Ucirik 2221 HOVITAL OF Trl anEDICAL RESEARCH CENTER, RICOKHAVIN NATIONAL LAJORATORT UPTON, NEW YORK 1197) Aree Code S16 YAphand 4-6262 6-45-37 ' pnt NOS DISCHARCE SUMMARY o2HOSPITAL COURSE: Her 6-day stay at this Hospital was uneventiul and she remained generally asymptomatic except for a few non-specific muscle pains. Her cardiovascular/renal dlevase was nut considered sufficiently advanced to preclude surgery and she was discharged June LOth, 1973, and taken to Cleveland, Just prior to discharge, she was given 25 pCt of IIIT co ensure complete removal of the thyroid at surgery and fur study of actlvity of thyroid tissues removed, Ac the Cleveland Metropolitan General Hospital, De. Brown Dobyns performd thyroid surgery on June llth, A 1.5 ¢m nodule was removed from the right lobe and a right lobectomy was performed. The pathological diagnosis was “cuyroid adenomata’, She witnstuod surgery well, with no complications. Post-operative convalescence was uneventful and she was discharged June 18th for return to the Marshall Islands, The hospital summary and pathological reports from the Cleveland Hospital are FINAL DIAGNOSIS: inserted in her BNL record. Thyroid adenomata. Hypertension. Reduced kidney function, secondary co hypertension. DEISCHAKLE MEDICATION: In view of her low thyrcid reserve and right lobectomy performed, supplementary thyroxin treatment was considered but, in view of her hypertension and age, it was considered better to ubserve her and see Lf Supplemental therapy was necessary. She will, therefore, be observed at regular intervals on her return home to check on her thyroid status, ? ibe TE RAC /bwa Dict: 6/27/73 Typed: 6/28/73 bea 720A Coo vee ane’, — Robert A, Conard, M.D. .