BROOKHAVEN NATIONAL LABORATORY | NAME UNITNO. 8-18-90 R HOSPITAL of the MEDICAL RESEARCH CENTER UPTON, NEW YORK DISCHARGE SUMMARY PAVILION 1 OPD a Other: Chest x-ray and EKG negative. Other laboratory findings were negative except for a few WBC in the urine and the presence of the whipworm parasites in the feces. HOSPITAL COURSE: Bo Not Write In Binding Margin and Dr. B. Colcock of the Lahey Clinic. A consultation was held with Drs. JE. Rall and J. Robbins of NIH The consensus waa that the diseased thyroid tissue should be surgically removed. The patient was transferred to the New England Baptist Hospital in Boston August 18, Dr. B. Coleock carried out a subtotal thyroidectomy removing thyroid tissue containing many nodules and cysts. Dr. W.A. Meissner of the New England Deaconess Hospital examined the tissues and his pathological diagnosis was "adenomatous goiter" and a nodule of oxyphilic cells. Recovery from surgery vas uneventful and the patient was transferred back to this hospital on August 25. He was placed on thyroid hormone therapy. He remained asymptomatic with satisfactory healing of the surgical wound and was discharged to return to his home in the Marshall Islands on August 30, 1968. FINAL DIAGNOSIS: DISCHARGE MEDICATION: Adenomatous goiter with nodule of oxyphilic cells. ; To continue thyroid hormone therapy for life, A letter was sent to the Marshallese practitioner in charge of this patient stressing the importance of continued thyroid hormone treatment. Robert A. Conard, M.D. RAC :mam Dict: 9-13-68 Typed: 9-16-68 ONL 720A - 72 -