as to funds, but that he felt the study patients should be cared for as indicated. In the afternoon, Bruce Wachholz and I had a meeting lasting approximately 3 hours, with John de Young and Ruth Van Cleve in the Department of Interior. The meeting was held primarily to apprise them of the logistics and planning characteristics of the medical surveys so that they could understand why it was impossible to make sudden radical changes in the logistic and manpower requirements of those surveys while they're in the latter planning stayes or in the field. They were rather surprised and very appreciative of this infor- mation. In addition, we discussed at some length the question of compensation for patients in the study group who had undergone two major surgeries. ‘The most important case at the present time involves Hermita Boas who has developed hypoparathyroidism from her surgery in Guam. I informed them that I knew of at least two or three other patients who had had two major surgical procedures and assured them that I would gather that clinical data as soon as possible and pass it on to the Department of Interior for inclusion in their bill going to Congress to establish a double compensation clause in the present compensation bill. The meeting adjourned at 5 PM and’I then returned to Long Island. ‘Cha following day I contacted Dr. Aronson and informed him of the outcome of the meeting. On Monday morning at .7 AM I took off for Cleveland to support thea Marshall Island patients at Cleveland's Metropolitan Hospital (Case Westeun Reserve) who were being treated .by Dr. Brown Dobyns. Dr. Dobyns had requested my presence during the operative period. The visit to Cleveland was uneventful. The patients underwent surgery on Monday and Tuesday and I returned to Long Island on Wednesday evening. It would appear from the gross specimens and frem frozen sections that Minje Kel, exposed from Utirik, probably has a carcinona that was well encapsulated. In addition, the last case that was done, Namiko Juda, who is an unexposed Utirik lady, probably also has carcinoma. The remainder of the 9 patients had either adenomas or were examined for post-operative follow-up. Of interest, Winton Kel, son of Minje had undergone a thyroidectomy in Tripler Hospital for a mixed papillary follicular carcinoma in 1976. Repeat scans at Tripler had revealed that he had diffused pulmonary metastases however workup at BNI revealed no evidence of pulmonary metastases therefore Dr. Brown Dobyns did a radical nectosection on the left where the scan had indicated some functioning thyroid tissue. This was excised en bloc and Dr. Dobyns now feels that Winton has a good prognosis. Arrangements were made as soon a3 the patients were able to leave the hospital to move them into the nurses quarters thereby reducing their costs from $260/day to $5/day and reservations were made for the entire group to fly to Honolulu on July 16, United Flight #3, to be mek by the PASO staff for transfer to Majuro on the 18th.