phrases “pulmonary fibrosis secondary to asbestosis,” and “pulmonary fibrosis secondary to this condition,” which were professional medical terminology. He did not know whether the nomenclature used was his own language or that of the patient in describing his past history. (Nolan denied ever having stated that he was told he was suffering from asbestosis at any time before May of 1973.) Concerning the language, the following colloquy took place:
“MR. O’BRIEN: Q. In this history in particular, and it has been quoted a number of times, I quote, ‘He was told around 1957 that he had pulmonary fibrosis secondary to asbestosis.’ That was what was told to you. This has been asked, but then awhile ago you said you are not sure in regards to that terminology.
DR. KLOEMPKEN: A. I am not sure if he used those words. This history is not his words, they are my words. I am paraphrasing what he said.
Q. That is what I am not sure about. Doctor, when I read your history, your history states, ‘he was told around 1957 that he had pulmonary fibrosis secondary to asbestosis.’
A. That’s correct. Now, whether those are his words or my words, I can’t tell you. I would say the entire history. When I take a history, I ask certain questions and I write them down. Sometimes it is shorthand, and I will dictate from there. These are not verbatim like you have a secretary take them down.
Q. I realize he is a layman, but what then could he have possibly told you for you to reach that conclusion in your history? Did he have lung trouble, and did you then conclude that and make it up?
A. He might have said he had lung trouble and chronic lung trouble, and he worked in an asbestos place, and it was bothering him. I don’t know really. I really can’t honestly tell you that these are the patient’s identical words. Maybe as you say, he said he had lung trouble and was working in an asbestos plant, and I said that — I don’t know.”
During the 3M week 1973 hospitalization, chest X rays, tuberculosis tests and a lung biopsy were taken. In discussing the results, Dr. Kloempken testified that the chest X ray showed increased markings on the right lower lung, such as pneumonia might cause, which was not characteristic of asbestosis, and there was a question of sarcoid disease of the lung. Because of an ongoing fever, a lung biopsy was performed by a chest surgeon, Dr. Vajra Shreeram. The needle biopsy pathology report revealed the presence in the right lung of fragments of granulation tissue one of which was said to ° ° resemble, morphologically, this so called asbestos body. Clinical correlation, including occupation, is recommended.” The microscopic description stated that “ ‘[t]he section