THAT THE PHYSICAL CONDITION OF THE PATIENT IS OF AN IMMEDIATE LIFE-THREATENING NATURE AND THAT THE RESOURCES IN THE MARSHALL ISLANDS ARE INADEQUATE TO CARE FOR THE PATIENT IS REFERRAL OF THE PATIENT TO HONOLULU OR ELSEWHERE TO BE CONSIDERED. 3. IF THE CIRCUMSTANCES OF (2) ABOVE PREVAIL, THE RESIDENT BNL PHYSICIAN SHOULD INFORM AND CONSULT WITH THE PHYSICIAN PROGRAM MANAGER AT BNL. REFERRAL TO HONOLULU IS AUTHORIZED IF THERE IS AGREEMENT OF THE THREE PHYSICIANS. 4. THE PHYSICIAN PROGRAM MANAGER AT BNL SHOULD CONSULT WITH EV/OHER PROGRAM PHYSICIANS IN THE EVENT OF ANY UNCERTAINTY. 5. THE ABOVE ADDRESSES ROUTINE PROCEDURES AND CANNOT COVER ALL CONTINGENCIES. IT IS RECOGNIZED THAT EMERGENCIES OR SITUATIONS MAY ARISE IN WHICH THE MEDICAL JUDGEMENT OF THE BNL OR DOE PHYSICIAN PRESENT IS THE DETERMINING FACTOR. 6. ALL ELECTIVE SURGERY OR DISEASES OF A LESS THAN IMMEDIATE LIFE-THREATENING NATURE SHOULD BE DEFERRED. IT MUST BE REALIZED THAT DOE IS NEITHER AUTHORIZED NOR FUNDED TO PROVIDE FOR GENERAL HEALTH CARE AND TREATMENT IN THE MARSHALL ISLANDS, AND THAT, WHILE AGREEING TO COVER MEDICAL NEEDS OF AN IMMEDIATE LIFE-THREATENING NATURE, THIS IS AN INTERIM AND TEMPORARY HUMANITARIAN MEASURE FOR WHICH A LIMITED FINANCIAL