7, Obtain from the employee a complete and comprehensive medical
history covering all illnesses or injuries for which he has received
medical
care at any time. This history should be in chronological order
and should
bear the personal signature of the employee.
8. Furnish a full employment and occupational history on’
the
employee. This should include that information which can be
obtained
from your records as well as that which can be obtained
from the
employee by personal contact or otherwise.
9. Furnish copies of all medical data included in the employee’s

personnel folder as well as copies of all dispensary records
relating to the

Federal Employee Health Program at the employing establishment.
10. Furnish from the employer's records, and from any personal
information obtainable from the employee a complete history
of his
Previous exposure to X-ray and/or radioisotopes, whether from medical
or
industrial sources. This history should be in chronological sequence
and
should identify those exposures which are a matter of written record
as
distinguished from those which are based on the employee’s recollect
ion
or other indefinite information.
11. Furnish a list of X-ray equipment involved in this employee’s
exposure showing manufacturer, model, approximate normal powerle
vel,
type of tube, and description of collimating devices used. State types of
diagnostic X-rays taken (such as G.l. series, chest, etc.) and furnish
quantitative data on numbersofeach type involved. Describe location
and
form of safety device used such as aprons, screens, cubicles or
others.

If employee was exposed to direct or stray radiation from industrial or
therapeutic X-ray, furnish details on frequency, duration and extent
of
exposure, types of X-ray equipment and powerlevel for normal operation.

CHAPTER I
DIGEST OF VETERANS ADMINISTRATION RADIATION CASES
PART A

VETERANS ADMINISTRATION CASE
CASE NO. 1
Type of Injury: Acute Lymphocytic Leukemia.

VA’ Decision: Compensation Denied.
Date of Decision: 1969.
Claimant's Allegation: This veteran’s duty assignment as an X-ray technician

caused the disease which resulted in his death.

Facts: Veteran entered the U.S. Army in January 1953. Military records
showed veteran was assigned to work as an X-ray technician from December
1953 until December 1954. He was separated from active duty in December
1954. His service records were essentially negative and his discharge
examination was negative. The evidence of record indicated that the veteran
did not at any time following discharge from service work around X-ray
equipment or have any job that exposed him to any type of radiation. In 1969
the veteran developed acute lymphocytic leukemia and died. The death
certificate indicated that his condition was only in existence for two weeks
prior to his death. The widow filed a claim for death benefits.
It was alleged that the veteran wore no film badge and evidence of record
did not contain any specific information concerning the veteran’s work
environment or the amount of radiation to which he was exposed.
Medical Evidence: \n support of her claim the widow submitted statements
from a medical radiologist and two physicians who attended the veteran prior
to his death.

One of the medical doctors submitted the following opinion:

14

During my interview [the veteran] told me that he had worked as an
X-ray technician for several years in the service and a legitimate question
must be raised as to whether his exposure to radiation at that time
15

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