Hospital Reports for Former President Harry S. Truman

3719 RY GEARCH HOSPITA' Outpatient Dept. MEDICAL CENTER emergency Dept. Kansas City, Mo. Operating Room OUT-PATIENT & EMERGENCY DEPARTMENT RECORD Date Oct 13 1964 Time 4:18 a.m. p.m. Name Truman, Harry S. Phone Address M-S-W-D Sex M Race causcasian Pt. Occupation Employer Former President of USA Address Nearest Relative Bess Truman Relationship Wife Address Occupation* Employer Address Personal History Injured left side and laceration to right eye lid State How, When and Where Accident Occurred: fell at home *To be completed only when the nearest relative is responsible for payment of fees. INSURANCE INFORMATION: Blue Cross Workman's Compensation Other Birth Date 80 years of age Certificate No. Group No. Code Insured Through: Self Spouse Father Mother Name of Policyholder Diágriosis Confusion of pacation Mild coroleal PHYSICIAN'S Treatment REPORT Open wounds clearid and lit Tz -ribs 8d9 on h chest Admitted temporary Dr. Eding dressings applied. Phys. Exam. BP.12%kp. Sensorium for More No neuzological belief - Tymp. Membr intact Bile wales avrated of clear old aches eye- visign inlow tenderess good. on c-spine Anesthetic things L Chest talder! Rt - Attending physician notified By whom a Ostane (ribs). x - -Rays - spine egen arthritis Disposition: Home Hospital Other tx No other evidence of Bony injury. M.D. Signed Time/ Gen. Cond. und Interne Signed That B Police Notified By Whom Coroner Notified By Whom May A , R . Rib cage Relatives Notified By Whom Laboratory Examination Desired L-s-spicer CHARGES: NURSE'S RECORD AUTHORIZATION FOR TREATMENT Graham X-Ray. $ Time Remarks I, the undersigned, in this hospital, hereby authorize Dr. Laboratory Out-Patient 4 b & KL, a patient/ w Liohann (and whomever he Other - may designate as his assistants) to administer such treatment as is necessary, and to perform the following operation Chanced - and such additional ose Capt I operations or procedures as are considered therapeutically necessary on the basis of findings during the course of said operation. I also consent to the administration of such anesthetics as are necessary, with the Total $ 1 exception of Any tissues or parts Send Bitl to: s surgically removed may be disposed of by the hospital in accordance with accustomed practice. I hereby certify that I have read and fully understand the above Authorization for Medical and/or Surgical Treatment, the reasons why the above named surgery is considered necessary, its ad- vantages and possible complications, if any, as well as possible alter- Address native modes of treatment, which were explained to me by Dr. I also certify that no guarantee or assurance has been made as to the re- sults that may be obtained. Signature of Patient Bill Paid Signature for Patient by Witness Relationship ald Date 10-13-64 Time 418 P.M. A.M. Collected by Signed: Nurse Reason Patient cannot sign las FILE NARA FORM 15 2 10M 4 64 CH try