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Association with Paediatrician. A very close connection is
maintained with the Paediatrician, and cases are freely exchanged
and referred between the two departments.
Association with Other Departments. When other conditions
are observed in the course of ear, nose and throat examination—e.g.,
dental, orthopaedic defects, squints, etc., aberrations
of conduct or development—the cases are referred to the
appropriate departments.
Operations. All operation cases are admitted under my care
at Whipps Cross Hospital. —
Statistical Analysis—
Total cases examined in the period 448
Number of attendances 611
Referred for Ts. and As. operations 139
Referred for other operations 3
Number discharged 243
Tunmarsh Lane—
Congenital Nerve Deaf Cases Boys 17
Girls 24—41
Chronic Otitis Media Boys 1
Girls 2— 3
Other Conditions Boys 2— 2
Progress. The clinics have made excellent progress, and
the attendances and results have been most gratifying.
SUGGESTED ADDITIONS AND IMPROVEMENTS
1. Consulting Rooms. The consulting rooms are inadequate
in size and lacking in comfort. The child is readily
influenced by first impressions, and it is felt that a brighter
and more comfortable atmosphere should be aimed at. Soft,
bright pastel colours, pictures, toys, carpets and comfortable
chairs should be provided.
As situated, the extraneous noise interferes with the
accuracy of hearing tests, and, while a sound-proof room is
not essential, a reasonably quiet room is necessary.
2. Audiometric Surveys, as planned by the Medical Officer
of Health, are as essential as mass radiography. These would
require the additional service of personnel to be trained in
audiometry.
3. Breathing Exercises and Speech Therapy. These should
be extended, and especially the former, which should be of
value not only to the Ear, Nose and Throat Department, but
also for asthmatics, poorly developed chests and spina!
deformities.
4. Operative Facilities. It is felt that an Ear, Nose and
Throat Ward might be opened at Plaistow Fever Hospital or
other hospital, to minimise the delay in operating on tonsils
and adenoids.
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