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We also have available the services of the surgeons at the
surgical unit of Brompton Hospital and the Thoracic Surgical
Unit at St. Mary Abbott's Hospital, L.C.C., for cases which
cannot be dealt with at the London Hospital.
Co-ordination of the Work of the Chest Clinic
and Sanatorium:
My regular visits to the Sanatorium enable me to keep in
the closest touch with the valuable work which is being done there.
The opportunity of discussing the treatment of all new cases and
reviewing the results of treatment of old cases with the Medical
Superintendent, is of very real value. It is no exaggeration to
say—and this has been amply justified by the visits of other
observers to the Sanatorium—that for its size the Sanatorium
can, from the point of view of medical treatment and administration,
compare favourably with any similar institution in this
country.
Advanced Cases of Pulmonary Tuberculosis.
Several cases of advanced pulmonary tuberculosis, which
are obviously unsuitable for institutional treatment at our Harts
Sanatorium, and which are grave sources of danger in the home,
are being recommended for institutional treatment at Whipps
Cross Hospital, or St. Joseph's Hospice, Hackney. Patients
who have been so referred have expressed their appreciation of
the care and attention which has been given to them.
Further Developments in the Diagnosis and
Treatment of Pulmonary Tuberculosis.
Last year 1 briefly outlined the advances in treatment which
we were utilising with discrimination in the interests of our
patients. The value of "Absolute Rest," Collapse therapy in
all its phases, Drug, Tuberculin and Vitamin therapy, were all
reviewed last year.
Chronic Focal Pneumonia and Broncho-pneumonia.
With developments in our knowledge of the disease, and
with radiological advances and the increased knowledge of interpretation
of radiological shadows, certain patients have been
found to have X-ray evidence of infiltration closely resembling