[Report 1934] / Monmouthshire County Council.

  • Monmouthshire County Council
Date:
1934
Catalogue details

Licence: Attribution 4.0 International (CC BY 4.0)

Credit: [Report 1934] / Monmouthshire County Council. Source: Wellcome Collection.

    103/120 (page 93)
    Improved and continue to show improvement. It has been observed that the patients who show most marked improvement are those in whom complete im- mobilisation of the affected lung with loss of function has not been obtained. It would appear that, for artificial pneumothorax to be effective, a certain latitude must be allowed for preserving some normal functional responses. During the latter half of the year, by arrangement with the Gian Ely Hospital, a certain number of patients have had major surgical operations done there. Owing to this arrangement, modern surgical methods have at last become available for the treatment of the patients in this institution. The majority of the patients, however, have been treated by graduated rest and exercise. These methods have been well tried, and there is a type of case who responds well to this form of treatment. The success of this treat- ment depends greatly on the wisdom of the empiricism of the clinician, and the intelligent co-operation of the patient is essential. To successfully apply treatment by auto-inoculation the clinician must have an intimate knowledge of the patient’s condition. The goal aimed at is that of immunity, and the various phases of the disease, from allergy through protective reaction and restorative reaction, must be carefully studied. The main difficulties of the treatment are the control of the dosage of auto-inoculation and the spacing of the time intervals between each dose. A few patients have been treated with sanocrysin. Although some cases may favourably respond to this treatment, the improvement is not permanent, and relapses are frequent. Gold therapy is still an open question, but it has no specific bactericidal action, and the hopes aroused by its inventor have not been fulfilled. Materiel.—Large areas of the roof over the main building have been pointed, stone tiles renewed, and roof timbers renewed where necessary. There is still, however, a larger area of roof which will have to be overhauled In the near future. It has been mentioned in previous reports that the present boilers are nearing the end of their useful life, and the work of providing centralised boilers to supply steam, hot water, and heat is proceeding. When this scheme comes into operation, it is hoped that there will be an increased efficiency in these services. The floor in the Maid’s Dining Room has been renewed, an oak floor being laid to replace the original stone flags. The outside walls of the Garden Cottage have been cemented to keep out the damp.