J op c* p in 0007-SWP-005803076 CONFIDENTIAL