64 65 Employer's First Report of Injury 30. (a) Name and address of physician Dr. Jeans, 118 W. 74 (b) Name and address of hospital Fatal Cases 31. Has injured died If so, give date of death Date of this report Oct. 28th, 1935. Firm Name Slawson & Hobbs Signed by J. Douglas Cooper Attending Physician's Report, November 5, 1935. STATE OF NEW YORK DEPARTMENT OF LABOR Office of The Industrial Commissioner DIVISION OF WORKMEN'S COMPENSATION 80 Centre Street, New York City Case No......... Insurance Carrier's No....... ify 1. Name of injured person Christopher Han 2. Present address (Street and No.) 230 West 99th Street (City or town) New York City 3. Name of employer Edgar Cadmus, Receiver, Slawson & Hobbs, Agts. 4. Address of employer 162 West 72nd Street New York City 5. Date of accident October 19, 1935, at 10:30 P. M. Injured at: 304 West 75th Street 6. Was first treatment rendered by you? Yes When? October 19, 1935 7. If not, by whom? Address 8. When did you first treat claimant? October 19, 1935 Last treatment? November 8, 1935 9. Who engaged your services? Employer 10. Was injured person removed to hospital? No. Name and address of hospital 67 68 69 70 Attending Physician's Report, November 5, 1935 11. State in patient's own words how the accident occurred Patient, in his capacity as doorman, was struck by some sharp heavy object, by a driver of an automobile who attempted to park too close to the door of the building, in which the patient was employed. An argument ensued after the patient objected to the parking of the car close to his door. 12. Give an accurate and complete description of the nature and extent of the injury (state 71 your objective findings) Large deep laceration of the forehead on the right side. Ecchymosis of the upper and lower eyelids of the right eye with marked edema of both lids. Acute engorgement of the sclera and conjunctivae of the right eye due to trauma. The right eye is shut because of the edematous condition of both eyelids. Possible fracture of the skull. 72 13. Is the claimant's present disability a result of the injury above described? Yes 14. In your opinion was the accident as above described a competent producing cause of the injury sustained? Yes 15. Will the injury result in, (a) Permanent defect? No If so, what? (Permanent disability, such as loss of whole or parts of finger, etc., must be accurately marked on diagram.) (b) Facial or head disfigurement Yes-scar over right eye. 16. Is there any history or evidence present, of pre-existing injury or disease, and if so, what None (Let your answer be specific) Attending Physician's Report, November 5, 1935 17. On what date do you think the injured person will be able to resume his usual work? Nov. 11, 1935 18. On what date able to do any work and nature of work? Nov. 11, 1935 (Usual work) 19. I am a physician duly licensed in the State of New York, and graduated in the year 1915 from N. Y. U. & Bellevue Medical College. MARTIN L. JANES, M. D., 73 Attending Physician, 74 New York City Dated November 5, 1935 MJL:EP 76 Verified Report of Dr. Davidson, February 24, Case No. 35410501 1936. Claimant Christopher Hanify Employer West End Ave. at 75th St. Insurer Royal Slawson & Hobbs MEDICAL EXAMINATION 77 78 Dr. Davidson, being duly sworn, deposes and says that he is a duly licensed physician in the State of New York; that he is an Examiner of the Medical Staff of the Bureau of Workmen's Compensation of the Labor Department of the State of New York; that he has this day examined the claimant and makes the following report and findings therefrom." Examination of the right or injured eye shows a perforating corneal scar nasally, anterior synechia and cataractus lens. The findings indicate a perforating injury, but the C-4 in the folder, by Dr. Janes, does not furnish sufficient information to pass on causal relation. Re-examination with complete medical data from Dr. Janes. M. S. DR. DAVIDSON. Subscribed and sworn to before me this 24th day of Feb., 1936. (Duly Verified.) Signature of Notary not legible. 1 |