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71
OUT-PATIENT TREATMENT.
During the year 1936 a scheme was entered into with the London County Council
in respect of arrangements for X-ray examinations and for artificial pneumothorax
work. The basis of the charges are (1) no charge for pneumothorax refills; (2) no
charge for X-ray examinations for the purpose of screening, and (3) where films are
exposed the cost price (2s. 6d.) only of the films is charged. The main changes
effected by this scheme are incorporated in the following resume:
Radiology.—Pulmonary cases are usually sent for a first radiological examination
to the Royal Chest Hospital, City Road. Cases in which specialised opinion of a
radiologist is not necessary are sent to St. Leonard's Hospital or to the Royal
Northern Hospital and the films are then seen by the Tuberculosis Officer. Screening
is carried out at St. Leonard's Hospital by the Tuberculosis Officer. Non-pulmonary
cases are sent to St. Leonard's Hospital or to the Royal Northern Hospital; or if they
are already under the supervision of a surgeon at a general hospital, the radiological
examination is carried out there.
Artificial pneumothorax treatment.—This operation is usually carried out at a chest
hospital or a sanatorium while the patient is in residence there. Refills are performed
at various chest hospitals.
Light treatment.—Specialised light treatment—for example, Finsen light for
lupus—is carried out at the light department of the London Hospital.
Dental treatment.—Patients who require dental treatment are treated at the
municipal dental hospital, and particulars of this work will be found on page 122.
PUBLIC HEALTH (PREVENTION OF TUBERCULOSIS)
REGULATIONS, 1925.
No case came to notice in which it was necessary to advise that an individual
suffering from tuberculosis should be required to discontinue his employment in the
milk trade as provided for in the Public Health (Prevention of Tuberculosis)
Regulations, 1925.
The work of the Tuberculosis Dispensary is summarised in the following returns
to the Ministry of Health:—