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study, physical examination and repeated sputum testing in
tubercle negative cases. When the above methods are not neglected
in the diagnosis of a case the use of X-rays is of the highest value.
Special arrangements exist with King's College Hospital for X-ray
examination of dispensary patients. During 1933, 432 patients
were sent to King's College Hospital for X-ray examination.
Artificial pneumothorax treatment is available for suitable
dispensary cases and may be carried out while the patient is in a
residential institution or later while on home treatment. -By
arrangement, artificial pneumothorax treatment can be given at
the following hospitals to patients who are on general treatment
at home: Brompton, St. Thomas's, Guy's, King's College, Charing
Cross, The Miller, Grove Park and Colindale. During 1933, 43 dispensary
patients had artificial pneumothorax treatment at one
or other of these hospitals. This does not include dispensary
patients who were on artificial pneumothorax treatment in sanatorium
at December 31st, 1933. Such surgical methods as phrenic
evulsion and thoracoplasty are available under the scheme for
dispensary patients, and the former operation is coming more and
more into use.
Finsen Light is available for dispensary patients who have
Lupus vulgaris. Two dispensary patients had this treatment at the
London Hospital during the year.
Artificial sunlight treatment was given by arrangement at
King's College Hospital to two dispensary patients during the
year.
Work of Tuberculosis Nurses.
The tuberculosis nurses paid 8,669 visits to the homes of tuberculous
patients during the year.
Nursing of Patients.
We have always been able to obtain a District Nurse whenever
one is required. In the majority of cases, however, it is better to
urge the removal of a patient who is confined to bed, to hospital.
Nature and Extent of any Dental Treatment.
Seventeen patients received dentures through the Tuberculosis
Dispensary scheme of the Borough. Approved Societies contributed
part in the case of the insured, and patients who could afford it
contributed.
Supply of Extra Nourishment during 1933.
Seventy-five dispensary patients received extra diet (Borough
scheme).