Document text
Machine-read from the scan, so expect some errors. Lines that couldn’t be read are left out.
Page 1
A. The people of Uti rik who are now living on Majuro, but who had previously received a full physical examination while living on Uti rik i n accordance with the 1977 agreement between the Department of Energy and DOI/TT for extended primary care in the outer islands, were very disturbed that they were unable t o have a full examination on Majuro. B. The Medical Survey Group are repeatedly encountered with questions of "why can ' t we b e reimbursed as the comparison group for our ' ex peri - C. According toDr. Masao Korean and Ezra Rik lon,the Marshall Island medical care system has no more referral monies for this fiscal year. found a number of very pressing medical problem during the January-February 1979 survey that need referral as soon as possible (Rosa--endometrial carcinoma, etc.) Can DOE funds b e used for these purposes or how are these patients to be adequately treated ? D. Since the precept of paying for surgery for some of the "comparison group" has already been established, how should we proceed with the10 cases we have just identified ? E. PAS0 Honolulu informed me that we were " atleast 30 k" over our current budget due to over expenditures allocated to the ship and t o the establishment of the clinical laboratory on Ebeye. We will attempt to reduce our costs ; however, supplemental funding will probably be necessary to sustain the program through the remainder of the fiscal. year. 2. How shall we handle the p'eople of Bikini ? (Please see copies of answers given by Health Physics Group during whole body counting.) see 1979 trip report.) The September survey was tentatively scheduled for dental extractions,electrocardiograms, and ancillary studies such as a trace element study for the clarification of hyperglycemia, previously diagnosed as 4 . The role of the Resident Physician in relation to the options mentioned in the Position Paper.