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not 4 patients. 
As far as I know, there are only two patients in the US, Mr. Duncan (Dallas) and Mr. Mukpo (Nebraska). The three missionaries have recovered.
One of the missionaries who recovered in Nebraska, Dr. Scarpa, is back in the hospital because of pneumonia but he is being isolated as a precaution--i don't think he has any virus left in his system or they would not have released him, but the pneumonia was probably brought on by the tremendous stress this disease took on his body.
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