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OCR
II
no
Nan
N
M
Form 596
5
e
AMERICAN RED CROSS
Berea (City and State in which Kentusky examined)
5
N
DIVISION.
June 28
19
209
Confidential Report of Medical Examiner
D
an
n
In the case of Mrs nan Cox Hare
ur.
5
a
-
Address Fort Blackmore ba
(b
e
Questions to be Answered by Examining Physician.
Note I. 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-
pointment. It is therefore expected that the Medical Examiner will make the examination thorough and circumstantial
and that he will feel the responsibility of his office, bearing in mind that upon his statements great reliance will
be
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.
cook
J.
I. A. What is the applicant's age?
I.
B. Have you had previous acquaintance with the
A 38 years
applicant? How long?
B C yes Several monlts
C. Have you treated him or her professionally?
For what disease or injury?
not professionally
D. Does the general appearance indicate vigor-
D medium
ous, medium or delicate health?
E. State weight.
E 110 lbs
Height.
Figure.
Thin
5-1 - 4" lofthan'
F. Is there any deformity or malformation?
F no
G. What is the temperament, nervous or other-
wise?
fouidg - nervous
Sunny deposition - wells
II. The Respiratory System.
A. Is the respiration full, easy and regular?
II. A yes 1 16 to 18 per min
State the number of respirations in a min-
ute.
B. Is there any tendency to cough, expectora-
B none
tion or difficulty in breathing?
C. Does the physical examination reveal any-
thing whatever abnormal in the condition
C Essentially negative
of the respiratory organs? If yes, explain
fully and state your opinion as to its sig-
Day lusego
of this
nificance.
no
1 purmosity involvement
Page data
- Page
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- Source index
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- Type
- photo
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Document data
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Context sent to Scholar
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"ocrText": "II\nno\nNan\nN\nM\nForm 596\n5\ne\nAMERICAN RED CROSS\nBerea (City and State in which Kentusky examined)\n5\nN\nDIVISION.\nJune 28\n19\n209\nConfidential Report of Medical Examiner\nD\nan\nn\nIn the case of Mrs nan Cox Hare\nur.\n5\na\n-\nAddress Fort Blackmore ba\n(b\ne\nQuestions to be Answered by Examining Physician.\nNote I. 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-\npointment. It is therefore expected that the Medical Examiner will make the examination thorough and circumstantial\nand that he will feel the responsibility of his office, bearing in mind that upon his statements great reliance will\nbe\nplaced by the American Red Cross. Every question should be answered, as omissions will necessitate correspondence\nas to the reasons.\nNote 2. 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.\ncook\nJ.\nI. A. What is the applicant's age?\nI.\nB. Have you had previous acquaintance with the\nA 38 years\napplicant? How long?\nB C yes Several monlts\nC. Have you treated him or her professionally?\nFor what disease or injury?\nnot professionally\nD. Does the general appearance indicate vigor-\nD medium\nous, medium or delicate health?\nE. State weight.\nE 110 lbs\nHeight.\nFigure.\nThin\n5-1 - 4\" lofthan'\nF. Is there any deformity or malformation?\nF no\nG. What is the temperament, nervous or other-\nwise?\nfouidg - nervous\nSunny deposition - wells\nII. The Respiratory System.\nA. Is the respiration full, easy and regular?\nII. A yes 1 16 to 18 per min\nState the number of respirations in a min-\nute.\nB. Is there any tendency to cough, expectora-\nB none\ntion or difficulty in breathing?\nC. Does the physical examination reveal any-\nthing whatever abnormal in the condition\nC Essentially negative\nof the respiratory organs? If yes, explain\nfully and state your opinion as to its sig-\nDay lusego\nof this\nnificance.\nno\n1 purmosity involvement"
}