April 4, 1942

Dre Don Carlos Peete

Argyle Building
Kensas City, Missouri

Dear Dre Peete,

I thought you might be interested in the later events
of Ralph Miller's illness.

He came into the dispensary on March 23 complaining of
the same type of pain slong the lower three ribs on the right side.
Dr. Vetter thought that this was an intercostal neuritis and started
him on diathermy and Vitamin By. The pain was relieved but recurred
severely on March 27 and he was admitted to the hospital with temp-
erature of 9866, pulse 64 and respiration 25 with tentative diagnosis
of pneumonias An aray film confirmed the fact that he had an inter«
lebar pleurisy with a small amount of effusion and an early bronchoe
pnsumonia involving the entire lower lobe and the lower portion of
‘the middle lobe on the right sides On Warch 26 hie hight temperature
was 101.4 and it increased to a maximum of 102.6 on March 81. Since
then there has been a slight daily drop in his temperature, pulse
and respirations The sedimentation rete on Mareh 27 was 14 and 26
on April Ss The white blood count started at 19,850 and yesterday
wes 9,750, The sputum examination showed many short chain strepto«
ecoceuss He was started on sulfadiagine on March 28 and it was
disconbinued on April 2 because of no apparent improvement and the
fact that he was extremely restless and alerts The blood level of
sulfadiazine reached 8433 mgas There is very definite complete
eonsolidation of both lower lobes of the right lung with evidence
of resolution setting in todays, Barring the possibilities that he
may develope an iyerease in pleural effusion he seems to be on the
road to recovery.

Sincerely,

Ge I. Canuteson, Me De

Director—/7

RICes
oo to Drs Fe Ce Allen