Rongelap 51 HOSPITAL OF THE MEDICAL RESEARCH CENTER, BROOKHAVEN NATIONAL LABORATORY UPTON, NEW YORK 11973 Acoa Code 516 YAphank 4-6262 08-50-52 R DISCHARGE SUMMARY NAME ‘UNIT NO) CIRC 63 and was able to get up and walk around, with an increase in appetite. was considered fit to travel co Cleveland on 3 June 1974, She When the patient arrived at the 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 instituted and resulted in removal of large amounts of bronchial mucus with marked improvement in the patient's status prior to surgery. On 5 June 1974, thyroid surgery was carried out, The gland was found to be small, thin, and brownish in color and quite friable. A l-cm mass was removed from the mid left lobe which was filled with necrotic fluid and a smaller 5 am tongue of adenomatous tissue removed from near the isthmus, pathological diagnoses for both masses were "adenomas". pulmonary problems, The The patient's postoperative convalescence was uneventful with no A positive serological test for syphilis was reported. This was confirmed on re-check, DISCHARGE MEDICATION & INSTRUCTIONS: 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 the 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. DISCHARGE DIAGNOSES: She will be given careful followup exams. l. 2. Benign thyroid adenomas, surgically removed, Chronic broitchitis. CRO8OCLerrv— Robere A, c fh Received: Typed: 6/25/74 6/27/74 ce Ly Conaderl Page 2 of 2 ONL 720A - 139 - Conard, M.D.