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(Testimony of Dr. Ronald Coy Jones)
Addison's disease. We had no documented evidence that he did or did not, but caution was taken nonetheless in case his insufficiency was of severe enough nature, because at the time of severe trauma a patient with adrenal insufficiency often goes into a rapid degree of adrenal insufficiency and can expire from lack of steroids being produced from the adrenal gland in such a stressed situation.
Dr. JONES. No. Dr. JONES. Yes. Mr. SPECTER. What would that reaction cause, if anything, if the President had no adrenal insufficiency? Dr. JONES. This would not cause severe effects on any organ at all if the adrenal gland were producing enough steroids. Mr. SPECTER. Did any other doctors arrive during the time this treatment was going on, other than those whom you have already mentioned? Dr. JONES. Several doctors did subsequently appear in the room--Dr. McClelland appeared shortly after Dr. Baxter, within a matter of just a very few minutes, as well as Dr. Kemp Clark, who is head of neurosurgery here. Dr. JONES. Dr. Jenkins was there and I think these are primarily the ones that actually had any part, as far as taking care of the President, although there were some other doctors in the room. Mr. SPECTER. Dr. Jones, I now hand you a report which purports to bear your signature, labeled "Summary of treatment of the President," dated November 23, 1963, which I shall now ask the Court Reporter to mark as Dr. Jones' Exhibit No. 1. (Instrument mentioned marked by the Reporter as Dr. Jones' Exhibit No. 1, for identification.) Dr. JONES. Yes. Dr. JONES. Yes; it was. Mr. SPECTER. In this report, Dr. Jones, you state the following, "Previously described severe skull and brain injury was noted as well as a small hole in anterior midline of the neck thought to be a bullet entrance wound. What led you to the thought that it was a bullet entrance wound, sir? Dr. JONES. The hole was very small and relatively clean cut, as you would see in a bullet that is entering rather than exiting from a patient. If this were an exit wound, you would think that it exited at a very low velocity to produce no more damage than this had done, and if this were a missile of high velocity, you would expect more of an explosive type of exit wound, with more tissue destruction than this appeared to have on superficial examination. Mr. SPECTER. Would it be consistent, then, with an exit wound, but of low velocity, as you put it? Dr. JONES. Yes; of very low velocity to the point that you might think that this bullet barely made it through the soft tissues and just enough to drop out of the skin on the opposite side. Mr. SPECTER. What is your experience, Doctor, if any, in the treatment of bullet wounds? Dr. JONES. During our residency here we have approximately 1 complete year out of the 4 years on the trauma service here, and this is in addition to the 2 months that we spend every other day and every other night in the emergency room during our first year, so that we see a tremendous number of bullet wounds here in that length of time, sometimes as many as four and five a night. Dr. JONES. No. Mr. SPECTER. Have you ever had occasion to observe a bullet wound which was inflicted by a missile at approximate size of a 6.5 ram. bullet which passed
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