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Buren James D. Brothers, M.D. 128 Broad Street Newark, N.J. Collins & Corbin. DEFENDANT U. S. Radium Corpóration. INJURED Mrs. Hoare. EXAMINATION At your request I examined Mrs. Houre at the College of Physicians and Surgeons, New York City, June 17, 1930, between 10:00 A.M. and 12:30 P.M., the actual examination taking about one hour. I am not going into the history of the case, as that ill be forwarded later when the stenographer who was with me finisheshie notes. This woman's pulse was 96 and about every half minute she has en extra cystole which 18 evidence of an irritable heart. She is 5' 5-1/2" and at this time weighs 101 lbs. in her underclothing. She has no secondary anemia as far as I can judge by hermucous embranes, the lawyer who was with her not permitting any blood to be taken, and not permitting any x-rays, urine or stool examination. Her right arm which she complains W&S found negative byme, motion being normal, no sign from physical examination of bone, muscle or nerve injury. Both legs which she complains of 88 being painful from the knees down were found negative for bone, muscle or nerve involvement. Her reflexes are normal, tactile sensetion normal. Her back shows a scoliosis in the upper dorsal and also a kyphosis in the dorsal region. This, in my opinion, is not due to my bone involvement, but to the fact that this woman has been in an occupation where she bent forward, also to the fact that she is slight in $ tature. and has been carrying the children that she has given birth to. This may also account for the latteral inclination ofthe 8 pinal column. On vaginal examination I find she has a torn prineum and a torn cervix with a great amount of cervic dischargewhichis whitish-pellow in color. The fundus of the uterus is retroverted and partially fixed. This, in my opinion, accounts for the painshe complains of low down in her back. She has a midline scar in the & bdomen which she claims she W&S made when her appendix was emoved. This is about 5" in length and spread to 1/2". On palpation of the abdomen, I can feel what is apparently matted up omentum, which is either the result from adhesions or her operation ormorelikely the in- flammation which preceded her operation or as an outside diagnosis, tuberoular involvement of the abdominal cavity and its contents. There was no free fluid in the abdomensthe kidneys, liver and splen were apparently normal, no tender points. She, however, resisted at times when the examination was made and r efused to have her rectal examination done. Her chest did not presentmysigns of tuberculos her clavicles were not tender. She tends tohold theright shoulder higher than the left. Her right lower jaw now has the latteral incision, socalled stomach tooth and one biouspid. The left lower jaw has the same teeth mentioned for the right, dusthe second molar which is badly diseased and which she clains no Dentist will pull. The upper right jaw has the second biouspid, womolars, the central and latteral incisors* the upper left jaw has thefirst bieuspid missing, first and third molars missing, centraland latteral incisers, and all the other teeth, but those mentioned asmissing,are in. The lower jaw about the incisors, the two centrals having been removed, presents & bad condition of gingivitis, the teethare erroded and show signs of infection and the gum is swollen. Under the angle of the right jaw is B. 1-1/9" healed laceration which is freely movable not being adherent. to the underlying bone, and it isthrough this she claims that & piece of her jaw was removed. The jaw feels normal on both sides and the upper ridge does not have my groove or halt in it through its whole extent. Motion of the jaw isnormal, and there isat this time no sinus, either inside or out, running to the mandible. There is no sign of skull or brain involvement, her reflexes are not increased, although she claims she is nervous, cannot eat and cannot sleep. Her blood pressure 18 120 - 75. Thereis nothing in this woman's case, from physical examination, whichpoints directly to radium poisoning. JAMES H, BROTHERS, M.D.

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    "ocrText": "Buren\nJames D. Brothers, M.D.\n128 Broad Street\nNewark, N.J.\nCollins & Corbin.\nDEFENDANT U. S. Radium Corpóration.\nINJURED Mrs. Hoare.\nEXAMINATION\nAt your request I examined Mrs. Houre at the College of Physicians\nand Surgeons, New York City, June 17, 1930, between 10:00 A.M. and\n12:30 P.M., the actual examination taking about one hour. I am not\ngoing into the history of the case, as that ill be forwarded later\nwhen the stenographer who was with me finisheshie notes. This\nwoman's pulse was 96 and about every half minute she has en extra\ncystole which 18 evidence of an irritable heart. She is 5' 5-1/2\"\nand at this time weighs 101 lbs. in her underclothing. She has no\nsecondary anemia as far as I can judge by hermucous embranes, the\nlawyer who was with her not permitting any blood to be taken, and\nnot permitting any x-rays, urine or stool examination. Her right\narm which she complains W&S found negative byme, motion being\nnormal, no sign from physical examination of bone, muscle or nerve\ninjury. Both legs which she complains of 88 being painful from the\nknees down were found negative for bone, muscle or nerve involvement.\nHer reflexes are normal, tactile sensetion normal. Her back shows\na scoliosis in the upper dorsal and also a kyphosis in the dorsal\nregion. This, in my opinion, is not due to my bone involvement, but\nto the fact that this woman has been in an occupation where she\nbent forward, also to the fact that she is slight in $ tature. and\nhas been carrying the children that she has given birth to. This\nmay also account for the latteral inclination ofthe 8 pinal column.\nOn vaginal examination I find she has a torn prineum and a torn\ncervix with a great amount of cervic dischargewhichis whitish-pellow\nin color. The fundus of the uterus is retroverted and partially\nfixed. This, in my opinion, accounts for the painshe complains of\nlow down in her back. She has a midline scar in the & bdomen which\nshe claims she W&S made when her appendix was emoved. This is\nabout 5\" in length and spread to 1/2\". On palpation of the abdomen,\nI can feel what is apparently matted up omentum, which is either\nthe result from adhesions or her operation ormorelikely the in-\nflammation which preceded her operation or as an outside diagnosis,\ntuberoular involvement of the abdominal cavity and its contents.\nThere was no free fluid in the abdomensthe kidneys, liver and splen\nwere apparently normal, no tender points. She, however, resisted\nat times when the examination was made and r efused to have her rectal\nexamination done. Her chest did not presentmysigns of tuberculos\nher clavicles were not tender. She tends tohold theright shoulder\nhigher than the left. Her right lower jaw now has the latteral\nincision, socalled stomach tooth and one biouspid. The left lower\njaw has the same teeth mentioned for the right, dusthe second molar\nwhich is badly diseased and which she clains no Dentist will pull.\nThe upper right jaw has the second biouspid, womolars, the central\nand latteral incisors* the upper left jaw has thefirst bieuspid\nmissing, first and third molars missing, centraland latteral incisers,\nand all the other teeth, but those mentioned asmissing,are in. The\nlower jaw about the incisors, the two centrals having been removed,\npresents & bad condition of gingivitis, the teethare erroded and show\nsigns of infection and the gum is swollen. Under the angle of the\nright jaw is B. 1-1/9\" healed laceration which is freely movable not\nbeing adherent. to the underlying bone, and it isthrough this she\nclaims that & piece of her jaw was removed. The jaw feels normal on\nboth sides and the upper ridge does not have my groove or halt in it\nthrough its whole extent. Motion of the jaw isnormal, and there isat\nthis time no sinus, either inside or out, running to the mandible.\nThere is no sign of skull or brain involvement, her reflexes are not\nincreased, although she claims she is nervous, cannot eat and cannot\nsleep. Her blood pressure 18 120 - 75. Thereis nothing in this\nwoman's case, from physical examination, whichpoints directly to\nradium poisoning.\nJAMES H, BROTHERS, M.D."
}