[ Name BROOKHAVEN NATIONAL LABORATORY UNIT NO. 8-18-91 R HOSPITAL of the MEDICAL RESEARCH CENTER UPTON, NEW YORK DISCHARGE SUMMARY PAVILION 1 opp -2thyroxin level did not increase after the stimulation. for antithyroglobulin antibodies. OTHER: His serum was negative ‘ Chest x-ray negative, EKG normal, other laboratory tests essentially negative except for a few WBC on repeated urinalysis (cause not determined) and the finding of whipworm ova in the feces. HOSPITAL COURSE: The following thyroid experts were consulted: Dr. J.E. Rall, Dr. J. Robbins of NIH, and Dr. B. Colcock of Lahey Clinic, Boston. The consensus was thet the diseased thyroid tissue should be surgically removed. The patient was transferred to the New England Baptist Hospital in Boston, Massachusetts on Do Not Write In Binding Margin August 18, 1968. Dr. B.P. Colcock of Lahey Clinic carried out subtotal thyroid- ectomy removing multinodular thyroid tissue from both lobes, Dr. W.A. Meissner of the New England Deaconess Hospital examined these tissues and his pathological diagnosis was "adenomatous goiter", Recovery from surgery was uneventful and the patient was transferred back to this Hospital August 25. A small pouch filled with serous fluid at one end of the surgical wound was drained following his return and the subsequent hospital course was uneventful with satisfactory healing of the wound. He was placed on thyroid medication and discharged for return to the Marshall Islands on August 30, 1968, FINAL DIAGNOSIS: Adenomatous goiter, DISCHARGE MEDICATION: To continue thyroid hormone therapy for life, A note was sent to the Marshallese practitioner in charge of the case stressing the importance to continued thyroid medication. The patient was given an adequate supply of the hormone to last for at least one month. Mbol2 CbaAL Robert A. Conard, M.D. RAC :man Dict: 9-13-68 Typed: 9-16-68 BML 720A - 68 -