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37
Orthodontics.
Special cases of irregularity of teeth are referred to the
Dental Hospitals or Eastman Dental Clinic for orthodontic treatment.
Refractions, Squint and Eye Diseases.
The Deputy School Medical Officer, Dr. Marian Lones, is
school oculist and carries out all the refraction work and ordering
of glasses.
Orthoptics.
A recent extension of the eye work is the appointment of an
Orthoptist—a specialist in the training of the muscles of the eye
to cure or prevent squint.
School Aurist and Rhinologist.
Dr. F. P. M. Clarke sees all cases referred to him by the
school medical officers—children suffering from deafness, eardischarge,
rhinitis, tonsillitis, recurrent colds in head, catarrh,
etc. These are treated by the most modern methods—ionisation,
diastolisation, tonsil-suction, replacement, etc.
Cleanliness, Minor Ailments, Skin Diseases.
The school nurses wage a constant campaign in the schools
against the pediculus capititis, impetigo, scabies, sores and other
conditions of the skin. Ample facilities are available at the
school clinic and in the adjoining cleansing centre at " Pear Tree
Cottage " for dealing with these conditions.
Orthopædics.
The arrangement with the Royal National Orthopaedic Hospital
provides the school children with an orthopaedic specialist,
Mr. J. A. Cholmeley, the medical superintendent of Stanmore
Hospital (the Country branch of the Royal National Orthopaedic
Hospital), who visits the clinic monthly and prescribes treatment
which is carried out on four sessions a week by the Orthopaedic
Masseuse or Physiotherapist (Mrs. Yorke). Cases requiring
operation or special treatment are admitted to Stanmore
Hospital.
Stammering and other Defects of Speech.
Stammering and other speech difficulties are dealt with at
the School Clinic on four sessions a week by Miss Richnell, the
Speech Therapist.
Psychological Investigation and Treatment.
This work is often referred to as "Child Guidance," and a
child guidance team consists of a Psychiatrist, a Psychologist
and a Psychiatric Social Worker. Their work is to deal with
difficult children or " problem children."
Although no child guidance team, as such, has been
appointed in Hornsey, it has been recognised for many years
that Psychological medicine is a very large part—at least half—
of school medicine, and that every medical officer doing work for