September, 1973

Giventhis particularsituation,this younghumanbeingwasableto die withdignity,acknowledgingandexpressinghis needto havea friendremainwith himand yet going.as everymanaridwomanmustfinally,to his death,alone. The act of dyingis itselfinescapablyinescapablya lonelyone,at leastas far as we humanbeingscan tell. But whateverdignity,peace, and comfortmaybe possibleshouldbe offeredby whateverhumanlove is available;and should not, incidentally,becompromisedby too much peripheraland purelytechnicallyactivity. Thereare manythingsthatpeoplesometimesfeel they can or shoulddo for a dyingman. But unless these things add to the dyingperson’scomfort,or at least do not detractfrom hispeace and dignityand his capacityto communicatewhateverhe wantsto saywhilehe stillhasbreathleftto sayit, theyare notimportant.Drips,cathers,changingchangingone tube br another,all thesethingsmust takesecondplaceto treatingthehumanbeingas somebodywho is about to take the last and most significantjourneyof all; and whocan pauselongenoughto sayfarewellto thosehe leavesbehindand to hear themsay a farewellto him.’

Let us go furtherto reviewV. E. Frankl’swords:•Whenthe surgeonhas completedan amputation,hetakesoff his rubberglovesand appearsto havedonehis duty as a physician. But if the patient thencommitssuicidebecausehe cannotbear livingas acripple— of whatusehasthe surgicaltherapybeen?Is It not alsopartof the physician’sworkto do somethingsomethingabout the patient’sattitudetowardthe pain ofsurgeryor the handicapthat re3ultsfromit? Is it notthe physician’sright and duty to treat the patient’sattitudetowardhis illness— an attitudewhichconstitutesconstitutesa philosophyof life, thoughthis may not beformulatedin so manywords? Whereactualsurgerycomesto an end,the workof medicalministrybegins.’(V. E. Frankl:The Doctorandthe Soul,1965)

haIer ensuresfor your asthr

asthrfecte treatmentcontrollingthen pathologicalprocessesinvolvedin

asthm bronchospasm,oedemaof bronchial‘mucosa,andhypersecretionof mucus.

[] Freedomfrom steroidsideeffectsincluçkingadrenalsuppression.LI A fuller and lessrestrictedlifeadvantageof steroidtherapycan beducedat earlierstageof thedisç

PRESENI.Becotide

delivers50perinhalatiprovides20

CADUCEUS

“The esteem of your colleagues and theaffection of your patients

To closethe subject,it cannotbe betterto reciteSir RobertHutchisonwordsin ‘To matchthe man,B.M. J., 1941’,whichran as follows:

‘Let me adviseyounot to aim too high. The bigprizesin our professionare onlyfor the few,andtheydo not alwaysbring much happinesswhen gained.Seekestthougreatthings?”“Seekthemnot,”as the

wise man said. If you haveearnedenoughfor yourneedsand beenable to puta littleasidefor youroldage,and if, at thesametime,youhavewontheesteemof yourcolleaguesand the affectionof your patients,you have done well enough,and the measureofsuccessshouldbe withinthe reachof mostof you.’

LiYiW A Z?Y,N6

lENCE... ‘°‘T P0

Homeward Bound ..... ?

The Child of Hong Kong.

Hong Kong . . . . the Pearl of the East...Shoppers’ Paradise....

Borrowed culture, borrowed time.

She, born here, and has lived here allher life.

Child born in exile. Never has she seenthe land of her ancestors. Only from novelsand poetry has she come to know vaguelythe glory of its mountains and the splendourof its valleys..., the long, long years ofcivil strifes and national wars.

Eventually she comes of age -amidst....

nibblings at a narrow intellectualismintellectualism. . . . Shakespeare, Sartre, Shaw, Fromm,and T.S. Eliot.

imported movies and foreign filmsSean Connery, Charles Bronson, Peter

O’Toole, and Elizabeth Taylor....borrowed music, beat and rhythm

Jazz, rock, pop, folk, Beatles, RockingStones, Bee Gees, and Joan Baez.

spiritual gropings... . the worshipof a perfect deity, the belief in the appallinglysinful nature of man, the talk of faith, hopeand charity, the promise of a place in heaven

metaphysics and superstitions of men ofthe past....

the immitation of living..., lipstickand perfume, high heels and seen-throughs,dates and romances, night-clubs and restaurants,restaurants,drinking and late evenings. A RebeccaSharp in Vanity Fair....

And English,.. . yes, English, As achild, she remembered being fined in schoolfor speaking Cantonese. Now, even in herdreams, she would rattle off the more acceptableacceptablelanguage. . . . and when drunk, wouldswore. . . ,even in English.

This island, they said, is her home. Yet,she knows, they, like everybody here, arepeople uprooted, living from moment tomoment. .. . with very little of a pallid pastand less still of an uncertain future.

Between a birth and a death, vainlyattempts to seek the dream of personal happiness.happiness... . pursues the myth that is the sanctificationsanctificationof the individual..., or obsessedoneself with the accumulation of knowledgeor fortune that nobody else can use. . . . orchained perenially to the emulative chasethat is the prevailing pattern of mass perversity....perversity....

Somehow, she becomes weary of thisboisterous circus show around her. Weary,weary, weary of the joyless days, the dolorousdolorousuncreativity.

And in the shadows, hark! a call fromthe distant, fresh, soft, gentle, ethereal, yetunmistakenly the blood-stirring call of theland she has never seen.

“Go back!” resounded echoes from herheart and soul . . . . and the cry mauled herinto pieces.

“Return, ye child born in exile!”

Page 2

bi.bic,pigis ‘q

BL4TPEJHRPs

“If a drug could be produced that had theanti-asthmatic properties of steroids without their side

effects, the trials and tribulations

Lancet1966)2, 1354.

of asthmatic patients would be at an end”

steroid control without steroid side effects

cate,

Extensiveclinicaltrialsof BecotideInhalerhave shownthat it giveseffectivecontiof asthmaticsymptomsin patientsare no longer obtaining adequatefrom bronchodilatorsor sodiumcromogi

In addition it has been shown thBecotideInhalertherapycanbeusedS ess-’fully to replace systemicsteroids inasthmaticpatientswhohavebecome oiddependent.

In a double-blindcontrolledtrial ir gasthmatic tients,BecotideInhalerprovidedcontrol ich was at least as effectiveasthat obt ed from oral prednisolone:theonly sign cant differencess that plasmacortisol levels were not depressedwithBecotidelnhafe herapy.

lBr,r.madJ.,1972.3314)

BecotId.

hicto paandr

It

the needtheselection

,,,3f patients.nt that the patient

Jer correctlyand,.t confusedwi

I

TIONhaleris a rn’4g. becloniethaEachconta-lations.

‘arnt,HongKongcviLo,doiE26LA

The Dream of China.“And from this chasm, with ceaseless

turmoil seething,As if this earth in fast thick pants were

breathing,

Page3 CADUCEUS

A mighty fountain momently was forced; whispering of the primeval forests, smelt theAmid whose swift halt-intermitted burst fragrance of the soil, felt the warm carresHugecarresHugefragments vaulted like rebounding ses of breeze blowing over the dark rolling

hail, river, tousling up her hair....

Or chatty grain beneath the thresher’s And she had yearned desperately to getflail: on shore, to kneel, touch and kiss that golden

And’ mid these dancing rocks at once soil of her forefathers.. . . to roll and danceand ever in the brambly meadows and glittering

fields....It flung up momently the sacred river.”

Coleridge’s Kubla Khan But in the mist andin the shadows of

her dream, the brimming river silently andIn a dream, on a desolate wintry night, forcefully bore her on. She stretched out

she dreamt she was sailing back to China, her hand . . but could never reach the landand home, for good. she loved In a brooding stillness, the

In the mist, from the boat, she saw the surging tide took her back to the reality ofshimmering ancient mountains, heard the the cold dawn

September, 1973

She who never shed a tear, awoke tofind her pillow wet. . . . and there were a painand an ache at the depth of her soul toreturn.

To return... . to return

Homeward Bound.

Cross the border. No more a dream.The train would take her home. Brave, newworld. The simplicity of life. And she borewitness to the rebirth of a nation.

Her joyous baptism into the new creedof socialism. Public ownership of all meansof production. Respect for the working man.A classless society. Her new-found nationalismnationalismand a belief in internationalism. Asense of larger things and greater struggles.A perspective of history. Revolutionary ideals

heralded by songs, rhythm and the newbeat of the New China.

Reluctantly, reluctantly, the time camefor her to return . . . . humbler and quieter

fired with a different inspiration, nursingher new faith and hope.

She knows, the wind of change is howlinghowlingthrough eternity. . . . a new song hascleaved to her mouth... . and the day ofretribution will come.

by A. B. C.

aniicancer exhibition..

Sponsored by the HKU Medical Society,was held on 19—20th September at Queen’sCollege and on 22nd—23rd September atQueen Elizabeth School, with five localsecondary schools participating in the venture.venture.The exhibition whose organizing committeecommitteeis chaired by Mr. Lau Chun-kau, ofthe third year, represents the coordinatedefforts of maiy throughout the summervacations.

The Season for Speeches.. . Orientation atSassoon Road.

The annual orientation programme wasorganized by the fraternity committee to saywelcome to the freshmen. The programmeincluded a welcoming party, (speeches...speeches...), a picnic to Fanling, (morespeeches...) and introductory lectures (...!

.), library tours, and old books sale.

As customary, several freshmen wereassigned to a tutor, a senior student whowould guide the freshmen in the choice ofbooks and advise on other details of amedical student’s rountine.

Time to pass on personal prejudices orancient bits of wisdom?

Retreat of Libbers?The incoming class of 150 for the first

year M. B. B. S. features only 14 womanstudents, that is, less than 10% — in contrastto the classes of the two preceding years inwhich female medical students account forabout 20%.

The triumph of man-power in 1973?

Food I Food’ Food!The sky-rocketing food prices appear to

precipitate crises everywhere in the Colony.Finding catering here unprofitable, our previouspreviouscaterer fled and a new caterer offeredus dishes at $2.50 each, with self-service.

Recommendations, suggestions and complaintscomplaintsif any, concerning the Canteen, shouldbe forwarded to the Vice-Chairman of theMedical Society, Mr. Lee Ka-yan.

Faculty Review CommitteeMr. Cheng Chun-ho, Final Year, has been

nominated by the Council to serve on theFaculty Review Committee.

Inter-Year Swimming Gala...would be held on 3rd October, 1973,

at 5.30 p.m.the making of a Mark Spitz?

Arrival and Departure...Professor T.C. Boyde, M.D., B.Sc.,

M. B. B. S., PH. D., arrived from the MakerereUniversity, Kampala, Uganda to assume professorshipprofessorshipof the Department of Biochemistry.

The Caduceus has had the opportunity tointerview Professor Boyde and it is to behoped that the contents of the interviewwould appear in the next issue.

Dr. C. W. Ogle of the Dept. of Pharmacology,Pharmacology,and Vice-President of the MedicalSociety will be leaving for England on astudy leave.

Commercialization versus Nationalization...?Should our medical service be nationalized

nationalizedand private practice be banned? —Editorial.

ARMSA and IMFSA

Th HAL.1.I(OFA

l’ APEOPot)rP

op.QWK61

The seventh General Assembly of theARMSA (Asian Regional Medical Students’Association) and the twenty-second GeneralAssembly of the IMFSA (International MedicalFederation of Students’ Association) havebeen held in India and Singapore respectively.respectively.

Representing the Hong Kong MedicalSociety for the first time in IMFSA GeneralAssembly in Singapore (first ever generalassembly of the IMFSA held in Asia), are Mr.Lee Ka-yan, Mr. Kenneth Lee, Mr. Peter Choi,and Mr. Lo Hong-Yuen.

Finally representing the Medical Societyin India is Miss Betty Ng. The other delegateelected, Mr. Kenneth Lee. was unable tomake it at the last moment because of a visaproblem.

Hong Kong has been elected at theARMSA Vllth General Assembly Director ofSCOPE (Standing Committee on ProfessionalExchange).

The respective reports of the proceedingsproceedingsof these meeting would hopefully bepublished in a special issue together with theCaduceus in October.

The Medical Society wishes to acknowledgeacknowledgethe following for their generous supportsupportin financing the delegations, withoutwhich, the participation in these Assemblieswould not have been possible:—

The Hong Kong Medical AssociationMr. Henry FokBritish American Tobacco Co. (H.K.) LtcBoard of directors of Po Leung KukThe Chinese General Chamber ofCommerce

Dr. Otto AuDr. Denny HauangDr. S. S. KwanDr. Cheung WanDr. W. P. WooDr. P. W. YeeDr. K. P. ChanDr. T. L. QuongDr. K. KwanDr. Choa Wing SienDr. Tseung Fat InDr. H. FangDr. Godwin ChanDr. C. K. HonDr. Fung Yee TsangDr. Pau Wing FooDr. Sung Wing ChooDr. P. W. C. MaoDr. Peter C. Y. WongDr. Au Kam FalDr. Robert FungDr. James ChangMr. Szeto WaiMr. Lee Que Quo WelDr. Lal Chung Yue

THE CADUCEUS EDITORIAL BOARD

Hon. Adiser: Dr. A. van LangenbergEditor-in-chief:BettyNgSecretary: chan Chor KwongTreasurer: Wu Ho HonSpecialchineseEditor: JosephchowGeneralContributingEditors:

KarenLamLeo LukKatherineOHoyAmy Tong

CirculationManager: Tse ChungHingOffical Photographer:RaymondLamSurveyAnalyst: Lo HongYuenAdvertisementManager: Chan ChungI

The viewsexpressedby our contribitorsare notnecessarilythoseof the EditorialBoard.

TheEditorialBoardwishersto acknowledgedonationsfromProler,sorM. B. Roberts.Dr.J.C.HwangandDr.K.C.Lamaridto thrrk themfor.tn&,irOeneroussupport.

(JJl)j;; 11.4.1.IiiJ]iJTj

) f1i

11]vr

The EditorialBoard wishesto thank the specialsupportci the Glaxo Lab. Ltd.

香

泳

大

學

學

生

會

醫

學

會

月

刊

第

五

春

第

九

期

一

屯

七

三

年

九

月

暑

期

工

作

營

八月什五至時八

我們的5.5.0

舉辦f一

惆上作營。

在講師們

慷慨捐助

及幾位同學的安排下，

我們終於為新界

打鼓嶺么英公學鋪好一

條長約一

百江

卜

ll)1瀾約十呎的水泥路。

首大只有十一

人入營，

車子風馳電

掣，

向看禁區前進。

遠望邊界景色，

確

是另有一

番情趣。

目的地是一

听單層的

建築物。

除了枝舍、

禮堂和運動場外，

還有一

個大

校園。

那裹有美麗的槃栽，

有可友的烏獸，

更有自然的草木。

原來該校校長已為我們安排一

切：

上

作早把路面鋤平，

又釘好路邊的木板

，

吏準備替我們找一

架混合機。

這次工程豈不是很容易嗎！

貝要把

沙、

泥、

右混合好再鋪到路面上便成了

。

我們一

定可以光成這工程，

或許還有

二至遊玩。

我們忽忽的弄好午飯，

該處的梁老

師為我們拍照。

真不好意忠，

連吃飯的

姿能）也給攝入鏡頭。

下午我們冒雨動工

，

滿以為混合機運到後，

工

作會吏）)l1快

徒，

誰料來的卻是部老爺機。

到J’傍晚

，

貝把路的一

小角鋪好

（

真是事非一杜

過不知難）

第二

天清早便動上，

還是冒雨的。

人始終不是機器，

貝覺得力不從心，

看

看別人，

不由不佩服。

還好，

不久有二

卜多個新力軍乘車而至，

只可惜雨勢愈

來愈大，

令人添煩躁。

總算上大體諒我

們，

下午貝下些微雨，

好待我們齊心

合

力地上

作。

晚上我們在週田

村鄉公所佈置了一

此．

擲位；

又預備多少食物跟

那一果的村民

聯歡。

富晚非常熱鬧，

孩子們都玩得很

t筒興。

因為獎品不足，

更把裝飾的氣球

相榭位招牌也送給他們。

次日一

覺醒來，

好一

個萬里無雲的

長空。

這給我們無比的鼓舞。

在大家的

努勾F，

成功在望。

卜午校長請來了大

埔理民府幾位官員、

村長、

父老和學枝

的老師。

他們坐在椅子上，

悠然自得，

觀看我們工

作，

而我們卻汗流夾背。

世

界就是崤追樣的不公

平。

無奈停下工

作，

因致送杞念品的儀式要開始了。

枝長演

說完畢後，一

位理

民府的主任也給了一

段簡規卻不熟練的講話。

他的樣子T11動

作，

實在發人憐笑。一詼晚，

我們終於把

路鋪jjJ'了。

最後一

大大部份同學已離去，

貝剩

卜十數人

修補鋪好的路。

卜午校長邀我

們到土水一

問華一麗的酒家飲茶。

看看自

己，

若實有點侷促不安。

歸途巾，

摘卜

祖國的】

嶼．土產，

非常高興。

收拾濟後

便踏土同家的路程。

雖然我們所築的路）Il途不甚廣，

但

是這工

作營能培養我們團結互

助的精神

，

父使我們了解邊界人民生活情況。

經

過這工作營，

學會了很多東西。

最少我

明白到我每大所行的路，

都是辛苦地建

造出來的。

國 外是 爾 ，她 的臉 靠在 玻 璃土 ，滴 嘀 的 雨 水 Il''J

著 她 打下 來 ，可是 打不 著 ，好 奇 懷 的一 種 感覺 。

雨 粒 落在 窗 前 ，停 留片 刻 ，緩 緩 地 卜墜 ，數 位

小 雨 珠 聚 在 一 起 ，再迅 速 地 瀉 ，消失一J' ；生 命 、

鮮 血 也是 這 樣 的 流盡 J' oJ豈紹 來 的 水汕 告 心 IU兀一

串 水 珠 子 成 長一J' ，逝 去 j' ；生 命比 己更 轍 庇 ，，丰右

悄 浪邊 ，逝 去無 跦 。

一 串 串的 水 珠 子 ，是 瞼 喊房 裹張 張 的 臉 孔 ；’常

密 的 雨聲 ，是 什 役鋸 開 頭 顱 的聲 待 ；滂 沱 的 ，緬啊 ，

鮮 血 直 流 的 可怖 場面 ，她 分 不 開 ，發也揮 乎 、掩 ，不

要 、不 要這 些 。在 層 層的 缺 水中她 矇 糊 了 。

雨 漸 小 ，她推 開 窗 門 ，外面 的 清 新 空 氣為 上 湧

人 。喬丹 醫生 ，電 視 片 集上 的 喬丹 在 溫文 地笑 首 。

雨 把 大 地 洗 滌 一 新 ，室 外恬 靜 ，有 番 詩 意 ，史 有

喬 丹 的醫 學 院 ，一 個 溫 暖 ，溢 著 愛 的 地方 ，藏 首她

無 窮 幻想 的 地 方 。肩停 了 。

小 小 的遊 樂 場 已積滿一了水 斤

；這 衷卻 有個 沙 漠 ，乾 涸 的 沙 、r

i莫 ，她 的手 放在 胸 前 。 、

窗 外 ，小 孩 把 紙 摺 船 放 在 W

水 .p ，小 船 也載 看 她 的夢 幻 ， I

揚 著 帆 ，好 驕 倣 的 樣子 ，]l頃水 j

而下 ，要 沈 了 ，船 要 沈 J' ，地 7

的 心 抽 了一 下 ，小 孩一子滿 臉 的 l

失 望 。成 長 的 步驟 ，艱 辛 的歷 戶 涌 e )

程 。小 孩 有豐 富 的 王 國 ，她 知 乙悶馴丫 n

道 她從 那 衷 步 出來 ，I江是 明 大 龍、、

怎 樣 ，她 不 清 楚 ⋯ ⋯ l、．lt't 瀾 Iklltj,,.

在醫科繁重的課程

卜，

讀課外書的時間不

多，

所以

，

小心選擇非常重

要。

在台大

醫學院，

經常介紹的有兩

本，一

是西

格里

斯（

口。。復

S嗯汰牌）

的

人與醫學

;（

膩弓

印

實巴吋

ine）一

是羅素（

謬斗

rand

RUSsell）

的

幸福之

路

。（

中e

Conquest。f

Happ甘

ess)

嚴格來說，

人與醫學么

是一

木醫學史。

這一

科，

在我們的課程內沒有，

但既

要成為一

個醫生，

能夠在這

一

方面有所涉獵才是應一該的，

而

人與醫學

並不

是一

本普通的醫學史，

它的優點，

在於能夠把醫學發展與人

類的其他文化發展連結起來統一

討論，

使我們對醫學有

一

個更廣瀾的觀念，

在這個愈來愈專門化的社會裡，

我

們很容易產生一

個錯覺，

以為醫學乃始於一

種超然獨立

的純科學研究而終於對各種疾病的冶療，

但

人與醫

學

將告訴我們，一

切醫學發展和

其他科學發展一

樣都是

與當時的文化田）想潮流息息相關，

而它對人類的影晌，

亦遠超於對疾病的防冶。

我們

會看到

巴羅克

文化如

何

導致威廉夏維（

織日

am

HarVey）

對血液循環的發現

，

也會看到遺傳學相心理

分析學的進展對現代田）想的影

晌。

從這本書中，

我們

將會對醫學在人類史上的地位作

重新及

較正確的估價，

也更能認識到我們身為醫學生的

將來的上貝

啟

思

錄

括朔的識人

任。

類及自己

m防識

人類，

包

兩

本

書

的田）想和

每久

感情，

遺

憾是，

經過數年的理科訓練，

加上入學後功課上的重壓

，

醫學生都每每因為對這方面無暇兼顧而感到陌生，

因

此而產生的問題，

普遍有二：一

是我們遇到自身感情上

的困難時，

不

曉得適當的應付方法（

而以一

個青少年而

又功課繁重的醫學生來說，

感情上的困難並不會少。

）

二

是富研讀到醫學上有關感

情上的科目上時（

如心理

學

或精神病學，）

便每每會因為陌生而無從入手，

因無從

人乎lflj失卻興趣而

覺得困難。

羅素作

幸福之

路

，

他

的優點在於能在自己及普遍讀者的範圍內，

對人類感情

作一

個切

實而又毫不理

論化的討淪，

進而提出

在解

次情

感障碼上的一

些實際可行的方法。

我們發覺在很多情形

卜，

要明白相處理

情感，

除了一

個清醒及

客觀的頭腦外

，

並不需要了解或誤解什歷高深莫測的理

論，

而精神上

的幸福

其實是每一

個人都可以達到的，

有了這一

個認識

，

我們便不會對情感這件事有敬而遠之或任其自然的態

度，

而曉得在問題來臨的時候採取適當的

應對方法。

兩本書都不

太厚，

文筆生動，

尤

其是後者，

閱讀時

保証不會納悶。（

很希望能看到同學們

讀過之

夜發

表一

下他們

的念見。

）