Utirik 2212 HOSPITAL OF THE MEDICAL RESEARCH CENTER, (NAME) BROOKHAVEN NATIONAL LABORATORY UPTOM, NEW YORK 11973 Area Code 516 YAghank 4-6262 8-45-38R (UNIT NO) DISCHARGE SUMMARY -2in the urine, she was placed on 15 units NPH Insulin daily which controlled her diabetes. With the diabetes controlled, the slightly impaired kidney function was not considered serious enough to preclude surgery and she was discharged June 10th for transfer to Cleveland. Brown Dobyns. At Cleveland Metropolitan General Hospital, thyroid surgery was performed by Dr. The day before surgery she was given 25 pl L3ly in order to do autoradiographic studies on the removed thyroid tissues. At surgery, a left lobectomy was performed removing several cystic nodules from thac lobe. A diagnosis of durthle cell adenomata on frozen section prompted che complete removal of that lobe. A further adenoma was removed from the isthmus and several tiny nodules were removed from che right lobe. The patient withstood surgery well and her convalescence was uneventful. She was continued on insulin and dietary treatment. F DIAGNOSIS : Mixed follicular cell and furthle cell adenomata of the thyroid, Borderline hypertension with slightly reduced kidney function. DISCHARGE MEDICATION: . Under normal circumstances with a left thyroid lobectomy and subtotal on the tight, somewhat depressed metabolism might be expected and 0.1 to 0.2 mg of L-= thyroxin. would be given daily. However, since thia lady is older, has diabetes and a tendency to hypertension, it was deemed advisable to observe her for a few months before making the final decision on treatment. She was advised to attend the diabetic clinic at the Majuro hospital and maintain her diet. The practitioner accompanying the patients was advised to continue the insulin therapy. If che patient later was moved back to her isolated homa at Utirik Island, the treatment would have to be re-evaluated. . cP SinbhT © Conon RAC s bwa Diet: 6/27/73 obert A. Conard, M.D. Typed: 6/29/73 BML 720A ~ 129 -