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109
the clinic. Operations are held at the clinic each week
and patients are retained there for twenty-four hours
after the operation.
Mr. Beney's report follows:—
"The number of cases seen in consultation, or
operated on, appears to be very much the same as last
year.
There were 34 operation clinics, at which 151 operations
were carried out for the removal of tonsils and
adenoids. Four special consultation clinics were held, at
which 119 patients were examined.
I hope that the number of consultation clinics will
he increased next year, as it is only by frequent examination
of certain doubtful cases that a correct opinion
can be formed as to whether operative treatment is
necessary or not. Thirty-eight cases were operated on
elsewhere, either by their own doctors or at hospitals.
Examination of the nasal accessory sinuses has now
become almost a routine in all cases suffering from chronic
catarrhal conditions. At present, these cases have to be
referred to hospital for X-ray and operative treatment—
most of them go into my beds at St. John's Hospital.
Lewisham. In the majority of these cases, the cost of
X-rays, etc., is not recovered by the hospital. If the
X-rays can be paid for by the Education Committee, and
a few necessary inexpensive instruments purchased, I do
not see why these cases could not be dealt with at the
Clinic, even although it might involve one or two extra
sessions.
In conclusion, I should like to express my gratitude
to the Nursing Staff, and the voluntary workers who have
given up so much of their time to help us at the clinic,
and without whose help it would be very difficult indeed
to carry one. Dr. Macdonald is now giving anaesthetics
in place of Dr. France."
Charles Beney,
M.A., M.B., B.Ch., M.R.C.S.