as to funds, but that he felt the study patients should be indicated. REMOVED cared for as Slee Bitten tableMette op Soe a 2SRLTELS cle OT Bptll8 PRIVACY ACT MATERIAL 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. 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 mast important case at the present time involves who has developed 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 Lng Island. ‘fhe 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 suppore tha Marshall Island patients at Cleveland's Metropolitan Hospital (Case Westein Reserve) who were being treated by Dr. Brown Dobyns. my presence during the operative period. Dr. Dobyns had requested The visit to Cleveland was wneventcul. The patients underwent surgery on Monday and Tuesday and I returned to Long Island on Wednesday evening. T+ would appear from the gross specimens and from frozen sections that exposed from Utirik, probably has a carcinoia that was well encapsulated. In addition, the last case that was done, 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 fcllow-up. Of interest, son of had undergone a thyroid ectomy in Tripler Hospital for a mixed papillary follicular carcinoma in 1976. Repeat scans at Tripler had revealed that he had diffused pulmonary metastas2s however workup at BNL revealed no evidence of pulmonary metastases therefore Dr. Rrown 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 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 fiy to Honolulu on July 16, United Flight #3, to be met by the PASO staff for transfer to Majuro on the 18th. D PRIVACY ACT MATERIAL REMOVE SPENT. pbRARoe_yty ty, SeRRRpone eo Hgtt 4 I informed them that I knew of at least two or three other patients who had had two major surgical procedures ara vhs Hey hypoparathyroidism from her surgery in Guam. reg ber The meeting was held primarily to apprise them of the logistics and planning