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of value in the treatment of early stammer, or delayed speech
development, while suspected sensory loss or organic lesion
requiresthe earliest expert investigation.
Work with a recording apparatus has shown the possibilities
of such equipment as an aid to treatment.
Report on the Rheumatism Supervisory Scheme for the year ist
August 1951 to 31st July 1952
This rheumatism supervisory scheme was inaugurated on 1st
August 1951 under the overall direction of Dr. I.M. Anderson,
Paediatrician, Prince of Wales's Hospital, with the close cooperation
of the local Public Health and Area Health Departments.
The children are referred to the clinics by their private
doctors and through the School Health Service, A number of
children are also admitted directly to the paediatric wards of the
Prince of Wales's Hospital and St, Ann's General Hospital suffering
from acute rheumatic fever and allied conditions, After
discharge from hospital these patients attend the supervisory
clinic.
The supervisory clinics for follow-up are held on alternate
Monday mornings in the Out patients Department of the Prince of
Wales's Hospital. The routine examinations are carried out by
the paediatric registrar and an assistant medical officer,assisted
by a sister-in-charge and a clerk from the Area Health Office.
Both new and old patients are seen at each session In the case
of new patients a full history is taken and a complete clinical
examination is carried out. The various forms are then completed
and other investigations, where necessary, such as X-rays and
electrocardiographs are performed. After these preliminary
procedures the patients are seen by Dr. Anderson on Tuesday and
Thursday mornings at the Prince of Wales's Hospital. At this
examination and from the results and reports previously obtained
the diagnosis and clinical assessment are made and recommendations
regarding future schooling are sent to the School Health Authorities.
After this initial assessment the patients are seen at
regular intervals at the supervisory clinic by the paediatrician
°r local authority medical officer and should any significant
change appear in the clinical condition they are again referred
t0 Dr. Anderson for further discussion regarding treatment or