Page 2 CADUCEUS

IN ORDER to qualify forfull registrationit is necessaryfor a successfulcandidate atthe final examinationto servein a Resident Medical CapacityCapacityin an approved Hospitalfor six months in Medicineand six monthsin Surgery.Forthis purposeMedicine includesPaediatricsand ObstetricsandSurgery includes OrthopaedicSurgery, Obstetrics, GynaecologyGynaecologyand Neurosurgery.Obstctrics,however, may notbe combined with Gynaecology.Gynaecology.

The systemof allocationofHouse Officer Postsis slightlydifferent from that of lastyear. Each graduand, thisyear, is given a completelistof HouseOfficers’postsin thethirty-one units of the variousapproved Hospitals (see: Listof Vacancies for Posts ofHouse Officer), and each isrequired to fill in 31 choicesin order of his preference.This meansthat eachgraduandhas the choiceof the Unit, inwhich he would like to work,as well as the choiceof Subject.Subject.Those who hold Distinctions

Distinctionsor those who havesat for Distinction vivas in aparticular subject are givenpriority to choose the particularparticularUnit of that Subject.Otherwise,the allocationis bymeansof ‘drawinglots’.

All the names of the applicantsapplicantsare contained in abox. When a particularnameis pickedup from the box, hislist of choices is checkedagainst the list of vacancies.If the Unit of his first choiceis not yet completelyfilled hewill be given his first choice:if, however, all the posts inthe Unit of his first choicehave been filled, he will begiven his secondchoice, andso on. It could happenthat,when his particular name isdrawn last,or very nearly last,and all the Units of his earlierchoicesare filled, an applicantmight be given his thirtiethchoice— which happensto beNeurosurgery— and he is thelast person in the world towant to be a Neurosurgeon.Then he hasonly MissFoituneto blame, and the system,too,perhaps. Two roundsof lots

are drawn, one for theMedical subjects.one for theSurgical. (HK)Vacanciesfor postsof HouseOfficer for the period 1stJuly

31st December. 1971, areas follows:Queen Mary Hospital:

U.M.U.G.M.UU.S.UG.S.UOrth. SurgeryPaediatricsObstetricsGynaecology

Queen Elizabeth Hospital:MedicineSurgeryOrth. SurgeryPaediatricsObstetricsGynaccologyNeuro-surgery

Tsan Yuk Hospital:Obstetrics

Sai Ying PunMedicine

NethersoleMedicineSurgeryObstetrics .Gynaecology

Ruttonjee:Medicine . .

of distinctionsof passesof failuresof candidates

Distinctions in Obstetrics &Gynaecology:

Miss Ho Lai Ching, SabrinaMr. Yim Chi Ming

Anderson Memorial GoldMedal:

Mr. Fu Kuo Tai, LouisProxime Accessit:

Mr. Chin Chu Wah

June the 9th — and yet Istill have lecturesand clinicsto attend. When I called upmy old friendsthe other day,they were jolly and freeas a lark. The seriesof examsand mental torture had beenover, and there they were —with nothing in the world toworry them. And they wereOn holiday. If I were in thefirst year, I would be enjoyingmy summer vacation all thesame. But being in the thirdyear, I haveto think abouttheclass test by the end of thismonth, and also the case-takingcase-takingevery Saturday.

My old friends in the ArtsFaculty and the ScienceFaculty enteredthe Universityin the sameyear as I did. Wewent through the very sameMatriculation Examination.And when the results wereout, we went togetherto LokeYew Hall to look at it. Butnow that they graduate,I amleft behind to continue mystruggle.

Indeed, the road to theMedical professionis a longone. It is longerthan the correspondingcorrespondingonesin other faculties.faculties.I know that very wellbefore my entry into theUniversity. However,at timessuch as this, when one’s colleaguecolleagueis graduatingand gettinggetting$1500 a month, one simplysimplycannot help thinking alittle.

Besidesbeinglong, the roadis also rough and difficult towalk on. Hurdles have beenput at various points. Thosewho passthe test can get on,just to meet another one nottoo far off. And the strugglegoes on and on. Sometimesyou have to toil and sweatthrough sleeplessnights just

167

23100

80.65

Chan Kai Ming Prize:Mr. Fu Kuo Tal, Louis

Gordon King Prize in Ohs. &Gyn.

Miss Ho Lal Ching, SabrinaMr. Yim Chi Ming

C.P. Fong Gold Medal inMedicine: No award

Digby Memorial Gold Medalin Surgery:No award

because the battle has beenhard on you and you are determineddeterminedto win it. And whatis the end of all this? Is itfor the green pasturesthat liebeyond the hurdle labelled‘Final M.B.’? For some, itmay he just that. But in fact,for the majority, their roadthereafter is still full ofhurdles, one after another.Take surgery, for instance,does one start surgery immediatelyimmediatelyafter graduation?Can one go into the operatingtheatreand do a simpleoperationoperationjust after he or she hasobtainedthe M.B., B.S.? Andso the battle goeson. ChallengeChallengecomesto you day afterday. And obstaclesare overcomeovercomeone after another.

On this very same road,though many succeedto getthrough without any physicalinjuries,there are many otherswho fail or who succeedafterpaying a large ransom. Somemay getsodisheartenedon theway that they go back andleave the road altogether.Luckily these last-mentionedonesare few.

Dear friend, when youstart on the journey,do thinkof such despondency andcogitate about the problembefore you plungeinto it. Ofcourse,when you fail, despairand pessimismwill only makematters worse and you willonly end up with completefailure. Pluck up your couragecouragewhen you fall down sothat you may rise up againmore determinedthan ever. Itis by trial and error, throughsuccessand failure that onegainsexperienceand with thatone may finally get throughall theobstaclesto end tip withthe crown of life.

Allocation of House

Officer Posts

FINAL M.B. RESULTS

Analysis of the Final M.B. Exam. results:Obstetrics&

Medicine Surgery Gynaeco!ogyNo.No.No.No.% passes

Aj A, .106 108 11415 15 7

121 123 12187.6 87.8 94.2

No. of studentsfailing in I subject:No. of studentsfailing in 3 subjects:Total No. of studentswho fail:Total No. of studentswho pass:Absentee: 1 % passes:

124956635

12124844

12

33

It’s a long way

Duchessof KentOrth. Surgery

Total: 119

•-4-. -.A- . - —1-=

5

j_BETNOVATE’

LLr’ Cream V

the most successful topical steroid

Glaxo

Glaxo Laboratories Ltd, Greenford, Middlesex, UK

Agents for the Glaxo division of Glaxo Allenburys (Expàrt ) Ltd

mlDodwell & Co Ltd P0 Box 5849,Hong Kong

Page 3 CADUCEUS

I)r. P.M. YapDr. Yap was educated at

the University of Cambridgewhere he ieraduatedwith thedegrees of BA. in moralsciences(psYchology)in 1943,M.B. in 1946, and M.D. in1957. In 194$ he obtainedtheDiploma in PsychologicalMedicine from the Universityof London. after training inMaudsle Hospital.He becamea member of the Royal CollegeCollegeof Physiciansof EdinburghEdinburghin 1958 and was electedelectedas Fellow in 1963.

In 1948 Dr. Yap took upthe post of medical officer-in-charge of the High StreetMental Hospital in HongKong. When CastlePeak HospitalHospitalwas opened in 1961, hebecameits first superintendent.At the same time he also organizedorganizeda voluntary treatmentcentre for drug dependenceinCastle Peak. During theseyears Dr. Yap held manyother appointments includingthat of part—timelecturer inpsychiatryand in social medicinemedicinefrom 1952 to 1969. Athis suggestionin I967 theNIiin Cold N’ledal in PsychiatryPsychiatrys’,asendossedby an anon’—mous donor. Dr. Yap was alsoalsoconsultant psychiatrist tothe UniversityChild GuidanceCentre and the armed forces,government specialist, andlater seniorspecialist.

Dr. Yap becamein 1963 amember of the expert panelon mentalhealthof. the WorldHealth Organization, whichhad granted him a travellingfellossship in 1957. Over theyears he participatedin conferencesconferencesand seminarsin dif—Icrent countries, includingDenmark, Ssifzerland, theU.S.A., Canada.Great Britain,.1apan. Korea. and Australia,where he s as Squibb travellingtravellingfellos in 1967. He haslectured in Vil e. Stanlord,Rochester,Queen’sand McGillUniversities,the University ofSouthern California, BritishColumbia. \‘allee, as well as

9’1ew

the New York Medical ColJege.ColJege.

Dr. Yap is associatedwiththe editorial hoards of thelnI(’rnationalJ011,,1 of SocialP.vvchianv (London), SocialScience 011(1Medici,ie (Boston).(Boston).and Conz,;u’njon Con—wniporarv Psvchiau’v (Philadelphia).(Philadelphia).He has published

on comparative (transcultural)(transcultural)psychiatrywith specialspecialreference to culture-houndsyndromes.nosology. suicide.and drug dependence.He hasalso taken part in preparingWHO, technical reports onschizophrenia. psychosomaticmedicine,and suicide.Dr. Yapis a correspondingfellow ofthe American PsychiatricAssociation.Association.and an honorarymemberof the AustralianandNew Zealand C’ollegeof PsycPsychiatry.

In 1969 Dr. Yap was appointedappointedassociate professorand head of the section ofconiparati’vepsychiatryin theClarke Instituteof Psychiatry.Universityof Toronto.

ProfessorG.M. Kneeboiie

Professor Kneehone wasborn in Australia and gainedthe degreesof MB.. B.S. withcredit from the University otAdelaide in 1952. Followingshort periods as ResidentMedical Officer at the RoyalAdelaide Hospital and in generalgeneralpractice,he was appointedappointedMedical Registrarat AdelaideAdelaideC’hildren’sHospital. Herehe remained in various posts

Interciass Debates

FinalThird Year VS Fourth

5 Year STitle: ImpromptuDate: Thursday, 24th 5

5 June. 1971 55 Time: 5:30 p.m. S5 Place: Physiolocy Lecture

LJ

CPo

from 1955 until his appointmentappointmentas I.ecturer in the DepartmentDepartmentof Child Health atkhe University of Adelaide in1960. From 1961 to 1963,Professor Kneehonewas ResearchResearchFellow in the DepartnientDepartnientof Biochemistry at theGraduate School of PublicHealth, University of Pittsburgh.Pittsburgh.where he obtained thedegree of Master of Science.Returningto the University ol’Adelaide he was appointedSenior Lecturer in 1963 andReader, his presentpost, in1967.

Professor Kneebone hascollaborated with ProfessorMaxwell of the University ofAdelaide on a number of researchresearchprojects relating tomyocardal metabolism andcardiac physiologyand pharmacology,pharmacology,as well as conductingconductinghis own studiesin obesityin childrenand the biochemicalbiochemicaldisordersof growthin childhood.childhood.In 1968 he took studyleavein Milan where he workedworkedon brain lipid analysisandsince returning to Australiahas herun a study of the effectseffectsot nutritional disturbancesdisturbancesin early life upon brainlipid cornposition and function.function.

Professor Kneebone haspublished numerolls articlesand is a member of severallearned societiesincluding thePaedratricResearchSocietyofAustralia, of which he is President,President,the Australian MedicalAssociation, the AustralianPaedratric Association andthe Australian Society forMedical Research H becamea Member of the Royal AusiralasianAusiralasianCollegeof Physiciansin 1959 and a Fellow in 1970,

NOTICE

‘1he (.ilaxo I_ahoratories.I.td.. have provided a numberof Charts on the spectrumofanti—bacterialdrugs in commoncommonuse to he distributedthrough the Caduceus. Onehundredand twenty have beendistributedto the second-yearstudents through their ClassRepresentatives,A sniall numbernumberstill remains,Anyonewishingwishingto have one can contactany member of the Cculigcc’usEditorial Board,

NOTICE TO OURCORRESPONDENTSAll correspondenceswith

the Caduceu.swishing to bepublished must be suppliedssith the author’s full, honaftc/c name and addressbeforethc will he considered forpublication. Our correspondents’correspondents’names and addresses.however,will not he printed iithey so indicate,

APOLOGI ESThe Cacluccu,s Editotial

Board wishesto apologizefora numberof printing mistakesappearing in the May issue(Vol. 3 No. 5) due to madeqtiatemadeqtiateproof-reading arisingfrom an abrupt change ofprinter as a result of unforeseenunforeseencircumstances.

CADUCEUS EDITORIAL BOARD ‘meet eur

Two new Professorshave been appoinled at the University of Hong Kong. They areDr. P.M. Yap, M.A., M.I). (Cambridge), D.P.M. (London), F.R.C.P. (Edinburgh) who arrivesarrivesnext month to become the first holder of the newly-established Chair of Psychiatry,and Dr. G.M. Kneebone. M.B., B.S. (Adelaide), M.Sc. (Pittsburgh), F.R.A.C.P., who recentlyrecentlysucceededProfessor (‘.E. Field in the Chair of Paediatrics.

Iloit. Advise,’: Dr. Paul C.K. Yue

Lclitor-in-Chic’J: Robert 1_awEditoix.’

!ut)ii. Sc’cieiai’ ShamTak (‘heongJohnìLlion. ‘i’ic’a.vurer Yeung Kwok Wai

A!a,ici,ç’ilIç’Edlior: Ng Hin Kwong (HtY.4radcniu-Ldnor: RebeccaWang—lit& Phoio,ç’itip/tvLdiio,,s: Li Nai Hae “5

Juliet 1.au( hi,,csc!:dito,.s:

Ngai l.oi CheungChow Sze Fu, Joseph JJ55

1 kIcincilAl/an.vLdiior: Tsang Chiu Wah i Id1t(i(Ifl(.5& Ct‘i,’t’spolideli(c’

!diior: Rose Mak - iiiiLi Chun Sang

liiic’r,ialA/lairs Ldiior: Slick Siu Lam i’,IL H:

.S,iorisEditor: Pong Ping Sum

Rc’prc.sc’nraiireof previousEuluopialBoard: Laurence(‘han

(li/cf Editor of Lli.ir.’ Ho Chung Ping (1(1’1

The views expressed by our contributors are not

necessarily those of the Editorial Board.

-The Editorial Board wishes to thank the special-support of the Glaxo Lab. Ltd.

in the Fashion

Medical students seem to be more fashion-consciousthese days. And if you are not specially unobservant, youmay have noticed that many of the spectaclesthat the gentlernengentlernennow wear are of a gold frame. Presumably theipularity gained by these spectaclesis great and some havemade up theii’ mind that the next pail’ of glassesthey wearssill also be the fashionable kind. The ladies, expectedly.have a keener interest in fashion than the gentlemen. ButSOIflCladies are keener thati others. One lady, for examples.recently displayed a series of Midi dressesoti 5 successivedays. She really excelled herself in the “fashion-show”.

l3ooming business n NCE Canteen

During the lunch hour, the canteen in NCE is packed(hid many of the customersare from the Medic Centre. OneFriday, it was observed that staff members from 3 depart-nients and üver 40 studentswere there. According to reliablesoui’ccs. the new cook in NCE worked previously at SiC.No wonder the dishes served are of good quality and at areasonable price. The semi-self-servicesystemhas also muchto he said about it. Perhaps it is high time to do somethingsubstantial to improve our own canteen.

An unoccupied Parking SpaceWhen the road-sides of SassoonRoad are packed with

cars, and when the parking condition in Medic Centre andOMH is so poor, we find, at the main entrance to QMH.an unoccupied parking space. This is specially reserved forProf. Yap who is due to arrive in August to take the newchair of Psychiatry. Go and have a look; you’ll be impressed.

Student patients in QMH

Quite a number of medical studentsmake an experienceof staying in QMH as patients this year. They suffer from awide spectrum of ailments ranging from relatively mild oneslike appendicitis and pneumothorax to the more severe onesinvolving the heart and CNS. As medical students, they areusually treated in the University units. ‘Special treatment’.I suppose. And don’t be surprised if you happen to find apatient chasing relentlessly after his poor fellow patient fora history. He’s not out of his mind. He’s a medical student.

SF©[TS NEWS

I lie intratactilt competitionsof this ear haveendedon the7th of June.The lollo’.’ing chart showsthe competitionresults:—

is, ) car 2nd Year 3rd Year 4th lear

MEN’SBadminton (h aiiinion — Rtinners-iipBasketball — Runners-up( hanipionHockey —— Runners-upChampionLacrosse —- Runners-upChampionlawn Tennis Champion — Runners-upSquash — Runncrs—up — ChampionTableTennis Runncr—up — ChampionTug—of—ssrr Runners—up

I

FootballVolley Ball

LADIES

I (hanipicn —.—— Rtinners—u(harupion

ChampionRunners-tip

BadmintinTableTennisNethallTotal marks 57

—— Runners—upChampionRunners-upChampion

—— Runners-upChampion73 107

N.B. The Marking systemis: Champion 10 marksRunners-up - 7 marksParticipants — 3 marks

Page 4 CADUCEUS

In an earlier issue olCaduceus someone commentedcommentedthat medical studentsstudentsare contented becausethey’hae a wise and understandingunderstandingpersonage whomthey ioe and trust. HoweverHoweverI tend to think differently,differently,as I still have somedoubts on his wisdom andunderstanding as well astheir love and trust. I amnot even convinced of theircontentment. I do thinkthat they are apparentlysatisfied only’ because timeand courage arc too scarcein this poor place. Moreover,Moreover,some of our fellowstudents might have neverseen the great man whomthey are supposed to loveand trust so much! Insteadof attributing the success1the virtues of one man inwhat Osler called the “fixedperiod”. I rather regard the

long-lasting peace as the re—suit of our good old systemof medical education. Ourcurriculum is overloadedour tutors do not try to culivaculivate constructive thinking

and we are expected to acceptacceptwithout reserve dogmaticdogmaticand high-handed conclusionsconclusionswhich they would rega

regard as simple “cornillonsense”. Paradoxically it isthese same people who canpacify the sentiment ofmany by saying constantlythat they hate “spoon-feedng”.“spoon-feedng”.More important and

worse are the flattery theyoffer and the submissiveattitudeattitudeWitl1 which they bowbefore authority. True indeedindeedis Darwin’s dictum of“survival of the fittest” butunfortunatclv these fittest

people do have a denioralisingdenioralisingeffect on their followers.Who can deny that the conditioning

conditioningprocess that occurredoccurredin Pavlov’s dog workssimilarly in a medical student?student?I have no doubt thatwe all have learnt throughexamples offered by ourteachers, but not too few ofthese examples arc stifling to

any budding non—conformistidea that is so essentialfor a

good medical education aswell as so conducive toscientific progress. We learnto tolerate and be silent althoughalthoughneither toleration norsilence is always a goodthing.

Two years ago, when thecry for reforms in this UniversityUniversitywas waxing towardsits zenith, our student leadersleadersimpresseda great mindby their statesmanlike performanceperformanceand won its admiration.admiration. But 1 was moreinterested in a ruthless blowgiven to the Union by ourrepresentatives. We emphasizedemphasizedthat our medicalschool, “being an institutefor professional training, hasinevitably certain characteristicscharacteristicsin teaching and administrationadministrationdifferent fromthose of other faculties.These are necessary to ensureensure academic standardsand professional discipline.”This may be true, but why

should “C emphasize ourdifferences at a time whenunity was most urgentlneeded? Is this the way tohe “statesmanlike”! Is thisthe wa to “earn admiration”!admiration”!Fortunately theUnion has been founded onimmovable grounds and wasable to absorb such a blowwithout much ill effect. Ihave aI a s been wondering

hat our student leadersthought at that moment. Didthey’ think our faculty vasthe sole institute for professionalprofessionaltraining in the University!University!Did they think thatonly medical studentshad touphold academic standardsand professional discipline?Or did they’simply say thisto earn admiration’?

Many people say that s eare proud and I think weindeed are, Suddenly I amashamed of this pride as Ifind it ridiculous. Oii whatis it based! Mere rain—shackle sanity! Our facultand our profession. I suppose,suppose,are the only’ things thatare worth taking pi’ide in.But I cannot help despsinghe iiarrowness, the rigid tv

(L1,io,’’, i’n’: ‘I he lollosslugaccount about tli MedicalSchool in Birmingham Uni—sersitv is basedon an inter—vi s ith Mr Alex c’han. a4th Yr. Medical studentthere,who has been in Hong Kongrecentlyfor 2 monthsfor his

I elective study in our univer—sit\.)

‘Thc duration of the coursis 5 ‘ears leading to the de—grey of M. B., (‘h. B.’

Subjects i’aught & I)uratioii“The subjects taught are

very similar to those here.The main differenceis that wehave 2 \ears (i.e. 6 terms) ofpreelinicalv.ork. In the firstyear s e do Histology, Emhrvologv.Emhrvologv.Physiology, Biochemistry,Biochemistry,part of Neuroanatomv.Neuroanatomv.In the 2nd year welocus on topographical anatomyanatomyand physiologywith partof pharmacology.The coursein Biochemistry also extendsup to the end of the 5th term.The 3rd year clinical trainingcontinueswith an introductoryclinical course for 3 months,during this time we learn howto examine a patient properlyand some general pathologyand bacteriologyand virology,and the rest of pharmacology.At the end of this coursewestart dressershipor clerkship(6 monthseach). During thenext 12 months we go towards in the mornings, andhack to the medical schoolinthe afternoon for a sessionofco-ordinatedstudies.In a coordinatedcoordinatedstudies session, adiseasewill be discussede.g.hypertensionby 3 lo 4 mernhersmernhersof staff from variousdepartmentsdepartmentse.g. a pathologisttalks about the pathology ofhypertension, a ‘physician’talks about the clinical signs,complications and management,management,and a pharmacologisttalksabout the drug treatment.After dressershipand clerkshipclerkshipwe have 3 monthsof socialsocialmedicine and revision on

and the relative sterility ofthe intellectual environmentprovided by our medicalschool. I cannot help lamentinglamentingthe greediness, theselfishnessand the snobberythat characterize many membersmembersof our profession. ina recent incident that incitedthe soul of every taciturnChinese, one of our teachers.teachers.who was a Justiceof thePeace. exclaimed on readinga cop of the Union-Under-grad: “No, no! Don’t go tosupport that!” Ah! Pride orselfishness’! Or both! Onecan certainly’ he too proudto have sympathy on a causeof one’s own race. hut perhapsperhapsit is more likely’ thatone can he too selfishto incurincurthe disfa our of onesMaster, namely’our Colonial(io\ ernment.

When I entered this medicalmedicalschool, I was full ofhope and trust hope inour l’aeultvand trust in ourprofession. Now I find theformer ‘‘as stagnant as aSpanish convent’’ and thelatter “as self—satisfIedas aBourbon duchy‘‘. I am dis—illtisioned.

piiliulogv and pharmacology.l’hcn come the 2 months of‘Electisc Studies’during whichtime a student can do whateverwhateverh likes and at whateverplace he likes. (This is s hatI rn doing now).”

Teaching Methods‘Tutorial & Seminars’%ith

or ssthout audio—visualaidsare s’erv much welcome bystudents.”

‘I ectures’ usually aim atexplainingsonicaspectsof thesuhjectswhich are diflicult tounderstand by just reading,they alsoaim to add sonicUnto—dateUnto—datematerial, But, ofcourse,a few lecturesfail toaccomplishtheseand get studentsstudentsvery confused.”

Size of class120 in my class. Increasing

Increasingslowlyto 150 now. Classesarc divided into many tutorialgroups of 10 to 15 studentseach.”

“The ideal situationfor anystudent would be passingexamswithout opening a singlesinglebook. This is far from thefact. But, on the whole,we aresatisfied with our teaching.The main reason being thestaff — studentsrelationsarevery good. The teachersareusually keen, knowledgeableand very friendly. These, Ithink, are the bestfactors.Audio-visualAudio-visualaids play an importantimportantpart, e.g. in pathologydepartmentcubicles, tape recordersrecordersand screen.”

Research Projects“In our preclinical years

we have 1-2 afternoons aweek for ‘elective studies’.Some students do researchwork in the period. 4 studentsdid work on the safety-beltsin cars and published theirwork recently in ‘Nature’ orsomejournals like that. Otherstudents have done work onphospholipids(Dept. of Biocheni),Biocheni),the pineal gland and

“We have done away withthe three big ‘hurdles’and replacedreplacedthem with continuousassesscnieflt5throughoutthe 5sears. That means we haveshort exams, which take theform of essaytype questions,Multiple choice questions,vivas at the end of eachcourse or part of a course.Further. s c are assessedinman other ways, e.g. tutorassessment,case reports, laboratorylaboratoryssork. ward perform—,incesetc. At the completionol one subject,e.g. medicine.th marks scoredwill be addeijaddeijup. If he passes,it is O.K.It not. lie ssill he required totake a viva. For a better ac—count of mis new examinations sternplease read an articleh our Dean in the B.M.J.1(1—10—70.’’

‘‘As in anyother artsof thessorld getting into medicalschoolis quite diflieult. I readin the university newspaperhat amoiig 22.5 applicants

only i is acceptedfor mcdi—c;ne.”

“As to the chance for aforeignerin gettinginto medicinemedicinein England.I am not vrvsure.hut thereseemsto be notmore than 3 overseasstudentsin our class.”

Post-graduate training‘‘Post graduate training is

serv svellorganised.There arcmany’big hospital authoritiesreserving courses for theirown junior doctorswho are

Art taking exams for fellowshipsand memberships.”

The majority of the postsinthe various departments aretilled by Birmingham graduates.graduates.But the number of postsare limited, and lots of thegraduates will have to turnelscwhcrc,

Sfuden(s Life“A. We have a staff-students

ciirricuhim committee, themembers of which are thevariousheadsof departmentsand I or 2 studentsfrom eachyear. They’meet onceor twicea term. Any’ conflictsbetweenstaff and students will besmoothedout here. The dissatisfactiondissatisfactionof studentswill bevoiced and improvementmay

h made after due considerationconsiderationof the variousheads.StudentsStudentsalsosit on other administraliveadministralivecommittees, but Idon’t supposethey have a biginfluenceon the decision-making.decision-making.

B. The sit-in a couple ofyearsago was due to studentsss’ishingto have a bigger in-fluence on their courses.A large part of the sit-inwas played by a Ph. D.student who was campaign-ing for a seat in the House ofPan ainent as a labour caii—didate.

C. Most of the studentsplay games (rughy, football.hockey. basketball etc.) onSaturday mornings and orafternoons, They’ spend theirSaturday cvenings in ‘pubs’drinking beers and chattering.Sunday is a da’ of rest andwe usually’ watch footballmatch on TV. and have aquiet drink in ‘Pubs in theevening.

For s’acation we usuallyssork as hard labourers (e.g.on building sites) for a shortperiod making enough moneyand then go to th continentor other parts of the world,Hitch-hiking is a very popularmeansof travelling,

D. We have a very wellequippedwellequippedsports centre andmany sportsclubs, On Saturday’Saturday’over one-thirdof the studentsstudentsare engaged in sonickind of sportsin variouspartsof the country. University’teamsgo to play in other universities.universities.Faculty or departmentdepartmentteams play against oneanother or with other universityuniversityteams.

E. Every studentis supposedsupposedto be gettinga grant fromhis own local Education Authorities.Authorities.The size of the grantdependsupon the income ofthe parentsand the numberofdependentsand other factors.”

Project“The small project that I

am doing in the departmentofanatomyinvolvesmakingcastsof the nasopharynx in themortuary and taking variousmeasurements,I am happy tocarry on with the work whenI go hack to Birmingham sothat I can find out whetherthere is any differencebetweenthe nasopharynx in Chineseand English.”

CONTENTMENT AND PRIDEE.E.G. (in the dept. of anatoniv).anatoniv).

by liSh Examination System

Our Counterparts in Birmingham University

From the 3rd Medical Students’ Council Meeting . .

I ) A memorandumconcerningthe electionof classrepresentativesrepresentativeshas bcn drawn up:— 30°% of the classshall form a quorum of th Election

General Assemblyof the class.— Election of the classrepresentativesshall be carried out

in the presenceof any one of the councillorsof theMedical Students’Council who shall act as the returningofficer.

——The outgoingclassrepresentativeshall notify in writingthe Faculty Secretaryand the General Secretaryof theMedical Society about the changeof Class Representatives.Representatives.

2) It has been resolvedthatsouvenirswill be presentedto theCouncillorat the end of his,’herterm of office.The presentationpresentationshall take place on the occasionof a PresidentialAddress.Address.

3) The PresidentialAddressscheduledto be held in May will bepostponedto October.This hasbeenunavoidableas the PresidentPresidentwas not free in May.

Medic Annual BaIl ‘71

— in aid 0c Elixir Loan Fund

Place: Mandarin Hotel (Connaught Room)Time: 30th June, 1971, 8:00 p.m.Ticket: $35 (members)

$60 (non-members)

忍 啟

想起我們那一

次台灣之遊，

不覺已是一

年前的事

，

同首當年我們這一

拿不知天高地厚的小伙子，

現在

都快要給人家加上一

頂四方帽子，

跑出社會去充那

高（

薪）

級知識份子J，

唸醫科的同學，

也一

個個學

會了裝上半副醫生架子，

又那兒像在台灣

乞水

的

鬥

落難遊客

？

記得我們初到台北的那一

天，

真是快樂的不得了

，

我們坐著甲級旅遊車，

沿途風光明媚，

旅遊小姐為

我們高歌，

真教我們耳目一

新；也許，

唯一

美中不足

的是：不知是否我在香港時的人綠太差，

坐在旅遊車

裡的時候竟沒有一

人願意坐在我的身旁，

剛巧台灣當

局派了一

位專員來r歡迎

我們，

那專員說罷幾句公

式的話，

便老實不客氣的坐到我的身旁，

真是老天爺

見憐，

他不斷的跟我說話，

我的國語嘛！就是自己姓

甚麼也沒法使人家明白，

結果沿途結結巴巴，r依依

呀呀

的跟他說了一

大堆自己也無法明白的

國語

，一

面說，心裡一

面急，

還說甚麼風景！我想那位專

員一

定自歎倒鬧。

不過，

大概他是職責在身，

不願給

我一

個不愉快的開始，

於是只好裝上一

副很感興趣的

樣子跟我n交談

下去，

於是他說他的，

我說我的，

至

於對

飭罷組趁黔級咖勛讜討很齡諸齡舶紀動飽飾

灣

但不到兩三天，

我們還是一

個個的變了黑炭頭；至於

台北的交通更是一

絕，

到過台北，

便明白了為什麼台

製的武俠片，

身手武功，

總是比我們港製的r技

勝

籌我們一

行三十眾，

遊遊蕩蕩的混了二十一

天，

環

繞台灣跑了一

週，

其中有歡樂，

也有不高興的時候，

起初我們都是精力充沛，

走起路來，

前者呼，

後者應

，

我們跳躍在活的泥土上，

穿插於青蔥的樹木間，

當

真是

野芳發而幽香

，

其中最突出的，

要算橫貫公

路，

詩云：

造化鍾神秀，

陰陽割昏曉

，

看不到泰

山的雄奇。

但到過橫貫公路，

自小堅居香港的我，

也

該感到滿足了吧？

因為言語不通的原故，

僅得國語的同學便成為炙

手可熱的人物，

陳梅君同學是我們的義務翻譯，

看她

，

真是忙的不可開交，

整天要作我們的人民喉舌，記

得我在台灣的時候，

真是既聾且啞，

素來喜歡胡言亂

語的我，

也只好強迫性的學習

慎言

，

人家的大人

物給我們致歡迎詞的時候，

除了第一

句

各位同學斗

外，

便是什麼也不懂，

倒是有一

次不知怎的，

竟聰懂

了大部份，

不由的心花怒放，

還以為自己的國語思有

小成，細聽之下，才知道那人說的是純正的廣東國語。

不要以為大學生的智力一

定很高，

各方面都比常

人更勝一

籌，

至少，

語言上的天才便不一

定，

在台灣

混了三個多星期·許多同學能用純正國語說出的也許

凡是r這個多少錢，

平一

點兒不成嗎？

而戀蠡的我

。

連這幾句最基本的台詞也不會說，

不過不要緊，

橫

鱉我便不愛買東西，

你不懂得跟我說廣東話我便不買

·反正在台灣買得到的東西，

香港多的是（

翻版書除

外）；

而且往往更多，

更廉，

更美；我們每到一

處地

方，

總有許多人向我們兜售紀念品，

明信片，

而許多

東西的價錢可不廉宜哪！難道所有旅遊的人，

都是衝

昏了頭腦？從小唸公民課，

說香港之繁榮，

十分有賴

於她的旅遊事業，

考港大入學試的時候，

也作過一

篇

什麼文章，

發展香港之旅遊事業云云，

所謂

旅遊事

業斗是什麼，

現在到底弄明白了，

行萬里路勝讀萬

卷書

，

於此又一

證明。

在台灣，

不知是不是旅途困倦的原故，

我們各人

的胃口奇佳，

而一

向禮讓的我當然吃虧，

幸而台灣人

責魚的時候，

多愛塗上濃濃的辣汁，一

般同學對這一

道菜多採敬而遠之的態度，

因此我才不致

客

死

異J鄉。

說到吃，

台灣的水果店多的是，

台灣盛產水果，

其冰果之質與量之佳，

在本港很難嘗到，

但要是你對

拉肚子斗這門運動不大興趣的話，

君宜三田）而後嘗

之。記得我們離開台灣之前，

也曾慕名前往台灣第一

流的酒店

某某大飯店，

飯店不錯是富麗堂皇，但

其服務水準，

更教我畢生難忘。

不知是否出於誤，

會

某同學進飯店的時候，

守門的只開了四吋的門讓他進

去，

也有給人請從偏門進去的，

起初我們還以為自己

的衣著有什麼r失禮

的地方，

但到了飯店裹，

發現

那兒的歐美人士，

衣著還不是和我們一

樣？待的安頓

下來，

發現那兒的侍應生，

除了制服鮮明外，

服務態

度之突出，

竟直追我們的學生會食堂，（

按：那時學

生會飯堂尚未易手。）心想原來我們的學生會飯堂，

服務水準之佳已達r世界一

流

，

我們真

是

如入芝蘭之室

，

不但不懂得好好的

去享受，

還要把我們親愛的

CATERER

趕走，

真是天下愚蠢之事，

莫過於此⋯⋯

台灣的學生，

純樸，

熱誠，

就是我們

見到的教授導師，

也是衣著隨便，

平易近

人。

在南部的時候，

成功大學的校長竟接

見我們，

真教我們受寵若驚，

席上，

他說

了很多世勵我們的話，

其中也有十分風趣

的，

可惜，

我只有附和著別人一

起笑的份

兒。台灣的人們，

多十分友善，

從公園裹

的老伯伯，

大學裡的同學，

到街上的小孩

子都是一

樣，

當然，

總是有例外的，

不過

，想想我們在圖書館門外看到外地來的學

生團體，

先來一

個好奇的眼光，

接著，

便

面目呆板的，

擺出一

副

你有你的，

我有

我的

的態度，

繼續鋤其書，

搶其錢去也

，

究竟孰優孰劣？或者日：

r在香港的教

育制度下，

功課繁忙，

那兒有這份空閒？

可是，

就是被認為最忙的學系，

唸醫的

同學，

也有去F

IT會的時候，

唸文科的

，

搶錢啦，

坐

cANTEEN啦的時候更

多著哩！此外，

在最近發生的釣魚台事件

中，

在台灣這麼州

民主

的地方裡，

竟會

發生學生示威的事件，吏教我大感慧外。

春 風 帶 來 的 煩 惱 衛

在台灣，

另一

使我印象很深刻的是，

無論到什磨

地方，

都總是寫滿了r做一

個堂堂正正的中國人斗，

或是

防誤保密

，

毋忘在禹

，r反攻復國

這

類的標語，

在酒店裹，

你可能在牆上發現一

幅鬥

緊急

空襲逃往防空洞之路錢圖

，

最妙的是，

有一

次我們

在亞美族文化村看山地姑娘跳

豐收舞

，

跳的時候

，

她們抬著一

只紙製大肥豬，

拿著標槍跳呀跳呀！舞

罷把肥豬往地上一

丟，

十數枝標槍往肥豬肚上亂插，

卻原來豬肚上寫著

××毛匪，××××斗。

記得孫中山先生曾提倡

知難行易

之說，

可是

中國人愛說不愛行或是知而不行之操守，

早已有之，

所以提到反攻復國，

不知是不是技術困難頗多的原故

，

所以一

直還是說說無妨；說到復國，

什麼叫做復國

？我們中國人是今天才需要

復國

嗎？記得民國初

年，

我國人民經清朝歷代積弱後，

許多人已喪失民族

自尊，

造成一

種崇洋媚外的心理，

在極度自卑感下，

我們高唱什麼

數千年文化

聊以自慰。（

樂天知命

乎？）

待的外蒙丟了，

我們高唱什麼r我國地大物博

，

錦繡山河

，

什麼取不盡的資諒，（

毋容緊張乎？

忍耐是我國之傳統美德乎？）

還是，

因為我們還有三

十五行省在手上呢？後來，

大概是天不時，

地不利，

人不和，

於是三十四行省也丟了，

於是我們跑到一

個

島上來，

為了這個島已是我們目前唯一

所有的，

於是

我們把它易名作寶島，

雖然這一

同我們不能再高唱什

麼r地大物博斗，

但至少是一

個出產豐富，

人材鼎盛

的省份，

鼎盛得足以外銷。

可是故事還沒有完哩！當

日人起初提出釣魚台的要求時，

大概出於種種困難的

關係，

於是也許有一

些人又在想：

r算了吧！我們還

有新竹，

嘉義，

台南⋯⋯差不多好了。

J不知會不會

有一

天，

也有一

些人要想：

r其寶光是台北市也不錯

，

我們還有西門均⋯⋯

於是不久，

台北市便易名作

寶城，

但願到了那日子，

台北市不要再發現什麼鈾壙

好了。

後記

本文之原旨，

是給陳梅君同學之小遊雜記引巾引

申，

但相信是筆者性好破壞的原故，

不知不覺間，

寫

的盡是壞話，不過這也不打緊，雖然好話人人愛聽，

可

是愛聽壞話的人可更多著哩

只要說的不是自己。

東風來了 ，杜鵑花開 。

經過昨天微絲細雨 ，校園裹的杜鵑花開得更加燦燜 。

這是一個天氣晴創的早晨 ，我急步走上長長的石級 ，兩旁樹葉翠

綠 ，泥土濕潤 ，流水綜綜 。穿過了一條小路 ，便到達 r 象牙塔 ，我

似忙跳進去 ，把自己關在裹面 。我是在找尋黃金屋 ，顏如玉嗎 ？

吃過午飯 ，捧著燄肚子 ，到荷花池溜溜 ，到了那裹 ，才知道有人

比我還早 ，他們在那裹談笑 ，唱歌 ，優悠自在 ，不到十分鐘 ，我又走

進象牙塔裹 。

稀疏的屋星掛在漆黑的天空上 ，好不容易我才爬下那梯級 ，乘車

因家 。

天還未亮 ，鬧鐵 已晌 ，我急忙提起占士邦唸 ，到巴士站擠巴士 ，

，俗從巴士擠下來 ，衝上教授樓 ，穿上白衣裳 。推開講室門一看 ，我的

弋呀 ！座位已經幾乎滿了 ，祇剩下前面一行和最後兩行座位 ，我跑到

後面棟個有利位置坐一F ，但心裹還很驚慌 。問問前面 ，為甚麼你們這

麼早 ？唉 ！還不是不識書 ？誰叫自己比別人遲 ，一會祇好硬著頭皮應

付教授台甘俘騷答遊戲 。

重見天日 ，又跟著大隊 ，步行落沙宣道 。走過那條每天進出各三

次的汙已路 ，加入同志的陣織 ，向 青春墳墓 進軍 。

晚飯後 ，到沙宣道敞步 。陣陣悅耳的琴聲 ，從師範學院傳出來 ，

可惜我們無心欣賞 ，祇有對面牛房的住客 ，不時發出叫聲 ，和這些琴

行共嗚 。點點顯火 ，在海中閃耀著 ；在狹窄陰暗的沙宣道 ，三五成華

花枝招展的姑娘 ，也從她們宿舍走出來 ，散步去 。十分鐘過了 ，我們

．靈面且’j•奮•．•••！!,

•口日口口口口口口口口口口口口日

劇 ‘

祇好同程 ，別 f 琴音 、漁火 、美麗的影子 ，明天再見 ！重進 青 作墳

瓖 ，繼續向我們唯一的艱辛旅程前進 。

望 日的月 ，是那般的圓 ，我們在月光下一 口緘走到車站候車 。偶

然也可以肴見到警察拿著電筒 ，帶著警犬到四周巡邏和一雙雙情侶在

街上攫步 。我們相對苦笑一下 ，究竟我們是為誰辛苦為誰忙 ？

星期口，我像平時一樣走上巴士 ，街上卻比平 日熱鬧得多 ，拖男帶女的 ，扶絕擭幼的 ，帶著相機的 ，背著旅行袋的 ，他們都以輕鬆的心悄 ，來歡渡過天假期 。因為 r 青春墳墓 關閉 ，我祇好到教授樓去O

皮錄低垂 ，暗淡的燈光籠罩整個區域 。從五陰的窩子向下望 ，可以看見一除隊白衣天使 、藍衣天使 、紅衣天使和黃衣天使 ，在窗子下走過 。有收更坐在石階 上閒談乘凍 。唉 ！那個傻子說天堂是在上邊 ·地獄是在下邊的 。

到走出教授陰的時候 ，天使們已離去多時了 。陣陣清風 ，迎面吹來 ，周閑是那麼艙 ；午班的都已返回家裹 ，夜斑的亦已經回到他們的崗位 ，偶然 ，也有一輛的 ？駛過 。仰頭一望 ， 地獄 還有燈光 ，不禁點然利I傷 。

輾轉反側 ，仍然不能入睡 ，不如索性來一個檢討 。理想和現寶 ，

它們永遠是合不來的 。它們產生的矛盾 ，練被贊腦裹每一例細胞 ”我一定要心r好地為人民服務 ，但我有道倘能力嗎 ？我要充實自己的學問，但祇外死讀書行嗎 ？前路是茫茫的 ．肴不見盡頭 ，我們能不能坐

一F

來 ，休息片刻 ，伐尋一小點歡樂 ？但又恐你因此便落在大隊的後頭 ，

而引致長期h祈苦 。我們應該因路途的艱苦而感到自豪 ，還是自悲 ？究究我們倡緘慶要拚命前進 ，為向己嗎 ？家庭嗎 ？社會嗎 ？

明父 ，請你給我二面纔子 ，談我 系清楚我對這拽矛盾的見解 ，所採取的態度 ，我會火心惑謝你 。

必

盛

編

訓

馴

目

州

h

州

婦

h

目

荊

!

-'

是一

個剛考過了試的晚上，

靜悄悄的圖書館

，

冷清清的飯堂。

我，

獨個兒吃過了晚餃，

沒步走出飯堂外邊

的草地。一

陣子凍風吹過來，

夾著毛毛細雨，

輕

輕的打在我的臉上，

帶來說不出的舒暢和凍快。

腳是踏在

NllMll沾了爾水的草土，

那一

種柔軟的感

覺，

令人倍覺敞步寶在是一

種卒受。

往下望去，

沙宣道就是那慶悠然的臥在那裹

。

路上一

個行人也沒有，

只有路傍的幾盞孤燈。

照著銀粉似的雨絲，

婆娑的樹影，

投射到地上一

與浮動不定的圖案。放眼望去，

迂迫曲折的路，

就是那磨沒有盡頭一

樣，

消失在黑夜底懷抱的另

一

端。

我想在微雨中的沙宣道當然另有一

番情趣

，

於是便放步走F去。但我從未想到這條巳行了

不知多少次的路，

在雨夜中是能那麼的美！

憑著欄杆遠眺；

山谷下的洋房在一

片輕紗似

的雨霧中，

亮起了朦朧的燈火，

就好像重話故事

岌的插圓一

樣，

那樣寧靜，

那樣不可捉摸，

但那

麼令人悠然神往。

往下走去。

踏著幾片落葉，

在風聲中晌起隱

約的迥聲，

不久就走到斜道的下面，

我靜靜的站

在那喪，

聆聽著耶風雨的細訴。

海面上一

片漆黑，

和夜庇黑總成一

片，

就像

一

惆羅網一

樣，

把宇宙間底神秘都包含了在裹面

我呆呆的站在那裹。

望養海，

腦子裡就是那

麼的一

片說不出的空白和茫然，

突然我覺的這個

世界就像只有我一

個人，

只有身旁的影子伴著我

，

我想我從未對我的影子起過那樣的觀切惑。

雨中，

沙宣道，

捕捉群一

，lJ寧靜，

拾得一

束

寂寞。

華

口口口口口口口口口口口口口口口口

二 ‘ " ' ' ' “ 二 二 ‘ ‘ 必 ‘ - ' '

憫 詠

香

港

大

學

學

生

會

醫

學

會

月

刊

一

儿必一

年六月十

五日

（一

）

主

動

脈

瘤

之

病

因

上勁脈痛之·中要病田有．一一。一

為物毒，

次為

動脈硬化，一一一為勁味中吋退化。蘊年以來，

梅毒

之病例已漸少，

ij'lj動脈便化之病例叫較為增加

。州D閑

BA悶

EY之報告中·動脈硬化佔lil’份之

m十七，

而梅毒估百紛之三十．一。

興地估白份之

二十一。

較不常瞇之病因有先大性動脈編·比中

包括

日＞悶

FAN

氏綜合症。父有損海件動脈樂

州州中化中筒速作、止听產生夕）拙坎。比做尚有

卞載版一釵）劉脈坏，徒感染性亂脈州取寸。

（一一》

主

動

脈

瘤

之

形

式

胸主動脈瘤可發生椅叫主動脈，

主動脈、嗡）,

哎降上動脈等處。按病理解剖可分為四領：

甲、n形動振？。乙、

囊狀砍味嗡。一門、

人

腎動脈痛。

丁、

低州彭脈痛。

柑”

劉脈編是》、一

尺動脈州伐分敞壯之挪·人

。

囊狀計脈痛騷動脈守之某他作喝部，V.--低出，

哎

嘆袋形。夾脣動脈編之叩哎，

是由於動脈，本月

分艮，

變哎雙會古狀。假件負脈瘤，

他觔脈雙一悅

玻久之化激。

凡縱‘胡州脈州．開之祖織徒血坤啊組

伐。

C一一）

主

動

脈

瘤

之

病

理

生

理

及

病

象

卜上動脈病之增干、·往往因幟i但川圍夕一翎織而

引起各種病狀。

鰍胡鯽j視痛．整，

丁誹、限難，

吞咽

沫朧，聲謀沙啞·口）視胸司、

物。”。、卜馭仔你之雙

中一動脈瘤又方連帶有仁動脈•瓣閉閉不全

動脈孔狹鈴·。·叮室肥中、，

心汝痛等梯州

晚期病例織才有廣之性胸縱際·江阻東·或胸

甲．一？、局斤之外么，

吃伶有脈搏跋酌，州縮期誰計

，

人右惋脈不均等，乍有卜肢血吁不相等，

以液

栓東，叫小致最授心喊）教竭，

或大貝爪出血而死。

（

四）

主

動

脈

瘤

之一尤

因

破裂及大量出血，

是主要的死因。

其急劇之

程度，

為其他病例所罕見。破裂可切入胸腔、

心

包、

食管、

主氣管、

或支氣情等。

較慢性之死亡

，

是由於連帶向心技燭，

或縱編阻東，

或血栓來

而致。

（

五）

檢

杳一

及

診

斷

lfl、

病象之分听。（

見前段）

乙、X光檢夜。

A州一除，

縫f}J少）fJ觀察f脈瘤之投影。

B螢光透視，

以觀察瘤影之擴散性脈搏

c心血管造影，

是用導管逆行注入造影

劑，

然後作快速之連還X光攝影，

或

X光活動攝影。

內、

其他病理檢青。

例如血液檢卉，心電圖

檢立，心肺功能檢森，以艾其池手術ljiJ'

中一一

般例行檢在等。

（

六

治

療

現伐化的土動脈細治療原則，縫將l動脈患

是 n'd充，！翁；。。。萬必么！甘j、。許通內而貝，，州 匹的身倘 ，'L在 翅州神j: :: f 會特咨啊：引你的 11光 ，是

""'!’自他．知極不平，!tn勺一們 八、，套句武俠小之的話 ，是真 久不露州 。

以！i叮內宇半 ，現在：；勺學土 ，大概將來的件之生 ，郃對他以！’邊，一不要 以嗎

他又是個把 久用：導狗 Ilil淋頭的 r、，不 ，一州：也不 ，！也是個典型紳 I: ，淡時溫文雅爾 ，不苟：f充 ，你不會知道 f也何時 六怒 表樂 · 如千州自向一 必中你 ·，‘江喝 ，去買張彩票吧 ，包中的 。

那末 ，他憑汁麼使學生興蹤呢 ？就是他那吧：、袋中的白斗中‘中淡久束西 ，

把學生全記個：J' , 山對你那 叔的b行是 ，你要把狐羿甩巴喊起來也不可以 ，

無口于；啞牙三，問 不怕不怕‘了

繼師與 行試 ，是分不 f#j 的 ，！用問剛悅苦海心，、1lL, ！也也是個 大蔥沐

悲觀！仕喬 11砠！

人

物

素

描

處上下兩端游離，

然後將該部份之血液循環阻斷

，

以便進行瘤切除衛。

餘下之主動脈有時可作直

接縫合，

但大多數情形下，

是需要用人造血管含

主要問題是當手術進行時，

主動脈之循環完

全阻斷，

身體各部份之供血如何維持。循環之維

待方法有以下三種不同之考慮：

甲、

升主動脈手術進行時，

身體各部份之循

環由例行之體外循環方法維持。

乙、

主動脈弓手術進行時，

身體下肢由股動

脈逆注，

其上部則由三導管分別注血入

無名動脈，

左頸總動脈，

左鎖骨下動脈

。

本港先導發明的技巧，

是由一

下肢動

脈動兩腋下動脈三路注血，

使用起來，

較外國的方法方便而靈活得多。

丙、

降主動脈手術進行時，

可用人造血管，

將血自主動脈弓導至身體下半部，

或用

左心室轉流術，半鄙份血自左心房引至

心肺機再轉送入下肢。本港首創的技巧

，

是將血自左腋下動脈由膠管導入左股

動脈，

較前述方法簡單而快化。

戶

七）

病

例

以F是本港11(4J主動脈細之兩個編例：

第一

例：

(

c219）

女性，

叫十六歲，

病

（二 ）

謎而 口司曆挫勿近 ，做是！也。

他土課時說話多一根僅 ，很 磁州 么向，!!：是 F長勾；之，，健授，!]'J, l ;遜看眼歸，，雙腳有節奏地振動著 ，對 J

' ，老師是 、雙舞蹈玲J工，學生時代、可算 r 一 文波日江 。

他對學生的要求很儼格 ，一絲不 r仃，，謬為不了指r 放呢出罷 邊，從他手中濾出來的 ，t11信有多，J; 分華．川听以 ，I也獗然僅太 ‘同一I子中平易相與 ，但到 拷試 ，提起他 人 久自危 。

毫不擺架子 ，,'d 不疾 ．，晚色內人 ，娜 l[l1跟你炎波 ，一 ，lJ 喂 ，叫，叫 ？J你是非，s’ 受落白勺。

對 ，他笑群很好石 ，沒有辛康嗡嚇 i徇組野 ，沒有回倫狄能內女 久執 ，

很沙互輊發亡勺，笑一笑 。

象包

鄴胸衛

以號，達

昏

礬

馴動楓

劉

劃

查及心血造影，

證實息有升主動脈疲及輕歡之主

動脈心瓣關閉不全。血清檢查有V

DRL陽性反

應。一

九七

年五月十四日施行手衛。

手衛時發

現升主動脈作校型擴大，

其右復側又有囊形擴張

約達四吋直徑，

壓迫著肺動脈。

經過游離及循環

阻斷之後，

大部份瘤都予以切除。

主動脈心鑄之

關閉不全，

原係由於環形擴張引起，

在該病例尚

不嚴重。

經升主動脈瘤切除後，已經同復完整之

關閉。（

在另外一

個病例，

我們也曾成功地作同

類心瓣之移植。）

繼之便是人造血管之含接。

經

過上下游之縫合，

還覆上尚未完全切去之動脈瘤

壁。

病人便可以完全脫離體外循環。

術後一

般情

況一艮佳，一

月後出院康復。

第二例：

c272。

男性，三十九歲。

有左

胸痛及背痛几兩年之久。前曾患梅毒，

VDRL

陽性反應。

無心跳氣速之現象。X光及心血管檢

查，

證寶患有降胸主動脈瘤。已稍蝕入脊椎。一

九七0年九月日施行手術。用導管將血自左腋下

&)脈轉流至股動脈。

經過適當之游離後，

降胸主

動脈之循環阻斷，

然後予以部份切除。但蝕入脊

從部份不能切除。

幸喜骨組織之損壞不深，

無須

作進一

步處理。

之後用人造血管接合，

然後解除

轉流導管。

病者於一

星期投康復出院。

川髡不亂 ，很整齊的分看一‘1他一 ‘1化，：一祉你 啊翻開 J

‘內 ，，妒，、、！-．心他。目

’

-！巴？

非常精於教書 ，_！二課是大 ]Jl崗一開必一兩 句 ，便已州）題 · ，深一召一！！、籣 ，手

寫得來腦又明白 ，而且他聲如洪鐘 ，六縷那個常士力勾T-l 米 是雛不到他 ，

你睡了也會被吵醒 ，更不用要辛苦耳朵 f 。

在他來說 ，書不用多讀 ，有 rCo ,n,,lonsense 盛ltl跋 ，是 J友，我 I,,l這斑 友就慘了 ，一句 No Conlmon Sense 贈給你 ，你幾艱不悶上好 f-，文，為自己的思笨而悲哀也 ！

看街症 ，跟巡房 ，你可以在他那兒學到好多束西 ，不過如 1喲；r 了J匕Sense 的話 ····一

（四 ）

一個外國人的名字 ，一副中國人白劬頂孔 。

他做外科最好了 ，‘刀症自要斬草除根 ，而他的名字就已經表示 連根

拔 ，如果我是病人 ，也要找他開刀 ，拿個好兆頭嘛 ！

我們這位 r 沙準 ，又是宿舍的 窩蛋 ，是全港大最最民主的 ，除

了失竊例行向他報告外 ，我們是 自己顧 自己 。

學生們最關心 ，是他 r 女朋友 問題 ，‘常常七咀八舌問他何時結婚 ，

也常一窩蜂的伏在露台看個究竟 ，不知這位條件一卜足的院士 ，何時才釣得

美人魚歸 ？

Pl·i',I',db 夕 Shul,1 51111，夕 Prinling Col,lpa,：夕 Tel: H一724jI3