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Included in the foregoing are 30 patients who were examined by X-rays and four who
received dental treatment. In addition to these a number of persons were seen
by Physicians attached to the Hospital. For one patient an artificial denture was
provided by the Corporation.
PATHOLOGICAL EXAMINATIONS.—Specimens of sputum examined for
the Tubercle Bacillus :—
Positive 16
Negative 148
164
TREATMENT IN SANATORIA.—The number of patients who were recommended
for admission to Sanatoria was 30, viz. :—
Residents recommended to :—
(a) London County Council 14, of whom 11 were admitted ; 1 declined to avail
himself of sanatorium treatment before the arrangements were completed ;
for 2 (both advanced cases) no accommodation was available, of these, 1
who was already in St. Bartholomew's Hospital remained there and the
other, who had previously been treated in a sanatorium, died at home.
(b) London Insurance Committee 2, both of whom were admitted.
Non-residents, working in the City recommended to :—
(a) London County Council 4, of whom 3 were admitted, the result in 1 case
being unknown.
(b) Voluntary Agencies 2, both of whom were admitted.
Non-residents, not working in the City, recommended to :—
(a) London County Council 6, of whom 1 was admitted, the result in 5 cases being
unknown.
(b) London Insurance Committee 1, who was admitted.
(c) Voluntary Agencies 1, who was admitted.
The small number of persons recommended to the London Insurance Committee is
accounted for by the fact that on and after May 1st the responsibility for providing treatment
in sanatoria for insured persons was transferred from the London Insurance Committee to
the London County Council.
THE TUBERCULOSIS NURSE.—The work of the Tuberculosis Nurse has
continued on the same lines as in former years. Of patients attending the Dispensary
70 homes have been visited and 671 visits made in connection with aftercare
and following up. In addition seven patients have been nursed in their own
homes, the nurse working under the direction of the practitioners attending the
patients. Six of these persons were in an advanced stage of the disease and three
of them died at home. For nursing purposes 81 visits were made.
The following information is supplied in accordance with the requirements of
the Ministry of Health. The paragraph numbers correspond with those in Circular
168, and where a number is omitted the subject matter does not concern City work:-
(i.) The Tuberculosis Dispensary is at St. Bartholomew's Hospital; the Tuberculosis
Officer is Dr. H. B. Gibbins ; one Tuberculosis Nurse is engaged in the work. To April 30th,
treatment in residential institutions was provided for the insured by the London Insurance
Committee and for the uninsured by the London County Council, since that date it has been
provided by the latter for all persons.
(iii.) Patients are referred to the Tuberculosis Dispensary from hospitals, school
clinics and other institutions, with all of which there is close co-operation.
The services of the Staff and all the resources of St. Bartholomew's Hospital are available
for diagnosis and treatment. Many patients are referred to departments of the Hospital
for these purposes.
(iv.) The Tuberculosis Officer is in constant consultation and communication with
general practitioners, so that there is close co-operation between them and the Dispensary.
He reminds them when reports are due on insured patients under domiciliary treatment
and provides them with copies of the form with names and addresses inserted.
(v.) When the diagnosis is in doubt and the patient is under the care of a practitioner,
arrangements are made with him for re-examination ; in other cases arrangements are made
with the patient, but should he fail to attend, either the Tuberculosis Nurse calls upon him
or he is reminded of the appointment in writing.