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the after-care and supervision of patients returning from sanatorium. The
dispensary has no legal authority to give medicinal treatment to patients for
whom such treatment is already provided under the insurance acts. The responsibility
for such treatment must remain with the insurance practitioners,
but their treatment may be supplemented from the dispensary by the provision
of certain accessories (such as inhalers), and of course arrangements
can be made by the dispensary for special forms of treatment such as Finsen
light, artificial pneumothorax, etc., not within the scope of the general
practitioner.
General medicinal treatment for insured patients will only be undertaken
by the dispensary for short periods at the written request of the practitioner
concerned.
Private non-insured patients are usually advised to remain under treatment
from their own doctors unless they are obviously unable to afford to
do so.
Visiting of Patients by the Tuberculosis Officer.
Visits by the Tuberculosis Officer to patients unable to attend the dispensary
will be undertaken as soon as possible after receipt of a request from the
practitioner, but as the time available for visiting work is very limited, some
delay is often inevitable. If urgent admission to hospital is required, arrangements
should be made for the patient to enter St. Leonard's Hospital, whence
he or she may be transferred later to sanatorium or sanatorium-hospital if
considered suitable.
The dispensary cannot undertake the home treatment of patients unable
to attend the clinics.
Finally, may I assure you of my desire to co-operate as fully as possible
with practitioners in the Borough of Shoreditch, and say that any suggestion
for more harmonious and efficient working will be welcomed.
Yours sincerely,
C. K. Cullen,
Tuberculosis Officer.
TUBERCULOSIS CARE COMMITTEE.
Report by Miss Sutton Sharpe, Honorary Secretary.
The Tuberculosis Care Committee for the first three months of the year
was composed of the following members:—
Chairman, Dr. Maitland Radford (M.O.H.); Vice-Chairman, Dr. Leitch
(T.O.); Miss Broomfield (I.C.A.A.), Dr. McGregor (Asst. M.O.H.), Sister
Grange (Dispensary Nurse), Miss Hiscoke (T.B. Nurse), Dr. Kelleher (St.
Leonard's Hospital), Miss Kastor (Red Cross), Councillor Kenny, Dr. Lewis