) | f \ ' Ma if | { {wl ‘ i - Spe oe : fl v4 DIRT | a a. HOSPITAL . |  Cuantcal RECORD E fee Name, Mouse Initias We : Wo BRIEF 98th Gen Fasw N ri Grave. . ; p/ ‘ MEG Col i | b. Warp ¢. RELIGION ecsama “) |e, NAMB AND ADDRESS OF hends. | -|(M) Maria iy, Germ’ | [121 South Ros ae Fo, Newton, Kan | | 1 3. ARMY oa AL? 224! 00) p. ; ARM OB SERVICE (it AAF personnel, see below)* ah YP Sy Ca ARO 172. ! ab 8. LENG H OF SERVICE 9 DArEOF ADMISSION 4 3/12 i i} BO April 51 . 2 Ede. [ie [BCE al sgn| 10. Sduace sh hits Op: yt ED J permis * If AAF, indicate pilot, Hott . | | a1, Funan Diagnosis, Abb 4 4 h | oy | (g) Verifiod | \. an ]i a Arrived 110 eee aE : , . “ | ; tH coe PINAL DIAG 2440) 3 deem nycotic, “hangs as . . ; . o ; ' sale 4 vt | a " Py 4 ' . . qt . rey Hope . fad ff aa . re, | SPECIALIZY : Aer Medicine ee cates LocaTon oo oo ii Qiv5 re ota ve fl Ce bncel 1” a re a a . ! L ' wy i) ' ‘ : ft ¥ . Lo 7 nr) ee Ta en 3: “ Coy . es ‘ 4 A : rr, . Sree een | en te a inna : way 3 oo ee Se © ee ave eer ere | p ‘ a : ' ‘ . : . ‘ : ‘ ! A wey t , en vives INCHED | ahr Le ' . ‘ | : Last . ; (ifknown) - t PRESENT |. 12 Ling or Dury \ WD AGO Foam . tous. coll Phe ‘ Replaces W-D 06 Form 6-03, 1Julsvand WD" LT APR 1845 8-33 }: ; ' - imp Form 5A, 31 Moy 3, which are obsolete, . | 4 wenn dak madllikslicctacg fandom — ee pedteynr Saag tepeeyetealy Thatdeiddausaechethasanel
it ‘ wale a inwalon reverse a | - aa i AAR ian 2 TT nea NO — WARD NO. HISTORY—Part | Standard Form 604 4 " 4 \ a am 70M~-17337. |
bff | ; | he ] : t ‘ uv : ‘ if | aie | ‘| ct ' wel} He ’ ; I ay] vies im ; | cabo i ML | 7 5 Bt i . Prod 4 HT | | HISTORY—Part 2 HISTORY "4 Ly postwar), (2)|MILITARY HISTORY (Includo geographic lgated August 1948 bof the Budget lar 32 STRUCTIONS.—Incfuido (1) OCCUPATION Preiat : locatiorls and dates), (3) HABITS (Alcohol||tehated, aftd| drugs), (4) [FAMILY HISTORY, (5) CHILDHOOD ILL- NES | d (8) INJURIES. 4 i | | il i ! | 7 i | : as | de) PP T'S LAST NAME+FIRST NAME—M IDOLE! REGISTER NO. WARD NO. 7 Hall, Loran i. - y won oy | ia HISTORY (Parts 2 and 3)
(11) GENITO-URINARY [and SKELETAL and (16) NEURO- E, (4) EAR, (5) NOSE and (6) THROAT], | Wea <2 ES iy \ Zz} Ss OIET, f (8) RESPIRATORY, (9) CARDIO G Y. ECOLOGICAL}, (13), HEMOP NSTRUCTIONS.—Include (1) GENERAL, ( psyiou TRIC SYSTEMS e. oT 3 cht eS oS a Soe 2 ee 4
‘al ANI RE STATON) [AT TIME OF Af le CoTic ECR Condit on , = rt a ue otés) ti] ROGRESS NOTES de Mane [PT anes. LAST JV EoRS ITT CI ANGI WE on: Or BOTH pel 7 in ert. C Olvoiniow IMPROVED VELL. 1 {te Wl 4 i oi t ; I e t if | q 7 i| “4 4 1 al | t ike - a WAL ADMITTED 20-APRICST DeemaTer. Chinic Tecavse Condition ConstiTED ve DesQuamatue HAYDS — MAINLY oN DeR/AL. | . "GREO'S SOAK, Fug; cc DAL—
(Sign all notes) | . | ide). WARDO NO.” ern | DOCTOR'S PROGRESS NOTES Mbudied Fern 100 t dl Form 509 dau sta mi otf i bazsa By By ted August 1948 deat) of the Budget Pri
Edulof the Budget Cirfular A—32 | {Hl | He | & i higust 1948 This 221 ye Old white mae ito this hcespital on reyues qzena on oth hands.  dessuanative crusted, ae JURSE ©) HOSPITAL: A fer OF PHYSICIAN AST NAME—FIRST NAME—MIDOLE NA 1 NUMBER OF DAYS HOSPITALIZED £4 days d of narrative At tine of admission ecndition eonsisted (ons on both hands, mainly on dorsar aspect ise of fingers, nt with Qonbrorro's sdeks, fungicidal meteor REGISTER NO. WARD NO. 026 Ce NARRATIVE SUMMARY Standard Form 6502
Yt ot “4 HW 54756 - Docld: 32262166 14. Dare or Disposition |' Page 143 ° 4 1. Last Nans, Fist Nauk, Hall, Lone Pes 2 Recister No. 8903 S. OncaniarTion anp ARMOR SERVI (PC) 5218t] MP SH 6. Ace | 7. Race Si Lak ny oF 21] Ww |i4 1/2 10. Source oF Apinsdion| _ ‘ Di et: “If AAF, indicate pilo E nokiopitor fyi iN pe oun ad avn. cadet F ll. Cause oy Apission, ‘Ap PIE50) or Starus : | i i 4121-Phary cause undets Total penict 12, Ling oy Duty , * 13, Dusrosition Dut y p ‘ 15. Dars Lost > | To “). 16. Namz anv aah rou Oth General Dis re 17, Sicnatons ae NRICO Di CA €This form supers a i which will not bo Of i} 4 Reroris OxTapL SHI BOL MCS 67 \ Muppia EF I DO MOT USE CODE BOXFA ; Al Az A3 At No. %. Guabh Bl) Bs [Bs W450 - | Cyl ° H(if AAF personnel, sep below)* | Ci G2 \ Platoon {| figs 9. Darts ov Aumission DL D2 D3 li 19 Jan 61 ” i ! El |E2 [53 dhe DiaGNoses, OPEGATIONS, CHANGE a i s adn 51 Mospiran QUARTERS wa VI] v2 ‘ ie INSTALLATION beary APO {172 wi | Wa Deckta- “ |W.D.AG.O. FORM NO. 8-24 , Pole 1 July 1044 Tp. Form No. 52, Mptiof this rovision.} U (8 Hle—soe0s-2 apo “ 4
Reponta CONTROL SyuBoL MCS 7 _ pO NOT USE CODE BOXES L Last Nats, Fina) Nant ‘Mipous Inmate | Al A2 | A3 Halli. Loren Be | Z Recisraa|No. | | 3 Abe Seatat No. 4. Gaans Ri B2 B3 195 | | |RAw7224450 Cpl. | - S. Onoansairion, at p Anti pessoa cl c2 (MPC) band NP Highway Patrol Co. @ ken [7 ja anys Sunyice| 3 3 Uhre ovApuission | Di | D2 | D3 21 | |W | 46/12 — 28 Sep 51 , . ‘10. Souncs [or Aut pl : El {E2 | §E3 *If AAF, in oa a flying pers., gropad pers., or avn. codet F Tl. Cause by Admission) |Apprtionat Dich bakS, OPBRATIONS, CRaNCE ov Stayus G 4210 [nflnengal, virus unidentified. a i "Speci atnent-General Med- icine!" | J | ' E Io V L f M \ \ N | oo. ™ a cl iA gechRb BRIEF (WD AGO FORMa-s3 OR | Q! | Q2 WO Mp litorMilsdA, REVISED) HAS BEEN PRO?ARED AND JINCLUDES) QNFORMATION N THIS MEDICAL | RELOR Ai ‘ ° y iz. Lane ¢ 8 13. Duse r 14. Dats) or Disro 5 ‘ 1S. Daxs Lose <p || Tora Hosr Quanrans 16. Naud alo Lone t iuroanne ina ALLATION , | DEr " 9979 EDICAL DET., APO 172 wi | wi 17. Si¢ a | a \ Fi ‘ re US 0 Noy ed tate W.D-.AG. 0, ENRIC ate CO, MAJOR MC 1 July 1044 Had W. D. M. D. Horm No. 6 . ood alter ret of his 3,35 jo, , $-60- 250M-12750 E i ‘4 i ; 4 an a 7 is } } 4 ° HW 54756, DocId:32262166 Page 144. | 5
_ cA HW. 54756, DocId: 32262166 | _ Reports cgurnon Sramot MOET = oe ree | DO NOT USE CODE BOXES 1 _ 2. Last Nase, Fig ia Nasg, Mippiz finitiaL Al A2 A3 Hall, Lovan & | | | 2 Recisten No. | 3. Aue Suntan Now 4. Grape “| at [Be 7 B3 79 226 RA) 17 224 45Q]) Cpl S. Oacanzkation 4np Aan Gn Senvice (if AAF pq f onnel, see below)* | Cl [or] MPC )521st MP, Sv W72 G@ Ace | #| Race /6.Leq tire ov Abuesion |DI | D2) D3 21 [iw (14 B72 ( Al Apr 53 10. Sour ile Ann ae irect — (a sual Prop =! | =2 | #3 Sta Gatmi'sth! Mah Post |i ] “lf AAF, idle to, pl Cyving pers. erpynd pers., or uyn. cadet “¥ Ll. Cause bp [ApMission,//AuprtionaL Diacxgsis, Orskations, Cuance ov Srangs i Ht so (a) verified } 5 i é Wd HT fog | Kenendy myootd ch hands. (12440). ‘u ! ! i ' : ; nf, J : 4 ). oi | 1 We | % " ; Wt ; I M { i || hk FORM 8-33 —_—— cowcs uote te te evseD) ne BEEN N OR WO MO g N lupss INFORMATION ON PREPARED AN i “CARD 0 THIS MEDICA HEPOR RT a eee - |? ' | ais Specialized’ eatnent: mmatology. oy ! R 12, Luce of" Div s Yes ' 13. Disrostzion- 7 i Tt Duty, ecole | | . u 14. Date oF Dis 15. Days Lost > Hoseitay - Quaatess ATs bee 16. Name 4 rye DoATIO | Reeontine Inst. iprion 98th Gener He pital Muy Hich,Germany |-witj-wr 17, Sienanoeat OT WeA AAS te eat a Es pt ise, aid I me etiraece | if tr : - at dt-be uD ei eof th evisicar AGL (1) 3-51- 300M-16999 | ik | 092 i ; t. Page 145 py asi iy
Ht } ‘| ; ' : nd ' fli ; ft i ‘Ti. | dy : |r : |! oft j v lft } + ’ | : Kyl y Hf : t io i : Piepaers oxretty g GyNDOL MCS 67 } DO NOT USE CODE ROSES 1. Last opi z, Mr —_ : . | Al A2 A3 Hell, ip | en ee een 2 Ercurey Nhy \. : 0] $.1¢ p BS B. Gueam ae I 211 4 Facer ab appt ga + 1 12. Line oy Derk 13, Dispositi0: ‘/ 14, Date oF Dist 5. Daxs Losr 4 FORM NO. 6-24 This fort supersedes W hich wi not be sed :
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HW 54756. t Vil q vt va | ra ‘ | ’ t j 4 4 i} 1 t ui ft eT TIED ~ ; Reroptg Contkor sistzo DO NOT USE CODE BOXES | zc |e A | Hall, Lore | } 2, Recister No. | 4% Sen jo. 4, Gqave Bi B2” | BS | ived44s50 | Cpl 3. ORGANIZATION AND Aka OB SERVINE AAF personnel, fe hep below)*: | Cl “ (MPC) 5els' ia Sv PLt hz 6. Ack | 7. Racg | rT G¢n ov SkRyice] 9. Date oy Aduission | Di b2 D3 21 Wi fa 30 Jkin 51] i 10. Source ov Apstssron E3 i *1¢ AAF, indicate’ ot, néufbitat Aykng pers. ground pets or avn. cndet 4 li, Cause or Apsq $810 ADD) oR Dissnoses,C Or fs TIONS, CHANGE ov Status |; 7 | \ , < | #APO act 7 i . y hat } ‘ 1 . vos ( : P| i v ’ | | q { t | : ' yp’ y ‘ 9 , if 12. Lins or Ditty aaa a 3 13, Disrossrio: ' U 14, Dare oF Thsthty ' : 1S. Days Lost ‘tana | Hosprrat. } Quanrsas : | eNews na ine  Inerancaridn "|" | | ° 1 i) ir 5 10TH GE 1) 172 LU ah ‘| | “Tt Sicnatuse i ; W. D.,A.G. O. t ik a FORM NO.8-24 1 ( 1 July 1vs4 ‘ This form St) Dp K * ! : H a Yo ie ‘4 I ° pocld: 32262166 Page 146 — a iy 7 * yo. is Ta aa.
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DLE INITIAL A i 4. GRADE Cp TNO. a i ‘00. } i RVICE 4 ER TAL PATIENTS _ REGIST OF DEN 11. DISEASE OR INJURY WITH LOCATION. COMPLICA- -.-- TIONS, SEQUELAE, ETC. 12. DATES AND NATURE OF TREATMENTS | AND OPERATIONS { RIRSTN Hall 2. REGISTER NO, a 1. LAST NAME, Lor RA AND 5 ORGANIZATIGO: 7 521st - 6. Ace| 7. RACG 20 W Docld:32262166 Page 152 HW 54756
HW 54756. Docld: 32262166 DENTAL FOCI Sus pected |. | MISSING! NATURAL TEETHIBY X REPLACED BY DE a jes WD oro 18) hl 8-116, 31 Btoy AGL (1) 10-50- 30M-14907
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VINE OF DUTY ' LAST PROFILE SERIAL CF KNOWN) t i Han RESENT PROFILE SERIAL | NO EPTE | 1 FEBRUARY 1945 ae ee W ‘ j j 0 omD FORM SSA ( Revised) omen B VALE LOLAN. | | USAH CP CTLARS mt 0 WARD Deo | lirs Loran” E 3011 Redwood | Parsons f ‘ll HR HEH Kan, i Vee pee nee SLAST Gast, Tad [HALL | rk peering ab: | 26406. i | RR ' ‘ : \ ‘ \ Popes boy. ie “ya my 1 eo > Ihe he —— t- —— ee fait, MIDOLE INITIAL ORAN. E con {MEY SULIAL HO, 7 GRan ORGANIZATION Ap a 1 GR SEAVICE (IF AAF PLR ONHEL, SEE BL cow)r | 505th, {fp 3: sur 42 GE OF AN ian ‘Direct: t y “ ? nem ‘ a mg i te rz) wt i epi CLO! oR “ArTason cant. iy 2 . ; 1 DP dations. CHA : ° : ' apy st STATUS I @. LENGTH OF SERVICE| 9, DATE OF ADEISSION ‘17 22h 45 ) Cpl HHCIALIZED (tREATMEN T NEUROLOGY Parga ; : meade tetpeneh ~ : ‘ Te 15 duatune OF WARD SuReeOn 2 rt
itt ul fy 4 ‘ uy uf i 1 if ' j 4 , | + a | , fl | , ae Stlneereiformn 613 an Revs eb. 1951 wl oa Tom gated ; “py f reali of the Budget ~ ‘ Cin A-32 DATE OF REQUEST \ AS 4 PLACE OF /\CONSULTATION (2 RouTINE (“| sensive fporcace, = EMERGENCY 4 . t. Branch ecree = Weis AMVETS eM E if “.+ ., CONSULTATION SHEET BS pe see ‘| "2 gtandara Form 518
mn if ' ! ; I . 4 a i “4 iL th i Us mm 513 Y*) whew Fe . 1951 Proms gated By 3 ofthe Budget . . ire gr A—32 “ 4 . To) | DATE OF REQUEST id 1S QQ, ' SO: / AL, DIAGNOSIS kB Hy: ‘ | ° iw PLACE OF CONSULTATION [) Rourine peosing =» [JON CALL (1) eMercency *, a . 15 duly 52_ bait, : ( . ' re , ‘ : There: is a well healed scat vay ¢ (thenar aspect of the right hand. There are te | two two small nodules located over is somewhat painful but inferior. pe |! A small incision was made | x the ‘fonoveds It appeared to be a 000 | | dhromic catgut suture. In | He ot iture was found. .The areas were _c[} @leaned with merthiolate ot dre i gharged from the clinic. ‘| et oO ba $ A M.SHASHY, lst Lt, MC ° ° Le “ a vere . _ gee’ bei reverse # He) - : vu 60 | nanearion REGISTER NO. WARD NO. CONSULTATION SHEET ‘Standard Form 513
ad ah a: ji 54756 Docld 332267166 ages = = ig aatd Fo } ‘ v, AU. a | i OMULGATED B . arin a dxau or THE BUDGET REP Orngurar A-24 _ THIS INFORMATION IS FOR) rf h AL RASy waie—FIRST NAME—BIOOLE NAME { PAL A OL 6 i 4 1 &- a ere + Va 'S PRESENT A ALTH IN OWN WO ane olla byldes | oof rar wero pcujrion | vce [__scmegrwenmn [1 ff wpaaj cup OS aed ES Tro) (Check each item) IE SCARLET FEVER, ERYSIPELAS ae iu DIPHTHERIA | 1% ME ii RHEUMATIC FEVER x SWOLLEN OR PAINFUL JOINTS WHOOPING COUGH FREQUENT OR SEVERE HEADACHE DIZZINESS OR FAINTING SPELLS a oot 2) i a en PN iJ 1 eae [raokonfepouone neat IX [| gieries Ry EVE TROUBLE EAR, NOSE OR THROAT TROUBLE RUNNING EARS CHRONIC ‘OR FREQUENT COLDS SEVERE TOOTH OR GUM TROUBLE Bi. - am A sar roe lind pal HAVE YOU EVER (Check each item) tw = “AME be WORN ARTIFICIAL EYE WORN HEARING AIDS STUTTERED OR STAMMERED a HOW MANY | 308s a YOU HAD INTHE ‘f & PAST THRi 4 a 4 a | Ca 11. ORGANIZATION UNIT 39/7 a oe WdIae oS, AanmFCdas oS 9. HAS | ANY BLOOD RELATION (Parent, brother, sister, other) TAMLY STORY redone i (Check each item) HAD KIDNEY TROUBLE 0 18 Sh HAD STOMACH TROUBLE HAD RHEUMATISM (Arthritis) (Cheok each item) “TRICK” OR LOCKED KNEE a FOOT TROUBLE —Taigpsat Rea Fae as a aL eens cost ae eee LPhiton respipwonesr | UN KIDNEY STONE OR BLOOD IN URINE Nel] GAR, TRAIN, SEA, OR AIR SICKNESS RONIG CouBHY| it ns SUGAR OR ALBUMIN IN URINE Pap || FREQUENT TROUBLE SLEEPING BA FREQUENT OR TERRIFYING NIGHTMARES ra DEPRESSION OR EXCESSIVE WORRY VENEREAL OISEASE r RECENT GAIN OR LOSS OF WEIGHT ai egormennon | IX warn rd NERVOUS TROUBLE OF ANY SORT ae Somes ANY DRUG OR NARCOTIC HABIT. Se Seaver He emer ror eric siaser once] [9 Fonsseun Tome 3 pears 2 Fs ony km eH BR fen goos La rtfies — Tamme |e er sie LOSS OF MEMORY OR AMNESIA B. COMPLETE THE FOLLOWING: | | [WADA vaGiNat pischance |_| INTERVAL BETWEEN PERIODS reenter soar: Crm Cane Oe =T PERIOD ¥HU 23. WHAT IS YOUR y UAL OCCUPATION? E JOBS 3 ig 26. ARE YOU (Check ono) nor paseo) wert env 3, IDENTIFICATION HO, 6. DATE OF EXAMINATION xz RELATION(S) \ to bs 2) 16—-62289-1 “
he t ; (Pe eet yo ¥ | fan ane pe cnn 35, HAVE YOU CONSULTED OR BEEN TREATED BY CLIN CHECK EACH ITEM YES OR lb. i i HAVE YOU BEEN UNABLE TO HOLD A JOB prcaush i A, SENSITIVITY TO CHEMICALS, DUST. SUNLIGHT JE  B. INABILITY TO PERFORM CERTAIN MOTIONS | Peete see ene ee ee Sele ul | 1 C, INABILITY TO ASSUME CERTAIN POSITIONS ent ' | D, OTHER MEDICAL RE ASONS (If yes, dive roaster] ay 2G, HAVE YOU EVER WORKED WITH RADIOACTIVE BUF 1) STANCE? mati ' oe eee ie | ‘ 29, DIO YOU HAVE DIFFICULTY WITH SCHOOL sTUD OR TEACHERS? (/f yor, give details) ae tie HAVE YOU EVER BEEN REFUSED EMPLOY MENT BEQH' q OF YOUR HEALTH? (if yes, state reason and detaiis) ¥. HAVE YOU EVER 8EEN DENIED LIFE INSURANCET Ut yes, state reason and give details) | HAVE, tt ate - HAVE YOU EVER BEEN A PATIENT (com anitt df br ; voluntary) IN A MENTAL HOSPITAL OR SANATOR: ff. WM? (if yes, specify when, where, why, and | " name of doctor, and complete addrags of hospital or clinic) . : ' Sins aSE DEES HAVE YOU EVER HAD ANY ILLNESS OR INJURY OTHER THAN THOSE ALREADY NOTED? (/f yes, speatly when, where, and give details) \ . HAVE YOU HAD, OR HAVE YOU BEEN ADVISED TO ANY OPERATIONS? (I/ yes, describo and aga at which occurred) PHYSICIANS, HEALERS, OR OTHER PRACTITION WITHIN THE PAST 5 YEARS? (/f yes, five do plote address of doctor, hospital, off. and details) 7 : : SRI enonO RAVE YOU TREATED YOURSELF FOR ILLNESSES OT THAN MINOR COLDS? (if yes, which ilingase HAVE YOU EVER BCEN REJECTED FOR mb SERVICE BECAUSE OF PHYSICAL, MENTAL. or OF REASONS? (lf yes, give date and reasan rejection) HAVE YOU EVER BEEN DISCHARGED FROM Mii SERVICE BECAUSE OF PHYSICAL, MENTAL, OR OTHE REASONS? (Cif yes, give date, reason, ¢ . type of discharge: whether honora t' other than honorable, for unfitness gr suitability) . . HAVE YOU EVER RECEIVED, 1S THERE PENDING, YOU APPLIED FUR, OR DO YOU INTEND TO APPI. PENSION OR COMPENSATION FOR EXISTING DISAB ITY? Uf yes, specify what kind, Arantod. whom, and what amount, when, why AT 1 HAVE REVIEWED RY OF THE DOCTORS, HOSPITALS, OR CLINICS MEF APPLICATION FOR THIS EMPLOYMENT OR SERVIGE LD NAME OF PHYSICIAN OR EXAMINER on. 7Ne u eoqle iz, 2. 5. GOVERN i) Hho THaT ir is RNISH THE GOVE “SIGNATUDE | [Mew Ton, Aans, 757 Wrehilz XZd5. vi RUE ANO COMPLETE TO THE BEST OF MY RNMENT A COMPLETE TRANSCRIPT OF MYA , msl oo 1 on alt postitee answers in items 89 Chres $0) yOWLEDGE. MEDICAL RECORD FOR PURPOSES NUMBER OF ATTACHED
. DATE ‘OF eb __ oO “TOTAL TRS. GOVT. SERVICE | \LITARY CIVILIAN LAST SIX MONTHS We) amet in detail. (Enter pertinent item number before each pontinue in item 73 and use additio al sheets if necessary. eck each item in appropriate col- n:enter ‘'N. E ” if not evaluated) | MOUTH AND THROAT } Trt. & ext. canate) (Audit hehe EAT hi ; mr EARS—GENERAL sentiy under thems 70 and 7 ‘ i i { | ‘DRUMS (Perforation) sy ‘ it f ES—GEN! (Vieual acuity and refraction Ey ERAL under itrms 69, 60, and 6. | OPHTHALMOSCOPIC Lt 4 6, PUPILS (Equality and reaction) ts Br] ocucan worry Cirrnated pera! moe pe pr cite HEART (Thrust, size, rhythm, sounds) } WASCULAR SYSTEM ( Varicosities, efe.) Bi, ABDOMEN AND VISCERA (Include hernia) Big ANUS AND RECTUM Fira fatulod TT litecoame snes | [ese Binz UPPER EXTREMITI ES (Strength. range of motio: Sanat {de we ORAM a A A a | Tt a (Except feet : lez LOWER EXTREMITIES (Strencth. range of mation) i qT [Ti are omer miscnosxeietan | iss IDENTIFYING BODY. MARKS, SCARS, TATTOOS Bi | || [ae skin. eymprarics TT be [a neuron crim et nom a Sec din] rly (Check how done) aaimith rpavic = (C] VAGINAL OO rectat f pNTAL Plact appropriate symbols above or below number of upper.aa¢ j O. estorable teeth  X.—Miasing tecth ! estorable teeth XXX.—Replaced by denti é thle G RS 5 6 7 ‘ 1 bic grand male (Continue in item 74) REMARKS AND ADDITIONAL DENTAL DEFECTS AND DISEASES Rdg. fixed (serv) Gee. Nomnal- Glass 2 ROLOGY (Specify test used and result) 4
a en tenes wmetine,  E pa en ee . an a vi = . ; _ = at a 1 . 4 +2 mel og oman Od -_ < -.- @ . a ie SS AS ae une Arm at heart oy STANDING (8 min.) 64, COLOR aa ilk : Ure of 67. Hee VISION ( val Cee 000 tir PTION UNCORRECTED |- i score) |- : i ‘a ig re A EE ep ee AML | Ze : of plain paper fn i Ce mee on PHYSICAL CATEGORY WV f 1 4 i | | ' | } | ; 35. ee i Se. TEMP. SLENDER MEDIUM HEAVY. OBESE i a Te» OF OO 08 fb, ie mii i i 7 te i" 2 MIN: APFER RECUMBENT AFTER STANDING A Foe (a mh | oT _ st. ___ NEAR VISION ti tt ix | CORR. TO BY LG | - CORR. TO BY PRISM CONV, , PC PD 69, INTRAOCULAR TENSION , )|PSYCHOMOTOR (Teste used and score) sat oa ~a PHYSICAL PROFILE NUMBER OF AT © TACHED SHEETS
a . oy ” Pre: . =» + o£ ab tate “ease ay y3. "old ubite. mie. ‘thigchispital:om reyuddt aca pe, both bande, | SICA, BR: ESARTSAP YON consi i Rg. manifestations 02 ai of des wamative. eructed, ray $8 Tn MoSPIPALY re tiou inproved well undg ; ie ions “and sure vinte 1 4 ee ON og “Ae tae DEAGHSION Yo 3c hy Tse a ie at wy ee ib ‘teats, , fonciet dal so . $a; . ‘ vy ae ” 7? wee! . fo
ardou of jt curt 1 . cular Ap-32 RU, Ee 78; G kins ted u of TIGLINICAL RECORD =| OF av AM. HEIGHT (71) Lymphatic. °S LAST NAME+FIRST NAME—MIDDLE, | “tHall, Loran: CTIONS. —Describe (1) General Ap. un fan an ¢ Labial (6) Mouth; (7) Throat; (8) a Hernia; (14) Genitalia; (15) Ret io a Ww. d. ‘ w. he r } Mental Status; (2 ihe (18) Ext fomitiogs BLOOD PRESSURE ) Head and Neck (General); (3) Eyes; : (11) Cardiovascular; (12) Ab- G9) Neurological; WARD NO. Ce, " PHYSICAL EXAMINATION Standard Form 506
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a! | ? : | , i j. | | : | | | : | : t . 1 \ 1 , : . " | | : 4 Vf | | od i { ; Ho . — q . i . ‘ a = tet 7 ined . - . } jj a” 7 ; \ 1 . s , . * ny “ ae ‘| WD.AGO Form a : she 7 jun 13,44 8-66 ‘| (Qld WD MD Form 56L, 31 May 199, * - ; ° oan ;, Which may be used until existing stocks | a exhausted.) | 1, 4 (Check one) PATIENT'S LAST NAME—FIRUP fod . MID . , | a Ceranet ff pay pan i REGISTER, NO, a Si PAY Lo it nee REQUESTED BY I i 2) «Bee = tam | } | , Z i, : BULATORY Sank As Ml DATE OF REQUEST : BHECK | mode ip coum EXAMINATION REQUESTED Wey aye a sovil 6) A NE FLoccuLation 1] rourin E BAT iF) — COMPLEMEHT iFiitA - - | i : | CaRBrot ATIVE | | a REQUESTED BY - —S. | b siatauwverg , _—_—— 4 - y 4 Fd | . ; tt . Po AN “(DATE OF REPORT) vt fy REMARKS! CASTS - I ‘| ' Captain { risa ‘fie | (REPORT MADE BY—Iatticls) : : rv Standard Form St4a Promulgated August 1943 + | By Buroay of the Sudgot—Circular A--32 AMSA 7 56 rom yarvecvere aaa
c WARD NQ., fn - + "NURSE'S. NOTES ‘ gtandard Form 510 4 on went +é fae SESS SS y OBSERVATIONS bet include intake and output, type, amount, and time) wf ty = r=) a wn | REGISTER NO.,,,, (Sign all notes NURSE’ When indicat fi} MEDICATION—-TREAT Page 167 7 4): 32262166. 6, Rocla ioe = ~ ag ~ oer onan o = _— - . a o : : none nt igo Caring Brae * ae = ee coe ee ee a ee Piel . 7 = S$0=SS2= . - SO aie 2-3 eer I | i) ] ' HW. 5475
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n cases where the data hereon will = ——— —=— x is an ped 2 | . = , — my 4 = owe ET i y \ | 1 (i 1 ign'is egy | 1 i | ' a.o. Form No- 8-84 . Form No. 554-1, 8 Au December 1942) (This sheet to be used in conju af 31 ce to conform with existing Pertinent history, chief complaint, :and | " Complete physical examination = | f Wilh, Ae “1! cna w.
| i al bo vate no voy ful roe at ht " | f om \. pe. , od i . ‘| Ma Wy wt ma f 7 ‘ Pn i : : ~ Color 2. . Examination moh INDICATE E Sp.'G. ....----:- v4 o Acetone eneenenesieee Form 55 Le5 Meoicay } DEPARTMENT, U. f 7,SEP 1944 b. “existing stocks are exhausted = i Senne requested b; 1 Bunea Blood. ceecevactessecsssss wohl It U.8. ADKY| wised June 0, 1042) | ; 2% December 1042, which mpg) i i] i T 1 i k 4, : mi i an . 1 " Tl | i vase ek. ‘ = oer? N aa rege * Gre : ‘ | on: weewccacene ew Sy 16—16960-2 apo |! 4 i mi tt : AGL (1) 4-51-S0M-18816
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re re i" c DATE NURSIG NOTENS li ina Taseipe 0 ubfes np : ot! | : i GY 20 Qi tsonil eee | Git Mg £20, 7G Tdct seh ae Tha cate his Agel i a pierre as an fl wid 9 hehe l Splines gpneles —— -ORD 2D wo.| Ht DE F4A2 2 |Le,. My || arc0 Aek_Zemen. Jal vy vA i jo eNO ey (008 Lf O agoo AP tly 174] ——— — 7 a 2720 2700 eR Tene. Md iz $$ | ee micron lanv, Oba ALA el bes 1" £018 @ nano a aia | OIL a cle Eo ga My a ‘ ‘ f ‘ 4 oP | . wh ] TH pl ’ ‘ aS) ! ’ SCN at alt \n 1), oe ny ne ' ‘ . 1 ‘ cuy F . i PASE Mi : a ree a rm ag sis : 1 i ' i} . of 1 . i 1 en) 4 | ' . . " A mo \ Hin a oe Fyn g Ge A fant od ee wanes A i j ll Wil Danie ‘ “7 Nprraats [etinetires a " \ Sy »! ' Hie hay ae fo iy t fi . n pe vet till , a + Ww i i ii i 4 th a “poke it " | ph \ 4 Ly + ri ° tbe ied H 4 ere ' i i i, ‘ " + 4 oo top bie shores i f] 1 : Brat) sila i bind mi 1 ‘ L t 4 y . Hy a i i , i i tory 4 Hf etal al ; ve I ! ’ a a q i NI 07 AAA Rois ig iy RACAL + k i : t 3 rr oa ‘$ Ae onrnaL H i ee oH 003 ob e ED. t ay? ARMY SERIAL NUMBER ma Za Wie
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— (Cheek one) PATIENT'S LAST NAME—FIRST NAME-~MIDDLE NAME REGISTER NO, BEDSIDE, WHEGL ‘ - Dann on fl, o KRea-&. STRETCHER ) sep PATIENT "AMBULATORY EXAMINATION REQUESTED SUMMARY OF PERTINENT CLINICAL HISTORY, PHYSICAL FINDINGS; AND PROVISIONAL DIAGNOSIS Dit leenze Kn ; RADIOGRAPHIC REPORT (Use reverae aide for additionat space) & eee ro) edu | ‘ ‘ORY MADE BY—Jnli . Standard Form 8180 Promulgated Avgort 1048 nm Dy Bureas of the Budsvi—Circular AMSS ~. : ie ame s . . RADIOGRAPHIC REPORTS ROSPITAL OR OTHER MEDICAL F. AGL (2) 4-56--100M-11999 Xs g ’ .
DISPOSITION BOs ATION OF HOSPITAL WHERE BOARD MET AMP CHAVTES, ARLANSAS an NAME—MIDDLE INITIAL AY SEAAl ‘GRAD 6 ARM OR SERVICE 7 AGE IN YEARS ARTY 22 = . NT ta . n Atrio evaluaticn "$0 duno 1918 13 MILITARY OCCUPATIONAL SPECIALTY (TITLE) ac CURR HIEAFECTIVE AERO! 1c i YES NO a (iF: PRESENT PERIOD OF HOSPITALI- i Hone | ZATION x ER CONSIDERATION OF CLINICAL RECORDS, LASORATO ie FINDINGS. A ) i Ate ICAL EXAMINATION THE BOARD FINDS THE, DFFICER TO HAVE THE FOLLOWING DIAGNOSIS, COMPLETION OF CASE, AND LINE OF DUTY FINDING G NOSIS. (ust blag OSES BY NUMBER PREFIN) itor is unfit for full or madi tied eutye ut \ i ( t ’ id Hy 14 i | od conts fox i qr calilotment in 1 ‘ j it od APPROXIMATE #0 EX§STED PRIOR ‘21 PERMANENTLY 2 MAXIMUM DATE OF ORIGIN OF uy ‘ RACITY | TQ ENTRY ON AGGRAVATED HOSPITAL BENEFIT EACH INCAPACITY! ‘ g ' | AGTIVE DUTY BY ACTIVE DUTY RECEIVED (ENTER EACH DATE), “eat ve 7 a ws |. iM], x @ : @) (4) i Py 32 OU ALIFIED _ i ie + FOR OVERSEAS 25 PERMANENT] 26 TEMPORARY | 27 NONE | f 2 ‘ row ves nO x ACD of tne H or MEMBER REQUIRED (PRESIDENT) R 37 SIGNATORE OF THIRD MEMBER (NOT REQUIRED) ; LAr ' ‘ LA : an (Il On SH a Eve BRADE, ARM OR SER NAME, GRADE. ARM OR SERVICE (REQUIRED) RY Ue Bie Pe te er y JACK Be PRESSION mn dot 17., (He a , ISTLT., 12 . ‘ } ; CY EXISTS [ves | 0 | a9 pate anpaven || | NN 40 DATE APPROVED Pui NAR DEPARTMENT DIRECTIVE TURE GF ©. 0. OF HGSHITA i TSIGNATURAIC. O., OR DEPUTY OF STATION i TUR AJSON OFFICER RANE, GRADE T Pe hig E Sait LIAISON OFFICER (TYPE) to be: ; pre ared. Si; ga orien only: Signaturo constitutes approval. At- 8 x 10%4- neh whitp paper In defeats upon en‘ry on duty on a commissioned atatus for which a nc Other of Hospital is Hot authorized to issue orders. . ENT PRINTING OFFICE 10-~43560-3
Se ae nm ee ' | | i i | { ! : i my ' | P , : I \ fel ; O “  @ @ rast oe : * | : ‘By Bufeau of the Budget . | 1 . - . i" "pocror’s PROGRESS NOTES i i {Sign all notes) ; '. 1 7. GLINIGAL RECORD 10 duly 2 This man has a long / story of Leena mal lepileps » and was discharged from a prev dus occasions with this t ‘ diagnosis. He has 4 in res per month under __ a ' ordinary circumstankes | Bd pation _Latel his $eizures have ' , ' } - ___| increased somewhat and he his |haa 3 seisires in the presence of the . | | fellow shoikstx soldiers of the uP Compan . This has reached the a i attention of his col one ding bf! icer wh nd sent him to the Psychiatr 7 & Neurology Service| for eva a ion. | . i DIAGNOSIS: (3531) ' Epileps , “ grend 1 ; partially controlled — RECOMMENDATIONS : Discharge a the con rehience of ‘the government. ad " 4] - Pitas ede vere : Pa ae . .. te iio ~~ Bo . Ih WARD NO. “pitho | 18 -  POCTOR’S PROGRESS NOTES et ee Fae ee EY 4232262166 Page 182 |
’ } ‘ yee mee H {1 i | it ‘, Ho dE ; | hna rd Form 501 mu gated Ane 1948 arian of fithe F Bud get @ ‘ ‘@) “ qLINICAL RECORD SUMMARY | ak no duly 52 DATE OF DISCHA’ N BER OF DAYS HOSPITALIZED uly 7 GUIN] AL, DIAGNOSES DIRECTLY LEAD- | APPROXIMATE INTER- ‘ VAL BETWEEN ONSET AND DEATH . OF DYING, SUCH AS HEART FAIL-! | an URE, ASTHENIA, ETC., IT MEANS | THE DISEASE, INJURY, OR COM-"" a PLICATIONS WHICH CAUSED: a DEATH. - ' “1” (De not ANTECEDENT CAUSES! jeritar mora ' | than ofte MORBID CONDITIONS, IF ANY, GIVING RISE TO THE ABOVE. for items) UNDERLYING CAUSE LAST. five soper’ | Cause (ITEM A) STATING THE, I i, | OQ. xt = F CONDITIONS . THIS MEANS CONDITIONS CON h noo TRIBUTING TO THE DEATH BUT! : NOT RELATED TO THE DISEASE)’ OR CONDITION CAUSING DEATH! ee = PTY il ORGANIZATION 505th MP Co. REGISTER NO. WARD NO. 16406 | .D8 DIAGNOSTIC SUMMARY Standard Form 504
be we , 1 ANGE i i NUMBER OF DAYS HOSPITALIZED ee My Jul 7 - re iatry & Neurology Service be- jitated him in military and . He is d&scharged at} government when symptoms preinduction level. ¢ os ete ar Fr S$ OO HB -- wee - -O-+4++_ 2 ye sa ch © 9°. yy a ® <q: o s ® uo Bp a] Q 3 p wr ) uo} a . TLD DT Te NT . or > 3 mee De - ee a ae eran ee eT ere ~ a ee s of ih ard For. i a if more sp f fee is required) ; ee IDENTIF i ixtion No. one Teazarion fen MP Co. iS LAST NAME~FIRST NAME-MIDDLE Hall, horan E. REGISTER “tb WARD NOw 61,08 pd8 NARRATIVE SUMMARY Standard Form 503
Toro huamoag } an ax end boins rendered un~ > ud “coal is return howe in bp diglupdin. Lt mentions that when he withopy an abtack but recently he has in 1948 und has xepx appeurent ly “opes baling me ication. an "reap sted i dhititery 4 eae “4 S q abe cee about & weeks uyo. aa ee iol - UC Oi i "tmp essions: It seems thet or} does 1 ithe seizure perceeding the last while he wus overseas in smakant wurried her becuuses he loves her. s @oncerned over the possibi ivy that), Llu might be pileffec und wentions ‘be. had not uarried previously becaugs|) gssibilty. | i) . t $ weeks ago pt married apuen waort ivi ile she is pregnant. he ditinjs out; Hg limitations of his illness icing his wedicution. another is ‘ily i when he hud e seizure while his license Bowever has been well. une example of that ib thet heli that he has been driving un automobile inl - @riying,a and the result was on aug ouobi Le He ‘Haken away. | x jit WS Vz DATE . g a CE Wes bin, fea Qn s uty 9 | DaTIENT'’S LAST NAME—FIRST NAME-MIDDLE NA ‘REGISTER NQ)!! WARD NO. me eho ey | HALL Loran j HISTORY—Pait 1 Standard Form 504 | Us AH’ Camp Vhaffee, srkansas a R OF HOSPITAL OR OTHER MEDICAL FACILITY)
7 ff aot "4 ; ia . ‘ 2 04% P , 4 j 5 ie. ‘i hea ae Te" “it if | ee cra P95, SPR | | oe ns : | ) , | wit UM 4 1 . 7 occlusion 4H 7 PERIODONTOGUAS , DENTAL FOCI OTHER COND oo OM | f . a i as | y | TEETH REPU ED BY DENTURE + (Hor ontal dine) : | | abe, | TEETH REPLACED BY FIXED [apd a (Oval toficlade abut qin _ Sf rae : . : thi aH Tr “ti Is May ! : . . . - +. a kaw 54756 DoclId: 32262166 Page 156. .. ‘
—— es —w 7 ay psu of the Budget Cheeular A—32 lan ard Form 507 « Promilkated August 1948 tee coe een ee eee ‘i: specify type of exaniination or data) “Idedtitying vata re | “a uly. “1952 ASN | 341% 224 450 . ME. Ht ‘i of Ind; 30 June. 1948 | if THe iL of adm ll July 1952 gle a ros Rank Cpl © Dred 505th MP Co . Reew a moe ‘ i gency addvessee -Age| 22... Loran £. Hall Gi) Kel| P .. vs u/s 5. years a og I at tt get ld ne | k HHMlred individual of stocky build. ne nd 'yH)llib Le with; no-tendency to wunuer. ie ‘iaiene u sojaewhat cocky attitude. ne ivand ae frequent ly and uppropriucely. ae lt. - encrral nopearance: -2t is a sho? poperated weil unc was spontunt seemed to be in exceilent spirit bppecred to enjoy the interview i Lo 7 : I ‘yore “Ht * oe fay if - tfambly histor; : Father, about dp on gperation months ago for the renovel of : chocerous growth on his. forhedt. jhe operation wag appa erently successful and he is owlable,to work. be is a divisia nD enuger, for a. hpwsehold ‘goods wholeseler, unu hes c de a good living at. this. He has | iB cuigk temper Had pt states, that he's hed. many iS hgpeement 3° “with his ‘father wtp could never, sgelm, fo: let. pt, do, whet, he want ed. " vf. siother, 41, has had fair health “Wu ‘heryousness. She is.a.very emot Lond ‘gnd| other . disturbances tend to se Lit le but he feels he's gotten Tos au Mi " % |sodaas, sone b tite in bed each year because of and | pee to hkve frequent crying. spellg. soises . saul Was , af y strict. with pt. ‘when he was C much’ better MW th her than with his father. he ig: ‘the ‘oldest of . 2 siblings, im nbl| boy ’ ‘hha one eirh, ages, 19 cand 2. Mis sister Hs ery - emotional. and “high stry i" and has been gding to 4 doctor for her nerves, _ for|.1) years. At timesit is impossible to get alon, with buf, Pt ‘feels’ “that he! s gotten “long | with -her.as ‘well as .anybo ke : " . the, ‘ if ms ‘ th ‘ jegh ‘Leyelopment; Pt .was born je | He ad eusily frightened es a ch fi pegusional temper qantruus . as af . fal. A uiifar as pt ktows there is no gistory ay fot if il eternal great eunt was ine} nb * peeepey in his family. yi! yan. 19:30. and was. a heulthy baby. dansas | lite badly till he was 14. he had Ulicteres gnuresis im at cell and quit at age 16 cfter he bol. i Vuuit s@iiogl to gx join the aruy end states itine|d [}overse ei he army. he liked school u.d always tr? HT sy i 'BeHoo History: “t started to tlh Finished his third year of mgt Weld NAME—FIRST NAME~MIDDLE NAM REGISTER NO.) - Hall - Loran Le. - fogh USA rene i Gp ‘Chaffee, Arkansgsi Na OF" OariTAL oR OTHER MEDICAL FACILITY) vy 1 * ’ - Standard Form GUT | covganuenr PRINTING OFFICE W-10-—AG1H4-3
in 1946 pt received & bruin cone 8 | | ee inde passing grades. te got ulow} occasionsliy: he couldn't seem tai ‘with his ak school mates end’ aly f ‘ | work histor : Pt worked as a sall : lich" like to work: with hin. A ‘as la dalesmaun for a wholesuling Btdre und lost. xkz this store's didn't seem to mind. 4 4 1 Jellinguency secord: Negative. | ‘ c . . Religion: vrostestant. Baptist. religious. “Sex Histor 2 Pt received consid e ldenies feeling any guilt ove yccrn. ne had an. atbace in u grocery is’ euipd vers Anew ot his epilepsy . but i dating et age 16 and hus been o finst engagewent was..broken up | pre sence. ite-has been legully : for 1} years. She is an ~oglish| Bip while he was in Germany. +hey a po yvdegtions: Pt is’a.avid fisher gats. Ye likes to putter. around ' begause of: his siezures. on! He hith History: Pt has had seiz els not taking dilantin byt when ,he valk the dil atgack every month or two. He bites his; ‘tongue wip “"ypuses the hell.out of himself" poh t he only hys 2.or. 3 seconds : “pap. fe was in bed for over « wd in t+ elbow, nose, and left knee} "He ‘had an- appendectony atd age! ~pron ‘ “shite: histor : Pt “enlisted ‘i “BBLS: at Fe Lewis.:he was sent fax . ‘gent. directly. to Vermany where states in “eb 1952 and hes beer‘ a neg: 1 ‘ hie army very much and likes b yrsonnel xa and had ghunned t h 188 Mw yates. a discharge. eep he sleeps good. He rarely, ror as times a month. 4e Says. i Sabet Vo: a! warning before. the abhes ell over" for en hour OF 80} , -He again enlisted in 1948 grsonulity Traits: Pt has e hard | Boks | perday’ lig's never consi py ot s especiully in Germany. His ile tic attack in his fisuncis at t bas lived wikia with his wife . ek has one, _every week or so when ntin regularly . he has only one eyer he has « seizure says he sometimes when hq |fells- during a seizure, He says _, fit comes - following the fit he 6b fo ‘gi eurs. hig ion. - daibn he was{hit in the head with u baseball folowing this. {et has broken his right hand, AE ems to be always - getting hurt. ney ttie nah i nocidento, He ye | baton: ‘Kansas ofan 1949 znd’ completed: @ weeks of o- fladigan ‘ana wes’ @ischarged after 4 months in the und wad sent directly to Germany where he was — eb: (Az month#}in the MP'g. ne returned to the ‘o Up Ch Pree Mets al ce then. oe has liked ide "Ss ai ben, “allong oll with ell army Hour of be | army. 4, now. feels that he . 4 , a pect ts th f) “sleep but after he gets to ’ Likes Ho.” “drink and used to get drucs a” entirely. 4 ne smokes ebout “ roo. Ft . j Le “yo, . 4 ' e; n MOU w. DUSENawARY PEC A ott hork ‘Pech. - wee
; | ‘ | 1 i ! 8 | I | ' ' { ie } | | I \ } , 1 | ; i } i if, f ‘ ; | i} Tfa ' . . i} , . , Setemeeat adateel . stat dard Form 5607 e » Promplgated Augtist 1948 ; 'B Bureay, of the Budget 7 Mrcular A--32 CLINICAL RECORD : i ‘ (Specify type of exdmination or data) ! 14 July 1952... | ~t | Tests Administered: W-B Information af nf urceptua lization 7 W-B Comprehension - Vail | | WeB Similarities aE tie Completion | | WB Block Designs = i re WGS Color-Form — ‘I Ve | ’| . | Draw-A-Person vhb | 7 Introduction: The pati pd friendly, cooperative and related fairly well; atkkuxhxkx 1k ough the patient was somewhat smug and cocky. Affect appeared ayprop ate. i | , Test Analyaig: The phi ed an average IQ of 118(Chaffee Battery), indicating presen i at the B ight Normal level. Abstracting ability seemed ‘Huy ri; particula ly in the non-verbal areas, and the patient dema neta ‘an ability [to readily shift his conceptual framework. . Fig awings showed gigns of aggressiveness, | negativism and evasiveness, with sonie 'feelings lof insecurity. There | appeared to be sore sexual ipreoccupe tion. The tests were nagative in ' signs of a thinking disorder i orghate brain damage. - Impression: This record 4 mokt | consist with those of Bright ° ivippels with itd feelings of insecurity. ‘| | Normal, somewhat aggressive, 3 : “ { Ff YW TS. 2 Wwe “i tea} Ps} ilcey Technician. Pe ey. ‘| z reversé iB ») Lf et ala | WARD NO. Dass ae vine = were woe 1 . Usa, CAVP CEAFFEE, +k. FS} LL-TEST aoe WAME oe HOSPITAL OR OTHER MEDICAL FACILITY) ITINUATION OF. Sa anal i Htandand Form 507 4, ‘lye 0. GOVERNMENT PRINTING OFFICE eae Va. arth S iat, ba | i
‘tobe ard Form 507 ar Heated Aupust 1998 reds pf the Budget Pt wanted to see one of the soc CLINICAL RECORD that he hud « problem. he felt, : dumediately. Pt. explains, thet he has an une Le Mlle | is } ‘hig uncle was wounded in’ Fo! lowing his discharge, he wor bed ame fast friends. married to a Catholic and upon his ' He was about to marry this woe , jko bansas City, where this wome ; very excited and depressed, pig. ‘'pt|then went on to say that he ‘hig uncle is really acting abna ‘entered into a Hot xod race, ¥ ‘ipogsibility that his uncle may ‘lbefsauge his uncle has never dr “ithe use of one arm. He Deliord i-unele's breukup with this girl. ie jon decently his ,dditional inforuation | aie . } Specity type of examination c or 1s data) 2a July 52 i indicated in an excited voice | eri skeen ency and therefore 1 saw hin if ‘tif | yeurs| olid who is 4@ very good friend of ’ ’ bie sect Hdiiworld jai jond lost the use of one arm. ) el Id uncle! din his fether's business and they Cc i b andi : Aten in iyo rod race before, and in adaition has only. poume ini olved with 4 women who was unclp, s| |insiste led ‘tne wouen became divorced. Hen they hed an argument anu she left from wichita (forme husband dived. «t this, his uncle became $ la been acting norually since. they, hie ed hy , parents . nm this day, und, bold them a thet ly. ! he is guitd concerned becuuse his uncle has eH lhe fap bls is very. dangerous end there is 4 & willed), lie feelg that this is especially true jat tht s' foolish move is ea. direct result of his ne want bd’ us to give him& sowe advice «us to what 'helshould say to his uncle when he' calls him or whdt-he should write to him if he | shpuld write., Pt showed a great del of) concern & felt that it was necessary to tal it ‘ove r with hin. at this time jiay not et a tension giving jwechenisim, liowever, if pt was to call bd » pt would j ! | 'pepsoning with his inecle _ prpbably doing this as « OVE vr it. VE ~ It] was advised that -be speck to his uné¢le in a nor d’ ‘excitment ebout this, end we ‘It was pointed out that any 1 be helpful. iis uncle was aid ‘in time would probably get feel better if he diu so, he may. al tone oi voice, shew as little F eack itment as possible, and let ha une l¢ know tha¢ihe was returning from the arny 1 :, he would give his “ion getting device more useful, t ' * i t " All . iS ‘al & poucRament naintine Orerce | ERS IG esa] ‘ HW 54756 Dag: NT'S LAST NAME--FIRST. NAME--MIDOLE NA Loran Mz OF HOGPITAL OR OTHER MEDICAL FACILITY) ' {Co} # tind ¢ 4) +> .goon'and that they would be to sobluer dédin. In wenpioning the Hot sod races tne pt ‘twals to uct as if this was 4 notin and |e 4eceptable. etivity,for any excitment which uncle would onl | aroug & his feelings, and mace his uncle's uttent- it the: game ting) pt} was supported in being cal... **ablout the situation, and heiping 4 ro Bee that hifi pnicle would probably get over, | bHis shortly. iilt pel. Logie acssing end Lt SU ilathli d Social wor« Officer yt ; | i | I}. { | H o tl WARD NO. L-8 ‘| REGISTER NO. ,
« . ee ee " ‘ is ‘Form 513 To eo Rév. Fab. 1981 ‘ C' Si ‘ There is a well healed scar ait th 1 rEg ts ee ee ee Seog oe wertpenieds Pine vahrner er Sadi -ddeetonateahr alieiabemeneiaes ee te ed ae Rahat TA . 7 =e SRO ae a = - fF Ly if re q ‘ ' [ial ae s caret bananas APPROVED i ' 1 two small nodules located ove A small incision was made a . }ohromic catgut suture, In thi || steaned with merthiolate and i : : | | ‘|| DATE OF REQUEST 5 Qi € d t t t { t . { hy | ( routine (CD emerGency "PLACE OF (GC SULTATION Ose PSIDE (Con cay, ia ia ET a , ait i sy dnenar- aspe ct of the: right hand. There are abea, one’ ue ‘Somewhat, painful but inferior. Hture was re noved. It appeared to be a 000 area no sut dre was found. ‘The areas were 4 ged from tthe clinic, J cy ‘daay 520 4 i { | I: ' I. A i sus 1st Lt, MC ‘ fn : a 1 : adh 4 7 ‘ n 3 4 . I: i 1 t (" ? 1 \ & CATION NO. ORGANIZATION \ REGISTER NG. | WARD NO. . be b \o fii _- _ CONSULTATION SHEET | Standard Form 613
1 ii SHEET ULTATION DATE OF REQUEST CD EMERGENCY tis 7 WARD "S " CONSULTATION SHEET (D Routine Standard Form 513 RGANIZATION ann gost M. Al FATRITYD Cs RST NAME—MIDDLE Ba, Ch &, is LAST NAME a 18 oS age a + 3a FS 2 SSS na —= “ade pot Ey S58 a. - an a23 41> EASONIFOR REQUEST (Complaints and findings ) " Sih, TOS MOG TAL OR CIRER ee eevee
° andard Form 514 — co ' : nlgnted August 10943 <= ‘ : y Bureau of the Bi Badget . . ' . ; Dircular A~32 4 sme “Gaon : ‘PATIENT? usr Md H a6. P " ! | an o pe paTigNT | OIA 16406 t mo . : 7 a -| REQUESTED BY ze ae Paap: DATE OF REQUEST ; ’ aan . V4 PA Aaputatory cata mails ‘ , Ps HECK ; : che AM. ! eae deeD at eae 31 ihe ifr A feo: | ~—CRESuLTS a oe wae : (7) PLaTeLets | we . (7) oirrerentiaL count CO sepimentarion Rate m NEUTROPHILS } (CO nematocrit +t . LYMPHOCYTES (sloop tyre . “t . oe MONOCYTES Cl Rbractor - ' if - * - EOSINOPHILS as . ; i - BASOPHILS REPORT MADE —Tnilfats) | cl Standard Form 614b Promulasted August 1048 ' By Burega of the Budget-—Circalar A823 : a - HEMATOLOGY my h ; i Hi t - i [ . (Check one) | PATIENT'S Lag REGISTER NO, wang 9 fy - (2 Bo PATIENT 161,06 LP - oa REQUESTED J Lag DATEOF REQUEST, = /,, + 4 eit (itxKieutatory {ho id La uh CM: Z _ oS e- wh CHECK (y) EXAMINATJON HEQUESTED oy | Wi tae C0 routine rioccutation =] rawr 7 REPORT: | ! t 7 ae ae ot Pca I; tt TSIGNATURE (Specify Pe: EBA not part of requesting facility) Stende A mi bide—Rev. May 1051. Promuleated ‘Barack tho Budest—Clroular A—3; i||: SEROLOGY | 7 By Li gaa of Vio Wadeot— Cree RIE t ip. URINALYSIS f ~ ; él = Pett othe 94-3 ; ' > LABORATORY REPORTS A Standard Form 514 a ae A) N AR, aS: O8PITAL OR OTHE MEDICAL FAcHY J } ohn alain Sade
d Form 521. May 1950 the Budget (Rev.) : cd CALCULY ' sucht ["] operate ([[] HEAVY PERIDONTAL OR GINGIVAL DISEASE ae t ‘t == = ABNORMALITIES OF OCCLUSION TF ~ - . DENTAL CLASSIFICATION a . - | | REGOMMENDATIONS a ° roe . ; . Q ws } j po y ° ‘ if ; . V/ en ' Hi : mot 1 i ‘ rl : | PROXIMATE TIME REQUIRED FOR COMPLETION OF RECON MENDED pat ‘AL TREATMENT DA oy (Le 2X wtak- a1 Laat Le A to ee Lt ide 2 y, A oe INFORMATION FOR QENTAL SERVICE/A To Ky filled|in by referring agency) wey CHECK HERE IF PATIENT | PRINCIPAL MEDICAL DIAGNOSIp t I yor ’ HOSPITALIZED FOR I i >. (7) BENTAL TREATMENT ONLY woop ' 10) PATIENT REFERRED FOR == Hooke : mh i ‘f+ [2] EMERGENCY TREATMENT | (LJ otner (Speoity) ihe (Anotrine TREATMENT i 74 2 ' : ' ' . SIGNATURE OF |BEFERRING PHYSICIAN . al = : ht i A | || i ~ | APPROXIMATE PARIODIOF |r i i] mest HOSPITALIZATION]! 1h") °° at i i : il G2 OF idee J an : . , . i RADE, RATING, OR POSITION ° ay my , i Za ES “% AME—MIDDLE. O a3 G HO 0 | Law iar , oe HH . DENTAL Os git ry Standard Form 52k MEH HOSPITAL OR OTHER MEDICAL, FACILITY) | |- i; eo aM, a Rev. April 1
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NURSING NOTES p= + — a = B. — a a SS Se : oT TT ep ee mee ee ~ oo —— = 0 BE ANS | SIS Vista: Si Sisli as | pa Manama HEE TT HEC | PERCE PEE f : A | | - —S ee eee = — 1 : i a mt . . ane PeScCceRe Oe mee CEL eat PLETED. ‘ Y NURSE WILL PLACE CHECK MAR q OATE GF 55 ARMY SERIAL NUMBER i - ; TP outs wn ote bi a aay CAM iets io bE i : Ra | SRA i rie All! Wie Hi \) 4 ' Le i: a0 5 D a . B 7 psa Pe EE ee ee ae Ee Bier PSG er Fae a 2 3 5 ED AL BT Rhy ee ek. ‘ rit S So le pur POET 2 ee, ee 33 fata: Pa ore aU wei Gt a : : i
e * 7 7 8 © oct - Ay ° he mo) s Pr ap & ~ i #* 7. " 9 2 82 3h | 88? 33 : Tose S i. . Coe eb eee cc fo fp Py eR -. —— = - ee OT gp og Qe GD. ae ee Doan nat (2 tes art ae fost t eee cope Pot ga a A 2 = a ath CO : _— eee . AQ AYO [a ag a t o ou & Oo Ww nd : - 2 Acs oO WwW F 2 ; ss tres Ht orf oan - ; a 3 Ok | = 48 : 3 See ye Ee = =. Se >» 5 - a om ey . mae : a TT it rr = . ~ = ~ 2p pa o &.- | a a ® oS a Oo -: « Oe cS O ec - a) Se “Dene ow a ‘> § 8£o| Bee ge . oad S tee ge F | . wo 3 eo Oo a") SH AD a oo 3 : Q wel Saget ot = . : 8 wo f Sd an: fi son es # mil wan . - Py a ° min “ ° A m4 Bas Ss oa Pt > £ . ¢ $ 4 f8e) mba BoE 6 Bal -oe &% § oO - 38 a © pee ee ee - ete eos Nena te an: > oe -. ee Eo | Ea - _ - : oot _ : - o : + . : ~- oF oa
ra | ee F | + ff : Wy. en ‘ 1 fous te ‘ i) Hn WE da i) || ce i U il 4 lll : ‘ air y ice ' U q ' \ yd ' Aied|  f ! A HI ‘ EAT . ay fc. ‘ Alf | ‘ i ae Gy WM dt U 1 | Wy st Wyo HO | es Te ' ' ‘ Bot t non abl ys in , mis i f * ee pee ee oe SUBJECT s Commanding cenerat {| Sth Armored Divisiehl | Camp Chaffee, Arkank TO? I request * (dischd w) fo that, based upon preliminary le tion in the military service jpn is considered to have existed . . land which appears to be not 4 sequent military service. ; 2. I certify that it k titled as a matter of right the Army of the United Stat Which includes consideration However, I do not elect to ceed om . 3. I further certify t z las a result of this applicatijn' of a medical board corroborate fitness, I may be *(dischar ( te Request for Dischameb t account : itor tp) +- FO-78 ‘(inter dil ident ‘boy or agg sheen! fe hig Seine 4 ‘ings I understand cthat such gb ment or disability severance jp . moe els o4e 4 #2 understand that |will bé honorably separated up period of service require a dif ; . * A ee oe aoe hee iq wee 7 * - ts cos 7 tp ot aE pd ee pe a en ee ee ig ee : ~ Tate - * . , . : . . . ° . ‘ . . ee, Meee - 4 | ae oe at ieee oe  lnStrike ‘out inapplicable term: pe Sey F Pace ee we a a Oe pra eee ee ee i. Hospita2 Form Noe 78 Revised 24 Jarye-s2 — LA On| | How ver, it of a ph, ly exp’ process ‘by @ phy is righty ies dily explained to me that ng |p: vided thea reliminary |: convent ] disabi, ‘will bg i ak ! ae i at 74! camp Chaffee, Arkansas 1952 jcal disability phich were e of entry on active duty avated by, prior or sub- Ws: = wwe a oe i 4 (ite i i ed to me that I am en- gas any other member of or physical disability, Sical evaluation boards the approved findings ~ Lndings Roneerning my un# ce of the Government) ity without further hear-= without disability retire- s not preclude my ns Administyations Ath) © plication ia approved I vances connected with my poration. ‘ idl Hl of GR 722 100) rade)(Svo ne
fe) * 8 : . a o ° ein had = e LOCATION, COMPLICA- : pe FES TIONS, SEQUELAE, ETC. = a San ee =. eo - [= = FQ - “e wes =sS nee — a a <— 2 . — = — 2 - + DDL ae Zz. Ole z : a 12 a wy 2 is 5 8 oly g cag ru} z o Ne . oO i>) os a ~ . 8 “ . a . : a a . 2 - a: ke, * ca - x * a te HW 54756. Docld adh ee AS Lk, wh the Page 199 . 32262166
HW 54756. | 11 yt t IV | t a i t DoclId: 32262166 Page 200 . | ni “st F OCCLUSION PERIODONTOGLA a DENTAL FOCI BUSPECTED is | OTHER CONDITIONS rot Bdg! ipixed (spi | “RESTORABLE a | NONRESTORAB z(t | TEETH REPLACED! BY FIXED BR (Oval to include abutme its) 15 MAR 1945 meant ™ Su y WD AGO ForM 1 is tofs toma -t Vo ; My . BTN t : é i + X-Ray, BY RE | : Bore 78) D AGO Form 8-116, 3a May which will mee be
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