Crew Medical Status Report - Dwi Yulianto

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Crew Medical Status Report

Crew Member Information

Name: Dwi Yulianto Soetarto


Position: Deck Store Keeper
Diagnosis: Cholelithiasis

Treatment Rendered & Response: Operasi Cholelitectomi

Medication required on a daily basic of any: - Antibiotic


5
- Analgetic
Days
Mandatory Discharge Information
Is Crew Member fit for Duty? Yes No
What restrictions, if any? Duration of restrictions & specific limits eg:
time/weight etc:
No Restriction

Maximum Medical Improvement? Yes No

Definition of Maximum Medical Cure is as follows: The accepted legal standard holds
that maximum cure is achieved when it appears probable that further treatment will
result in no betterment of the seamans condition. Thus, where it appears that the
seamans condition is incurable, or that future treatment will merely relieve pain
and suffering but not otherwise improve the seamans physical condition, it is
proper to declare that the point of maximum cure has been achieved.

Physicians Signature: Date: 13 Mar

2016

Physicians Name (print): Prof. dr. Marijata, SpB-KBD

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