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adapted to the particular requirements for Ear, Nose and Throat
Departments.
Two clinics per week are held at West Ham Lane and one
per week at Rosetta Road.
The clinics are held from 9.30 to 11.30 a.m., and usually
finish at 12 o'clock.
PLAISTOW FEVER HOSPITAL. In addition, a weekly
visit is made to this Hospital, and patients with ear, nose and
throat complications are examined and treated. A few are seen
as out-patients at the Hospital, to meet the patients' convenience.
TUN MARSH LANE DEAF SCHOOL. See special note
under "Deafness."
EQUIPMENT. A full scale of equipment for diagnosis and
minor treatments was provided, including a pure-tone audiometer.
STAFF. This comprises one Ear, Nose and Throat Surgeon
(part-time) and two School Nurses (part-time).
SOURCE OF PATIENTS. Infants and school children of
all age-groups are referred to the clinics.
The patients are referred from eight main groups:—
1. School Medical Inspections.
2. Minor-Ailment Clinics.
3. Maternity and Child-Welfare Centre.
4. Paediatric Department.
5. General Practitioners.
6. Ophthalmic Department.
7. School Dental Service.
8. School Teachers.
By far the largest numbers are from groups 1 and 3, in
an approximate proportion of 70 per cent. group 1 to 30 per
cent. group 3.
The children are seen by appointments, which are made by
the administrative staff of the School Medical Officer. Return
visits within a month are made at the clinics. For later return
visits, the patients are notified by post from the School Health
Service.
Emergency cases are seen without appointments.
At the onset, 20 cases per session were examined, but this
proved to be too many, and the figure was reduced to 16.
The numbers vary between 12 and 20.
ATTENDANCES. These, on the whole, are excellent, and
parents and children report regularly for examination and treatment.
Very often they will report to the clinic for advice, independent
of appointments, if they deem it necessary.
In the few who are careless, further reminders are sent, or
the Clinic Nurse will visit the homes.
Children leaving school and still in need of treatment are
transferred to my clinic at Whipps Cross Hospital.
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