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153
Several points of minor interest have been noticed,
for instance, under carbon-are treatment, if the child is
found to be losing weight, a change over to the mercuryvapour
lamp is often followed by improvement. In
very young children the radiant heat lamp is given at
first, and if the child responds satisfactorily this form of
treatment is continued, and often found sufficient.
Most of the cases of rickets which are seen in their
early stages have responded well, but in older children
and where advanced changes have already occurred in
the bones, less definite improvement has been recorded.
It must be borne in mind that some of these children
are living in adverse conditions.
The great majority of those suffering from anaemia,
debility, malnutrition and those subject to frequently
recurrent catarrhal attacks show very great improvement,
but it has been found as a rule necessary to continue
the treatment for three or four months to produce
satisfactory results. Such cases are afterwards kept
under observation at monthly intervals, and the treatment
given again if necessary.
Children suffering from various septic conditions
have appeared from time to time. They have also
responded extremely well.
A few of those described as nervous, children who
are difficult, with poor appetites, restless in their sleep
and inclined to be fretful, have shown decided benefit,
but in a number where no obvious benefit follows it
seems fairly certain that home conditions are partly
responsible.