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Four were referred to the Croydon General Hospital, on two
of these mastoidectomy was performed, one case had an aural
polypus removed, and in one case continuance of conservative treatment
was recommended.
Three cases only were treated by ionization, in one there
was marked improvement, in one slight improvement, one did not
respond to this treatment.
The attendance at the Clinic during 1938 has markedly
increased. The treatment of chronic ottorhoea with insufflations of
0.75% iodine in boracic powder has been most successful, preliminary
thorough and careful cleansing is required otherwise the
method is not satisfactory.The foul smelling discharges rapidly
lose their offensive character, granulations disappear, the drum
becomes much more healthy in appearance and in the majority of
cases the discharge completely ceases.
RHEUMATISM CLINIC.
The Rheumatism Clinic is concerned with the diagnosis, supervision,
advice and re-examination of cases of juvenile rheumatism.
Though this Clinic is advisory and no medical treatment is undertaken,
the following facilities for providing the appropriate treatment
are available.
In the active and acute stage of the disease, children are
referred for Hospital in-patient treatment, or, where home conditions
are favourable, for domiciliary treatment by the patients'
own doctor.
The mild and potential cases benefit greatly by a period of
convalescence at Coombe Cliff Convalescent Home. With extra
rest, a nourishing and well-balanced diet, and supervision under
satisfactory hygienic conditions, the symptoms of rheumatism or
debility frequently clear up. For other suitable cases extra nourishment
in school, such as milk or cod liver oil and malt, is provided.
Cases of fully developed chronic valvular heart disease, who
are medically unfit to attend a public Elementary School, are
recommended to St. Giles' School for Physical Defectives.
Children who have recently been discharged from hospital
or convalescent home following a rheumatic attack, or children
whose hearts are affected and might be injured further by undue