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(54.
who are unwilling to turn out for examination in the
evening, especially those cases who are feeling ill and
are found to have high temperatures. It can be easily
understood, that the disposal of such cases (should
immediate action be necessary) can be dealt with much
more adequately in the day-time.
Those patients with quiescent or arrested
disease and who are on full time work, find it convenient
to attend the evening session, and these patients
only require medical examination at fairly long intervals
for purposes of record or encouragement.
It might be of interest, to give a brief summary of
the Dispensary procedure at the present time : and in
reference to this, it will be seen that patients attending,
fall into the following categories:-
(1) Observation Cases. New cases sent up for opinion
by private practitioners, or from other sources. Seen
at very frequent intervals by the Medical Officers
until a definite diagnosis is arrived at, three months
being a time limit (vide Memo 37T).
(2) Dispensary Supervision Cases. Notified cases seen
at their own request, (or on the advice of their
doctors) or whom the Tuberculosis Officers request
to attend for examination at intervals of from two
weeks to three months. Under this heading are
patients who are undergoing specialised treatment
(such as A.P.*) at an outside hospital and who
remain under Dispensary supervision during the
period of such treatment. The Tuberculosis Officer
miust sanction such treatment in the first instance if
payment for same is to be made under the Borough
Tuberculosis Scheme.
(3) Domiciliary Cases. These are panel patients referred
to the care of their panel doctors under the
National Health Insurance regulations and from
whom a three-monthly report is obtained, if possible.
(They can always be referred for further
Artificial Pneumothorax.