MEDICAL REPORT

In a medical way, the year ending June 30, 1924, has been very uneventful, although a fair amount of work has been accomplished. Since the first of October there has been but one resident physician, instead of two as formerly. For the occasional consultation, which has been deemed necessary, one of the city physicians has been summoned.

All new admissions to the school are given a thorough routine physical examination, including eyes, ears, nose, throat and teeth. In addition, throat cultures, smears and Wassermanns are taken. These specimens are sent to the laboratory of the State Board of Health for examination and the patients are kept in quarantine until the reports are received.

The regular dispensary hour is 8:30 every morning, except Sunday, and most of the medical work is done at this time. Emergencies are, of course, met as required. The dispensary cases, as a rule, are very minor in character, colds, ivy poison, slight infections, cuts, bruises and the like comprising the greater part of the work.

All laboratory work, with the exception of throat cultures, smears and Wassermanns, is done by the resident physician. This includes urinalysis, blood counts, hemoglobin, differential counts, special blood examinations, gastric analysis, Schick and von Pirquet tests, vaccination, antitoxin administration and the like.

In the surgical field there has been nothing during the year in the line of major work, with the exception of a skin graft. This patient heedlessly caught her hand in the mangle at the steam laundry and the resulting burn was sufficiently severe to require grafting.

There were twelve obstetrical cases, all delivered by the school physician. All were normal presentations and all but two were spontaneous deliveries. These two were low forceps cases. All made normal recoveries. Rigid prenatal care has much to do with effecting an easy delivery and normal peurperium.

During the year there was but one mortality, that of a very large colored baby, a difficult delivery requiring artificial resuscitation. The child's condition was none too good at any time and it went out, after a few days, of respiratory failure complicated by a congenital heart condition.

Aside from the twelve babies born during the year, three were admitted. Of these fifteen babies eight are at the end of the year remaining in the institution.

In the realm of internal medicine, there were only two cases of especial interest. One was, for a short time, somewhat perplexing as to diagnosis, but developed into a typical case of tertian malaria with the classical blood picture and responded readily to treat