Rongelap 51 HOSPITAL OF THE MEDICAL RESEARCH CENTER, (NAME) BROOKHAVEN NATIONAL LASORATORY UPTON, NEW YORK 11973 08-50-52 2 Area Code 516 YAphank 4=6262 ruNIT NO.} DISCHARGE SUMMARY CIRC 63 and was able to gec up and walk around, with an increase in appetite. was considered fit to travel co Cleveland on 3 June 1974, ‘She When che 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 scatus prior co surgery. On 5 June 1974, thyroid surgery was The gland was found to carried out. be small, chin, and brownish in color and quite friable, A l-cm mass waa removed from the mid left lobe which was filled with necroric fluid and a smailer 5 om tongue of adenomatous tissue removed from near the isthmus, pathological diagnoses for both masses were "adenoms'. The The patient's postoperative con- valascence was uneventful with no pulmonary problems. A positive serological cest for syphilis was reported, This was confirmed on ra-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 (Synthreid®) and given a supply to cake back to the islands with her. She will be given careful followup exams. DISCHARGE DIAGNOSES: I, 2. Senign chyroid adenomas, removed, Chronic browchitis. SRO O Goya— Robert A, Conard, M.D. cfh Received: Typed: 6/25/74 6/27/74 ee Ly Cmadals Page 2 of 2 int, 720A ~ 139 - surgically