London's Pulse: Medical Officer of Health reports 1848-1972

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Bermondsey 1933

Report on the sanitary condition of the Borough of Bermondsey for the year 1933

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given to patients with hyperthyroidism has to be carefully
regulated, and a careful record of the pulse rate before and after
treatment is desirable.
Special prominence must be given to this treatment in tuberculosis
of the bones, joints, glands, and serous membrances. It is
the specific treatment when combined with orthopædic care.
Cases with long standing chronic sinuses, which show evidence of
amyloid degeneration, should be excluded from treatment.
If one can exclude active pulmonary tuberculosis, severe
nephritis, and amyloid degeneration, there is little danger in the
application of Ultra Violet rays, provided that doses are graduated
to avoid severe local or general reactions.
One must remember that hypersensitive patients do exist
and may have to be excluded on account of severe reacts after
very small doses, but generally they receive benefit within their
range of tolerance, which varies with the individual.