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Bureau of Nursing Service Form 596 AMERICAN RED CROSS (City and State in which examined) ATLANTIC DIVISION 44 EAST 28RD ST. DIVISION. 4/ 23 1919 NEW YORK GITY Confidential Report of Medical Examiner In the case of margaret Duncan me caughey Address Naval Hapk n y Questions to be Answered by Examining Physician. Note 1. Personnel in the foreign service of the American Red Cross often live and work in such trying climates, amid such insanitary surroundings, exposed to such malignant diseases, and under such a nervous strain incident to loneliness and expatriation, that only men and women of sound constitution and vigorous health should be recommended for ap- and that he will feel the responsibility of his office, bearing in mind that upon his statements great reliance will be pointment. It is therefore expected that the Medical Examiner will make the examination thorough and circumstantial placed by the American Red Cross. Every question should be answered as omissions will necessitate correspondence as to the reasons. Note 2. The examiner will please ask questions calculated to bring out the various symptoms pointing to the several diseases under each head, fully state any injurious effects of previous illness or injury and give an opinion as to the probability of its recurrence in the less favorable conditions under which the applicant is to work. I. A. What is the applicant's age? I. A 43 B. Have you had previous acquaintance with the applicant? How long? B 3mos C. Have you treated him or her professionally ? C no For what disease or injury ? D. Does the general appearance indicate vigor- D Nigorous ous, medium or delicate health? E. State weight. E 190 Height. 5ft5" stout Figure. F. Is there any deformity or malformation? F no G. What is the temperament, nervous or other- G Normal wise? II. The Respiratory System. II. A yes 18 A. Is the respiration full, easy and regular? State the number of respirations in a minute. B. Is there any tendency to cough, expectoration B no or difficulty in breathing? C. Does the physical examination reveal anything C. no whatever abnormal in the condition of the Cli respiratory organs? If yes, explain fully and state your opinion as to its significance.

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Type
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Media ID
a130cf927abaaf3b
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    "ocrText": "Bureau of Nursing Service\nForm 596\nAMERICAN RED CROSS\n(City and State in which examined)\nATLANTIC DIVISION\n44 EAST 28RD ST.\nDIVISION.\n4/ 23\n1919\nNEW YORK GITY\nConfidential Report of Medical Examiner\nIn\nthe\ncase\nof margaret Duncan me caughey\nAddress Naval Hapk n y\nQuestions to be Answered by Examining Physician.\nNote 1. Personnel in the foreign service of the American Red Cross often live and work in such trying climates, amid such\ninsanitary surroundings, exposed to such malignant diseases, and under such a nervous strain incident to loneliness\nand expatriation, that only men and women of sound constitution and vigorous health should be recommended for ap-\nand that he will feel the responsibility of his office, bearing in mind that upon his statements great reliance will be\npointment. It is therefore expected that the Medical Examiner will make the examination thorough and circumstantial\nplaced by the American Red Cross. Every question should be answered as omissions will necessitate correspondence\nas to the reasons.\nNote\n2. The examiner will please ask questions calculated to bring out the various symptoms pointing to the several diseases\nunder each head, fully state any injurious effects of previous illness or injury and give an opinion as to the probability\nof its recurrence in the less favorable conditions under which the applicant is to work.\nI. A. What is the applicant's age?\nI. A\n43\nB. Have you had previous acquaintance with the\napplicant? How long?\nB\n3mos\nC. Have you treated him or her professionally ?\nC no\nFor what disease or injury ?\nD. Does the general appearance indicate vigor-\nD Nigorous\nous, medium or delicate health?\nE. State weight.\nE 190\nHeight.\n5ft5\"\nstout\nFigure.\nF. Is there any deformity or malformation?\nF no\nG. What is the temperament, nervous or other-\nG Normal\nwise?\nII. The Respiratory System.\nII. A yes 18\nA. Is the respiration full, easy and regular? State\nthe number of respirations in a minute.\nB. Is there any tendency to cough, expectoration\nB no\nor difficulty in breathing?\nC. Does the physical examination reveal anything\nC. no\nwhatever abnormal in the condition of the\nCli\nrespiratory organs? If yes, explain fully\nand state your opinion as to its significance."
}