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Particulars of cases of acute rheumatism in children are recorded in a register
under the following main headings:—Name; Classification and Symptoms;
Tonsils, Adenoids and Teeth; Treatment; Home Conditions; Sleeping Conditions;
Hours of Sleep; Clothing; Food; Assistance Required; Family History; and Health
of Contacts.
Rheumatism Supervisory Clinic.
A Rheumatism Supervisory Clinic is held every weekday at the Hospital for
Sick Children, Great Ormond Street, beginning at 9 a.m.; it is available for children
up to 12 years of age. After this age they are automatically transferred to
St. Bartholomew's or King's College Hospital, or to the hospital they have attended
before they came to Great Ormond Street Hospital.
A similar clinic also attended by Holborn children is held at the Royal Free
Hospital on Thursday of each week at 1.30 p.m., and is available for children up
to school-leaving age.
The presence of rheumatism is by no means always easy to determine: in the
early stages when obviously a diagnosis is of the greatest value, this can often only
be done by watching the child over a period of three to six months, during which
time the child attends regularly at the Clinic.
At the Clinics comprehensive records are kept as to the children's physical
condition. Advice is given on such matters as clothing, exercise, diet, and any
alteration desirable to the child's curriculum at school.
At the above Clinics all stages of rheumatism are treated, not only the early
stages.
For the child who is not damaged beyond repair protracted treatment is
possible at Homes, where the child resides for 6-9 months.