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112 .
(ii.) The nature and extent of co-operation with general and special
hospitals, school clinics, and other institutions.
(a) General Hospitals.—The Dispensary is "linked" to the
London Hospital under the London County Council scheme for consultative
purposes. Cases of lupus are sent to the London Hospital for
special treatment by means of the Finsen light and general phototherapy.
These cases are treated on the authority of the Tuberculosis Officer, the
cost of treatment being charged to the Borough Council. During the year
2 new cases and 2 old cases have been undergoing this treatment, a total
of 100 applications of one or other form of light having been given.
(b) Special HospitalsThe Tuberculosis Officer is visiting physician
to the tuberculosis wards of St. Andrew's Hospital.
Patients requiring refills following upon the induction of artificial
pneumothorax are by arrangement sent to either Brompton, Victoria Park,
or other approved hospitals, a charge of 10s. 6d. being made for each
refill. Six patients have attended for this purpose,receiving altogether
83 refills.
Non-pulmonary cases thought to be suitable for Artificial Sunlight
treatment are by agreement sent for this to Victoria Park Hospital.
This arrangement, originally sanctioned by the London County Council
for an experimental period of 12 months ending the 31st March, 1928,
was extended for a further year to 31st March, 1929. As mentioned in
last year's report, little use has been made of this arrangement owing to
the difficulty parents find in sparing the time necessary to take their
children daily such a distance.
Cases of "Surgical Tuberculosis'' on return from residential treatment
are, as a rule, referred back to the Surgeon under whose care they were
before being sent away. If for any reason this is not possible, the
Metropolitan Asylums Board have a clinic at St. Margaret's Hospital,
Kentish Town, for patients who have received treatment in their
institutions, while patients who have been at Lord Mayor Treloar's
Hospital, Alton, are seen at the Farringdon Dispensary by Sir Henry
Gauvain.
(c) School Clinics.—Ailments or defects other than tuberculosis
discovered in children of school age are brought to the notice of the
Divisional School Medical Officer, who arranges for the child's examination
and necessary treatment.