X1000306-1959-60_Part01 — Page 23

Chest Surgical Clinics

133. A Clinic is held weekly at the Government Chest Clinic in Wan Chai by the Government Chest Surgeon where he sees cases referred for an opinion and the follow-up cases already operated upon. The attendances during the year were as follows:

First visits Revisita

་་

---

Total

123 612

735

134. A further session is held once in two weeks by the Chest Surgeon attached to the Grantham Hospital who is assisting with the treatment of chest clinic surgical cases.

First visita Revisits

236 144

Surgeon to the Government and the Government Orthopaedic Specialist. Medical, clerical, nursing and social assistance is provided by the Government Tuberculosis Service and chemotherapy and supervision arc carried out in the Government Chest Clinics. The X-ray service is provided by the Hong Kong Anti-Tuberculosis Association at Ruttonjee Sanatorium, on a repayment basis. A plaster clinic operates in associa- tion with this Clinic and physiotherapy is also available at Wan Chai, 138. Treatment is initially mainly by chemotherapy and, at the appropriate time, hospital treatment is available in the surgical wards of Queen Mary Hospital, at the Grantham Hospital, at the Sandy Bay Convalescent Home and at the Ruttonjee Sanatorium.

139. Attendance at the Orthopaedic clinics for consultation were as follows:

Total

370

135. As more patients come under ambulatory treatment the number of cases suitable for chest surgery is increasing. Thus there has been a slight rise recently in the numbers on the waiting list, despite the combined efforts of the two thoracic surgeons.

136. The thoracic surgery done in connexion with clinic patients was as follows:

Thoracoplasty

Corrective Thoracoplasty

Wedge resection

Segmental resection

Lobectomy

Pacumonectomy

Other operations

() Minor

(6) Major

TABLE V

Gov. Thoracic: Grunthain Hospital

Surgeon

Surgeon [E

16

71

&

55

26

49

60

21

18

12 16

With the recent participation of the Ruttonjee Sanatorium Surgeons it is anticipated that the waiting time for chest surgery, now less than three months, can be reduced to a minimum or even abolished, despite the increasing number of cases for which surgery is indicated.

The Orthopaedic Clinic

137. Started in 1957, this clinic is held at the Wan Chai Chesi Clinic. under the joint direction of the University Consulting Orthopaedic

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First visits Rerum visits

Total

1957

1955

1950

543

64

617

768

2.083

3.503

.. 1.311

2,713

4,120

140. An analysis of the 1959 cases in relation to the site of disease showed the following:

Spine Hip Joint Other

Total

303 125

617

141. The Orthopaedic Surgeons are now of the opinion that most of the old chronic cases have been treated and that the new cases being seen are of comparatively recent origin. It is also possible that as a result of B.C.G. vaccination there has been a true drop in the incidence of tubercular bone disease in the youngest age groups,

Radiology

142. All X-ray work in connexion with the Tuberculosis Service is carried out by the staff of the Radiological section who are adminis tratively responsible to the Senior Radiological Specialist. Static units are installed in the main clinics and branch clinics are served as far as possible by two mobile units.

143. First examinations are now all done on large papers which satisfactorily serve the purpose and are considerably cheaper than films, In addition they are less subject to the effects of the humid climate.

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