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 \ i (NAME ) I {UNIT NO} i 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. . . She i When the patient arrived st the | eae ae 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, aouare t ef . t i * s Robert A. Conard, M.D. —— 6/25/74 6/27/74 ‘ 4 Received: Typed: i cfh : R467CLP teh Ok cy V4 fi! ot t eee FO, . e? 1 SK he - a 2. Benign thyroid adenomas, surgically removed, . Chronic brodchitis. ae 1. of Lo bode. DISCHARGE DIAGNOSES: ' 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, ee hee pbs OEeaBests deen eee tees DISCHARGE MEDICATION & INSTRUCTIONS: ce -dy, Comstind% yy , i Page 2 of 2 BML 720A - 139 - set