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13
By a system of appointment making and keeping, the time spent by
mothers at the clinic is reduced to a minimum.
The system is akin to that employed at factories called "clockingon.
It has been so worked out in detail that absences are at once
detected and punctuality of attendance is registered by the patient
himself.
The treatment given is usually by one or more of the following
methods :—
(1) Diastolisation.—A means of freeing the passages of the nose
by stimulating to healthy activity the lining membrane of the
nostrils.
(2) Insufflation of medicated vapour to destroy infecting germs.
(3) Displacement.—A method of mechanically sucking the fluid
content from the cavities (sinuses) communicating with the
nose and substituting therefor medicated solutions. Good
results usually follow this latter method of treatment when the
displaced sinus content is of mucoid character. If it is of a
purulent, character, more radical methods of treatment are
required.
The Audiometer has been regularly used in the schools to detect
impairment of hearing in one or both ears. Attention is focussed on
the younger children as it was found that in them benefit by treatment
was more likely to follow. In the older children the changes in the
tissues had already consolidated. If examination and treatment could
be carried out on the young they would, when they passed into the senior
classes, be able to hear unless the inflammation causing deafness had
been so severe as to disorganise the ear.