Rongelap 51
HOSPITAL OF THE MEDICAL RESEARCH CENTER,
BROOKHAVEN NATIONAL LASORATORT

08-50-52 R

UPTON, NEW YORK 11973
Aree Code 516 YAphank 4~6262

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CIRC 63

DISCHARGE SUMMARY

and was able to get up and walk around, with an increase in appetice,
was considered fit to cravel to Cleveland on 3 June 1974.

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When the patient arrived st the

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Cleveland Metropolitan General Hospital
she was improved.
Her chest x rays were reviewed by a chest specialist and
the EKG by a cardiologist.
Their opinions were that the ? hilar shadows were
not suggestive of tuberculosis but of bronchitis, and the T-wave changes in
the EKG were not considered significant,
Their conclusions were that these
conditions did not preclude surgery. Positive pressure ventilation and other
pulmonary exercises were tastituted and resulced in removal of large amounts
of bronchial mucus with marked improvement in the patient's status prior co

surgery.

On 5 June 1974, thyroid surgery was
carried out. The gland was found to
be small, thin, and broawmish in color and quite friable, A l-cm mass was
removed from che mid left lobe which was filled with necrotic fluid and a
smaller 5 mm tongue of adenomatous tissue removed from near the isthmus, The

pathological diagnoses for boch masses were “adenomas”,

The patient's postoperative con-

pulmonary problems.

valescence was uneventful with no

A positive serological test for syphilis was reported,

This was confirmed on re-check,

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Robert A. Conard, M.D.

——

6/25/74
6/27/74

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Benign thyroid adenomas, surgically

removed, .
Chronic brodchitis.

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DISCHARGE DIAGNOSES:

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Dr. Knudsen, the resident physician
in the Marshall Islands, was notified
of the return of this patient and advised about the positive serological test
and che desirability for continued postural drainage procedures. She was
resumed on thyroid hormone treatment (Synthroid®°) and given a supply to take
back to the islands with her. She will be given careful followup exans,

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DISCHARGE MEDICATION & INSTRUCTIONS:

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