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superintendent of Horton mental hospital to be allowed to hold an honorary
appointment on the staff of the London School of Medicine for Women as lecturer
in clinical psychiatry. Permission was given for Dr. J. R. Lord, C.B.E., to hold
the honorary appointment for a period of twelve months from 1st November,
1928, on the conditions (i) that the appointment should not interfere with the
efficient discharge of his official duties, and (ii) that the Council would not be
held responsible for views or opinions expressed by him.
Treatment of General Paralysis.
54. The experimental scheme for the co-ordination of the work done at the
mental hospitals in connection with the treatment of general paralysis of the insane
by induced malaria, to which we referred in our last report (Annual Report of the
Council, 1927, Vol. II., p. 19, par. 61.) has produced results of importance as regards
both the treatment of individual patients and the investigation of the disease. We
have authorised the continuance of the arrangement for a further period of 12 months.
Scheme for
coordination
of treatment
of general
paralysis of
the insane.
Services of Radiologists.
55. In our last report (Annual Report of the Council 1927, Vol. II., p. 19,
par. 59), we referred to the employment as an experiment for one year as consultant
of an expert radiologist in connection with cases of illness among patients at the
institutions under our directions. The experimental period expired on 31st
December, 1928. While the experiment with the radiologist met the needs of the
hospitals, we came to the conclusion that the appointment of one consultant radiologist
to act for all the institutions was no longer advisable, in view of arrangements
made between several of the mental hospitals and London general hospitals for the
services of consultants on the staff of the latter to be available for the mental hospitals
(see paragraphs 52-53). We decided therefore that the arrangement with one
consultant radiologist should not be continued but that, as a further experiment for
twelve months, the medical superintendents of the London County mental hospitals
should be authorised to avail themselves of the services of radiologists on the staff
of associated general hospitals for advice and assistance in the taking of difficult
radiographs, and for assistance in reading raidographs, when necessary, at a fee (if
required) not to exceed, as a general rule, £1 Is. for each case dealt with, and subject
to a limit of expenditure for each mental hospital of 20 guineas, i.e., of £210 for all
the hospitals together, for the twelve months.
X-Ray
services.
Indian Clinical Assistants.
56. We have authorised the appointment (subject to certain conditions) of
qualified Indian medical men, nominated by the High Commissioner for India,
as unpaid clinical assistants at the London County mental hospitals. At the
request of the High Commissioner we have given authority (subject to certain
conditions) for an Indian doctor to attend the practice of the Maudsley hospital for
six months.
Attachment
to mental
hospitals of
Indian
doctors.
Contributions to medical literature.
57. Contributions to medical literature have been made by members of the
medical staff of the London County mental hospitals during the year ended 31st
March, 1929, as follows :—
Dr. John Brander, deputy medical superintendent, Bexley mental hospital. " Journal of
Mental Science," October, 1928.—" The Diagnosis of General Paralysis as a Clinical
and Pathological Entity." Proceedings of the Royal Society of Medicine" (1929).—
" A contribution to the discussion on the prognosis and treatment of General Paralysis."
Dr. F. L. Golla, pathologist and director of the central pathological laboratory, Dr. R. G. B.
Marsh, eighth assistant medical officer, Claybury mental hospital, and Mr. S. A. Mann,
chief assistant to the pathologist. " Journal of Mental Science," July, 1928.—" The
Respiratory regulation of Psychotic Subjects."
Contributions
to
medical
literature.