BROOKHAVEN NATIONAL LABORATORY | NAME UNITNO. HOSPITAL of the MEDICAL RESEARCH CENTER UPTON, NEW 8-18-90 R YORK DISCHARGE SUMMARY PAVILION 1 OPD i n2Other: Chest x-ray and EKG negative. Other laboratory findings were negative except for a few WBC in the urine and the presence of the whipworm parasites in the feces. HOSPITAL COURSE: A consultation was held with Drs. J.E. Rall and J. Robbins of NIH and Dr, B. Colcock of the Lahey Clinic, The consensus was that the diseased thyroid tissue should be surgically removed. The patient was transferred to the New England Baptist Hospital in Boston August 18. Dr. B. Colcock carried out a subtotal thyroidectomy removing thyroid tissue containing many nodules and cysts. Dr. W.A. Meissner of the New England Deaconess Hospital examined the tissues and his pathological diagnosis was "adenomatous goiter" and a nodule of oxyphilic cells. Recovery from surgery was uneventful and the patient was transferred back to this hospital on August 25, He was placed on thyroid hormone therapy. He remained asymptomatic with satisfactory healing of the surgical wound and was discharged to return te his home in the Marshall Islands on August 30, 1968, © 5 o g < FINAL DIAGNOSIS: = . z & Adenomatous goiter with nodule of oxyphilic cells. DISCHARGE MEDICATION: To continue thyroid hormone therapy for life. A Letter was sent to the Marshallese practitioner in charge of this patient stressing the importance of continued thyroid hormone treatment. Robert A. Conard, M.D, RAC :mam Dict: 9-13-68 Typed: 9-16-68 BNL 720A C7 Fs Tao Juuu ae C . E ;