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April 26, 2017

Michelle Marti, Claims Examiner

Dept of the Navy
Commander, US Pacific Fleet - Shipyards
HRO Northwest

1044 Farragut Ave, Stop 2070
Bremenon, WA 98314

RE: Sumner Aiberf
DOB: --

Claim number 

Dear Ms Mani

This letter is in response to a letter from you to Mr, Albert dated Dec 1, 2017 that he brought to
clinic today. The clinic note from that visit is included With this letter

in this letter you noted that previous reports "do not medically explain how your accepted conditions
have worsened such that you stopped work on 03/13/2016" nor do they "provide an explanation of
how you are disabled from performing the duties of your employment as a result of your work injury
and accepted conditions Mr. Albert has an accepted condition of irritant induced irritable larynx
and vocal cord dysfunction as a result of his workplace exposures He also has irritant--
induced asthma (reactive aiMays dysfunction - RADS) also as a result of his workplace
exposures and confirmed by a methacholine challenge test on 7/20/2016. This latter diagnosis
should be added as a diagnosis on his claim. He stopped work on 08/13/21016 because he was
again exposed, against medical recommendations, to respiratory irritants at work. This resulted in
a temporary aggravation at his now longstanding respiratory conditions. He has not worked since
apparently due to the inability to accommodate his needed work restrictions. Mr. Albert is not

disabled from performing the duties of his employment as long as his exposures to gases. dusts,
fumes and vapors are minimized. While this was achieved previously, because of changes to his

work environment. this is not the case any longer

I hope this has helped to clarify the concerns in your letter Please get back to me if can be of
further assistance.

Sincerely,
Electronically signed by

Sverre Vedal, MD

CC: OWCF, US Department of Labor
OCCUPATIONAL AND MEDICINE 

325NmthAve Seattle,WA 93104 zoo-74479372 Fex2057744~8527

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