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80
Male, aged 19, unemployed. Notified as pulmonary tuberculosis and lupus 12/3/23.
Commenced light treatment 24th August, 1932, when he first came to live in Shoreditch.
Extensive lesions on both sides of face and scars of old lupus on L. arm, R. wrist, and
R. thigh. General arc light treatment being given in addition to Finsen light. Condition
steadily improving. Moved to Essex in July to take up farm work. Pulmonary
condition quiescent and general health good. 127 Finsen light and 126 arc-light
treatments given in 1936 before removal.
Female, aged 24, domestic servant. First notified as a case of lupus in 1920 when living
in another county and discharged as cured in 1927. Disease became active again
in 1932; re-notified 10/6/32. Finsen light treatment was commenced on 28th June,
1932. Moved into Shoreditch in May, 1936. Lesions on R. elbow, L. forearm and L.
heel (the two latter almost healed) when first seen in Shoreditch. Condition improving
slowly. 11 treatments in 1936 since moving into Shoreditch.
The total number of attendances for Finsen light which were chargeable to the
Dispensary during 1936 was 168, and for general arc-light in lupus cases, 126. The
charge per attendance for Finsen light is 5s. and for general arc-light treatment 1s.
Ear, Nose and Throat cases:—Twelve cases were referred for an opinion to
Mr. A. M. Zamora, F.R.C.S., Consulting Laryngologist to the Royal Chest Hospital,
whose advice and assistance in treatment are much valued.
Dental Treatment is carried out for patients who desire it at the Shoreditch
Borough Council Dental Hospital. Many patients however make their own arrangements
for dental treatment. In the case of tuberculous patients (and since October,
of other members of the family), the assessment for payment is made by the Tuberculosis
Care Committee, subject to approval by the Public Health Committee.
Diseases of the Eye are rarely met with at the Dispensary, but such cases are
referred to the Royal London Ophthalmic Hospital.
Surgical cases requiring the opinion and supervision of a surgeon are referred to
one of the general hospitals, usually St. Bartholomew's, the London, or the Metropolitan,
or to the Queen's Hospital for Children. After-care in surgical cases is supervised
by the surgeon who originally recommended sanatorium treatment or by one
of the County Council's After-Care Clinics, but the patient is also seen from time to
time at the Dispensary. In rare cases supplementary treatment in the way of artificial
sunlight is recommended. One case during 1936 was recommended for this
treatment and attended at the London Hospital for arc light treatment on 94 occasions.
Residential treatment for tuberculosis is ordinarily provided by the London
County Council, and the treatment is free. A few patients suffering from advanced
and incurable disease who are unwilling to go into the County Council's General
Hospitals are sent through voluntary agencies to Homes for the Dying.
Convalescence for non-tuberculous but ailing children is usually arranged through
the Invalid Children's Aid Association. Nursing for bed-ridden patients is arranged
through the Shoreditch and Bethnal Green District Nursing Association, the Borough
Council paying 1s. 4d. a visit.
Cases of social, economic or domestic difficulty are referred to the Tuberculosis
Care Committee (appointed by the Shoreditch Borough Council). Assistance in the