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26
of these oases must almost certainly have drifted on untreated
until irreparable damage to the heart had been done. The value
of such following-up after these infectious fevers seems to me
undoubted.
During the year, 16 children were referred to the Clinic in
this way after Scarlet Fever; of these 11 were found to show some
evidence of cardiac defect. Thirteen children were referred after
Diphtheria, and 10 of these showed some cardiac abnormality.
Thus as a result of the "Post-Infectious Disease Clinic," 21
children with early cardiac mischief came under treatment at the
earliest opportunity.
Convalescence.— Once again it is a pleasure to speak of the
help of Miss Lewis, of the I.C.A.A., in arranging for the convalescence
of such children as were judged to be in need of it.
During the year 74 children were recommended for convalescence,
and convalescence has been arranged for 72 of these. That this
latter figure should be so high is the best indication of the
industry of Miss Lewis, and of her great value in being attached
to the Clinic. I should also like to thank the Authorities of the
various heart homes— in particular the Cheyne Hospital, West
Wickham Heart Home, and Lancing Heart Home— for their prolonged
care of children from this Clinic, resulting in some cases
in complete disappearance of all signs of cardiac damage.
In conclusion, I should like to thank all those who have
worked in the Clinic with me, and have contributed so largely to
its success in 1933."
Rheumatism Clinic, 1933.
Number of Sessions 46
,, ,, Attendances 800
,, ,, New Cases 217
,, ,, Old Cases 583
,, discharged 203
,, still under treatment 197
,, of New Cases with Rheumatic or Cardiac
defect 105
referred to Hospital as In-patients 2
,, ,, ,, ,, ,, Out-patients 11
,, ,, for Tonsils and Adenoids Operation 14
,, ,, ,, Dental Treatment 39
,, ,, to the Physically Defective Centre 5
,, excluded from school 46
,, attending half-time school 2
seen after Scarlet Fever 16
,, seen after Diphtheria 13
,, seen after contact with Scarlet Fever 2
, with cardiac defect after Scarlet Fever 11
,, ,, ,, ,, ,, Diphtheria 10