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prevented, but it is of equal importance to assure a parent whose
child has some heart involvement that the degree and extent of
the damage is not sufficiently serious to warrant treating the child
as an invalid for life.
Children are sometimes condemned to a life of inactivity
because a murmur has been heard over the cardiac region; when,
in fact, they could with advantage and with proper supervision
have followed a normal life.
Difficult and severe cases have been referred to the Out.
Patients' Department at the Croydon General Hospital, where Dr.
Preston, as in previous years, has very kindly given his assistance
and advice. In certain acute and severe cases, modification of the
school curriculum has been necessitated and special arrangements
have been made so that there should be no interruption in the
child's education.
The Coombe Cliff Convalescent Home continues to prove an
invaluable asset in cases where long periods of rest are required,
more especially in those cases where home conditions are unsuitable,
and admission to a Home is desirable. Almost without
exception, heart cases showed conspicuous benefit.
Owing to the increase in the numbers of attendances and
requests for examination, it has been necessary to hold two Clinics
per week during the last six months of the year.
The statistics of the work accomplished have been drawn up
on the same lines as those in previous reports, so that a comparison
can be readily obtained.