As a general rule, it is not considered necessary to make tests e^efty time the men are examined; in fact, it is our present nding thg/tf these tests are not necessary unless an individual has er symptoms of lead-poisoning ana, of course, should you run across an 'Individual in that condition, you would naturally notify us irnmedi^etj^and w\_w^uld probably ask you at that time to conduct the necessary uiftn^sari&dysis \p>support your previous diag nosis, but nothing like this shouldNobv o^ne in the general routine examina tions which you carry out each quai^ei [iscussions with you, it was agreed that we would pay you a standard fee of\5\Vguilders per year for your work on our behalf, and it was expected that suet ?

Kehoe, Dnivsrsity of Cincinnati, jollege of .Deficiue D' r.cinnati ,Chic -.ear Doctor: One of our examining physicians recently examined this claimant v:ho claims to have had t'-ro attacks of lead poisoning.

September 3, 1964 Professor Sir Alan Moncrieff Institute of Child Health The Hospital for Sick Children Great Ormond Street London, W.C. 1, England Dear Sir Alan: Please accept my thanks for your reply to my letter of some weeks ago, concerning lead poisoning.

Kettering Laboratory of Applied Physiology College of Medicine University of Cincinnati Cincinnati 19, Ohio Rear Rob: Herewith Is a reprint of an article on lead poisoning of cattle, which was among a considerable file of items awaiting my attention upon my arrival Mere.

Contents poisonous.

It is possible that we may somewhat rarely have requests for lead analysis and tissue, urine, and feces.

Belknap 251 West Wisconsin Avenue Milwaukee* Wisconsin Beat`S doctor-Belknap J I have jour letter of March gth inquiring &3 to the possibility of my appearance a5 an expert witness in a. case of alleged lead poison ing. 1 am very busy at present and 2 would prefer not to appear as an expert witness.

As a general rule, it is not considered necessary to make thass tests e^e'isy time the men are examined; in fact, it is our present undeahabanding tfrgX these tests are not necessary unless an individual has a^jNjbtper symptoms of lead-poisoning ana,CHIU,j oCri coUuir-OseC,j shouldOii'w'UJ.U. yJUoUu iruuun aabcirUobsas dii j^vidual in that condition,iUJ.U.iJi X U.U.C1X i l l 0lid.1/ V-UliUlblUli) yyo\ u would naturally noti`f'y us irnmedi^tfet^and w\_w^uld probably ask you at tinlat time t o conrduuct vthe nece-ossoaariyj uivinfe^arihAysis Xu-*support your previous d"i'a{ nosis, but nothing like this shouidNb' e in the general routine examina tions which you carry out each quaXfce in toiyvaiseussions with you, it was agreed that we would pay you a standard fee or^Kkgdiiiders per year for your work on our behalf, and it was expected that suchrefe would cover any work you might do with the exception of any special worxVa-^iay ask your assistance upon.

I may say, however, that I consider it very unlikely that you have suffered any injury of a permanent sort as the result of any exposure to gasoline containing tetraethyl lead.

'etra lead poisoning.

Kahoe College of Medicine University of Cincinnati Cincinnati, Ohio Dear Doctor Kahoe: On March 12, 1929, you furnished us * very comprehensive and sympathetic statement of your study of the case of who since about June, 1924, has berxWHHSnfflj^^^^^Wl and psychic consequence of tetraethyl lead poisoning at that ti~o.

This sounds like one of those rather typical affairs in which the man in question has not had adequate clinical study and in which, therefore, the easy way out has been to make the diagnosis of lead poisoning.

-ear Doctor* One of our examining physicians recently examined this claimant -;:ho cl ains to have had two attacks of lead poisoning. the symptoms which he now presents ana the onset cf his attacks cf illness -.lakes the diagnosis and dir nullity somewhat questionable.- f" discussing this clairo with the examiner it was suggested `has the claimant be referred to you for examination and opinion.

I am very sorry for all of the difficulties in connection with the cases of lead poisoning in California.

I am very sorry that I forgot to ask you a question while you were here, and that is your own rationale relative to therapy in acute and chronic lead poisoning.