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tion for operation. A definite pathological 'History'
and condition must be present, which is not likely to
yield to conservative treatment, before operation is
advised.
In the conservative treatment of unhealthy tonsils,
Peters 'Tonsil Suction' method is employed in the great
majority of cases with a high proportion of satisfactory
results. I must stress here, however, the importance of
treating at the same time any nasal disease that is present.
It is in the recognition of the presence of intercurrent
nasal disease, with diseased tonsils and the correlated
treatment of each, that success depends.
The regular attendance of the patients for the various
treatments during the year has been very good. A certain
number fail to attend as required, but in our
experience the attendance at Hendon is very satisfactory.
The administrative and nursing staffs have been exceedingly
helpful and it is, of course, upon the close co-operation
of all concerned that the success of such a clinic
as this depends."
ORTHOPAEDIC SCHEME:
This Scheme is concerned with the prevention of crippling
defects and their treatment. Many of the defects found by
the Medical Officers at the periodical medical inspections are
of a minor character, such as round shoulders, the result of
slack musculature, and faulty posture, and the work in the
schools of the physical training instructors is of particular
value in counteracting the defects at an early stage. Their
work has been supplemented by the appointment of a special
teacher for remedial exercises, who works in close co-operation
with the Medical Officers, the Orthopaedic Surgeon and the
Physiotherapist. Children suffering from more serious
orthopaedic defects are referred to the Orthopaedic Surgeon
who holds a session each month at the Health Centres at
Central Ilendon and at Watling. In addition, a trained
Physiotherapist is in attendance at the present time for eight
sessions each week. She carries out the treatment prescribed
by the Surgeon, who sees the children periodically so