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68
nique, and subsequent serial films enabling us to study the progress
of the disease can be taken under precisely the same conditions.
This enables us to make an exact and reliable comparison
of the patients' condition at regular intervals of time. Many
films have to be taken in varied planes—anterio-posterior, oblique
and lateral, in order to render the greatest diagnostic help.
Obviously increasing use is being made of these facilities as the
figures go to show.
No. of X-ray Examinations at the Chest Clinic.
1931 ,1932 1933 1934 1935 1936
352 454 533 633 762 1322
Whilst the number of these examinations has been doubled
within the last two years, it can be stated that no patient is subjected
to this examination unless there is a definite indication for
it.
Observation Cases.
A limited number of patients require close observation in an
institution by reason of symptoms and signs which closely resemble
those of pulmonary tuberculosis.
Where this is essential such patients are referred to an observation
bed in the Sanatorium. Suspected cases of Cancer of the
lung and bronchiectasis are the diseases which chiefly require
such observation, and further investigations by - specialised
methods can be done in the Sanatorium which clinch the diagnosis
in a short period of time.
Nursing Staff Duties of the Clinic.
With the introduction of three specially trained Sisters, the
tuberculosis work in the Borough is under very complete control.
The Borough is divided up into three Districts, each under
the supervision of a Sister, who is able closelv to follow up all
cases. Each Sister is now able to become familiar with the
medical, social and economic conditions of all her patients. This
results in an increased interest in the work and promotes great
efficiency. The quiet unobtrusive work of the Sisters is, with very
few exceptions, greatly appreciated by patients and the local
medical practitioners alike.
Occupational Therapy. See Page 89