52
Caduceus Volume 42 Issue 2 September 2011 Freshmen What Every Freshman Wants to Know RO A D Exploring the “ROAD” to Success for Doctors 時政 立法會議員遞補 機制方案的迷思 Insight Art and Medi- cine: Seeing Diseases in Art

Caduceus Issue 2, Volume 42

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Page 1: Caduceus Issue 2, Volume 42

CaduceusVolume 42 Issue 2September 2011

Freshmen

What Every Freshman

Wants to Know

ROA D

Exploring the ldquoROADrdquo to Success for Doctors

時政

立法會議員遞補機制方案的迷思

Insight

Art and Medi-cine Seeing

Diseases in Art

2 | Caduceus September 2011

Caduceus Session 2011From the Editor

Hello members of the Faculty Here comes the 2nd issue of the 42nd Volume of Caduceus

Publishing since 1922 effort of editors of Caduceus in producing thought-provoking materials to readers has never faded Hard as our work in researching writing designing layouts photographing and typesetting we have only one dream Have a sweet time with Caduceus when you are away from study We will carry on giving you inspiration

A special section for freshmen is especially added in this issue to provide them with a glimpse of lives in medical campus Sharing of current studentsrsquo feeling and experience is another part of this issue that would enlighten freshmen Exploring stories of current doctors of 4 specialties ndash radiology ophthalmology anaesthesiology and dermatology ndash might inspire you too on your ldquoROADrdquo to success

Following through our theme this year our pages are enriched with brand-new details that brings you with ldquoinfunityrdquo From art pieces appreciation to smartphone application we hope to break the boredom in your life

Dear fellow members of the Editorial Board we have compiled our sincere words once again in this new issue of Caduceus

Read on and enjoy the day of days when we can read

Caduceus 2011

hkucaduceusnet | 3

Social Issues 社會

4 立法會議員遞補機制方案的迷思

7 燙手山芋

9 停一停想一想

10 拒收病人何來醫德醫心

Feature 專題

14 「形影不離」的造影術

16 ADiscourseofaFemaleGold-Medalist18 奉行完美主義的守護天使

20 ToSucceedistoFightAgainstComplacency

Insight amp Life 灼見與生活

22 ArtandMedicineSeeingDiseasesinArt26 TheEndisNearApocalypticTheories30 笑的神奇魔力

32 LearningExperiencingGiving36 青春在廈門留下足印

Freshmen 新鮮人

38 大學之緣

41 InterviewwiththeFoundingPresidentofPharmacySociety

42 護理系的啟思總編

Novella amp Sharing 短篇與意興

43 慈兄吟(下)

44 EternalFlame(1)46 說華佗

48 捕捉那瞬間的美麗與淒然

Fun Corner 逸趣

50 MedicalApps

In This Issue

Caduceus Volume 42 Issue 2 September 2011 published by Caduceus the Society Newspaper Editorial Board Medical Society HKUSU LLG01 Laboratory Block 21 Sassoon Road Pokfulam Hong Kong On The Cover ldquoROAD to Successrdquo a radiograph an ophthalmoscope anaesthesia injections and a dermatologic cream signifying the 4 specialties featured in this issue Contact us e-mail hkucaduceusgmailcom Electronic ver-sion available on the website wwwhkucaduceusnet Design ldquoRaphaelian Rosettardquo by Ryan Ho (M15) under the order of the Caduceus Editorial Board Copyright copy 2011 by Caduceus All rights reserved

Chief EditorIvan Shek

General EditorCharis Chan

General EditorStanford Li

IT amp Publication SecretaryRyan Ho

Financial SecretaryAlvis Ng

Assistant Financial SecretaryErin Yeoh

General SecretaryLily Cheng

Internal SecretaryTse Man Shan

Photographer amp EditorAdrian Tam

Photographer amp EditorAndrew Seto

EditorHeidi Ho

EditorCandy Kwok

EditorJacky Lai

EditorCrystal Poon

ReporterCarmen Lee

ReporterChariene Woo

Ex-OfficioAmas Leung

4 | Caduceus September 2011

政 府為堵塞政黨以辭職後再參選搞公投的漏洞提出以遞補機

制代替補選填補立法會出缺議席最初

政府堅拒就立法會遞補機制法案作出修訂

或重新進行諮詢不過隨着兩個律師會先

後以強硬態度質疑機制違憲並要求撤回

法案政府終於在6月28日提出一修訂方

案新方案雖然表面上較為合理但當中

的細節仍然有不少漏洞加上政府立法粗

暴不作公眾諮詢令民怨沸騰導致多

達218萬人於七一上街遊行為去年的3倍

多是2004年以後遊行人數最多的一次

最終政務司司長唐英年於7月4日正式宣布

押後二讀辯論遞補機制的條例草案並於7 

月至9月進行約兩個月的公眾諮詢

政府之前就曾為遞補機制提出不少疑真

疑假似是而非的理據支持究竟當中何

為真何為假讓筆者借此機會跟各位分

析一下各個與遞補機制有關的迷思吧

迷思一合乎比例代表制的精神

相信不少讀者都可能從各大傳播媒體中

聽過「比例代表制」一詞然而你們對它

的認識又有多深呢為了更詳盡的剖析遞

補機制的缺憾請容筆者先花一點筆墨去

解釋一下比例代表制的運作

自  1998  年起香港立法會選舉中地

區直選的席位是採取「比例代表制」中的 

「最大餘額法」產生的比例代表制(Pro-portional representation)是在  1846  年由瑞士學者 Victor Considerant 發明的它適用於多議席選舉現時不少西方國家的選

舉如澳洲的參議院選舉及愛爾蘭的所有

選舉都採用這種方法根據這選舉制度

參選的人必須組成一張張參選名單而選

民投票時的都只會選擇一份參選名單而

不是選舉名單內的特定一個候選人

顧名思義這種選舉方法的特點就

是按各參選名單所獲選票的比例編配議

席舉一個例子若X選區有5個議席

共有10000票有效票則總票數的五分

之一也就是2000票就是「當選數額」

立法會議員遞補機制 方案的迷思李庭翰 (M15)

深入剖析迷思一 比例代表制的議席分配辦法

繼續沿用文中的例子假設有AB及C三張名單參與X選區的選舉分別獲得了

40503500及550的票數那麼議席就會按下表的方法分配

每席需要10000 divide 5 = 2000 票

參選名單 得票 第一輪分配 餘額 第二輪分配 總席數

A 4550票 2席 550票 0席 2席

B 4500票 2席 500票 0席 2席

C 950票 0席 950票 1席 1席

社會

hkucaduceusnet | 5

只要其中一張參選名單的選票達到 

「當選數額」時他們便會取得一席

而剩下的議席將會用「最大餘額法」 

(Largest remainder method)分配該方法是把餘下的票由多至少順序排列得票較

高者便能獲得剩下的議席

總而言之比例代表制的精神就是將一

個議會的議席根據選民的支持度按比例分

配予不同政黨由選民選訂不同立場的政

治光譜這制度既能保障排在名單最前的

人士可以幾乎必然當選同時避免令一些

大黨在選舉中佔有絕對的優勢相對於單

議席單票制它較能保證小政黨及獨立候

選人亦有機會進入議會例如在我們的例

子中廣得選民支持的名單A及B都能得到

兩個議席而得票明顯較少的名單C也可獲

分得到一議席進入議會為市民發聲

政府最初提出的遞補方案是一但立法會

議員辭職去世或喪失議員資格時議席

將由上一次選舉中獲最大餘數得票的候選

人名單的首名未當選候選人補上這方案

明顯地漏動百出令缺乏足夠民意支持

甚至政治立場南轅北轍的候選人都可補

上嚴重扭曲比例代表制中「根據選民的

支持度按比例分配予不同政黨由選民選

訂不同立場的政治光譜」的精神而於6月

28日提出的修訂方案建議讓出缺議席由

同一張名單內的候選人補上這方案雖然

表面上較為合理但細想一層小政黨及

獨立候選人的名單往往只得一人在這情

況下空缺議席依然會由另一張名單的候

選人填補空缺以新界東為例若一人名

單的社民連「長毛」梁國雄議員辭職結

果會由政治取態截然不同的自由黨田北俊

補上這豈非扭曲民意荒謬至極

迷思二合情合理合法

政制及內地事務局局長林瑞麟先前曾

表示經修訂後的方案比較完整可避免

議員作無謂的請辭亦可避免不必要的補

選而且即使有人提出司法挑戰也有信

心能提出足夠理據證實符合憲法因此新

方案絕對「合情合理亦合法」然而此

話當真

從宏觀的憲制角度出發大律師公會早

前已表明遞補機制違反《基本法》第26條

市民享有選舉權及被選權第68條立法會

由選舉產生的規定《基本法》第68條清

楚規定選舉方法將循序漸進最終達至全

遞補機制激發無數的市民上街抗議難到反對的民意還不夠清楚嗎

ldquoNor does aNyoNe pour New wiNe iNto used wiNeskiNs because the wiNe will burst the skiNs aNd both the wiNe aNd the skiNs will be ruiNedrdquo ndash Mark 222

6 | Caduceus September 2011

體立法會議員全面由普選產生而政府提

出的方案居然倒行逆施進一步褫奪市民

行使其選舉權那又有何「法」可言呢

再者為何世界普遍認為民主是一套

較世襲為先進的政治制度呢是因為它最

有效率嗎是因為它最公正嗎都不是

其實民主所能做到的只不過是讓市民能夠

以選票監察議員吧某某議員做得不好

我大不了忍受一段時間下次選舉再以我

的選票把他拉下台換上另一位我覺得勝

任的人選新方案莫名其妙地補上一位議

員市民在上一次的選舉怎知數年後的他

是否依然勝任呢而且選民每次都只能投

一票他如何在一次選舉中既要選出心儀

的立法會議員又能明確交代一旦議員中

途離職應由誰人補上呢新方案根本上就

是與民主的精神背道而馳

迷思三與西方國家看齊

林瑞麟局長又曾指出先進的民主西方國

家亦有類似的遞補機制而經修訂後的遞

補機制基本上能與德國芬蘭波蘭等

國家看齊

然而這一說法未免有點不盡不實事實

上德國的選舉制度既有比例代表制亦有

單議席單票制跟香港只實行比例

代表制不同因此不能作為類比

而且跟據德國聯邦選舉法當同一

名單的替補候選人「用盡」議席

就會懸空而非由另一名單的敗者

替補至於波蘭則大致由同一張名

單中的參選人替補但當議員辭職

後議長其實有權宣佈議席懸空

毋須替補的可見外國的制度是寧

讓議席懸空也不由敗者替補以

防止民意被扭曲

而且即使先進如德國其選舉

制度其實也正受聯邦憲法法院挑

戰因為藉着選票總數按公式計算

所得議席的方法或未能充份反映

選民投票意向有關的遞補方案

會令另一張名單有得票的落選者未能獲得

議席另一方面又有候選人毋須選票便

獲得議席這可能違反德國聯邦憲法再

者即使德國的一套在該地行之有效但

某些該地的選舉制度的細節也不一定適

用於香港需知道德國是一個全面民主的

國家有健全的政黨政治及聯邦自治的傳

統這與香港那四不像的「民主制度」是

截然不同的

引用著名專欄作家

區樂民醫生的說法

「特區政府的方案是

全世界獨一無二的

獨一無二的制度有

可能是出色的但更

大機會是愚蠢的」

結語

綜合剛才的分析不難看出政府提

出的遞補方案是既不合情又不合理

同時亦不合法的請容筆者在此再次引

用區樂民醫生的文字為文章作結 

「我對官員的要求不高只要能以邏輯思

考按常理做事就足夠了為何這麼簡

單的期望也會落空」 

我對官員的要求不高只要能

以邏輯思考按常理做事就足夠了為何這麼簡單的期望也會落空

政制及內地事務局局長林瑞麟表示新方案絕對「合情合理亦合法」然而此話當真

hkucaduceusnet | 7

內 地孕婦趨之若鶩地來港分娩蔚

然成風本港出生嬰兒數目

由零六年的六萬五千急增至

去年的達八萬八千當中

三萬多名嬰兒的父母均非香

港永久居民他們除了擁有

香港永久居留權將來還可

享有教育醫療房屋等多

項社會福利難怪有人形容

這做法猶如廉價投資移民

香港永久居留權變成私營醫

院招徠客人的「贈品」

本地孕婦一床難求

內地孕婦蜂擁來港人

數由零五年的一萬九千人

急升至去年的四萬一千人

令產科床位愈見緊絀有本

地孕婦早至懷孕五六週亦

未能預約私家醫院床位她

們四出奔波身心俱疲不

禁怨聲載道感到內地孕婦

分薄了理應予本地人享用的

醫療服務資源而為確保本

地孕婦得到妥善和優先的照

顧政府於四月公布公立醫

院即時停收內地孕婦希望

在短期內稍稍紓緩本地孕婦

床位緊張的問題

由八間醫院成立的「新

生兒服務關注組」指出以

現有資源及人手編制本港

每年出生嬰兒數字不應超過

七萬五千若是勉強增加服

務量勢必影響服務質素

苦了醫護團隊也苦了病

人終於在六月下旬政府

與私家醫院達成共識將明

年非本地孕婦來港產子數目

定於三萬五千公立醫院將

會預留三千四百名額予非本

地孕婦私家醫院非本地孕

婦來港產子數目則限於約三

萬一千

鋌而走險

部分內地孕婦未經登記

預約及作產前檢查待臨盆

前才到公立醫院急症室求

診由於她們大多缺乏常規

的產前檢查使血壓高和糖

尿病等問題未能及時處理

分娩時媽媽和嬰兒的風險會

大大提高而公立醫院停收

內地孕婦後除了有更多內

燙手山芋簡析內地孕婦來港產子潮李愉欣 (M15)

有本地孕婦抱怨「一床難求」抗議內地孕婦分薄醫療資源

社會

ldquoa hospital bed is a parked taxi with the Meter ruNNiNgrdquo ndash groucho Marx

8 | Caduceus September 2011

地孕婦在臨盆時硬闖急症

室公立醫院亦首次揭發內

地孕婦持偽造醫生紙過境來

港分娩此例一開更可能

吸引一些極端例子以坐監博

取來港產子掀起另一股制

度缺口下的潮流

「私院賺錢公院善後納稅人埋單」

時事評論員林輝認為

私家醫院賺得盤滿缽滿的同

時其實正將其成本外化至

公立醫院以至全港社會首

先私家醫院可選擇接收較

容易處理的個案一旦遇上

奇難雜症便將之轉介往公

立醫院初生嬰兒深切治療

部令該部門工作量大增

床位佔用率高達百分之一百

五十前線醫護人員工作壓

力之沉重可見一斑其次

私家醫院向公立醫院富經驗

的醫生和護士挖角以致人

手大量流失這不但影響公

立醫院的服務質素更令留

下來的醫護人員不勝負荷

形成惡性循環漣漪效應

下醫院其他部門如急症

室等也將間接受影響因

此不單是納稅人全港社

會亦將會共同承受內地孕婦

來港產子潮的代價

誘因

筆者認為內地孕婦來

港產子潮方興未艾原因有

四首先內地實行「一孩

政策」限制每一家庭只生

一個孩子違反《人口與計

劃生育法》除了會被罰款

父母和子女還會喪失許多福

利因此部分內地夫婦會

為了生育多於一個孩子而選

擇來港分娩而九七回歸以

後中港兩地關係愈趨密

切社會融合令跨境婚姻日

益普遍港人內地配偶來港

分娩的數目自然節節上升

再者自零四年兩地政府推

出自由行政策起內地居民

可以自由進出香港簡化便

捷的出入境手續和四通八達

的交通網絡更為內地人來港

產子大開方便之門而最重

要的是孩子獲得香港永久

居民身份後可享有多項社

會福利及更多元化的發展前

景將來亦可舉家申請來港

團聚這對不少家庭來說相

當吸引

長遠影響

由零五年至去年其父

母均非香港永久居民的「港

產內地B」達十四萬人

而隨着他們成長問題將由

婦產科和母嬰健康院延伸到

其他學童健康服務以至教

育醫療房屋政策的規劃

等等筆者認為政府需未

雨綢繆每年重新審視非本

地孕婦配額同時把配額制

可納入整體人口政策的一部

分為多項社福服務進行長

遠規劃另一方面兩地政

府亦需加強執法致力堵塞

不良中介人活動避免未經

預約孕婦直闖急症室分娩等

高風險情況 

參考資料

林輝《香港居民身份不是贈品》二零一一年四月八日刊於明報

《星期日檔案港產內地B》二零一一年六月十二日於翡翠台播出

httpbig5chinanewscom內地孕婦來港產子潮對公立醫院產科及 初生嬰兒深切治療部構成沉重壓力

hkucaduceusnet | 9

最 近虐待動物個案屢見不鮮手法層出不窮光看新聞標題已

令人不寒而慄無法想像施虐者為何能對

可愛惹人憐惜的小動物下毒手在緝兇之

餘亦應反思是甚麼心態及動機驅使他們

做出如此冷血殘忍的舉動

香港人生活壓力大不單是成人就

連小孩都有很多必須面對的煩惱如果沒

有適當的方法紓發情緒調適心情便會

容易導致心理不平衡患上心理病或情緒

病一般人看到別人痛苦會有同理心產

生難受的感覺因同情而伸出援手希望

別人不再痛苦施虐者則相反藉著暴力

行為令別人感到痛苦從而產生刺激快

感而非內疚或罪惡感施虐者利用這種

自私的方法去宣洩情緒將自己的快樂建

築在別人的痛苦身上

虐待動物的人一般懦弱膽小缺乏自

信因此選擇一些弱小無助無反抗能

力的對象發洩情緒令自己提升存在感及

掌握權力流浪貓狗隨處可見施虐者會

以為別人不顧流浪貓狗的死活所以即使

虐待牠們也不會被人發現因此流浪貓

狗容易成為施虐對象當中貓隻反抗能力

較狗隻低所以被虐情況更為嚴重施虐

者當中男比女多可能是由於女權主義高

漲男女社會角色轉移男性無法宣示強

者地位的原始心理更容易使他們做出這

種反社會行為

虐待動物的行為讓施虐者享受虐待的

快感對於殘忍的手段容忍程度會提高

對剌激感的追求亦會增加變得更麻木

不仁直至虐待動物已無法滿足他們的慾

望加上沒有因虐待動物而得到應得的懲

罰令施虐者變得更大膽可能將虐待對

象轉向兒童甚至成人

小動物反抗能力低也不會提出控訴

因此我們有責任去保護牠們看到動物

受虐或懷疑受虐不要漠視或啞忍也不

要只將影片拍下上載互聯網應向政府部

門舉報或向愛護動物協會等機構投訴

《防止殘酷對待動物條例》的最高刑罰是

罰款二十萬元及監禁三年但定罪個案極

小實際判刑大部分只是罰款執行社會

服務令等所以有關當局應提高刑罰令

人害怕受懲罰而約束行為這樣才能達到

阻嚇作用施虐者除了接受應得的懲罰之

餘亦應強制接受心理輔導及愛護動物課

程糾正他們的心理狀況避免重蹈覆

除了殘忍的施虐者遺棄寵物的主人

亦是造成悲劇的幫兇甚至元兇他們

不負責任地把寵物丟在街上把牠們推向

險境失去主人保護的寵物即使不被虐

待也會飢寒交迫甚至遇上各種危險

所以遺棄動物前請切身處地想想流浪貓狗

坎坷的命運 

停一停 想一想正視虐待動物問題郭淑芳 (N14)

反對虐待 尊重生命

社會

ldquokeepiNg a pet is a lifetiMe busiNess aNd coMMitMeNtrdquo ndash aNiMal re-hoMe services

10 | Caduceus September 2011

記 得剛剛入學的時候教授對我們說過「要是你們想賺

錢現在就轉到別科吧這兒不是讓你們

賺錢的地方這兒比其他行業都更辛苦

因為我們掌握別人的生命」醫護界就是

這種行業是一種用心對待病人的行業

人皆有惻隱之心醫生為病人著想是一

件理所當然的事根本不需要去學習如

何行此道這是人自發性的行為要是醫

生不是以心去行醫這是對病人對自己

的專業甚至對作為人的自己也是一種

侮辱但是在日本這種高文化水平的國

家則有孕婦死於拒診醫生對求醫的

人見死不救即使是

我一個只是讀了一

年的醫科生也知道

這是不道德的無

論是以一個專業醫生

的角度甚至於人的

標準來說

二零零八年日

本一名孕婦因為身體

不適而求診結果慘

遭七間醫院拒收

雖然嬰兒平安無事

地出世但這位剛成為人母的婦人卻於三

日後死亡這種情況在日本中不是罕見的

事根據統計日本於二零零七年就有二

萬四千多宗拒收病人的個案情況令人不

安也令人反省這些高知識份子為什麼會

如此冷血大家常常稱讚那些高學歷人士

是「飽讀聖賢書」我可不曾記得聖賢書

有教導我們要見死不救對別人的生死置

身事外特別對於我們這些醫護界的準工

作者更加不能接受人死不能復生既

然我們掌握著別人的生死又怎能如此不

負責任呢看到這些新聞我們作為醫學

院學生亦應對此作出警醒

除了日本之外香港也曾發生過類似

事件而且曾經轟動一時二零零八年

一名患有心臟病的男人於明愛醫院門前病

發他的親友馬上到明愛醫院詢問處求

救院方見狀卻要求對方打九九九求助而

不是即時提供協助當然這件事可能涉

及一點程序上的問題但是人是生規

矩是死救人一命勝造七級浮屠所有規

矩都不及拯救人的性命重要吧令人安慰

的是有一名見義勇為的醫生途經現場

隨即致電急症室並為事主檢查發現他

全無脈搏遂立即進

行體外心臟按摩可

惜最終病人經搶救

後仍是不敵死亡的命

運這件事令人感到

惋惜同時我們亦

應反省醫護人員做事

的態度典型香港人

有一種特別的特性

他們都是「多做

多錯少做少錯不

做不錯」的「信奉

者」當時的詢問處

的值班者可能心怕破壞規定幫助病人後

可能會引起上司不滿對自己的事業有影

響故此遲遲未能下定決心幫助別人可

見醫護人員對病人的同理心不高這亦是

值得我們所反省的

相信仍然未畢業的我們對日後的工

作是抱有一種憧憬有一種熱誠但是

當我們畢業後這股熱血會被忙碌的工作

所撲滅當日的誓言早就置之不理了

「病人的健康應為我的首要的顧念」變成

了「清掉桌上滿滿的病人檔案為我的首要

的顧念」「將要憑我的良心和尊嚴從事

拒收病人何來醫德醫心謝汶珊 (M15)

社會

hkucaduceusnet | 11

醫業」則變成「將要憑我有限的體力和時

間從事醫業」helliphellip更甚者於我們求學期

間已經把病人的健康拋諸腦後了腦子

裡卻放滿了那些不知從哪裡來的肌肉神

經線以及血管等等當腦子的容量用了大

部份來放置anatomy的東西之後餘下來的都放了那些古怪的藥名進腦子去了

哪有閒下來的空間把那些道德經放進腦子

裡但是即使你能夠把那本Grays Anat-omy或者那本大Robbins的所有內容牢牢記在腦子裡沒有醫德你絕對不是一個好

醫生當然沒有任何人規定你的道路

你的選擇然而你的選擇將會影響到別

人的生命社會當然不會奢望每一個醫生

都有當無國界醫生的那一種胸懷但是

他們希望醫生起碼會是一個抱有救活病人

作為使命的醫生

作為一個好醫生並不能帶給你金錢或

者名譽這個世界永遠是行商者才是致富

之道你希望將來得到的是什麼我們都

應該找出自己的答案把它寫下來以免

他日遇上挫折或誘惑會迷失自我仔細想

一想若果你的答案思前想後仍是「錢」

那麼請你認真考慮一下轉科吧「若

果病人沒錢看病作為醫生也要為他看

病也要為他開藥我們沒有權力去把他

們趕走」這就是醫德相信每一個將成

為或者已成為醫務人員的人都曾宣誓過自

己要奉獻一切為人類服務所謂的誓言並

不是用嘴巴說出來罷了一個無法遵守的

誓言只會變成一句又一句的廢話俗語有

一句「狗口長不出象牙」helliphellip

以下是世界醫學協會一九四八年日內瓦

大會採用的日內瓦宣言

我鄭重地保證自己要奉獻一切為人類服務

我將要給我的師長應有的崇敬及感戴

我將要憑我的良心和尊嚴從事醫業

病人的健康應為我的首要的顧念

我將要尊重所寄託給我的秘密

我將要盡我的力量維護醫業的榮譽

和高尚的傳統

我的同業應視為我的手足

我將不容許有任何宗教國籍種族政見

或地位的考慮介於我的職責和病人間

我將要盡可能地維護人的生命自從受胎時起

即使在威脅之下我將不運用我的醫學知識

去違反人道

我鄭重地自主地

並且以我的人格宣誓以上的約定 

ldquoa Merry heart doeth good like MediciNerdquo ndash kiNg soloMoN

12 | Caduceus September 2011

Radiologist

Ophthalmologist

Anaesthesiologist

All roads lead to Rome but have you missed the ROA and D

when it comes to success in medical career

to success

hkucaduceusnet | 13

Anaesthesiologist

Dermatologist

All roads lead to Rome but have you missed the ROA and D

when it comes to success in medical career

to success

14 | Caduceus September 2011

「形影不離」的造影術專訪放射科邱麗珊醫生陳伊樂 (M15) 賀曉琳 (M15)

邱 麗珊醫生於一九八三年畢業於香港大學醫學院並於一九八

六年開始修讀放射科邱醫生不但在東區

尤德夫人那打素醫院身兼前線管理和訓

練多職而且積極參與香港放射科醫學院

的工作我們非常感謝邱醫生能夠在百忙

中抽空接受訪問向各位同學分享一下她

踏上成功路的經歷與待人處事的態度

甚麼是放射科

放射科是利用X光(X-ray)電腦斷層攝影(CT)磁共振成像(MRI)和超聲波造影(Ultrasound)等技術展示患者身體內部結構的影像從而協助診斷和進行治療

當放射科醫生危險嗎

誠然放射科醫生需要經常接觸對身

體有害的輻射可是這門專科有不同的

措施保障我們的安全首先每一個放射

工作者都需要領取牌照此外我們會每

個月檢查掛在胸前的放射量測定器確保

接觸到的輻射劑量沒有超越安全水平當

然有關部門亦會定期檢查儀器確保它

們正常運作

爲什麼你會選擇放射科你對於有意將

來當上你的專科的同學有甚麼建議

選擇放射科純粹是因為爸爸的一句「

放射科適合女孩子」當上放射科醫生之

後才發現事實並非如此放射科是一個重

要的專科幾乎每一個住院病人都需要用

上造影技術但除非做超聲波或介入放射

治療放射科醫生卻好像很少與病人直接

接觸有些醫生喜歡多和病人接觸放射

科便不適合他們了另外放射科正面對

著迅速的科技發展對新科技有興趣的同

學這個專科的確是一個不錯的選擇可

是由於學位有限每年報讀放射科的六

邱麗珊醫生Dr Jennifer Khoo放射科專科醫生

香港大學內外全科醫學士 英國皇家放射科學醫學院院士 香港醫學專科學院院士(放射科)

東區尤德夫人那打素醫院 放射科 部門主管 及 顧問醫生

醫院管理局 港島東聯網 Service Director (Radiology)

香港放射科醫學院 首席副院長 及 科學委員會主席

專題

hkucaduceusnet | 15

七十人當中總會有四五十人因願望落空

而要轉投其他專科我的建議是千萬不要

灰心人總不能夠經常做自己喜歡的事

但一定要喜歡自己正在做的事(You canrsquot always do the things you like but you can learn to like the things that you have to do)

請詳述對你人生有大影響的起落人

事物

人一生中如果能夠遇上一兩位良師益

友在你碰到困難時扶你一把在你迷

惘時給予意見上天就已經算是對你不薄

了而我自己也算是非常幸運有兩位

前輩當上我的引導者一位是瑪麗醫院

的陳富六醫生另一位是澳洲的Professor Michael Sage因為兩位的提點我決定善用自己的長處留在公營醫院參與一些

行政和訓練的工作幫助培訓醫生使更

多病人受惠

你有甚麼人生的哲學嗎是甚麼信念使

你堅持當一名醫生

我認為每個人都需要有自己的優先順序

(priority)對我來說家人和家庭生活永遠都是排在首位縱使我已經涉足到很多

管理方面的工作但病人還是排在行政管

理之前有著清晰的優先順序不管遇到

多大的衝擊都能使自己勇敢面對邁步

向前優先順序或多或少都與個人經歷有

關有部份同行可能會基於不同原因或

許是滿足感或許是工作量而轉投私人

市場我想每個人的價值觀和信念都有不

你對現今醫學院的學生有甚麼寄語叮

習醫是一條漫漫長路少不免遇上困難

和挫折而這些難題往往會轉化成使身心

俱疲的壓力身為醫學生一定要及早學

會如何面對壓力我的忠告是凡事都要

以平常心面對要從錯誤中學習懂得避

免犯上同樣的錯誤要有反彈能力勝過

昨日的自己

醫科生基本上都是能力不錯的一群

(cream of the cream)要好好利用自己的能力為社會作出貢獻 

ldquowheN you are dowN aNd out soMethiNg always turNs up it is usually the Noses of your frieNdsrdquo ndash orsoN welles

16 | Caduceus September 2011

A Discourse with a Female Gold-MedalistInterview with an Ophthalmologist ndash Dr Charmaine HonChariene Woo (M15) Charis Chan (M15)

W hile waiting for Dr Hon at her Central clin-ic the Hong Kong Ophthalmic Associates

we were amazed at how the spacious clinic was crowd-ed with patients When we finally meet Dr Honrsquos big friendly smile made an impression on me as she invit-ed us into her room Despite having a busy schedule Dr Hon is very down-to-earth and eager to provide valuable advice for our fellow schoolmates

Dr Hon started out as a medical doctor and changed to the specialty of ophthal-mology Initially she worked with the public sector fulfill-ing her duties as a doctor re-searcher and teacher at the same time Then she turned to the private sector and joined the Hong Kong Ophthalmic Associates as she feels that she can be more focused on the aspect of patient care ldquoIn public hospitals it is hard to follow up on patient care and it is rare to meet the same patient twicerdquo she reflected ldquobut in the private clinical set-ting I get to know the patientrsquos family and medical his-tory better and I feel more like a doctor by having the ability to follow my patientrsquos progressrdquo

As a recipient of the John Anderson gold medal for the highest aggregate of marks in all the MBBS professional examinations Dr Hon also shares her advice in studying ldquoBasic knowledge is a must but clinical sense is the most importantrdquo and with a smile

she added ldquoyou have to pay attention to your mentors during attachments to hospitals even if you are just ob-servingrdquo But donrsquot think Dr Hon is all about studies She emphasizes that she is not the most hardworking student in her graduating class and suggests medi-cal students to explore outside of the medical world especially in the first two years of study ldquoYou have to have a life outside of medicine and you should do it in

the non-clinical years as there are decreasing chances and time for you to meet non-medically related peo-ple after year 3 onwardsrdquo the ex-member of the Union Choir said ldquoAnd as you come more into contact with different people you learn how to communicate bet-ter which will definitely help your medical career and will keep your life diversifiedrdquo

As for advice to students in clinical years she shares her insights in how to choose your specialty She sug-gests students to look into their strengths and inter-ests and to understand and explore as much as pos-sible in attachments since it is a lot harder to change onersquos specialty nowadays compared to the past ldquoThe most important point is to identify yourself and not to blindly follow the path of others Do not think of future

achievements since what you chose will probably stick with you for liferdquo True enough ophthalmology was not a developed specialty during her times of studies and Dr Hon says she is probably one of the very first gold medalists who pursued it as a career A note to her future female counterparts ldquoYou have to think of your future path and plan accordingly and be ready

Basic knowledge is a must but clinical sense

is the most important

The most important point is to identify yourself and not to blindly

follow the path of others

Feature

hkucaduceusnet | 17

to put your career before marriage Many of us delay our plans of marriage and pregnancy after finishing our specialty fellowship which is at around 30rdquo After hearing this I was very worried but she added ldquoGen-eral practice is also a good choice and there are some females doctors who donrsquot follow this trendrdquo

One of the things that struck me the most is that Dr Hon sticks to the principle of doing everything with all your heart ldquoYou only pass through this life once and when you look back you should not regret what you have donerdquo So when presented with conflicting ideas with her principle what does she do ldquoI reflect and fight for itrdquo she laughs ldquoIt sounds rebellious but as a doctor you have to have a judgment that is best for your patient and you cannot conform to society or systemsrdquo Using the limited consultation time for each patient in public hospital settings as an example she explains that doctors arenrsquot machines and should be able to adjust to different patientsrsquo needs appropriately so to do what is best for the patient ldquoYou should never lose yourself under the system and should always do whatever you think is best for your patientrdquo

When asked about the specialty of ophthalmol-ogy Dr Hon tells us with passion that ophthalmology allows instant gratification and makes a difference to patientrsquos life ldquoMany specialties can make a difference but only a few have a clean-cut immediate effect like ophthalmologyrdquo But ophthalmology is also about hard work and persistence ldquoIn this specialty there is con-stant advancement in the past we do extra capsular extraction but now there are frequency emulsifica-tion and other advancements I am always awed by the senior partners in this clinic who have a strong will to chase and read up on new techniquesrdquo So besides steady hands and good eyesight intellectual curiosity on the latest research is a must if you are thinking of pursuing a career in ophthalmology

Before we parted Dr Hon gave us a final word of wisdom ldquoThis is going to be hard for you two gals but you look tough and yoursquoll survive Since you chose this career path do expect to work very hard as it is not easy but so is every other occupation nothing is ever easy in this worldrdquo

DrCharmaineHon韓尚穎醫生

Specialist in Ophthalmology

MBBS(HK) MRCS(Edinburgh)

FC Ophth(HK) FHKAM(Ophthalmology)

ldquoas you grow older yoursquoll fiNd the oNly thiNgs you regret are the thiNgs you didNrsquot dordquo ndash Zach-ary scott

18 | Caduceus September 2011

奉行完美主義的守護天使專訪麻醉科李靜芬醫生吳瑞麟 (M15) 李庭翰 (M15)

說 起麻醉越野挑戰馬拉松義工無國界醫生你想到甚

麽幾樣風馬牛不相及的東西可以用三

個字關聯起來李靜芬

李靜芬醫生畢業於香港大學醫學院

現於養和醫院疼痛治療門診工作她曾經

加入無國界醫生到南蘇丹服務又是醫療

輔助隊動員主任香港不少的大型活動

例如馬拉松東亞運奧運馬術等都由她

去統籌急救站的運作她又經常舉辦醫療

會議亦於很多地方做義務醫療顧問熱

衷於向公眾推廣疼痛管理與健康的知識

另一方面她是香港全能運動學會醫療顧

問經常參加越野挑戰戶外活動又參

加半馬拉松比賽看完李醫生這麼的一個

簡介實在很難不驚歎好一個「周身

刀張張利」的奇人

人生的轉捩點

其實初中時期的她與醫生根本扯不上

半點關係身為壘球隊隊長在中四的一

次練習中她被壘球擊中一眼從此改變

了她的命運當時全港只有一位眼科醫生

會在晚間應診眼科的醫療設施也不足

令她眼睛流着血水在黑暗中東奔西跑尋找

醫生她由大埔賽馬會診所走到威爾斯

然後到伊莉莎伯再到油麻地終於找到

眼科醫生李醫生由四點奔波到十點令

她深深體會到作為病人的痛苦也從此立

志要做一個醫生幫助有需要的病人

初中時的李醫生每天放學就練球以

致成績中等但自從立志投身醫護她虛

心求教又得到當時的班主任授予時間管

理和讀書的方法成績突飛猛進在短短

六個月間從中等成績進步至模擬考試全

李靜芬醫生Dr Carina Li

麻醉科專科醫生

香港大學內外全科醫學士 澳洲及紐西蘭麻醉科醫學院院士 香港麻醉科醫學院院士 

香港麻醉科醫學院疼痛科文憑

香港醫學專科學院院士(麻醉科)

專題

hkucaduceusnet | 19

級第一她的毅力和決心實在令人佩服

她的傲氣

其後她獲中文大學收作暫取生但她

又再次作出驚人之舉李醫生認為要讀醫

科生物化學科就得好些所以一定要認

真研讀高級程度的生物化學但是人是有

惰性的如果做了暫取生就一定會變得不

思進取讀不好生物化學於是她毅然

放棄暫取生的資格全心全意去考好高級

程度會考李醫生的豪氣決斷她破釜

沉舟的決心她的好勝和哲學令筆者從

心底裏衷心地拜服她

結果她當然考得很好的成績在選擇

大學時她再一次認真考慮自己將來的

路向她生來就有一種使命感覺得一定

要做一樣在任何時候任何地方都最有用

的工作加上她常常留意時事總覺得天

災人禍真的可以隨時發生於是她就選擇

了兩種無論是面臨戰爭還是天災的時候

對所有人都十分重要的工作記者和醫

生她終於入讀了港大醫學院並於九五

年畢業

與麻醉科結緣

實習的時候她特意選擇了一些能夠獲

得較多經驗的部門到投考專科的時候

她也選上了可以接觸很多不同類型病人的

兒科只可惜當時兒科並沒有學額但在

朋友介紹之下知道了麻醉科麻醉科同樣

可以接觸到不同的病人而且無論在甚麽

地方都可以發揮所長正正符合了李醫生

的志向結果她便入了麻醉科

據李醫生所說雖然一般人認為麻醉

科對體力的要求較少適合女孩子但

是現實並不這樣簡單由於麻醉要求一絲

不苟麻醉科的醫生都是完美主義者而

且學習的內容艱深每一種藥物的作用

反應甚至化學結構都要讀得滾瓜爛熟

她形容麻醉科醫生就好像病人背後的守護

天使在手術中要不停監測病人的維生指

數感覺病人的生命就在自己的手中所

以要承受着很大的壓力

作為麻醉科醫生每次見到的都是昏

迷或者沒有意識的病人事實上並沒有甚

麽可以跟病人溝通的機會病人通常感覺

不到麻醉科醫生的付出所以作為麻醉科

醫生未必可以從病人身上得到很大的滿足

感但他們卻比其他醫生更能夠專注地為

病人服務因為每次在手術中只照顧一位

病人

她的叮囑

李醫生叮囑現在的醫學生一定要僅記當

初想做醫生的原因她覺得在這個物質

社會中人是很容易迷失的她感覺到現

在的某些醫學生只為了一份穩定的工作

甚至是因為父母的意見而選擇行醫關於

作為醫生的意義卻從沒有思考過她勸

我們要好好問自己兩條問題人為甚麽生

存於世上作為醫生又是為了甚麼她

認為醫者要有父母心處處為病人而

不是為自己着想作為醫生就是要去服

務幫助人而不是為了求回報我們生

存於世上為的是信望愛並不用時時

記住利益金錢等東西最後她又提醒我

們不可以歧視病人不論是黑社會成員還

是香港首富只要病了就是一個無助的

病人就需要我們的幫助

李醫生思考獨立為人熱情健談跟李

醫生做訪問真的是一件有趣的事又令筆

者獲益良多特別是她有關人生意義的看

法的確值得反思作為醫學生的大家

你又可曾想過為甚麼要生存為甚麼要做

醫生呢

ldquothere is No MeaNiNg to life except the MeaNiNg MaN gives his life by the uNfoldiNg of his powersrdquo ndash erich froMM

在手術中不停監測病人的維生指數麻醉科醫生就好像病人背後的

守護天使

20 | Caduceus September 2011

To Succeed is to Fight Against ComplacencyInterview with a Dermatologist ndash Dr Henry ChanLily Cheng (M15) Andrew Seto (M15)

W ith our scheduled interview being inter-rupted by an emergency case of Stevens-

Johnson syndrome a life-threatening allergic skin re-action to medication Dr Chan rushed to the hospital for his patient

Sitting in Dr Chanrsquos office at his private practice the Hong Kong Dermatology and Laser Centre in the middle of a conference call with his overseas counter-part researchers we saw a pragmatic doctor at work This is a doctor who would never be complacent with his performance but keeps striving for excellence

AmedicalcareerDr Chanrsquos interest in dermatology was sown well

before his exposure to the discipline Having been in-flicted with eczema during his childhood he suffered from an excruciating itch in his skin that caused him much distress As a result of his own medical condi-tion he developed an interest in dermatology at a young age

During his fourth year in medical school he ex-plored an elective in dermatology at Yale University and began formal training in the field He obtained his medical degree and worked for several years in the UK before returning to Hong Kong to work at the Prince of Wales Hospital He then received a grant from the Hos-pital Authority to read dermatology in the UK

Working back and forth between Hong Kong and Britain in and out of universities and hospitals in his early years of practice Dr Chan settled his work base in Hong Kong in 1995 He was Associate Professor of CUHK from 1998 to 2000 and Chief of Dermatology and Associate Professor in HKU from 2000 to 2004

After entering private practice in 2004 Dr Chan now spends a lot less time on doing administrative work and more time on treating patients While he was actively engaged in teaching research and clini-cal work his current focus has shifted to mainly clini-cal work As an honorary clinical associate professor of our faculty he enjoys teaching and values the opportu-nity to cultivate and influence medical students

A renowned dermatologist with a strong research interest in medical devices Dr Chan is still very active in terms of research output His private practice sup-ported by a team of full-time research staff is unique

for its active research component ndash a practice which is well-established overseas but rare in Hong Kong

AsadoctoranddermatologistIn the beginning laser devices were developed to

treat medical conditions such as haemangioma and black moles but technological advancements driven by recent research has explored new possibilities for their applications in cosmetic treatment As a result new cosmetic procedures have appeared for the treat-ment of various conditions from skin rejuvenation to body contouring

While it is true that most dermatological conditions are rarely life-threatening they may nonetheless have a profound impact on patientsrsquo physical and psycho-social wellbeing For instance eczema often presents with rash It may give exudate in serious cases but is rarely fatal Nevertheless it might constitute great dis-comfort and inconvenience to patients Similarly se-vere cases of acne may also diminish onersquos self-esteem Dr Chan stressed that treatments for many skin condi-tions are not merely cosmetic in nature but may im-prove patientsrsquo self-esteem body image and psychoso-cial wellbeing

On the other hand some skin problems such as psoriasis and chronic eczema are incurable It is there-fore the doctorrsquos duty to educate patients and enhance their understanding of their disease One of the re-sponsibilities for dermatologists is to evaluate the im-pact of their patientsrsquo conditions to their quality of life Other than helping them return to their normal routine and diet as far as possible dermatologists also need to teach patients the way to get along with their chronic illnesses

Dr Chan emphasized that we run a profession not a business On this ground a doctor should never tell a patient what procedure they should receive Rather a doctorrsquos role is to explain the options available and provide the relevant information that carry with each procedure including potential risks and complica-tions

Dr Chan reminded us that financial return is only a ldquoby-productrdquo of a doctorrsquos work as a professional Doctors work hard and should be paid for their serv-ices but they should not be more interested in making

Feature

hkucaduceusnet | 21

money than in helping people He believes that shap-ing doctors into commercials in some way jeopard-izes medical professionalism

SuccessRedefinedSummoning his days as a fresh medical officer Dr

Chan recalled the death of the 18-year-old girl inflicted with necrotizing fasciitis who died within 24 hours He bore in mind every complicated case as an alarm to his future practice admitting that there is always room for him to improve

Quoting the professional golfer Jack Nicklaus Dr Chan reminded us that ldquocomplacency is a continuous struggle that we all have to fightrdquo It is easy to let our guard down but doctors have to be responsible for their patients all the time It is demanding but impor-tant for every medical professional to be vigilant and maintain onersquos standard at the top level He believes that good doctors should keep themselves in an appro-priate amount of stress and tension which keeps them mindful of their patientsrsquo needs

When asked about his rules for success Dr Chan emphasized that he does not feel he has attained his goal yet He feels that he may have had a decent start but it is inappropriate to judge his career before his retirement as he is still in the middle of his career To him it is far too early to define success Despite his change in roles over the years he still maintains his enthusiasm and passion that motivate him to do his best whether it be research teaching or clinical work

As far as medical students are concerned Dr Chan doesnrsquot see the urgency of deciding our future spe-cialty yet Medical school gives us a broad and general exposure to various fields and offers a good place to learn and gain experience sharpening our skills before serving as doctors We could still explore more in our senior years to come

ldquoFollow your heartrdquo Dr Chan gave us as a conclud-ing word He believes that the so-called ldquoROADrdquo to success is not really that important if one does not en-joy onersquos profession Listen to yourself and ask whether you really like your job

DrHenryChan陳衍里醫生

Specialist in Dermatology and Venereology

MBBS(London) MRCP(UK) FHKAM(Medicine) FRCP(Glasgow)

FRCP(Edinburgh)

Hon Professor LKS Faculty of Medicine HKU

Hon Consultant Dermatologist QMH HKSAR

Visiting Scientist Wellman Centre for Photomedicine USA

ldquoirsquoM a firM believer iN the theory that people oNly do their best at thiNgs they truly eNjoy it is difficult to excel at soMethiNg you doNrsquot eNjoyrdquo ndash jack Nicklaus

We run a profession not a businesshellip [doctors]

should not be more interested in making money than in

helping people

22 | Caduceus September 2011

Art and Medicine Seeing Diseases in ArtHow art masterpieces reveal medical conditionsAndrew Seto (M15)

F or centuries art historians have been mesmerized by

the enigmatic smile of Mona Lisa coming up with theories that range from the mundane to the bizarre Was she a silk merchantrsquos wife or a self-portrait of Leonardo da Vinci himself Was she pregnant An adulterer Leonardo da Vincirsquos se-cret male lover The theories never cease

BehindMonaLisarsquossmileHighcholesterolIt turns out that Mona Lisa had

ldquovery high cholesterolrdquo at least ac-cording to Vito Franco a Sicilian professor of pathological anatomy A medical expert who enjoys study-ing art masterpieces for evidence of diseases Franco concluded that Mona Lisa had xanthelasma (the accumulation of cholesterol under the skin) Indeed a closer look at her mysterious face does show a yellowish collection around the in-ner corner of her left eye He even found evidence of lipoma (a fatty tissue tumor) on her right hand Probably the least poetic finding for the most renowned beauty in Renaissance art

This was not the first time medical experts have associated Mona Lisa with clinical conditions Charles Bell the 19th century Scot-tish surgeon who discovered Bellrsquos palsy a form of facial paralysis resulting from facial nerve palsy once coined the term ldquoMona Lisa syndromerdquo This was a reference to the facial muscle contracture that develops after Bellrsquos palsy resulting in a ldquoMona Lisa-like smilerdquo

Mona Lisa Xanthelasma or just a blotch by mistake

Insight

hkucaduceusnet | 23

Hardly would Parmigianino have known that the long slen-der fingers and limbs of Madonna with the Long Neck was the result of a genetic disorder called Mar-fan syndrome And of all the things that crosses onersquos mind upon first glance of Caravaggiorsquos Sleeping Cu-pid the notion that the baby was inflicted with juvenile rheumatoid arthritis would be hard to imagine Franco claims that his goal was to expose the human vulnerability of the people depicted in art

MichelangelorsquosgoutykneeAnother subject who has been

scrutinized by medical experts is Michelangelo Renaissance painter and sculptor Scholars looked at his knee from Raphaelrsquos School of Ath-ens and concluded that he suffered from gout a form of inflammatory arthritis that occurs when crystals form in the joints

Based on the appearance of his knee which appears swollen en-larged and covered in hard lumps a diagnosis of gout seems plausible It was known that Michelangelo de-veloped various diseases during his life In his writings he complained of having kidney and bladder prob-lems In 1549 he had an episode of anuria followed by passing of grav-el and stone fragments in his urine

Many experts believe that Michelangelo like many of his contemporaries developed gout from lead poisoning A well-known workaholic Michelangelo con-stantly lived off a diet of bread and wine (processed in lead contain-ers at the time) and was frequently exposed to lead-based paint All evidence points to lead poisoning which promotes kidney damage and inhibits uric acid excretion causing it to build up in blood This predisposed him to gout precisely as depicted in Raphaelrsquos fresco

RenaissanceArtandNeuroanatomyLike Leonardo Michelangelo

was not just an artistic genius but also a great anatomist At 18 he be-

Michelangelorsquos knee from the school of atheNs by Raphael (c 1509-1510)

Madonna with the Long Neck Was it Marfan Syndrome

Juvenile rheumatoid arthritis

ldquoall art is autobiographical the pearl is the oysterrsquos autobiographyrdquo ndash federico felliNi

24 | Caduceus September 2011

gan dissecting cadavers in a mon-astery in Florence where he honed his technical skills and knowledge of the human body

According to neuroscientists Michelangelo disguised sketches of the human brain in his famous Sistine Chapel ceiling painting which has remained unnoticed for 500 years His fresco The Creation of Adam shares a striking similar-ity with the sagittal section of the brain The fold in the cape repre-sents the Sylvian fissure separating the frontal and parietal lobes You may even recognize the angelrsquos foot as the pituitary gland his thigh as the optic nerve and his leg as the optic tract And that sassy green robe running down the ponsmdashthatrsquos the vertebral artery

Look at Godrsquos neck in The Sepa-ration of Light from Darkness from the same fresco Art historians have long speculated that its lumpy ap-pearance represents goiter Yet medical experts have found an ac-curate picture of the brainstem and spinal cord in Godrsquos throat stun-ningly similar to the creases and crevices of the brain

Yet why would Michelangelo embed the brainstem in Godrsquos throat Was he alluding to Godrsquos wisdom or was it a form of protest to the Church After all dissecting cadavers was considered unethical at that time and for an anatomist like Michelangelo who fell out with the Pope while painting the Sis-tine Chapel ceiling could he have been painting anatomical images directly above the chapel altar in defiance to the Church

Artandophthal-mologyHowvi-sionchangesartClaude Monet is recognized as

one of the founders of the Impres-sionist movement but his vision got cloudy during his later years He wrote letters to friends describ-ing his growing frustration with his vision changes He was even forced to memorize colours on his palette

the creatioN of adaM by Michelangelo (c 1511)

the separatioN of light froM darkNess by Michelangelo (c 1512)

hkucaduceusnet | 25

and label tubes of paint Red began to look muddy to him and he saw his painting as becoming ldquoincreas-ingly darkenedrdquo Whenever he com-pared his paintings with his earlier works he would be sent into a tow-ering rage to destroy them

This was because he had cata-racts Cataract patients have yel-lowing and opacification of the lens so his vision essentially be-came more brownish The yel-lowish brown cataracts he looked through filtered out violet and blue shades Monet underwent two eye operations in 1923 after which he returned to his old painting style even throwing away some of his paintings and repainting them

Thesufferingart-istDepictingill-nessesinartPerhaps no one better personi-

fies the notion of a ldquosuffering artistrdquo than Vincent van Gogh Clinicians have posthumously diagnosed him with a range of medical problems including epilepsy schizophrenic and bipolar disorder His later works have long been noted for his preference for the colour yellow and some have speculated that this was related to his yellow vision

One theory was that van Goghrsquos doctors prescribed him with digi-talis to treat his epileptic seizures His painting Starry Night has yel-low circles around the stars and not surprisingly people with digi-talis overdose often see a yellowish halo around objects Other experts speculated that it was his addiction to absinthe that led to his yellow vi-sion Absinthe is a highly alcoholic drink that contains a highly psy-choactive neurotoxin called thu-jone which causes yellow vision

Van Gogh was not the only art-ist who projected his illness into his art Edvard Munch had tuber-culosis and spit blood as a boy Her mother died when he was five her sister spent most of her life in-stitutionalized for mental illness and his brother died of pneumo-

nia Munch may have depicted his own psychotic state of mind in The Scream which portrays a twisted agonized creature wracked with anxiety and horror

ConclusionDo these findings actually

prove something or are we over-analyzing artworks with our medi-cal knowledge Exactly what ben-efit would these discoveries have for the world at large is unknown At least we know it could lead to yet another interpretation for Mona Lisarsquos smile the result of a scrump-tious meal of pizza and pasta with cheese tomato sauce and meat balls before sitting for her portrait (which would certainly also explain her cholesterol problem)

Two pictures by Monet of the same Japanese bridgemdashthe first painted in 1899 the second between 1918 and 1922 revealing a dramatic loss of shape and detail

suNflowers by Vincent van Gogh (1888) the screaM by Edvard Munch (1893)

ldquoeverythiNg that we see is a shadow cast by that which we do Not seerdquo ndash MartiN luther kiNg jr

26 | Caduceus September 2011

The End is Near Apocalyptic TheoriesRead more to learn about the terrifying future that awaits us Chariene Woo (M15)

S urge of waves rush over the mountains with unstop-

pable speed engulfing and shatter-ing our homes Flaming asteroids rain from the sky causing roads to crumble like sheets of paper Peo-ple running away from burning cities screaming fearfully Civiliza-tion ruined in matter of mere sec-onds Is this what the future lies for us

Nobody knows

Apocalyptic literature and movies have always raised interest among the general public partly

because it involves the end of our world as we know it and partly due to the fact that there is no solid proof how an apocalypse would come about The interest has re-cently skyrocketed with rumors about the world ending on 21st De-cember 2012 about how the May-an calendar finishes at that specific time and how it will be the end of the world as we know it So the big question is when and how will our world end

NostradamusProphetofDoomNostradamus of France was

one of the worldrsquos most famous seers and is most well known for Les Propheties (The Prophecies) a collection of his major long-term prophecies written in quatrains Many of his prophecies have cor-rectly predicted current events including the destruction of the space shuttle Challenger the death of Lady Diana and the destruction of Twin Towers of the World Trade Center As a result of these predic-tions he has been given the nick-

How do you survive the apocalyptic world

Insight

hkucaduceusnet | 27

name ldquoThe Prophet of Doomrdquo

Nostradamusrsquo prophecies have huge room for interpretation speculation and controversy and some people think his writing has no merit at all The following is an example of a quatrain alluding to some sort of environmental disas-ter in the future

ldquoFor forty years the rainbow will not appear

For forty years it will be seen every day

The arid earth will grow more dry

And great floods when it will be seenrdquo

(Century 1 Quatrain 17)

In other quatrains images of great comet alien invasion and nu-clear contamination are also men-tioned so these could all be the prospects that are waiting for us in the future Despite Nostradamusrsquo ldquoaccurate predictionsrdquo of what had happened in the past the quatrains do not have a specific order So out of all the disasters predicted in the many quatrains it is uncertain which will happen where or when giving it less importance in predict-ing an actual apocalypse

PlanetXAccording to Nancy Lieder a

woman who claims to have been contacted by extraterrestrial life forms Planet X (also known as Nibiru) would come close to planet Earth on May 27th 2003 resulting in the Earthrsquos rotation ceasing for 59 terrestrial days The Earthrsquos pole will then undergo a physical polar shift due to the magnetic attraction between the Earthrsquos core and the magnetism of the passing planet This will ultimately lead to the dis-placement of Earthrsquos crust and the end of us But when this did not happen the event was postponed and re-dated to coincide with the Mayan calendar hysteria

NASA argues that this is merely an Internet hoax with no factual or scientific basis They explain that if Planet X was approaching Earth astronomers would have

been tracking it for at least the past decade and the planet would now be visible by the naked eye This is a very comforting bit of news Yet some people believe that NASA is part of a conspiracy to cover up the existence of such planet and keep the truth of impending apocalypse from general public Again the ar-gument can go either way and the ldquotruthrdquo depends on which side you choose or want to believe in

2012TheendoftimeSo what is so special about the

year 2012 There are claims saying that the Mayan calendar ends on 21st December 2012 and that will be the end of time for mankind However just like every calendar it merely rolls over to the new year on that date and it doesnrsquot signify anything special In the Mayan cal-endar 21st December 2012 will be the end of brsquoakrsquotun 13 and marks the start of brsquoakrsquotun 14 A brsquoakrsquotun is 144000 days (a little more than 394 years) and there is no archeological or historical evidence to show that the Mayans expected anything sig-nificant or drastic to happen at the

end of each brsquoakrsquotun

However there exists litera-ture that suggests otherwise In 1975 Frank Waters the author of the book Mexico Mystique identi-fied the 13th brsquoakrsquotun interval to be the ldquoMayan Great Cyclerdquo where it ends in the worldrsquos destruction and rebirth Waters claims that cata-strophic earthquakes will destroy the world but he miscalculated the date and announced that the end of the ldquoGreat Cyclerdquo would be on 24th

December 2011 AD

The year 1987 marked an in-creased in interest regarding the prophesized big event in 2012 The author of The Mayan Factor Path Beyond Technology Jose Arguelles linked the 13th brsquoakrsquotun period to a ldquobeamrdquo that links people the plan-et the Sun and the center of Galaxy According to Arguelles the beam is the key to harmonic resonance in the universe and the Mayan knew when we would enter and leave this beam hence set their 13th brsquoakrsquotun to mark our passage accordingly He also claims that this beam could advance the development of any-thing with DNA hence creating a more positive view of the future

V838 Mon a star with expanding light echo purported as photographic evidence of Nibiru

ldquoevery MaN dies Not every MaN really livesrdquo ndash williaM wallace

28 | Caduceus September 2011

No one can be sure of whether the end of brsquoakrsquotun 13 signifies something great or disastrous for us or if it is just another restart in the Mayan calendar We can only know for certain when the day ar-rives

GodrsquosplanforusThis is by far the most detailed

and terrifying image portrayed out of all apocalyptic claims that I have gone through The Book of Rev-elation from the New Testament reveals signs of apocalypse through a wide variety of symbolism One of such is the frightening image of the ldquofour horsemenrdquo

ldquoAnd I saw and behold a pale horse and he that sat upon him his name was Death and Hades followed with him And there was given unto them authority over the fourth part of the earth to kill with sword and with famine and with death and by the wild beasts of the

earthrdquo (68)

The pale horse carries the horseman of Death which is be-lieved to release global plague and pandemics to the world and take the lives of a quarter of the popu-lation This has already manifested

itself in many forms in different parts of the world at different times hence the first sign of apocalypse is said to be already happening among us

In similar manners the bible describes the arrival a black red and white horsemen represent-ing the delivery of global food shortages war and conflict and the coming of an antichrist to the world From historical genocide terrorism to increased occurrence of food shortages so often seen nowadays it seems that the red and black horsemen has arrived as well and now we are just waiting for the arrival of an antichrist to conquer us

The Book of Revelation also provides readers with a glimpse into the ldquoactionrdquo in how the world will end

ldquoAnd I saw when he opened the sixth seal and there was a great earthquake and the sun became black as sackcloth of hair and the whole moon became as blood and the stars of the heaven fell unto the earthhellipand every mountain and is-land were moved out of their placesrdquo

(612-13)

Besides the great earthquake and the darkening of the sun there is a repetitive mentioning of stars falling from heaven on earth in the Bible This is postulated as the at-tack of massive meteors on planet Earth Out of all prophecies in the Book scientists assume this to be the most likely since an asteroid impact at a scale as large as that may have already wiped out an entire species that came before mankind Scientists believe that showers of space rocks that rained down 65 million years ago (due to the collision of Near Earth Object) were the culprit for the extinction of dinosaurs Luckily NASA recent-ly launched an early warning sys-tem called ldquoSpaceguardrdquo that aims to monitor such Near Earth Objects to prevent future collisions and ex-tinctions

Having read the above the Bible seems to combine all the horrifying specifics in different apocalyptic speculations into one nightmare But donrsquot worry since there are many different interpretations of the Revelation Historicists are the ones who see the Book as a broad view of history (good news wersquove already escaped all the horrors in the depiction) whereas Futurists

believe the description as prophecies of the fu-ture The Idealists hold the belief that the Rev-elation does not refer to actual people or events which makes sense as the Bible is often not inter-preted literally So fingers crossed that the Revela-tion is not interpreted in the futurist way because in that way there is going to be a daunting future awaiting us

Four horsemen of Apocalypse

hkucaduceusnet | 29

ldquoDevolvingrdquoEarthTheoryThis is probably the

most scientific theory that I have come across so far from a news article pub-lished from ABC News A group of scientists from University of Washing-ton hypothesized that the Earth will gradually de-volve in the next half bil-lion years In short their logic works as follows

As we all know the sun is constantly grow-ing bigger yet the Earthrsquos environment has been reasonably constant This is because as the sun is warmed up carbon diox-ide from the atmosphere is removed and deposited in soil as carbonates This keeps our environment stable by the balance be-tween an increasing sun and reducing carbon di-oxide in the atmosphere (Note that global warming resulting from an increase carbon dioxide in atmosphere is just a brief blip in the grand scale of things) Since carbon dioxide is the ldquofood of liferdquo the reduction will cause plants and animals (including humans) to die To battle the rising heat some creatures will retreat into the sea hence reversing the evolutionary process And as the sun continues to expand the Earth will become so hot that even the oceans will gradu-ally be evaporated Eventually the sun blasts off its mass through ther-mal pulses engulfing the Earth

This is a very scientific specula-tion from an astrophysicistrsquos point of view and they claim that at best we have no more than half a billion years left This might be more reas-suring for some of us as the world will not end in the near future But the grief lies in the inevitability of our planet Earth coming to an end

Everythingthathasabegin-ninghasanendSo we are back where we start-

ed With more speculation and the-ories and still no closer to the truth The end could happen any day or time or maybe it could be a proc-ess that is already happening Even though it is not to the scale of an-nihilation of the human race hur-ricanes and earthquakes and car crashes have already been stealth-ily taking the lives of millions We know for sure that we must die eventually through chance old age or disease There is only very little we can do to fight against what has been planned for us and reducing the resources we consume is the best chance that we have in delay-ing this happening There might be some benefit if we know the in-sights of when and how it will hap-pen but really it doesnrsquot change anything Moreover it is possible that these speculations came about to force mankind to live life to the

fullest to treasure each day and every resource we have as a gift so it doesnrsquot matter which theory is the accurate one In the midst of these theories about apocalypse all we can do is to live every day as if it was our last with no regrets and enjoy life as it is now

ReferncesThe End of the Worldhttpwwwnostradamus101compropheciespart4P7

The Great 2012 Doomsday Scare httpwwwnasagovtopicsearthfeatures2012-guesthtml

When Will the World End New Theory EmergeshttpabcnewsgocomTechnol-ogystoryid=97756amppage=2

2012 Beginning of the End or Why the World Wonrsquot Endhttpwwwnasagovtopicsearthfeatures2012html

Video from history channel (from youtube link)httpwwwyoutubecomwatchv=BoTExQEyblU

ldquothe MeaNiNg of life is coNtaiNed iN every siNgle expressioN of life it is preseNt iN the iNfiNity of forMs aNd pheNoMeNa that exist iN all of creatioNrdquo ndash Michael jacksoN

30 | Caduceus September 2011

笑的神奇魔力「當你笑你改變了當你改變了整個世界也改變了」

麻丹卡塔利亞醫生(大笑瑜伽的始創人)何麗敏 (N14)

被隱藏的笑容

日 本大地震及核洩漏事件馬頭圍道唐樓火災三死十九傷中區

警長為勸示威人士中不慎失足墮橋身亡

各政黨爭相你嘲我罵helliphellip在城市裡我們

每天都被一些飛來橫禍天災人禍或社會

爭執的信息圍繞著充斥著愁雲慘霧的氣

氛甚至在家庭朋友學業工作和

健康方面我們亦會遇到不如意之事負

能量和心理壓力不斷增加沒有適當的疏

導和發洩方法之下不少人染上酗酒或沉

迷賭博等壞習慣來自我麻醉長期把情感

抑制的一些人更有機會患上

情緒病我們彷彿硬把自己

困在死胡同裡忘記兒時怎

樣整天咧嘴哈哈大笑如何

在跌倒後笑著站起來現

在很多人都像被魔鬼牽著

鼻子走每天板著一副無奈

沮喪的嘴臉掛上冷漠的眼

神笑聲更差不多成為絕

朋友啊你可有嘗試計

算過一天總共大笑了多少

次英國格拉根大學研究發

現在英國嬰兒每天會笑

達三百次而青少年時期的

每天大笑次數大幅減至六

次五十多歲的人平均每天

更只笑了三次無可厚非

我們在成長過程中必遇到愈來愈多的煩惱

和挑戰事情的確不是我們所能控制但

面對的心態我們為何不能放開一時所謂

的包袱像孩子般笑著面對呢為甚麼大

笑要有一定的理由或被時間限制呢

瑜伽加愉

近半個世紀工作學業和情緒波動

很大生活方式變得愈來愈物質主義容

易出現精神緊張大家都被壓得透不過氣

來變得不太愛笑在一九九五年印

度孟買註冊家庭醫生麻丹卡塔利亞(Dr Madan Kataria)創立「大笑瑜伽」以笑聲驅除怨氣大笑瑜伽是以笑聲互相交流

的透過眼神接觸傳遞歡樂的信息學習

別人的笑容代入孩童的心態再全情投

入地開懷大笑同時亦融入瑜伽的腹式

不妨一試

大笑瑜珈三式一預備式林中步行

在樹林慢走就是愛笑瑜伽的熱身方式步行時間

可以是10-30分鐘邊走路邊拍手同時不時地做深呼

吸目的是讓身體和情緒都徹底放鬆下來為後面的

內容做好準備

二進行式學習動物的表情

在瑜伽導師的帶領下活動面部肌肉然後模仿瑜

珈導師的動物表情這些表情看上去本身已很滑稽

只要按照瑜伽師的樣子去做再發出笑聲

三結束式調整呼吸

經歷了一場大笑面部表情鬆弛了心情也舒服

了不少大家慢慢收回笑容調整呼吸一邊在森林

裡散步一邊大聲告訴自己說「我們是世界上最快樂的

人」

灼見

hkucaduceusnet | 31

呼吸和伸展動作鼓勵大笑達至身心健康

的效果精神科專科曾繁光醫生指出 

「笑令腦自然分泌天然多巴胺以抗衡人

體緊張時所分泌的皮質醇預防患上焦

慮抑鬱的情況」除了改善情緒還能

促進健康笑能促進肺部呼吸功能和加強

血液循環現代醫學認為笑可以成為一種

治病方式治療神經衰弱消除肌肉的緊

張預防或減緩疼痛

筆者在此並不是宣傳大笑瑜伽其治

療成效仍有待商榷和科學實證但愈來愈

多人證實大笑和保持歡樂的心態能有效放

鬆自己張立新先生是第一位在中國推廣 

「大笑瑜伽」的人他患上憂鬱症遍尋

各種治療方式皆無成效一次機緣巧合

從網路接觸「大笑瑜伽」亦在電視上看

到介紹而開始學習和練習他的憂鬱症因

此不藥而癒從此他就開始在中國研究和

推廣愛笑運動暫且別論大笑瑜伽的奏效

程度但人生所遇到的事可真不少何不

笑對人生

尋回被遺忘的赤子之心

大笑並不是靈丹妙藥但它的確能帶來

正能量即使事情有多糟糕笑著面對總

比怨聲載道好而且美國加州大學柏克

萊分校心理學教授丹卓凱納說「笑對

人的進化很重要」目前心理學家們認

為笑是人類之間交流的古老方式之一笑

能互相影響把歡樂的氣氛傳染開去嬰

兒還未學懂說話時笑是與身俱來為何

我們長大後卻隱藏笑容呢朋友們參考

左頁所列大笑瑜伽的基本招式大家可相

約三五知己輕鬆一番找回孩童時的笑聲

大笑瑜伽的始創人麻丹卡塔利亞醫生

大笑瑜伽在六十多國家盛行

ldquolaughter is the best MediciNe - uNless yoursquore diabetic theN iNsuliN coMes pretty high oN the listrdquo ndash jasper carrott

32 | Caduceus September 2011

Learning Experiencing GivingA magical 10-day journey away from the cityErin Yeoh (M15)

C lad in backpacks light clothing and sneakers 21 medical students from HKU and CUHK

were prepared to leave the comforts of home and the internet (did I hear Facebook) We were bound to Chi-na about to embark on a learning-cum-volunteering trip organized by Medical Outreachers

After saying our final goodbyes at the Shenzhen air-port we split into two teams Team A with 9 members were bound to Xirsquoan where they would see volunteer orthopedic surgeons at work The 12 people in Team B including me left for Guizhou to understand the role of village doctors in rural China Both teams aimed to find out the effectiveness of public health policies in rural areas of China We were to meet up 4 days later at Dongshan Guangdong

Part1GuizhouUpon landing in Guizhou we were provided with

excellent hospitality by the local officers and the lo-cal NGO Amity Foundation We were given a brief introduction to Guizhou and also the work that the government and Amity Foundation were doing in the province Amity Foundation actually helped to build numerous new village clinics to improve the quality of healthcare in the region

The next day we were taken on a tour around the province visiting different village clinics (村診所) lo-cated in areas further away from the city Usually there would be one or two village doctors (村醫) on duty

at a time to attend to the villagers with population of around 1000 to 4000 per village

However the village doctors were not the type of ldquoheroesrdquo I had in mind They were not your typical doctor working in a worn out run-down wooden hut where there would be a row of sick villagers lining up to see them How ignorant I was In fact the village clin-ics were mostly renovated and well equipped with ba-sic amenities The standard village clinic has 5 rooms main lobby (大廳) treatment room (治療室) pharma-cy (藥房) observation room (觀察室) and a doctorrsquos rest room (醫生休息室) Furthermore their patient flow was rather small sometimes only one or two pa-tients per day This was probably due to the fact that some village clinics were located only a stonersquos throw away from major cities Those in a medical emergency would of course go straight to the main hospital to seek help immediately instead of consulting a village doc-tor

To be a village doctor one at least had to be a sec-ondary school graduate They would also undergo constant training and certification by qualified doctors in larger clinics According to the village doctors they spent most of their time doing paperwork keeping track of the villagers and their medical history They would also conduct regular home visits to those suf-fering from chronic illnesses or those that needed con-stant monitoring such as patients with hypertension or rheumatoid arthritis Another point that I found

A village clinic before receiving funding from Amity Foundation

hellipand a comparison after

Life

hkucaduceusnet | 33

interesting was that they would also visit families with newborn babies to check on their general health At the same time they would educate mothers on proper breastfeeding techniques and how to provide adequate nutrition for their children in the future

To learn more about their daily routine we fol-lowed a village doctor on his home visit rounds The doctor would sometimes have to travel as far as 2 kil-ometers for a home visit which would be the other end of the village This was as in the case of a pregnant lady due for delivery soon (photo as shown below) The doctor who came to check on her health status reas-sured her that her delivery would be a successful one From her sigh of relief and tired smile we could tell that she was grateful to see the doctor

However things didnrsquot always run as smoothly According to some of the village doctors they used to be scolded and rejected by the locals who did not understand why the doctors would often come up to their doorsteps asking them questions regarding their health and pestering them to go for checkups Some of them being superstitious would think of doctors as ldquoharbingers of bad luckrdquo as the doctors would talk about ldquosicknessrdquo and ldquodiseaserdquo when they were actu-ally feeling as fit as a fiddle Thankfully the situation has much improved since then

From what we saw instead of playing a curative role in a society the village doctors were actually much more involved in disease prevention and monitoring

This is actually the ldquoupstream modelrdquo concept in pub-lic health Instead urban doctors are overwhelmed by limited consultation time and when fatigue kicks in they simply do not have the energy to further educate their patients They would also not have the time to un-derstand their patients on a personal level unlike that of the village doctors

However the indiscriminate use of antibiotics in China was truly a frightening sight Doctors adminis-tered antibiotics intravenously for mild diseases like the common cold When we asked the doctors as to why they did so they simply smiled and shrugged off the question It is probably still a common practice in China and if the doctors did not give such medication the patients would probably lose trust in the doctor The fact that the similar practices were seen even in large hospitals probably indicates that this problem is hardly a localized one

Part2DongshanGuangdongWe met up with the team from Xirsquoan at the

Guangzhou airport and proceeded to our next desti-nationmdashDongshan After 5 hours of car ride we began to see signs that we were approaching our destination Mountains sharply angled clustered in twos or threes fondly known as ldquoMcDonalds mountainsrdquo were begin-ning to be in sight

As soon as we arrived we were greeted by eager curious young faces The children huddled close by as we unloaded our luggage some commenting that they hadnrsquot seen some of us while others were already play-ing around with the past participants It was my first time to Dongshan but there were some of us who were not new to the kids there

After settling down we were given an introduction to Dongshan and its residents by the local NGO Green Action Foundation led by Mr Wong

Located at the outskirts of the province Dongshan is one of the 4 poorest areas in Guangdong Its natu-ral terrain abundant in limestone makes it especially hard to retain water This has taken a toll on the resi-dents especially during the drought season Another problem faced by the local residents is that there are many young people and adults migrating to big cities to earn a living leaving behind the children and elderly

Village doctor on one of his home visits

Discarded bottles of intravenous antibiotics near the village clinic

ldquoMediciNe also disregards NatioNal bouNdariesrdquo ndash irviNg laNgMuir

34 | Caduceus September 2011

at home

Green Action Foundation took the initiative to plant trees around the area so that more water was available for irrigation and domestic purposes This improved the quality of their crops and boosted their source of income They also sponsored some of the

childrenrsquos education depending on their performance in school to ease the burden on their families

The next few days were jam-packed with activities A sports day was held as an icebreaker so that the new participants could get to know the children better We also spent half a day at the Dongshan Primary School where we taught the kids personal hygiene simple first aid moral education and also sex education for the grade 5 and 6 students

Another interesting activity that we had was a weed-cutting session up at a mountain with the other children Each of us was assigned with 2 to 3 chil-dren who were supposed to ldquoguiderdquo us along the way It was a 2-hour hike up and down hilly ter-rain While I would stop once in a while to take a breather the kids were barely panting The kids would often stop to ask if I was tired and even of-fered to help me carry my backpack Note to self more exercise next semester

Nevertheless it was a great chance to know the kids better We had the time to chat about their school life and what they thought about their future and also the chance to share snip-pets of our lives in the city

We then split into small groups and visited the homes of the children in order to gain a bet-ter understanding of their household hygiene

condition any medical conditions in the family as well as their economic standing We had also prepared questionnaires to be kept as future record Some of the families were very poor to the extent of having no source of income at all They depended solely on their own crops for food If they went to see the doctor they would usually owe the doctor money until they had

enough money to pay back The hygiene status of the villagers varied but most of them had swarms of flies around food Many even had their live poultry like chickens running around the house Before we left we gave them some hygiene products like soap washing detergent and toothbrushes to encourage better hy-giene We also gave them a poster explaining ways of maintaining a clean household environment

Another main focus of the trip was to find out the effectiveness of a medical insurance policy newly in-troduced by the government Each person had to pay 30 Renminbi annually to be guaranteed free medica-

Sports day activity

Weed cutting with the children

hkucaduceusnet | 35

tion and hospitalization thereafter Generally the vil-lagers were grateful for this plan as many found it dif-ficult to afford medical fees while struggling to pay for

basic necessities at the same time However some vil-lagers complained that the prices of medicine spiked after this policy was introduced and hospitals would of-ten ask patients to

do unnecessary scans just to earn more money

This trip made me realize that there is much that we can do but how great an impact we can make might not be seen immediately With follow up trips one could see the change as compared to the last visit and make further modifications to improve the situation

As the trip came to an end we were reluctant to leave There was something very magical about Dong-shan where the skies would turn to an exuberant red during sunset and on a clear night you could see stars scattered across every corner of the sky It is a place of beauty struggle and hopefully a place of triumph in the years to come

It is a place of beauty struggle and hopefully a place of triumph in the years to come

On one of our home visits

More to ExploreMedical Outreachers 醫心httpmedicaloutreachersorg

The Amity Foundation 愛德基金會httpwwwamityfoundationorg The beautiful sunset in Dongshan

ldquoshariNg is soMetiMes More deMaNdiNg thaN giviNgrdquo ndash Mary catheriNe batesoN

36 | Caduceus September 2011

就 在這一刻世界沉默了

城市的繁囂隨飛機引擎

逐點逐點噴走了繁囂的離

開是為了讓簡單的生活回

來剛踏出廈門機場一張

又一張的笑臉映入眼簾刺

熱的太陽把兩地之間的隔膜

融化

早從香港回歸時開始

香港人經常強調自己只是 

「香港人」而不是「中國

人」自以為比內地人高一

等可惜這班自視過高的都

市人曾幾何時為外地人送上

熱情的款待這一點廈門

人比誰都做得更好

廈門是一個位於中國

東南部的海島也許就是近

海讓居於廈門的人都把一

切怨恨煩惱拋下大海讓

它們隨水流漂走埋藏在海

床上每年廈門的鳳凰花花

開兩季一朵又一朵鮮艷如

火的鳳凰花在六月時歡送一

個又一個的畢業生彷彿為

他們添上一份祝福九月時

的鳳凰花熱情地歡迎一屆又

一屆的新生為新生的精彩

校園生活揭開序幕一份一

份的熱情含苞待放身在廈

門又怎會不被這市花的熱情

感動呢廈門大至人與人

之間小至花與花之間都存

著一份情

要追溯廈門人的情懷

可數至土樓的建成土樓

是個大多呈方形或圓形大型

群居的建築整座土樓樓高

三至五層由於牆身頗厚及

只有一個出入口甚具有防

禦功能亦因為這緣故當

大門關起來土樓便成了一

個家這個家佔地不大但卻

藏著成千上萬的人情味在

萬里無雲陽光普照的天空

下土樓居民的熱情好客

被蒸發出來懸浮在空中

一代一代傳下去更讓它隨

風走出土樓傳遍整個廈

門即使土樓漸漸成為旅遊

景點一些擺賣紀念品的攤

檔已經進駐但卻無礙居民間

的感情商販彼此交流從

不出現爭客的情況在土樓

中央休憩的居民除了為外地

人介紹他們的祠堂外亦邀

請遊客跟隨他們到遊客禁區

參觀在土樓居住的每伙都

中門大開當遊客投進好奇

的目光屋內的人往往以親

切的笑容作回答鄉土人

情在這世代多冷漠的心也

被融化

細膩的人情味外最令

遊客津津樂道的是廈門人的

態度廈門大學附近有一條

芙蓉隧道只要你願意便可

在隧道內壁上畫下你所思所

想當然美觀與否見仁見

智但這一種對藝術尊重

欣賞的態度是值得欣賞我

有我盡情地畫你有你盡責

青春在廈門留下足印潘曉彤 (N14)

生活

hkucaduceusnet | 37

地去管轄城市各處的整潔

彼此留下空間達至相輔相

成的效果廈門人就懂得人

最基本的禮貌尊重不

過廈門人對他人的尊重遠超

於人的基本禮貌當你去唱

「卡拉OK」的時候每次

待應的出入時看到的就只

有他們的正面而他們前行

或後退的方式就像看到皇帝

一樣卑恭屈膝香港人常常

強調面子哪一天才能捨下

那過高的尊嚴為不相識的

人作一個最謙卑的招待

其實任何人一離開香

港都不難發現就只有香

港愈夜愈精彩其他地方晚

上八時大多關門大吉而廈

門就只有中山路才媲美得

上香港的夜夜笙歌夜幕低

垂萬千燈火的中山路上

與來自各區的人擦肩而過

昏黃的燈光下照出一群又一

群的沉默影子剛好與路上

喧鬧的行人相映成趣騎樓

在霓虹燈的點綴下顯出了獨

有的閩南特色大街小巷傳

來不同地道小食的香氣車

輪餅燒仙草土笋凍helliphellip

為我們外來的交流生帶來美

味可口的夜宵飲飽食醉過

後走到中山路的盡頭又

回到了沉睡中的廈門

在優美的環境影響下

廈門人的生活也自然變得

純樸優閒單車車輪在環

島路上留下一圈又一圈的印

記沿路能細聽海浪輕拍岸

邊的聲音細嗅四處洋溢的

花香感受微風吹散太陽散

發的熱力見證一對又一對

的新人在拍下幸福的照片

據說廈門有戀愛天堂之稱

不管走到哪一處也會

看到準新人拍下甜蜜的婚紗

照而在裡面享受的人永遠

不知道這風景如畫的背

後是透過多少人的血汗換

來當我們在追求經濟成果

的同時往往破壞了造物者

在世上留下的藝術品隨中

國經濟急速發展一個又一

個的世外桃園被摧毀銅臭

替代了花香車聲替代了鳥

語這仙境又可維持多久

廈門另一世外桃園就是

鼓浪嶼它活像香港的長

洲島上滿有歐陸建築風

格但當中不乏中國特色的

建築中國古城風味與洋風

互相交替帶出截然不同的

感覺島上遠離汽車的廢

氣與金門就只是一海之

隔一家大小在享受天倫之

樂時一群又一群的青少

年情侶在沙灘上嬉戲立

即為島上升溫

筆者認為在這個混亂的

俗世確實需要抽空來欣賞

造物者留下來的藝術品大

財團不斷興建大型商場國

際知名品牌不停進駐留下

的就只有愈來愈狹窄的街

道被石屎封蓋寸草不生

的土地人人被金錢蒙蔽

迷失在霓虹燈光中又有多

少知音人能放下生活的瑣碎

事情在這裡享受時間一分

一秒的流走你被海浪聲

喚醒了嗎

筆者參加這次是由香

港廈門兩地大學的交流

團一連六天已經習慣了

當地的優閒生活模式體會

到的不只是廈門的風土人

情歷史文化而是兩地大

學生那種衝破界限的交流

雖說年輕人容易打成一片

但廈門獨有的熱情確實融化

了彼此間的隔膜廈門的美

是成人之美成就了兩地大

學生的友誼

飛機又再起飛了廈門

再見了

ldquothe tiMe of life is short to speNd that shortNess basely it would be too loNgrdquo ndash williaM shake-speare

38 | Caduceus September 2011

生 命形成之際只要一秒鐘的差遲世界便會不一樣

蝴蝶效應從來都是玄的全因一個 

「緣」字

隨著人成長要決擇的事太多學生

有兩件人生大事幾乎都不是由自己決定的

入讀小學及中學然而到了大學這

關卡自己也許可以拿定主意了若果你

入讀了心水科恭喜你若不然祝福

誠然入大學是最影響未來生活的關

口是好是壞無人知曉不用量化不

用比較太多即管做自己所想活出自己

的路只因你不會曉得你的下一步會怎樣

影響著你的生命

或許一個活動你會遇上你的最愛

或許一個宿位你會遇上你的知己

或許一句說話你會惹來一個敵人

或許一次走堂你會由B變C

這就是大學

在大學各人有各人的大學生活大

學講求自由學習學習真的是「求學不是

求分數」有些人愛廣交朋友有些人愛

住宿有些人愛做莊務有些人愛拍拖

有些人愛參加各樣活動有些人愛做兼

職有些人愛讀書有些人卻愛甚麼都不

做helliphellip不少大學生強調入大學必定要做齊

大學五件事(上莊住宿讀書拍拖

兼職)但其實只要自己開心不害人的

話做甚麼也沒問題最要緊的是認清讀

大學的目的以免沉淪於大學這花海

朋友

大學可以令你對「朋友」的概念愈來

愈含糊幾乎每個活動都可令你認識新朋

友通常大家都會輪流講述自己的名字與

學科(Round Table)這亦是考驗大腦對人名的記憶所謂的「Hi-Bye Friend」會愈來愈多隨便在細小的港大內穿梭會令你

無可奈何地對他們說聲Hi

不過別標籤你的「Hi-Bye Friend」要是連Hi-Bye也談不上更不用說做深交了上大學了大家已有既定的圈子很

多時約會或聊天都先找中學朋友而且很

多人會把大學朋友與中學的作比較雖情

有可原但有時未免先入為主地覺得中學

的較好

這亦難怪即使是日日碰面的同學也

未必是自己的好友人人都有自己的時間

表下課後各散東西不是大家不想互相

認識只是有時身不由己若想互相了

解不妨盡量製造共處之時有時甚至可

以分一些約會給大學朋友然後你會發

現大學朋友也可跟你熟絡可別為自己

建造一塊厚厚的心牆

舍堂

要入宿無人會不曉得十日的迎新營

有些舍堂平均每天的作息時間只有兩三小

時有人說住宿最辛苦就是迎新營然而

它卻是最難忘的

要數活動單單一個舍堂已數之不盡

要是投入舍堂生活每天24小時是不夠

用的舍堂之間有各樣比賽堂友要參加

各個組別為比賽出席各樣練習否則可

能被拒於來年再住基於許多人都只在夜

晚有空要全體出席那可是晚九朝五的

大學之緣賴彥積 (N14)

新鮮人

hkucaduceusnet | 39

宿生們之所以會熱衷於舍堂活動因他

們對自身舍堂有強烈的歸屬感好比中學

時學生參加校際比賽要是沒有歸屬感

就不會有心參加所屬舍堂的活動

除舍堂之間之活動樓層之間亦有各類

活動樓內亦然只要有人的地方就有玩

樂彷如天天宿營你不會有機會偷偷早

睡其他樓友常常打擾你你原來的生活

時間會推後數小時睡於二時已是罕有

早上的八半堂彷如無物

可以住宿但不參加活動嗎當然可以

但你會面對的是朋輩壓力他們雖未必逼

你參加卻會在言談中有意無意的滲出

來那種壓力不只限於自己樓層甚至是

跨樓層千萬可別輕看宿中流言

上莊

有人說上莊所學遠超課堂上莊所學

的是如何籌辦活動非常實用有時要對

外聯絡有時要面對公眾helliphellip像是要為將

來工作鋪路似的當然這亦要視乎你上

的是甚麼莊

一般而言上莊可訓練你待人處事的技

巧有時表面看來很友好的朋友當背

負上一定的要求後關係少不免有磨擦再

者初時莊員素未謀面最後卻因朝夕相

對而演變成朋友這段關係是很可貴的

成莊前要宣傳內閣爭取選票成莊了

又要舉行咨詢大會包受歷莊指導然後

又有就職典禮此後的活動更接踵而至

當然包括迎新活動招莊活動等helliphellip君不

見很多人視莊房為睡房少不免有「通

頂」之時忙是忙但必有價值至於是

好是壞要看自己的造化了

拍拖

人上了大學有時心思思想拍拖眼見

身旁多個好友都紛紛拍拖自己少不免羨

慕別人這想法十分正常畢竟大學生真

的可以放下只讀書的重擔真的可以規劃

人生大事了

香港大學一些營新活動中隨了Round Table外還有Round Status即說自己現在有否拍拖以及拍過多少次拖如 

A 0即Ava i lab l e之前至現在沒有拍拖O1即Occupied之前至現在共拍了一次拖當然也有一些同學自己創的甚

麼OBA (Occupied But Available)或D10(Desperate拍過10次拖)等等至於Round Status的動機何在可能是組爸媽想穿針引線吧當然也可能是別有用心的

不同人對拍拖有不同想法上了大學更

有不同擇偶條件人大了在感性的議題

上往往加上種種理性的數據開始現實起

來哪個帥哪個富有哪個有前途helliphellip

有些不在乎天長地久只求剎那的光輝

有些求虛榮有人疼愛在朋友前炫耀

有些甚至會在拍拖前已想定分手後的模

樣所以不想選擇跟自己同科的同學

活動

不同團體(包括舍堂學會及學校部

門)都有不同活動不用愁沒事幹只用

愁沒時間只要多留意Portal Mass Email或Main Campus海報不難發現幾乎每天都有各樣活動動靜皆宜開學時有迎

新營考試時有勁過飯新學期有開Sem

飯有些學會如戲劇舞蹈合唱團不時

有演出有關運動的學會則多練習以參

加比賽有關學術的也有很多興趣班講

座比賽等想幫人的亦可參加義工團

體如蛇蛇豬扶青等舉辦的義工活動

兼職

大學生的兼職大多以補習為主畢竟

這是我們能力範圍內可賺取最多外快又是

時間最彈性的工作有些人卻因補習不能

寫在履歷表而選擇別的工作然而很多時

我們都要在兼職與大學活動中取捨我的

ldquotake a chaNce all life is a chaNce the MaN who goes farthest is geNerally the oNe who is williNg to do aNd darerdquo ndash dale carNegie

40 | Caduceus September 2011

E mily was the chairperson of Pharmacy Socie-ty session 2010 As a student she has actively

participated in holding activities for many medical stu-dents and taken part in providing welfare to all phar-macy students Her following sharing will especially enlighten our new pharmacy students

Q Why did you choose Pharmacy SocietyA To be frank ldquosheung jongrdquo was really out of

my expectation when I anticipated my university life However my perspective has changed when I officially became a pharmacy student in HKU As members of the opening class of the Pharmacy programme my classmates and I realised the importance of having our own student body We do need an independent soci-ety to represent us pharmacy students to cater for our specific needs to listen to our points of view and to act as a bridge to facilitate our communication with the Medical Faculty the entire university and ultimately the pharmaceutical field in Hong Kong My class-mates and I who later became ldquojong yausrdquo believed we should act immediately to establish and run our own society which is why I decided to ldquosheung jongrdquo

Q Would you like to share some of the pros and cons of sheung jong

A ldquoSheung jongrdquo definitely helped me achieve per-sonal growth It was a concurrent commitment and re-sponsibility to serve and to lead our colleagues Bear-ing this in mind we always pushed ourselves to attain the best of our work ethics efficiency and efficacy As the very first session of the Society we lacked the guidance of any previous committee member Instead analysing carefully and critically we thought better of every decision which I personally found an enriching experience ldquoSheung jongrdquo was also an eye-opening journey Wersquod got to meet different people and learnt more about the professional work for as our career-to-be after graduation This in my opinion is always beneficial Last but not least I was fortunate enough to have worked with my amazing fellow committee mem-bers I frankly couldnrsquot ask for better ldquojong yausrdquo than initium Irsquom absolutely thankful for having them as my friends and it is definitely my greatest gain along the way

Despite the merits ldquosheung jongrdquo definitely has its downsides as well It is a lie to say ldquosheung jongrdquo does not affect our daily life because it does take up a big chunk of our time At the end of the day it is about time management which is easy to say but extremely dif-

建議是如家庭環境較困難賺錢吧反

之可以多留時間給各活動畢竟大學一

年的學費不只值那幾十堂課如何善用這

$42100就在乎你如何投入大學生活

讀書

假若你認為大學的考試可考核學生的

真正讀書能力並要求學生活學活用課堂

所學那麼你大失所望了假若你善於背

誦有過目不忘之本領大學的筆試不會

難倒你只要靠著前人留下的歷屆試題

背到滾瓜爛熟是不可能不及格的很多屆

試卷都是千篇一律的很多教授可沒空大

改試題那同學們就走運了有些課堂

即使再專業的學科都會有只理論無實

踐的課堂然後考試就要你把一大堆理論

背出來helliphellip例如甚麼叫批判思維噢

我可不知道只知道我掉了5分

不同學系在某程度上定下了人的前途

對於醫學院學生而言前路是較清晰可見

的但對於非專業學科前路不可只靠讀

書也許要靠自己另外摸索讀書所帶來

的必然是較高的GPA高GPA所帶來的是

獎學金到外國交流工作實習日後工

作機會等等當然大學學習不只局限於

讀書會否因此失彼就只有自己知道

蝶翼拍動之時往難以預料機會是

要自己摸索的

如經上所記

「神為愛他的人所預備的是眼睛未曾看見耳

朵未曾聽見人心也未曾想到的」

(哥林多前書29)

「栽種的和澆灌的都是一樣但將來各人要照自

己的工夫得自己的賞賜」

(哥林多前書38)

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

Freshmen

hkucaduceusnet | 41

ficult to achieve Also working as a Committee mem-ber can be very exhausting and difficult You definitely need lots of determination and support to get through some of the busiest times

Q How did you handle and balance the workload of study and your ldquojongrdquo

A As Irsquove said before it was tremendously difficult I guess my best advice for the future committee is to know your limitations and always plan ahead You have to know your time to work to rest to study etc No one will be over-worked and eve-ryone will have some personal time if you share the burden wisely between ldquojong yausrdquo Secondly you have to make very clear plans so that you can make full use of every little piece of your time I may not have succeeded in my time management but most of my ldquojong yausrdquo managed to do so de-spite the packed schedule of our Soci-ety This is sufficient proof of ldquoimpos-sible is nothingrdquo

Q As there are only about 25 pharmacy students per class do you have any suggestions for P14 fresh-men to make more friends from other curricula

A It really depends on what kind of person you are If you consider your-self socially active living in a hall or ldquosheung jongrdquo will be a great idea for you But if you see yourself as a much quieter person you can still make use of opportunities such as Medic Orien-tation Camp and other events jointly organised by student bodies within the Medical Faculty to make new friends

Q Any special things for P14 freshmen to be aware of

A First of all welcome You all are now members of Pharmacy Society MS HKUSU and I would like to let you know that this is a student body aiming to serve you Thus feel free to share your viewpoints and voice out your opinions to the current Com-mittee members The Society has to

understand your needs to improve and provide better welfare and services for you

Q Any other comments or important things to re-mind P14 freshmen

A If you would like to get to know more fellow pharmacy students especially students from P12 and P13 grab the opportunity to join the Pharmacy Society Orientation Camp and the Mentorship Programme These are great chances to make new friends and Irsquom sure you will enjoy them

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

ldquoas huMaN beiNgs we do chaNge grow adapt perhaps eveN learN aNd becoMe wiserrdquo ndash weNdy carlos

42 | Caduceus September 2011

筆 者是一位護理系的學生半年前有幸成為二零一一年啟思編輯委員會的總編輯在期間所體驗到的希望藉著這次機會作出分享特別希望新加入醫學院的同學

能對「上莊」有更多了解

上莊之路上莊是大學五件事之一證明它對大學生

活有一定的重要性一定的位置筆者在初入學的時候曾為了上莊與否而煩惱猶豫了好一段時間期間考慮到自己能力怕學業應負不來但最後仍然下了上莊這個決定原因是上莊是個難得的機會充實增值自己不同的莊會提供不同的機會讓莊友去學習透過不同的莊務去讓自己眼界擴大另外可以了解醫學院內發生既事情例如院內活動的進展情況更可以參加舉辦院活動為醫學院出一分力最後當然會認識到將會相處一整年的莊友工作伙伴有機會認識到不同學系的同學從他們身上可以觀察到學習到各種的特質從而令自己有所進步有所啟發

護理學生作為護理系學生起初擔任總編輯一職實

在是倍感壓力畢竟歷屆的總編輯都是由醫科生出任因此筆者起初都害怕跟醫科生共事怕自己的能力不足夠應付莊務所以起初都是戰戰兢兢地上莊

一位三年的護理學生曾對我說「我認為你不太尊重護理系護理系和醫科都是個專業希望你能加以尊重自己的學系不要輕視護理這個學系你要肯定自己的學系才能帶領整支莊因為莊內成員來自不同的學系你必須肯定和認同每個學系都有一定的重要性以及其專業」這番當頭棒喝的良言令我明白到自己一直都太輕視護理系過於重視醫科現在我明白到認同自己學系是尤其重要只有這樣才可以用自己學系的身份去發表意見只有認同自己學系才懂得尊重其他的學系莊內便可以融洽一點

在筆者的莊友中醫科生都是較有責任感而且做事更有計劃從他們身上的確學到不少東西這點是無可否認的事實筆者並不是在分享學系與學系之間的差別而是希望有志上莊的同學能互相尊重明白到各學系的莊

友都有其值得學習的地方起初對其他學系有隔膜是無可避免的畢竟對他們的學系都不太了解又沒有歸屬感但如果因為對方是別的學系而輕視對方的人不但失去與人相處學習的機會而且會令莊內的氣氛失去和諧

幸好的就我所見所聞醫學院內的莊多年來都能融洽相處互相支持令到一眾上莊的同學都能輕鬆地享受上莊的喜與樂甚至是不愉快的事情

依靠你的莊友莊是一個團體不是一兩個人可以應

付得來所以筆者認為與莊友互相溝通合作是個重要的元素新同學如果有志參與莊務期望從上莊中有所得著首要的事情是與莊友建立關係因為他們將會是你來年的工作伙伴也是你遇到困難時依靠的對象一位上莊曾對我說「其實一件的莊期不會令你有太大的得著或成長反而長久的友誼才是你將會得到最重要的」這句說話是千真萬確的上莊的人不會由詞不達意改變成談吐得宜不要期望自己會有驚人的轉變也許上莊會令人處事成熟一點有計劃一點但上莊所得到的關係將會是更重要更珍貴一年的相處中面對過有無數的會議共同處理過不少困難從中

建立的友誼真的是畢生受用

責任感上莊另外一個十分重要既條件就是責任

感有志上莊的同學必須明白到莊期是長達一整年在繁重的學業中騰出時間來處理莊務是個考驗責任感和毅力的測試同學必須再三思考想清楚自己是否真係熱衷於上莊或是只是一時衝動畢竟你將要許下的是一年的承諾必須對這個莊負上責任願意付出才選擇上莊這個決定這樣的付出就會有相對的回

總結上莊的確是個好機會讓自己去學習從處

理事務中或是從莊友身上都會有所得著充實著自己的大學生活從中可以認識到各學系的同學建立一段段受用終身的友誼在此筆者希望各學系的新同學可以善用機會作出上莊這個無悔的決定

護理系的啟思總編石志榮 (N14)

新鮮人

hkucaduceusnet | 43

慈兄吟(下)奇晶

最 後還是麥教授先開了口「他的確是一個好學生對醫學有獨到見解他不但學業成績優異而且樂於助人你是他的妹妹吧」婉慧努力控制自己的淚水繼繼續續的說「是啊但helliphellip但helliphellip我不知道helliphellip他竟會在這裏出現」麥教授用悲天憫人的目光看着婉慧語重深長說「人生自古誰無死人生命的有為與否並不取決於他生命的長短而是在於人生的意義你哥哥雖然最後當不了醫生但他的犧牲卻間接為一些同學做醫生鋪路讓他們做醫生去救人這真是一種無私的愛」婉慧點點頭覺得自己對哥哥的了解實在太少了

最後她還是孤獨的離開實驗室她覺得自己跟哥哥比起來實在相差得太遠了原來他除了是十優狀元在醫學院的成績名列前茅外還是個熱心助人的好青年自己除了少了一優外少的更有對別人的同情及樂於助人這造就了她心靈上的空虛她明白到冷漠不是一種對哥哥思念的正當表達方法她應該做的是把哥哥對其他人的愛傳揚開去以圓他的心願

第一步往往是最困難的婉慧平日對他人的態度已令不少人對她敬而遠之有很多次她嘗試向同班同學投以友善的笑容得到的總是詫異的目光或別人的不理不睬在小組討論中儘管她踴躍發言盡量避免冷場的發生偶同學們卻認為她變本加厲想阻止同學們取得好成績她四處碰壁又再次陷入了想念哥哥的深淵

時間一天一天過去了上學期考試前的休假開始了婉慧每天都勤奮的在圖書館溫習期望取得好成績這時候的圖書館堆滿了人如果遲來一個小時想找一個位子也難就在假期的第二天同班的王文在圖書館跑得氣急敗壞仍找不到一個座位婉慧不知怎樣有點同情他將座位讓給他王文驚訝道「不用了我還是回家吧真倒楣遲來了一個小時就沒有『接位』」

「但你住在哪裏呀」

「元朗今天早上我忘了校鬧鐘八時才起」

「那你還是要我的座位吧我可以坐到電腦桌因為我認識的人不少沒有什麼人會打擾我的」

王文謝了她頓時對這位冷漠的同學刮目相看原來她的內心也是溫暖的這並不是他所能料及的坐在電腦桌前溫習的她也感到特別的快樂溫習的速度也快多了王文就此成為了她的「飯檔」考試期間每天和她一起吃飯他更將自己的好友介紹給婉慧認識

在一個晚上她又悄悄的在圖書館的角落溫習着突然一隻溫暖的手搭着她的肩上她抬起頭但見解剖學的同桌手中拿着一杯熱飲輕輕的放在她的桌上婉慧正感詫異卻聽見他說「這杯熱巧克力是給你的繼續努力吧」她喝着巧克力心中感到一股暖流彷彿哥哥的關懷又在她內作出回響

十年生死兩茫茫不思量自難忘千里孤墳無處話淒涼helliphellip

寒風吹起了她額上的劉海佇立在墓前的婉慧不禁凜冽她想起了從前想到自己最後一次和哥哥吵架雙方面紅耳赤的情況想起自己無法親口跟哥哥道歉想起哥哥無私的付出她對着那空虛的墳心中不忍一陣淒然淚水漱漱的流下來她身旁攜扶着年紀老邁的母親邊拭淚邊喃喃道「我的兒子helliphellip歿了helliphellip」大家心情漸漸平復了緩緩走出了墳地

雨一滴一滴的落下飽歷辛酸的婉慧卻仍在懸壼濟世

短篇

ldquoyesterday is but todayrsquos MeMory aNd toMorrow is todayrsquos dreaMrdquo ndash khalil gibraN

44 | Caduceus September 2011

Eternal Flame (1)Tulipa

Itrsquos cold The chills from my fingertips imbibe deep into me This person drills into my mind digging out the truth inside me Itrsquos agonizing She comes right inhellip di-rectly I cannot stop her

Irsquom losing myselfhellip

My hand felt the soggy pillow I realised I had come back to life the world where I lived Staring blankly at the ceiling still losing focus in my eyes I felt my brows with my forearm For the first time I didnrsquot want to lose this feeling

The bedroom door slowly opened I quickly rubbed off the drops that had blurred my vision pretending that I had just woken up

ldquoDo you have lessons this morningrdquo My grand-mother whispered into my ear

ldquoOh goshrdquo I turned right to my alarm clock It was the real life I had forgotten to turn the alarm on last night and it was now seven thirty I knew it I was going to be late every time she caught me in bed Irsquod got to hurry up

Living in Hong Kong Island though it took me more than an hour to get to school I had to comfort my little brother sometimes till two or three in the morning in order to get him to sleep In addition to the consistently heavy study load in the medical school I could hardly get enough rest Running on my heels al-most became my routine starting from last November But I well understood the consequence of skipping lec-tures It was the beginning of the Cardiovascular Sys-tem Block For someone like me who gave least priority in revising Anatomy materials lectures remained the prime source of information for exams Absence from class was suicidal To make the situation worse this professor was one of those who did NOT upload lec-ture notes online

Hoping I wouldnrsquot arrive too late to miss the impor-tant points I finally stepped onto a route no 8 minibus at ten past eight What I could do now was to pay trust in the driver who would bring me to my destination

Coaxing kids was never easy Little Bruce just hap-pened to give me such a hassle last night

He knew I would check on him when I returned home Sitting right next to the door of his room he begged me for a story once I opened the door I sat down together with him on his little couch after Irsquod taken a quick shower This was a time to relax leaving

aside all the other concerns

Kindling through his favourite reader I saw that he wasnrsquot listening but distracted by all sorts of toys around He even invited me into his world of fantasy But it was getting late I had to calm him down so that I too could have some rest Being one of the brightest in his elementary school he should understand this was not the time for recreation

I began to feel annoyed

Yet he was my brother I had a gut feeling that this was unusual He didnrsquot use to be so ldquohyperactiverdquo It re-ally took me a while to adjust to his change With him still tossing and turning in my arms I apprehended his restlessness Unpredictable though he was true to his feelings In one way or another he might find the shadow of our mother in me

He finally settled when I laid him back in bed It was nearly two forty in the morning

The first week of the CVS Block ran as plotted PBL tutorials would start on next Monday Dr Youngrsquos fa-cial expression in the first PBL evaluation flashed over my Embryology notes and references She didnrsquot teach Embryology but I could tell she did have a hypertroph-ic heart-shaped face which looked familiar to the dia-grams in the Atlas

Back in the IHD Block most of us were puzzled about the scrambled content of our course Various forms of seemingly related knowledge came in through lectures practical and tutorial sessions But the neural circuit formed in our brain just failed to resonate as if the conductance-inductance mismatch had aberrated our thought from minimal impedance Sometimes things even happened in a ldquomore-than-extrardquo manner The presence of common core courses in a parallel but independent branch in the network could rightly be detached without causing a blip on the galvanometer Everything was dubious We had no idea of what we were doing

Maybe we were just on the way seeking for a sense of attachment

My mind too was racing in haste I was struggling with my decision to become a doctor Too many things had happened over the year I just couldnrsquot stop ques-tioning myself what was I thinking when I put lsquo6456 MBBSrsquo in my JUPAS application I should have expect-ed and prepared to face all these I just didnrsquot knowhellip

Novella

hkucaduceusnet | 45

It was midterm evaluation in the IHD Block Her face looked tense in that heart shape She was so stiff in her facial expression that no one could read her mind from her poker face The conference room of the Physi-ology Department was large We seemed to be the odd ones out in the spacious carpeted room In this secre-tive silence you could hear the drumming in your ears as if you were tingling

I realised this was not a matter of ldquoam-I-suitable-for-a-medical-careerrdquo but ldquois-a-medical-career-suita-ble-for-merdquo I was lying in bed playing with my plush bear when these thoughts burst in me Dr Young looked through me She felt certain that different from other group mates there were crises behind me But I didnrsquot tell her anything that day

We all were sensitive At times some subtle trepi-dation seeped in gradually sucking peace away from my sleep It was so to say below threshold sub-lethal though it lingered for weeks once it set inhellip

Drenched in bloodhellip There is no life in the boy His eyes are widely opened slightly protruded The lifeless pair of black pearlshellip I cannot escape from his glance He wants to talk to mehellip There is something he wants me to know

A van runs over himhellip

I fell down the edge of my mattress Breathing heavilyhellip Sweating all overhellip

ldquoScreechrdquo People began to gather around a tel-ephone booth a few metres behind us

I turned back I couldnrsquot see a lot from this anglehellip

ldquohellip What a pity He is so younghelliprdquo a middle-aged couple passed by

The victim resting just in front of the wheel looked towards me through a break in the crowdhellip

As we were wandering around thinking what to eat for dinner my cousin found me standing there rooted to the ground stunned by the victimrsquos gaze My heart was pounding She wouldnrsquot believe what I was again experiencing For a number of times already scenarios in my dreams were mirrored into reality

I couldnrsquot tell her

ldquoI was just thinking whether you would like Korean cuisine There is a new restaurant two corners awayrdquo I made up a talk while escaping from the scene so that I wouldnrsquot look so strange

ldquoWhy not go and have a try thenrdquo She was not dis-appointed for calling it a day as the food there was sur-prisingly good

Not until some years ago when I was Form 3 in college I discovered my ability to look into the future Sometimes I could see them coming up on the news in days or weeks And some didnrsquot ever happen at least not around me But seeing the night visions coming into concrete existence wasnrsquot always a pleasure when the mental images turned gradually into mostly night-mares When I visualised my close ones it felt like I was in the middle of an insecure chain bridge above a torrent that would sweep me into the vast ocean with no return It was entirely different from what you might understand as ldquodreams come truerdquo

I had witnessed misfortunes in proximityhellip

But I could do nothing about ithellip

Friends were a source of solace someone to con-fide all frustrations in But with my paranormal ability which appeared to everybody else only on screen-plays I wasnrsquot courageous enough to open my life wholeheartedly to them Seldom talking about myself avoiding all sorts of gatherings I became an eccentric figure among my classmates

Sometimes mutual understanding carried more weight than words I remembered my physics teacher being one of my few friends during my teen years De-spite his boisterous faccedilade he was always sensitive to whenever I was dwelling on my burdens Physics was our common language Intermingling our emotions and feelings with concepts that were alien to my fel-lows we developed a close rapport impenetrable by anyone else

ldquoWhat is the nature of a flamerdquo This was the most discussed problem between us Neither in solid liquid nor vapour state Not having any definite shape and colour It seems not any material but a type of energy giving out heat and light At the moment of providing it also exhausts its fuel and eventually itselfhellip

The romance of physics is more than anything you could read write and talk about Once you were truly connected with it nothing can stop you Your mind will bounce irrespective of the chronology of space-time but only under the guidance of your thoughts

I was so devoted to the discipline at the time that I was almost making it my lifelong career in some way He envisaged that I would demand much more than any academia could provide with its scientific basis alone We were both seeking a philosophy beyond the facts But Hong Kong may not be the right place for it

I made him a promise at the end to contain our flame and I knew I would

For the first and the last time I saw his eyes filled with tears We knew existence by itself is a miracle

ldquoi love life because what More is thererdquo ndash aNthoNy hopkiNs

46 | Caduceus September 2011

說華佗都說「華佗再世」誰知箇中真諦雲方 (M15)

烽煙起戰火燃萬里 

三國並爭英雄地亂世有誰顧生死 

待神醫行世將民眾救濟

渺渺江山東西瞰俞跗巧手扁鵲心(1) 應向何處尋 

滾滾黃沙無世家終有奇士放奇葩

沛國 華元化(2) 

他經書貫通南北遊動 

一望斷症如神助三劑消病不必多

說斷症悉如所料 

甘陵 相夫人腹痛極難忍(3) 號脈知死嬰在左為男形(4)廣陵 梅軍吏除名歸故里

見貌知壽盡速返見萱椿(5) 

說消病藥到病除 

飲蒜醋有三升蟲一嘔而盡清 (6)母服丸而溫儲兒不藥而自癒 (7)

絕妙處 

是他開腸剖腹刀至辟毒 

神醫號 

除他內外皆精有誰配稱

[1]   俞跗黃帝時代之名醫扁鵲春秋戰國之名醫《淮南子人間訓》「患至而多後憂之helliphellip雖有扁鵲俞跗之巧猶不能生也」

[2]   華佗字元化沛國人(今安徽 亳州)

[3]   甘陵相(即甘陵之行政長官)夫人懷胎六月腹痛不安華佗為其切脈便知胎死於是命人摸知所在在左則男在右則女人云「在左」夫人飲藥後果然產出男胎腹痛立即痊癒

[4]   廣陵有軍吏名曰梅平離鄉服役後來退役歸家於路上巧遇華佗華佗視之嘆道「若能早些見我當不至於此而今你僅餘五日壽命速速回家還能與家人相見」平旋即趕抵故鄉五日後亦如料身亡

[5]   萱椿多作椿萱比喻父母漢牟融《送徐浩》詩「知君此去情偏切堂上椿萱雪滿頭」

[6]   華佗見路邊有人食不下嚥教他到路邊餅店買醋三升混上蒜泥然後飲用路人服後即吐出一條長蛇(即寄生蟲)

[7]   兩歲男孩長年腹瀉藥石無靈華佗往診謂病在母命其服用華佗親研之「四物女宛丸」服後母親乳汁不再寒涼男孩亦不藥而癒

意興

hkucaduceusnet | 47

只可惜人無完壁

「關將軍使君予我手刮骨惡毒走

曹丞相使君予我頭剖顱苦痛收」

「怎能不收怎能不收一命嗚呼萬事休 

簡直荒謬簡直荒謬殺此庸醫未須愁」(8) 

五禽戲尚能傳 (9)麻沸散從此絕 

何不一飲醉死不知世忍氣吞聲事權貴 (10)心神委曲須臾苦奇術失迭千秋計 

烽煙止無改生死事 

且當醫仙謫世間神技終須風裏散 (11)回首仰高山景行請君範 (12)

[8]     曹操欲殺華佗臣下勸之不可答曰「不憂天下當無此鼠輩耶」

[9]     死前華佗欲托所著醫書於獄卒不果便盡數焚毀唯有其養生體操「五禽戲」流傳後世

[10]   《三國志魏書方技傳》「當須刳割者便飲其麻沸散須臾便如醉死無所知」

[11]   唐白居易《簡簡吟》「恐是天仙謫人世只合人間十三歲」

[12]   景行(音航)即大道以高山景行比喻人品德行為之高尚典出《詩經小雅車轄》又東漢鄭玄曰「古人有高德者則慕仰之有明行者則而行之」

ldquothe art of MediciNe was to be properly learNer oNly forM its practice aNd its exerciserdquo - thoMas sydeNhaM

48 | Caduceus September 2011

啟程

清晨空白的天空看不見藍天雲彩

只有溫柔的雨絲和朦朦朧朧的霧水跟隨

著大隊的足印踏上沉重的腳步穿過橫

街小巷和煩囂熱鬧的市場走過自動門

撲鼻的消毒藥水味道讓大家屏住呼吸筆

者和夥伴們終於到達了入讀護理系以來第

一次實習的醫院

還記得在實習的前幾天心情是既忐忑

又期待的畢竟這一次實習的地方不再是

在社區中心宣傳健康方面的知識亦不是

只面對著健康活潑的小朋友和老友記或是

學校課堂上所提供的假人張靜汶卻是照

顧一羣真正需要關懷的病人心中充滿著

憂慮不知自己所學的知識足夠在應用上

嗎自己平日的練習足夠嗎雖然心存在

著不少疑惑但也十分期待可以體會一下

做小學護的感受嘗試把這一年裡所學到

的知識運用出來

很多的第一次

在病房裡總有心酸和膽戰心驚的時

候第一次為昏迷的病人清潔口腔第一

次為難以進食的人插入胃喉第一次為老

公公清洗背上壓瘡的傷口helliphellip照顧他們時

的心情都是一步一驚心生怕自己沒法應

付得來又怕會把事情弄得更糟糕最重

要的是恐怕自己不純熟的技巧令他們受苦

了記得有一回第一次為女病人插入尿

喉採取尿液樣本可能技巧不太純熟的關

係延長了病人的痛苦過程中她皺著

眉頭不斷呻吟又緊張得咬破脣眼看

她樣子心中真的不是味兒來身為病人

的其中之一依靠我們不得不給自己信

心如果連自己也不相信自己哪會有病

人願意把他們交給我們照料呢

捕捉那瞬間的美麗與淒然何麗敏 (N14)

上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

意興

hkucaduceusnet | 49

另外第一次面對病人的心情是頗為

緊張的說話技巧亦有改進的空間但和

病人傾談了數分鐘後氣氛也漸漸變得和

諧可能那些老公公整天呆在醫院裡真是

悶到慌看見一羣年青人與自己聊天照

顧和關心他們他們不禁咧嘴而笑醫院

職員透露有一位老公公平日不太願意吃東

西於是我們便主動和他談天說地又

悉心照料他進食的情況後來他不但胃

口好了不少就連心情也開朗了他生動

活潑的談吐讓我們笑了他回復健康精

神的體魄也讓我們感到安慰

相處片刻

雖然為期一星期的病房日子不是特別繁

忙或是辛勞但是也會有不習慣的時候

幸好得到醫院職員和一班夥伴的支持病

房經理和註冊護士不但相信我們的能力

對學護的包容更是不用多說還主動地介

紹病房的環境和細心地教導我們醫療護理

上的知識讓我們上了一堂實在而又寶貴

的課同時今次的實習也令我感到團體

精神也十分重要在技巧上大家互相提

點互補不足當有人準備照料有需要的

病人如插喉或洗傷口等大家送上一句 

「加油」就能令對方增加不少自信心和正

能量無論遇上甚麼事情我也榮幸有如

此一班學習夥伴從旁支持

學習的階級

在這一次病房實習中雖然醫療和藥物

知識方面有待加強但是我學懂了如何與

不同身份的病人相處之道溝通上也得到

了很大的進步獲益不少除此之外我

也真正體會到如何做一個好護士並清楚

了解這個行業是否適合自己鐘樓也不是

一天就能建成而是需要一磚一瓦搭建而

成的所以在學習上我們不但要打好

穩固的基礎還要增強醫療知識在技巧

上馬虎了事和走捷徑是於是無補的應

該多探究和練習才行這樣才對得起病人

和自己也減少不必要的醫療失當事故

總之多一份認真多一點耐性多一些

愛心就是學護必記的左右銘 上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

ldquoit is reasoNable to expect the doctor to recogNise that scieNce May Not have all the aNswers to probleMs of health aNd healiNgrdquo ndash NorMaN cousiNs

50 | Caduceus September 2011

Fun Corner

Medical AppsEver wondered how your handheld device can save your time and

effort when it comes to studying Here is how

Anatomy Pronunciations by HipposoftAccurate pronunciations of over a hundred important anatomy terms you have trouble with are provided

at your fingertips to help you spell those difficult words Anyone who has taken an anatomy course can tell you how challenging it can be to pro-nounce the names of those complicated anatomi-cal terms It is even linked directly to Wikipedia and Google through web browser for additional information

iPharmacy ndash Pill Identifier and Medication Guide by SigmaPhone LLCAn essential medication guide of 20000+ drugs is provided for con-sumers amp professionals This ex-

pands the image library to include 12000 pill and package images and includes digital drug identifier with official drug information (indica-tions dosage adverse reactions and more) You can check the drugs anywhere

Grades 2 by TapityIt tells you what grades you need in the coming tests in order to get your target grade You can easily calcu-late your GPA so as to maintain it It

is a useful tool helping you to keep an eye on your GPA all the time

Human Anatomy by SusaSoftXThe application provides you with information of 15 different biologi-cal systems You can keep on revis-ing while you are traveling without

carrying heavy books

Medscape by WebMD LLCFrom drug classes interaction clin-ical procedures and even the lat-est medical news Medscape helps medical students and healthcare

professionals to reiterate knowledge that has slipped from the mind It is a free application for iPhone iPad Android and Blackberry Yet it contains more function on Android phones and Apple products and lacks detailed clinical infor-mation for diseases and clinical procedures walk through on Blackberry

Pro Medical Terminology Dic-tionary by TreascoveryTerminology might be a tough work for medical students Even if we can master those English terms we can

hardly think of the Chinese terms This applica-tion can help you when you face this problem Note that it is not a free application

3M Littmann SoundBuilder by 3M CompanyA great tool designed to help im-prove auscultation skills of medical students with 14 unique lessons of

key heart sounds combing text virtual manne-quin 3D cardiac animation and dynamic wave-forms

iRadiology by Liebermans iRadi-ologyAn excellent learning tool for medi-cal students demonstrating classic radiological findings of a multitude

of abnormalities including over 500 radiologic images Radiologic images include CT US MRI and nuclear imaging each clearly labeled and followed by key teaching points

Micromedex Drug Information by Thomson Reuters (Healthcare) IncIs Cephalexin a first generation ce-phalosporin This application from

Thomson Reuters is the easiest way to navigate in the sea of drug names Drugs are sorted by classes and supplemented with rich information

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 2: Caduceus Issue 2, Volume 42

2 | Caduceus September 2011

Caduceus Session 2011From the Editor

Hello members of the Faculty Here comes the 2nd issue of the 42nd Volume of Caduceus

Publishing since 1922 effort of editors of Caduceus in producing thought-provoking materials to readers has never faded Hard as our work in researching writing designing layouts photographing and typesetting we have only one dream Have a sweet time with Caduceus when you are away from study We will carry on giving you inspiration

A special section for freshmen is especially added in this issue to provide them with a glimpse of lives in medical campus Sharing of current studentsrsquo feeling and experience is another part of this issue that would enlighten freshmen Exploring stories of current doctors of 4 specialties ndash radiology ophthalmology anaesthesiology and dermatology ndash might inspire you too on your ldquoROADrdquo to success

Following through our theme this year our pages are enriched with brand-new details that brings you with ldquoinfunityrdquo From art pieces appreciation to smartphone application we hope to break the boredom in your life

Dear fellow members of the Editorial Board we have compiled our sincere words once again in this new issue of Caduceus

Read on and enjoy the day of days when we can read

Caduceus 2011

hkucaduceusnet | 3

Social Issues 社會

4 立法會議員遞補機制方案的迷思

7 燙手山芋

9 停一停想一想

10 拒收病人何來醫德醫心

Feature 專題

14 「形影不離」的造影術

16 ADiscourseofaFemaleGold-Medalist18 奉行完美主義的守護天使

20 ToSucceedistoFightAgainstComplacency

Insight amp Life 灼見與生活

22 ArtandMedicineSeeingDiseasesinArt26 TheEndisNearApocalypticTheories30 笑的神奇魔力

32 LearningExperiencingGiving36 青春在廈門留下足印

Freshmen 新鮮人

38 大學之緣

41 InterviewwiththeFoundingPresidentofPharmacySociety

42 護理系的啟思總編

Novella amp Sharing 短篇與意興

43 慈兄吟(下)

44 EternalFlame(1)46 說華佗

48 捕捉那瞬間的美麗與淒然

Fun Corner 逸趣

50 MedicalApps

In This Issue

Caduceus Volume 42 Issue 2 September 2011 published by Caduceus the Society Newspaper Editorial Board Medical Society HKUSU LLG01 Laboratory Block 21 Sassoon Road Pokfulam Hong Kong On The Cover ldquoROAD to Successrdquo a radiograph an ophthalmoscope anaesthesia injections and a dermatologic cream signifying the 4 specialties featured in this issue Contact us e-mail hkucaduceusgmailcom Electronic ver-sion available on the website wwwhkucaduceusnet Design ldquoRaphaelian Rosettardquo by Ryan Ho (M15) under the order of the Caduceus Editorial Board Copyright copy 2011 by Caduceus All rights reserved

Chief EditorIvan Shek

General EditorCharis Chan

General EditorStanford Li

IT amp Publication SecretaryRyan Ho

Financial SecretaryAlvis Ng

Assistant Financial SecretaryErin Yeoh

General SecretaryLily Cheng

Internal SecretaryTse Man Shan

Photographer amp EditorAdrian Tam

Photographer amp EditorAndrew Seto

EditorHeidi Ho

EditorCandy Kwok

EditorJacky Lai

EditorCrystal Poon

ReporterCarmen Lee

ReporterChariene Woo

Ex-OfficioAmas Leung

4 | Caduceus September 2011

政 府為堵塞政黨以辭職後再參選搞公投的漏洞提出以遞補機

制代替補選填補立法會出缺議席最初

政府堅拒就立法會遞補機制法案作出修訂

或重新進行諮詢不過隨着兩個律師會先

後以強硬態度質疑機制違憲並要求撤回

法案政府終於在6月28日提出一修訂方

案新方案雖然表面上較為合理但當中

的細節仍然有不少漏洞加上政府立法粗

暴不作公眾諮詢令民怨沸騰導致多

達218萬人於七一上街遊行為去年的3倍

多是2004年以後遊行人數最多的一次

最終政務司司長唐英年於7月4日正式宣布

押後二讀辯論遞補機制的條例草案並於7 

月至9月進行約兩個月的公眾諮詢

政府之前就曾為遞補機制提出不少疑真

疑假似是而非的理據支持究竟當中何

為真何為假讓筆者借此機會跟各位分

析一下各個與遞補機制有關的迷思吧

迷思一合乎比例代表制的精神

相信不少讀者都可能從各大傳播媒體中

聽過「比例代表制」一詞然而你們對它

的認識又有多深呢為了更詳盡的剖析遞

補機制的缺憾請容筆者先花一點筆墨去

解釋一下比例代表制的運作

自  1998  年起香港立法會選舉中地

區直選的席位是採取「比例代表制」中的 

「最大餘額法」產生的比例代表制(Pro-portional representation)是在  1846  年由瑞士學者 Victor Considerant 發明的它適用於多議席選舉現時不少西方國家的選

舉如澳洲的參議院選舉及愛爾蘭的所有

選舉都採用這種方法根據這選舉制度

參選的人必須組成一張張參選名單而選

民投票時的都只會選擇一份參選名單而

不是選舉名單內的特定一個候選人

顧名思義這種選舉方法的特點就

是按各參選名單所獲選票的比例編配議

席舉一個例子若X選區有5個議席

共有10000票有效票則總票數的五分

之一也就是2000票就是「當選數額」

立法會議員遞補機制 方案的迷思李庭翰 (M15)

深入剖析迷思一 比例代表制的議席分配辦法

繼續沿用文中的例子假設有AB及C三張名單參與X選區的選舉分別獲得了

40503500及550的票數那麼議席就會按下表的方法分配

每席需要10000 divide 5 = 2000 票

參選名單 得票 第一輪分配 餘額 第二輪分配 總席數

A 4550票 2席 550票 0席 2席

B 4500票 2席 500票 0席 2席

C 950票 0席 950票 1席 1席

社會

hkucaduceusnet | 5

只要其中一張參選名單的選票達到 

「當選數額」時他們便會取得一席

而剩下的議席將會用「最大餘額法」 

(Largest remainder method)分配該方法是把餘下的票由多至少順序排列得票較

高者便能獲得剩下的議席

總而言之比例代表制的精神就是將一

個議會的議席根據選民的支持度按比例分

配予不同政黨由選民選訂不同立場的政

治光譜這制度既能保障排在名單最前的

人士可以幾乎必然當選同時避免令一些

大黨在選舉中佔有絕對的優勢相對於單

議席單票制它較能保證小政黨及獨立候

選人亦有機會進入議會例如在我們的例

子中廣得選民支持的名單A及B都能得到

兩個議席而得票明顯較少的名單C也可獲

分得到一議席進入議會為市民發聲

政府最初提出的遞補方案是一但立法會

議員辭職去世或喪失議員資格時議席

將由上一次選舉中獲最大餘數得票的候選

人名單的首名未當選候選人補上這方案

明顯地漏動百出令缺乏足夠民意支持

甚至政治立場南轅北轍的候選人都可補

上嚴重扭曲比例代表制中「根據選民的

支持度按比例分配予不同政黨由選民選

訂不同立場的政治光譜」的精神而於6月

28日提出的修訂方案建議讓出缺議席由

同一張名單內的候選人補上這方案雖然

表面上較為合理但細想一層小政黨及

獨立候選人的名單往往只得一人在這情

況下空缺議席依然會由另一張名單的候

選人填補空缺以新界東為例若一人名

單的社民連「長毛」梁國雄議員辭職結

果會由政治取態截然不同的自由黨田北俊

補上這豈非扭曲民意荒謬至極

迷思二合情合理合法

政制及內地事務局局長林瑞麟先前曾

表示經修訂後的方案比較完整可避免

議員作無謂的請辭亦可避免不必要的補

選而且即使有人提出司法挑戰也有信

心能提出足夠理據證實符合憲法因此新

方案絕對「合情合理亦合法」然而此

話當真

從宏觀的憲制角度出發大律師公會早

前已表明遞補機制違反《基本法》第26條

市民享有選舉權及被選權第68條立法會

由選舉產生的規定《基本法》第68條清

楚規定選舉方法將循序漸進最終達至全

遞補機制激發無數的市民上街抗議難到反對的民意還不夠清楚嗎

ldquoNor does aNyoNe pour New wiNe iNto used wiNeskiNs because the wiNe will burst the skiNs aNd both the wiNe aNd the skiNs will be ruiNedrdquo ndash Mark 222

6 | Caduceus September 2011

體立法會議員全面由普選產生而政府提

出的方案居然倒行逆施進一步褫奪市民

行使其選舉權那又有何「法」可言呢

再者為何世界普遍認為民主是一套

較世襲為先進的政治制度呢是因為它最

有效率嗎是因為它最公正嗎都不是

其實民主所能做到的只不過是讓市民能夠

以選票監察議員吧某某議員做得不好

我大不了忍受一段時間下次選舉再以我

的選票把他拉下台換上另一位我覺得勝

任的人選新方案莫名其妙地補上一位議

員市民在上一次的選舉怎知數年後的他

是否依然勝任呢而且選民每次都只能投

一票他如何在一次選舉中既要選出心儀

的立法會議員又能明確交代一旦議員中

途離職應由誰人補上呢新方案根本上就

是與民主的精神背道而馳

迷思三與西方國家看齊

林瑞麟局長又曾指出先進的民主西方國

家亦有類似的遞補機制而經修訂後的遞

補機制基本上能與德國芬蘭波蘭等

國家看齊

然而這一說法未免有點不盡不實事實

上德國的選舉制度既有比例代表制亦有

單議席單票制跟香港只實行比例

代表制不同因此不能作為類比

而且跟據德國聯邦選舉法當同一

名單的替補候選人「用盡」議席

就會懸空而非由另一名單的敗者

替補至於波蘭則大致由同一張名

單中的參選人替補但當議員辭職

後議長其實有權宣佈議席懸空

毋須替補的可見外國的制度是寧

讓議席懸空也不由敗者替補以

防止民意被扭曲

而且即使先進如德國其選舉

制度其實也正受聯邦憲法法院挑

戰因為藉着選票總數按公式計算

所得議席的方法或未能充份反映

選民投票意向有關的遞補方案

會令另一張名單有得票的落選者未能獲得

議席另一方面又有候選人毋須選票便

獲得議席這可能違反德國聯邦憲法再

者即使德國的一套在該地行之有效但

某些該地的選舉制度的細節也不一定適

用於香港需知道德國是一個全面民主的

國家有健全的政黨政治及聯邦自治的傳

統這與香港那四不像的「民主制度」是

截然不同的

引用著名專欄作家

區樂民醫生的說法

「特區政府的方案是

全世界獨一無二的

獨一無二的制度有

可能是出色的但更

大機會是愚蠢的」

結語

綜合剛才的分析不難看出政府提

出的遞補方案是既不合情又不合理

同時亦不合法的請容筆者在此再次引

用區樂民醫生的文字為文章作結 

「我對官員的要求不高只要能以邏輯思

考按常理做事就足夠了為何這麼簡

單的期望也會落空」 

我對官員的要求不高只要能

以邏輯思考按常理做事就足夠了為何這麼簡單的期望也會落空

政制及內地事務局局長林瑞麟表示新方案絕對「合情合理亦合法」然而此話當真

hkucaduceusnet | 7

內 地孕婦趨之若鶩地來港分娩蔚

然成風本港出生嬰兒數目

由零六年的六萬五千急增至

去年的達八萬八千當中

三萬多名嬰兒的父母均非香

港永久居民他們除了擁有

香港永久居留權將來還可

享有教育醫療房屋等多

項社會福利難怪有人形容

這做法猶如廉價投資移民

香港永久居留權變成私營醫

院招徠客人的「贈品」

本地孕婦一床難求

內地孕婦蜂擁來港人

數由零五年的一萬九千人

急升至去年的四萬一千人

令產科床位愈見緊絀有本

地孕婦早至懷孕五六週亦

未能預約私家醫院床位她

們四出奔波身心俱疲不

禁怨聲載道感到內地孕婦

分薄了理應予本地人享用的

醫療服務資源而為確保本

地孕婦得到妥善和優先的照

顧政府於四月公布公立醫

院即時停收內地孕婦希望

在短期內稍稍紓緩本地孕婦

床位緊張的問題

由八間醫院成立的「新

生兒服務關注組」指出以

現有資源及人手編制本港

每年出生嬰兒數字不應超過

七萬五千若是勉強增加服

務量勢必影響服務質素

苦了醫護團隊也苦了病

人終於在六月下旬政府

與私家醫院達成共識將明

年非本地孕婦來港產子數目

定於三萬五千公立醫院將

會預留三千四百名額予非本

地孕婦私家醫院非本地孕

婦來港產子數目則限於約三

萬一千

鋌而走險

部分內地孕婦未經登記

預約及作產前檢查待臨盆

前才到公立醫院急症室求

診由於她們大多缺乏常規

的產前檢查使血壓高和糖

尿病等問題未能及時處理

分娩時媽媽和嬰兒的風險會

大大提高而公立醫院停收

內地孕婦後除了有更多內

燙手山芋簡析內地孕婦來港產子潮李愉欣 (M15)

有本地孕婦抱怨「一床難求」抗議內地孕婦分薄醫療資源

社會

ldquoa hospital bed is a parked taxi with the Meter ruNNiNgrdquo ndash groucho Marx

8 | Caduceus September 2011

地孕婦在臨盆時硬闖急症

室公立醫院亦首次揭發內

地孕婦持偽造醫生紙過境來

港分娩此例一開更可能

吸引一些極端例子以坐監博

取來港產子掀起另一股制

度缺口下的潮流

「私院賺錢公院善後納稅人埋單」

時事評論員林輝認為

私家醫院賺得盤滿缽滿的同

時其實正將其成本外化至

公立醫院以至全港社會首

先私家醫院可選擇接收較

容易處理的個案一旦遇上

奇難雜症便將之轉介往公

立醫院初生嬰兒深切治療

部令該部門工作量大增

床位佔用率高達百分之一百

五十前線醫護人員工作壓

力之沉重可見一斑其次

私家醫院向公立醫院富經驗

的醫生和護士挖角以致人

手大量流失這不但影響公

立醫院的服務質素更令留

下來的醫護人員不勝負荷

形成惡性循環漣漪效應

下醫院其他部門如急症

室等也將間接受影響因

此不單是納稅人全港社

會亦將會共同承受內地孕婦

來港產子潮的代價

誘因

筆者認為內地孕婦來

港產子潮方興未艾原因有

四首先內地實行「一孩

政策」限制每一家庭只生

一個孩子違反《人口與計

劃生育法》除了會被罰款

父母和子女還會喪失許多福

利因此部分內地夫婦會

為了生育多於一個孩子而選

擇來港分娩而九七回歸以

後中港兩地關係愈趨密

切社會融合令跨境婚姻日

益普遍港人內地配偶來港

分娩的數目自然節節上升

再者自零四年兩地政府推

出自由行政策起內地居民

可以自由進出香港簡化便

捷的出入境手續和四通八達

的交通網絡更為內地人來港

產子大開方便之門而最重

要的是孩子獲得香港永久

居民身份後可享有多項社

會福利及更多元化的發展前

景將來亦可舉家申請來港

團聚這對不少家庭來說相

當吸引

長遠影響

由零五年至去年其父

母均非香港永久居民的「港

產內地B」達十四萬人

而隨着他們成長問題將由

婦產科和母嬰健康院延伸到

其他學童健康服務以至教

育醫療房屋政策的規劃

等等筆者認為政府需未

雨綢繆每年重新審視非本

地孕婦配額同時把配額制

可納入整體人口政策的一部

分為多項社福服務進行長

遠規劃另一方面兩地政

府亦需加強執法致力堵塞

不良中介人活動避免未經

預約孕婦直闖急症室分娩等

高風險情況 

參考資料

林輝《香港居民身份不是贈品》二零一一年四月八日刊於明報

《星期日檔案港產內地B》二零一一年六月十二日於翡翠台播出

httpbig5chinanewscom內地孕婦來港產子潮對公立醫院產科及 初生嬰兒深切治療部構成沉重壓力

hkucaduceusnet | 9

最 近虐待動物個案屢見不鮮手法層出不窮光看新聞標題已

令人不寒而慄無法想像施虐者為何能對

可愛惹人憐惜的小動物下毒手在緝兇之

餘亦應反思是甚麼心態及動機驅使他們

做出如此冷血殘忍的舉動

香港人生活壓力大不單是成人就

連小孩都有很多必須面對的煩惱如果沒

有適當的方法紓發情緒調適心情便會

容易導致心理不平衡患上心理病或情緒

病一般人看到別人痛苦會有同理心產

生難受的感覺因同情而伸出援手希望

別人不再痛苦施虐者則相反藉著暴力

行為令別人感到痛苦從而產生刺激快

感而非內疚或罪惡感施虐者利用這種

自私的方法去宣洩情緒將自己的快樂建

築在別人的痛苦身上

虐待動物的人一般懦弱膽小缺乏自

信因此選擇一些弱小無助無反抗能

力的對象發洩情緒令自己提升存在感及

掌握權力流浪貓狗隨處可見施虐者會

以為別人不顧流浪貓狗的死活所以即使

虐待牠們也不會被人發現因此流浪貓

狗容易成為施虐對象當中貓隻反抗能力

較狗隻低所以被虐情況更為嚴重施虐

者當中男比女多可能是由於女權主義高

漲男女社會角色轉移男性無法宣示強

者地位的原始心理更容易使他們做出這

種反社會行為

虐待動物的行為讓施虐者享受虐待的

快感對於殘忍的手段容忍程度會提高

對剌激感的追求亦會增加變得更麻木

不仁直至虐待動物已無法滿足他們的慾

望加上沒有因虐待動物而得到應得的懲

罰令施虐者變得更大膽可能將虐待對

象轉向兒童甚至成人

小動物反抗能力低也不會提出控訴

因此我們有責任去保護牠們看到動物

受虐或懷疑受虐不要漠視或啞忍也不

要只將影片拍下上載互聯網應向政府部

門舉報或向愛護動物協會等機構投訴

《防止殘酷對待動物條例》的最高刑罰是

罰款二十萬元及監禁三年但定罪個案極

小實際判刑大部分只是罰款執行社會

服務令等所以有關當局應提高刑罰令

人害怕受懲罰而約束行為這樣才能達到

阻嚇作用施虐者除了接受應得的懲罰之

餘亦應強制接受心理輔導及愛護動物課

程糾正他們的心理狀況避免重蹈覆

除了殘忍的施虐者遺棄寵物的主人

亦是造成悲劇的幫兇甚至元兇他們

不負責任地把寵物丟在街上把牠們推向

險境失去主人保護的寵物即使不被虐

待也會飢寒交迫甚至遇上各種危險

所以遺棄動物前請切身處地想想流浪貓狗

坎坷的命運 

停一停 想一想正視虐待動物問題郭淑芳 (N14)

反對虐待 尊重生命

社會

ldquokeepiNg a pet is a lifetiMe busiNess aNd coMMitMeNtrdquo ndash aNiMal re-hoMe services

10 | Caduceus September 2011

記 得剛剛入學的時候教授對我們說過「要是你們想賺

錢現在就轉到別科吧這兒不是讓你們

賺錢的地方這兒比其他行業都更辛苦

因為我們掌握別人的生命」醫護界就是

這種行業是一種用心對待病人的行業

人皆有惻隱之心醫生為病人著想是一

件理所當然的事根本不需要去學習如

何行此道這是人自發性的行為要是醫

生不是以心去行醫這是對病人對自己

的專業甚至對作為人的自己也是一種

侮辱但是在日本這種高文化水平的國

家則有孕婦死於拒診醫生對求醫的

人見死不救即使是

我一個只是讀了一

年的醫科生也知道

這是不道德的無

論是以一個專業醫生

的角度甚至於人的

標準來說

二零零八年日

本一名孕婦因為身體

不適而求診結果慘

遭七間醫院拒收

雖然嬰兒平安無事

地出世但這位剛成為人母的婦人卻於三

日後死亡這種情況在日本中不是罕見的

事根據統計日本於二零零七年就有二

萬四千多宗拒收病人的個案情況令人不

安也令人反省這些高知識份子為什麼會

如此冷血大家常常稱讚那些高學歷人士

是「飽讀聖賢書」我可不曾記得聖賢書

有教導我們要見死不救對別人的生死置

身事外特別對於我們這些醫護界的準工

作者更加不能接受人死不能復生既

然我們掌握著別人的生死又怎能如此不

負責任呢看到這些新聞我們作為醫學

院學生亦應對此作出警醒

除了日本之外香港也曾發生過類似

事件而且曾經轟動一時二零零八年

一名患有心臟病的男人於明愛醫院門前病

發他的親友馬上到明愛醫院詢問處求

救院方見狀卻要求對方打九九九求助而

不是即時提供協助當然這件事可能涉

及一點程序上的問題但是人是生規

矩是死救人一命勝造七級浮屠所有規

矩都不及拯救人的性命重要吧令人安慰

的是有一名見義勇為的醫生途經現場

隨即致電急症室並為事主檢查發現他

全無脈搏遂立即進

行體外心臟按摩可

惜最終病人經搶救

後仍是不敵死亡的命

運這件事令人感到

惋惜同時我們亦

應反省醫護人員做事

的態度典型香港人

有一種特別的特性

他們都是「多做

多錯少做少錯不

做不錯」的「信奉

者」當時的詢問處

的值班者可能心怕破壞規定幫助病人後

可能會引起上司不滿對自己的事業有影

響故此遲遲未能下定決心幫助別人可

見醫護人員對病人的同理心不高這亦是

值得我們所反省的

相信仍然未畢業的我們對日後的工

作是抱有一種憧憬有一種熱誠但是

當我們畢業後這股熱血會被忙碌的工作

所撲滅當日的誓言早就置之不理了

「病人的健康應為我的首要的顧念」變成

了「清掉桌上滿滿的病人檔案為我的首要

的顧念」「將要憑我的良心和尊嚴從事

拒收病人何來醫德醫心謝汶珊 (M15)

社會

hkucaduceusnet | 11

醫業」則變成「將要憑我有限的體力和時

間從事醫業」helliphellip更甚者於我們求學期

間已經把病人的健康拋諸腦後了腦子

裡卻放滿了那些不知從哪裡來的肌肉神

經線以及血管等等當腦子的容量用了大

部份來放置anatomy的東西之後餘下來的都放了那些古怪的藥名進腦子去了

哪有閒下來的空間把那些道德經放進腦子

裡但是即使你能夠把那本Grays Anat-omy或者那本大Robbins的所有內容牢牢記在腦子裡沒有醫德你絕對不是一個好

醫生當然沒有任何人規定你的道路

你的選擇然而你的選擇將會影響到別

人的生命社會當然不會奢望每一個醫生

都有當無國界醫生的那一種胸懷但是

他們希望醫生起碼會是一個抱有救活病人

作為使命的醫生

作為一個好醫生並不能帶給你金錢或

者名譽這個世界永遠是行商者才是致富

之道你希望將來得到的是什麼我們都

應該找出自己的答案把它寫下來以免

他日遇上挫折或誘惑會迷失自我仔細想

一想若果你的答案思前想後仍是「錢」

那麼請你認真考慮一下轉科吧「若

果病人沒錢看病作為醫生也要為他看

病也要為他開藥我們沒有權力去把他

們趕走」這就是醫德相信每一個將成

為或者已成為醫務人員的人都曾宣誓過自

己要奉獻一切為人類服務所謂的誓言並

不是用嘴巴說出來罷了一個無法遵守的

誓言只會變成一句又一句的廢話俗語有

一句「狗口長不出象牙」helliphellip

以下是世界醫學協會一九四八年日內瓦

大會採用的日內瓦宣言

我鄭重地保證自己要奉獻一切為人類服務

我將要給我的師長應有的崇敬及感戴

我將要憑我的良心和尊嚴從事醫業

病人的健康應為我的首要的顧念

我將要尊重所寄託給我的秘密

我將要盡我的力量維護醫業的榮譽

和高尚的傳統

我的同業應視為我的手足

我將不容許有任何宗教國籍種族政見

或地位的考慮介於我的職責和病人間

我將要盡可能地維護人的生命自從受胎時起

即使在威脅之下我將不運用我的醫學知識

去違反人道

我鄭重地自主地

並且以我的人格宣誓以上的約定 

ldquoa Merry heart doeth good like MediciNerdquo ndash kiNg soloMoN

12 | Caduceus September 2011

Radiologist

Ophthalmologist

Anaesthesiologist

All roads lead to Rome but have you missed the ROA and D

when it comes to success in medical career

to success

hkucaduceusnet | 13

Anaesthesiologist

Dermatologist

All roads lead to Rome but have you missed the ROA and D

when it comes to success in medical career

to success

14 | Caduceus September 2011

「形影不離」的造影術專訪放射科邱麗珊醫生陳伊樂 (M15) 賀曉琳 (M15)

邱 麗珊醫生於一九八三年畢業於香港大學醫學院並於一九八

六年開始修讀放射科邱醫生不但在東區

尤德夫人那打素醫院身兼前線管理和訓

練多職而且積極參與香港放射科醫學院

的工作我們非常感謝邱醫生能夠在百忙

中抽空接受訪問向各位同學分享一下她

踏上成功路的經歷與待人處事的態度

甚麼是放射科

放射科是利用X光(X-ray)電腦斷層攝影(CT)磁共振成像(MRI)和超聲波造影(Ultrasound)等技術展示患者身體內部結構的影像從而協助診斷和進行治療

當放射科醫生危險嗎

誠然放射科醫生需要經常接觸對身

體有害的輻射可是這門專科有不同的

措施保障我們的安全首先每一個放射

工作者都需要領取牌照此外我們會每

個月檢查掛在胸前的放射量測定器確保

接觸到的輻射劑量沒有超越安全水平當

然有關部門亦會定期檢查儀器確保它

們正常運作

爲什麼你會選擇放射科你對於有意將

來當上你的專科的同學有甚麼建議

選擇放射科純粹是因為爸爸的一句「

放射科適合女孩子」當上放射科醫生之

後才發現事實並非如此放射科是一個重

要的專科幾乎每一個住院病人都需要用

上造影技術但除非做超聲波或介入放射

治療放射科醫生卻好像很少與病人直接

接觸有些醫生喜歡多和病人接觸放射

科便不適合他們了另外放射科正面對

著迅速的科技發展對新科技有興趣的同

學這個專科的確是一個不錯的選擇可

是由於學位有限每年報讀放射科的六

邱麗珊醫生Dr Jennifer Khoo放射科專科醫生

香港大學內外全科醫學士 英國皇家放射科學醫學院院士 香港醫學專科學院院士(放射科)

東區尤德夫人那打素醫院 放射科 部門主管 及 顧問醫生

醫院管理局 港島東聯網 Service Director (Radiology)

香港放射科醫學院 首席副院長 及 科學委員會主席

專題

hkucaduceusnet | 15

七十人當中總會有四五十人因願望落空

而要轉投其他專科我的建議是千萬不要

灰心人總不能夠經常做自己喜歡的事

但一定要喜歡自己正在做的事(You canrsquot always do the things you like but you can learn to like the things that you have to do)

請詳述對你人生有大影響的起落人

事物

人一生中如果能夠遇上一兩位良師益

友在你碰到困難時扶你一把在你迷

惘時給予意見上天就已經算是對你不薄

了而我自己也算是非常幸運有兩位

前輩當上我的引導者一位是瑪麗醫院

的陳富六醫生另一位是澳洲的Professor Michael Sage因為兩位的提點我決定善用自己的長處留在公營醫院參與一些

行政和訓練的工作幫助培訓醫生使更

多病人受惠

你有甚麼人生的哲學嗎是甚麼信念使

你堅持當一名醫生

我認為每個人都需要有自己的優先順序

(priority)對我來說家人和家庭生活永遠都是排在首位縱使我已經涉足到很多

管理方面的工作但病人還是排在行政管

理之前有著清晰的優先順序不管遇到

多大的衝擊都能使自己勇敢面對邁步

向前優先順序或多或少都與個人經歷有

關有部份同行可能會基於不同原因或

許是滿足感或許是工作量而轉投私人

市場我想每個人的價值觀和信念都有不

你對現今醫學院的學生有甚麼寄語叮

習醫是一條漫漫長路少不免遇上困難

和挫折而這些難題往往會轉化成使身心

俱疲的壓力身為醫學生一定要及早學

會如何面對壓力我的忠告是凡事都要

以平常心面對要從錯誤中學習懂得避

免犯上同樣的錯誤要有反彈能力勝過

昨日的自己

醫科生基本上都是能力不錯的一群

(cream of the cream)要好好利用自己的能力為社會作出貢獻 

ldquowheN you are dowN aNd out soMethiNg always turNs up it is usually the Noses of your frieNdsrdquo ndash orsoN welles

16 | Caduceus September 2011

A Discourse with a Female Gold-MedalistInterview with an Ophthalmologist ndash Dr Charmaine HonChariene Woo (M15) Charis Chan (M15)

W hile waiting for Dr Hon at her Central clin-ic the Hong Kong Ophthalmic Associates

we were amazed at how the spacious clinic was crowd-ed with patients When we finally meet Dr Honrsquos big friendly smile made an impression on me as she invit-ed us into her room Despite having a busy schedule Dr Hon is very down-to-earth and eager to provide valuable advice for our fellow schoolmates

Dr Hon started out as a medical doctor and changed to the specialty of ophthal-mology Initially she worked with the public sector fulfill-ing her duties as a doctor re-searcher and teacher at the same time Then she turned to the private sector and joined the Hong Kong Ophthalmic Associates as she feels that she can be more focused on the aspect of patient care ldquoIn public hospitals it is hard to follow up on patient care and it is rare to meet the same patient twicerdquo she reflected ldquobut in the private clinical set-ting I get to know the patientrsquos family and medical his-tory better and I feel more like a doctor by having the ability to follow my patientrsquos progressrdquo

As a recipient of the John Anderson gold medal for the highest aggregate of marks in all the MBBS professional examinations Dr Hon also shares her advice in studying ldquoBasic knowledge is a must but clinical sense is the most importantrdquo and with a smile

she added ldquoyou have to pay attention to your mentors during attachments to hospitals even if you are just ob-servingrdquo But donrsquot think Dr Hon is all about studies She emphasizes that she is not the most hardworking student in her graduating class and suggests medi-cal students to explore outside of the medical world especially in the first two years of study ldquoYou have to have a life outside of medicine and you should do it in

the non-clinical years as there are decreasing chances and time for you to meet non-medically related peo-ple after year 3 onwardsrdquo the ex-member of the Union Choir said ldquoAnd as you come more into contact with different people you learn how to communicate bet-ter which will definitely help your medical career and will keep your life diversifiedrdquo

As for advice to students in clinical years she shares her insights in how to choose your specialty She sug-gests students to look into their strengths and inter-ests and to understand and explore as much as pos-sible in attachments since it is a lot harder to change onersquos specialty nowadays compared to the past ldquoThe most important point is to identify yourself and not to blindly follow the path of others Do not think of future

achievements since what you chose will probably stick with you for liferdquo True enough ophthalmology was not a developed specialty during her times of studies and Dr Hon says she is probably one of the very first gold medalists who pursued it as a career A note to her future female counterparts ldquoYou have to think of your future path and plan accordingly and be ready

Basic knowledge is a must but clinical sense

is the most important

The most important point is to identify yourself and not to blindly

follow the path of others

Feature

hkucaduceusnet | 17

to put your career before marriage Many of us delay our plans of marriage and pregnancy after finishing our specialty fellowship which is at around 30rdquo After hearing this I was very worried but she added ldquoGen-eral practice is also a good choice and there are some females doctors who donrsquot follow this trendrdquo

One of the things that struck me the most is that Dr Hon sticks to the principle of doing everything with all your heart ldquoYou only pass through this life once and when you look back you should not regret what you have donerdquo So when presented with conflicting ideas with her principle what does she do ldquoI reflect and fight for itrdquo she laughs ldquoIt sounds rebellious but as a doctor you have to have a judgment that is best for your patient and you cannot conform to society or systemsrdquo Using the limited consultation time for each patient in public hospital settings as an example she explains that doctors arenrsquot machines and should be able to adjust to different patientsrsquo needs appropriately so to do what is best for the patient ldquoYou should never lose yourself under the system and should always do whatever you think is best for your patientrdquo

When asked about the specialty of ophthalmol-ogy Dr Hon tells us with passion that ophthalmology allows instant gratification and makes a difference to patientrsquos life ldquoMany specialties can make a difference but only a few have a clean-cut immediate effect like ophthalmologyrdquo But ophthalmology is also about hard work and persistence ldquoIn this specialty there is con-stant advancement in the past we do extra capsular extraction but now there are frequency emulsifica-tion and other advancements I am always awed by the senior partners in this clinic who have a strong will to chase and read up on new techniquesrdquo So besides steady hands and good eyesight intellectual curiosity on the latest research is a must if you are thinking of pursuing a career in ophthalmology

Before we parted Dr Hon gave us a final word of wisdom ldquoThis is going to be hard for you two gals but you look tough and yoursquoll survive Since you chose this career path do expect to work very hard as it is not easy but so is every other occupation nothing is ever easy in this worldrdquo

DrCharmaineHon韓尚穎醫生

Specialist in Ophthalmology

MBBS(HK) MRCS(Edinburgh)

FC Ophth(HK) FHKAM(Ophthalmology)

ldquoas you grow older yoursquoll fiNd the oNly thiNgs you regret are the thiNgs you didNrsquot dordquo ndash Zach-ary scott

18 | Caduceus September 2011

奉行完美主義的守護天使專訪麻醉科李靜芬醫生吳瑞麟 (M15) 李庭翰 (M15)

說 起麻醉越野挑戰馬拉松義工無國界醫生你想到甚

麽幾樣風馬牛不相及的東西可以用三

個字關聯起來李靜芬

李靜芬醫生畢業於香港大學醫學院

現於養和醫院疼痛治療門診工作她曾經

加入無國界醫生到南蘇丹服務又是醫療

輔助隊動員主任香港不少的大型活動

例如馬拉松東亞運奧運馬術等都由她

去統籌急救站的運作她又經常舉辦醫療

會議亦於很多地方做義務醫療顧問熱

衷於向公眾推廣疼痛管理與健康的知識

另一方面她是香港全能運動學會醫療顧

問經常參加越野挑戰戶外活動又參

加半馬拉松比賽看完李醫生這麼的一個

簡介實在很難不驚歎好一個「周身

刀張張利」的奇人

人生的轉捩點

其實初中時期的她與醫生根本扯不上

半點關係身為壘球隊隊長在中四的一

次練習中她被壘球擊中一眼從此改變

了她的命運當時全港只有一位眼科醫生

會在晚間應診眼科的醫療設施也不足

令她眼睛流着血水在黑暗中東奔西跑尋找

醫生她由大埔賽馬會診所走到威爾斯

然後到伊莉莎伯再到油麻地終於找到

眼科醫生李醫生由四點奔波到十點令

她深深體會到作為病人的痛苦也從此立

志要做一個醫生幫助有需要的病人

初中時的李醫生每天放學就練球以

致成績中等但自從立志投身醫護她虛

心求教又得到當時的班主任授予時間管

理和讀書的方法成績突飛猛進在短短

六個月間從中等成績進步至模擬考試全

李靜芬醫生Dr Carina Li

麻醉科專科醫生

香港大學內外全科醫學士 澳洲及紐西蘭麻醉科醫學院院士 香港麻醉科醫學院院士 

香港麻醉科醫學院疼痛科文憑

香港醫學專科學院院士(麻醉科)

專題

hkucaduceusnet | 19

級第一她的毅力和決心實在令人佩服

她的傲氣

其後她獲中文大學收作暫取生但她

又再次作出驚人之舉李醫生認為要讀醫

科生物化學科就得好些所以一定要認

真研讀高級程度的生物化學但是人是有

惰性的如果做了暫取生就一定會變得不

思進取讀不好生物化學於是她毅然

放棄暫取生的資格全心全意去考好高級

程度會考李醫生的豪氣決斷她破釜

沉舟的決心她的好勝和哲學令筆者從

心底裏衷心地拜服她

結果她當然考得很好的成績在選擇

大學時她再一次認真考慮自己將來的

路向她生來就有一種使命感覺得一定

要做一樣在任何時候任何地方都最有用

的工作加上她常常留意時事總覺得天

災人禍真的可以隨時發生於是她就選擇

了兩種無論是面臨戰爭還是天災的時候

對所有人都十分重要的工作記者和醫

生她終於入讀了港大醫學院並於九五

年畢業

與麻醉科結緣

實習的時候她特意選擇了一些能夠獲

得較多經驗的部門到投考專科的時候

她也選上了可以接觸很多不同類型病人的

兒科只可惜當時兒科並沒有學額但在

朋友介紹之下知道了麻醉科麻醉科同樣

可以接觸到不同的病人而且無論在甚麽

地方都可以發揮所長正正符合了李醫生

的志向結果她便入了麻醉科

據李醫生所說雖然一般人認為麻醉

科對體力的要求較少適合女孩子但

是現實並不這樣簡單由於麻醉要求一絲

不苟麻醉科的醫生都是完美主義者而

且學習的內容艱深每一種藥物的作用

反應甚至化學結構都要讀得滾瓜爛熟

她形容麻醉科醫生就好像病人背後的守護

天使在手術中要不停監測病人的維生指

數感覺病人的生命就在自己的手中所

以要承受着很大的壓力

作為麻醉科醫生每次見到的都是昏

迷或者沒有意識的病人事實上並沒有甚

麽可以跟病人溝通的機會病人通常感覺

不到麻醉科醫生的付出所以作為麻醉科

醫生未必可以從病人身上得到很大的滿足

感但他們卻比其他醫生更能夠專注地為

病人服務因為每次在手術中只照顧一位

病人

她的叮囑

李醫生叮囑現在的醫學生一定要僅記當

初想做醫生的原因她覺得在這個物質

社會中人是很容易迷失的她感覺到現

在的某些醫學生只為了一份穩定的工作

甚至是因為父母的意見而選擇行醫關於

作為醫生的意義卻從沒有思考過她勸

我們要好好問自己兩條問題人為甚麽生

存於世上作為醫生又是為了甚麼她

認為醫者要有父母心處處為病人而

不是為自己着想作為醫生就是要去服

務幫助人而不是為了求回報我們生

存於世上為的是信望愛並不用時時

記住利益金錢等東西最後她又提醒我

們不可以歧視病人不論是黑社會成員還

是香港首富只要病了就是一個無助的

病人就需要我們的幫助

李醫生思考獨立為人熱情健談跟李

醫生做訪問真的是一件有趣的事又令筆

者獲益良多特別是她有關人生意義的看

法的確值得反思作為醫學生的大家

你又可曾想過為甚麼要生存為甚麼要做

醫生呢

ldquothere is No MeaNiNg to life except the MeaNiNg MaN gives his life by the uNfoldiNg of his powersrdquo ndash erich froMM

在手術中不停監測病人的維生指數麻醉科醫生就好像病人背後的

守護天使

20 | Caduceus September 2011

To Succeed is to Fight Against ComplacencyInterview with a Dermatologist ndash Dr Henry ChanLily Cheng (M15) Andrew Seto (M15)

W ith our scheduled interview being inter-rupted by an emergency case of Stevens-

Johnson syndrome a life-threatening allergic skin re-action to medication Dr Chan rushed to the hospital for his patient

Sitting in Dr Chanrsquos office at his private practice the Hong Kong Dermatology and Laser Centre in the middle of a conference call with his overseas counter-part researchers we saw a pragmatic doctor at work This is a doctor who would never be complacent with his performance but keeps striving for excellence

AmedicalcareerDr Chanrsquos interest in dermatology was sown well

before his exposure to the discipline Having been in-flicted with eczema during his childhood he suffered from an excruciating itch in his skin that caused him much distress As a result of his own medical condi-tion he developed an interest in dermatology at a young age

During his fourth year in medical school he ex-plored an elective in dermatology at Yale University and began formal training in the field He obtained his medical degree and worked for several years in the UK before returning to Hong Kong to work at the Prince of Wales Hospital He then received a grant from the Hos-pital Authority to read dermatology in the UK

Working back and forth between Hong Kong and Britain in and out of universities and hospitals in his early years of practice Dr Chan settled his work base in Hong Kong in 1995 He was Associate Professor of CUHK from 1998 to 2000 and Chief of Dermatology and Associate Professor in HKU from 2000 to 2004

After entering private practice in 2004 Dr Chan now spends a lot less time on doing administrative work and more time on treating patients While he was actively engaged in teaching research and clini-cal work his current focus has shifted to mainly clini-cal work As an honorary clinical associate professor of our faculty he enjoys teaching and values the opportu-nity to cultivate and influence medical students

A renowned dermatologist with a strong research interest in medical devices Dr Chan is still very active in terms of research output His private practice sup-ported by a team of full-time research staff is unique

for its active research component ndash a practice which is well-established overseas but rare in Hong Kong

AsadoctoranddermatologistIn the beginning laser devices were developed to

treat medical conditions such as haemangioma and black moles but technological advancements driven by recent research has explored new possibilities for their applications in cosmetic treatment As a result new cosmetic procedures have appeared for the treat-ment of various conditions from skin rejuvenation to body contouring

While it is true that most dermatological conditions are rarely life-threatening they may nonetheless have a profound impact on patientsrsquo physical and psycho-social wellbeing For instance eczema often presents with rash It may give exudate in serious cases but is rarely fatal Nevertheless it might constitute great dis-comfort and inconvenience to patients Similarly se-vere cases of acne may also diminish onersquos self-esteem Dr Chan stressed that treatments for many skin condi-tions are not merely cosmetic in nature but may im-prove patientsrsquo self-esteem body image and psychoso-cial wellbeing

On the other hand some skin problems such as psoriasis and chronic eczema are incurable It is there-fore the doctorrsquos duty to educate patients and enhance their understanding of their disease One of the re-sponsibilities for dermatologists is to evaluate the im-pact of their patientsrsquo conditions to their quality of life Other than helping them return to their normal routine and diet as far as possible dermatologists also need to teach patients the way to get along with their chronic illnesses

Dr Chan emphasized that we run a profession not a business On this ground a doctor should never tell a patient what procedure they should receive Rather a doctorrsquos role is to explain the options available and provide the relevant information that carry with each procedure including potential risks and complica-tions

Dr Chan reminded us that financial return is only a ldquoby-productrdquo of a doctorrsquos work as a professional Doctors work hard and should be paid for their serv-ices but they should not be more interested in making

Feature

hkucaduceusnet | 21

money than in helping people He believes that shap-ing doctors into commercials in some way jeopard-izes medical professionalism

SuccessRedefinedSummoning his days as a fresh medical officer Dr

Chan recalled the death of the 18-year-old girl inflicted with necrotizing fasciitis who died within 24 hours He bore in mind every complicated case as an alarm to his future practice admitting that there is always room for him to improve

Quoting the professional golfer Jack Nicklaus Dr Chan reminded us that ldquocomplacency is a continuous struggle that we all have to fightrdquo It is easy to let our guard down but doctors have to be responsible for their patients all the time It is demanding but impor-tant for every medical professional to be vigilant and maintain onersquos standard at the top level He believes that good doctors should keep themselves in an appro-priate amount of stress and tension which keeps them mindful of their patientsrsquo needs

When asked about his rules for success Dr Chan emphasized that he does not feel he has attained his goal yet He feels that he may have had a decent start but it is inappropriate to judge his career before his retirement as he is still in the middle of his career To him it is far too early to define success Despite his change in roles over the years he still maintains his enthusiasm and passion that motivate him to do his best whether it be research teaching or clinical work

As far as medical students are concerned Dr Chan doesnrsquot see the urgency of deciding our future spe-cialty yet Medical school gives us a broad and general exposure to various fields and offers a good place to learn and gain experience sharpening our skills before serving as doctors We could still explore more in our senior years to come

ldquoFollow your heartrdquo Dr Chan gave us as a conclud-ing word He believes that the so-called ldquoROADrdquo to success is not really that important if one does not en-joy onersquos profession Listen to yourself and ask whether you really like your job

DrHenryChan陳衍里醫生

Specialist in Dermatology and Venereology

MBBS(London) MRCP(UK) FHKAM(Medicine) FRCP(Glasgow)

FRCP(Edinburgh)

Hon Professor LKS Faculty of Medicine HKU

Hon Consultant Dermatologist QMH HKSAR

Visiting Scientist Wellman Centre for Photomedicine USA

ldquoirsquoM a firM believer iN the theory that people oNly do their best at thiNgs they truly eNjoy it is difficult to excel at soMethiNg you doNrsquot eNjoyrdquo ndash jack Nicklaus

We run a profession not a businesshellip [doctors]

should not be more interested in making money than in

helping people

22 | Caduceus September 2011

Art and Medicine Seeing Diseases in ArtHow art masterpieces reveal medical conditionsAndrew Seto (M15)

F or centuries art historians have been mesmerized by

the enigmatic smile of Mona Lisa coming up with theories that range from the mundane to the bizarre Was she a silk merchantrsquos wife or a self-portrait of Leonardo da Vinci himself Was she pregnant An adulterer Leonardo da Vincirsquos se-cret male lover The theories never cease

BehindMonaLisarsquossmileHighcholesterolIt turns out that Mona Lisa had

ldquovery high cholesterolrdquo at least ac-cording to Vito Franco a Sicilian professor of pathological anatomy A medical expert who enjoys study-ing art masterpieces for evidence of diseases Franco concluded that Mona Lisa had xanthelasma (the accumulation of cholesterol under the skin) Indeed a closer look at her mysterious face does show a yellowish collection around the in-ner corner of her left eye He even found evidence of lipoma (a fatty tissue tumor) on her right hand Probably the least poetic finding for the most renowned beauty in Renaissance art

This was not the first time medical experts have associated Mona Lisa with clinical conditions Charles Bell the 19th century Scot-tish surgeon who discovered Bellrsquos palsy a form of facial paralysis resulting from facial nerve palsy once coined the term ldquoMona Lisa syndromerdquo This was a reference to the facial muscle contracture that develops after Bellrsquos palsy resulting in a ldquoMona Lisa-like smilerdquo

Mona Lisa Xanthelasma or just a blotch by mistake

Insight

hkucaduceusnet | 23

Hardly would Parmigianino have known that the long slen-der fingers and limbs of Madonna with the Long Neck was the result of a genetic disorder called Mar-fan syndrome And of all the things that crosses onersquos mind upon first glance of Caravaggiorsquos Sleeping Cu-pid the notion that the baby was inflicted with juvenile rheumatoid arthritis would be hard to imagine Franco claims that his goal was to expose the human vulnerability of the people depicted in art

MichelangelorsquosgoutykneeAnother subject who has been

scrutinized by medical experts is Michelangelo Renaissance painter and sculptor Scholars looked at his knee from Raphaelrsquos School of Ath-ens and concluded that he suffered from gout a form of inflammatory arthritis that occurs when crystals form in the joints

Based on the appearance of his knee which appears swollen en-larged and covered in hard lumps a diagnosis of gout seems plausible It was known that Michelangelo de-veloped various diseases during his life In his writings he complained of having kidney and bladder prob-lems In 1549 he had an episode of anuria followed by passing of grav-el and stone fragments in his urine

Many experts believe that Michelangelo like many of his contemporaries developed gout from lead poisoning A well-known workaholic Michelangelo con-stantly lived off a diet of bread and wine (processed in lead contain-ers at the time) and was frequently exposed to lead-based paint All evidence points to lead poisoning which promotes kidney damage and inhibits uric acid excretion causing it to build up in blood This predisposed him to gout precisely as depicted in Raphaelrsquos fresco

RenaissanceArtandNeuroanatomyLike Leonardo Michelangelo

was not just an artistic genius but also a great anatomist At 18 he be-

Michelangelorsquos knee from the school of atheNs by Raphael (c 1509-1510)

Madonna with the Long Neck Was it Marfan Syndrome

Juvenile rheumatoid arthritis

ldquoall art is autobiographical the pearl is the oysterrsquos autobiographyrdquo ndash federico felliNi

24 | Caduceus September 2011

gan dissecting cadavers in a mon-astery in Florence where he honed his technical skills and knowledge of the human body

According to neuroscientists Michelangelo disguised sketches of the human brain in his famous Sistine Chapel ceiling painting which has remained unnoticed for 500 years His fresco The Creation of Adam shares a striking similar-ity with the sagittal section of the brain The fold in the cape repre-sents the Sylvian fissure separating the frontal and parietal lobes You may even recognize the angelrsquos foot as the pituitary gland his thigh as the optic nerve and his leg as the optic tract And that sassy green robe running down the ponsmdashthatrsquos the vertebral artery

Look at Godrsquos neck in The Sepa-ration of Light from Darkness from the same fresco Art historians have long speculated that its lumpy ap-pearance represents goiter Yet medical experts have found an ac-curate picture of the brainstem and spinal cord in Godrsquos throat stun-ningly similar to the creases and crevices of the brain

Yet why would Michelangelo embed the brainstem in Godrsquos throat Was he alluding to Godrsquos wisdom or was it a form of protest to the Church After all dissecting cadavers was considered unethical at that time and for an anatomist like Michelangelo who fell out with the Pope while painting the Sis-tine Chapel ceiling could he have been painting anatomical images directly above the chapel altar in defiance to the Church

Artandophthal-mologyHowvi-sionchangesartClaude Monet is recognized as

one of the founders of the Impres-sionist movement but his vision got cloudy during his later years He wrote letters to friends describ-ing his growing frustration with his vision changes He was even forced to memorize colours on his palette

the creatioN of adaM by Michelangelo (c 1511)

the separatioN of light froM darkNess by Michelangelo (c 1512)

hkucaduceusnet | 25

and label tubes of paint Red began to look muddy to him and he saw his painting as becoming ldquoincreas-ingly darkenedrdquo Whenever he com-pared his paintings with his earlier works he would be sent into a tow-ering rage to destroy them

This was because he had cata-racts Cataract patients have yel-lowing and opacification of the lens so his vision essentially be-came more brownish The yel-lowish brown cataracts he looked through filtered out violet and blue shades Monet underwent two eye operations in 1923 after which he returned to his old painting style even throwing away some of his paintings and repainting them

Thesufferingart-istDepictingill-nessesinartPerhaps no one better personi-

fies the notion of a ldquosuffering artistrdquo than Vincent van Gogh Clinicians have posthumously diagnosed him with a range of medical problems including epilepsy schizophrenic and bipolar disorder His later works have long been noted for his preference for the colour yellow and some have speculated that this was related to his yellow vision

One theory was that van Goghrsquos doctors prescribed him with digi-talis to treat his epileptic seizures His painting Starry Night has yel-low circles around the stars and not surprisingly people with digi-talis overdose often see a yellowish halo around objects Other experts speculated that it was his addiction to absinthe that led to his yellow vi-sion Absinthe is a highly alcoholic drink that contains a highly psy-choactive neurotoxin called thu-jone which causes yellow vision

Van Gogh was not the only art-ist who projected his illness into his art Edvard Munch had tuber-culosis and spit blood as a boy Her mother died when he was five her sister spent most of her life in-stitutionalized for mental illness and his brother died of pneumo-

nia Munch may have depicted his own psychotic state of mind in The Scream which portrays a twisted agonized creature wracked with anxiety and horror

ConclusionDo these findings actually

prove something or are we over-analyzing artworks with our medi-cal knowledge Exactly what ben-efit would these discoveries have for the world at large is unknown At least we know it could lead to yet another interpretation for Mona Lisarsquos smile the result of a scrump-tious meal of pizza and pasta with cheese tomato sauce and meat balls before sitting for her portrait (which would certainly also explain her cholesterol problem)

Two pictures by Monet of the same Japanese bridgemdashthe first painted in 1899 the second between 1918 and 1922 revealing a dramatic loss of shape and detail

suNflowers by Vincent van Gogh (1888) the screaM by Edvard Munch (1893)

ldquoeverythiNg that we see is a shadow cast by that which we do Not seerdquo ndash MartiN luther kiNg jr

26 | Caduceus September 2011

The End is Near Apocalyptic TheoriesRead more to learn about the terrifying future that awaits us Chariene Woo (M15)

S urge of waves rush over the mountains with unstop-

pable speed engulfing and shatter-ing our homes Flaming asteroids rain from the sky causing roads to crumble like sheets of paper Peo-ple running away from burning cities screaming fearfully Civiliza-tion ruined in matter of mere sec-onds Is this what the future lies for us

Nobody knows

Apocalyptic literature and movies have always raised interest among the general public partly

because it involves the end of our world as we know it and partly due to the fact that there is no solid proof how an apocalypse would come about The interest has re-cently skyrocketed with rumors about the world ending on 21st De-cember 2012 about how the May-an calendar finishes at that specific time and how it will be the end of the world as we know it So the big question is when and how will our world end

NostradamusProphetofDoomNostradamus of France was

one of the worldrsquos most famous seers and is most well known for Les Propheties (The Prophecies) a collection of his major long-term prophecies written in quatrains Many of his prophecies have cor-rectly predicted current events including the destruction of the space shuttle Challenger the death of Lady Diana and the destruction of Twin Towers of the World Trade Center As a result of these predic-tions he has been given the nick-

How do you survive the apocalyptic world

Insight

hkucaduceusnet | 27

name ldquoThe Prophet of Doomrdquo

Nostradamusrsquo prophecies have huge room for interpretation speculation and controversy and some people think his writing has no merit at all The following is an example of a quatrain alluding to some sort of environmental disas-ter in the future

ldquoFor forty years the rainbow will not appear

For forty years it will be seen every day

The arid earth will grow more dry

And great floods when it will be seenrdquo

(Century 1 Quatrain 17)

In other quatrains images of great comet alien invasion and nu-clear contamination are also men-tioned so these could all be the prospects that are waiting for us in the future Despite Nostradamusrsquo ldquoaccurate predictionsrdquo of what had happened in the past the quatrains do not have a specific order So out of all the disasters predicted in the many quatrains it is uncertain which will happen where or when giving it less importance in predict-ing an actual apocalypse

PlanetXAccording to Nancy Lieder a

woman who claims to have been contacted by extraterrestrial life forms Planet X (also known as Nibiru) would come close to planet Earth on May 27th 2003 resulting in the Earthrsquos rotation ceasing for 59 terrestrial days The Earthrsquos pole will then undergo a physical polar shift due to the magnetic attraction between the Earthrsquos core and the magnetism of the passing planet This will ultimately lead to the dis-placement of Earthrsquos crust and the end of us But when this did not happen the event was postponed and re-dated to coincide with the Mayan calendar hysteria

NASA argues that this is merely an Internet hoax with no factual or scientific basis They explain that if Planet X was approaching Earth astronomers would have

been tracking it for at least the past decade and the planet would now be visible by the naked eye This is a very comforting bit of news Yet some people believe that NASA is part of a conspiracy to cover up the existence of such planet and keep the truth of impending apocalypse from general public Again the ar-gument can go either way and the ldquotruthrdquo depends on which side you choose or want to believe in

2012TheendoftimeSo what is so special about the

year 2012 There are claims saying that the Mayan calendar ends on 21st December 2012 and that will be the end of time for mankind However just like every calendar it merely rolls over to the new year on that date and it doesnrsquot signify anything special In the Mayan cal-endar 21st December 2012 will be the end of brsquoakrsquotun 13 and marks the start of brsquoakrsquotun 14 A brsquoakrsquotun is 144000 days (a little more than 394 years) and there is no archeological or historical evidence to show that the Mayans expected anything sig-nificant or drastic to happen at the

end of each brsquoakrsquotun

However there exists litera-ture that suggests otherwise In 1975 Frank Waters the author of the book Mexico Mystique identi-fied the 13th brsquoakrsquotun interval to be the ldquoMayan Great Cyclerdquo where it ends in the worldrsquos destruction and rebirth Waters claims that cata-strophic earthquakes will destroy the world but he miscalculated the date and announced that the end of the ldquoGreat Cyclerdquo would be on 24th

December 2011 AD

The year 1987 marked an in-creased in interest regarding the prophesized big event in 2012 The author of The Mayan Factor Path Beyond Technology Jose Arguelles linked the 13th brsquoakrsquotun period to a ldquobeamrdquo that links people the plan-et the Sun and the center of Galaxy According to Arguelles the beam is the key to harmonic resonance in the universe and the Mayan knew when we would enter and leave this beam hence set their 13th brsquoakrsquotun to mark our passage accordingly He also claims that this beam could advance the development of any-thing with DNA hence creating a more positive view of the future

V838 Mon a star with expanding light echo purported as photographic evidence of Nibiru

ldquoevery MaN dies Not every MaN really livesrdquo ndash williaM wallace

28 | Caduceus September 2011

No one can be sure of whether the end of brsquoakrsquotun 13 signifies something great or disastrous for us or if it is just another restart in the Mayan calendar We can only know for certain when the day ar-rives

GodrsquosplanforusThis is by far the most detailed

and terrifying image portrayed out of all apocalyptic claims that I have gone through The Book of Rev-elation from the New Testament reveals signs of apocalypse through a wide variety of symbolism One of such is the frightening image of the ldquofour horsemenrdquo

ldquoAnd I saw and behold a pale horse and he that sat upon him his name was Death and Hades followed with him And there was given unto them authority over the fourth part of the earth to kill with sword and with famine and with death and by the wild beasts of the

earthrdquo (68)

The pale horse carries the horseman of Death which is be-lieved to release global plague and pandemics to the world and take the lives of a quarter of the popu-lation This has already manifested

itself in many forms in different parts of the world at different times hence the first sign of apocalypse is said to be already happening among us

In similar manners the bible describes the arrival a black red and white horsemen represent-ing the delivery of global food shortages war and conflict and the coming of an antichrist to the world From historical genocide terrorism to increased occurrence of food shortages so often seen nowadays it seems that the red and black horsemen has arrived as well and now we are just waiting for the arrival of an antichrist to conquer us

The Book of Revelation also provides readers with a glimpse into the ldquoactionrdquo in how the world will end

ldquoAnd I saw when he opened the sixth seal and there was a great earthquake and the sun became black as sackcloth of hair and the whole moon became as blood and the stars of the heaven fell unto the earthhellipand every mountain and is-land were moved out of their placesrdquo

(612-13)

Besides the great earthquake and the darkening of the sun there is a repetitive mentioning of stars falling from heaven on earth in the Bible This is postulated as the at-tack of massive meteors on planet Earth Out of all prophecies in the Book scientists assume this to be the most likely since an asteroid impact at a scale as large as that may have already wiped out an entire species that came before mankind Scientists believe that showers of space rocks that rained down 65 million years ago (due to the collision of Near Earth Object) were the culprit for the extinction of dinosaurs Luckily NASA recent-ly launched an early warning sys-tem called ldquoSpaceguardrdquo that aims to monitor such Near Earth Objects to prevent future collisions and ex-tinctions

Having read the above the Bible seems to combine all the horrifying specifics in different apocalyptic speculations into one nightmare But donrsquot worry since there are many different interpretations of the Revelation Historicists are the ones who see the Book as a broad view of history (good news wersquove already escaped all the horrors in the depiction) whereas Futurists

believe the description as prophecies of the fu-ture The Idealists hold the belief that the Rev-elation does not refer to actual people or events which makes sense as the Bible is often not inter-preted literally So fingers crossed that the Revela-tion is not interpreted in the futurist way because in that way there is going to be a daunting future awaiting us

Four horsemen of Apocalypse

hkucaduceusnet | 29

ldquoDevolvingrdquoEarthTheoryThis is probably the

most scientific theory that I have come across so far from a news article pub-lished from ABC News A group of scientists from University of Washing-ton hypothesized that the Earth will gradually de-volve in the next half bil-lion years In short their logic works as follows

As we all know the sun is constantly grow-ing bigger yet the Earthrsquos environment has been reasonably constant This is because as the sun is warmed up carbon diox-ide from the atmosphere is removed and deposited in soil as carbonates This keeps our environment stable by the balance be-tween an increasing sun and reducing carbon di-oxide in the atmosphere (Note that global warming resulting from an increase carbon dioxide in atmosphere is just a brief blip in the grand scale of things) Since carbon dioxide is the ldquofood of liferdquo the reduction will cause plants and animals (including humans) to die To battle the rising heat some creatures will retreat into the sea hence reversing the evolutionary process And as the sun continues to expand the Earth will become so hot that even the oceans will gradu-ally be evaporated Eventually the sun blasts off its mass through ther-mal pulses engulfing the Earth

This is a very scientific specula-tion from an astrophysicistrsquos point of view and they claim that at best we have no more than half a billion years left This might be more reas-suring for some of us as the world will not end in the near future But the grief lies in the inevitability of our planet Earth coming to an end

Everythingthathasabegin-ninghasanendSo we are back where we start-

ed With more speculation and the-ories and still no closer to the truth The end could happen any day or time or maybe it could be a proc-ess that is already happening Even though it is not to the scale of an-nihilation of the human race hur-ricanes and earthquakes and car crashes have already been stealth-ily taking the lives of millions We know for sure that we must die eventually through chance old age or disease There is only very little we can do to fight against what has been planned for us and reducing the resources we consume is the best chance that we have in delay-ing this happening There might be some benefit if we know the in-sights of when and how it will hap-pen but really it doesnrsquot change anything Moreover it is possible that these speculations came about to force mankind to live life to the

fullest to treasure each day and every resource we have as a gift so it doesnrsquot matter which theory is the accurate one In the midst of these theories about apocalypse all we can do is to live every day as if it was our last with no regrets and enjoy life as it is now

ReferncesThe End of the Worldhttpwwwnostradamus101compropheciespart4P7

The Great 2012 Doomsday Scare httpwwwnasagovtopicsearthfeatures2012-guesthtml

When Will the World End New Theory EmergeshttpabcnewsgocomTechnol-ogystoryid=97756amppage=2

2012 Beginning of the End or Why the World Wonrsquot Endhttpwwwnasagovtopicsearthfeatures2012html

Video from history channel (from youtube link)httpwwwyoutubecomwatchv=BoTExQEyblU

ldquothe MeaNiNg of life is coNtaiNed iN every siNgle expressioN of life it is preseNt iN the iNfiNity of forMs aNd pheNoMeNa that exist iN all of creatioNrdquo ndash Michael jacksoN

30 | Caduceus September 2011

笑的神奇魔力「當你笑你改變了當你改變了整個世界也改變了」

麻丹卡塔利亞醫生(大笑瑜伽的始創人)何麗敏 (N14)

被隱藏的笑容

日 本大地震及核洩漏事件馬頭圍道唐樓火災三死十九傷中區

警長為勸示威人士中不慎失足墮橋身亡

各政黨爭相你嘲我罵helliphellip在城市裡我們

每天都被一些飛來橫禍天災人禍或社會

爭執的信息圍繞著充斥著愁雲慘霧的氣

氛甚至在家庭朋友學業工作和

健康方面我們亦會遇到不如意之事負

能量和心理壓力不斷增加沒有適當的疏

導和發洩方法之下不少人染上酗酒或沉

迷賭博等壞習慣來自我麻醉長期把情感

抑制的一些人更有機會患上

情緒病我們彷彿硬把自己

困在死胡同裡忘記兒時怎

樣整天咧嘴哈哈大笑如何

在跌倒後笑著站起來現

在很多人都像被魔鬼牽著

鼻子走每天板著一副無奈

沮喪的嘴臉掛上冷漠的眼

神笑聲更差不多成為絕

朋友啊你可有嘗試計

算過一天總共大笑了多少

次英國格拉根大學研究發

現在英國嬰兒每天會笑

達三百次而青少年時期的

每天大笑次數大幅減至六

次五十多歲的人平均每天

更只笑了三次無可厚非

我們在成長過程中必遇到愈來愈多的煩惱

和挑戰事情的確不是我們所能控制但

面對的心態我們為何不能放開一時所謂

的包袱像孩子般笑著面對呢為甚麼大

笑要有一定的理由或被時間限制呢

瑜伽加愉

近半個世紀工作學業和情緒波動

很大生活方式變得愈來愈物質主義容

易出現精神緊張大家都被壓得透不過氣

來變得不太愛笑在一九九五年印

度孟買註冊家庭醫生麻丹卡塔利亞(Dr Madan Kataria)創立「大笑瑜伽」以笑聲驅除怨氣大笑瑜伽是以笑聲互相交流

的透過眼神接觸傳遞歡樂的信息學習

別人的笑容代入孩童的心態再全情投

入地開懷大笑同時亦融入瑜伽的腹式

不妨一試

大笑瑜珈三式一預備式林中步行

在樹林慢走就是愛笑瑜伽的熱身方式步行時間

可以是10-30分鐘邊走路邊拍手同時不時地做深呼

吸目的是讓身體和情緒都徹底放鬆下來為後面的

內容做好準備

二進行式學習動物的表情

在瑜伽導師的帶領下活動面部肌肉然後模仿瑜

珈導師的動物表情這些表情看上去本身已很滑稽

只要按照瑜伽師的樣子去做再發出笑聲

三結束式調整呼吸

經歷了一場大笑面部表情鬆弛了心情也舒服

了不少大家慢慢收回笑容調整呼吸一邊在森林

裡散步一邊大聲告訴自己說「我們是世界上最快樂的

人」

灼見

hkucaduceusnet | 31

呼吸和伸展動作鼓勵大笑達至身心健康

的效果精神科專科曾繁光醫生指出 

「笑令腦自然分泌天然多巴胺以抗衡人

體緊張時所分泌的皮質醇預防患上焦

慮抑鬱的情況」除了改善情緒還能

促進健康笑能促進肺部呼吸功能和加強

血液循環現代醫學認為笑可以成為一種

治病方式治療神經衰弱消除肌肉的緊

張預防或減緩疼痛

筆者在此並不是宣傳大笑瑜伽其治

療成效仍有待商榷和科學實證但愈來愈

多人證實大笑和保持歡樂的心態能有效放

鬆自己張立新先生是第一位在中國推廣 

「大笑瑜伽」的人他患上憂鬱症遍尋

各種治療方式皆無成效一次機緣巧合

從網路接觸「大笑瑜伽」亦在電視上看

到介紹而開始學習和練習他的憂鬱症因

此不藥而癒從此他就開始在中國研究和

推廣愛笑運動暫且別論大笑瑜伽的奏效

程度但人生所遇到的事可真不少何不

笑對人生

尋回被遺忘的赤子之心

大笑並不是靈丹妙藥但它的確能帶來

正能量即使事情有多糟糕笑著面對總

比怨聲載道好而且美國加州大學柏克

萊分校心理學教授丹卓凱納說「笑對

人的進化很重要」目前心理學家們認

為笑是人類之間交流的古老方式之一笑

能互相影響把歡樂的氣氛傳染開去嬰

兒還未學懂說話時笑是與身俱來為何

我們長大後卻隱藏笑容呢朋友們參考

左頁所列大笑瑜伽的基本招式大家可相

約三五知己輕鬆一番找回孩童時的笑聲

大笑瑜伽的始創人麻丹卡塔利亞醫生

大笑瑜伽在六十多國家盛行

ldquolaughter is the best MediciNe - uNless yoursquore diabetic theN iNsuliN coMes pretty high oN the listrdquo ndash jasper carrott

32 | Caduceus September 2011

Learning Experiencing GivingA magical 10-day journey away from the cityErin Yeoh (M15)

C lad in backpacks light clothing and sneakers 21 medical students from HKU and CUHK

were prepared to leave the comforts of home and the internet (did I hear Facebook) We were bound to Chi-na about to embark on a learning-cum-volunteering trip organized by Medical Outreachers

After saying our final goodbyes at the Shenzhen air-port we split into two teams Team A with 9 members were bound to Xirsquoan where they would see volunteer orthopedic surgeons at work The 12 people in Team B including me left for Guizhou to understand the role of village doctors in rural China Both teams aimed to find out the effectiveness of public health policies in rural areas of China We were to meet up 4 days later at Dongshan Guangdong

Part1GuizhouUpon landing in Guizhou we were provided with

excellent hospitality by the local officers and the lo-cal NGO Amity Foundation We were given a brief introduction to Guizhou and also the work that the government and Amity Foundation were doing in the province Amity Foundation actually helped to build numerous new village clinics to improve the quality of healthcare in the region

The next day we were taken on a tour around the province visiting different village clinics (村診所) lo-cated in areas further away from the city Usually there would be one or two village doctors (村醫) on duty

at a time to attend to the villagers with population of around 1000 to 4000 per village

However the village doctors were not the type of ldquoheroesrdquo I had in mind They were not your typical doctor working in a worn out run-down wooden hut where there would be a row of sick villagers lining up to see them How ignorant I was In fact the village clin-ics were mostly renovated and well equipped with ba-sic amenities The standard village clinic has 5 rooms main lobby (大廳) treatment room (治療室) pharma-cy (藥房) observation room (觀察室) and a doctorrsquos rest room (醫生休息室) Furthermore their patient flow was rather small sometimes only one or two pa-tients per day This was probably due to the fact that some village clinics were located only a stonersquos throw away from major cities Those in a medical emergency would of course go straight to the main hospital to seek help immediately instead of consulting a village doc-tor

To be a village doctor one at least had to be a sec-ondary school graduate They would also undergo constant training and certification by qualified doctors in larger clinics According to the village doctors they spent most of their time doing paperwork keeping track of the villagers and their medical history They would also conduct regular home visits to those suf-fering from chronic illnesses or those that needed con-stant monitoring such as patients with hypertension or rheumatoid arthritis Another point that I found

A village clinic before receiving funding from Amity Foundation

hellipand a comparison after

Life

hkucaduceusnet | 33

interesting was that they would also visit families with newborn babies to check on their general health At the same time they would educate mothers on proper breastfeeding techniques and how to provide adequate nutrition for their children in the future

To learn more about their daily routine we fol-lowed a village doctor on his home visit rounds The doctor would sometimes have to travel as far as 2 kil-ometers for a home visit which would be the other end of the village This was as in the case of a pregnant lady due for delivery soon (photo as shown below) The doctor who came to check on her health status reas-sured her that her delivery would be a successful one From her sigh of relief and tired smile we could tell that she was grateful to see the doctor

However things didnrsquot always run as smoothly According to some of the village doctors they used to be scolded and rejected by the locals who did not understand why the doctors would often come up to their doorsteps asking them questions regarding their health and pestering them to go for checkups Some of them being superstitious would think of doctors as ldquoharbingers of bad luckrdquo as the doctors would talk about ldquosicknessrdquo and ldquodiseaserdquo when they were actu-ally feeling as fit as a fiddle Thankfully the situation has much improved since then

From what we saw instead of playing a curative role in a society the village doctors were actually much more involved in disease prevention and monitoring

This is actually the ldquoupstream modelrdquo concept in pub-lic health Instead urban doctors are overwhelmed by limited consultation time and when fatigue kicks in they simply do not have the energy to further educate their patients They would also not have the time to un-derstand their patients on a personal level unlike that of the village doctors

However the indiscriminate use of antibiotics in China was truly a frightening sight Doctors adminis-tered antibiotics intravenously for mild diseases like the common cold When we asked the doctors as to why they did so they simply smiled and shrugged off the question It is probably still a common practice in China and if the doctors did not give such medication the patients would probably lose trust in the doctor The fact that the similar practices were seen even in large hospitals probably indicates that this problem is hardly a localized one

Part2DongshanGuangdongWe met up with the team from Xirsquoan at the

Guangzhou airport and proceeded to our next desti-nationmdashDongshan After 5 hours of car ride we began to see signs that we were approaching our destination Mountains sharply angled clustered in twos or threes fondly known as ldquoMcDonalds mountainsrdquo were begin-ning to be in sight

As soon as we arrived we were greeted by eager curious young faces The children huddled close by as we unloaded our luggage some commenting that they hadnrsquot seen some of us while others were already play-ing around with the past participants It was my first time to Dongshan but there were some of us who were not new to the kids there

After settling down we were given an introduction to Dongshan and its residents by the local NGO Green Action Foundation led by Mr Wong

Located at the outskirts of the province Dongshan is one of the 4 poorest areas in Guangdong Its natu-ral terrain abundant in limestone makes it especially hard to retain water This has taken a toll on the resi-dents especially during the drought season Another problem faced by the local residents is that there are many young people and adults migrating to big cities to earn a living leaving behind the children and elderly

Village doctor on one of his home visits

Discarded bottles of intravenous antibiotics near the village clinic

ldquoMediciNe also disregards NatioNal bouNdariesrdquo ndash irviNg laNgMuir

34 | Caduceus September 2011

at home

Green Action Foundation took the initiative to plant trees around the area so that more water was available for irrigation and domestic purposes This improved the quality of their crops and boosted their source of income They also sponsored some of the

childrenrsquos education depending on their performance in school to ease the burden on their families

The next few days were jam-packed with activities A sports day was held as an icebreaker so that the new participants could get to know the children better We also spent half a day at the Dongshan Primary School where we taught the kids personal hygiene simple first aid moral education and also sex education for the grade 5 and 6 students

Another interesting activity that we had was a weed-cutting session up at a mountain with the other children Each of us was assigned with 2 to 3 chil-dren who were supposed to ldquoguiderdquo us along the way It was a 2-hour hike up and down hilly ter-rain While I would stop once in a while to take a breather the kids were barely panting The kids would often stop to ask if I was tired and even of-fered to help me carry my backpack Note to self more exercise next semester

Nevertheless it was a great chance to know the kids better We had the time to chat about their school life and what they thought about their future and also the chance to share snip-pets of our lives in the city

We then split into small groups and visited the homes of the children in order to gain a bet-ter understanding of their household hygiene

condition any medical conditions in the family as well as their economic standing We had also prepared questionnaires to be kept as future record Some of the families were very poor to the extent of having no source of income at all They depended solely on their own crops for food If they went to see the doctor they would usually owe the doctor money until they had

enough money to pay back The hygiene status of the villagers varied but most of them had swarms of flies around food Many even had their live poultry like chickens running around the house Before we left we gave them some hygiene products like soap washing detergent and toothbrushes to encourage better hy-giene We also gave them a poster explaining ways of maintaining a clean household environment

Another main focus of the trip was to find out the effectiveness of a medical insurance policy newly in-troduced by the government Each person had to pay 30 Renminbi annually to be guaranteed free medica-

Sports day activity

Weed cutting with the children

hkucaduceusnet | 35

tion and hospitalization thereafter Generally the vil-lagers were grateful for this plan as many found it dif-ficult to afford medical fees while struggling to pay for

basic necessities at the same time However some vil-lagers complained that the prices of medicine spiked after this policy was introduced and hospitals would of-ten ask patients to

do unnecessary scans just to earn more money

This trip made me realize that there is much that we can do but how great an impact we can make might not be seen immediately With follow up trips one could see the change as compared to the last visit and make further modifications to improve the situation

As the trip came to an end we were reluctant to leave There was something very magical about Dong-shan where the skies would turn to an exuberant red during sunset and on a clear night you could see stars scattered across every corner of the sky It is a place of beauty struggle and hopefully a place of triumph in the years to come

It is a place of beauty struggle and hopefully a place of triumph in the years to come

On one of our home visits

More to ExploreMedical Outreachers 醫心httpmedicaloutreachersorg

The Amity Foundation 愛德基金會httpwwwamityfoundationorg The beautiful sunset in Dongshan

ldquoshariNg is soMetiMes More deMaNdiNg thaN giviNgrdquo ndash Mary catheriNe batesoN

36 | Caduceus September 2011

就 在這一刻世界沉默了

城市的繁囂隨飛機引擎

逐點逐點噴走了繁囂的離

開是為了讓簡單的生活回

來剛踏出廈門機場一張

又一張的笑臉映入眼簾刺

熱的太陽把兩地之間的隔膜

融化

早從香港回歸時開始

香港人經常強調自己只是 

「香港人」而不是「中國

人」自以為比內地人高一

等可惜這班自視過高的都

市人曾幾何時為外地人送上

熱情的款待這一點廈門

人比誰都做得更好

廈門是一個位於中國

東南部的海島也許就是近

海讓居於廈門的人都把一

切怨恨煩惱拋下大海讓

它們隨水流漂走埋藏在海

床上每年廈門的鳳凰花花

開兩季一朵又一朵鮮艷如

火的鳳凰花在六月時歡送一

個又一個的畢業生彷彿為

他們添上一份祝福九月時

的鳳凰花熱情地歡迎一屆又

一屆的新生為新生的精彩

校園生活揭開序幕一份一

份的熱情含苞待放身在廈

門又怎會不被這市花的熱情

感動呢廈門大至人與人

之間小至花與花之間都存

著一份情

要追溯廈門人的情懷

可數至土樓的建成土樓

是個大多呈方形或圓形大型

群居的建築整座土樓樓高

三至五層由於牆身頗厚及

只有一個出入口甚具有防

禦功能亦因為這緣故當

大門關起來土樓便成了一

個家這個家佔地不大但卻

藏著成千上萬的人情味在

萬里無雲陽光普照的天空

下土樓居民的熱情好客

被蒸發出來懸浮在空中

一代一代傳下去更讓它隨

風走出土樓傳遍整個廈

門即使土樓漸漸成為旅遊

景點一些擺賣紀念品的攤

檔已經進駐但卻無礙居民間

的感情商販彼此交流從

不出現爭客的情況在土樓

中央休憩的居民除了為外地

人介紹他們的祠堂外亦邀

請遊客跟隨他們到遊客禁區

參觀在土樓居住的每伙都

中門大開當遊客投進好奇

的目光屋內的人往往以親

切的笑容作回答鄉土人

情在這世代多冷漠的心也

被融化

細膩的人情味外最令

遊客津津樂道的是廈門人的

態度廈門大學附近有一條

芙蓉隧道只要你願意便可

在隧道內壁上畫下你所思所

想當然美觀與否見仁見

智但這一種對藝術尊重

欣賞的態度是值得欣賞我

有我盡情地畫你有你盡責

青春在廈門留下足印潘曉彤 (N14)

生活

hkucaduceusnet | 37

地去管轄城市各處的整潔

彼此留下空間達至相輔相

成的效果廈門人就懂得人

最基本的禮貌尊重不

過廈門人對他人的尊重遠超

於人的基本禮貌當你去唱

「卡拉OK」的時候每次

待應的出入時看到的就只

有他們的正面而他們前行

或後退的方式就像看到皇帝

一樣卑恭屈膝香港人常常

強調面子哪一天才能捨下

那過高的尊嚴為不相識的

人作一個最謙卑的招待

其實任何人一離開香

港都不難發現就只有香

港愈夜愈精彩其他地方晚

上八時大多關門大吉而廈

門就只有中山路才媲美得

上香港的夜夜笙歌夜幕低

垂萬千燈火的中山路上

與來自各區的人擦肩而過

昏黃的燈光下照出一群又一

群的沉默影子剛好與路上

喧鬧的行人相映成趣騎樓

在霓虹燈的點綴下顯出了獨

有的閩南特色大街小巷傳

來不同地道小食的香氣車

輪餅燒仙草土笋凍helliphellip

為我們外來的交流生帶來美

味可口的夜宵飲飽食醉過

後走到中山路的盡頭又

回到了沉睡中的廈門

在優美的環境影響下

廈門人的生活也自然變得

純樸優閒單車車輪在環

島路上留下一圈又一圈的印

記沿路能細聽海浪輕拍岸

邊的聲音細嗅四處洋溢的

花香感受微風吹散太陽散

發的熱力見證一對又一對

的新人在拍下幸福的照片

據說廈門有戀愛天堂之稱

不管走到哪一處也會

看到準新人拍下甜蜜的婚紗

照而在裡面享受的人永遠

不知道這風景如畫的背

後是透過多少人的血汗換

來當我們在追求經濟成果

的同時往往破壞了造物者

在世上留下的藝術品隨中

國經濟急速發展一個又一

個的世外桃園被摧毀銅臭

替代了花香車聲替代了鳥

語這仙境又可維持多久

廈門另一世外桃園就是

鼓浪嶼它活像香港的長

洲島上滿有歐陸建築風

格但當中不乏中國特色的

建築中國古城風味與洋風

互相交替帶出截然不同的

感覺島上遠離汽車的廢

氣與金門就只是一海之

隔一家大小在享受天倫之

樂時一群又一群的青少

年情侶在沙灘上嬉戲立

即為島上升溫

筆者認為在這個混亂的

俗世確實需要抽空來欣賞

造物者留下來的藝術品大

財團不斷興建大型商場國

際知名品牌不停進駐留下

的就只有愈來愈狹窄的街

道被石屎封蓋寸草不生

的土地人人被金錢蒙蔽

迷失在霓虹燈光中又有多

少知音人能放下生活的瑣碎

事情在這裡享受時間一分

一秒的流走你被海浪聲

喚醒了嗎

筆者參加這次是由香

港廈門兩地大學的交流

團一連六天已經習慣了

當地的優閒生活模式體會

到的不只是廈門的風土人

情歷史文化而是兩地大

學生那種衝破界限的交流

雖說年輕人容易打成一片

但廈門獨有的熱情確實融化

了彼此間的隔膜廈門的美

是成人之美成就了兩地大

學生的友誼

飛機又再起飛了廈門

再見了

ldquothe tiMe of life is short to speNd that shortNess basely it would be too loNgrdquo ndash williaM shake-speare

38 | Caduceus September 2011

生 命形成之際只要一秒鐘的差遲世界便會不一樣

蝴蝶效應從來都是玄的全因一個 

「緣」字

隨著人成長要決擇的事太多學生

有兩件人生大事幾乎都不是由自己決定的

入讀小學及中學然而到了大學這

關卡自己也許可以拿定主意了若果你

入讀了心水科恭喜你若不然祝福

誠然入大學是最影響未來生活的關

口是好是壞無人知曉不用量化不

用比較太多即管做自己所想活出自己

的路只因你不會曉得你的下一步會怎樣

影響著你的生命

或許一個活動你會遇上你的最愛

或許一個宿位你會遇上你的知己

或許一句說話你會惹來一個敵人

或許一次走堂你會由B變C

這就是大學

在大學各人有各人的大學生活大

學講求自由學習學習真的是「求學不是

求分數」有些人愛廣交朋友有些人愛

住宿有些人愛做莊務有些人愛拍拖

有些人愛參加各樣活動有些人愛做兼

職有些人愛讀書有些人卻愛甚麼都不

做helliphellip不少大學生強調入大學必定要做齊

大學五件事(上莊住宿讀書拍拖

兼職)但其實只要自己開心不害人的

話做甚麼也沒問題最要緊的是認清讀

大學的目的以免沉淪於大學這花海

朋友

大學可以令你對「朋友」的概念愈來

愈含糊幾乎每個活動都可令你認識新朋

友通常大家都會輪流講述自己的名字與

學科(Round Table)這亦是考驗大腦對人名的記憶所謂的「Hi-Bye Friend」會愈來愈多隨便在細小的港大內穿梭會令你

無可奈何地對他們說聲Hi

不過別標籤你的「Hi-Bye Friend」要是連Hi-Bye也談不上更不用說做深交了上大學了大家已有既定的圈子很

多時約會或聊天都先找中學朋友而且很

多人會把大學朋友與中學的作比較雖情

有可原但有時未免先入為主地覺得中學

的較好

這亦難怪即使是日日碰面的同學也

未必是自己的好友人人都有自己的時間

表下課後各散東西不是大家不想互相

認識只是有時身不由己若想互相了

解不妨盡量製造共處之時有時甚至可

以分一些約會給大學朋友然後你會發

現大學朋友也可跟你熟絡可別為自己

建造一塊厚厚的心牆

舍堂

要入宿無人會不曉得十日的迎新營

有些舍堂平均每天的作息時間只有兩三小

時有人說住宿最辛苦就是迎新營然而

它卻是最難忘的

要數活動單單一個舍堂已數之不盡

要是投入舍堂生活每天24小時是不夠

用的舍堂之間有各樣比賽堂友要參加

各個組別為比賽出席各樣練習否則可

能被拒於來年再住基於許多人都只在夜

晚有空要全體出席那可是晚九朝五的

大學之緣賴彥積 (N14)

新鮮人

hkucaduceusnet | 39

宿生們之所以會熱衷於舍堂活動因他

們對自身舍堂有強烈的歸屬感好比中學

時學生參加校際比賽要是沒有歸屬感

就不會有心參加所屬舍堂的活動

除舍堂之間之活動樓層之間亦有各類

活動樓內亦然只要有人的地方就有玩

樂彷如天天宿營你不會有機會偷偷早

睡其他樓友常常打擾你你原來的生活

時間會推後數小時睡於二時已是罕有

早上的八半堂彷如無物

可以住宿但不參加活動嗎當然可以

但你會面對的是朋輩壓力他們雖未必逼

你參加卻會在言談中有意無意的滲出

來那種壓力不只限於自己樓層甚至是

跨樓層千萬可別輕看宿中流言

上莊

有人說上莊所學遠超課堂上莊所學

的是如何籌辦活動非常實用有時要對

外聯絡有時要面對公眾helliphellip像是要為將

來工作鋪路似的當然這亦要視乎你上

的是甚麼莊

一般而言上莊可訓練你待人處事的技

巧有時表面看來很友好的朋友當背

負上一定的要求後關係少不免有磨擦再

者初時莊員素未謀面最後卻因朝夕相

對而演變成朋友這段關係是很可貴的

成莊前要宣傳內閣爭取選票成莊了

又要舉行咨詢大會包受歷莊指導然後

又有就職典禮此後的活動更接踵而至

當然包括迎新活動招莊活動等helliphellip君不

見很多人視莊房為睡房少不免有「通

頂」之時忙是忙但必有價值至於是

好是壞要看自己的造化了

拍拖

人上了大學有時心思思想拍拖眼見

身旁多個好友都紛紛拍拖自己少不免羨

慕別人這想法十分正常畢竟大學生真

的可以放下只讀書的重擔真的可以規劃

人生大事了

香港大學一些營新活動中隨了Round Table外還有Round Status即說自己現在有否拍拖以及拍過多少次拖如 

A 0即Ava i lab l e之前至現在沒有拍拖O1即Occupied之前至現在共拍了一次拖當然也有一些同學自己創的甚

麼OBA (Occupied But Available)或D10(Desperate拍過10次拖)等等至於Round Status的動機何在可能是組爸媽想穿針引線吧當然也可能是別有用心的

不同人對拍拖有不同想法上了大學更

有不同擇偶條件人大了在感性的議題

上往往加上種種理性的數據開始現實起

來哪個帥哪個富有哪個有前途helliphellip

有些不在乎天長地久只求剎那的光輝

有些求虛榮有人疼愛在朋友前炫耀

有些甚至會在拍拖前已想定分手後的模

樣所以不想選擇跟自己同科的同學

活動

不同團體(包括舍堂學會及學校部

門)都有不同活動不用愁沒事幹只用

愁沒時間只要多留意Portal Mass Email或Main Campus海報不難發現幾乎每天都有各樣活動動靜皆宜開學時有迎

新營考試時有勁過飯新學期有開Sem

飯有些學會如戲劇舞蹈合唱團不時

有演出有關運動的學會則多練習以參

加比賽有關學術的也有很多興趣班講

座比賽等想幫人的亦可參加義工團

體如蛇蛇豬扶青等舉辦的義工活動

兼職

大學生的兼職大多以補習為主畢竟

這是我們能力範圍內可賺取最多外快又是

時間最彈性的工作有些人卻因補習不能

寫在履歷表而選擇別的工作然而很多時

我們都要在兼職與大學活動中取捨我的

ldquotake a chaNce all life is a chaNce the MaN who goes farthest is geNerally the oNe who is williNg to do aNd darerdquo ndash dale carNegie

40 | Caduceus September 2011

E mily was the chairperson of Pharmacy Socie-ty session 2010 As a student she has actively

participated in holding activities for many medical stu-dents and taken part in providing welfare to all phar-macy students Her following sharing will especially enlighten our new pharmacy students

Q Why did you choose Pharmacy SocietyA To be frank ldquosheung jongrdquo was really out of

my expectation when I anticipated my university life However my perspective has changed when I officially became a pharmacy student in HKU As members of the opening class of the Pharmacy programme my classmates and I realised the importance of having our own student body We do need an independent soci-ety to represent us pharmacy students to cater for our specific needs to listen to our points of view and to act as a bridge to facilitate our communication with the Medical Faculty the entire university and ultimately the pharmaceutical field in Hong Kong My class-mates and I who later became ldquojong yausrdquo believed we should act immediately to establish and run our own society which is why I decided to ldquosheung jongrdquo

Q Would you like to share some of the pros and cons of sheung jong

A ldquoSheung jongrdquo definitely helped me achieve per-sonal growth It was a concurrent commitment and re-sponsibility to serve and to lead our colleagues Bear-ing this in mind we always pushed ourselves to attain the best of our work ethics efficiency and efficacy As the very first session of the Society we lacked the guidance of any previous committee member Instead analysing carefully and critically we thought better of every decision which I personally found an enriching experience ldquoSheung jongrdquo was also an eye-opening journey Wersquod got to meet different people and learnt more about the professional work for as our career-to-be after graduation This in my opinion is always beneficial Last but not least I was fortunate enough to have worked with my amazing fellow committee mem-bers I frankly couldnrsquot ask for better ldquojong yausrdquo than initium Irsquom absolutely thankful for having them as my friends and it is definitely my greatest gain along the way

Despite the merits ldquosheung jongrdquo definitely has its downsides as well It is a lie to say ldquosheung jongrdquo does not affect our daily life because it does take up a big chunk of our time At the end of the day it is about time management which is easy to say but extremely dif-

建議是如家庭環境較困難賺錢吧反

之可以多留時間給各活動畢竟大學一

年的學費不只值那幾十堂課如何善用這

$42100就在乎你如何投入大學生活

讀書

假若你認為大學的考試可考核學生的

真正讀書能力並要求學生活學活用課堂

所學那麼你大失所望了假若你善於背

誦有過目不忘之本領大學的筆試不會

難倒你只要靠著前人留下的歷屆試題

背到滾瓜爛熟是不可能不及格的很多屆

試卷都是千篇一律的很多教授可沒空大

改試題那同學們就走運了有些課堂

即使再專業的學科都會有只理論無實

踐的課堂然後考試就要你把一大堆理論

背出來helliphellip例如甚麼叫批判思維噢

我可不知道只知道我掉了5分

不同學系在某程度上定下了人的前途

對於醫學院學生而言前路是較清晰可見

的但對於非專業學科前路不可只靠讀

書也許要靠自己另外摸索讀書所帶來

的必然是較高的GPA高GPA所帶來的是

獎學金到外國交流工作實習日後工

作機會等等當然大學學習不只局限於

讀書會否因此失彼就只有自己知道

蝶翼拍動之時往難以預料機會是

要自己摸索的

如經上所記

「神為愛他的人所預備的是眼睛未曾看見耳

朵未曾聽見人心也未曾想到的」

(哥林多前書29)

「栽種的和澆灌的都是一樣但將來各人要照自

己的工夫得自己的賞賜」

(哥林多前書38)

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

Freshmen

hkucaduceusnet | 41

ficult to achieve Also working as a Committee mem-ber can be very exhausting and difficult You definitely need lots of determination and support to get through some of the busiest times

Q How did you handle and balance the workload of study and your ldquojongrdquo

A As Irsquove said before it was tremendously difficult I guess my best advice for the future committee is to know your limitations and always plan ahead You have to know your time to work to rest to study etc No one will be over-worked and eve-ryone will have some personal time if you share the burden wisely between ldquojong yausrdquo Secondly you have to make very clear plans so that you can make full use of every little piece of your time I may not have succeeded in my time management but most of my ldquojong yausrdquo managed to do so de-spite the packed schedule of our Soci-ety This is sufficient proof of ldquoimpos-sible is nothingrdquo

Q As there are only about 25 pharmacy students per class do you have any suggestions for P14 fresh-men to make more friends from other curricula

A It really depends on what kind of person you are If you consider your-self socially active living in a hall or ldquosheung jongrdquo will be a great idea for you But if you see yourself as a much quieter person you can still make use of opportunities such as Medic Orien-tation Camp and other events jointly organised by student bodies within the Medical Faculty to make new friends

Q Any special things for P14 freshmen to be aware of

A First of all welcome You all are now members of Pharmacy Society MS HKUSU and I would like to let you know that this is a student body aiming to serve you Thus feel free to share your viewpoints and voice out your opinions to the current Com-mittee members The Society has to

understand your needs to improve and provide better welfare and services for you

Q Any other comments or important things to re-mind P14 freshmen

A If you would like to get to know more fellow pharmacy students especially students from P12 and P13 grab the opportunity to join the Pharmacy Society Orientation Camp and the Mentorship Programme These are great chances to make new friends and Irsquom sure you will enjoy them

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

ldquoas huMaN beiNgs we do chaNge grow adapt perhaps eveN learN aNd becoMe wiserrdquo ndash weNdy carlos

42 | Caduceus September 2011

筆 者是一位護理系的學生半年前有幸成為二零一一年啟思編輯委員會的總編輯在期間所體驗到的希望藉著這次機會作出分享特別希望新加入醫學院的同學

能對「上莊」有更多了解

上莊之路上莊是大學五件事之一證明它對大學生

活有一定的重要性一定的位置筆者在初入學的時候曾為了上莊與否而煩惱猶豫了好一段時間期間考慮到自己能力怕學業應負不來但最後仍然下了上莊這個決定原因是上莊是個難得的機會充實增值自己不同的莊會提供不同的機會讓莊友去學習透過不同的莊務去讓自己眼界擴大另外可以了解醫學院內發生既事情例如院內活動的進展情況更可以參加舉辦院活動為醫學院出一分力最後當然會認識到將會相處一整年的莊友工作伙伴有機會認識到不同學系的同學從他們身上可以觀察到學習到各種的特質從而令自己有所進步有所啟發

護理學生作為護理系學生起初擔任總編輯一職實

在是倍感壓力畢竟歷屆的總編輯都是由醫科生出任因此筆者起初都害怕跟醫科生共事怕自己的能力不足夠應付莊務所以起初都是戰戰兢兢地上莊

一位三年的護理學生曾對我說「我認為你不太尊重護理系護理系和醫科都是個專業希望你能加以尊重自己的學系不要輕視護理這個學系你要肯定自己的學系才能帶領整支莊因為莊內成員來自不同的學系你必須肯定和認同每個學系都有一定的重要性以及其專業」這番當頭棒喝的良言令我明白到自己一直都太輕視護理系過於重視醫科現在我明白到認同自己學系是尤其重要只有這樣才可以用自己學系的身份去發表意見只有認同自己學系才懂得尊重其他的學系莊內便可以融洽一點

在筆者的莊友中醫科生都是較有責任感而且做事更有計劃從他們身上的確學到不少東西這點是無可否認的事實筆者並不是在分享學系與學系之間的差別而是希望有志上莊的同學能互相尊重明白到各學系的莊

友都有其值得學習的地方起初對其他學系有隔膜是無可避免的畢竟對他們的學系都不太了解又沒有歸屬感但如果因為對方是別的學系而輕視對方的人不但失去與人相處學習的機會而且會令莊內的氣氛失去和諧

幸好的就我所見所聞醫學院內的莊多年來都能融洽相處互相支持令到一眾上莊的同學都能輕鬆地享受上莊的喜與樂甚至是不愉快的事情

依靠你的莊友莊是一個團體不是一兩個人可以應

付得來所以筆者認為與莊友互相溝通合作是個重要的元素新同學如果有志參與莊務期望從上莊中有所得著首要的事情是與莊友建立關係因為他們將會是你來年的工作伙伴也是你遇到困難時依靠的對象一位上莊曾對我說「其實一件的莊期不會令你有太大的得著或成長反而長久的友誼才是你將會得到最重要的」這句說話是千真萬確的上莊的人不會由詞不達意改變成談吐得宜不要期望自己會有驚人的轉變也許上莊會令人處事成熟一點有計劃一點但上莊所得到的關係將會是更重要更珍貴一年的相處中面對過有無數的會議共同處理過不少困難從中

建立的友誼真的是畢生受用

責任感上莊另外一個十分重要既條件就是責任

感有志上莊的同學必須明白到莊期是長達一整年在繁重的學業中騰出時間來處理莊務是個考驗責任感和毅力的測試同學必須再三思考想清楚自己是否真係熱衷於上莊或是只是一時衝動畢竟你將要許下的是一年的承諾必須對這個莊負上責任願意付出才選擇上莊這個決定這樣的付出就會有相對的回

總結上莊的確是個好機會讓自己去學習從處

理事務中或是從莊友身上都會有所得著充實著自己的大學生活從中可以認識到各學系的同學建立一段段受用終身的友誼在此筆者希望各學系的新同學可以善用機會作出上莊這個無悔的決定

護理系的啟思總編石志榮 (N14)

新鮮人

hkucaduceusnet | 43

慈兄吟(下)奇晶

最 後還是麥教授先開了口「他的確是一個好學生對醫學有獨到見解他不但學業成績優異而且樂於助人你是他的妹妹吧」婉慧努力控制自己的淚水繼繼續續的說「是啊但helliphellip但helliphellip我不知道helliphellip他竟會在這裏出現」麥教授用悲天憫人的目光看着婉慧語重深長說「人生自古誰無死人生命的有為與否並不取決於他生命的長短而是在於人生的意義你哥哥雖然最後當不了醫生但他的犧牲卻間接為一些同學做醫生鋪路讓他們做醫生去救人這真是一種無私的愛」婉慧點點頭覺得自己對哥哥的了解實在太少了

最後她還是孤獨的離開實驗室她覺得自己跟哥哥比起來實在相差得太遠了原來他除了是十優狀元在醫學院的成績名列前茅外還是個熱心助人的好青年自己除了少了一優外少的更有對別人的同情及樂於助人這造就了她心靈上的空虛她明白到冷漠不是一種對哥哥思念的正當表達方法她應該做的是把哥哥對其他人的愛傳揚開去以圓他的心願

第一步往往是最困難的婉慧平日對他人的態度已令不少人對她敬而遠之有很多次她嘗試向同班同學投以友善的笑容得到的總是詫異的目光或別人的不理不睬在小組討論中儘管她踴躍發言盡量避免冷場的發生偶同學們卻認為她變本加厲想阻止同學們取得好成績她四處碰壁又再次陷入了想念哥哥的深淵

時間一天一天過去了上學期考試前的休假開始了婉慧每天都勤奮的在圖書館溫習期望取得好成績這時候的圖書館堆滿了人如果遲來一個小時想找一個位子也難就在假期的第二天同班的王文在圖書館跑得氣急敗壞仍找不到一個座位婉慧不知怎樣有點同情他將座位讓給他王文驚訝道「不用了我還是回家吧真倒楣遲來了一個小時就沒有『接位』」

「但你住在哪裏呀」

「元朗今天早上我忘了校鬧鐘八時才起」

「那你還是要我的座位吧我可以坐到電腦桌因為我認識的人不少沒有什麼人會打擾我的」

王文謝了她頓時對這位冷漠的同學刮目相看原來她的內心也是溫暖的這並不是他所能料及的坐在電腦桌前溫習的她也感到特別的快樂溫習的速度也快多了王文就此成為了她的「飯檔」考試期間每天和她一起吃飯他更將自己的好友介紹給婉慧認識

在一個晚上她又悄悄的在圖書館的角落溫習着突然一隻溫暖的手搭着她的肩上她抬起頭但見解剖學的同桌手中拿着一杯熱飲輕輕的放在她的桌上婉慧正感詫異卻聽見他說「這杯熱巧克力是給你的繼續努力吧」她喝着巧克力心中感到一股暖流彷彿哥哥的關懷又在她內作出回響

十年生死兩茫茫不思量自難忘千里孤墳無處話淒涼helliphellip

寒風吹起了她額上的劉海佇立在墓前的婉慧不禁凜冽她想起了從前想到自己最後一次和哥哥吵架雙方面紅耳赤的情況想起自己無法親口跟哥哥道歉想起哥哥無私的付出她對着那空虛的墳心中不忍一陣淒然淚水漱漱的流下來她身旁攜扶着年紀老邁的母親邊拭淚邊喃喃道「我的兒子helliphellip歿了helliphellip」大家心情漸漸平復了緩緩走出了墳地

雨一滴一滴的落下飽歷辛酸的婉慧卻仍在懸壼濟世

短篇

ldquoyesterday is but todayrsquos MeMory aNd toMorrow is todayrsquos dreaMrdquo ndash khalil gibraN

44 | Caduceus September 2011

Eternal Flame (1)Tulipa

Itrsquos cold The chills from my fingertips imbibe deep into me This person drills into my mind digging out the truth inside me Itrsquos agonizing She comes right inhellip di-rectly I cannot stop her

Irsquom losing myselfhellip

My hand felt the soggy pillow I realised I had come back to life the world where I lived Staring blankly at the ceiling still losing focus in my eyes I felt my brows with my forearm For the first time I didnrsquot want to lose this feeling

The bedroom door slowly opened I quickly rubbed off the drops that had blurred my vision pretending that I had just woken up

ldquoDo you have lessons this morningrdquo My grand-mother whispered into my ear

ldquoOh goshrdquo I turned right to my alarm clock It was the real life I had forgotten to turn the alarm on last night and it was now seven thirty I knew it I was going to be late every time she caught me in bed Irsquod got to hurry up

Living in Hong Kong Island though it took me more than an hour to get to school I had to comfort my little brother sometimes till two or three in the morning in order to get him to sleep In addition to the consistently heavy study load in the medical school I could hardly get enough rest Running on my heels al-most became my routine starting from last November But I well understood the consequence of skipping lec-tures It was the beginning of the Cardiovascular Sys-tem Block For someone like me who gave least priority in revising Anatomy materials lectures remained the prime source of information for exams Absence from class was suicidal To make the situation worse this professor was one of those who did NOT upload lec-ture notes online

Hoping I wouldnrsquot arrive too late to miss the impor-tant points I finally stepped onto a route no 8 minibus at ten past eight What I could do now was to pay trust in the driver who would bring me to my destination

Coaxing kids was never easy Little Bruce just hap-pened to give me such a hassle last night

He knew I would check on him when I returned home Sitting right next to the door of his room he begged me for a story once I opened the door I sat down together with him on his little couch after Irsquod taken a quick shower This was a time to relax leaving

aside all the other concerns

Kindling through his favourite reader I saw that he wasnrsquot listening but distracted by all sorts of toys around He even invited me into his world of fantasy But it was getting late I had to calm him down so that I too could have some rest Being one of the brightest in his elementary school he should understand this was not the time for recreation

I began to feel annoyed

Yet he was my brother I had a gut feeling that this was unusual He didnrsquot use to be so ldquohyperactiverdquo It re-ally took me a while to adjust to his change With him still tossing and turning in my arms I apprehended his restlessness Unpredictable though he was true to his feelings In one way or another he might find the shadow of our mother in me

He finally settled when I laid him back in bed It was nearly two forty in the morning

The first week of the CVS Block ran as plotted PBL tutorials would start on next Monday Dr Youngrsquos fa-cial expression in the first PBL evaluation flashed over my Embryology notes and references She didnrsquot teach Embryology but I could tell she did have a hypertroph-ic heart-shaped face which looked familiar to the dia-grams in the Atlas

Back in the IHD Block most of us were puzzled about the scrambled content of our course Various forms of seemingly related knowledge came in through lectures practical and tutorial sessions But the neural circuit formed in our brain just failed to resonate as if the conductance-inductance mismatch had aberrated our thought from minimal impedance Sometimes things even happened in a ldquomore-than-extrardquo manner The presence of common core courses in a parallel but independent branch in the network could rightly be detached without causing a blip on the galvanometer Everything was dubious We had no idea of what we were doing

Maybe we were just on the way seeking for a sense of attachment

My mind too was racing in haste I was struggling with my decision to become a doctor Too many things had happened over the year I just couldnrsquot stop ques-tioning myself what was I thinking when I put lsquo6456 MBBSrsquo in my JUPAS application I should have expect-ed and prepared to face all these I just didnrsquot knowhellip

Novella

hkucaduceusnet | 45

It was midterm evaluation in the IHD Block Her face looked tense in that heart shape She was so stiff in her facial expression that no one could read her mind from her poker face The conference room of the Physi-ology Department was large We seemed to be the odd ones out in the spacious carpeted room In this secre-tive silence you could hear the drumming in your ears as if you were tingling

I realised this was not a matter of ldquoam-I-suitable-for-a-medical-careerrdquo but ldquois-a-medical-career-suita-ble-for-merdquo I was lying in bed playing with my plush bear when these thoughts burst in me Dr Young looked through me She felt certain that different from other group mates there were crises behind me But I didnrsquot tell her anything that day

We all were sensitive At times some subtle trepi-dation seeped in gradually sucking peace away from my sleep It was so to say below threshold sub-lethal though it lingered for weeks once it set inhellip

Drenched in bloodhellip There is no life in the boy His eyes are widely opened slightly protruded The lifeless pair of black pearlshellip I cannot escape from his glance He wants to talk to mehellip There is something he wants me to know

A van runs over himhellip

I fell down the edge of my mattress Breathing heavilyhellip Sweating all overhellip

ldquoScreechrdquo People began to gather around a tel-ephone booth a few metres behind us

I turned back I couldnrsquot see a lot from this anglehellip

ldquohellip What a pity He is so younghelliprdquo a middle-aged couple passed by

The victim resting just in front of the wheel looked towards me through a break in the crowdhellip

As we were wandering around thinking what to eat for dinner my cousin found me standing there rooted to the ground stunned by the victimrsquos gaze My heart was pounding She wouldnrsquot believe what I was again experiencing For a number of times already scenarios in my dreams were mirrored into reality

I couldnrsquot tell her

ldquoI was just thinking whether you would like Korean cuisine There is a new restaurant two corners awayrdquo I made up a talk while escaping from the scene so that I wouldnrsquot look so strange

ldquoWhy not go and have a try thenrdquo She was not dis-appointed for calling it a day as the food there was sur-prisingly good

Not until some years ago when I was Form 3 in college I discovered my ability to look into the future Sometimes I could see them coming up on the news in days or weeks And some didnrsquot ever happen at least not around me But seeing the night visions coming into concrete existence wasnrsquot always a pleasure when the mental images turned gradually into mostly night-mares When I visualised my close ones it felt like I was in the middle of an insecure chain bridge above a torrent that would sweep me into the vast ocean with no return It was entirely different from what you might understand as ldquodreams come truerdquo

I had witnessed misfortunes in proximityhellip

But I could do nothing about ithellip

Friends were a source of solace someone to con-fide all frustrations in But with my paranormal ability which appeared to everybody else only on screen-plays I wasnrsquot courageous enough to open my life wholeheartedly to them Seldom talking about myself avoiding all sorts of gatherings I became an eccentric figure among my classmates

Sometimes mutual understanding carried more weight than words I remembered my physics teacher being one of my few friends during my teen years De-spite his boisterous faccedilade he was always sensitive to whenever I was dwelling on my burdens Physics was our common language Intermingling our emotions and feelings with concepts that were alien to my fel-lows we developed a close rapport impenetrable by anyone else

ldquoWhat is the nature of a flamerdquo This was the most discussed problem between us Neither in solid liquid nor vapour state Not having any definite shape and colour It seems not any material but a type of energy giving out heat and light At the moment of providing it also exhausts its fuel and eventually itselfhellip

The romance of physics is more than anything you could read write and talk about Once you were truly connected with it nothing can stop you Your mind will bounce irrespective of the chronology of space-time but only under the guidance of your thoughts

I was so devoted to the discipline at the time that I was almost making it my lifelong career in some way He envisaged that I would demand much more than any academia could provide with its scientific basis alone We were both seeking a philosophy beyond the facts But Hong Kong may not be the right place for it

I made him a promise at the end to contain our flame and I knew I would

For the first and the last time I saw his eyes filled with tears We knew existence by itself is a miracle

ldquoi love life because what More is thererdquo ndash aNthoNy hopkiNs

46 | Caduceus September 2011

說華佗都說「華佗再世」誰知箇中真諦雲方 (M15)

烽煙起戰火燃萬里 

三國並爭英雄地亂世有誰顧生死 

待神醫行世將民眾救濟

渺渺江山東西瞰俞跗巧手扁鵲心(1) 應向何處尋 

滾滾黃沙無世家終有奇士放奇葩

沛國 華元化(2) 

他經書貫通南北遊動 

一望斷症如神助三劑消病不必多

說斷症悉如所料 

甘陵 相夫人腹痛極難忍(3) 號脈知死嬰在左為男形(4)廣陵 梅軍吏除名歸故里

見貌知壽盡速返見萱椿(5) 

說消病藥到病除 

飲蒜醋有三升蟲一嘔而盡清 (6)母服丸而溫儲兒不藥而自癒 (7)

絕妙處 

是他開腸剖腹刀至辟毒 

神醫號 

除他內外皆精有誰配稱

[1]   俞跗黃帝時代之名醫扁鵲春秋戰國之名醫《淮南子人間訓》「患至而多後憂之helliphellip雖有扁鵲俞跗之巧猶不能生也」

[2]   華佗字元化沛國人(今安徽 亳州)

[3]   甘陵相(即甘陵之行政長官)夫人懷胎六月腹痛不安華佗為其切脈便知胎死於是命人摸知所在在左則男在右則女人云「在左」夫人飲藥後果然產出男胎腹痛立即痊癒

[4]   廣陵有軍吏名曰梅平離鄉服役後來退役歸家於路上巧遇華佗華佗視之嘆道「若能早些見我當不至於此而今你僅餘五日壽命速速回家還能與家人相見」平旋即趕抵故鄉五日後亦如料身亡

[5]   萱椿多作椿萱比喻父母漢牟融《送徐浩》詩「知君此去情偏切堂上椿萱雪滿頭」

[6]   華佗見路邊有人食不下嚥教他到路邊餅店買醋三升混上蒜泥然後飲用路人服後即吐出一條長蛇(即寄生蟲)

[7]   兩歲男孩長年腹瀉藥石無靈華佗往診謂病在母命其服用華佗親研之「四物女宛丸」服後母親乳汁不再寒涼男孩亦不藥而癒

意興

hkucaduceusnet | 47

只可惜人無完壁

「關將軍使君予我手刮骨惡毒走

曹丞相使君予我頭剖顱苦痛收」

「怎能不收怎能不收一命嗚呼萬事休 

簡直荒謬簡直荒謬殺此庸醫未須愁」(8) 

五禽戲尚能傳 (9)麻沸散從此絕 

何不一飲醉死不知世忍氣吞聲事權貴 (10)心神委曲須臾苦奇術失迭千秋計 

烽煙止無改生死事 

且當醫仙謫世間神技終須風裏散 (11)回首仰高山景行請君範 (12)

[8]     曹操欲殺華佗臣下勸之不可答曰「不憂天下當無此鼠輩耶」

[9]     死前華佗欲托所著醫書於獄卒不果便盡數焚毀唯有其養生體操「五禽戲」流傳後世

[10]   《三國志魏書方技傳》「當須刳割者便飲其麻沸散須臾便如醉死無所知」

[11]   唐白居易《簡簡吟》「恐是天仙謫人世只合人間十三歲」

[12]   景行(音航)即大道以高山景行比喻人品德行為之高尚典出《詩經小雅車轄》又東漢鄭玄曰「古人有高德者則慕仰之有明行者則而行之」

ldquothe art of MediciNe was to be properly learNer oNly forM its practice aNd its exerciserdquo - thoMas sydeNhaM

48 | Caduceus September 2011

啟程

清晨空白的天空看不見藍天雲彩

只有溫柔的雨絲和朦朦朧朧的霧水跟隨

著大隊的足印踏上沉重的腳步穿過橫

街小巷和煩囂熱鬧的市場走過自動門

撲鼻的消毒藥水味道讓大家屏住呼吸筆

者和夥伴們終於到達了入讀護理系以來第

一次實習的醫院

還記得在實習的前幾天心情是既忐忑

又期待的畢竟這一次實習的地方不再是

在社區中心宣傳健康方面的知識亦不是

只面對著健康活潑的小朋友和老友記或是

學校課堂上所提供的假人張靜汶卻是照

顧一羣真正需要關懷的病人心中充滿著

憂慮不知自己所學的知識足夠在應用上

嗎自己平日的練習足夠嗎雖然心存在

著不少疑惑但也十分期待可以體會一下

做小學護的感受嘗試把這一年裡所學到

的知識運用出來

很多的第一次

在病房裡總有心酸和膽戰心驚的時

候第一次為昏迷的病人清潔口腔第一

次為難以進食的人插入胃喉第一次為老

公公清洗背上壓瘡的傷口helliphellip照顧他們時

的心情都是一步一驚心生怕自己沒法應

付得來又怕會把事情弄得更糟糕最重

要的是恐怕自己不純熟的技巧令他們受苦

了記得有一回第一次為女病人插入尿

喉採取尿液樣本可能技巧不太純熟的關

係延長了病人的痛苦過程中她皺著

眉頭不斷呻吟又緊張得咬破脣眼看

她樣子心中真的不是味兒來身為病人

的其中之一依靠我們不得不給自己信

心如果連自己也不相信自己哪會有病

人願意把他們交給我們照料呢

捕捉那瞬間的美麗與淒然何麗敏 (N14)

上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

意興

hkucaduceusnet | 49

另外第一次面對病人的心情是頗為

緊張的說話技巧亦有改進的空間但和

病人傾談了數分鐘後氣氛也漸漸變得和

諧可能那些老公公整天呆在醫院裡真是

悶到慌看見一羣年青人與自己聊天照

顧和關心他們他們不禁咧嘴而笑醫院

職員透露有一位老公公平日不太願意吃東

西於是我們便主動和他談天說地又

悉心照料他進食的情況後來他不但胃

口好了不少就連心情也開朗了他生動

活潑的談吐讓我們笑了他回復健康精

神的體魄也讓我們感到安慰

相處片刻

雖然為期一星期的病房日子不是特別繁

忙或是辛勞但是也會有不習慣的時候

幸好得到醫院職員和一班夥伴的支持病

房經理和註冊護士不但相信我們的能力

對學護的包容更是不用多說還主動地介

紹病房的環境和細心地教導我們醫療護理

上的知識讓我們上了一堂實在而又寶貴

的課同時今次的實習也令我感到團體

精神也十分重要在技巧上大家互相提

點互補不足當有人準備照料有需要的

病人如插喉或洗傷口等大家送上一句 

「加油」就能令對方增加不少自信心和正

能量無論遇上甚麼事情我也榮幸有如

此一班學習夥伴從旁支持

學習的階級

在這一次病房實習中雖然醫療和藥物

知識方面有待加強但是我學懂了如何與

不同身份的病人相處之道溝通上也得到

了很大的進步獲益不少除此之外我

也真正體會到如何做一個好護士並清楚

了解這個行業是否適合自己鐘樓也不是

一天就能建成而是需要一磚一瓦搭建而

成的所以在學習上我們不但要打好

穩固的基礎還要增強醫療知識在技巧

上馬虎了事和走捷徑是於是無補的應

該多探究和練習才行這樣才對得起病人

和自己也減少不必要的醫療失當事故

總之多一份認真多一點耐性多一些

愛心就是學護必記的左右銘 上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

ldquoit is reasoNable to expect the doctor to recogNise that scieNce May Not have all the aNswers to probleMs of health aNd healiNgrdquo ndash NorMaN cousiNs

50 | Caduceus September 2011

Fun Corner

Medical AppsEver wondered how your handheld device can save your time and

effort when it comes to studying Here is how

Anatomy Pronunciations by HipposoftAccurate pronunciations of over a hundred important anatomy terms you have trouble with are provided

at your fingertips to help you spell those difficult words Anyone who has taken an anatomy course can tell you how challenging it can be to pro-nounce the names of those complicated anatomi-cal terms It is even linked directly to Wikipedia and Google through web browser for additional information

iPharmacy ndash Pill Identifier and Medication Guide by SigmaPhone LLCAn essential medication guide of 20000+ drugs is provided for con-sumers amp professionals This ex-

pands the image library to include 12000 pill and package images and includes digital drug identifier with official drug information (indica-tions dosage adverse reactions and more) You can check the drugs anywhere

Grades 2 by TapityIt tells you what grades you need in the coming tests in order to get your target grade You can easily calcu-late your GPA so as to maintain it It

is a useful tool helping you to keep an eye on your GPA all the time

Human Anatomy by SusaSoftXThe application provides you with information of 15 different biologi-cal systems You can keep on revis-ing while you are traveling without

carrying heavy books

Medscape by WebMD LLCFrom drug classes interaction clin-ical procedures and even the lat-est medical news Medscape helps medical students and healthcare

professionals to reiterate knowledge that has slipped from the mind It is a free application for iPhone iPad Android and Blackberry Yet it contains more function on Android phones and Apple products and lacks detailed clinical infor-mation for diseases and clinical procedures walk through on Blackberry

Pro Medical Terminology Dic-tionary by TreascoveryTerminology might be a tough work for medical students Even if we can master those English terms we can

hardly think of the Chinese terms This applica-tion can help you when you face this problem Note that it is not a free application

3M Littmann SoundBuilder by 3M CompanyA great tool designed to help im-prove auscultation skills of medical students with 14 unique lessons of

key heart sounds combing text virtual manne-quin 3D cardiac animation and dynamic wave-forms

iRadiology by Liebermans iRadi-ologyAn excellent learning tool for medi-cal students demonstrating classic radiological findings of a multitude

of abnormalities including over 500 radiologic images Radiologic images include CT US MRI and nuclear imaging each clearly labeled and followed by key teaching points

Micromedex Drug Information by Thomson Reuters (Healthcare) IncIs Cephalexin a first generation ce-phalosporin This application from

Thomson Reuters is the easiest way to navigate in the sea of drug names Drugs are sorted by classes and supplemented with rich information

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 3: Caduceus Issue 2, Volume 42

hkucaduceusnet | 3

Social Issues 社會

4 立法會議員遞補機制方案的迷思

7 燙手山芋

9 停一停想一想

10 拒收病人何來醫德醫心

Feature 專題

14 「形影不離」的造影術

16 ADiscourseofaFemaleGold-Medalist18 奉行完美主義的守護天使

20 ToSucceedistoFightAgainstComplacency

Insight amp Life 灼見與生活

22 ArtandMedicineSeeingDiseasesinArt26 TheEndisNearApocalypticTheories30 笑的神奇魔力

32 LearningExperiencingGiving36 青春在廈門留下足印

Freshmen 新鮮人

38 大學之緣

41 InterviewwiththeFoundingPresidentofPharmacySociety

42 護理系的啟思總編

Novella amp Sharing 短篇與意興

43 慈兄吟(下)

44 EternalFlame(1)46 說華佗

48 捕捉那瞬間的美麗與淒然

Fun Corner 逸趣

50 MedicalApps

In This Issue

Caduceus Volume 42 Issue 2 September 2011 published by Caduceus the Society Newspaper Editorial Board Medical Society HKUSU LLG01 Laboratory Block 21 Sassoon Road Pokfulam Hong Kong On The Cover ldquoROAD to Successrdquo a radiograph an ophthalmoscope anaesthesia injections and a dermatologic cream signifying the 4 specialties featured in this issue Contact us e-mail hkucaduceusgmailcom Electronic ver-sion available on the website wwwhkucaduceusnet Design ldquoRaphaelian Rosettardquo by Ryan Ho (M15) under the order of the Caduceus Editorial Board Copyright copy 2011 by Caduceus All rights reserved

Chief EditorIvan Shek

General EditorCharis Chan

General EditorStanford Li

IT amp Publication SecretaryRyan Ho

Financial SecretaryAlvis Ng

Assistant Financial SecretaryErin Yeoh

General SecretaryLily Cheng

Internal SecretaryTse Man Shan

Photographer amp EditorAdrian Tam

Photographer amp EditorAndrew Seto

EditorHeidi Ho

EditorCandy Kwok

EditorJacky Lai

EditorCrystal Poon

ReporterCarmen Lee

ReporterChariene Woo

Ex-OfficioAmas Leung

4 | Caduceus September 2011

政 府為堵塞政黨以辭職後再參選搞公投的漏洞提出以遞補機

制代替補選填補立法會出缺議席最初

政府堅拒就立法會遞補機制法案作出修訂

或重新進行諮詢不過隨着兩個律師會先

後以強硬態度質疑機制違憲並要求撤回

法案政府終於在6月28日提出一修訂方

案新方案雖然表面上較為合理但當中

的細節仍然有不少漏洞加上政府立法粗

暴不作公眾諮詢令民怨沸騰導致多

達218萬人於七一上街遊行為去年的3倍

多是2004年以後遊行人數最多的一次

最終政務司司長唐英年於7月4日正式宣布

押後二讀辯論遞補機制的條例草案並於7 

月至9月進行約兩個月的公眾諮詢

政府之前就曾為遞補機制提出不少疑真

疑假似是而非的理據支持究竟當中何

為真何為假讓筆者借此機會跟各位分

析一下各個與遞補機制有關的迷思吧

迷思一合乎比例代表制的精神

相信不少讀者都可能從各大傳播媒體中

聽過「比例代表制」一詞然而你們對它

的認識又有多深呢為了更詳盡的剖析遞

補機制的缺憾請容筆者先花一點筆墨去

解釋一下比例代表制的運作

自  1998  年起香港立法會選舉中地

區直選的席位是採取「比例代表制」中的 

「最大餘額法」產生的比例代表制(Pro-portional representation)是在  1846  年由瑞士學者 Victor Considerant 發明的它適用於多議席選舉現時不少西方國家的選

舉如澳洲的參議院選舉及愛爾蘭的所有

選舉都採用這種方法根據這選舉制度

參選的人必須組成一張張參選名單而選

民投票時的都只會選擇一份參選名單而

不是選舉名單內的特定一個候選人

顧名思義這種選舉方法的特點就

是按各參選名單所獲選票的比例編配議

席舉一個例子若X選區有5個議席

共有10000票有效票則總票數的五分

之一也就是2000票就是「當選數額」

立法會議員遞補機制 方案的迷思李庭翰 (M15)

深入剖析迷思一 比例代表制的議席分配辦法

繼續沿用文中的例子假設有AB及C三張名單參與X選區的選舉分別獲得了

40503500及550的票數那麼議席就會按下表的方法分配

每席需要10000 divide 5 = 2000 票

參選名單 得票 第一輪分配 餘額 第二輪分配 總席數

A 4550票 2席 550票 0席 2席

B 4500票 2席 500票 0席 2席

C 950票 0席 950票 1席 1席

社會

hkucaduceusnet | 5

只要其中一張參選名單的選票達到 

「當選數額」時他們便會取得一席

而剩下的議席將會用「最大餘額法」 

(Largest remainder method)分配該方法是把餘下的票由多至少順序排列得票較

高者便能獲得剩下的議席

總而言之比例代表制的精神就是將一

個議會的議席根據選民的支持度按比例分

配予不同政黨由選民選訂不同立場的政

治光譜這制度既能保障排在名單最前的

人士可以幾乎必然當選同時避免令一些

大黨在選舉中佔有絕對的優勢相對於單

議席單票制它較能保證小政黨及獨立候

選人亦有機會進入議會例如在我們的例

子中廣得選民支持的名單A及B都能得到

兩個議席而得票明顯較少的名單C也可獲

分得到一議席進入議會為市民發聲

政府最初提出的遞補方案是一但立法會

議員辭職去世或喪失議員資格時議席

將由上一次選舉中獲最大餘數得票的候選

人名單的首名未當選候選人補上這方案

明顯地漏動百出令缺乏足夠民意支持

甚至政治立場南轅北轍的候選人都可補

上嚴重扭曲比例代表制中「根據選民的

支持度按比例分配予不同政黨由選民選

訂不同立場的政治光譜」的精神而於6月

28日提出的修訂方案建議讓出缺議席由

同一張名單內的候選人補上這方案雖然

表面上較為合理但細想一層小政黨及

獨立候選人的名單往往只得一人在這情

況下空缺議席依然會由另一張名單的候

選人填補空缺以新界東為例若一人名

單的社民連「長毛」梁國雄議員辭職結

果會由政治取態截然不同的自由黨田北俊

補上這豈非扭曲民意荒謬至極

迷思二合情合理合法

政制及內地事務局局長林瑞麟先前曾

表示經修訂後的方案比較完整可避免

議員作無謂的請辭亦可避免不必要的補

選而且即使有人提出司法挑戰也有信

心能提出足夠理據證實符合憲法因此新

方案絕對「合情合理亦合法」然而此

話當真

從宏觀的憲制角度出發大律師公會早

前已表明遞補機制違反《基本法》第26條

市民享有選舉權及被選權第68條立法會

由選舉產生的規定《基本法》第68條清

楚規定選舉方法將循序漸進最終達至全

遞補機制激發無數的市民上街抗議難到反對的民意還不夠清楚嗎

ldquoNor does aNyoNe pour New wiNe iNto used wiNeskiNs because the wiNe will burst the skiNs aNd both the wiNe aNd the skiNs will be ruiNedrdquo ndash Mark 222

6 | Caduceus September 2011

體立法會議員全面由普選產生而政府提

出的方案居然倒行逆施進一步褫奪市民

行使其選舉權那又有何「法」可言呢

再者為何世界普遍認為民主是一套

較世襲為先進的政治制度呢是因為它最

有效率嗎是因為它最公正嗎都不是

其實民主所能做到的只不過是讓市民能夠

以選票監察議員吧某某議員做得不好

我大不了忍受一段時間下次選舉再以我

的選票把他拉下台換上另一位我覺得勝

任的人選新方案莫名其妙地補上一位議

員市民在上一次的選舉怎知數年後的他

是否依然勝任呢而且選民每次都只能投

一票他如何在一次選舉中既要選出心儀

的立法會議員又能明確交代一旦議員中

途離職應由誰人補上呢新方案根本上就

是與民主的精神背道而馳

迷思三與西方國家看齊

林瑞麟局長又曾指出先進的民主西方國

家亦有類似的遞補機制而經修訂後的遞

補機制基本上能與德國芬蘭波蘭等

國家看齊

然而這一說法未免有點不盡不實事實

上德國的選舉制度既有比例代表制亦有

單議席單票制跟香港只實行比例

代表制不同因此不能作為類比

而且跟據德國聯邦選舉法當同一

名單的替補候選人「用盡」議席

就會懸空而非由另一名單的敗者

替補至於波蘭則大致由同一張名

單中的參選人替補但當議員辭職

後議長其實有權宣佈議席懸空

毋須替補的可見外國的制度是寧

讓議席懸空也不由敗者替補以

防止民意被扭曲

而且即使先進如德國其選舉

制度其實也正受聯邦憲法法院挑

戰因為藉着選票總數按公式計算

所得議席的方法或未能充份反映

選民投票意向有關的遞補方案

會令另一張名單有得票的落選者未能獲得

議席另一方面又有候選人毋須選票便

獲得議席這可能違反德國聯邦憲法再

者即使德國的一套在該地行之有效但

某些該地的選舉制度的細節也不一定適

用於香港需知道德國是一個全面民主的

國家有健全的政黨政治及聯邦自治的傳

統這與香港那四不像的「民主制度」是

截然不同的

引用著名專欄作家

區樂民醫生的說法

「特區政府的方案是

全世界獨一無二的

獨一無二的制度有

可能是出色的但更

大機會是愚蠢的」

結語

綜合剛才的分析不難看出政府提

出的遞補方案是既不合情又不合理

同時亦不合法的請容筆者在此再次引

用區樂民醫生的文字為文章作結 

「我對官員的要求不高只要能以邏輯思

考按常理做事就足夠了為何這麼簡

單的期望也會落空」 

我對官員的要求不高只要能

以邏輯思考按常理做事就足夠了為何這麼簡單的期望也會落空

政制及內地事務局局長林瑞麟表示新方案絕對「合情合理亦合法」然而此話當真

hkucaduceusnet | 7

內 地孕婦趨之若鶩地來港分娩蔚

然成風本港出生嬰兒數目

由零六年的六萬五千急增至

去年的達八萬八千當中

三萬多名嬰兒的父母均非香

港永久居民他們除了擁有

香港永久居留權將來還可

享有教育醫療房屋等多

項社會福利難怪有人形容

這做法猶如廉價投資移民

香港永久居留權變成私營醫

院招徠客人的「贈品」

本地孕婦一床難求

內地孕婦蜂擁來港人

數由零五年的一萬九千人

急升至去年的四萬一千人

令產科床位愈見緊絀有本

地孕婦早至懷孕五六週亦

未能預約私家醫院床位她

們四出奔波身心俱疲不

禁怨聲載道感到內地孕婦

分薄了理應予本地人享用的

醫療服務資源而為確保本

地孕婦得到妥善和優先的照

顧政府於四月公布公立醫

院即時停收內地孕婦希望

在短期內稍稍紓緩本地孕婦

床位緊張的問題

由八間醫院成立的「新

生兒服務關注組」指出以

現有資源及人手編制本港

每年出生嬰兒數字不應超過

七萬五千若是勉強增加服

務量勢必影響服務質素

苦了醫護團隊也苦了病

人終於在六月下旬政府

與私家醫院達成共識將明

年非本地孕婦來港產子數目

定於三萬五千公立醫院將

會預留三千四百名額予非本

地孕婦私家醫院非本地孕

婦來港產子數目則限於約三

萬一千

鋌而走險

部分內地孕婦未經登記

預約及作產前檢查待臨盆

前才到公立醫院急症室求

診由於她們大多缺乏常規

的產前檢查使血壓高和糖

尿病等問題未能及時處理

分娩時媽媽和嬰兒的風險會

大大提高而公立醫院停收

內地孕婦後除了有更多內

燙手山芋簡析內地孕婦來港產子潮李愉欣 (M15)

有本地孕婦抱怨「一床難求」抗議內地孕婦分薄醫療資源

社會

ldquoa hospital bed is a parked taxi with the Meter ruNNiNgrdquo ndash groucho Marx

8 | Caduceus September 2011

地孕婦在臨盆時硬闖急症

室公立醫院亦首次揭發內

地孕婦持偽造醫生紙過境來

港分娩此例一開更可能

吸引一些極端例子以坐監博

取來港產子掀起另一股制

度缺口下的潮流

「私院賺錢公院善後納稅人埋單」

時事評論員林輝認為

私家醫院賺得盤滿缽滿的同

時其實正將其成本外化至

公立醫院以至全港社會首

先私家醫院可選擇接收較

容易處理的個案一旦遇上

奇難雜症便將之轉介往公

立醫院初生嬰兒深切治療

部令該部門工作量大增

床位佔用率高達百分之一百

五十前線醫護人員工作壓

力之沉重可見一斑其次

私家醫院向公立醫院富經驗

的醫生和護士挖角以致人

手大量流失這不但影響公

立醫院的服務質素更令留

下來的醫護人員不勝負荷

形成惡性循環漣漪效應

下醫院其他部門如急症

室等也將間接受影響因

此不單是納稅人全港社

會亦將會共同承受內地孕婦

來港產子潮的代價

誘因

筆者認為內地孕婦來

港產子潮方興未艾原因有

四首先內地實行「一孩

政策」限制每一家庭只生

一個孩子違反《人口與計

劃生育法》除了會被罰款

父母和子女還會喪失許多福

利因此部分內地夫婦會

為了生育多於一個孩子而選

擇來港分娩而九七回歸以

後中港兩地關係愈趨密

切社會融合令跨境婚姻日

益普遍港人內地配偶來港

分娩的數目自然節節上升

再者自零四年兩地政府推

出自由行政策起內地居民

可以自由進出香港簡化便

捷的出入境手續和四通八達

的交通網絡更為內地人來港

產子大開方便之門而最重

要的是孩子獲得香港永久

居民身份後可享有多項社

會福利及更多元化的發展前

景將來亦可舉家申請來港

團聚這對不少家庭來說相

當吸引

長遠影響

由零五年至去年其父

母均非香港永久居民的「港

產內地B」達十四萬人

而隨着他們成長問題將由

婦產科和母嬰健康院延伸到

其他學童健康服務以至教

育醫療房屋政策的規劃

等等筆者認為政府需未

雨綢繆每年重新審視非本

地孕婦配額同時把配額制

可納入整體人口政策的一部

分為多項社福服務進行長

遠規劃另一方面兩地政

府亦需加強執法致力堵塞

不良中介人活動避免未經

預約孕婦直闖急症室分娩等

高風險情況 

參考資料

林輝《香港居民身份不是贈品》二零一一年四月八日刊於明報

《星期日檔案港產內地B》二零一一年六月十二日於翡翠台播出

httpbig5chinanewscom內地孕婦來港產子潮對公立醫院產科及 初生嬰兒深切治療部構成沉重壓力

hkucaduceusnet | 9

最 近虐待動物個案屢見不鮮手法層出不窮光看新聞標題已

令人不寒而慄無法想像施虐者為何能對

可愛惹人憐惜的小動物下毒手在緝兇之

餘亦應反思是甚麼心態及動機驅使他們

做出如此冷血殘忍的舉動

香港人生活壓力大不單是成人就

連小孩都有很多必須面對的煩惱如果沒

有適當的方法紓發情緒調適心情便會

容易導致心理不平衡患上心理病或情緒

病一般人看到別人痛苦會有同理心產

生難受的感覺因同情而伸出援手希望

別人不再痛苦施虐者則相反藉著暴力

行為令別人感到痛苦從而產生刺激快

感而非內疚或罪惡感施虐者利用這種

自私的方法去宣洩情緒將自己的快樂建

築在別人的痛苦身上

虐待動物的人一般懦弱膽小缺乏自

信因此選擇一些弱小無助無反抗能

力的對象發洩情緒令自己提升存在感及

掌握權力流浪貓狗隨處可見施虐者會

以為別人不顧流浪貓狗的死活所以即使

虐待牠們也不會被人發現因此流浪貓

狗容易成為施虐對象當中貓隻反抗能力

較狗隻低所以被虐情況更為嚴重施虐

者當中男比女多可能是由於女權主義高

漲男女社會角色轉移男性無法宣示強

者地位的原始心理更容易使他們做出這

種反社會行為

虐待動物的行為讓施虐者享受虐待的

快感對於殘忍的手段容忍程度會提高

對剌激感的追求亦會增加變得更麻木

不仁直至虐待動物已無法滿足他們的慾

望加上沒有因虐待動物而得到應得的懲

罰令施虐者變得更大膽可能將虐待對

象轉向兒童甚至成人

小動物反抗能力低也不會提出控訴

因此我們有責任去保護牠們看到動物

受虐或懷疑受虐不要漠視或啞忍也不

要只將影片拍下上載互聯網應向政府部

門舉報或向愛護動物協會等機構投訴

《防止殘酷對待動物條例》的最高刑罰是

罰款二十萬元及監禁三年但定罪個案極

小實際判刑大部分只是罰款執行社會

服務令等所以有關當局應提高刑罰令

人害怕受懲罰而約束行為這樣才能達到

阻嚇作用施虐者除了接受應得的懲罰之

餘亦應強制接受心理輔導及愛護動物課

程糾正他們的心理狀況避免重蹈覆

除了殘忍的施虐者遺棄寵物的主人

亦是造成悲劇的幫兇甚至元兇他們

不負責任地把寵物丟在街上把牠們推向

險境失去主人保護的寵物即使不被虐

待也會飢寒交迫甚至遇上各種危險

所以遺棄動物前請切身處地想想流浪貓狗

坎坷的命運 

停一停 想一想正視虐待動物問題郭淑芳 (N14)

反對虐待 尊重生命

社會

ldquokeepiNg a pet is a lifetiMe busiNess aNd coMMitMeNtrdquo ndash aNiMal re-hoMe services

10 | Caduceus September 2011

記 得剛剛入學的時候教授對我們說過「要是你們想賺

錢現在就轉到別科吧這兒不是讓你們

賺錢的地方這兒比其他行業都更辛苦

因為我們掌握別人的生命」醫護界就是

這種行業是一種用心對待病人的行業

人皆有惻隱之心醫生為病人著想是一

件理所當然的事根本不需要去學習如

何行此道這是人自發性的行為要是醫

生不是以心去行醫這是對病人對自己

的專業甚至對作為人的自己也是一種

侮辱但是在日本這種高文化水平的國

家則有孕婦死於拒診醫生對求醫的

人見死不救即使是

我一個只是讀了一

年的醫科生也知道

這是不道德的無

論是以一個專業醫生

的角度甚至於人的

標準來說

二零零八年日

本一名孕婦因為身體

不適而求診結果慘

遭七間醫院拒收

雖然嬰兒平安無事

地出世但這位剛成為人母的婦人卻於三

日後死亡這種情況在日本中不是罕見的

事根據統計日本於二零零七年就有二

萬四千多宗拒收病人的個案情況令人不

安也令人反省這些高知識份子為什麼會

如此冷血大家常常稱讚那些高學歷人士

是「飽讀聖賢書」我可不曾記得聖賢書

有教導我們要見死不救對別人的生死置

身事外特別對於我們這些醫護界的準工

作者更加不能接受人死不能復生既

然我們掌握著別人的生死又怎能如此不

負責任呢看到這些新聞我們作為醫學

院學生亦應對此作出警醒

除了日本之外香港也曾發生過類似

事件而且曾經轟動一時二零零八年

一名患有心臟病的男人於明愛醫院門前病

發他的親友馬上到明愛醫院詢問處求

救院方見狀卻要求對方打九九九求助而

不是即時提供協助當然這件事可能涉

及一點程序上的問題但是人是生規

矩是死救人一命勝造七級浮屠所有規

矩都不及拯救人的性命重要吧令人安慰

的是有一名見義勇為的醫生途經現場

隨即致電急症室並為事主檢查發現他

全無脈搏遂立即進

行體外心臟按摩可

惜最終病人經搶救

後仍是不敵死亡的命

運這件事令人感到

惋惜同時我們亦

應反省醫護人員做事

的態度典型香港人

有一種特別的特性

他們都是「多做

多錯少做少錯不

做不錯」的「信奉

者」當時的詢問處

的值班者可能心怕破壞規定幫助病人後

可能會引起上司不滿對自己的事業有影

響故此遲遲未能下定決心幫助別人可

見醫護人員對病人的同理心不高這亦是

值得我們所反省的

相信仍然未畢業的我們對日後的工

作是抱有一種憧憬有一種熱誠但是

當我們畢業後這股熱血會被忙碌的工作

所撲滅當日的誓言早就置之不理了

「病人的健康應為我的首要的顧念」變成

了「清掉桌上滿滿的病人檔案為我的首要

的顧念」「將要憑我的良心和尊嚴從事

拒收病人何來醫德醫心謝汶珊 (M15)

社會

hkucaduceusnet | 11

醫業」則變成「將要憑我有限的體力和時

間從事醫業」helliphellip更甚者於我們求學期

間已經把病人的健康拋諸腦後了腦子

裡卻放滿了那些不知從哪裡來的肌肉神

經線以及血管等等當腦子的容量用了大

部份來放置anatomy的東西之後餘下來的都放了那些古怪的藥名進腦子去了

哪有閒下來的空間把那些道德經放進腦子

裡但是即使你能夠把那本Grays Anat-omy或者那本大Robbins的所有內容牢牢記在腦子裡沒有醫德你絕對不是一個好

醫生當然沒有任何人規定你的道路

你的選擇然而你的選擇將會影響到別

人的生命社會當然不會奢望每一個醫生

都有當無國界醫生的那一種胸懷但是

他們希望醫生起碼會是一個抱有救活病人

作為使命的醫生

作為一個好醫生並不能帶給你金錢或

者名譽這個世界永遠是行商者才是致富

之道你希望將來得到的是什麼我們都

應該找出自己的答案把它寫下來以免

他日遇上挫折或誘惑會迷失自我仔細想

一想若果你的答案思前想後仍是「錢」

那麼請你認真考慮一下轉科吧「若

果病人沒錢看病作為醫生也要為他看

病也要為他開藥我們沒有權力去把他

們趕走」這就是醫德相信每一個將成

為或者已成為醫務人員的人都曾宣誓過自

己要奉獻一切為人類服務所謂的誓言並

不是用嘴巴說出來罷了一個無法遵守的

誓言只會變成一句又一句的廢話俗語有

一句「狗口長不出象牙」helliphellip

以下是世界醫學協會一九四八年日內瓦

大會採用的日內瓦宣言

我鄭重地保證自己要奉獻一切為人類服務

我將要給我的師長應有的崇敬及感戴

我將要憑我的良心和尊嚴從事醫業

病人的健康應為我的首要的顧念

我將要尊重所寄託給我的秘密

我將要盡我的力量維護醫業的榮譽

和高尚的傳統

我的同業應視為我的手足

我將不容許有任何宗教國籍種族政見

或地位的考慮介於我的職責和病人間

我將要盡可能地維護人的生命自從受胎時起

即使在威脅之下我將不運用我的醫學知識

去違反人道

我鄭重地自主地

並且以我的人格宣誓以上的約定 

ldquoa Merry heart doeth good like MediciNerdquo ndash kiNg soloMoN

12 | Caduceus September 2011

Radiologist

Ophthalmologist

Anaesthesiologist

All roads lead to Rome but have you missed the ROA and D

when it comes to success in medical career

to success

hkucaduceusnet | 13

Anaesthesiologist

Dermatologist

All roads lead to Rome but have you missed the ROA and D

when it comes to success in medical career

to success

14 | Caduceus September 2011

「形影不離」的造影術專訪放射科邱麗珊醫生陳伊樂 (M15) 賀曉琳 (M15)

邱 麗珊醫生於一九八三年畢業於香港大學醫學院並於一九八

六年開始修讀放射科邱醫生不但在東區

尤德夫人那打素醫院身兼前線管理和訓

練多職而且積極參與香港放射科醫學院

的工作我們非常感謝邱醫生能夠在百忙

中抽空接受訪問向各位同學分享一下她

踏上成功路的經歷與待人處事的態度

甚麼是放射科

放射科是利用X光(X-ray)電腦斷層攝影(CT)磁共振成像(MRI)和超聲波造影(Ultrasound)等技術展示患者身體內部結構的影像從而協助診斷和進行治療

當放射科醫生危險嗎

誠然放射科醫生需要經常接觸對身

體有害的輻射可是這門專科有不同的

措施保障我們的安全首先每一個放射

工作者都需要領取牌照此外我們會每

個月檢查掛在胸前的放射量測定器確保

接觸到的輻射劑量沒有超越安全水平當

然有關部門亦會定期檢查儀器確保它

們正常運作

爲什麼你會選擇放射科你對於有意將

來當上你的專科的同學有甚麼建議

選擇放射科純粹是因為爸爸的一句「

放射科適合女孩子」當上放射科醫生之

後才發現事實並非如此放射科是一個重

要的專科幾乎每一個住院病人都需要用

上造影技術但除非做超聲波或介入放射

治療放射科醫生卻好像很少與病人直接

接觸有些醫生喜歡多和病人接觸放射

科便不適合他們了另外放射科正面對

著迅速的科技發展對新科技有興趣的同

學這個專科的確是一個不錯的選擇可

是由於學位有限每年報讀放射科的六

邱麗珊醫生Dr Jennifer Khoo放射科專科醫生

香港大學內外全科醫學士 英國皇家放射科學醫學院院士 香港醫學專科學院院士(放射科)

東區尤德夫人那打素醫院 放射科 部門主管 及 顧問醫生

醫院管理局 港島東聯網 Service Director (Radiology)

香港放射科醫學院 首席副院長 及 科學委員會主席

專題

hkucaduceusnet | 15

七十人當中總會有四五十人因願望落空

而要轉投其他專科我的建議是千萬不要

灰心人總不能夠經常做自己喜歡的事

但一定要喜歡自己正在做的事(You canrsquot always do the things you like but you can learn to like the things that you have to do)

請詳述對你人生有大影響的起落人

事物

人一生中如果能夠遇上一兩位良師益

友在你碰到困難時扶你一把在你迷

惘時給予意見上天就已經算是對你不薄

了而我自己也算是非常幸運有兩位

前輩當上我的引導者一位是瑪麗醫院

的陳富六醫生另一位是澳洲的Professor Michael Sage因為兩位的提點我決定善用自己的長處留在公營醫院參與一些

行政和訓練的工作幫助培訓醫生使更

多病人受惠

你有甚麼人生的哲學嗎是甚麼信念使

你堅持當一名醫生

我認為每個人都需要有自己的優先順序

(priority)對我來說家人和家庭生活永遠都是排在首位縱使我已經涉足到很多

管理方面的工作但病人還是排在行政管

理之前有著清晰的優先順序不管遇到

多大的衝擊都能使自己勇敢面對邁步

向前優先順序或多或少都與個人經歷有

關有部份同行可能會基於不同原因或

許是滿足感或許是工作量而轉投私人

市場我想每個人的價值觀和信念都有不

你對現今醫學院的學生有甚麼寄語叮

習醫是一條漫漫長路少不免遇上困難

和挫折而這些難題往往會轉化成使身心

俱疲的壓力身為醫學生一定要及早學

會如何面對壓力我的忠告是凡事都要

以平常心面對要從錯誤中學習懂得避

免犯上同樣的錯誤要有反彈能力勝過

昨日的自己

醫科生基本上都是能力不錯的一群

(cream of the cream)要好好利用自己的能力為社會作出貢獻 

ldquowheN you are dowN aNd out soMethiNg always turNs up it is usually the Noses of your frieNdsrdquo ndash orsoN welles

16 | Caduceus September 2011

A Discourse with a Female Gold-MedalistInterview with an Ophthalmologist ndash Dr Charmaine HonChariene Woo (M15) Charis Chan (M15)

W hile waiting for Dr Hon at her Central clin-ic the Hong Kong Ophthalmic Associates

we were amazed at how the spacious clinic was crowd-ed with patients When we finally meet Dr Honrsquos big friendly smile made an impression on me as she invit-ed us into her room Despite having a busy schedule Dr Hon is very down-to-earth and eager to provide valuable advice for our fellow schoolmates

Dr Hon started out as a medical doctor and changed to the specialty of ophthal-mology Initially she worked with the public sector fulfill-ing her duties as a doctor re-searcher and teacher at the same time Then she turned to the private sector and joined the Hong Kong Ophthalmic Associates as she feels that she can be more focused on the aspect of patient care ldquoIn public hospitals it is hard to follow up on patient care and it is rare to meet the same patient twicerdquo she reflected ldquobut in the private clinical set-ting I get to know the patientrsquos family and medical his-tory better and I feel more like a doctor by having the ability to follow my patientrsquos progressrdquo

As a recipient of the John Anderson gold medal for the highest aggregate of marks in all the MBBS professional examinations Dr Hon also shares her advice in studying ldquoBasic knowledge is a must but clinical sense is the most importantrdquo and with a smile

she added ldquoyou have to pay attention to your mentors during attachments to hospitals even if you are just ob-servingrdquo But donrsquot think Dr Hon is all about studies She emphasizes that she is not the most hardworking student in her graduating class and suggests medi-cal students to explore outside of the medical world especially in the first two years of study ldquoYou have to have a life outside of medicine and you should do it in

the non-clinical years as there are decreasing chances and time for you to meet non-medically related peo-ple after year 3 onwardsrdquo the ex-member of the Union Choir said ldquoAnd as you come more into contact with different people you learn how to communicate bet-ter which will definitely help your medical career and will keep your life diversifiedrdquo

As for advice to students in clinical years she shares her insights in how to choose your specialty She sug-gests students to look into their strengths and inter-ests and to understand and explore as much as pos-sible in attachments since it is a lot harder to change onersquos specialty nowadays compared to the past ldquoThe most important point is to identify yourself and not to blindly follow the path of others Do not think of future

achievements since what you chose will probably stick with you for liferdquo True enough ophthalmology was not a developed specialty during her times of studies and Dr Hon says she is probably one of the very first gold medalists who pursued it as a career A note to her future female counterparts ldquoYou have to think of your future path and plan accordingly and be ready

Basic knowledge is a must but clinical sense

is the most important

The most important point is to identify yourself and not to blindly

follow the path of others

Feature

hkucaduceusnet | 17

to put your career before marriage Many of us delay our plans of marriage and pregnancy after finishing our specialty fellowship which is at around 30rdquo After hearing this I was very worried but she added ldquoGen-eral practice is also a good choice and there are some females doctors who donrsquot follow this trendrdquo

One of the things that struck me the most is that Dr Hon sticks to the principle of doing everything with all your heart ldquoYou only pass through this life once and when you look back you should not regret what you have donerdquo So when presented with conflicting ideas with her principle what does she do ldquoI reflect and fight for itrdquo she laughs ldquoIt sounds rebellious but as a doctor you have to have a judgment that is best for your patient and you cannot conform to society or systemsrdquo Using the limited consultation time for each patient in public hospital settings as an example she explains that doctors arenrsquot machines and should be able to adjust to different patientsrsquo needs appropriately so to do what is best for the patient ldquoYou should never lose yourself under the system and should always do whatever you think is best for your patientrdquo

When asked about the specialty of ophthalmol-ogy Dr Hon tells us with passion that ophthalmology allows instant gratification and makes a difference to patientrsquos life ldquoMany specialties can make a difference but only a few have a clean-cut immediate effect like ophthalmologyrdquo But ophthalmology is also about hard work and persistence ldquoIn this specialty there is con-stant advancement in the past we do extra capsular extraction but now there are frequency emulsifica-tion and other advancements I am always awed by the senior partners in this clinic who have a strong will to chase and read up on new techniquesrdquo So besides steady hands and good eyesight intellectual curiosity on the latest research is a must if you are thinking of pursuing a career in ophthalmology

Before we parted Dr Hon gave us a final word of wisdom ldquoThis is going to be hard for you two gals but you look tough and yoursquoll survive Since you chose this career path do expect to work very hard as it is not easy but so is every other occupation nothing is ever easy in this worldrdquo

DrCharmaineHon韓尚穎醫生

Specialist in Ophthalmology

MBBS(HK) MRCS(Edinburgh)

FC Ophth(HK) FHKAM(Ophthalmology)

ldquoas you grow older yoursquoll fiNd the oNly thiNgs you regret are the thiNgs you didNrsquot dordquo ndash Zach-ary scott

18 | Caduceus September 2011

奉行完美主義的守護天使專訪麻醉科李靜芬醫生吳瑞麟 (M15) 李庭翰 (M15)

說 起麻醉越野挑戰馬拉松義工無國界醫生你想到甚

麽幾樣風馬牛不相及的東西可以用三

個字關聯起來李靜芬

李靜芬醫生畢業於香港大學醫學院

現於養和醫院疼痛治療門診工作她曾經

加入無國界醫生到南蘇丹服務又是醫療

輔助隊動員主任香港不少的大型活動

例如馬拉松東亞運奧運馬術等都由她

去統籌急救站的運作她又經常舉辦醫療

會議亦於很多地方做義務醫療顧問熱

衷於向公眾推廣疼痛管理與健康的知識

另一方面她是香港全能運動學會醫療顧

問經常參加越野挑戰戶外活動又參

加半馬拉松比賽看完李醫生這麼的一個

簡介實在很難不驚歎好一個「周身

刀張張利」的奇人

人生的轉捩點

其實初中時期的她與醫生根本扯不上

半點關係身為壘球隊隊長在中四的一

次練習中她被壘球擊中一眼從此改變

了她的命運當時全港只有一位眼科醫生

會在晚間應診眼科的醫療設施也不足

令她眼睛流着血水在黑暗中東奔西跑尋找

醫生她由大埔賽馬會診所走到威爾斯

然後到伊莉莎伯再到油麻地終於找到

眼科醫生李醫生由四點奔波到十點令

她深深體會到作為病人的痛苦也從此立

志要做一個醫生幫助有需要的病人

初中時的李醫生每天放學就練球以

致成績中等但自從立志投身醫護她虛

心求教又得到當時的班主任授予時間管

理和讀書的方法成績突飛猛進在短短

六個月間從中等成績進步至模擬考試全

李靜芬醫生Dr Carina Li

麻醉科專科醫生

香港大學內外全科醫學士 澳洲及紐西蘭麻醉科醫學院院士 香港麻醉科醫學院院士 

香港麻醉科醫學院疼痛科文憑

香港醫學專科學院院士(麻醉科)

專題

hkucaduceusnet | 19

級第一她的毅力和決心實在令人佩服

她的傲氣

其後她獲中文大學收作暫取生但她

又再次作出驚人之舉李醫生認為要讀醫

科生物化學科就得好些所以一定要認

真研讀高級程度的生物化學但是人是有

惰性的如果做了暫取生就一定會變得不

思進取讀不好生物化學於是她毅然

放棄暫取生的資格全心全意去考好高級

程度會考李醫生的豪氣決斷她破釜

沉舟的決心她的好勝和哲學令筆者從

心底裏衷心地拜服她

結果她當然考得很好的成績在選擇

大學時她再一次認真考慮自己將來的

路向她生來就有一種使命感覺得一定

要做一樣在任何時候任何地方都最有用

的工作加上她常常留意時事總覺得天

災人禍真的可以隨時發生於是她就選擇

了兩種無論是面臨戰爭還是天災的時候

對所有人都十分重要的工作記者和醫

生她終於入讀了港大醫學院並於九五

年畢業

與麻醉科結緣

實習的時候她特意選擇了一些能夠獲

得較多經驗的部門到投考專科的時候

她也選上了可以接觸很多不同類型病人的

兒科只可惜當時兒科並沒有學額但在

朋友介紹之下知道了麻醉科麻醉科同樣

可以接觸到不同的病人而且無論在甚麽

地方都可以發揮所長正正符合了李醫生

的志向結果她便入了麻醉科

據李醫生所說雖然一般人認為麻醉

科對體力的要求較少適合女孩子但

是現實並不這樣簡單由於麻醉要求一絲

不苟麻醉科的醫生都是完美主義者而

且學習的內容艱深每一種藥物的作用

反應甚至化學結構都要讀得滾瓜爛熟

她形容麻醉科醫生就好像病人背後的守護

天使在手術中要不停監測病人的維生指

數感覺病人的生命就在自己的手中所

以要承受着很大的壓力

作為麻醉科醫生每次見到的都是昏

迷或者沒有意識的病人事實上並沒有甚

麽可以跟病人溝通的機會病人通常感覺

不到麻醉科醫生的付出所以作為麻醉科

醫生未必可以從病人身上得到很大的滿足

感但他們卻比其他醫生更能夠專注地為

病人服務因為每次在手術中只照顧一位

病人

她的叮囑

李醫生叮囑現在的醫學生一定要僅記當

初想做醫生的原因她覺得在這個物質

社會中人是很容易迷失的她感覺到現

在的某些醫學生只為了一份穩定的工作

甚至是因為父母的意見而選擇行醫關於

作為醫生的意義卻從沒有思考過她勸

我們要好好問自己兩條問題人為甚麽生

存於世上作為醫生又是為了甚麼她

認為醫者要有父母心處處為病人而

不是為自己着想作為醫生就是要去服

務幫助人而不是為了求回報我們生

存於世上為的是信望愛並不用時時

記住利益金錢等東西最後她又提醒我

們不可以歧視病人不論是黑社會成員還

是香港首富只要病了就是一個無助的

病人就需要我們的幫助

李醫生思考獨立為人熱情健談跟李

醫生做訪問真的是一件有趣的事又令筆

者獲益良多特別是她有關人生意義的看

法的確值得反思作為醫學生的大家

你又可曾想過為甚麼要生存為甚麼要做

醫生呢

ldquothere is No MeaNiNg to life except the MeaNiNg MaN gives his life by the uNfoldiNg of his powersrdquo ndash erich froMM

在手術中不停監測病人的維生指數麻醉科醫生就好像病人背後的

守護天使

20 | Caduceus September 2011

To Succeed is to Fight Against ComplacencyInterview with a Dermatologist ndash Dr Henry ChanLily Cheng (M15) Andrew Seto (M15)

W ith our scheduled interview being inter-rupted by an emergency case of Stevens-

Johnson syndrome a life-threatening allergic skin re-action to medication Dr Chan rushed to the hospital for his patient

Sitting in Dr Chanrsquos office at his private practice the Hong Kong Dermatology and Laser Centre in the middle of a conference call with his overseas counter-part researchers we saw a pragmatic doctor at work This is a doctor who would never be complacent with his performance but keeps striving for excellence

AmedicalcareerDr Chanrsquos interest in dermatology was sown well

before his exposure to the discipline Having been in-flicted with eczema during his childhood he suffered from an excruciating itch in his skin that caused him much distress As a result of his own medical condi-tion he developed an interest in dermatology at a young age

During his fourth year in medical school he ex-plored an elective in dermatology at Yale University and began formal training in the field He obtained his medical degree and worked for several years in the UK before returning to Hong Kong to work at the Prince of Wales Hospital He then received a grant from the Hos-pital Authority to read dermatology in the UK

Working back and forth between Hong Kong and Britain in and out of universities and hospitals in his early years of practice Dr Chan settled his work base in Hong Kong in 1995 He was Associate Professor of CUHK from 1998 to 2000 and Chief of Dermatology and Associate Professor in HKU from 2000 to 2004

After entering private practice in 2004 Dr Chan now spends a lot less time on doing administrative work and more time on treating patients While he was actively engaged in teaching research and clini-cal work his current focus has shifted to mainly clini-cal work As an honorary clinical associate professor of our faculty he enjoys teaching and values the opportu-nity to cultivate and influence medical students

A renowned dermatologist with a strong research interest in medical devices Dr Chan is still very active in terms of research output His private practice sup-ported by a team of full-time research staff is unique

for its active research component ndash a practice which is well-established overseas but rare in Hong Kong

AsadoctoranddermatologistIn the beginning laser devices were developed to

treat medical conditions such as haemangioma and black moles but technological advancements driven by recent research has explored new possibilities for their applications in cosmetic treatment As a result new cosmetic procedures have appeared for the treat-ment of various conditions from skin rejuvenation to body contouring

While it is true that most dermatological conditions are rarely life-threatening they may nonetheless have a profound impact on patientsrsquo physical and psycho-social wellbeing For instance eczema often presents with rash It may give exudate in serious cases but is rarely fatal Nevertheless it might constitute great dis-comfort and inconvenience to patients Similarly se-vere cases of acne may also diminish onersquos self-esteem Dr Chan stressed that treatments for many skin condi-tions are not merely cosmetic in nature but may im-prove patientsrsquo self-esteem body image and psychoso-cial wellbeing

On the other hand some skin problems such as psoriasis and chronic eczema are incurable It is there-fore the doctorrsquos duty to educate patients and enhance their understanding of their disease One of the re-sponsibilities for dermatologists is to evaluate the im-pact of their patientsrsquo conditions to their quality of life Other than helping them return to their normal routine and diet as far as possible dermatologists also need to teach patients the way to get along with their chronic illnesses

Dr Chan emphasized that we run a profession not a business On this ground a doctor should never tell a patient what procedure they should receive Rather a doctorrsquos role is to explain the options available and provide the relevant information that carry with each procedure including potential risks and complica-tions

Dr Chan reminded us that financial return is only a ldquoby-productrdquo of a doctorrsquos work as a professional Doctors work hard and should be paid for their serv-ices but they should not be more interested in making

Feature

hkucaduceusnet | 21

money than in helping people He believes that shap-ing doctors into commercials in some way jeopard-izes medical professionalism

SuccessRedefinedSummoning his days as a fresh medical officer Dr

Chan recalled the death of the 18-year-old girl inflicted with necrotizing fasciitis who died within 24 hours He bore in mind every complicated case as an alarm to his future practice admitting that there is always room for him to improve

Quoting the professional golfer Jack Nicklaus Dr Chan reminded us that ldquocomplacency is a continuous struggle that we all have to fightrdquo It is easy to let our guard down but doctors have to be responsible for their patients all the time It is demanding but impor-tant for every medical professional to be vigilant and maintain onersquos standard at the top level He believes that good doctors should keep themselves in an appro-priate amount of stress and tension which keeps them mindful of their patientsrsquo needs

When asked about his rules for success Dr Chan emphasized that he does not feel he has attained his goal yet He feels that he may have had a decent start but it is inappropriate to judge his career before his retirement as he is still in the middle of his career To him it is far too early to define success Despite his change in roles over the years he still maintains his enthusiasm and passion that motivate him to do his best whether it be research teaching or clinical work

As far as medical students are concerned Dr Chan doesnrsquot see the urgency of deciding our future spe-cialty yet Medical school gives us a broad and general exposure to various fields and offers a good place to learn and gain experience sharpening our skills before serving as doctors We could still explore more in our senior years to come

ldquoFollow your heartrdquo Dr Chan gave us as a conclud-ing word He believes that the so-called ldquoROADrdquo to success is not really that important if one does not en-joy onersquos profession Listen to yourself and ask whether you really like your job

DrHenryChan陳衍里醫生

Specialist in Dermatology and Venereology

MBBS(London) MRCP(UK) FHKAM(Medicine) FRCP(Glasgow)

FRCP(Edinburgh)

Hon Professor LKS Faculty of Medicine HKU

Hon Consultant Dermatologist QMH HKSAR

Visiting Scientist Wellman Centre for Photomedicine USA

ldquoirsquoM a firM believer iN the theory that people oNly do their best at thiNgs they truly eNjoy it is difficult to excel at soMethiNg you doNrsquot eNjoyrdquo ndash jack Nicklaus

We run a profession not a businesshellip [doctors]

should not be more interested in making money than in

helping people

22 | Caduceus September 2011

Art and Medicine Seeing Diseases in ArtHow art masterpieces reveal medical conditionsAndrew Seto (M15)

F or centuries art historians have been mesmerized by

the enigmatic smile of Mona Lisa coming up with theories that range from the mundane to the bizarre Was she a silk merchantrsquos wife or a self-portrait of Leonardo da Vinci himself Was she pregnant An adulterer Leonardo da Vincirsquos se-cret male lover The theories never cease

BehindMonaLisarsquossmileHighcholesterolIt turns out that Mona Lisa had

ldquovery high cholesterolrdquo at least ac-cording to Vito Franco a Sicilian professor of pathological anatomy A medical expert who enjoys study-ing art masterpieces for evidence of diseases Franco concluded that Mona Lisa had xanthelasma (the accumulation of cholesterol under the skin) Indeed a closer look at her mysterious face does show a yellowish collection around the in-ner corner of her left eye He even found evidence of lipoma (a fatty tissue tumor) on her right hand Probably the least poetic finding for the most renowned beauty in Renaissance art

This was not the first time medical experts have associated Mona Lisa with clinical conditions Charles Bell the 19th century Scot-tish surgeon who discovered Bellrsquos palsy a form of facial paralysis resulting from facial nerve palsy once coined the term ldquoMona Lisa syndromerdquo This was a reference to the facial muscle contracture that develops after Bellrsquos palsy resulting in a ldquoMona Lisa-like smilerdquo

Mona Lisa Xanthelasma or just a blotch by mistake

Insight

hkucaduceusnet | 23

Hardly would Parmigianino have known that the long slen-der fingers and limbs of Madonna with the Long Neck was the result of a genetic disorder called Mar-fan syndrome And of all the things that crosses onersquos mind upon first glance of Caravaggiorsquos Sleeping Cu-pid the notion that the baby was inflicted with juvenile rheumatoid arthritis would be hard to imagine Franco claims that his goal was to expose the human vulnerability of the people depicted in art

MichelangelorsquosgoutykneeAnother subject who has been

scrutinized by medical experts is Michelangelo Renaissance painter and sculptor Scholars looked at his knee from Raphaelrsquos School of Ath-ens and concluded that he suffered from gout a form of inflammatory arthritis that occurs when crystals form in the joints

Based on the appearance of his knee which appears swollen en-larged and covered in hard lumps a diagnosis of gout seems plausible It was known that Michelangelo de-veloped various diseases during his life In his writings he complained of having kidney and bladder prob-lems In 1549 he had an episode of anuria followed by passing of grav-el and stone fragments in his urine

Many experts believe that Michelangelo like many of his contemporaries developed gout from lead poisoning A well-known workaholic Michelangelo con-stantly lived off a diet of bread and wine (processed in lead contain-ers at the time) and was frequently exposed to lead-based paint All evidence points to lead poisoning which promotes kidney damage and inhibits uric acid excretion causing it to build up in blood This predisposed him to gout precisely as depicted in Raphaelrsquos fresco

RenaissanceArtandNeuroanatomyLike Leonardo Michelangelo

was not just an artistic genius but also a great anatomist At 18 he be-

Michelangelorsquos knee from the school of atheNs by Raphael (c 1509-1510)

Madonna with the Long Neck Was it Marfan Syndrome

Juvenile rheumatoid arthritis

ldquoall art is autobiographical the pearl is the oysterrsquos autobiographyrdquo ndash federico felliNi

24 | Caduceus September 2011

gan dissecting cadavers in a mon-astery in Florence where he honed his technical skills and knowledge of the human body

According to neuroscientists Michelangelo disguised sketches of the human brain in his famous Sistine Chapel ceiling painting which has remained unnoticed for 500 years His fresco The Creation of Adam shares a striking similar-ity with the sagittal section of the brain The fold in the cape repre-sents the Sylvian fissure separating the frontal and parietal lobes You may even recognize the angelrsquos foot as the pituitary gland his thigh as the optic nerve and his leg as the optic tract And that sassy green robe running down the ponsmdashthatrsquos the vertebral artery

Look at Godrsquos neck in The Sepa-ration of Light from Darkness from the same fresco Art historians have long speculated that its lumpy ap-pearance represents goiter Yet medical experts have found an ac-curate picture of the brainstem and spinal cord in Godrsquos throat stun-ningly similar to the creases and crevices of the brain

Yet why would Michelangelo embed the brainstem in Godrsquos throat Was he alluding to Godrsquos wisdom or was it a form of protest to the Church After all dissecting cadavers was considered unethical at that time and for an anatomist like Michelangelo who fell out with the Pope while painting the Sis-tine Chapel ceiling could he have been painting anatomical images directly above the chapel altar in defiance to the Church

Artandophthal-mologyHowvi-sionchangesartClaude Monet is recognized as

one of the founders of the Impres-sionist movement but his vision got cloudy during his later years He wrote letters to friends describ-ing his growing frustration with his vision changes He was even forced to memorize colours on his palette

the creatioN of adaM by Michelangelo (c 1511)

the separatioN of light froM darkNess by Michelangelo (c 1512)

hkucaduceusnet | 25

and label tubes of paint Red began to look muddy to him and he saw his painting as becoming ldquoincreas-ingly darkenedrdquo Whenever he com-pared his paintings with his earlier works he would be sent into a tow-ering rage to destroy them

This was because he had cata-racts Cataract patients have yel-lowing and opacification of the lens so his vision essentially be-came more brownish The yel-lowish brown cataracts he looked through filtered out violet and blue shades Monet underwent two eye operations in 1923 after which he returned to his old painting style even throwing away some of his paintings and repainting them

Thesufferingart-istDepictingill-nessesinartPerhaps no one better personi-

fies the notion of a ldquosuffering artistrdquo than Vincent van Gogh Clinicians have posthumously diagnosed him with a range of medical problems including epilepsy schizophrenic and bipolar disorder His later works have long been noted for his preference for the colour yellow and some have speculated that this was related to his yellow vision

One theory was that van Goghrsquos doctors prescribed him with digi-talis to treat his epileptic seizures His painting Starry Night has yel-low circles around the stars and not surprisingly people with digi-talis overdose often see a yellowish halo around objects Other experts speculated that it was his addiction to absinthe that led to his yellow vi-sion Absinthe is a highly alcoholic drink that contains a highly psy-choactive neurotoxin called thu-jone which causes yellow vision

Van Gogh was not the only art-ist who projected his illness into his art Edvard Munch had tuber-culosis and spit blood as a boy Her mother died when he was five her sister spent most of her life in-stitutionalized for mental illness and his brother died of pneumo-

nia Munch may have depicted his own psychotic state of mind in The Scream which portrays a twisted agonized creature wracked with anxiety and horror

ConclusionDo these findings actually

prove something or are we over-analyzing artworks with our medi-cal knowledge Exactly what ben-efit would these discoveries have for the world at large is unknown At least we know it could lead to yet another interpretation for Mona Lisarsquos smile the result of a scrump-tious meal of pizza and pasta with cheese tomato sauce and meat balls before sitting for her portrait (which would certainly also explain her cholesterol problem)

Two pictures by Monet of the same Japanese bridgemdashthe first painted in 1899 the second between 1918 and 1922 revealing a dramatic loss of shape and detail

suNflowers by Vincent van Gogh (1888) the screaM by Edvard Munch (1893)

ldquoeverythiNg that we see is a shadow cast by that which we do Not seerdquo ndash MartiN luther kiNg jr

26 | Caduceus September 2011

The End is Near Apocalyptic TheoriesRead more to learn about the terrifying future that awaits us Chariene Woo (M15)

S urge of waves rush over the mountains with unstop-

pable speed engulfing and shatter-ing our homes Flaming asteroids rain from the sky causing roads to crumble like sheets of paper Peo-ple running away from burning cities screaming fearfully Civiliza-tion ruined in matter of mere sec-onds Is this what the future lies for us

Nobody knows

Apocalyptic literature and movies have always raised interest among the general public partly

because it involves the end of our world as we know it and partly due to the fact that there is no solid proof how an apocalypse would come about The interest has re-cently skyrocketed with rumors about the world ending on 21st De-cember 2012 about how the May-an calendar finishes at that specific time and how it will be the end of the world as we know it So the big question is when and how will our world end

NostradamusProphetofDoomNostradamus of France was

one of the worldrsquos most famous seers and is most well known for Les Propheties (The Prophecies) a collection of his major long-term prophecies written in quatrains Many of his prophecies have cor-rectly predicted current events including the destruction of the space shuttle Challenger the death of Lady Diana and the destruction of Twin Towers of the World Trade Center As a result of these predic-tions he has been given the nick-

How do you survive the apocalyptic world

Insight

hkucaduceusnet | 27

name ldquoThe Prophet of Doomrdquo

Nostradamusrsquo prophecies have huge room for interpretation speculation and controversy and some people think his writing has no merit at all The following is an example of a quatrain alluding to some sort of environmental disas-ter in the future

ldquoFor forty years the rainbow will not appear

For forty years it will be seen every day

The arid earth will grow more dry

And great floods when it will be seenrdquo

(Century 1 Quatrain 17)

In other quatrains images of great comet alien invasion and nu-clear contamination are also men-tioned so these could all be the prospects that are waiting for us in the future Despite Nostradamusrsquo ldquoaccurate predictionsrdquo of what had happened in the past the quatrains do not have a specific order So out of all the disasters predicted in the many quatrains it is uncertain which will happen where or when giving it less importance in predict-ing an actual apocalypse

PlanetXAccording to Nancy Lieder a

woman who claims to have been contacted by extraterrestrial life forms Planet X (also known as Nibiru) would come close to planet Earth on May 27th 2003 resulting in the Earthrsquos rotation ceasing for 59 terrestrial days The Earthrsquos pole will then undergo a physical polar shift due to the magnetic attraction between the Earthrsquos core and the magnetism of the passing planet This will ultimately lead to the dis-placement of Earthrsquos crust and the end of us But when this did not happen the event was postponed and re-dated to coincide with the Mayan calendar hysteria

NASA argues that this is merely an Internet hoax with no factual or scientific basis They explain that if Planet X was approaching Earth astronomers would have

been tracking it for at least the past decade and the planet would now be visible by the naked eye This is a very comforting bit of news Yet some people believe that NASA is part of a conspiracy to cover up the existence of such planet and keep the truth of impending apocalypse from general public Again the ar-gument can go either way and the ldquotruthrdquo depends on which side you choose or want to believe in

2012TheendoftimeSo what is so special about the

year 2012 There are claims saying that the Mayan calendar ends on 21st December 2012 and that will be the end of time for mankind However just like every calendar it merely rolls over to the new year on that date and it doesnrsquot signify anything special In the Mayan cal-endar 21st December 2012 will be the end of brsquoakrsquotun 13 and marks the start of brsquoakrsquotun 14 A brsquoakrsquotun is 144000 days (a little more than 394 years) and there is no archeological or historical evidence to show that the Mayans expected anything sig-nificant or drastic to happen at the

end of each brsquoakrsquotun

However there exists litera-ture that suggests otherwise In 1975 Frank Waters the author of the book Mexico Mystique identi-fied the 13th brsquoakrsquotun interval to be the ldquoMayan Great Cyclerdquo where it ends in the worldrsquos destruction and rebirth Waters claims that cata-strophic earthquakes will destroy the world but he miscalculated the date and announced that the end of the ldquoGreat Cyclerdquo would be on 24th

December 2011 AD

The year 1987 marked an in-creased in interest regarding the prophesized big event in 2012 The author of The Mayan Factor Path Beyond Technology Jose Arguelles linked the 13th brsquoakrsquotun period to a ldquobeamrdquo that links people the plan-et the Sun and the center of Galaxy According to Arguelles the beam is the key to harmonic resonance in the universe and the Mayan knew when we would enter and leave this beam hence set their 13th brsquoakrsquotun to mark our passage accordingly He also claims that this beam could advance the development of any-thing with DNA hence creating a more positive view of the future

V838 Mon a star with expanding light echo purported as photographic evidence of Nibiru

ldquoevery MaN dies Not every MaN really livesrdquo ndash williaM wallace

28 | Caduceus September 2011

No one can be sure of whether the end of brsquoakrsquotun 13 signifies something great or disastrous for us or if it is just another restart in the Mayan calendar We can only know for certain when the day ar-rives

GodrsquosplanforusThis is by far the most detailed

and terrifying image portrayed out of all apocalyptic claims that I have gone through The Book of Rev-elation from the New Testament reveals signs of apocalypse through a wide variety of symbolism One of such is the frightening image of the ldquofour horsemenrdquo

ldquoAnd I saw and behold a pale horse and he that sat upon him his name was Death and Hades followed with him And there was given unto them authority over the fourth part of the earth to kill with sword and with famine and with death and by the wild beasts of the

earthrdquo (68)

The pale horse carries the horseman of Death which is be-lieved to release global plague and pandemics to the world and take the lives of a quarter of the popu-lation This has already manifested

itself in many forms in different parts of the world at different times hence the first sign of apocalypse is said to be already happening among us

In similar manners the bible describes the arrival a black red and white horsemen represent-ing the delivery of global food shortages war and conflict and the coming of an antichrist to the world From historical genocide terrorism to increased occurrence of food shortages so often seen nowadays it seems that the red and black horsemen has arrived as well and now we are just waiting for the arrival of an antichrist to conquer us

The Book of Revelation also provides readers with a glimpse into the ldquoactionrdquo in how the world will end

ldquoAnd I saw when he opened the sixth seal and there was a great earthquake and the sun became black as sackcloth of hair and the whole moon became as blood and the stars of the heaven fell unto the earthhellipand every mountain and is-land were moved out of their placesrdquo

(612-13)

Besides the great earthquake and the darkening of the sun there is a repetitive mentioning of stars falling from heaven on earth in the Bible This is postulated as the at-tack of massive meteors on planet Earth Out of all prophecies in the Book scientists assume this to be the most likely since an asteroid impact at a scale as large as that may have already wiped out an entire species that came before mankind Scientists believe that showers of space rocks that rained down 65 million years ago (due to the collision of Near Earth Object) were the culprit for the extinction of dinosaurs Luckily NASA recent-ly launched an early warning sys-tem called ldquoSpaceguardrdquo that aims to monitor such Near Earth Objects to prevent future collisions and ex-tinctions

Having read the above the Bible seems to combine all the horrifying specifics in different apocalyptic speculations into one nightmare But donrsquot worry since there are many different interpretations of the Revelation Historicists are the ones who see the Book as a broad view of history (good news wersquove already escaped all the horrors in the depiction) whereas Futurists

believe the description as prophecies of the fu-ture The Idealists hold the belief that the Rev-elation does not refer to actual people or events which makes sense as the Bible is often not inter-preted literally So fingers crossed that the Revela-tion is not interpreted in the futurist way because in that way there is going to be a daunting future awaiting us

Four horsemen of Apocalypse

hkucaduceusnet | 29

ldquoDevolvingrdquoEarthTheoryThis is probably the

most scientific theory that I have come across so far from a news article pub-lished from ABC News A group of scientists from University of Washing-ton hypothesized that the Earth will gradually de-volve in the next half bil-lion years In short their logic works as follows

As we all know the sun is constantly grow-ing bigger yet the Earthrsquos environment has been reasonably constant This is because as the sun is warmed up carbon diox-ide from the atmosphere is removed and deposited in soil as carbonates This keeps our environment stable by the balance be-tween an increasing sun and reducing carbon di-oxide in the atmosphere (Note that global warming resulting from an increase carbon dioxide in atmosphere is just a brief blip in the grand scale of things) Since carbon dioxide is the ldquofood of liferdquo the reduction will cause plants and animals (including humans) to die To battle the rising heat some creatures will retreat into the sea hence reversing the evolutionary process And as the sun continues to expand the Earth will become so hot that even the oceans will gradu-ally be evaporated Eventually the sun blasts off its mass through ther-mal pulses engulfing the Earth

This is a very scientific specula-tion from an astrophysicistrsquos point of view and they claim that at best we have no more than half a billion years left This might be more reas-suring for some of us as the world will not end in the near future But the grief lies in the inevitability of our planet Earth coming to an end

Everythingthathasabegin-ninghasanendSo we are back where we start-

ed With more speculation and the-ories and still no closer to the truth The end could happen any day or time or maybe it could be a proc-ess that is already happening Even though it is not to the scale of an-nihilation of the human race hur-ricanes and earthquakes and car crashes have already been stealth-ily taking the lives of millions We know for sure that we must die eventually through chance old age or disease There is only very little we can do to fight against what has been planned for us and reducing the resources we consume is the best chance that we have in delay-ing this happening There might be some benefit if we know the in-sights of when and how it will hap-pen but really it doesnrsquot change anything Moreover it is possible that these speculations came about to force mankind to live life to the

fullest to treasure each day and every resource we have as a gift so it doesnrsquot matter which theory is the accurate one In the midst of these theories about apocalypse all we can do is to live every day as if it was our last with no regrets and enjoy life as it is now

ReferncesThe End of the Worldhttpwwwnostradamus101compropheciespart4P7

The Great 2012 Doomsday Scare httpwwwnasagovtopicsearthfeatures2012-guesthtml

When Will the World End New Theory EmergeshttpabcnewsgocomTechnol-ogystoryid=97756amppage=2

2012 Beginning of the End or Why the World Wonrsquot Endhttpwwwnasagovtopicsearthfeatures2012html

Video from history channel (from youtube link)httpwwwyoutubecomwatchv=BoTExQEyblU

ldquothe MeaNiNg of life is coNtaiNed iN every siNgle expressioN of life it is preseNt iN the iNfiNity of forMs aNd pheNoMeNa that exist iN all of creatioNrdquo ndash Michael jacksoN

30 | Caduceus September 2011

笑的神奇魔力「當你笑你改變了當你改變了整個世界也改變了」

麻丹卡塔利亞醫生(大笑瑜伽的始創人)何麗敏 (N14)

被隱藏的笑容

日 本大地震及核洩漏事件馬頭圍道唐樓火災三死十九傷中區

警長為勸示威人士中不慎失足墮橋身亡

各政黨爭相你嘲我罵helliphellip在城市裡我們

每天都被一些飛來橫禍天災人禍或社會

爭執的信息圍繞著充斥著愁雲慘霧的氣

氛甚至在家庭朋友學業工作和

健康方面我們亦會遇到不如意之事負

能量和心理壓力不斷增加沒有適當的疏

導和發洩方法之下不少人染上酗酒或沉

迷賭博等壞習慣來自我麻醉長期把情感

抑制的一些人更有機會患上

情緒病我們彷彿硬把自己

困在死胡同裡忘記兒時怎

樣整天咧嘴哈哈大笑如何

在跌倒後笑著站起來現

在很多人都像被魔鬼牽著

鼻子走每天板著一副無奈

沮喪的嘴臉掛上冷漠的眼

神笑聲更差不多成為絕

朋友啊你可有嘗試計

算過一天總共大笑了多少

次英國格拉根大學研究發

現在英國嬰兒每天會笑

達三百次而青少年時期的

每天大笑次數大幅減至六

次五十多歲的人平均每天

更只笑了三次無可厚非

我們在成長過程中必遇到愈來愈多的煩惱

和挑戰事情的確不是我們所能控制但

面對的心態我們為何不能放開一時所謂

的包袱像孩子般笑著面對呢為甚麼大

笑要有一定的理由或被時間限制呢

瑜伽加愉

近半個世紀工作學業和情緒波動

很大生活方式變得愈來愈物質主義容

易出現精神緊張大家都被壓得透不過氣

來變得不太愛笑在一九九五年印

度孟買註冊家庭醫生麻丹卡塔利亞(Dr Madan Kataria)創立「大笑瑜伽」以笑聲驅除怨氣大笑瑜伽是以笑聲互相交流

的透過眼神接觸傳遞歡樂的信息學習

別人的笑容代入孩童的心態再全情投

入地開懷大笑同時亦融入瑜伽的腹式

不妨一試

大笑瑜珈三式一預備式林中步行

在樹林慢走就是愛笑瑜伽的熱身方式步行時間

可以是10-30分鐘邊走路邊拍手同時不時地做深呼

吸目的是讓身體和情緒都徹底放鬆下來為後面的

內容做好準備

二進行式學習動物的表情

在瑜伽導師的帶領下活動面部肌肉然後模仿瑜

珈導師的動物表情這些表情看上去本身已很滑稽

只要按照瑜伽師的樣子去做再發出笑聲

三結束式調整呼吸

經歷了一場大笑面部表情鬆弛了心情也舒服

了不少大家慢慢收回笑容調整呼吸一邊在森林

裡散步一邊大聲告訴自己說「我們是世界上最快樂的

人」

灼見

hkucaduceusnet | 31

呼吸和伸展動作鼓勵大笑達至身心健康

的效果精神科專科曾繁光醫生指出 

「笑令腦自然分泌天然多巴胺以抗衡人

體緊張時所分泌的皮質醇預防患上焦

慮抑鬱的情況」除了改善情緒還能

促進健康笑能促進肺部呼吸功能和加強

血液循環現代醫學認為笑可以成為一種

治病方式治療神經衰弱消除肌肉的緊

張預防或減緩疼痛

筆者在此並不是宣傳大笑瑜伽其治

療成效仍有待商榷和科學實證但愈來愈

多人證實大笑和保持歡樂的心態能有效放

鬆自己張立新先生是第一位在中國推廣 

「大笑瑜伽」的人他患上憂鬱症遍尋

各種治療方式皆無成效一次機緣巧合

從網路接觸「大笑瑜伽」亦在電視上看

到介紹而開始學習和練習他的憂鬱症因

此不藥而癒從此他就開始在中國研究和

推廣愛笑運動暫且別論大笑瑜伽的奏效

程度但人生所遇到的事可真不少何不

笑對人生

尋回被遺忘的赤子之心

大笑並不是靈丹妙藥但它的確能帶來

正能量即使事情有多糟糕笑著面對總

比怨聲載道好而且美國加州大學柏克

萊分校心理學教授丹卓凱納說「笑對

人的進化很重要」目前心理學家們認

為笑是人類之間交流的古老方式之一笑

能互相影響把歡樂的氣氛傳染開去嬰

兒還未學懂說話時笑是與身俱來為何

我們長大後卻隱藏笑容呢朋友們參考

左頁所列大笑瑜伽的基本招式大家可相

約三五知己輕鬆一番找回孩童時的笑聲

大笑瑜伽的始創人麻丹卡塔利亞醫生

大笑瑜伽在六十多國家盛行

ldquolaughter is the best MediciNe - uNless yoursquore diabetic theN iNsuliN coMes pretty high oN the listrdquo ndash jasper carrott

32 | Caduceus September 2011

Learning Experiencing GivingA magical 10-day journey away from the cityErin Yeoh (M15)

C lad in backpacks light clothing and sneakers 21 medical students from HKU and CUHK

were prepared to leave the comforts of home and the internet (did I hear Facebook) We were bound to Chi-na about to embark on a learning-cum-volunteering trip organized by Medical Outreachers

After saying our final goodbyes at the Shenzhen air-port we split into two teams Team A with 9 members were bound to Xirsquoan where they would see volunteer orthopedic surgeons at work The 12 people in Team B including me left for Guizhou to understand the role of village doctors in rural China Both teams aimed to find out the effectiveness of public health policies in rural areas of China We were to meet up 4 days later at Dongshan Guangdong

Part1GuizhouUpon landing in Guizhou we were provided with

excellent hospitality by the local officers and the lo-cal NGO Amity Foundation We were given a brief introduction to Guizhou and also the work that the government and Amity Foundation were doing in the province Amity Foundation actually helped to build numerous new village clinics to improve the quality of healthcare in the region

The next day we were taken on a tour around the province visiting different village clinics (村診所) lo-cated in areas further away from the city Usually there would be one or two village doctors (村醫) on duty

at a time to attend to the villagers with population of around 1000 to 4000 per village

However the village doctors were not the type of ldquoheroesrdquo I had in mind They were not your typical doctor working in a worn out run-down wooden hut where there would be a row of sick villagers lining up to see them How ignorant I was In fact the village clin-ics were mostly renovated and well equipped with ba-sic amenities The standard village clinic has 5 rooms main lobby (大廳) treatment room (治療室) pharma-cy (藥房) observation room (觀察室) and a doctorrsquos rest room (醫生休息室) Furthermore their patient flow was rather small sometimes only one or two pa-tients per day This was probably due to the fact that some village clinics were located only a stonersquos throw away from major cities Those in a medical emergency would of course go straight to the main hospital to seek help immediately instead of consulting a village doc-tor

To be a village doctor one at least had to be a sec-ondary school graduate They would also undergo constant training and certification by qualified doctors in larger clinics According to the village doctors they spent most of their time doing paperwork keeping track of the villagers and their medical history They would also conduct regular home visits to those suf-fering from chronic illnesses or those that needed con-stant monitoring such as patients with hypertension or rheumatoid arthritis Another point that I found

A village clinic before receiving funding from Amity Foundation

hellipand a comparison after

Life

hkucaduceusnet | 33

interesting was that they would also visit families with newborn babies to check on their general health At the same time they would educate mothers on proper breastfeeding techniques and how to provide adequate nutrition for their children in the future

To learn more about their daily routine we fol-lowed a village doctor on his home visit rounds The doctor would sometimes have to travel as far as 2 kil-ometers for a home visit which would be the other end of the village This was as in the case of a pregnant lady due for delivery soon (photo as shown below) The doctor who came to check on her health status reas-sured her that her delivery would be a successful one From her sigh of relief and tired smile we could tell that she was grateful to see the doctor

However things didnrsquot always run as smoothly According to some of the village doctors they used to be scolded and rejected by the locals who did not understand why the doctors would often come up to their doorsteps asking them questions regarding their health and pestering them to go for checkups Some of them being superstitious would think of doctors as ldquoharbingers of bad luckrdquo as the doctors would talk about ldquosicknessrdquo and ldquodiseaserdquo when they were actu-ally feeling as fit as a fiddle Thankfully the situation has much improved since then

From what we saw instead of playing a curative role in a society the village doctors were actually much more involved in disease prevention and monitoring

This is actually the ldquoupstream modelrdquo concept in pub-lic health Instead urban doctors are overwhelmed by limited consultation time and when fatigue kicks in they simply do not have the energy to further educate their patients They would also not have the time to un-derstand their patients on a personal level unlike that of the village doctors

However the indiscriminate use of antibiotics in China was truly a frightening sight Doctors adminis-tered antibiotics intravenously for mild diseases like the common cold When we asked the doctors as to why they did so they simply smiled and shrugged off the question It is probably still a common practice in China and if the doctors did not give such medication the patients would probably lose trust in the doctor The fact that the similar practices were seen even in large hospitals probably indicates that this problem is hardly a localized one

Part2DongshanGuangdongWe met up with the team from Xirsquoan at the

Guangzhou airport and proceeded to our next desti-nationmdashDongshan After 5 hours of car ride we began to see signs that we were approaching our destination Mountains sharply angled clustered in twos or threes fondly known as ldquoMcDonalds mountainsrdquo were begin-ning to be in sight

As soon as we arrived we were greeted by eager curious young faces The children huddled close by as we unloaded our luggage some commenting that they hadnrsquot seen some of us while others were already play-ing around with the past participants It was my first time to Dongshan but there were some of us who were not new to the kids there

After settling down we were given an introduction to Dongshan and its residents by the local NGO Green Action Foundation led by Mr Wong

Located at the outskirts of the province Dongshan is one of the 4 poorest areas in Guangdong Its natu-ral terrain abundant in limestone makes it especially hard to retain water This has taken a toll on the resi-dents especially during the drought season Another problem faced by the local residents is that there are many young people and adults migrating to big cities to earn a living leaving behind the children and elderly

Village doctor on one of his home visits

Discarded bottles of intravenous antibiotics near the village clinic

ldquoMediciNe also disregards NatioNal bouNdariesrdquo ndash irviNg laNgMuir

34 | Caduceus September 2011

at home

Green Action Foundation took the initiative to plant trees around the area so that more water was available for irrigation and domestic purposes This improved the quality of their crops and boosted their source of income They also sponsored some of the

childrenrsquos education depending on their performance in school to ease the burden on their families

The next few days were jam-packed with activities A sports day was held as an icebreaker so that the new participants could get to know the children better We also spent half a day at the Dongshan Primary School where we taught the kids personal hygiene simple first aid moral education and also sex education for the grade 5 and 6 students

Another interesting activity that we had was a weed-cutting session up at a mountain with the other children Each of us was assigned with 2 to 3 chil-dren who were supposed to ldquoguiderdquo us along the way It was a 2-hour hike up and down hilly ter-rain While I would stop once in a while to take a breather the kids were barely panting The kids would often stop to ask if I was tired and even of-fered to help me carry my backpack Note to self more exercise next semester

Nevertheless it was a great chance to know the kids better We had the time to chat about their school life and what they thought about their future and also the chance to share snip-pets of our lives in the city

We then split into small groups and visited the homes of the children in order to gain a bet-ter understanding of their household hygiene

condition any medical conditions in the family as well as their economic standing We had also prepared questionnaires to be kept as future record Some of the families were very poor to the extent of having no source of income at all They depended solely on their own crops for food If they went to see the doctor they would usually owe the doctor money until they had

enough money to pay back The hygiene status of the villagers varied but most of them had swarms of flies around food Many even had their live poultry like chickens running around the house Before we left we gave them some hygiene products like soap washing detergent and toothbrushes to encourage better hy-giene We also gave them a poster explaining ways of maintaining a clean household environment

Another main focus of the trip was to find out the effectiveness of a medical insurance policy newly in-troduced by the government Each person had to pay 30 Renminbi annually to be guaranteed free medica-

Sports day activity

Weed cutting with the children

hkucaduceusnet | 35

tion and hospitalization thereafter Generally the vil-lagers were grateful for this plan as many found it dif-ficult to afford medical fees while struggling to pay for

basic necessities at the same time However some vil-lagers complained that the prices of medicine spiked after this policy was introduced and hospitals would of-ten ask patients to

do unnecessary scans just to earn more money

This trip made me realize that there is much that we can do but how great an impact we can make might not be seen immediately With follow up trips one could see the change as compared to the last visit and make further modifications to improve the situation

As the trip came to an end we were reluctant to leave There was something very magical about Dong-shan where the skies would turn to an exuberant red during sunset and on a clear night you could see stars scattered across every corner of the sky It is a place of beauty struggle and hopefully a place of triumph in the years to come

It is a place of beauty struggle and hopefully a place of triumph in the years to come

On one of our home visits

More to ExploreMedical Outreachers 醫心httpmedicaloutreachersorg

The Amity Foundation 愛德基金會httpwwwamityfoundationorg The beautiful sunset in Dongshan

ldquoshariNg is soMetiMes More deMaNdiNg thaN giviNgrdquo ndash Mary catheriNe batesoN

36 | Caduceus September 2011

就 在這一刻世界沉默了

城市的繁囂隨飛機引擎

逐點逐點噴走了繁囂的離

開是為了讓簡單的生活回

來剛踏出廈門機場一張

又一張的笑臉映入眼簾刺

熱的太陽把兩地之間的隔膜

融化

早從香港回歸時開始

香港人經常強調自己只是 

「香港人」而不是「中國

人」自以為比內地人高一

等可惜這班自視過高的都

市人曾幾何時為外地人送上

熱情的款待這一點廈門

人比誰都做得更好

廈門是一個位於中國

東南部的海島也許就是近

海讓居於廈門的人都把一

切怨恨煩惱拋下大海讓

它們隨水流漂走埋藏在海

床上每年廈門的鳳凰花花

開兩季一朵又一朵鮮艷如

火的鳳凰花在六月時歡送一

個又一個的畢業生彷彿為

他們添上一份祝福九月時

的鳳凰花熱情地歡迎一屆又

一屆的新生為新生的精彩

校園生活揭開序幕一份一

份的熱情含苞待放身在廈

門又怎會不被這市花的熱情

感動呢廈門大至人與人

之間小至花與花之間都存

著一份情

要追溯廈門人的情懷

可數至土樓的建成土樓

是個大多呈方形或圓形大型

群居的建築整座土樓樓高

三至五層由於牆身頗厚及

只有一個出入口甚具有防

禦功能亦因為這緣故當

大門關起來土樓便成了一

個家這個家佔地不大但卻

藏著成千上萬的人情味在

萬里無雲陽光普照的天空

下土樓居民的熱情好客

被蒸發出來懸浮在空中

一代一代傳下去更讓它隨

風走出土樓傳遍整個廈

門即使土樓漸漸成為旅遊

景點一些擺賣紀念品的攤

檔已經進駐但卻無礙居民間

的感情商販彼此交流從

不出現爭客的情況在土樓

中央休憩的居民除了為外地

人介紹他們的祠堂外亦邀

請遊客跟隨他們到遊客禁區

參觀在土樓居住的每伙都

中門大開當遊客投進好奇

的目光屋內的人往往以親

切的笑容作回答鄉土人

情在這世代多冷漠的心也

被融化

細膩的人情味外最令

遊客津津樂道的是廈門人的

態度廈門大學附近有一條

芙蓉隧道只要你願意便可

在隧道內壁上畫下你所思所

想當然美觀與否見仁見

智但這一種對藝術尊重

欣賞的態度是值得欣賞我

有我盡情地畫你有你盡責

青春在廈門留下足印潘曉彤 (N14)

生活

hkucaduceusnet | 37

地去管轄城市各處的整潔

彼此留下空間達至相輔相

成的效果廈門人就懂得人

最基本的禮貌尊重不

過廈門人對他人的尊重遠超

於人的基本禮貌當你去唱

「卡拉OK」的時候每次

待應的出入時看到的就只

有他們的正面而他們前行

或後退的方式就像看到皇帝

一樣卑恭屈膝香港人常常

強調面子哪一天才能捨下

那過高的尊嚴為不相識的

人作一個最謙卑的招待

其實任何人一離開香

港都不難發現就只有香

港愈夜愈精彩其他地方晚

上八時大多關門大吉而廈

門就只有中山路才媲美得

上香港的夜夜笙歌夜幕低

垂萬千燈火的中山路上

與來自各區的人擦肩而過

昏黃的燈光下照出一群又一

群的沉默影子剛好與路上

喧鬧的行人相映成趣騎樓

在霓虹燈的點綴下顯出了獨

有的閩南特色大街小巷傳

來不同地道小食的香氣車

輪餅燒仙草土笋凍helliphellip

為我們外來的交流生帶來美

味可口的夜宵飲飽食醉過

後走到中山路的盡頭又

回到了沉睡中的廈門

在優美的環境影響下

廈門人的生活也自然變得

純樸優閒單車車輪在環

島路上留下一圈又一圈的印

記沿路能細聽海浪輕拍岸

邊的聲音細嗅四處洋溢的

花香感受微風吹散太陽散

發的熱力見證一對又一對

的新人在拍下幸福的照片

據說廈門有戀愛天堂之稱

不管走到哪一處也會

看到準新人拍下甜蜜的婚紗

照而在裡面享受的人永遠

不知道這風景如畫的背

後是透過多少人的血汗換

來當我們在追求經濟成果

的同時往往破壞了造物者

在世上留下的藝術品隨中

國經濟急速發展一個又一

個的世外桃園被摧毀銅臭

替代了花香車聲替代了鳥

語這仙境又可維持多久

廈門另一世外桃園就是

鼓浪嶼它活像香港的長

洲島上滿有歐陸建築風

格但當中不乏中國特色的

建築中國古城風味與洋風

互相交替帶出截然不同的

感覺島上遠離汽車的廢

氣與金門就只是一海之

隔一家大小在享受天倫之

樂時一群又一群的青少

年情侶在沙灘上嬉戲立

即為島上升溫

筆者認為在這個混亂的

俗世確實需要抽空來欣賞

造物者留下來的藝術品大

財團不斷興建大型商場國

際知名品牌不停進駐留下

的就只有愈來愈狹窄的街

道被石屎封蓋寸草不生

的土地人人被金錢蒙蔽

迷失在霓虹燈光中又有多

少知音人能放下生活的瑣碎

事情在這裡享受時間一分

一秒的流走你被海浪聲

喚醒了嗎

筆者參加這次是由香

港廈門兩地大學的交流

團一連六天已經習慣了

當地的優閒生活模式體會

到的不只是廈門的風土人

情歷史文化而是兩地大

學生那種衝破界限的交流

雖說年輕人容易打成一片

但廈門獨有的熱情確實融化

了彼此間的隔膜廈門的美

是成人之美成就了兩地大

學生的友誼

飛機又再起飛了廈門

再見了

ldquothe tiMe of life is short to speNd that shortNess basely it would be too loNgrdquo ndash williaM shake-speare

38 | Caduceus September 2011

生 命形成之際只要一秒鐘的差遲世界便會不一樣

蝴蝶效應從來都是玄的全因一個 

「緣」字

隨著人成長要決擇的事太多學生

有兩件人生大事幾乎都不是由自己決定的

入讀小學及中學然而到了大學這

關卡自己也許可以拿定主意了若果你

入讀了心水科恭喜你若不然祝福

誠然入大學是最影響未來生活的關

口是好是壞無人知曉不用量化不

用比較太多即管做自己所想活出自己

的路只因你不會曉得你的下一步會怎樣

影響著你的生命

或許一個活動你會遇上你的最愛

或許一個宿位你會遇上你的知己

或許一句說話你會惹來一個敵人

或許一次走堂你會由B變C

這就是大學

在大學各人有各人的大學生活大

學講求自由學習學習真的是「求學不是

求分數」有些人愛廣交朋友有些人愛

住宿有些人愛做莊務有些人愛拍拖

有些人愛參加各樣活動有些人愛做兼

職有些人愛讀書有些人卻愛甚麼都不

做helliphellip不少大學生強調入大學必定要做齊

大學五件事(上莊住宿讀書拍拖

兼職)但其實只要自己開心不害人的

話做甚麼也沒問題最要緊的是認清讀

大學的目的以免沉淪於大學這花海

朋友

大學可以令你對「朋友」的概念愈來

愈含糊幾乎每個活動都可令你認識新朋

友通常大家都會輪流講述自己的名字與

學科(Round Table)這亦是考驗大腦對人名的記憶所謂的「Hi-Bye Friend」會愈來愈多隨便在細小的港大內穿梭會令你

無可奈何地對他們說聲Hi

不過別標籤你的「Hi-Bye Friend」要是連Hi-Bye也談不上更不用說做深交了上大學了大家已有既定的圈子很

多時約會或聊天都先找中學朋友而且很

多人會把大學朋友與中學的作比較雖情

有可原但有時未免先入為主地覺得中學

的較好

這亦難怪即使是日日碰面的同學也

未必是自己的好友人人都有自己的時間

表下課後各散東西不是大家不想互相

認識只是有時身不由己若想互相了

解不妨盡量製造共處之時有時甚至可

以分一些約會給大學朋友然後你會發

現大學朋友也可跟你熟絡可別為自己

建造一塊厚厚的心牆

舍堂

要入宿無人會不曉得十日的迎新營

有些舍堂平均每天的作息時間只有兩三小

時有人說住宿最辛苦就是迎新營然而

它卻是最難忘的

要數活動單單一個舍堂已數之不盡

要是投入舍堂生活每天24小時是不夠

用的舍堂之間有各樣比賽堂友要參加

各個組別為比賽出席各樣練習否則可

能被拒於來年再住基於許多人都只在夜

晚有空要全體出席那可是晚九朝五的

大學之緣賴彥積 (N14)

新鮮人

hkucaduceusnet | 39

宿生們之所以會熱衷於舍堂活動因他

們對自身舍堂有強烈的歸屬感好比中學

時學生參加校際比賽要是沒有歸屬感

就不會有心參加所屬舍堂的活動

除舍堂之間之活動樓層之間亦有各類

活動樓內亦然只要有人的地方就有玩

樂彷如天天宿營你不會有機會偷偷早

睡其他樓友常常打擾你你原來的生活

時間會推後數小時睡於二時已是罕有

早上的八半堂彷如無物

可以住宿但不參加活動嗎當然可以

但你會面對的是朋輩壓力他們雖未必逼

你參加卻會在言談中有意無意的滲出

來那種壓力不只限於自己樓層甚至是

跨樓層千萬可別輕看宿中流言

上莊

有人說上莊所學遠超課堂上莊所學

的是如何籌辦活動非常實用有時要對

外聯絡有時要面對公眾helliphellip像是要為將

來工作鋪路似的當然這亦要視乎你上

的是甚麼莊

一般而言上莊可訓練你待人處事的技

巧有時表面看來很友好的朋友當背

負上一定的要求後關係少不免有磨擦再

者初時莊員素未謀面最後卻因朝夕相

對而演變成朋友這段關係是很可貴的

成莊前要宣傳內閣爭取選票成莊了

又要舉行咨詢大會包受歷莊指導然後

又有就職典禮此後的活動更接踵而至

當然包括迎新活動招莊活動等helliphellip君不

見很多人視莊房為睡房少不免有「通

頂」之時忙是忙但必有價值至於是

好是壞要看自己的造化了

拍拖

人上了大學有時心思思想拍拖眼見

身旁多個好友都紛紛拍拖自己少不免羨

慕別人這想法十分正常畢竟大學生真

的可以放下只讀書的重擔真的可以規劃

人生大事了

香港大學一些營新活動中隨了Round Table外還有Round Status即說自己現在有否拍拖以及拍過多少次拖如 

A 0即Ava i lab l e之前至現在沒有拍拖O1即Occupied之前至現在共拍了一次拖當然也有一些同學自己創的甚

麼OBA (Occupied But Available)或D10(Desperate拍過10次拖)等等至於Round Status的動機何在可能是組爸媽想穿針引線吧當然也可能是別有用心的

不同人對拍拖有不同想法上了大學更

有不同擇偶條件人大了在感性的議題

上往往加上種種理性的數據開始現實起

來哪個帥哪個富有哪個有前途helliphellip

有些不在乎天長地久只求剎那的光輝

有些求虛榮有人疼愛在朋友前炫耀

有些甚至會在拍拖前已想定分手後的模

樣所以不想選擇跟自己同科的同學

活動

不同團體(包括舍堂學會及學校部

門)都有不同活動不用愁沒事幹只用

愁沒時間只要多留意Portal Mass Email或Main Campus海報不難發現幾乎每天都有各樣活動動靜皆宜開學時有迎

新營考試時有勁過飯新學期有開Sem

飯有些學會如戲劇舞蹈合唱團不時

有演出有關運動的學會則多練習以參

加比賽有關學術的也有很多興趣班講

座比賽等想幫人的亦可參加義工團

體如蛇蛇豬扶青等舉辦的義工活動

兼職

大學生的兼職大多以補習為主畢竟

這是我們能力範圍內可賺取最多外快又是

時間最彈性的工作有些人卻因補習不能

寫在履歷表而選擇別的工作然而很多時

我們都要在兼職與大學活動中取捨我的

ldquotake a chaNce all life is a chaNce the MaN who goes farthest is geNerally the oNe who is williNg to do aNd darerdquo ndash dale carNegie

40 | Caduceus September 2011

E mily was the chairperson of Pharmacy Socie-ty session 2010 As a student she has actively

participated in holding activities for many medical stu-dents and taken part in providing welfare to all phar-macy students Her following sharing will especially enlighten our new pharmacy students

Q Why did you choose Pharmacy SocietyA To be frank ldquosheung jongrdquo was really out of

my expectation when I anticipated my university life However my perspective has changed when I officially became a pharmacy student in HKU As members of the opening class of the Pharmacy programme my classmates and I realised the importance of having our own student body We do need an independent soci-ety to represent us pharmacy students to cater for our specific needs to listen to our points of view and to act as a bridge to facilitate our communication with the Medical Faculty the entire university and ultimately the pharmaceutical field in Hong Kong My class-mates and I who later became ldquojong yausrdquo believed we should act immediately to establish and run our own society which is why I decided to ldquosheung jongrdquo

Q Would you like to share some of the pros and cons of sheung jong

A ldquoSheung jongrdquo definitely helped me achieve per-sonal growth It was a concurrent commitment and re-sponsibility to serve and to lead our colleagues Bear-ing this in mind we always pushed ourselves to attain the best of our work ethics efficiency and efficacy As the very first session of the Society we lacked the guidance of any previous committee member Instead analysing carefully and critically we thought better of every decision which I personally found an enriching experience ldquoSheung jongrdquo was also an eye-opening journey Wersquod got to meet different people and learnt more about the professional work for as our career-to-be after graduation This in my opinion is always beneficial Last but not least I was fortunate enough to have worked with my amazing fellow committee mem-bers I frankly couldnrsquot ask for better ldquojong yausrdquo than initium Irsquom absolutely thankful for having them as my friends and it is definitely my greatest gain along the way

Despite the merits ldquosheung jongrdquo definitely has its downsides as well It is a lie to say ldquosheung jongrdquo does not affect our daily life because it does take up a big chunk of our time At the end of the day it is about time management which is easy to say but extremely dif-

建議是如家庭環境較困難賺錢吧反

之可以多留時間給各活動畢竟大學一

年的學費不只值那幾十堂課如何善用這

$42100就在乎你如何投入大學生活

讀書

假若你認為大學的考試可考核學生的

真正讀書能力並要求學生活學活用課堂

所學那麼你大失所望了假若你善於背

誦有過目不忘之本領大學的筆試不會

難倒你只要靠著前人留下的歷屆試題

背到滾瓜爛熟是不可能不及格的很多屆

試卷都是千篇一律的很多教授可沒空大

改試題那同學們就走運了有些課堂

即使再專業的學科都會有只理論無實

踐的課堂然後考試就要你把一大堆理論

背出來helliphellip例如甚麼叫批判思維噢

我可不知道只知道我掉了5分

不同學系在某程度上定下了人的前途

對於醫學院學生而言前路是較清晰可見

的但對於非專業學科前路不可只靠讀

書也許要靠自己另外摸索讀書所帶來

的必然是較高的GPA高GPA所帶來的是

獎學金到外國交流工作實習日後工

作機會等等當然大學學習不只局限於

讀書會否因此失彼就只有自己知道

蝶翼拍動之時往難以預料機會是

要自己摸索的

如經上所記

「神為愛他的人所預備的是眼睛未曾看見耳

朵未曾聽見人心也未曾想到的」

(哥林多前書29)

「栽種的和澆灌的都是一樣但將來各人要照自

己的工夫得自己的賞賜」

(哥林多前書38)

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

Freshmen

hkucaduceusnet | 41

ficult to achieve Also working as a Committee mem-ber can be very exhausting and difficult You definitely need lots of determination and support to get through some of the busiest times

Q How did you handle and balance the workload of study and your ldquojongrdquo

A As Irsquove said before it was tremendously difficult I guess my best advice for the future committee is to know your limitations and always plan ahead You have to know your time to work to rest to study etc No one will be over-worked and eve-ryone will have some personal time if you share the burden wisely between ldquojong yausrdquo Secondly you have to make very clear plans so that you can make full use of every little piece of your time I may not have succeeded in my time management but most of my ldquojong yausrdquo managed to do so de-spite the packed schedule of our Soci-ety This is sufficient proof of ldquoimpos-sible is nothingrdquo

Q As there are only about 25 pharmacy students per class do you have any suggestions for P14 fresh-men to make more friends from other curricula

A It really depends on what kind of person you are If you consider your-self socially active living in a hall or ldquosheung jongrdquo will be a great idea for you But if you see yourself as a much quieter person you can still make use of opportunities such as Medic Orien-tation Camp and other events jointly organised by student bodies within the Medical Faculty to make new friends

Q Any special things for P14 freshmen to be aware of

A First of all welcome You all are now members of Pharmacy Society MS HKUSU and I would like to let you know that this is a student body aiming to serve you Thus feel free to share your viewpoints and voice out your opinions to the current Com-mittee members The Society has to

understand your needs to improve and provide better welfare and services for you

Q Any other comments or important things to re-mind P14 freshmen

A If you would like to get to know more fellow pharmacy students especially students from P12 and P13 grab the opportunity to join the Pharmacy Society Orientation Camp and the Mentorship Programme These are great chances to make new friends and Irsquom sure you will enjoy them

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

ldquoas huMaN beiNgs we do chaNge grow adapt perhaps eveN learN aNd becoMe wiserrdquo ndash weNdy carlos

42 | Caduceus September 2011

筆 者是一位護理系的學生半年前有幸成為二零一一年啟思編輯委員會的總編輯在期間所體驗到的希望藉著這次機會作出分享特別希望新加入醫學院的同學

能對「上莊」有更多了解

上莊之路上莊是大學五件事之一證明它對大學生

活有一定的重要性一定的位置筆者在初入學的時候曾為了上莊與否而煩惱猶豫了好一段時間期間考慮到自己能力怕學業應負不來但最後仍然下了上莊這個決定原因是上莊是個難得的機會充實增值自己不同的莊會提供不同的機會讓莊友去學習透過不同的莊務去讓自己眼界擴大另外可以了解醫學院內發生既事情例如院內活動的進展情況更可以參加舉辦院活動為醫學院出一分力最後當然會認識到將會相處一整年的莊友工作伙伴有機會認識到不同學系的同學從他們身上可以觀察到學習到各種的特質從而令自己有所進步有所啟發

護理學生作為護理系學生起初擔任總編輯一職實

在是倍感壓力畢竟歷屆的總編輯都是由醫科生出任因此筆者起初都害怕跟醫科生共事怕自己的能力不足夠應付莊務所以起初都是戰戰兢兢地上莊

一位三年的護理學生曾對我說「我認為你不太尊重護理系護理系和醫科都是個專業希望你能加以尊重自己的學系不要輕視護理這個學系你要肯定自己的學系才能帶領整支莊因為莊內成員來自不同的學系你必須肯定和認同每個學系都有一定的重要性以及其專業」這番當頭棒喝的良言令我明白到自己一直都太輕視護理系過於重視醫科現在我明白到認同自己學系是尤其重要只有這樣才可以用自己學系的身份去發表意見只有認同自己學系才懂得尊重其他的學系莊內便可以融洽一點

在筆者的莊友中醫科生都是較有責任感而且做事更有計劃從他們身上的確學到不少東西這點是無可否認的事實筆者並不是在分享學系與學系之間的差別而是希望有志上莊的同學能互相尊重明白到各學系的莊

友都有其值得學習的地方起初對其他學系有隔膜是無可避免的畢竟對他們的學系都不太了解又沒有歸屬感但如果因為對方是別的學系而輕視對方的人不但失去與人相處學習的機會而且會令莊內的氣氛失去和諧

幸好的就我所見所聞醫學院內的莊多年來都能融洽相處互相支持令到一眾上莊的同學都能輕鬆地享受上莊的喜與樂甚至是不愉快的事情

依靠你的莊友莊是一個團體不是一兩個人可以應

付得來所以筆者認為與莊友互相溝通合作是個重要的元素新同學如果有志參與莊務期望從上莊中有所得著首要的事情是與莊友建立關係因為他們將會是你來年的工作伙伴也是你遇到困難時依靠的對象一位上莊曾對我說「其實一件的莊期不會令你有太大的得著或成長反而長久的友誼才是你將會得到最重要的」這句說話是千真萬確的上莊的人不會由詞不達意改變成談吐得宜不要期望自己會有驚人的轉變也許上莊會令人處事成熟一點有計劃一點但上莊所得到的關係將會是更重要更珍貴一年的相處中面對過有無數的會議共同處理過不少困難從中

建立的友誼真的是畢生受用

責任感上莊另外一個十分重要既條件就是責任

感有志上莊的同學必須明白到莊期是長達一整年在繁重的學業中騰出時間來處理莊務是個考驗責任感和毅力的測試同學必須再三思考想清楚自己是否真係熱衷於上莊或是只是一時衝動畢竟你將要許下的是一年的承諾必須對這個莊負上責任願意付出才選擇上莊這個決定這樣的付出就會有相對的回

總結上莊的確是個好機會讓自己去學習從處

理事務中或是從莊友身上都會有所得著充實著自己的大學生活從中可以認識到各學系的同學建立一段段受用終身的友誼在此筆者希望各學系的新同學可以善用機會作出上莊這個無悔的決定

護理系的啟思總編石志榮 (N14)

新鮮人

hkucaduceusnet | 43

慈兄吟(下)奇晶

最 後還是麥教授先開了口「他的確是一個好學生對醫學有獨到見解他不但學業成績優異而且樂於助人你是他的妹妹吧」婉慧努力控制自己的淚水繼繼續續的說「是啊但helliphellip但helliphellip我不知道helliphellip他竟會在這裏出現」麥教授用悲天憫人的目光看着婉慧語重深長說「人生自古誰無死人生命的有為與否並不取決於他生命的長短而是在於人生的意義你哥哥雖然最後當不了醫生但他的犧牲卻間接為一些同學做醫生鋪路讓他們做醫生去救人這真是一種無私的愛」婉慧點點頭覺得自己對哥哥的了解實在太少了

最後她還是孤獨的離開實驗室她覺得自己跟哥哥比起來實在相差得太遠了原來他除了是十優狀元在醫學院的成績名列前茅外還是個熱心助人的好青年自己除了少了一優外少的更有對別人的同情及樂於助人這造就了她心靈上的空虛她明白到冷漠不是一種對哥哥思念的正當表達方法她應該做的是把哥哥對其他人的愛傳揚開去以圓他的心願

第一步往往是最困難的婉慧平日對他人的態度已令不少人對她敬而遠之有很多次她嘗試向同班同學投以友善的笑容得到的總是詫異的目光或別人的不理不睬在小組討論中儘管她踴躍發言盡量避免冷場的發生偶同學們卻認為她變本加厲想阻止同學們取得好成績她四處碰壁又再次陷入了想念哥哥的深淵

時間一天一天過去了上學期考試前的休假開始了婉慧每天都勤奮的在圖書館溫習期望取得好成績這時候的圖書館堆滿了人如果遲來一個小時想找一個位子也難就在假期的第二天同班的王文在圖書館跑得氣急敗壞仍找不到一個座位婉慧不知怎樣有點同情他將座位讓給他王文驚訝道「不用了我還是回家吧真倒楣遲來了一個小時就沒有『接位』」

「但你住在哪裏呀」

「元朗今天早上我忘了校鬧鐘八時才起」

「那你還是要我的座位吧我可以坐到電腦桌因為我認識的人不少沒有什麼人會打擾我的」

王文謝了她頓時對這位冷漠的同學刮目相看原來她的內心也是溫暖的這並不是他所能料及的坐在電腦桌前溫習的她也感到特別的快樂溫習的速度也快多了王文就此成為了她的「飯檔」考試期間每天和她一起吃飯他更將自己的好友介紹給婉慧認識

在一個晚上她又悄悄的在圖書館的角落溫習着突然一隻溫暖的手搭着她的肩上她抬起頭但見解剖學的同桌手中拿着一杯熱飲輕輕的放在她的桌上婉慧正感詫異卻聽見他說「這杯熱巧克力是給你的繼續努力吧」她喝着巧克力心中感到一股暖流彷彿哥哥的關懷又在她內作出回響

十年生死兩茫茫不思量自難忘千里孤墳無處話淒涼helliphellip

寒風吹起了她額上的劉海佇立在墓前的婉慧不禁凜冽她想起了從前想到自己最後一次和哥哥吵架雙方面紅耳赤的情況想起自己無法親口跟哥哥道歉想起哥哥無私的付出她對着那空虛的墳心中不忍一陣淒然淚水漱漱的流下來她身旁攜扶着年紀老邁的母親邊拭淚邊喃喃道「我的兒子helliphellip歿了helliphellip」大家心情漸漸平復了緩緩走出了墳地

雨一滴一滴的落下飽歷辛酸的婉慧卻仍在懸壼濟世

短篇

ldquoyesterday is but todayrsquos MeMory aNd toMorrow is todayrsquos dreaMrdquo ndash khalil gibraN

44 | Caduceus September 2011

Eternal Flame (1)Tulipa

Itrsquos cold The chills from my fingertips imbibe deep into me This person drills into my mind digging out the truth inside me Itrsquos agonizing She comes right inhellip di-rectly I cannot stop her

Irsquom losing myselfhellip

My hand felt the soggy pillow I realised I had come back to life the world where I lived Staring blankly at the ceiling still losing focus in my eyes I felt my brows with my forearm For the first time I didnrsquot want to lose this feeling

The bedroom door slowly opened I quickly rubbed off the drops that had blurred my vision pretending that I had just woken up

ldquoDo you have lessons this morningrdquo My grand-mother whispered into my ear

ldquoOh goshrdquo I turned right to my alarm clock It was the real life I had forgotten to turn the alarm on last night and it was now seven thirty I knew it I was going to be late every time she caught me in bed Irsquod got to hurry up

Living in Hong Kong Island though it took me more than an hour to get to school I had to comfort my little brother sometimes till two or three in the morning in order to get him to sleep In addition to the consistently heavy study load in the medical school I could hardly get enough rest Running on my heels al-most became my routine starting from last November But I well understood the consequence of skipping lec-tures It was the beginning of the Cardiovascular Sys-tem Block For someone like me who gave least priority in revising Anatomy materials lectures remained the prime source of information for exams Absence from class was suicidal To make the situation worse this professor was one of those who did NOT upload lec-ture notes online

Hoping I wouldnrsquot arrive too late to miss the impor-tant points I finally stepped onto a route no 8 minibus at ten past eight What I could do now was to pay trust in the driver who would bring me to my destination

Coaxing kids was never easy Little Bruce just hap-pened to give me such a hassle last night

He knew I would check on him when I returned home Sitting right next to the door of his room he begged me for a story once I opened the door I sat down together with him on his little couch after Irsquod taken a quick shower This was a time to relax leaving

aside all the other concerns

Kindling through his favourite reader I saw that he wasnrsquot listening but distracted by all sorts of toys around He even invited me into his world of fantasy But it was getting late I had to calm him down so that I too could have some rest Being one of the brightest in his elementary school he should understand this was not the time for recreation

I began to feel annoyed

Yet he was my brother I had a gut feeling that this was unusual He didnrsquot use to be so ldquohyperactiverdquo It re-ally took me a while to adjust to his change With him still tossing and turning in my arms I apprehended his restlessness Unpredictable though he was true to his feelings In one way or another he might find the shadow of our mother in me

He finally settled when I laid him back in bed It was nearly two forty in the morning

The first week of the CVS Block ran as plotted PBL tutorials would start on next Monday Dr Youngrsquos fa-cial expression in the first PBL evaluation flashed over my Embryology notes and references She didnrsquot teach Embryology but I could tell she did have a hypertroph-ic heart-shaped face which looked familiar to the dia-grams in the Atlas

Back in the IHD Block most of us were puzzled about the scrambled content of our course Various forms of seemingly related knowledge came in through lectures practical and tutorial sessions But the neural circuit formed in our brain just failed to resonate as if the conductance-inductance mismatch had aberrated our thought from minimal impedance Sometimes things even happened in a ldquomore-than-extrardquo manner The presence of common core courses in a parallel but independent branch in the network could rightly be detached without causing a blip on the galvanometer Everything was dubious We had no idea of what we were doing

Maybe we were just on the way seeking for a sense of attachment

My mind too was racing in haste I was struggling with my decision to become a doctor Too many things had happened over the year I just couldnrsquot stop ques-tioning myself what was I thinking when I put lsquo6456 MBBSrsquo in my JUPAS application I should have expect-ed and prepared to face all these I just didnrsquot knowhellip

Novella

hkucaduceusnet | 45

It was midterm evaluation in the IHD Block Her face looked tense in that heart shape She was so stiff in her facial expression that no one could read her mind from her poker face The conference room of the Physi-ology Department was large We seemed to be the odd ones out in the spacious carpeted room In this secre-tive silence you could hear the drumming in your ears as if you were tingling

I realised this was not a matter of ldquoam-I-suitable-for-a-medical-careerrdquo but ldquois-a-medical-career-suita-ble-for-merdquo I was lying in bed playing with my plush bear when these thoughts burst in me Dr Young looked through me She felt certain that different from other group mates there were crises behind me But I didnrsquot tell her anything that day

We all were sensitive At times some subtle trepi-dation seeped in gradually sucking peace away from my sleep It was so to say below threshold sub-lethal though it lingered for weeks once it set inhellip

Drenched in bloodhellip There is no life in the boy His eyes are widely opened slightly protruded The lifeless pair of black pearlshellip I cannot escape from his glance He wants to talk to mehellip There is something he wants me to know

A van runs over himhellip

I fell down the edge of my mattress Breathing heavilyhellip Sweating all overhellip

ldquoScreechrdquo People began to gather around a tel-ephone booth a few metres behind us

I turned back I couldnrsquot see a lot from this anglehellip

ldquohellip What a pity He is so younghelliprdquo a middle-aged couple passed by

The victim resting just in front of the wheel looked towards me through a break in the crowdhellip

As we were wandering around thinking what to eat for dinner my cousin found me standing there rooted to the ground stunned by the victimrsquos gaze My heart was pounding She wouldnrsquot believe what I was again experiencing For a number of times already scenarios in my dreams were mirrored into reality

I couldnrsquot tell her

ldquoI was just thinking whether you would like Korean cuisine There is a new restaurant two corners awayrdquo I made up a talk while escaping from the scene so that I wouldnrsquot look so strange

ldquoWhy not go and have a try thenrdquo She was not dis-appointed for calling it a day as the food there was sur-prisingly good

Not until some years ago when I was Form 3 in college I discovered my ability to look into the future Sometimes I could see them coming up on the news in days or weeks And some didnrsquot ever happen at least not around me But seeing the night visions coming into concrete existence wasnrsquot always a pleasure when the mental images turned gradually into mostly night-mares When I visualised my close ones it felt like I was in the middle of an insecure chain bridge above a torrent that would sweep me into the vast ocean with no return It was entirely different from what you might understand as ldquodreams come truerdquo

I had witnessed misfortunes in proximityhellip

But I could do nothing about ithellip

Friends were a source of solace someone to con-fide all frustrations in But with my paranormal ability which appeared to everybody else only on screen-plays I wasnrsquot courageous enough to open my life wholeheartedly to them Seldom talking about myself avoiding all sorts of gatherings I became an eccentric figure among my classmates

Sometimes mutual understanding carried more weight than words I remembered my physics teacher being one of my few friends during my teen years De-spite his boisterous faccedilade he was always sensitive to whenever I was dwelling on my burdens Physics was our common language Intermingling our emotions and feelings with concepts that were alien to my fel-lows we developed a close rapport impenetrable by anyone else

ldquoWhat is the nature of a flamerdquo This was the most discussed problem between us Neither in solid liquid nor vapour state Not having any definite shape and colour It seems not any material but a type of energy giving out heat and light At the moment of providing it also exhausts its fuel and eventually itselfhellip

The romance of physics is more than anything you could read write and talk about Once you were truly connected with it nothing can stop you Your mind will bounce irrespective of the chronology of space-time but only under the guidance of your thoughts

I was so devoted to the discipline at the time that I was almost making it my lifelong career in some way He envisaged that I would demand much more than any academia could provide with its scientific basis alone We were both seeking a philosophy beyond the facts But Hong Kong may not be the right place for it

I made him a promise at the end to contain our flame and I knew I would

For the first and the last time I saw his eyes filled with tears We knew existence by itself is a miracle

ldquoi love life because what More is thererdquo ndash aNthoNy hopkiNs

46 | Caduceus September 2011

說華佗都說「華佗再世」誰知箇中真諦雲方 (M15)

烽煙起戰火燃萬里 

三國並爭英雄地亂世有誰顧生死 

待神醫行世將民眾救濟

渺渺江山東西瞰俞跗巧手扁鵲心(1) 應向何處尋 

滾滾黃沙無世家終有奇士放奇葩

沛國 華元化(2) 

他經書貫通南北遊動 

一望斷症如神助三劑消病不必多

說斷症悉如所料 

甘陵 相夫人腹痛極難忍(3) 號脈知死嬰在左為男形(4)廣陵 梅軍吏除名歸故里

見貌知壽盡速返見萱椿(5) 

說消病藥到病除 

飲蒜醋有三升蟲一嘔而盡清 (6)母服丸而溫儲兒不藥而自癒 (7)

絕妙處 

是他開腸剖腹刀至辟毒 

神醫號 

除他內外皆精有誰配稱

[1]   俞跗黃帝時代之名醫扁鵲春秋戰國之名醫《淮南子人間訓》「患至而多後憂之helliphellip雖有扁鵲俞跗之巧猶不能生也」

[2]   華佗字元化沛國人(今安徽 亳州)

[3]   甘陵相(即甘陵之行政長官)夫人懷胎六月腹痛不安華佗為其切脈便知胎死於是命人摸知所在在左則男在右則女人云「在左」夫人飲藥後果然產出男胎腹痛立即痊癒

[4]   廣陵有軍吏名曰梅平離鄉服役後來退役歸家於路上巧遇華佗華佗視之嘆道「若能早些見我當不至於此而今你僅餘五日壽命速速回家還能與家人相見」平旋即趕抵故鄉五日後亦如料身亡

[5]   萱椿多作椿萱比喻父母漢牟融《送徐浩》詩「知君此去情偏切堂上椿萱雪滿頭」

[6]   華佗見路邊有人食不下嚥教他到路邊餅店買醋三升混上蒜泥然後飲用路人服後即吐出一條長蛇(即寄生蟲)

[7]   兩歲男孩長年腹瀉藥石無靈華佗往診謂病在母命其服用華佗親研之「四物女宛丸」服後母親乳汁不再寒涼男孩亦不藥而癒

意興

hkucaduceusnet | 47

只可惜人無完壁

「關將軍使君予我手刮骨惡毒走

曹丞相使君予我頭剖顱苦痛收」

「怎能不收怎能不收一命嗚呼萬事休 

簡直荒謬簡直荒謬殺此庸醫未須愁」(8) 

五禽戲尚能傳 (9)麻沸散從此絕 

何不一飲醉死不知世忍氣吞聲事權貴 (10)心神委曲須臾苦奇術失迭千秋計 

烽煙止無改生死事 

且當醫仙謫世間神技終須風裏散 (11)回首仰高山景行請君範 (12)

[8]     曹操欲殺華佗臣下勸之不可答曰「不憂天下當無此鼠輩耶」

[9]     死前華佗欲托所著醫書於獄卒不果便盡數焚毀唯有其養生體操「五禽戲」流傳後世

[10]   《三國志魏書方技傳》「當須刳割者便飲其麻沸散須臾便如醉死無所知」

[11]   唐白居易《簡簡吟》「恐是天仙謫人世只合人間十三歲」

[12]   景行(音航)即大道以高山景行比喻人品德行為之高尚典出《詩經小雅車轄》又東漢鄭玄曰「古人有高德者則慕仰之有明行者則而行之」

ldquothe art of MediciNe was to be properly learNer oNly forM its practice aNd its exerciserdquo - thoMas sydeNhaM

48 | Caduceus September 2011

啟程

清晨空白的天空看不見藍天雲彩

只有溫柔的雨絲和朦朦朧朧的霧水跟隨

著大隊的足印踏上沉重的腳步穿過橫

街小巷和煩囂熱鬧的市場走過自動門

撲鼻的消毒藥水味道讓大家屏住呼吸筆

者和夥伴們終於到達了入讀護理系以來第

一次實習的醫院

還記得在實習的前幾天心情是既忐忑

又期待的畢竟這一次實習的地方不再是

在社區中心宣傳健康方面的知識亦不是

只面對著健康活潑的小朋友和老友記或是

學校課堂上所提供的假人張靜汶卻是照

顧一羣真正需要關懷的病人心中充滿著

憂慮不知自己所學的知識足夠在應用上

嗎自己平日的練習足夠嗎雖然心存在

著不少疑惑但也十分期待可以體會一下

做小學護的感受嘗試把這一年裡所學到

的知識運用出來

很多的第一次

在病房裡總有心酸和膽戰心驚的時

候第一次為昏迷的病人清潔口腔第一

次為難以進食的人插入胃喉第一次為老

公公清洗背上壓瘡的傷口helliphellip照顧他們時

的心情都是一步一驚心生怕自己沒法應

付得來又怕會把事情弄得更糟糕最重

要的是恐怕自己不純熟的技巧令他們受苦

了記得有一回第一次為女病人插入尿

喉採取尿液樣本可能技巧不太純熟的關

係延長了病人的痛苦過程中她皺著

眉頭不斷呻吟又緊張得咬破脣眼看

她樣子心中真的不是味兒來身為病人

的其中之一依靠我們不得不給自己信

心如果連自己也不相信自己哪會有病

人願意把他們交給我們照料呢

捕捉那瞬間的美麗與淒然何麗敏 (N14)

上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

意興

hkucaduceusnet | 49

另外第一次面對病人的心情是頗為

緊張的說話技巧亦有改進的空間但和

病人傾談了數分鐘後氣氛也漸漸變得和

諧可能那些老公公整天呆在醫院裡真是

悶到慌看見一羣年青人與自己聊天照

顧和關心他們他們不禁咧嘴而笑醫院

職員透露有一位老公公平日不太願意吃東

西於是我們便主動和他談天說地又

悉心照料他進食的情況後來他不但胃

口好了不少就連心情也開朗了他生動

活潑的談吐讓我們笑了他回復健康精

神的體魄也讓我們感到安慰

相處片刻

雖然為期一星期的病房日子不是特別繁

忙或是辛勞但是也會有不習慣的時候

幸好得到醫院職員和一班夥伴的支持病

房經理和註冊護士不但相信我們的能力

對學護的包容更是不用多說還主動地介

紹病房的環境和細心地教導我們醫療護理

上的知識讓我們上了一堂實在而又寶貴

的課同時今次的實習也令我感到團體

精神也十分重要在技巧上大家互相提

點互補不足當有人準備照料有需要的

病人如插喉或洗傷口等大家送上一句 

「加油」就能令對方增加不少自信心和正

能量無論遇上甚麼事情我也榮幸有如

此一班學習夥伴從旁支持

學習的階級

在這一次病房實習中雖然醫療和藥物

知識方面有待加強但是我學懂了如何與

不同身份的病人相處之道溝通上也得到

了很大的進步獲益不少除此之外我

也真正體會到如何做一個好護士並清楚

了解這個行業是否適合自己鐘樓也不是

一天就能建成而是需要一磚一瓦搭建而

成的所以在學習上我們不但要打好

穩固的基礎還要增強醫療知識在技巧

上馬虎了事和走捷徑是於是無補的應

該多探究和練習才行這樣才對得起病人

和自己也減少不必要的醫療失當事故

總之多一份認真多一點耐性多一些

愛心就是學護必記的左右銘 上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

ldquoit is reasoNable to expect the doctor to recogNise that scieNce May Not have all the aNswers to probleMs of health aNd healiNgrdquo ndash NorMaN cousiNs

50 | Caduceus September 2011

Fun Corner

Medical AppsEver wondered how your handheld device can save your time and

effort when it comes to studying Here is how

Anatomy Pronunciations by HipposoftAccurate pronunciations of over a hundred important anatomy terms you have trouble with are provided

at your fingertips to help you spell those difficult words Anyone who has taken an anatomy course can tell you how challenging it can be to pro-nounce the names of those complicated anatomi-cal terms It is even linked directly to Wikipedia and Google through web browser for additional information

iPharmacy ndash Pill Identifier and Medication Guide by SigmaPhone LLCAn essential medication guide of 20000+ drugs is provided for con-sumers amp professionals This ex-

pands the image library to include 12000 pill and package images and includes digital drug identifier with official drug information (indica-tions dosage adverse reactions and more) You can check the drugs anywhere

Grades 2 by TapityIt tells you what grades you need in the coming tests in order to get your target grade You can easily calcu-late your GPA so as to maintain it It

is a useful tool helping you to keep an eye on your GPA all the time

Human Anatomy by SusaSoftXThe application provides you with information of 15 different biologi-cal systems You can keep on revis-ing while you are traveling without

carrying heavy books

Medscape by WebMD LLCFrom drug classes interaction clin-ical procedures and even the lat-est medical news Medscape helps medical students and healthcare

professionals to reiterate knowledge that has slipped from the mind It is a free application for iPhone iPad Android and Blackberry Yet it contains more function on Android phones and Apple products and lacks detailed clinical infor-mation for diseases and clinical procedures walk through on Blackberry

Pro Medical Terminology Dic-tionary by TreascoveryTerminology might be a tough work for medical students Even if we can master those English terms we can

hardly think of the Chinese terms This applica-tion can help you when you face this problem Note that it is not a free application

3M Littmann SoundBuilder by 3M CompanyA great tool designed to help im-prove auscultation skills of medical students with 14 unique lessons of

key heart sounds combing text virtual manne-quin 3D cardiac animation and dynamic wave-forms

iRadiology by Liebermans iRadi-ologyAn excellent learning tool for medi-cal students demonstrating classic radiological findings of a multitude

of abnormalities including over 500 radiologic images Radiologic images include CT US MRI and nuclear imaging each clearly labeled and followed by key teaching points

Micromedex Drug Information by Thomson Reuters (Healthcare) IncIs Cephalexin a first generation ce-phalosporin This application from

Thomson Reuters is the easiest way to navigate in the sea of drug names Drugs are sorted by classes and supplemented with rich information

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 4: Caduceus Issue 2, Volume 42

4 | Caduceus September 2011

政 府為堵塞政黨以辭職後再參選搞公投的漏洞提出以遞補機

制代替補選填補立法會出缺議席最初

政府堅拒就立法會遞補機制法案作出修訂

或重新進行諮詢不過隨着兩個律師會先

後以強硬態度質疑機制違憲並要求撤回

法案政府終於在6月28日提出一修訂方

案新方案雖然表面上較為合理但當中

的細節仍然有不少漏洞加上政府立法粗

暴不作公眾諮詢令民怨沸騰導致多

達218萬人於七一上街遊行為去年的3倍

多是2004年以後遊行人數最多的一次

最終政務司司長唐英年於7月4日正式宣布

押後二讀辯論遞補機制的條例草案並於7 

月至9月進行約兩個月的公眾諮詢

政府之前就曾為遞補機制提出不少疑真

疑假似是而非的理據支持究竟當中何

為真何為假讓筆者借此機會跟各位分

析一下各個與遞補機制有關的迷思吧

迷思一合乎比例代表制的精神

相信不少讀者都可能從各大傳播媒體中

聽過「比例代表制」一詞然而你們對它

的認識又有多深呢為了更詳盡的剖析遞

補機制的缺憾請容筆者先花一點筆墨去

解釋一下比例代表制的運作

自  1998  年起香港立法會選舉中地

區直選的席位是採取「比例代表制」中的 

「最大餘額法」產生的比例代表制(Pro-portional representation)是在  1846  年由瑞士學者 Victor Considerant 發明的它適用於多議席選舉現時不少西方國家的選

舉如澳洲的參議院選舉及愛爾蘭的所有

選舉都採用這種方法根據這選舉制度

參選的人必須組成一張張參選名單而選

民投票時的都只會選擇一份參選名單而

不是選舉名單內的特定一個候選人

顧名思義這種選舉方法的特點就

是按各參選名單所獲選票的比例編配議

席舉一個例子若X選區有5個議席

共有10000票有效票則總票數的五分

之一也就是2000票就是「當選數額」

立法會議員遞補機制 方案的迷思李庭翰 (M15)

深入剖析迷思一 比例代表制的議席分配辦法

繼續沿用文中的例子假設有AB及C三張名單參與X選區的選舉分別獲得了

40503500及550的票數那麼議席就會按下表的方法分配

每席需要10000 divide 5 = 2000 票

參選名單 得票 第一輪分配 餘額 第二輪分配 總席數

A 4550票 2席 550票 0席 2席

B 4500票 2席 500票 0席 2席

C 950票 0席 950票 1席 1席

社會

hkucaduceusnet | 5

只要其中一張參選名單的選票達到 

「當選數額」時他們便會取得一席

而剩下的議席將會用「最大餘額法」 

(Largest remainder method)分配該方法是把餘下的票由多至少順序排列得票較

高者便能獲得剩下的議席

總而言之比例代表制的精神就是將一

個議會的議席根據選民的支持度按比例分

配予不同政黨由選民選訂不同立場的政

治光譜這制度既能保障排在名單最前的

人士可以幾乎必然當選同時避免令一些

大黨在選舉中佔有絕對的優勢相對於單

議席單票制它較能保證小政黨及獨立候

選人亦有機會進入議會例如在我們的例

子中廣得選民支持的名單A及B都能得到

兩個議席而得票明顯較少的名單C也可獲

分得到一議席進入議會為市民發聲

政府最初提出的遞補方案是一但立法會

議員辭職去世或喪失議員資格時議席

將由上一次選舉中獲最大餘數得票的候選

人名單的首名未當選候選人補上這方案

明顯地漏動百出令缺乏足夠民意支持

甚至政治立場南轅北轍的候選人都可補

上嚴重扭曲比例代表制中「根據選民的

支持度按比例分配予不同政黨由選民選

訂不同立場的政治光譜」的精神而於6月

28日提出的修訂方案建議讓出缺議席由

同一張名單內的候選人補上這方案雖然

表面上較為合理但細想一層小政黨及

獨立候選人的名單往往只得一人在這情

況下空缺議席依然會由另一張名單的候

選人填補空缺以新界東為例若一人名

單的社民連「長毛」梁國雄議員辭職結

果會由政治取態截然不同的自由黨田北俊

補上這豈非扭曲民意荒謬至極

迷思二合情合理合法

政制及內地事務局局長林瑞麟先前曾

表示經修訂後的方案比較完整可避免

議員作無謂的請辭亦可避免不必要的補

選而且即使有人提出司法挑戰也有信

心能提出足夠理據證實符合憲法因此新

方案絕對「合情合理亦合法」然而此

話當真

從宏觀的憲制角度出發大律師公會早

前已表明遞補機制違反《基本法》第26條

市民享有選舉權及被選權第68條立法會

由選舉產生的規定《基本法》第68條清

楚規定選舉方法將循序漸進最終達至全

遞補機制激發無數的市民上街抗議難到反對的民意還不夠清楚嗎

ldquoNor does aNyoNe pour New wiNe iNto used wiNeskiNs because the wiNe will burst the skiNs aNd both the wiNe aNd the skiNs will be ruiNedrdquo ndash Mark 222

6 | Caduceus September 2011

體立法會議員全面由普選產生而政府提

出的方案居然倒行逆施進一步褫奪市民

行使其選舉權那又有何「法」可言呢

再者為何世界普遍認為民主是一套

較世襲為先進的政治制度呢是因為它最

有效率嗎是因為它最公正嗎都不是

其實民主所能做到的只不過是讓市民能夠

以選票監察議員吧某某議員做得不好

我大不了忍受一段時間下次選舉再以我

的選票把他拉下台換上另一位我覺得勝

任的人選新方案莫名其妙地補上一位議

員市民在上一次的選舉怎知數年後的他

是否依然勝任呢而且選民每次都只能投

一票他如何在一次選舉中既要選出心儀

的立法會議員又能明確交代一旦議員中

途離職應由誰人補上呢新方案根本上就

是與民主的精神背道而馳

迷思三與西方國家看齊

林瑞麟局長又曾指出先進的民主西方國

家亦有類似的遞補機制而經修訂後的遞

補機制基本上能與德國芬蘭波蘭等

國家看齊

然而這一說法未免有點不盡不實事實

上德國的選舉制度既有比例代表制亦有

單議席單票制跟香港只實行比例

代表制不同因此不能作為類比

而且跟據德國聯邦選舉法當同一

名單的替補候選人「用盡」議席

就會懸空而非由另一名單的敗者

替補至於波蘭則大致由同一張名

單中的參選人替補但當議員辭職

後議長其實有權宣佈議席懸空

毋須替補的可見外國的制度是寧

讓議席懸空也不由敗者替補以

防止民意被扭曲

而且即使先進如德國其選舉

制度其實也正受聯邦憲法法院挑

戰因為藉着選票總數按公式計算

所得議席的方法或未能充份反映

選民投票意向有關的遞補方案

會令另一張名單有得票的落選者未能獲得

議席另一方面又有候選人毋須選票便

獲得議席這可能違反德國聯邦憲法再

者即使德國的一套在該地行之有效但

某些該地的選舉制度的細節也不一定適

用於香港需知道德國是一個全面民主的

國家有健全的政黨政治及聯邦自治的傳

統這與香港那四不像的「民主制度」是

截然不同的

引用著名專欄作家

區樂民醫生的說法

「特區政府的方案是

全世界獨一無二的

獨一無二的制度有

可能是出色的但更

大機會是愚蠢的」

結語

綜合剛才的分析不難看出政府提

出的遞補方案是既不合情又不合理

同時亦不合法的請容筆者在此再次引

用區樂民醫生的文字為文章作結 

「我對官員的要求不高只要能以邏輯思

考按常理做事就足夠了為何這麼簡

單的期望也會落空」 

我對官員的要求不高只要能

以邏輯思考按常理做事就足夠了為何這麼簡單的期望也會落空

政制及內地事務局局長林瑞麟表示新方案絕對「合情合理亦合法」然而此話當真

hkucaduceusnet | 7

內 地孕婦趨之若鶩地來港分娩蔚

然成風本港出生嬰兒數目

由零六年的六萬五千急增至

去年的達八萬八千當中

三萬多名嬰兒的父母均非香

港永久居民他們除了擁有

香港永久居留權將來還可

享有教育醫療房屋等多

項社會福利難怪有人形容

這做法猶如廉價投資移民

香港永久居留權變成私營醫

院招徠客人的「贈品」

本地孕婦一床難求

內地孕婦蜂擁來港人

數由零五年的一萬九千人

急升至去年的四萬一千人

令產科床位愈見緊絀有本

地孕婦早至懷孕五六週亦

未能預約私家醫院床位她

們四出奔波身心俱疲不

禁怨聲載道感到內地孕婦

分薄了理應予本地人享用的

醫療服務資源而為確保本

地孕婦得到妥善和優先的照

顧政府於四月公布公立醫

院即時停收內地孕婦希望

在短期內稍稍紓緩本地孕婦

床位緊張的問題

由八間醫院成立的「新

生兒服務關注組」指出以

現有資源及人手編制本港

每年出生嬰兒數字不應超過

七萬五千若是勉強增加服

務量勢必影響服務質素

苦了醫護團隊也苦了病

人終於在六月下旬政府

與私家醫院達成共識將明

年非本地孕婦來港產子數目

定於三萬五千公立醫院將

會預留三千四百名額予非本

地孕婦私家醫院非本地孕

婦來港產子數目則限於約三

萬一千

鋌而走險

部分內地孕婦未經登記

預約及作產前檢查待臨盆

前才到公立醫院急症室求

診由於她們大多缺乏常規

的產前檢查使血壓高和糖

尿病等問題未能及時處理

分娩時媽媽和嬰兒的風險會

大大提高而公立醫院停收

內地孕婦後除了有更多內

燙手山芋簡析內地孕婦來港產子潮李愉欣 (M15)

有本地孕婦抱怨「一床難求」抗議內地孕婦分薄醫療資源

社會

ldquoa hospital bed is a parked taxi with the Meter ruNNiNgrdquo ndash groucho Marx

8 | Caduceus September 2011

地孕婦在臨盆時硬闖急症

室公立醫院亦首次揭發內

地孕婦持偽造醫生紙過境來

港分娩此例一開更可能

吸引一些極端例子以坐監博

取來港產子掀起另一股制

度缺口下的潮流

「私院賺錢公院善後納稅人埋單」

時事評論員林輝認為

私家醫院賺得盤滿缽滿的同

時其實正將其成本外化至

公立醫院以至全港社會首

先私家醫院可選擇接收較

容易處理的個案一旦遇上

奇難雜症便將之轉介往公

立醫院初生嬰兒深切治療

部令該部門工作量大增

床位佔用率高達百分之一百

五十前線醫護人員工作壓

力之沉重可見一斑其次

私家醫院向公立醫院富經驗

的醫生和護士挖角以致人

手大量流失這不但影響公

立醫院的服務質素更令留

下來的醫護人員不勝負荷

形成惡性循環漣漪效應

下醫院其他部門如急症

室等也將間接受影響因

此不單是納稅人全港社

會亦將會共同承受內地孕婦

來港產子潮的代價

誘因

筆者認為內地孕婦來

港產子潮方興未艾原因有

四首先內地實行「一孩

政策」限制每一家庭只生

一個孩子違反《人口與計

劃生育法》除了會被罰款

父母和子女還會喪失許多福

利因此部分內地夫婦會

為了生育多於一個孩子而選

擇來港分娩而九七回歸以

後中港兩地關係愈趨密

切社會融合令跨境婚姻日

益普遍港人內地配偶來港

分娩的數目自然節節上升

再者自零四年兩地政府推

出自由行政策起內地居民

可以自由進出香港簡化便

捷的出入境手續和四通八達

的交通網絡更為內地人來港

產子大開方便之門而最重

要的是孩子獲得香港永久

居民身份後可享有多項社

會福利及更多元化的發展前

景將來亦可舉家申請來港

團聚這對不少家庭來說相

當吸引

長遠影響

由零五年至去年其父

母均非香港永久居民的「港

產內地B」達十四萬人

而隨着他們成長問題將由

婦產科和母嬰健康院延伸到

其他學童健康服務以至教

育醫療房屋政策的規劃

等等筆者認為政府需未

雨綢繆每年重新審視非本

地孕婦配額同時把配額制

可納入整體人口政策的一部

分為多項社福服務進行長

遠規劃另一方面兩地政

府亦需加強執法致力堵塞

不良中介人活動避免未經

預約孕婦直闖急症室分娩等

高風險情況 

參考資料

林輝《香港居民身份不是贈品》二零一一年四月八日刊於明報

《星期日檔案港產內地B》二零一一年六月十二日於翡翠台播出

httpbig5chinanewscom內地孕婦來港產子潮對公立醫院產科及 初生嬰兒深切治療部構成沉重壓力

hkucaduceusnet | 9

最 近虐待動物個案屢見不鮮手法層出不窮光看新聞標題已

令人不寒而慄無法想像施虐者為何能對

可愛惹人憐惜的小動物下毒手在緝兇之

餘亦應反思是甚麼心態及動機驅使他們

做出如此冷血殘忍的舉動

香港人生活壓力大不單是成人就

連小孩都有很多必須面對的煩惱如果沒

有適當的方法紓發情緒調適心情便會

容易導致心理不平衡患上心理病或情緒

病一般人看到別人痛苦會有同理心產

生難受的感覺因同情而伸出援手希望

別人不再痛苦施虐者則相反藉著暴力

行為令別人感到痛苦從而產生刺激快

感而非內疚或罪惡感施虐者利用這種

自私的方法去宣洩情緒將自己的快樂建

築在別人的痛苦身上

虐待動物的人一般懦弱膽小缺乏自

信因此選擇一些弱小無助無反抗能

力的對象發洩情緒令自己提升存在感及

掌握權力流浪貓狗隨處可見施虐者會

以為別人不顧流浪貓狗的死活所以即使

虐待牠們也不會被人發現因此流浪貓

狗容易成為施虐對象當中貓隻反抗能力

較狗隻低所以被虐情況更為嚴重施虐

者當中男比女多可能是由於女權主義高

漲男女社會角色轉移男性無法宣示強

者地位的原始心理更容易使他們做出這

種反社會行為

虐待動物的行為讓施虐者享受虐待的

快感對於殘忍的手段容忍程度會提高

對剌激感的追求亦會增加變得更麻木

不仁直至虐待動物已無法滿足他們的慾

望加上沒有因虐待動物而得到應得的懲

罰令施虐者變得更大膽可能將虐待對

象轉向兒童甚至成人

小動物反抗能力低也不會提出控訴

因此我們有責任去保護牠們看到動物

受虐或懷疑受虐不要漠視或啞忍也不

要只將影片拍下上載互聯網應向政府部

門舉報或向愛護動物協會等機構投訴

《防止殘酷對待動物條例》的最高刑罰是

罰款二十萬元及監禁三年但定罪個案極

小實際判刑大部分只是罰款執行社會

服務令等所以有關當局應提高刑罰令

人害怕受懲罰而約束行為這樣才能達到

阻嚇作用施虐者除了接受應得的懲罰之

餘亦應強制接受心理輔導及愛護動物課

程糾正他們的心理狀況避免重蹈覆

除了殘忍的施虐者遺棄寵物的主人

亦是造成悲劇的幫兇甚至元兇他們

不負責任地把寵物丟在街上把牠們推向

險境失去主人保護的寵物即使不被虐

待也會飢寒交迫甚至遇上各種危險

所以遺棄動物前請切身處地想想流浪貓狗

坎坷的命運 

停一停 想一想正視虐待動物問題郭淑芳 (N14)

反對虐待 尊重生命

社會

ldquokeepiNg a pet is a lifetiMe busiNess aNd coMMitMeNtrdquo ndash aNiMal re-hoMe services

10 | Caduceus September 2011

記 得剛剛入學的時候教授對我們說過「要是你們想賺

錢現在就轉到別科吧這兒不是讓你們

賺錢的地方這兒比其他行業都更辛苦

因為我們掌握別人的生命」醫護界就是

這種行業是一種用心對待病人的行業

人皆有惻隱之心醫生為病人著想是一

件理所當然的事根本不需要去學習如

何行此道這是人自發性的行為要是醫

生不是以心去行醫這是對病人對自己

的專業甚至對作為人的自己也是一種

侮辱但是在日本這種高文化水平的國

家則有孕婦死於拒診醫生對求醫的

人見死不救即使是

我一個只是讀了一

年的醫科生也知道

這是不道德的無

論是以一個專業醫生

的角度甚至於人的

標準來說

二零零八年日

本一名孕婦因為身體

不適而求診結果慘

遭七間醫院拒收

雖然嬰兒平安無事

地出世但這位剛成為人母的婦人卻於三

日後死亡這種情況在日本中不是罕見的

事根據統計日本於二零零七年就有二

萬四千多宗拒收病人的個案情況令人不

安也令人反省這些高知識份子為什麼會

如此冷血大家常常稱讚那些高學歷人士

是「飽讀聖賢書」我可不曾記得聖賢書

有教導我們要見死不救對別人的生死置

身事外特別對於我們這些醫護界的準工

作者更加不能接受人死不能復生既

然我們掌握著別人的生死又怎能如此不

負責任呢看到這些新聞我們作為醫學

院學生亦應對此作出警醒

除了日本之外香港也曾發生過類似

事件而且曾經轟動一時二零零八年

一名患有心臟病的男人於明愛醫院門前病

發他的親友馬上到明愛醫院詢問處求

救院方見狀卻要求對方打九九九求助而

不是即時提供協助當然這件事可能涉

及一點程序上的問題但是人是生規

矩是死救人一命勝造七級浮屠所有規

矩都不及拯救人的性命重要吧令人安慰

的是有一名見義勇為的醫生途經現場

隨即致電急症室並為事主檢查發現他

全無脈搏遂立即進

行體外心臟按摩可

惜最終病人經搶救

後仍是不敵死亡的命

運這件事令人感到

惋惜同時我們亦

應反省醫護人員做事

的態度典型香港人

有一種特別的特性

他們都是「多做

多錯少做少錯不

做不錯」的「信奉

者」當時的詢問處

的值班者可能心怕破壞規定幫助病人後

可能會引起上司不滿對自己的事業有影

響故此遲遲未能下定決心幫助別人可

見醫護人員對病人的同理心不高這亦是

值得我們所反省的

相信仍然未畢業的我們對日後的工

作是抱有一種憧憬有一種熱誠但是

當我們畢業後這股熱血會被忙碌的工作

所撲滅當日的誓言早就置之不理了

「病人的健康應為我的首要的顧念」變成

了「清掉桌上滿滿的病人檔案為我的首要

的顧念」「將要憑我的良心和尊嚴從事

拒收病人何來醫德醫心謝汶珊 (M15)

社會

hkucaduceusnet | 11

醫業」則變成「將要憑我有限的體力和時

間從事醫業」helliphellip更甚者於我們求學期

間已經把病人的健康拋諸腦後了腦子

裡卻放滿了那些不知從哪裡來的肌肉神

經線以及血管等等當腦子的容量用了大

部份來放置anatomy的東西之後餘下來的都放了那些古怪的藥名進腦子去了

哪有閒下來的空間把那些道德經放進腦子

裡但是即使你能夠把那本Grays Anat-omy或者那本大Robbins的所有內容牢牢記在腦子裡沒有醫德你絕對不是一個好

醫生當然沒有任何人規定你的道路

你的選擇然而你的選擇將會影響到別

人的生命社會當然不會奢望每一個醫生

都有當無國界醫生的那一種胸懷但是

他們希望醫生起碼會是一個抱有救活病人

作為使命的醫生

作為一個好醫生並不能帶給你金錢或

者名譽這個世界永遠是行商者才是致富

之道你希望將來得到的是什麼我們都

應該找出自己的答案把它寫下來以免

他日遇上挫折或誘惑會迷失自我仔細想

一想若果你的答案思前想後仍是「錢」

那麼請你認真考慮一下轉科吧「若

果病人沒錢看病作為醫生也要為他看

病也要為他開藥我們沒有權力去把他

們趕走」這就是醫德相信每一個將成

為或者已成為醫務人員的人都曾宣誓過自

己要奉獻一切為人類服務所謂的誓言並

不是用嘴巴說出來罷了一個無法遵守的

誓言只會變成一句又一句的廢話俗語有

一句「狗口長不出象牙」helliphellip

以下是世界醫學協會一九四八年日內瓦

大會採用的日內瓦宣言

我鄭重地保證自己要奉獻一切為人類服務

我將要給我的師長應有的崇敬及感戴

我將要憑我的良心和尊嚴從事醫業

病人的健康應為我的首要的顧念

我將要尊重所寄託給我的秘密

我將要盡我的力量維護醫業的榮譽

和高尚的傳統

我的同業應視為我的手足

我將不容許有任何宗教國籍種族政見

或地位的考慮介於我的職責和病人間

我將要盡可能地維護人的生命自從受胎時起

即使在威脅之下我將不運用我的醫學知識

去違反人道

我鄭重地自主地

並且以我的人格宣誓以上的約定 

ldquoa Merry heart doeth good like MediciNerdquo ndash kiNg soloMoN

12 | Caduceus September 2011

Radiologist

Ophthalmologist

Anaesthesiologist

All roads lead to Rome but have you missed the ROA and D

when it comes to success in medical career

to success

hkucaduceusnet | 13

Anaesthesiologist

Dermatologist

All roads lead to Rome but have you missed the ROA and D

when it comes to success in medical career

to success

14 | Caduceus September 2011

「形影不離」的造影術專訪放射科邱麗珊醫生陳伊樂 (M15) 賀曉琳 (M15)

邱 麗珊醫生於一九八三年畢業於香港大學醫學院並於一九八

六年開始修讀放射科邱醫生不但在東區

尤德夫人那打素醫院身兼前線管理和訓

練多職而且積極參與香港放射科醫學院

的工作我們非常感謝邱醫生能夠在百忙

中抽空接受訪問向各位同學分享一下她

踏上成功路的經歷與待人處事的態度

甚麼是放射科

放射科是利用X光(X-ray)電腦斷層攝影(CT)磁共振成像(MRI)和超聲波造影(Ultrasound)等技術展示患者身體內部結構的影像從而協助診斷和進行治療

當放射科醫生危險嗎

誠然放射科醫生需要經常接觸對身

體有害的輻射可是這門專科有不同的

措施保障我們的安全首先每一個放射

工作者都需要領取牌照此外我們會每

個月檢查掛在胸前的放射量測定器確保

接觸到的輻射劑量沒有超越安全水平當

然有關部門亦會定期檢查儀器確保它

們正常運作

爲什麼你會選擇放射科你對於有意將

來當上你的專科的同學有甚麼建議

選擇放射科純粹是因為爸爸的一句「

放射科適合女孩子」當上放射科醫生之

後才發現事實並非如此放射科是一個重

要的專科幾乎每一個住院病人都需要用

上造影技術但除非做超聲波或介入放射

治療放射科醫生卻好像很少與病人直接

接觸有些醫生喜歡多和病人接觸放射

科便不適合他們了另外放射科正面對

著迅速的科技發展對新科技有興趣的同

學這個專科的確是一個不錯的選擇可

是由於學位有限每年報讀放射科的六

邱麗珊醫生Dr Jennifer Khoo放射科專科醫生

香港大學內外全科醫學士 英國皇家放射科學醫學院院士 香港醫學專科學院院士(放射科)

東區尤德夫人那打素醫院 放射科 部門主管 及 顧問醫生

醫院管理局 港島東聯網 Service Director (Radiology)

香港放射科醫學院 首席副院長 及 科學委員會主席

專題

hkucaduceusnet | 15

七十人當中總會有四五十人因願望落空

而要轉投其他專科我的建議是千萬不要

灰心人總不能夠經常做自己喜歡的事

但一定要喜歡自己正在做的事(You canrsquot always do the things you like but you can learn to like the things that you have to do)

請詳述對你人生有大影響的起落人

事物

人一生中如果能夠遇上一兩位良師益

友在你碰到困難時扶你一把在你迷

惘時給予意見上天就已經算是對你不薄

了而我自己也算是非常幸運有兩位

前輩當上我的引導者一位是瑪麗醫院

的陳富六醫生另一位是澳洲的Professor Michael Sage因為兩位的提點我決定善用自己的長處留在公營醫院參與一些

行政和訓練的工作幫助培訓醫生使更

多病人受惠

你有甚麼人生的哲學嗎是甚麼信念使

你堅持當一名醫生

我認為每個人都需要有自己的優先順序

(priority)對我來說家人和家庭生活永遠都是排在首位縱使我已經涉足到很多

管理方面的工作但病人還是排在行政管

理之前有著清晰的優先順序不管遇到

多大的衝擊都能使自己勇敢面對邁步

向前優先順序或多或少都與個人經歷有

關有部份同行可能會基於不同原因或

許是滿足感或許是工作量而轉投私人

市場我想每個人的價值觀和信念都有不

你對現今醫學院的學生有甚麼寄語叮

習醫是一條漫漫長路少不免遇上困難

和挫折而這些難題往往會轉化成使身心

俱疲的壓力身為醫學生一定要及早學

會如何面對壓力我的忠告是凡事都要

以平常心面對要從錯誤中學習懂得避

免犯上同樣的錯誤要有反彈能力勝過

昨日的自己

醫科生基本上都是能力不錯的一群

(cream of the cream)要好好利用自己的能力為社會作出貢獻 

ldquowheN you are dowN aNd out soMethiNg always turNs up it is usually the Noses of your frieNdsrdquo ndash orsoN welles

16 | Caduceus September 2011

A Discourse with a Female Gold-MedalistInterview with an Ophthalmologist ndash Dr Charmaine HonChariene Woo (M15) Charis Chan (M15)

W hile waiting for Dr Hon at her Central clin-ic the Hong Kong Ophthalmic Associates

we were amazed at how the spacious clinic was crowd-ed with patients When we finally meet Dr Honrsquos big friendly smile made an impression on me as she invit-ed us into her room Despite having a busy schedule Dr Hon is very down-to-earth and eager to provide valuable advice for our fellow schoolmates

Dr Hon started out as a medical doctor and changed to the specialty of ophthal-mology Initially she worked with the public sector fulfill-ing her duties as a doctor re-searcher and teacher at the same time Then she turned to the private sector and joined the Hong Kong Ophthalmic Associates as she feels that she can be more focused on the aspect of patient care ldquoIn public hospitals it is hard to follow up on patient care and it is rare to meet the same patient twicerdquo she reflected ldquobut in the private clinical set-ting I get to know the patientrsquos family and medical his-tory better and I feel more like a doctor by having the ability to follow my patientrsquos progressrdquo

As a recipient of the John Anderson gold medal for the highest aggregate of marks in all the MBBS professional examinations Dr Hon also shares her advice in studying ldquoBasic knowledge is a must but clinical sense is the most importantrdquo and with a smile

she added ldquoyou have to pay attention to your mentors during attachments to hospitals even if you are just ob-servingrdquo But donrsquot think Dr Hon is all about studies She emphasizes that she is not the most hardworking student in her graduating class and suggests medi-cal students to explore outside of the medical world especially in the first two years of study ldquoYou have to have a life outside of medicine and you should do it in

the non-clinical years as there are decreasing chances and time for you to meet non-medically related peo-ple after year 3 onwardsrdquo the ex-member of the Union Choir said ldquoAnd as you come more into contact with different people you learn how to communicate bet-ter which will definitely help your medical career and will keep your life diversifiedrdquo

As for advice to students in clinical years she shares her insights in how to choose your specialty She sug-gests students to look into their strengths and inter-ests and to understand and explore as much as pos-sible in attachments since it is a lot harder to change onersquos specialty nowadays compared to the past ldquoThe most important point is to identify yourself and not to blindly follow the path of others Do not think of future

achievements since what you chose will probably stick with you for liferdquo True enough ophthalmology was not a developed specialty during her times of studies and Dr Hon says she is probably one of the very first gold medalists who pursued it as a career A note to her future female counterparts ldquoYou have to think of your future path and plan accordingly and be ready

Basic knowledge is a must but clinical sense

is the most important

The most important point is to identify yourself and not to blindly

follow the path of others

Feature

hkucaduceusnet | 17

to put your career before marriage Many of us delay our plans of marriage and pregnancy after finishing our specialty fellowship which is at around 30rdquo After hearing this I was very worried but she added ldquoGen-eral practice is also a good choice and there are some females doctors who donrsquot follow this trendrdquo

One of the things that struck me the most is that Dr Hon sticks to the principle of doing everything with all your heart ldquoYou only pass through this life once and when you look back you should not regret what you have donerdquo So when presented with conflicting ideas with her principle what does she do ldquoI reflect and fight for itrdquo she laughs ldquoIt sounds rebellious but as a doctor you have to have a judgment that is best for your patient and you cannot conform to society or systemsrdquo Using the limited consultation time for each patient in public hospital settings as an example she explains that doctors arenrsquot machines and should be able to adjust to different patientsrsquo needs appropriately so to do what is best for the patient ldquoYou should never lose yourself under the system and should always do whatever you think is best for your patientrdquo

When asked about the specialty of ophthalmol-ogy Dr Hon tells us with passion that ophthalmology allows instant gratification and makes a difference to patientrsquos life ldquoMany specialties can make a difference but only a few have a clean-cut immediate effect like ophthalmologyrdquo But ophthalmology is also about hard work and persistence ldquoIn this specialty there is con-stant advancement in the past we do extra capsular extraction but now there are frequency emulsifica-tion and other advancements I am always awed by the senior partners in this clinic who have a strong will to chase and read up on new techniquesrdquo So besides steady hands and good eyesight intellectual curiosity on the latest research is a must if you are thinking of pursuing a career in ophthalmology

Before we parted Dr Hon gave us a final word of wisdom ldquoThis is going to be hard for you two gals but you look tough and yoursquoll survive Since you chose this career path do expect to work very hard as it is not easy but so is every other occupation nothing is ever easy in this worldrdquo

DrCharmaineHon韓尚穎醫生

Specialist in Ophthalmology

MBBS(HK) MRCS(Edinburgh)

FC Ophth(HK) FHKAM(Ophthalmology)

ldquoas you grow older yoursquoll fiNd the oNly thiNgs you regret are the thiNgs you didNrsquot dordquo ndash Zach-ary scott

18 | Caduceus September 2011

奉行完美主義的守護天使專訪麻醉科李靜芬醫生吳瑞麟 (M15) 李庭翰 (M15)

說 起麻醉越野挑戰馬拉松義工無國界醫生你想到甚

麽幾樣風馬牛不相及的東西可以用三

個字關聯起來李靜芬

李靜芬醫生畢業於香港大學醫學院

現於養和醫院疼痛治療門診工作她曾經

加入無國界醫生到南蘇丹服務又是醫療

輔助隊動員主任香港不少的大型活動

例如馬拉松東亞運奧運馬術等都由她

去統籌急救站的運作她又經常舉辦醫療

會議亦於很多地方做義務醫療顧問熱

衷於向公眾推廣疼痛管理與健康的知識

另一方面她是香港全能運動學會醫療顧

問經常參加越野挑戰戶外活動又參

加半馬拉松比賽看完李醫生這麼的一個

簡介實在很難不驚歎好一個「周身

刀張張利」的奇人

人生的轉捩點

其實初中時期的她與醫生根本扯不上

半點關係身為壘球隊隊長在中四的一

次練習中她被壘球擊中一眼從此改變

了她的命運當時全港只有一位眼科醫生

會在晚間應診眼科的醫療設施也不足

令她眼睛流着血水在黑暗中東奔西跑尋找

醫生她由大埔賽馬會診所走到威爾斯

然後到伊莉莎伯再到油麻地終於找到

眼科醫生李醫生由四點奔波到十點令

她深深體會到作為病人的痛苦也從此立

志要做一個醫生幫助有需要的病人

初中時的李醫生每天放學就練球以

致成績中等但自從立志投身醫護她虛

心求教又得到當時的班主任授予時間管

理和讀書的方法成績突飛猛進在短短

六個月間從中等成績進步至模擬考試全

李靜芬醫生Dr Carina Li

麻醉科專科醫生

香港大學內外全科醫學士 澳洲及紐西蘭麻醉科醫學院院士 香港麻醉科醫學院院士 

香港麻醉科醫學院疼痛科文憑

香港醫學專科學院院士(麻醉科)

專題

hkucaduceusnet | 19

級第一她的毅力和決心實在令人佩服

她的傲氣

其後她獲中文大學收作暫取生但她

又再次作出驚人之舉李醫生認為要讀醫

科生物化學科就得好些所以一定要認

真研讀高級程度的生物化學但是人是有

惰性的如果做了暫取生就一定會變得不

思進取讀不好生物化學於是她毅然

放棄暫取生的資格全心全意去考好高級

程度會考李醫生的豪氣決斷她破釜

沉舟的決心她的好勝和哲學令筆者從

心底裏衷心地拜服她

結果她當然考得很好的成績在選擇

大學時她再一次認真考慮自己將來的

路向她生來就有一種使命感覺得一定

要做一樣在任何時候任何地方都最有用

的工作加上她常常留意時事總覺得天

災人禍真的可以隨時發生於是她就選擇

了兩種無論是面臨戰爭還是天災的時候

對所有人都十分重要的工作記者和醫

生她終於入讀了港大醫學院並於九五

年畢業

與麻醉科結緣

實習的時候她特意選擇了一些能夠獲

得較多經驗的部門到投考專科的時候

她也選上了可以接觸很多不同類型病人的

兒科只可惜當時兒科並沒有學額但在

朋友介紹之下知道了麻醉科麻醉科同樣

可以接觸到不同的病人而且無論在甚麽

地方都可以發揮所長正正符合了李醫生

的志向結果她便入了麻醉科

據李醫生所說雖然一般人認為麻醉

科對體力的要求較少適合女孩子但

是現實並不這樣簡單由於麻醉要求一絲

不苟麻醉科的醫生都是完美主義者而

且學習的內容艱深每一種藥物的作用

反應甚至化學結構都要讀得滾瓜爛熟

她形容麻醉科醫生就好像病人背後的守護

天使在手術中要不停監測病人的維生指

數感覺病人的生命就在自己的手中所

以要承受着很大的壓力

作為麻醉科醫生每次見到的都是昏

迷或者沒有意識的病人事實上並沒有甚

麽可以跟病人溝通的機會病人通常感覺

不到麻醉科醫生的付出所以作為麻醉科

醫生未必可以從病人身上得到很大的滿足

感但他們卻比其他醫生更能夠專注地為

病人服務因為每次在手術中只照顧一位

病人

她的叮囑

李醫生叮囑現在的醫學生一定要僅記當

初想做醫生的原因她覺得在這個物質

社會中人是很容易迷失的她感覺到現

在的某些醫學生只為了一份穩定的工作

甚至是因為父母的意見而選擇行醫關於

作為醫生的意義卻從沒有思考過她勸

我們要好好問自己兩條問題人為甚麽生

存於世上作為醫生又是為了甚麼她

認為醫者要有父母心處處為病人而

不是為自己着想作為醫生就是要去服

務幫助人而不是為了求回報我們生

存於世上為的是信望愛並不用時時

記住利益金錢等東西最後她又提醒我

們不可以歧視病人不論是黑社會成員還

是香港首富只要病了就是一個無助的

病人就需要我們的幫助

李醫生思考獨立為人熱情健談跟李

醫生做訪問真的是一件有趣的事又令筆

者獲益良多特別是她有關人生意義的看

法的確值得反思作為醫學生的大家

你又可曾想過為甚麼要生存為甚麼要做

醫生呢

ldquothere is No MeaNiNg to life except the MeaNiNg MaN gives his life by the uNfoldiNg of his powersrdquo ndash erich froMM

在手術中不停監測病人的維生指數麻醉科醫生就好像病人背後的

守護天使

20 | Caduceus September 2011

To Succeed is to Fight Against ComplacencyInterview with a Dermatologist ndash Dr Henry ChanLily Cheng (M15) Andrew Seto (M15)

W ith our scheduled interview being inter-rupted by an emergency case of Stevens-

Johnson syndrome a life-threatening allergic skin re-action to medication Dr Chan rushed to the hospital for his patient

Sitting in Dr Chanrsquos office at his private practice the Hong Kong Dermatology and Laser Centre in the middle of a conference call with his overseas counter-part researchers we saw a pragmatic doctor at work This is a doctor who would never be complacent with his performance but keeps striving for excellence

AmedicalcareerDr Chanrsquos interest in dermatology was sown well

before his exposure to the discipline Having been in-flicted with eczema during his childhood he suffered from an excruciating itch in his skin that caused him much distress As a result of his own medical condi-tion he developed an interest in dermatology at a young age

During his fourth year in medical school he ex-plored an elective in dermatology at Yale University and began formal training in the field He obtained his medical degree and worked for several years in the UK before returning to Hong Kong to work at the Prince of Wales Hospital He then received a grant from the Hos-pital Authority to read dermatology in the UK

Working back and forth between Hong Kong and Britain in and out of universities and hospitals in his early years of practice Dr Chan settled his work base in Hong Kong in 1995 He was Associate Professor of CUHK from 1998 to 2000 and Chief of Dermatology and Associate Professor in HKU from 2000 to 2004

After entering private practice in 2004 Dr Chan now spends a lot less time on doing administrative work and more time on treating patients While he was actively engaged in teaching research and clini-cal work his current focus has shifted to mainly clini-cal work As an honorary clinical associate professor of our faculty he enjoys teaching and values the opportu-nity to cultivate and influence medical students

A renowned dermatologist with a strong research interest in medical devices Dr Chan is still very active in terms of research output His private practice sup-ported by a team of full-time research staff is unique

for its active research component ndash a practice which is well-established overseas but rare in Hong Kong

AsadoctoranddermatologistIn the beginning laser devices were developed to

treat medical conditions such as haemangioma and black moles but technological advancements driven by recent research has explored new possibilities for their applications in cosmetic treatment As a result new cosmetic procedures have appeared for the treat-ment of various conditions from skin rejuvenation to body contouring

While it is true that most dermatological conditions are rarely life-threatening they may nonetheless have a profound impact on patientsrsquo physical and psycho-social wellbeing For instance eczema often presents with rash It may give exudate in serious cases but is rarely fatal Nevertheless it might constitute great dis-comfort and inconvenience to patients Similarly se-vere cases of acne may also diminish onersquos self-esteem Dr Chan stressed that treatments for many skin condi-tions are not merely cosmetic in nature but may im-prove patientsrsquo self-esteem body image and psychoso-cial wellbeing

On the other hand some skin problems such as psoriasis and chronic eczema are incurable It is there-fore the doctorrsquos duty to educate patients and enhance their understanding of their disease One of the re-sponsibilities for dermatologists is to evaluate the im-pact of their patientsrsquo conditions to their quality of life Other than helping them return to their normal routine and diet as far as possible dermatologists also need to teach patients the way to get along with their chronic illnesses

Dr Chan emphasized that we run a profession not a business On this ground a doctor should never tell a patient what procedure they should receive Rather a doctorrsquos role is to explain the options available and provide the relevant information that carry with each procedure including potential risks and complica-tions

Dr Chan reminded us that financial return is only a ldquoby-productrdquo of a doctorrsquos work as a professional Doctors work hard and should be paid for their serv-ices but they should not be more interested in making

Feature

hkucaduceusnet | 21

money than in helping people He believes that shap-ing doctors into commercials in some way jeopard-izes medical professionalism

SuccessRedefinedSummoning his days as a fresh medical officer Dr

Chan recalled the death of the 18-year-old girl inflicted with necrotizing fasciitis who died within 24 hours He bore in mind every complicated case as an alarm to his future practice admitting that there is always room for him to improve

Quoting the professional golfer Jack Nicklaus Dr Chan reminded us that ldquocomplacency is a continuous struggle that we all have to fightrdquo It is easy to let our guard down but doctors have to be responsible for their patients all the time It is demanding but impor-tant for every medical professional to be vigilant and maintain onersquos standard at the top level He believes that good doctors should keep themselves in an appro-priate amount of stress and tension which keeps them mindful of their patientsrsquo needs

When asked about his rules for success Dr Chan emphasized that he does not feel he has attained his goal yet He feels that he may have had a decent start but it is inappropriate to judge his career before his retirement as he is still in the middle of his career To him it is far too early to define success Despite his change in roles over the years he still maintains his enthusiasm and passion that motivate him to do his best whether it be research teaching or clinical work

As far as medical students are concerned Dr Chan doesnrsquot see the urgency of deciding our future spe-cialty yet Medical school gives us a broad and general exposure to various fields and offers a good place to learn and gain experience sharpening our skills before serving as doctors We could still explore more in our senior years to come

ldquoFollow your heartrdquo Dr Chan gave us as a conclud-ing word He believes that the so-called ldquoROADrdquo to success is not really that important if one does not en-joy onersquos profession Listen to yourself and ask whether you really like your job

DrHenryChan陳衍里醫生

Specialist in Dermatology and Venereology

MBBS(London) MRCP(UK) FHKAM(Medicine) FRCP(Glasgow)

FRCP(Edinburgh)

Hon Professor LKS Faculty of Medicine HKU

Hon Consultant Dermatologist QMH HKSAR

Visiting Scientist Wellman Centre for Photomedicine USA

ldquoirsquoM a firM believer iN the theory that people oNly do their best at thiNgs they truly eNjoy it is difficult to excel at soMethiNg you doNrsquot eNjoyrdquo ndash jack Nicklaus

We run a profession not a businesshellip [doctors]

should not be more interested in making money than in

helping people

22 | Caduceus September 2011

Art and Medicine Seeing Diseases in ArtHow art masterpieces reveal medical conditionsAndrew Seto (M15)

F or centuries art historians have been mesmerized by

the enigmatic smile of Mona Lisa coming up with theories that range from the mundane to the bizarre Was she a silk merchantrsquos wife or a self-portrait of Leonardo da Vinci himself Was she pregnant An adulterer Leonardo da Vincirsquos se-cret male lover The theories never cease

BehindMonaLisarsquossmileHighcholesterolIt turns out that Mona Lisa had

ldquovery high cholesterolrdquo at least ac-cording to Vito Franco a Sicilian professor of pathological anatomy A medical expert who enjoys study-ing art masterpieces for evidence of diseases Franco concluded that Mona Lisa had xanthelasma (the accumulation of cholesterol under the skin) Indeed a closer look at her mysterious face does show a yellowish collection around the in-ner corner of her left eye He even found evidence of lipoma (a fatty tissue tumor) on her right hand Probably the least poetic finding for the most renowned beauty in Renaissance art

This was not the first time medical experts have associated Mona Lisa with clinical conditions Charles Bell the 19th century Scot-tish surgeon who discovered Bellrsquos palsy a form of facial paralysis resulting from facial nerve palsy once coined the term ldquoMona Lisa syndromerdquo This was a reference to the facial muscle contracture that develops after Bellrsquos palsy resulting in a ldquoMona Lisa-like smilerdquo

Mona Lisa Xanthelasma or just a blotch by mistake

Insight

hkucaduceusnet | 23

Hardly would Parmigianino have known that the long slen-der fingers and limbs of Madonna with the Long Neck was the result of a genetic disorder called Mar-fan syndrome And of all the things that crosses onersquos mind upon first glance of Caravaggiorsquos Sleeping Cu-pid the notion that the baby was inflicted with juvenile rheumatoid arthritis would be hard to imagine Franco claims that his goal was to expose the human vulnerability of the people depicted in art

MichelangelorsquosgoutykneeAnother subject who has been

scrutinized by medical experts is Michelangelo Renaissance painter and sculptor Scholars looked at his knee from Raphaelrsquos School of Ath-ens and concluded that he suffered from gout a form of inflammatory arthritis that occurs when crystals form in the joints

Based on the appearance of his knee which appears swollen en-larged and covered in hard lumps a diagnosis of gout seems plausible It was known that Michelangelo de-veloped various diseases during his life In his writings he complained of having kidney and bladder prob-lems In 1549 he had an episode of anuria followed by passing of grav-el and stone fragments in his urine

Many experts believe that Michelangelo like many of his contemporaries developed gout from lead poisoning A well-known workaholic Michelangelo con-stantly lived off a diet of bread and wine (processed in lead contain-ers at the time) and was frequently exposed to lead-based paint All evidence points to lead poisoning which promotes kidney damage and inhibits uric acid excretion causing it to build up in blood This predisposed him to gout precisely as depicted in Raphaelrsquos fresco

RenaissanceArtandNeuroanatomyLike Leonardo Michelangelo

was not just an artistic genius but also a great anatomist At 18 he be-

Michelangelorsquos knee from the school of atheNs by Raphael (c 1509-1510)

Madonna with the Long Neck Was it Marfan Syndrome

Juvenile rheumatoid arthritis

ldquoall art is autobiographical the pearl is the oysterrsquos autobiographyrdquo ndash federico felliNi

24 | Caduceus September 2011

gan dissecting cadavers in a mon-astery in Florence where he honed his technical skills and knowledge of the human body

According to neuroscientists Michelangelo disguised sketches of the human brain in his famous Sistine Chapel ceiling painting which has remained unnoticed for 500 years His fresco The Creation of Adam shares a striking similar-ity with the sagittal section of the brain The fold in the cape repre-sents the Sylvian fissure separating the frontal and parietal lobes You may even recognize the angelrsquos foot as the pituitary gland his thigh as the optic nerve and his leg as the optic tract And that sassy green robe running down the ponsmdashthatrsquos the vertebral artery

Look at Godrsquos neck in The Sepa-ration of Light from Darkness from the same fresco Art historians have long speculated that its lumpy ap-pearance represents goiter Yet medical experts have found an ac-curate picture of the brainstem and spinal cord in Godrsquos throat stun-ningly similar to the creases and crevices of the brain

Yet why would Michelangelo embed the brainstem in Godrsquos throat Was he alluding to Godrsquos wisdom or was it a form of protest to the Church After all dissecting cadavers was considered unethical at that time and for an anatomist like Michelangelo who fell out with the Pope while painting the Sis-tine Chapel ceiling could he have been painting anatomical images directly above the chapel altar in defiance to the Church

Artandophthal-mologyHowvi-sionchangesartClaude Monet is recognized as

one of the founders of the Impres-sionist movement but his vision got cloudy during his later years He wrote letters to friends describ-ing his growing frustration with his vision changes He was even forced to memorize colours on his palette

the creatioN of adaM by Michelangelo (c 1511)

the separatioN of light froM darkNess by Michelangelo (c 1512)

hkucaduceusnet | 25

and label tubes of paint Red began to look muddy to him and he saw his painting as becoming ldquoincreas-ingly darkenedrdquo Whenever he com-pared his paintings with his earlier works he would be sent into a tow-ering rage to destroy them

This was because he had cata-racts Cataract patients have yel-lowing and opacification of the lens so his vision essentially be-came more brownish The yel-lowish brown cataracts he looked through filtered out violet and blue shades Monet underwent two eye operations in 1923 after which he returned to his old painting style even throwing away some of his paintings and repainting them

Thesufferingart-istDepictingill-nessesinartPerhaps no one better personi-

fies the notion of a ldquosuffering artistrdquo than Vincent van Gogh Clinicians have posthumously diagnosed him with a range of medical problems including epilepsy schizophrenic and bipolar disorder His later works have long been noted for his preference for the colour yellow and some have speculated that this was related to his yellow vision

One theory was that van Goghrsquos doctors prescribed him with digi-talis to treat his epileptic seizures His painting Starry Night has yel-low circles around the stars and not surprisingly people with digi-talis overdose often see a yellowish halo around objects Other experts speculated that it was his addiction to absinthe that led to his yellow vi-sion Absinthe is a highly alcoholic drink that contains a highly psy-choactive neurotoxin called thu-jone which causes yellow vision

Van Gogh was not the only art-ist who projected his illness into his art Edvard Munch had tuber-culosis and spit blood as a boy Her mother died when he was five her sister spent most of her life in-stitutionalized for mental illness and his brother died of pneumo-

nia Munch may have depicted his own psychotic state of mind in The Scream which portrays a twisted agonized creature wracked with anxiety and horror

ConclusionDo these findings actually

prove something or are we over-analyzing artworks with our medi-cal knowledge Exactly what ben-efit would these discoveries have for the world at large is unknown At least we know it could lead to yet another interpretation for Mona Lisarsquos smile the result of a scrump-tious meal of pizza and pasta with cheese tomato sauce and meat balls before sitting for her portrait (which would certainly also explain her cholesterol problem)

Two pictures by Monet of the same Japanese bridgemdashthe first painted in 1899 the second between 1918 and 1922 revealing a dramatic loss of shape and detail

suNflowers by Vincent van Gogh (1888) the screaM by Edvard Munch (1893)

ldquoeverythiNg that we see is a shadow cast by that which we do Not seerdquo ndash MartiN luther kiNg jr

26 | Caduceus September 2011

The End is Near Apocalyptic TheoriesRead more to learn about the terrifying future that awaits us Chariene Woo (M15)

S urge of waves rush over the mountains with unstop-

pable speed engulfing and shatter-ing our homes Flaming asteroids rain from the sky causing roads to crumble like sheets of paper Peo-ple running away from burning cities screaming fearfully Civiliza-tion ruined in matter of mere sec-onds Is this what the future lies for us

Nobody knows

Apocalyptic literature and movies have always raised interest among the general public partly

because it involves the end of our world as we know it and partly due to the fact that there is no solid proof how an apocalypse would come about The interest has re-cently skyrocketed with rumors about the world ending on 21st De-cember 2012 about how the May-an calendar finishes at that specific time and how it will be the end of the world as we know it So the big question is when and how will our world end

NostradamusProphetofDoomNostradamus of France was

one of the worldrsquos most famous seers and is most well known for Les Propheties (The Prophecies) a collection of his major long-term prophecies written in quatrains Many of his prophecies have cor-rectly predicted current events including the destruction of the space shuttle Challenger the death of Lady Diana and the destruction of Twin Towers of the World Trade Center As a result of these predic-tions he has been given the nick-

How do you survive the apocalyptic world

Insight

hkucaduceusnet | 27

name ldquoThe Prophet of Doomrdquo

Nostradamusrsquo prophecies have huge room for interpretation speculation and controversy and some people think his writing has no merit at all The following is an example of a quatrain alluding to some sort of environmental disas-ter in the future

ldquoFor forty years the rainbow will not appear

For forty years it will be seen every day

The arid earth will grow more dry

And great floods when it will be seenrdquo

(Century 1 Quatrain 17)

In other quatrains images of great comet alien invasion and nu-clear contamination are also men-tioned so these could all be the prospects that are waiting for us in the future Despite Nostradamusrsquo ldquoaccurate predictionsrdquo of what had happened in the past the quatrains do not have a specific order So out of all the disasters predicted in the many quatrains it is uncertain which will happen where or when giving it less importance in predict-ing an actual apocalypse

PlanetXAccording to Nancy Lieder a

woman who claims to have been contacted by extraterrestrial life forms Planet X (also known as Nibiru) would come close to planet Earth on May 27th 2003 resulting in the Earthrsquos rotation ceasing for 59 terrestrial days The Earthrsquos pole will then undergo a physical polar shift due to the magnetic attraction between the Earthrsquos core and the magnetism of the passing planet This will ultimately lead to the dis-placement of Earthrsquos crust and the end of us But when this did not happen the event was postponed and re-dated to coincide with the Mayan calendar hysteria

NASA argues that this is merely an Internet hoax with no factual or scientific basis They explain that if Planet X was approaching Earth astronomers would have

been tracking it for at least the past decade and the planet would now be visible by the naked eye This is a very comforting bit of news Yet some people believe that NASA is part of a conspiracy to cover up the existence of such planet and keep the truth of impending apocalypse from general public Again the ar-gument can go either way and the ldquotruthrdquo depends on which side you choose or want to believe in

2012TheendoftimeSo what is so special about the

year 2012 There are claims saying that the Mayan calendar ends on 21st December 2012 and that will be the end of time for mankind However just like every calendar it merely rolls over to the new year on that date and it doesnrsquot signify anything special In the Mayan cal-endar 21st December 2012 will be the end of brsquoakrsquotun 13 and marks the start of brsquoakrsquotun 14 A brsquoakrsquotun is 144000 days (a little more than 394 years) and there is no archeological or historical evidence to show that the Mayans expected anything sig-nificant or drastic to happen at the

end of each brsquoakrsquotun

However there exists litera-ture that suggests otherwise In 1975 Frank Waters the author of the book Mexico Mystique identi-fied the 13th brsquoakrsquotun interval to be the ldquoMayan Great Cyclerdquo where it ends in the worldrsquos destruction and rebirth Waters claims that cata-strophic earthquakes will destroy the world but he miscalculated the date and announced that the end of the ldquoGreat Cyclerdquo would be on 24th

December 2011 AD

The year 1987 marked an in-creased in interest regarding the prophesized big event in 2012 The author of The Mayan Factor Path Beyond Technology Jose Arguelles linked the 13th brsquoakrsquotun period to a ldquobeamrdquo that links people the plan-et the Sun and the center of Galaxy According to Arguelles the beam is the key to harmonic resonance in the universe and the Mayan knew when we would enter and leave this beam hence set their 13th brsquoakrsquotun to mark our passage accordingly He also claims that this beam could advance the development of any-thing with DNA hence creating a more positive view of the future

V838 Mon a star with expanding light echo purported as photographic evidence of Nibiru

ldquoevery MaN dies Not every MaN really livesrdquo ndash williaM wallace

28 | Caduceus September 2011

No one can be sure of whether the end of brsquoakrsquotun 13 signifies something great or disastrous for us or if it is just another restart in the Mayan calendar We can only know for certain when the day ar-rives

GodrsquosplanforusThis is by far the most detailed

and terrifying image portrayed out of all apocalyptic claims that I have gone through The Book of Rev-elation from the New Testament reveals signs of apocalypse through a wide variety of symbolism One of such is the frightening image of the ldquofour horsemenrdquo

ldquoAnd I saw and behold a pale horse and he that sat upon him his name was Death and Hades followed with him And there was given unto them authority over the fourth part of the earth to kill with sword and with famine and with death and by the wild beasts of the

earthrdquo (68)

The pale horse carries the horseman of Death which is be-lieved to release global plague and pandemics to the world and take the lives of a quarter of the popu-lation This has already manifested

itself in many forms in different parts of the world at different times hence the first sign of apocalypse is said to be already happening among us

In similar manners the bible describes the arrival a black red and white horsemen represent-ing the delivery of global food shortages war and conflict and the coming of an antichrist to the world From historical genocide terrorism to increased occurrence of food shortages so often seen nowadays it seems that the red and black horsemen has arrived as well and now we are just waiting for the arrival of an antichrist to conquer us

The Book of Revelation also provides readers with a glimpse into the ldquoactionrdquo in how the world will end

ldquoAnd I saw when he opened the sixth seal and there was a great earthquake and the sun became black as sackcloth of hair and the whole moon became as blood and the stars of the heaven fell unto the earthhellipand every mountain and is-land were moved out of their placesrdquo

(612-13)

Besides the great earthquake and the darkening of the sun there is a repetitive mentioning of stars falling from heaven on earth in the Bible This is postulated as the at-tack of massive meteors on planet Earth Out of all prophecies in the Book scientists assume this to be the most likely since an asteroid impact at a scale as large as that may have already wiped out an entire species that came before mankind Scientists believe that showers of space rocks that rained down 65 million years ago (due to the collision of Near Earth Object) were the culprit for the extinction of dinosaurs Luckily NASA recent-ly launched an early warning sys-tem called ldquoSpaceguardrdquo that aims to monitor such Near Earth Objects to prevent future collisions and ex-tinctions

Having read the above the Bible seems to combine all the horrifying specifics in different apocalyptic speculations into one nightmare But donrsquot worry since there are many different interpretations of the Revelation Historicists are the ones who see the Book as a broad view of history (good news wersquove already escaped all the horrors in the depiction) whereas Futurists

believe the description as prophecies of the fu-ture The Idealists hold the belief that the Rev-elation does not refer to actual people or events which makes sense as the Bible is often not inter-preted literally So fingers crossed that the Revela-tion is not interpreted in the futurist way because in that way there is going to be a daunting future awaiting us

Four horsemen of Apocalypse

hkucaduceusnet | 29

ldquoDevolvingrdquoEarthTheoryThis is probably the

most scientific theory that I have come across so far from a news article pub-lished from ABC News A group of scientists from University of Washing-ton hypothesized that the Earth will gradually de-volve in the next half bil-lion years In short their logic works as follows

As we all know the sun is constantly grow-ing bigger yet the Earthrsquos environment has been reasonably constant This is because as the sun is warmed up carbon diox-ide from the atmosphere is removed and deposited in soil as carbonates This keeps our environment stable by the balance be-tween an increasing sun and reducing carbon di-oxide in the atmosphere (Note that global warming resulting from an increase carbon dioxide in atmosphere is just a brief blip in the grand scale of things) Since carbon dioxide is the ldquofood of liferdquo the reduction will cause plants and animals (including humans) to die To battle the rising heat some creatures will retreat into the sea hence reversing the evolutionary process And as the sun continues to expand the Earth will become so hot that even the oceans will gradu-ally be evaporated Eventually the sun blasts off its mass through ther-mal pulses engulfing the Earth

This is a very scientific specula-tion from an astrophysicistrsquos point of view and they claim that at best we have no more than half a billion years left This might be more reas-suring for some of us as the world will not end in the near future But the grief lies in the inevitability of our planet Earth coming to an end

Everythingthathasabegin-ninghasanendSo we are back where we start-

ed With more speculation and the-ories and still no closer to the truth The end could happen any day or time or maybe it could be a proc-ess that is already happening Even though it is not to the scale of an-nihilation of the human race hur-ricanes and earthquakes and car crashes have already been stealth-ily taking the lives of millions We know for sure that we must die eventually through chance old age or disease There is only very little we can do to fight against what has been planned for us and reducing the resources we consume is the best chance that we have in delay-ing this happening There might be some benefit if we know the in-sights of when and how it will hap-pen but really it doesnrsquot change anything Moreover it is possible that these speculations came about to force mankind to live life to the

fullest to treasure each day and every resource we have as a gift so it doesnrsquot matter which theory is the accurate one In the midst of these theories about apocalypse all we can do is to live every day as if it was our last with no regrets and enjoy life as it is now

ReferncesThe End of the Worldhttpwwwnostradamus101compropheciespart4P7

The Great 2012 Doomsday Scare httpwwwnasagovtopicsearthfeatures2012-guesthtml

When Will the World End New Theory EmergeshttpabcnewsgocomTechnol-ogystoryid=97756amppage=2

2012 Beginning of the End or Why the World Wonrsquot Endhttpwwwnasagovtopicsearthfeatures2012html

Video from history channel (from youtube link)httpwwwyoutubecomwatchv=BoTExQEyblU

ldquothe MeaNiNg of life is coNtaiNed iN every siNgle expressioN of life it is preseNt iN the iNfiNity of forMs aNd pheNoMeNa that exist iN all of creatioNrdquo ndash Michael jacksoN

30 | Caduceus September 2011

笑的神奇魔力「當你笑你改變了當你改變了整個世界也改變了」

麻丹卡塔利亞醫生(大笑瑜伽的始創人)何麗敏 (N14)

被隱藏的笑容

日 本大地震及核洩漏事件馬頭圍道唐樓火災三死十九傷中區

警長為勸示威人士中不慎失足墮橋身亡

各政黨爭相你嘲我罵helliphellip在城市裡我們

每天都被一些飛來橫禍天災人禍或社會

爭執的信息圍繞著充斥著愁雲慘霧的氣

氛甚至在家庭朋友學業工作和

健康方面我們亦會遇到不如意之事負

能量和心理壓力不斷增加沒有適當的疏

導和發洩方法之下不少人染上酗酒或沉

迷賭博等壞習慣來自我麻醉長期把情感

抑制的一些人更有機會患上

情緒病我們彷彿硬把自己

困在死胡同裡忘記兒時怎

樣整天咧嘴哈哈大笑如何

在跌倒後笑著站起來現

在很多人都像被魔鬼牽著

鼻子走每天板著一副無奈

沮喪的嘴臉掛上冷漠的眼

神笑聲更差不多成為絕

朋友啊你可有嘗試計

算過一天總共大笑了多少

次英國格拉根大學研究發

現在英國嬰兒每天會笑

達三百次而青少年時期的

每天大笑次數大幅減至六

次五十多歲的人平均每天

更只笑了三次無可厚非

我們在成長過程中必遇到愈來愈多的煩惱

和挑戰事情的確不是我們所能控制但

面對的心態我們為何不能放開一時所謂

的包袱像孩子般笑著面對呢為甚麼大

笑要有一定的理由或被時間限制呢

瑜伽加愉

近半個世紀工作學業和情緒波動

很大生活方式變得愈來愈物質主義容

易出現精神緊張大家都被壓得透不過氣

來變得不太愛笑在一九九五年印

度孟買註冊家庭醫生麻丹卡塔利亞(Dr Madan Kataria)創立「大笑瑜伽」以笑聲驅除怨氣大笑瑜伽是以笑聲互相交流

的透過眼神接觸傳遞歡樂的信息學習

別人的笑容代入孩童的心態再全情投

入地開懷大笑同時亦融入瑜伽的腹式

不妨一試

大笑瑜珈三式一預備式林中步行

在樹林慢走就是愛笑瑜伽的熱身方式步行時間

可以是10-30分鐘邊走路邊拍手同時不時地做深呼

吸目的是讓身體和情緒都徹底放鬆下來為後面的

內容做好準備

二進行式學習動物的表情

在瑜伽導師的帶領下活動面部肌肉然後模仿瑜

珈導師的動物表情這些表情看上去本身已很滑稽

只要按照瑜伽師的樣子去做再發出笑聲

三結束式調整呼吸

經歷了一場大笑面部表情鬆弛了心情也舒服

了不少大家慢慢收回笑容調整呼吸一邊在森林

裡散步一邊大聲告訴自己說「我們是世界上最快樂的

人」

灼見

hkucaduceusnet | 31

呼吸和伸展動作鼓勵大笑達至身心健康

的效果精神科專科曾繁光醫生指出 

「笑令腦自然分泌天然多巴胺以抗衡人

體緊張時所分泌的皮質醇預防患上焦

慮抑鬱的情況」除了改善情緒還能

促進健康笑能促進肺部呼吸功能和加強

血液循環現代醫學認為笑可以成為一種

治病方式治療神經衰弱消除肌肉的緊

張預防或減緩疼痛

筆者在此並不是宣傳大笑瑜伽其治

療成效仍有待商榷和科學實證但愈來愈

多人證實大笑和保持歡樂的心態能有效放

鬆自己張立新先生是第一位在中國推廣 

「大笑瑜伽」的人他患上憂鬱症遍尋

各種治療方式皆無成效一次機緣巧合

從網路接觸「大笑瑜伽」亦在電視上看

到介紹而開始學習和練習他的憂鬱症因

此不藥而癒從此他就開始在中國研究和

推廣愛笑運動暫且別論大笑瑜伽的奏效

程度但人生所遇到的事可真不少何不

笑對人生

尋回被遺忘的赤子之心

大笑並不是靈丹妙藥但它的確能帶來

正能量即使事情有多糟糕笑著面對總

比怨聲載道好而且美國加州大學柏克

萊分校心理學教授丹卓凱納說「笑對

人的進化很重要」目前心理學家們認

為笑是人類之間交流的古老方式之一笑

能互相影響把歡樂的氣氛傳染開去嬰

兒還未學懂說話時笑是與身俱來為何

我們長大後卻隱藏笑容呢朋友們參考

左頁所列大笑瑜伽的基本招式大家可相

約三五知己輕鬆一番找回孩童時的笑聲

大笑瑜伽的始創人麻丹卡塔利亞醫生

大笑瑜伽在六十多國家盛行

ldquolaughter is the best MediciNe - uNless yoursquore diabetic theN iNsuliN coMes pretty high oN the listrdquo ndash jasper carrott

32 | Caduceus September 2011

Learning Experiencing GivingA magical 10-day journey away from the cityErin Yeoh (M15)

C lad in backpacks light clothing and sneakers 21 medical students from HKU and CUHK

were prepared to leave the comforts of home and the internet (did I hear Facebook) We were bound to Chi-na about to embark on a learning-cum-volunteering trip organized by Medical Outreachers

After saying our final goodbyes at the Shenzhen air-port we split into two teams Team A with 9 members were bound to Xirsquoan where they would see volunteer orthopedic surgeons at work The 12 people in Team B including me left for Guizhou to understand the role of village doctors in rural China Both teams aimed to find out the effectiveness of public health policies in rural areas of China We were to meet up 4 days later at Dongshan Guangdong

Part1GuizhouUpon landing in Guizhou we were provided with

excellent hospitality by the local officers and the lo-cal NGO Amity Foundation We were given a brief introduction to Guizhou and also the work that the government and Amity Foundation were doing in the province Amity Foundation actually helped to build numerous new village clinics to improve the quality of healthcare in the region

The next day we were taken on a tour around the province visiting different village clinics (村診所) lo-cated in areas further away from the city Usually there would be one or two village doctors (村醫) on duty

at a time to attend to the villagers with population of around 1000 to 4000 per village

However the village doctors were not the type of ldquoheroesrdquo I had in mind They were not your typical doctor working in a worn out run-down wooden hut where there would be a row of sick villagers lining up to see them How ignorant I was In fact the village clin-ics were mostly renovated and well equipped with ba-sic amenities The standard village clinic has 5 rooms main lobby (大廳) treatment room (治療室) pharma-cy (藥房) observation room (觀察室) and a doctorrsquos rest room (醫生休息室) Furthermore their patient flow was rather small sometimes only one or two pa-tients per day This was probably due to the fact that some village clinics were located only a stonersquos throw away from major cities Those in a medical emergency would of course go straight to the main hospital to seek help immediately instead of consulting a village doc-tor

To be a village doctor one at least had to be a sec-ondary school graduate They would also undergo constant training and certification by qualified doctors in larger clinics According to the village doctors they spent most of their time doing paperwork keeping track of the villagers and their medical history They would also conduct regular home visits to those suf-fering from chronic illnesses or those that needed con-stant monitoring such as patients with hypertension or rheumatoid arthritis Another point that I found

A village clinic before receiving funding from Amity Foundation

hellipand a comparison after

Life

hkucaduceusnet | 33

interesting was that they would also visit families with newborn babies to check on their general health At the same time they would educate mothers on proper breastfeeding techniques and how to provide adequate nutrition for their children in the future

To learn more about their daily routine we fol-lowed a village doctor on his home visit rounds The doctor would sometimes have to travel as far as 2 kil-ometers for a home visit which would be the other end of the village This was as in the case of a pregnant lady due for delivery soon (photo as shown below) The doctor who came to check on her health status reas-sured her that her delivery would be a successful one From her sigh of relief and tired smile we could tell that she was grateful to see the doctor

However things didnrsquot always run as smoothly According to some of the village doctors they used to be scolded and rejected by the locals who did not understand why the doctors would often come up to their doorsteps asking them questions regarding their health and pestering them to go for checkups Some of them being superstitious would think of doctors as ldquoharbingers of bad luckrdquo as the doctors would talk about ldquosicknessrdquo and ldquodiseaserdquo when they were actu-ally feeling as fit as a fiddle Thankfully the situation has much improved since then

From what we saw instead of playing a curative role in a society the village doctors were actually much more involved in disease prevention and monitoring

This is actually the ldquoupstream modelrdquo concept in pub-lic health Instead urban doctors are overwhelmed by limited consultation time and when fatigue kicks in they simply do not have the energy to further educate their patients They would also not have the time to un-derstand their patients on a personal level unlike that of the village doctors

However the indiscriminate use of antibiotics in China was truly a frightening sight Doctors adminis-tered antibiotics intravenously for mild diseases like the common cold When we asked the doctors as to why they did so they simply smiled and shrugged off the question It is probably still a common practice in China and if the doctors did not give such medication the patients would probably lose trust in the doctor The fact that the similar practices were seen even in large hospitals probably indicates that this problem is hardly a localized one

Part2DongshanGuangdongWe met up with the team from Xirsquoan at the

Guangzhou airport and proceeded to our next desti-nationmdashDongshan After 5 hours of car ride we began to see signs that we were approaching our destination Mountains sharply angled clustered in twos or threes fondly known as ldquoMcDonalds mountainsrdquo were begin-ning to be in sight

As soon as we arrived we were greeted by eager curious young faces The children huddled close by as we unloaded our luggage some commenting that they hadnrsquot seen some of us while others were already play-ing around with the past participants It was my first time to Dongshan but there were some of us who were not new to the kids there

After settling down we were given an introduction to Dongshan and its residents by the local NGO Green Action Foundation led by Mr Wong

Located at the outskirts of the province Dongshan is one of the 4 poorest areas in Guangdong Its natu-ral terrain abundant in limestone makes it especially hard to retain water This has taken a toll on the resi-dents especially during the drought season Another problem faced by the local residents is that there are many young people and adults migrating to big cities to earn a living leaving behind the children and elderly

Village doctor on one of his home visits

Discarded bottles of intravenous antibiotics near the village clinic

ldquoMediciNe also disregards NatioNal bouNdariesrdquo ndash irviNg laNgMuir

34 | Caduceus September 2011

at home

Green Action Foundation took the initiative to plant trees around the area so that more water was available for irrigation and domestic purposes This improved the quality of their crops and boosted their source of income They also sponsored some of the

childrenrsquos education depending on their performance in school to ease the burden on their families

The next few days were jam-packed with activities A sports day was held as an icebreaker so that the new participants could get to know the children better We also spent half a day at the Dongshan Primary School where we taught the kids personal hygiene simple first aid moral education and also sex education for the grade 5 and 6 students

Another interesting activity that we had was a weed-cutting session up at a mountain with the other children Each of us was assigned with 2 to 3 chil-dren who were supposed to ldquoguiderdquo us along the way It was a 2-hour hike up and down hilly ter-rain While I would stop once in a while to take a breather the kids were barely panting The kids would often stop to ask if I was tired and even of-fered to help me carry my backpack Note to self more exercise next semester

Nevertheless it was a great chance to know the kids better We had the time to chat about their school life and what they thought about their future and also the chance to share snip-pets of our lives in the city

We then split into small groups and visited the homes of the children in order to gain a bet-ter understanding of their household hygiene

condition any medical conditions in the family as well as their economic standing We had also prepared questionnaires to be kept as future record Some of the families were very poor to the extent of having no source of income at all They depended solely on their own crops for food If they went to see the doctor they would usually owe the doctor money until they had

enough money to pay back The hygiene status of the villagers varied but most of them had swarms of flies around food Many even had their live poultry like chickens running around the house Before we left we gave them some hygiene products like soap washing detergent and toothbrushes to encourage better hy-giene We also gave them a poster explaining ways of maintaining a clean household environment

Another main focus of the trip was to find out the effectiveness of a medical insurance policy newly in-troduced by the government Each person had to pay 30 Renminbi annually to be guaranteed free medica-

Sports day activity

Weed cutting with the children

hkucaduceusnet | 35

tion and hospitalization thereafter Generally the vil-lagers were grateful for this plan as many found it dif-ficult to afford medical fees while struggling to pay for

basic necessities at the same time However some vil-lagers complained that the prices of medicine spiked after this policy was introduced and hospitals would of-ten ask patients to

do unnecessary scans just to earn more money

This trip made me realize that there is much that we can do but how great an impact we can make might not be seen immediately With follow up trips one could see the change as compared to the last visit and make further modifications to improve the situation

As the trip came to an end we were reluctant to leave There was something very magical about Dong-shan where the skies would turn to an exuberant red during sunset and on a clear night you could see stars scattered across every corner of the sky It is a place of beauty struggle and hopefully a place of triumph in the years to come

It is a place of beauty struggle and hopefully a place of triumph in the years to come

On one of our home visits

More to ExploreMedical Outreachers 醫心httpmedicaloutreachersorg

The Amity Foundation 愛德基金會httpwwwamityfoundationorg The beautiful sunset in Dongshan

ldquoshariNg is soMetiMes More deMaNdiNg thaN giviNgrdquo ndash Mary catheriNe batesoN

36 | Caduceus September 2011

就 在這一刻世界沉默了

城市的繁囂隨飛機引擎

逐點逐點噴走了繁囂的離

開是為了讓簡單的生活回

來剛踏出廈門機場一張

又一張的笑臉映入眼簾刺

熱的太陽把兩地之間的隔膜

融化

早從香港回歸時開始

香港人經常強調自己只是 

「香港人」而不是「中國

人」自以為比內地人高一

等可惜這班自視過高的都

市人曾幾何時為外地人送上

熱情的款待這一點廈門

人比誰都做得更好

廈門是一個位於中國

東南部的海島也許就是近

海讓居於廈門的人都把一

切怨恨煩惱拋下大海讓

它們隨水流漂走埋藏在海

床上每年廈門的鳳凰花花

開兩季一朵又一朵鮮艷如

火的鳳凰花在六月時歡送一

個又一個的畢業生彷彿為

他們添上一份祝福九月時

的鳳凰花熱情地歡迎一屆又

一屆的新生為新生的精彩

校園生活揭開序幕一份一

份的熱情含苞待放身在廈

門又怎會不被這市花的熱情

感動呢廈門大至人與人

之間小至花與花之間都存

著一份情

要追溯廈門人的情懷

可數至土樓的建成土樓

是個大多呈方形或圓形大型

群居的建築整座土樓樓高

三至五層由於牆身頗厚及

只有一個出入口甚具有防

禦功能亦因為這緣故當

大門關起來土樓便成了一

個家這個家佔地不大但卻

藏著成千上萬的人情味在

萬里無雲陽光普照的天空

下土樓居民的熱情好客

被蒸發出來懸浮在空中

一代一代傳下去更讓它隨

風走出土樓傳遍整個廈

門即使土樓漸漸成為旅遊

景點一些擺賣紀念品的攤

檔已經進駐但卻無礙居民間

的感情商販彼此交流從

不出現爭客的情況在土樓

中央休憩的居民除了為外地

人介紹他們的祠堂外亦邀

請遊客跟隨他們到遊客禁區

參觀在土樓居住的每伙都

中門大開當遊客投進好奇

的目光屋內的人往往以親

切的笑容作回答鄉土人

情在這世代多冷漠的心也

被融化

細膩的人情味外最令

遊客津津樂道的是廈門人的

態度廈門大學附近有一條

芙蓉隧道只要你願意便可

在隧道內壁上畫下你所思所

想當然美觀與否見仁見

智但這一種對藝術尊重

欣賞的態度是值得欣賞我

有我盡情地畫你有你盡責

青春在廈門留下足印潘曉彤 (N14)

生活

hkucaduceusnet | 37

地去管轄城市各處的整潔

彼此留下空間達至相輔相

成的效果廈門人就懂得人

最基本的禮貌尊重不

過廈門人對他人的尊重遠超

於人的基本禮貌當你去唱

「卡拉OK」的時候每次

待應的出入時看到的就只

有他們的正面而他們前行

或後退的方式就像看到皇帝

一樣卑恭屈膝香港人常常

強調面子哪一天才能捨下

那過高的尊嚴為不相識的

人作一個最謙卑的招待

其實任何人一離開香

港都不難發現就只有香

港愈夜愈精彩其他地方晚

上八時大多關門大吉而廈

門就只有中山路才媲美得

上香港的夜夜笙歌夜幕低

垂萬千燈火的中山路上

與來自各區的人擦肩而過

昏黃的燈光下照出一群又一

群的沉默影子剛好與路上

喧鬧的行人相映成趣騎樓

在霓虹燈的點綴下顯出了獨

有的閩南特色大街小巷傳

來不同地道小食的香氣車

輪餅燒仙草土笋凍helliphellip

為我們外來的交流生帶來美

味可口的夜宵飲飽食醉過

後走到中山路的盡頭又

回到了沉睡中的廈門

在優美的環境影響下

廈門人的生活也自然變得

純樸優閒單車車輪在環

島路上留下一圈又一圈的印

記沿路能細聽海浪輕拍岸

邊的聲音細嗅四處洋溢的

花香感受微風吹散太陽散

發的熱力見證一對又一對

的新人在拍下幸福的照片

據說廈門有戀愛天堂之稱

不管走到哪一處也會

看到準新人拍下甜蜜的婚紗

照而在裡面享受的人永遠

不知道這風景如畫的背

後是透過多少人的血汗換

來當我們在追求經濟成果

的同時往往破壞了造物者

在世上留下的藝術品隨中

國經濟急速發展一個又一

個的世外桃園被摧毀銅臭

替代了花香車聲替代了鳥

語這仙境又可維持多久

廈門另一世外桃園就是

鼓浪嶼它活像香港的長

洲島上滿有歐陸建築風

格但當中不乏中國特色的

建築中國古城風味與洋風

互相交替帶出截然不同的

感覺島上遠離汽車的廢

氣與金門就只是一海之

隔一家大小在享受天倫之

樂時一群又一群的青少

年情侶在沙灘上嬉戲立

即為島上升溫

筆者認為在這個混亂的

俗世確實需要抽空來欣賞

造物者留下來的藝術品大

財團不斷興建大型商場國

際知名品牌不停進駐留下

的就只有愈來愈狹窄的街

道被石屎封蓋寸草不生

的土地人人被金錢蒙蔽

迷失在霓虹燈光中又有多

少知音人能放下生活的瑣碎

事情在這裡享受時間一分

一秒的流走你被海浪聲

喚醒了嗎

筆者參加這次是由香

港廈門兩地大學的交流

團一連六天已經習慣了

當地的優閒生活模式體會

到的不只是廈門的風土人

情歷史文化而是兩地大

學生那種衝破界限的交流

雖說年輕人容易打成一片

但廈門獨有的熱情確實融化

了彼此間的隔膜廈門的美

是成人之美成就了兩地大

學生的友誼

飛機又再起飛了廈門

再見了

ldquothe tiMe of life is short to speNd that shortNess basely it would be too loNgrdquo ndash williaM shake-speare

38 | Caduceus September 2011

生 命形成之際只要一秒鐘的差遲世界便會不一樣

蝴蝶效應從來都是玄的全因一個 

「緣」字

隨著人成長要決擇的事太多學生

有兩件人生大事幾乎都不是由自己決定的

入讀小學及中學然而到了大學這

關卡自己也許可以拿定主意了若果你

入讀了心水科恭喜你若不然祝福

誠然入大學是最影響未來生活的關

口是好是壞無人知曉不用量化不

用比較太多即管做自己所想活出自己

的路只因你不會曉得你的下一步會怎樣

影響著你的生命

或許一個活動你會遇上你的最愛

或許一個宿位你會遇上你的知己

或許一句說話你會惹來一個敵人

或許一次走堂你會由B變C

這就是大學

在大學各人有各人的大學生活大

學講求自由學習學習真的是「求學不是

求分數」有些人愛廣交朋友有些人愛

住宿有些人愛做莊務有些人愛拍拖

有些人愛參加各樣活動有些人愛做兼

職有些人愛讀書有些人卻愛甚麼都不

做helliphellip不少大學生強調入大學必定要做齊

大學五件事(上莊住宿讀書拍拖

兼職)但其實只要自己開心不害人的

話做甚麼也沒問題最要緊的是認清讀

大學的目的以免沉淪於大學這花海

朋友

大學可以令你對「朋友」的概念愈來

愈含糊幾乎每個活動都可令你認識新朋

友通常大家都會輪流講述自己的名字與

學科(Round Table)這亦是考驗大腦對人名的記憶所謂的「Hi-Bye Friend」會愈來愈多隨便在細小的港大內穿梭會令你

無可奈何地對他們說聲Hi

不過別標籤你的「Hi-Bye Friend」要是連Hi-Bye也談不上更不用說做深交了上大學了大家已有既定的圈子很

多時約會或聊天都先找中學朋友而且很

多人會把大學朋友與中學的作比較雖情

有可原但有時未免先入為主地覺得中學

的較好

這亦難怪即使是日日碰面的同學也

未必是自己的好友人人都有自己的時間

表下課後各散東西不是大家不想互相

認識只是有時身不由己若想互相了

解不妨盡量製造共處之時有時甚至可

以分一些約會給大學朋友然後你會發

現大學朋友也可跟你熟絡可別為自己

建造一塊厚厚的心牆

舍堂

要入宿無人會不曉得十日的迎新營

有些舍堂平均每天的作息時間只有兩三小

時有人說住宿最辛苦就是迎新營然而

它卻是最難忘的

要數活動單單一個舍堂已數之不盡

要是投入舍堂生活每天24小時是不夠

用的舍堂之間有各樣比賽堂友要參加

各個組別為比賽出席各樣練習否則可

能被拒於來年再住基於許多人都只在夜

晚有空要全體出席那可是晚九朝五的

大學之緣賴彥積 (N14)

新鮮人

hkucaduceusnet | 39

宿生們之所以會熱衷於舍堂活動因他

們對自身舍堂有強烈的歸屬感好比中學

時學生參加校際比賽要是沒有歸屬感

就不會有心參加所屬舍堂的活動

除舍堂之間之活動樓層之間亦有各類

活動樓內亦然只要有人的地方就有玩

樂彷如天天宿營你不會有機會偷偷早

睡其他樓友常常打擾你你原來的生活

時間會推後數小時睡於二時已是罕有

早上的八半堂彷如無物

可以住宿但不參加活動嗎當然可以

但你會面對的是朋輩壓力他們雖未必逼

你參加卻會在言談中有意無意的滲出

來那種壓力不只限於自己樓層甚至是

跨樓層千萬可別輕看宿中流言

上莊

有人說上莊所學遠超課堂上莊所學

的是如何籌辦活動非常實用有時要對

外聯絡有時要面對公眾helliphellip像是要為將

來工作鋪路似的當然這亦要視乎你上

的是甚麼莊

一般而言上莊可訓練你待人處事的技

巧有時表面看來很友好的朋友當背

負上一定的要求後關係少不免有磨擦再

者初時莊員素未謀面最後卻因朝夕相

對而演變成朋友這段關係是很可貴的

成莊前要宣傳內閣爭取選票成莊了

又要舉行咨詢大會包受歷莊指導然後

又有就職典禮此後的活動更接踵而至

當然包括迎新活動招莊活動等helliphellip君不

見很多人視莊房為睡房少不免有「通

頂」之時忙是忙但必有價值至於是

好是壞要看自己的造化了

拍拖

人上了大學有時心思思想拍拖眼見

身旁多個好友都紛紛拍拖自己少不免羨

慕別人這想法十分正常畢竟大學生真

的可以放下只讀書的重擔真的可以規劃

人生大事了

香港大學一些營新活動中隨了Round Table外還有Round Status即說自己現在有否拍拖以及拍過多少次拖如 

A 0即Ava i lab l e之前至現在沒有拍拖O1即Occupied之前至現在共拍了一次拖當然也有一些同學自己創的甚

麼OBA (Occupied But Available)或D10(Desperate拍過10次拖)等等至於Round Status的動機何在可能是組爸媽想穿針引線吧當然也可能是別有用心的

不同人對拍拖有不同想法上了大學更

有不同擇偶條件人大了在感性的議題

上往往加上種種理性的數據開始現實起

來哪個帥哪個富有哪個有前途helliphellip

有些不在乎天長地久只求剎那的光輝

有些求虛榮有人疼愛在朋友前炫耀

有些甚至會在拍拖前已想定分手後的模

樣所以不想選擇跟自己同科的同學

活動

不同團體(包括舍堂學會及學校部

門)都有不同活動不用愁沒事幹只用

愁沒時間只要多留意Portal Mass Email或Main Campus海報不難發現幾乎每天都有各樣活動動靜皆宜開學時有迎

新營考試時有勁過飯新學期有開Sem

飯有些學會如戲劇舞蹈合唱團不時

有演出有關運動的學會則多練習以參

加比賽有關學術的也有很多興趣班講

座比賽等想幫人的亦可參加義工團

體如蛇蛇豬扶青等舉辦的義工活動

兼職

大學生的兼職大多以補習為主畢竟

這是我們能力範圍內可賺取最多外快又是

時間最彈性的工作有些人卻因補習不能

寫在履歷表而選擇別的工作然而很多時

我們都要在兼職與大學活動中取捨我的

ldquotake a chaNce all life is a chaNce the MaN who goes farthest is geNerally the oNe who is williNg to do aNd darerdquo ndash dale carNegie

40 | Caduceus September 2011

E mily was the chairperson of Pharmacy Socie-ty session 2010 As a student she has actively

participated in holding activities for many medical stu-dents and taken part in providing welfare to all phar-macy students Her following sharing will especially enlighten our new pharmacy students

Q Why did you choose Pharmacy SocietyA To be frank ldquosheung jongrdquo was really out of

my expectation when I anticipated my university life However my perspective has changed when I officially became a pharmacy student in HKU As members of the opening class of the Pharmacy programme my classmates and I realised the importance of having our own student body We do need an independent soci-ety to represent us pharmacy students to cater for our specific needs to listen to our points of view and to act as a bridge to facilitate our communication with the Medical Faculty the entire university and ultimately the pharmaceutical field in Hong Kong My class-mates and I who later became ldquojong yausrdquo believed we should act immediately to establish and run our own society which is why I decided to ldquosheung jongrdquo

Q Would you like to share some of the pros and cons of sheung jong

A ldquoSheung jongrdquo definitely helped me achieve per-sonal growth It was a concurrent commitment and re-sponsibility to serve and to lead our colleagues Bear-ing this in mind we always pushed ourselves to attain the best of our work ethics efficiency and efficacy As the very first session of the Society we lacked the guidance of any previous committee member Instead analysing carefully and critically we thought better of every decision which I personally found an enriching experience ldquoSheung jongrdquo was also an eye-opening journey Wersquod got to meet different people and learnt more about the professional work for as our career-to-be after graduation This in my opinion is always beneficial Last but not least I was fortunate enough to have worked with my amazing fellow committee mem-bers I frankly couldnrsquot ask for better ldquojong yausrdquo than initium Irsquom absolutely thankful for having them as my friends and it is definitely my greatest gain along the way

Despite the merits ldquosheung jongrdquo definitely has its downsides as well It is a lie to say ldquosheung jongrdquo does not affect our daily life because it does take up a big chunk of our time At the end of the day it is about time management which is easy to say but extremely dif-

建議是如家庭環境較困難賺錢吧反

之可以多留時間給各活動畢竟大學一

年的學費不只值那幾十堂課如何善用這

$42100就在乎你如何投入大學生活

讀書

假若你認為大學的考試可考核學生的

真正讀書能力並要求學生活學活用課堂

所學那麼你大失所望了假若你善於背

誦有過目不忘之本領大學的筆試不會

難倒你只要靠著前人留下的歷屆試題

背到滾瓜爛熟是不可能不及格的很多屆

試卷都是千篇一律的很多教授可沒空大

改試題那同學們就走運了有些課堂

即使再專業的學科都會有只理論無實

踐的課堂然後考試就要你把一大堆理論

背出來helliphellip例如甚麼叫批判思維噢

我可不知道只知道我掉了5分

不同學系在某程度上定下了人的前途

對於醫學院學生而言前路是較清晰可見

的但對於非專業學科前路不可只靠讀

書也許要靠自己另外摸索讀書所帶來

的必然是較高的GPA高GPA所帶來的是

獎學金到外國交流工作實習日後工

作機會等等當然大學學習不只局限於

讀書會否因此失彼就只有自己知道

蝶翼拍動之時往難以預料機會是

要自己摸索的

如經上所記

「神為愛他的人所預備的是眼睛未曾看見耳

朵未曾聽見人心也未曾想到的」

(哥林多前書29)

「栽種的和澆灌的都是一樣但將來各人要照自

己的工夫得自己的賞賜」

(哥林多前書38)

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

Freshmen

hkucaduceusnet | 41

ficult to achieve Also working as a Committee mem-ber can be very exhausting and difficult You definitely need lots of determination and support to get through some of the busiest times

Q How did you handle and balance the workload of study and your ldquojongrdquo

A As Irsquove said before it was tremendously difficult I guess my best advice for the future committee is to know your limitations and always plan ahead You have to know your time to work to rest to study etc No one will be over-worked and eve-ryone will have some personal time if you share the burden wisely between ldquojong yausrdquo Secondly you have to make very clear plans so that you can make full use of every little piece of your time I may not have succeeded in my time management but most of my ldquojong yausrdquo managed to do so de-spite the packed schedule of our Soci-ety This is sufficient proof of ldquoimpos-sible is nothingrdquo

Q As there are only about 25 pharmacy students per class do you have any suggestions for P14 fresh-men to make more friends from other curricula

A It really depends on what kind of person you are If you consider your-self socially active living in a hall or ldquosheung jongrdquo will be a great idea for you But if you see yourself as a much quieter person you can still make use of opportunities such as Medic Orien-tation Camp and other events jointly organised by student bodies within the Medical Faculty to make new friends

Q Any special things for P14 freshmen to be aware of

A First of all welcome You all are now members of Pharmacy Society MS HKUSU and I would like to let you know that this is a student body aiming to serve you Thus feel free to share your viewpoints and voice out your opinions to the current Com-mittee members The Society has to

understand your needs to improve and provide better welfare and services for you

Q Any other comments or important things to re-mind P14 freshmen

A If you would like to get to know more fellow pharmacy students especially students from P12 and P13 grab the opportunity to join the Pharmacy Society Orientation Camp and the Mentorship Programme These are great chances to make new friends and Irsquom sure you will enjoy them

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

ldquoas huMaN beiNgs we do chaNge grow adapt perhaps eveN learN aNd becoMe wiserrdquo ndash weNdy carlos

42 | Caduceus September 2011

筆 者是一位護理系的學生半年前有幸成為二零一一年啟思編輯委員會的總編輯在期間所體驗到的希望藉著這次機會作出分享特別希望新加入醫學院的同學

能對「上莊」有更多了解

上莊之路上莊是大學五件事之一證明它對大學生

活有一定的重要性一定的位置筆者在初入學的時候曾為了上莊與否而煩惱猶豫了好一段時間期間考慮到自己能力怕學業應負不來但最後仍然下了上莊這個決定原因是上莊是個難得的機會充實增值自己不同的莊會提供不同的機會讓莊友去學習透過不同的莊務去讓自己眼界擴大另外可以了解醫學院內發生既事情例如院內活動的進展情況更可以參加舉辦院活動為醫學院出一分力最後當然會認識到將會相處一整年的莊友工作伙伴有機會認識到不同學系的同學從他們身上可以觀察到學習到各種的特質從而令自己有所進步有所啟發

護理學生作為護理系學生起初擔任總編輯一職實

在是倍感壓力畢竟歷屆的總編輯都是由醫科生出任因此筆者起初都害怕跟醫科生共事怕自己的能力不足夠應付莊務所以起初都是戰戰兢兢地上莊

一位三年的護理學生曾對我說「我認為你不太尊重護理系護理系和醫科都是個專業希望你能加以尊重自己的學系不要輕視護理這個學系你要肯定自己的學系才能帶領整支莊因為莊內成員來自不同的學系你必須肯定和認同每個學系都有一定的重要性以及其專業」這番當頭棒喝的良言令我明白到自己一直都太輕視護理系過於重視醫科現在我明白到認同自己學系是尤其重要只有這樣才可以用自己學系的身份去發表意見只有認同自己學系才懂得尊重其他的學系莊內便可以融洽一點

在筆者的莊友中醫科生都是較有責任感而且做事更有計劃從他們身上的確學到不少東西這點是無可否認的事實筆者並不是在分享學系與學系之間的差別而是希望有志上莊的同學能互相尊重明白到各學系的莊

友都有其值得學習的地方起初對其他學系有隔膜是無可避免的畢竟對他們的學系都不太了解又沒有歸屬感但如果因為對方是別的學系而輕視對方的人不但失去與人相處學習的機會而且會令莊內的氣氛失去和諧

幸好的就我所見所聞醫學院內的莊多年來都能融洽相處互相支持令到一眾上莊的同學都能輕鬆地享受上莊的喜與樂甚至是不愉快的事情

依靠你的莊友莊是一個團體不是一兩個人可以應

付得來所以筆者認為與莊友互相溝通合作是個重要的元素新同學如果有志參與莊務期望從上莊中有所得著首要的事情是與莊友建立關係因為他們將會是你來年的工作伙伴也是你遇到困難時依靠的對象一位上莊曾對我說「其實一件的莊期不會令你有太大的得著或成長反而長久的友誼才是你將會得到最重要的」這句說話是千真萬確的上莊的人不會由詞不達意改變成談吐得宜不要期望自己會有驚人的轉變也許上莊會令人處事成熟一點有計劃一點但上莊所得到的關係將會是更重要更珍貴一年的相處中面對過有無數的會議共同處理過不少困難從中

建立的友誼真的是畢生受用

責任感上莊另外一個十分重要既條件就是責任

感有志上莊的同學必須明白到莊期是長達一整年在繁重的學業中騰出時間來處理莊務是個考驗責任感和毅力的測試同學必須再三思考想清楚自己是否真係熱衷於上莊或是只是一時衝動畢竟你將要許下的是一年的承諾必須對這個莊負上責任願意付出才選擇上莊這個決定這樣的付出就會有相對的回

總結上莊的確是個好機會讓自己去學習從處

理事務中或是從莊友身上都會有所得著充實著自己的大學生活從中可以認識到各學系的同學建立一段段受用終身的友誼在此筆者希望各學系的新同學可以善用機會作出上莊這個無悔的決定

護理系的啟思總編石志榮 (N14)

新鮮人

hkucaduceusnet | 43

慈兄吟(下)奇晶

最 後還是麥教授先開了口「他的確是一個好學生對醫學有獨到見解他不但學業成績優異而且樂於助人你是他的妹妹吧」婉慧努力控制自己的淚水繼繼續續的說「是啊但helliphellip但helliphellip我不知道helliphellip他竟會在這裏出現」麥教授用悲天憫人的目光看着婉慧語重深長說「人生自古誰無死人生命的有為與否並不取決於他生命的長短而是在於人生的意義你哥哥雖然最後當不了醫生但他的犧牲卻間接為一些同學做醫生鋪路讓他們做醫生去救人這真是一種無私的愛」婉慧點點頭覺得自己對哥哥的了解實在太少了

最後她還是孤獨的離開實驗室她覺得自己跟哥哥比起來實在相差得太遠了原來他除了是十優狀元在醫學院的成績名列前茅外還是個熱心助人的好青年自己除了少了一優外少的更有對別人的同情及樂於助人這造就了她心靈上的空虛她明白到冷漠不是一種對哥哥思念的正當表達方法她應該做的是把哥哥對其他人的愛傳揚開去以圓他的心願

第一步往往是最困難的婉慧平日對他人的態度已令不少人對她敬而遠之有很多次她嘗試向同班同學投以友善的笑容得到的總是詫異的目光或別人的不理不睬在小組討論中儘管她踴躍發言盡量避免冷場的發生偶同學們卻認為她變本加厲想阻止同學們取得好成績她四處碰壁又再次陷入了想念哥哥的深淵

時間一天一天過去了上學期考試前的休假開始了婉慧每天都勤奮的在圖書館溫習期望取得好成績這時候的圖書館堆滿了人如果遲來一個小時想找一個位子也難就在假期的第二天同班的王文在圖書館跑得氣急敗壞仍找不到一個座位婉慧不知怎樣有點同情他將座位讓給他王文驚訝道「不用了我還是回家吧真倒楣遲來了一個小時就沒有『接位』」

「但你住在哪裏呀」

「元朗今天早上我忘了校鬧鐘八時才起」

「那你還是要我的座位吧我可以坐到電腦桌因為我認識的人不少沒有什麼人會打擾我的」

王文謝了她頓時對這位冷漠的同學刮目相看原來她的內心也是溫暖的這並不是他所能料及的坐在電腦桌前溫習的她也感到特別的快樂溫習的速度也快多了王文就此成為了她的「飯檔」考試期間每天和她一起吃飯他更將自己的好友介紹給婉慧認識

在一個晚上她又悄悄的在圖書館的角落溫習着突然一隻溫暖的手搭着她的肩上她抬起頭但見解剖學的同桌手中拿着一杯熱飲輕輕的放在她的桌上婉慧正感詫異卻聽見他說「這杯熱巧克力是給你的繼續努力吧」她喝着巧克力心中感到一股暖流彷彿哥哥的關懷又在她內作出回響

十年生死兩茫茫不思量自難忘千里孤墳無處話淒涼helliphellip

寒風吹起了她額上的劉海佇立在墓前的婉慧不禁凜冽她想起了從前想到自己最後一次和哥哥吵架雙方面紅耳赤的情況想起自己無法親口跟哥哥道歉想起哥哥無私的付出她對着那空虛的墳心中不忍一陣淒然淚水漱漱的流下來她身旁攜扶着年紀老邁的母親邊拭淚邊喃喃道「我的兒子helliphellip歿了helliphellip」大家心情漸漸平復了緩緩走出了墳地

雨一滴一滴的落下飽歷辛酸的婉慧卻仍在懸壼濟世

短篇

ldquoyesterday is but todayrsquos MeMory aNd toMorrow is todayrsquos dreaMrdquo ndash khalil gibraN

44 | Caduceus September 2011

Eternal Flame (1)Tulipa

Itrsquos cold The chills from my fingertips imbibe deep into me This person drills into my mind digging out the truth inside me Itrsquos agonizing She comes right inhellip di-rectly I cannot stop her

Irsquom losing myselfhellip

My hand felt the soggy pillow I realised I had come back to life the world where I lived Staring blankly at the ceiling still losing focus in my eyes I felt my brows with my forearm For the first time I didnrsquot want to lose this feeling

The bedroom door slowly opened I quickly rubbed off the drops that had blurred my vision pretending that I had just woken up

ldquoDo you have lessons this morningrdquo My grand-mother whispered into my ear

ldquoOh goshrdquo I turned right to my alarm clock It was the real life I had forgotten to turn the alarm on last night and it was now seven thirty I knew it I was going to be late every time she caught me in bed Irsquod got to hurry up

Living in Hong Kong Island though it took me more than an hour to get to school I had to comfort my little brother sometimes till two or three in the morning in order to get him to sleep In addition to the consistently heavy study load in the medical school I could hardly get enough rest Running on my heels al-most became my routine starting from last November But I well understood the consequence of skipping lec-tures It was the beginning of the Cardiovascular Sys-tem Block For someone like me who gave least priority in revising Anatomy materials lectures remained the prime source of information for exams Absence from class was suicidal To make the situation worse this professor was one of those who did NOT upload lec-ture notes online

Hoping I wouldnrsquot arrive too late to miss the impor-tant points I finally stepped onto a route no 8 minibus at ten past eight What I could do now was to pay trust in the driver who would bring me to my destination

Coaxing kids was never easy Little Bruce just hap-pened to give me such a hassle last night

He knew I would check on him when I returned home Sitting right next to the door of his room he begged me for a story once I opened the door I sat down together with him on his little couch after Irsquod taken a quick shower This was a time to relax leaving

aside all the other concerns

Kindling through his favourite reader I saw that he wasnrsquot listening but distracted by all sorts of toys around He even invited me into his world of fantasy But it was getting late I had to calm him down so that I too could have some rest Being one of the brightest in his elementary school he should understand this was not the time for recreation

I began to feel annoyed

Yet he was my brother I had a gut feeling that this was unusual He didnrsquot use to be so ldquohyperactiverdquo It re-ally took me a while to adjust to his change With him still tossing and turning in my arms I apprehended his restlessness Unpredictable though he was true to his feelings In one way or another he might find the shadow of our mother in me

He finally settled when I laid him back in bed It was nearly two forty in the morning

The first week of the CVS Block ran as plotted PBL tutorials would start on next Monday Dr Youngrsquos fa-cial expression in the first PBL evaluation flashed over my Embryology notes and references She didnrsquot teach Embryology but I could tell she did have a hypertroph-ic heart-shaped face which looked familiar to the dia-grams in the Atlas

Back in the IHD Block most of us were puzzled about the scrambled content of our course Various forms of seemingly related knowledge came in through lectures practical and tutorial sessions But the neural circuit formed in our brain just failed to resonate as if the conductance-inductance mismatch had aberrated our thought from minimal impedance Sometimes things even happened in a ldquomore-than-extrardquo manner The presence of common core courses in a parallel but independent branch in the network could rightly be detached without causing a blip on the galvanometer Everything was dubious We had no idea of what we were doing

Maybe we were just on the way seeking for a sense of attachment

My mind too was racing in haste I was struggling with my decision to become a doctor Too many things had happened over the year I just couldnrsquot stop ques-tioning myself what was I thinking when I put lsquo6456 MBBSrsquo in my JUPAS application I should have expect-ed and prepared to face all these I just didnrsquot knowhellip

Novella

hkucaduceusnet | 45

It was midterm evaluation in the IHD Block Her face looked tense in that heart shape She was so stiff in her facial expression that no one could read her mind from her poker face The conference room of the Physi-ology Department was large We seemed to be the odd ones out in the spacious carpeted room In this secre-tive silence you could hear the drumming in your ears as if you were tingling

I realised this was not a matter of ldquoam-I-suitable-for-a-medical-careerrdquo but ldquois-a-medical-career-suita-ble-for-merdquo I was lying in bed playing with my plush bear when these thoughts burst in me Dr Young looked through me She felt certain that different from other group mates there were crises behind me But I didnrsquot tell her anything that day

We all were sensitive At times some subtle trepi-dation seeped in gradually sucking peace away from my sleep It was so to say below threshold sub-lethal though it lingered for weeks once it set inhellip

Drenched in bloodhellip There is no life in the boy His eyes are widely opened slightly protruded The lifeless pair of black pearlshellip I cannot escape from his glance He wants to talk to mehellip There is something he wants me to know

A van runs over himhellip

I fell down the edge of my mattress Breathing heavilyhellip Sweating all overhellip

ldquoScreechrdquo People began to gather around a tel-ephone booth a few metres behind us

I turned back I couldnrsquot see a lot from this anglehellip

ldquohellip What a pity He is so younghelliprdquo a middle-aged couple passed by

The victim resting just in front of the wheel looked towards me through a break in the crowdhellip

As we were wandering around thinking what to eat for dinner my cousin found me standing there rooted to the ground stunned by the victimrsquos gaze My heart was pounding She wouldnrsquot believe what I was again experiencing For a number of times already scenarios in my dreams were mirrored into reality

I couldnrsquot tell her

ldquoI was just thinking whether you would like Korean cuisine There is a new restaurant two corners awayrdquo I made up a talk while escaping from the scene so that I wouldnrsquot look so strange

ldquoWhy not go and have a try thenrdquo She was not dis-appointed for calling it a day as the food there was sur-prisingly good

Not until some years ago when I was Form 3 in college I discovered my ability to look into the future Sometimes I could see them coming up on the news in days or weeks And some didnrsquot ever happen at least not around me But seeing the night visions coming into concrete existence wasnrsquot always a pleasure when the mental images turned gradually into mostly night-mares When I visualised my close ones it felt like I was in the middle of an insecure chain bridge above a torrent that would sweep me into the vast ocean with no return It was entirely different from what you might understand as ldquodreams come truerdquo

I had witnessed misfortunes in proximityhellip

But I could do nothing about ithellip

Friends were a source of solace someone to con-fide all frustrations in But with my paranormal ability which appeared to everybody else only on screen-plays I wasnrsquot courageous enough to open my life wholeheartedly to them Seldom talking about myself avoiding all sorts of gatherings I became an eccentric figure among my classmates

Sometimes mutual understanding carried more weight than words I remembered my physics teacher being one of my few friends during my teen years De-spite his boisterous faccedilade he was always sensitive to whenever I was dwelling on my burdens Physics was our common language Intermingling our emotions and feelings with concepts that were alien to my fel-lows we developed a close rapport impenetrable by anyone else

ldquoWhat is the nature of a flamerdquo This was the most discussed problem between us Neither in solid liquid nor vapour state Not having any definite shape and colour It seems not any material but a type of energy giving out heat and light At the moment of providing it also exhausts its fuel and eventually itselfhellip

The romance of physics is more than anything you could read write and talk about Once you were truly connected with it nothing can stop you Your mind will bounce irrespective of the chronology of space-time but only under the guidance of your thoughts

I was so devoted to the discipline at the time that I was almost making it my lifelong career in some way He envisaged that I would demand much more than any academia could provide with its scientific basis alone We were both seeking a philosophy beyond the facts But Hong Kong may not be the right place for it

I made him a promise at the end to contain our flame and I knew I would

For the first and the last time I saw his eyes filled with tears We knew existence by itself is a miracle

ldquoi love life because what More is thererdquo ndash aNthoNy hopkiNs

46 | Caduceus September 2011

說華佗都說「華佗再世」誰知箇中真諦雲方 (M15)

烽煙起戰火燃萬里 

三國並爭英雄地亂世有誰顧生死 

待神醫行世將民眾救濟

渺渺江山東西瞰俞跗巧手扁鵲心(1) 應向何處尋 

滾滾黃沙無世家終有奇士放奇葩

沛國 華元化(2) 

他經書貫通南北遊動 

一望斷症如神助三劑消病不必多

說斷症悉如所料 

甘陵 相夫人腹痛極難忍(3) 號脈知死嬰在左為男形(4)廣陵 梅軍吏除名歸故里

見貌知壽盡速返見萱椿(5) 

說消病藥到病除 

飲蒜醋有三升蟲一嘔而盡清 (6)母服丸而溫儲兒不藥而自癒 (7)

絕妙處 

是他開腸剖腹刀至辟毒 

神醫號 

除他內外皆精有誰配稱

[1]   俞跗黃帝時代之名醫扁鵲春秋戰國之名醫《淮南子人間訓》「患至而多後憂之helliphellip雖有扁鵲俞跗之巧猶不能生也」

[2]   華佗字元化沛國人(今安徽 亳州)

[3]   甘陵相(即甘陵之行政長官)夫人懷胎六月腹痛不安華佗為其切脈便知胎死於是命人摸知所在在左則男在右則女人云「在左」夫人飲藥後果然產出男胎腹痛立即痊癒

[4]   廣陵有軍吏名曰梅平離鄉服役後來退役歸家於路上巧遇華佗華佗視之嘆道「若能早些見我當不至於此而今你僅餘五日壽命速速回家還能與家人相見」平旋即趕抵故鄉五日後亦如料身亡

[5]   萱椿多作椿萱比喻父母漢牟融《送徐浩》詩「知君此去情偏切堂上椿萱雪滿頭」

[6]   華佗見路邊有人食不下嚥教他到路邊餅店買醋三升混上蒜泥然後飲用路人服後即吐出一條長蛇(即寄生蟲)

[7]   兩歲男孩長年腹瀉藥石無靈華佗往診謂病在母命其服用華佗親研之「四物女宛丸」服後母親乳汁不再寒涼男孩亦不藥而癒

意興

hkucaduceusnet | 47

只可惜人無完壁

「關將軍使君予我手刮骨惡毒走

曹丞相使君予我頭剖顱苦痛收」

「怎能不收怎能不收一命嗚呼萬事休 

簡直荒謬簡直荒謬殺此庸醫未須愁」(8) 

五禽戲尚能傳 (9)麻沸散從此絕 

何不一飲醉死不知世忍氣吞聲事權貴 (10)心神委曲須臾苦奇術失迭千秋計 

烽煙止無改生死事 

且當醫仙謫世間神技終須風裏散 (11)回首仰高山景行請君範 (12)

[8]     曹操欲殺華佗臣下勸之不可答曰「不憂天下當無此鼠輩耶」

[9]     死前華佗欲托所著醫書於獄卒不果便盡數焚毀唯有其養生體操「五禽戲」流傳後世

[10]   《三國志魏書方技傳》「當須刳割者便飲其麻沸散須臾便如醉死無所知」

[11]   唐白居易《簡簡吟》「恐是天仙謫人世只合人間十三歲」

[12]   景行(音航)即大道以高山景行比喻人品德行為之高尚典出《詩經小雅車轄》又東漢鄭玄曰「古人有高德者則慕仰之有明行者則而行之」

ldquothe art of MediciNe was to be properly learNer oNly forM its practice aNd its exerciserdquo - thoMas sydeNhaM

48 | Caduceus September 2011

啟程

清晨空白的天空看不見藍天雲彩

只有溫柔的雨絲和朦朦朧朧的霧水跟隨

著大隊的足印踏上沉重的腳步穿過橫

街小巷和煩囂熱鬧的市場走過自動門

撲鼻的消毒藥水味道讓大家屏住呼吸筆

者和夥伴們終於到達了入讀護理系以來第

一次實習的醫院

還記得在實習的前幾天心情是既忐忑

又期待的畢竟這一次實習的地方不再是

在社區中心宣傳健康方面的知識亦不是

只面對著健康活潑的小朋友和老友記或是

學校課堂上所提供的假人張靜汶卻是照

顧一羣真正需要關懷的病人心中充滿著

憂慮不知自己所學的知識足夠在應用上

嗎自己平日的練習足夠嗎雖然心存在

著不少疑惑但也十分期待可以體會一下

做小學護的感受嘗試把這一年裡所學到

的知識運用出來

很多的第一次

在病房裡總有心酸和膽戰心驚的時

候第一次為昏迷的病人清潔口腔第一

次為難以進食的人插入胃喉第一次為老

公公清洗背上壓瘡的傷口helliphellip照顧他們時

的心情都是一步一驚心生怕自己沒法應

付得來又怕會把事情弄得更糟糕最重

要的是恐怕自己不純熟的技巧令他們受苦

了記得有一回第一次為女病人插入尿

喉採取尿液樣本可能技巧不太純熟的關

係延長了病人的痛苦過程中她皺著

眉頭不斷呻吟又緊張得咬破脣眼看

她樣子心中真的不是味兒來身為病人

的其中之一依靠我們不得不給自己信

心如果連自己也不相信自己哪會有病

人願意把他們交給我們照料呢

捕捉那瞬間的美麗與淒然何麗敏 (N14)

上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

意興

hkucaduceusnet | 49

另外第一次面對病人的心情是頗為

緊張的說話技巧亦有改進的空間但和

病人傾談了數分鐘後氣氛也漸漸變得和

諧可能那些老公公整天呆在醫院裡真是

悶到慌看見一羣年青人與自己聊天照

顧和關心他們他們不禁咧嘴而笑醫院

職員透露有一位老公公平日不太願意吃東

西於是我們便主動和他談天說地又

悉心照料他進食的情況後來他不但胃

口好了不少就連心情也開朗了他生動

活潑的談吐讓我們笑了他回復健康精

神的體魄也讓我們感到安慰

相處片刻

雖然為期一星期的病房日子不是特別繁

忙或是辛勞但是也會有不習慣的時候

幸好得到醫院職員和一班夥伴的支持病

房經理和註冊護士不但相信我們的能力

對學護的包容更是不用多說還主動地介

紹病房的環境和細心地教導我們醫療護理

上的知識讓我們上了一堂實在而又寶貴

的課同時今次的實習也令我感到團體

精神也十分重要在技巧上大家互相提

點互補不足當有人準備照料有需要的

病人如插喉或洗傷口等大家送上一句 

「加油」就能令對方增加不少自信心和正

能量無論遇上甚麼事情我也榮幸有如

此一班學習夥伴從旁支持

學習的階級

在這一次病房實習中雖然醫療和藥物

知識方面有待加強但是我學懂了如何與

不同身份的病人相處之道溝通上也得到

了很大的進步獲益不少除此之外我

也真正體會到如何做一個好護士並清楚

了解這個行業是否適合自己鐘樓也不是

一天就能建成而是需要一磚一瓦搭建而

成的所以在學習上我們不但要打好

穩固的基礎還要增強醫療知識在技巧

上馬虎了事和走捷徑是於是無補的應

該多探究和練習才行這樣才對得起病人

和自己也減少不必要的醫療失當事故

總之多一份認真多一點耐性多一些

愛心就是學護必記的左右銘 上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

ldquoit is reasoNable to expect the doctor to recogNise that scieNce May Not have all the aNswers to probleMs of health aNd healiNgrdquo ndash NorMaN cousiNs

50 | Caduceus September 2011

Fun Corner

Medical AppsEver wondered how your handheld device can save your time and

effort when it comes to studying Here is how

Anatomy Pronunciations by HipposoftAccurate pronunciations of over a hundred important anatomy terms you have trouble with are provided

at your fingertips to help you spell those difficult words Anyone who has taken an anatomy course can tell you how challenging it can be to pro-nounce the names of those complicated anatomi-cal terms It is even linked directly to Wikipedia and Google through web browser for additional information

iPharmacy ndash Pill Identifier and Medication Guide by SigmaPhone LLCAn essential medication guide of 20000+ drugs is provided for con-sumers amp professionals This ex-

pands the image library to include 12000 pill and package images and includes digital drug identifier with official drug information (indica-tions dosage adverse reactions and more) You can check the drugs anywhere

Grades 2 by TapityIt tells you what grades you need in the coming tests in order to get your target grade You can easily calcu-late your GPA so as to maintain it It

is a useful tool helping you to keep an eye on your GPA all the time

Human Anatomy by SusaSoftXThe application provides you with information of 15 different biologi-cal systems You can keep on revis-ing while you are traveling without

carrying heavy books

Medscape by WebMD LLCFrom drug classes interaction clin-ical procedures and even the lat-est medical news Medscape helps medical students and healthcare

professionals to reiterate knowledge that has slipped from the mind It is a free application for iPhone iPad Android and Blackberry Yet it contains more function on Android phones and Apple products and lacks detailed clinical infor-mation for diseases and clinical procedures walk through on Blackberry

Pro Medical Terminology Dic-tionary by TreascoveryTerminology might be a tough work for medical students Even if we can master those English terms we can

hardly think of the Chinese terms This applica-tion can help you when you face this problem Note that it is not a free application

3M Littmann SoundBuilder by 3M CompanyA great tool designed to help im-prove auscultation skills of medical students with 14 unique lessons of

key heart sounds combing text virtual manne-quin 3D cardiac animation and dynamic wave-forms

iRadiology by Liebermans iRadi-ologyAn excellent learning tool for medi-cal students demonstrating classic radiological findings of a multitude

of abnormalities including over 500 radiologic images Radiologic images include CT US MRI and nuclear imaging each clearly labeled and followed by key teaching points

Micromedex Drug Information by Thomson Reuters (Healthcare) IncIs Cephalexin a first generation ce-phalosporin This application from

Thomson Reuters is the easiest way to navigate in the sea of drug names Drugs are sorted by classes and supplemented with rich information

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 5: Caduceus Issue 2, Volume 42

hkucaduceusnet | 5

只要其中一張參選名單的選票達到 

「當選數額」時他們便會取得一席

而剩下的議席將會用「最大餘額法」 

(Largest remainder method)分配該方法是把餘下的票由多至少順序排列得票較

高者便能獲得剩下的議席

總而言之比例代表制的精神就是將一

個議會的議席根據選民的支持度按比例分

配予不同政黨由選民選訂不同立場的政

治光譜這制度既能保障排在名單最前的

人士可以幾乎必然當選同時避免令一些

大黨在選舉中佔有絕對的優勢相對於單

議席單票制它較能保證小政黨及獨立候

選人亦有機會進入議會例如在我們的例

子中廣得選民支持的名單A及B都能得到

兩個議席而得票明顯較少的名單C也可獲

分得到一議席進入議會為市民發聲

政府最初提出的遞補方案是一但立法會

議員辭職去世或喪失議員資格時議席

將由上一次選舉中獲最大餘數得票的候選

人名單的首名未當選候選人補上這方案

明顯地漏動百出令缺乏足夠民意支持

甚至政治立場南轅北轍的候選人都可補

上嚴重扭曲比例代表制中「根據選民的

支持度按比例分配予不同政黨由選民選

訂不同立場的政治光譜」的精神而於6月

28日提出的修訂方案建議讓出缺議席由

同一張名單內的候選人補上這方案雖然

表面上較為合理但細想一層小政黨及

獨立候選人的名單往往只得一人在這情

況下空缺議席依然會由另一張名單的候

選人填補空缺以新界東為例若一人名

單的社民連「長毛」梁國雄議員辭職結

果會由政治取態截然不同的自由黨田北俊

補上這豈非扭曲民意荒謬至極

迷思二合情合理合法

政制及內地事務局局長林瑞麟先前曾

表示經修訂後的方案比較完整可避免

議員作無謂的請辭亦可避免不必要的補

選而且即使有人提出司法挑戰也有信

心能提出足夠理據證實符合憲法因此新

方案絕對「合情合理亦合法」然而此

話當真

從宏觀的憲制角度出發大律師公會早

前已表明遞補機制違反《基本法》第26條

市民享有選舉權及被選權第68條立法會

由選舉產生的規定《基本法》第68條清

楚規定選舉方法將循序漸進最終達至全

遞補機制激發無數的市民上街抗議難到反對的民意還不夠清楚嗎

ldquoNor does aNyoNe pour New wiNe iNto used wiNeskiNs because the wiNe will burst the skiNs aNd both the wiNe aNd the skiNs will be ruiNedrdquo ndash Mark 222

6 | Caduceus September 2011

體立法會議員全面由普選產生而政府提

出的方案居然倒行逆施進一步褫奪市民

行使其選舉權那又有何「法」可言呢

再者為何世界普遍認為民主是一套

較世襲為先進的政治制度呢是因為它最

有效率嗎是因為它最公正嗎都不是

其實民主所能做到的只不過是讓市民能夠

以選票監察議員吧某某議員做得不好

我大不了忍受一段時間下次選舉再以我

的選票把他拉下台換上另一位我覺得勝

任的人選新方案莫名其妙地補上一位議

員市民在上一次的選舉怎知數年後的他

是否依然勝任呢而且選民每次都只能投

一票他如何在一次選舉中既要選出心儀

的立法會議員又能明確交代一旦議員中

途離職應由誰人補上呢新方案根本上就

是與民主的精神背道而馳

迷思三與西方國家看齊

林瑞麟局長又曾指出先進的民主西方國

家亦有類似的遞補機制而經修訂後的遞

補機制基本上能與德國芬蘭波蘭等

國家看齊

然而這一說法未免有點不盡不實事實

上德國的選舉制度既有比例代表制亦有

單議席單票制跟香港只實行比例

代表制不同因此不能作為類比

而且跟據德國聯邦選舉法當同一

名單的替補候選人「用盡」議席

就會懸空而非由另一名單的敗者

替補至於波蘭則大致由同一張名

單中的參選人替補但當議員辭職

後議長其實有權宣佈議席懸空

毋須替補的可見外國的制度是寧

讓議席懸空也不由敗者替補以

防止民意被扭曲

而且即使先進如德國其選舉

制度其實也正受聯邦憲法法院挑

戰因為藉着選票總數按公式計算

所得議席的方法或未能充份反映

選民投票意向有關的遞補方案

會令另一張名單有得票的落選者未能獲得

議席另一方面又有候選人毋須選票便

獲得議席這可能違反德國聯邦憲法再

者即使德國的一套在該地行之有效但

某些該地的選舉制度的細節也不一定適

用於香港需知道德國是一個全面民主的

國家有健全的政黨政治及聯邦自治的傳

統這與香港那四不像的「民主制度」是

截然不同的

引用著名專欄作家

區樂民醫生的說法

「特區政府的方案是

全世界獨一無二的

獨一無二的制度有

可能是出色的但更

大機會是愚蠢的」

結語

綜合剛才的分析不難看出政府提

出的遞補方案是既不合情又不合理

同時亦不合法的請容筆者在此再次引

用區樂民醫生的文字為文章作結 

「我對官員的要求不高只要能以邏輯思

考按常理做事就足夠了為何這麼簡

單的期望也會落空」 

我對官員的要求不高只要能

以邏輯思考按常理做事就足夠了為何這麼簡單的期望也會落空

政制及內地事務局局長林瑞麟表示新方案絕對「合情合理亦合法」然而此話當真

hkucaduceusnet | 7

內 地孕婦趨之若鶩地來港分娩蔚

然成風本港出生嬰兒數目

由零六年的六萬五千急增至

去年的達八萬八千當中

三萬多名嬰兒的父母均非香

港永久居民他們除了擁有

香港永久居留權將來還可

享有教育醫療房屋等多

項社會福利難怪有人形容

這做法猶如廉價投資移民

香港永久居留權變成私營醫

院招徠客人的「贈品」

本地孕婦一床難求

內地孕婦蜂擁來港人

數由零五年的一萬九千人

急升至去年的四萬一千人

令產科床位愈見緊絀有本

地孕婦早至懷孕五六週亦

未能預約私家醫院床位她

們四出奔波身心俱疲不

禁怨聲載道感到內地孕婦

分薄了理應予本地人享用的

醫療服務資源而為確保本

地孕婦得到妥善和優先的照

顧政府於四月公布公立醫

院即時停收內地孕婦希望

在短期內稍稍紓緩本地孕婦

床位緊張的問題

由八間醫院成立的「新

生兒服務關注組」指出以

現有資源及人手編制本港

每年出生嬰兒數字不應超過

七萬五千若是勉強增加服

務量勢必影響服務質素

苦了醫護團隊也苦了病

人終於在六月下旬政府

與私家醫院達成共識將明

年非本地孕婦來港產子數目

定於三萬五千公立醫院將

會預留三千四百名額予非本

地孕婦私家醫院非本地孕

婦來港產子數目則限於約三

萬一千

鋌而走險

部分內地孕婦未經登記

預約及作產前檢查待臨盆

前才到公立醫院急症室求

診由於她們大多缺乏常規

的產前檢查使血壓高和糖

尿病等問題未能及時處理

分娩時媽媽和嬰兒的風險會

大大提高而公立醫院停收

內地孕婦後除了有更多內

燙手山芋簡析內地孕婦來港產子潮李愉欣 (M15)

有本地孕婦抱怨「一床難求」抗議內地孕婦分薄醫療資源

社會

ldquoa hospital bed is a parked taxi with the Meter ruNNiNgrdquo ndash groucho Marx

8 | Caduceus September 2011

地孕婦在臨盆時硬闖急症

室公立醫院亦首次揭發內

地孕婦持偽造醫生紙過境來

港分娩此例一開更可能

吸引一些極端例子以坐監博

取來港產子掀起另一股制

度缺口下的潮流

「私院賺錢公院善後納稅人埋單」

時事評論員林輝認為

私家醫院賺得盤滿缽滿的同

時其實正將其成本外化至

公立醫院以至全港社會首

先私家醫院可選擇接收較

容易處理的個案一旦遇上

奇難雜症便將之轉介往公

立醫院初生嬰兒深切治療

部令該部門工作量大增

床位佔用率高達百分之一百

五十前線醫護人員工作壓

力之沉重可見一斑其次

私家醫院向公立醫院富經驗

的醫生和護士挖角以致人

手大量流失這不但影響公

立醫院的服務質素更令留

下來的醫護人員不勝負荷

形成惡性循環漣漪效應

下醫院其他部門如急症

室等也將間接受影響因

此不單是納稅人全港社

會亦將會共同承受內地孕婦

來港產子潮的代價

誘因

筆者認為內地孕婦來

港產子潮方興未艾原因有

四首先內地實行「一孩

政策」限制每一家庭只生

一個孩子違反《人口與計

劃生育法》除了會被罰款

父母和子女還會喪失許多福

利因此部分內地夫婦會

為了生育多於一個孩子而選

擇來港分娩而九七回歸以

後中港兩地關係愈趨密

切社會融合令跨境婚姻日

益普遍港人內地配偶來港

分娩的數目自然節節上升

再者自零四年兩地政府推

出自由行政策起內地居民

可以自由進出香港簡化便

捷的出入境手續和四通八達

的交通網絡更為內地人來港

產子大開方便之門而最重

要的是孩子獲得香港永久

居民身份後可享有多項社

會福利及更多元化的發展前

景將來亦可舉家申請來港

團聚這對不少家庭來說相

當吸引

長遠影響

由零五年至去年其父

母均非香港永久居民的「港

產內地B」達十四萬人

而隨着他們成長問題將由

婦產科和母嬰健康院延伸到

其他學童健康服務以至教

育醫療房屋政策的規劃

等等筆者認為政府需未

雨綢繆每年重新審視非本

地孕婦配額同時把配額制

可納入整體人口政策的一部

分為多項社福服務進行長

遠規劃另一方面兩地政

府亦需加強執法致力堵塞

不良中介人活動避免未經

預約孕婦直闖急症室分娩等

高風險情況 

參考資料

林輝《香港居民身份不是贈品》二零一一年四月八日刊於明報

《星期日檔案港產內地B》二零一一年六月十二日於翡翠台播出

httpbig5chinanewscom內地孕婦來港產子潮對公立醫院產科及 初生嬰兒深切治療部構成沉重壓力

hkucaduceusnet | 9

最 近虐待動物個案屢見不鮮手法層出不窮光看新聞標題已

令人不寒而慄無法想像施虐者為何能對

可愛惹人憐惜的小動物下毒手在緝兇之

餘亦應反思是甚麼心態及動機驅使他們

做出如此冷血殘忍的舉動

香港人生活壓力大不單是成人就

連小孩都有很多必須面對的煩惱如果沒

有適當的方法紓發情緒調適心情便會

容易導致心理不平衡患上心理病或情緒

病一般人看到別人痛苦會有同理心產

生難受的感覺因同情而伸出援手希望

別人不再痛苦施虐者則相反藉著暴力

行為令別人感到痛苦從而產生刺激快

感而非內疚或罪惡感施虐者利用這種

自私的方法去宣洩情緒將自己的快樂建

築在別人的痛苦身上

虐待動物的人一般懦弱膽小缺乏自

信因此選擇一些弱小無助無反抗能

力的對象發洩情緒令自己提升存在感及

掌握權力流浪貓狗隨處可見施虐者會

以為別人不顧流浪貓狗的死活所以即使

虐待牠們也不會被人發現因此流浪貓

狗容易成為施虐對象當中貓隻反抗能力

較狗隻低所以被虐情況更為嚴重施虐

者當中男比女多可能是由於女權主義高

漲男女社會角色轉移男性無法宣示強

者地位的原始心理更容易使他們做出這

種反社會行為

虐待動物的行為讓施虐者享受虐待的

快感對於殘忍的手段容忍程度會提高

對剌激感的追求亦會增加變得更麻木

不仁直至虐待動物已無法滿足他們的慾

望加上沒有因虐待動物而得到應得的懲

罰令施虐者變得更大膽可能將虐待對

象轉向兒童甚至成人

小動物反抗能力低也不會提出控訴

因此我們有責任去保護牠們看到動物

受虐或懷疑受虐不要漠視或啞忍也不

要只將影片拍下上載互聯網應向政府部

門舉報或向愛護動物協會等機構投訴

《防止殘酷對待動物條例》的最高刑罰是

罰款二十萬元及監禁三年但定罪個案極

小實際判刑大部分只是罰款執行社會

服務令等所以有關當局應提高刑罰令

人害怕受懲罰而約束行為這樣才能達到

阻嚇作用施虐者除了接受應得的懲罰之

餘亦應強制接受心理輔導及愛護動物課

程糾正他們的心理狀況避免重蹈覆

除了殘忍的施虐者遺棄寵物的主人

亦是造成悲劇的幫兇甚至元兇他們

不負責任地把寵物丟在街上把牠們推向

險境失去主人保護的寵物即使不被虐

待也會飢寒交迫甚至遇上各種危險

所以遺棄動物前請切身處地想想流浪貓狗

坎坷的命運 

停一停 想一想正視虐待動物問題郭淑芳 (N14)

反對虐待 尊重生命

社會

ldquokeepiNg a pet is a lifetiMe busiNess aNd coMMitMeNtrdquo ndash aNiMal re-hoMe services

10 | Caduceus September 2011

記 得剛剛入學的時候教授對我們說過「要是你們想賺

錢現在就轉到別科吧這兒不是讓你們

賺錢的地方這兒比其他行業都更辛苦

因為我們掌握別人的生命」醫護界就是

這種行業是一種用心對待病人的行業

人皆有惻隱之心醫生為病人著想是一

件理所當然的事根本不需要去學習如

何行此道這是人自發性的行為要是醫

生不是以心去行醫這是對病人對自己

的專業甚至對作為人的自己也是一種

侮辱但是在日本這種高文化水平的國

家則有孕婦死於拒診醫生對求醫的

人見死不救即使是

我一個只是讀了一

年的醫科生也知道

這是不道德的無

論是以一個專業醫生

的角度甚至於人的

標準來說

二零零八年日

本一名孕婦因為身體

不適而求診結果慘

遭七間醫院拒收

雖然嬰兒平安無事

地出世但這位剛成為人母的婦人卻於三

日後死亡這種情況在日本中不是罕見的

事根據統計日本於二零零七年就有二

萬四千多宗拒收病人的個案情況令人不

安也令人反省這些高知識份子為什麼會

如此冷血大家常常稱讚那些高學歷人士

是「飽讀聖賢書」我可不曾記得聖賢書

有教導我們要見死不救對別人的生死置

身事外特別對於我們這些醫護界的準工

作者更加不能接受人死不能復生既

然我們掌握著別人的生死又怎能如此不

負責任呢看到這些新聞我們作為醫學

院學生亦應對此作出警醒

除了日本之外香港也曾發生過類似

事件而且曾經轟動一時二零零八年

一名患有心臟病的男人於明愛醫院門前病

發他的親友馬上到明愛醫院詢問處求

救院方見狀卻要求對方打九九九求助而

不是即時提供協助當然這件事可能涉

及一點程序上的問題但是人是生規

矩是死救人一命勝造七級浮屠所有規

矩都不及拯救人的性命重要吧令人安慰

的是有一名見義勇為的醫生途經現場

隨即致電急症室並為事主檢查發現他

全無脈搏遂立即進

行體外心臟按摩可

惜最終病人經搶救

後仍是不敵死亡的命

運這件事令人感到

惋惜同時我們亦

應反省醫護人員做事

的態度典型香港人

有一種特別的特性

他們都是「多做

多錯少做少錯不

做不錯」的「信奉

者」當時的詢問處

的值班者可能心怕破壞規定幫助病人後

可能會引起上司不滿對自己的事業有影

響故此遲遲未能下定決心幫助別人可

見醫護人員對病人的同理心不高這亦是

值得我們所反省的

相信仍然未畢業的我們對日後的工

作是抱有一種憧憬有一種熱誠但是

當我們畢業後這股熱血會被忙碌的工作

所撲滅當日的誓言早就置之不理了

「病人的健康應為我的首要的顧念」變成

了「清掉桌上滿滿的病人檔案為我的首要

的顧念」「將要憑我的良心和尊嚴從事

拒收病人何來醫德醫心謝汶珊 (M15)

社會

hkucaduceusnet | 11

醫業」則變成「將要憑我有限的體力和時

間從事醫業」helliphellip更甚者於我們求學期

間已經把病人的健康拋諸腦後了腦子

裡卻放滿了那些不知從哪裡來的肌肉神

經線以及血管等等當腦子的容量用了大

部份來放置anatomy的東西之後餘下來的都放了那些古怪的藥名進腦子去了

哪有閒下來的空間把那些道德經放進腦子

裡但是即使你能夠把那本Grays Anat-omy或者那本大Robbins的所有內容牢牢記在腦子裡沒有醫德你絕對不是一個好

醫生當然沒有任何人規定你的道路

你的選擇然而你的選擇將會影響到別

人的生命社會當然不會奢望每一個醫生

都有當無國界醫生的那一種胸懷但是

他們希望醫生起碼會是一個抱有救活病人

作為使命的醫生

作為一個好醫生並不能帶給你金錢或

者名譽這個世界永遠是行商者才是致富

之道你希望將來得到的是什麼我們都

應該找出自己的答案把它寫下來以免

他日遇上挫折或誘惑會迷失自我仔細想

一想若果你的答案思前想後仍是「錢」

那麼請你認真考慮一下轉科吧「若

果病人沒錢看病作為醫生也要為他看

病也要為他開藥我們沒有權力去把他

們趕走」這就是醫德相信每一個將成

為或者已成為醫務人員的人都曾宣誓過自

己要奉獻一切為人類服務所謂的誓言並

不是用嘴巴說出來罷了一個無法遵守的

誓言只會變成一句又一句的廢話俗語有

一句「狗口長不出象牙」helliphellip

以下是世界醫學協會一九四八年日內瓦

大會採用的日內瓦宣言

我鄭重地保證自己要奉獻一切為人類服務

我將要給我的師長應有的崇敬及感戴

我將要憑我的良心和尊嚴從事醫業

病人的健康應為我的首要的顧念

我將要尊重所寄託給我的秘密

我將要盡我的力量維護醫業的榮譽

和高尚的傳統

我的同業應視為我的手足

我將不容許有任何宗教國籍種族政見

或地位的考慮介於我的職責和病人間

我將要盡可能地維護人的生命自從受胎時起

即使在威脅之下我將不運用我的醫學知識

去違反人道

我鄭重地自主地

並且以我的人格宣誓以上的約定 

ldquoa Merry heart doeth good like MediciNerdquo ndash kiNg soloMoN

12 | Caduceus September 2011

Radiologist

Ophthalmologist

Anaesthesiologist

All roads lead to Rome but have you missed the ROA and D

when it comes to success in medical career

to success

hkucaduceusnet | 13

Anaesthesiologist

Dermatologist

All roads lead to Rome but have you missed the ROA and D

when it comes to success in medical career

to success

14 | Caduceus September 2011

「形影不離」的造影術專訪放射科邱麗珊醫生陳伊樂 (M15) 賀曉琳 (M15)

邱 麗珊醫生於一九八三年畢業於香港大學醫學院並於一九八

六年開始修讀放射科邱醫生不但在東區

尤德夫人那打素醫院身兼前線管理和訓

練多職而且積極參與香港放射科醫學院

的工作我們非常感謝邱醫生能夠在百忙

中抽空接受訪問向各位同學分享一下她

踏上成功路的經歷與待人處事的態度

甚麼是放射科

放射科是利用X光(X-ray)電腦斷層攝影(CT)磁共振成像(MRI)和超聲波造影(Ultrasound)等技術展示患者身體內部結構的影像從而協助診斷和進行治療

當放射科醫生危險嗎

誠然放射科醫生需要經常接觸對身

體有害的輻射可是這門專科有不同的

措施保障我們的安全首先每一個放射

工作者都需要領取牌照此外我們會每

個月檢查掛在胸前的放射量測定器確保

接觸到的輻射劑量沒有超越安全水平當

然有關部門亦會定期檢查儀器確保它

們正常運作

爲什麼你會選擇放射科你對於有意將

來當上你的專科的同學有甚麼建議

選擇放射科純粹是因為爸爸的一句「

放射科適合女孩子」當上放射科醫生之

後才發現事實並非如此放射科是一個重

要的專科幾乎每一個住院病人都需要用

上造影技術但除非做超聲波或介入放射

治療放射科醫生卻好像很少與病人直接

接觸有些醫生喜歡多和病人接觸放射

科便不適合他們了另外放射科正面對

著迅速的科技發展對新科技有興趣的同

學這個專科的確是一個不錯的選擇可

是由於學位有限每年報讀放射科的六

邱麗珊醫生Dr Jennifer Khoo放射科專科醫生

香港大學內外全科醫學士 英國皇家放射科學醫學院院士 香港醫學專科學院院士(放射科)

東區尤德夫人那打素醫院 放射科 部門主管 及 顧問醫生

醫院管理局 港島東聯網 Service Director (Radiology)

香港放射科醫學院 首席副院長 及 科學委員會主席

專題

hkucaduceusnet | 15

七十人當中總會有四五十人因願望落空

而要轉投其他專科我的建議是千萬不要

灰心人總不能夠經常做自己喜歡的事

但一定要喜歡自己正在做的事(You canrsquot always do the things you like but you can learn to like the things that you have to do)

請詳述對你人生有大影響的起落人

事物

人一生中如果能夠遇上一兩位良師益

友在你碰到困難時扶你一把在你迷

惘時給予意見上天就已經算是對你不薄

了而我自己也算是非常幸運有兩位

前輩當上我的引導者一位是瑪麗醫院

的陳富六醫生另一位是澳洲的Professor Michael Sage因為兩位的提點我決定善用自己的長處留在公營醫院參與一些

行政和訓練的工作幫助培訓醫生使更

多病人受惠

你有甚麼人生的哲學嗎是甚麼信念使

你堅持當一名醫生

我認為每個人都需要有自己的優先順序

(priority)對我來說家人和家庭生活永遠都是排在首位縱使我已經涉足到很多

管理方面的工作但病人還是排在行政管

理之前有著清晰的優先順序不管遇到

多大的衝擊都能使自己勇敢面對邁步

向前優先順序或多或少都與個人經歷有

關有部份同行可能會基於不同原因或

許是滿足感或許是工作量而轉投私人

市場我想每個人的價值觀和信念都有不

你對現今醫學院的學生有甚麼寄語叮

習醫是一條漫漫長路少不免遇上困難

和挫折而這些難題往往會轉化成使身心

俱疲的壓力身為醫學生一定要及早學

會如何面對壓力我的忠告是凡事都要

以平常心面對要從錯誤中學習懂得避

免犯上同樣的錯誤要有反彈能力勝過

昨日的自己

醫科生基本上都是能力不錯的一群

(cream of the cream)要好好利用自己的能力為社會作出貢獻 

ldquowheN you are dowN aNd out soMethiNg always turNs up it is usually the Noses of your frieNdsrdquo ndash orsoN welles

16 | Caduceus September 2011

A Discourse with a Female Gold-MedalistInterview with an Ophthalmologist ndash Dr Charmaine HonChariene Woo (M15) Charis Chan (M15)

W hile waiting for Dr Hon at her Central clin-ic the Hong Kong Ophthalmic Associates

we were amazed at how the spacious clinic was crowd-ed with patients When we finally meet Dr Honrsquos big friendly smile made an impression on me as she invit-ed us into her room Despite having a busy schedule Dr Hon is very down-to-earth and eager to provide valuable advice for our fellow schoolmates

Dr Hon started out as a medical doctor and changed to the specialty of ophthal-mology Initially she worked with the public sector fulfill-ing her duties as a doctor re-searcher and teacher at the same time Then she turned to the private sector and joined the Hong Kong Ophthalmic Associates as she feels that she can be more focused on the aspect of patient care ldquoIn public hospitals it is hard to follow up on patient care and it is rare to meet the same patient twicerdquo she reflected ldquobut in the private clinical set-ting I get to know the patientrsquos family and medical his-tory better and I feel more like a doctor by having the ability to follow my patientrsquos progressrdquo

As a recipient of the John Anderson gold medal for the highest aggregate of marks in all the MBBS professional examinations Dr Hon also shares her advice in studying ldquoBasic knowledge is a must but clinical sense is the most importantrdquo and with a smile

she added ldquoyou have to pay attention to your mentors during attachments to hospitals even if you are just ob-servingrdquo But donrsquot think Dr Hon is all about studies She emphasizes that she is not the most hardworking student in her graduating class and suggests medi-cal students to explore outside of the medical world especially in the first two years of study ldquoYou have to have a life outside of medicine and you should do it in

the non-clinical years as there are decreasing chances and time for you to meet non-medically related peo-ple after year 3 onwardsrdquo the ex-member of the Union Choir said ldquoAnd as you come more into contact with different people you learn how to communicate bet-ter which will definitely help your medical career and will keep your life diversifiedrdquo

As for advice to students in clinical years she shares her insights in how to choose your specialty She sug-gests students to look into their strengths and inter-ests and to understand and explore as much as pos-sible in attachments since it is a lot harder to change onersquos specialty nowadays compared to the past ldquoThe most important point is to identify yourself and not to blindly follow the path of others Do not think of future

achievements since what you chose will probably stick with you for liferdquo True enough ophthalmology was not a developed specialty during her times of studies and Dr Hon says she is probably one of the very first gold medalists who pursued it as a career A note to her future female counterparts ldquoYou have to think of your future path and plan accordingly and be ready

Basic knowledge is a must but clinical sense

is the most important

The most important point is to identify yourself and not to blindly

follow the path of others

Feature

hkucaduceusnet | 17

to put your career before marriage Many of us delay our plans of marriage and pregnancy after finishing our specialty fellowship which is at around 30rdquo After hearing this I was very worried but she added ldquoGen-eral practice is also a good choice and there are some females doctors who donrsquot follow this trendrdquo

One of the things that struck me the most is that Dr Hon sticks to the principle of doing everything with all your heart ldquoYou only pass through this life once and when you look back you should not regret what you have donerdquo So when presented with conflicting ideas with her principle what does she do ldquoI reflect and fight for itrdquo she laughs ldquoIt sounds rebellious but as a doctor you have to have a judgment that is best for your patient and you cannot conform to society or systemsrdquo Using the limited consultation time for each patient in public hospital settings as an example she explains that doctors arenrsquot machines and should be able to adjust to different patientsrsquo needs appropriately so to do what is best for the patient ldquoYou should never lose yourself under the system and should always do whatever you think is best for your patientrdquo

When asked about the specialty of ophthalmol-ogy Dr Hon tells us with passion that ophthalmology allows instant gratification and makes a difference to patientrsquos life ldquoMany specialties can make a difference but only a few have a clean-cut immediate effect like ophthalmologyrdquo But ophthalmology is also about hard work and persistence ldquoIn this specialty there is con-stant advancement in the past we do extra capsular extraction but now there are frequency emulsifica-tion and other advancements I am always awed by the senior partners in this clinic who have a strong will to chase and read up on new techniquesrdquo So besides steady hands and good eyesight intellectual curiosity on the latest research is a must if you are thinking of pursuing a career in ophthalmology

Before we parted Dr Hon gave us a final word of wisdom ldquoThis is going to be hard for you two gals but you look tough and yoursquoll survive Since you chose this career path do expect to work very hard as it is not easy but so is every other occupation nothing is ever easy in this worldrdquo

DrCharmaineHon韓尚穎醫生

Specialist in Ophthalmology

MBBS(HK) MRCS(Edinburgh)

FC Ophth(HK) FHKAM(Ophthalmology)

ldquoas you grow older yoursquoll fiNd the oNly thiNgs you regret are the thiNgs you didNrsquot dordquo ndash Zach-ary scott

18 | Caduceus September 2011

奉行完美主義的守護天使專訪麻醉科李靜芬醫生吳瑞麟 (M15) 李庭翰 (M15)

說 起麻醉越野挑戰馬拉松義工無國界醫生你想到甚

麽幾樣風馬牛不相及的東西可以用三

個字關聯起來李靜芬

李靜芬醫生畢業於香港大學醫學院

現於養和醫院疼痛治療門診工作她曾經

加入無國界醫生到南蘇丹服務又是醫療

輔助隊動員主任香港不少的大型活動

例如馬拉松東亞運奧運馬術等都由她

去統籌急救站的運作她又經常舉辦醫療

會議亦於很多地方做義務醫療顧問熱

衷於向公眾推廣疼痛管理與健康的知識

另一方面她是香港全能運動學會醫療顧

問經常參加越野挑戰戶外活動又參

加半馬拉松比賽看完李醫生這麼的一個

簡介實在很難不驚歎好一個「周身

刀張張利」的奇人

人生的轉捩點

其實初中時期的她與醫生根本扯不上

半點關係身為壘球隊隊長在中四的一

次練習中她被壘球擊中一眼從此改變

了她的命運當時全港只有一位眼科醫生

會在晚間應診眼科的醫療設施也不足

令她眼睛流着血水在黑暗中東奔西跑尋找

醫生她由大埔賽馬會診所走到威爾斯

然後到伊莉莎伯再到油麻地終於找到

眼科醫生李醫生由四點奔波到十點令

她深深體會到作為病人的痛苦也從此立

志要做一個醫生幫助有需要的病人

初中時的李醫生每天放學就練球以

致成績中等但自從立志投身醫護她虛

心求教又得到當時的班主任授予時間管

理和讀書的方法成績突飛猛進在短短

六個月間從中等成績進步至模擬考試全

李靜芬醫生Dr Carina Li

麻醉科專科醫生

香港大學內外全科醫學士 澳洲及紐西蘭麻醉科醫學院院士 香港麻醉科醫學院院士 

香港麻醉科醫學院疼痛科文憑

香港醫學專科學院院士(麻醉科)

專題

hkucaduceusnet | 19

級第一她的毅力和決心實在令人佩服

她的傲氣

其後她獲中文大學收作暫取生但她

又再次作出驚人之舉李醫生認為要讀醫

科生物化學科就得好些所以一定要認

真研讀高級程度的生物化學但是人是有

惰性的如果做了暫取生就一定會變得不

思進取讀不好生物化學於是她毅然

放棄暫取生的資格全心全意去考好高級

程度會考李醫生的豪氣決斷她破釜

沉舟的決心她的好勝和哲學令筆者從

心底裏衷心地拜服她

結果她當然考得很好的成績在選擇

大學時她再一次認真考慮自己將來的

路向她生來就有一種使命感覺得一定

要做一樣在任何時候任何地方都最有用

的工作加上她常常留意時事總覺得天

災人禍真的可以隨時發生於是她就選擇

了兩種無論是面臨戰爭還是天災的時候

對所有人都十分重要的工作記者和醫

生她終於入讀了港大醫學院並於九五

年畢業

與麻醉科結緣

實習的時候她特意選擇了一些能夠獲

得較多經驗的部門到投考專科的時候

她也選上了可以接觸很多不同類型病人的

兒科只可惜當時兒科並沒有學額但在

朋友介紹之下知道了麻醉科麻醉科同樣

可以接觸到不同的病人而且無論在甚麽

地方都可以發揮所長正正符合了李醫生

的志向結果她便入了麻醉科

據李醫生所說雖然一般人認為麻醉

科對體力的要求較少適合女孩子但

是現實並不這樣簡單由於麻醉要求一絲

不苟麻醉科的醫生都是完美主義者而

且學習的內容艱深每一種藥物的作用

反應甚至化學結構都要讀得滾瓜爛熟

她形容麻醉科醫生就好像病人背後的守護

天使在手術中要不停監測病人的維生指

數感覺病人的生命就在自己的手中所

以要承受着很大的壓力

作為麻醉科醫生每次見到的都是昏

迷或者沒有意識的病人事實上並沒有甚

麽可以跟病人溝通的機會病人通常感覺

不到麻醉科醫生的付出所以作為麻醉科

醫生未必可以從病人身上得到很大的滿足

感但他們卻比其他醫生更能夠專注地為

病人服務因為每次在手術中只照顧一位

病人

她的叮囑

李醫生叮囑現在的醫學生一定要僅記當

初想做醫生的原因她覺得在這個物質

社會中人是很容易迷失的她感覺到現

在的某些醫學生只為了一份穩定的工作

甚至是因為父母的意見而選擇行醫關於

作為醫生的意義卻從沒有思考過她勸

我們要好好問自己兩條問題人為甚麽生

存於世上作為醫生又是為了甚麼她

認為醫者要有父母心處處為病人而

不是為自己着想作為醫生就是要去服

務幫助人而不是為了求回報我們生

存於世上為的是信望愛並不用時時

記住利益金錢等東西最後她又提醒我

們不可以歧視病人不論是黑社會成員還

是香港首富只要病了就是一個無助的

病人就需要我們的幫助

李醫生思考獨立為人熱情健談跟李

醫生做訪問真的是一件有趣的事又令筆

者獲益良多特別是她有關人生意義的看

法的確值得反思作為醫學生的大家

你又可曾想過為甚麼要生存為甚麼要做

醫生呢

ldquothere is No MeaNiNg to life except the MeaNiNg MaN gives his life by the uNfoldiNg of his powersrdquo ndash erich froMM

在手術中不停監測病人的維生指數麻醉科醫生就好像病人背後的

守護天使

20 | Caduceus September 2011

To Succeed is to Fight Against ComplacencyInterview with a Dermatologist ndash Dr Henry ChanLily Cheng (M15) Andrew Seto (M15)

W ith our scheduled interview being inter-rupted by an emergency case of Stevens-

Johnson syndrome a life-threatening allergic skin re-action to medication Dr Chan rushed to the hospital for his patient

Sitting in Dr Chanrsquos office at his private practice the Hong Kong Dermatology and Laser Centre in the middle of a conference call with his overseas counter-part researchers we saw a pragmatic doctor at work This is a doctor who would never be complacent with his performance but keeps striving for excellence

AmedicalcareerDr Chanrsquos interest in dermatology was sown well

before his exposure to the discipline Having been in-flicted with eczema during his childhood he suffered from an excruciating itch in his skin that caused him much distress As a result of his own medical condi-tion he developed an interest in dermatology at a young age

During his fourth year in medical school he ex-plored an elective in dermatology at Yale University and began formal training in the field He obtained his medical degree and worked for several years in the UK before returning to Hong Kong to work at the Prince of Wales Hospital He then received a grant from the Hos-pital Authority to read dermatology in the UK

Working back and forth between Hong Kong and Britain in and out of universities and hospitals in his early years of practice Dr Chan settled his work base in Hong Kong in 1995 He was Associate Professor of CUHK from 1998 to 2000 and Chief of Dermatology and Associate Professor in HKU from 2000 to 2004

After entering private practice in 2004 Dr Chan now spends a lot less time on doing administrative work and more time on treating patients While he was actively engaged in teaching research and clini-cal work his current focus has shifted to mainly clini-cal work As an honorary clinical associate professor of our faculty he enjoys teaching and values the opportu-nity to cultivate and influence medical students

A renowned dermatologist with a strong research interest in medical devices Dr Chan is still very active in terms of research output His private practice sup-ported by a team of full-time research staff is unique

for its active research component ndash a practice which is well-established overseas but rare in Hong Kong

AsadoctoranddermatologistIn the beginning laser devices were developed to

treat medical conditions such as haemangioma and black moles but technological advancements driven by recent research has explored new possibilities for their applications in cosmetic treatment As a result new cosmetic procedures have appeared for the treat-ment of various conditions from skin rejuvenation to body contouring

While it is true that most dermatological conditions are rarely life-threatening they may nonetheless have a profound impact on patientsrsquo physical and psycho-social wellbeing For instance eczema often presents with rash It may give exudate in serious cases but is rarely fatal Nevertheless it might constitute great dis-comfort and inconvenience to patients Similarly se-vere cases of acne may also diminish onersquos self-esteem Dr Chan stressed that treatments for many skin condi-tions are not merely cosmetic in nature but may im-prove patientsrsquo self-esteem body image and psychoso-cial wellbeing

On the other hand some skin problems such as psoriasis and chronic eczema are incurable It is there-fore the doctorrsquos duty to educate patients and enhance their understanding of their disease One of the re-sponsibilities for dermatologists is to evaluate the im-pact of their patientsrsquo conditions to their quality of life Other than helping them return to their normal routine and diet as far as possible dermatologists also need to teach patients the way to get along with their chronic illnesses

Dr Chan emphasized that we run a profession not a business On this ground a doctor should never tell a patient what procedure they should receive Rather a doctorrsquos role is to explain the options available and provide the relevant information that carry with each procedure including potential risks and complica-tions

Dr Chan reminded us that financial return is only a ldquoby-productrdquo of a doctorrsquos work as a professional Doctors work hard and should be paid for their serv-ices but they should not be more interested in making

Feature

hkucaduceusnet | 21

money than in helping people He believes that shap-ing doctors into commercials in some way jeopard-izes medical professionalism

SuccessRedefinedSummoning his days as a fresh medical officer Dr

Chan recalled the death of the 18-year-old girl inflicted with necrotizing fasciitis who died within 24 hours He bore in mind every complicated case as an alarm to his future practice admitting that there is always room for him to improve

Quoting the professional golfer Jack Nicklaus Dr Chan reminded us that ldquocomplacency is a continuous struggle that we all have to fightrdquo It is easy to let our guard down but doctors have to be responsible for their patients all the time It is demanding but impor-tant for every medical professional to be vigilant and maintain onersquos standard at the top level He believes that good doctors should keep themselves in an appro-priate amount of stress and tension which keeps them mindful of their patientsrsquo needs

When asked about his rules for success Dr Chan emphasized that he does not feel he has attained his goal yet He feels that he may have had a decent start but it is inappropriate to judge his career before his retirement as he is still in the middle of his career To him it is far too early to define success Despite his change in roles over the years he still maintains his enthusiasm and passion that motivate him to do his best whether it be research teaching or clinical work

As far as medical students are concerned Dr Chan doesnrsquot see the urgency of deciding our future spe-cialty yet Medical school gives us a broad and general exposure to various fields and offers a good place to learn and gain experience sharpening our skills before serving as doctors We could still explore more in our senior years to come

ldquoFollow your heartrdquo Dr Chan gave us as a conclud-ing word He believes that the so-called ldquoROADrdquo to success is not really that important if one does not en-joy onersquos profession Listen to yourself and ask whether you really like your job

DrHenryChan陳衍里醫生

Specialist in Dermatology and Venereology

MBBS(London) MRCP(UK) FHKAM(Medicine) FRCP(Glasgow)

FRCP(Edinburgh)

Hon Professor LKS Faculty of Medicine HKU

Hon Consultant Dermatologist QMH HKSAR

Visiting Scientist Wellman Centre for Photomedicine USA

ldquoirsquoM a firM believer iN the theory that people oNly do their best at thiNgs they truly eNjoy it is difficult to excel at soMethiNg you doNrsquot eNjoyrdquo ndash jack Nicklaus

We run a profession not a businesshellip [doctors]

should not be more interested in making money than in

helping people

22 | Caduceus September 2011

Art and Medicine Seeing Diseases in ArtHow art masterpieces reveal medical conditionsAndrew Seto (M15)

F or centuries art historians have been mesmerized by

the enigmatic smile of Mona Lisa coming up with theories that range from the mundane to the bizarre Was she a silk merchantrsquos wife or a self-portrait of Leonardo da Vinci himself Was she pregnant An adulterer Leonardo da Vincirsquos se-cret male lover The theories never cease

BehindMonaLisarsquossmileHighcholesterolIt turns out that Mona Lisa had

ldquovery high cholesterolrdquo at least ac-cording to Vito Franco a Sicilian professor of pathological anatomy A medical expert who enjoys study-ing art masterpieces for evidence of diseases Franco concluded that Mona Lisa had xanthelasma (the accumulation of cholesterol under the skin) Indeed a closer look at her mysterious face does show a yellowish collection around the in-ner corner of her left eye He even found evidence of lipoma (a fatty tissue tumor) on her right hand Probably the least poetic finding for the most renowned beauty in Renaissance art

This was not the first time medical experts have associated Mona Lisa with clinical conditions Charles Bell the 19th century Scot-tish surgeon who discovered Bellrsquos palsy a form of facial paralysis resulting from facial nerve palsy once coined the term ldquoMona Lisa syndromerdquo This was a reference to the facial muscle contracture that develops after Bellrsquos palsy resulting in a ldquoMona Lisa-like smilerdquo

Mona Lisa Xanthelasma or just a blotch by mistake

Insight

hkucaduceusnet | 23

Hardly would Parmigianino have known that the long slen-der fingers and limbs of Madonna with the Long Neck was the result of a genetic disorder called Mar-fan syndrome And of all the things that crosses onersquos mind upon first glance of Caravaggiorsquos Sleeping Cu-pid the notion that the baby was inflicted with juvenile rheumatoid arthritis would be hard to imagine Franco claims that his goal was to expose the human vulnerability of the people depicted in art

MichelangelorsquosgoutykneeAnother subject who has been

scrutinized by medical experts is Michelangelo Renaissance painter and sculptor Scholars looked at his knee from Raphaelrsquos School of Ath-ens and concluded that he suffered from gout a form of inflammatory arthritis that occurs when crystals form in the joints

Based on the appearance of his knee which appears swollen en-larged and covered in hard lumps a diagnosis of gout seems plausible It was known that Michelangelo de-veloped various diseases during his life In his writings he complained of having kidney and bladder prob-lems In 1549 he had an episode of anuria followed by passing of grav-el and stone fragments in his urine

Many experts believe that Michelangelo like many of his contemporaries developed gout from lead poisoning A well-known workaholic Michelangelo con-stantly lived off a diet of bread and wine (processed in lead contain-ers at the time) and was frequently exposed to lead-based paint All evidence points to lead poisoning which promotes kidney damage and inhibits uric acid excretion causing it to build up in blood This predisposed him to gout precisely as depicted in Raphaelrsquos fresco

RenaissanceArtandNeuroanatomyLike Leonardo Michelangelo

was not just an artistic genius but also a great anatomist At 18 he be-

Michelangelorsquos knee from the school of atheNs by Raphael (c 1509-1510)

Madonna with the Long Neck Was it Marfan Syndrome

Juvenile rheumatoid arthritis

ldquoall art is autobiographical the pearl is the oysterrsquos autobiographyrdquo ndash federico felliNi

24 | Caduceus September 2011

gan dissecting cadavers in a mon-astery in Florence where he honed his technical skills and knowledge of the human body

According to neuroscientists Michelangelo disguised sketches of the human brain in his famous Sistine Chapel ceiling painting which has remained unnoticed for 500 years His fresco The Creation of Adam shares a striking similar-ity with the sagittal section of the brain The fold in the cape repre-sents the Sylvian fissure separating the frontal and parietal lobes You may even recognize the angelrsquos foot as the pituitary gland his thigh as the optic nerve and his leg as the optic tract And that sassy green robe running down the ponsmdashthatrsquos the vertebral artery

Look at Godrsquos neck in The Sepa-ration of Light from Darkness from the same fresco Art historians have long speculated that its lumpy ap-pearance represents goiter Yet medical experts have found an ac-curate picture of the brainstem and spinal cord in Godrsquos throat stun-ningly similar to the creases and crevices of the brain

Yet why would Michelangelo embed the brainstem in Godrsquos throat Was he alluding to Godrsquos wisdom or was it a form of protest to the Church After all dissecting cadavers was considered unethical at that time and for an anatomist like Michelangelo who fell out with the Pope while painting the Sis-tine Chapel ceiling could he have been painting anatomical images directly above the chapel altar in defiance to the Church

Artandophthal-mologyHowvi-sionchangesartClaude Monet is recognized as

one of the founders of the Impres-sionist movement but his vision got cloudy during his later years He wrote letters to friends describ-ing his growing frustration with his vision changes He was even forced to memorize colours on his palette

the creatioN of adaM by Michelangelo (c 1511)

the separatioN of light froM darkNess by Michelangelo (c 1512)

hkucaduceusnet | 25

and label tubes of paint Red began to look muddy to him and he saw his painting as becoming ldquoincreas-ingly darkenedrdquo Whenever he com-pared his paintings with his earlier works he would be sent into a tow-ering rage to destroy them

This was because he had cata-racts Cataract patients have yel-lowing and opacification of the lens so his vision essentially be-came more brownish The yel-lowish brown cataracts he looked through filtered out violet and blue shades Monet underwent two eye operations in 1923 after which he returned to his old painting style even throwing away some of his paintings and repainting them

Thesufferingart-istDepictingill-nessesinartPerhaps no one better personi-

fies the notion of a ldquosuffering artistrdquo than Vincent van Gogh Clinicians have posthumously diagnosed him with a range of medical problems including epilepsy schizophrenic and bipolar disorder His later works have long been noted for his preference for the colour yellow and some have speculated that this was related to his yellow vision

One theory was that van Goghrsquos doctors prescribed him with digi-talis to treat his epileptic seizures His painting Starry Night has yel-low circles around the stars and not surprisingly people with digi-talis overdose often see a yellowish halo around objects Other experts speculated that it was his addiction to absinthe that led to his yellow vi-sion Absinthe is a highly alcoholic drink that contains a highly psy-choactive neurotoxin called thu-jone which causes yellow vision

Van Gogh was not the only art-ist who projected his illness into his art Edvard Munch had tuber-culosis and spit blood as a boy Her mother died when he was five her sister spent most of her life in-stitutionalized for mental illness and his brother died of pneumo-

nia Munch may have depicted his own psychotic state of mind in The Scream which portrays a twisted agonized creature wracked with anxiety and horror

ConclusionDo these findings actually

prove something or are we over-analyzing artworks with our medi-cal knowledge Exactly what ben-efit would these discoveries have for the world at large is unknown At least we know it could lead to yet another interpretation for Mona Lisarsquos smile the result of a scrump-tious meal of pizza and pasta with cheese tomato sauce and meat balls before sitting for her portrait (which would certainly also explain her cholesterol problem)

Two pictures by Monet of the same Japanese bridgemdashthe first painted in 1899 the second between 1918 and 1922 revealing a dramatic loss of shape and detail

suNflowers by Vincent van Gogh (1888) the screaM by Edvard Munch (1893)

ldquoeverythiNg that we see is a shadow cast by that which we do Not seerdquo ndash MartiN luther kiNg jr

26 | Caduceus September 2011

The End is Near Apocalyptic TheoriesRead more to learn about the terrifying future that awaits us Chariene Woo (M15)

S urge of waves rush over the mountains with unstop-

pable speed engulfing and shatter-ing our homes Flaming asteroids rain from the sky causing roads to crumble like sheets of paper Peo-ple running away from burning cities screaming fearfully Civiliza-tion ruined in matter of mere sec-onds Is this what the future lies for us

Nobody knows

Apocalyptic literature and movies have always raised interest among the general public partly

because it involves the end of our world as we know it and partly due to the fact that there is no solid proof how an apocalypse would come about The interest has re-cently skyrocketed with rumors about the world ending on 21st De-cember 2012 about how the May-an calendar finishes at that specific time and how it will be the end of the world as we know it So the big question is when and how will our world end

NostradamusProphetofDoomNostradamus of France was

one of the worldrsquos most famous seers and is most well known for Les Propheties (The Prophecies) a collection of his major long-term prophecies written in quatrains Many of his prophecies have cor-rectly predicted current events including the destruction of the space shuttle Challenger the death of Lady Diana and the destruction of Twin Towers of the World Trade Center As a result of these predic-tions he has been given the nick-

How do you survive the apocalyptic world

Insight

hkucaduceusnet | 27

name ldquoThe Prophet of Doomrdquo

Nostradamusrsquo prophecies have huge room for interpretation speculation and controversy and some people think his writing has no merit at all The following is an example of a quatrain alluding to some sort of environmental disas-ter in the future

ldquoFor forty years the rainbow will not appear

For forty years it will be seen every day

The arid earth will grow more dry

And great floods when it will be seenrdquo

(Century 1 Quatrain 17)

In other quatrains images of great comet alien invasion and nu-clear contamination are also men-tioned so these could all be the prospects that are waiting for us in the future Despite Nostradamusrsquo ldquoaccurate predictionsrdquo of what had happened in the past the quatrains do not have a specific order So out of all the disasters predicted in the many quatrains it is uncertain which will happen where or when giving it less importance in predict-ing an actual apocalypse

PlanetXAccording to Nancy Lieder a

woman who claims to have been contacted by extraterrestrial life forms Planet X (also known as Nibiru) would come close to planet Earth on May 27th 2003 resulting in the Earthrsquos rotation ceasing for 59 terrestrial days The Earthrsquos pole will then undergo a physical polar shift due to the magnetic attraction between the Earthrsquos core and the magnetism of the passing planet This will ultimately lead to the dis-placement of Earthrsquos crust and the end of us But when this did not happen the event was postponed and re-dated to coincide with the Mayan calendar hysteria

NASA argues that this is merely an Internet hoax with no factual or scientific basis They explain that if Planet X was approaching Earth astronomers would have

been tracking it for at least the past decade and the planet would now be visible by the naked eye This is a very comforting bit of news Yet some people believe that NASA is part of a conspiracy to cover up the existence of such planet and keep the truth of impending apocalypse from general public Again the ar-gument can go either way and the ldquotruthrdquo depends on which side you choose or want to believe in

2012TheendoftimeSo what is so special about the

year 2012 There are claims saying that the Mayan calendar ends on 21st December 2012 and that will be the end of time for mankind However just like every calendar it merely rolls over to the new year on that date and it doesnrsquot signify anything special In the Mayan cal-endar 21st December 2012 will be the end of brsquoakrsquotun 13 and marks the start of brsquoakrsquotun 14 A brsquoakrsquotun is 144000 days (a little more than 394 years) and there is no archeological or historical evidence to show that the Mayans expected anything sig-nificant or drastic to happen at the

end of each brsquoakrsquotun

However there exists litera-ture that suggests otherwise In 1975 Frank Waters the author of the book Mexico Mystique identi-fied the 13th brsquoakrsquotun interval to be the ldquoMayan Great Cyclerdquo where it ends in the worldrsquos destruction and rebirth Waters claims that cata-strophic earthquakes will destroy the world but he miscalculated the date and announced that the end of the ldquoGreat Cyclerdquo would be on 24th

December 2011 AD

The year 1987 marked an in-creased in interest regarding the prophesized big event in 2012 The author of The Mayan Factor Path Beyond Technology Jose Arguelles linked the 13th brsquoakrsquotun period to a ldquobeamrdquo that links people the plan-et the Sun and the center of Galaxy According to Arguelles the beam is the key to harmonic resonance in the universe and the Mayan knew when we would enter and leave this beam hence set their 13th brsquoakrsquotun to mark our passage accordingly He also claims that this beam could advance the development of any-thing with DNA hence creating a more positive view of the future

V838 Mon a star with expanding light echo purported as photographic evidence of Nibiru

ldquoevery MaN dies Not every MaN really livesrdquo ndash williaM wallace

28 | Caduceus September 2011

No one can be sure of whether the end of brsquoakrsquotun 13 signifies something great or disastrous for us or if it is just another restart in the Mayan calendar We can only know for certain when the day ar-rives

GodrsquosplanforusThis is by far the most detailed

and terrifying image portrayed out of all apocalyptic claims that I have gone through The Book of Rev-elation from the New Testament reveals signs of apocalypse through a wide variety of symbolism One of such is the frightening image of the ldquofour horsemenrdquo

ldquoAnd I saw and behold a pale horse and he that sat upon him his name was Death and Hades followed with him And there was given unto them authority over the fourth part of the earth to kill with sword and with famine and with death and by the wild beasts of the

earthrdquo (68)

The pale horse carries the horseman of Death which is be-lieved to release global plague and pandemics to the world and take the lives of a quarter of the popu-lation This has already manifested

itself in many forms in different parts of the world at different times hence the first sign of apocalypse is said to be already happening among us

In similar manners the bible describes the arrival a black red and white horsemen represent-ing the delivery of global food shortages war and conflict and the coming of an antichrist to the world From historical genocide terrorism to increased occurrence of food shortages so often seen nowadays it seems that the red and black horsemen has arrived as well and now we are just waiting for the arrival of an antichrist to conquer us

The Book of Revelation also provides readers with a glimpse into the ldquoactionrdquo in how the world will end

ldquoAnd I saw when he opened the sixth seal and there was a great earthquake and the sun became black as sackcloth of hair and the whole moon became as blood and the stars of the heaven fell unto the earthhellipand every mountain and is-land were moved out of their placesrdquo

(612-13)

Besides the great earthquake and the darkening of the sun there is a repetitive mentioning of stars falling from heaven on earth in the Bible This is postulated as the at-tack of massive meteors on planet Earth Out of all prophecies in the Book scientists assume this to be the most likely since an asteroid impact at a scale as large as that may have already wiped out an entire species that came before mankind Scientists believe that showers of space rocks that rained down 65 million years ago (due to the collision of Near Earth Object) were the culprit for the extinction of dinosaurs Luckily NASA recent-ly launched an early warning sys-tem called ldquoSpaceguardrdquo that aims to monitor such Near Earth Objects to prevent future collisions and ex-tinctions

Having read the above the Bible seems to combine all the horrifying specifics in different apocalyptic speculations into one nightmare But donrsquot worry since there are many different interpretations of the Revelation Historicists are the ones who see the Book as a broad view of history (good news wersquove already escaped all the horrors in the depiction) whereas Futurists

believe the description as prophecies of the fu-ture The Idealists hold the belief that the Rev-elation does not refer to actual people or events which makes sense as the Bible is often not inter-preted literally So fingers crossed that the Revela-tion is not interpreted in the futurist way because in that way there is going to be a daunting future awaiting us

Four horsemen of Apocalypse

hkucaduceusnet | 29

ldquoDevolvingrdquoEarthTheoryThis is probably the

most scientific theory that I have come across so far from a news article pub-lished from ABC News A group of scientists from University of Washing-ton hypothesized that the Earth will gradually de-volve in the next half bil-lion years In short their logic works as follows

As we all know the sun is constantly grow-ing bigger yet the Earthrsquos environment has been reasonably constant This is because as the sun is warmed up carbon diox-ide from the atmosphere is removed and deposited in soil as carbonates This keeps our environment stable by the balance be-tween an increasing sun and reducing carbon di-oxide in the atmosphere (Note that global warming resulting from an increase carbon dioxide in atmosphere is just a brief blip in the grand scale of things) Since carbon dioxide is the ldquofood of liferdquo the reduction will cause plants and animals (including humans) to die To battle the rising heat some creatures will retreat into the sea hence reversing the evolutionary process And as the sun continues to expand the Earth will become so hot that even the oceans will gradu-ally be evaporated Eventually the sun blasts off its mass through ther-mal pulses engulfing the Earth

This is a very scientific specula-tion from an astrophysicistrsquos point of view and they claim that at best we have no more than half a billion years left This might be more reas-suring for some of us as the world will not end in the near future But the grief lies in the inevitability of our planet Earth coming to an end

Everythingthathasabegin-ninghasanendSo we are back where we start-

ed With more speculation and the-ories and still no closer to the truth The end could happen any day or time or maybe it could be a proc-ess that is already happening Even though it is not to the scale of an-nihilation of the human race hur-ricanes and earthquakes and car crashes have already been stealth-ily taking the lives of millions We know for sure that we must die eventually through chance old age or disease There is only very little we can do to fight against what has been planned for us and reducing the resources we consume is the best chance that we have in delay-ing this happening There might be some benefit if we know the in-sights of when and how it will hap-pen but really it doesnrsquot change anything Moreover it is possible that these speculations came about to force mankind to live life to the

fullest to treasure each day and every resource we have as a gift so it doesnrsquot matter which theory is the accurate one In the midst of these theories about apocalypse all we can do is to live every day as if it was our last with no regrets and enjoy life as it is now

ReferncesThe End of the Worldhttpwwwnostradamus101compropheciespart4P7

The Great 2012 Doomsday Scare httpwwwnasagovtopicsearthfeatures2012-guesthtml

When Will the World End New Theory EmergeshttpabcnewsgocomTechnol-ogystoryid=97756amppage=2

2012 Beginning of the End or Why the World Wonrsquot Endhttpwwwnasagovtopicsearthfeatures2012html

Video from history channel (from youtube link)httpwwwyoutubecomwatchv=BoTExQEyblU

ldquothe MeaNiNg of life is coNtaiNed iN every siNgle expressioN of life it is preseNt iN the iNfiNity of forMs aNd pheNoMeNa that exist iN all of creatioNrdquo ndash Michael jacksoN

30 | Caduceus September 2011

笑的神奇魔力「當你笑你改變了當你改變了整個世界也改變了」

麻丹卡塔利亞醫生(大笑瑜伽的始創人)何麗敏 (N14)

被隱藏的笑容

日 本大地震及核洩漏事件馬頭圍道唐樓火災三死十九傷中區

警長為勸示威人士中不慎失足墮橋身亡

各政黨爭相你嘲我罵helliphellip在城市裡我們

每天都被一些飛來橫禍天災人禍或社會

爭執的信息圍繞著充斥著愁雲慘霧的氣

氛甚至在家庭朋友學業工作和

健康方面我們亦會遇到不如意之事負

能量和心理壓力不斷增加沒有適當的疏

導和發洩方法之下不少人染上酗酒或沉

迷賭博等壞習慣來自我麻醉長期把情感

抑制的一些人更有機會患上

情緒病我們彷彿硬把自己

困在死胡同裡忘記兒時怎

樣整天咧嘴哈哈大笑如何

在跌倒後笑著站起來現

在很多人都像被魔鬼牽著

鼻子走每天板著一副無奈

沮喪的嘴臉掛上冷漠的眼

神笑聲更差不多成為絕

朋友啊你可有嘗試計

算過一天總共大笑了多少

次英國格拉根大學研究發

現在英國嬰兒每天會笑

達三百次而青少年時期的

每天大笑次數大幅減至六

次五十多歲的人平均每天

更只笑了三次無可厚非

我們在成長過程中必遇到愈來愈多的煩惱

和挑戰事情的確不是我們所能控制但

面對的心態我們為何不能放開一時所謂

的包袱像孩子般笑著面對呢為甚麼大

笑要有一定的理由或被時間限制呢

瑜伽加愉

近半個世紀工作學業和情緒波動

很大生活方式變得愈來愈物質主義容

易出現精神緊張大家都被壓得透不過氣

來變得不太愛笑在一九九五年印

度孟買註冊家庭醫生麻丹卡塔利亞(Dr Madan Kataria)創立「大笑瑜伽」以笑聲驅除怨氣大笑瑜伽是以笑聲互相交流

的透過眼神接觸傳遞歡樂的信息學習

別人的笑容代入孩童的心態再全情投

入地開懷大笑同時亦融入瑜伽的腹式

不妨一試

大笑瑜珈三式一預備式林中步行

在樹林慢走就是愛笑瑜伽的熱身方式步行時間

可以是10-30分鐘邊走路邊拍手同時不時地做深呼

吸目的是讓身體和情緒都徹底放鬆下來為後面的

內容做好準備

二進行式學習動物的表情

在瑜伽導師的帶領下活動面部肌肉然後模仿瑜

珈導師的動物表情這些表情看上去本身已很滑稽

只要按照瑜伽師的樣子去做再發出笑聲

三結束式調整呼吸

經歷了一場大笑面部表情鬆弛了心情也舒服

了不少大家慢慢收回笑容調整呼吸一邊在森林

裡散步一邊大聲告訴自己說「我們是世界上最快樂的

人」

灼見

hkucaduceusnet | 31

呼吸和伸展動作鼓勵大笑達至身心健康

的效果精神科專科曾繁光醫生指出 

「笑令腦自然分泌天然多巴胺以抗衡人

體緊張時所分泌的皮質醇預防患上焦

慮抑鬱的情況」除了改善情緒還能

促進健康笑能促進肺部呼吸功能和加強

血液循環現代醫學認為笑可以成為一種

治病方式治療神經衰弱消除肌肉的緊

張預防或減緩疼痛

筆者在此並不是宣傳大笑瑜伽其治

療成效仍有待商榷和科學實證但愈來愈

多人證實大笑和保持歡樂的心態能有效放

鬆自己張立新先生是第一位在中國推廣 

「大笑瑜伽」的人他患上憂鬱症遍尋

各種治療方式皆無成效一次機緣巧合

從網路接觸「大笑瑜伽」亦在電視上看

到介紹而開始學習和練習他的憂鬱症因

此不藥而癒從此他就開始在中國研究和

推廣愛笑運動暫且別論大笑瑜伽的奏效

程度但人生所遇到的事可真不少何不

笑對人生

尋回被遺忘的赤子之心

大笑並不是靈丹妙藥但它的確能帶來

正能量即使事情有多糟糕笑著面對總

比怨聲載道好而且美國加州大學柏克

萊分校心理學教授丹卓凱納說「笑對

人的進化很重要」目前心理學家們認

為笑是人類之間交流的古老方式之一笑

能互相影響把歡樂的氣氛傳染開去嬰

兒還未學懂說話時笑是與身俱來為何

我們長大後卻隱藏笑容呢朋友們參考

左頁所列大笑瑜伽的基本招式大家可相

約三五知己輕鬆一番找回孩童時的笑聲

大笑瑜伽的始創人麻丹卡塔利亞醫生

大笑瑜伽在六十多國家盛行

ldquolaughter is the best MediciNe - uNless yoursquore diabetic theN iNsuliN coMes pretty high oN the listrdquo ndash jasper carrott

32 | Caduceus September 2011

Learning Experiencing GivingA magical 10-day journey away from the cityErin Yeoh (M15)

C lad in backpacks light clothing and sneakers 21 medical students from HKU and CUHK

were prepared to leave the comforts of home and the internet (did I hear Facebook) We were bound to Chi-na about to embark on a learning-cum-volunteering trip organized by Medical Outreachers

After saying our final goodbyes at the Shenzhen air-port we split into two teams Team A with 9 members were bound to Xirsquoan where they would see volunteer orthopedic surgeons at work The 12 people in Team B including me left for Guizhou to understand the role of village doctors in rural China Both teams aimed to find out the effectiveness of public health policies in rural areas of China We were to meet up 4 days later at Dongshan Guangdong

Part1GuizhouUpon landing in Guizhou we were provided with

excellent hospitality by the local officers and the lo-cal NGO Amity Foundation We were given a brief introduction to Guizhou and also the work that the government and Amity Foundation were doing in the province Amity Foundation actually helped to build numerous new village clinics to improve the quality of healthcare in the region

The next day we were taken on a tour around the province visiting different village clinics (村診所) lo-cated in areas further away from the city Usually there would be one or two village doctors (村醫) on duty

at a time to attend to the villagers with population of around 1000 to 4000 per village

However the village doctors were not the type of ldquoheroesrdquo I had in mind They were not your typical doctor working in a worn out run-down wooden hut where there would be a row of sick villagers lining up to see them How ignorant I was In fact the village clin-ics were mostly renovated and well equipped with ba-sic amenities The standard village clinic has 5 rooms main lobby (大廳) treatment room (治療室) pharma-cy (藥房) observation room (觀察室) and a doctorrsquos rest room (醫生休息室) Furthermore their patient flow was rather small sometimes only one or two pa-tients per day This was probably due to the fact that some village clinics were located only a stonersquos throw away from major cities Those in a medical emergency would of course go straight to the main hospital to seek help immediately instead of consulting a village doc-tor

To be a village doctor one at least had to be a sec-ondary school graduate They would also undergo constant training and certification by qualified doctors in larger clinics According to the village doctors they spent most of their time doing paperwork keeping track of the villagers and their medical history They would also conduct regular home visits to those suf-fering from chronic illnesses or those that needed con-stant monitoring such as patients with hypertension or rheumatoid arthritis Another point that I found

A village clinic before receiving funding from Amity Foundation

hellipand a comparison after

Life

hkucaduceusnet | 33

interesting was that they would also visit families with newborn babies to check on their general health At the same time they would educate mothers on proper breastfeeding techniques and how to provide adequate nutrition for their children in the future

To learn more about their daily routine we fol-lowed a village doctor on his home visit rounds The doctor would sometimes have to travel as far as 2 kil-ometers for a home visit which would be the other end of the village This was as in the case of a pregnant lady due for delivery soon (photo as shown below) The doctor who came to check on her health status reas-sured her that her delivery would be a successful one From her sigh of relief and tired smile we could tell that she was grateful to see the doctor

However things didnrsquot always run as smoothly According to some of the village doctors they used to be scolded and rejected by the locals who did not understand why the doctors would often come up to their doorsteps asking them questions regarding their health and pestering them to go for checkups Some of them being superstitious would think of doctors as ldquoharbingers of bad luckrdquo as the doctors would talk about ldquosicknessrdquo and ldquodiseaserdquo when they were actu-ally feeling as fit as a fiddle Thankfully the situation has much improved since then

From what we saw instead of playing a curative role in a society the village doctors were actually much more involved in disease prevention and monitoring

This is actually the ldquoupstream modelrdquo concept in pub-lic health Instead urban doctors are overwhelmed by limited consultation time and when fatigue kicks in they simply do not have the energy to further educate their patients They would also not have the time to un-derstand their patients on a personal level unlike that of the village doctors

However the indiscriminate use of antibiotics in China was truly a frightening sight Doctors adminis-tered antibiotics intravenously for mild diseases like the common cold When we asked the doctors as to why they did so they simply smiled and shrugged off the question It is probably still a common practice in China and if the doctors did not give such medication the patients would probably lose trust in the doctor The fact that the similar practices were seen even in large hospitals probably indicates that this problem is hardly a localized one

Part2DongshanGuangdongWe met up with the team from Xirsquoan at the

Guangzhou airport and proceeded to our next desti-nationmdashDongshan After 5 hours of car ride we began to see signs that we were approaching our destination Mountains sharply angled clustered in twos or threes fondly known as ldquoMcDonalds mountainsrdquo were begin-ning to be in sight

As soon as we arrived we were greeted by eager curious young faces The children huddled close by as we unloaded our luggage some commenting that they hadnrsquot seen some of us while others were already play-ing around with the past participants It was my first time to Dongshan but there were some of us who were not new to the kids there

After settling down we were given an introduction to Dongshan and its residents by the local NGO Green Action Foundation led by Mr Wong

Located at the outskirts of the province Dongshan is one of the 4 poorest areas in Guangdong Its natu-ral terrain abundant in limestone makes it especially hard to retain water This has taken a toll on the resi-dents especially during the drought season Another problem faced by the local residents is that there are many young people and adults migrating to big cities to earn a living leaving behind the children and elderly

Village doctor on one of his home visits

Discarded bottles of intravenous antibiotics near the village clinic

ldquoMediciNe also disregards NatioNal bouNdariesrdquo ndash irviNg laNgMuir

34 | Caduceus September 2011

at home

Green Action Foundation took the initiative to plant trees around the area so that more water was available for irrigation and domestic purposes This improved the quality of their crops and boosted their source of income They also sponsored some of the

childrenrsquos education depending on their performance in school to ease the burden on their families

The next few days were jam-packed with activities A sports day was held as an icebreaker so that the new participants could get to know the children better We also spent half a day at the Dongshan Primary School where we taught the kids personal hygiene simple first aid moral education and also sex education for the grade 5 and 6 students

Another interesting activity that we had was a weed-cutting session up at a mountain with the other children Each of us was assigned with 2 to 3 chil-dren who were supposed to ldquoguiderdquo us along the way It was a 2-hour hike up and down hilly ter-rain While I would stop once in a while to take a breather the kids were barely panting The kids would often stop to ask if I was tired and even of-fered to help me carry my backpack Note to self more exercise next semester

Nevertheless it was a great chance to know the kids better We had the time to chat about their school life and what they thought about their future and also the chance to share snip-pets of our lives in the city

We then split into small groups and visited the homes of the children in order to gain a bet-ter understanding of their household hygiene

condition any medical conditions in the family as well as their economic standing We had also prepared questionnaires to be kept as future record Some of the families were very poor to the extent of having no source of income at all They depended solely on their own crops for food If they went to see the doctor they would usually owe the doctor money until they had

enough money to pay back The hygiene status of the villagers varied but most of them had swarms of flies around food Many even had their live poultry like chickens running around the house Before we left we gave them some hygiene products like soap washing detergent and toothbrushes to encourage better hy-giene We also gave them a poster explaining ways of maintaining a clean household environment

Another main focus of the trip was to find out the effectiveness of a medical insurance policy newly in-troduced by the government Each person had to pay 30 Renminbi annually to be guaranteed free medica-

Sports day activity

Weed cutting with the children

hkucaduceusnet | 35

tion and hospitalization thereafter Generally the vil-lagers were grateful for this plan as many found it dif-ficult to afford medical fees while struggling to pay for

basic necessities at the same time However some vil-lagers complained that the prices of medicine spiked after this policy was introduced and hospitals would of-ten ask patients to

do unnecessary scans just to earn more money

This trip made me realize that there is much that we can do but how great an impact we can make might not be seen immediately With follow up trips one could see the change as compared to the last visit and make further modifications to improve the situation

As the trip came to an end we were reluctant to leave There was something very magical about Dong-shan where the skies would turn to an exuberant red during sunset and on a clear night you could see stars scattered across every corner of the sky It is a place of beauty struggle and hopefully a place of triumph in the years to come

It is a place of beauty struggle and hopefully a place of triumph in the years to come

On one of our home visits

More to ExploreMedical Outreachers 醫心httpmedicaloutreachersorg

The Amity Foundation 愛德基金會httpwwwamityfoundationorg The beautiful sunset in Dongshan

ldquoshariNg is soMetiMes More deMaNdiNg thaN giviNgrdquo ndash Mary catheriNe batesoN

36 | Caduceus September 2011

就 在這一刻世界沉默了

城市的繁囂隨飛機引擎

逐點逐點噴走了繁囂的離

開是為了讓簡單的生活回

來剛踏出廈門機場一張

又一張的笑臉映入眼簾刺

熱的太陽把兩地之間的隔膜

融化

早從香港回歸時開始

香港人經常強調自己只是 

「香港人」而不是「中國

人」自以為比內地人高一

等可惜這班自視過高的都

市人曾幾何時為外地人送上

熱情的款待這一點廈門

人比誰都做得更好

廈門是一個位於中國

東南部的海島也許就是近

海讓居於廈門的人都把一

切怨恨煩惱拋下大海讓

它們隨水流漂走埋藏在海

床上每年廈門的鳳凰花花

開兩季一朵又一朵鮮艷如

火的鳳凰花在六月時歡送一

個又一個的畢業生彷彿為

他們添上一份祝福九月時

的鳳凰花熱情地歡迎一屆又

一屆的新生為新生的精彩

校園生活揭開序幕一份一

份的熱情含苞待放身在廈

門又怎會不被這市花的熱情

感動呢廈門大至人與人

之間小至花與花之間都存

著一份情

要追溯廈門人的情懷

可數至土樓的建成土樓

是個大多呈方形或圓形大型

群居的建築整座土樓樓高

三至五層由於牆身頗厚及

只有一個出入口甚具有防

禦功能亦因為這緣故當

大門關起來土樓便成了一

個家這個家佔地不大但卻

藏著成千上萬的人情味在

萬里無雲陽光普照的天空

下土樓居民的熱情好客

被蒸發出來懸浮在空中

一代一代傳下去更讓它隨

風走出土樓傳遍整個廈

門即使土樓漸漸成為旅遊

景點一些擺賣紀念品的攤

檔已經進駐但卻無礙居民間

的感情商販彼此交流從

不出現爭客的情況在土樓

中央休憩的居民除了為外地

人介紹他們的祠堂外亦邀

請遊客跟隨他們到遊客禁區

參觀在土樓居住的每伙都

中門大開當遊客投進好奇

的目光屋內的人往往以親

切的笑容作回答鄉土人

情在這世代多冷漠的心也

被融化

細膩的人情味外最令

遊客津津樂道的是廈門人的

態度廈門大學附近有一條

芙蓉隧道只要你願意便可

在隧道內壁上畫下你所思所

想當然美觀與否見仁見

智但這一種對藝術尊重

欣賞的態度是值得欣賞我

有我盡情地畫你有你盡責

青春在廈門留下足印潘曉彤 (N14)

生活

hkucaduceusnet | 37

地去管轄城市各處的整潔

彼此留下空間達至相輔相

成的效果廈門人就懂得人

最基本的禮貌尊重不

過廈門人對他人的尊重遠超

於人的基本禮貌當你去唱

「卡拉OK」的時候每次

待應的出入時看到的就只

有他們的正面而他們前行

或後退的方式就像看到皇帝

一樣卑恭屈膝香港人常常

強調面子哪一天才能捨下

那過高的尊嚴為不相識的

人作一個最謙卑的招待

其實任何人一離開香

港都不難發現就只有香

港愈夜愈精彩其他地方晚

上八時大多關門大吉而廈

門就只有中山路才媲美得

上香港的夜夜笙歌夜幕低

垂萬千燈火的中山路上

與來自各區的人擦肩而過

昏黃的燈光下照出一群又一

群的沉默影子剛好與路上

喧鬧的行人相映成趣騎樓

在霓虹燈的點綴下顯出了獨

有的閩南特色大街小巷傳

來不同地道小食的香氣車

輪餅燒仙草土笋凍helliphellip

為我們外來的交流生帶來美

味可口的夜宵飲飽食醉過

後走到中山路的盡頭又

回到了沉睡中的廈門

在優美的環境影響下

廈門人的生活也自然變得

純樸優閒單車車輪在環

島路上留下一圈又一圈的印

記沿路能細聽海浪輕拍岸

邊的聲音細嗅四處洋溢的

花香感受微風吹散太陽散

發的熱力見證一對又一對

的新人在拍下幸福的照片

據說廈門有戀愛天堂之稱

不管走到哪一處也會

看到準新人拍下甜蜜的婚紗

照而在裡面享受的人永遠

不知道這風景如畫的背

後是透過多少人的血汗換

來當我們在追求經濟成果

的同時往往破壞了造物者

在世上留下的藝術品隨中

國經濟急速發展一個又一

個的世外桃園被摧毀銅臭

替代了花香車聲替代了鳥

語這仙境又可維持多久

廈門另一世外桃園就是

鼓浪嶼它活像香港的長

洲島上滿有歐陸建築風

格但當中不乏中國特色的

建築中國古城風味與洋風

互相交替帶出截然不同的

感覺島上遠離汽車的廢

氣與金門就只是一海之

隔一家大小在享受天倫之

樂時一群又一群的青少

年情侶在沙灘上嬉戲立

即為島上升溫

筆者認為在這個混亂的

俗世確實需要抽空來欣賞

造物者留下來的藝術品大

財團不斷興建大型商場國

際知名品牌不停進駐留下

的就只有愈來愈狹窄的街

道被石屎封蓋寸草不生

的土地人人被金錢蒙蔽

迷失在霓虹燈光中又有多

少知音人能放下生活的瑣碎

事情在這裡享受時間一分

一秒的流走你被海浪聲

喚醒了嗎

筆者參加這次是由香

港廈門兩地大學的交流

團一連六天已經習慣了

當地的優閒生活模式體會

到的不只是廈門的風土人

情歷史文化而是兩地大

學生那種衝破界限的交流

雖說年輕人容易打成一片

但廈門獨有的熱情確實融化

了彼此間的隔膜廈門的美

是成人之美成就了兩地大

學生的友誼

飛機又再起飛了廈門

再見了

ldquothe tiMe of life is short to speNd that shortNess basely it would be too loNgrdquo ndash williaM shake-speare

38 | Caduceus September 2011

生 命形成之際只要一秒鐘的差遲世界便會不一樣

蝴蝶效應從來都是玄的全因一個 

「緣」字

隨著人成長要決擇的事太多學生

有兩件人生大事幾乎都不是由自己決定的

入讀小學及中學然而到了大學這

關卡自己也許可以拿定主意了若果你

入讀了心水科恭喜你若不然祝福

誠然入大學是最影響未來生活的關

口是好是壞無人知曉不用量化不

用比較太多即管做自己所想活出自己

的路只因你不會曉得你的下一步會怎樣

影響著你的生命

或許一個活動你會遇上你的最愛

或許一個宿位你會遇上你的知己

或許一句說話你會惹來一個敵人

或許一次走堂你會由B變C

這就是大學

在大學各人有各人的大學生活大

學講求自由學習學習真的是「求學不是

求分數」有些人愛廣交朋友有些人愛

住宿有些人愛做莊務有些人愛拍拖

有些人愛參加各樣活動有些人愛做兼

職有些人愛讀書有些人卻愛甚麼都不

做helliphellip不少大學生強調入大學必定要做齊

大學五件事(上莊住宿讀書拍拖

兼職)但其實只要自己開心不害人的

話做甚麼也沒問題最要緊的是認清讀

大學的目的以免沉淪於大學這花海

朋友

大學可以令你對「朋友」的概念愈來

愈含糊幾乎每個活動都可令你認識新朋

友通常大家都會輪流講述自己的名字與

學科(Round Table)這亦是考驗大腦對人名的記憶所謂的「Hi-Bye Friend」會愈來愈多隨便在細小的港大內穿梭會令你

無可奈何地對他們說聲Hi

不過別標籤你的「Hi-Bye Friend」要是連Hi-Bye也談不上更不用說做深交了上大學了大家已有既定的圈子很

多時約會或聊天都先找中學朋友而且很

多人會把大學朋友與中學的作比較雖情

有可原但有時未免先入為主地覺得中學

的較好

這亦難怪即使是日日碰面的同學也

未必是自己的好友人人都有自己的時間

表下課後各散東西不是大家不想互相

認識只是有時身不由己若想互相了

解不妨盡量製造共處之時有時甚至可

以分一些約會給大學朋友然後你會發

現大學朋友也可跟你熟絡可別為自己

建造一塊厚厚的心牆

舍堂

要入宿無人會不曉得十日的迎新營

有些舍堂平均每天的作息時間只有兩三小

時有人說住宿最辛苦就是迎新營然而

它卻是最難忘的

要數活動單單一個舍堂已數之不盡

要是投入舍堂生活每天24小時是不夠

用的舍堂之間有各樣比賽堂友要參加

各個組別為比賽出席各樣練習否則可

能被拒於來年再住基於許多人都只在夜

晚有空要全體出席那可是晚九朝五的

大學之緣賴彥積 (N14)

新鮮人

hkucaduceusnet | 39

宿生們之所以會熱衷於舍堂活動因他

們對自身舍堂有強烈的歸屬感好比中學

時學生參加校際比賽要是沒有歸屬感

就不會有心參加所屬舍堂的活動

除舍堂之間之活動樓層之間亦有各類

活動樓內亦然只要有人的地方就有玩

樂彷如天天宿營你不會有機會偷偷早

睡其他樓友常常打擾你你原來的生活

時間會推後數小時睡於二時已是罕有

早上的八半堂彷如無物

可以住宿但不參加活動嗎當然可以

但你會面對的是朋輩壓力他們雖未必逼

你參加卻會在言談中有意無意的滲出

來那種壓力不只限於自己樓層甚至是

跨樓層千萬可別輕看宿中流言

上莊

有人說上莊所學遠超課堂上莊所學

的是如何籌辦活動非常實用有時要對

外聯絡有時要面對公眾helliphellip像是要為將

來工作鋪路似的當然這亦要視乎你上

的是甚麼莊

一般而言上莊可訓練你待人處事的技

巧有時表面看來很友好的朋友當背

負上一定的要求後關係少不免有磨擦再

者初時莊員素未謀面最後卻因朝夕相

對而演變成朋友這段關係是很可貴的

成莊前要宣傳內閣爭取選票成莊了

又要舉行咨詢大會包受歷莊指導然後

又有就職典禮此後的活動更接踵而至

當然包括迎新活動招莊活動等helliphellip君不

見很多人視莊房為睡房少不免有「通

頂」之時忙是忙但必有價值至於是

好是壞要看自己的造化了

拍拖

人上了大學有時心思思想拍拖眼見

身旁多個好友都紛紛拍拖自己少不免羨

慕別人這想法十分正常畢竟大學生真

的可以放下只讀書的重擔真的可以規劃

人生大事了

香港大學一些營新活動中隨了Round Table外還有Round Status即說自己現在有否拍拖以及拍過多少次拖如 

A 0即Ava i lab l e之前至現在沒有拍拖O1即Occupied之前至現在共拍了一次拖當然也有一些同學自己創的甚

麼OBA (Occupied But Available)或D10(Desperate拍過10次拖)等等至於Round Status的動機何在可能是組爸媽想穿針引線吧當然也可能是別有用心的

不同人對拍拖有不同想法上了大學更

有不同擇偶條件人大了在感性的議題

上往往加上種種理性的數據開始現實起

來哪個帥哪個富有哪個有前途helliphellip

有些不在乎天長地久只求剎那的光輝

有些求虛榮有人疼愛在朋友前炫耀

有些甚至會在拍拖前已想定分手後的模

樣所以不想選擇跟自己同科的同學

活動

不同團體(包括舍堂學會及學校部

門)都有不同活動不用愁沒事幹只用

愁沒時間只要多留意Portal Mass Email或Main Campus海報不難發現幾乎每天都有各樣活動動靜皆宜開學時有迎

新營考試時有勁過飯新學期有開Sem

飯有些學會如戲劇舞蹈合唱團不時

有演出有關運動的學會則多練習以參

加比賽有關學術的也有很多興趣班講

座比賽等想幫人的亦可參加義工團

體如蛇蛇豬扶青等舉辦的義工活動

兼職

大學生的兼職大多以補習為主畢竟

這是我們能力範圍內可賺取最多外快又是

時間最彈性的工作有些人卻因補習不能

寫在履歷表而選擇別的工作然而很多時

我們都要在兼職與大學活動中取捨我的

ldquotake a chaNce all life is a chaNce the MaN who goes farthest is geNerally the oNe who is williNg to do aNd darerdquo ndash dale carNegie

40 | Caduceus September 2011

E mily was the chairperson of Pharmacy Socie-ty session 2010 As a student she has actively

participated in holding activities for many medical stu-dents and taken part in providing welfare to all phar-macy students Her following sharing will especially enlighten our new pharmacy students

Q Why did you choose Pharmacy SocietyA To be frank ldquosheung jongrdquo was really out of

my expectation when I anticipated my university life However my perspective has changed when I officially became a pharmacy student in HKU As members of the opening class of the Pharmacy programme my classmates and I realised the importance of having our own student body We do need an independent soci-ety to represent us pharmacy students to cater for our specific needs to listen to our points of view and to act as a bridge to facilitate our communication with the Medical Faculty the entire university and ultimately the pharmaceutical field in Hong Kong My class-mates and I who later became ldquojong yausrdquo believed we should act immediately to establish and run our own society which is why I decided to ldquosheung jongrdquo

Q Would you like to share some of the pros and cons of sheung jong

A ldquoSheung jongrdquo definitely helped me achieve per-sonal growth It was a concurrent commitment and re-sponsibility to serve and to lead our colleagues Bear-ing this in mind we always pushed ourselves to attain the best of our work ethics efficiency and efficacy As the very first session of the Society we lacked the guidance of any previous committee member Instead analysing carefully and critically we thought better of every decision which I personally found an enriching experience ldquoSheung jongrdquo was also an eye-opening journey Wersquod got to meet different people and learnt more about the professional work for as our career-to-be after graduation This in my opinion is always beneficial Last but not least I was fortunate enough to have worked with my amazing fellow committee mem-bers I frankly couldnrsquot ask for better ldquojong yausrdquo than initium Irsquom absolutely thankful for having them as my friends and it is definitely my greatest gain along the way

Despite the merits ldquosheung jongrdquo definitely has its downsides as well It is a lie to say ldquosheung jongrdquo does not affect our daily life because it does take up a big chunk of our time At the end of the day it is about time management which is easy to say but extremely dif-

建議是如家庭環境較困難賺錢吧反

之可以多留時間給各活動畢竟大學一

年的學費不只值那幾十堂課如何善用這

$42100就在乎你如何投入大學生活

讀書

假若你認為大學的考試可考核學生的

真正讀書能力並要求學生活學活用課堂

所學那麼你大失所望了假若你善於背

誦有過目不忘之本領大學的筆試不會

難倒你只要靠著前人留下的歷屆試題

背到滾瓜爛熟是不可能不及格的很多屆

試卷都是千篇一律的很多教授可沒空大

改試題那同學們就走運了有些課堂

即使再專業的學科都會有只理論無實

踐的課堂然後考試就要你把一大堆理論

背出來helliphellip例如甚麼叫批判思維噢

我可不知道只知道我掉了5分

不同學系在某程度上定下了人的前途

對於醫學院學生而言前路是較清晰可見

的但對於非專業學科前路不可只靠讀

書也許要靠自己另外摸索讀書所帶來

的必然是較高的GPA高GPA所帶來的是

獎學金到外國交流工作實習日後工

作機會等等當然大學學習不只局限於

讀書會否因此失彼就只有自己知道

蝶翼拍動之時往難以預料機會是

要自己摸索的

如經上所記

「神為愛他的人所預備的是眼睛未曾看見耳

朵未曾聽見人心也未曾想到的」

(哥林多前書29)

「栽種的和澆灌的都是一樣但將來各人要照自

己的工夫得自己的賞賜」

(哥林多前書38)

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

Freshmen

hkucaduceusnet | 41

ficult to achieve Also working as a Committee mem-ber can be very exhausting and difficult You definitely need lots of determination and support to get through some of the busiest times

Q How did you handle and balance the workload of study and your ldquojongrdquo

A As Irsquove said before it was tremendously difficult I guess my best advice for the future committee is to know your limitations and always plan ahead You have to know your time to work to rest to study etc No one will be over-worked and eve-ryone will have some personal time if you share the burden wisely between ldquojong yausrdquo Secondly you have to make very clear plans so that you can make full use of every little piece of your time I may not have succeeded in my time management but most of my ldquojong yausrdquo managed to do so de-spite the packed schedule of our Soci-ety This is sufficient proof of ldquoimpos-sible is nothingrdquo

Q As there are only about 25 pharmacy students per class do you have any suggestions for P14 fresh-men to make more friends from other curricula

A It really depends on what kind of person you are If you consider your-self socially active living in a hall or ldquosheung jongrdquo will be a great idea for you But if you see yourself as a much quieter person you can still make use of opportunities such as Medic Orien-tation Camp and other events jointly organised by student bodies within the Medical Faculty to make new friends

Q Any special things for P14 freshmen to be aware of

A First of all welcome You all are now members of Pharmacy Society MS HKUSU and I would like to let you know that this is a student body aiming to serve you Thus feel free to share your viewpoints and voice out your opinions to the current Com-mittee members The Society has to

understand your needs to improve and provide better welfare and services for you

Q Any other comments or important things to re-mind P14 freshmen

A If you would like to get to know more fellow pharmacy students especially students from P12 and P13 grab the opportunity to join the Pharmacy Society Orientation Camp and the Mentorship Programme These are great chances to make new friends and Irsquom sure you will enjoy them

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

ldquoas huMaN beiNgs we do chaNge grow adapt perhaps eveN learN aNd becoMe wiserrdquo ndash weNdy carlos

42 | Caduceus September 2011

筆 者是一位護理系的學生半年前有幸成為二零一一年啟思編輯委員會的總編輯在期間所體驗到的希望藉著這次機會作出分享特別希望新加入醫學院的同學

能對「上莊」有更多了解

上莊之路上莊是大學五件事之一證明它對大學生

活有一定的重要性一定的位置筆者在初入學的時候曾為了上莊與否而煩惱猶豫了好一段時間期間考慮到自己能力怕學業應負不來但最後仍然下了上莊這個決定原因是上莊是個難得的機會充實增值自己不同的莊會提供不同的機會讓莊友去學習透過不同的莊務去讓自己眼界擴大另外可以了解醫學院內發生既事情例如院內活動的進展情況更可以參加舉辦院活動為醫學院出一分力最後當然會認識到將會相處一整年的莊友工作伙伴有機會認識到不同學系的同學從他們身上可以觀察到學習到各種的特質從而令自己有所進步有所啟發

護理學生作為護理系學生起初擔任總編輯一職實

在是倍感壓力畢竟歷屆的總編輯都是由醫科生出任因此筆者起初都害怕跟醫科生共事怕自己的能力不足夠應付莊務所以起初都是戰戰兢兢地上莊

一位三年的護理學生曾對我說「我認為你不太尊重護理系護理系和醫科都是個專業希望你能加以尊重自己的學系不要輕視護理這個學系你要肯定自己的學系才能帶領整支莊因為莊內成員來自不同的學系你必須肯定和認同每個學系都有一定的重要性以及其專業」這番當頭棒喝的良言令我明白到自己一直都太輕視護理系過於重視醫科現在我明白到認同自己學系是尤其重要只有這樣才可以用自己學系的身份去發表意見只有認同自己學系才懂得尊重其他的學系莊內便可以融洽一點

在筆者的莊友中醫科生都是較有責任感而且做事更有計劃從他們身上的確學到不少東西這點是無可否認的事實筆者並不是在分享學系與學系之間的差別而是希望有志上莊的同學能互相尊重明白到各學系的莊

友都有其值得學習的地方起初對其他學系有隔膜是無可避免的畢竟對他們的學系都不太了解又沒有歸屬感但如果因為對方是別的學系而輕視對方的人不但失去與人相處學習的機會而且會令莊內的氣氛失去和諧

幸好的就我所見所聞醫學院內的莊多年來都能融洽相處互相支持令到一眾上莊的同學都能輕鬆地享受上莊的喜與樂甚至是不愉快的事情

依靠你的莊友莊是一個團體不是一兩個人可以應

付得來所以筆者認為與莊友互相溝通合作是個重要的元素新同學如果有志參與莊務期望從上莊中有所得著首要的事情是與莊友建立關係因為他們將會是你來年的工作伙伴也是你遇到困難時依靠的對象一位上莊曾對我說「其實一件的莊期不會令你有太大的得著或成長反而長久的友誼才是你將會得到最重要的」這句說話是千真萬確的上莊的人不會由詞不達意改變成談吐得宜不要期望自己會有驚人的轉變也許上莊會令人處事成熟一點有計劃一點但上莊所得到的關係將會是更重要更珍貴一年的相處中面對過有無數的會議共同處理過不少困難從中

建立的友誼真的是畢生受用

責任感上莊另外一個十分重要既條件就是責任

感有志上莊的同學必須明白到莊期是長達一整年在繁重的學業中騰出時間來處理莊務是個考驗責任感和毅力的測試同學必須再三思考想清楚自己是否真係熱衷於上莊或是只是一時衝動畢竟你將要許下的是一年的承諾必須對這個莊負上責任願意付出才選擇上莊這個決定這樣的付出就會有相對的回

總結上莊的確是個好機會讓自己去學習從處

理事務中或是從莊友身上都會有所得著充實著自己的大學生活從中可以認識到各學系的同學建立一段段受用終身的友誼在此筆者希望各學系的新同學可以善用機會作出上莊這個無悔的決定

護理系的啟思總編石志榮 (N14)

新鮮人

hkucaduceusnet | 43

慈兄吟(下)奇晶

最 後還是麥教授先開了口「他的確是一個好學生對醫學有獨到見解他不但學業成績優異而且樂於助人你是他的妹妹吧」婉慧努力控制自己的淚水繼繼續續的說「是啊但helliphellip但helliphellip我不知道helliphellip他竟會在這裏出現」麥教授用悲天憫人的目光看着婉慧語重深長說「人生自古誰無死人生命的有為與否並不取決於他生命的長短而是在於人生的意義你哥哥雖然最後當不了醫生但他的犧牲卻間接為一些同學做醫生鋪路讓他們做醫生去救人這真是一種無私的愛」婉慧點點頭覺得自己對哥哥的了解實在太少了

最後她還是孤獨的離開實驗室她覺得自己跟哥哥比起來實在相差得太遠了原來他除了是十優狀元在醫學院的成績名列前茅外還是個熱心助人的好青年自己除了少了一優外少的更有對別人的同情及樂於助人這造就了她心靈上的空虛她明白到冷漠不是一種對哥哥思念的正當表達方法她應該做的是把哥哥對其他人的愛傳揚開去以圓他的心願

第一步往往是最困難的婉慧平日對他人的態度已令不少人對她敬而遠之有很多次她嘗試向同班同學投以友善的笑容得到的總是詫異的目光或別人的不理不睬在小組討論中儘管她踴躍發言盡量避免冷場的發生偶同學們卻認為她變本加厲想阻止同學們取得好成績她四處碰壁又再次陷入了想念哥哥的深淵

時間一天一天過去了上學期考試前的休假開始了婉慧每天都勤奮的在圖書館溫習期望取得好成績這時候的圖書館堆滿了人如果遲來一個小時想找一個位子也難就在假期的第二天同班的王文在圖書館跑得氣急敗壞仍找不到一個座位婉慧不知怎樣有點同情他將座位讓給他王文驚訝道「不用了我還是回家吧真倒楣遲來了一個小時就沒有『接位』」

「但你住在哪裏呀」

「元朗今天早上我忘了校鬧鐘八時才起」

「那你還是要我的座位吧我可以坐到電腦桌因為我認識的人不少沒有什麼人會打擾我的」

王文謝了她頓時對這位冷漠的同學刮目相看原來她的內心也是溫暖的這並不是他所能料及的坐在電腦桌前溫習的她也感到特別的快樂溫習的速度也快多了王文就此成為了她的「飯檔」考試期間每天和她一起吃飯他更將自己的好友介紹給婉慧認識

在一個晚上她又悄悄的在圖書館的角落溫習着突然一隻溫暖的手搭着她的肩上她抬起頭但見解剖學的同桌手中拿着一杯熱飲輕輕的放在她的桌上婉慧正感詫異卻聽見他說「這杯熱巧克力是給你的繼續努力吧」她喝着巧克力心中感到一股暖流彷彿哥哥的關懷又在她內作出回響

十年生死兩茫茫不思量自難忘千里孤墳無處話淒涼helliphellip

寒風吹起了她額上的劉海佇立在墓前的婉慧不禁凜冽她想起了從前想到自己最後一次和哥哥吵架雙方面紅耳赤的情況想起自己無法親口跟哥哥道歉想起哥哥無私的付出她對着那空虛的墳心中不忍一陣淒然淚水漱漱的流下來她身旁攜扶着年紀老邁的母親邊拭淚邊喃喃道「我的兒子helliphellip歿了helliphellip」大家心情漸漸平復了緩緩走出了墳地

雨一滴一滴的落下飽歷辛酸的婉慧卻仍在懸壼濟世

短篇

ldquoyesterday is but todayrsquos MeMory aNd toMorrow is todayrsquos dreaMrdquo ndash khalil gibraN

44 | Caduceus September 2011

Eternal Flame (1)Tulipa

Itrsquos cold The chills from my fingertips imbibe deep into me This person drills into my mind digging out the truth inside me Itrsquos agonizing She comes right inhellip di-rectly I cannot stop her

Irsquom losing myselfhellip

My hand felt the soggy pillow I realised I had come back to life the world where I lived Staring blankly at the ceiling still losing focus in my eyes I felt my brows with my forearm For the first time I didnrsquot want to lose this feeling

The bedroom door slowly opened I quickly rubbed off the drops that had blurred my vision pretending that I had just woken up

ldquoDo you have lessons this morningrdquo My grand-mother whispered into my ear

ldquoOh goshrdquo I turned right to my alarm clock It was the real life I had forgotten to turn the alarm on last night and it was now seven thirty I knew it I was going to be late every time she caught me in bed Irsquod got to hurry up

Living in Hong Kong Island though it took me more than an hour to get to school I had to comfort my little brother sometimes till two or three in the morning in order to get him to sleep In addition to the consistently heavy study load in the medical school I could hardly get enough rest Running on my heels al-most became my routine starting from last November But I well understood the consequence of skipping lec-tures It was the beginning of the Cardiovascular Sys-tem Block For someone like me who gave least priority in revising Anatomy materials lectures remained the prime source of information for exams Absence from class was suicidal To make the situation worse this professor was one of those who did NOT upload lec-ture notes online

Hoping I wouldnrsquot arrive too late to miss the impor-tant points I finally stepped onto a route no 8 minibus at ten past eight What I could do now was to pay trust in the driver who would bring me to my destination

Coaxing kids was never easy Little Bruce just hap-pened to give me such a hassle last night

He knew I would check on him when I returned home Sitting right next to the door of his room he begged me for a story once I opened the door I sat down together with him on his little couch after Irsquod taken a quick shower This was a time to relax leaving

aside all the other concerns

Kindling through his favourite reader I saw that he wasnrsquot listening but distracted by all sorts of toys around He even invited me into his world of fantasy But it was getting late I had to calm him down so that I too could have some rest Being one of the brightest in his elementary school he should understand this was not the time for recreation

I began to feel annoyed

Yet he was my brother I had a gut feeling that this was unusual He didnrsquot use to be so ldquohyperactiverdquo It re-ally took me a while to adjust to his change With him still tossing and turning in my arms I apprehended his restlessness Unpredictable though he was true to his feelings In one way or another he might find the shadow of our mother in me

He finally settled when I laid him back in bed It was nearly two forty in the morning

The first week of the CVS Block ran as plotted PBL tutorials would start on next Monday Dr Youngrsquos fa-cial expression in the first PBL evaluation flashed over my Embryology notes and references She didnrsquot teach Embryology but I could tell she did have a hypertroph-ic heart-shaped face which looked familiar to the dia-grams in the Atlas

Back in the IHD Block most of us were puzzled about the scrambled content of our course Various forms of seemingly related knowledge came in through lectures practical and tutorial sessions But the neural circuit formed in our brain just failed to resonate as if the conductance-inductance mismatch had aberrated our thought from minimal impedance Sometimes things even happened in a ldquomore-than-extrardquo manner The presence of common core courses in a parallel but independent branch in the network could rightly be detached without causing a blip on the galvanometer Everything was dubious We had no idea of what we were doing

Maybe we were just on the way seeking for a sense of attachment

My mind too was racing in haste I was struggling with my decision to become a doctor Too many things had happened over the year I just couldnrsquot stop ques-tioning myself what was I thinking when I put lsquo6456 MBBSrsquo in my JUPAS application I should have expect-ed and prepared to face all these I just didnrsquot knowhellip

Novella

hkucaduceusnet | 45

It was midterm evaluation in the IHD Block Her face looked tense in that heart shape She was so stiff in her facial expression that no one could read her mind from her poker face The conference room of the Physi-ology Department was large We seemed to be the odd ones out in the spacious carpeted room In this secre-tive silence you could hear the drumming in your ears as if you were tingling

I realised this was not a matter of ldquoam-I-suitable-for-a-medical-careerrdquo but ldquois-a-medical-career-suita-ble-for-merdquo I was lying in bed playing with my plush bear when these thoughts burst in me Dr Young looked through me She felt certain that different from other group mates there were crises behind me But I didnrsquot tell her anything that day

We all were sensitive At times some subtle trepi-dation seeped in gradually sucking peace away from my sleep It was so to say below threshold sub-lethal though it lingered for weeks once it set inhellip

Drenched in bloodhellip There is no life in the boy His eyes are widely opened slightly protruded The lifeless pair of black pearlshellip I cannot escape from his glance He wants to talk to mehellip There is something he wants me to know

A van runs over himhellip

I fell down the edge of my mattress Breathing heavilyhellip Sweating all overhellip

ldquoScreechrdquo People began to gather around a tel-ephone booth a few metres behind us

I turned back I couldnrsquot see a lot from this anglehellip

ldquohellip What a pity He is so younghelliprdquo a middle-aged couple passed by

The victim resting just in front of the wheel looked towards me through a break in the crowdhellip

As we were wandering around thinking what to eat for dinner my cousin found me standing there rooted to the ground stunned by the victimrsquos gaze My heart was pounding She wouldnrsquot believe what I was again experiencing For a number of times already scenarios in my dreams were mirrored into reality

I couldnrsquot tell her

ldquoI was just thinking whether you would like Korean cuisine There is a new restaurant two corners awayrdquo I made up a talk while escaping from the scene so that I wouldnrsquot look so strange

ldquoWhy not go and have a try thenrdquo She was not dis-appointed for calling it a day as the food there was sur-prisingly good

Not until some years ago when I was Form 3 in college I discovered my ability to look into the future Sometimes I could see them coming up on the news in days or weeks And some didnrsquot ever happen at least not around me But seeing the night visions coming into concrete existence wasnrsquot always a pleasure when the mental images turned gradually into mostly night-mares When I visualised my close ones it felt like I was in the middle of an insecure chain bridge above a torrent that would sweep me into the vast ocean with no return It was entirely different from what you might understand as ldquodreams come truerdquo

I had witnessed misfortunes in proximityhellip

But I could do nothing about ithellip

Friends were a source of solace someone to con-fide all frustrations in But with my paranormal ability which appeared to everybody else only on screen-plays I wasnrsquot courageous enough to open my life wholeheartedly to them Seldom talking about myself avoiding all sorts of gatherings I became an eccentric figure among my classmates

Sometimes mutual understanding carried more weight than words I remembered my physics teacher being one of my few friends during my teen years De-spite his boisterous faccedilade he was always sensitive to whenever I was dwelling on my burdens Physics was our common language Intermingling our emotions and feelings with concepts that were alien to my fel-lows we developed a close rapport impenetrable by anyone else

ldquoWhat is the nature of a flamerdquo This was the most discussed problem between us Neither in solid liquid nor vapour state Not having any definite shape and colour It seems not any material but a type of energy giving out heat and light At the moment of providing it also exhausts its fuel and eventually itselfhellip

The romance of physics is more than anything you could read write and talk about Once you were truly connected with it nothing can stop you Your mind will bounce irrespective of the chronology of space-time but only under the guidance of your thoughts

I was so devoted to the discipline at the time that I was almost making it my lifelong career in some way He envisaged that I would demand much more than any academia could provide with its scientific basis alone We were both seeking a philosophy beyond the facts But Hong Kong may not be the right place for it

I made him a promise at the end to contain our flame and I knew I would

For the first and the last time I saw his eyes filled with tears We knew existence by itself is a miracle

ldquoi love life because what More is thererdquo ndash aNthoNy hopkiNs

46 | Caduceus September 2011

說華佗都說「華佗再世」誰知箇中真諦雲方 (M15)

烽煙起戰火燃萬里 

三國並爭英雄地亂世有誰顧生死 

待神醫行世將民眾救濟

渺渺江山東西瞰俞跗巧手扁鵲心(1) 應向何處尋 

滾滾黃沙無世家終有奇士放奇葩

沛國 華元化(2) 

他經書貫通南北遊動 

一望斷症如神助三劑消病不必多

說斷症悉如所料 

甘陵 相夫人腹痛極難忍(3) 號脈知死嬰在左為男形(4)廣陵 梅軍吏除名歸故里

見貌知壽盡速返見萱椿(5) 

說消病藥到病除 

飲蒜醋有三升蟲一嘔而盡清 (6)母服丸而溫儲兒不藥而自癒 (7)

絕妙處 

是他開腸剖腹刀至辟毒 

神醫號 

除他內外皆精有誰配稱

[1]   俞跗黃帝時代之名醫扁鵲春秋戰國之名醫《淮南子人間訓》「患至而多後憂之helliphellip雖有扁鵲俞跗之巧猶不能生也」

[2]   華佗字元化沛國人(今安徽 亳州)

[3]   甘陵相(即甘陵之行政長官)夫人懷胎六月腹痛不安華佗為其切脈便知胎死於是命人摸知所在在左則男在右則女人云「在左」夫人飲藥後果然產出男胎腹痛立即痊癒

[4]   廣陵有軍吏名曰梅平離鄉服役後來退役歸家於路上巧遇華佗華佗視之嘆道「若能早些見我當不至於此而今你僅餘五日壽命速速回家還能與家人相見」平旋即趕抵故鄉五日後亦如料身亡

[5]   萱椿多作椿萱比喻父母漢牟融《送徐浩》詩「知君此去情偏切堂上椿萱雪滿頭」

[6]   華佗見路邊有人食不下嚥教他到路邊餅店買醋三升混上蒜泥然後飲用路人服後即吐出一條長蛇(即寄生蟲)

[7]   兩歲男孩長年腹瀉藥石無靈華佗往診謂病在母命其服用華佗親研之「四物女宛丸」服後母親乳汁不再寒涼男孩亦不藥而癒

意興

hkucaduceusnet | 47

只可惜人無完壁

「關將軍使君予我手刮骨惡毒走

曹丞相使君予我頭剖顱苦痛收」

「怎能不收怎能不收一命嗚呼萬事休 

簡直荒謬簡直荒謬殺此庸醫未須愁」(8) 

五禽戲尚能傳 (9)麻沸散從此絕 

何不一飲醉死不知世忍氣吞聲事權貴 (10)心神委曲須臾苦奇術失迭千秋計 

烽煙止無改生死事 

且當醫仙謫世間神技終須風裏散 (11)回首仰高山景行請君範 (12)

[8]     曹操欲殺華佗臣下勸之不可答曰「不憂天下當無此鼠輩耶」

[9]     死前華佗欲托所著醫書於獄卒不果便盡數焚毀唯有其養生體操「五禽戲」流傳後世

[10]   《三國志魏書方技傳》「當須刳割者便飲其麻沸散須臾便如醉死無所知」

[11]   唐白居易《簡簡吟》「恐是天仙謫人世只合人間十三歲」

[12]   景行(音航)即大道以高山景行比喻人品德行為之高尚典出《詩經小雅車轄》又東漢鄭玄曰「古人有高德者則慕仰之有明行者則而行之」

ldquothe art of MediciNe was to be properly learNer oNly forM its practice aNd its exerciserdquo - thoMas sydeNhaM

48 | Caduceus September 2011

啟程

清晨空白的天空看不見藍天雲彩

只有溫柔的雨絲和朦朦朧朧的霧水跟隨

著大隊的足印踏上沉重的腳步穿過橫

街小巷和煩囂熱鬧的市場走過自動門

撲鼻的消毒藥水味道讓大家屏住呼吸筆

者和夥伴們終於到達了入讀護理系以來第

一次實習的醫院

還記得在實習的前幾天心情是既忐忑

又期待的畢竟這一次實習的地方不再是

在社區中心宣傳健康方面的知識亦不是

只面對著健康活潑的小朋友和老友記或是

學校課堂上所提供的假人張靜汶卻是照

顧一羣真正需要關懷的病人心中充滿著

憂慮不知自己所學的知識足夠在應用上

嗎自己平日的練習足夠嗎雖然心存在

著不少疑惑但也十分期待可以體會一下

做小學護的感受嘗試把這一年裡所學到

的知識運用出來

很多的第一次

在病房裡總有心酸和膽戰心驚的時

候第一次為昏迷的病人清潔口腔第一

次為難以進食的人插入胃喉第一次為老

公公清洗背上壓瘡的傷口helliphellip照顧他們時

的心情都是一步一驚心生怕自己沒法應

付得來又怕會把事情弄得更糟糕最重

要的是恐怕自己不純熟的技巧令他們受苦

了記得有一回第一次為女病人插入尿

喉採取尿液樣本可能技巧不太純熟的關

係延長了病人的痛苦過程中她皺著

眉頭不斷呻吟又緊張得咬破脣眼看

她樣子心中真的不是味兒來身為病人

的其中之一依靠我們不得不給自己信

心如果連自己也不相信自己哪會有病

人願意把他們交給我們照料呢

捕捉那瞬間的美麗與淒然何麗敏 (N14)

上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

意興

hkucaduceusnet | 49

另外第一次面對病人的心情是頗為

緊張的說話技巧亦有改進的空間但和

病人傾談了數分鐘後氣氛也漸漸變得和

諧可能那些老公公整天呆在醫院裡真是

悶到慌看見一羣年青人與自己聊天照

顧和關心他們他們不禁咧嘴而笑醫院

職員透露有一位老公公平日不太願意吃東

西於是我們便主動和他談天說地又

悉心照料他進食的情況後來他不但胃

口好了不少就連心情也開朗了他生動

活潑的談吐讓我們笑了他回復健康精

神的體魄也讓我們感到安慰

相處片刻

雖然為期一星期的病房日子不是特別繁

忙或是辛勞但是也會有不習慣的時候

幸好得到醫院職員和一班夥伴的支持病

房經理和註冊護士不但相信我們的能力

對學護的包容更是不用多說還主動地介

紹病房的環境和細心地教導我們醫療護理

上的知識讓我們上了一堂實在而又寶貴

的課同時今次的實習也令我感到團體

精神也十分重要在技巧上大家互相提

點互補不足當有人準備照料有需要的

病人如插喉或洗傷口等大家送上一句 

「加油」就能令對方增加不少自信心和正

能量無論遇上甚麼事情我也榮幸有如

此一班學習夥伴從旁支持

學習的階級

在這一次病房實習中雖然醫療和藥物

知識方面有待加強但是我學懂了如何與

不同身份的病人相處之道溝通上也得到

了很大的進步獲益不少除此之外我

也真正體會到如何做一個好護士並清楚

了解這個行業是否適合自己鐘樓也不是

一天就能建成而是需要一磚一瓦搭建而

成的所以在學習上我們不但要打好

穩固的基礎還要增強醫療知識在技巧

上馬虎了事和走捷徑是於是無補的應

該多探究和練習才行這樣才對得起病人

和自己也減少不必要的醫療失當事故

總之多一份認真多一點耐性多一些

愛心就是學護必記的左右銘 上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

ldquoit is reasoNable to expect the doctor to recogNise that scieNce May Not have all the aNswers to probleMs of health aNd healiNgrdquo ndash NorMaN cousiNs

50 | Caduceus September 2011

Fun Corner

Medical AppsEver wondered how your handheld device can save your time and

effort when it comes to studying Here is how

Anatomy Pronunciations by HipposoftAccurate pronunciations of over a hundred important anatomy terms you have trouble with are provided

at your fingertips to help you spell those difficult words Anyone who has taken an anatomy course can tell you how challenging it can be to pro-nounce the names of those complicated anatomi-cal terms It is even linked directly to Wikipedia and Google through web browser for additional information

iPharmacy ndash Pill Identifier and Medication Guide by SigmaPhone LLCAn essential medication guide of 20000+ drugs is provided for con-sumers amp professionals This ex-

pands the image library to include 12000 pill and package images and includes digital drug identifier with official drug information (indica-tions dosage adverse reactions and more) You can check the drugs anywhere

Grades 2 by TapityIt tells you what grades you need in the coming tests in order to get your target grade You can easily calcu-late your GPA so as to maintain it It

is a useful tool helping you to keep an eye on your GPA all the time

Human Anatomy by SusaSoftXThe application provides you with information of 15 different biologi-cal systems You can keep on revis-ing while you are traveling without

carrying heavy books

Medscape by WebMD LLCFrom drug classes interaction clin-ical procedures and even the lat-est medical news Medscape helps medical students and healthcare

professionals to reiterate knowledge that has slipped from the mind It is a free application for iPhone iPad Android and Blackberry Yet it contains more function on Android phones and Apple products and lacks detailed clinical infor-mation for diseases and clinical procedures walk through on Blackberry

Pro Medical Terminology Dic-tionary by TreascoveryTerminology might be a tough work for medical students Even if we can master those English terms we can

hardly think of the Chinese terms This applica-tion can help you when you face this problem Note that it is not a free application

3M Littmann SoundBuilder by 3M CompanyA great tool designed to help im-prove auscultation skills of medical students with 14 unique lessons of

key heart sounds combing text virtual manne-quin 3D cardiac animation and dynamic wave-forms

iRadiology by Liebermans iRadi-ologyAn excellent learning tool for medi-cal students demonstrating classic radiological findings of a multitude

of abnormalities including over 500 radiologic images Radiologic images include CT US MRI and nuclear imaging each clearly labeled and followed by key teaching points

Micromedex Drug Information by Thomson Reuters (Healthcare) IncIs Cephalexin a first generation ce-phalosporin This application from

Thomson Reuters is the easiest way to navigate in the sea of drug names Drugs are sorted by classes and supplemented with rich information

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 6: Caduceus Issue 2, Volume 42

6 | Caduceus September 2011

體立法會議員全面由普選產生而政府提

出的方案居然倒行逆施進一步褫奪市民

行使其選舉權那又有何「法」可言呢

再者為何世界普遍認為民主是一套

較世襲為先進的政治制度呢是因為它最

有效率嗎是因為它最公正嗎都不是

其實民主所能做到的只不過是讓市民能夠

以選票監察議員吧某某議員做得不好

我大不了忍受一段時間下次選舉再以我

的選票把他拉下台換上另一位我覺得勝

任的人選新方案莫名其妙地補上一位議

員市民在上一次的選舉怎知數年後的他

是否依然勝任呢而且選民每次都只能投

一票他如何在一次選舉中既要選出心儀

的立法會議員又能明確交代一旦議員中

途離職應由誰人補上呢新方案根本上就

是與民主的精神背道而馳

迷思三與西方國家看齊

林瑞麟局長又曾指出先進的民主西方國

家亦有類似的遞補機制而經修訂後的遞

補機制基本上能與德國芬蘭波蘭等

國家看齊

然而這一說法未免有點不盡不實事實

上德國的選舉制度既有比例代表制亦有

單議席單票制跟香港只實行比例

代表制不同因此不能作為類比

而且跟據德國聯邦選舉法當同一

名單的替補候選人「用盡」議席

就會懸空而非由另一名單的敗者

替補至於波蘭則大致由同一張名

單中的參選人替補但當議員辭職

後議長其實有權宣佈議席懸空

毋須替補的可見外國的制度是寧

讓議席懸空也不由敗者替補以

防止民意被扭曲

而且即使先進如德國其選舉

制度其實也正受聯邦憲法法院挑

戰因為藉着選票總數按公式計算

所得議席的方法或未能充份反映

選民投票意向有關的遞補方案

會令另一張名單有得票的落選者未能獲得

議席另一方面又有候選人毋須選票便

獲得議席這可能違反德國聯邦憲法再

者即使德國的一套在該地行之有效但

某些該地的選舉制度的細節也不一定適

用於香港需知道德國是一個全面民主的

國家有健全的政黨政治及聯邦自治的傳

統這與香港那四不像的「民主制度」是

截然不同的

引用著名專欄作家

區樂民醫生的說法

「特區政府的方案是

全世界獨一無二的

獨一無二的制度有

可能是出色的但更

大機會是愚蠢的」

結語

綜合剛才的分析不難看出政府提

出的遞補方案是既不合情又不合理

同時亦不合法的請容筆者在此再次引

用區樂民醫生的文字為文章作結 

「我對官員的要求不高只要能以邏輯思

考按常理做事就足夠了為何這麼簡

單的期望也會落空」 

我對官員的要求不高只要能

以邏輯思考按常理做事就足夠了為何這麼簡單的期望也會落空

政制及內地事務局局長林瑞麟表示新方案絕對「合情合理亦合法」然而此話當真

hkucaduceusnet | 7

內 地孕婦趨之若鶩地來港分娩蔚

然成風本港出生嬰兒數目

由零六年的六萬五千急增至

去年的達八萬八千當中

三萬多名嬰兒的父母均非香

港永久居民他們除了擁有

香港永久居留權將來還可

享有教育醫療房屋等多

項社會福利難怪有人形容

這做法猶如廉價投資移民

香港永久居留權變成私營醫

院招徠客人的「贈品」

本地孕婦一床難求

內地孕婦蜂擁來港人

數由零五年的一萬九千人

急升至去年的四萬一千人

令產科床位愈見緊絀有本

地孕婦早至懷孕五六週亦

未能預約私家醫院床位她

們四出奔波身心俱疲不

禁怨聲載道感到內地孕婦

分薄了理應予本地人享用的

醫療服務資源而為確保本

地孕婦得到妥善和優先的照

顧政府於四月公布公立醫

院即時停收內地孕婦希望

在短期內稍稍紓緩本地孕婦

床位緊張的問題

由八間醫院成立的「新

生兒服務關注組」指出以

現有資源及人手編制本港

每年出生嬰兒數字不應超過

七萬五千若是勉強增加服

務量勢必影響服務質素

苦了醫護團隊也苦了病

人終於在六月下旬政府

與私家醫院達成共識將明

年非本地孕婦來港產子數目

定於三萬五千公立醫院將

會預留三千四百名額予非本

地孕婦私家醫院非本地孕

婦來港產子數目則限於約三

萬一千

鋌而走險

部分內地孕婦未經登記

預約及作產前檢查待臨盆

前才到公立醫院急症室求

診由於她們大多缺乏常規

的產前檢查使血壓高和糖

尿病等問題未能及時處理

分娩時媽媽和嬰兒的風險會

大大提高而公立醫院停收

內地孕婦後除了有更多內

燙手山芋簡析內地孕婦來港產子潮李愉欣 (M15)

有本地孕婦抱怨「一床難求」抗議內地孕婦分薄醫療資源

社會

ldquoa hospital bed is a parked taxi with the Meter ruNNiNgrdquo ndash groucho Marx

8 | Caduceus September 2011

地孕婦在臨盆時硬闖急症

室公立醫院亦首次揭發內

地孕婦持偽造醫生紙過境來

港分娩此例一開更可能

吸引一些極端例子以坐監博

取來港產子掀起另一股制

度缺口下的潮流

「私院賺錢公院善後納稅人埋單」

時事評論員林輝認為

私家醫院賺得盤滿缽滿的同

時其實正將其成本外化至

公立醫院以至全港社會首

先私家醫院可選擇接收較

容易處理的個案一旦遇上

奇難雜症便將之轉介往公

立醫院初生嬰兒深切治療

部令該部門工作量大增

床位佔用率高達百分之一百

五十前線醫護人員工作壓

力之沉重可見一斑其次

私家醫院向公立醫院富經驗

的醫生和護士挖角以致人

手大量流失這不但影響公

立醫院的服務質素更令留

下來的醫護人員不勝負荷

形成惡性循環漣漪效應

下醫院其他部門如急症

室等也將間接受影響因

此不單是納稅人全港社

會亦將會共同承受內地孕婦

來港產子潮的代價

誘因

筆者認為內地孕婦來

港產子潮方興未艾原因有

四首先內地實行「一孩

政策」限制每一家庭只生

一個孩子違反《人口與計

劃生育法》除了會被罰款

父母和子女還會喪失許多福

利因此部分內地夫婦會

為了生育多於一個孩子而選

擇來港分娩而九七回歸以

後中港兩地關係愈趨密

切社會融合令跨境婚姻日

益普遍港人內地配偶來港

分娩的數目自然節節上升

再者自零四年兩地政府推

出自由行政策起內地居民

可以自由進出香港簡化便

捷的出入境手續和四通八達

的交通網絡更為內地人來港

產子大開方便之門而最重

要的是孩子獲得香港永久

居民身份後可享有多項社

會福利及更多元化的發展前

景將來亦可舉家申請來港

團聚這對不少家庭來說相

當吸引

長遠影響

由零五年至去年其父

母均非香港永久居民的「港

產內地B」達十四萬人

而隨着他們成長問題將由

婦產科和母嬰健康院延伸到

其他學童健康服務以至教

育醫療房屋政策的規劃

等等筆者認為政府需未

雨綢繆每年重新審視非本

地孕婦配額同時把配額制

可納入整體人口政策的一部

分為多項社福服務進行長

遠規劃另一方面兩地政

府亦需加強執法致力堵塞

不良中介人活動避免未經

預約孕婦直闖急症室分娩等

高風險情況 

參考資料

林輝《香港居民身份不是贈品》二零一一年四月八日刊於明報

《星期日檔案港產內地B》二零一一年六月十二日於翡翠台播出

httpbig5chinanewscom內地孕婦來港產子潮對公立醫院產科及 初生嬰兒深切治療部構成沉重壓力

hkucaduceusnet | 9

最 近虐待動物個案屢見不鮮手法層出不窮光看新聞標題已

令人不寒而慄無法想像施虐者為何能對

可愛惹人憐惜的小動物下毒手在緝兇之

餘亦應反思是甚麼心態及動機驅使他們

做出如此冷血殘忍的舉動

香港人生活壓力大不單是成人就

連小孩都有很多必須面對的煩惱如果沒

有適當的方法紓發情緒調適心情便會

容易導致心理不平衡患上心理病或情緒

病一般人看到別人痛苦會有同理心產

生難受的感覺因同情而伸出援手希望

別人不再痛苦施虐者則相反藉著暴力

行為令別人感到痛苦從而產生刺激快

感而非內疚或罪惡感施虐者利用這種

自私的方法去宣洩情緒將自己的快樂建

築在別人的痛苦身上

虐待動物的人一般懦弱膽小缺乏自

信因此選擇一些弱小無助無反抗能

力的對象發洩情緒令自己提升存在感及

掌握權力流浪貓狗隨處可見施虐者會

以為別人不顧流浪貓狗的死活所以即使

虐待牠們也不會被人發現因此流浪貓

狗容易成為施虐對象當中貓隻反抗能力

較狗隻低所以被虐情況更為嚴重施虐

者當中男比女多可能是由於女權主義高

漲男女社會角色轉移男性無法宣示強

者地位的原始心理更容易使他們做出這

種反社會行為

虐待動物的行為讓施虐者享受虐待的

快感對於殘忍的手段容忍程度會提高

對剌激感的追求亦會增加變得更麻木

不仁直至虐待動物已無法滿足他們的慾

望加上沒有因虐待動物而得到應得的懲

罰令施虐者變得更大膽可能將虐待對

象轉向兒童甚至成人

小動物反抗能力低也不會提出控訴

因此我們有責任去保護牠們看到動物

受虐或懷疑受虐不要漠視或啞忍也不

要只將影片拍下上載互聯網應向政府部

門舉報或向愛護動物協會等機構投訴

《防止殘酷對待動物條例》的最高刑罰是

罰款二十萬元及監禁三年但定罪個案極

小實際判刑大部分只是罰款執行社會

服務令等所以有關當局應提高刑罰令

人害怕受懲罰而約束行為這樣才能達到

阻嚇作用施虐者除了接受應得的懲罰之

餘亦應強制接受心理輔導及愛護動物課

程糾正他們的心理狀況避免重蹈覆

除了殘忍的施虐者遺棄寵物的主人

亦是造成悲劇的幫兇甚至元兇他們

不負責任地把寵物丟在街上把牠們推向

險境失去主人保護的寵物即使不被虐

待也會飢寒交迫甚至遇上各種危險

所以遺棄動物前請切身處地想想流浪貓狗

坎坷的命運 

停一停 想一想正視虐待動物問題郭淑芳 (N14)

反對虐待 尊重生命

社會

ldquokeepiNg a pet is a lifetiMe busiNess aNd coMMitMeNtrdquo ndash aNiMal re-hoMe services

10 | Caduceus September 2011

記 得剛剛入學的時候教授對我們說過「要是你們想賺

錢現在就轉到別科吧這兒不是讓你們

賺錢的地方這兒比其他行業都更辛苦

因為我們掌握別人的生命」醫護界就是

這種行業是一種用心對待病人的行業

人皆有惻隱之心醫生為病人著想是一

件理所當然的事根本不需要去學習如

何行此道這是人自發性的行為要是醫

生不是以心去行醫這是對病人對自己

的專業甚至對作為人的自己也是一種

侮辱但是在日本這種高文化水平的國

家則有孕婦死於拒診醫生對求醫的

人見死不救即使是

我一個只是讀了一

年的醫科生也知道

這是不道德的無

論是以一個專業醫生

的角度甚至於人的

標準來說

二零零八年日

本一名孕婦因為身體

不適而求診結果慘

遭七間醫院拒收

雖然嬰兒平安無事

地出世但這位剛成為人母的婦人卻於三

日後死亡這種情況在日本中不是罕見的

事根據統計日本於二零零七年就有二

萬四千多宗拒收病人的個案情況令人不

安也令人反省這些高知識份子為什麼會

如此冷血大家常常稱讚那些高學歷人士

是「飽讀聖賢書」我可不曾記得聖賢書

有教導我們要見死不救對別人的生死置

身事外特別對於我們這些醫護界的準工

作者更加不能接受人死不能復生既

然我們掌握著別人的生死又怎能如此不

負責任呢看到這些新聞我們作為醫學

院學生亦應對此作出警醒

除了日本之外香港也曾發生過類似

事件而且曾經轟動一時二零零八年

一名患有心臟病的男人於明愛醫院門前病

發他的親友馬上到明愛醫院詢問處求

救院方見狀卻要求對方打九九九求助而

不是即時提供協助當然這件事可能涉

及一點程序上的問題但是人是生規

矩是死救人一命勝造七級浮屠所有規

矩都不及拯救人的性命重要吧令人安慰

的是有一名見義勇為的醫生途經現場

隨即致電急症室並為事主檢查發現他

全無脈搏遂立即進

行體外心臟按摩可

惜最終病人經搶救

後仍是不敵死亡的命

運這件事令人感到

惋惜同時我們亦

應反省醫護人員做事

的態度典型香港人

有一種特別的特性

他們都是「多做

多錯少做少錯不

做不錯」的「信奉

者」當時的詢問處

的值班者可能心怕破壞規定幫助病人後

可能會引起上司不滿對自己的事業有影

響故此遲遲未能下定決心幫助別人可

見醫護人員對病人的同理心不高這亦是

值得我們所反省的

相信仍然未畢業的我們對日後的工

作是抱有一種憧憬有一種熱誠但是

當我們畢業後這股熱血會被忙碌的工作

所撲滅當日的誓言早就置之不理了

「病人的健康應為我的首要的顧念」變成

了「清掉桌上滿滿的病人檔案為我的首要

的顧念」「將要憑我的良心和尊嚴從事

拒收病人何來醫德醫心謝汶珊 (M15)

社會

hkucaduceusnet | 11

醫業」則變成「將要憑我有限的體力和時

間從事醫業」helliphellip更甚者於我們求學期

間已經把病人的健康拋諸腦後了腦子

裡卻放滿了那些不知從哪裡來的肌肉神

經線以及血管等等當腦子的容量用了大

部份來放置anatomy的東西之後餘下來的都放了那些古怪的藥名進腦子去了

哪有閒下來的空間把那些道德經放進腦子

裡但是即使你能夠把那本Grays Anat-omy或者那本大Robbins的所有內容牢牢記在腦子裡沒有醫德你絕對不是一個好

醫生當然沒有任何人規定你的道路

你的選擇然而你的選擇將會影響到別

人的生命社會當然不會奢望每一個醫生

都有當無國界醫生的那一種胸懷但是

他們希望醫生起碼會是一個抱有救活病人

作為使命的醫生

作為一個好醫生並不能帶給你金錢或

者名譽這個世界永遠是行商者才是致富

之道你希望將來得到的是什麼我們都

應該找出自己的答案把它寫下來以免

他日遇上挫折或誘惑會迷失自我仔細想

一想若果你的答案思前想後仍是「錢」

那麼請你認真考慮一下轉科吧「若

果病人沒錢看病作為醫生也要為他看

病也要為他開藥我們沒有權力去把他

們趕走」這就是醫德相信每一個將成

為或者已成為醫務人員的人都曾宣誓過自

己要奉獻一切為人類服務所謂的誓言並

不是用嘴巴說出來罷了一個無法遵守的

誓言只會變成一句又一句的廢話俗語有

一句「狗口長不出象牙」helliphellip

以下是世界醫學協會一九四八年日內瓦

大會採用的日內瓦宣言

我鄭重地保證自己要奉獻一切為人類服務

我將要給我的師長應有的崇敬及感戴

我將要憑我的良心和尊嚴從事醫業

病人的健康應為我的首要的顧念

我將要尊重所寄託給我的秘密

我將要盡我的力量維護醫業的榮譽

和高尚的傳統

我的同業應視為我的手足

我將不容許有任何宗教國籍種族政見

或地位的考慮介於我的職責和病人間

我將要盡可能地維護人的生命自從受胎時起

即使在威脅之下我將不運用我的醫學知識

去違反人道

我鄭重地自主地

並且以我的人格宣誓以上的約定 

ldquoa Merry heart doeth good like MediciNerdquo ndash kiNg soloMoN

12 | Caduceus September 2011

Radiologist

Ophthalmologist

Anaesthesiologist

All roads lead to Rome but have you missed the ROA and D

when it comes to success in medical career

to success

hkucaduceusnet | 13

Anaesthesiologist

Dermatologist

All roads lead to Rome but have you missed the ROA and D

when it comes to success in medical career

to success

14 | Caduceus September 2011

「形影不離」的造影術專訪放射科邱麗珊醫生陳伊樂 (M15) 賀曉琳 (M15)

邱 麗珊醫生於一九八三年畢業於香港大學醫學院並於一九八

六年開始修讀放射科邱醫生不但在東區

尤德夫人那打素醫院身兼前線管理和訓

練多職而且積極參與香港放射科醫學院

的工作我們非常感謝邱醫生能夠在百忙

中抽空接受訪問向各位同學分享一下她

踏上成功路的經歷與待人處事的態度

甚麼是放射科

放射科是利用X光(X-ray)電腦斷層攝影(CT)磁共振成像(MRI)和超聲波造影(Ultrasound)等技術展示患者身體內部結構的影像從而協助診斷和進行治療

當放射科醫生危險嗎

誠然放射科醫生需要經常接觸對身

體有害的輻射可是這門專科有不同的

措施保障我們的安全首先每一個放射

工作者都需要領取牌照此外我們會每

個月檢查掛在胸前的放射量測定器確保

接觸到的輻射劑量沒有超越安全水平當

然有關部門亦會定期檢查儀器確保它

們正常運作

爲什麼你會選擇放射科你對於有意將

來當上你的專科的同學有甚麼建議

選擇放射科純粹是因為爸爸的一句「

放射科適合女孩子」當上放射科醫生之

後才發現事實並非如此放射科是一個重

要的專科幾乎每一個住院病人都需要用

上造影技術但除非做超聲波或介入放射

治療放射科醫生卻好像很少與病人直接

接觸有些醫生喜歡多和病人接觸放射

科便不適合他們了另外放射科正面對

著迅速的科技發展對新科技有興趣的同

學這個專科的確是一個不錯的選擇可

是由於學位有限每年報讀放射科的六

邱麗珊醫生Dr Jennifer Khoo放射科專科醫生

香港大學內外全科醫學士 英國皇家放射科學醫學院院士 香港醫學專科學院院士(放射科)

東區尤德夫人那打素醫院 放射科 部門主管 及 顧問醫生

醫院管理局 港島東聯網 Service Director (Radiology)

香港放射科醫學院 首席副院長 及 科學委員會主席

專題

hkucaduceusnet | 15

七十人當中總會有四五十人因願望落空

而要轉投其他專科我的建議是千萬不要

灰心人總不能夠經常做自己喜歡的事

但一定要喜歡自己正在做的事(You canrsquot always do the things you like but you can learn to like the things that you have to do)

請詳述對你人生有大影響的起落人

事物

人一生中如果能夠遇上一兩位良師益

友在你碰到困難時扶你一把在你迷

惘時給予意見上天就已經算是對你不薄

了而我自己也算是非常幸運有兩位

前輩當上我的引導者一位是瑪麗醫院

的陳富六醫生另一位是澳洲的Professor Michael Sage因為兩位的提點我決定善用自己的長處留在公營醫院參與一些

行政和訓練的工作幫助培訓醫生使更

多病人受惠

你有甚麼人生的哲學嗎是甚麼信念使

你堅持當一名醫生

我認為每個人都需要有自己的優先順序

(priority)對我來說家人和家庭生活永遠都是排在首位縱使我已經涉足到很多

管理方面的工作但病人還是排在行政管

理之前有著清晰的優先順序不管遇到

多大的衝擊都能使自己勇敢面對邁步

向前優先順序或多或少都與個人經歷有

關有部份同行可能會基於不同原因或

許是滿足感或許是工作量而轉投私人

市場我想每個人的價值觀和信念都有不

你對現今醫學院的學生有甚麼寄語叮

習醫是一條漫漫長路少不免遇上困難

和挫折而這些難題往往會轉化成使身心

俱疲的壓力身為醫學生一定要及早學

會如何面對壓力我的忠告是凡事都要

以平常心面對要從錯誤中學習懂得避

免犯上同樣的錯誤要有反彈能力勝過

昨日的自己

醫科生基本上都是能力不錯的一群

(cream of the cream)要好好利用自己的能力為社會作出貢獻 

ldquowheN you are dowN aNd out soMethiNg always turNs up it is usually the Noses of your frieNdsrdquo ndash orsoN welles

16 | Caduceus September 2011

A Discourse with a Female Gold-MedalistInterview with an Ophthalmologist ndash Dr Charmaine HonChariene Woo (M15) Charis Chan (M15)

W hile waiting for Dr Hon at her Central clin-ic the Hong Kong Ophthalmic Associates

we were amazed at how the spacious clinic was crowd-ed with patients When we finally meet Dr Honrsquos big friendly smile made an impression on me as she invit-ed us into her room Despite having a busy schedule Dr Hon is very down-to-earth and eager to provide valuable advice for our fellow schoolmates

Dr Hon started out as a medical doctor and changed to the specialty of ophthal-mology Initially she worked with the public sector fulfill-ing her duties as a doctor re-searcher and teacher at the same time Then she turned to the private sector and joined the Hong Kong Ophthalmic Associates as she feels that she can be more focused on the aspect of patient care ldquoIn public hospitals it is hard to follow up on patient care and it is rare to meet the same patient twicerdquo she reflected ldquobut in the private clinical set-ting I get to know the patientrsquos family and medical his-tory better and I feel more like a doctor by having the ability to follow my patientrsquos progressrdquo

As a recipient of the John Anderson gold medal for the highest aggregate of marks in all the MBBS professional examinations Dr Hon also shares her advice in studying ldquoBasic knowledge is a must but clinical sense is the most importantrdquo and with a smile

she added ldquoyou have to pay attention to your mentors during attachments to hospitals even if you are just ob-servingrdquo But donrsquot think Dr Hon is all about studies She emphasizes that she is not the most hardworking student in her graduating class and suggests medi-cal students to explore outside of the medical world especially in the first two years of study ldquoYou have to have a life outside of medicine and you should do it in

the non-clinical years as there are decreasing chances and time for you to meet non-medically related peo-ple after year 3 onwardsrdquo the ex-member of the Union Choir said ldquoAnd as you come more into contact with different people you learn how to communicate bet-ter which will definitely help your medical career and will keep your life diversifiedrdquo

As for advice to students in clinical years she shares her insights in how to choose your specialty She sug-gests students to look into their strengths and inter-ests and to understand and explore as much as pos-sible in attachments since it is a lot harder to change onersquos specialty nowadays compared to the past ldquoThe most important point is to identify yourself and not to blindly follow the path of others Do not think of future

achievements since what you chose will probably stick with you for liferdquo True enough ophthalmology was not a developed specialty during her times of studies and Dr Hon says she is probably one of the very first gold medalists who pursued it as a career A note to her future female counterparts ldquoYou have to think of your future path and plan accordingly and be ready

Basic knowledge is a must but clinical sense

is the most important

The most important point is to identify yourself and not to blindly

follow the path of others

Feature

hkucaduceusnet | 17

to put your career before marriage Many of us delay our plans of marriage and pregnancy after finishing our specialty fellowship which is at around 30rdquo After hearing this I was very worried but she added ldquoGen-eral practice is also a good choice and there are some females doctors who donrsquot follow this trendrdquo

One of the things that struck me the most is that Dr Hon sticks to the principle of doing everything with all your heart ldquoYou only pass through this life once and when you look back you should not regret what you have donerdquo So when presented with conflicting ideas with her principle what does she do ldquoI reflect and fight for itrdquo she laughs ldquoIt sounds rebellious but as a doctor you have to have a judgment that is best for your patient and you cannot conform to society or systemsrdquo Using the limited consultation time for each patient in public hospital settings as an example she explains that doctors arenrsquot machines and should be able to adjust to different patientsrsquo needs appropriately so to do what is best for the patient ldquoYou should never lose yourself under the system and should always do whatever you think is best for your patientrdquo

When asked about the specialty of ophthalmol-ogy Dr Hon tells us with passion that ophthalmology allows instant gratification and makes a difference to patientrsquos life ldquoMany specialties can make a difference but only a few have a clean-cut immediate effect like ophthalmologyrdquo But ophthalmology is also about hard work and persistence ldquoIn this specialty there is con-stant advancement in the past we do extra capsular extraction but now there are frequency emulsifica-tion and other advancements I am always awed by the senior partners in this clinic who have a strong will to chase and read up on new techniquesrdquo So besides steady hands and good eyesight intellectual curiosity on the latest research is a must if you are thinking of pursuing a career in ophthalmology

Before we parted Dr Hon gave us a final word of wisdom ldquoThis is going to be hard for you two gals but you look tough and yoursquoll survive Since you chose this career path do expect to work very hard as it is not easy but so is every other occupation nothing is ever easy in this worldrdquo

DrCharmaineHon韓尚穎醫生

Specialist in Ophthalmology

MBBS(HK) MRCS(Edinburgh)

FC Ophth(HK) FHKAM(Ophthalmology)

ldquoas you grow older yoursquoll fiNd the oNly thiNgs you regret are the thiNgs you didNrsquot dordquo ndash Zach-ary scott

18 | Caduceus September 2011

奉行完美主義的守護天使專訪麻醉科李靜芬醫生吳瑞麟 (M15) 李庭翰 (M15)

說 起麻醉越野挑戰馬拉松義工無國界醫生你想到甚

麽幾樣風馬牛不相及的東西可以用三

個字關聯起來李靜芬

李靜芬醫生畢業於香港大學醫學院

現於養和醫院疼痛治療門診工作她曾經

加入無國界醫生到南蘇丹服務又是醫療

輔助隊動員主任香港不少的大型活動

例如馬拉松東亞運奧運馬術等都由她

去統籌急救站的運作她又經常舉辦醫療

會議亦於很多地方做義務醫療顧問熱

衷於向公眾推廣疼痛管理與健康的知識

另一方面她是香港全能運動學會醫療顧

問經常參加越野挑戰戶外活動又參

加半馬拉松比賽看完李醫生這麼的一個

簡介實在很難不驚歎好一個「周身

刀張張利」的奇人

人生的轉捩點

其實初中時期的她與醫生根本扯不上

半點關係身為壘球隊隊長在中四的一

次練習中她被壘球擊中一眼從此改變

了她的命運當時全港只有一位眼科醫生

會在晚間應診眼科的醫療設施也不足

令她眼睛流着血水在黑暗中東奔西跑尋找

醫生她由大埔賽馬會診所走到威爾斯

然後到伊莉莎伯再到油麻地終於找到

眼科醫生李醫生由四點奔波到十點令

她深深體會到作為病人的痛苦也從此立

志要做一個醫生幫助有需要的病人

初中時的李醫生每天放學就練球以

致成績中等但自從立志投身醫護她虛

心求教又得到當時的班主任授予時間管

理和讀書的方法成績突飛猛進在短短

六個月間從中等成績進步至模擬考試全

李靜芬醫生Dr Carina Li

麻醉科專科醫生

香港大學內外全科醫學士 澳洲及紐西蘭麻醉科醫學院院士 香港麻醉科醫學院院士 

香港麻醉科醫學院疼痛科文憑

香港醫學專科學院院士(麻醉科)

專題

hkucaduceusnet | 19

級第一她的毅力和決心實在令人佩服

她的傲氣

其後她獲中文大學收作暫取生但她

又再次作出驚人之舉李醫生認為要讀醫

科生物化學科就得好些所以一定要認

真研讀高級程度的生物化學但是人是有

惰性的如果做了暫取生就一定會變得不

思進取讀不好生物化學於是她毅然

放棄暫取生的資格全心全意去考好高級

程度會考李醫生的豪氣決斷她破釜

沉舟的決心她的好勝和哲學令筆者從

心底裏衷心地拜服她

結果她當然考得很好的成績在選擇

大學時她再一次認真考慮自己將來的

路向她生來就有一種使命感覺得一定

要做一樣在任何時候任何地方都最有用

的工作加上她常常留意時事總覺得天

災人禍真的可以隨時發生於是她就選擇

了兩種無論是面臨戰爭還是天災的時候

對所有人都十分重要的工作記者和醫

生她終於入讀了港大醫學院並於九五

年畢業

與麻醉科結緣

實習的時候她特意選擇了一些能夠獲

得較多經驗的部門到投考專科的時候

她也選上了可以接觸很多不同類型病人的

兒科只可惜當時兒科並沒有學額但在

朋友介紹之下知道了麻醉科麻醉科同樣

可以接觸到不同的病人而且無論在甚麽

地方都可以發揮所長正正符合了李醫生

的志向結果她便入了麻醉科

據李醫生所說雖然一般人認為麻醉

科對體力的要求較少適合女孩子但

是現實並不這樣簡單由於麻醉要求一絲

不苟麻醉科的醫生都是完美主義者而

且學習的內容艱深每一種藥物的作用

反應甚至化學結構都要讀得滾瓜爛熟

她形容麻醉科醫生就好像病人背後的守護

天使在手術中要不停監測病人的維生指

數感覺病人的生命就在自己的手中所

以要承受着很大的壓力

作為麻醉科醫生每次見到的都是昏

迷或者沒有意識的病人事實上並沒有甚

麽可以跟病人溝通的機會病人通常感覺

不到麻醉科醫生的付出所以作為麻醉科

醫生未必可以從病人身上得到很大的滿足

感但他們卻比其他醫生更能夠專注地為

病人服務因為每次在手術中只照顧一位

病人

她的叮囑

李醫生叮囑現在的醫學生一定要僅記當

初想做醫生的原因她覺得在這個物質

社會中人是很容易迷失的她感覺到現

在的某些醫學生只為了一份穩定的工作

甚至是因為父母的意見而選擇行醫關於

作為醫生的意義卻從沒有思考過她勸

我們要好好問自己兩條問題人為甚麽生

存於世上作為醫生又是為了甚麼她

認為醫者要有父母心處處為病人而

不是為自己着想作為醫生就是要去服

務幫助人而不是為了求回報我們生

存於世上為的是信望愛並不用時時

記住利益金錢等東西最後她又提醒我

們不可以歧視病人不論是黑社會成員還

是香港首富只要病了就是一個無助的

病人就需要我們的幫助

李醫生思考獨立為人熱情健談跟李

醫生做訪問真的是一件有趣的事又令筆

者獲益良多特別是她有關人生意義的看

法的確值得反思作為醫學生的大家

你又可曾想過為甚麼要生存為甚麼要做

醫生呢

ldquothere is No MeaNiNg to life except the MeaNiNg MaN gives his life by the uNfoldiNg of his powersrdquo ndash erich froMM

在手術中不停監測病人的維生指數麻醉科醫生就好像病人背後的

守護天使

20 | Caduceus September 2011

To Succeed is to Fight Against ComplacencyInterview with a Dermatologist ndash Dr Henry ChanLily Cheng (M15) Andrew Seto (M15)

W ith our scheduled interview being inter-rupted by an emergency case of Stevens-

Johnson syndrome a life-threatening allergic skin re-action to medication Dr Chan rushed to the hospital for his patient

Sitting in Dr Chanrsquos office at his private practice the Hong Kong Dermatology and Laser Centre in the middle of a conference call with his overseas counter-part researchers we saw a pragmatic doctor at work This is a doctor who would never be complacent with his performance but keeps striving for excellence

AmedicalcareerDr Chanrsquos interest in dermatology was sown well

before his exposure to the discipline Having been in-flicted with eczema during his childhood he suffered from an excruciating itch in his skin that caused him much distress As a result of his own medical condi-tion he developed an interest in dermatology at a young age

During his fourth year in medical school he ex-plored an elective in dermatology at Yale University and began formal training in the field He obtained his medical degree and worked for several years in the UK before returning to Hong Kong to work at the Prince of Wales Hospital He then received a grant from the Hos-pital Authority to read dermatology in the UK

Working back and forth between Hong Kong and Britain in and out of universities and hospitals in his early years of practice Dr Chan settled his work base in Hong Kong in 1995 He was Associate Professor of CUHK from 1998 to 2000 and Chief of Dermatology and Associate Professor in HKU from 2000 to 2004

After entering private practice in 2004 Dr Chan now spends a lot less time on doing administrative work and more time on treating patients While he was actively engaged in teaching research and clini-cal work his current focus has shifted to mainly clini-cal work As an honorary clinical associate professor of our faculty he enjoys teaching and values the opportu-nity to cultivate and influence medical students

A renowned dermatologist with a strong research interest in medical devices Dr Chan is still very active in terms of research output His private practice sup-ported by a team of full-time research staff is unique

for its active research component ndash a practice which is well-established overseas but rare in Hong Kong

AsadoctoranddermatologistIn the beginning laser devices were developed to

treat medical conditions such as haemangioma and black moles but technological advancements driven by recent research has explored new possibilities for their applications in cosmetic treatment As a result new cosmetic procedures have appeared for the treat-ment of various conditions from skin rejuvenation to body contouring

While it is true that most dermatological conditions are rarely life-threatening they may nonetheless have a profound impact on patientsrsquo physical and psycho-social wellbeing For instance eczema often presents with rash It may give exudate in serious cases but is rarely fatal Nevertheless it might constitute great dis-comfort and inconvenience to patients Similarly se-vere cases of acne may also diminish onersquos self-esteem Dr Chan stressed that treatments for many skin condi-tions are not merely cosmetic in nature but may im-prove patientsrsquo self-esteem body image and psychoso-cial wellbeing

On the other hand some skin problems such as psoriasis and chronic eczema are incurable It is there-fore the doctorrsquos duty to educate patients and enhance their understanding of their disease One of the re-sponsibilities for dermatologists is to evaluate the im-pact of their patientsrsquo conditions to their quality of life Other than helping them return to their normal routine and diet as far as possible dermatologists also need to teach patients the way to get along with their chronic illnesses

Dr Chan emphasized that we run a profession not a business On this ground a doctor should never tell a patient what procedure they should receive Rather a doctorrsquos role is to explain the options available and provide the relevant information that carry with each procedure including potential risks and complica-tions

Dr Chan reminded us that financial return is only a ldquoby-productrdquo of a doctorrsquos work as a professional Doctors work hard and should be paid for their serv-ices but they should not be more interested in making

Feature

hkucaduceusnet | 21

money than in helping people He believes that shap-ing doctors into commercials in some way jeopard-izes medical professionalism

SuccessRedefinedSummoning his days as a fresh medical officer Dr

Chan recalled the death of the 18-year-old girl inflicted with necrotizing fasciitis who died within 24 hours He bore in mind every complicated case as an alarm to his future practice admitting that there is always room for him to improve

Quoting the professional golfer Jack Nicklaus Dr Chan reminded us that ldquocomplacency is a continuous struggle that we all have to fightrdquo It is easy to let our guard down but doctors have to be responsible for their patients all the time It is demanding but impor-tant for every medical professional to be vigilant and maintain onersquos standard at the top level He believes that good doctors should keep themselves in an appro-priate amount of stress and tension which keeps them mindful of their patientsrsquo needs

When asked about his rules for success Dr Chan emphasized that he does not feel he has attained his goal yet He feels that he may have had a decent start but it is inappropriate to judge his career before his retirement as he is still in the middle of his career To him it is far too early to define success Despite his change in roles over the years he still maintains his enthusiasm and passion that motivate him to do his best whether it be research teaching or clinical work

As far as medical students are concerned Dr Chan doesnrsquot see the urgency of deciding our future spe-cialty yet Medical school gives us a broad and general exposure to various fields and offers a good place to learn and gain experience sharpening our skills before serving as doctors We could still explore more in our senior years to come

ldquoFollow your heartrdquo Dr Chan gave us as a conclud-ing word He believes that the so-called ldquoROADrdquo to success is not really that important if one does not en-joy onersquos profession Listen to yourself and ask whether you really like your job

DrHenryChan陳衍里醫生

Specialist in Dermatology and Venereology

MBBS(London) MRCP(UK) FHKAM(Medicine) FRCP(Glasgow)

FRCP(Edinburgh)

Hon Professor LKS Faculty of Medicine HKU

Hon Consultant Dermatologist QMH HKSAR

Visiting Scientist Wellman Centre for Photomedicine USA

ldquoirsquoM a firM believer iN the theory that people oNly do their best at thiNgs they truly eNjoy it is difficult to excel at soMethiNg you doNrsquot eNjoyrdquo ndash jack Nicklaus

We run a profession not a businesshellip [doctors]

should not be more interested in making money than in

helping people

22 | Caduceus September 2011

Art and Medicine Seeing Diseases in ArtHow art masterpieces reveal medical conditionsAndrew Seto (M15)

F or centuries art historians have been mesmerized by

the enigmatic smile of Mona Lisa coming up with theories that range from the mundane to the bizarre Was she a silk merchantrsquos wife or a self-portrait of Leonardo da Vinci himself Was she pregnant An adulterer Leonardo da Vincirsquos se-cret male lover The theories never cease

BehindMonaLisarsquossmileHighcholesterolIt turns out that Mona Lisa had

ldquovery high cholesterolrdquo at least ac-cording to Vito Franco a Sicilian professor of pathological anatomy A medical expert who enjoys study-ing art masterpieces for evidence of diseases Franco concluded that Mona Lisa had xanthelasma (the accumulation of cholesterol under the skin) Indeed a closer look at her mysterious face does show a yellowish collection around the in-ner corner of her left eye He even found evidence of lipoma (a fatty tissue tumor) on her right hand Probably the least poetic finding for the most renowned beauty in Renaissance art

This was not the first time medical experts have associated Mona Lisa with clinical conditions Charles Bell the 19th century Scot-tish surgeon who discovered Bellrsquos palsy a form of facial paralysis resulting from facial nerve palsy once coined the term ldquoMona Lisa syndromerdquo This was a reference to the facial muscle contracture that develops after Bellrsquos palsy resulting in a ldquoMona Lisa-like smilerdquo

Mona Lisa Xanthelasma or just a blotch by mistake

Insight

hkucaduceusnet | 23

Hardly would Parmigianino have known that the long slen-der fingers and limbs of Madonna with the Long Neck was the result of a genetic disorder called Mar-fan syndrome And of all the things that crosses onersquos mind upon first glance of Caravaggiorsquos Sleeping Cu-pid the notion that the baby was inflicted with juvenile rheumatoid arthritis would be hard to imagine Franco claims that his goal was to expose the human vulnerability of the people depicted in art

MichelangelorsquosgoutykneeAnother subject who has been

scrutinized by medical experts is Michelangelo Renaissance painter and sculptor Scholars looked at his knee from Raphaelrsquos School of Ath-ens and concluded that he suffered from gout a form of inflammatory arthritis that occurs when crystals form in the joints

Based on the appearance of his knee which appears swollen en-larged and covered in hard lumps a diagnosis of gout seems plausible It was known that Michelangelo de-veloped various diseases during his life In his writings he complained of having kidney and bladder prob-lems In 1549 he had an episode of anuria followed by passing of grav-el and stone fragments in his urine

Many experts believe that Michelangelo like many of his contemporaries developed gout from lead poisoning A well-known workaholic Michelangelo con-stantly lived off a diet of bread and wine (processed in lead contain-ers at the time) and was frequently exposed to lead-based paint All evidence points to lead poisoning which promotes kidney damage and inhibits uric acid excretion causing it to build up in blood This predisposed him to gout precisely as depicted in Raphaelrsquos fresco

RenaissanceArtandNeuroanatomyLike Leonardo Michelangelo

was not just an artistic genius but also a great anatomist At 18 he be-

Michelangelorsquos knee from the school of atheNs by Raphael (c 1509-1510)

Madonna with the Long Neck Was it Marfan Syndrome

Juvenile rheumatoid arthritis

ldquoall art is autobiographical the pearl is the oysterrsquos autobiographyrdquo ndash federico felliNi

24 | Caduceus September 2011

gan dissecting cadavers in a mon-astery in Florence where he honed his technical skills and knowledge of the human body

According to neuroscientists Michelangelo disguised sketches of the human brain in his famous Sistine Chapel ceiling painting which has remained unnoticed for 500 years His fresco The Creation of Adam shares a striking similar-ity with the sagittal section of the brain The fold in the cape repre-sents the Sylvian fissure separating the frontal and parietal lobes You may even recognize the angelrsquos foot as the pituitary gland his thigh as the optic nerve and his leg as the optic tract And that sassy green robe running down the ponsmdashthatrsquos the vertebral artery

Look at Godrsquos neck in The Sepa-ration of Light from Darkness from the same fresco Art historians have long speculated that its lumpy ap-pearance represents goiter Yet medical experts have found an ac-curate picture of the brainstem and spinal cord in Godrsquos throat stun-ningly similar to the creases and crevices of the brain

Yet why would Michelangelo embed the brainstem in Godrsquos throat Was he alluding to Godrsquos wisdom or was it a form of protest to the Church After all dissecting cadavers was considered unethical at that time and for an anatomist like Michelangelo who fell out with the Pope while painting the Sis-tine Chapel ceiling could he have been painting anatomical images directly above the chapel altar in defiance to the Church

Artandophthal-mologyHowvi-sionchangesartClaude Monet is recognized as

one of the founders of the Impres-sionist movement but his vision got cloudy during his later years He wrote letters to friends describ-ing his growing frustration with his vision changes He was even forced to memorize colours on his palette

the creatioN of adaM by Michelangelo (c 1511)

the separatioN of light froM darkNess by Michelangelo (c 1512)

hkucaduceusnet | 25

and label tubes of paint Red began to look muddy to him and he saw his painting as becoming ldquoincreas-ingly darkenedrdquo Whenever he com-pared his paintings with his earlier works he would be sent into a tow-ering rage to destroy them

This was because he had cata-racts Cataract patients have yel-lowing and opacification of the lens so his vision essentially be-came more brownish The yel-lowish brown cataracts he looked through filtered out violet and blue shades Monet underwent two eye operations in 1923 after which he returned to his old painting style even throwing away some of his paintings and repainting them

Thesufferingart-istDepictingill-nessesinartPerhaps no one better personi-

fies the notion of a ldquosuffering artistrdquo than Vincent van Gogh Clinicians have posthumously diagnosed him with a range of medical problems including epilepsy schizophrenic and bipolar disorder His later works have long been noted for his preference for the colour yellow and some have speculated that this was related to his yellow vision

One theory was that van Goghrsquos doctors prescribed him with digi-talis to treat his epileptic seizures His painting Starry Night has yel-low circles around the stars and not surprisingly people with digi-talis overdose often see a yellowish halo around objects Other experts speculated that it was his addiction to absinthe that led to his yellow vi-sion Absinthe is a highly alcoholic drink that contains a highly psy-choactive neurotoxin called thu-jone which causes yellow vision

Van Gogh was not the only art-ist who projected his illness into his art Edvard Munch had tuber-culosis and spit blood as a boy Her mother died when he was five her sister spent most of her life in-stitutionalized for mental illness and his brother died of pneumo-

nia Munch may have depicted his own psychotic state of mind in The Scream which portrays a twisted agonized creature wracked with anxiety and horror

ConclusionDo these findings actually

prove something or are we over-analyzing artworks with our medi-cal knowledge Exactly what ben-efit would these discoveries have for the world at large is unknown At least we know it could lead to yet another interpretation for Mona Lisarsquos smile the result of a scrump-tious meal of pizza and pasta with cheese tomato sauce and meat balls before sitting for her portrait (which would certainly also explain her cholesterol problem)

Two pictures by Monet of the same Japanese bridgemdashthe first painted in 1899 the second between 1918 and 1922 revealing a dramatic loss of shape and detail

suNflowers by Vincent van Gogh (1888) the screaM by Edvard Munch (1893)

ldquoeverythiNg that we see is a shadow cast by that which we do Not seerdquo ndash MartiN luther kiNg jr

26 | Caduceus September 2011

The End is Near Apocalyptic TheoriesRead more to learn about the terrifying future that awaits us Chariene Woo (M15)

S urge of waves rush over the mountains with unstop-

pable speed engulfing and shatter-ing our homes Flaming asteroids rain from the sky causing roads to crumble like sheets of paper Peo-ple running away from burning cities screaming fearfully Civiliza-tion ruined in matter of mere sec-onds Is this what the future lies for us

Nobody knows

Apocalyptic literature and movies have always raised interest among the general public partly

because it involves the end of our world as we know it and partly due to the fact that there is no solid proof how an apocalypse would come about The interest has re-cently skyrocketed with rumors about the world ending on 21st De-cember 2012 about how the May-an calendar finishes at that specific time and how it will be the end of the world as we know it So the big question is when and how will our world end

NostradamusProphetofDoomNostradamus of France was

one of the worldrsquos most famous seers and is most well known for Les Propheties (The Prophecies) a collection of his major long-term prophecies written in quatrains Many of his prophecies have cor-rectly predicted current events including the destruction of the space shuttle Challenger the death of Lady Diana and the destruction of Twin Towers of the World Trade Center As a result of these predic-tions he has been given the nick-

How do you survive the apocalyptic world

Insight

hkucaduceusnet | 27

name ldquoThe Prophet of Doomrdquo

Nostradamusrsquo prophecies have huge room for interpretation speculation and controversy and some people think his writing has no merit at all The following is an example of a quatrain alluding to some sort of environmental disas-ter in the future

ldquoFor forty years the rainbow will not appear

For forty years it will be seen every day

The arid earth will grow more dry

And great floods when it will be seenrdquo

(Century 1 Quatrain 17)

In other quatrains images of great comet alien invasion and nu-clear contamination are also men-tioned so these could all be the prospects that are waiting for us in the future Despite Nostradamusrsquo ldquoaccurate predictionsrdquo of what had happened in the past the quatrains do not have a specific order So out of all the disasters predicted in the many quatrains it is uncertain which will happen where or when giving it less importance in predict-ing an actual apocalypse

PlanetXAccording to Nancy Lieder a

woman who claims to have been contacted by extraterrestrial life forms Planet X (also known as Nibiru) would come close to planet Earth on May 27th 2003 resulting in the Earthrsquos rotation ceasing for 59 terrestrial days The Earthrsquos pole will then undergo a physical polar shift due to the magnetic attraction between the Earthrsquos core and the magnetism of the passing planet This will ultimately lead to the dis-placement of Earthrsquos crust and the end of us But when this did not happen the event was postponed and re-dated to coincide with the Mayan calendar hysteria

NASA argues that this is merely an Internet hoax with no factual or scientific basis They explain that if Planet X was approaching Earth astronomers would have

been tracking it for at least the past decade and the planet would now be visible by the naked eye This is a very comforting bit of news Yet some people believe that NASA is part of a conspiracy to cover up the existence of such planet and keep the truth of impending apocalypse from general public Again the ar-gument can go either way and the ldquotruthrdquo depends on which side you choose or want to believe in

2012TheendoftimeSo what is so special about the

year 2012 There are claims saying that the Mayan calendar ends on 21st December 2012 and that will be the end of time for mankind However just like every calendar it merely rolls over to the new year on that date and it doesnrsquot signify anything special In the Mayan cal-endar 21st December 2012 will be the end of brsquoakrsquotun 13 and marks the start of brsquoakrsquotun 14 A brsquoakrsquotun is 144000 days (a little more than 394 years) and there is no archeological or historical evidence to show that the Mayans expected anything sig-nificant or drastic to happen at the

end of each brsquoakrsquotun

However there exists litera-ture that suggests otherwise In 1975 Frank Waters the author of the book Mexico Mystique identi-fied the 13th brsquoakrsquotun interval to be the ldquoMayan Great Cyclerdquo where it ends in the worldrsquos destruction and rebirth Waters claims that cata-strophic earthquakes will destroy the world but he miscalculated the date and announced that the end of the ldquoGreat Cyclerdquo would be on 24th

December 2011 AD

The year 1987 marked an in-creased in interest regarding the prophesized big event in 2012 The author of The Mayan Factor Path Beyond Technology Jose Arguelles linked the 13th brsquoakrsquotun period to a ldquobeamrdquo that links people the plan-et the Sun and the center of Galaxy According to Arguelles the beam is the key to harmonic resonance in the universe and the Mayan knew when we would enter and leave this beam hence set their 13th brsquoakrsquotun to mark our passage accordingly He also claims that this beam could advance the development of any-thing with DNA hence creating a more positive view of the future

V838 Mon a star with expanding light echo purported as photographic evidence of Nibiru

ldquoevery MaN dies Not every MaN really livesrdquo ndash williaM wallace

28 | Caduceus September 2011

No one can be sure of whether the end of brsquoakrsquotun 13 signifies something great or disastrous for us or if it is just another restart in the Mayan calendar We can only know for certain when the day ar-rives

GodrsquosplanforusThis is by far the most detailed

and terrifying image portrayed out of all apocalyptic claims that I have gone through The Book of Rev-elation from the New Testament reveals signs of apocalypse through a wide variety of symbolism One of such is the frightening image of the ldquofour horsemenrdquo

ldquoAnd I saw and behold a pale horse and he that sat upon him his name was Death and Hades followed with him And there was given unto them authority over the fourth part of the earth to kill with sword and with famine and with death and by the wild beasts of the

earthrdquo (68)

The pale horse carries the horseman of Death which is be-lieved to release global plague and pandemics to the world and take the lives of a quarter of the popu-lation This has already manifested

itself in many forms in different parts of the world at different times hence the first sign of apocalypse is said to be already happening among us

In similar manners the bible describes the arrival a black red and white horsemen represent-ing the delivery of global food shortages war and conflict and the coming of an antichrist to the world From historical genocide terrorism to increased occurrence of food shortages so often seen nowadays it seems that the red and black horsemen has arrived as well and now we are just waiting for the arrival of an antichrist to conquer us

The Book of Revelation also provides readers with a glimpse into the ldquoactionrdquo in how the world will end

ldquoAnd I saw when he opened the sixth seal and there was a great earthquake and the sun became black as sackcloth of hair and the whole moon became as blood and the stars of the heaven fell unto the earthhellipand every mountain and is-land were moved out of their placesrdquo

(612-13)

Besides the great earthquake and the darkening of the sun there is a repetitive mentioning of stars falling from heaven on earth in the Bible This is postulated as the at-tack of massive meteors on planet Earth Out of all prophecies in the Book scientists assume this to be the most likely since an asteroid impact at a scale as large as that may have already wiped out an entire species that came before mankind Scientists believe that showers of space rocks that rained down 65 million years ago (due to the collision of Near Earth Object) were the culprit for the extinction of dinosaurs Luckily NASA recent-ly launched an early warning sys-tem called ldquoSpaceguardrdquo that aims to monitor such Near Earth Objects to prevent future collisions and ex-tinctions

Having read the above the Bible seems to combine all the horrifying specifics in different apocalyptic speculations into one nightmare But donrsquot worry since there are many different interpretations of the Revelation Historicists are the ones who see the Book as a broad view of history (good news wersquove already escaped all the horrors in the depiction) whereas Futurists

believe the description as prophecies of the fu-ture The Idealists hold the belief that the Rev-elation does not refer to actual people or events which makes sense as the Bible is often not inter-preted literally So fingers crossed that the Revela-tion is not interpreted in the futurist way because in that way there is going to be a daunting future awaiting us

Four horsemen of Apocalypse

hkucaduceusnet | 29

ldquoDevolvingrdquoEarthTheoryThis is probably the

most scientific theory that I have come across so far from a news article pub-lished from ABC News A group of scientists from University of Washing-ton hypothesized that the Earth will gradually de-volve in the next half bil-lion years In short their logic works as follows

As we all know the sun is constantly grow-ing bigger yet the Earthrsquos environment has been reasonably constant This is because as the sun is warmed up carbon diox-ide from the atmosphere is removed and deposited in soil as carbonates This keeps our environment stable by the balance be-tween an increasing sun and reducing carbon di-oxide in the atmosphere (Note that global warming resulting from an increase carbon dioxide in atmosphere is just a brief blip in the grand scale of things) Since carbon dioxide is the ldquofood of liferdquo the reduction will cause plants and animals (including humans) to die To battle the rising heat some creatures will retreat into the sea hence reversing the evolutionary process And as the sun continues to expand the Earth will become so hot that even the oceans will gradu-ally be evaporated Eventually the sun blasts off its mass through ther-mal pulses engulfing the Earth

This is a very scientific specula-tion from an astrophysicistrsquos point of view and they claim that at best we have no more than half a billion years left This might be more reas-suring for some of us as the world will not end in the near future But the grief lies in the inevitability of our planet Earth coming to an end

Everythingthathasabegin-ninghasanendSo we are back where we start-

ed With more speculation and the-ories and still no closer to the truth The end could happen any day or time or maybe it could be a proc-ess that is already happening Even though it is not to the scale of an-nihilation of the human race hur-ricanes and earthquakes and car crashes have already been stealth-ily taking the lives of millions We know for sure that we must die eventually through chance old age or disease There is only very little we can do to fight against what has been planned for us and reducing the resources we consume is the best chance that we have in delay-ing this happening There might be some benefit if we know the in-sights of when and how it will hap-pen but really it doesnrsquot change anything Moreover it is possible that these speculations came about to force mankind to live life to the

fullest to treasure each day and every resource we have as a gift so it doesnrsquot matter which theory is the accurate one In the midst of these theories about apocalypse all we can do is to live every day as if it was our last with no regrets and enjoy life as it is now

ReferncesThe End of the Worldhttpwwwnostradamus101compropheciespart4P7

The Great 2012 Doomsday Scare httpwwwnasagovtopicsearthfeatures2012-guesthtml

When Will the World End New Theory EmergeshttpabcnewsgocomTechnol-ogystoryid=97756amppage=2

2012 Beginning of the End or Why the World Wonrsquot Endhttpwwwnasagovtopicsearthfeatures2012html

Video from history channel (from youtube link)httpwwwyoutubecomwatchv=BoTExQEyblU

ldquothe MeaNiNg of life is coNtaiNed iN every siNgle expressioN of life it is preseNt iN the iNfiNity of forMs aNd pheNoMeNa that exist iN all of creatioNrdquo ndash Michael jacksoN

30 | Caduceus September 2011

笑的神奇魔力「當你笑你改變了當你改變了整個世界也改變了」

麻丹卡塔利亞醫生(大笑瑜伽的始創人)何麗敏 (N14)

被隱藏的笑容

日 本大地震及核洩漏事件馬頭圍道唐樓火災三死十九傷中區

警長為勸示威人士中不慎失足墮橋身亡

各政黨爭相你嘲我罵helliphellip在城市裡我們

每天都被一些飛來橫禍天災人禍或社會

爭執的信息圍繞著充斥著愁雲慘霧的氣

氛甚至在家庭朋友學業工作和

健康方面我們亦會遇到不如意之事負

能量和心理壓力不斷增加沒有適當的疏

導和發洩方法之下不少人染上酗酒或沉

迷賭博等壞習慣來自我麻醉長期把情感

抑制的一些人更有機會患上

情緒病我們彷彿硬把自己

困在死胡同裡忘記兒時怎

樣整天咧嘴哈哈大笑如何

在跌倒後笑著站起來現

在很多人都像被魔鬼牽著

鼻子走每天板著一副無奈

沮喪的嘴臉掛上冷漠的眼

神笑聲更差不多成為絕

朋友啊你可有嘗試計

算過一天總共大笑了多少

次英國格拉根大學研究發

現在英國嬰兒每天會笑

達三百次而青少年時期的

每天大笑次數大幅減至六

次五十多歲的人平均每天

更只笑了三次無可厚非

我們在成長過程中必遇到愈來愈多的煩惱

和挑戰事情的確不是我們所能控制但

面對的心態我們為何不能放開一時所謂

的包袱像孩子般笑著面對呢為甚麼大

笑要有一定的理由或被時間限制呢

瑜伽加愉

近半個世紀工作學業和情緒波動

很大生活方式變得愈來愈物質主義容

易出現精神緊張大家都被壓得透不過氣

來變得不太愛笑在一九九五年印

度孟買註冊家庭醫生麻丹卡塔利亞(Dr Madan Kataria)創立「大笑瑜伽」以笑聲驅除怨氣大笑瑜伽是以笑聲互相交流

的透過眼神接觸傳遞歡樂的信息學習

別人的笑容代入孩童的心態再全情投

入地開懷大笑同時亦融入瑜伽的腹式

不妨一試

大笑瑜珈三式一預備式林中步行

在樹林慢走就是愛笑瑜伽的熱身方式步行時間

可以是10-30分鐘邊走路邊拍手同時不時地做深呼

吸目的是讓身體和情緒都徹底放鬆下來為後面的

內容做好準備

二進行式學習動物的表情

在瑜伽導師的帶領下活動面部肌肉然後模仿瑜

珈導師的動物表情這些表情看上去本身已很滑稽

只要按照瑜伽師的樣子去做再發出笑聲

三結束式調整呼吸

經歷了一場大笑面部表情鬆弛了心情也舒服

了不少大家慢慢收回笑容調整呼吸一邊在森林

裡散步一邊大聲告訴自己說「我們是世界上最快樂的

人」

灼見

hkucaduceusnet | 31

呼吸和伸展動作鼓勵大笑達至身心健康

的效果精神科專科曾繁光醫生指出 

「笑令腦自然分泌天然多巴胺以抗衡人

體緊張時所分泌的皮質醇預防患上焦

慮抑鬱的情況」除了改善情緒還能

促進健康笑能促進肺部呼吸功能和加強

血液循環現代醫學認為笑可以成為一種

治病方式治療神經衰弱消除肌肉的緊

張預防或減緩疼痛

筆者在此並不是宣傳大笑瑜伽其治

療成效仍有待商榷和科學實證但愈來愈

多人證實大笑和保持歡樂的心態能有效放

鬆自己張立新先生是第一位在中國推廣 

「大笑瑜伽」的人他患上憂鬱症遍尋

各種治療方式皆無成效一次機緣巧合

從網路接觸「大笑瑜伽」亦在電視上看

到介紹而開始學習和練習他的憂鬱症因

此不藥而癒從此他就開始在中國研究和

推廣愛笑運動暫且別論大笑瑜伽的奏效

程度但人生所遇到的事可真不少何不

笑對人生

尋回被遺忘的赤子之心

大笑並不是靈丹妙藥但它的確能帶來

正能量即使事情有多糟糕笑著面對總

比怨聲載道好而且美國加州大學柏克

萊分校心理學教授丹卓凱納說「笑對

人的進化很重要」目前心理學家們認

為笑是人類之間交流的古老方式之一笑

能互相影響把歡樂的氣氛傳染開去嬰

兒還未學懂說話時笑是與身俱來為何

我們長大後卻隱藏笑容呢朋友們參考

左頁所列大笑瑜伽的基本招式大家可相

約三五知己輕鬆一番找回孩童時的笑聲

大笑瑜伽的始創人麻丹卡塔利亞醫生

大笑瑜伽在六十多國家盛行

ldquolaughter is the best MediciNe - uNless yoursquore diabetic theN iNsuliN coMes pretty high oN the listrdquo ndash jasper carrott

32 | Caduceus September 2011

Learning Experiencing GivingA magical 10-day journey away from the cityErin Yeoh (M15)

C lad in backpacks light clothing and sneakers 21 medical students from HKU and CUHK

were prepared to leave the comforts of home and the internet (did I hear Facebook) We were bound to Chi-na about to embark on a learning-cum-volunteering trip organized by Medical Outreachers

After saying our final goodbyes at the Shenzhen air-port we split into two teams Team A with 9 members were bound to Xirsquoan where they would see volunteer orthopedic surgeons at work The 12 people in Team B including me left for Guizhou to understand the role of village doctors in rural China Both teams aimed to find out the effectiveness of public health policies in rural areas of China We were to meet up 4 days later at Dongshan Guangdong

Part1GuizhouUpon landing in Guizhou we were provided with

excellent hospitality by the local officers and the lo-cal NGO Amity Foundation We were given a brief introduction to Guizhou and also the work that the government and Amity Foundation were doing in the province Amity Foundation actually helped to build numerous new village clinics to improve the quality of healthcare in the region

The next day we were taken on a tour around the province visiting different village clinics (村診所) lo-cated in areas further away from the city Usually there would be one or two village doctors (村醫) on duty

at a time to attend to the villagers with population of around 1000 to 4000 per village

However the village doctors were not the type of ldquoheroesrdquo I had in mind They were not your typical doctor working in a worn out run-down wooden hut where there would be a row of sick villagers lining up to see them How ignorant I was In fact the village clin-ics were mostly renovated and well equipped with ba-sic amenities The standard village clinic has 5 rooms main lobby (大廳) treatment room (治療室) pharma-cy (藥房) observation room (觀察室) and a doctorrsquos rest room (醫生休息室) Furthermore their patient flow was rather small sometimes only one or two pa-tients per day This was probably due to the fact that some village clinics were located only a stonersquos throw away from major cities Those in a medical emergency would of course go straight to the main hospital to seek help immediately instead of consulting a village doc-tor

To be a village doctor one at least had to be a sec-ondary school graduate They would also undergo constant training and certification by qualified doctors in larger clinics According to the village doctors they spent most of their time doing paperwork keeping track of the villagers and their medical history They would also conduct regular home visits to those suf-fering from chronic illnesses or those that needed con-stant monitoring such as patients with hypertension or rheumatoid arthritis Another point that I found

A village clinic before receiving funding from Amity Foundation

hellipand a comparison after

Life

hkucaduceusnet | 33

interesting was that they would also visit families with newborn babies to check on their general health At the same time they would educate mothers on proper breastfeeding techniques and how to provide adequate nutrition for their children in the future

To learn more about their daily routine we fol-lowed a village doctor on his home visit rounds The doctor would sometimes have to travel as far as 2 kil-ometers for a home visit which would be the other end of the village This was as in the case of a pregnant lady due for delivery soon (photo as shown below) The doctor who came to check on her health status reas-sured her that her delivery would be a successful one From her sigh of relief and tired smile we could tell that she was grateful to see the doctor

However things didnrsquot always run as smoothly According to some of the village doctors they used to be scolded and rejected by the locals who did not understand why the doctors would often come up to their doorsteps asking them questions regarding their health and pestering them to go for checkups Some of them being superstitious would think of doctors as ldquoharbingers of bad luckrdquo as the doctors would talk about ldquosicknessrdquo and ldquodiseaserdquo when they were actu-ally feeling as fit as a fiddle Thankfully the situation has much improved since then

From what we saw instead of playing a curative role in a society the village doctors were actually much more involved in disease prevention and monitoring

This is actually the ldquoupstream modelrdquo concept in pub-lic health Instead urban doctors are overwhelmed by limited consultation time and when fatigue kicks in they simply do not have the energy to further educate their patients They would also not have the time to un-derstand their patients on a personal level unlike that of the village doctors

However the indiscriminate use of antibiotics in China was truly a frightening sight Doctors adminis-tered antibiotics intravenously for mild diseases like the common cold When we asked the doctors as to why they did so they simply smiled and shrugged off the question It is probably still a common practice in China and if the doctors did not give such medication the patients would probably lose trust in the doctor The fact that the similar practices were seen even in large hospitals probably indicates that this problem is hardly a localized one

Part2DongshanGuangdongWe met up with the team from Xirsquoan at the

Guangzhou airport and proceeded to our next desti-nationmdashDongshan After 5 hours of car ride we began to see signs that we were approaching our destination Mountains sharply angled clustered in twos or threes fondly known as ldquoMcDonalds mountainsrdquo were begin-ning to be in sight

As soon as we arrived we were greeted by eager curious young faces The children huddled close by as we unloaded our luggage some commenting that they hadnrsquot seen some of us while others were already play-ing around with the past participants It was my first time to Dongshan but there were some of us who were not new to the kids there

After settling down we were given an introduction to Dongshan and its residents by the local NGO Green Action Foundation led by Mr Wong

Located at the outskirts of the province Dongshan is one of the 4 poorest areas in Guangdong Its natu-ral terrain abundant in limestone makes it especially hard to retain water This has taken a toll on the resi-dents especially during the drought season Another problem faced by the local residents is that there are many young people and adults migrating to big cities to earn a living leaving behind the children and elderly

Village doctor on one of his home visits

Discarded bottles of intravenous antibiotics near the village clinic

ldquoMediciNe also disregards NatioNal bouNdariesrdquo ndash irviNg laNgMuir

34 | Caduceus September 2011

at home

Green Action Foundation took the initiative to plant trees around the area so that more water was available for irrigation and domestic purposes This improved the quality of their crops and boosted their source of income They also sponsored some of the

childrenrsquos education depending on their performance in school to ease the burden on their families

The next few days were jam-packed with activities A sports day was held as an icebreaker so that the new participants could get to know the children better We also spent half a day at the Dongshan Primary School where we taught the kids personal hygiene simple first aid moral education and also sex education for the grade 5 and 6 students

Another interesting activity that we had was a weed-cutting session up at a mountain with the other children Each of us was assigned with 2 to 3 chil-dren who were supposed to ldquoguiderdquo us along the way It was a 2-hour hike up and down hilly ter-rain While I would stop once in a while to take a breather the kids were barely panting The kids would often stop to ask if I was tired and even of-fered to help me carry my backpack Note to self more exercise next semester

Nevertheless it was a great chance to know the kids better We had the time to chat about their school life and what they thought about their future and also the chance to share snip-pets of our lives in the city

We then split into small groups and visited the homes of the children in order to gain a bet-ter understanding of their household hygiene

condition any medical conditions in the family as well as their economic standing We had also prepared questionnaires to be kept as future record Some of the families were very poor to the extent of having no source of income at all They depended solely on their own crops for food If they went to see the doctor they would usually owe the doctor money until they had

enough money to pay back The hygiene status of the villagers varied but most of them had swarms of flies around food Many even had their live poultry like chickens running around the house Before we left we gave them some hygiene products like soap washing detergent and toothbrushes to encourage better hy-giene We also gave them a poster explaining ways of maintaining a clean household environment

Another main focus of the trip was to find out the effectiveness of a medical insurance policy newly in-troduced by the government Each person had to pay 30 Renminbi annually to be guaranteed free medica-

Sports day activity

Weed cutting with the children

hkucaduceusnet | 35

tion and hospitalization thereafter Generally the vil-lagers were grateful for this plan as many found it dif-ficult to afford medical fees while struggling to pay for

basic necessities at the same time However some vil-lagers complained that the prices of medicine spiked after this policy was introduced and hospitals would of-ten ask patients to

do unnecessary scans just to earn more money

This trip made me realize that there is much that we can do but how great an impact we can make might not be seen immediately With follow up trips one could see the change as compared to the last visit and make further modifications to improve the situation

As the trip came to an end we were reluctant to leave There was something very magical about Dong-shan where the skies would turn to an exuberant red during sunset and on a clear night you could see stars scattered across every corner of the sky It is a place of beauty struggle and hopefully a place of triumph in the years to come

It is a place of beauty struggle and hopefully a place of triumph in the years to come

On one of our home visits

More to ExploreMedical Outreachers 醫心httpmedicaloutreachersorg

The Amity Foundation 愛德基金會httpwwwamityfoundationorg The beautiful sunset in Dongshan

ldquoshariNg is soMetiMes More deMaNdiNg thaN giviNgrdquo ndash Mary catheriNe batesoN

36 | Caduceus September 2011

就 在這一刻世界沉默了

城市的繁囂隨飛機引擎

逐點逐點噴走了繁囂的離

開是為了讓簡單的生活回

來剛踏出廈門機場一張

又一張的笑臉映入眼簾刺

熱的太陽把兩地之間的隔膜

融化

早從香港回歸時開始

香港人經常強調自己只是 

「香港人」而不是「中國

人」自以為比內地人高一

等可惜這班自視過高的都

市人曾幾何時為外地人送上

熱情的款待這一點廈門

人比誰都做得更好

廈門是一個位於中國

東南部的海島也許就是近

海讓居於廈門的人都把一

切怨恨煩惱拋下大海讓

它們隨水流漂走埋藏在海

床上每年廈門的鳳凰花花

開兩季一朵又一朵鮮艷如

火的鳳凰花在六月時歡送一

個又一個的畢業生彷彿為

他們添上一份祝福九月時

的鳳凰花熱情地歡迎一屆又

一屆的新生為新生的精彩

校園生活揭開序幕一份一

份的熱情含苞待放身在廈

門又怎會不被這市花的熱情

感動呢廈門大至人與人

之間小至花與花之間都存

著一份情

要追溯廈門人的情懷

可數至土樓的建成土樓

是個大多呈方形或圓形大型

群居的建築整座土樓樓高

三至五層由於牆身頗厚及

只有一個出入口甚具有防

禦功能亦因為這緣故當

大門關起來土樓便成了一

個家這個家佔地不大但卻

藏著成千上萬的人情味在

萬里無雲陽光普照的天空

下土樓居民的熱情好客

被蒸發出來懸浮在空中

一代一代傳下去更讓它隨

風走出土樓傳遍整個廈

門即使土樓漸漸成為旅遊

景點一些擺賣紀念品的攤

檔已經進駐但卻無礙居民間

的感情商販彼此交流從

不出現爭客的情況在土樓

中央休憩的居民除了為外地

人介紹他們的祠堂外亦邀

請遊客跟隨他們到遊客禁區

參觀在土樓居住的每伙都

中門大開當遊客投進好奇

的目光屋內的人往往以親

切的笑容作回答鄉土人

情在這世代多冷漠的心也

被融化

細膩的人情味外最令

遊客津津樂道的是廈門人的

態度廈門大學附近有一條

芙蓉隧道只要你願意便可

在隧道內壁上畫下你所思所

想當然美觀與否見仁見

智但這一種對藝術尊重

欣賞的態度是值得欣賞我

有我盡情地畫你有你盡責

青春在廈門留下足印潘曉彤 (N14)

生活

hkucaduceusnet | 37

地去管轄城市各處的整潔

彼此留下空間達至相輔相

成的效果廈門人就懂得人

最基本的禮貌尊重不

過廈門人對他人的尊重遠超

於人的基本禮貌當你去唱

「卡拉OK」的時候每次

待應的出入時看到的就只

有他們的正面而他們前行

或後退的方式就像看到皇帝

一樣卑恭屈膝香港人常常

強調面子哪一天才能捨下

那過高的尊嚴為不相識的

人作一個最謙卑的招待

其實任何人一離開香

港都不難發現就只有香

港愈夜愈精彩其他地方晚

上八時大多關門大吉而廈

門就只有中山路才媲美得

上香港的夜夜笙歌夜幕低

垂萬千燈火的中山路上

與來自各區的人擦肩而過

昏黃的燈光下照出一群又一

群的沉默影子剛好與路上

喧鬧的行人相映成趣騎樓

在霓虹燈的點綴下顯出了獨

有的閩南特色大街小巷傳

來不同地道小食的香氣車

輪餅燒仙草土笋凍helliphellip

為我們外來的交流生帶來美

味可口的夜宵飲飽食醉過

後走到中山路的盡頭又

回到了沉睡中的廈門

在優美的環境影響下

廈門人的生活也自然變得

純樸優閒單車車輪在環

島路上留下一圈又一圈的印

記沿路能細聽海浪輕拍岸

邊的聲音細嗅四處洋溢的

花香感受微風吹散太陽散

發的熱力見證一對又一對

的新人在拍下幸福的照片

據說廈門有戀愛天堂之稱

不管走到哪一處也會

看到準新人拍下甜蜜的婚紗

照而在裡面享受的人永遠

不知道這風景如畫的背

後是透過多少人的血汗換

來當我們在追求經濟成果

的同時往往破壞了造物者

在世上留下的藝術品隨中

國經濟急速發展一個又一

個的世外桃園被摧毀銅臭

替代了花香車聲替代了鳥

語這仙境又可維持多久

廈門另一世外桃園就是

鼓浪嶼它活像香港的長

洲島上滿有歐陸建築風

格但當中不乏中國特色的

建築中國古城風味與洋風

互相交替帶出截然不同的

感覺島上遠離汽車的廢

氣與金門就只是一海之

隔一家大小在享受天倫之

樂時一群又一群的青少

年情侶在沙灘上嬉戲立

即為島上升溫

筆者認為在這個混亂的

俗世確實需要抽空來欣賞

造物者留下來的藝術品大

財團不斷興建大型商場國

際知名品牌不停進駐留下

的就只有愈來愈狹窄的街

道被石屎封蓋寸草不生

的土地人人被金錢蒙蔽

迷失在霓虹燈光中又有多

少知音人能放下生活的瑣碎

事情在這裡享受時間一分

一秒的流走你被海浪聲

喚醒了嗎

筆者參加這次是由香

港廈門兩地大學的交流

團一連六天已經習慣了

當地的優閒生活模式體會

到的不只是廈門的風土人

情歷史文化而是兩地大

學生那種衝破界限的交流

雖說年輕人容易打成一片

但廈門獨有的熱情確實融化

了彼此間的隔膜廈門的美

是成人之美成就了兩地大

學生的友誼

飛機又再起飛了廈門

再見了

ldquothe tiMe of life is short to speNd that shortNess basely it would be too loNgrdquo ndash williaM shake-speare

38 | Caduceus September 2011

生 命形成之際只要一秒鐘的差遲世界便會不一樣

蝴蝶效應從來都是玄的全因一個 

「緣」字

隨著人成長要決擇的事太多學生

有兩件人生大事幾乎都不是由自己決定的

入讀小學及中學然而到了大學這

關卡自己也許可以拿定主意了若果你

入讀了心水科恭喜你若不然祝福

誠然入大學是最影響未來生活的關

口是好是壞無人知曉不用量化不

用比較太多即管做自己所想活出自己

的路只因你不會曉得你的下一步會怎樣

影響著你的生命

或許一個活動你會遇上你的最愛

或許一個宿位你會遇上你的知己

或許一句說話你會惹來一個敵人

或許一次走堂你會由B變C

這就是大學

在大學各人有各人的大學生活大

學講求自由學習學習真的是「求學不是

求分數」有些人愛廣交朋友有些人愛

住宿有些人愛做莊務有些人愛拍拖

有些人愛參加各樣活動有些人愛做兼

職有些人愛讀書有些人卻愛甚麼都不

做helliphellip不少大學生強調入大學必定要做齊

大學五件事(上莊住宿讀書拍拖

兼職)但其實只要自己開心不害人的

話做甚麼也沒問題最要緊的是認清讀

大學的目的以免沉淪於大學這花海

朋友

大學可以令你對「朋友」的概念愈來

愈含糊幾乎每個活動都可令你認識新朋

友通常大家都會輪流講述自己的名字與

學科(Round Table)這亦是考驗大腦對人名的記憶所謂的「Hi-Bye Friend」會愈來愈多隨便在細小的港大內穿梭會令你

無可奈何地對他們說聲Hi

不過別標籤你的「Hi-Bye Friend」要是連Hi-Bye也談不上更不用說做深交了上大學了大家已有既定的圈子很

多時約會或聊天都先找中學朋友而且很

多人會把大學朋友與中學的作比較雖情

有可原但有時未免先入為主地覺得中學

的較好

這亦難怪即使是日日碰面的同學也

未必是自己的好友人人都有自己的時間

表下課後各散東西不是大家不想互相

認識只是有時身不由己若想互相了

解不妨盡量製造共處之時有時甚至可

以分一些約會給大學朋友然後你會發

現大學朋友也可跟你熟絡可別為自己

建造一塊厚厚的心牆

舍堂

要入宿無人會不曉得十日的迎新營

有些舍堂平均每天的作息時間只有兩三小

時有人說住宿最辛苦就是迎新營然而

它卻是最難忘的

要數活動單單一個舍堂已數之不盡

要是投入舍堂生活每天24小時是不夠

用的舍堂之間有各樣比賽堂友要參加

各個組別為比賽出席各樣練習否則可

能被拒於來年再住基於許多人都只在夜

晚有空要全體出席那可是晚九朝五的

大學之緣賴彥積 (N14)

新鮮人

hkucaduceusnet | 39

宿生們之所以會熱衷於舍堂活動因他

們對自身舍堂有強烈的歸屬感好比中學

時學生參加校際比賽要是沒有歸屬感

就不會有心參加所屬舍堂的活動

除舍堂之間之活動樓層之間亦有各類

活動樓內亦然只要有人的地方就有玩

樂彷如天天宿營你不會有機會偷偷早

睡其他樓友常常打擾你你原來的生活

時間會推後數小時睡於二時已是罕有

早上的八半堂彷如無物

可以住宿但不參加活動嗎當然可以

但你會面對的是朋輩壓力他們雖未必逼

你參加卻會在言談中有意無意的滲出

來那種壓力不只限於自己樓層甚至是

跨樓層千萬可別輕看宿中流言

上莊

有人說上莊所學遠超課堂上莊所學

的是如何籌辦活動非常實用有時要對

外聯絡有時要面對公眾helliphellip像是要為將

來工作鋪路似的當然這亦要視乎你上

的是甚麼莊

一般而言上莊可訓練你待人處事的技

巧有時表面看來很友好的朋友當背

負上一定的要求後關係少不免有磨擦再

者初時莊員素未謀面最後卻因朝夕相

對而演變成朋友這段關係是很可貴的

成莊前要宣傳內閣爭取選票成莊了

又要舉行咨詢大會包受歷莊指導然後

又有就職典禮此後的活動更接踵而至

當然包括迎新活動招莊活動等helliphellip君不

見很多人視莊房為睡房少不免有「通

頂」之時忙是忙但必有價值至於是

好是壞要看自己的造化了

拍拖

人上了大學有時心思思想拍拖眼見

身旁多個好友都紛紛拍拖自己少不免羨

慕別人這想法十分正常畢竟大學生真

的可以放下只讀書的重擔真的可以規劃

人生大事了

香港大學一些營新活動中隨了Round Table外還有Round Status即說自己現在有否拍拖以及拍過多少次拖如 

A 0即Ava i lab l e之前至現在沒有拍拖O1即Occupied之前至現在共拍了一次拖當然也有一些同學自己創的甚

麼OBA (Occupied But Available)或D10(Desperate拍過10次拖)等等至於Round Status的動機何在可能是組爸媽想穿針引線吧當然也可能是別有用心的

不同人對拍拖有不同想法上了大學更

有不同擇偶條件人大了在感性的議題

上往往加上種種理性的數據開始現實起

來哪個帥哪個富有哪個有前途helliphellip

有些不在乎天長地久只求剎那的光輝

有些求虛榮有人疼愛在朋友前炫耀

有些甚至會在拍拖前已想定分手後的模

樣所以不想選擇跟自己同科的同學

活動

不同團體(包括舍堂學會及學校部

門)都有不同活動不用愁沒事幹只用

愁沒時間只要多留意Portal Mass Email或Main Campus海報不難發現幾乎每天都有各樣活動動靜皆宜開學時有迎

新營考試時有勁過飯新學期有開Sem

飯有些學會如戲劇舞蹈合唱團不時

有演出有關運動的學會則多練習以參

加比賽有關學術的也有很多興趣班講

座比賽等想幫人的亦可參加義工團

體如蛇蛇豬扶青等舉辦的義工活動

兼職

大學生的兼職大多以補習為主畢竟

這是我們能力範圍內可賺取最多外快又是

時間最彈性的工作有些人卻因補習不能

寫在履歷表而選擇別的工作然而很多時

我們都要在兼職與大學活動中取捨我的

ldquotake a chaNce all life is a chaNce the MaN who goes farthest is geNerally the oNe who is williNg to do aNd darerdquo ndash dale carNegie

40 | Caduceus September 2011

E mily was the chairperson of Pharmacy Socie-ty session 2010 As a student she has actively

participated in holding activities for many medical stu-dents and taken part in providing welfare to all phar-macy students Her following sharing will especially enlighten our new pharmacy students

Q Why did you choose Pharmacy SocietyA To be frank ldquosheung jongrdquo was really out of

my expectation when I anticipated my university life However my perspective has changed when I officially became a pharmacy student in HKU As members of the opening class of the Pharmacy programme my classmates and I realised the importance of having our own student body We do need an independent soci-ety to represent us pharmacy students to cater for our specific needs to listen to our points of view and to act as a bridge to facilitate our communication with the Medical Faculty the entire university and ultimately the pharmaceutical field in Hong Kong My class-mates and I who later became ldquojong yausrdquo believed we should act immediately to establish and run our own society which is why I decided to ldquosheung jongrdquo

Q Would you like to share some of the pros and cons of sheung jong

A ldquoSheung jongrdquo definitely helped me achieve per-sonal growth It was a concurrent commitment and re-sponsibility to serve and to lead our colleagues Bear-ing this in mind we always pushed ourselves to attain the best of our work ethics efficiency and efficacy As the very first session of the Society we lacked the guidance of any previous committee member Instead analysing carefully and critically we thought better of every decision which I personally found an enriching experience ldquoSheung jongrdquo was also an eye-opening journey Wersquod got to meet different people and learnt more about the professional work for as our career-to-be after graduation This in my opinion is always beneficial Last but not least I was fortunate enough to have worked with my amazing fellow committee mem-bers I frankly couldnrsquot ask for better ldquojong yausrdquo than initium Irsquom absolutely thankful for having them as my friends and it is definitely my greatest gain along the way

Despite the merits ldquosheung jongrdquo definitely has its downsides as well It is a lie to say ldquosheung jongrdquo does not affect our daily life because it does take up a big chunk of our time At the end of the day it is about time management which is easy to say but extremely dif-

建議是如家庭環境較困難賺錢吧反

之可以多留時間給各活動畢竟大學一

年的學費不只值那幾十堂課如何善用這

$42100就在乎你如何投入大學生活

讀書

假若你認為大學的考試可考核學生的

真正讀書能力並要求學生活學活用課堂

所學那麼你大失所望了假若你善於背

誦有過目不忘之本領大學的筆試不會

難倒你只要靠著前人留下的歷屆試題

背到滾瓜爛熟是不可能不及格的很多屆

試卷都是千篇一律的很多教授可沒空大

改試題那同學們就走運了有些課堂

即使再專業的學科都會有只理論無實

踐的課堂然後考試就要你把一大堆理論

背出來helliphellip例如甚麼叫批判思維噢

我可不知道只知道我掉了5分

不同學系在某程度上定下了人的前途

對於醫學院學生而言前路是較清晰可見

的但對於非專業學科前路不可只靠讀

書也許要靠自己另外摸索讀書所帶來

的必然是較高的GPA高GPA所帶來的是

獎學金到外國交流工作實習日後工

作機會等等當然大學學習不只局限於

讀書會否因此失彼就只有自己知道

蝶翼拍動之時往難以預料機會是

要自己摸索的

如經上所記

「神為愛他的人所預備的是眼睛未曾看見耳

朵未曾聽見人心也未曾想到的」

(哥林多前書29)

「栽種的和澆灌的都是一樣但將來各人要照自

己的工夫得自己的賞賜」

(哥林多前書38)

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

Freshmen

hkucaduceusnet | 41

ficult to achieve Also working as a Committee mem-ber can be very exhausting and difficult You definitely need lots of determination and support to get through some of the busiest times

Q How did you handle and balance the workload of study and your ldquojongrdquo

A As Irsquove said before it was tremendously difficult I guess my best advice for the future committee is to know your limitations and always plan ahead You have to know your time to work to rest to study etc No one will be over-worked and eve-ryone will have some personal time if you share the burden wisely between ldquojong yausrdquo Secondly you have to make very clear plans so that you can make full use of every little piece of your time I may not have succeeded in my time management but most of my ldquojong yausrdquo managed to do so de-spite the packed schedule of our Soci-ety This is sufficient proof of ldquoimpos-sible is nothingrdquo

Q As there are only about 25 pharmacy students per class do you have any suggestions for P14 fresh-men to make more friends from other curricula

A It really depends on what kind of person you are If you consider your-self socially active living in a hall or ldquosheung jongrdquo will be a great idea for you But if you see yourself as a much quieter person you can still make use of opportunities such as Medic Orien-tation Camp and other events jointly organised by student bodies within the Medical Faculty to make new friends

Q Any special things for P14 freshmen to be aware of

A First of all welcome You all are now members of Pharmacy Society MS HKUSU and I would like to let you know that this is a student body aiming to serve you Thus feel free to share your viewpoints and voice out your opinions to the current Com-mittee members The Society has to

understand your needs to improve and provide better welfare and services for you

Q Any other comments or important things to re-mind P14 freshmen

A If you would like to get to know more fellow pharmacy students especially students from P12 and P13 grab the opportunity to join the Pharmacy Society Orientation Camp and the Mentorship Programme These are great chances to make new friends and Irsquom sure you will enjoy them

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

ldquoas huMaN beiNgs we do chaNge grow adapt perhaps eveN learN aNd becoMe wiserrdquo ndash weNdy carlos

42 | Caduceus September 2011

筆 者是一位護理系的學生半年前有幸成為二零一一年啟思編輯委員會的總編輯在期間所體驗到的希望藉著這次機會作出分享特別希望新加入醫學院的同學

能對「上莊」有更多了解

上莊之路上莊是大學五件事之一證明它對大學生

活有一定的重要性一定的位置筆者在初入學的時候曾為了上莊與否而煩惱猶豫了好一段時間期間考慮到自己能力怕學業應負不來但最後仍然下了上莊這個決定原因是上莊是個難得的機會充實增值自己不同的莊會提供不同的機會讓莊友去學習透過不同的莊務去讓自己眼界擴大另外可以了解醫學院內發生既事情例如院內活動的進展情況更可以參加舉辦院活動為醫學院出一分力最後當然會認識到將會相處一整年的莊友工作伙伴有機會認識到不同學系的同學從他們身上可以觀察到學習到各種的特質從而令自己有所進步有所啟發

護理學生作為護理系學生起初擔任總編輯一職實

在是倍感壓力畢竟歷屆的總編輯都是由醫科生出任因此筆者起初都害怕跟醫科生共事怕自己的能力不足夠應付莊務所以起初都是戰戰兢兢地上莊

一位三年的護理學生曾對我說「我認為你不太尊重護理系護理系和醫科都是個專業希望你能加以尊重自己的學系不要輕視護理這個學系你要肯定自己的學系才能帶領整支莊因為莊內成員來自不同的學系你必須肯定和認同每個學系都有一定的重要性以及其專業」這番當頭棒喝的良言令我明白到自己一直都太輕視護理系過於重視醫科現在我明白到認同自己學系是尤其重要只有這樣才可以用自己學系的身份去發表意見只有認同自己學系才懂得尊重其他的學系莊內便可以融洽一點

在筆者的莊友中醫科生都是較有責任感而且做事更有計劃從他們身上的確學到不少東西這點是無可否認的事實筆者並不是在分享學系與學系之間的差別而是希望有志上莊的同學能互相尊重明白到各學系的莊

友都有其值得學習的地方起初對其他學系有隔膜是無可避免的畢竟對他們的學系都不太了解又沒有歸屬感但如果因為對方是別的學系而輕視對方的人不但失去與人相處學習的機會而且會令莊內的氣氛失去和諧

幸好的就我所見所聞醫學院內的莊多年來都能融洽相處互相支持令到一眾上莊的同學都能輕鬆地享受上莊的喜與樂甚至是不愉快的事情

依靠你的莊友莊是一個團體不是一兩個人可以應

付得來所以筆者認為與莊友互相溝通合作是個重要的元素新同學如果有志參與莊務期望從上莊中有所得著首要的事情是與莊友建立關係因為他們將會是你來年的工作伙伴也是你遇到困難時依靠的對象一位上莊曾對我說「其實一件的莊期不會令你有太大的得著或成長反而長久的友誼才是你將會得到最重要的」這句說話是千真萬確的上莊的人不會由詞不達意改變成談吐得宜不要期望自己會有驚人的轉變也許上莊會令人處事成熟一點有計劃一點但上莊所得到的關係將會是更重要更珍貴一年的相處中面對過有無數的會議共同處理過不少困難從中

建立的友誼真的是畢生受用

責任感上莊另外一個十分重要既條件就是責任

感有志上莊的同學必須明白到莊期是長達一整年在繁重的學業中騰出時間來處理莊務是個考驗責任感和毅力的測試同學必須再三思考想清楚自己是否真係熱衷於上莊或是只是一時衝動畢竟你將要許下的是一年的承諾必須對這個莊負上責任願意付出才選擇上莊這個決定這樣的付出就會有相對的回

總結上莊的確是個好機會讓自己去學習從處

理事務中或是從莊友身上都會有所得著充實著自己的大學生活從中可以認識到各學系的同學建立一段段受用終身的友誼在此筆者希望各學系的新同學可以善用機會作出上莊這個無悔的決定

護理系的啟思總編石志榮 (N14)

新鮮人

hkucaduceusnet | 43

慈兄吟(下)奇晶

最 後還是麥教授先開了口「他的確是一個好學生對醫學有獨到見解他不但學業成績優異而且樂於助人你是他的妹妹吧」婉慧努力控制自己的淚水繼繼續續的說「是啊但helliphellip但helliphellip我不知道helliphellip他竟會在這裏出現」麥教授用悲天憫人的目光看着婉慧語重深長說「人生自古誰無死人生命的有為與否並不取決於他生命的長短而是在於人生的意義你哥哥雖然最後當不了醫生但他的犧牲卻間接為一些同學做醫生鋪路讓他們做醫生去救人這真是一種無私的愛」婉慧點點頭覺得自己對哥哥的了解實在太少了

最後她還是孤獨的離開實驗室她覺得自己跟哥哥比起來實在相差得太遠了原來他除了是十優狀元在醫學院的成績名列前茅外還是個熱心助人的好青年自己除了少了一優外少的更有對別人的同情及樂於助人這造就了她心靈上的空虛她明白到冷漠不是一種對哥哥思念的正當表達方法她應該做的是把哥哥對其他人的愛傳揚開去以圓他的心願

第一步往往是最困難的婉慧平日對他人的態度已令不少人對她敬而遠之有很多次她嘗試向同班同學投以友善的笑容得到的總是詫異的目光或別人的不理不睬在小組討論中儘管她踴躍發言盡量避免冷場的發生偶同學們卻認為她變本加厲想阻止同學們取得好成績她四處碰壁又再次陷入了想念哥哥的深淵

時間一天一天過去了上學期考試前的休假開始了婉慧每天都勤奮的在圖書館溫習期望取得好成績這時候的圖書館堆滿了人如果遲來一個小時想找一個位子也難就在假期的第二天同班的王文在圖書館跑得氣急敗壞仍找不到一個座位婉慧不知怎樣有點同情他將座位讓給他王文驚訝道「不用了我還是回家吧真倒楣遲來了一個小時就沒有『接位』」

「但你住在哪裏呀」

「元朗今天早上我忘了校鬧鐘八時才起」

「那你還是要我的座位吧我可以坐到電腦桌因為我認識的人不少沒有什麼人會打擾我的」

王文謝了她頓時對這位冷漠的同學刮目相看原來她的內心也是溫暖的這並不是他所能料及的坐在電腦桌前溫習的她也感到特別的快樂溫習的速度也快多了王文就此成為了她的「飯檔」考試期間每天和她一起吃飯他更將自己的好友介紹給婉慧認識

在一個晚上她又悄悄的在圖書館的角落溫習着突然一隻溫暖的手搭着她的肩上她抬起頭但見解剖學的同桌手中拿着一杯熱飲輕輕的放在她的桌上婉慧正感詫異卻聽見他說「這杯熱巧克力是給你的繼續努力吧」她喝着巧克力心中感到一股暖流彷彿哥哥的關懷又在她內作出回響

十年生死兩茫茫不思量自難忘千里孤墳無處話淒涼helliphellip

寒風吹起了她額上的劉海佇立在墓前的婉慧不禁凜冽她想起了從前想到自己最後一次和哥哥吵架雙方面紅耳赤的情況想起自己無法親口跟哥哥道歉想起哥哥無私的付出她對着那空虛的墳心中不忍一陣淒然淚水漱漱的流下來她身旁攜扶着年紀老邁的母親邊拭淚邊喃喃道「我的兒子helliphellip歿了helliphellip」大家心情漸漸平復了緩緩走出了墳地

雨一滴一滴的落下飽歷辛酸的婉慧卻仍在懸壼濟世

短篇

ldquoyesterday is but todayrsquos MeMory aNd toMorrow is todayrsquos dreaMrdquo ndash khalil gibraN

44 | Caduceus September 2011

Eternal Flame (1)Tulipa

Itrsquos cold The chills from my fingertips imbibe deep into me This person drills into my mind digging out the truth inside me Itrsquos agonizing She comes right inhellip di-rectly I cannot stop her

Irsquom losing myselfhellip

My hand felt the soggy pillow I realised I had come back to life the world where I lived Staring blankly at the ceiling still losing focus in my eyes I felt my brows with my forearm For the first time I didnrsquot want to lose this feeling

The bedroom door slowly opened I quickly rubbed off the drops that had blurred my vision pretending that I had just woken up

ldquoDo you have lessons this morningrdquo My grand-mother whispered into my ear

ldquoOh goshrdquo I turned right to my alarm clock It was the real life I had forgotten to turn the alarm on last night and it was now seven thirty I knew it I was going to be late every time she caught me in bed Irsquod got to hurry up

Living in Hong Kong Island though it took me more than an hour to get to school I had to comfort my little brother sometimes till two or three in the morning in order to get him to sleep In addition to the consistently heavy study load in the medical school I could hardly get enough rest Running on my heels al-most became my routine starting from last November But I well understood the consequence of skipping lec-tures It was the beginning of the Cardiovascular Sys-tem Block For someone like me who gave least priority in revising Anatomy materials lectures remained the prime source of information for exams Absence from class was suicidal To make the situation worse this professor was one of those who did NOT upload lec-ture notes online

Hoping I wouldnrsquot arrive too late to miss the impor-tant points I finally stepped onto a route no 8 minibus at ten past eight What I could do now was to pay trust in the driver who would bring me to my destination

Coaxing kids was never easy Little Bruce just hap-pened to give me such a hassle last night

He knew I would check on him when I returned home Sitting right next to the door of his room he begged me for a story once I opened the door I sat down together with him on his little couch after Irsquod taken a quick shower This was a time to relax leaving

aside all the other concerns

Kindling through his favourite reader I saw that he wasnrsquot listening but distracted by all sorts of toys around He even invited me into his world of fantasy But it was getting late I had to calm him down so that I too could have some rest Being one of the brightest in his elementary school he should understand this was not the time for recreation

I began to feel annoyed

Yet he was my brother I had a gut feeling that this was unusual He didnrsquot use to be so ldquohyperactiverdquo It re-ally took me a while to adjust to his change With him still tossing and turning in my arms I apprehended his restlessness Unpredictable though he was true to his feelings In one way or another he might find the shadow of our mother in me

He finally settled when I laid him back in bed It was nearly two forty in the morning

The first week of the CVS Block ran as plotted PBL tutorials would start on next Monday Dr Youngrsquos fa-cial expression in the first PBL evaluation flashed over my Embryology notes and references She didnrsquot teach Embryology but I could tell she did have a hypertroph-ic heart-shaped face which looked familiar to the dia-grams in the Atlas

Back in the IHD Block most of us were puzzled about the scrambled content of our course Various forms of seemingly related knowledge came in through lectures practical and tutorial sessions But the neural circuit formed in our brain just failed to resonate as if the conductance-inductance mismatch had aberrated our thought from minimal impedance Sometimes things even happened in a ldquomore-than-extrardquo manner The presence of common core courses in a parallel but independent branch in the network could rightly be detached without causing a blip on the galvanometer Everything was dubious We had no idea of what we were doing

Maybe we were just on the way seeking for a sense of attachment

My mind too was racing in haste I was struggling with my decision to become a doctor Too many things had happened over the year I just couldnrsquot stop ques-tioning myself what was I thinking when I put lsquo6456 MBBSrsquo in my JUPAS application I should have expect-ed and prepared to face all these I just didnrsquot knowhellip

Novella

hkucaduceusnet | 45

It was midterm evaluation in the IHD Block Her face looked tense in that heart shape She was so stiff in her facial expression that no one could read her mind from her poker face The conference room of the Physi-ology Department was large We seemed to be the odd ones out in the spacious carpeted room In this secre-tive silence you could hear the drumming in your ears as if you were tingling

I realised this was not a matter of ldquoam-I-suitable-for-a-medical-careerrdquo but ldquois-a-medical-career-suita-ble-for-merdquo I was lying in bed playing with my plush bear when these thoughts burst in me Dr Young looked through me She felt certain that different from other group mates there were crises behind me But I didnrsquot tell her anything that day

We all were sensitive At times some subtle trepi-dation seeped in gradually sucking peace away from my sleep It was so to say below threshold sub-lethal though it lingered for weeks once it set inhellip

Drenched in bloodhellip There is no life in the boy His eyes are widely opened slightly protruded The lifeless pair of black pearlshellip I cannot escape from his glance He wants to talk to mehellip There is something he wants me to know

A van runs over himhellip

I fell down the edge of my mattress Breathing heavilyhellip Sweating all overhellip

ldquoScreechrdquo People began to gather around a tel-ephone booth a few metres behind us

I turned back I couldnrsquot see a lot from this anglehellip

ldquohellip What a pity He is so younghelliprdquo a middle-aged couple passed by

The victim resting just in front of the wheel looked towards me through a break in the crowdhellip

As we were wandering around thinking what to eat for dinner my cousin found me standing there rooted to the ground stunned by the victimrsquos gaze My heart was pounding She wouldnrsquot believe what I was again experiencing For a number of times already scenarios in my dreams were mirrored into reality

I couldnrsquot tell her

ldquoI was just thinking whether you would like Korean cuisine There is a new restaurant two corners awayrdquo I made up a talk while escaping from the scene so that I wouldnrsquot look so strange

ldquoWhy not go and have a try thenrdquo She was not dis-appointed for calling it a day as the food there was sur-prisingly good

Not until some years ago when I was Form 3 in college I discovered my ability to look into the future Sometimes I could see them coming up on the news in days or weeks And some didnrsquot ever happen at least not around me But seeing the night visions coming into concrete existence wasnrsquot always a pleasure when the mental images turned gradually into mostly night-mares When I visualised my close ones it felt like I was in the middle of an insecure chain bridge above a torrent that would sweep me into the vast ocean with no return It was entirely different from what you might understand as ldquodreams come truerdquo

I had witnessed misfortunes in proximityhellip

But I could do nothing about ithellip

Friends were a source of solace someone to con-fide all frustrations in But with my paranormal ability which appeared to everybody else only on screen-plays I wasnrsquot courageous enough to open my life wholeheartedly to them Seldom talking about myself avoiding all sorts of gatherings I became an eccentric figure among my classmates

Sometimes mutual understanding carried more weight than words I remembered my physics teacher being one of my few friends during my teen years De-spite his boisterous faccedilade he was always sensitive to whenever I was dwelling on my burdens Physics was our common language Intermingling our emotions and feelings with concepts that were alien to my fel-lows we developed a close rapport impenetrable by anyone else

ldquoWhat is the nature of a flamerdquo This was the most discussed problem between us Neither in solid liquid nor vapour state Not having any definite shape and colour It seems not any material but a type of energy giving out heat and light At the moment of providing it also exhausts its fuel and eventually itselfhellip

The romance of physics is more than anything you could read write and talk about Once you were truly connected with it nothing can stop you Your mind will bounce irrespective of the chronology of space-time but only under the guidance of your thoughts

I was so devoted to the discipline at the time that I was almost making it my lifelong career in some way He envisaged that I would demand much more than any academia could provide with its scientific basis alone We were both seeking a philosophy beyond the facts But Hong Kong may not be the right place for it

I made him a promise at the end to contain our flame and I knew I would

For the first and the last time I saw his eyes filled with tears We knew existence by itself is a miracle

ldquoi love life because what More is thererdquo ndash aNthoNy hopkiNs

46 | Caduceus September 2011

說華佗都說「華佗再世」誰知箇中真諦雲方 (M15)

烽煙起戰火燃萬里 

三國並爭英雄地亂世有誰顧生死 

待神醫行世將民眾救濟

渺渺江山東西瞰俞跗巧手扁鵲心(1) 應向何處尋 

滾滾黃沙無世家終有奇士放奇葩

沛國 華元化(2) 

他經書貫通南北遊動 

一望斷症如神助三劑消病不必多

說斷症悉如所料 

甘陵 相夫人腹痛極難忍(3) 號脈知死嬰在左為男形(4)廣陵 梅軍吏除名歸故里

見貌知壽盡速返見萱椿(5) 

說消病藥到病除 

飲蒜醋有三升蟲一嘔而盡清 (6)母服丸而溫儲兒不藥而自癒 (7)

絕妙處 

是他開腸剖腹刀至辟毒 

神醫號 

除他內外皆精有誰配稱

[1]   俞跗黃帝時代之名醫扁鵲春秋戰國之名醫《淮南子人間訓》「患至而多後憂之helliphellip雖有扁鵲俞跗之巧猶不能生也」

[2]   華佗字元化沛國人(今安徽 亳州)

[3]   甘陵相(即甘陵之行政長官)夫人懷胎六月腹痛不安華佗為其切脈便知胎死於是命人摸知所在在左則男在右則女人云「在左」夫人飲藥後果然產出男胎腹痛立即痊癒

[4]   廣陵有軍吏名曰梅平離鄉服役後來退役歸家於路上巧遇華佗華佗視之嘆道「若能早些見我當不至於此而今你僅餘五日壽命速速回家還能與家人相見」平旋即趕抵故鄉五日後亦如料身亡

[5]   萱椿多作椿萱比喻父母漢牟融《送徐浩》詩「知君此去情偏切堂上椿萱雪滿頭」

[6]   華佗見路邊有人食不下嚥教他到路邊餅店買醋三升混上蒜泥然後飲用路人服後即吐出一條長蛇(即寄生蟲)

[7]   兩歲男孩長年腹瀉藥石無靈華佗往診謂病在母命其服用華佗親研之「四物女宛丸」服後母親乳汁不再寒涼男孩亦不藥而癒

意興

hkucaduceusnet | 47

只可惜人無完壁

「關將軍使君予我手刮骨惡毒走

曹丞相使君予我頭剖顱苦痛收」

「怎能不收怎能不收一命嗚呼萬事休 

簡直荒謬簡直荒謬殺此庸醫未須愁」(8) 

五禽戲尚能傳 (9)麻沸散從此絕 

何不一飲醉死不知世忍氣吞聲事權貴 (10)心神委曲須臾苦奇術失迭千秋計 

烽煙止無改生死事 

且當醫仙謫世間神技終須風裏散 (11)回首仰高山景行請君範 (12)

[8]     曹操欲殺華佗臣下勸之不可答曰「不憂天下當無此鼠輩耶」

[9]     死前華佗欲托所著醫書於獄卒不果便盡數焚毀唯有其養生體操「五禽戲」流傳後世

[10]   《三國志魏書方技傳》「當須刳割者便飲其麻沸散須臾便如醉死無所知」

[11]   唐白居易《簡簡吟》「恐是天仙謫人世只合人間十三歲」

[12]   景行(音航)即大道以高山景行比喻人品德行為之高尚典出《詩經小雅車轄》又東漢鄭玄曰「古人有高德者則慕仰之有明行者則而行之」

ldquothe art of MediciNe was to be properly learNer oNly forM its practice aNd its exerciserdquo - thoMas sydeNhaM

48 | Caduceus September 2011

啟程

清晨空白的天空看不見藍天雲彩

只有溫柔的雨絲和朦朦朧朧的霧水跟隨

著大隊的足印踏上沉重的腳步穿過橫

街小巷和煩囂熱鬧的市場走過自動門

撲鼻的消毒藥水味道讓大家屏住呼吸筆

者和夥伴們終於到達了入讀護理系以來第

一次實習的醫院

還記得在實習的前幾天心情是既忐忑

又期待的畢竟這一次實習的地方不再是

在社區中心宣傳健康方面的知識亦不是

只面對著健康活潑的小朋友和老友記或是

學校課堂上所提供的假人張靜汶卻是照

顧一羣真正需要關懷的病人心中充滿著

憂慮不知自己所學的知識足夠在應用上

嗎自己平日的練習足夠嗎雖然心存在

著不少疑惑但也十分期待可以體會一下

做小學護的感受嘗試把這一年裡所學到

的知識運用出來

很多的第一次

在病房裡總有心酸和膽戰心驚的時

候第一次為昏迷的病人清潔口腔第一

次為難以進食的人插入胃喉第一次為老

公公清洗背上壓瘡的傷口helliphellip照顧他們時

的心情都是一步一驚心生怕自己沒法應

付得來又怕會把事情弄得更糟糕最重

要的是恐怕自己不純熟的技巧令他們受苦

了記得有一回第一次為女病人插入尿

喉採取尿液樣本可能技巧不太純熟的關

係延長了病人的痛苦過程中她皺著

眉頭不斷呻吟又緊張得咬破脣眼看

她樣子心中真的不是味兒來身為病人

的其中之一依靠我們不得不給自己信

心如果連自己也不相信自己哪會有病

人願意把他們交給我們照料呢

捕捉那瞬間的美麗與淒然何麗敏 (N14)

上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

意興

hkucaduceusnet | 49

另外第一次面對病人的心情是頗為

緊張的說話技巧亦有改進的空間但和

病人傾談了數分鐘後氣氛也漸漸變得和

諧可能那些老公公整天呆在醫院裡真是

悶到慌看見一羣年青人與自己聊天照

顧和關心他們他們不禁咧嘴而笑醫院

職員透露有一位老公公平日不太願意吃東

西於是我們便主動和他談天說地又

悉心照料他進食的情況後來他不但胃

口好了不少就連心情也開朗了他生動

活潑的談吐讓我們笑了他回復健康精

神的體魄也讓我們感到安慰

相處片刻

雖然為期一星期的病房日子不是特別繁

忙或是辛勞但是也會有不習慣的時候

幸好得到醫院職員和一班夥伴的支持病

房經理和註冊護士不但相信我們的能力

對學護的包容更是不用多說還主動地介

紹病房的環境和細心地教導我們醫療護理

上的知識讓我們上了一堂實在而又寶貴

的課同時今次的實習也令我感到團體

精神也十分重要在技巧上大家互相提

點互補不足當有人準備照料有需要的

病人如插喉或洗傷口等大家送上一句 

「加油」就能令對方增加不少自信心和正

能量無論遇上甚麼事情我也榮幸有如

此一班學習夥伴從旁支持

學習的階級

在這一次病房實習中雖然醫療和藥物

知識方面有待加強但是我學懂了如何與

不同身份的病人相處之道溝通上也得到

了很大的進步獲益不少除此之外我

也真正體會到如何做一個好護士並清楚

了解這個行業是否適合自己鐘樓也不是

一天就能建成而是需要一磚一瓦搭建而

成的所以在學習上我們不但要打好

穩固的基礎還要增強醫療知識在技巧

上馬虎了事和走捷徑是於是無補的應

該多探究和練習才行這樣才對得起病人

和自己也減少不必要的醫療失當事故

總之多一份認真多一點耐性多一些

愛心就是學護必記的左右銘 上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

ldquoit is reasoNable to expect the doctor to recogNise that scieNce May Not have all the aNswers to probleMs of health aNd healiNgrdquo ndash NorMaN cousiNs

50 | Caduceus September 2011

Fun Corner

Medical AppsEver wondered how your handheld device can save your time and

effort when it comes to studying Here is how

Anatomy Pronunciations by HipposoftAccurate pronunciations of over a hundred important anatomy terms you have trouble with are provided

at your fingertips to help you spell those difficult words Anyone who has taken an anatomy course can tell you how challenging it can be to pro-nounce the names of those complicated anatomi-cal terms It is even linked directly to Wikipedia and Google through web browser for additional information

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Human Anatomy by SusaSoftXThe application provides you with information of 15 different biologi-cal systems You can keep on revis-ing while you are traveling without

carrying heavy books

Medscape by WebMD LLCFrom drug classes interaction clin-ical procedures and even the lat-est medical news Medscape helps medical students and healthcare

professionals to reiterate knowledge that has slipped from the mind It is a free application for iPhone iPad Android and Blackberry Yet it contains more function on Android phones and Apple products and lacks detailed clinical infor-mation for diseases and clinical procedures walk through on Blackberry

Pro Medical Terminology Dic-tionary by TreascoveryTerminology might be a tough work for medical students Even if we can master those English terms we can

hardly think of the Chinese terms This applica-tion can help you when you face this problem Note that it is not a free application

3M Littmann SoundBuilder by 3M CompanyA great tool designed to help im-prove auscultation skills of medical students with 14 unique lessons of

key heart sounds combing text virtual manne-quin 3D cardiac animation and dynamic wave-forms

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of abnormalities including over 500 radiologic images Radiologic images include CT US MRI and nuclear imaging each clearly labeled and followed by key teaching points

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Thomson Reuters is the easiest way to navigate in the sea of drug names Drugs are sorted by classes and supplemented with rich information

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 7: Caduceus Issue 2, Volume 42

hkucaduceusnet | 7

內 地孕婦趨之若鶩地來港分娩蔚

然成風本港出生嬰兒數目

由零六年的六萬五千急增至

去年的達八萬八千當中

三萬多名嬰兒的父母均非香

港永久居民他們除了擁有

香港永久居留權將來還可

享有教育醫療房屋等多

項社會福利難怪有人形容

這做法猶如廉價投資移民

香港永久居留權變成私營醫

院招徠客人的「贈品」

本地孕婦一床難求

內地孕婦蜂擁來港人

數由零五年的一萬九千人

急升至去年的四萬一千人

令產科床位愈見緊絀有本

地孕婦早至懷孕五六週亦

未能預約私家醫院床位她

們四出奔波身心俱疲不

禁怨聲載道感到內地孕婦

分薄了理應予本地人享用的

醫療服務資源而為確保本

地孕婦得到妥善和優先的照

顧政府於四月公布公立醫

院即時停收內地孕婦希望

在短期內稍稍紓緩本地孕婦

床位緊張的問題

由八間醫院成立的「新

生兒服務關注組」指出以

現有資源及人手編制本港

每年出生嬰兒數字不應超過

七萬五千若是勉強增加服

務量勢必影響服務質素

苦了醫護團隊也苦了病

人終於在六月下旬政府

與私家醫院達成共識將明

年非本地孕婦來港產子數目

定於三萬五千公立醫院將

會預留三千四百名額予非本

地孕婦私家醫院非本地孕

婦來港產子數目則限於約三

萬一千

鋌而走險

部分內地孕婦未經登記

預約及作產前檢查待臨盆

前才到公立醫院急症室求

診由於她們大多缺乏常規

的產前檢查使血壓高和糖

尿病等問題未能及時處理

分娩時媽媽和嬰兒的風險會

大大提高而公立醫院停收

內地孕婦後除了有更多內

燙手山芋簡析內地孕婦來港產子潮李愉欣 (M15)

有本地孕婦抱怨「一床難求」抗議內地孕婦分薄醫療資源

社會

ldquoa hospital bed is a parked taxi with the Meter ruNNiNgrdquo ndash groucho Marx

8 | Caduceus September 2011

地孕婦在臨盆時硬闖急症

室公立醫院亦首次揭發內

地孕婦持偽造醫生紙過境來

港分娩此例一開更可能

吸引一些極端例子以坐監博

取來港產子掀起另一股制

度缺口下的潮流

「私院賺錢公院善後納稅人埋單」

時事評論員林輝認為

私家醫院賺得盤滿缽滿的同

時其實正將其成本外化至

公立醫院以至全港社會首

先私家醫院可選擇接收較

容易處理的個案一旦遇上

奇難雜症便將之轉介往公

立醫院初生嬰兒深切治療

部令該部門工作量大增

床位佔用率高達百分之一百

五十前線醫護人員工作壓

力之沉重可見一斑其次

私家醫院向公立醫院富經驗

的醫生和護士挖角以致人

手大量流失這不但影響公

立醫院的服務質素更令留

下來的醫護人員不勝負荷

形成惡性循環漣漪效應

下醫院其他部門如急症

室等也將間接受影響因

此不單是納稅人全港社

會亦將會共同承受內地孕婦

來港產子潮的代價

誘因

筆者認為內地孕婦來

港產子潮方興未艾原因有

四首先內地實行「一孩

政策」限制每一家庭只生

一個孩子違反《人口與計

劃生育法》除了會被罰款

父母和子女還會喪失許多福

利因此部分內地夫婦會

為了生育多於一個孩子而選

擇來港分娩而九七回歸以

後中港兩地關係愈趨密

切社會融合令跨境婚姻日

益普遍港人內地配偶來港

分娩的數目自然節節上升

再者自零四年兩地政府推

出自由行政策起內地居民

可以自由進出香港簡化便

捷的出入境手續和四通八達

的交通網絡更為內地人來港

產子大開方便之門而最重

要的是孩子獲得香港永久

居民身份後可享有多項社

會福利及更多元化的發展前

景將來亦可舉家申請來港

團聚這對不少家庭來說相

當吸引

長遠影響

由零五年至去年其父

母均非香港永久居民的「港

產內地B」達十四萬人

而隨着他們成長問題將由

婦產科和母嬰健康院延伸到

其他學童健康服務以至教

育醫療房屋政策的規劃

等等筆者認為政府需未

雨綢繆每年重新審視非本

地孕婦配額同時把配額制

可納入整體人口政策的一部

分為多項社福服務進行長

遠規劃另一方面兩地政

府亦需加強執法致力堵塞

不良中介人活動避免未經

預約孕婦直闖急症室分娩等

高風險情況 

參考資料

林輝《香港居民身份不是贈品》二零一一年四月八日刊於明報

《星期日檔案港產內地B》二零一一年六月十二日於翡翠台播出

httpbig5chinanewscom內地孕婦來港產子潮對公立醫院產科及 初生嬰兒深切治療部構成沉重壓力

hkucaduceusnet | 9

最 近虐待動物個案屢見不鮮手法層出不窮光看新聞標題已

令人不寒而慄無法想像施虐者為何能對

可愛惹人憐惜的小動物下毒手在緝兇之

餘亦應反思是甚麼心態及動機驅使他們

做出如此冷血殘忍的舉動

香港人生活壓力大不單是成人就

連小孩都有很多必須面對的煩惱如果沒

有適當的方法紓發情緒調適心情便會

容易導致心理不平衡患上心理病或情緒

病一般人看到別人痛苦會有同理心產

生難受的感覺因同情而伸出援手希望

別人不再痛苦施虐者則相反藉著暴力

行為令別人感到痛苦從而產生刺激快

感而非內疚或罪惡感施虐者利用這種

自私的方法去宣洩情緒將自己的快樂建

築在別人的痛苦身上

虐待動物的人一般懦弱膽小缺乏自

信因此選擇一些弱小無助無反抗能

力的對象發洩情緒令自己提升存在感及

掌握權力流浪貓狗隨處可見施虐者會

以為別人不顧流浪貓狗的死活所以即使

虐待牠們也不會被人發現因此流浪貓

狗容易成為施虐對象當中貓隻反抗能力

較狗隻低所以被虐情況更為嚴重施虐

者當中男比女多可能是由於女權主義高

漲男女社會角色轉移男性無法宣示強

者地位的原始心理更容易使他們做出這

種反社會行為

虐待動物的行為讓施虐者享受虐待的

快感對於殘忍的手段容忍程度會提高

對剌激感的追求亦會增加變得更麻木

不仁直至虐待動物已無法滿足他們的慾

望加上沒有因虐待動物而得到應得的懲

罰令施虐者變得更大膽可能將虐待對

象轉向兒童甚至成人

小動物反抗能力低也不會提出控訴

因此我們有責任去保護牠們看到動物

受虐或懷疑受虐不要漠視或啞忍也不

要只將影片拍下上載互聯網應向政府部

門舉報或向愛護動物協會等機構投訴

《防止殘酷對待動物條例》的最高刑罰是

罰款二十萬元及監禁三年但定罪個案極

小實際判刑大部分只是罰款執行社會

服務令等所以有關當局應提高刑罰令

人害怕受懲罰而約束行為這樣才能達到

阻嚇作用施虐者除了接受應得的懲罰之

餘亦應強制接受心理輔導及愛護動物課

程糾正他們的心理狀況避免重蹈覆

除了殘忍的施虐者遺棄寵物的主人

亦是造成悲劇的幫兇甚至元兇他們

不負責任地把寵物丟在街上把牠們推向

險境失去主人保護的寵物即使不被虐

待也會飢寒交迫甚至遇上各種危險

所以遺棄動物前請切身處地想想流浪貓狗

坎坷的命運 

停一停 想一想正視虐待動物問題郭淑芳 (N14)

反對虐待 尊重生命

社會

ldquokeepiNg a pet is a lifetiMe busiNess aNd coMMitMeNtrdquo ndash aNiMal re-hoMe services

10 | Caduceus September 2011

記 得剛剛入學的時候教授對我們說過「要是你們想賺

錢現在就轉到別科吧這兒不是讓你們

賺錢的地方這兒比其他行業都更辛苦

因為我們掌握別人的生命」醫護界就是

這種行業是一種用心對待病人的行業

人皆有惻隱之心醫生為病人著想是一

件理所當然的事根本不需要去學習如

何行此道這是人自發性的行為要是醫

生不是以心去行醫這是對病人對自己

的專業甚至對作為人的自己也是一種

侮辱但是在日本這種高文化水平的國

家則有孕婦死於拒診醫生對求醫的

人見死不救即使是

我一個只是讀了一

年的醫科生也知道

這是不道德的無

論是以一個專業醫生

的角度甚至於人的

標準來說

二零零八年日

本一名孕婦因為身體

不適而求診結果慘

遭七間醫院拒收

雖然嬰兒平安無事

地出世但這位剛成為人母的婦人卻於三

日後死亡這種情況在日本中不是罕見的

事根據統計日本於二零零七年就有二

萬四千多宗拒收病人的個案情況令人不

安也令人反省這些高知識份子為什麼會

如此冷血大家常常稱讚那些高學歷人士

是「飽讀聖賢書」我可不曾記得聖賢書

有教導我們要見死不救對別人的生死置

身事外特別對於我們這些醫護界的準工

作者更加不能接受人死不能復生既

然我們掌握著別人的生死又怎能如此不

負責任呢看到這些新聞我們作為醫學

院學生亦應對此作出警醒

除了日本之外香港也曾發生過類似

事件而且曾經轟動一時二零零八年

一名患有心臟病的男人於明愛醫院門前病

發他的親友馬上到明愛醫院詢問處求

救院方見狀卻要求對方打九九九求助而

不是即時提供協助當然這件事可能涉

及一點程序上的問題但是人是生規

矩是死救人一命勝造七級浮屠所有規

矩都不及拯救人的性命重要吧令人安慰

的是有一名見義勇為的醫生途經現場

隨即致電急症室並為事主檢查發現他

全無脈搏遂立即進

行體外心臟按摩可

惜最終病人經搶救

後仍是不敵死亡的命

運這件事令人感到

惋惜同時我們亦

應反省醫護人員做事

的態度典型香港人

有一種特別的特性

他們都是「多做

多錯少做少錯不

做不錯」的「信奉

者」當時的詢問處

的值班者可能心怕破壞規定幫助病人後

可能會引起上司不滿對自己的事業有影

響故此遲遲未能下定決心幫助別人可

見醫護人員對病人的同理心不高這亦是

值得我們所反省的

相信仍然未畢業的我們對日後的工

作是抱有一種憧憬有一種熱誠但是

當我們畢業後這股熱血會被忙碌的工作

所撲滅當日的誓言早就置之不理了

「病人的健康應為我的首要的顧念」變成

了「清掉桌上滿滿的病人檔案為我的首要

的顧念」「將要憑我的良心和尊嚴從事

拒收病人何來醫德醫心謝汶珊 (M15)

社會

hkucaduceusnet | 11

醫業」則變成「將要憑我有限的體力和時

間從事醫業」helliphellip更甚者於我們求學期

間已經把病人的健康拋諸腦後了腦子

裡卻放滿了那些不知從哪裡來的肌肉神

經線以及血管等等當腦子的容量用了大

部份來放置anatomy的東西之後餘下來的都放了那些古怪的藥名進腦子去了

哪有閒下來的空間把那些道德經放進腦子

裡但是即使你能夠把那本Grays Anat-omy或者那本大Robbins的所有內容牢牢記在腦子裡沒有醫德你絕對不是一個好

醫生當然沒有任何人規定你的道路

你的選擇然而你的選擇將會影響到別

人的生命社會當然不會奢望每一個醫生

都有當無國界醫生的那一種胸懷但是

他們希望醫生起碼會是一個抱有救活病人

作為使命的醫生

作為一個好醫生並不能帶給你金錢或

者名譽這個世界永遠是行商者才是致富

之道你希望將來得到的是什麼我們都

應該找出自己的答案把它寫下來以免

他日遇上挫折或誘惑會迷失自我仔細想

一想若果你的答案思前想後仍是「錢」

那麼請你認真考慮一下轉科吧「若

果病人沒錢看病作為醫生也要為他看

病也要為他開藥我們沒有權力去把他

們趕走」這就是醫德相信每一個將成

為或者已成為醫務人員的人都曾宣誓過自

己要奉獻一切為人類服務所謂的誓言並

不是用嘴巴說出來罷了一個無法遵守的

誓言只會變成一句又一句的廢話俗語有

一句「狗口長不出象牙」helliphellip

以下是世界醫學協會一九四八年日內瓦

大會採用的日內瓦宣言

我鄭重地保證自己要奉獻一切為人類服務

我將要給我的師長應有的崇敬及感戴

我將要憑我的良心和尊嚴從事醫業

病人的健康應為我的首要的顧念

我將要尊重所寄託給我的秘密

我將要盡我的力量維護醫業的榮譽

和高尚的傳統

我的同業應視為我的手足

我將不容許有任何宗教國籍種族政見

或地位的考慮介於我的職責和病人間

我將要盡可能地維護人的生命自從受胎時起

即使在威脅之下我將不運用我的醫學知識

去違反人道

我鄭重地自主地

並且以我的人格宣誓以上的約定 

ldquoa Merry heart doeth good like MediciNerdquo ndash kiNg soloMoN

12 | Caduceus September 2011

Radiologist

Ophthalmologist

Anaesthesiologist

All roads lead to Rome but have you missed the ROA and D

when it comes to success in medical career

to success

hkucaduceusnet | 13

Anaesthesiologist

Dermatologist

All roads lead to Rome but have you missed the ROA and D

when it comes to success in medical career

to success

14 | Caduceus September 2011

「形影不離」的造影術專訪放射科邱麗珊醫生陳伊樂 (M15) 賀曉琳 (M15)

邱 麗珊醫生於一九八三年畢業於香港大學醫學院並於一九八

六年開始修讀放射科邱醫生不但在東區

尤德夫人那打素醫院身兼前線管理和訓

練多職而且積極參與香港放射科醫學院

的工作我們非常感謝邱醫生能夠在百忙

中抽空接受訪問向各位同學分享一下她

踏上成功路的經歷與待人處事的態度

甚麼是放射科

放射科是利用X光(X-ray)電腦斷層攝影(CT)磁共振成像(MRI)和超聲波造影(Ultrasound)等技術展示患者身體內部結構的影像從而協助診斷和進行治療

當放射科醫生危險嗎

誠然放射科醫生需要經常接觸對身

體有害的輻射可是這門專科有不同的

措施保障我們的安全首先每一個放射

工作者都需要領取牌照此外我們會每

個月檢查掛在胸前的放射量測定器確保

接觸到的輻射劑量沒有超越安全水平當

然有關部門亦會定期檢查儀器確保它

們正常運作

爲什麼你會選擇放射科你對於有意將

來當上你的專科的同學有甚麼建議

選擇放射科純粹是因為爸爸的一句「

放射科適合女孩子」當上放射科醫生之

後才發現事實並非如此放射科是一個重

要的專科幾乎每一個住院病人都需要用

上造影技術但除非做超聲波或介入放射

治療放射科醫生卻好像很少與病人直接

接觸有些醫生喜歡多和病人接觸放射

科便不適合他們了另外放射科正面對

著迅速的科技發展對新科技有興趣的同

學這個專科的確是一個不錯的選擇可

是由於學位有限每年報讀放射科的六

邱麗珊醫生Dr Jennifer Khoo放射科專科醫生

香港大學內外全科醫學士 英國皇家放射科學醫學院院士 香港醫學專科學院院士(放射科)

東區尤德夫人那打素醫院 放射科 部門主管 及 顧問醫生

醫院管理局 港島東聯網 Service Director (Radiology)

香港放射科醫學院 首席副院長 及 科學委員會主席

專題

hkucaduceusnet | 15

七十人當中總會有四五十人因願望落空

而要轉投其他專科我的建議是千萬不要

灰心人總不能夠經常做自己喜歡的事

但一定要喜歡自己正在做的事(You canrsquot always do the things you like but you can learn to like the things that you have to do)

請詳述對你人生有大影響的起落人

事物

人一生中如果能夠遇上一兩位良師益

友在你碰到困難時扶你一把在你迷

惘時給予意見上天就已經算是對你不薄

了而我自己也算是非常幸運有兩位

前輩當上我的引導者一位是瑪麗醫院

的陳富六醫生另一位是澳洲的Professor Michael Sage因為兩位的提點我決定善用自己的長處留在公營醫院參與一些

行政和訓練的工作幫助培訓醫生使更

多病人受惠

你有甚麼人生的哲學嗎是甚麼信念使

你堅持當一名醫生

我認為每個人都需要有自己的優先順序

(priority)對我來說家人和家庭生活永遠都是排在首位縱使我已經涉足到很多

管理方面的工作但病人還是排在行政管

理之前有著清晰的優先順序不管遇到

多大的衝擊都能使自己勇敢面對邁步

向前優先順序或多或少都與個人經歷有

關有部份同行可能會基於不同原因或

許是滿足感或許是工作量而轉投私人

市場我想每個人的價值觀和信念都有不

你對現今醫學院的學生有甚麼寄語叮

習醫是一條漫漫長路少不免遇上困難

和挫折而這些難題往往會轉化成使身心

俱疲的壓力身為醫學生一定要及早學

會如何面對壓力我的忠告是凡事都要

以平常心面對要從錯誤中學習懂得避

免犯上同樣的錯誤要有反彈能力勝過

昨日的自己

醫科生基本上都是能力不錯的一群

(cream of the cream)要好好利用自己的能力為社會作出貢獻 

ldquowheN you are dowN aNd out soMethiNg always turNs up it is usually the Noses of your frieNdsrdquo ndash orsoN welles

16 | Caduceus September 2011

A Discourse with a Female Gold-MedalistInterview with an Ophthalmologist ndash Dr Charmaine HonChariene Woo (M15) Charis Chan (M15)

W hile waiting for Dr Hon at her Central clin-ic the Hong Kong Ophthalmic Associates

we were amazed at how the spacious clinic was crowd-ed with patients When we finally meet Dr Honrsquos big friendly smile made an impression on me as she invit-ed us into her room Despite having a busy schedule Dr Hon is very down-to-earth and eager to provide valuable advice for our fellow schoolmates

Dr Hon started out as a medical doctor and changed to the specialty of ophthal-mology Initially she worked with the public sector fulfill-ing her duties as a doctor re-searcher and teacher at the same time Then she turned to the private sector and joined the Hong Kong Ophthalmic Associates as she feels that she can be more focused on the aspect of patient care ldquoIn public hospitals it is hard to follow up on patient care and it is rare to meet the same patient twicerdquo she reflected ldquobut in the private clinical set-ting I get to know the patientrsquos family and medical his-tory better and I feel more like a doctor by having the ability to follow my patientrsquos progressrdquo

As a recipient of the John Anderson gold medal for the highest aggregate of marks in all the MBBS professional examinations Dr Hon also shares her advice in studying ldquoBasic knowledge is a must but clinical sense is the most importantrdquo and with a smile

she added ldquoyou have to pay attention to your mentors during attachments to hospitals even if you are just ob-servingrdquo But donrsquot think Dr Hon is all about studies She emphasizes that she is not the most hardworking student in her graduating class and suggests medi-cal students to explore outside of the medical world especially in the first two years of study ldquoYou have to have a life outside of medicine and you should do it in

the non-clinical years as there are decreasing chances and time for you to meet non-medically related peo-ple after year 3 onwardsrdquo the ex-member of the Union Choir said ldquoAnd as you come more into contact with different people you learn how to communicate bet-ter which will definitely help your medical career and will keep your life diversifiedrdquo

As for advice to students in clinical years she shares her insights in how to choose your specialty She sug-gests students to look into their strengths and inter-ests and to understand and explore as much as pos-sible in attachments since it is a lot harder to change onersquos specialty nowadays compared to the past ldquoThe most important point is to identify yourself and not to blindly follow the path of others Do not think of future

achievements since what you chose will probably stick with you for liferdquo True enough ophthalmology was not a developed specialty during her times of studies and Dr Hon says she is probably one of the very first gold medalists who pursued it as a career A note to her future female counterparts ldquoYou have to think of your future path and plan accordingly and be ready

Basic knowledge is a must but clinical sense

is the most important

The most important point is to identify yourself and not to blindly

follow the path of others

Feature

hkucaduceusnet | 17

to put your career before marriage Many of us delay our plans of marriage and pregnancy after finishing our specialty fellowship which is at around 30rdquo After hearing this I was very worried but she added ldquoGen-eral practice is also a good choice and there are some females doctors who donrsquot follow this trendrdquo

One of the things that struck me the most is that Dr Hon sticks to the principle of doing everything with all your heart ldquoYou only pass through this life once and when you look back you should not regret what you have donerdquo So when presented with conflicting ideas with her principle what does she do ldquoI reflect and fight for itrdquo she laughs ldquoIt sounds rebellious but as a doctor you have to have a judgment that is best for your patient and you cannot conform to society or systemsrdquo Using the limited consultation time for each patient in public hospital settings as an example she explains that doctors arenrsquot machines and should be able to adjust to different patientsrsquo needs appropriately so to do what is best for the patient ldquoYou should never lose yourself under the system and should always do whatever you think is best for your patientrdquo

When asked about the specialty of ophthalmol-ogy Dr Hon tells us with passion that ophthalmology allows instant gratification and makes a difference to patientrsquos life ldquoMany specialties can make a difference but only a few have a clean-cut immediate effect like ophthalmologyrdquo But ophthalmology is also about hard work and persistence ldquoIn this specialty there is con-stant advancement in the past we do extra capsular extraction but now there are frequency emulsifica-tion and other advancements I am always awed by the senior partners in this clinic who have a strong will to chase and read up on new techniquesrdquo So besides steady hands and good eyesight intellectual curiosity on the latest research is a must if you are thinking of pursuing a career in ophthalmology

Before we parted Dr Hon gave us a final word of wisdom ldquoThis is going to be hard for you two gals but you look tough and yoursquoll survive Since you chose this career path do expect to work very hard as it is not easy but so is every other occupation nothing is ever easy in this worldrdquo

DrCharmaineHon韓尚穎醫生

Specialist in Ophthalmology

MBBS(HK) MRCS(Edinburgh)

FC Ophth(HK) FHKAM(Ophthalmology)

ldquoas you grow older yoursquoll fiNd the oNly thiNgs you regret are the thiNgs you didNrsquot dordquo ndash Zach-ary scott

18 | Caduceus September 2011

奉行完美主義的守護天使專訪麻醉科李靜芬醫生吳瑞麟 (M15) 李庭翰 (M15)

說 起麻醉越野挑戰馬拉松義工無國界醫生你想到甚

麽幾樣風馬牛不相及的東西可以用三

個字關聯起來李靜芬

李靜芬醫生畢業於香港大學醫學院

現於養和醫院疼痛治療門診工作她曾經

加入無國界醫生到南蘇丹服務又是醫療

輔助隊動員主任香港不少的大型活動

例如馬拉松東亞運奧運馬術等都由她

去統籌急救站的運作她又經常舉辦醫療

會議亦於很多地方做義務醫療顧問熱

衷於向公眾推廣疼痛管理與健康的知識

另一方面她是香港全能運動學會醫療顧

問經常參加越野挑戰戶外活動又參

加半馬拉松比賽看完李醫生這麼的一個

簡介實在很難不驚歎好一個「周身

刀張張利」的奇人

人生的轉捩點

其實初中時期的她與醫生根本扯不上

半點關係身為壘球隊隊長在中四的一

次練習中她被壘球擊中一眼從此改變

了她的命運當時全港只有一位眼科醫生

會在晚間應診眼科的醫療設施也不足

令她眼睛流着血水在黑暗中東奔西跑尋找

醫生她由大埔賽馬會診所走到威爾斯

然後到伊莉莎伯再到油麻地終於找到

眼科醫生李醫生由四點奔波到十點令

她深深體會到作為病人的痛苦也從此立

志要做一個醫生幫助有需要的病人

初中時的李醫生每天放學就練球以

致成績中等但自從立志投身醫護她虛

心求教又得到當時的班主任授予時間管

理和讀書的方法成績突飛猛進在短短

六個月間從中等成績進步至模擬考試全

李靜芬醫生Dr Carina Li

麻醉科專科醫生

香港大學內外全科醫學士 澳洲及紐西蘭麻醉科醫學院院士 香港麻醉科醫學院院士 

香港麻醉科醫學院疼痛科文憑

香港醫學專科學院院士(麻醉科)

專題

hkucaduceusnet | 19

級第一她的毅力和決心實在令人佩服

她的傲氣

其後她獲中文大學收作暫取生但她

又再次作出驚人之舉李醫生認為要讀醫

科生物化學科就得好些所以一定要認

真研讀高級程度的生物化學但是人是有

惰性的如果做了暫取生就一定會變得不

思進取讀不好生物化學於是她毅然

放棄暫取生的資格全心全意去考好高級

程度會考李醫生的豪氣決斷她破釜

沉舟的決心她的好勝和哲學令筆者從

心底裏衷心地拜服她

結果她當然考得很好的成績在選擇

大學時她再一次認真考慮自己將來的

路向她生來就有一種使命感覺得一定

要做一樣在任何時候任何地方都最有用

的工作加上她常常留意時事總覺得天

災人禍真的可以隨時發生於是她就選擇

了兩種無論是面臨戰爭還是天災的時候

對所有人都十分重要的工作記者和醫

生她終於入讀了港大醫學院並於九五

年畢業

與麻醉科結緣

實習的時候她特意選擇了一些能夠獲

得較多經驗的部門到投考專科的時候

她也選上了可以接觸很多不同類型病人的

兒科只可惜當時兒科並沒有學額但在

朋友介紹之下知道了麻醉科麻醉科同樣

可以接觸到不同的病人而且無論在甚麽

地方都可以發揮所長正正符合了李醫生

的志向結果她便入了麻醉科

據李醫生所說雖然一般人認為麻醉

科對體力的要求較少適合女孩子但

是現實並不這樣簡單由於麻醉要求一絲

不苟麻醉科的醫生都是完美主義者而

且學習的內容艱深每一種藥物的作用

反應甚至化學結構都要讀得滾瓜爛熟

她形容麻醉科醫生就好像病人背後的守護

天使在手術中要不停監測病人的維生指

數感覺病人的生命就在自己的手中所

以要承受着很大的壓力

作為麻醉科醫生每次見到的都是昏

迷或者沒有意識的病人事實上並沒有甚

麽可以跟病人溝通的機會病人通常感覺

不到麻醉科醫生的付出所以作為麻醉科

醫生未必可以從病人身上得到很大的滿足

感但他們卻比其他醫生更能夠專注地為

病人服務因為每次在手術中只照顧一位

病人

她的叮囑

李醫生叮囑現在的醫學生一定要僅記當

初想做醫生的原因她覺得在這個物質

社會中人是很容易迷失的她感覺到現

在的某些醫學生只為了一份穩定的工作

甚至是因為父母的意見而選擇行醫關於

作為醫生的意義卻從沒有思考過她勸

我們要好好問自己兩條問題人為甚麽生

存於世上作為醫生又是為了甚麼她

認為醫者要有父母心處處為病人而

不是為自己着想作為醫生就是要去服

務幫助人而不是為了求回報我們生

存於世上為的是信望愛並不用時時

記住利益金錢等東西最後她又提醒我

們不可以歧視病人不論是黑社會成員還

是香港首富只要病了就是一個無助的

病人就需要我們的幫助

李醫生思考獨立為人熱情健談跟李

醫生做訪問真的是一件有趣的事又令筆

者獲益良多特別是她有關人生意義的看

法的確值得反思作為醫學生的大家

你又可曾想過為甚麼要生存為甚麼要做

醫生呢

ldquothere is No MeaNiNg to life except the MeaNiNg MaN gives his life by the uNfoldiNg of his powersrdquo ndash erich froMM

在手術中不停監測病人的維生指數麻醉科醫生就好像病人背後的

守護天使

20 | Caduceus September 2011

To Succeed is to Fight Against ComplacencyInterview with a Dermatologist ndash Dr Henry ChanLily Cheng (M15) Andrew Seto (M15)

W ith our scheduled interview being inter-rupted by an emergency case of Stevens-

Johnson syndrome a life-threatening allergic skin re-action to medication Dr Chan rushed to the hospital for his patient

Sitting in Dr Chanrsquos office at his private practice the Hong Kong Dermatology and Laser Centre in the middle of a conference call with his overseas counter-part researchers we saw a pragmatic doctor at work This is a doctor who would never be complacent with his performance but keeps striving for excellence

AmedicalcareerDr Chanrsquos interest in dermatology was sown well

before his exposure to the discipline Having been in-flicted with eczema during his childhood he suffered from an excruciating itch in his skin that caused him much distress As a result of his own medical condi-tion he developed an interest in dermatology at a young age

During his fourth year in medical school he ex-plored an elective in dermatology at Yale University and began formal training in the field He obtained his medical degree and worked for several years in the UK before returning to Hong Kong to work at the Prince of Wales Hospital He then received a grant from the Hos-pital Authority to read dermatology in the UK

Working back and forth between Hong Kong and Britain in and out of universities and hospitals in his early years of practice Dr Chan settled his work base in Hong Kong in 1995 He was Associate Professor of CUHK from 1998 to 2000 and Chief of Dermatology and Associate Professor in HKU from 2000 to 2004

After entering private practice in 2004 Dr Chan now spends a lot less time on doing administrative work and more time on treating patients While he was actively engaged in teaching research and clini-cal work his current focus has shifted to mainly clini-cal work As an honorary clinical associate professor of our faculty he enjoys teaching and values the opportu-nity to cultivate and influence medical students

A renowned dermatologist with a strong research interest in medical devices Dr Chan is still very active in terms of research output His private practice sup-ported by a team of full-time research staff is unique

for its active research component ndash a practice which is well-established overseas but rare in Hong Kong

AsadoctoranddermatologistIn the beginning laser devices were developed to

treat medical conditions such as haemangioma and black moles but technological advancements driven by recent research has explored new possibilities for their applications in cosmetic treatment As a result new cosmetic procedures have appeared for the treat-ment of various conditions from skin rejuvenation to body contouring

While it is true that most dermatological conditions are rarely life-threatening they may nonetheless have a profound impact on patientsrsquo physical and psycho-social wellbeing For instance eczema often presents with rash It may give exudate in serious cases but is rarely fatal Nevertheless it might constitute great dis-comfort and inconvenience to patients Similarly se-vere cases of acne may also diminish onersquos self-esteem Dr Chan stressed that treatments for many skin condi-tions are not merely cosmetic in nature but may im-prove patientsrsquo self-esteem body image and psychoso-cial wellbeing

On the other hand some skin problems such as psoriasis and chronic eczema are incurable It is there-fore the doctorrsquos duty to educate patients and enhance their understanding of their disease One of the re-sponsibilities for dermatologists is to evaluate the im-pact of their patientsrsquo conditions to their quality of life Other than helping them return to their normal routine and diet as far as possible dermatologists also need to teach patients the way to get along with their chronic illnesses

Dr Chan emphasized that we run a profession not a business On this ground a doctor should never tell a patient what procedure they should receive Rather a doctorrsquos role is to explain the options available and provide the relevant information that carry with each procedure including potential risks and complica-tions

Dr Chan reminded us that financial return is only a ldquoby-productrdquo of a doctorrsquos work as a professional Doctors work hard and should be paid for their serv-ices but they should not be more interested in making

Feature

hkucaduceusnet | 21

money than in helping people He believes that shap-ing doctors into commercials in some way jeopard-izes medical professionalism

SuccessRedefinedSummoning his days as a fresh medical officer Dr

Chan recalled the death of the 18-year-old girl inflicted with necrotizing fasciitis who died within 24 hours He bore in mind every complicated case as an alarm to his future practice admitting that there is always room for him to improve

Quoting the professional golfer Jack Nicklaus Dr Chan reminded us that ldquocomplacency is a continuous struggle that we all have to fightrdquo It is easy to let our guard down but doctors have to be responsible for their patients all the time It is demanding but impor-tant for every medical professional to be vigilant and maintain onersquos standard at the top level He believes that good doctors should keep themselves in an appro-priate amount of stress and tension which keeps them mindful of their patientsrsquo needs

When asked about his rules for success Dr Chan emphasized that he does not feel he has attained his goal yet He feels that he may have had a decent start but it is inappropriate to judge his career before his retirement as he is still in the middle of his career To him it is far too early to define success Despite his change in roles over the years he still maintains his enthusiasm and passion that motivate him to do his best whether it be research teaching or clinical work

As far as medical students are concerned Dr Chan doesnrsquot see the urgency of deciding our future spe-cialty yet Medical school gives us a broad and general exposure to various fields and offers a good place to learn and gain experience sharpening our skills before serving as doctors We could still explore more in our senior years to come

ldquoFollow your heartrdquo Dr Chan gave us as a conclud-ing word He believes that the so-called ldquoROADrdquo to success is not really that important if one does not en-joy onersquos profession Listen to yourself and ask whether you really like your job

DrHenryChan陳衍里醫生

Specialist in Dermatology and Venereology

MBBS(London) MRCP(UK) FHKAM(Medicine) FRCP(Glasgow)

FRCP(Edinburgh)

Hon Professor LKS Faculty of Medicine HKU

Hon Consultant Dermatologist QMH HKSAR

Visiting Scientist Wellman Centre for Photomedicine USA

ldquoirsquoM a firM believer iN the theory that people oNly do their best at thiNgs they truly eNjoy it is difficult to excel at soMethiNg you doNrsquot eNjoyrdquo ndash jack Nicklaus

We run a profession not a businesshellip [doctors]

should not be more interested in making money than in

helping people

22 | Caduceus September 2011

Art and Medicine Seeing Diseases in ArtHow art masterpieces reveal medical conditionsAndrew Seto (M15)

F or centuries art historians have been mesmerized by

the enigmatic smile of Mona Lisa coming up with theories that range from the mundane to the bizarre Was she a silk merchantrsquos wife or a self-portrait of Leonardo da Vinci himself Was she pregnant An adulterer Leonardo da Vincirsquos se-cret male lover The theories never cease

BehindMonaLisarsquossmileHighcholesterolIt turns out that Mona Lisa had

ldquovery high cholesterolrdquo at least ac-cording to Vito Franco a Sicilian professor of pathological anatomy A medical expert who enjoys study-ing art masterpieces for evidence of diseases Franco concluded that Mona Lisa had xanthelasma (the accumulation of cholesterol under the skin) Indeed a closer look at her mysterious face does show a yellowish collection around the in-ner corner of her left eye He even found evidence of lipoma (a fatty tissue tumor) on her right hand Probably the least poetic finding for the most renowned beauty in Renaissance art

This was not the first time medical experts have associated Mona Lisa with clinical conditions Charles Bell the 19th century Scot-tish surgeon who discovered Bellrsquos palsy a form of facial paralysis resulting from facial nerve palsy once coined the term ldquoMona Lisa syndromerdquo This was a reference to the facial muscle contracture that develops after Bellrsquos palsy resulting in a ldquoMona Lisa-like smilerdquo

Mona Lisa Xanthelasma or just a blotch by mistake

Insight

hkucaduceusnet | 23

Hardly would Parmigianino have known that the long slen-der fingers and limbs of Madonna with the Long Neck was the result of a genetic disorder called Mar-fan syndrome And of all the things that crosses onersquos mind upon first glance of Caravaggiorsquos Sleeping Cu-pid the notion that the baby was inflicted with juvenile rheumatoid arthritis would be hard to imagine Franco claims that his goal was to expose the human vulnerability of the people depicted in art

MichelangelorsquosgoutykneeAnother subject who has been

scrutinized by medical experts is Michelangelo Renaissance painter and sculptor Scholars looked at his knee from Raphaelrsquos School of Ath-ens and concluded that he suffered from gout a form of inflammatory arthritis that occurs when crystals form in the joints

Based on the appearance of his knee which appears swollen en-larged and covered in hard lumps a diagnosis of gout seems plausible It was known that Michelangelo de-veloped various diseases during his life In his writings he complained of having kidney and bladder prob-lems In 1549 he had an episode of anuria followed by passing of grav-el and stone fragments in his urine

Many experts believe that Michelangelo like many of his contemporaries developed gout from lead poisoning A well-known workaholic Michelangelo con-stantly lived off a diet of bread and wine (processed in lead contain-ers at the time) and was frequently exposed to lead-based paint All evidence points to lead poisoning which promotes kidney damage and inhibits uric acid excretion causing it to build up in blood This predisposed him to gout precisely as depicted in Raphaelrsquos fresco

RenaissanceArtandNeuroanatomyLike Leonardo Michelangelo

was not just an artistic genius but also a great anatomist At 18 he be-

Michelangelorsquos knee from the school of atheNs by Raphael (c 1509-1510)

Madonna with the Long Neck Was it Marfan Syndrome

Juvenile rheumatoid arthritis

ldquoall art is autobiographical the pearl is the oysterrsquos autobiographyrdquo ndash federico felliNi

24 | Caduceus September 2011

gan dissecting cadavers in a mon-astery in Florence where he honed his technical skills and knowledge of the human body

According to neuroscientists Michelangelo disguised sketches of the human brain in his famous Sistine Chapel ceiling painting which has remained unnoticed for 500 years His fresco The Creation of Adam shares a striking similar-ity with the sagittal section of the brain The fold in the cape repre-sents the Sylvian fissure separating the frontal and parietal lobes You may even recognize the angelrsquos foot as the pituitary gland his thigh as the optic nerve and his leg as the optic tract And that sassy green robe running down the ponsmdashthatrsquos the vertebral artery

Look at Godrsquos neck in The Sepa-ration of Light from Darkness from the same fresco Art historians have long speculated that its lumpy ap-pearance represents goiter Yet medical experts have found an ac-curate picture of the brainstem and spinal cord in Godrsquos throat stun-ningly similar to the creases and crevices of the brain

Yet why would Michelangelo embed the brainstem in Godrsquos throat Was he alluding to Godrsquos wisdom or was it a form of protest to the Church After all dissecting cadavers was considered unethical at that time and for an anatomist like Michelangelo who fell out with the Pope while painting the Sis-tine Chapel ceiling could he have been painting anatomical images directly above the chapel altar in defiance to the Church

Artandophthal-mologyHowvi-sionchangesartClaude Monet is recognized as

one of the founders of the Impres-sionist movement but his vision got cloudy during his later years He wrote letters to friends describ-ing his growing frustration with his vision changes He was even forced to memorize colours on his palette

the creatioN of adaM by Michelangelo (c 1511)

the separatioN of light froM darkNess by Michelangelo (c 1512)

hkucaduceusnet | 25

and label tubes of paint Red began to look muddy to him and he saw his painting as becoming ldquoincreas-ingly darkenedrdquo Whenever he com-pared his paintings with his earlier works he would be sent into a tow-ering rage to destroy them

This was because he had cata-racts Cataract patients have yel-lowing and opacification of the lens so his vision essentially be-came more brownish The yel-lowish brown cataracts he looked through filtered out violet and blue shades Monet underwent two eye operations in 1923 after which he returned to his old painting style even throwing away some of his paintings and repainting them

Thesufferingart-istDepictingill-nessesinartPerhaps no one better personi-

fies the notion of a ldquosuffering artistrdquo than Vincent van Gogh Clinicians have posthumously diagnosed him with a range of medical problems including epilepsy schizophrenic and bipolar disorder His later works have long been noted for his preference for the colour yellow and some have speculated that this was related to his yellow vision

One theory was that van Goghrsquos doctors prescribed him with digi-talis to treat his epileptic seizures His painting Starry Night has yel-low circles around the stars and not surprisingly people with digi-talis overdose often see a yellowish halo around objects Other experts speculated that it was his addiction to absinthe that led to his yellow vi-sion Absinthe is a highly alcoholic drink that contains a highly psy-choactive neurotoxin called thu-jone which causes yellow vision

Van Gogh was not the only art-ist who projected his illness into his art Edvard Munch had tuber-culosis and spit blood as a boy Her mother died when he was five her sister spent most of her life in-stitutionalized for mental illness and his brother died of pneumo-

nia Munch may have depicted his own psychotic state of mind in The Scream which portrays a twisted agonized creature wracked with anxiety and horror

ConclusionDo these findings actually

prove something or are we over-analyzing artworks with our medi-cal knowledge Exactly what ben-efit would these discoveries have for the world at large is unknown At least we know it could lead to yet another interpretation for Mona Lisarsquos smile the result of a scrump-tious meal of pizza and pasta with cheese tomato sauce and meat balls before sitting for her portrait (which would certainly also explain her cholesterol problem)

Two pictures by Monet of the same Japanese bridgemdashthe first painted in 1899 the second between 1918 and 1922 revealing a dramatic loss of shape and detail

suNflowers by Vincent van Gogh (1888) the screaM by Edvard Munch (1893)

ldquoeverythiNg that we see is a shadow cast by that which we do Not seerdquo ndash MartiN luther kiNg jr

26 | Caduceus September 2011

The End is Near Apocalyptic TheoriesRead more to learn about the terrifying future that awaits us Chariene Woo (M15)

S urge of waves rush over the mountains with unstop-

pable speed engulfing and shatter-ing our homes Flaming asteroids rain from the sky causing roads to crumble like sheets of paper Peo-ple running away from burning cities screaming fearfully Civiliza-tion ruined in matter of mere sec-onds Is this what the future lies for us

Nobody knows

Apocalyptic literature and movies have always raised interest among the general public partly

because it involves the end of our world as we know it and partly due to the fact that there is no solid proof how an apocalypse would come about The interest has re-cently skyrocketed with rumors about the world ending on 21st De-cember 2012 about how the May-an calendar finishes at that specific time and how it will be the end of the world as we know it So the big question is when and how will our world end

NostradamusProphetofDoomNostradamus of France was

one of the worldrsquos most famous seers and is most well known for Les Propheties (The Prophecies) a collection of his major long-term prophecies written in quatrains Many of his prophecies have cor-rectly predicted current events including the destruction of the space shuttle Challenger the death of Lady Diana and the destruction of Twin Towers of the World Trade Center As a result of these predic-tions he has been given the nick-

How do you survive the apocalyptic world

Insight

hkucaduceusnet | 27

name ldquoThe Prophet of Doomrdquo

Nostradamusrsquo prophecies have huge room for interpretation speculation and controversy and some people think his writing has no merit at all The following is an example of a quatrain alluding to some sort of environmental disas-ter in the future

ldquoFor forty years the rainbow will not appear

For forty years it will be seen every day

The arid earth will grow more dry

And great floods when it will be seenrdquo

(Century 1 Quatrain 17)

In other quatrains images of great comet alien invasion and nu-clear contamination are also men-tioned so these could all be the prospects that are waiting for us in the future Despite Nostradamusrsquo ldquoaccurate predictionsrdquo of what had happened in the past the quatrains do not have a specific order So out of all the disasters predicted in the many quatrains it is uncertain which will happen where or when giving it less importance in predict-ing an actual apocalypse

PlanetXAccording to Nancy Lieder a

woman who claims to have been contacted by extraterrestrial life forms Planet X (also known as Nibiru) would come close to planet Earth on May 27th 2003 resulting in the Earthrsquos rotation ceasing for 59 terrestrial days The Earthrsquos pole will then undergo a physical polar shift due to the magnetic attraction between the Earthrsquos core and the magnetism of the passing planet This will ultimately lead to the dis-placement of Earthrsquos crust and the end of us But when this did not happen the event was postponed and re-dated to coincide with the Mayan calendar hysteria

NASA argues that this is merely an Internet hoax with no factual or scientific basis They explain that if Planet X was approaching Earth astronomers would have

been tracking it for at least the past decade and the planet would now be visible by the naked eye This is a very comforting bit of news Yet some people believe that NASA is part of a conspiracy to cover up the existence of such planet and keep the truth of impending apocalypse from general public Again the ar-gument can go either way and the ldquotruthrdquo depends on which side you choose or want to believe in

2012TheendoftimeSo what is so special about the

year 2012 There are claims saying that the Mayan calendar ends on 21st December 2012 and that will be the end of time for mankind However just like every calendar it merely rolls over to the new year on that date and it doesnrsquot signify anything special In the Mayan cal-endar 21st December 2012 will be the end of brsquoakrsquotun 13 and marks the start of brsquoakrsquotun 14 A brsquoakrsquotun is 144000 days (a little more than 394 years) and there is no archeological or historical evidence to show that the Mayans expected anything sig-nificant or drastic to happen at the

end of each brsquoakrsquotun

However there exists litera-ture that suggests otherwise In 1975 Frank Waters the author of the book Mexico Mystique identi-fied the 13th brsquoakrsquotun interval to be the ldquoMayan Great Cyclerdquo where it ends in the worldrsquos destruction and rebirth Waters claims that cata-strophic earthquakes will destroy the world but he miscalculated the date and announced that the end of the ldquoGreat Cyclerdquo would be on 24th

December 2011 AD

The year 1987 marked an in-creased in interest regarding the prophesized big event in 2012 The author of The Mayan Factor Path Beyond Technology Jose Arguelles linked the 13th brsquoakrsquotun period to a ldquobeamrdquo that links people the plan-et the Sun and the center of Galaxy According to Arguelles the beam is the key to harmonic resonance in the universe and the Mayan knew when we would enter and leave this beam hence set their 13th brsquoakrsquotun to mark our passage accordingly He also claims that this beam could advance the development of any-thing with DNA hence creating a more positive view of the future

V838 Mon a star with expanding light echo purported as photographic evidence of Nibiru

ldquoevery MaN dies Not every MaN really livesrdquo ndash williaM wallace

28 | Caduceus September 2011

No one can be sure of whether the end of brsquoakrsquotun 13 signifies something great or disastrous for us or if it is just another restart in the Mayan calendar We can only know for certain when the day ar-rives

GodrsquosplanforusThis is by far the most detailed

and terrifying image portrayed out of all apocalyptic claims that I have gone through The Book of Rev-elation from the New Testament reveals signs of apocalypse through a wide variety of symbolism One of such is the frightening image of the ldquofour horsemenrdquo

ldquoAnd I saw and behold a pale horse and he that sat upon him his name was Death and Hades followed with him And there was given unto them authority over the fourth part of the earth to kill with sword and with famine and with death and by the wild beasts of the

earthrdquo (68)

The pale horse carries the horseman of Death which is be-lieved to release global plague and pandemics to the world and take the lives of a quarter of the popu-lation This has already manifested

itself in many forms in different parts of the world at different times hence the first sign of apocalypse is said to be already happening among us

In similar manners the bible describes the arrival a black red and white horsemen represent-ing the delivery of global food shortages war and conflict and the coming of an antichrist to the world From historical genocide terrorism to increased occurrence of food shortages so often seen nowadays it seems that the red and black horsemen has arrived as well and now we are just waiting for the arrival of an antichrist to conquer us

The Book of Revelation also provides readers with a glimpse into the ldquoactionrdquo in how the world will end

ldquoAnd I saw when he opened the sixth seal and there was a great earthquake and the sun became black as sackcloth of hair and the whole moon became as blood and the stars of the heaven fell unto the earthhellipand every mountain and is-land were moved out of their placesrdquo

(612-13)

Besides the great earthquake and the darkening of the sun there is a repetitive mentioning of stars falling from heaven on earth in the Bible This is postulated as the at-tack of massive meteors on planet Earth Out of all prophecies in the Book scientists assume this to be the most likely since an asteroid impact at a scale as large as that may have already wiped out an entire species that came before mankind Scientists believe that showers of space rocks that rained down 65 million years ago (due to the collision of Near Earth Object) were the culprit for the extinction of dinosaurs Luckily NASA recent-ly launched an early warning sys-tem called ldquoSpaceguardrdquo that aims to monitor such Near Earth Objects to prevent future collisions and ex-tinctions

Having read the above the Bible seems to combine all the horrifying specifics in different apocalyptic speculations into one nightmare But donrsquot worry since there are many different interpretations of the Revelation Historicists are the ones who see the Book as a broad view of history (good news wersquove already escaped all the horrors in the depiction) whereas Futurists

believe the description as prophecies of the fu-ture The Idealists hold the belief that the Rev-elation does not refer to actual people or events which makes sense as the Bible is often not inter-preted literally So fingers crossed that the Revela-tion is not interpreted in the futurist way because in that way there is going to be a daunting future awaiting us

Four horsemen of Apocalypse

hkucaduceusnet | 29

ldquoDevolvingrdquoEarthTheoryThis is probably the

most scientific theory that I have come across so far from a news article pub-lished from ABC News A group of scientists from University of Washing-ton hypothesized that the Earth will gradually de-volve in the next half bil-lion years In short their logic works as follows

As we all know the sun is constantly grow-ing bigger yet the Earthrsquos environment has been reasonably constant This is because as the sun is warmed up carbon diox-ide from the atmosphere is removed and deposited in soil as carbonates This keeps our environment stable by the balance be-tween an increasing sun and reducing carbon di-oxide in the atmosphere (Note that global warming resulting from an increase carbon dioxide in atmosphere is just a brief blip in the grand scale of things) Since carbon dioxide is the ldquofood of liferdquo the reduction will cause plants and animals (including humans) to die To battle the rising heat some creatures will retreat into the sea hence reversing the evolutionary process And as the sun continues to expand the Earth will become so hot that even the oceans will gradu-ally be evaporated Eventually the sun blasts off its mass through ther-mal pulses engulfing the Earth

This is a very scientific specula-tion from an astrophysicistrsquos point of view and they claim that at best we have no more than half a billion years left This might be more reas-suring for some of us as the world will not end in the near future But the grief lies in the inevitability of our planet Earth coming to an end

Everythingthathasabegin-ninghasanendSo we are back where we start-

ed With more speculation and the-ories and still no closer to the truth The end could happen any day or time or maybe it could be a proc-ess that is already happening Even though it is not to the scale of an-nihilation of the human race hur-ricanes and earthquakes and car crashes have already been stealth-ily taking the lives of millions We know for sure that we must die eventually through chance old age or disease There is only very little we can do to fight against what has been planned for us and reducing the resources we consume is the best chance that we have in delay-ing this happening There might be some benefit if we know the in-sights of when and how it will hap-pen but really it doesnrsquot change anything Moreover it is possible that these speculations came about to force mankind to live life to the

fullest to treasure each day and every resource we have as a gift so it doesnrsquot matter which theory is the accurate one In the midst of these theories about apocalypse all we can do is to live every day as if it was our last with no regrets and enjoy life as it is now

ReferncesThe End of the Worldhttpwwwnostradamus101compropheciespart4P7

The Great 2012 Doomsday Scare httpwwwnasagovtopicsearthfeatures2012-guesthtml

When Will the World End New Theory EmergeshttpabcnewsgocomTechnol-ogystoryid=97756amppage=2

2012 Beginning of the End or Why the World Wonrsquot Endhttpwwwnasagovtopicsearthfeatures2012html

Video from history channel (from youtube link)httpwwwyoutubecomwatchv=BoTExQEyblU

ldquothe MeaNiNg of life is coNtaiNed iN every siNgle expressioN of life it is preseNt iN the iNfiNity of forMs aNd pheNoMeNa that exist iN all of creatioNrdquo ndash Michael jacksoN

30 | Caduceus September 2011

笑的神奇魔力「當你笑你改變了當你改變了整個世界也改變了」

麻丹卡塔利亞醫生(大笑瑜伽的始創人)何麗敏 (N14)

被隱藏的笑容

日 本大地震及核洩漏事件馬頭圍道唐樓火災三死十九傷中區

警長為勸示威人士中不慎失足墮橋身亡

各政黨爭相你嘲我罵helliphellip在城市裡我們

每天都被一些飛來橫禍天災人禍或社會

爭執的信息圍繞著充斥著愁雲慘霧的氣

氛甚至在家庭朋友學業工作和

健康方面我們亦會遇到不如意之事負

能量和心理壓力不斷增加沒有適當的疏

導和發洩方法之下不少人染上酗酒或沉

迷賭博等壞習慣來自我麻醉長期把情感

抑制的一些人更有機會患上

情緒病我們彷彿硬把自己

困在死胡同裡忘記兒時怎

樣整天咧嘴哈哈大笑如何

在跌倒後笑著站起來現

在很多人都像被魔鬼牽著

鼻子走每天板著一副無奈

沮喪的嘴臉掛上冷漠的眼

神笑聲更差不多成為絕

朋友啊你可有嘗試計

算過一天總共大笑了多少

次英國格拉根大學研究發

現在英國嬰兒每天會笑

達三百次而青少年時期的

每天大笑次數大幅減至六

次五十多歲的人平均每天

更只笑了三次無可厚非

我們在成長過程中必遇到愈來愈多的煩惱

和挑戰事情的確不是我們所能控制但

面對的心態我們為何不能放開一時所謂

的包袱像孩子般笑著面對呢為甚麼大

笑要有一定的理由或被時間限制呢

瑜伽加愉

近半個世紀工作學業和情緒波動

很大生活方式變得愈來愈物質主義容

易出現精神緊張大家都被壓得透不過氣

來變得不太愛笑在一九九五年印

度孟買註冊家庭醫生麻丹卡塔利亞(Dr Madan Kataria)創立「大笑瑜伽」以笑聲驅除怨氣大笑瑜伽是以笑聲互相交流

的透過眼神接觸傳遞歡樂的信息學習

別人的笑容代入孩童的心態再全情投

入地開懷大笑同時亦融入瑜伽的腹式

不妨一試

大笑瑜珈三式一預備式林中步行

在樹林慢走就是愛笑瑜伽的熱身方式步行時間

可以是10-30分鐘邊走路邊拍手同時不時地做深呼

吸目的是讓身體和情緒都徹底放鬆下來為後面的

內容做好準備

二進行式學習動物的表情

在瑜伽導師的帶領下活動面部肌肉然後模仿瑜

珈導師的動物表情這些表情看上去本身已很滑稽

只要按照瑜伽師的樣子去做再發出笑聲

三結束式調整呼吸

經歷了一場大笑面部表情鬆弛了心情也舒服

了不少大家慢慢收回笑容調整呼吸一邊在森林

裡散步一邊大聲告訴自己說「我們是世界上最快樂的

人」

灼見

hkucaduceusnet | 31

呼吸和伸展動作鼓勵大笑達至身心健康

的效果精神科專科曾繁光醫生指出 

「笑令腦自然分泌天然多巴胺以抗衡人

體緊張時所分泌的皮質醇預防患上焦

慮抑鬱的情況」除了改善情緒還能

促進健康笑能促進肺部呼吸功能和加強

血液循環現代醫學認為笑可以成為一種

治病方式治療神經衰弱消除肌肉的緊

張預防或減緩疼痛

筆者在此並不是宣傳大笑瑜伽其治

療成效仍有待商榷和科學實證但愈來愈

多人證實大笑和保持歡樂的心態能有效放

鬆自己張立新先生是第一位在中國推廣 

「大笑瑜伽」的人他患上憂鬱症遍尋

各種治療方式皆無成效一次機緣巧合

從網路接觸「大笑瑜伽」亦在電視上看

到介紹而開始學習和練習他的憂鬱症因

此不藥而癒從此他就開始在中國研究和

推廣愛笑運動暫且別論大笑瑜伽的奏效

程度但人生所遇到的事可真不少何不

笑對人生

尋回被遺忘的赤子之心

大笑並不是靈丹妙藥但它的確能帶來

正能量即使事情有多糟糕笑著面對總

比怨聲載道好而且美國加州大學柏克

萊分校心理學教授丹卓凱納說「笑對

人的進化很重要」目前心理學家們認

為笑是人類之間交流的古老方式之一笑

能互相影響把歡樂的氣氛傳染開去嬰

兒還未學懂說話時笑是與身俱來為何

我們長大後卻隱藏笑容呢朋友們參考

左頁所列大笑瑜伽的基本招式大家可相

約三五知己輕鬆一番找回孩童時的笑聲

大笑瑜伽的始創人麻丹卡塔利亞醫生

大笑瑜伽在六十多國家盛行

ldquolaughter is the best MediciNe - uNless yoursquore diabetic theN iNsuliN coMes pretty high oN the listrdquo ndash jasper carrott

32 | Caduceus September 2011

Learning Experiencing GivingA magical 10-day journey away from the cityErin Yeoh (M15)

C lad in backpacks light clothing and sneakers 21 medical students from HKU and CUHK

were prepared to leave the comforts of home and the internet (did I hear Facebook) We were bound to Chi-na about to embark on a learning-cum-volunteering trip organized by Medical Outreachers

After saying our final goodbyes at the Shenzhen air-port we split into two teams Team A with 9 members were bound to Xirsquoan where they would see volunteer orthopedic surgeons at work The 12 people in Team B including me left for Guizhou to understand the role of village doctors in rural China Both teams aimed to find out the effectiveness of public health policies in rural areas of China We were to meet up 4 days later at Dongshan Guangdong

Part1GuizhouUpon landing in Guizhou we were provided with

excellent hospitality by the local officers and the lo-cal NGO Amity Foundation We were given a brief introduction to Guizhou and also the work that the government and Amity Foundation were doing in the province Amity Foundation actually helped to build numerous new village clinics to improve the quality of healthcare in the region

The next day we were taken on a tour around the province visiting different village clinics (村診所) lo-cated in areas further away from the city Usually there would be one or two village doctors (村醫) on duty

at a time to attend to the villagers with population of around 1000 to 4000 per village

However the village doctors were not the type of ldquoheroesrdquo I had in mind They were not your typical doctor working in a worn out run-down wooden hut where there would be a row of sick villagers lining up to see them How ignorant I was In fact the village clin-ics were mostly renovated and well equipped with ba-sic amenities The standard village clinic has 5 rooms main lobby (大廳) treatment room (治療室) pharma-cy (藥房) observation room (觀察室) and a doctorrsquos rest room (醫生休息室) Furthermore their patient flow was rather small sometimes only one or two pa-tients per day This was probably due to the fact that some village clinics were located only a stonersquos throw away from major cities Those in a medical emergency would of course go straight to the main hospital to seek help immediately instead of consulting a village doc-tor

To be a village doctor one at least had to be a sec-ondary school graduate They would also undergo constant training and certification by qualified doctors in larger clinics According to the village doctors they spent most of their time doing paperwork keeping track of the villagers and their medical history They would also conduct regular home visits to those suf-fering from chronic illnesses or those that needed con-stant monitoring such as patients with hypertension or rheumatoid arthritis Another point that I found

A village clinic before receiving funding from Amity Foundation

hellipand a comparison after

Life

hkucaduceusnet | 33

interesting was that they would also visit families with newborn babies to check on their general health At the same time they would educate mothers on proper breastfeeding techniques and how to provide adequate nutrition for their children in the future

To learn more about their daily routine we fol-lowed a village doctor on his home visit rounds The doctor would sometimes have to travel as far as 2 kil-ometers for a home visit which would be the other end of the village This was as in the case of a pregnant lady due for delivery soon (photo as shown below) The doctor who came to check on her health status reas-sured her that her delivery would be a successful one From her sigh of relief and tired smile we could tell that she was grateful to see the doctor

However things didnrsquot always run as smoothly According to some of the village doctors they used to be scolded and rejected by the locals who did not understand why the doctors would often come up to their doorsteps asking them questions regarding their health and pestering them to go for checkups Some of them being superstitious would think of doctors as ldquoharbingers of bad luckrdquo as the doctors would talk about ldquosicknessrdquo and ldquodiseaserdquo when they were actu-ally feeling as fit as a fiddle Thankfully the situation has much improved since then

From what we saw instead of playing a curative role in a society the village doctors were actually much more involved in disease prevention and monitoring

This is actually the ldquoupstream modelrdquo concept in pub-lic health Instead urban doctors are overwhelmed by limited consultation time and when fatigue kicks in they simply do not have the energy to further educate their patients They would also not have the time to un-derstand their patients on a personal level unlike that of the village doctors

However the indiscriminate use of antibiotics in China was truly a frightening sight Doctors adminis-tered antibiotics intravenously for mild diseases like the common cold When we asked the doctors as to why they did so they simply smiled and shrugged off the question It is probably still a common practice in China and if the doctors did not give such medication the patients would probably lose trust in the doctor The fact that the similar practices were seen even in large hospitals probably indicates that this problem is hardly a localized one

Part2DongshanGuangdongWe met up with the team from Xirsquoan at the

Guangzhou airport and proceeded to our next desti-nationmdashDongshan After 5 hours of car ride we began to see signs that we were approaching our destination Mountains sharply angled clustered in twos or threes fondly known as ldquoMcDonalds mountainsrdquo were begin-ning to be in sight

As soon as we arrived we were greeted by eager curious young faces The children huddled close by as we unloaded our luggage some commenting that they hadnrsquot seen some of us while others were already play-ing around with the past participants It was my first time to Dongshan but there were some of us who were not new to the kids there

After settling down we were given an introduction to Dongshan and its residents by the local NGO Green Action Foundation led by Mr Wong

Located at the outskirts of the province Dongshan is one of the 4 poorest areas in Guangdong Its natu-ral terrain abundant in limestone makes it especially hard to retain water This has taken a toll on the resi-dents especially during the drought season Another problem faced by the local residents is that there are many young people and adults migrating to big cities to earn a living leaving behind the children and elderly

Village doctor on one of his home visits

Discarded bottles of intravenous antibiotics near the village clinic

ldquoMediciNe also disregards NatioNal bouNdariesrdquo ndash irviNg laNgMuir

34 | Caduceus September 2011

at home

Green Action Foundation took the initiative to plant trees around the area so that more water was available for irrigation and domestic purposes This improved the quality of their crops and boosted their source of income They also sponsored some of the

childrenrsquos education depending on their performance in school to ease the burden on their families

The next few days were jam-packed with activities A sports day was held as an icebreaker so that the new participants could get to know the children better We also spent half a day at the Dongshan Primary School where we taught the kids personal hygiene simple first aid moral education and also sex education for the grade 5 and 6 students

Another interesting activity that we had was a weed-cutting session up at a mountain with the other children Each of us was assigned with 2 to 3 chil-dren who were supposed to ldquoguiderdquo us along the way It was a 2-hour hike up and down hilly ter-rain While I would stop once in a while to take a breather the kids were barely panting The kids would often stop to ask if I was tired and even of-fered to help me carry my backpack Note to self more exercise next semester

Nevertheless it was a great chance to know the kids better We had the time to chat about their school life and what they thought about their future and also the chance to share snip-pets of our lives in the city

We then split into small groups and visited the homes of the children in order to gain a bet-ter understanding of their household hygiene

condition any medical conditions in the family as well as their economic standing We had also prepared questionnaires to be kept as future record Some of the families were very poor to the extent of having no source of income at all They depended solely on their own crops for food If they went to see the doctor they would usually owe the doctor money until they had

enough money to pay back The hygiene status of the villagers varied but most of them had swarms of flies around food Many even had their live poultry like chickens running around the house Before we left we gave them some hygiene products like soap washing detergent and toothbrushes to encourage better hy-giene We also gave them a poster explaining ways of maintaining a clean household environment

Another main focus of the trip was to find out the effectiveness of a medical insurance policy newly in-troduced by the government Each person had to pay 30 Renminbi annually to be guaranteed free medica-

Sports day activity

Weed cutting with the children

hkucaduceusnet | 35

tion and hospitalization thereafter Generally the vil-lagers were grateful for this plan as many found it dif-ficult to afford medical fees while struggling to pay for

basic necessities at the same time However some vil-lagers complained that the prices of medicine spiked after this policy was introduced and hospitals would of-ten ask patients to

do unnecessary scans just to earn more money

This trip made me realize that there is much that we can do but how great an impact we can make might not be seen immediately With follow up trips one could see the change as compared to the last visit and make further modifications to improve the situation

As the trip came to an end we were reluctant to leave There was something very magical about Dong-shan where the skies would turn to an exuberant red during sunset and on a clear night you could see stars scattered across every corner of the sky It is a place of beauty struggle and hopefully a place of triumph in the years to come

It is a place of beauty struggle and hopefully a place of triumph in the years to come

On one of our home visits

More to ExploreMedical Outreachers 醫心httpmedicaloutreachersorg

The Amity Foundation 愛德基金會httpwwwamityfoundationorg The beautiful sunset in Dongshan

ldquoshariNg is soMetiMes More deMaNdiNg thaN giviNgrdquo ndash Mary catheriNe batesoN

36 | Caduceus September 2011

就 在這一刻世界沉默了

城市的繁囂隨飛機引擎

逐點逐點噴走了繁囂的離

開是為了讓簡單的生活回

來剛踏出廈門機場一張

又一張的笑臉映入眼簾刺

熱的太陽把兩地之間的隔膜

融化

早從香港回歸時開始

香港人經常強調自己只是 

「香港人」而不是「中國

人」自以為比內地人高一

等可惜這班自視過高的都

市人曾幾何時為外地人送上

熱情的款待這一點廈門

人比誰都做得更好

廈門是一個位於中國

東南部的海島也許就是近

海讓居於廈門的人都把一

切怨恨煩惱拋下大海讓

它們隨水流漂走埋藏在海

床上每年廈門的鳳凰花花

開兩季一朵又一朵鮮艷如

火的鳳凰花在六月時歡送一

個又一個的畢業生彷彿為

他們添上一份祝福九月時

的鳳凰花熱情地歡迎一屆又

一屆的新生為新生的精彩

校園生活揭開序幕一份一

份的熱情含苞待放身在廈

門又怎會不被這市花的熱情

感動呢廈門大至人與人

之間小至花與花之間都存

著一份情

要追溯廈門人的情懷

可數至土樓的建成土樓

是個大多呈方形或圓形大型

群居的建築整座土樓樓高

三至五層由於牆身頗厚及

只有一個出入口甚具有防

禦功能亦因為這緣故當

大門關起來土樓便成了一

個家這個家佔地不大但卻

藏著成千上萬的人情味在

萬里無雲陽光普照的天空

下土樓居民的熱情好客

被蒸發出來懸浮在空中

一代一代傳下去更讓它隨

風走出土樓傳遍整個廈

門即使土樓漸漸成為旅遊

景點一些擺賣紀念品的攤

檔已經進駐但卻無礙居民間

的感情商販彼此交流從

不出現爭客的情況在土樓

中央休憩的居民除了為外地

人介紹他們的祠堂外亦邀

請遊客跟隨他們到遊客禁區

參觀在土樓居住的每伙都

中門大開當遊客投進好奇

的目光屋內的人往往以親

切的笑容作回答鄉土人

情在這世代多冷漠的心也

被融化

細膩的人情味外最令

遊客津津樂道的是廈門人的

態度廈門大學附近有一條

芙蓉隧道只要你願意便可

在隧道內壁上畫下你所思所

想當然美觀與否見仁見

智但這一種對藝術尊重

欣賞的態度是值得欣賞我

有我盡情地畫你有你盡責

青春在廈門留下足印潘曉彤 (N14)

生活

hkucaduceusnet | 37

地去管轄城市各處的整潔

彼此留下空間達至相輔相

成的效果廈門人就懂得人

最基本的禮貌尊重不

過廈門人對他人的尊重遠超

於人的基本禮貌當你去唱

「卡拉OK」的時候每次

待應的出入時看到的就只

有他們的正面而他們前行

或後退的方式就像看到皇帝

一樣卑恭屈膝香港人常常

強調面子哪一天才能捨下

那過高的尊嚴為不相識的

人作一個最謙卑的招待

其實任何人一離開香

港都不難發現就只有香

港愈夜愈精彩其他地方晚

上八時大多關門大吉而廈

門就只有中山路才媲美得

上香港的夜夜笙歌夜幕低

垂萬千燈火的中山路上

與來自各區的人擦肩而過

昏黃的燈光下照出一群又一

群的沉默影子剛好與路上

喧鬧的行人相映成趣騎樓

在霓虹燈的點綴下顯出了獨

有的閩南特色大街小巷傳

來不同地道小食的香氣車

輪餅燒仙草土笋凍helliphellip

為我們外來的交流生帶來美

味可口的夜宵飲飽食醉過

後走到中山路的盡頭又

回到了沉睡中的廈門

在優美的環境影響下

廈門人的生活也自然變得

純樸優閒單車車輪在環

島路上留下一圈又一圈的印

記沿路能細聽海浪輕拍岸

邊的聲音細嗅四處洋溢的

花香感受微風吹散太陽散

發的熱力見證一對又一對

的新人在拍下幸福的照片

據說廈門有戀愛天堂之稱

不管走到哪一處也會

看到準新人拍下甜蜜的婚紗

照而在裡面享受的人永遠

不知道這風景如畫的背

後是透過多少人的血汗換

來當我們在追求經濟成果

的同時往往破壞了造物者

在世上留下的藝術品隨中

國經濟急速發展一個又一

個的世外桃園被摧毀銅臭

替代了花香車聲替代了鳥

語這仙境又可維持多久

廈門另一世外桃園就是

鼓浪嶼它活像香港的長

洲島上滿有歐陸建築風

格但當中不乏中國特色的

建築中國古城風味與洋風

互相交替帶出截然不同的

感覺島上遠離汽車的廢

氣與金門就只是一海之

隔一家大小在享受天倫之

樂時一群又一群的青少

年情侶在沙灘上嬉戲立

即為島上升溫

筆者認為在這個混亂的

俗世確實需要抽空來欣賞

造物者留下來的藝術品大

財團不斷興建大型商場國

際知名品牌不停進駐留下

的就只有愈來愈狹窄的街

道被石屎封蓋寸草不生

的土地人人被金錢蒙蔽

迷失在霓虹燈光中又有多

少知音人能放下生活的瑣碎

事情在這裡享受時間一分

一秒的流走你被海浪聲

喚醒了嗎

筆者參加這次是由香

港廈門兩地大學的交流

團一連六天已經習慣了

當地的優閒生活模式體會

到的不只是廈門的風土人

情歷史文化而是兩地大

學生那種衝破界限的交流

雖說年輕人容易打成一片

但廈門獨有的熱情確實融化

了彼此間的隔膜廈門的美

是成人之美成就了兩地大

學生的友誼

飛機又再起飛了廈門

再見了

ldquothe tiMe of life is short to speNd that shortNess basely it would be too loNgrdquo ndash williaM shake-speare

38 | Caduceus September 2011

生 命形成之際只要一秒鐘的差遲世界便會不一樣

蝴蝶效應從來都是玄的全因一個 

「緣」字

隨著人成長要決擇的事太多學生

有兩件人生大事幾乎都不是由自己決定的

入讀小學及中學然而到了大學這

關卡自己也許可以拿定主意了若果你

入讀了心水科恭喜你若不然祝福

誠然入大學是最影響未來生活的關

口是好是壞無人知曉不用量化不

用比較太多即管做自己所想活出自己

的路只因你不會曉得你的下一步會怎樣

影響著你的生命

或許一個活動你會遇上你的最愛

或許一個宿位你會遇上你的知己

或許一句說話你會惹來一個敵人

或許一次走堂你會由B變C

這就是大學

在大學各人有各人的大學生活大

學講求自由學習學習真的是「求學不是

求分數」有些人愛廣交朋友有些人愛

住宿有些人愛做莊務有些人愛拍拖

有些人愛參加各樣活動有些人愛做兼

職有些人愛讀書有些人卻愛甚麼都不

做helliphellip不少大學生強調入大學必定要做齊

大學五件事(上莊住宿讀書拍拖

兼職)但其實只要自己開心不害人的

話做甚麼也沒問題最要緊的是認清讀

大學的目的以免沉淪於大學這花海

朋友

大學可以令你對「朋友」的概念愈來

愈含糊幾乎每個活動都可令你認識新朋

友通常大家都會輪流講述自己的名字與

學科(Round Table)這亦是考驗大腦對人名的記憶所謂的「Hi-Bye Friend」會愈來愈多隨便在細小的港大內穿梭會令你

無可奈何地對他們說聲Hi

不過別標籤你的「Hi-Bye Friend」要是連Hi-Bye也談不上更不用說做深交了上大學了大家已有既定的圈子很

多時約會或聊天都先找中學朋友而且很

多人會把大學朋友與中學的作比較雖情

有可原但有時未免先入為主地覺得中學

的較好

這亦難怪即使是日日碰面的同學也

未必是自己的好友人人都有自己的時間

表下課後各散東西不是大家不想互相

認識只是有時身不由己若想互相了

解不妨盡量製造共處之時有時甚至可

以分一些約會給大學朋友然後你會發

現大學朋友也可跟你熟絡可別為自己

建造一塊厚厚的心牆

舍堂

要入宿無人會不曉得十日的迎新營

有些舍堂平均每天的作息時間只有兩三小

時有人說住宿最辛苦就是迎新營然而

它卻是最難忘的

要數活動單單一個舍堂已數之不盡

要是投入舍堂生活每天24小時是不夠

用的舍堂之間有各樣比賽堂友要參加

各個組別為比賽出席各樣練習否則可

能被拒於來年再住基於許多人都只在夜

晚有空要全體出席那可是晚九朝五的

大學之緣賴彥積 (N14)

新鮮人

hkucaduceusnet | 39

宿生們之所以會熱衷於舍堂活動因他

們對自身舍堂有強烈的歸屬感好比中學

時學生參加校際比賽要是沒有歸屬感

就不會有心參加所屬舍堂的活動

除舍堂之間之活動樓層之間亦有各類

活動樓內亦然只要有人的地方就有玩

樂彷如天天宿營你不會有機會偷偷早

睡其他樓友常常打擾你你原來的生活

時間會推後數小時睡於二時已是罕有

早上的八半堂彷如無物

可以住宿但不參加活動嗎當然可以

但你會面對的是朋輩壓力他們雖未必逼

你參加卻會在言談中有意無意的滲出

來那種壓力不只限於自己樓層甚至是

跨樓層千萬可別輕看宿中流言

上莊

有人說上莊所學遠超課堂上莊所學

的是如何籌辦活動非常實用有時要對

外聯絡有時要面對公眾helliphellip像是要為將

來工作鋪路似的當然這亦要視乎你上

的是甚麼莊

一般而言上莊可訓練你待人處事的技

巧有時表面看來很友好的朋友當背

負上一定的要求後關係少不免有磨擦再

者初時莊員素未謀面最後卻因朝夕相

對而演變成朋友這段關係是很可貴的

成莊前要宣傳內閣爭取選票成莊了

又要舉行咨詢大會包受歷莊指導然後

又有就職典禮此後的活動更接踵而至

當然包括迎新活動招莊活動等helliphellip君不

見很多人視莊房為睡房少不免有「通

頂」之時忙是忙但必有價值至於是

好是壞要看自己的造化了

拍拖

人上了大學有時心思思想拍拖眼見

身旁多個好友都紛紛拍拖自己少不免羨

慕別人這想法十分正常畢竟大學生真

的可以放下只讀書的重擔真的可以規劃

人生大事了

香港大學一些營新活動中隨了Round Table外還有Round Status即說自己現在有否拍拖以及拍過多少次拖如 

A 0即Ava i lab l e之前至現在沒有拍拖O1即Occupied之前至現在共拍了一次拖當然也有一些同學自己創的甚

麼OBA (Occupied But Available)或D10(Desperate拍過10次拖)等等至於Round Status的動機何在可能是組爸媽想穿針引線吧當然也可能是別有用心的

不同人對拍拖有不同想法上了大學更

有不同擇偶條件人大了在感性的議題

上往往加上種種理性的數據開始現實起

來哪個帥哪個富有哪個有前途helliphellip

有些不在乎天長地久只求剎那的光輝

有些求虛榮有人疼愛在朋友前炫耀

有些甚至會在拍拖前已想定分手後的模

樣所以不想選擇跟自己同科的同學

活動

不同團體(包括舍堂學會及學校部

門)都有不同活動不用愁沒事幹只用

愁沒時間只要多留意Portal Mass Email或Main Campus海報不難發現幾乎每天都有各樣活動動靜皆宜開學時有迎

新營考試時有勁過飯新學期有開Sem

飯有些學會如戲劇舞蹈合唱團不時

有演出有關運動的學會則多練習以參

加比賽有關學術的也有很多興趣班講

座比賽等想幫人的亦可參加義工團

體如蛇蛇豬扶青等舉辦的義工活動

兼職

大學生的兼職大多以補習為主畢竟

這是我們能力範圍內可賺取最多外快又是

時間最彈性的工作有些人卻因補習不能

寫在履歷表而選擇別的工作然而很多時

我們都要在兼職與大學活動中取捨我的

ldquotake a chaNce all life is a chaNce the MaN who goes farthest is geNerally the oNe who is williNg to do aNd darerdquo ndash dale carNegie

40 | Caduceus September 2011

E mily was the chairperson of Pharmacy Socie-ty session 2010 As a student she has actively

participated in holding activities for many medical stu-dents and taken part in providing welfare to all phar-macy students Her following sharing will especially enlighten our new pharmacy students

Q Why did you choose Pharmacy SocietyA To be frank ldquosheung jongrdquo was really out of

my expectation when I anticipated my university life However my perspective has changed when I officially became a pharmacy student in HKU As members of the opening class of the Pharmacy programme my classmates and I realised the importance of having our own student body We do need an independent soci-ety to represent us pharmacy students to cater for our specific needs to listen to our points of view and to act as a bridge to facilitate our communication with the Medical Faculty the entire university and ultimately the pharmaceutical field in Hong Kong My class-mates and I who later became ldquojong yausrdquo believed we should act immediately to establish and run our own society which is why I decided to ldquosheung jongrdquo

Q Would you like to share some of the pros and cons of sheung jong

A ldquoSheung jongrdquo definitely helped me achieve per-sonal growth It was a concurrent commitment and re-sponsibility to serve and to lead our colleagues Bear-ing this in mind we always pushed ourselves to attain the best of our work ethics efficiency and efficacy As the very first session of the Society we lacked the guidance of any previous committee member Instead analysing carefully and critically we thought better of every decision which I personally found an enriching experience ldquoSheung jongrdquo was also an eye-opening journey Wersquod got to meet different people and learnt more about the professional work for as our career-to-be after graduation This in my opinion is always beneficial Last but not least I was fortunate enough to have worked with my amazing fellow committee mem-bers I frankly couldnrsquot ask for better ldquojong yausrdquo than initium Irsquom absolutely thankful for having them as my friends and it is definitely my greatest gain along the way

Despite the merits ldquosheung jongrdquo definitely has its downsides as well It is a lie to say ldquosheung jongrdquo does not affect our daily life because it does take up a big chunk of our time At the end of the day it is about time management which is easy to say but extremely dif-

建議是如家庭環境較困難賺錢吧反

之可以多留時間給各活動畢竟大學一

年的學費不只值那幾十堂課如何善用這

$42100就在乎你如何投入大學生活

讀書

假若你認為大學的考試可考核學生的

真正讀書能力並要求學生活學活用課堂

所學那麼你大失所望了假若你善於背

誦有過目不忘之本領大學的筆試不會

難倒你只要靠著前人留下的歷屆試題

背到滾瓜爛熟是不可能不及格的很多屆

試卷都是千篇一律的很多教授可沒空大

改試題那同學們就走運了有些課堂

即使再專業的學科都會有只理論無實

踐的課堂然後考試就要你把一大堆理論

背出來helliphellip例如甚麼叫批判思維噢

我可不知道只知道我掉了5分

不同學系在某程度上定下了人的前途

對於醫學院學生而言前路是較清晰可見

的但對於非專業學科前路不可只靠讀

書也許要靠自己另外摸索讀書所帶來

的必然是較高的GPA高GPA所帶來的是

獎學金到外國交流工作實習日後工

作機會等等當然大學學習不只局限於

讀書會否因此失彼就只有自己知道

蝶翼拍動之時往難以預料機會是

要自己摸索的

如經上所記

「神為愛他的人所預備的是眼睛未曾看見耳

朵未曾聽見人心也未曾想到的」

(哥林多前書29)

「栽種的和澆灌的都是一樣但將來各人要照自

己的工夫得自己的賞賜」

(哥林多前書38)

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

Freshmen

hkucaduceusnet | 41

ficult to achieve Also working as a Committee mem-ber can be very exhausting and difficult You definitely need lots of determination and support to get through some of the busiest times

Q How did you handle and balance the workload of study and your ldquojongrdquo

A As Irsquove said before it was tremendously difficult I guess my best advice for the future committee is to know your limitations and always plan ahead You have to know your time to work to rest to study etc No one will be over-worked and eve-ryone will have some personal time if you share the burden wisely between ldquojong yausrdquo Secondly you have to make very clear plans so that you can make full use of every little piece of your time I may not have succeeded in my time management but most of my ldquojong yausrdquo managed to do so de-spite the packed schedule of our Soci-ety This is sufficient proof of ldquoimpos-sible is nothingrdquo

Q As there are only about 25 pharmacy students per class do you have any suggestions for P14 fresh-men to make more friends from other curricula

A It really depends on what kind of person you are If you consider your-self socially active living in a hall or ldquosheung jongrdquo will be a great idea for you But if you see yourself as a much quieter person you can still make use of opportunities such as Medic Orien-tation Camp and other events jointly organised by student bodies within the Medical Faculty to make new friends

Q Any special things for P14 freshmen to be aware of

A First of all welcome You all are now members of Pharmacy Society MS HKUSU and I would like to let you know that this is a student body aiming to serve you Thus feel free to share your viewpoints and voice out your opinions to the current Com-mittee members The Society has to

understand your needs to improve and provide better welfare and services for you

Q Any other comments or important things to re-mind P14 freshmen

A If you would like to get to know more fellow pharmacy students especially students from P12 and P13 grab the opportunity to join the Pharmacy Society Orientation Camp and the Mentorship Programme These are great chances to make new friends and Irsquom sure you will enjoy them

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

ldquoas huMaN beiNgs we do chaNge grow adapt perhaps eveN learN aNd becoMe wiserrdquo ndash weNdy carlos

42 | Caduceus September 2011

筆 者是一位護理系的學生半年前有幸成為二零一一年啟思編輯委員會的總編輯在期間所體驗到的希望藉著這次機會作出分享特別希望新加入醫學院的同學

能對「上莊」有更多了解

上莊之路上莊是大學五件事之一證明它對大學生

活有一定的重要性一定的位置筆者在初入學的時候曾為了上莊與否而煩惱猶豫了好一段時間期間考慮到自己能力怕學業應負不來但最後仍然下了上莊這個決定原因是上莊是個難得的機會充實增值自己不同的莊會提供不同的機會讓莊友去學習透過不同的莊務去讓自己眼界擴大另外可以了解醫學院內發生既事情例如院內活動的進展情況更可以參加舉辦院活動為醫學院出一分力最後當然會認識到將會相處一整年的莊友工作伙伴有機會認識到不同學系的同學從他們身上可以觀察到學習到各種的特質從而令自己有所進步有所啟發

護理學生作為護理系學生起初擔任總編輯一職實

在是倍感壓力畢竟歷屆的總編輯都是由醫科生出任因此筆者起初都害怕跟醫科生共事怕自己的能力不足夠應付莊務所以起初都是戰戰兢兢地上莊

一位三年的護理學生曾對我說「我認為你不太尊重護理系護理系和醫科都是個專業希望你能加以尊重自己的學系不要輕視護理這個學系你要肯定自己的學系才能帶領整支莊因為莊內成員來自不同的學系你必須肯定和認同每個學系都有一定的重要性以及其專業」這番當頭棒喝的良言令我明白到自己一直都太輕視護理系過於重視醫科現在我明白到認同自己學系是尤其重要只有這樣才可以用自己學系的身份去發表意見只有認同自己學系才懂得尊重其他的學系莊內便可以融洽一點

在筆者的莊友中醫科生都是較有責任感而且做事更有計劃從他們身上的確學到不少東西這點是無可否認的事實筆者並不是在分享學系與學系之間的差別而是希望有志上莊的同學能互相尊重明白到各學系的莊

友都有其值得學習的地方起初對其他學系有隔膜是無可避免的畢竟對他們的學系都不太了解又沒有歸屬感但如果因為對方是別的學系而輕視對方的人不但失去與人相處學習的機會而且會令莊內的氣氛失去和諧

幸好的就我所見所聞醫學院內的莊多年來都能融洽相處互相支持令到一眾上莊的同學都能輕鬆地享受上莊的喜與樂甚至是不愉快的事情

依靠你的莊友莊是一個團體不是一兩個人可以應

付得來所以筆者認為與莊友互相溝通合作是個重要的元素新同學如果有志參與莊務期望從上莊中有所得著首要的事情是與莊友建立關係因為他們將會是你來年的工作伙伴也是你遇到困難時依靠的對象一位上莊曾對我說「其實一件的莊期不會令你有太大的得著或成長反而長久的友誼才是你將會得到最重要的」這句說話是千真萬確的上莊的人不會由詞不達意改變成談吐得宜不要期望自己會有驚人的轉變也許上莊會令人處事成熟一點有計劃一點但上莊所得到的關係將會是更重要更珍貴一年的相處中面對過有無數的會議共同處理過不少困難從中

建立的友誼真的是畢生受用

責任感上莊另外一個十分重要既條件就是責任

感有志上莊的同學必須明白到莊期是長達一整年在繁重的學業中騰出時間來處理莊務是個考驗責任感和毅力的測試同學必須再三思考想清楚自己是否真係熱衷於上莊或是只是一時衝動畢竟你將要許下的是一年的承諾必須對這個莊負上責任願意付出才選擇上莊這個決定這樣的付出就會有相對的回

總結上莊的確是個好機會讓自己去學習從處

理事務中或是從莊友身上都會有所得著充實著自己的大學生活從中可以認識到各學系的同學建立一段段受用終身的友誼在此筆者希望各學系的新同學可以善用機會作出上莊這個無悔的決定

護理系的啟思總編石志榮 (N14)

新鮮人

hkucaduceusnet | 43

慈兄吟(下)奇晶

最 後還是麥教授先開了口「他的確是一個好學生對醫學有獨到見解他不但學業成績優異而且樂於助人你是他的妹妹吧」婉慧努力控制自己的淚水繼繼續續的說「是啊但helliphellip但helliphellip我不知道helliphellip他竟會在這裏出現」麥教授用悲天憫人的目光看着婉慧語重深長說「人生自古誰無死人生命的有為與否並不取決於他生命的長短而是在於人生的意義你哥哥雖然最後當不了醫生但他的犧牲卻間接為一些同學做醫生鋪路讓他們做醫生去救人這真是一種無私的愛」婉慧點點頭覺得自己對哥哥的了解實在太少了

最後她還是孤獨的離開實驗室她覺得自己跟哥哥比起來實在相差得太遠了原來他除了是十優狀元在醫學院的成績名列前茅外還是個熱心助人的好青年自己除了少了一優外少的更有對別人的同情及樂於助人這造就了她心靈上的空虛她明白到冷漠不是一種對哥哥思念的正當表達方法她應該做的是把哥哥對其他人的愛傳揚開去以圓他的心願

第一步往往是最困難的婉慧平日對他人的態度已令不少人對她敬而遠之有很多次她嘗試向同班同學投以友善的笑容得到的總是詫異的目光或別人的不理不睬在小組討論中儘管她踴躍發言盡量避免冷場的發生偶同學們卻認為她變本加厲想阻止同學們取得好成績她四處碰壁又再次陷入了想念哥哥的深淵

時間一天一天過去了上學期考試前的休假開始了婉慧每天都勤奮的在圖書館溫習期望取得好成績這時候的圖書館堆滿了人如果遲來一個小時想找一個位子也難就在假期的第二天同班的王文在圖書館跑得氣急敗壞仍找不到一個座位婉慧不知怎樣有點同情他將座位讓給他王文驚訝道「不用了我還是回家吧真倒楣遲來了一個小時就沒有『接位』」

「但你住在哪裏呀」

「元朗今天早上我忘了校鬧鐘八時才起」

「那你還是要我的座位吧我可以坐到電腦桌因為我認識的人不少沒有什麼人會打擾我的」

王文謝了她頓時對這位冷漠的同學刮目相看原來她的內心也是溫暖的這並不是他所能料及的坐在電腦桌前溫習的她也感到特別的快樂溫習的速度也快多了王文就此成為了她的「飯檔」考試期間每天和她一起吃飯他更將自己的好友介紹給婉慧認識

在一個晚上她又悄悄的在圖書館的角落溫習着突然一隻溫暖的手搭着她的肩上她抬起頭但見解剖學的同桌手中拿着一杯熱飲輕輕的放在她的桌上婉慧正感詫異卻聽見他說「這杯熱巧克力是給你的繼續努力吧」她喝着巧克力心中感到一股暖流彷彿哥哥的關懷又在她內作出回響

十年生死兩茫茫不思量自難忘千里孤墳無處話淒涼helliphellip

寒風吹起了她額上的劉海佇立在墓前的婉慧不禁凜冽她想起了從前想到自己最後一次和哥哥吵架雙方面紅耳赤的情況想起自己無法親口跟哥哥道歉想起哥哥無私的付出她對着那空虛的墳心中不忍一陣淒然淚水漱漱的流下來她身旁攜扶着年紀老邁的母親邊拭淚邊喃喃道「我的兒子helliphellip歿了helliphellip」大家心情漸漸平復了緩緩走出了墳地

雨一滴一滴的落下飽歷辛酸的婉慧卻仍在懸壼濟世

短篇

ldquoyesterday is but todayrsquos MeMory aNd toMorrow is todayrsquos dreaMrdquo ndash khalil gibraN

44 | Caduceus September 2011

Eternal Flame (1)Tulipa

Itrsquos cold The chills from my fingertips imbibe deep into me This person drills into my mind digging out the truth inside me Itrsquos agonizing She comes right inhellip di-rectly I cannot stop her

Irsquom losing myselfhellip

My hand felt the soggy pillow I realised I had come back to life the world where I lived Staring blankly at the ceiling still losing focus in my eyes I felt my brows with my forearm For the first time I didnrsquot want to lose this feeling

The bedroom door slowly opened I quickly rubbed off the drops that had blurred my vision pretending that I had just woken up

ldquoDo you have lessons this morningrdquo My grand-mother whispered into my ear

ldquoOh goshrdquo I turned right to my alarm clock It was the real life I had forgotten to turn the alarm on last night and it was now seven thirty I knew it I was going to be late every time she caught me in bed Irsquod got to hurry up

Living in Hong Kong Island though it took me more than an hour to get to school I had to comfort my little brother sometimes till two or three in the morning in order to get him to sleep In addition to the consistently heavy study load in the medical school I could hardly get enough rest Running on my heels al-most became my routine starting from last November But I well understood the consequence of skipping lec-tures It was the beginning of the Cardiovascular Sys-tem Block For someone like me who gave least priority in revising Anatomy materials lectures remained the prime source of information for exams Absence from class was suicidal To make the situation worse this professor was one of those who did NOT upload lec-ture notes online

Hoping I wouldnrsquot arrive too late to miss the impor-tant points I finally stepped onto a route no 8 minibus at ten past eight What I could do now was to pay trust in the driver who would bring me to my destination

Coaxing kids was never easy Little Bruce just hap-pened to give me such a hassle last night

He knew I would check on him when I returned home Sitting right next to the door of his room he begged me for a story once I opened the door I sat down together with him on his little couch after Irsquod taken a quick shower This was a time to relax leaving

aside all the other concerns

Kindling through his favourite reader I saw that he wasnrsquot listening but distracted by all sorts of toys around He even invited me into his world of fantasy But it was getting late I had to calm him down so that I too could have some rest Being one of the brightest in his elementary school he should understand this was not the time for recreation

I began to feel annoyed

Yet he was my brother I had a gut feeling that this was unusual He didnrsquot use to be so ldquohyperactiverdquo It re-ally took me a while to adjust to his change With him still tossing and turning in my arms I apprehended his restlessness Unpredictable though he was true to his feelings In one way or another he might find the shadow of our mother in me

He finally settled when I laid him back in bed It was nearly two forty in the morning

The first week of the CVS Block ran as plotted PBL tutorials would start on next Monday Dr Youngrsquos fa-cial expression in the first PBL evaluation flashed over my Embryology notes and references She didnrsquot teach Embryology but I could tell she did have a hypertroph-ic heart-shaped face which looked familiar to the dia-grams in the Atlas

Back in the IHD Block most of us were puzzled about the scrambled content of our course Various forms of seemingly related knowledge came in through lectures practical and tutorial sessions But the neural circuit formed in our brain just failed to resonate as if the conductance-inductance mismatch had aberrated our thought from minimal impedance Sometimes things even happened in a ldquomore-than-extrardquo manner The presence of common core courses in a parallel but independent branch in the network could rightly be detached without causing a blip on the galvanometer Everything was dubious We had no idea of what we were doing

Maybe we were just on the way seeking for a sense of attachment

My mind too was racing in haste I was struggling with my decision to become a doctor Too many things had happened over the year I just couldnrsquot stop ques-tioning myself what was I thinking when I put lsquo6456 MBBSrsquo in my JUPAS application I should have expect-ed and prepared to face all these I just didnrsquot knowhellip

Novella

hkucaduceusnet | 45

It was midterm evaluation in the IHD Block Her face looked tense in that heart shape She was so stiff in her facial expression that no one could read her mind from her poker face The conference room of the Physi-ology Department was large We seemed to be the odd ones out in the spacious carpeted room In this secre-tive silence you could hear the drumming in your ears as if you were tingling

I realised this was not a matter of ldquoam-I-suitable-for-a-medical-careerrdquo but ldquois-a-medical-career-suita-ble-for-merdquo I was lying in bed playing with my plush bear when these thoughts burst in me Dr Young looked through me She felt certain that different from other group mates there were crises behind me But I didnrsquot tell her anything that day

We all were sensitive At times some subtle trepi-dation seeped in gradually sucking peace away from my sleep It was so to say below threshold sub-lethal though it lingered for weeks once it set inhellip

Drenched in bloodhellip There is no life in the boy His eyes are widely opened slightly protruded The lifeless pair of black pearlshellip I cannot escape from his glance He wants to talk to mehellip There is something he wants me to know

A van runs over himhellip

I fell down the edge of my mattress Breathing heavilyhellip Sweating all overhellip

ldquoScreechrdquo People began to gather around a tel-ephone booth a few metres behind us

I turned back I couldnrsquot see a lot from this anglehellip

ldquohellip What a pity He is so younghelliprdquo a middle-aged couple passed by

The victim resting just in front of the wheel looked towards me through a break in the crowdhellip

As we were wandering around thinking what to eat for dinner my cousin found me standing there rooted to the ground stunned by the victimrsquos gaze My heart was pounding She wouldnrsquot believe what I was again experiencing For a number of times already scenarios in my dreams were mirrored into reality

I couldnrsquot tell her

ldquoI was just thinking whether you would like Korean cuisine There is a new restaurant two corners awayrdquo I made up a talk while escaping from the scene so that I wouldnrsquot look so strange

ldquoWhy not go and have a try thenrdquo She was not dis-appointed for calling it a day as the food there was sur-prisingly good

Not until some years ago when I was Form 3 in college I discovered my ability to look into the future Sometimes I could see them coming up on the news in days or weeks And some didnrsquot ever happen at least not around me But seeing the night visions coming into concrete existence wasnrsquot always a pleasure when the mental images turned gradually into mostly night-mares When I visualised my close ones it felt like I was in the middle of an insecure chain bridge above a torrent that would sweep me into the vast ocean with no return It was entirely different from what you might understand as ldquodreams come truerdquo

I had witnessed misfortunes in proximityhellip

But I could do nothing about ithellip

Friends were a source of solace someone to con-fide all frustrations in But with my paranormal ability which appeared to everybody else only on screen-plays I wasnrsquot courageous enough to open my life wholeheartedly to them Seldom talking about myself avoiding all sorts of gatherings I became an eccentric figure among my classmates

Sometimes mutual understanding carried more weight than words I remembered my physics teacher being one of my few friends during my teen years De-spite his boisterous faccedilade he was always sensitive to whenever I was dwelling on my burdens Physics was our common language Intermingling our emotions and feelings with concepts that were alien to my fel-lows we developed a close rapport impenetrable by anyone else

ldquoWhat is the nature of a flamerdquo This was the most discussed problem between us Neither in solid liquid nor vapour state Not having any definite shape and colour It seems not any material but a type of energy giving out heat and light At the moment of providing it also exhausts its fuel and eventually itselfhellip

The romance of physics is more than anything you could read write and talk about Once you were truly connected with it nothing can stop you Your mind will bounce irrespective of the chronology of space-time but only under the guidance of your thoughts

I was so devoted to the discipline at the time that I was almost making it my lifelong career in some way He envisaged that I would demand much more than any academia could provide with its scientific basis alone We were both seeking a philosophy beyond the facts But Hong Kong may not be the right place for it

I made him a promise at the end to contain our flame and I knew I would

For the first and the last time I saw his eyes filled with tears We knew existence by itself is a miracle

ldquoi love life because what More is thererdquo ndash aNthoNy hopkiNs

46 | Caduceus September 2011

說華佗都說「華佗再世」誰知箇中真諦雲方 (M15)

烽煙起戰火燃萬里 

三國並爭英雄地亂世有誰顧生死 

待神醫行世將民眾救濟

渺渺江山東西瞰俞跗巧手扁鵲心(1) 應向何處尋 

滾滾黃沙無世家終有奇士放奇葩

沛國 華元化(2) 

他經書貫通南北遊動 

一望斷症如神助三劑消病不必多

說斷症悉如所料 

甘陵 相夫人腹痛極難忍(3) 號脈知死嬰在左為男形(4)廣陵 梅軍吏除名歸故里

見貌知壽盡速返見萱椿(5) 

說消病藥到病除 

飲蒜醋有三升蟲一嘔而盡清 (6)母服丸而溫儲兒不藥而自癒 (7)

絕妙處 

是他開腸剖腹刀至辟毒 

神醫號 

除他內外皆精有誰配稱

[1]   俞跗黃帝時代之名醫扁鵲春秋戰國之名醫《淮南子人間訓》「患至而多後憂之helliphellip雖有扁鵲俞跗之巧猶不能生也」

[2]   華佗字元化沛國人(今安徽 亳州)

[3]   甘陵相(即甘陵之行政長官)夫人懷胎六月腹痛不安華佗為其切脈便知胎死於是命人摸知所在在左則男在右則女人云「在左」夫人飲藥後果然產出男胎腹痛立即痊癒

[4]   廣陵有軍吏名曰梅平離鄉服役後來退役歸家於路上巧遇華佗華佗視之嘆道「若能早些見我當不至於此而今你僅餘五日壽命速速回家還能與家人相見」平旋即趕抵故鄉五日後亦如料身亡

[5]   萱椿多作椿萱比喻父母漢牟融《送徐浩》詩「知君此去情偏切堂上椿萱雪滿頭」

[6]   華佗見路邊有人食不下嚥教他到路邊餅店買醋三升混上蒜泥然後飲用路人服後即吐出一條長蛇(即寄生蟲)

[7]   兩歲男孩長年腹瀉藥石無靈華佗往診謂病在母命其服用華佗親研之「四物女宛丸」服後母親乳汁不再寒涼男孩亦不藥而癒

意興

hkucaduceusnet | 47

只可惜人無完壁

「關將軍使君予我手刮骨惡毒走

曹丞相使君予我頭剖顱苦痛收」

「怎能不收怎能不收一命嗚呼萬事休 

簡直荒謬簡直荒謬殺此庸醫未須愁」(8) 

五禽戲尚能傳 (9)麻沸散從此絕 

何不一飲醉死不知世忍氣吞聲事權貴 (10)心神委曲須臾苦奇術失迭千秋計 

烽煙止無改生死事 

且當醫仙謫世間神技終須風裏散 (11)回首仰高山景行請君範 (12)

[8]     曹操欲殺華佗臣下勸之不可答曰「不憂天下當無此鼠輩耶」

[9]     死前華佗欲托所著醫書於獄卒不果便盡數焚毀唯有其養生體操「五禽戲」流傳後世

[10]   《三國志魏書方技傳》「當須刳割者便飲其麻沸散須臾便如醉死無所知」

[11]   唐白居易《簡簡吟》「恐是天仙謫人世只合人間十三歲」

[12]   景行(音航)即大道以高山景行比喻人品德行為之高尚典出《詩經小雅車轄》又東漢鄭玄曰「古人有高德者則慕仰之有明行者則而行之」

ldquothe art of MediciNe was to be properly learNer oNly forM its practice aNd its exerciserdquo - thoMas sydeNhaM

48 | Caduceus September 2011

啟程

清晨空白的天空看不見藍天雲彩

只有溫柔的雨絲和朦朦朧朧的霧水跟隨

著大隊的足印踏上沉重的腳步穿過橫

街小巷和煩囂熱鬧的市場走過自動門

撲鼻的消毒藥水味道讓大家屏住呼吸筆

者和夥伴們終於到達了入讀護理系以來第

一次實習的醫院

還記得在實習的前幾天心情是既忐忑

又期待的畢竟這一次實習的地方不再是

在社區中心宣傳健康方面的知識亦不是

只面對著健康活潑的小朋友和老友記或是

學校課堂上所提供的假人張靜汶卻是照

顧一羣真正需要關懷的病人心中充滿著

憂慮不知自己所學的知識足夠在應用上

嗎自己平日的練習足夠嗎雖然心存在

著不少疑惑但也十分期待可以體會一下

做小學護的感受嘗試把這一年裡所學到

的知識運用出來

很多的第一次

在病房裡總有心酸和膽戰心驚的時

候第一次為昏迷的病人清潔口腔第一

次為難以進食的人插入胃喉第一次為老

公公清洗背上壓瘡的傷口helliphellip照顧他們時

的心情都是一步一驚心生怕自己沒法應

付得來又怕會把事情弄得更糟糕最重

要的是恐怕自己不純熟的技巧令他們受苦

了記得有一回第一次為女病人插入尿

喉採取尿液樣本可能技巧不太純熟的關

係延長了病人的痛苦過程中她皺著

眉頭不斷呻吟又緊張得咬破脣眼看

她樣子心中真的不是味兒來身為病人

的其中之一依靠我們不得不給自己信

心如果連自己也不相信自己哪會有病

人願意把他們交給我們照料呢

捕捉那瞬間的美麗與淒然何麗敏 (N14)

上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

意興

hkucaduceusnet | 49

另外第一次面對病人的心情是頗為

緊張的說話技巧亦有改進的空間但和

病人傾談了數分鐘後氣氛也漸漸變得和

諧可能那些老公公整天呆在醫院裡真是

悶到慌看見一羣年青人與自己聊天照

顧和關心他們他們不禁咧嘴而笑醫院

職員透露有一位老公公平日不太願意吃東

西於是我們便主動和他談天說地又

悉心照料他進食的情況後來他不但胃

口好了不少就連心情也開朗了他生動

活潑的談吐讓我們笑了他回復健康精

神的體魄也讓我們感到安慰

相處片刻

雖然為期一星期的病房日子不是特別繁

忙或是辛勞但是也會有不習慣的時候

幸好得到醫院職員和一班夥伴的支持病

房經理和註冊護士不但相信我們的能力

對學護的包容更是不用多說還主動地介

紹病房的環境和細心地教導我們醫療護理

上的知識讓我們上了一堂實在而又寶貴

的課同時今次的實習也令我感到團體

精神也十分重要在技巧上大家互相提

點互補不足當有人準備照料有需要的

病人如插喉或洗傷口等大家送上一句 

「加油」就能令對方增加不少自信心和正

能量無論遇上甚麼事情我也榮幸有如

此一班學習夥伴從旁支持

學習的階級

在這一次病房實習中雖然醫療和藥物

知識方面有待加強但是我學懂了如何與

不同身份的病人相處之道溝通上也得到

了很大的進步獲益不少除此之外我

也真正體會到如何做一個好護士並清楚

了解這個行業是否適合自己鐘樓也不是

一天就能建成而是需要一磚一瓦搭建而

成的所以在學習上我們不但要打好

穩固的基礎還要增強醫療知識在技巧

上馬虎了事和走捷徑是於是無補的應

該多探究和練習才行這樣才對得起病人

和自己也減少不必要的醫療失當事故

總之多一份認真多一點耐性多一些

愛心就是學護必記的左右銘 上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

ldquoit is reasoNable to expect the doctor to recogNise that scieNce May Not have all the aNswers to probleMs of health aNd healiNgrdquo ndash NorMaN cousiNs

50 | Caduceus September 2011

Fun Corner

Medical AppsEver wondered how your handheld device can save your time and

effort when it comes to studying Here is how

Anatomy Pronunciations by HipposoftAccurate pronunciations of over a hundred important anatomy terms you have trouble with are provided

at your fingertips to help you spell those difficult words Anyone who has taken an anatomy course can tell you how challenging it can be to pro-nounce the names of those complicated anatomi-cal terms It is even linked directly to Wikipedia and Google through web browser for additional information

iPharmacy ndash Pill Identifier and Medication Guide by SigmaPhone LLCAn essential medication guide of 20000+ drugs is provided for con-sumers amp professionals This ex-

pands the image library to include 12000 pill and package images and includes digital drug identifier with official drug information (indica-tions dosage adverse reactions and more) You can check the drugs anywhere

Grades 2 by TapityIt tells you what grades you need in the coming tests in order to get your target grade You can easily calcu-late your GPA so as to maintain it It

is a useful tool helping you to keep an eye on your GPA all the time

Human Anatomy by SusaSoftXThe application provides you with information of 15 different biologi-cal systems You can keep on revis-ing while you are traveling without

carrying heavy books

Medscape by WebMD LLCFrom drug classes interaction clin-ical procedures and even the lat-est medical news Medscape helps medical students and healthcare

professionals to reiterate knowledge that has slipped from the mind It is a free application for iPhone iPad Android and Blackberry Yet it contains more function on Android phones and Apple products and lacks detailed clinical infor-mation for diseases and clinical procedures walk through on Blackberry

Pro Medical Terminology Dic-tionary by TreascoveryTerminology might be a tough work for medical students Even if we can master those English terms we can

hardly think of the Chinese terms This applica-tion can help you when you face this problem Note that it is not a free application

3M Littmann SoundBuilder by 3M CompanyA great tool designed to help im-prove auscultation skills of medical students with 14 unique lessons of

key heart sounds combing text virtual manne-quin 3D cardiac animation and dynamic wave-forms

iRadiology by Liebermans iRadi-ologyAn excellent learning tool for medi-cal students demonstrating classic radiological findings of a multitude

of abnormalities including over 500 radiologic images Radiologic images include CT US MRI and nuclear imaging each clearly labeled and followed by key teaching points

Micromedex Drug Information by Thomson Reuters (Healthcare) IncIs Cephalexin a first generation ce-phalosporin This application from

Thomson Reuters is the easiest way to navigate in the sea of drug names Drugs are sorted by classes and supplemented with rich information

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 8: Caduceus Issue 2, Volume 42

8 | Caduceus September 2011

地孕婦在臨盆時硬闖急症

室公立醫院亦首次揭發內

地孕婦持偽造醫生紙過境來

港分娩此例一開更可能

吸引一些極端例子以坐監博

取來港產子掀起另一股制

度缺口下的潮流

「私院賺錢公院善後納稅人埋單」

時事評論員林輝認為

私家醫院賺得盤滿缽滿的同

時其實正將其成本外化至

公立醫院以至全港社會首

先私家醫院可選擇接收較

容易處理的個案一旦遇上

奇難雜症便將之轉介往公

立醫院初生嬰兒深切治療

部令該部門工作量大增

床位佔用率高達百分之一百

五十前線醫護人員工作壓

力之沉重可見一斑其次

私家醫院向公立醫院富經驗

的醫生和護士挖角以致人

手大量流失這不但影響公

立醫院的服務質素更令留

下來的醫護人員不勝負荷

形成惡性循環漣漪效應

下醫院其他部門如急症

室等也將間接受影響因

此不單是納稅人全港社

會亦將會共同承受內地孕婦

來港產子潮的代價

誘因

筆者認為內地孕婦來

港產子潮方興未艾原因有

四首先內地實行「一孩

政策」限制每一家庭只生

一個孩子違反《人口與計

劃生育法》除了會被罰款

父母和子女還會喪失許多福

利因此部分內地夫婦會

為了生育多於一個孩子而選

擇來港分娩而九七回歸以

後中港兩地關係愈趨密

切社會融合令跨境婚姻日

益普遍港人內地配偶來港

分娩的數目自然節節上升

再者自零四年兩地政府推

出自由行政策起內地居民

可以自由進出香港簡化便

捷的出入境手續和四通八達

的交通網絡更為內地人來港

產子大開方便之門而最重

要的是孩子獲得香港永久

居民身份後可享有多項社

會福利及更多元化的發展前

景將來亦可舉家申請來港

團聚這對不少家庭來說相

當吸引

長遠影響

由零五年至去年其父

母均非香港永久居民的「港

產內地B」達十四萬人

而隨着他們成長問題將由

婦產科和母嬰健康院延伸到

其他學童健康服務以至教

育醫療房屋政策的規劃

等等筆者認為政府需未

雨綢繆每年重新審視非本

地孕婦配額同時把配額制

可納入整體人口政策的一部

分為多項社福服務進行長

遠規劃另一方面兩地政

府亦需加強執法致力堵塞

不良中介人活動避免未經

預約孕婦直闖急症室分娩等

高風險情況 

參考資料

林輝《香港居民身份不是贈品》二零一一年四月八日刊於明報

《星期日檔案港產內地B》二零一一年六月十二日於翡翠台播出

httpbig5chinanewscom內地孕婦來港產子潮對公立醫院產科及 初生嬰兒深切治療部構成沉重壓力

hkucaduceusnet | 9

最 近虐待動物個案屢見不鮮手法層出不窮光看新聞標題已

令人不寒而慄無法想像施虐者為何能對

可愛惹人憐惜的小動物下毒手在緝兇之

餘亦應反思是甚麼心態及動機驅使他們

做出如此冷血殘忍的舉動

香港人生活壓力大不單是成人就

連小孩都有很多必須面對的煩惱如果沒

有適當的方法紓發情緒調適心情便會

容易導致心理不平衡患上心理病或情緒

病一般人看到別人痛苦會有同理心產

生難受的感覺因同情而伸出援手希望

別人不再痛苦施虐者則相反藉著暴力

行為令別人感到痛苦從而產生刺激快

感而非內疚或罪惡感施虐者利用這種

自私的方法去宣洩情緒將自己的快樂建

築在別人的痛苦身上

虐待動物的人一般懦弱膽小缺乏自

信因此選擇一些弱小無助無反抗能

力的對象發洩情緒令自己提升存在感及

掌握權力流浪貓狗隨處可見施虐者會

以為別人不顧流浪貓狗的死活所以即使

虐待牠們也不會被人發現因此流浪貓

狗容易成為施虐對象當中貓隻反抗能力

較狗隻低所以被虐情況更為嚴重施虐

者當中男比女多可能是由於女權主義高

漲男女社會角色轉移男性無法宣示強

者地位的原始心理更容易使他們做出這

種反社會行為

虐待動物的行為讓施虐者享受虐待的

快感對於殘忍的手段容忍程度會提高

對剌激感的追求亦會增加變得更麻木

不仁直至虐待動物已無法滿足他們的慾

望加上沒有因虐待動物而得到應得的懲

罰令施虐者變得更大膽可能將虐待對

象轉向兒童甚至成人

小動物反抗能力低也不會提出控訴

因此我們有責任去保護牠們看到動物

受虐或懷疑受虐不要漠視或啞忍也不

要只將影片拍下上載互聯網應向政府部

門舉報或向愛護動物協會等機構投訴

《防止殘酷對待動物條例》的最高刑罰是

罰款二十萬元及監禁三年但定罪個案極

小實際判刑大部分只是罰款執行社會

服務令等所以有關當局應提高刑罰令

人害怕受懲罰而約束行為這樣才能達到

阻嚇作用施虐者除了接受應得的懲罰之

餘亦應強制接受心理輔導及愛護動物課

程糾正他們的心理狀況避免重蹈覆

除了殘忍的施虐者遺棄寵物的主人

亦是造成悲劇的幫兇甚至元兇他們

不負責任地把寵物丟在街上把牠們推向

險境失去主人保護的寵物即使不被虐

待也會飢寒交迫甚至遇上各種危險

所以遺棄動物前請切身處地想想流浪貓狗

坎坷的命運 

停一停 想一想正視虐待動物問題郭淑芳 (N14)

反對虐待 尊重生命

社會

ldquokeepiNg a pet is a lifetiMe busiNess aNd coMMitMeNtrdquo ndash aNiMal re-hoMe services

10 | Caduceus September 2011

記 得剛剛入學的時候教授對我們說過「要是你們想賺

錢現在就轉到別科吧這兒不是讓你們

賺錢的地方這兒比其他行業都更辛苦

因為我們掌握別人的生命」醫護界就是

這種行業是一種用心對待病人的行業

人皆有惻隱之心醫生為病人著想是一

件理所當然的事根本不需要去學習如

何行此道這是人自發性的行為要是醫

生不是以心去行醫這是對病人對自己

的專業甚至對作為人的自己也是一種

侮辱但是在日本這種高文化水平的國

家則有孕婦死於拒診醫生對求醫的

人見死不救即使是

我一個只是讀了一

年的醫科生也知道

這是不道德的無

論是以一個專業醫生

的角度甚至於人的

標準來說

二零零八年日

本一名孕婦因為身體

不適而求診結果慘

遭七間醫院拒收

雖然嬰兒平安無事

地出世但這位剛成為人母的婦人卻於三

日後死亡這種情況在日本中不是罕見的

事根據統計日本於二零零七年就有二

萬四千多宗拒收病人的個案情況令人不

安也令人反省這些高知識份子為什麼會

如此冷血大家常常稱讚那些高學歷人士

是「飽讀聖賢書」我可不曾記得聖賢書

有教導我們要見死不救對別人的生死置

身事外特別對於我們這些醫護界的準工

作者更加不能接受人死不能復生既

然我們掌握著別人的生死又怎能如此不

負責任呢看到這些新聞我們作為醫學

院學生亦應對此作出警醒

除了日本之外香港也曾發生過類似

事件而且曾經轟動一時二零零八年

一名患有心臟病的男人於明愛醫院門前病

發他的親友馬上到明愛醫院詢問處求

救院方見狀卻要求對方打九九九求助而

不是即時提供協助當然這件事可能涉

及一點程序上的問題但是人是生規

矩是死救人一命勝造七級浮屠所有規

矩都不及拯救人的性命重要吧令人安慰

的是有一名見義勇為的醫生途經現場

隨即致電急症室並為事主檢查發現他

全無脈搏遂立即進

行體外心臟按摩可

惜最終病人經搶救

後仍是不敵死亡的命

運這件事令人感到

惋惜同時我們亦

應反省醫護人員做事

的態度典型香港人

有一種特別的特性

他們都是「多做

多錯少做少錯不

做不錯」的「信奉

者」當時的詢問處

的值班者可能心怕破壞規定幫助病人後

可能會引起上司不滿對自己的事業有影

響故此遲遲未能下定決心幫助別人可

見醫護人員對病人的同理心不高這亦是

值得我們所反省的

相信仍然未畢業的我們對日後的工

作是抱有一種憧憬有一種熱誠但是

當我們畢業後這股熱血會被忙碌的工作

所撲滅當日的誓言早就置之不理了

「病人的健康應為我的首要的顧念」變成

了「清掉桌上滿滿的病人檔案為我的首要

的顧念」「將要憑我的良心和尊嚴從事

拒收病人何來醫德醫心謝汶珊 (M15)

社會

hkucaduceusnet | 11

醫業」則變成「將要憑我有限的體力和時

間從事醫業」helliphellip更甚者於我們求學期

間已經把病人的健康拋諸腦後了腦子

裡卻放滿了那些不知從哪裡來的肌肉神

經線以及血管等等當腦子的容量用了大

部份來放置anatomy的東西之後餘下來的都放了那些古怪的藥名進腦子去了

哪有閒下來的空間把那些道德經放進腦子

裡但是即使你能夠把那本Grays Anat-omy或者那本大Robbins的所有內容牢牢記在腦子裡沒有醫德你絕對不是一個好

醫生當然沒有任何人規定你的道路

你的選擇然而你的選擇將會影響到別

人的生命社會當然不會奢望每一個醫生

都有當無國界醫生的那一種胸懷但是

他們希望醫生起碼會是一個抱有救活病人

作為使命的醫生

作為一個好醫生並不能帶給你金錢或

者名譽這個世界永遠是行商者才是致富

之道你希望將來得到的是什麼我們都

應該找出自己的答案把它寫下來以免

他日遇上挫折或誘惑會迷失自我仔細想

一想若果你的答案思前想後仍是「錢」

那麼請你認真考慮一下轉科吧「若

果病人沒錢看病作為醫生也要為他看

病也要為他開藥我們沒有權力去把他

們趕走」這就是醫德相信每一個將成

為或者已成為醫務人員的人都曾宣誓過自

己要奉獻一切為人類服務所謂的誓言並

不是用嘴巴說出來罷了一個無法遵守的

誓言只會變成一句又一句的廢話俗語有

一句「狗口長不出象牙」helliphellip

以下是世界醫學協會一九四八年日內瓦

大會採用的日內瓦宣言

我鄭重地保證自己要奉獻一切為人類服務

我將要給我的師長應有的崇敬及感戴

我將要憑我的良心和尊嚴從事醫業

病人的健康應為我的首要的顧念

我將要尊重所寄託給我的秘密

我將要盡我的力量維護醫業的榮譽

和高尚的傳統

我的同業應視為我的手足

我將不容許有任何宗教國籍種族政見

或地位的考慮介於我的職責和病人間

我將要盡可能地維護人的生命自從受胎時起

即使在威脅之下我將不運用我的醫學知識

去違反人道

我鄭重地自主地

並且以我的人格宣誓以上的約定 

ldquoa Merry heart doeth good like MediciNerdquo ndash kiNg soloMoN

12 | Caduceus September 2011

Radiologist

Ophthalmologist

Anaesthesiologist

All roads lead to Rome but have you missed the ROA and D

when it comes to success in medical career

to success

hkucaduceusnet | 13

Anaesthesiologist

Dermatologist

All roads lead to Rome but have you missed the ROA and D

when it comes to success in medical career

to success

14 | Caduceus September 2011

「形影不離」的造影術專訪放射科邱麗珊醫生陳伊樂 (M15) 賀曉琳 (M15)

邱 麗珊醫生於一九八三年畢業於香港大學醫學院並於一九八

六年開始修讀放射科邱醫生不但在東區

尤德夫人那打素醫院身兼前線管理和訓

練多職而且積極參與香港放射科醫學院

的工作我們非常感謝邱醫生能夠在百忙

中抽空接受訪問向各位同學分享一下她

踏上成功路的經歷與待人處事的態度

甚麼是放射科

放射科是利用X光(X-ray)電腦斷層攝影(CT)磁共振成像(MRI)和超聲波造影(Ultrasound)等技術展示患者身體內部結構的影像從而協助診斷和進行治療

當放射科醫生危險嗎

誠然放射科醫生需要經常接觸對身

體有害的輻射可是這門專科有不同的

措施保障我們的安全首先每一個放射

工作者都需要領取牌照此外我們會每

個月檢查掛在胸前的放射量測定器確保

接觸到的輻射劑量沒有超越安全水平當

然有關部門亦會定期檢查儀器確保它

們正常運作

爲什麼你會選擇放射科你對於有意將

來當上你的專科的同學有甚麼建議

選擇放射科純粹是因為爸爸的一句「

放射科適合女孩子」當上放射科醫生之

後才發現事實並非如此放射科是一個重

要的專科幾乎每一個住院病人都需要用

上造影技術但除非做超聲波或介入放射

治療放射科醫生卻好像很少與病人直接

接觸有些醫生喜歡多和病人接觸放射

科便不適合他們了另外放射科正面對

著迅速的科技發展對新科技有興趣的同

學這個專科的確是一個不錯的選擇可

是由於學位有限每年報讀放射科的六

邱麗珊醫生Dr Jennifer Khoo放射科專科醫生

香港大學內外全科醫學士 英國皇家放射科學醫學院院士 香港醫學專科學院院士(放射科)

東區尤德夫人那打素醫院 放射科 部門主管 及 顧問醫生

醫院管理局 港島東聯網 Service Director (Radiology)

香港放射科醫學院 首席副院長 及 科學委員會主席

專題

hkucaduceusnet | 15

七十人當中總會有四五十人因願望落空

而要轉投其他專科我的建議是千萬不要

灰心人總不能夠經常做自己喜歡的事

但一定要喜歡自己正在做的事(You canrsquot always do the things you like but you can learn to like the things that you have to do)

請詳述對你人生有大影響的起落人

事物

人一生中如果能夠遇上一兩位良師益

友在你碰到困難時扶你一把在你迷

惘時給予意見上天就已經算是對你不薄

了而我自己也算是非常幸運有兩位

前輩當上我的引導者一位是瑪麗醫院

的陳富六醫生另一位是澳洲的Professor Michael Sage因為兩位的提點我決定善用自己的長處留在公營醫院參與一些

行政和訓練的工作幫助培訓醫生使更

多病人受惠

你有甚麼人生的哲學嗎是甚麼信念使

你堅持當一名醫生

我認為每個人都需要有自己的優先順序

(priority)對我來說家人和家庭生活永遠都是排在首位縱使我已經涉足到很多

管理方面的工作但病人還是排在行政管

理之前有著清晰的優先順序不管遇到

多大的衝擊都能使自己勇敢面對邁步

向前優先順序或多或少都與個人經歷有

關有部份同行可能會基於不同原因或

許是滿足感或許是工作量而轉投私人

市場我想每個人的價值觀和信念都有不

你對現今醫學院的學生有甚麼寄語叮

習醫是一條漫漫長路少不免遇上困難

和挫折而這些難題往往會轉化成使身心

俱疲的壓力身為醫學生一定要及早學

會如何面對壓力我的忠告是凡事都要

以平常心面對要從錯誤中學習懂得避

免犯上同樣的錯誤要有反彈能力勝過

昨日的自己

醫科生基本上都是能力不錯的一群

(cream of the cream)要好好利用自己的能力為社會作出貢獻 

ldquowheN you are dowN aNd out soMethiNg always turNs up it is usually the Noses of your frieNdsrdquo ndash orsoN welles

16 | Caduceus September 2011

A Discourse with a Female Gold-MedalistInterview with an Ophthalmologist ndash Dr Charmaine HonChariene Woo (M15) Charis Chan (M15)

W hile waiting for Dr Hon at her Central clin-ic the Hong Kong Ophthalmic Associates

we were amazed at how the spacious clinic was crowd-ed with patients When we finally meet Dr Honrsquos big friendly smile made an impression on me as she invit-ed us into her room Despite having a busy schedule Dr Hon is very down-to-earth and eager to provide valuable advice for our fellow schoolmates

Dr Hon started out as a medical doctor and changed to the specialty of ophthal-mology Initially she worked with the public sector fulfill-ing her duties as a doctor re-searcher and teacher at the same time Then she turned to the private sector and joined the Hong Kong Ophthalmic Associates as she feels that she can be more focused on the aspect of patient care ldquoIn public hospitals it is hard to follow up on patient care and it is rare to meet the same patient twicerdquo she reflected ldquobut in the private clinical set-ting I get to know the patientrsquos family and medical his-tory better and I feel more like a doctor by having the ability to follow my patientrsquos progressrdquo

As a recipient of the John Anderson gold medal for the highest aggregate of marks in all the MBBS professional examinations Dr Hon also shares her advice in studying ldquoBasic knowledge is a must but clinical sense is the most importantrdquo and with a smile

she added ldquoyou have to pay attention to your mentors during attachments to hospitals even if you are just ob-servingrdquo But donrsquot think Dr Hon is all about studies She emphasizes that she is not the most hardworking student in her graduating class and suggests medi-cal students to explore outside of the medical world especially in the first two years of study ldquoYou have to have a life outside of medicine and you should do it in

the non-clinical years as there are decreasing chances and time for you to meet non-medically related peo-ple after year 3 onwardsrdquo the ex-member of the Union Choir said ldquoAnd as you come more into contact with different people you learn how to communicate bet-ter which will definitely help your medical career and will keep your life diversifiedrdquo

As for advice to students in clinical years she shares her insights in how to choose your specialty She sug-gests students to look into their strengths and inter-ests and to understand and explore as much as pos-sible in attachments since it is a lot harder to change onersquos specialty nowadays compared to the past ldquoThe most important point is to identify yourself and not to blindly follow the path of others Do not think of future

achievements since what you chose will probably stick with you for liferdquo True enough ophthalmology was not a developed specialty during her times of studies and Dr Hon says she is probably one of the very first gold medalists who pursued it as a career A note to her future female counterparts ldquoYou have to think of your future path and plan accordingly and be ready

Basic knowledge is a must but clinical sense

is the most important

The most important point is to identify yourself and not to blindly

follow the path of others

Feature

hkucaduceusnet | 17

to put your career before marriage Many of us delay our plans of marriage and pregnancy after finishing our specialty fellowship which is at around 30rdquo After hearing this I was very worried but she added ldquoGen-eral practice is also a good choice and there are some females doctors who donrsquot follow this trendrdquo

One of the things that struck me the most is that Dr Hon sticks to the principle of doing everything with all your heart ldquoYou only pass through this life once and when you look back you should not regret what you have donerdquo So when presented with conflicting ideas with her principle what does she do ldquoI reflect and fight for itrdquo she laughs ldquoIt sounds rebellious but as a doctor you have to have a judgment that is best for your patient and you cannot conform to society or systemsrdquo Using the limited consultation time for each patient in public hospital settings as an example she explains that doctors arenrsquot machines and should be able to adjust to different patientsrsquo needs appropriately so to do what is best for the patient ldquoYou should never lose yourself under the system and should always do whatever you think is best for your patientrdquo

When asked about the specialty of ophthalmol-ogy Dr Hon tells us with passion that ophthalmology allows instant gratification and makes a difference to patientrsquos life ldquoMany specialties can make a difference but only a few have a clean-cut immediate effect like ophthalmologyrdquo But ophthalmology is also about hard work and persistence ldquoIn this specialty there is con-stant advancement in the past we do extra capsular extraction but now there are frequency emulsifica-tion and other advancements I am always awed by the senior partners in this clinic who have a strong will to chase and read up on new techniquesrdquo So besides steady hands and good eyesight intellectual curiosity on the latest research is a must if you are thinking of pursuing a career in ophthalmology

Before we parted Dr Hon gave us a final word of wisdom ldquoThis is going to be hard for you two gals but you look tough and yoursquoll survive Since you chose this career path do expect to work very hard as it is not easy but so is every other occupation nothing is ever easy in this worldrdquo

DrCharmaineHon韓尚穎醫生

Specialist in Ophthalmology

MBBS(HK) MRCS(Edinburgh)

FC Ophth(HK) FHKAM(Ophthalmology)

ldquoas you grow older yoursquoll fiNd the oNly thiNgs you regret are the thiNgs you didNrsquot dordquo ndash Zach-ary scott

18 | Caduceus September 2011

奉行完美主義的守護天使專訪麻醉科李靜芬醫生吳瑞麟 (M15) 李庭翰 (M15)

說 起麻醉越野挑戰馬拉松義工無國界醫生你想到甚

麽幾樣風馬牛不相及的東西可以用三

個字關聯起來李靜芬

李靜芬醫生畢業於香港大學醫學院

現於養和醫院疼痛治療門診工作她曾經

加入無國界醫生到南蘇丹服務又是醫療

輔助隊動員主任香港不少的大型活動

例如馬拉松東亞運奧運馬術等都由她

去統籌急救站的運作她又經常舉辦醫療

會議亦於很多地方做義務醫療顧問熱

衷於向公眾推廣疼痛管理與健康的知識

另一方面她是香港全能運動學會醫療顧

問經常參加越野挑戰戶外活動又參

加半馬拉松比賽看完李醫生這麼的一個

簡介實在很難不驚歎好一個「周身

刀張張利」的奇人

人生的轉捩點

其實初中時期的她與醫生根本扯不上

半點關係身為壘球隊隊長在中四的一

次練習中她被壘球擊中一眼從此改變

了她的命運當時全港只有一位眼科醫生

會在晚間應診眼科的醫療設施也不足

令她眼睛流着血水在黑暗中東奔西跑尋找

醫生她由大埔賽馬會診所走到威爾斯

然後到伊莉莎伯再到油麻地終於找到

眼科醫生李醫生由四點奔波到十點令

她深深體會到作為病人的痛苦也從此立

志要做一個醫生幫助有需要的病人

初中時的李醫生每天放學就練球以

致成績中等但自從立志投身醫護她虛

心求教又得到當時的班主任授予時間管

理和讀書的方法成績突飛猛進在短短

六個月間從中等成績進步至模擬考試全

李靜芬醫生Dr Carina Li

麻醉科專科醫生

香港大學內外全科醫學士 澳洲及紐西蘭麻醉科醫學院院士 香港麻醉科醫學院院士 

香港麻醉科醫學院疼痛科文憑

香港醫學專科學院院士(麻醉科)

專題

hkucaduceusnet | 19

級第一她的毅力和決心實在令人佩服

她的傲氣

其後她獲中文大學收作暫取生但她

又再次作出驚人之舉李醫生認為要讀醫

科生物化學科就得好些所以一定要認

真研讀高級程度的生物化學但是人是有

惰性的如果做了暫取生就一定會變得不

思進取讀不好生物化學於是她毅然

放棄暫取生的資格全心全意去考好高級

程度會考李醫生的豪氣決斷她破釜

沉舟的決心她的好勝和哲學令筆者從

心底裏衷心地拜服她

結果她當然考得很好的成績在選擇

大學時她再一次認真考慮自己將來的

路向她生來就有一種使命感覺得一定

要做一樣在任何時候任何地方都最有用

的工作加上她常常留意時事總覺得天

災人禍真的可以隨時發生於是她就選擇

了兩種無論是面臨戰爭還是天災的時候

對所有人都十分重要的工作記者和醫

生她終於入讀了港大醫學院並於九五

年畢業

與麻醉科結緣

實習的時候她特意選擇了一些能夠獲

得較多經驗的部門到投考專科的時候

她也選上了可以接觸很多不同類型病人的

兒科只可惜當時兒科並沒有學額但在

朋友介紹之下知道了麻醉科麻醉科同樣

可以接觸到不同的病人而且無論在甚麽

地方都可以發揮所長正正符合了李醫生

的志向結果她便入了麻醉科

據李醫生所說雖然一般人認為麻醉

科對體力的要求較少適合女孩子但

是現實並不這樣簡單由於麻醉要求一絲

不苟麻醉科的醫生都是完美主義者而

且學習的內容艱深每一種藥物的作用

反應甚至化學結構都要讀得滾瓜爛熟

她形容麻醉科醫生就好像病人背後的守護

天使在手術中要不停監測病人的維生指

數感覺病人的生命就在自己的手中所

以要承受着很大的壓力

作為麻醉科醫生每次見到的都是昏

迷或者沒有意識的病人事實上並沒有甚

麽可以跟病人溝通的機會病人通常感覺

不到麻醉科醫生的付出所以作為麻醉科

醫生未必可以從病人身上得到很大的滿足

感但他們卻比其他醫生更能夠專注地為

病人服務因為每次在手術中只照顧一位

病人

她的叮囑

李醫生叮囑現在的醫學生一定要僅記當

初想做醫生的原因她覺得在這個物質

社會中人是很容易迷失的她感覺到現

在的某些醫學生只為了一份穩定的工作

甚至是因為父母的意見而選擇行醫關於

作為醫生的意義卻從沒有思考過她勸

我們要好好問自己兩條問題人為甚麽生

存於世上作為醫生又是為了甚麼她

認為醫者要有父母心處處為病人而

不是為自己着想作為醫生就是要去服

務幫助人而不是為了求回報我們生

存於世上為的是信望愛並不用時時

記住利益金錢等東西最後她又提醒我

們不可以歧視病人不論是黑社會成員還

是香港首富只要病了就是一個無助的

病人就需要我們的幫助

李醫生思考獨立為人熱情健談跟李

醫生做訪問真的是一件有趣的事又令筆

者獲益良多特別是她有關人生意義的看

法的確值得反思作為醫學生的大家

你又可曾想過為甚麼要生存為甚麼要做

醫生呢

ldquothere is No MeaNiNg to life except the MeaNiNg MaN gives his life by the uNfoldiNg of his powersrdquo ndash erich froMM

在手術中不停監測病人的維生指數麻醉科醫生就好像病人背後的

守護天使

20 | Caduceus September 2011

To Succeed is to Fight Against ComplacencyInterview with a Dermatologist ndash Dr Henry ChanLily Cheng (M15) Andrew Seto (M15)

W ith our scheduled interview being inter-rupted by an emergency case of Stevens-

Johnson syndrome a life-threatening allergic skin re-action to medication Dr Chan rushed to the hospital for his patient

Sitting in Dr Chanrsquos office at his private practice the Hong Kong Dermatology and Laser Centre in the middle of a conference call with his overseas counter-part researchers we saw a pragmatic doctor at work This is a doctor who would never be complacent with his performance but keeps striving for excellence

AmedicalcareerDr Chanrsquos interest in dermatology was sown well

before his exposure to the discipline Having been in-flicted with eczema during his childhood he suffered from an excruciating itch in his skin that caused him much distress As a result of his own medical condi-tion he developed an interest in dermatology at a young age

During his fourth year in medical school he ex-plored an elective in dermatology at Yale University and began formal training in the field He obtained his medical degree and worked for several years in the UK before returning to Hong Kong to work at the Prince of Wales Hospital He then received a grant from the Hos-pital Authority to read dermatology in the UK

Working back and forth between Hong Kong and Britain in and out of universities and hospitals in his early years of practice Dr Chan settled his work base in Hong Kong in 1995 He was Associate Professor of CUHK from 1998 to 2000 and Chief of Dermatology and Associate Professor in HKU from 2000 to 2004

After entering private practice in 2004 Dr Chan now spends a lot less time on doing administrative work and more time on treating patients While he was actively engaged in teaching research and clini-cal work his current focus has shifted to mainly clini-cal work As an honorary clinical associate professor of our faculty he enjoys teaching and values the opportu-nity to cultivate and influence medical students

A renowned dermatologist with a strong research interest in medical devices Dr Chan is still very active in terms of research output His private practice sup-ported by a team of full-time research staff is unique

for its active research component ndash a practice which is well-established overseas but rare in Hong Kong

AsadoctoranddermatologistIn the beginning laser devices were developed to

treat medical conditions such as haemangioma and black moles but technological advancements driven by recent research has explored new possibilities for their applications in cosmetic treatment As a result new cosmetic procedures have appeared for the treat-ment of various conditions from skin rejuvenation to body contouring

While it is true that most dermatological conditions are rarely life-threatening they may nonetheless have a profound impact on patientsrsquo physical and psycho-social wellbeing For instance eczema often presents with rash It may give exudate in serious cases but is rarely fatal Nevertheless it might constitute great dis-comfort and inconvenience to patients Similarly se-vere cases of acne may also diminish onersquos self-esteem Dr Chan stressed that treatments for many skin condi-tions are not merely cosmetic in nature but may im-prove patientsrsquo self-esteem body image and psychoso-cial wellbeing

On the other hand some skin problems such as psoriasis and chronic eczema are incurable It is there-fore the doctorrsquos duty to educate patients and enhance their understanding of their disease One of the re-sponsibilities for dermatologists is to evaluate the im-pact of their patientsrsquo conditions to their quality of life Other than helping them return to their normal routine and diet as far as possible dermatologists also need to teach patients the way to get along with their chronic illnesses

Dr Chan emphasized that we run a profession not a business On this ground a doctor should never tell a patient what procedure they should receive Rather a doctorrsquos role is to explain the options available and provide the relevant information that carry with each procedure including potential risks and complica-tions

Dr Chan reminded us that financial return is only a ldquoby-productrdquo of a doctorrsquos work as a professional Doctors work hard and should be paid for their serv-ices but they should not be more interested in making

Feature

hkucaduceusnet | 21

money than in helping people He believes that shap-ing doctors into commercials in some way jeopard-izes medical professionalism

SuccessRedefinedSummoning his days as a fresh medical officer Dr

Chan recalled the death of the 18-year-old girl inflicted with necrotizing fasciitis who died within 24 hours He bore in mind every complicated case as an alarm to his future practice admitting that there is always room for him to improve

Quoting the professional golfer Jack Nicklaus Dr Chan reminded us that ldquocomplacency is a continuous struggle that we all have to fightrdquo It is easy to let our guard down but doctors have to be responsible for their patients all the time It is demanding but impor-tant for every medical professional to be vigilant and maintain onersquos standard at the top level He believes that good doctors should keep themselves in an appro-priate amount of stress and tension which keeps them mindful of their patientsrsquo needs

When asked about his rules for success Dr Chan emphasized that he does not feel he has attained his goal yet He feels that he may have had a decent start but it is inappropriate to judge his career before his retirement as he is still in the middle of his career To him it is far too early to define success Despite his change in roles over the years he still maintains his enthusiasm and passion that motivate him to do his best whether it be research teaching or clinical work

As far as medical students are concerned Dr Chan doesnrsquot see the urgency of deciding our future spe-cialty yet Medical school gives us a broad and general exposure to various fields and offers a good place to learn and gain experience sharpening our skills before serving as doctors We could still explore more in our senior years to come

ldquoFollow your heartrdquo Dr Chan gave us as a conclud-ing word He believes that the so-called ldquoROADrdquo to success is not really that important if one does not en-joy onersquos profession Listen to yourself and ask whether you really like your job

DrHenryChan陳衍里醫生

Specialist in Dermatology and Venereology

MBBS(London) MRCP(UK) FHKAM(Medicine) FRCP(Glasgow)

FRCP(Edinburgh)

Hon Professor LKS Faculty of Medicine HKU

Hon Consultant Dermatologist QMH HKSAR

Visiting Scientist Wellman Centre for Photomedicine USA

ldquoirsquoM a firM believer iN the theory that people oNly do their best at thiNgs they truly eNjoy it is difficult to excel at soMethiNg you doNrsquot eNjoyrdquo ndash jack Nicklaus

We run a profession not a businesshellip [doctors]

should not be more interested in making money than in

helping people

22 | Caduceus September 2011

Art and Medicine Seeing Diseases in ArtHow art masterpieces reveal medical conditionsAndrew Seto (M15)

F or centuries art historians have been mesmerized by

the enigmatic smile of Mona Lisa coming up with theories that range from the mundane to the bizarre Was she a silk merchantrsquos wife or a self-portrait of Leonardo da Vinci himself Was she pregnant An adulterer Leonardo da Vincirsquos se-cret male lover The theories never cease

BehindMonaLisarsquossmileHighcholesterolIt turns out that Mona Lisa had

ldquovery high cholesterolrdquo at least ac-cording to Vito Franco a Sicilian professor of pathological anatomy A medical expert who enjoys study-ing art masterpieces for evidence of diseases Franco concluded that Mona Lisa had xanthelasma (the accumulation of cholesterol under the skin) Indeed a closer look at her mysterious face does show a yellowish collection around the in-ner corner of her left eye He even found evidence of lipoma (a fatty tissue tumor) on her right hand Probably the least poetic finding for the most renowned beauty in Renaissance art

This was not the first time medical experts have associated Mona Lisa with clinical conditions Charles Bell the 19th century Scot-tish surgeon who discovered Bellrsquos palsy a form of facial paralysis resulting from facial nerve palsy once coined the term ldquoMona Lisa syndromerdquo This was a reference to the facial muscle contracture that develops after Bellrsquos palsy resulting in a ldquoMona Lisa-like smilerdquo

Mona Lisa Xanthelasma or just a blotch by mistake

Insight

hkucaduceusnet | 23

Hardly would Parmigianino have known that the long slen-der fingers and limbs of Madonna with the Long Neck was the result of a genetic disorder called Mar-fan syndrome And of all the things that crosses onersquos mind upon first glance of Caravaggiorsquos Sleeping Cu-pid the notion that the baby was inflicted with juvenile rheumatoid arthritis would be hard to imagine Franco claims that his goal was to expose the human vulnerability of the people depicted in art

MichelangelorsquosgoutykneeAnother subject who has been

scrutinized by medical experts is Michelangelo Renaissance painter and sculptor Scholars looked at his knee from Raphaelrsquos School of Ath-ens and concluded that he suffered from gout a form of inflammatory arthritis that occurs when crystals form in the joints

Based on the appearance of his knee which appears swollen en-larged and covered in hard lumps a diagnosis of gout seems plausible It was known that Michelangelo de-veloped various diseases during his life In his writings he complained of having kidney and bladder prob-lems In 1549 he had an episode of anuria followed by passing of grav-el and stone fragments in his urine

Many experts believe that Michelangelo like many of his contemporaries developed gout from lead poisoning A well-known workaholic Michelangelo con-stantly lived off a diet of bread and wine (processed in lead contain-ers at the time) and was frequently exposed to lead-based paint All evidence points to lead poisoning which promotes kidney damage and inhibits uric acid excretion causing it to build up in blood This predisposed him to gout precisely as depicted in Raphaelrsquos fresco

RenaissanceArtandNeuroanatomyLike Leonardo Michelangelo

was not just an artistic genius but also a great anatomist At 18 he be-

Michelangelorsquos knee from the school of atheNs by Raphael (c 1509-1510)

Madonna with the Long Neck Was it Marfan Syndrome

Juvenile rheumatoid arthritis

ldquoall art is autobiographical the pearl is the oysterrsquos autobiographyrdquo ndash federico felliNi

24 | Caduceus September 2011

gan dissecting cadavers in a mon-astery in Florence where he honed his technical skills and knowledge of the human body

According to neuroscientists Michelangelo disguised sketches of the human brain in his famous Sistine Chapel ceiling painting which has remained unnoticed for 500 years His fresco The Creation of Adam shares a striking similar-ity with the sagittal section of the brain The fold in the cape repre-sents the Sylvian fissure separating the frontal and parietal lobes You may even recognize the angelrsquos foot as the pituitary gland his thigh as the optic nerve and his leg as the optic tract And that sassy green robe running down the ponsmdashthatrsquos the vertebral artery

Look at Godrsquos neck in The Sepa-ration of Light from Darkness from the same fresco Art historians have long speculated that its lumpy ap-pearance represents goiter Yet medical experts have found an ac-curate picture of the brainstem and spinal cord in Godrsquos throat stun-ningly similar to the creases and crevices of the brain

Yet why would Michelangelo embed the brainstem in Godrsquos throat Was he alluding to Godrsquos wisdom or was it a form of protest to the Church After all dissecting cadavers was considered unethical at that time and for an anatomist like Michelangelo who fell out with the Pope while painting the Sis-tine Chapel ceiling could he have been painting anatomical images directly above the chapel altar in defiance to the Church

Artandophthal-mologyHowvi-sionchangesartClaude Monet is recognized as

one of the founders of the Impres-sionist movement but his vision got cloudy during his later years He wrote letters to friends describ-ing his growing frustration with his vision changes He was even forced to memorize colours on his palette

the creatioN of adaM by Michelangelo (c 1511)

the separatioN of light froM darkNess by Michelangelo (c 1512)

hkucaduceusnet | 25

and label tubes of paint Red began to look muddy to him and he saw his painting as becoming ldquoincreas-ingly darkenedrdquo Whenever he com-pared his paintings with his earlier works he would be sent into a tow-ering rage to destroy them

This was because he had cata-racts Cataract patients have yel-lowing and opacification of the lens so his vision essentially be-came more brownish The yel-lowish brown cataracts he looked through filtered out violet and blue shades Monet underwent two eye operations in 1923 after which he returned to his old painting style even throwing away some of his paintings and repainting them

Thesufferingart-istDepictingill-nessesinartPerhaps no one better personi-

fies the notion of a ldquosuffering artistrdquo than Vincent van Gogh Clinicians have posthumously diagnosed him with a range of medical problems including epilepsy schizophrenic and bipolar disorder His later works have long been noted for his preference for the colour yellow and some have speculated that this was related to his yellow vision

One theory was that van Goghrsquos doctors prescribed him with digi-talis to treat his epileptic seizures His painting Starry Night has yel-low circles around the stars and not surprisingly people with digi-talis overdose often see a yellowish halo around objects Other experts speculated that it was his addiction to absinthe that led to his yellow vi-sion Absinthe is a highly alcoholic drink that contains a highly psy-choactive neurotoxin called thu-jone which causes yellow vision

Van Gogh was not the only art-ist who projected his illness into his art Edvard Munch had tuber-culosis and spit blood as a boy Her mother died when he was five her sister spent most of her life in-stitutionalized for mental illness and his brother died of pneumo-

nia Munch may have depicted his own psychotic state of mind in The Scream which portrays a twisted agonized creature wracked with anxiety and horror

ConclusionDo these findings actually

prove something or are we over-analyzing artworks with our medi-cal knowledge Exactly what ben-efit would these discoveries have for the world at large is unknown At least we know it could lead to yet another interpretation for Mona Lisarsquos smile the result of a scrump-tious meal of pizza and pasta with cheese tomato sauce and meat balls before sitting for her portrait (which would certainly also explain her cholesterol problem)

Two pictures by Monet of the same Japanese bridgemdashthe first painted in 1899 the second between 1918 and 1922 revealing a dramatic loss of shape and detail

suNflowers by Vincent van Gogh (1888) the screaM by Edvard Munch (1893)

ldquoeverythiNg that we see is a shadow cast by that which we do Not seerdquo ndash MartiN luther kiNg jr

26 | Caduceus September 2011

The End is Near Apocalyptic TheoriesRead more to learn about the terrifying future that awaits us Chariene Woo (M15)

S urge of waves rush over the mountains with unstop-

pable speed engulfing and shatter-ing our homes Flaming asteroids rain from the sky causing roads to crumble like sheets of paper Peo-ple running away from burning cities screaming fearfully Civiliza-tion ruined in matter of mere sec-onds Is this what the future lies for us

Nobody knows

Apocalyptic literature and movies have always raised interest among the general public partly

because it involves the end of our world as we know it and partly due to the fact that there is no solid proof how an apocalypse would come about The interest has re-cently skyrocketed with rumors about the world ending on 21st De-cember 2012 about how the May-an calendar finishes at that specific time and how it will be the end of the world as we know it So the big question is when and how will our world end

NostradamusProphetofDoomNostradamus of France was

one of the worldrsquos most famous seers and is most well known for Les Propheties (The Prophecies) a collection of his major long-term prophecies written in quatrains Many of his prophecies have cor-rectly predicted current events including the destruction of the space shuttle Challenger the death of Lady Diana and the destruction of Twin Towers of the World Trade Center As a result of these predic-tions he has been given the nick-

How do you survive the apocalyptic world

Insight

hkucaduceusnet | 27

name ldquoThe Prophet of Doomrdquo

Nostradamusrsquo prophecies have huge room for interpretation speculation and controversy and some people think his writing has no merit at all The following is an example of a quatrain alluding to some sort of environmental disas-ter in the future

ldquoFor forty years the rainbow will not appear

For forty years it will be seen every day

The arid earth will grow more dry

And great floods when it will be seenrdquo

(Century 1 Quatrain 17)

In other quatrains images of great comet alien invasion and nu-clear contamination are also men-tioned so these could all be the prospects that are waiting for us in the future Despite Nostradamusrsquo ldquoaccurate predictionsrdquo of what had happened in the past the quatrains do not have a specific order So out of all the disasters predicted in the many quatrains it is uncertain which will happen where or when giving it less importance in predict-ing an actual apocalypse

PlanetXAccording to Nancy Lieder a

woman who claims to have been contacted by extraterrestrial life forms Planet X (also known as Nibiru) would come close to planet Earth on May 27th 2003 resulting in the Earthrsquos rotation ceasing for 59 terrestrial days The Earthrsquos pole will then undergo a physical polar shift due to the magnetic attraction between the Earthrsquos core and the magnetism of the passing planet This will ultimately lead to the dis-placement of Earthrsquos crust and the end of us But when this did not happen the event was postponed and re-dated to coincide with the Mayan calendar hysteria

NASA argues that this is merely an Internet hoax with no factual or scientific basis They explain that if Planet X was approaching Earth astronomers would have

been tracking it for at least the past decade and the planet would now be visible by the naked eye This is a very comforting bit of news Yet some people believe that NASA is part of a conspiracy to cover up the existence of such planet and keep the truth of impending apocalypse from general public Again the ar-gument can go either way and the ldquotruthrdquo depends on which side you choose or want to believe in

2012TheendoftimeSo what is so special about the

year 2012 There are claims saying that the Mayan calendar ends on 21st December 2012 and that will be the end of time for mankind However just like every calendar it merely rolls over to the new year on that date and it doesnrsquot signify anything special In the Mayan cal-endar 21st December 2012 will be the end of brsquoakrsquotun 13 and marks the start of brsquoakrsquotun 14 A brsquoakrsquotun is 144000 days (a little more than 394 years) and there is no archeological or historical evidence to show that the Mayans expected anything sig-nificant or drastic to happen at the

end of each brsquoakrsquotun

However there exists litera-ture that suggests otherwise In 1975 Frank Waters the author of the book Mexico Mystique identi-fied the 13th brsquoakrsquotun interval to be the ldquoMayan Great Cyclerdquo where it ends in the worldrsquos destruction and rebirth Waters claims that cata-strophic earthquakes will destroy the world but he miscalculated the date and announced that the end of the ldquoGreat Cyclerdquo would be on 24th

December 2011 AD

The year 1987 marked an in-creased in interest regarding the prophesized big event in 2012 The author of The Mayan Factor Path Beyond Technology Jose Arguelles linked the 13th brsquoakrsquotun period to a ldquobeamrdquo that links people the plan-et the Sun and the center of Galaxy According to Arguelles the beam is the key to harmonic resonance in the universe and the Mayan knew when we would enter and leave this beam hence set their 13th brsquoakrsquotun to mark our passage accordingly He also claims that this beam could advance the development of any-thing with DNA hence creating a more positive view of the future

V838 Mon a star with expanding light echo purported as photographic evidence of Nibiru

ldquoevery MaN dies Not every MaN really livesrdquo ndash williaM wallace

28 | Caduceus September 2011

No one can be sure of whether the end of brsquoakrsquotun 13 signifies something great or disastrous for us or if it is just another restart in the Mayan calendar We can only know for certain when the day ar-rives

GodrsquosplanforusThis is by far the most detailed

and terrifying image portrayed out of all apocalyptic claims that I have gone through The Book of Rev-elation from the New Testament reveals signs of apocalypse through a wide variety of symbolism One of such is the frightening image of the ldquofour horsemenrdquo

ldquoAnd I saw and behold a pale horse and he that sat upon him his name was Death and Hades followed with him And there was given unto them authority over the fourth part of the earth to kill with sword and with famine and with death and by the wild beasts of the

earthrdquo (68)

The pale horse carries the horseman of Death which is be-lieved to release global plague and pandemics to the world and take the lives of a quarter of the popu-lation This has already manifested

itself in many forms in different parts of the world at different times hence the first sign of apocalypse is said to be already happening among us

In similar manners the bible describes the arrival a black red and white horsemen represent-ing the delivery of global food shortages war and conflict and the coming of an antichrist to the world From historical genocide terrorism to increased occurrence of food shortages so often seen nowadays it seems that the red and black horsemen has arrived as well and now we are just waiting for the arrival of an antichrist to conquer us

The Book of Revelation also provides readers with a glimpse into the ldquoactionrdquo in how the world will end

ldquoAnd I saw when he opened the sixth seal and there was a great earthquake and the sun became black as sackcloth of hair and the whole moon became as blood and the stars of the heaven fell unto the earthhellipand every mountain and is-land were moved out of their placesrdquo

(612-13)

Besides the great earthquake and the darkening of the sun there is a repetitive mentioning of stars falling from heaven on earth in the Bible This is postulated as the at-tack of massive meteors on planet Earth Out of all prophecies in the Book scientists assume this to be the most likely since an asteroid impact at a scale as large as that may have already wiped out an entire species that came before mankind Scientists believe that showers of space rocks that rained down 65 million years ago (due to the collision of Near Earth Object) were the culprit for the extinction of dinosaurs Luckily NASA recent-ly launched an early warning sys-tem called ldquoSpaceguardrdquo that aims to monitor such Near Earth Objects to prevent future collisions and ex-tinctions

Having read the above the Bible seems to combine all the horrifying specifics in different apocalyptic speculations into one nightmare But donrsquot worry since there are many different interpretations of the Revelation Historicists are the ones who see the Book as a broad view of history (good news wersquove already escaped all the horrors in the depiction) whereas Futurists

believe the description as prophecies of the fu-ture The Idealists hold the belief that the Rev-elation does not refer to actual people or events which makes sense as the Bible is often not inter-preted literally So fingers crossed that the Revela-tion is not interpreted in the futurist way because in that way there is going to be a daunting future awaiting us

Four horsemen of Apocalypse

hkucaduceusnet | 29

ldquoDevolvingrdquoEarthTheoryThis is probably the

most scientific theory that I have come across so far from a news article pub-lished from ABC News A group of scientists from University of Washing-ton hypothesized that the Earth will gradually de-volve in the next half bil-lion years In short their logic works as follows

As we all know the sun is constantly grow-ing bigger yet the Earthrsquos environment has been reasonably constant This is because as the sun is warmed up carbon diox-ide from the atmosphere is removed and deposited in soil as carbonates This keeps our environment stable by the balance be-tween an increasing sun and reducing carbon di-oxide in the atmosphere (Note that global warming resulting from an increase carbon dioxide in atmosphere is just a brief blip in the grand scale of things) Since carbon dioxide is the ldquofood of liferdquo the reduction will cause plants and animals (including humans) to die To battle the rising heat some creatures will retreat into the sea hence reversing the evolutionary process And as the sun continues to expand the Earth will become so hot that even the oceans will gradu-ally be evaporated Eventually the sun blasts off its mass through ther-mal pulses engulfing the Earth

This is a very scientific specula-tion from an astrophysicistrsquos point of view and they claim that at best we have no more than half a billion years left This might be more reas-suring for some of us as the world will not end in the near future But the grief lies in the inevitability of our planet Earth coming to an end

Everythingthathasabegin-ninghasanendSo we are back where we start-

ed With more speculation and the-ories and still no closer to the truth The end could happen any day or time or maybe it could be a proc-ess that is already happening Even though it is not to the scale of an-nihilation of the human race hur-ricanes and earthquakes and car crashes have already been stealth-ily taking the lives of millions We know for sure that we must die eventually through chance old age or disease There is only very little we can do to fight against what has been planned for us and reducing the resources we consume is the best chance that we have in delay-ing this happening There might be some benefit if we know the in-sights of when and how it will hap-pen but really it doesnrsquot change anything Moreover it is possible that these speculations came about to force mankind to live life to the

fullest to treasure each day and every resource we have as a gift so it doesnrsquot matter which theory is the accurate one In the midst of these theories about apocalypse all we can do is to live every day as if it was our last with no regrets and enjoy life as it is now

ReferncesThe End of the Worldhttpwwwnostradamus101compropheciespart4P7

The Great 2012 Doomsday Scare httpwwwnasagovtopicsearthfeatures2012-guesthtml

When Will the World End New Theory EmergeshttpabcnewsgocomTechnol-ogystoryid=97756amppage=2

2012 Beginning of the End or Why the World Wonrsquot Endhttpwwwnasagovtopicsearthfeatures2012html

Video from history channel (from youtube link)httpwwwyoutubecomwatchv=BoTExQEyblU

ldquothe MeaNiNg of life is coNtaiNed iN every siNgle expressioN of life it is preseNt iN the iNfiNity of forMs aNd pheNoMeNa that exist iN all of creatioNrdquo ndash Michael jacksoN

30 | Caduceus September 2011

笑的神奇魔力「當你笑你改變了當你改變了整個世界也改變了」

麻丹卡塔利亞醫生(大笑瑜伽的始創人)何麗敏 (N14)

被隱藏的笑容

日 本大地震及核洩漏事件馬頭圍道唐樓火災三死十九傷中區

警長為勸示威人士中不慎失足墮橋身亡

各政黨爭相你嘲我罵helliphellip在城市裡我們

每天都被一些飛來橫禍天災人禍或社會

爭執的信息圍繞著充斥著愁雲慘霧的氣

氛甚至在家庭朋友學業工作和

健康方面我們亦會遇到不如意之事負

能量和心理壓力不斷增加沒有適當的疏

導和發洩方法之下不少人染上酗酒或沉

迷賭博等壞習慣來自我麻醉長期把情感

抑制的一些人更有機會患上

情緒病我們彷彿硬把自己

困在死胡同裡忘記兒時怎

樣整天咧嘴哈哈大笑如何

在跌倒後笑著站起來現

在很多人都像被魔鬼牽著

鼻子走每天板著一副無奈

沮喪的嘴臉掛上冷漠的眼

神笑聲更差不多成為絕

朋友啊你可有嘗試計

算過一天總共大笑了多少

次英國格拉根大學研究發

現在英國嬰兒每天會笑

達三百次而青少年時期的

每天大笑次數大幅減至六

次五十多歲的人平均每天

更只笑了三次無可厚非

我們在成長過程中必遇到愈來愈多的煩惱

和挑戰事情的確不是我們所能控制但

面對的心態我們為何不能放開一時所謂

的包袱像孩子般笑著面對呢為甚麼大

笑要有一定的理由或被時間限制呢

瑜伽加愉

近半個世紀工作學業和情緒波動

很大生活方式變得愈來愈物質主義容

易出現精神緊張大家都被壓得透不過氣

來變得不太愛笑在一九九五年印

度孟買註冊家庭醫生麻丹卡塔利亞(Dr Madan Kataria)創立「大笑瑜伽」以笑聲驅除怨氣大笑瑜伽是以笑聲互相交流

的透過眼神接觸傳遞歡樂的信息學習

別人的笑容代入孩童的心態再全情投

入地開懷大笑同時亦融入瑜伽的腹式

不妨一試

大笑瑜珈三式一預備式林中步行

在樹林慢走就是愛笑瑜伽的熱身方式步行時間

可以是10-30分鐘邊走路邊拍手同時不時地做深呼

吸目的是讓身體和情緒都徹底放鬆下來為後面的

內容做好準備

二進行式學習動物的表情

在瑜伽導師的帶領下活動面部肌肉然後模仿瑜

珈導師的動物表情這些表情看上去本身已很滑稽

只要按照瑜伽師的樣子去做再發出笑聲

三結束式調整呼吸

經歷了一場大笑面部表情鬆弛了心情也舒服

了不少大家慢慢收回笑容調整呼吸一邊在森林

裡散步一邊大聲告訴自己說「我們是世界上最快樂的

人」

灼見

hkucaduceusnet | 31

呼吸和伸展動作鼓勵大笑達至身心健康

的效果精神科專科曾繁光醫生指出 

「笑令腦自然分泌天然多巴胺以抗衡人

體緊張時所分泌的皮質醇預防患上焦

慮抑鬱的情況」除了改善情緒還能

促進健康笑能促進肺部呼吸功能和加強

血液循環現代醫學認為笑可以成為一種

治病方式治療神經衰弱消除肌肉的緊

張預防或減緩疼痛

筆者在此並不是宣傳大笑瑜伽其治

療成效仍有待商榷和科學實證但愈來愈

多人證實大笑和保持歡樂的心態能有效放

鬆自己張立新先生是第一位在中國推廣 

「大笑瑜伽」的人他患上憂鬱症遍尋

各種治療方式皆無成效一次機緣巧合

從網路接觸「大笑瑜伽」亦在電視上看

到介紹而開始學習和練習他的憂鬱症因

此不藥而癒從此他就開始在中國研究和

推廣愛笑運動暫且別論大笑瑜伽的奏效

程度但人生所遇到的事可真不少何不

笑對人生

尋回被遺忘的赤子之心

大笑並不是靈丹妙藥但它的確能帶來

正能量即使事情有多糟糕笑著面對總

比怨聲載道好而且美國加州大學柏克

萊分校心理學教授丹卓凱納說「笑對

人的進化很重要」目前心理學家們認

為笑是人類之間交流的古老方式之一笑

能互相影響把歡樂的氣氛傳染開去嬰

兒還未學懂說話時笑是與身俱來為何

我們長大後卻隱藏笑容呢朋友們參考

左頁所列大笑瑜伽的基本招式大家可相

約三五知己輕鬆一番找回孩童時的笑聲

大笑瑜伽的始創人麻丹卡塔利亞醫生

大笑瑜伽在六十多國家盛行

ldquolaughter is the best MediciNe - uNless yoursquore diabetic theN iNsuliN coMes pretty high oN the listrdquo ndash jasper carrott

32 | Caduceus September 2011

Learning Experiencing GivingA magical 10-day journey away from the cityErin Yeoh (M15)

C lad in backpacks light clothing and sneakers 21 medical students from HKU and CUHK

were prepared to leave the comforts of home and the internet (did I hear Facebook) We were bound to Chi-na about to embark on a learning-cum-volunteering trip organized by Medical Outreachers

After saying our final goodbyes at the Shenzhen air-port we split into two teams Team A with 9 members were bound to Xirsquoan where they would see volunteer orthopedic surgeons at work The 12 people in Team B including me left for Guizhou to understand the role of village doctors in rural China Both teams aimed to find out the effectiveness of public health policies in rural areas of China We were to meet up 4 days later at Dongshan Guangdong

Part1GuizhouUpon landing in Guizhou we were provided with

excellent hospitality by the local officers and the lo-cal NGO Amity Foundation We were given a brief introduction to Guizhou and also the work that the government and Amity Foundation were doing in the province Amity Foundation actually helped to build numerous new village clinics to improve the quality of healthcare in the region

The next day we were taken on a tour around the province visiting different village clinics (村診所) lo-cated in areas further away from the city Usually there would be one or two village doctors (村醫) on duty

at a time to attend to the villagers with population of around 1000 to 4000 per village

However the village doctors were not the type of ldquoheroesrdquo I had in mind They were not your typical doctor working in a worn out run-down wooden hut where there would be a row of sick villagers lining up to see them How ignorant I was In fact the village clin-ics were mostly renovated and well equipped with ba-sic amenities The standard village clinic has 5 rooms main lobby (大廳) treatment room (治療室) pharma-cy (藥房) observation room (觀察室) and a doctorrsquos rest room (醫生休息室) Furthermore their patient flow was rather small sometimes only one or two pa-tients per day This was probably due to the fact that some village clinics were located only a stonersquos throw away from major cities Those in a medical emergency would of course go straight to the main hospital to seek help immediately instead of consulting a village doc-tor

To be a village doctor one at least had to be a sec-ondary school graduate They would also undergo constant training and certification by qualified doctors in larger clinics According to the village doctors they spent most of their time doing paperwork keeping track of the villagers and their medical history They would also conduct regular home visits to those suf-fering from chronic illnesses or those that needed con-stant monitoring such as patients with hypertension or rheumatoid arthritis Another point that I found

A village clinic before receiving funding from Amity Foundation

hellipand a comparison after

Life

hkucaduceusnet | 33

interesting was that they would also visit families with newborn babies to check on their general health At the same time they would educate mothers on proper breastfeeding techniques and how to provide adequate nutrition for their children in the future

To learn more about their daily routine we fol-lowed a village doctor on his home visit rounds The doctor would sometimes have to travel as far as 2 kil-ometers for a home visit which would be the other end of the village This was as in the case of a pregnant lady due for delivery soon (photo as shown below) The doctor who came to check on her health status reas-sured her that her delivery would be a successful one From her sigh of relief and tired smile we could tell that she was grateful to see the doctor

However things didnrsquot always run as smoothly According to some of the village doctors they used to be scolded and rejected by the locals who did not understand why the doctors would often come up to their doorsteps asking them questions regarding their health and pestering them to go for checkups Some of them being superstitious would think of doctors as ldquoharbingers of bad luckrdquo as the doctors would talk about ldquosicknessrdquo and ldquodiseaserdquo when they were actu-ally feeling as fit as a fiddle Thankfully the situation has much improved since then

From what we saw instead of playing a curative role in a society the village doctors were actually much more involved in disease prevention and monitoring

This is actually the ldquoupstream modelrdquo concept in pub-lic health Instead urban doctors are overwhelmed by limited consultation time and when fatigue kicks in they simply do not have the energy to further educate their patients They would also not have the time to un-derstand their patients on a personal level unlike that of the village doctors

However the indiscriminate use of antibiotics in China was truly a frightening sight Doctors adminis-tered antibiotics intravenously for mild diseases like the common cold When we asked the doctors as to why they did so they simply smiled and shrugged off the question It is probably still a common practice in China and if the doctors did not give such medication the patients would probably lose trust in the doctor The fact that the similar practices were seen even in large hospitals probably indicates that this problem is hardly a localized one

Part2DongshanGuangdongWe met up with the team from Xirsquoan at the

Guangzhou airport and proceeded to our next desti-nationmdashDongshan After 5 hours of car ride we began to see signs that we were approaching our destination Mountains sharply angled clustered in twos or threes fondly known as ldquoMcDonalds mountainsrdquo were begin-ning to be in sight

As soon as we arrived we were greeted by eager curious young faces The children huddled close by as we unloaded our luggage some commenting that they hadnrsquot seen some of us while others were already play-ing around with the past participants It was my first time to Dongshan but there were some of us who were not new to the kids there

After settling down we were given an introduction to Dongshan and its residents by the local NGO Green Action Foundation led by Mr Wong

Located at the outskirts of the province Dongshan is one of the 4 poorest areas in Guangdong Its natu-ral terrain abundant in limestone makes it especially hard to retain water This has taken a toll on the resi-dents especially during the drought season Another problem faced by the local residents is that there are many young people and adults migrating to big cities to earn a living leaving behind the children and elderly

Village doctor on one of his home visits

Discarded bottles of intravenous antibiotics near the village clinic

ldquoMediciNe also disregards NatioNal bouNdariesrdquo ndash irviNg laNgMuir

34 | Caduceus September 2011

at home

Green Action Foundation took the initiative to plant trees around the area so that more water was available for irrigation and domestic purposes This improved the quality of their crops and boosted their source of income They also sponsored some of the

childrenrsquos education depending on their performance in school to ease the burden on their families

The next few days were jam-packed with activities A sports day was held as an icebreaker so that the new participants could get to know the children better We also spent half a day at the Dongshan Primary School where we taught the kids personal hygiene simple first aid moral education and also sex education for the grade 5 and 6 students

Another interesting activity that we had was a weed-cutting session up at a mountain with the other children Each of us was assigned with 2 to 3 chil-dren who were supposed to ldquoguiderdquo us along the way It was a 2-hour hike up and down hilly ter-rain While I would stop once in a while to take a breather the kids were barely panting The kids would often stop to ask if I was tired and even of-fered to help me carry my backpack Note to self more exercise next semester

Nevertheless it was a great chance to know the kids better We had the time to chat about their school life and what they thought about their future and also the chance to share snip-pets of our lives in the city

We then split into small groups and visited the homes of the children in order to gain a bet-ter understanding of their household hygiene

condition any medical conditions in the family as well as their economic standing We had also prepared questionnaires to be kept as future record Some of the families were very poor to the extent of having no source of income at all They depended solely on their own crops for food If they went to see the doctor they would usually owe the doctor money until they had

enough money to pay back The hygiene status of the villagers varied but most of them had swarms of flies around food Many even had their live poultry like chickens running around the house Before we left we gave them some hygiene products like soap washing detergent and toothbrushes to encourage better hy-giene We also gave them a poster explaining ways of maintaining a clean household environment

Another main focus of the trip was to find out the effectiveness of a medical insurance policy newly in-troduced by the government Each person had to pay 30 Renminbi annually to be guaranteed free medica-

Sports day activity

Weed cutting with the children

hkucaduceusnet | 35

tion and hospitalization thereafter Generally the vil-lagers were grateful for this plan as many found it dif-ficult to afford medical fees while struggling to pay for

basic necessities at the same time However some vil-lagers complained that the prices of medicine spiked after this policy was introduced and hospitals would of-ten ask patients to

do unnecessary scans just to earn more money

This trip made me realize that there is much that we can do but how great an impact we can make might not be seen immediately With follow up trips one could see the change as compared to the last visit and make further modifications to improve the situation

As the trip came to an end we were reluctant to leave There was something very magical about Dong-shan where the skies would turn to an exuberant red during sunset and on a clear night you could see stars scattered across every corner of the sky It is a place of beauty struggle and hopefully a place of triumph in the years to come

It is a place of beauty struggle and hopefully a place of triumph in the years to come

On one of our home visits

More to ExploreMedical Outreachers 醫心httpmedicaloutreachersorg

The Amity Foundation 愛德基金會httpwwwamityfoundationorg The beautiful sunset in Dongshan

ldquoshariNg is soMetiMes More deMaNdiNg thaN giviNgrdquo ndash Mary catheriNe batesoN

36 | Caduceus September 2011

就 在這一刻世界沉默了

城市的繁囂隨飛機引擎

逐點逐點噴走了繁囂的離

開是為了讓簡單的生活回

來剛踏出廈門機場一張

又一張的笑臉映入眼簾刺

熱的太陽把兩地之間的隔膜

融化

早從香港回歸時開始

香港人經常強調自己只是 

「香港人」而不是「中國

人」自以為比內地人高一

等可惜這班自視過高的都

市人曾幾何時為外地人送上

熱情的款待這一點廈門

人比誰都做得更好

廈門是一個位於中國

東南部的海島也許就是近

海讓居於廈門的人都把一

切怨恨煩惱拋下大海讓

它們隨水流漂走埋藏在海

床上每年廈門的鳳凰花花

開兩季一朵又一朵鮮艷如

火的鳳凰花在六月時歡送一

個又一個的畢業生彷彿為

他們添上一份祝福九月時

的鳳凰花熱情地歡迎一屆又

一屆的新生為新生的精彩

校園生活揭開序幕一份一

份的熱情含苞待放身在廈

門又怎會不被這市花的熱情

感動呢廈門大至人與人

之間小至花與花之間都存

著一份情

要追溯廈門人的情懷

可數至土樓的建成土樓

是個大多呈方形或圓形大型

群居的建築整座土樓樓高

三至五層由於牆身頗厚及

只有一個出入口甚具有防

禦功能亦因為這緣故當

大門關起來土樓便成了一

個家這個家佔地不大但卻

藏著成千上萬的人情味在

萬里無雲陽光普照的天空

下土樓居民的熱情好客

被蒸發出來懸浮在空中

一代一代傳下去更讓它隨

風走出土樓傳遍整個廈

門即使土樓漸漸成為旅遊

景點一些擺賣紀念品的攤

檔已經進駐但卻無礙居民間

的感情商販彼此交流從

不出現爭客的情況在土樓

中央休憩的居民除了為外地

人介紹他們的祠堂外亦邀

請遊客跟隨他們到遊客禁區

參觀在土樓居住的每伙都

中門大開當遊客投進好奇

的目光屋內的人往往以親

切的笑容作回答鄉土人

情在這世代多冷漠的心也

被融化

細膩的人情味外最令

遊客津津樂道的是廈門人的

態度廈門大學附近有一條

芙蓉隧道只要你願意便可

在隧道內壁上畫下你所思所

想當然美觀與否見仁見

智但這一種對藝術尊重

欣賞的態度是值得欣賞我

有我盡情地畫你有你盡責

青春在廈門留下足印潘曉彤 (N14)

生活

hkucaduceusnet | 37

地去管轄城市各處的整潔

彼此留下空間達至相輔相

成的效果廈門人就懂得人

最基本的禮貌尊重不

過廈門人對他人的尊重遠超

於人的基本禮貌當你去唱

「卡拉OK」的時候每次

待應的出入時看到的就只

有他們的正面而他們前行

或後退的方式就像看到皇帝

一樣卑恭屈膝香港人常常

強調面子哪一天才能捨下

那過高的尊嚴為不相識的

人作一個最謙卑的招待

其實任何人一離開香

港都不難發現就只有香

港愈夜愈精彩其他地方晚

上八時大多關門大吉而廈

門就只有中山路才媲美得

上香港的夜夜笙歌夜幕低

垂萬千燈火的中山路上

與來自各區的人擦肩而過

昏黃的燈光下照出一群又一

群的沉默影子剛好與路上

喧鬧的行人相映成趣騎樓

在霓虹燈的點綴下顯出了獨

有的閩南特色大街小巷傳

來不同地道小食的香氣車

輪餅燒仙草土笋凍helliphellip

為我們外來的交流生帶來美

味可口的夜宵飲飽食醉過

後走到中山路的盡頭又

回到了沉睡中的廈門

在優美的環境影響下

廈門人的生活也自然變得

純樸優閒單車車輪在環

島路上留下一圈又一圈的印

記沿路能細聽海浪輕拍岸

邊的聲音細嗅四處洋溢的

花香感受微風吹散太陽散

發的熱力見證一對又一對

的新人在拍下幸福的照片

據說廈門有戀愛天堂之稱

不管走到哪一處也會

看到準新人拍下甜蜜的婚紗

照而在裡面享受的人永遠

不知道這風景如畫的背

後是透過多少人的血汗換

來當我們在追求經濟成果

的同時往往破壞了造物者

在世上留下的藝術品隨中

國經濟急速發展一個又一

個的世外桃園被摧毀銅臭

替代了花香車聲替代了鳥

語這仙境又可維持多久

廈門另一世外桃園就是

鼓浪嶼它活像香港的長

洲島上滿有歐陸建築風

格但當中不乏中國特色的

建築中國古城風味與洋風

互相交替帶出截然不同的

感覺島上遠離汽車的廢

氣與金門就只是一海之

隔一家大小在享受天倫之

樂時一群又一群的青少

年情侶在沙灘上嬉戲立

即為島上升溫

筆者認為在這個混亂的

俗世確實需要抽空來欣賞

造物者留下來的藝術品大

財團不斷興建大型商場國

際知名品牌不停進駐留下

的就只有愈來愈狹窄的街

道被石屎封蓋寸草不生

的土地人人被金錢蒙蔽

迷失在霓虹燈光中又有多

少知音人能放下生活的瑣碎

事情在這裡享受時間一分

一秒的流走你被海浪聲

喚醒了嗎

筆者參加這次是由香

港廈門兩地大學的交流

團一連六天已經習慣了

當地的優閒生活模式體會

到的不只是廈門的風土人

情歷史文化而是兩地大

學生那種衝破界限的交流

雖說年輕人容易打成一片

但廈門獨有的熱情確實融化

了彼此間的隔膜廈門的美

是成人之美成就了兩地大

學生的友誼

飛機又再起飛了廈門

再見了

ldquothe tiMe of life is short to speNd that shortNess basely it would be too loNgrdquo ndash williaM shake-speare

38 | Caduceus September 2011

生 命形成之際只要一秒鐘的差遲世界便會不一樣

蝴蝶效應從來都是玄的全因一個 

「緣」字

隨著人成長要決擇的事太多學生

有兩件人生大事幾乎都不是由自己決定的

入讀小學及中學然而到了大學這

關卡自己也許可以拿定主意了若果你

入讀了心水科恭喜你若不然祝福

誠然入大學是最影響未來生活的關

口是好是壞無人知曉不用量化不

用比較太多即管做自己所想活出自己

的路只因你不會曉得你的下一步會怎樣

影響著你的生命

或許一個活動你會遇上你的最愛

或許一個宿位你會遇上你的知己

或許一句說話你會惹來一個敵人

或許一次走堂你會由B變C

這就是大學

在大學各人有各人的大學生活大

學講求自由學習學習真的是「求學不是

求分數」有些人愛廣交朋友有些人愛

住宿有些人愛做莊務有些人愛拍拖

有些人愛參加各樣活動有些人愛做兼

職有些人愛讀書有些人卻愛甚麼都不

做helliphellip不少大學生強調入大學必定要做齊

大學五件事(上莊住宿讀書拍拖

兼職)但其實只要自己開心不害人的

話做甚麼也沒問題最要緊的是認清讀

大學的目的以免沉淪於大學這花海

朋友

大學可以令你對「朋友」的概念愈來

愈含糊幾乎每個活動都可令你認識新朋

友通常大家都會輪流講述自己的名字與

學科(Round Table)這亦是考驗大腦對人名的記憶所謂的「Hi-Bye Friend」會愈來愈多隨便在細小的港大內穿梭會令你

無可奈何地對他們說聲Hi

不過別標籤你的「Hi-Bye Friend」要是連Hi-Bye也談不上更不用說做深交了上大學了大家已有既定的圈子很

多時約會或聊天都先找中學朋友而且很

多人會把大學朋友與中學的作比較雖情

有可原但有時未免先入為主地覺得中學

的較好

這亦難怪即使是日日碰面的同學也

未必是自己的好友人人都有自己的時間

表下課後各散東西不是大家不想互相

認識只是有時身不由己若想互相了

解不妨盡量製造共處之時有時甚至可

以分一些約會給大學朋友然後你會發

現大學朋友也可跟你熟絡可別為自己

建造一塊厚厚的心牆

舍堂

要入宿無人會不曉得十日的迎新營

有些舍堂平均每天的作息時間只有兩三小

時有人說住宿最辛苦就是迎新營然而

它卻是最難忘的

要數活動單單一個舍堂已數之不盡

要是投入舍堂生活每天24小時是不夠

用的舍堂之間有各樣比賽堂友要參加

各個組別為比賽出席各樣練習否則可

能被拒於來年再住基於許多人都只在夜

晚有空要全體出席那可是晚九朝五的

大學之緣賴彥積 (N14)

新鮮人

hkucaduceusnet | 39

宿生們之所以會熱衷於舍堂活動因他

們對自身舍堂有強烈的歸屬感好比中學

時學生參加校際比賽要是沒有歸屬感

就不會有心參加所屬舍堂的活動

除舍堂之間之活動樓層之間亦有各類

活動樓內亦然只要有人的地方就有玩

樂彷如天天宿營你不會有機會偷偷早

睡其他樓友常常打擾你你原來的生活

時間會推後數小時睡於二時已是罕有

早上的八半堂彷如無物

可以住宿但不參加活動嗎當然可以

但你會面對的是朋輩壓力他們雖未必逼

你參加卻會在言談中有意無意的滲出

來那種壓力不只限於自己樓層甚至是

跨樓層千萬可別輕看宿中流言

上莊

有人說上莊所學遠超課堂上莊所學

的是如何籌辦活動非常實用有時要對

外聯絡有時要面對公眾helliphellip像是要為將

來工作鋪路似的當然這亦要視乎你上

的是甚麼莊

一般而言上莊可訓練你待人處事的技

巧有時表面看來很友好的朋友當背

負上一定的要求後關係少不免有磨擦再

者初時莊員素未謀面最後卻因朝夕相

對而演變成朋友這段關係是很可貴的

成莊前要宣傳內閣爭取選票成莊了

又要舉行咨詢大會包受歷莊指導然後

又有就職典禮此後的活動更接踵而至

當然包括迎新活動招莊活動等helliphellip君不

見很多人視莊房為睡房少不免有「通

頂」之時忙是忙但必有價值至於是

好是壞要看自己的造化了

拍拖

人上了大學有時心思思想拍拖眼見

身旁多個好友都紛紛拍拖自己少不免羨

慕別人這想法十分正常畢竟大學生真

的可以放下只讀書的重擔真的可以規劃

人生大事了

香港大學一些營新活動中隨了Round Table外還有Round Status即說自己現在有否拍拖以及拍過多少次拖如 

A 0即Ava i lab l e之前至現在沒有拍拖O1即Occupied之前至現在共拍了一次拖當然也有一些同學自己創的甚

麼OBA (Occupied But Available)或D10(Desperate拍過10次拖)等等至於Round Status的動機何在可能是組爸媽想穿針引線吧當然也可能是別有用心的

不同人對拍拖有不同想法上了大學更

有不同擇偶條件人大了在感性的議題

上往往加上種種理性的數據開始現實起

來哪個帥哪個富有哪個有前途helliphellip

有些不在乎天長地久只求剎那的光輝

有些求虛榮有人疼愛在朋友前炫耀

有些甚至會在拍拖前已想定分手後的模

樣所以不想選擇跟自己同科的同學

活動

不同團體(包括舍堂學會及學校部

門)都有不同活動不用愁沒事幹只用

愁沒時間只要多留意Portal Mass Email或Main Campus海報不難發現幾乎每天都有各樣活動動靜皆宜開學時有迎

新營考試時有勁過飯新學期有開Sem

飯有些學會如戲劇舞蹈合唱團不時

有演出有關運動的學會則多練習以參

加比賽有關學術的也有很多興趣班講

座比賽等想幫人的亦可參加義工團

體如蛇蛇豬扶青等舉辦的義工活動

兼職

大學生的兼職大多以補習為主畢竟

這是我們能力範圍內可賺取最多外快又是

時間最彈性的工作有些人卻因補習不能

寫在履歷表而選擇別的工作然而很多時

我們都要在兼職與大學活動中取捨我的

ldquotake a chaNce all life is a chaNce the MaN who goes farthest is geNerally the oNe who is williNg to do aNd darerdquo ndash dale carNegie

40 | Caduceus September 2011

E mily was the chairperson of Pharmacy Socie-ty session 2010 As a student she has actively

participated in holding activities for many medical stu-dents and taken part in providing welfare to all phar-macy students Her following sharing will especially enlighten our new pharmacy students

Q Why did you choose Pharmacy SocietyA To be frank ldquosheung jongrdquo was really out of

my expectation when I anticipated my university life However my perspective has changed when I officially became a pharmacy student in HKU As members of the opening class of the Pharmacy programme my classmates and I realised the importance of having our own student body We do need an independent soci-ety to represent us pharmacy students to cater for our specific needs to listen to our points of view and to act as a bridge to facilitate our communication with the Medical Faculty the entire university and ultimately the pharmaceutical field in Hong Kong My class-mates and I who later became ldquojong yausrdquo believed we should act immediately to establish and run our own society which is why I decided to ldquosheung jongrdquo

Q Would you like to share some of the pros and cons of sheung jong

A ldquoSheung jongrdquo definitely helped me achieve per-sonal growth It was a concurrent commitment and re-sponsibility to serve and to lead our colleagues Bear-ing this in mind we always pushed ourselves to attain the best of our work ethics efficiency and efficacy As the very first session of the Society we lacked the guidance of any previous committee member Instead analysing carefully and critically we thought better of every decision which I personally found an enriching experience ldquoSheung jongrdquo was also an eye-opening journey Wersquod got to meet different people and learnt more about the professional work for as our career-to-be after graduation This in my opinion is always beneficial Last but not least I was fortunate enough to have worked with my amazing fellow committee mem-bers I frankly couldnrsquot ask for better ldquojong yausrdquo than initium Irsquom absolutely thankful for having them as my friends and it is definitely my greatest gain along the way

Despite the merits ldquosheung jongrdquo definitely has its downsides as well It is a lie to say ldquosheung jongrdquo does not affect our daily life because it does take up a big chunk of our time At the end of the day it is about time management which is easy to say but extremely dif-

建議是如家庭環境較困難賺錢吧反

之可以多留時間給各活動畢竟大學一

年的學費不只值那幾十堂課如何善用這

$42100就在乎你如何投入大學生活

讀書

假若你認為大學的考試可考核學生的

真正讀書能力並要求學生活學活用課堂

所學那麼你大失所望了假若你善於背

誦有過目不忘之本領大學的筆試不會

難倒你只要靠著前人留下的歷屆試題

背到滾瓜爛熟是不可能不及格的很多屆

試卷都是千篇一律的很多教授可沒空大

改試題那同學們就走運了有些課堂

即使再專業的學科都會有只理論無實

踐的課堂然後考試就要你把一大堆理論

背出來helliphellip例如甚麼叫批判思維噢

我可不知道只知道我掉了5分

不同學系在某程度上定下了人的前途

對於醫學院學生而言前路是較清晰可見

的但對於非專業學科前路不可只靠讀

書也許要靠自己另外摸索讀書所帶來

的必然是較高的GPA高GPA所帶來的是

獎學金到外國交流工作實習日後工

作機會等等當然大學學習不只局限於

讀書會否因此失彼就只有自己知道

蝶翼拍動之時往難以預料機會是

要自己摸索的

如經上所記

「神為愛他的人所預備的是眼睛未曾看見耳

朵未曾聽見人心也未曾想到的」

(哥林多前書29)

「栽種的和澆灌的都是一樣但將來各人要照自

己的工夫得自己的賞賜」

(哥林多前書38)

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

Freshmen

hkucaduceusnet | 41

ficult to achieve Also working as a Committee mem-ber can be very exhausting and difficult You definitely need lots of determination and support to get through some of the busiest times

Q How did you handle and balance the workload of study and your ldquojongrdquo

A As Irsquove said before it was tremendously difficult I guess my best advice for the future committee is to know your limitations and always plan ahead You have to know your time to work to rest to study etc No one will be over-worked and eve-ryone will have some personal time if you share the burden wisely between ldquojong yausrdquo Secondly you have to make very clear plans so that you can make full use of every little piece of your time I may not have succeeded in my time management but most of my ldquojong yausrdquo managed to do so de-spite the packed schedule of our Soci-ety This is sufficient proof of ldquoimpos-sible is nothingrdquo

Q As there are only about 25 pharmacy students per class do you have any suggestions for P14 fresh-men to make more friends from other curricula

A It really depends on what kind of person you are If you consider your-self socially active living in a hall or ldquosheung jongrdquo will be a great idea for you But if you see yourself as a much quieter person you can still make use of opportunities such as Medic Orien-tation Camp and other events jointly organised by student bodies within the Medical Faculty to make new friends

Q Any special things for P14 freshmen to be aware of

A First of all welcome You all are now members of Pharmacy Society MS HKUSU and I would like to let you know that this is a student body aiming to serve you Thus feel free to share your viewpoints and voice out your opinions to the current Com-mittee members The Society has to

understand your needs to improve and provide better welfare and services for you

Q Any other comments or important things to re-mind P14 freshmen

A If you would like to get to know more fellow pharmacy students especially students from P12 and P13 grab the opportunity to join the Pharmacy Society Orientation Camp and the Mentorship Programme These are great chances to make new friends and Irsquom sure you will enjoy them

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

ldquoas huMaN beiNgs we do chaNge grow adapt perhaps eveN learN aNd becoMe wiserrdquo ndash weNdy carlos

42 | Caduceus September 2011

筆 者是一位護理系的學生半年前有幸成為二零一一年啟思編輯委員會的總編輯在期間所體驗到的希望藉著這次機會作出分享特別希望新加入醫學院的同學

能對「上莊」有更多了解

上莊之路上莊是大學五件事之一證明它對大學生

活有一定的重要性一定的位置筆者在初入學的時候曾為了上莊與否而煩惱猶豫了好一段時間期間考慮到自己能力怕學業應負不來但最後仍然下了上莊這個決定原因是上莊是個難得的機會充實增值自己不同的莊會提供不同的機會讓莊友去學習透過不同的莊務去讓自己眼界擴大另外可以了解醫學院內發生既事情例如院內活動的進展情況更可以參加舉辦院活動為醫學院出一分力最後當然會認識到將會相處一整年的莊友工作伙伴有機會認識到不同學系的同學從他們身上可以觀察到學習到各種的特質從而令自己有所進步有所啟發

護理學生作為護理系學生起初擔任總編輯一職實

在是倍感壓力畢竟歷屆的總編輯都是由醫科生出任因此筆者起初都害怕跟醫科生共事怕自己的能力不足夠應付莊務所以起初都是戰戰兢兢地上莊

一位三年的護理學生曾對我說「我認為你不太尊重護理系護理系和醫科都是個專業希望你能加以尊重自己的學系不要輕視護理這個學系你要肯定自己的學系才能帶領整支莊因為莊內成員來自不同的學系你必須肯定和認同每個學系都有一定的重要性以及其專業」這番當頭棒喝的良言令我明白到自己一直都太輕視護理系過於重視醫科現在我明白到認同自己學系是尤其重要只有這樣才可以用自己學系的身份去發表意見只有認同自己學系才懂得尊重其他的學系莊內便可以融洽一點

在筆者的莊友中醫科生都是較有責任感而且做事更有計劃從他們身上的確學到不少東西這點是無可否認的事實筆者並不是在分享學系與學系之間的差別而是希望有志上莊的同學能互相尊重明白到各學系的莊

友都有其值得學習的地方起初對其他學系有隔膜是無可避免的畢竟對他們的學系都不太了解又沒有歸屬感但如果因為對方是別的學系而輕視對方的人不但失去與人相處學習的機會而且會令莊內的氣氛失去和諧

幸好的就我所見所聞醫學院內的莊多年來都能融洽相處互相支持令到一眾上莊的同學都能輕鬆地享受上莊的喜與樂甚至是不愉快的事情

依靠你的莊友莊是一個團體不是一兩個人可以應

付得來所以筆者認為與莊友互相溝通合作是個重要的元素新同學如果有志參與莊務期望從上莊中有所得著首要的事情是與莊友建立關係因為他們將會是你來年的工作伙伴也是你遇到困難時依靠的對象一位上莊曾對我說「其實一件的莊期不會令你有太大的得著或成長反而長久的友誼才是你將會得到最重要的」這句說話是千真萬確的上莊的人不會由詞不達意改變成談吐得宜不要期望自己會有驚人的轉變也許上莊會令人處事成熟一點有計劃一點但上莊所得到的關係將會是更重要更珍貴一年的相處中面對過有無數的會議共同處理過不少困難從中

建立的友誼真的是畢生受用

責任感上莊另外一個十分重要既條件就是責任

感有志上莊的同學必須明白到莊期是長達一整年在繁重的學業中騰出時間來處理莊務是個考驗責任感和毅力的測試同學必須再三思考想清楚自己是否真係熱衷於上莊或是只是一時衝動畢竟你將要許下的是一年的承諾必須對這個莊負上責任願意付出才選擇上莊這個決定這樣的付出就會有相對的回

總結上莊的確是個好機會讓自己去學習從處

理事務中或是從莊友身上都會有所得著充實著自己的大學生活從中可以認識到各學系的同學建立一段段受用終身的友誼在此筆者希望各學系的新同學可以善用機會作出上莊這個無悔的決定

護理系的啟思總編石志榮 (N14)

新鮮人

hkucaduceusnet | 43

慈兄吟(下)奇晶

最 後還是麥教授先開了口「他的確是一個好學生對醫學有獨到見解他不但學業成績優異而且樂於助人你是他的妹妹吧」婉慧努力控制自己的淚水繼繼續續的說「是啊但helliphellip但helliphellip我不知道helliphellip他竟會在這裏出現」麥教授用悲天憫人的目光看着婉慧語重深長說「人生自古誰無死人生命的有為與否並不取決於他生命的長短而是在於人生的意義你哥哥雖然最後當不了醫生但他的犧牲卻間接為一些同學做醫生鋪路讓他們做醫生去救人這真是一種無私的愛」婉慧點點頭覺得自己對哥哥的了解實在太少了

最後她還是孤獨的離開實驗室她覺得自己跟哥哥比起來實在相差得太遠了原來他除了是十優狀元在醫學院的成績名列前茅外還是個熱心助人的好青年自己除了少了一優外少的更有對別人的同情及樂於助人這造就了她心靈上的空虛她明白到冷漠不是一種對哥哥思念的正當表達方法她應該做的是把哥哥對其他人的愛傳揚開去以圓他的心願

第一步往往是最困難的婉慧平日對他人的態度已令不少人對她敬而遠之有很多次她嘗試向同班同學投以友善的笑容得到的總是詫異的目光或別人的不理不睬在小組討論中儘管她踴躍發言盡量避免冷場的發生偶同學們卻認為她變本加厲想阻止同學們取得好成績她四處碰壁又再次陷入了想念哥哥的深淵

時間一天一天過去了上學期考試前的休假開始了婉慧每天都勤奮的在圖書館溫習期望取得好成績這時候的圖書館堆滿了人如果遲來一個小時想找一個位子也難就在假期的第二天同班的王文在圖書館跑得氣急敗壞仍找不到一個座位婉慧不知怎樣有點同情他將座位讓給他王文驚訝道「不用了我還是回家吧真倒楣遲來了一個小時就沒有『接位』」

「但你住在哪裏呀」

「元朗今天早上我忘了校鬧鐘八時才起」

「那你還是要我的座位吧我可以坐到電腦桌因為我認識的人不少沒有什麼人會打擾我的」

王文謝了她頓時對這位冷漠的同學刮目相看原來她的內心也是溫暖的這並不是他所能料及的坐在電腦桌前溫習的她也感到特別的快樂溫習的速度也快多了王文就此成為了她的「飯檔」考試期間每天和她一起吃飯他更將自己的好友介紹給婉慧認識

在一個晚上她又悄悄的在圖書館的角落溫習着突然一隻溫暖的手搭着她的肩上她抬起頭但見解剖學的同桌手中拿着一杯熱飲輕輕的放在她的桌上婉慧正感詫異卻聽見他說「這杯熱巧克力是給你的繼續努力吧」她喝着巧克力心中感到一股暖流彷彿哥哥的關懷又在她內作出回響

十年生死兩茫茫不思量自難忘千里孤墳無處話淒涼helliphellip

寒風吹起了她額上的劉海佇立在墓前的婉慧不禁凜冽她想起了從前想到自己最後一次和哥哥吵架雙方面紅耳赤的情況想起自己無法親口跟哥哥道歉想起哥哥無私的付出她對着那空虛的墳心中不忍一陣淒然淚水漱漱的流下來她身旁攜扶着年紀老邁的母親邊拭淚邊喃喃道「我的兒子helliphellip歿了helliphellip」大家心情漸漸平復了緩緩走出了墳地

雨一滴一滴的落下飽歷辛酸的婉慧卻仍在懸壼濟世

短篇

ldquoyesterday is but todayrsquos MeMory aNd toMorrow is todayrsquos dreaMrdquo ndash khalil gibraN

44 | Caduceus September 2011

Eternal Flame (1)Tulipa

Itrsquos cold The chills from my fingertips imbibe deep into me This person drills into my mind digging out the truth inside me Itrsquos agonizing She comes right inhellip di-rectly I cannot stop her

Irsquom losing myselfhellip

My hand felt the soggy pillow I realised I had come back to life the world where I lived Staring blankly at the ceiling still losing focus in my eyes I felt my brows with my forearm For the first time I didnrsquot want to lose this feeling

The bedroom door slowly opened I quickly rubbed off the drops that had blurred my vision pretending that I had just woken up

ldquoDo you have lessons this morningrdquo My grand-mother whispered into my ear

ldquoOh goshrdquo I turned right to my alarm clock It was the real life I had forgotten to turn the alarm on last night and it was now seven thirty I knew it I was going to be late every time she caught me in bed Irsquod got to hurry up

Living in Hong Kong Island though it took me more than an hour to get to school I had to comfort my little brother sometimes till two or three in the morning in order to get him to sleep In addition to the consistently heavy study load in the medical school I could hardly get enough rest Running on my heels al-most became my routine starting from last November But I well understood the consequence of skipping lec-tures It was the beginning of the Cardiovascular Sys-tem Block For someone like me who gave least priority in revising Anatomy materials lectures remained the prime source of information for exams Absence from class was suicidal To make the situation worse this professor was one of those who did NOT upload lec-ture notes online

Hoping I wouldnrsquot arrive too late to miss the impor-tant points I finally stepped onto a route no 8 minibus at ten past eight What I could do now was to pay trust in the driver who would bring me to my destination

Coaxing kids was never easy Little Bruce just hap-pened to give me such a hassle last night

He knew I would check on him when I returned home Sitting right next to the door of his room he begged me for a story once I opened the door I sat down together with him on his little couch after Irsquod taken a quick shower This was a time to relax leaving

aside all the other concerns

Kindling through his favourite reader I saw that he wasnrsquot listening but distracted by all sorts of toys around He even invited me into his world of fantasy But it was getting late I had to calm him down so that I too could have some rest Being one of the brightest in his elementary school he should understand this was not the time for recreation

I began to feel annoyed

Yet he was my brother I had a gut feeling that this was unusual He didnrsquot use to be so ldquohyperactiverdquo It re-ally took me a while to adjust to his change With him still tossing and turning in my arms I apprehended his restlessness Unpredictable though he was true to his feelings In one way or another he might find the shadow of our mother in me

He finally settled when I laid him back in bed It was nearly two forty in the morning

The first week of the CVS Block ran as plotted PBL tutorials would start on next Monday Dr Youngrsquos fa-cial expression in the first PBL evaluation flashed over my Embryology notes and references She didnrsquot teach Embryology but I could tell she did have a hypertroph-ic heart-shaped face which looked familiar to the dia-grams in the Atlas

Back in the IHD Block most of us were puzzled about the scrambled content of our course Various forms of seemingly related knowledge came in through lectures practical and tutorial sessions But the neural circuit formed in our brain just failed to resonate as if the conductance-inductance mismatch had aberrated our thought from minimal impedance Sometimes things even happened in a ldquomore-than-extrardquo manner The presence of common core courses in a parallel but independent branch in the network could rightly be detached without causing a blip on the galvanometer Everything was dubious We had no idea of what we were doing

Maybe we were just on the way seeking for a sense of attachment

My mind too was racing in haste I was struggling with my decision to become a doctor Too many things had happened over the year I just couldnrsquot stop ques-tioning myself what was I thinking when I put lsquo6456 MBBSrsquo in my JUPAS application I should have expect-ed and prepared to face all these I just didnrsquot knowhellip

Novella

hkucaduceusnet | 45

It was midterm evaluation in the IHD Block Her face looked tense in that heart shape She was so stiff in her facial expression that no one could read her mind from her poker face The conference room of the Physi-ology Department was large We seemed to be the odd ones out in the spacious carpeted room In this secre-tive silence you could hear the drumming in your ears as if you were tingling

I realised this was not a matter of ldquoam-I-suitable-for-a-medical-careerrdquo but ldquois-a-medical-career-suita-ble-for-merdquo I was lying in bed playing with my plush bear when these thoughts burst in me Dr Young looked through me She felt certain that different from other group mates there were crises behind me But I didnrsquot tell her anything that day

We all were sensitive At times some subtle trepi-dation seeped in gradually sucking peace away from my sleep It was so to say below threshold sub-lethal though it lingered for weeks once it set inhellip

Drenched in bloodhellip There is no life in the boy His eyes are widely opened slightly protruded The lifeless pair of black pearlshellip I cannot escape from his glance He wants to talk to mehellip There is something he wants me to know

A van runs over himhellip

I fell down the edge of my mattress Breathing heavilyhellip Sweating all overhellip

ldquoScreechrdquo People began to gather around a tel-ephone booth a few metres behind us

I turned back I couldnrsquot see a lot from this anglehellip

ldquohellip What a pity He is so younghelliprdquo a middle-aged couple passed by

The victim resting just in front of the wheel looked towards me through a break in the crowdhellip

As we were wandering around thinking what to eat for dinner my cousin found me standing there rooted to the ground stunned by the victimrsquos gaze My heart was pounding She wouldnrsquot believe what I was again experiencing For a number of times already scenarios in my dreams were mirrored into reality

I couldnrsquot tell her

ldquoI was just thinking whether you would like Korean cuisine There is a new restaurant two corners awayrdquo I made up a talk while escaping from the scene so that I wouldnrsquot look so strange

ldquoWhy not go and have a try thenrdquo She was not dis-appointed for calling it a day as the food there was sur-prisingly good

Not until some years ago when I was Form 3 in college I discovered my ability to look into the future Sometimes I could see them coming up on the news in days or weeks And some didnrsquot ever happen at least not around me But seeing the night visions coming into concrete existence wasnrsquot always a pleasure when the mental images turned gradually into mostly night-mares When I visualised my close ones it felt like I was in the middle of an insecure chain bridge above a torrent that would sweep me into the vast ocean with no return It was entirely different from what you might understand as ldquodreams come truerdquo

I had witnessed misfortunes in proximityhellip

But I could do nothing about ithellip

Friends were a source of solace someone to con-fide all frustrations in But with my paranormal ability which appeared to everybody else only on screen-plays I wasnrsquot courageous enough to open my life wholeheartedly to them Seldom talking about myself avoiding all sorts of gatherings I became an eccentric figure among my classmates

Sometimes mutual understanding carried more weight than words I remembered my physics teacher being one of my few friends during my teen years De-spite his boisterous faccedilade he was always sensitive to whenever I was dwelling on my burdens Physics was our common language Intermingling our emotions and feelings with concepts that were alien to my fel-lows we developed a close rapport impenetrable by anyone else

ldquoWhat is the nature of a flamerdquo This was the most discussed problem between us Neither in solid liquid nor vapour state Not having any definite shape and colour It seems not any material but a type of energy giving out heat and light At the moment of providing it also exhausts its fuel and eventually itselfhellip

The romance of physics is more than anything you could read write and talk about Once you were truly connected with it nothing can stop you Your mind will bounce irrespective of the chronology of space-time but only under the guidance of your thoughts

I was so devoted to the discipline at the time that I was almost making it my lifelong career in some way He envisaged that I would demand much more than any academia could provide with its scientific basis alone We were both seeking a philosophy beyond the facts But Hong Kong may not be the right place for it

I made him a promise at the end to contain our flame and I knew I would

For the first and the last time I saw his eyes filled with tears We knew existence by itself is a miracle

ldquoi love life because what More is thererdquo ndash aNthoNy hopkiNs

46 | Caduceus September 2011

說華佗都說「華佗再世」誰知箇中真諦雲方 (M15)

烽煙起戰火燃萬里 

三國並爭英雄地亂世有誰顧生死 

待神醫行世將民眾救濟

渺渺江山東西瞰俞跗巧手扁鵲心(1) 應向何處尋 

滾滾黃沙無世家終有奇士放奇葩

沛國 華元化(2) 

他經書貫通南北遊動 

一望斷症如神助三劑消病不必多

說斷症悉如所料 

甘陵 相夫人腹痛極難忍(3) 號脈知死嬰在左為男形(4)廣陵 梅軍吏除名歸故里

見貌知壽盡速返見萱椿(5) 

說消病藥到病除 

飲蒜醋有三升蟲一嘔而盡清 (6)母服丸而溫儲兒不藥而自癒 (7)

絕妙處 

是他開腸剖腹刀至辟毒 

神醫號 

除他內外皆精有誰配稱

[1]   俞跗黃帝時代之名醫扁鵲春秋戰國之名醫《淮南子人間訓》「患至而多後憂之helliphellip雖有扁鵲俞跗之巧猶不能生也」

[2]   華佗字元化沛國人(今安徽 亳州)

[3]   甘陵相(即甘陵之行政長官)夫人懷胎六月腹痛不安華佗為其切脈便知胎死於是命人摸知所在在左則男在右則女人云「在左」夫人飲藥後果然產出男胎腹痛立即痊癒

[4]   廣陵有軍吏名曰梅平離鄉服役後來退役歸家於路上巧遇華佗華佗視之嘆道「若能早些見我當不至於此而今你僅餘五日壽命速速回家還能與家人相見」平旋即趕抵故鄉五日後亦如料身亡

[5]   萱椿多作椿萱比喻父母漢牟融《送徐浩》詩「知君此去情偏切堂上椿萱雪滿頭」

[6]   華佗見路邊有人食不下嚥教他到路邊餅店買醋三升混上蒜泥然後飲用路人服後即吐出一條長蛇(即寄生蟲)

[7]   兩歲男孩長年腹瀉藥石無靈華佗往診謂病在母命其服用華佗親研之「四物女宛丸」服後母親乳汁不再寒涼男孩亦不藥而癒

意興

hkucaduceusnet | 47

只可惜人無完壁

「關將軍使君予我手刮骨惡毒走

曹丞相使君予我頭剖顱苦痛收」

「怎能不收怎能不收一命嗚呼萬事休 

簡直荒謬簡直荒謬殺此庸醫未須愁」(8) 

五禽戲尚能傳 (9)麻沸散從此絕 

何不一飲醉死不知世忍氣吞聲事權貴 (10)心神委曲須臾苦奇術失迭千秋計 

烽煙止無改生死事 

且當醫仙謫世間神技終須風裏散 (11)回首仰高山景行請君範 (12)

[8]     曹操欲殺華佗臣下勸之不可答曰「不憂天下當無此鼠輩耶」

[9]     死前華佗欲托所著醫書於獄卒不果便盡數焚毀唯有其養生體操「五禽戲」流傳後世

[10]   《三國志魏書方技傳》「當須刳割者便飲其麻沸散須臾便如醉死無所知」

[11]   唐白居易《簡簡吟》「恐是天仙謫人世只合人間十三歲」

[12]   景行(音航)即大道以高山景行比喻人品德行為之高尚典出《詩經小雅車轄》又東漢鄭玄曰「古人有高德者則慕仰之有明行者則而行之」

ldquothe art of MediciNe was to be properly learNer oNly forM its practice aNd its exerciserdquo - thoMas sydeNhaM

48 | Caduceus September 2011

啟程

清晨空白的天空看不見藍天雲彩

只有溫柔的雨絲和朦朦朧朧的霧水跟隨

著大隊的足印踏上沉重的腳步穿過橫

街小巷和煩囂熱鬧的市場走過自動門

撲鼻的消毒藥水味道讓大家屏住呼吸筆

者和夥伴們終於到達了入讀護理系以來第

一次實習的醫院

還記得在實習的前幾天心情是既忐忑

又期待的畢竟這一次實習的地方不再是

在社區中心宣傳健康方面的知識亦不是

只面對著健康活潑的小朋友和老友記或是

學校課堂上所提供的假人張靜汶卻是照

顧一羣真正需要關懷的病人心中充滿著

憂慮不知自己所學的知識足夠在應用上

嗎自己平日的練習足夠嗎雖然心存在

著不少疑惑但也十分期待可以體會一下

做小學護的感受嘗試把這一年裡所學到

的知識運用出來

很多的第一次

在病房裡總有心酸和膽戰心驚的時

候第一次為昏迷的病人清潔口腔第一

次為難以進食的人插入胃喉第一次為老

公公清洗背上壓瘡的傷口helliphellip照顧他們時

的心情都是一步一驚心生怕自己沒法應

付得來又怕會把事情弄得更糟糕最重

要的是恐怕自己不純熟的技巧令他們受苦

了記得有一回第一次為女病人插入尿

喉採取尿液樣本可能技巧不太純熟的關

係延長了病人的痛苦過程中她皺著

眉頭不斷呻吟又緊張得咬破脣眼看

她樣子心中真的不是味兒來身為病人

的其中之一依靠我們不得不給自己信

心如果連自己也不相信自己哪會有病

人願意把他們交給我們照料呢

捕捉那瞬間的美麗與淒然何麗敏 (N14)

上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

意興

hkucaduceusnet | 49

另外第一次面對病人的心情是頗為

緊張的說話技巧亦有改進的空間但和

病人傾談了數分鐘後氣氛也漸漸變得和

諧可能那些老公公整天呆在醫院裡真是

悶到慌看見一羣年青人與自己聊天照

顧和關心他們他們不禁咧嘴而笑醫院

職員透露有一位老公公平日不太願意吃東

西於是我們便主動和他談天說地又

悉心照料他進食的情況後來他不但胃

口好了不少就連心情也開朗了他生動

活潑的談吐讓我們笑了他回復健康精

神的體魄也讓我們感到安慰

相處片刻

雖然為期一星期的病房日子不是特別繁

忙或是辛勞但是也會有不習慣的時候

幸好得到醫院職員和一班夥伴的支持病

房經理和註冊護士不但相信我們的能力

對學護的包容更是不用多說還主動地介

紹病房的環境和細心地教導我們醫療護理

上的知識讓我們上了一堂實在而又寶貴

的課同時今次的實習也令我感到團體

精神也十分重要在技巧上大家互相提

點互補不足當有人準備照料有需要的

病人如插喉或洗傷口等大家送上一句 

「加油」就能令對方增加不少自信心和正

能量無論遇上甚麼事情我也榮幸有如

此一班學習夥伴從旁支持

學習的階級

在這一次病房實習中雖然醫療和藥物

知識方面有待加強但是我學懂了如何與

不同身份的病人相處之道溝通上也得到

了很大的進步獲益不少除此之外我

也真正體會到如何做一個好護士並清楚

了解這個行業是否適合自己鐘樓也不是

一天就能建成而是需要一磚一瓦搭建而

成的所以在學習上我們不但要打好

穩固的基礎還要增強醫療知識在技巧

上馬虎了事和走捷徑是於是無補的應

該多探究和練習才行這樣才對得起病人

和自己也減少不必要的醫療失當事故

總之多一份認真多一點耐性多一些

愛心就是學護必記的左右銘 上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

ldquoit is reasoNable to expect the doctor to recogNise that scieNce May Not have all the aNswers to probleMs of health aNd healiNgrdquo ndash NorMaN cousiNs

50 | Caduceus September 2011

Fun Corner

Medical AppsEver wondered how your handheld device can save your time and

effort when it comes to studying Here is how

Anatomy Pronunciations by HipposoftAccurate pronunciations of over a hundred important anatomy terms you have trouble with are provided

at your fingertips to help you spell those difficult words Anyone who has taken an anatomy course can tell you how challenging it can be to pro-nounce the names of those complicated anatomi-cal terms It is even linked directly to Wikipedia and Google through web browser for additional information

iPharmacy ndash Pill Identifier and Medication Guide by SigmaPhone LLCAn essential medication guide of 20000+ drugs is provided for con-sumers amp professionals This ex-

pands the image library to include 12000 pill and package images and includes digital drug identifier with official drug information (indica-tions dosage adverse reactions and more) You can check the drugs anywhere

Grades 2 by TapityIt tells you what grades you need in the coming tests in order to get your target grade You can easily calcu-late your GPA so as to maintain it It

is a useful tool helping you to keep an eye on your GPA all the time

Human Anatomy by SusaSoftXThe application provides you with information of 15 different biologi-cal systems You can keep on revis-ing while you are traveling without

carrying heavy books

Medscape by WebMD LLCFrom drug classes interaction clin-ical procedures and even the lat-est medical news Medscape helps medical students and healthcare

professionals to reiterate knowledge that has slipped from the mind It is a free application for iPhone iPad Android and Blackberry Yet it contains more function on Android phones and Apple products and lacks detailed clinical infor-mation for diseases and clinical procedures walk through on Blackberry

Pro Medical Terminology Dic-tionary by TreascoveryTerminology might be a tough work for medical students Even if we can master those English terms we can

hardly think of the Chinese terms This applica-tion can help you when you face this problem Note that it is not a free application

3M Littmann SoundBuilder by 3M CompanyA great tool designed to help im-prove auscultation skills of medical students with 14 unique lessons of

key heart sounds combing text virtual manne-quin 3D cardiac animation and dynamic wave-forms

iRadiology by Liebermans iRadi-ologyAn excellent learning tool for medi-cal students demonstrating classic radiological findings of a multitude

of abnormalities including over 500 radiologic images Radiologic images include CT US MRI and nuclear imaging each clearly labeled and followed by key teaching points

Micromedex Drug Information by Thomson Reuters (Healthcare) IncIs Cephalexin a first generation ce-phalosporin This application from

Thomson Reuters is the easiest way to navigate in the sea of drug names Drugs are sorted by classes and supplemented with rich information

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 9: Caduceus Issue 2, Volume 42

hkucaduceusnet | 9

最 近虐待動物個案屢見不鮮手法層出不窮光看新聞標題已

令人不寒而慄無法想像施虐者為何能對

可愛惹人憐惜的小動物下毒手在緝兇之

餘亦應反思是甚麼心態及動機驅使他們

做出如此冷血殘忍的舉動

香港人生活壓力大不單是成人就

連小孩都有很多必須面對的煩惱如果沒

有適當的方法紓發情緒調適心情便會

容易導致心理不平衡患上心理病或情緒

病一般人看到別人痛苦會有同理心產

生難受的感覺因同情而伸出援手希望

別人不再痛苦施虐者則相反藉著暴力

行為令別人感到痛苦從而產生刺激快

感而非內疚或罪惡感施虐者利用這種

自私的方法去宣洩情緒將自己的快樂建

築在別人的痛苦身上

虐待動物的人一般懦弱膽小缺乏自

信因此選擇一些弱小無助無反抗能

力的對象發洩情緒令自己提升存在感及

掌握權力流浪貓狗隨處可見施虐者會

以為別人不顧流浪貓狗的死活所以即使

虐待牠們也不會被人發現因此流浪貓

狗容易成為施虐對象當中貓隻反抗能力

較狗隻低所以被虐情況更為嚴重施虐

者當中男比女多可能是由於女權主義高

漲男女社會角色轉移男性無法宣示強

者地位的原始心理更容易使他們做出這

種反社會行為

虐待動物的行為讓施虐者享受虐待的

快感對於殘忍的手段容忍程度會提高

對剌激感的追求亦會增加變得更麻木

不仁直至虐待動物已無法滿足他們的慾

望加上沒有因虐待動物而得到應得的懲

罰令施虐者變得更大膽可能將虐待對

象轉向兒童甚至成人

小動物反抗能力低也不會提出控訴

因此我們有責任去保護牠們看到動物

受虐或懷疑受虐不要漠視或啞忍也不

要只將影片拍下上載互聯網應向政府部

門舉報或向愛護動物協會等機構投訴

《防止殘酷對待動物條例》的最高刑罰是

罰款二十萬元及監禁三年但定罪個案極

小實際判刑大部分只是罰款執行社會

服務令等所以有關當局應提高刑罰令

人害怕受懲罰而約束行為這樣才能達到

阻嚇作用施虐者除了接受應得的懲罰之

餘亦應強制接受心理輔導及愛護動物課

程糾正他們的心理狀況避免重蹈覆

除了殘忍的施虐者遺棄寵物的主人

亦是造成悲劇的幫兇甚至元兇他們

不負責任地把寵物丟在街上把牠們推向

險境失去主人保護的寵物即使不被虐

待也會飢寒交迫甚至遇上各種危險

所以遺棄動物前請切身處地想想流浪貓狗

坎坷的命運 

停一停 想一想正視虐待動物問題郭淑芳 (N14)

反對虐待 尊重生命

社會

ldquokeepiNg a pet is a lifetiMe busiNess aNd coMMitMeNtrdquo ndash aNiMal re-hoMe services

10 | Caduceus September 2011

記 得剛剛入學的時候教授對我們說過「要是你們想賺

錢現在就轉到別科吧這兒不是讓你們

賺錢的地方這兒比其他行業都更辛苦

因為我們掌握別人的生命」醫護界就是

這種行業是一種用心對待病人的行業

人皆有惻隱之心醫生為病人著想是一

件理所當然的事根本不需要去學習如

何行此道這是人自發性的行為要是醫

生不是以心去行醫這是對病人對自己

的專業甚至對作為人的自己也是一種

侮辱但是在日本這種高文化水平的國

家則有孕婦死於拒診醫生對求醫的

人見死不救即使是

我一個只是讀了一

年的醫科生也知道

這是不道德的無

論是以一個專業醫生

的角度甚至於人的

標準來說

二零零八年日

本一名孕婦因為身體

不適而求診結果慘

遭七間醫院拒收

雖然嬰兒平安無事

地出世但這位剛成為人母的婦人卻於三

日後死亡這種情況在日本中不是罕見的

事根據統計日本於二零零七年就有二

萬四千多宗拒收病人的個案情況令人不

安也令人反省這些高知識份子為什麼會

如此冷血大家常常稱讚那些高學歷人士

是「飽讀聖賢書」我可不曾記得聖賢書

有教導我們要見死不救對別人的生死置

身事外特別對於我們這些醫護界的準工

作者更加不能接受人死不能復生既

然我們掌握著別人的生死又怎能如此不

負責任呢看到這些新聞我們作為醫學

院學生亦應對此作出警醒

除了日本之外香港也曾發生過類似

事件而且曾經轟動一時二零零八年

一名患有心臟病的男人於明愛醫院門前病

發他的親友馬上到明愛醫院詢問處求

救院方見狀卻要求對方打九九九求助而

不是即時提供協助當然這件事可能涉

及一點程序上的問題但是人是生規

矩是死救人一命勝造七級浮屠所有規

矩都不及拯救人的性命重要吧令人安慰

的是有一名見義勇為的醫生途經現場

隨即致電急症室並為事主檢查發現他

全無脈搏遂立即進

行體外心臟按摩可

惜最終病人經搶救

後仍是不敵死亡的命

運這件事令人感到

惋惜同時我們亦

應反省醫護人員做事

的態度典型香港人

有一種特別的特性

他們都是「多做

多錯少做少錯不

做不錯」的「信奉

者」當時的詢問處

的值班者可能心怕破壞規定幫助病人後

可能會引起上司不滿對自己的事業有影

響故此遲遲未能下定決心幫助別人可

見醫護人員對病人的同理心不高這亦是

值得我們所反省的

相信仍然未畢業的我們對日後的工

作是抱有一種憧憬有一種熱誠但是

當我們畢業後這股熱血會被忙碌的工作

所撲滅當日的誓言早就置之不理了

「病人的健康應為我的首要的顧念」變成

了「清掉桌上滿滿的病人檔案為我的首要

的顧念」「將要憑我的良心和尊嚴從事

拒收病人何來醫德醫心謝汶珊 (M15)

社會

hkucaduceusnet | 11

醫業」則變成「將要憑我有限的體力和時

間從事醫業」helliphellip更甚者於我們求學期

間已經把病人的健康拋諸腦後了腦子

裡卻放滿了那些不知從哪裡來的肌肉神

經線以及血管等等當腦子的容量用了大

部份來放置anatomy的東西之後餘下來的都放了那些古怪的藥名進腦子去了

哪有閒下來的空間把那些道德經放進腦子

裡但是即使你能夠把那本Grays Anat-omy或者那本大Robbins的所有內容牢牢記在腦子裡沒有醫德你絕對不是一個好

醫生當然沒有任何人規定你的道路

你的選擇然而你的選擇將會影響到別

人的生命社會當然不會奢望每一個醫生

都有當無國界醫生的那一種胸懷但是

他們希望醫生起碼會是一個抱有救活病人

作為使命的醫生

作為一個好醫生並不能帶給你金錢或

者名譽這個世界永遠是行商者才是致富

之道你希望將來得到的是什麼我們都

應該找出自己的答案把它寫下來以免

他日遇上挫折或誘惑會迷失自我仔細想

一想若果你的答案思前想後仍是「錢」

那麼請你認真考慮一下轉科吧「若

果病人沒錢看病作為醫生也要為他看

病也要為他開藥我們沒有權力去把他

們趕走」這就是醫德相信每一個將成

為或者已成為醫務人員的人都曾宣誓過自

己要奉獻一切為人類服務所謂的誓言並

不是用嘴巴說出來罷了一個無法遵守的

誓言只會變成一句又一句的廢話俗語有

一句「狗口長不出象牙」helliphellip

以下是世界醫學協會一九四八年日內瓦

大會採用的日內瓦宣言

我鄭重地保證自己要奉獻一切為人類服務

我將要給我的師長應有的崇敬及感戴

我將要憑我的良心和尊嚴從事醫業

病人的健康應為我的首要的顧念

我將要尊重所寄託給我的秘密

我將要盡我的力量維護醫業的榮譽

和高尚的傳統

我的同業應視為我的手足

我將不容許有任何宗教國籍種族政見

或地位的考慮介於我的職責和病人間

我將要盡可能地維護人的生命自從受胎時起

即使在威脅之下我將不運用我的醫學知識

去違反人道

我鄭重地自主地

並且以我的人格宣誓以上的約定 

ldquoa Merry heart doeth good like MediciNerdquo ndash kiNg soloMoN

12 | Caduceus September 2011

Radiologist

Ophthalmologist

Anaesthesiologist

All roads lead to Rome but have you missed the ROA and D

when it comes to success in medical career

to success

hkucaduceusnet | 13

Anaesthesiologist

Dermatologist

All roads lead to Rome but have you missed the ROA and D

when it comes to success in medical career

to success

14 | Caduceus September 2011

「形影不離」的造影術專訪放射科邱麗珊醫生陳伊樂 (M15) 賀曉琳 (M15)

邱 麗珊醫生於一九八三年畢業於香港大學醫學院並於一九八

六年開始修讀放射科邱醫生不但在東區

尤德夫人那打素醫院身兼前線管理和訓

練多職而且積極參與香港放射科醫學院

的工作我們非常感謝邱醫生能夠在百忙

中抽空接受訪問向各位同學分享一下她

踏上成功路的經歷與待人處事的態度

甚麼是放射科

放射科是利用X光(X-ray)電腦斷層攝影(CT)磁共振成像(MRI)和超聲波造影(Ultrasound)等技術展示患者身體內部結構的影像從而協助診斷和進行治療

當放射科醫生危險嗎

誠然放射科醫生需要經常接觸對身

體有害的輻射可是這門專科有不同的

措施保障我們的安全首先每一個放射

工作者都需要領取牌照此外我們會每

個月檢查掛在胸前的放射量測定器確保

接觸到的輻射劑量沒有超越安全水平當

然有關部門亦會定期檢查儀器確保它

們正常運作

爲什麼你會選擇放射科你對於有意將

來當上你的專科的同學有甚麼建議

選擇放射科純粹是因為爸爸的一句「

放射科適合女孩子」當上放射科醫生之

後才發現事實並非如此放射科是一個重

要的專科幾乎每一個住院病人都需要用

上造影技術但除非做超聲波或介入放射

治療放射科醫生卻好像很少與病人直接

接觸有些醫生喜歡多和病人接觸放射

科便不適合他們了另外放射科正面對

著迅速的科技發展對新科技有興趣的同

學這個專科的確是一個不錯的選擇可

是由於學位有限每年報讀放射科的六

邱麗珊醫生Dr Jennifer Khoo放射科專科醫生

香港大學內外全科醫學士 英國皇家放射科學醫學院院士 香港醫學專科學院院士(放射科)

東區尤德夫人那打素醫院 放射科 部門主管 及 顧問醫生

醫院管理局 港島東聯網 Service Director (Radiology)

香港放射科醫學院 首席副院長 及 科學委員會主席

專題

hkucaduceusnet | 15

七十人當中總會有四五十人因願望落空

而要轉投其他專科我的建議是千萬不要

灰心人總不能夠經常做自己喜歡的事

但一定要喜歡自己正在做的事(You canrsquot always do the things you like but you can learn to like the things that you have to do)

請詳述對你人生有大影響的起落人

事物

人一生中如果能夠遇上一兩位良師益

友在你碰到困難時扶你一把在你迷

惘時給予意見上天就已經算是對你不薄

了而我自己也算是非常幸運有兩位

前輩當上我的引導者一位是瑪麗醫院

的陳富六醫生另一位是澳洲的Professor Michael Sage因為兩位的提點我決定善用自己的長處留在公營醫院參與一些

行政和訓練的工作幫助培訓醫生使更

多病人受惠

你有甚麼人生的哲學嗎是甚麼信念使

你堅持當一名醫生

我認為每個人都需要有自己的優先順序

(priority)對我來說家人和家庭生活永遠都是排在首位縱使我已經涉足到很多

管理方面的工作但病人還是排在行政管

理之前有著清晰的優先順序不管遇到

多大的衝擊都能使自己勇敢面對邁步

向前優先順序或多或少都與個人經歷有

關有部份同行可能會基於不同原因或

許是滿足感或許是工作量而轉投私人

市場我想每個人的價值觀和信念都有不

你對現今醫學院的學生有甚麼寄語叮

習醫是一條漫漫長路少不免遇上困難

和挫折而這些難題往往會轉化成使身心

俱疲的壓力身為醫學生一定要及早學

會如何面對壓力我的忠告是凡事都要

以平常心面對要從錯誤中學習懂得避

免犯上同樣的錯誤要有反彈能力勝過

昨日的自己

醫科生基本上都是能力不錯的一群

(cream of the cream)要好好利用自己的能力為社會作出貢獻 

ldquowheN you are dowN aNd out soMethiNg always turNs up it is usually the Noses of your frieNdsrdquo ndash orsoN welles

16 | Caduceus September 2011

A Discourse with a Female Gold-MedalistInterview with an Ophthalmologist ndash Dr Charmaine HonChariene Woo (M15) Charis Chan (M15)

W hile waiting for Dr Hon at her Central clin-ic the Hong Kong Ophthalmic Associates

we were amazed at how the spacious clinic was crowd-ed with patients When we finally meet Dr Honrsquos big friendly smile made an impression on me as she invit-ed us into her room Despite having a busy schedule Dr Hon is very down-to-earth and eager to provide valuable advice for our fellow schoolmates

Dr Hon started out as a medical doctor and changed to the specialty of ophthal-mology Initially she worked with the public sector fulfill-ing her duties as a doctor re-searcher and teacher at the same time Then she turned to the private sector and joined the Hong Kong Ophthalmic Associates as she feels that she can be more focused on the aspect of patient care ldquoIn public hospitals it is hard to follow up on patient care and it is rare to meet the same patient twicerdquo she reflected ldquobut in the private clinical set-ting I get to know the patientrsquos family and medical his-tory better and I feel more like a doctor by having the ability to follow my patientrsquos progressrdquo

As a recipient of the John Anderson gold medal for the highest aggregate of marks in all the MBBS professional examinations Dr Hon also shares her advice in studying ldquoBasic knowledge is a must but clinical sense is the most importantrdquo and with a smile

she added ldquoyou have to pay attention to your mentors during attachments to hospitals even if you are just ob-servingrdquo But donrsquot think Dr Hon is all about studies She emphasizes that she is not the most hardworking student in her graduating class and suggests medi-cal students to explore outside of the medical world especially in the first two years of study ldquoYou have to have a life outside of medicine and you should do it in

the non-clinical years as there are decreasing chances and time for you to meet non-medically related peo-ple after year 3 onwardsrdquo the ex-member of the Union Choir said ldquoAnd as you come more into contact with different people you learn how to communicate bet-ter which will definitely help your medical career and will keep your life diversifiedrdquo

As for advice to students in clinical years she shares her insights in how to choose your specialty She sug-gests students to look into their strengths and inter-ests and to understand and explore as much as pos-sible in attachments since it is a lot harder to change onersquos specialty nowadays compared to the past ldquoThe most important point is to identify yourself and not to blindly follow the path of others Do not think of future

achievements since what you chose will probably stick with you for liferdquo True enough ophthalmology was not a developed specialty during her times of studies and Dr Hon says she is probably one of the very first gold medalists who pursued it as a career A note to her future female counterparts ldquoYou have to think of your future path and plan accordingly and be ready

Basic knowledge is a must but clinical sense

is the most important

The most important point is to identify yourself and not to blindly

follow the path of others

Feature

hkucaduceusnet | 17

to put your career before marriage Many of us delay our plans of marriage and pregnancy after finishing our specialty fellowship which is at around 30rdquo After hearing this I was very worried but she added ldquoGen-eral practice is also a good choice and there are some females doctors who donrsquot follow this trendrdquo

One of the things that struck me the most is that Dr Hon sticks to the principle of doing everything with all your heart ldquoYou only pass through this life once and when you look back you should not regret what you have donerdquo So when presented with conflicting ideas with her principle what does she do ldquoI reflect and fight for itrdquo she laughs ldquoIt sounds rebellious but as a doctor you have to have a judgment that is best for your patient and you cannot conform to society or systemsrdquo Using the limited consultation time for each patient in public hospital settings as an example she explains that doctors arenrsquot machines and should be able to adjust to different patientsrsquo needs appropriately so to do what is best for the patient ldquoYou should never lose yourself under the system and should always do whatever you think is best for your patientrdquo

When asked about the specialty of ophthalmol-ogy Dr Hon tells us with passion that ophthalmology allows instant gratification and makes a difference to patientrsquos life ldquoMany specialties can make a difference but only a few have a clean-cut immediate effect like ophthalmologyrdquo But ophthalmology is also about hard work and persistence ldquoIn this specialty there is con-stant advancement in the past we do extra capsular extraction but now there are frequency emulsifica-tion and other advancements I am always awed by the senior partners in this clinic who have a strong will to chase and read up on new techniquesrdquo So besides steady hands and good eyesight intellectual curiosity on the latest research is a must if you are thinking of pursuing a career in ophthalmology

Before we parted Dr Hon gave us a final word of wisdom ldquoThis is going to be hard for you two gals but you look tough and yoursquoll survive Since you chose this career path do expect to work very hard as it is not easy but so is every other occupation nothing is ever easy in this worldrdquo

DrCharmaineHon韓尚穎醫生

Specialist in Ophthalmology

MBBS(HK) MRCS(Edinburgh)

FC Ophth(HK) FHKAM(Ophthalmology)

ldquoas you grow older yoursquoll fiNd the oNly thiNgs you regret are the thiNgs you didNrsquot dordquo ndash Zach-ary scott

18 | Caduceus September 2011

奉行完美主義的守護天使專訪麻醉科李靜芬醫生吳瑞麟 (M15) 李庭翰 (M15)

說 起麻醉越野挑戰馬拉松義工無國界醫生你想到甚

麽幾樣風馬牛不相及的東西可以用三

個字關聯起來李靜芬

李靜芬醫生畢業於香港大學醫學院

現於養和醫院疼痛治療門診工作她曾經

加入無國界醫生到南蘇丹服務又是醫療

輔助隊動員主任香港不少的大型活動

例如馬拉松東亞運奧運馬術等都由她

去統籌急救站的運作她又經常舉辦醫療

會議亦於很多地方做義務醫療顧問熱

衷於向公眾推廣疼痛管理與健康的知識

另一方面她是香港全能運動學會醫療顧

問經常參加越野挑戰戶外活動又參

加半馬拉松比賽看完李醫生這麼的一個

簡介實在很難不驚歎好一個「周身

刀張張利」的奇人

人生的轉捩點

其實初中時期的她與醫生根本扯不上

半點關係身為壘球隊隊長在中四的一

次練習中她被壘球擊中一眼從此改變

了她的命運當時全港只有一位眼科醫生

會在晚間應診眼科的醫療設施也不足

令她眼睛流着血水在黑暗中東奔西跑尋找

醫生她由大埔賽馬會診所走到威爾斯

然後到伊莉莎伯再到油麻地終於找到

眼科醫生李醫生由四點奔波到十點令

她深深體會到作為病人的痛苦也從此立

志要做一個醫生幫助有需要的病人

初中時的李醫生每天放學就練球以

致成績中等但自從立志投身醫護她虛

心求教又得到當時的班主任授予時間管

理和讀書的方法成績突飛猛進在短短

六個月間從中等成績進步至模擬考試全

李靜芬醫生Dr Carina Li

麻醉科專科醫生

香港大學內外全科醫學士 澳洲及紐西蘭麻醉科醫學院院士 香港麻醉科醫學院院士 

香港麻醉科醫學院疼痛科文憑

香港醫學專科學院院士(麻醉科)

專題

hkucaduceusnet | 19

級第一她的毅力和決心實在令人佩服

她的傲氣

其後她獲中文大學收作暫取生但她

又再次作出驚人之舉李醫生認為要讀醫

科生物化學科就得好些所以一定要認

真研讀高級程度的生物化學但是人是有

惰性的如果做了暫取生就一定會變得不

思進取讀不好生物化學於是她毅然

放棄暫取生的資格全心全意去考好高級

程度會考李醫生的豪氣決斷她破釜

沉舟的決心她的好勝和哲學令筆者從

心底裏衷心地拜服她

結果她當然考得很好的成績在選擇

大學時她再一次認真考慮自己將來的

路向她生來就有一種使命感覺得一定

要做一樣在任何時候任何地方都最有用

的工作加上她常常留意時事總覺得天

災人禍真的可以隨時發生於是她就選擇

了兩種無論是面臨戰爭還是天災的時候

對所有人都十分重要的工作記者和醫

生她終於入讀了港大醫學院並於九五

年畢業

與麻醉科結緣

實習的時候她特意選擇了一些能夠獲

得較多經驗的部門到投考專科的時候

她也選上了可以接觸很多不同類型病人的

兒科只可惜當時兒科並沒有學額但在

朋友介紹之下知道了麻醉科麻醉科同樣

可以接觸到不同的病人而且無論在甚麽

地方都可以發揮所長正正符合了李醫生

的志向結果她便入了麻醉科

據李醫生所說雖然一般人認為麻醉

科對體力的要求較少適合女孩子但

是現實並不這樣簡單由於麻醉要求一絲

不苟麻醉科的醫生都是完美主義者而

且學習的內容艱深每一種藥物的作用

反應甚至化學結構都要讀得滾瓜爛熟

她形容麻醉科醫生就好像病人背後的守護

天使在手術中要不停監測病人的維生指

數感覺病人的生命就在自己的手中所

以要承受着很大的壓力

作為麻醉科醫生每次見到的都是昏

迷或者沒有意識的病人事實上並沒有甚

麽可以跟病人溝通的機會病人通常感覺

不到麻醉科醫生的付出所以作為麻醉科

醫生未必可以從病人身上得到很大的滿足

感但他們卻比其他醫生更能夠專注地為

病人服務因為每次在手術中只照顧一位

病人

她的叮囑

李醫生叮囑現在的醫學生一定要僅記當

初想做醫生的原因她覺得在這個物質

社會中人是很容易迷失的她感覺到現

在的某些醫學生只為了一份穩定的工作

甚至是因為父母的意見而選擇行醫關於

作為醫生的意義卻從沒有思考過她勸

我們要好好問自己兩條問題人為甚麽生

存於世上作為醫生又是為了甚麼她

認為醫者要有父母心處處為病人而

不是為自己着想作為醫生就是要去服

務幫助人而不是為了求回報我們生

存於世上為的是信望愛並不用時時

記住利益金錢等東西最後她又提醒我

們不可以歧視病人不論是黑社會成員還

是香港首富只要病了就是一個無助的

病人就需要我們的幫助

李醫生思考獨立為人熱情健談跟李

醫生做訪問真的是一件有趣的事又令筆

者獲益良多特別是她有關人生意義的看

法的確值得反思作為醫學生的大家

你又可曾想過為甚麼要生存為甚麼要做

醫生呢

ldquothere is No MeaNiNg to life except the MeaNiNg MaN gives his life by the uNfoldiNg of his powersrdquo ndash erich froMM

在手術中不停監測病人的維生指數麻醉科醫生就好像病人背後的

守護天使

20 | Caduceus September 2011

To Succeed is to Fight Against ComplacencyInterview with a Dermatologist ndash Dr Henry ChanLily Cheng (M15) Andrew Seto (M15)

W ith our scheduled interview being inter-rupted by an emergency case of Stevens-

Johnson syndrome a life-threatening allergic skin re-action to medication Dr Chan rushed to the hospital for his patient

Sitting in Dr Chanrsquos office at his private practice the Hong Kong Dermatology and Laser Centre in the middle of a conference call with his overseas counter-part researchers we saw a pragmatic doctor at work This is a doctor who would never be complacent with his performance but keeps striving for excellence

AmedicalcareerDr Chanrsquos interest in dermatology was sown well

before his exposure to the discipline Having been in-flicted with eczema during his childhood he suffered from an excruciating itch in his skin that caused him much distress As a result of his own medical condi-tion he developed an interest in dermatology at a young age

During his fourth year in medical school he ex-plored an elective in dermatology at Yale University and began formal training in the field He obtained his medical degree and worked for several years in the UK before returning to Hong Kong to work at the Prince of Wales Hospital He then received a grant from the Hos-pital Authority to read dermatology in the UK

Working back and forth between Hong Kong and Britain in and out of universities and hospitals in his early years of practice Dr Chan settled his work base in Hong Kong in 1995 He was Associate Professor of CUHK from 1998 to 2000 and Chief of Dermatology and Associate Professor in HKU from 2000 to 2004

After entering private practice in 2004 Dr Chan now spends a lot less time on doing administrative work and more time on treating patients While he was actively engaged in teaching research and clini-cal work his current focus has shifted to mainly clini-cal work As an honorary clinical associate professor of our faculty he enjoys teaching and values the opportu-nity to cultivate and influence medical students

A renowned dermatologist with a strong research interest in medical devices Dr Chan is still very active in terms of research output His private practice sup-ported by a team of full-time research staff is unique

for its active research component ndash a practice which is well-established overseas but rare in Hong Kong

AsadoctoranddermatologistIn the beginning laser devices were developed to

treat medical conditions such as haemangioma and black moles but technological advancements driven by recent research has explored new possibilities for their applications in cosmetic treatment As a result new cosmetic procedures have appeared for the treat-ment of various conditions from skin rejuvenation to body contouring

While it is true that most dermatological conditions are rarely life-threatening they may nonetheless have a profound impact on patientsrsquo physical and psycho-social wellbeing For instance eczema often presents with rash It may give exudate in serious cases but is rarely fatal Nevertheless it might constitute great dis-comfort and inconvenience to patients Similarly se-vere cases of acne may also diminish onersquos self-esteem Dr Chan stressed that treatments for many skin condi-tions are not merely cosmetic in nature but may im-prove patientsrsquo self-esteem body image and psychoso-cial wellbeing

On the other hand some skin problems such as psoriasis and chronic eczema are incurable It is there-fore the doctorrsquos duty to educate patients and enhance their understanding of their disease One of the re-sponsibilities for dermatologists is to evaluate the im-pact of their patientsrsquo conditions to their quality of life Other than helping them return to their normal routine and diet as far as possible dermatologists also need to teach patients the way to get along with their chronic illnesses

Dr Chan emphasized that we run a profession not a business On this ground a doctor should never tell a patient what procedure they should receive Rather a doctorrsquos role is to explain the options available and provide the relevant information that carry with each procedure including potential risks and complica-tions

Dr Chan reminded us that financial return is only a ldquoby-productrdquo of a doctorrsquos work as a professional Doctors work hard and should be paid for their serv-ices but they should not be more interested in making

Feature

hkucaduceusnet | 21

money than in helping people He believes that shap-ing doctors into commercials in some way jeopard-izes medical professionalism

SuccessRedefinedSummoning his days as a fresh medical officer Dr

Chan recalled the death of the 18-year-old girl inflicted with necrotizing fasciitis who died within 24 hours He bore in mind every complicated case as an alarm to his future practice admitting that there is always room for him to improve

Quoting the professional golfer Jack Nicklaus Dr Chan reminded us that ldquocomplacency is a continuous struggle that we all have to fightrdquo It is easy to let our guard down but doctors have to be responsible for their patients all the time It is demanding but impor-tant for every medical professional to be vigilant and maintain onersquos standard at the top level He believes that good doctors should keep themselves in an appro-priate amount of stress and tension which keeps them mindful of their patientsrsquo needs

When asked about his rules for success Dr Chan emphasized that he does not feel he has attained his goal yet He feels that he may have had a decent start but it is inappropriate to judge his career before his retirement as he is still in the middle of his career To him it is far too early to define success Despite his change in roles over the years he still maintains his enthusiasm and passion that motivate him to do his best whether it be research teaching or clinical work

As far as medical students are concerned Dr Chan doesnrsquot see the urgency of deciding our future spe-cialty yet Medical school gives us a broad and general exposure to various fields and offers a good place to learn and gain experience sharpening our skills before serving as doctors We could still explore more in our senior years to come

ldquoFollow your heartrdquo Dr Chan gave us as a conclud-ing word He believes that the so-called ldquoROADrdquo to success is not really that important if one does not en-joy onersquos profession Listen to yourself and ask whether you really like your job

DrHenryChan陳衍里醫生

Specialist in Dermatology and Venereology

MBBS(London) MRCP(UK) FHKAM(Medicine) FRCP(Glasgow)

FRCP(Edinburgh)

Hon Professor LKS Faculty of Medicine HKU

Hon Consultant Dermatologist QMH HKSAR

Visiting Scientist Wellman Centre for Photomedicine USA

ldquoirsquoM a firM believer iN the theory that people oNly do their best at thiNgs they truly eNjoy it is difficult to excel at soMethiNg you doNrsquot eNjoyrdquo ndash jack Nicklaus

We run a profession not a businesshellip [doctors]

should not be more interested in making money than in

helping people

22 | Caduceus September 2011

Art and Medicine Seeing Diseases in ArtHow art masterpieces reveal medical conditionsAndrew Seto (M15)

F or centuries art historians have been mesmerized by

the enigmatic smile of Mona Lisa coming up with theories that range from the mundane to the bizarre Was she a silk merchantrsquos wife or a self-portrait of Leonardo da Vinci himself Was she pregnant An adulterer Leonardo da Vincirsquos se-cret male lover The theories never cease

BehindMonaLisarsquossmileHighcholesterolIt turns out that Mona Lisa had

ldquovery high cholesterolrdquo at least ac-cording to Vito Franco a Sicilian professor of pathological anatomy A medical expert who enjoys study-ing art masterpieces for evidence of diseases Franco concluded that Mona Lisa had xanthelasma (the accumulation of cholesterol under the skin) Indeed a closer look at her mysterious face does show a yellowish collection around the in-ner corner of her left eye He even found evidence of lipoma (a fatty tissue tumor) on her right hand Probably the least poetic finding for the most renowned beauty in Renaissance art

This was not the first time medical experts have associated Mona Lisa with clinical conditions Charles Bell the 19th century Scot-tish surgeon who discovered Bellrsquos palsy a form of facial paralysis resulting from facial nerve palsy once coined the term ldquoMona Lisa syndromerdquo This was a reference to the facial muscle contracture that develops after Bellrsquos palsy resulting in a ldquoMona Lisa-like smilerdquo

Mona Lisa Xanthelasma or just a blotch by mistake

Insight

hkucaduceusnet | 23

Hardly would Parmigianino have known that the long slen-der fingers and limbs of Madonna with the Long Neck was the result of a genetic disorder called Mar-fan syndrome And of all the things that crosses onersquos mind upon first glance of Caravaggiorsquos Sleeping Cu-pid the notion that the baby was inflicted with juvenile rheumatoid arthritis would be hard to imagine Franco claims that his goal was to expose the human vulnerability of the people depicted in art

MichelangelorsquosgoutykneeAnother subject who has been

scrutinized by medical experts is Michelangelo Renaissance painter and sculptor Scholars looked at his knee from Raphaelrsquos School of Ath-ens and concluded that he suffered from gout a form of inflammatory arthritis that occurs when crystals form in the joints

Based on the appearance of his knee which appears swollen en-larged and covered in hard lumps a diagnosis of gout seems plausible It was known that Michelangelo de-veloped various diseases during his life In his writings he complained of having kidney and bladder prob-lems In 1549 he had an episode of anuria followed by passing of grav-el and stone fragments in his urine

Many experts believe that Michelangelo like many of his contemporaries developed gout from lead poisoning A well-known workaholic Michelangelo con-stantly lived off a diet of bread and wine (processed in lead contain-ers at the time) and was frequently exposed to lead-based paint All evidence points to lead poisoning which promotes kidney damage and inhibits uric acid excretion causing it to build up in blood This predisposed him to gout precisely as depicted in Raphaelrsquos fresco

RenaissanceArtandNeuroanatomyLike Leonardo Michelangelo

was not just an artistic genius but also a great anatomist At 18 he be-

Michelangelorsquos knee from the school of atheNs by Raphael (c 1509-1510)

Madonna with the Long Neck Was it Marfan Syndrome

Juvenile rheumatoid arthritis

ldquoall art is autobiographical the pearl is the oysterrsquos autobiographyrdquo ndash federico felliNi

24 | Caduceus September 2011

gan dissecting cadavers in a mon-astery in Florence where he honed his technical skills and knowledge of the human body

According to neuroscientists Michelangelo disguised sketches of the human brain in his famous Sistine Chapel ceiling painting which has remained unnoticed for 500 years His fresco The Creation of Adam shares a striking similar-ity with the sagittal section of the brain The fold in the cape repre-sents the Sylvian fissure separating the frontal and parietal lobes You may even recognize the angelrsquos foot as the pituitary gland his thigh as the optic nerve and his leg as the optic tract And that sassy green robe running down the ponsmdashthatrsquos the vertebral artery

Look at Godrsquos neck in The Sepa-ration of Light from Darkness from the same fresco Art historians have long speculated that its lumpy ap-pearance represents goiter Yet medical experts have found an ac-curate picture of the brainstem and spinal cord in Godrsquos throat stun-ningly similar to the creases and crevices of the brain

Yet why would Michelangelo embed the brainstem in Godrsquos throat Was he alluding to Godrsquos wisdom or was it a form of protest to the Church After all dissecting cadavers was considered unethical at that time and for an anatomist like Michelangelo who fell out with the Pope while painting the Sis-tine Chapel ceiling could he have been painting anatomical images directly above the chapel altar in defiance to the Church

Artandophthal-mologyHowvi-sionchangesartClaude Monet is recognized as

one of the founders of the Impres-sionist movement but his vision got cloudy during his later years He wrote letters to friends describ-ing his growing frustration with his vision changes He was even forced to memorize colours on his palette

the creatioN of adaM by Michelangelo (c 1511)

the separatioN of light froM darkNess by Michelangelo (c 1512)

hkucaduceusnet | 25

and label tubes of paint Red began to look muddy to him and he saw his painting as becoming ldquoincreas-ingly darkenedrdquo Whenever he com-pared his paintings with his earlier works he would be sent into a tow-ering rage to destroy them

This was because he had cata-racts Cataract patients have yel-lowing and opacification of the lens so his vision essentially be-came more brownish The yel-lowish brown cataracts he looked through filtered out violet and blue shades Monet underwent two eye operations in 1923 after which he returned to his old painting style even throwing away some of his paintings and repainting them

Thesufferingart-istDepictingill-nessesinartPerhaps no one better personi-

fies the notion of a ldquosuffering artistrdquo than Vincent van Gogh Clinicians have posthumously diagnosed him with a range of medical problems including epilepsy schizophrenic and bipolar disorder His later works have long been noted for his preference for the colour yellow and some have speculated that this was related to his yellow vision

One theory was that van Goghrsquos doctors prescribed him with digi-talis to treat his epileptic seizures His painting Starry Night has yel-low circles around the stars and not surprisingly people with digi-talis overdose often see a yellowish halo around objects Other experts speculated that it was his addiction to absinthe that led to his yellow vi-sion Absinthe is a highly alcoholic drink that contains a highly psy-choactive neurotoxin called thu-jone which causes yellow vision

Van Gogh was not the only art-ist who projected his illness into his art Edvard Munch had tuber-culosis and spit blood as a boy Her mother died when he was five her sister spent most of her life in-stitutionalized for mental illness and his brother died of pneumo-

nia Munch may have depicted his own psychotic state of mind in The Scream which portrays a twisted agonized creature wracked with anxiety and horror

ConclusionDo these findings actually

prove something or are we over-analyzing artworks with our medi-cal knowledge Exactly what ben-efit would these discoveries have for the world at large is unknown At least we know it could lead to yet another interpretation for Mona Lisarsquos smile the result of a scrump-tious meal of pizza and pasta with cheese tomato sauce and meat balls before sitting for her portrait (which would certainly also explain her cholesterol problem)

Two pictures by Monet of the same Japanese bridgemdashthe first painted in 1899 the second between 1918 and 1922 revealing a dramatic loss of shape and detail

suNflowers by Vincent van Gogh (1888) the screaM by Edvard Munch (1893)

ldquoeverythiNg that we see is a shadow cast by that which we do Not seerdquo ndash MartiN luther kiNg jr

26 | Caduceus September 2011

The End is Near Apocalyptic TheoriesRead more to learn about the terrifying future that awaits us Chariene Woo (M15)

S urge of waves rush over the mountains with unstop-

pable speed engulfing and shatter-ing our homes Flaming asteroids rain from the sky causing roads to crumble like sheets of paper Peo-ple running away from burning cities screaming fearfully Civiliza-tion ruined in matter of mere sec-onds Is this what the future lies for us

Nobody knows

Apocalyptic literature and movies have always raised interest among the general public partly

because it involves the end of our world as we know it and partly due to the fact that there is no solid proof how an apocalypse would come about The interest has re-cently skyrocketed with rumors about the world ending on 21st De-cember 2012 about how the May-an calendar finishes at that specific time and how it will be the end of the world as we know it So the big question is when and how will our world end

NostradamusProphetofDoomNostradamus of France was

one of the worldrsquos most famous seers and is most well known for Les Propheties (The Prophecies) a collection of his major long-term prophecies written in quatrains Many of his prophecies have cor-rectly predicted current events including the destruction of the space shuttle Challenger the death of Lady Diana and the destruction of Twin Towers of the World Trade Center As a result of these predic-tions he has been given the nick-

How do you survive the apocalyptic world

Insight

hkucaduceusnet | 27

name ldquoThe Prophet of Doomrdquo

Nostradamusrsquo prophecies have huge room for interpretation speculation and controversy and some people think his writing has no merit at all The following is an example of a quatrain alluding to some sort of environmental disas-ter in the future

ldquoFor forty years the rainbow will not appear

For forty years it will be seen every day

The arid earth will grow more dry

And great floods when it will be seenrdquo

(Century 1 Quatrain 17)

In other quatrains images of great comet alien invasion and nu-clear contamination are also men-tioned so these could all be the prospects that are waiting for us in the future Despite Nostradamusrsquo ldquoaccurate predictionsrdquo of what had happened in the past the quatrains do not have a specific order So out of all the disasters predicted in the many quatrains it is uncertain which will happen where or when giving it less importance in predict-ing an actual apocalypse

PlanetXAccording to Nancy Lieder a

woman who claims to have been contacted by extraterrestrial life forms Planet X (also known as Nibiru) would come close to planet Earth on May 27th 2003 resulting in the Earthrsquos rotation ceasing for 59 terrestrial days The Earthrsquos pole will then undergo a physical polar shift due to the magnetic attraction between the Earthrsquos core and the magnetism of the passing planet This will ultimately lead to the dis-placement of Earthrsquos crust and the end of us But when this did not happen the event was postponed and re-dated to coincide with the Mayan calendar hysteria

NASA argues that this is merely an Internet hoax with no factual or scientific basis They explain that if Planet X was approaching Earth astronomers would have

been tracking it for at least the past decade and the planet would now be visible by the naked eye This is a very comforting bit of news Yet some people believe that NASA is part of a conspiracy to cover up the existence of such planet and keep the truth of impending apocalypse from general public Again the ar-gument can go either way and the ldquotruthrdquo depends on which side you choose or want to believe in

2012TheendoftimeSo what is so special about the

year 2012 There are claims saying that the Mayan calendar ends on 21st December 2012 and that will be the end of time for mankind However just like every calendar it merely rolls over to the new year on that date and it doesnrsquot signify anything special In the Mayan cal-endar 21st December 2012 will be the end of brsquoakrsquotun 13 and marks the start of brsquoakrsquotun 14 A brsquoakrsquotun is 144000 days (a little more than 394 years) and there is no archeological or historical evidence to show that the Mayans expected anything sig-nificant or drastic to happen at the

end of each brsquoakrsquotun

However there exists litera-ture that suggests otherwise In 1975 Frank Waters the author of the book Mexico Mystique identi-fied the 13th brsquoakrsquotun interval to be the ldquoMayan Great Cyclerdquo where it ends in the worldrsquos destruction and rebirth Waters claims that cata-strophic earthquakes will destroy the world but he miscalculated the date and announced that the end of the ldquoGreat Cyclerdquo would be on 24th

December 2011 AD

The year 1987 marked an in-creased in interest regarding the prophesized big event in 2012 The author of The Mayan Factor Path Beyond Technology Jose Arguelles linked the 13th brsquoakrsquotun period to a ldquobeamrdquo that links people the plan-et the Sun and the center of Galaxy According to Arguelles the beam is the key to harmonic resonance in the universe and the Mayan knew when we would enter and leave this beam hence set their 13th brsquoakrsquotun to mark our passage accordingly He also claims that this beam could advance the development of any-thing with DNA hence creating a more positive view of the future

V838 Mon a star with expanding light echo purported as photographic evidence of Nibiru

ldquoevery MaN dies Not every MaN really livesrdquo ndash williaM wallace

28 | Caduceus September 2011

No one can be sure of whether the end of brsquoakrsquotun 13 signifies something great or disastrous for us or if it is just another restart in the Mayan calendar We can only know for certain when the day ar-rives

GodrsquosplanforusThis is by far the most detailed

and terrifying image portrayed out of all apocalyptic claims that I have gone through The Book of Rev-elation from the New Testament reveals signs of apocalypse through a wide variety of symbolism One of such is the frightening image of the ldquofour horsemenrdquo

ldquoAnd I saw and behold a pale horse and he that sat upon him his name was Death and Hades followed with him And there was given unto them authority over the fourth part of the earth to kill with sword and with famine and with death and by the wild beasts of the

earthrdquo (68)

The pale horse carries the horseman of Death which is be-lieved to release global plague and pandemics to the world and take the lives of a quarter of the popu-lation This has already manifested

itself in many forms in different parts of the world at different times hence the first sign of apocalypse is said to be already happening among us

In similar manners the bible describes the arrival a black red and white horsemen represent-ing the delivery of global food shortages war and conflict and the coming of an antichrist to the world From historical genocide terrorism to increased occurrence of food shortages so often seen nowadays it seems that the red and black horsemen has arrived as well and now we are just waiting for the arrival of an antichrist to conquer us

The Book of Revelation also provides readers with a glimpse into the ldquoactionrdquo in how the world will end

ldquoAnd I saw when he opened the sixth seal and there was a great earthquake and the sun became black as sackcloth of hair and the whole moon became as blood and the stars of the heaven fell unto the earthhellipand every mountain and is-land were moved out of their placesrdquo

(612-13)

Besides the great earthquake and the darkening of the sun there is a repetitive mentioning of stars falling from heaven on earth in the Bible This is postulated as the at-tack of massive meteors on planet Earth Out of all prophecies in the Book scientists assume this to be the most likely since an asteroid impact at a scale as large as that may have already wiped out an entire species that came before mankind Scientists believe that showers of space rocks that rained down 65 million years ago (due to the collision of Near Earth Object) were the culprit for the extinction of dinosaurs Luckily NASA recent-ly launched an early warning sys-tem called ldquoSpaceguardrdquo that aims to monitor such Near Earth Objects to prevent future collisions and ex-tinctions

Having read the above the Bible seems to combine all the horrifying specifics in different apocalyptic speculations into one nightmare But donrsquot worry since there are many different interpretations of the Revelation Historicists are the ones who see the Book as a broad view of history (good news wersquove already escaped all the horrors in the depiction) whereas Futurists

believe the description as prophecies of the fu-ture The Idealists hold the belief that the Rev-elation does not refer to actual people or events which makes sense as the Bible is often not inter-preted literally So fingers crossed that the Revela-tion is not interpreted in the futurist way because in that way there is going to be a daunting future awaiting us

Four horsemen of Apocalypse

hkucaduceusnet | 29

ldquoDevolvingrdquoEarthTheoryThis is probably the

most scientific theory that I have come across so far from a news article pub-lished from ABC News A group of scientists from University of Washing-ton hypothesized that the Earth will gradually de-volve in the next half bil-lion years In short their logic works as follows

As we all know the sun is constantly grow-ing bigger yet the Earthrsquos environment has been reasonably constant This is because as the sun is warmed up carbon diox-ide from the atmosphere is removed and deposited in soil as carbonates This keeps our environment stable by the balance be-tween an increasing sun and reducing carbon di-oxide in the atmosphere (Note that global warming resulting from an increase carbon dioxide in atmosphere is just a brief blip in the grand scale of things) Since carbon dioxide is the ldquofood of liferdquo the reduction will cause plants and animals (including humans) to die To battle the rising heat some creatures will retreat into the sea hence reversing the evolutionary process And as the sun continues to expand the Earth will become so hot that even the oceans will gradu-ally be evaporated Eventually the sun blasts off its mass through ther-mal pulses engulfing the Earth

This is a very scientific specula-tion from an astrophysicistrsquos point of view and they claim that at best we have no more than half a billion years left This might be more reas-suring for some of us as the world will not end in the near future But the grief lies in the inevitability of our planet Earth coming to an end

Everythingthathasabegin-ninghasanendSo we are back where we start-

ed With more speculation and the-ories and still no closer to the truth The end could happen any day or time or maybe it could be a proc-ess that is already happening Even though it is not to the scale of an-nihilation of the human race hur-ricanes and earthquakes and car crashes have already been stealth-ily taking the lives of millions We know for sure that we must die eventually through chance old age or disease There is only very little we can do to fight against what has been planned for us and reducing the resources we consume is the best chance that we have in delay-ing this happening There might be some benefit if we know the in-sights of when and how it will hap-pen but really it doesnrsquot change anything Moreover it is possible that these speculations came about to force mankind to live life to the

fullest to treasure each day and every resource we have as a gift so it doesnrsquot matter which theory is the accurate one In the midst of these theories about apocalypse all we can do is to live every day as if it was our last with no regrets and enjoy life as it is now

ReferncesThe End of the Worldhttpwwwnostradamus101compropheciespart4P7

The Great 2012 Doomsday Scare httpwwwnasagovtopicsearthfeatures2012-guesthtml

When Will the World End New Theory EmergeshttpabcnewsgocomTechnol-ogystoryid=97756amppage=2

2012 Beginning of the End or Why the World Wonrsquot Endhttpwwwnasagovtopicsearthfeatures2012html

Video from history channel (from youtube link)httpwwwyoutubecomwatchv=BoTExQEyblU

ldquothe MeaNiNg of life is coNtaiNed iN every siNgle expressioN of life it is preseNt iN the iNfiNity of forMs aNd pheNoMeNa that exist iN all of creatioNrdquo ndash Michael jacksoN

30 | Caduceus September 2011

笑的神奇魔力「當你笑你改變了當你改變了整個世界也改變了」

麻丹卡塔利亞醫生(大笑瑜伽的始創人)何麗敏 (N14)

被隱藏的笑容

日 本大地震及核洩漏事件馬頭圍道唐樓火災三死十九傷中區

警長為勸示威人士中不慎失足墮橋身亡

各政黨爭相你嘲我罵helliphellip在城市裡我們

每天都被一些飛來橫禍天災人禍或社會

爭執的信息圍繞著充斥著愁雲慘霧的氣

氛甚至在家庭朋友學業工作和

健康方面我們亦會遇到不如意之事負

能量和心理壓力不斷增加沒有適當的疏

導和發洩方法之下不少人染上酗酒或沉

迷賭博等壞習慣來自我麻醉長期把情感

抑制的一些人更有機會患上

情緒病我們彷彿硬把自己

困在死胡同裡忘記兒時怎

樣整天咧嘴哈哈大笑如何

在跌倒後笑著站起來現

在很多人都像被魔鬼牽著

鼻子走每天板著一副無奈

沮喪的嘴臉掛上冷漠的眼

神笑聲更差不多成為絕

朋友啊你可有嘗試計

算過一天總共大笑了多少

次英國格拉根大學研究發

現在英國嬰兒每天會笑

達三百次而青少年時期的

每天大笑次數大幅減至六

次五十多歲的人平均每天

更只笑了三次無可厚非

我們在成長過程中必遇到愈來愈多的煩惱

和挑戰事情的確不是我們所能控制但

面對的心態我們為何不能放開一時所謂

的包袱像孩子般笑著面對呢為甚麼大

笑要有一定的理由或被時間限制呢

瑜伽加愉

近半個世紀工作學業和情緒波動

很大生活方式變得愈來愈物質主義容

易出現精神緊張大家都被壓得透不過氣

來變得不太愛笑在一九九五年印

度孟買註冊家庭醫生麻丹卡塔利亞(Dr Madan Kataria)創立「大笑瑜伽」以笑聲驅除怨氣大笑瑜伽是以笑聲互相交流

的透過眼神接觸傳遞歡樂的信息學習

別人的笑容代入孩童的心態再全情投

入地開懷大笑同時亦融入瑜伽的腹式

不妨一試

大笑瑜珈三式一預備式林中步行

在樹林慢走就是愛笑瑜伽的熱身方式步行時間

可以是10-30分鐘邊走路邊拍手同時不時地做深呼

吸目的是讓身體和情緒都徹底放鬆下來為後面的

內容做好準備

二進行式學習動物的表情

在瑜伽導師的帶領下活動面部肌肉然後模仿瑜

珈導師的動物表情這些表情看上去本身已很滑稽

只要按照瑜伽師的樣子去做再發出笑聲

三結束式調整呼吸

經歷了一場大笑面部表情鬆弛了心情也舒服

了不少大家慢慢收回笑容調整呼吸一邊在森林

裡散步一邊大聲告訴自己說「我們是世界上最快樂的

人」

灼見

hkucaduceusnet | 31

呼吸和伸展動作鼓勵大笑達至身心健康

的效果精神科專科曾繁光醫生指出 

「笑令腦自然分泌天然多巴胺以抗衡人

體緊張時所分泌的皮質醇預防患上焦

慮抑鬱的情況」除了改善情緒還能

促進健康笑能促進肺部呼吸功能和加強

血液循環現代醫學認為笑可以成為一種

治病方式治療神經衰弱消除肌肉的緊

張預防或減緩疼痛

筆者在此並不是宣傳大笑瑜伽其治

療成效仍有待商榷和科學實證但愈來愈

多人證實大笑和保持歡樂的心態能有效放

鬆自己張立新先生是第一位在中國推廣 

「大笑瑜伽」的人他患上憂鬱症遍尋

各種治療方式皆無成效一次機緣巧合

從網路接觸「大笑瑜伽」亦在電視上看

到介紹而開始學習和練習他的憂鬱症因

此不藥而癒從此他就開始在中國研究和

推廣愛笑運動暫且別論大笑瑜伽的奏效

程度但人生所遇到的事可真不少何不

笑對人生

尋回被遺忘的赤子之心

大笑並不是靈丹妙藥但它的確能帶來

正能量即使事情有多糟糕笑著面對總

比怨聲載道好而且美國加州大學柏克

萊分校心理學教授丹卓凱納說「笑對

人的進化很重要」目前心理學家們認

為笑是人類之間交流的古老方式之一笑

能互相影響把歡樂的氣氛傳染開去嬰

兒還未學懂說話時笑是與身俱來為何

我們長大後卻隱藏笑容呢朋友們參考

左頁所列大笑瑜伽的基本招式大家可相

約三五知己輕鬆一番找回孩童時的笑聲

大笑瑜伽的始創人麻丹卡塔利亞醫生

大笑瑜伽在六十多國家盛行

ldquolaughter is the best MediciNe - uNless yoursquore diabetic theN iNsuliN coMes pretty high oN the listrdquo ndash jasper carrott

32 | Caduceus September 2011

Learning Experiencing GivingA magical 10-day journey away from the cityErin Yeoh (M15)

C lad in backpacks light clothing and sneakers 21 medical students from HKU and CUHK

were prepared to leave the comforts of home and the internet (did I hear Facebook) We were bound to Chi-na about to embark on a learning-cum-volunteering trip organized by Medical Outreachers

After saying our final goodbyes at the Shenzhen air-port we split into two teams Team A with 9 members were bound to Xirsquoan where they would see volunteer orthopedic surgeons at work The 12 people in Team B including me left for Guizhou to understand the role of village doctors in rural China Both teams aimed to find out the effectiveness of public health policies in rural areas of China We were to meet up 4 days later at Dongshan Guangdong

Part1GuizhouUpon landing in Guizhou we were provided with

excellent hospitality by the local officers and the lo-cal NGO Amity Foundation We were given a brief introduction to Guizhou and also the work that the government and Amity Foundation were doing in the province Amity Foundation actually helped to build numerous new village clinics to improve the quality of healthcare in the region

The next day we were taken on a tour around the province visiting different village clinics (村診所) lo-cated in areas further away from the city Usually there would be one or two village doctors (村醫) on duty

at a time to attend to the villagers with population of around 1000 to 4000 per village

However the village doctors were not the type of ldquoheroesrdquo I had in mind They were not your typical doctor working in a worn out run-down wooden hut where there would be a row of sick villagers lining up to see them How ignorant I was In fact the village clin-ics were mostly renovated and well equipped with ba-sic amenities The standard village clinic has 5 rooms main lobby (大廳) treatment room (治療室) pharma-cy (藥房) observation room (觀察室) and a doctorrsquos rest room (醫生休息室) Furthermore their patient flow was rather small sometimes only one or two pa-tients per day This was probably due to the fact that some village clinics were located only a stonersquos throw away from major cities Those in a medical emergency would of course go straight to the main hospital to seek help immediately instead of consulting a village doc-tor

To be a village doctor one at least had to be a sec-ondary school graduate They would also undergo constant training and certification by qualified doctors in larger clinics According to the village doctors they spent most of their time doing paperwork keeping track of the villagers and their medical history They would also conduct regular home visits to those suf-fering from chronic illnesses or those that needed con-stant monitoring such as patients with hypertension or rheumatoid arthritis Another point that I found

A village clinic before receiving funding from Amity Foundation

hellipand a comparison after

Life

hkucaduceusnet | 33

interesting was that they would also visit families with newborn babies to check on their general health At the same time they would educate mothers on proper breastfeeding techniques and how to provide adequate nutrition for their children in the future

To learn more about their daily routine we fol-lowed a village doctor on his home visit rounds The doctor would sometimes have to travel as far as 2 kil-ometers for a home visit which would be the other end of the village This was as in the case of a pregnant lady due for delivery soon (photo as shown below) The doctor who came to check on her health status reas-sured her that her delivery would be a successful one From her sigh of relief and tired smile we could tell that she was grateful to see the doctor

However things didnrsquot always run as smoothly According to some of the village doctors they used to be scolded and rejected by the locals who did not understand why the doctors would often come up to their doorsteps asking them questions regarding their health and pestering them to go for checkups Some of them being superstitious would think of doctors as ldquoharbingers of bad luckrdquo as the doctors would talk about ldquosicknessrdquo and ldquodiseaserdquo when they were actu-ally feeling as fit as a fiddle Thankfully the situation has much improved since then

From what we saw instead of playing a curative role in a society the village doctors were actually much more involved in disease prevention and monitoring

This is actually the ldquoupstream modelrdquo concept in pub-lic health Instead urban doctors are overwhelmed by limited consultation time and when fatigue kicks in they simply do not have the energy to further educate their patients They would also not have the time to un-derstand their patients on a personal level unlike that of the village doctors

However the indiscriminate use of antibiotics in China was truly a frightening sight Doctors adminis-tered antibiotics intravenously for mild diseases like the common cold When we asked the doctors as to why they did so they simply smiled and shrugged off the question It is probably still a common practice in China and if the doctors did not give such medication the patients would probably lose trust in the doctor The fact that the similar practices were seen even in large hospitals probably indicates that this problem is hardly a localized one

Part2DongshanGuangdongWe met up with the team from Xirsquoan at the

Guangzhou airport and proceeded to our next desti-nationmdashDongshan After 5 hours of car ride we began to see signs that we were approaching our destination Mountains sharply angled clustered in twos or threes fondly known as ldquoMcDonalds mountainsrdquo were begin-ning to be in sight

As soon as we arrived we were greeted by eager curious young faces The children huddled close by as we unloaded our luggage some commenting that they hadnrsquot seen some of us while others were already play-ing around with the past participants It was my first time to Dongshan but there were some of us who were not new to the kids there

After settling down we were given an introduction to Dongshan and its residents by the local NGO Green Action Foundation led by Mr Wong

Located at the outskirts of the province Dongshan is one of the 4 poorest areas in Guangdong Its natu-ral terrain abundant in limestone makes it especially hard to retain water This has taken a toll on the resi-dents especially during the drought season Another problem faced by the local residents is that there are many young people and adults migrating to big cities to earn a living leaving behind the children and elderly

Village doctor on one of his home visits

Discarded bottles of intravenous antibiotics near the village clinic

ldquoMediciNe also disregards NatioNal bouNdariesrdquo ndash irviNg laNgMuir

34 | Caduceus September 2011

at home

Green Action Foundation took the initiative to plant trees around the area so that more water was available for irrigation and domestic purposes This improved the quality of their crops and boosted their source of income They also sponsored some of the

childrenrsquos education depending on their performance in school to ease the burden on their families

The next few days were jam-packed with activities A sports day was held as an icebreaker so that the new participants could get to know the children better We also spent half a day at the Dongshan Primary School where we taught the kids personal hygiene simple first aid moral education and also sex education for the grade 5 and 6 students

Another interesting activity that we had was a weed-cutting session up at a mountain with the other children Each of us was assigned with 2 to 3 chil-dren who were supposed to ldquoguiderdquo us along the way It was a 2-hour hike up and down hilly ter-rain While I would stop once in a while to take a breather the kids were barely panting The kids would often stop to ask if I was tired and even of-fered to help me carry my backpack Note to self more exercise next semester

Nevertheless it was a great chance to know the kids better We had the time to chat about their school life and what they thought about their future and also the chance to share snip-pets of our lives in the city

We then split into small groups and visited the homes of the children in order to gain a bet-ter understanding of their household hygiene

condition any medical conditions in the family as well as their economic standing We had also prepared questionnaires to be kept as future record Some of the families were very poor to the extent of having no source of income at all They depended solely on their own crops for food If they went to see the doctor they would usually owe the doctor money until they had

enough money to pay back The hygiene status of the villagers varied but most of them had swarms of flies around food Many even had their live poultry like chickens running around the house Before we left we gave them some hygiene products like soap washing detergent and toothbrushes to encourage better hy-giene We also gave them a poster explaining ways of maintaining a clean household environment

Another main focus of the trip was to find out the effectiveness of a medical insurance policy newly in-troduced by the government Each person had to pay 30 Renminbi annually to be guaranteed free medica-

Sports day activity

Weed cutting with the children

hkucaduceusnet | 35

tion and hospitalization thereafter Generally the vil-lagers were grateful for this plan as many found it dif-ficult to afford medical fees while struggling to pay for

basic necessities at the same time However some vil-lagers complained that the prices of medicine spiked after this policy was introduced and hospitals would of-ten ask patients to

do unnecessary scans just to earn more money

This trip made me realize that there is much that we can do but how great an impact we can make might not be seen immediately With follow up trips one could see the change as compared to the last visit and make further modifications to improve the situation

As the trip came to an end we were reluctant to leave There was something very magical about Dong-shan where the skies would turn to an exuberant red during sunset and on a clear night you could see stars scattered across every corner of the sky It is a place of beauty struggle and hopefully a place of triumph in the years to come

It is a place of beauty struggle and hopefully a place of triumph in the years to come

On one of our home visits

More to ExploreMedical Outreachers 醫心httpmedicaloutreachersorg

The Amity Foundation 愛德基金會httpwwwamityfoundationorg The beautiful sunset in Dongshan

ldquoshariNg is soMetiMes More deMaNdiNg thaN giviNgrdquo ndash Mary catheriNe batesoN

36 | Caduceus September 2011

就 在這一刻世界沉默了

城市的繁囂隨飛機引擎

逐點逐點噴走了繁囂的離

開是為了讓簡單的生活回

來剛踏出廈門機場一張

又一張的笑臉映入眼簾刺

熱的太陽把兩地之間的隔膜

融化

早從香港回歸時開始

香港人經常強調自己只是 

「香港人」而不是「中國

人」自以為比內地人高一

等可惜這班自視過高的都

市人曾幾何時為外地人送上

熱情的款待這一點廈門

人比誰都做得更好

廈門是一個位於中國

東南部的海島也許就是近

海讓居於廈門的人都把一

切怨恨煩惱拋下大海讓

它們隨水流漂走埋藏在海

床上每年廈門的鳳凰花花

開兩季一朵又一朵鮮艷如

火的鳳凰花在六月時歡送一

個又一個的畢業生彷彿為

他們添上一份祝福九月時

的鳳凰花熱情地歡迎一屆又

一屆的新生為新生的精彩

校園生活揭開序幕一份一

份的熱情含苞待放身在廈

門又怎會不被這市花的熱情

感動呢廈門大至人與人

之間小至花與花之間都存

著一份情

要追溯廈門人的情懷

可數至土樓的建成土樓

是個大多呈方形或圓形大型

群居的建築整座土樓樓高

三至五層由於牆身頗厚及

只有一個出入口甚具有防

禦功能亦因為這緣故當

大門關起來土樓便成了一

個家這個家佔地不大但卻

藏著成千上萬的人情味在

萬里無雲陽光普照的天空

下土樓居民的熱情好客

被蒸發出來懸浮在空中

一代一代傳下去更讓它隨

風走出土樓傳遍整個廈

門即使土樓漸漸成為旅遊

景點一些擺賣紀念品的攤

檔已經進駐但卻無礙居民間

的感情商販彼此交流從

不出現爭客的情況在土樓

中央休憩的居民除了為外地

人介紹他們的祠堂外亦邀

請遊客跟隨他們到遊客禁區

參觀在土樓居住的每伙都

中門大開當遊客投進好奇

的目光屋內的人往往以親

切的笑容作回答鄉土人

情在這世代多冷漠的心也

被融化

細膩的人情味外最令

遊客津津樂道的是廈門人的

態度廈門大學附近有一條

芙蓉隧道只要你願意便可

在隧道內壁上畫下你所思所

想當然美觀與否見仁見

智但這一種對藝術尊重

欣賞的態度是值得欣賞我

有我盡情地畫你有你盡責

青春在廈門留下足印潘曉彤 (N14)

生活

hkucaduceusnet | 37

地去管轄城市各處的整潔

彼此留下空間達至相輔相

成的效果廈門人就懂得人

最基本的禮貌尊重不

過廈門人對他人的尊重遠超

於人的基本禮貌當你去唱

「卡拉OK」的時候每次

待應的出入時看到的就只

有他們的正面而他們前行

或後退的方式就像看到皇帝

一樣卑恭屈膝香港人常常

強調面子哪一天才能捨下

那過高的尊嚴為不相識的

人作一個最謙卑的招待

其實任何人一離開香

港都不難發現就只有香

港愈夜愈精彩其他地方晚

上八時大多關門大吉而廈

門就只有中山路才媲美得

上香港的夜夜笙歌夜幕低

垂萬千燈火的中山路上

與來自各區的人擦肩而過

昏黃的燈光下照出一群又一

群的沉默影子剛好與路上

喧鬧的行人相映成趣騎樓

在霓虹燈的點綴下顯出了獨

有的閩南特色大街小巷傳

來不同地道小食的香氣車

輪餅燒仙草土笋凍helliphellip

為我們外來的交流生帶來美

味可口的夜宵飲飽食醉過

後走到中山路的盡頭又

回到了沉睡中的廈門

在優美的環境影響下

廈門人的生活也自然變得

純樸優閒單車車輪在環

島路上留下一圈又一圈的印

記沿路能細聽海浪輕拍岸

邊的聲音細嗅四處洋溢的

花香感受微風吹散太陽散

發的熱力見證一對又一對

的新人在拍下幸福的照片

據說廈門有戀愛天堂之稱

不管走到哪一處也會

看到準新人拍下甜蜜的婚紗

照而在裡面享受的人永遠

不知道這風景如畫的背

後是透過多少人的血汗換

來當我們在追求經濟成果

的同時往往破壞了造物者

在世上留下的藝術品隨中

國經濟急速發展一個又一

個的世外桃園被摧毀銅臭

替代了花香車聲替代了鳥

語這仙境又可維持多久

廈門另一世外桃園就是

鼓浪嶼它活像香港的長

洲島上滿有歐陸建築風

格但當中不乏中國特色的

建築中國古城風味與洋風

互相交替帶出截然不同的

感覺島上遠離汽車的廢

氣與金門就只是一海之

隔一家大小在享受天倫之

樂時一群又一群的青少

年情侶在沙灘上嬉戲立

即為島上升溫

筆者認為在這個混亂的

俗世確實需要抽空來欣賞

造物者留下來的藝術品大

財團不斷興建大型商場國

際知名品牌不停進駐留下

的就只有愈來愈狹窄的街

道被石屎封蓋寸草不生

的土地人人被金錢蒙蔽

迷失在霓虹燈光中又有多

少知音人能放下生活的瑣碎

事情在這裡享受時間一分

一秒的流走你被海浪聲

喚醒了嗎

筆者參加這次是由香

港廈門兩地大學的交流

團一連六天已經習慣了

當地的優閒生活模式體會

到的不只是廈門的風土人

情歷史文化而是兩地大

學生那種衝破界限的交流

雖說年輕人容易打成一片

但廈門獨有的熱情確實融化

了彼此間的隔膜廈門的美

是成人之美成就了兩地大

學生的友誼

飛機又再起飛了廈門

再見了

ldquothe tiMe of life is short to speNd that shortNess basely it would be too loNgrdquo ndash williaM shake-speare

38 | Caduceus September 2011

生 命形成之際只要一秒鐘的差遲世界便會不一樣

蝴蝶效應從來都是玄的全因一個 

「緣」字

隨著人成長要決擇的事太多學生

有兩件人生大事幾乎都不是由自己決定的

入讀小學及中學然而到了大學這

關卡自己也許可以拿定主意了若果你

入讀了心水科恭喜你若不然祝福

誠然入大學是最影響未來生活的關

口是好是壞無人知曉不用量化不

用比較太多即管做自己所想活出自己

的路只因你不會曉得你的下一步會怎樣

影響著你的生命

或許一個活動你會遇上你的最愛

或許一個宿位你會遇上你的知己

或許一句說話你會惹來一個敵人

或許一次走堂你會由B變C

這就是大學

在大學各人有各人的大學生活大

學講求自由學習學習真的是「求學不是

求分數」有些人愛廣交朋友有些人愛

住宿有些人愛做莊務有些人愛拍拖

有些人愛參加各樣活動有些人愛做兼

職有些人愛讀書有些人卻愛甚麼都不

做helliphellip不少大學生強調入大學必定要做齊

大學五件事(上莊住宿讀書拍拖

兼職)但其實只要自己開心不害人的

話做甚麼也沒問題最要緊的是認清讀

大學的目的以免沉淪於大學這花海

朋友

大學可以令你對「朋友」的概念愈來

愈含糊幾乎每個活動都可令你認識新朋

友通常大家都會輪流講述自己的名字與

學科(Round Table)這亦是考驗大腦對人名的記憶所謂的「Hi-Bye Friend」會愈來愈多隨便在細小的港大內穿梭會令你

無可奈何地對他們說聲Hi

不過別標籤你的「Hi-Bye Friend」要是連Hi-Bye也談不上更不用說做深交了上大學了大家已有既定的圈子很

多時約會或聊天都先找中學朋友而且很

多人會把大學朋友與中學的作比較雖情

有可原但有時未免先入為主地覺得中學

的較好

這亦難怪即使是日日碰面的同學也

未必是自己的好友人人都有自己的時間

表下課後各散東西不是大家不想互相

認識只是有時身不由己若想互相了

解不妨盡量製造共處之時有時甚至可

以分一些約會給大學朋友然後你會發

現大學朋友也可跟你熟絡可別為自己

建造一塊厚厚的心牆

舍堂

要入宿無人會不曉得十日的迎新營

有些舍堂平均每天的作息時間只有兩三小

時有人說住宿最辛苦就是迎新營然而

它卻是最難忘的

要數活動單單一個舍堂已數之不盡

要是投入舍堂生活每天24小時是不夠

用的舍堂之間有各樣比賽堂友要參加

各個組別為比賽出席各樣練習否則可

能被拒於來年再住基於許多人都只在夜

晚有空要全體出席那可是晚九朝五的

大學之緣賴彥積 (N14)

新鮮人

hkucaduceusnet | 39

宿生們之所以會熱衷於舍堂活動因他

們對自身舍堂有強烈的歸屬感好比中學

時學生參加校際比賽要是沒有歸屬感

就不會有心參加所屬舍堂的活動

除舍堂之間之活動樓層之間亦有各類

活動樓內亦然只要有人的地方就有玩

樂彷如天天宿營你不會有機會偷偷早

睡其他樓友常常打擾你你原來的生活

時間會推後數小時睡於二時已是罕有

早上的八半堂彷如無物

可以住宿但不參加活動嗎當然可以

但你會面對的是朋輩壓力他們雖未必逼

你參加卻會在言談中有意無意的滲出

來那種壓力不只限於自己樓層甚至是

跨樓層千萬可別輕看宿中流言

上莊

有人說上莊所學遠超課堂上莊所學

的是如何籌辦活動非常實用有時要對

外聯絡有時要面對公眾helliphellip像是要為將

來工作鋪路似的當然這亦要視乎你上

的是甚麼莊

一般而言上莊可訓練你待人處事的技

巧有時表面看來很友好的朋友當背

負上一定的要求後關係少不免有磨擦再

者初時莊員素未謀面最後卻因朝夕相

對而演變成朋友這段關係是很可貴的

成莊前要宣傳內閣爭取選票成莊了

又要舉行咨詢大會包受歷莊指導然後

又有就職典禮此後的活動更接踵而至

當然包括迎新活動招莊活動等helliphellip君不

見很多人視莊房為睡房少不免有「通

頂」之時忙是忙但必有價值至於是

好是壞要看自己的造化了

拍拖

人上了大學有時心思思想拍拖眼見

身旁多個好友都紛紛拍拖自己少不免羨

慕別人這想法十分正常畢竟大學生真

的可以放下只讀書的重擔真的可以規劃

人生大事了

香港大學一些營新活動中隨了Round Table外還有Round Status即說自己現在有否拍拖以及拍過多少次拖如 

A 0即Ava i lab l e之前至現在沒有拍拖O1即Occupied之前至現在共拍了一次拖當然也有一些同學自己創的甚

麼OBA (Occupied But Available)或D10(Desperate拍過10次拖)等等至於Round Status的動機何在可能是組爸媽想穿針引線吧當然也可能是別有用心的

不同人對拍拖有不同想法上了大學更

有不同擇偶條件人大了在感性的議題

上往往加上種種理性的數據開始現實起

來哪個帥哪個富有哪個有前途helliphellip

有些不在乎天長地久只求剎那的光輝

有些求虛榮有人疼愛在朋友前炫耀

有些甚至會在拍拖前已想定分手後的模

樣所以不想選擇跟自己同科的同學

活動

不同團體(包括舍堂學會及學校部

門)都有不同活動不用愁沒事幹只用

愁沒時間只要多留意Portal Mass Email或Main Campus海報不難發現幾乎每天都有各樣活動動靜皆宜開學時有迎

新營考試時有勁過飯新學期有開Sem

飯有些學會如戲劇舞蹈合唱團不時

有演出有關運動的學會則多練習以參

加比賽有關學術的也有很多興趣班講

座比賽等想幫人的亦可參加義工團

體如蛇蛇豬扶青等舉辦的義工活動

兼職

大學生的兼職大多以補習為主畢竟

這是我們能力範圍內可賺取最多外快又是

時間最彈性的工作有些人卻因補習不能

寫在履歷表而選擇別的工作然而很多時

我們都要在兼職與大學活動中取捨我的

ldquotake a chaNce all life is a chaNce the MaN who goes farthest is geNerally the oNe who is williNg to do aNd darerdquo ndash dale carNegie

40 | Caduceus September 2011

E mily was the chairperson of Pharmacy Socie-ty session 2010 As a student she has actively

participated in holding activities for many medical stu-dents and taken part in providing welfare to all phar-macy students Her following sharing will especially enlighten our new pharmacy students

Q Why did you choose Pharmacy SocietyA To be frank ldquosheung jongrdquo was really out of

my expectation when I anticipated my university life However my perspective has changed when I officially became a pharmacy student in HKU As members of the opening class of the Pharmacy programme my classmates and I realised the importance of having our own student body We do need an independent soci-ety to represent us pharmacy students to cater for our specific needs to listen to our points of view and to act as a bridge to facilitate our communication with the Medical Faculty the entire university and ultimately the pharmaceutical field in Hong Kong My class-mates and I who later became ldquojong yausrdquo believed we should act immediately to establish and run our own society which is why I decided to ldquosheung jongrdquo

Q Would you like to share some of the pros and cons of sheung jong

A ldquoSheung jongrdquo definitely helped me achieve per-sonal growth It was a concurrent commitment and re-sponsibility to serve and to lead our colleagues Bear-ing this in mind we always pushed ourselves to attain the best of our work ethics efficiency and efficacy As the very first session of the Society we lacked the guidance of any previous committee member Instead analysing carefully and critically we thought better of every decision which I personally found an enriching experience ldquoSheung jongrdquo was also an eye-opening journey Wersquod got to meet different people and learnt more about the professional work for as our career-to-be after graduation This in my opinion is always beneficial Last but not least I was fortunate enough to have worked with my amazing fellow committee mem-bers I frankly couldnrsquot ask for better ldquojong yausrdquo than initium Irsquom absolutely thankful for having them as my friends and it is definitely my greatest gain along the way

Despite the merits ldquosheung jongrdquo definitely has its downsides as well It is a lie to say ldquosheung jongrdquo does not affect our daily life because it does take up a big chunk of our time At the end of the day it is about time management which is easy to say but extremely dif-

建議是如家庭環境較困難賺錢吧反

之可以多留時間給各活動畢竟大學一

年的學費不只值那幾十堂課如何善用這

$42100就在乎你如何投入大學生活

讀書

假若你認為大學的考試可考核學生的

真正讀書能力並要求學生活學活用課堂

所學那麼你大失所望了假若你善於背

誦有過目不忘之本領大學的筆試不會

難倒你只要靠著前人留下的歷屆試題

背到滾瓜爛熟是不可能不及格的很多屆

試卷都是千篇一律的很多教授可沒空大

改試題那同學們就走運了有些課堂

即使再專業的學科都會有只理論無實

踐的課堂然後考試就要你把一大堆理論

背出來helliphellip例如甚麼叫批判思維噢

我可不知道只知道我掉了5分

不同學系在某程度上定下了人的前途

對於醫學院學生而言前路是較清晰可見

的但對於非專業學科前路不可只靠讀

書也許要靠自己另外摸索讀書所帶來

的必然是較高的GPA高GPA所帶來的是

獎學金到外國交流工作實習日後工

作機會等等當然大學學習不只局限於

讀書會否因此失彼就只有自己知道

蝶翼拍動之時往難以預料機會是

要自己摸索的

如經上所記

「神為愛他的人所預備的是眼睛未曾看見耳

朵未曾聽見人心也未曾想到的」

(哥林多前書29)

「栽種的和澆灌的都是一樣但將來各人要照自

己的工夫得自己的賞賜」

(哥林多前書38)

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

Freshmen

hkucaduceusnet | 41

ficult to achieve Also working as a Committee mem-ber can be very exhausting and difficult You definitely need lots of determination and support to get through some of the busiest times

Q How did you handle and balance the workload of study and your ldquojongrdquo

A As Irsquove said before it was tremendously difficult I guess my best advice for the future committee is to know your limitations and always plan ahead You have to know your time to work to rest to study etc No one will be over-worked and eve-ryone will have some personal time if you share the burden wisely between ldquojong yausrdquo Secondly you have to make very clear plans so that you can make full use of every little piece of your time I may not have succeeded in my time management but most of my ldquojong yausrdquo managed to do so de-spite the packed schedule of our Soci-ety This is sufficient proof of ldquoimpos-sible is nothingrdquo

Q As there are only about 25 pharmacy students per class do you have any suggestions for P14 fresh-men to make more friends from other curricula

A It really depends on what kind of person you are If you consider your-self socially active living in a hall or ldquosheung jongrdquo will be a great idea for you But if you see yourself as a much quieter person you can still make use of opportunities such as Medic Orien-tation Camp and other events jointly organised by student bodies within the Medical Faculty to make new friends

Q Any special things for P14 freshmen to be aware of

A First of all welcome You all are now members of Pharmacy Society MS HKUSU and I would like to let you know that this is a student body aiming to serve you Thus feel free to share your viewpoints and voice out your opinions to the current Com-mittee members The Society has to

understand your needs to improve and provide better welfare and services for you

Q Any other comments or important things to re-mind P14 freshmen

A If you would like to get to know more fellow pharmacy students especially students from P12 and P13 grab the opportunity to join the Pharmacy Society Orientation Camp and the Mentorship Programme These are great chances to make new friends and Irsquom sure you will enjoy them

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

ldquoas huMaN beiNgs we do chaNge grow adapt perhaps eveN learN aNd becoMe wiserrdquo ndash weNdy carlos

42 | Caduceus September 2011

筆 者是一位護理系的學生半年前有幸成為二零一一年啟思編輯委員會的總編輯在期間所體驗到的希望藉著這次機會作出分享特別希望新加入醫學院的同學

能對「上莊」有更多了解

上莊之路上莊是大學五件事之一證明它對大學生

活有一定的重要性一定的位置筆者在初入學的時候曾為了上莊與否而煩惱猶豫了好一段時間期間考慮到自己能力怕學業應負不來但最後仍然下了上莊這個決定原因是上莊是個難得的機會充實增值自己不同的莊會提供不同的機會讓莊友去學習透過不同的莊務去讓自己眼界擴大另外可以了解醫學院內發生既事情例如院內活動的進展情況更可以參加舉辦院活動為醫學院出一分力最後當然會認識到將會相處一整年的莊友工作伙伴有機會認識到不同學系的同學從他們身上可以觀察到學習到各種的特質從而令自己有所進步有所啟發

護理學生作為護理系學生起初擔任總編輯一職實

在是倍感壓力畢竟歷屆的總編輯都是由醫科生出任因此筆者起初都害怕跟醫科生共事怕自己的能力不足夠應付莊務所以起初都是戰戰兢兢地上莊

一位三年的護理學生曾對我說「我認為你不太尊重護理系護理系和醫科都是個專業希望你能加以尊重自己的學系不要輕視護理這個學系你要肯定自己的學系才能帶領整支莊因為莊內成員來自不同的學系你必須肯定和認同每個學系都有一定的重要性以及其專業」這番當頭棒喝的良言令我明白到自己一直都太輕視護理系過於重視醫科現在我明白到認同自己學系是尤其重要只有這樣才可以用自己學系的身份去發表意見只有認同自己學系才懂得尊重其他的學系莊內便可以融洽一點

在筆者的莊友中醫科生都是較有責任感而且做事更有計劃從他們身上的確學到不少東西這點是無可否認的事實筆者並不是在分享學系與學系之間的差別而是希望有志上莊的同學能互相尊重明白到各學系的莊

友都有其值得學習的地方起初對其他學系有隔膜是無可避免的畢竟對他們的學系都不太了解又沒有歸屬感但如果因為對方是別的學系而輕視對方的人不但失去與人相處學習的機會而且會令莊內的氣氛失去和諧

幸好的就我所見所聞醫學院內的莊多年來都能融洽相處互相支持令到一眾上莊的同學都能輕鬆地享受上莊的喜與樂甚至是不愉快的事情

依靠你的莊友莊是一個團體不是一兩個人可以應

付得來所以筆者認為與莊友互相溝通合作是個重要的元素新同學如果有志參與莊務期望從上莊中有所得著首要的事情是與莊友建立關係因為他們將會是你來年的工作伙伴也是你遇到困難時依靠的對象一位上莊曾對我說「其實一件的莊期不會令你有太大的得著或成長反而長久的友誼才是你將會得到最重要的」這句說話是千真萬確的上莊的人不會由詞不達意改變成談吐得宜不要期望自己會有驚人的轉變也許上莊會令人處事成熟一點有計劃一點但上莊所得到的關係將會是更重要更珍貴一年的相處中面對過有無數的會議共同處理過不少困難從中

建立的友誼真的是畢生受用

責任感上莊另外一個十分重要既條件就是責任

感有志上莊的同學必須明白到莊期是長達一整年在繁重的學業中騰出時間來處理莊務是個考驗責任感和毅力的測試同學必須再三思考想清楚自己是否真係熱衷於上莊或是只是一時衝動畢竟你將要許下的是一年的承諾必須對這個莊負上責任願意付出才選擇上莊這個決定這樣的付出就會有相對的回

總結上莊的確是個好機會讓自己去學習從處

理事務中或是從莊友身上都會有所得著充實著自己的大學生活從中可以認識到各學系的同學建立一段段受用終身的友誼在此筆者希望各學系的新同學可以善用機會作出上莊這個無悔的決定

護理系的啟思總編石志榮 (N14)

新鮮人

hkucaduceusnet | 43

慈兄吟(下)奇晶

最 後還是麥教授先開了口「他的確是一個好學生對醫學有獨到見解他不但學業成績優異而且樂於助人你是他的妹妹吧」婉慧努力控制自己的淚水繼繼續續的說「是啊但helliphellip但helliphellip我不知道helliphellip他竟會在這裏出現」麥教授用悲天憫人的目光看着婉慧語重深長說「人生自古誰無死人生命的有為與否並不取決於他生命的長短而是在於人生的意義你哥哥雖然最後當不了醫生但他的犧牲卻間接為一些同學做醫生鋪路讓他們做醫生去救人這真是一種無私的愛」婉慧點點頭覺得自己對哥哥的了解實在太少了

最後她還是孤獨的離開實驗室她覺得自己跟哥哥比起來實在相差得太遠了原來他除了是十優狀元在醫學院的成績名列前茅外還是個熱心助人的好青年自己除了少了一優外少的更有對別人的同情及樂於助人這造就了她心靈上的空虛她明白到冷漠不是一種對哥哥思念的正當表達方法她應該做的是把哥哥對其他人的愛傳揚開去以圓他的心願

第一步往往是最困難的婉慧平日對他人的態度已令不少人對她敬而遠之有很多次她嘗試向同班同學投以友善的笑容得到的總是詫異的目光或別人的不理不睬在小組討論中儘管她踴躍發言盡量避免冷場的發生偶同學們卻認為她變本加厲想阻止同學們取得好成績她四處碰壁又再次陷入了想念哥哥的深淵

時間一天一天過去了上學期考試前的休假開始了婉慧每天都勤奮的在圖書館溫習期望取得好成績這時候的圖書館堆滿了人如果遲來一個小時想找一個位子也難就在假期的第二天同班的王文在圖書館跑得氣急敗壞仍找不到一個座位婉慧不知怎樣有點同情他將座位讓給他王文驚訝道「不用了我還是回家吧真倒楣遲來了一個小時就沒有『接位』」

「但你住在哪裏呀」

「元朗今天早上我忘了校鬧鐘八時才起」

「那你還是要我的座位吧我可以坐到電腦桌因為我認識的人不少沒有什麼人會打擾我的」

王文謝了她頓時對這位冷漠的同學刮目相看原來她的內心也是溫暖的這並不是他所能料及的坐在電腦桌前溫習的她也感到特別的快樂溫習的速度也快多了王文就此成為了她的「飯檔」考試期間每天和她一起吃飯他更將自己的好友介紹給婉慧認識

在一個晚上她又悄悄的在圖書館的角落溫習着突然一隻溫暖的手搭着她的肩上她抬起頭但見解剖學的同桌手中拿着一杯熱飲輕輕的放在她的桌上婉慧正感詫異卻聽見他說「這杯熱巧克力是給你的繼續努力吧」她喝着巧克力心中感到一股暖流彷彿哥哥的關懷又在她內作出回響

十年生死兩茫茫不思量自難忘千里孤墳無處話淒涼helliphellip

寒風吹起了她額上的劉海佇立在墓前的婉慧不禁凜冽她想起了從前想到自己最後一次和哥哥吵架雙方面紅耳赤的情況想起自己無法親口跟哥哥道歉想起哥哥無私的付出她對着那空虛的墳心中不忍一陣淒然淚水漱漱的流下來她身旁攜扶着年紀老邁的母親邊拭淚邊喃喃道「我的兒子helliphellip歿了helliphellip」大家心情漸漸平復了緩緩走出了墳地

雨一滴一滴的落下飽歷辛酸的婉慧卻仍在懸壼濟世

短篇

ldquoyesterday is but todayrsquos MeMory aNd toMorrow is todayrsquos dreaMrdquo ndash khalil gibraN

44 | Caduceus September 2011

Eternal Flame (1)Tulipa

Itrsquos cold The chills from my fingertips imbibe deep into me This person drills into my mind digging out the truth inside me Itrsquos agonizing She comes right inhellip di-rectly I cannot stop her

Irsquom losing myselfhellip

My hand felt the soggy pillow I realised I had come back to life the world where I lived Staring blankly at the ceiling still losing focus in my eyes I felt my brows with my forearm For the first time I didnrsquot want to lose this feeling

The bedroom door slowly opened I quickly rubbed off the drops that had blurred my vision pretending that I had just woken up

ldquoDo you have lessons this morningrdquo My grand-mother whispered into my ear

ldquoOh goshrdquo I turned right to my alarm clock It was the real life I had forgotten to turn the alarm on last night and it was now seven thirty I knew it I was going to be late every time she caught me in bed Irsquod got to hurry up

Living in Hong Kong Island though it took me more than an hour to get to school I had to comfort my little brother sometimes till two or three in the morning in order to get him to sleep In addition to the consistently heavy study load in the medical school I could hardly get enough rest Running on my heels al-most became my routine starting from last November But I well understood the consequence of skipping lec-tures It was the beginning of the Cardiovascular Sys-tem Block For someone like me who gave least priority in revising Anatomy materials lectures remained the prime source of information for exams Absence from class was suicidal To make the situation worse this professor was one of those who did NOT upload lec-ture notes online

Hoping I wouldnrsquot arrive too late to miss the impor-tant points I finally stepped onto a route no 8 minibus at ten past eight What I could do now was to pay trust in the driver who would bring me to my destination

Coaxing kids was never easy Little Bruce just hap-pened to give me such a hassle last night

He knew I would check on him when I returned home Sitting right next to the door of his room he begged me for a story once I opened the door I sat down together with him on his little couch after Irsquod taken a quick shower This was a time to relax leaving

aside all the other concerns

Kindling through his favourite reader I saw that he wasnrsquot listening but distracted by all sorts of toys around He even invited me into his world of fantasy But it was getting late I had to calm him down so that I too could have some rest Being one of the brightest in his elementary school he should understand this was not the time for recreation

I began to feel annoyed

Yet he was my brother I had a gut feeling that this was unusual He didnrsquot use to be so ldquohyperactiverdquo It re-ally took me a while to adjust to his change With him still tossing and turning in my arms I apprehended his restlessness Unpredictable though he was true to his feelings In one way or another he might find the shadow of our mother in me

He finally settled when I laid him back in bed It was nearly two forty in the morning

The first week of the CVS Block ran as plotted PBL tutorials would start on next Monday Dr Youngrsquos fa-cial expression in the first PBL evaluation flashed over my Embryology notes and references She didnrsquot teach Embryology but I could tell she did have a hypertroph-ic heart-shaped face which looked familiar to the dia-grams in the Atlas

Back in the IHD Block most of us were puzzled about the scrambled content of our course Various forms of seemingly related knowledge came in through lectures practical and tutorial sessions But the neural circuit formed in our brain just failed to resonate as if the conductance-inductance mismatch had aberrated our thought from minimal impedance Sometimes things even happened in a ldquomore-than-extrardquo manner The presence of common core courses in a parallel but independent branch in the network could rightly be detached without causing a blip on the galvanometer Everything was dubious We had no idea of what we were doing

Maybe we were just on the way seeking for a sense of attachment

My mind too was racing in haste I was struggling with my decision to become a doctor Too many things had happened over the year I just couldnrsquot stop ques-tioning myself what was I thinking when I put lsquo6456 MBBSrsquo in my JUPAS application I should have expect-ed and prepared to face all these I just didnrsquot knowhellip

Novella

hkucaduceusnet | 45

It was midterm evaluation in the IHD Block Her face looked tense in that heart shape She was so stiff in her facial expression that no one could read her mind from her poker face The conference room of the Physi-ology Department was large We seemed to be the odd ones out in the spacious carpeted room In this secre-tive silence you could hear the drumming in your ears as if you were tingling

I realised this was not a matter of ldquoam-I-suitable-for-a-medical-careerrdquo but ldquois-a-medical-career-suita-ble-for-merdquo I was lying in bed playing with my plush bear when these thoughts burst in me Dr Young looked through me She felt certain that different from other group mates there were crises behind me But I didnrsquot tell her anything that day

We all were sensitive At times some subtle trepi-dation seeped in gradually sucking peace away from my sleep It was so to say below threshold sub-lethal though it lingered for weeks once it set inhellip

Drenched in bloodhellip There is no life in the boy His eyes are widely opened slightly protruded The lifeless pair of black pearlshellip I cannot escape from his glance He wants to talk to mehellip There is something he wants me to know

A van runs over himhellip

I fell down the edge of my mattress Breathing heavilyhellip Sweating all overhellip

ldquoScreechrdquo People began to gather around a tel-ephone booth a few metres behind us

I turned back I couldnrsquot see a lot from this anglehellip

ldquohellip What a pity He is so younghelliprdquo a middle-aged couple passed by

The victim resting just in front of the wheel looked towards me through a break in the crowdhellip

As we were wandering around thinking what to eat for dinner my cousin found me standing there rooted to the ground stunned by the victimrsquos gaze My heart was pounding She wouldnrsquot believe what I was again experiencing For a number of times already scenarios in my dreams were mirrored into reality

I couldnrsquot tell her

ldquoI was just thinking whether you would like Korean cuisine There is a new restaurant two corners awayrdquo I made up a talk while escaping from the scene so that I wouldnrsquot look so strange

ldquoWhy not go and have a try thenrdquo She was not dis-appointed for calling it a day as the food there was sur-prisingly good

Not until some years ago when I was Form 3 in college I discovered my ability to look into the future Sometimes I could see them coming up on the news in days or weeks And some didnrsquot ever happen at least not around me But seeing the night visions coming into concrete existence wasnrsquot always a pleasure when the mental images turned gradually into mostly night-mares When I visualised my close ones it felt like I was in the middle of an insecure chain bridge above a torrent that would sweep me into the vast ocean with no return It was entirely different from what you might understand as ldquodreams come truerdquo

I had witnessed misfortunes in proximityhellip

But I could do nothing about ithellip

Friends were a source of solace someone to con-fide all frustrations in But with my paranormal ability which appeared to everybody else only on screen-plays I wasnrsquot courageous enough to open my life wholeheartedly to them Seldom talking about myself avoiding all sorts of gatherings I became an eccentric figure among my classmates

Sometimes mutual understanding carried more weight than words I remembered my physics teacher being one of my few friends during my teen years De-spite his boisterous faccedilade he was always sensitive to whenever I was dwelling on my burdens Physics was our common language Intermingling our emotions and feelings with concepts that were alien to my fel-lows we developed a close rapport impenetrable by anyone else

ldquoWhat is the nature of a flamerdquo This was the most discussed problem between us Neither in solid liquid nor vapour state Not having any definite shape and colour It seems not any material but a type of energy giving out heat and light At the moment of providing it also exhausts its fuel and eventually itselfhellip

The romance of physics is more than anything you could read write and talk about Once you were truly connected with it nothing can stop you Your mind will bounce irrespective of the chronology of space-time but only under the guidance of your thoughts

I was so devoted to the discipline at the time that I was almost making it my lifelong career in some way He envisaged that I would demand much more than any academia could provide with its scientific basis alone We were both seeking a philosophy beyond the facts But Hong Kong may not be the right place for it

I made him a promise at the end to contain our flame and I knew I would

For the first and the last time I saw his eyes filled with tears We knew existence by itself is a miracle

ldquoi love life because what More is thererdquo ndash aNthoNy hopkiNs

46 | Caduceus September 2011

說華佗都說「華佗再世」誰知箇中真諦雲方 (M15)

烽煙起戰火燃萬里 

三國並爭英雄地亂世有誰顧生死 

待神醫行世將民眾救濟

渺渺江山東西瞰俞跗巧手扁鵲心(1) 應向何處尋 

滾滾黃沙無世家終有奇士放奇葩

沛國 華元化(2) 

他經書貫通南北遊動 

一望斷症如神助三劑消病不必多

說斷症悉如所料 

甘陵 相夫人腹痛極難忍(3) 號脈知死嬰在左為男形(4)廣陵 梅軍吏除名歸故里

見貌知壽盡速返見萱椿(5) 

說消病藥到病除 

飲蒜醋有三升蟲一嘔而盡清 (6)母服丸而溫儲兒不藥而自癒 (7)

絕妙處 

是他開腸剖腹刀至辟毒 

神醫號 

除他內外皆精有誰配稱

[1]   俞跗黃帝時代之名醫扁鵲春秋戰國之名醫《淮南子人間訓》「患至而多後憂之helliphellip雖有扁鵲俞跗之巧猶不能生也」

[2]   華佗字元化沛國人(今安徽 亳州)

[3]   甘陵相(即甘陵之行政長官)夫人懷胎六月腹痛不安華佗為其切脈便知胎死於是命人摸知所在在左則男在右則女人云「在左」夫人飲藥後果然產出男胎腹痛立即痊癒

[4]   廣陵有軍吏名曰梅平離鄉服役後來退役歸家於路上巧遇華佗華佗視之嘆道「若能早些見我當不至於此而今你僅餘五日壽命速速回家還能與家人相見」平旋即趕抵故鄉五日後亦如料身亡

[5]   萱椿多作椿萱比喻父母漢牟融《送徐浩》詩「知君此去情偏切堂上椿萱雪滿頭」

[6]   華佗見路邊有人食不下嚥教他到路邊餅店買醋三升混上蒜泥然後飲用路人服後即吐出一條長蛇(即寄生蟲)

[7]   兩歲男孩長年腹瀉藥石無靈華佗往診謂病在母命其服用華佗親研之「四物女宛丸」服後母親乳汁不再寒涼男孩亦不藥而癒

意興

hkucaduceusnet | 47

只可惜人無完壁

「關將軍使君予我手刮骨惡毒走

曹丞相使君予我頭剖顱苦痛收」

「怎能不收怎能不收一命嗚呼萬事休 

簡直荒謬簡直荒謬殺此庸醫未須愁」(8) 

五禽戲尚能傳 (9)麻沸散從此絕 

何不一飲醉死不知世忍氣吞聲事權貴 (10)心神委曲須臾苦奇術失迭千秋計 

烽煙止無改生死事 

且當醫仙謫世間神技終須風裏散 (11)回首仰高山景行請君範 (12)

[8]     曹操欲殺華佗臣下勸之不可答曰「不憂天下當無此鼠輩耶」

[9]     死前華佗欲托所著醫書於獄卒不果便盡數焚毀唯有其養生體操「五禽戲」流傳後世

[10]   《三國志魏書方技傳》「當須刳割者便飲其麻沸散須臾便如醉死無所知」

[11]   唐白居易《簡簡吟》「恐是天仙謫人世只合人間十三歲」

[12]   景行(音航)即大道以高山景行比喻人品德行為之高尚典出《詩經小雅車轄》又東漢鄭玄曰「古人有高德者則慕仰之有明行者則而行之」

ldquothe art of MediciNe was to be properly learNer oNly forM its practice aNd its exerciserdquo - thoMas sydeNhaM

48 | Caduceus September 2011

啟程

清晨空白的天空看不見藍天雲彩

只有溫柔的雨絲和朦朦朧朧的霧水跟隨

著大隊的足印踏上沉重的腳步穿過橫

街小巷和煩囂熱鬧的市場走過自動門

撲鼻的消毒藥水味道讓大家屏住呼吸筆

者和夥伴們終於到達了入讀護理系以來第

一次實習的醫院

還記得在實習的前幾天心情是既忐忑

又期待的畢竟這一次實習的地方不再是

在社區中心宣傳健康方面的知識亦不是

只面對著健康活潑的小朋友和老友記或是

學校課堂上所提供的假人張靜汶卻是照

顧一羣真正需要關懷的病人心中充滿著

憂慮不知自己所學的知識足夠在應用上

嗎自己平日的練習足夠嗎雖然心存在

著不少疑惑但也十分期待可以體會一下

做小學護的感受嘗試把這一年裡所學到

的知識運用出來

很多的第一次

在病房裡總有心酸和膽戰心驚的時

候第一次為昏迷的病人清潔口腔第一

次為難以進食的人插入胃喉第一次為老

公公清洗背上壓瘡的傷口helliphellip照顧他們時

的心情都是一步一驚心生怕自己沒法應

付得來又怕會把事情弄得更糟糕最重

要的是恐怕自己不純熟的技巧令他們受苦

了記得有一回第一次為女病人插入尿

喉採取尿液樣本可能技巧不太純熟的關

係延長了病人的痛苦過程中她皺著

眉頭不斷呻吟又緊張得咬破脣眼看

她樣子心中真的不是味兒來身為病人

的其中之一依靠我們不得不給自己信

心如果連自己也不相信自己哪會有病

人願意把他們交給我們照料呢

捕捉那瞬間的美麗與淒然何麗敏 (N14)

上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

意興

hkucaduceusnet | 49

另外第一次面對病人的心情是頗為

緊張的說話技巧亦有改進的空間但和

病人傾談了數分鐘後氣氛也漸漸變得和

諧可能那些老公公整天呆在醫院裡真是

悶到慌看見一羣年青人與自己聊天照

顧和關心他們他們不禁咧嘴而笑醫院

職員透露有一位老公公平日不太願意吃東

西於是我們便主動和他談天說地又

悉心照料他進食的情況後來他不但胃

口好了不少就連心情也開朗了他生動

活潑的談吐讓我們笑了他回復健康精

神的體魄也讓我們感到安慰

相處片刻

雖然為期一星期的病房日子不是特別繁

忙或是辛勞但是也會有不習慣的時候

幸好得到醫院職員和一班夥伴的支持病

房經理和註冊護士不但相信我們的能力

對學護的包容更是不用多說還主動地介

紹病房的環境和細心地教導我們醫療護理

上的知識讓我們上了一堂實在而又寶貴

的課同時今次的實習也令我感到團體

精神也十分重要在技巧上大家互相提

點互補不足當有人準備照料有需要的

病人如插喉或洗傷口等大家送上一句 

「加油」就能令對方增加不少自信心和正

能量無論遇上甚麼事情我也榮幸有如

此一班學習夥伴從旁支持

學習的階級

在這一次病房實習中雖然醫療和藥物

知識方面有待加強但是我學懂了如何與

不同身份的病人相處之道溝通上也得到

了很大的進步獲益不少除此之外我

也真正體會到如何做一個好護士並清楚

了解這個行業是否適合自己鐘樓也不是

一天就能建成而是需要一磚一瓦搭建而

成的所以在學習上我們不但要打好

穩固的基礎還要增強醫療知識在技巧

上馬虎了事和走捷徑是於是無補的應

該多探究和練習才行這樣才對得起病人

和自己也減少不必要的醫療失當事故

總之多一份認真多一點耐性多一些

愛心就是學護必記的左右銘 上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

ldquoit is reasoNable to expect the doctor to recogNise that scieNce May Not have all the aNswers to probleMs of health aNd healiNgrdquo ndash NorMaN cousiNs

50 | Caduceus September 2011

Fun Corner

Medical AppsEver wondered how your handheld device can save your time and

effort when it comes to studying Here is how

Anatomy Pronunciations by HipposoftAccurate pronunciations of over a hundred important anatomy terms you have trouble with are provided

at your fingertips to help you spell those difficult words Anyone who has taken an anatomy course can tell you how challenging it can be to pro-nounce the names of those complicated anatomi-cal terms It is even linked directly to Wikipedia and Google through web browser for additional information

iPharmacy ndash Pill Identifier and Medication Guide by SigmaPhone LLCAn essential medication guide of 20000+ drugs is provided for con-sumers amp professionals This ex-

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Grades 2 by TapityIt tells you what grades you need in the coming tests in order to get your target grade You can easily calcu-late your GPA so as to maintain it It

is a useful tool helping you to keep an eye on your GPA all the time

Human Anatomy by SusaSoftXThe application provides you with information of 15 different biologi-cal systems You can keep on revis-ing while you are traveling without

carrying heavy books

Medscape by WebMD LLCFrom drug classes interaction clin-ical procedures and even the lat-est medical news Medscape helps medical students and healthcare

professionals to reiterate knowledge that has slipped from the mind It is a free application for iPhone iPad Android and Blackberry Yet it contains more function on Android phones and Apple products and lacks detailed clinical infor-mation for diseases and clinical procedures walk through on Blackberry

Pro Medical Terminology Dic-tionary by TreascoveryTerminology might be a tough work for medical students Even if we can master those English terms we can

hardly think of the Chinese terms This applica-tion can help you when you face this problem Note that it is not a free application

3M Littmann SoundBuilder by 3M CompanyA great tool designed to help im-prove auscultation skills of medical students with 14 unique lessons of

key heart sounds combing text virtual manne-quin 3D cardiac animation and dynamic wave-forms

iRadiology by Liebermans iRadi-ologyAn excellent learning tool for medi-cal students demonstrating classic radiological findings of a multitude

of abnormalities including over 500 radiologic images Radiologic images include CT US MRI and nuclear imaging each clearly labeled and followed by key teaching points

Micromedex Drug Information by Thomson Reuters (Healthcare) IncIs Cephalexin a first generation ce-phalosporin This application from

Thomson Reuters is the easiest way to navigate in the sea of drug names Drugs are sorted by classes and supplemented with rich information

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 10: Caduceus Issue 2, Volume 42

10 | Caduceus September 2011

記 得剛剛入學的時候教授對我們說過「要是你們想賺

錢現在就轉到別科吧這兒不是讓你們

賺錢的地方這兒比其他行業都更辛苦

因為我們掌握別人的生命」醫護界就是

這種行業是一種用心對待病人的行業

人皆有惻隱之心醫生為病人著想是一

件理所當然的事根本不需要去學習如

何行此道這是人自發性的行為要是醫

生不是以心去行醫這是對病人對自己

的專業甚至對作為人的自己也是一種

侮辱但是在日本這種高文化水平的國

家則有孕婦死於拒診醫生對求醫的

人見死不救即使是

我一個只是讀了一

年的醫科生也知道

這是不道德的無

論是以一個專業醫生

的角度甚至於人的

標準來說

二零零八年日

本一名孕婦因為身體

不適而求診結果慘

遭七間醫院拒收

雖然嬰兒平安無事

地出世但這位剛成為人母的婦人卻於三

日後死亡這種情況在日本中不是罕見的

事根據統計日本於二零零七年就有二

萬四千多宗拒收病人的個案情況令人不

安也令人反省這些高知識份子為什麼會

如此冷血大家常常稱讚那些高學歷人士

是「飽讀聖賢書」我可不曾記得聖賢書

有教導我們要見死不救對別人的生死置

身事外特別對於我們這些醫護界的準工

作者更加不能接受人死不能復生既

然我們掌握著別人的生死又怎能如此不

負責任呢看到這些新聞我們作為醫學

院學生亦應對此作出警醒

除了日本之外香港也曾發生過類似

事件而且曾經轟動一時二零零八年

一名患有心臟病的男人於明愛醫院門前病

發他的親友馬上到明愛醫院詢問處求

救院方見狀卻要求對方打九九九求助而

不是即時提供協助當然這件事可能涉

及一點程序上的問題但是人是生規

矩是死救人一命勝造七級浮屠所有規

矩都不及拯救人的性命重要吧令人安慰

的是有一名見義勇為的醫生途經現場

隨即致電急症室並為事主檢查發現他

全無脈搏遂立即進

行體外心臟按摩可

惜最終病人經搶救

後仍是不敵死亡的命

運這件事令人感到

惋惜同時我們亦

應反省醫護人員做事

的態度典型香港人

有一種特別的特性

他們都是「多做

多錯少做少錯不

做不錯」的「信奉

者」當時的詢問處

的值班者可能心怕破壞規定幫助病人後

可能會引起上司不滿對自己的事業有影

響故此遲遲未能下定決心幫助別人可

見醫護人員對病人的同理心不高這亦是

值得我們所反省的

相信仍然未畢業的我們對日後的工

作是抱有一種憧憬有一種熱誠但是

當我們畢業後這股熱血會被忙碌的工作

所撲滅當日的誓言早就置之不理了

「病人的健康應為我的首要的顧念」變成

了「清掉桌上滿滿的病人檔案為我的首要

的顧念」「將要憑我的良心和尊嚴從事

拒收病人何來醫德醫心謝汶珊 (M15)

社會

hkucaduceusnet | 11

醫業」則變成「將要憑我有限的體力和時

間從事醫業」helliphellip更甚者於我們求學期

間已經把病人的健康拋諸腦後了腦子

裡卻放滿了那些不知從哪裡來的肌肉神

經線以及血管等等當腦子的容量用了大

部份來放置anatomy的東西之後餘下來的都放了那些古怪的藥名進腦子去了

哪有閒下來的空間把那些道德經放進腦子

裡但是即使你能夠把那本Grays Anat-omy或者那本大Robbins的所有內容牢牢記在腦子裡沒有醫德你絕對不是一個好

醫生當然沒有任何人規定你的道路

你的選擇然而你的選擇將會影響到別

人的生命社會當然不會奢望每一個醫生

都有當無國界醫生的那一種胸懷但是

他們希望醫生起碼會是一個抱有救活病人

作為使命的醫生

作為一個好醫生並不能帶給你金錢或

者名譽這個世界永遠是行商者才是致富

之道你希望將來得到的是什麼我們都

應該找出自己的答案把它寫下來以免

他日遇上挫折或誘惑會迷失自我仔細想

一想若果你的答案思前想後仍是「錢」

那麼請你認真考慮一下轉科吧「若

果病人沒錢看病作為醫生也要為他看

病也要為他開藥我們沒有權力去把他

們趕走」這就是醫德相信每一個將成

為或者已成為醫務人員的人都曾宣誓過自

己要奉獻一切為人類服務所謂的誓言並

不是用嘴巴說出來罷了一個無法遵守的

誓言只會變成一句又一句的廢話俗語有

一句「狗口長不出象牙」helliphellip

以下是世界醫學協會一九四八年日內瓦

大會採用的日內瓦宣言

我鄭重地保證自己要奉獻一切為人類服務

我將要給我的師長應有的崇敬及感戴

我將要憑我的良心和尊嚴從事醫業

病人的健康應為我的首要的顧念

我將要尊重所寄託給我的秘密

我將要盡我的力量維護醫業的榮譽

和高尚的傳統

我的同業應視為我的手足

我將不容許有任何宗教國籍種族政見

或地位的考慮介於我的職責和病人間

我將要盡可能地維護人的生命自從受胎時起

即使在威脅之下我將不運用我的醫學知識

去違反人道

我鄭重地自主地

並且以我的人格宣誓以上的約定 

ldquoa Merry heart doeth good like MediciNerdquo ndash kiNg soloMoN

12 | Caduceus September 2011

Radiologist

Ophthalmologist

Anaesthesiologist

All roads lead to Rome but have you missed the ROA and D

when it comes to success in medical career

to success

hkucaduceusnet | 13

Anaesthesiologist

Dermatologist

All roads lead to Rome but have you missed the ROA and D

when it comes to success in medical career

to success

14 | Caduceus September 2011

「形影不離」的造影術專訪放射科邱麗珊醫生陳伊樂 (M15) 賀曉琳 (M15)

邱 麗珊醫生於一九八三年畢業於香港大學醫學院並於一九八

六年開始修讀放射科邱醫生不但在東區

尤德夫人那打素醫院身兼前線管理和訓

練多職而且積極參與香港放射科醫學院

的工作我們非常感謝邱醫生能夠在百忙

中抽空接受訪問向各位同學分享一下她

踏上成功路的經歷與待人處事的態度

甚麼是放射科

放射科是利用X光(X-ray)電腦斷層攝影(CT)磁共振成像(MRI)和超聲波造影(Ultrasound)等技術展示患者身體內部結構的影像從而協助診斷和進行治療

當放射科醫生危險嗎

誠然放射科醫生需要經常接觸對身

體有害的輻射可是這門專科有不同的

措施保障我們的安全首先每一個放射

工作者都需要領取牌照此外我們會每

個月檢查掛在胸前的放射量測定器確保

接觸到的輻射劑量沒有超越安全水平當

然有關部門亦會定期檢查儀器確保它

們正常運作

爲什麼你會選擇放射科你對於有意將

來當上你的專科的同學有甚麼建議

選擇放射科純粹是因為爸爸的一句「

放射科適合女孩子」當上放射科醫生之

後才發現事實並非如此放射科是一個重

要的專科幾乎每一個住院病人都需要用

上造影技術但除非做超聲波或介入放射

治療放射科醫生卻好像很少與病人直接

接觸有些醫生喜歡多和病人接觸放射

科便不適合他們了另外放射科正面對

著迅速的科技發展對新科技有興趣的同

學這個專科的確是一個不錯的選擇可

是由於學位有限每年報讀放射科的六

邱麗珊醫生Dr Jennifer Khoo放射科專科醫生

香港大學內外全科醫學士 英國皇家放射科學醫學院院士 香港醫學專科學院院士(放射科)

東區尤德夫人那打素醫院 放射科 部門主管 及 顧問醫生

醫院管理局 港島東聯網 Service Director (Radiology)

香港放射科醫學院 首席副院長 及 科學委員會主席

專題

hkucaduceusnet | 15

七十人當中總會有四五十人因願望落空

而要轉投其他專科我的建議是千萬不要

灰心人總不能夠經常做自己喜歡的事

但一定要喜歡自己正在做的事(You canrsquot always do the things you like but you can learn to like the things that you have to do)

請詳述對你人生有大影響的起落人

事物

人一生中如果能夠遇上一兩位良師益

友在你碰到困難時扶你一把在你迷

惘時給予意見上天就已經算是對你不薄

了而我自己也算是非常幸運有兩位

前輩當上我的引導者一位是瑪麗醫院

的陳富六醫生另一位是澳洲的Professor Michael Sage因為兩位的提點我決定善用自己的長處留在公營醫院參與一些

行政和訓練的工作幫助培訓醫生使更

多病人受惠

你有甚麼人生的哲學嗎是甚麼信念使

你堅持當一名醫生

我認為每個人都需要有自己的優先順序

(priority)對我來說家人和家庭生活永遠都是排在首位縱使我已經涉足到很多

管理方面的工作但病人還是排在行政管

理之前有著清晰的優先順序不管遇到

多大的衝擊都能使自己勇敢面對邁步

向前優先順序或多或少都與個人經歷有

關有部份同行可能會基於不同原因或

許是滿足感或許是工作量而轉投私人

市場我想每個人的價值觀和信念都有不

你對現今醫學院的學生有甚麼寄語叮

習醫是一條漫漫長路少不免遇上困難

和挫折而這些難題往往會轉化成使身心

俱疲的壓力身為醫學生一定要及早學

會如何面對壓力我的忠告是凡事都要

以平常心面對要從錯誤中學習懂得避

免犯上同樣的錯誤要有反彈能力勝過

昨日的自己

醫科生基本上都是能力不錯的一群

(cream of the cream)要好好利用自己的能力為社會作出貢獻 

ldquowheN you are dowN aNd out soMethiNg always turNs up it is usually the Noses of your frieNdsrdquo ndash orsoN welles

16 | Caduceus September 2011

A Discourse with a Female Gold-MedalistInterview with an Ophthalmologist ndash Dr Charmaine HonChariene Woo (M15) Charis Chan (M15)

W hile waiting for Dr Hon at her Central clin-ic the Hong Kong Ophthalmic Associates

we were amazed at how the spacious clinic was crowd-ed with patients When we finally meet Dr Honrsquos big friendly smile made an impression on me as she invit-ed us into her room Despite having a busy schedule Dr Hon is very down-to-earth and eager to provide valuable advice for our fellow schoolmates

Dr Hon started out as a medical doctor and changed to the specialty of ophthal-mology Initially she worked with the public sector fulfill-ing her duties as a doctor re-searcher and teacher at the same time Then she turned to the private sector and joined the Hong Kong Ophthalmic Associates as she feels that she can be more focused on the aspect of patient care ldquoIn public hospitals it is hard to follow up on patient care and it is rare to meet the same patient twicerdquo she reflected ldquobut in the private clinical set-ting I get to know the patientrsquos family and medical his-tory better and I feel more like a doctor by having the ability to follow my patientrsquos progressrdquo

As a recipient of the John Anderson gold medal for the highest aggregate of marks in all the MBBS professional examinations Dr Hon also shares her advice in studying ldquoBasic knowledge is a must but clinical sense is the most importantrdquo and with a smile

she added ldquoyou have to pay attention to your mentors during attachments to hospitals even if you are just ob-servingrdquo But donrsquot think Dr Hon is all about studies She emphasizes that she is not the most hardworking student in her graduating class and suggests medi-cal students to explore outside of the medical world especially in the first two years of study ldquoYou have to have a life outside of medicine and you should do it in

the non-clinical years as there are decreasing chances and time for you to meet non-medically related peo-ple after year 3 onwardsrdquo the ex-member of the Union Choir said ldquoAnd as you come more into contact with different people you learn how to communicate bet-ter which will definitely help your medical career and will keep your life diversifiedrdquo

As for advice to students in clinical years she shares her insights in how to choose your specialty She sug-gests students to look into their strengths and inter-ests and to understand and explore as much as pos-sible in attachments since it is a lot harder to change onersquos specialty nowadays compared to the past ldquoThe most important point is to identify yourself and not to blindly follow the path of others Do not think of future

achievements since what you chose will probably stick with you for liferdquo True enough ophthalmology was not a developed specialty during her times of studies and Dr Hon says she is probably one of the very first gold medalists who pursued it as a career A note to her future female counterparts ldquoYou have to think of your future path and plan accordingly and be ready

Basic knowledge is a must but clinical sense

is the most important

The most important point is to identify yourself and not to blindly

follow the path of others

Feature

hkucaduceusnet | 17

to put your career before marriage Many of us delay our plans of marriage and pregnancy after finishing our specialty fellowship which is at around 30rdquo After hearing this I was very worried but she added ldquoGen-eral practice is also a good choice and there are some females doctors who donrsquot follow this trendrdquo

One of the things that struck me the most is that Dr Hon sticks to the principle of doing everything with all your heart ldquoYou only pass through this life once and when you look back you should not regret what you have donerdquo So when presented with conflicting ideas with her principle what does she do ldquoI reflect and fight for itrdquo she laughs ldquoIt sounds rebellious but as a doctor you have to have a judgment that is best for your patient and you cannot conform to society or systemsrdquo Using the limited consultation time for each patient in public hospital settings as an example she explains that doctors arenrsquot machines and should be able to adjust to different patientsrsquo needs appropriately so to do what is best for the patient ldquoYou should never lose yourself under the system and should always do whatever you think is best for your patientrdquo

When asked about the specialty of ophthalmol-ogy Dr Hon tells us with passion that ophthalmology allows instant gratification and makes a difference to patientrsquos life ldquoMany specialties can make a difference but only a few have a clean-cut immediate effect like ophthalmologyrdquo But ophthalmology is also about hard work and persistence ldquoIn this specialty there is con-stant advancement in the past we do extra capsular extraction but now there are frequency emulsifica-tion and other advancements I am always awed by the senior partners in this clinic who have a strong will to chase and read up on new techniquesrdquo So besides steady hands and good eyesight intellectual curiosity on the latest research is a must if you are thinking of pursuing a career in ophthalmology

Before we parted Dr Hon gave us a final word of wisdom ldquoThis is going to be hard for you two gals but you look tough and yoursquoll survive Since you chose this career path do expect to work very hard as it is not easy but so is every other occupation nothing is ever easy in this worldrdquo

DrCharmaineHon韓尚穎醫生

Specialist in Ophthalmology

MBBS(HK) MRCS(Edinburgh)

FC Ophth(HK) FHKAM(Ophthalmology)

ldquoas you grow older yoursquoll fiNd the oNly thiNgs you regret are the thiNgs you didNrsquot dordquo ndash Zach-ary scott

18 | Caduceus September 2011

奉行完美主義的守護天使專訪麻醉科李靜芬醫生吳瑞麟 (M15) 李庭翰 (M15)

說 起麻醉越野挑戰馬拉松義工無國界醫生你想到甚

麽幾樣風馬牛不相及的東西可以用三

個字關聯起來李靜芬

李靜芬醫生畢業於香港大學醫學院

現於養和醫院疼痛治療門診工作她曾經

加入無國界醫生到南蘇丹服務又是醫療

輔助隊動員主任香港不少的大型活動

例如馬拉松東亞運奧運馬術等都由她

去統籌急救站的運作她又經常舉辦醫療

會議亦於很多地方做義務醫療顧問熱

衷於向公眾推廣疼痛管理與健康的知識

另一方面她是香港全能運動學會醫療顧

問經常參加越野挑戰戶外活動又參

加半馬拉松比賽看完李醫生這麼的一個

簡介實在很難不驚歎好一個「周身

刀張張利」的奇人

人生的轉捩點

其實初中時期的她與醫生根本扯不上

半點關係身為壘球隊隊長在中四的一

次練習中她被壘球擊中一眼從此改變

了她的命運當時全港只有一位眼科醫生

會在晚間應診眼科的醫療設施也不足

令她眼睛流着血水在黑暗中東奔西跑尋找

醫生她由大埔賽馬會診所走到威爾斯

然後到伊莉莎伯再到油麻地終於找到

眼科醫生李醫生由四點奔波到十點令

她深深體會到作為病人的痛苦也從此立

志要做一個醫生幫助有需要的病人

初中時的李醫生每天放學就練球以

致成績中等但自從立志投身醫護她虛

心求教又得到當時的班主任授予時間管

理和讀書的方法成績突飛猛進在短短

六個月間從中等成績進步至模擬考試全

李靜芬醫生Dr Carina Li

麻醉科專科醫生

香港大學內外全科醫學士 澳洲及紐西蘭麻醉科醫學院院士 香港麻醉科醫學院院士 

香港麻醉科醫學院疼痛科文憑

香港醫學專科學院院士(麻醉科)

專題

hkucaduceusnet | 19

級第一她的毅力和決心實在令人佩服

她的傲氣

其後她獲中文大學收作暫取生但她

又再次作出驚人之舉李醫生認為要讀醫

科生物化學科就得好些所以一定要認

真研讀高級程度的生物化學但是人是有

惰性的如果做了暫取生就一定會變得不

思進取讀不好生物化學於是她毅然

放棄暫取生的資格全心全意去考好高級

程度會考李醫生的豪氣決斷她破釜

沉舟的決心她的好勝和哲學令筆者從

心底裏衷心地拜服她

結果她當然考得很好的成績在選擇

大學時她再一次認真考慮自己將來的

路向她生來就有一種使命感覺得一定

要做一樣在任何時候任何地方都最有用

的工作加上她常常留意時事總覺得天

災人禍真的可以隨時發生於是她就選擇

了兩種無論是面臨戰爭還是天災的時候

對所有人都十分重要的工作記者和醫

生她終於入讀了港大醫學院並於九五

年畢業

與麻醉科結緣

實習的時候她特意選擇了一些能夠獲

得較多經驗的部門到投考專科的時候

她也選上了可以接觸很多不同類型病人的

兒科只可惜當時兒科並沒有學額但在

朋友介紹之下知道了麻醉科麻醉科同樣

可以接觸到不同的病人而且無論在甚麽

地方都可以發揮所長正正符合了李醫生

的志向結果她便入了麻醉科

據李醫生所說雖然一般人認為麻醉

科對體力的要求較少適合女孩子但

是現實並不這樣簡單由於麻醉要求一絲

不苟麻醉科的醫生都是完美主義者而

且學習的內容艱深每一種藥物的作用

反應甚至化學結構都要讀得滾瓜爛熟

她形容麻醉科醫生就好像病人背後的守護

天使在手術中要不停監測病人的維生指

數感覺病人的生命就在自己的手中所

以要承受着很大的壓力

作為麻醉科醫生每次見到的都是昏

迷或者沒有意識的病人事實上並沒有甚

麽可以跟病人溝通的機會病人通常感覺

不到麻醉科醫生的付出所以作為麻醉科

醫生未必可以從病人身上得到很大的滿足

感但他們卻比其他醫生更能夠專注地為

病人服務因為每次在手術中只照顧一位

病人

她的叮囑

李醫生叮囑現在的醫學生一定要僅記當

初想做醫生的原因她覺得在這個物質

社會中人是很容易迷失的她感覺到現

在的某些醫學生只為了一份穩定的工作

甚至是因為父母的意見而選擇行醫關於

作為醫生的意義卻從沒有思考過她勸

我們要好好問自己兩條問題人為甚麽生

存於世上作為醫生又是為了甚麼她

認為醫者要有父母心處處為病人而

不是為自己着想作為醫生就是要去服

務幫助人而不是為了求回報我們生

存於世上為的是信望愛並不用時時

記住利益金錢等東西最後她又提醒我

們不可以歧視病人不論是黑社會成員還

是香港首富只要病了就是一個無助的

病人就需要我們的幫助

李醫生思考獨立為人熱情健談跟李

醫生做訪問真的是一件有趣的事又令筆

者獲益良多特別是她有關人生意義的看

法的確值得反思作為醫學生的大家

你又可曾想過為甚麼要生存為甚麼要做

醫生呢

ldquothere is No MeaNiNg to life except the MeaNiNg MaN gives his life by the uNfoldiNg of his powersrdquo ndash erich froMM

在手術中不停監測病人的維生指數麻醉科醫生就好像病人背後的

守護天使

20 | Caduceus September 2011

To Succeed is to Fight Against ComplacencyInterview with a Dermatologist ndash Dr Henry ChanLily Cheng (M15) Andrew Seto (M15)

W ith our scheduled interview being inter-rupted by an emergency case of Stevens-

Johnson syndrome a life-threatening allergic skin re-action to medication Dr Chan rushed to the hospital for his patient

Sitting in Dr Chanrsquos office at his private practice the Hong Kong Dermatology and Laser Centre in the middle of a conference call with his overseas counter-part researchers we saw a pragmatic doctor at work This is a doctor who would never be complacent with his performance but keeps striving for excellence

AmedicalcareerDr Chanrsquos interest in dermatology was sown well

before his exposure to the discipline Having been in-flicted with eczema during his childhood he suffered from an excruciating itch in his skin that caused him much distress As a result of his own medical condi-tion he developed an interest in dermatology at a young age

During his fourth year in medical school he ex-plored an elective in dermatology at Yale University and began formal training in the field He obtained his medical degree and worked for several years in the UK before returning to Hong Kong to work at the Prince of Wales Hospital He then received a grant from the Hos-pital Authority to read dermatology in the UK

Working back and forth between Hong Kong and Britain in and out of universities and hospitals in his early years of practice Dr Chan settled his work base in Hong Kong in 1995 He was Associate Professor of CUHK from 1998 to 2000 and Chief of Dermatology and Associate Professor in HKU from 2000 to 2004

After entering private practice in 2004 Dr Chan now spends a lot less time on doing administrative work and more time on treating patients While he was actively engaged in teaching research and clini-cal work his current focus has shifted to mainly clini-cal work As an honorary clinical associate professor of our faculty he enjoys teaching and values the opportu-nity to cultivate and influence medical students

A renowned dermatologist with a strong research interest in medical devices Dr Chan is still very active in terms of research output His private practice sup-ported by a team of full-time research staff is unique

for its active research component ndash a practice which is well-established overseas but rare in Hong Kong

AsadoctoranddermatologistIn the beginning laser devices were developed to

treat medical conditions such as haemangioma and black moles but technological advancements driven by recent research has explored new possibilities for their applications in cosmetic treatment As a result new cosmetic procedures have appeared for the treat-ment of various conditions from skin rejuvenation to body contouring

While it is true that most dermatological conditions are rarely life-threatening they may nonetheless have a profound impact on patientsrsquo physical and psycho-social wellbeing For instance eczema often presents with rash It may give exudate in serious cases but is rarely fatal Nevertheless it might constitute great dis-comfort and inconvenience to patients Similarly se-vere cases of acne may also diminish onersquos self-esteem Dr Chan stressed that treatments for many skin condi-tions are not merely cosmetic in nature but may im-prove patientsrsquo self-esteem body image and psychoso-cial wellbeing

On the other hand some skin problems such as psoriasis and chronic eczema are incurable It is there-fore the doctorrsquos duty to educate patients and enhance their understanding of their disease One of the re-sponsibilities for dermatologists is to evaluate the im-pact of their patientsrsquo conditions to their quality of life Other than helping them return to their normal routine and diet as far as possible dermatologists also need to teach patients the way to get along with their chronic illnesses

Dr Chan emphasized that we run a profession not a business On this ground a doctor should never tell a patient what procedure they should receive Rather a doctorrsquos role is to explain the options available and provide the relevant information that carry with each procedure including potential risks and complica-tions

Dr Chan reminded us that financial return is only a ldquoby-productrdquo of a doctorrsquos work as a professional Doctors work hard and should be paid for their serv-ices but they should not be more interested in making

Feature

hkucaduceusnet | 21

money than in helping people He believes that shap-ing doctors into commercials in some way jeopard-izes medical professionalism

SuccessRedefinedSummoning his days as a fresh medical officer Dr

Chan recalled the death of the 18-year-old girl inflicted with necrotizing fasciitis who died within 24 hours He bore in mind every complicated case as an alarm to his future practice admitting that there is always room for him to improve

Quoting the professional golfer Jack Nicklaus Dr Chan reminded us that ldquocomplacency is a continuous struggle that we all have to fightrdquo It is easy to let our guard down but doctors have to be responsible for their patients all the time It is demanding but impor-tant for every medical professional to be vigilant and maintain onersquos standard at the top level He believes that good doctors should keep themselves in an appro-priate amount of stress and tension which keeps them mindful of their patientsrsquo needs

When asked about his rules for success Dr Chan emphasized that he does not feel he has attained his goal yet He feels that he may have had a decent start but it is inappropriate to judge his career before his retirement as he is still in the middle of his career To him it is far too early to define success Despite his change in roles over the years he still maintains his enthusiasm and passion that motivate him to do his best whether it be research teaching or clinical work

As far as medical students are concerned Dr Chan doesnrsquot see the urgency of deciding our future spe-cialty yet Medical school gives us a broad and general exposure to various fields and offers a good place to learn and gain experience sharpening our skills before serving as doctors We could still explore more in our senior years to come

ldquoFollow your heartrdquo Dr Chan gave us as a conclud-ing word He believes that the so-called ldquoROADrdquo to success is not really that important if one does not en-joy onersquos profession Listen to yourself and ask whether you really like your job

DrHenryChan陳衍里醫生

Specialist in Dermatology and Venereology

MBBS(London) MRCP(UK) FHKAM(Medicine) FRCP(Glasgow)

FRCP(Edinburgh)

Hon Professor LKS Faculty of Medicine HKU

Hon Consultant Dermatologist QMH HKSAR

Visiting Scientist Wellman Centre for Photomedicine USA

ldquoirsquoM a firM believer iN the theory that people oNly do their best at thiNgs they truly eNjoy it is difficult to excel at soMethiNg you doNrsquot eNjoyrdquo ndash jack Nicklaus

We run a profession not a businesshellip [doctors]

should not be more interested in making money than in

helping people

22 | Caduceus September 2011

Art and Medicine Seeing Diseases in ArtHow art masterpieces reveal medical conditionsAndrew Seto (M15)

F or centuries art historians have been mesmerized by

the enigmatic smile of Mona Lisa coming up with theories that range from the mundane to the bizarre Was she a silk merchantrsquos wife or a self-portrait of Leonardo da Vinci himself Was she pregnant An adulterer Leonardo da Vincirsquos se-cret male lover The theories never cease

BehindMonaLisarsquossmileHighcholesterolIt turns out that Mona Lisa had

ldquovery high cholesterolrdquo at least ac-cording to Vito Franco a Sicilian professor of pathological anatomy A medical expert who enjoys study-ing art masterpieces for evidence of diseases Franco concluded that Mona Lisa had xanthelasma (the accumulation of cholesterol under the skin) Indeed a closer look at her mysterious face does show a yellowish collection around the in-ner corner of her left eye He even found evidence of lipoma (a fatty tissue tumor) on her right hand Probably the least poetic finding for the most renowned beauty in Renaissance art

This was not the first time medical experts have associated Mona Lisa with clinical conditions Charles Bell the 19th century Scot-tish surgeon who discovered Bellrsquos palsy a form of facial paralysis resulting from facial nerve palsy once coined the term ldquoMona Lisa syndromerdquo This was a reference to the facial muscle contracture that develops after Bellrsquos palsy resulting in a ldquoMona Lisa-like smilerdquo

Mona Lisa Xanthelasma or just a blotch by mistake

Insight

hkucaduceusnet | 23

Hardly would Parmigianino have known that the long slen-der fingers and limbs of Madonna with the Long Neck was the result of a genetic disorder called Mar-fan syndrome And of all the things that crosses onersquos mind upon first glance of Caravaggiorsquos Sleeping Cu-pid the notion that the baby was inflicted with juvenile rheumatoid arthritis would be hard to imagine Franco claims that his goal was to expose the human vulnerability of the people depicted in art

MichelangelorsquosgoutykneeAnother subject who has been

scrutinized by medical experts is Michelangelo Renaissance painter and sculptor Scholars looked at his knee from Raphaelrsquos School of Ath-ens and concluded that he suffered from gout a form of inflammatory arthritis that occurs when crystals form in the joints

Based on the appearance of his knee which appears swollen en-larged and covered in hard lumps a diagnosis of gout seems plausible It was known that Michelangelo de-veloped various diseases during his life In his writings he complained of having kidney and bladder prob-lems In 1549 he had an episode of anuria followed by passing of grav-el and stone fragments in his urine

Many experts believe that Michelangelo like many of his contemporaries developed gout from lead poisoning A well-known workaholic Michelangelo con-stantly lived off a diet of bread and wine (processed in lead contain-ers at the time) and was frequently exposed to lead-based paint All evidence points to lead poisoning which promotes kidney damage and inhibits uric acid excretion causing it to build up in blood This predisposed him to gout precisely as depicted in Raphaelrsquos fresco

RenaissanceArtandNeuroanatomyLike Leonardo Michelangelo

was not just an artistic genius but also a great anatomist At 18 he be-

Michelangelorsquos knee from the school of atheNs by Raphael (c 1509-1510)

Madonna with the Long Neck Was it Marfan Syndrome

Juvenile rheumatoid arthritis

ldquoall art is autobiographical the pearl is the oysterrsquos autobiographyrdquo ndash federico felliNi

24 | Caduceus September 2011

gan dissecting cadavers in a mon-astery in Florence where he honed his technical skills and knowledge of the human body

According to neuroscientists Michelangelo disguised sketches of the human brain in his famous Sistine Chapel ceiling painting which has remained unnoticed for 500 years His fresco The Creation of Adam shares a striking similar-ity with the sagittal section of the brain The fold in the cape repre-sents the Sylvian fissure separating the frontal and parietal lobes You may even recognize the angelrsquos foot as the pituitary gland his thigh as the optic nerve and his leg as the optic tract And that sassy green robe running down the ponsmdashthatrsquos the vertebral artery

Look at Godrsquos neck in The Sepa-ration of Light from Darkness from the same fresco Art historians have long speculated that its lumpy ap-pearance represents goiter Yet medical experts have found an ac-curate picture of the brainstem and spinal cord in Godrsquos throat stun-ningly similar to the creases and crevices of the brain

Yet why would Michelangelo embed the brainstem in Godrsquos throat Was he alluding to Godrsquos wisdom or was it a form of protest to the Church After all dissecting cadavers was considered unethical at that time and for an anatomist like Michelangelo who fell out with the Pope while painting the Sis-tine Chapel ceiling could he have been painting anatomical images directly above the chapel altar in defiance to the Church

Artandophthal-mologyHowvi-sionchangesartClaude Monet is recognized as

one of the founders of the Impres-sionist movement but his vision got cloudy during his later years He wrote letters to friends describ-ing his growing frustration with his vision changes He was even forced to memorize colours on his palette

the creatioN of adaM by Michelangelo (c 1511)

the separatioN of light froM darkNess by Michelangelo (c 1512)

hkucaduceusnet | 25

and label tubes of paint Red began to look muddy to him and he saw his painting as becoming ldquoincreas-ingly darkenedrdquo Whenever he com-pared his paintings with his earlier works he would be sent into a tow-ering rage to destroy them

This was because he had cata-racts Cataract patients have yel-lowing and opacification of the lens so his vision essentially be-came more brownish The yel-lowish brown cataracts he looked through filtered out violet and blue shades Monet underwent two eye operations in 1923 after which he returned to his old painting style even throwing away some of his paintings and repainting them

Thesufferingart-istDepictingill-nessesinartPerhaps no one better personi-

fies the notion of a ldquosuffering artistrdquo than Vincent van Gogh Clinicians have posthumously diagnosed him with a range of medical problems including epilepsy schizophrenic and bipolar disorder His later works have long been noted for his preference for the colour yellow and some have speculated that this was related to his yellow vision

One theory was that van Goghrsquos doctors prescribed him with digi-talis to treat his epileptic seizures His painting Starry Night has yel-low circles around the stars and not surprisingly people with digi-talis overdose often see a yellowish halo around objects Other experts speculated that it was his addiction to absinthe that led to his yellow vi-sion Absinthe is a highly alcoholic drink that contains a highly psy-choactive neurotoxin called thu-jone which causes yellow vision

Van Gogh was not the only art-ist who projected his illness into his art Edvard Munch had tuber-culosis and spit blood as a boy Her mother died when he was five her sister spent most of her life in-stitutionalized for mental illness and his brother died of pneumo-

nia Munch may have depicted his own psychotic state of mind in The Scream which portrays a twisted agonized creature wracked with anxiety and horror

ConclusionDo these findings actually

prove something or are we over-analyzing artworks with our medi-cal knowledge Exactly what ben-efit would these discoveries have for the world at large is unknown At least we know it could lead to yet another interpretation for Mona Lisarsquos smile the result of a scrump-tious meal of pizza and pasta with cheese tomato sauce and meat balls before sitting for her portrait (which would certainly also explain her cholesterol problem)

Two pictures by Monet of the same Japanese bridgemdashthe first painted in 1899 the second between 1918 and 1922 revealing a dramatic loss of shape and detail

suNflowers by Vincent van Gogh (1888) the screaM by Edvard Munch (1893)

ldquoeverythiNg that we see is a shadow cast by that which we do Not seerdquo ndash MartiN luther kiNg jr

26 | Caduceus September 2011

The End is Near Apocalyptic TheoriesRead more to learn about the terrifying future that awaits us Chariene Woo (M15)

S urge of waves rush over the mountains with unstop-

pable speed engulfing and shatter-ing our homes Flaming asteroids rain from the sky causing roads to crumble like sheets of paper Peo-ple running away from burning cities screaming fearfully Civiliza-tion ruined in matter of mere sec-onds Is this what the future lies for us

Nobody knows

Apocalyptic literature and movies have always raised interest among the general public partly

because it involves the end of our world as we know it and partly due to the fact that there is no solid proof how an apocalypse would come about The interest has re-cently skyrocketed with rumors about the world ending on 21st De-cember 2012 about how the May-an calendar finishes at that specific time and how it will be the end of the world as we know it So the big question is when and how will our world end

NostradamusProphetofDoomNostradamus of France was

one of the worldrsquos most famous seers and is most well known for Les Propheties (The Prophecies) a collection of his major long-term prophecies written in quatrains Many of his prophecies have cor-rectly predicted current events including the destruction of the space shuttle Challenger the death of Lady Diana and the destruction of Twin Towers of the World Trade Center As a result of these predic-tions he has been given the nick-

How do you survive the apocalyptic world

Insight

hkucaduceusnet | 27

name ldquoThe Prophet of Doomrdquo

Nostradamusrsquo prophecies have huge room for interpretation speculation and controversy and some people think his writing has no merit at all The following is an example of a quatrain alluding to some sort of environmental disas-ter in the future

ldquoFor forty years the rainbow will not appear

For forty years it will be seen every day

The arid earth will grow more dry

And great floods when it will be seenrdquo

(Century 1 Quatrain 17)

In other quatrains images of great comet alien invasion and nu-clear contamination are also men-tioned so these could all be the prospects that are waiting for us in the future Despite Nostradamusrsquo ldquoaccurate predictionsrdquo of what had happened in the past the quatrains do not have a specific order So out of all the disasters predicted in the many quatrains it is uncertain which will happen where or when giving it less importance in predict-ing an actual apocalypse

PlanetXAccording to Nancy Lieder a

woman who claims to have been contacted by extraterrestrial life forms Planet X (also known as Nibiru) would come close to planet Earth on May 27th 2003 resulting in the Earthrsquos rotation ceasing for 59 terrestrial days The Earthrsquos pole will then undergo a physical polar shift due to the magnetic attraction between the Earthrsquos core and the magnetism of the passing planet This will ultimately lead to the dis-placement of Earthrsquos crust and the end of us But when this did not happen the event was postponed and re-dated to coincide with the Mayan calendar hysteria

NASA argues that this is merely an Internet hoax with no factual or scientific basis They explain that if Planet X was approaching Earth astronomers would have

been tracking it for at least the past decade and the planet would now be visible by the naked eye This is a very comforting bit of news Yet some people believe that NASA is part of a conspiracy to cover up the existence of such planet and keep the truth of impending apocalypse from general public Again the ar-gument can go either way and the ldquotruthrdquo depends on which side you choose or want to believe in

2012TheendoftimeSo what is so special about the

year 2012 There are claims saying that the Mayan calendar ends on 21st December 2012 and that will be the end of time for mankind However just like every calendar it merely rolls over to the new year on that date and it doesnrsquot signify anything special In the Mayan cal-endar 21st December 2012 will be the end of brsquoakrsquotun 13 and marks the start of brsquoakrsquotun 14 A brsquoakrsquotun is 144000 days (a little more than 394 years) and there is no archeological or historical evidence to show that the Mayans expected anything sig-nificant or drastic to happen at the

end of each brsquoakrsquotun

However there exists litera-ture that suggests otherwise In 1975 Frank Waters the author of the book Mexico Mystique identi-fied the 13th brsquoakrsquotun interval to be the ldquoMayan Great Cyclerdquo where it ends in the worldrsquos destruction and rebirth Waters claims that cata-strophic earthquakes will destroy the world but he miscalculated the date and announced that the end of the ldquoGreat Cyclerdquo would be on 24th

December 2011 AD

The year 1987 marked an in-creased in interest regarding the prophesized big event in 2012 The author of The Mayan Factor Path Beyond Technology Jose Arguelles linked the 13th brsquoakrsquotun period to a ldquobeamrdquo that links people the plan-et the Sun and the center of Galaxy According to Arguelles the beam is the key to harmonic resonance in the universe and the Mayan knew when we would enter and leave this beam hence set their 13th brsquoakrsquotun to mark our passage accordingly He also claims that this beam could advance the development of any-thing with DNA hence creating a more positive view of the future

V838 Mon a star with expanding light echo purported as photographic evidence of Nibiru

ldquoevery MaN dies Not every MaN really livesrdquo ndash williaM wallace

28 | Caduceus September 2011

No one can be sure of whether the end of brsquoakrsquotun 13 signifies something great or disastrous for us or if it is just another restart in the Mayan calendar We can only know for certain when the day ar-rives

GodrsquosplanforusThis is by far the most detailed

and terrifying image portrayed out of all apocalyptic claims that I have gone through The Book of Rev-elation from the New Testament reveals signs of apocalypse through a wide variety of symbolism One of such is the frightening image of the ldquofour horsemenrdquo

ldquoAnd I saw and behold a pale horse and he that sat upon him his name was Death and Hades followed with him And there was given unto them authority over the fourth part of the earth to kill with sword and with famine and with death and by the wild beasts of the

earthrdquo (68)

The pale horse carries the horseman of Death which is be-lieved to release global plague and pandemics to the world and take the lives of a quarter of the popu-lation This has already manifested

itself in many forms in different parts of the world at different times hence the first sign of apocalypse is said to be already happening among us

In similar manners the bible describes the arrival a black red and white horsemen represent-ing the delivery of global food shortages war and conflict and the coming of an antichrist to the world From historical genocide terrorism to increased occurrence of food shortages so often seen nowadays it seems that the red and black horsemen has arrived as well and now we are just waiting for the arrival of an antichrist to conquer us

The Book of Revelation also provides readers with a glimpse into the ldquoactionrdquo in how the world will end

ldquoAnd I saw when he opened the sixth seal and there was a great earthquake and the sun became black as sackcloth of hair and the whole moon became as blood and the stars of the heaven fell unto the earthhellipand every mountain and is-land were moved out of their placesrdquo

(612-13)

Besides the great earthquake and the darkening of the sun there is a repetitive mentioning of stars falling from heaven on earth in the Bible This is postulated as the at-tack of massive meteors on planet Earth Out of all prophecies in the Book scientists assume this to be the most likely since an asteroid impact at a scale as large as that may have already wiped out an entire species that came before mankind Scientists believe that showers of space rocks that rained down 65 million years ago (due to the collision of Near Earth Object) were the culprit for the extinction of dinosaurs Luckily NASA recent-ly launched an early warning sys-tem called ldquoSpaceguardrdquo that aims to monitor such Near Earth Objects to prevent future collisions and ex-tinctions

Having read the above the Bible seems to combine all the horrifying specifics in different apocalyptic speculations into one nightmare But donrsquot worry since there are many different interpretations of the Revelation Historicists are the ones who see the Book as a broad view of history (good news wersquove already escaped all the horrors in the depiction) whereas Futurists

believe the description as prophecies of the fu-ture The Idealists hold the belief that the Rev-elation does not refer to actual people or events which makes sense as the Bible is often not inter-preted literally So fingers crossed that the Revela-tion is not interpreted in the futurist way because in that way there is going to be a daunting future awaiting us

Four horsemen of Apocalypse

hkucaduceusnet | 29

ldquoDevolvingrdquoEarthTheoryThis is probably the

most scientific theory that I have come across so far from a news article pub-lished from ABC News A group of scientists from University of Washing-ton hypothesized that the Earth will gradually de-volve in the next half bil-lion years In short their logic works as follows

As we all know the sun is constantly grow-ing bigger yet the Earthrsquos environment has been reasonably constant This is because as the sun is warmed up carbon diox-ide from the atmosphere is removed and deposited in soil as carbonates This keeps our environment stable by the balance be-tween an increasing sun and reducing carbon di-oxide in the atmosphere (Note that global warming resulting from an increase carbon dioxide in atmosphere is just a brief blip in the grand scale of things) Since carbon dioxide is the ldquofood of liferdquo the reduction will cause plants and animals (including humans) to die To battle the rising heat some creatures will retreat into the sea hence reversing the evolutionary process And as the sun continues to expand the Earth will become so hot that even the oceans will gradu-ally be evaporated Eventually the sun blasts off its mass through ther-mal pulses engulfing the Earth

This is a very scientific specula-tion from an astrophysicistrsquos point of view and they claim that at best we have no more than half a billion years left This might be more reas-suring for some of us as the world will not end in the near future But the grief lies in the inevitability of our planet Earth coming to an end

Everythingthathasabegin-ninghasanendSo we are back where we start-

ed With more speculation and the-ories and still no closer to the truth The end could happen any day or time or maybe it could be a proc-ess that is already happening Even though it is not to the scale of an-nihilation of the human race hur-ricanes and earthquakes and car crashes have already been stealth-ily taking the lives of millions We know for sure that we must die eventually through chance old age or disease There is only very little we can do to fight against what has been planned for us and reducing the resources we consume is the best chance that we have in delay-ing this happening There might be some benefit if we know the in-sights of when and how it will hap-pen but really it doesnrsquot change anything Moreover it is possible that these speculations came about to force mankind to live life to the

fullest to treasure each day and every resource we have as a gift so it doesnrsquot matter which theory is the accurate one In the midst of these theories about apocalypse all we can do is to live every day as if it was our last with no regrets and enjoy life as it is now

ReferncesThe End of the Worldhttpwwwnostradamus101compropheciespart4P7

The Great 2012 Doomsday Scare httpwwwnasagovtopicsearthfeatures2012-guesthtml

When Will the World End New Theory EmergeshttpabcnewsgocomTechnol-ogystoryid=97756amppage=2

2012 Beginning of the End or Why the World Wonrsquot Endhttpwwwnasagovtopicsearthfeatures2012html

Video from history channel (from youtube link)httpwwwyoutubecomwatchv=BoTExQEyblU

ldquothe MeaNiNg of life is coNtaiNed iN every siNgle expressioN of life it is preseNt iN the iNfiNity of forMs aNd pheNoMeNa that exist iN all of creatioNrdquo ndash Michael jacksoN

30 | Caduceus September 2011

笑的神奇魔力「當你笑你改變了當你改變了整個世界也改變了」

麻丹卡塔利亞醫生(大笑瑜伽的始創人)何麗敏 (N14)

被隱藏的笑容

日 本大地震及核洩漏事件馬頭圍道唐樓火災三死十九傷中區

警長為勸示威人士中不慎失足墮橋身亡

各政黨爭相你嘲我罵helliphellip在城市裡我們

每天都被一些飛來橫禍天災人禍或社會

爭執的信息圍繞著充斥著愁雲慘霧的氣

氛甚至在家庭朋友學業工作和

健康方面我們亦會遇到不如意之事負

能量和心理壓力不斷增加沒有適當的疏

導和發洩方法之下不少人染上酗酒或沉

迷賭博等壞習慣來自我麻醉長期把情感

抑制的一些人更有機會患上

情緒病我們彷彿硬把自己

困在死胡同裡忘記兒時怎

樣整天咧嘴哈哈大笑如何

在跌倒後笑著站起來現

在很多人都像被魔鬼牽著

鼻子走每天板著一副無奈

沮喪的嘴臉掛上冷漠的眼

神笑聲更差不多成為絕

朋友啊你可有嘗試計

算過一天總共大笑了多少

次英國格拉根大學研究發

現在英國嬰兒每天會笑

達三百次而青少年時期的

每天大笑次數大幅減至六

次五十多歲的人平均每天

更只笑了三次無可厚非

我們在成長過程中必遇到愈來愈多的煩惱

和挑戰事情的確不是我們所能控制但

面對的心態我們為何不能放開一時所謂

的包袱像孩子般笑著面對呢為甚麼大

笑要有一定的理由或被時間限制呢

瑜伽加愉

近半個世紀工作學業和情緒波動

很大生活方式變得愈來愈物質主義容

易出現精神緊張大家都被壓得透不過氣

來變得不太愛笑在一九九五年印

度孟買註冊家庭醫生麻丹卡塔利亞(Dr Madan Kataria)創立「大笑瑜伽」以笑聲驅除怨氣大笑瑜伽是以笑聲互相交流

的透過眼神接觸傳遞歡樂的信息學習

別人的笑容代入孩童的心態再全情投

入地開懷大笑同時亦融入瑜伽的腹式

不妨一試

大笑瑜珈三式一預備式林中步行

在樹林慢走就是愛笑瑜伽的熱身方式步行時間

可以是10-30分鐘邊走路邊拍手同時不時地做深呼

吸目的是讓身體和情緒都徹底放鬆下來為後面的

內容做好準備

二進行式學習動物的表情

在瑜伽導師的帶領下活動面部肌肉然後模仿瑜

珈導師的動物表情這些表情看上去本身已很滑稽

只要按照瑜伽師的樣子去做再發出笑聲

三結束式調整呼吸

經歷了一場大笑面部表情鬆弛了心情也舒服

了不少大家慢慢收回笑容調整呼吸一邊在森林

裡散步一邊大聲告訴自己說「我們是世界上最快樂的

人」

灼見

hkucaduceusnet | 31

呼吸和伸展動作鼓勵大笑達至身心健康

的效果精神科專科曾繁光醫生指出 

「笑令腦自然分泌天然多巴胺以抗衡人

體緊張時所分泌的皮質醇預防患上焦

慮抑鬱的情況」除了改善情緒還能

促進健康笑能促進肺部呼吸功能和加強

血液循環現代醫學認為笑可以成為一種

治病方式治療神經衰弱消除肌肉的緊

張預防或減緩疼痛

筆者在此並不是宣傳大笑瑜伽其治

療成效仍有待商榷和科學實證但愈來愈

多人證實大笑和保持歡樂的心態能有效放

鬆自己張立新先生是第一位在中國推廣 

「大笑瑜伽」的人他患上憂鬱症遍尋

各種治療方式皆無成效一次機緣巧合

從網路接觸「大笑瑜伽」亦在電視上看

到介紹而開始學習和練習他的憂鬱症因

此不藥而癒從此他就開始在中國研究和

推廣愛笑運動暫且別論大笑瑜伽的奏效

程度但人生所遇到的事可真不少何不

笑對人生

尋回被遺忘的赤子之心

大笑並不是靈丹妙藥但它的確能帶來

正能量即使事情有多糟糕笑著面對總

比怨聲載道好而且美國加州大學柏克

萊分校心理學教授丹卓凱納說「笑對

人的進化很重要」目前心理學家們認

為笑是人類之間交流的古老方式之一笑

能互相影響把歡樂的氣氛傳染開去嬰

兒還未學懂說話時笑是與身俱來為何

我們長大後卻隱藏笑容呢朋友們參考

左頁所列大笑瑜伽的基本招式大家可相

約三五知己輕鬆一番找回孩童時的笑聲

大笑瑜伽的始創人麻丹卡塔利亞醫生

大笑瑜伽在六十多國家盛行

ldquolaughter is the best MediciNe - uNless yoursquore diabetic theN iNsuliN coMes pretty high oN the listrdquo ndash jasper carrott

32 | Caduceus September 2011

Learning Experiencing GivingA magical 10-day journey away from the cityErin Yeoh (M15)

C lad in backpacks light clothing and sneakers 21 medical students from HKU and CUHK

were prepared to leave the comforts of home and the internet (did I hear Facebook) We were bound to Chi-na about to embark on a learning-cum-volunteering trip organized by Medical Outreachers

After saying our final goodbyes at the Shenzhen air-port we split into two teams Team A with 9 members were bound to Xirsquoan where they would see volunteer orthopedic surgeons at work The 12 people in Team B including me left for Guizhou to understand the role of village doctors in rural China Both teams aimed to find out the effectiveness of public health policies in rural areas of China We were to meet up 4 days later at Dongshan Guangdong

Part1GuizhouUpon landing in Guizhou we were provided with

excellent hospitality by the local officers and the lo-cal NGO Amity Foundation We were given a brief introduction to Guizhou and also the work that the government and Amity Foundation were doing in the province Amity Foundation actually helped to build numerous new village clinics to improve the quality of healthcare in the region

The next day we were taken on a tour around the province visiting different village clinics (村診所) lo-cated in areas further away from the city Usually there would be one or two village doctors (村醫) on duty

at a time to attend to the villagers with population of around 1000 to 4000 per village

However the village doctors were not the type of ldquoheroesrdquo I had in mind They were not your typical doctor working in a worn out run-down wooden hut where there would be a row of sick villagers lining up to see them How ignorant I was In fact the village clin-ics were mostly renovated and well equipped with ba-sic amenities The standard village clinic has 5 rooms main lobby (大廳) treatment room (治療室) pharma-cy (藥房) observation room (觀察室) and a doctorrsquos rest room (醫生休息室) Furthermore their patient flow was rather small sometimes only one or two pa-tients per day This was probably due to the fact that some village clinics were located only a stonersquos throw away from major cities Those in a medical emergency would of course go straight to the main hospital to seek help immediately instead of consulting a village doc-tor

To be a village doctor one at least had to be a sec-ondary school graduate They would also undergo constant training and certification by qualified doctors in larger clinics According to the village doctors they spent most of their time doing paperwork keeping track of the villagers and their medical history They would also conduct regular home visits to those suf-fering from chronic illnesses or those that needed con-stant monitoring such as patients with hypertension or rheumatoid arthritis Another point that I found

A village clinic before receiving funding from Amity Foundation

hellipand a comparison after

Life

hkucaduceusnet | 33

interesting was that they would also visit families with newborn babies to check on their general health At the same time they would educate mothers on proper breastfeeding techniques and how to provide adequate nutrition for their children in the future

To learn more about their daily routine we fol-lowed a village doctor on his home visit rounds The doctor would sometimes have to travel as far as 2 kil-ometers for a home visit which would be the other end of the village This was as in the case of a pregnant lady due for delivery soon (photo as shown below) The doctor who came to check on her health status reas-sured her that her delivery would be a successful one From her sigh of relief and tired smile we could tell that she was grateful to see the doctor

However things didnrsquot always run as smoothly According to some of the village doctors they used to be scolded and rejected by the locals who did not understand why the doctors would often come up to their doorsteps asking them questions regarding their health and pestering them to go for checkups Some of them being superstitious would think of doctors as ldquoharbingers of bad luckrdquo as the doctors would talk about ldquosicknessrdquo and ldquodiseaserdquo when they were actu-ally feeling as fit as a fiddle Thankfully the situation has much improved since then

From what we saw instead of playing a curative role in a society the village doctors were actually much more involved in disease prevention and monitoring

This is actually the ldquoupstream modelrdquo concept in pub-lic health Instead urban doctors are overwhelmed by limited consultation time and when fatigue kicks in they simply do not have the energy to further educate their patients They would also not have the time to un-derstand their patients on a personal level unlike that of the village doctors

However the indiscriminate use of antibiotics in China was truly a frightening sight Doctors adminis-tered antibiotics intravenously for mild diseases like the common cold When we asked the doctors as to why they did so they simply smiled and shrugged off the question It is probably still a common practice in China and if the doctors did not give such medication the patients would probably lose trust in the doctor The fact that the similar practices were seen even in large hospitals probably indicates that this problem is hardly a localized one

Part2DongshanGuangdongWe met up with the team from Xirsquoan at the

Guangzhou airport and proceeded to our next desti-nationmdashDongshan After 5 hours of car ride we began to see signs that we were approaching our destination Mountains sharply angled clustered in twos or threes fondly known as ldquoMcDonalds mountainsrdquo were begin-ning to be in sight

As soon as we arrived we were greeted by eager curious young faces The children huddled close by as we unloaded our luggage some commenting that they hadnrsquot seen some of us while others were already play-ing around with the past participants It was my first time to Dongshan but there were some of us who were not new to the kids there

After settling down we were given an introduction to Dongshan and its residents by the local NGO Green Action Foundation led by Mr Wong

Located at the outskirts of the province Dongshan is one of the 4 poorest areas in Guangdong Its natu-ral terrain abundant in limestone makes it especially hard to retain water This has taken a toll on the resi-dents especially during the drought season Another problem faced by the local residents is that there are many young people and adults migrating to big cities to earn a living leaving behind the children and elderly

Village doctor on one of his home visits

Discarded bottles of intravenous antibiotics near the village clinic

ldquoMediciNe also disregards NatioNal bouNdariesrdquo ndash irviNg laNgMuir

34 | Caduceus September 2011

at home

Green Action Foundation took the initiative to plant trees around the area so that more water was available for irrigation and domestic purposes This improved the quality of their crops and boosted their source of income They also sponsored some of the

childrenrsquos education depending on their performance in school to ease the burden on their families

The next few days were jam-packed with activities A sports day was held as an icebreaker so that the new participants could get to know the children better We also spent half a day at the Dongshan Primary School where we taught the kids personal hygiene simple first aid moral education and also sex education for the grade 5 and 6 students

Another interesting activity that we had was a weed-cutting session up at a mountain with the other children Each of us was assigned with 2 to 3 chil-dren who were supposed to ldquoguiderdquo us along the way It was a 2-hour hike up and down hilly ter-rain While I would stop once in a while to take a breather the kids were barely panting The kids would often stop to ask if I was tired and even of-fered to help me carry my backpack Note to self more exercise next semester

Nevertheless it was a great chance to know the kids better We had the time to chat about their school life and what they thought about their future and also the chance to share snip-pets of our lives in the city

We then split into small groups and visited the homes of the children in order to gain a bet-ter understanding of their household hygiene

condition any medical conditions in the family as well as their economic standing We had also prepared questionnaires to be kept as future record Some of the families were very poor to the extent of having no source of income at all They depended solely on their own crops for food If they went to see the doctor they would usually owe the doctor money until they had

enough money to pay back The hygiene status of the villagers varied but most of them had swarms of flies around food Many even had their live poultry like chickens running around the house Before we left we gave them some hygiene products like soap washing detergent and toothbrushes to encourage better hy-giene We also gave them a poster explaining ways of maintaining a clean household environment

Another main focus of the trip was to find out the effectiveness of a medical insurance policy newly in-troduced by the government Each person had to pay 30 Renminbi annually to be guaranteed free medica-

Sports day activity

Weed cutting with the children

hkucaduceusnet | 35

tion and hospitalization thereafter Generally the vil-lagers were grateful for this plan as many found it dif-ficult to afford medical fees while struggling to pay for

basic necessities at the same time However some vil-lagers complained that the prices of medicine spiked after this policy was introduced and hospitals would of-ten ask patients to

do unnecessary scans just to earn more money

This trip made me realize that there is much that we can do but how great an impact we can make might not be seen immediately With follow up trips one could see the change as compared to the last visit and make further modifications to improve the situation

As the trip came to an end we were reluctant to leave There was something very magical about Dong-shan where the skies would turn to an exuberant red during sunset and on a clear night you could see stars scattered across every corner of the sky It is a place of beauty struggle and hopefully a place of triumph in the years to come

It is a place of beauty struggle and hopefully a place of triumph in the years to come

On one of our home visits

More to ExploreMedical Outreachers 醫心httpmedicaloutreachersorg

The Amity Foundation 愛德基金會httpwwwamityfoundationorg The beautiful sunset in Dongshan

ldquoshariNg is soMetiMes More deMaNdiNg thaN giviNgrdquo ndash Mary catheriNe batesoN

36 | Caduceus September 2011

就 在這一刻世界沉默了

城市的繁囂隨飛機引擎

逐點逐點噴走了繁囂的離

開是為了讓簡單的生活回

來剛踏出廈門機場一張

又一張的笑臉映入眼簾刺

熱的太陽把兩地之間的隔膜

融化

早從香港回歸時開始

香港人經常強調自己只是 

「香港人」而不是「中國

人」自以為比內地人高一

等可惜這班自視過高的都

市人曾幾何時為外地人送上

熱情的款待這一點廈門

人比誰都做得更好

廈門是一個位於中國

東南部的海島也許就是近

海讓居於廈門的人都把一

切怨恨煩惱拋下大海讓

它們隨水流漂走埋藏在海

床上每年廈門的鳳凰花花

開兩季一朵又一朵鮮艷如

火的鳳凰花在六月時歡送一

個又一個的畢業生彷彿為

他們添上一份祝福九月時

的鳳凰花熱情地歡迎一屆又

一屆的新生為新生的精彩

校園生活揭開序幕一份一

份的熱情含苞待放身在廈

門又怎會不被這市花的熱情

感動呢廈門大至人與人

之間小至花與花之間都存

著一份情

要追溯廈門人的情懷

可數至土樓的建成土樓

是個大多呈方形或圓形大型

群居的建築整座土樓樓高

三至五層由於牆身頗厚及

只有一個出入口甚具有防

禦功能亦因為這緣故當

大門關起來土樓便成了一

個家這個家佔地不大但卻

藏著成千上萬的人情味在

萬里無雲陽光普照的天空

下土樓居民的熱情好客

被蒸發出來懸浮在空中

一代一代傳下去更讓它隨

風走出土樓傳遍整個廈

門即使土樓漸漸成為旅遊

景點一些擺賣紀念品的攤

檔已經進駐但卻無礙居民間

的感情商販彼此交流從

不出現爭客的情況在土樓

中央休憩的居民除了為外地

人介紹他們的祠堂外亦邀

請遊客跟隨他們到遊客禁區

參觀在土樓居住的每伙都

中門大開當遊客投進好奇

的目光屋內的人往往以親

切的笑容作回答鄉土人

情在這世代多冷漠的心也

被融化

細膩的人情味外最令

遊客津津樂道的是廈門人的

態度廈門大學附近有一條

芙蓉隧道只要你願意便可

在隧道內壁上畫下你所思所

想當然美觀與否見仁見

智但這一種對藝術尊重

欣賞的態度是值得欣賞我

有我盡情地畫你有你盡責

青春在廈門留下足印潘曉彤 (N14)

生活

hkucaduceusnet | 37

地去管轄城市各處的整潔

彼此留下空間達至相輔相

成的效果廈門人就懂得人

最基本的禮貌尊重不

過廈門人對他人的尊重遠超

於人的基本禮貌當你去唱

「卡拉OK」的時候每次

待應的出入時看到的就只

有他們的正面而他們前行

或後退的方式就像看到皇帝

一樣卑恭屈膝香港人常常

強調面子哪一天才能捨下

那過高的尊嚴為不相識的

人作一個最謙卑的招待

其實任何人一離開香

港都不難發現就只有香

港愈夜愈精彩其他地方晚

上八時大多關門大吉而廈

門就只有中山路才媲美得

上香港的夜夜笙歌夜幕低

垂萬千燈火的中山路上

與來自各區的人擦肩而過

昏黃的燈光下照出一群又一

群的沉默影子剛好與路上

喧鬧的行人相映成趣騎樓

在霓虹燈的點綴下顯出了獨

有的閩南特色大街小巷傳

來不同地道小食的香氣車

輪餅燒仙草土笋凍helliphellip

為我們外來的交流生帶來美

味可口的夜宵飲飽食醉過

後走到中山路的盡頭又

回到了沉睡中的廈門

在優美的環境影響下

廈門人的生活也自然變得

純樸優閒單車車輪在環

島路上留下一圈又一圈的印

記沿路能細聽海浪輕拍岸

邊的聲音細嗅四處洋溢的

花香感受微風吹散太陽散

發的熱力見證一對又一對

的新人在拍下幸福的照片

據說廈門有戀愛天堂之稱

不管走到哪一處也會

看到準新人拍下甜蜜的婚紗

照而在裡面享受的人永遠

不知道這風景如畫的背

後是透過多少人的血汗換

來當我們在追求經濟成果

的同時往往破壞了造物者

在世上留下的藝術品隨中

國經濟急速發展一個又一

個的世外桃園被摧毀銅臭

替代了花香車聲替代了鳥

語這仙境又可維持多久

廈門另一世外桃園就是

鼓浪嶼它活像香港的長

洲島上滿有歐陸建築風

格但當中不乏中國特色的

建築中國古城風味與洋風

互相交替帶出截然不同的

感覺島上遠離汽車的廢

氣與金門就只是一海之

隔一家大小在享受天倫之

樂時一群又一群的青少

年情侶在沙灘上嬉戲立

即為島上升溫

筆者認為在這個混亂的

俗世確實需要抽空來欣賞

造物者留下來的藝術品大

財團不斷興建大型商場國

際知名品牌不停進駐留下

的就只有愈來愈狹窄的街

道被石屎封蓋寸草不生

的土地人人被金錢蒙蔽

迷失在霓虹燈光中又有多

少知音人能放下生活的瑣碎

事情在這裡享受時間一分

一秒的流走你被海浪聲

喚醒了嗎

筆者參加這次是由香

港廈門兩地大學的交流

團一連六天已經習慣了

當地的優閒生活模式體會

到的不只是廈門的風土人

情歷史文化而是兩地大

學生那種衝破界限的交流

雖說年輕人容易打成一片

但廈門獨有的熱情確實融化

了彼此間的隔膜廈門的美

是成人之美成就了兩地大

學生的友誼

飛機又再起飛了廈門

再見了

ldquothe tiMe of life is short to speNd that shortNess basely it would be too loNgrdquo ndash williaM shake-speare

38 | Caduceus September 2011

生 命形成之際只要一秒鐘的差遲世界便會不一樣

蝴蝶效應從來都是玄的全因一個 

「緣」字

隨著人成長要決擇的事太多學生

有兩件人生大事幾乎都不是由自己決定的

入讀小學及中學然而到了大學這

關卡自己也許可以拿定主意了若果你

入讀了心水科恭喜你若不然祝福

誠然入大學是最影響未來生活的關

口是好是壞無人知曉不用量化不

用比較太多即管做自己所想活出自己

的路只因你不會曉得你的下一步會怎樣

影響著你的生命

或許一個活動你會遇上你的最愛

或許一個宿位你會遇上你的知己

或許一句說話你會惹來一個敵人

或許一次走堂你會由B變C

這就是大學

在大學各人有各人的大學生活大

學講求自由學習學習真的是「求學不是

求分數」有些人愛廣交朋友有些人愛

住宿有些人愛做莊務有些人愛拍拖

有些人愛參加各樣活動有些人愛做兼

職有些人愛讀書有些人卻愛甚麼都不

做helliphellip不少大學生強調入大學必定要做齊

大學五件事(上莊住宿讀書拍拖

兼職)但其實只要自己開心不害人的

話做甚麼也沒問題最要緊的是認清讀

大學的目的以免沉淪於大學這花海

朋友

大學可以令你對「朋友」的概念愈來

愈含糊幾乎每個活動都可令你認識新朋

友通常大家都會輪流講述自己的名字與

學科(Round Table)這亦是考驗大腦對人名的記憶所謂的「Hi-Bye Friend」會愈來愈多隨便在細小的港大內穿梭會令你

無可奈何地對他們說聲Hi

不過別標籤你的「Hi-Bye Friend」要是連Hi-Bye也談不上更不用說做深交了上大學了大家已有既定的圈子很

多時約會或聊天都先找中學朋友而且很

多人會把大學朋友與中學的作比較雖情

有可原但有時未免先入為主地覺得中學

的較好

這亦難怪即使是日日碰面的同學也

未必是自己的好友人人都有自己的時間

表下課後各散東西不是大家不想互相

認識只是有時身不由己若想互相了

解不妨盡量製造共處之時有時甚至可

以分一些約會給大學朋友然後你會發

現大學朋友也可跟你熟絡可別為自己

建造一塊厚厚的心牆

舍堂

要入宿無人會不曉得十日的迎新營

有些舍堂平均每天的作息時間只有兩三小

時有人說住宿最辛苦就是迎新營然而

它卻是最難忘的

要數活動單單一個舍堂已數之不盡

要是投入舍堂生活每天24小時是不夠

用的舍堂之間有各樣比賽堂友要參加

各個組別為比賽出席各樣練習否則可

能被拒於來年再住基於許多人都只在夜

晚有空要全體出席那可是晚九朝五的

大學之緣賴彥積 (N14)

新鮮人

hkucaduceusnet | 39

宿生們之所以會熱衷於舍堂活動因他

們對自身舍堂有強烈的歸屬感好比中學

時學生參加校際比賽要是沒有歸屬感

就不會有心參加所屬舍堂的活動

除舍堂之間之活動樓層之間亦有各類

活動樓內亦然只要有人的地方就有玩

樂彷如天天宿營你不會有機會偷偷早

睡其他樓友常常打擾你你原來的生活

時間會推後數小時睡於二時已是罕有

早上的八半堂彷如無物

可以住宿但不參加活動嗎當然可以

但你會面對的是朋輩壓力他們雖未必逼

你參加卻會在言談中有意無意的滲出

來那種壓力不只限於自己樓層甚至是

跨樓層千萬可別輕看宿中流言

上莊

有人說上莊所學遠超課堂上莊所學

的是如何籌辦活動非常實用有時要對

外聯絡有時要面對公眾helliphellip像是要為將

來工作鋪路似的當然這亦要視乎你上

的是甚麼莊

一般而言上莊可訓練你待人處事的技

巧有時表面看來很友好的朋友當背

負上一定的要求後關係少不免有磨擦再

者初時莊員素未謀面最後卻因朝夕相

對而演變成朋友這段關係是很可貴的

成莊前要宣傳內閣爭取選票成莊了

又要舉行咨詢大會包受歷莊指導然後

又有就職典禮此後的活動更接踵而至

當然包括迎新活動招莊活動等helliphellip君不

見很多人視莊房為睡房少不免有「通

頂」之時忙是忙但必有價值至於是

好是壞要看自己的造化了

拍拖

人上了大學有時心思思想拍拖眼見

身旁多個好友都紛紛拍拖自己少不免羨

慕別人這想法十分正常畢竟大學生真

的可以放下只讀書的重擔真的可以規劃

人生大事了

香港大學一些營新活動中隨了Round Table外還有Round Status即說自己現在有否拍拖以及拍過多少次拖如 

A 0即Ava i lab l e之前至現在沒有拍拖O1即Occupied之前至現在共拍了一次拖當然也有一些同學自己創的甚

麼OBA (Occupied But Available)或D10(Desperate拍過10次拖)等等至於Round Status的動機何在可能是組爸媽想穿針引線吧當然也可能是別有用心的

不同人對拍拖有不同想法上了大學更

有不同擇偶條件人大了在感性的議題

上往往加上種種理性的數據開始現實起

來哪個帥哪個富有哪個有前途helliphellip

有些不在乎天長地久只求剎那的光輝

有些求虛榮有人疼愛在朋友前炫耀

有些甚至會在拍拖前已想定分手後的模

樣所以不想選擇跟自己同科的同學

活動

不同團體(包括舍堂學會及學校部

門)都有不同活動不用愁沒事幹只用

愁沒時間只要多留意Portal Mass Email或Main Campus海報不難發現幾乎每天都有各樣活動動靜皆宜開學時有迎

新營考試時有勁過飯新學期有開Sem

飯有些學會如戲劇舞蹈合唱團不時

有演出有關運動的學會則多練習以參

加比賽有關學術的也有很多興趣班講

座比賽等想幫人的亦可參加義工團

體如蛇蛇豬扶青等舉辦的義工活動

兼職

大學生的兼職大多以補習為主畢竟

這是我們能力範圍內可賺取最多外快又是

時間最彈性的工作有些人卻因補習不能

寫在履歷表而選擇別的工作然而很多時

我們都要在兼職與大學活動中取捨我的

ldquotake a chaNce all life is a chaNce the MaN who goes farthest is geNerally the oNe who is williNg to do aNd darerdquo ndash dale carNegie

40 | Caduceus September 2011

E mily was the chairperson of Pharmacy Socie-ty session 2010 As a student she has actively

participated in holding activities for many medical stu-dents and taken part in providing welfare to all phar-macy students Her following sharing will especially enlighten our new pharmacy students

Q Why did you choose Pharmacy SocietyA To be frank ldquosheung jongrdquo was really out of

my expectation when I anticipated my university life However my perspective has changed when I officially became a pharmacy student in HKU As members of the opening class of the Pharmacy programme my classmates and I realised the importance of having our own student body We do need an independent soci-ety to represent us pharmacy students to cater for our specific needs to listen to our points of view and to act as a bridge to facilitate our communication with the Medical Faculty the entire university and ultimately the pharmaceutical field in Hong Kong My class-mates and I who later became ldquojong yausrdquo believed we should act immediately to establish and run our own society which is why I decided to ldquosheung jongrdquo

Q Would you like to share some of the pros and cons of sheung jong

A ldquoSheung jongrdquo definitely helped me achieve per-sonal growth It was a concurrent commitment and re-sponsibility to serve and to lead our colleagues Bear-ing this in mind we always pushed ourselves to attain the best of our work ethics efficiency and efficacy As the very first session of the Society we lacked the guidance of any previous committee member Instead analysing carefully and critically we thought better of every decision which I personally found an enriching experience ldquoSheung jongrdquo was also an eye-opening journey Wersquod got to meet different people and learnt more about the professional work for as our career-to-be after graduation This in my opinion is always beneficial Last but not least I was fortunate enough to have worked with my amazing fellow committee mem-bers I frankly couldnrsquot ask for better ldquojong yausrdquo than initium Irsquom absolutely thankful for having them as my friends and it is definitely my greatest gain along the way

Despite the merits ldquosheung jongrdquo definitely has its downsides as well It is a lie to say ldquosheung jongrdquo does not affect our daily life because it does take up a big chunk of our time At the end of the day it is about time management which is easy to say but extremely dif-

建議是如家庭環境較困難賺錢吧反

之可以多留時間給各活動畢竟大學一

年的學費不只值那幾十堂課如何善用這

$42100就在乎你如何投入大學生活

讀書

假若你認為大學的考試可考核學生的

真正讀書能力並要求學生活學活用課堂

所學那麼你大失所望了假若你善於背

誦有過目不忘之本領大學的筆試不會

難倒你只要靠著前人留下的歷屆試題

背到滾瓜爛熟是不可能不及格的很多屆

試卷都是千篇一律的很多教授可沒空大

改試題那同學們就走運了有些課堂

即使再專業的學科都會有只理論無實

踐的課堂然後考試就要你把一大堆理論

背出來helliphellip例如甚麼叫批判思維噢

我可不知道只知道我掉了5分

不同學系在某程度上定下了人的前途

對於醫學院學生而言前路是較清晰可見

的但對於非專業學科前路不可只靠讀

書也許要靠自己另外摸索讀書所帶來

的必然是較高的GPA高GPA所帶來的是

獎學金到外國交流工作實習日後工

作機會等等當然大學學習不只局限於

讀書會否因此失彼就只有自己知道

蝶翼拍動之時往難以預料機會是

要自己摸索的

如經上所記

「神為愛他的人所預備的是眼睛未曾看見耳

朵未曾聽見人心也未曾想到的」

(哥林多前書29)

「栽種的和澆灌的都是一樣但將來各人要照自

己的工夫得自己的賞賜」

(哥林多前書38)

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

Freshmen

hkucaduceusnet | 41

ficult to achieve Also working as a Committee mem-ber can be very exhausting and difficult You definitely need lots of determination and support to get through some of the busiest times

Q How did you handle and balance the workload of study and your ldquojongrdquo

A As Irsquove said before it was tremendously difficult I guess my best advice for the future committee is to know your limitations and always plan ahead You have to know your time to work to rest to study etc No one will be over-worked and eve-ryone will have some personal time if you share the burden wisely between ldquojong yausrdquo Secondly you have to make very clear plans so that you can make full use of every little piece of your time I may not have succeeded in my time management but most of my ldquojong yausrdquo managed to do so de-spite the packed schedule of our Soci-ety This is sufficient proof of ldquoimpos-sible is nothingrdquo

Q As there are only about 25 pharmacy students per class do you have any suggestions for P14 fresh-men to make more friends from other curricula

A It really depends on what kind of person you are If you consider your-self socially active living in a hall or ldquosheung jongrdquo will be a great idea for you But if you see yourself as a much quieter person you can still make use of opportunities such as Medic Orien-tation Camp and other events jointly organised by student bodies within the Medical Faculty to make new friends

Q Any special things for P14 freshmen to be aware of

A First of all welcome You all are now members of Pharmacy Society MS HKUSU and I would like to let you know that this is a student body aiming to serve you Thus feel free to share your viewpoints and voice out your opinions to the current Com-mittee members The Society has to

understand your needs to improve and provide better welfare and services for you

Q Any other comments or important things to re-mind P14 freshmen

A If you would like to get to know more fellow pharmacy students especially students from P12 and P13 grab the opportunity to join the Pharmacy Society Orientation Camp and the Mentorship Programme These are great chances to make new friends and Irsquom sure you will enjoy them

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

ldquoas huMaN beiNgs we do chaNge grow adapt perhaps eveN learN aNd becoMe wiserrdquo ndash weNdy carlos

42 | Caduceus September 2011

筆 者是一位護理系的學生半年前有幸成為二零一一年啟思編輯委員會的總編輯在期間所體驗到的希望藉著這次機會作出分享特別希望新加入醫學院的同學

能對「上莊」有更多了解

上莊之路上莊是大學五件事之一證明它對大學生

活有一定的重要性一定的位置筆者在初入學的時候曾為了上莊與否而煩惱猶豫了好一段時間期間考慮到自己能力怕學業應負不來但最後仍然下了上莊這個決定原因是上莊是個難得的機會充實增值自己不同的莊會提供不同的機會讓莊友去學習透過不同的莊務去讓自己眼界擴大另外可以了解醫學院內發生既事情例如院內活動的進展情況更可以參加舉辦院活動為醫學院出一分力最後當然會認識到將會相處一整年的莊友工作伙伴有機會認識到不同學系的同學從他們身上可以觀察到學習到各種的特質從而令自己有所進步有所啟發

護理學生作為護理系學生起初擔任總編輯一職實

在是倍感壓力畢竟歷屆的總編輯都是由醫科生出任因此筆者起初都害怕跟醫科生共事怕自己的能力不足夠應付莊務所以起初都是戰戰兢兢地上莊

一位三年的護理學生曾對我說「我認為你不太尊重護理系護理系和醫科都是個專業希望你能加以尊重自己的學系不要輕視護理這個學系你要肯定自己的學系才能帶領整支莊因為莊內成員來自不同的學系你必須肯定和認同每個學系都有一定的重要性以及其專業」這番當頭棒喝的良言令我明白到自己一直都太輕視護理系過於重視醫科現在我明白到認同自己學系是尤其重要只有這樣才可以用自己學系的身份去發表意見只有認同自己學系才懂得尊重其他的學系莊內便可以融洽一點

在筆者的莊友中醫科生都是較有責任感而且做事更有計劃從他們身上的確學到不少東西這點是無可否認的事實筆者並不是在分享學系與學系之間的差別而是希望有志上莊的同學能互相尊重明白到各學系的莊

友都有其值得學習的地方起初對其他學系有隔膜是無可避免的畢竟對他們的學系都不太了解又沒有歸屬感但如果因為對方是別的學系而輕視對方的人不但失去與人相處學習的機會而且會令莊內的氣氛失去和諧

幸好的就我所見所聞醫學院內的莊多年來都能融洽相處互相支持令到一眾上莊的同學都能輕鬆地享受上莊的喜與樂甚至是不愉快的事情

依靠你的莊友莊是一個團體不是一兩個人可以應

付得來所以筆者認為與莊友互相溝通合作是個重要的元素新同學如果有志參與莊務期望從上莊中有所得著首要的事情是與莊友建立關係因為他們將會是你來年的工作伙伴也是你遇到困難時依靠的對象一位上莊曾對我說「其實一件的莊期不會令你有太大的得著或成長反而長久的友誼才是你將會得到最重要的」這句說話是千真萬確的上莊的人不會由詞不達意改變成談吐得宜不要期望自己會有驚人的轉變也許上莊會令人處事成熟一點有計劃一點但上莊所得到的關係將會是更重要更珍貴一年的相處中面對過有無數的會議共同處理過不少困難從中

建立的友誼真的是畢生受用

責任感上莊另外一個十分重要既條件就是責任

感有志上莊的同學必須明白到莊期是長達一整年在繁重的學業中騰出時間來處理莊務是個考驗責任感和毅力的測試同學必須再三思考想清楚自己是否真係熱衷於上莊或是只是一時衝動畢竟你將要許下的是一年的承諾必須對這個莊負上責任願意付出才選擇上莊這個決定這樣的付出就會有相對的回

總結上莊的確是個好機會讓自己去學習從處

理事務中或是從莊友身上都會有所得著充實著自己的大學生活從中可以認識到各學系的同學建立一段段受用終身的友誼在此筆者希望各學系的新同學可以善用機會作出上莊這個無悔的決定

護理系的啟思總編石志榮 (N14)

新鮮人

hkucaduceusnet | 43

慈兄吟(下)奇晶

最 後還是麥教授先開了口「他的確是一個好學生對醫學有獨到見解他不但學業成績優異而且樂於助人你是他的妹妹吧」婉慧努力控制自己的淚水繼繼續續的說「是啊但helliphellip但helliphellip我不知道helliphellip他竟會在這裏出現」麥教授用悲天憫人的目光看着婉慧語重深長說「人生自古誰無死人生命的有為與否並不取決於他生命的長短而是在於人生的意義你哥哥雖然最後當不了醫生但他的犧牲卻間接為一些同學做醫生鋪路讓他們做醫生去救人這真是一種無私的愛」婉慧點點頭覺得自己對哥哥的了解實在太少了

最後她還是孤獨的離開實驗室她覺得自己跟哥哥比起來實在相差得太遠了原來他除了是十優狀元在醫學院的成績名列前茅外還是個熱心助人的好青年自己除了少了一優外少的更有對別人的同情及樂於助人這造就了她心靈上的空虛她明白到冷漠不是一種對哥哥思念的正當表達方法她應該做的是把哥哥對其他人的愛傳揚開去以圓他的心願

第一步往往是最困難的婉慧平日對他人的態度已令不少人對她敬而遠之有很多次她嘗試向同班同學投以友善的笑容得到的總是詫異的目光或別人的不理不睬在小組討論中儘管她踴躍發言盡量避免冷場的發生偶同學們卻認為她變本加厲想阻止同學們取得好成績她四處碰壁又再次陷入了想念哥哥的深淵

時間一天一天過去了上學期考試前的休假開始了婉慧每天都勤奮的在圖書館溫習期望取得好成績這時候的圖書館堆滿了人如果遲來一個小時想找一個位子也難就在假期的第二天同班的王文在圖書館跑得氣急敗壞仍找不到一個座位婉慧不知怎樣有點同情他將座位讓給他王文驚訝道「不用了我還是回家吧真倒楣遲來了一個小時就沒有『接位』」

「但你住在哪裏呀」

「元朗今天早上我忘了校鬧鐘八時才起」

「那你還是要我的座位吧我可以坐到電腦桌因為我認識的人不少沒有什麼人會打擾我的」

王文謝了她頓時對這位冷漠的同學刮目相看原來她的內心也是溫暖的這並不是他所能料及的坐在電腦桌前溫習的她也感到特別的快樂溫習的速度也快多了王文就此成為了她的「飯檔」考試期間每天和她一起吃飯他更將自己的好友介紹給婉慧認識

在一個晚上她又悄悄的在圖書館的角落溫習着突然一隻溫暖的手搭着她的肩上她抬起頭但見解剖學的同桌手中拿着一杯熱飲輕輕的放在她的桌上婉慧正感詫異卻聽見他說「這杯熱巧克力是給你的繼續努力吧」她喝着巧克力心中感到一股暖流彷彿哥哥的關懷又在她內作出回響

十年生死兩茫茫不思量自難忘千里孤墳無處話淒涼helliphellip

寒風吹起了她額上的劉海佇立在墓前的婉慧不禁凜冽她想起了從前想到自己最後一次和哥哥吵架雙方面紅耳赤的情況想起自己無法親口跟哥哥道歉想起哥哥無私的付出她對着那空虛的墳心中不忍一陣淒然淚水漱漱的流下來她身旁攜扶着年紀老邁的母親邊拭淚邊喃喃道「我的兒子helliphellip歿了helliphellip」大家心情漸漸平復了緩緩走出了墳地

雨一滴一滴的落下飽歷辛酸的婉慧卻仍在懸壼濟世

短篇

ldquoyesterday is but todayrsquos MeMory aNd toMorrow is todayrsquos dreaMrdquo ndash khalil gibraN

44 | Caduceus September 2011

Eternal Flame (1)Tulipa

Itrsquos cold The chills from my fingertips imbibe deep into me This person drills into my mind digging out the truth inside me Itrsquos agonizing She comes right inhellip di-rectly I cannot stop her

Irsquom losing myselfhellip

My hand felt the soggy pillow I realised I had come back to life the world where I lived Staring blankly at the ceiling still losing focus in my eyes I felt my brows with my forearm For the first time I didnrsquot want to lose this feeling

The bedroom door slowly opened I quickly rubbed off the drops that had blurred my vision pretending that I had just woken up

ldquoDo you have lessons this morningrdquo My grand-mother whispered into my ear

ldquoOh goshrdquo I turned right to my alarm clock It was the real life I had forgotten to turn the alarm on last night and it was now seven thirty I knew it I was going to be late every time she caught me in bed Irsquod got to hurry up

Living in Hong Kong Island though it took me more than an hour to get to school I had to comfort my little brother sometimes till two or three in the morning in order to get him to sleep In addition to the consistently heavy study load in the medical school I could hardly get enough rest Running on my heels al-most became my routine starting from last November But I well understood the consequence of skipping lec-tures It was the beginning of the Cardiovascular Sys-tem Block For someone like me who gave least priority in revising Anatomy materials lectures remained the prime source of information for exams Absence from class was suicidal To make the situation worse this professor was one of those who did NOT upload lec-ture notes online

Hoping I wouldnrsquot arrive too late to miss the impor-tant points I finally stepped onto a route no 8 minibus at ten past eight What I could do now was to pay trust in the driver who would bring me to my destination

Coaxing kids was never easy Little Bruce just hap-pened to give me such a hassle last night

He knew I would check on him when I returned home Sitting right next to the door of his room he begged me for a story once I opened the door I sat down together with him on his little couch after Irsquod taken a quick shower This was a time to relax leaving

aside all the other concerns

Kindling through his favourite reader I saw that he wasnrsquot listening but distracted by all sorts of toys around He even invited me into his world of fantasy But it was getting late I had to calm him down so that I too could have some rest Being one of the brightest in his elementary school he should understand this was not the time for recreation

I began to feel annoyed

Yet he was my brother I had a gut feeling that this was unusual He didnrsquot use to be so ldquohyperactiverdquo It re-ally took me a while to adjust to his change With him still tossing and turning in my arms I apprehended his restlessness Unpredictable though he was true to his feelings In one way or another he might find the shadow of our mother in me

He finally settled when I laid him back in bed It was nearly two forty in the morning

The first week of the CVS Block ran as plotted PBL tutorials would start on next Monday Dr Youngrsquos fa-cial expression in the first PBL evaluation flashed over my Embryology notes and references She didnrsquot teach Embryology but I could tell she did have a hypertroph-ic heart-shaped face which looked familiar to the dia-grams in the Atlas

Back in the IHD Block most of us were puzzled about the scrambled content of our course Various forms of seemingly related knowledge came in through lectures practical and tutorial sessions But the neural circuit formed in our brain just failed to resonate as if the conductance-inductance mismatch had aberrated our thought from minimal impedance Sometimes things even happened in a ldquomore-than-extrardquo manner The presence of common core courses in a parallel but independent branch in the network could rightly be detached without causing a blip on the galvanometer Everything was dubious We had no idea of what we were doing

Maybe we were just on the way seeking for a sense of attachment

My mind too was racing in haste I was struggling with my decision to become a doctor Too many things had happened over the year I just couldnrsquot stop ques-tioning myself what was I thinking when I put lsquo6456 MBBSrsquo in my JUPAS application I should have expect-ed and prepared to face all these I just didnrsquot knowhellip

Novella

hkucaduceusnet | 45

It was midterm evaluation in the IHD Block Her face looked tense in that heart shape She was so stiff in her facial expression that no one could read her mind from her poker face The conference room of the Physi-ology Department was large We seemed to be the odd ones out in the spacious carpeted room In this secre-tive silence you could hear the drumming in your ears as if you were tingling

I realised this was not a matter of ldquoam-I-suitable-for-a-medical-careerrdquo but ldquois-a-medical-career-suita-ble-for-merdquo I was lying in bed playing with my plush bear when these thoughts burst in me Dr Young looked through me She felt certain that different from other group mates there were crises behind me But I didnrsquot tell her anything that day

We all were sensitive At times some subtle trepi-dation seeped in gradually sucking peace away from my sleep It was so to say below threshold sub-lethal though it lingered for weeks once it set inhellip

Drenched in bloodhellip There is no life in the boy His eyes are widely opened slightly protruded The lifeless pair of black pearlshellip I cannot escape from his glance He wants to talk to mehellip There is something he wants me to know

A van runs over himhellip

I fell down the edge of my mattress Breathing heavilyhellip Sweating all overhellip

ldquoScreechrdquo People began to gather around a tel-ephone booth a few metres behind us

I turned back I couldnrsquot see a lot from this anglehellip

ldquohellip What a pity He is so younghelliprdquo a middle-aged couple passed by

The victim resting just in front of the wheel looked towards me through a break in the crowdhellip

As we were wandering around thinking what to eat for dinner my cousin found me standing there rooted to the ground stunned by the victimrsquos gaze My heart was pounding She wouldnrsquot believe what I was again experiencing For a number of times already scenarios in my dreams were mirrored into reality

I couldnrsquot tell her

ldquoI was just thinking whether you would like Korean cuisine There is a new restaurant two corners awayrdquo I made up a talk while escaping from the scene so that I wouldnrsquot look so strange

ldquoWhy not go and have a try thenrdquo She was not dis-appointed for calling it a day as the food there was sur-prisingly good

Not until some years ago when I was Form 3 in college I discovered my ability to look into the future Sometimes I could see them coming up on the news in days or weeks And some didnrsquot ever happen at least not around me But seeing the night visions coming into concrete existence wasnrsquot always a pleasure when the mental images turned gradually into mostly night-mares When I visualised my close ones it felt like I was in the middle of an insecure chain bridge above a torrent that would sweep me into the vast ocean with no return It was entirely different from what you might understand as ldquodreams come truerdquo

I had witnessed misfortunes in proximityhellip

But I could do nothing about ithellip

Friends were a source of solace someone to con-fide all frustrations in But with my paranormal ability which appeared to everybody else only on screen-plays I wasnrsquot courageous enough to open my life wholeheartedly to them Seldom talking about myself avoiding all sorts of gatherings I became an eccentric figure among my classmates

Sometimes mutual understanding carried more weight than words I remembered my physics teacher being one of my few friends during my teen years De-spite his boisterous faccedilade he was always sensitive to whenever I was dwelling on my burdens Physics was our common language Intermingling our emotions and feelings with concepts that were alien to my fel-lows we developed a close rapport impenetrable by anyone else

ldquoWhat is the nature of a flamerdquo This was the most discussed problem between us Neither in solid liquid nor vapour state Not having any definite shape and colour It seems not any material but a type of energy giving out heat and light At the moment of providing it also exhausts its fuel and eventually itselfhellip

The romance of physics is more than anything you could read write and talk about Once you were truly connected with it nothing can stop you Your mind will bounce irrespective of the chronology of space-time but only under the guidance of your thoughts

I was so devoted to the discipline at the time that I was almost making it my lifelong career in some way He envisaged that I would demand much more than any academia could provide with its scientific basis alone We were both seeking a philosophy beyond the facts But Hong Kong may not be the right place for it

I made him a promise at the end to contain our flame and I knew I would

For the first and the last time I saw his eyes filled with tears We knew existence by itself is a miracle

ldquoi love life because what More is thererdquo ndash aNthoNy hopkiNs

46 | Caduceus September 2011

說華佗都說「華佗再世」誰知箇中真諦雲方 (M15)

烽煙起戰火燃萬里 

三國並爭英雄地亂世有誰顧生死 

待神醫行世將民眾救濟

渺渺江山東西瞰俞跗巧手扁鵲心(1) 應向何處尋 

滾滾黃沙無世家終有奇士放奇葩

沛國 華元化(2) 

他經書貫通南北遊動 

一望斷症如神助三劑消病不必多

說斷症悉如所料 

甘陵 相夫人腹痛極難忍(3) 號脈知死嬰在左為男形(4)廣陵 梅軍吏除名歸故里

見貌知壽盡速返見萱椿(5) 

說消病藥到病除 

飲蒜醋有三升蟲一嘔而盡清 (6)母服丸而溫儲兒不藥而自癒 (7)

絕妙處 

是他開腸剖腹刀至辟毒 

神醫號 

除他內外皆精有誰配稱

[1]   俞跗黃帝時代之名醫扁鵲春秋戰國之名醫《淮南子人間訓》「患至而多後憂之helliphellip雖有扁鵲俞跗之巧猶不能生也」

[2]   華佗字元化沛國人(今安徽 亳州)

[3]   甘陵相(即甘陵之行政長官)夫人懷胎六月腹痛不安華佗為其切脈便知胎死於是命人摸知所在在左則男在右則女人云「在左」夫人飲藥後果然產出男胎腹痛立即痊癒

[4]   廣陵有軍吏名曰梅平離鄉服役後來退役歸家於路上巧遇華佗華佗視之嘆道「若能早些見我當不至於此而今你僅餘五日壽命速速回家還能與家人相見」平旋即趕抵故鄉五日後亦如料身亡

[5]   萱椿多作椿萱比喻父母漢牟融《送徐浩》詩「知君此去情偏切堂上椿萱雪滿頭」

[6]   華佗見路邊有人食不下嚥教他到路邊餅店買醋三升混上蒜泥然後飲用路人服後即吐出一條長蛇(即寄生蟲)

[7]   兩歲男孩長年腹瀉藥石無靈華佗往診謂病在母命其服用華佗親研之「四物女宛丸」服後母親乳汁不再寒涼男孩亦不藥而癒

意興

hkucaduceusnet | 47

只可惜人無完壁

「關將軍使君予我手刮骨惡毒走

曹丞相使君予我頭剖顱苦痛收」

「怎能不收怎能不收一命嗚呼萬事休 

簡直荒謬簡直荒謬殺此庸醫未須愁」(8) 

五禽戲尚能傳 (9)麻沸散從此絕 

何不一飲醉死不知世忍氣吞聲事權貴 (10)心神委曲須臾苦奇術失迭千秋計 

烽煙止無改生死事 

且當醫仙謫世間神技終須風裏散 (11)回首仰高山景行請君範 (12)

[8]     曹操欲殺華佗臣下勸之不可答曰「不憂天下當無此鼠輩耶」

[9]     死前華佗欲托所著醫書於獄卒不果便盡數焚毀唯有其養生體操「五禽戲」流傳後世

[10]   《三國志魏書方技傳》「當須刳割者便飲其麻沸散須臾便如醉死無所知」

[11]   唐白居易《簡簡吟》「恐是天仙謫人世只合人間十三歲」

[12]   景行(音航)即大道以高山景行比喻人品德行為之高尚典出《詩經小雅車轄》又東漢鄭玄曰「古人有高德者則慕仰之有明行者則而行之」

ldquothe art of MediciNe was to be properly learNer oNly forM its practice aNd its exerciserdquo - thoMas sydeNhaM

48 | Caduceus September 2011

啟程

清晨空白的天空看不見藍天雲彩

只有溫柔的雨絲和朦朦朧朧的霧水跟隨

著大隊的足印踏上沉重的腳步穿過橫

街小巷和煩囂熱鬧的市場走過自動門

撲鼻的消毒藥水味道讓大家屏住呼吸筆

者和夥伴們終於到達了入讀護理系以來第

一次實習的醫院

還記得在實習的前幾天心情是既忐忑

又期待的畢竟這一次實習的地方不再是

在社區中心宣傳健康方面的知識亦不是

只面對著健康活潑的小朋友和老友記或是

學校課堂上所提供的假人張靜汶卻是照

顧一羣真正需要關懷的病人心中充滿著

憂慮不知自己所學的知識足夠在應用上

嗎自己平日的練習足夠嗎雖然心存在

著不少疑惑但也十分期待可以體會一下

做小學護的感受嘗試把這一年裡所學到

的知識運用出來

很多的第一次

在病房裡總有心酸和膽戰心驚的時

候第一次為昏迷的病人清潔口腔第一

次為難以進食的人插入胃喉第一次為老

公公清洗背上壓瘡的傷口helliphellip照顧他們時

的心情都是一步一驚心生怕自己沒法應

付得來又怕會把事情弄得更糟糕最重

要的是恐怕自己不純熟的技巧令他們受苦

了記得有一回第一次為女病人插入尿

喉採取尿液樣本可能技巧不太純熟的關

係延長了病人的痛苦過程中她皺著

眉頭不斷呻吟又緊張得咬破脣眼看

她樣子心中真的不是味兒來身為病人

的其中之一依靠我們不得不給自己信

心如果連自己也不相信自己哪會有病

人願意把他們交給我們照料呢

捕捉那瞬間的美麗與淒然何麗敏 (N14)

上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

意興

hkucaduceusnet | 49

另外第一次面對病人的心情是頗為

緊張的說話技巧亦有改進的空間但和

病人傾談了數分鐘後氣氛也漸漸變得和

諧可能那些老公公整天呆在醫院裡真是

悶到慌看見一羣年青人與自己聊天照

顧和關心他們他們不禁咧嘴而笑醫院

職員透露有一位老公公平日不太願意吃東

西於是我們便主動和他談天說地又

悉心照料他進食的情況後來他不但胃

口好了不少就連心情也開朗了他生動

活潑的談吐讓我們笑了他回復健康精

神的體魄也讓我們感到安慰

相處片刻

雖然為期一星期的病房日子不是特別繁

忙或是辛勞但是也會有不習慣的時候

幸好得到醫院職員和一班夥伴的支持病

房經理和註冊護士不但相信我們的能力

對學護的包容更是不用多說還主動地介

紹病房的環境和細心地教導我們醫療護理

上的知識讓我們上了一堂實在而又寶貴

的課同時今次的實習也令我感到團體

精神也十分重要在技巧上大家互相提

點互補不足當有人準備照料有需要的

病人如插喉或洗傷口等大家送上一句 

「加油」就能令對方增加不少自信心和正

能量無論遇上甚麼事情我也榮幸有如

此一班學習夥伴從旁支持

學習的階級

在這一次病房實習中雖然醫療和藥物

知識方面有待加強但是我學懂了如何與

不同身份的病人相處之道溝通上也得到

了很大的進步獲益不少除此之外我

也真正體會到如何做一個好護士並清楚

了解這個行業是否適合自己鐘樓也不是

一天就能建成而是需要一磚一瓦搭建而

成的所以在學習上我們不但要打好

穩固的基礎還要增強醫療知識在技巧

上馬虎了事和走捷徑是於是無補的應

該多探究和練習才行這樣才對得起病人

和自己也減少不必要的醫療失當事故

總之多一份認真多一點耐性多一些

愛心就是學護必記的左右銘 上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

ldquoit is reasoNable to expect the doctor to recogNise that scieNce May Not have all the aNswers to probleMs of health aNd healiNgrdquo ndash NorMaN cousiNs

50 | Caduceus September 2011

Fun Corner

Medical AppsEver wondered how your handheld device can save your time and

effort when it comes to studying Here is how

Anatomy Pronunciations by HipposoftAccurate pronunciations of over a hundred important anatomy terms you have trouble with are provided

at your fingertips to help you spell those difficult words Anyone who has taken an anatomy course can tell you how challenging it can be to pro-nounce the names of those complicated anatomi-cal terms It is even linked directly to Wikipedia and Google through web browser for additional information

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pands the image library to include 12000 pill and package images and includes digital drug identifier with official drug information (indica-tions dosage adverse reactions and more) You can check the drugs anywhere

Grades 2 by TapityIt tells you what grades you need in the coming tests in order to get your target grade You can easily calcu-late your GPA so as to maintain it It

is a useful tool helping you to keep an eye on your GPA all the time

Human Anatomy by SusaSoftXThe application provides you with information of 15 different biologi-cal systems You can keep on revis-ing while you are traveling without

carrying heavy books

Medscape by WebMD LLCFrom drug classes interaction clin-ical procedures and even the lat-est medical news Medscape helps medical students and healthcare

professionals to reiterate knowledge that has slipped from the mind It is a free application for iPhone iPad Android and Blackberry Yet it contains more function on Android phones and Apple products and lacks detailed clinical infor-mation for diseases and clinical procedures walk through on Blackberry

Pro Medical Terminology Dic-tionary by TreascoveryTerminology might be a tough work for medical students Even if we can master those English terms we can

hardly think of the Chinese terms This applica-tion can help you when you face this problem Note that it is not a free application

3M Littmann SoundBuilder by 3M CompanyA great tool designed to help im-prove auscultation skills of medical students with 14 unique lessons of

key heart sounds combing text virtual manne-quin 3D cardiac animation and dynamic wave-forms

iRadiology by Liebermans iRadi-ologyAn excellent learning tool for medi-cal students demonstrating classic radiological findings of a multitude

of abnormalities including over 500 radiologic images Radiologic images include CT US MRI and nuclear imaging each clearly labeled and followed by key teaching points

Micromedex Drug Information by Thomson Reuters (Healthcare) IncIs Cephalexin a first generation ce-phalosporin This application from

Thomson Reuters is the easiest way to navigate in the sea of drug names Drugs are sorted by classes and supplemented with rich information

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 11: Caduceus Issue 2, Volume 42

hkucaduceusnet | 11

醫業」則變成「將要憑我有限的體力和時

間從事醫業」helliphellip更甚者於我們求學期

間已經把病人的健康拋諸腦後了腦子

裡卻放滿了那些不知從哪裡來的肌肉神

經線以及血管等等當腦子的容量用了大

部份來放置anatomy的東西之後餘下來的都放了那些古怪的藥名進腦子去了

哪有閒下來的空間把那些道德經放進腦子

裡但是即使你能夠把那本Grays Anat-omy或者那本大Robbins的所有內容牢牢記在腦子裡沒有醫德你絕對不是一個好

醫生當然沒有任何人規定你的道路

你的選擇然而你的選擇將會影響到別

人的生命社會當然不會奢望每一個醫生

都有當無國界醫生的那一種胸懷但是

他們希望醫生起碼會是一個抱有救活病人

作為使命的醫生

作為一個好醫生並不能帶給你金錢或

者名譽這個世界永遠是行商者才是致富

之道你希望將來得到的是什麼我們都

應該找出自己的答案把它寫下來以免

他日遇上挫折或誘惑會迷失自我仔細想

一想若果你的答案思前想後仍是「錢」

那麼請你認真考慮一下轉科吧「若

果病人沒錢看病作為醫生也要為他看

病也要為他開藥我們沒有權力去把他

們趕走」這就是醫德相信每一個將成

為或者已成為醫務人員的人都曾宣誓過自

己要奉獻一切為人類服務所謂的誓言並

不是用嘴巴說出來罷了一個無法遵守的

誓言只會變成一句又一句的廢話俗語有

一句「狗口長不出象牙」helliphellip

以下是世界醫學協會一九四八年日內瓦

大會採用的日內瓦宣言

我鄭重地保證自己要奉獻一切為人類服務

我將要給我的師長應有的崇敬及感戴

我將要憑我的良心和尊嚴從事醫業

病人的健康應為我的首要的顧念

我將要尊重所寄託給我的秘密

我將要盡我的力量維護醫業的榮譽

和高尚的傳統

我的同業應視為我的手足

我將不容許有任何宗教國籍種族政見

或地位的考慮介於我的職責和病人間

我將要盡可能地維護人的生命自從受胎時起

即使在威脅之下我將不運用我的醫學知識

去違反人道

我鄭重地自主地

並且以我的人格宣誓以上的約定 

ldquoa Merry heart doeth good like MediciNerdquo ndash kiNg soloMoN

12 | Caduceus September 2011

Radiologist

Ophthalmologist

Anaesthesiologist

All roads lead to Rome but have you missed the ROA and D

when it comes to success in medical career

to success

hkucaduceusnet | 13

Anaesthesiologist

Dermatologist

All roads lead to Rome but have you missed the ROA and D

when it comes to success in medical career

to success

14 | Caduceus September 2011

「形影不離」的造影術專訪放射科邱麗珊醫生陳伊樂 (M15) 賀曉琳 (M15)

邱 麗珊醫生於一九八三年畢業於香港大學醫學院並於一九八

六年開始修讀放射科邱醫生不但在東區

尤德夫人那打素醫院身兼前線管理和訓

練多職而且積極參與香港放射科醫學院

的工作我們非常感謝邱醫生能夠在百忙

中抽空接受訪問向各位同學分享一下她

踏上成功路的經歷與待人處事的態度

甚麼是放射科

放射科是利用X光(X-ray)電腦斷層攝影(CT)磁共振成像(MRI)和超聲波造影(Ultrasound)等技術展示患者身體內部結構的影像從而協助診斷和進行治療

當放射科醫生危險嗎

誠然放射科醫生需要經常接觸對身

體有害的輻射可是這門專科有不同的

措施保障我們的安全首先每一個放射

工作者都需要領取牌照此外我們會每

個月檢查掛在胸前的放射量測定器確保

接觸到的輻射劑量沒有超越安全水平當

然有關部門亦會定期檢查儀器確保它

們正常運作

爲什麼你會選擇放射科你對於有意將

來當上你的專科的同學有甚麼建議

選擇放射科純粹是因為爸爸的一句「

放射科適合女孩子」當上放射科醫生之

後才發現事實並非如此放射科是一個重

要的專科幾乎每一個住院病人都需要用

上造影技術但除非做超聲波或介入放射

治療放射科醫生卻好像很少與病人直接

接觸有些醫生喜歡多和病人接觸放射

科便不適合他們了另外放射科正面對

著迅速的科技發展對新科技有興趣的同

學這個專科的確是一個不錯的選擇可

是由於學位有限每年報讀放射科的六

邱麗珊醫生Dr Jennifer Khoo放射科專科醫生

香港大學內外全科醫學士 英國皇家放射科學醫學院院士 香港醫學專科學院院士(放射科)

東區尤德夫人那打素醫院 放射科 部門主管 及 顧問醫生

醫院管理局 港島東聯網 Service Director (Radiology)

香港放射科醫學院 首席副院長 及 科學委員會主席

專題

hkucaduceusnet | 15

七十人當中總會有四五十人因願望落空

而要轉投其他專科我的建議是千萬不要

灰心人總不能夠經常做自己喜歡的事

但一定要喜歡自己正在做的事(You canrsquot always do the things you like but you can learn to like the things that you have to do)

請詳述對你人生有大影響的起落人

事物

人一生中如果能夠遇上一兩位良師益

友在你碰到困難時扶你一把在你迷

惘時給予意見上天就已經算是對你不薄

了而我自己也算是非常幸運有兩位

前輩當上我的引導者一位是瑪麗醫院

的陳富六醫生另一位是澳洲的Professor Michael Sage因為兩位的提點我決定善用自己的長處留在公營醫院參與一些

行政和訓練的工作幫助培訓醫生使更

多病人受惠

你有甚麼人生的哲學嗎是甚麼信念使

你堅持當一名醫生

我認為每個人都需要有自己的優先順序

(priority)對我來說家人和家庭生活永遠都是排在首位縱使我已經涉足到很多

管理方面的工作但病人還是排在行政管

理之前有著清晰的優先順序不管遇到

多大的衝擊都能使自己勇敢面對邁步

向前優先順序或多或少都與個人經歷有

關有部份同行可能會基於不同原因或

許是滿足感或許是工作量而轉投私人

市場我想每個人的價值觀和信念都有不

你對現今醫學院的學生有甚麼寄語叮

習醫是一條漫漫長路少不免遇上困難

和挫折而這些難題往往會轉化成使身心

俱疲的壓力身為醫學生一定要及早學

會如何面對壓力我的忠告是凡事都要

以平常心面對要從錯誤中學習懂得避

免犯上同樣的錯誤要有反彈能力勝過

昨日的自己

醫科生基本上都是能力不錯的一群

(cream of the cream)要好好利用自己的能力為社會作出貢獻 

ldquowheN you are dowN aNd out soMethiNg always turNs up it is usually the Noses of your frieNdsrdquo ndash orsoN welles

16 | Caduceus September 2011

A Discourse with a Female Gold-MedalistInterview with an Ophthalmologist ndash Dr Charmaine HonChariene Woo (M15) Charis Chan (M15)

W hile waiting for Dr Hon at her Central clin-ic the Hong Kong Ophthalmic Associates

we were amazed at how the spacious clinic was crowd-ed with patients When we finally meet Dr Honrsquos big friendly smile made an impression on me as she invit-ed us into her room Despite having a busy schedule Dr Hon is very down-to-earth and eager to provide valuable advice for our fellow schoolmates

Dr Hon started out as a medical doctor and changed to the specialty of ophthal-mology Initially she worked with the public sector fulfill-ing her duties as a doctor re-searcher and teacher at the same time Then she turned to the private sector and joined the Hong Kong Ophthalmic Associates as she feels that she can be more focused on the aspect of patient care ldquoIn public hospitals it is hard to follow up on patient care and it is rare to meet the same patient twicerdquo she reflected ldquobut in the private clinical set-ting I get to know the patientrsquos family and medical his-tory better and I feel more like a doctor by having the ability to follow my patientrsquos progressrdquo

As a recipient of the John Anderson gold medal for the highest aggregate of marks in all the MBBS professional examinations Dr Hon also shares her advice in studying ldquoBasic knowledge is a must but clinical sense is the most importantrdquo and with a smile

she added ldquoyou have to pay attention to your mentors during attachments to hospitals even if you are just ob-servingrdquo But donrsquot think Dr Hon is all about studies She emphasizes that she is not the most hardworking student in her graduating class and suggests medi-cal students to explore outside of the medical world especially in the first two years of study ldquoYou have to have a life outside of medicine and you should do it in

the non-clinical years as there are decreasing chances and time for you to meet non-medically related peo-ple after year 3 onwardsrdquo the ex-member of the Union Choir said ldquoAnd as you come more into contact with different people you learn how to communicate bet-ter which will definitely help your medical career and will keep your life diversifiedrdquo

As for advice to students in clinical years she shares her insights in how to choose your specialty She sug-gests students to look into their strengths and inter-ests and to understand and explore as much as pos-sible in attachments since it is a lot harder to change onersquos specialty nowadays compared to the past ldquoThe most important point is to identify yourself and not to blindly follow the path of others Do not think of future

achievements since what you chose will probably stick with you for liferdquo True enough ophthalmology was not a developed specialty during her times of studies and Dr Hon says she is probably one of the very first gold medalists who pursued it as a career A note to her future female counterparts ldquoYou have to think of your future path and plan accordingly and be ready

Basic knowledge is a must but clinical sense

is the most important

The most important point is to identify yourself and not to blindly

follow the path of others

Feature

hkucaduceusnet | 17

to put your career before marriage Many of us delay our plans of marriage and pregnancy after finishing our specialty fellowship which is at around 30rdquo After hearing this I was very worried but she added ldquoGen-eral practice is also a good choice and there are some females doctors who donrsquot follow this trendrdquo

One of the things that struck me the most is that Dr Hon sticks to the principle of doing everything with all your heart ldquoYou only pass through this life once and when you look back you should not regret what you have donerdquo So when presented with conflicting ideas with her principle what does she do ldquoI reflect and fight for itrdquo she laughs ldquoIt sounds rebellious but as a doctor you have to have a judgment that is best for your patient and you cannot conform to society or systemsrdquo Using the limited consultation time for each patient in public hospital settings as an example she explains that doctors arenrsquot machines and should be able to adjust to different patientsrsquo needs appropriately so to do what is best for the patient ldquoYou should never lose yourself under the system and should always do whatever you think is best for your patientrdquo

When asked about the specialty of ophthalmol-ogy Dr Hon tells us with passion that ophthalmology allows instant gratification and makes a difference to patientrsquos life ldquoMany specialties can make a difference but only a few have a clean-cut immediate effect like ophthalmologyrdquo But ophthalmology is also about hard work and persistence ldquoIn this specialty there is con-stant advancement in the past we do extra capsular extraction but now there are frequency emulsifica-tion and other advancements I am always awed by the senior partners in this clinic who have a strong will to chase and read up on new techniquesrdquo So besides steady hands and good eyesight intellectual curiosity on the latest research is a must if you are thinking of pursuing a career in ophthalmology

Before we parted Dr Hon gave us a final word of wisdom ldquoThis is going to be hard for you two gals but you look tough and yoursquoll survive Since you chose this career path do expect to work very hard as it is not easy but so is every other occupation nothing is ever easy in this worldrdquo

DrCharmaineHon韓尚穎醫生

Specialist in Ophthalmology

MBBS(HK) MRCS(Edinburgh)

FC Ophth(HK) FHKAM(Ophthalmology)

ldquoas you grow older yoursquoll fiNd the oNly thiNgs you regret are the thiNgs you didNrsquot dordquo ndash Zach-ary scott

18 | Caduceus September 2011

奉行完美主義的守護天使專訪麻醉科李靜芬醫生吳瑞麟 (M15) 李庭翰 (M15)

說 起麻醉越野挑戰馬拉松義工無國界醫生你想到甚

麽幾樣風馬牛不相及的東西可以用三

個字關聯起來李靜芬

李靜芬醫生畢業於香港大學醫學院

現於養和醫院疼痛治療門診工作她曾經

加入無國界醫生到南蘇丹服務又是醫療

輔助隊動員主任香港不少的大型活動

例如馬拉松東亞運奧運馬術等都由她

去統籌急救站的運作她又經常舉辦醫療

會議亦於很多地方做義務醫療顧問熱

衷於向公眾推廣疼痛管理與健康的知識

另一方面她是香港全能運動學會醫療顧

問經常參加越野挑戰戶外活動又參

加半馬拉松比賽看完李醫生這麼的一個

簡介實在很難不驚歎好一個「周身

刀張張利」的奇人

人生的轉捩點

其實初中時期的她與醫生根本扯不上

半點關係身為壘球隊隊長在中四的一

次練習中她被壘球擊中一眼從此改變

了她的命運當時全港只有一位眼科醫生

會在晚間應診眼科的醫療設施也不足

令她眼睛流着血水在黑暗中東奔西跑尋找

醫生她由大埔賽馬會診所走到威爾斯

然後到伊莉莎伯再到油麻地終於找到

眼科醫生李醫生由四點奔波到十點令

她深深體會到作為病人的痛苦也從此立

志要做一個醫生幫助有需要的病人

初中時的李醫生每天放學就練球以

致成績中等但自從立志投身醫護她虛

心求教又得到當時的班主任授予時間管

理和讀書的方法成績突飛猛進在短短

六個月間從中等成績進步至模擬考試全

李靜芬醫生Dr Carina Li

麻醉科專科醫生

香港大學內外全科醫學士 澳洲及紐西蘭麻醉科醫學院院士 香港麻醉科醫學院院士 

香港麻醉科醫學院疼痛科文憑

香港醫學專科學院院士(麻醉科)

專題

hkucaduceusnet | 19

級第一她的毅力和決心實在令人佩服

她的傲氣

其後她獲中文大學收作暫取生但她

又再次作出驚人之舉李醫生認為要讀醫

科生物化學科就得好些所以一定要認

真研讀高級程度的生物化學但是人是有

惰性的如果做了暫取生就一定會變得不

思進取讀不好生物化學於是她毅然

放棄暫取生的資格全心全意去考好高級

程度會考李醫生的豪氣決斷她破釜

沉舟的決心她的好勝和哲學令筆者從

心底裏衷心地拜服她

結果她當然考得很好的成績在選擇

大學時她再一次認真考慮自己將來的

路向她生來就有一種使命感覺得一定

要做一樣在任何時候任何地方都最有用

的工作加上她常常留意時事總覺得天

災人禍真的可以隨時發生於是她就選擇

了兩種無論是面臨戰爭還是天災的時候

對所有人都十分重要的工作記者和醫

生她終於入讀了港大醫學院並於九五

年畢業

與麻醉科結緣

實習的時候她特意選擇了一些能夠獲

得較多經驗的部門到投考專科的時候

她也選上了可以接觸很多不同類型病人的

兒科只可惜當時兒科並沒有學額但在

朋友介紹之下知道了麻醉科麻醉科同樣

可以接觸到不同的病人而且無論在甚麽

地方都可以發揮所長正正符合了李醫生

的志向結果她便入了麻醉科

據李醫生所說雖然一般人認為麻醉

科對體力的要求較少適合女孩子但

是現實並不這樣簡單由於麻醉要求一絲

不苟麻醉科的醫生都是完美主義者而

且學習的內容艱深每一種藥物的作用

反應甚至化學結構都要讀得滾瓜爛熟

她形容麻醉科醫生就好像病人背後的守護

天使在手術中要不停監測病人的維生指

數感覺病人的生命就在自己的手中所

以要承受着很大的壓力

作為麻醉科醫生每次見到的都是昏

迷或者沒有意識的病人事實上並沒有甚

麽可以跟病人溝通的機會病人通常感覺

不到麻醉科醫生的付出所以作為麻醉科

醫生未必可以從病人身上得到很大的滿足

感但他們卻比其他醫生更能夠專注地為

病人服務因為每次在手術中只照顧一位

病人

她的叮囑

李醫生叮囑現在的醫學生一定要僅記當

初想做醫生的原因她覺得在這個物質

社會中人是很容易迷失的她感覺到現

在的某些醫學生只為了一份穩定的工作

甚至是因為父母的意見而選擇行醫關於

作為醫生的意義卻從沒有思考過她勸

我們要好好問自己兩條問題人為甚麽生

存於世上作為醫生又是為了甚麼她

認為醫者要有父母心處處為病人而

不是為自己着想作為醫生就是要去服

務幫助人而不是為了求回報我們生

存於世上為的是信望愛並不用時時

記住利益金錢等東西最後她又提醒我

們不可以歧視病人不論是黑社會成員還

是香港首富只要病了就是一個無助的

病人就需要我們的幫助

李醫生思考獨立為人熱情健談跟李

醫生做訪問真的是一件有趣的事又令筆

者獲益良多特別是她有關人生意義的看

法的確值得反思作為醫學生的大家

你又可曾想過為甚麼要生存為甚麼要做

醫生呢

ldquothere is No MeaNiNg to life except the MeaNiNg MaN gives his life by the uNfoldiNg of his powersrdquo ndash erich froMM

在手術中不停監測病人的維生指數麻醉科醫生就好像病人背後的

守護天使

20 | Caduceus September 2011

To Succeed is to Fight Against ComplacencyInterview with a Dermatologist ndash Dr Henry ChanLily Cheng (M15) Andrew Seto (M15)

W ith our scheduled interview being inter-rupted by an emergency case of Stevens-

Johnson syndrome a life-threatening allergic skin re-action to medication Dr Chan rushed to the hospital for his patient

Sitting in Dr Chanrsquos office at his private practice the Hong Kong Dermatology and Laser Centre in the middle of a conference call with his overseas counter-part researchers we saw a pragmatic doctor at work This is a doctor who would never be complacent with his performance but keeps striving for excellence

AmedicalcareerDr Chanrsquos interest in dermatology was sown well

before his exposure to the discipline Having been in-flicted with eczema during his childhood he suffered from an excruciating itch in his skin that caused him much distress As a result of his own medical condi-tion he developed an interest in dermatology at a young age

During his fourth year in medical school he ex-plored an elective in dermatology at Yale University and began formal training in the field He obtained his medical degree and worked for several years in the UK before returning to Hong Kong to work at the Prince of Wales Hospital He then received a grant from the Hos-pital Authority to read dermatology in the UK

Working back and forth between Hong Kong and Britain in and out of universities and hospitals in his early years of practice Dr Chan settled his work base in Hong Kong in 1995 He was Associate Professor of CUHK from 1998 to 2000 and Chief of Dermatology and Associate Professor in HKU from 2000 to 2004

After entering private practice in 2004 Dr Chan now spends a lot less time on doing administrative work and more time on treating patients While he was actively engaged in teaching research and clini-cal work his current focus has shifted to mainly clini-cal work As an honorary clinical associate professor of our faculty he enjoys teaching and values the opportu-nity to cultivate and influence medical students

A renowned dermatologist with a strong research interest in medical devices Dr Chan is still very active in terms of research output His private practice sup-ported by a team of full-time research staff is unique

for its active research component ndash a practice which is well-established overseas but rare in Hong Kong

AsadoctoranddermatologistIn the beginning laser devices were developed to

treat medical conditions such as haemangioma and black moles but technological advancements driven by recent research has explored new possibilities for their applications in cosmetic treatment As a result new cosmetic procedures have appeared for the treat-ment of various conditions from skin rejuvenation to body contouring

While it is true that most dermatological conditions are rarely life-threatening they may nonetheless have a profound impact on patientsrsquo physical and psycho-social wellbeing For instance eczema often presents with rash It may give exudate in serious cases but is rarely fatal Nevertheless it might constitute great dis-comfort and inconvenience to patients Similarly se-vere cases of acne may also diminish onersquos self-esteem Dr Chan stressed that treatments for many skin condi-tions are not merely cosmetic in nature but may im-prove patientsrsquo self-esteem body image and psychoso-cial wellbeing

On the other hand some skin problems such as psoriasis and chronic eczema are incurable It is there-fore the doctorrsquos duty to educate patients and enhance their understanding of their disease One of the re-sponsibilities for dermatologists is to evaluate the im-pact of their patientsrsquo conditions to their quality of life Other than helping them return to their normal routine and diet as far as possible dermatologists also need to teach patients the way to get along with their chronic illnesses

Dr Chan emphasized that we run a profession not a business On this ground a doctor should never tell a patient what procedure they should receive Rather a doctorrsquos role is to explain the options available and provide the relevant information that carry with each procedure including potential risks and complica-tions

Dr Chan reminded us that financial return is only a ldquoby-productrdquo of a doctorrsquos work as a professional Doctors work hard and should be paid for their serv-ices but they should not be more interested in making

Feature

hkucaduceusnet | 21

money than in helping people He believes that shap-ing doctors into commercials in some way jeopard-izes medical professionalism

SuccessRedefinedSummoning his days as a fresh medical officer Dr

Chan recalled the death of the 18-year-old girl inflicted with necrotizing fasciitis who died within 24 hours He bore in mind every complicated case as an alarm to his future practice admitting that there is always room for him to improve

Quoting the professional golfer Jack Nicklaus Dr Chan reminded us that ldquocomplacency is a continuous struggle that we all have to fightrdquo It is easy to let our guard down but doctors have to be responsible for their patients all the time It is demanding but impor-tant for every medical professional to be vigilant and maintain onersquos standard at the top level He believes that good doctors should keep themselves in an appro-priate amount of stress and tension which keeps them mindful of their patientsrsquo needs

When asked about his rules for success Dr Chan emphasized that he does not feel he has attained his goal yet He feels that he may have had a decent start but it is inappropriate to judge his career before his retirement as he is still in the middle of his career To him it is far too early to define success Despite his change in roles over the years he still maintains his enthusiasm and passion that motivate him to do his best whether it be research teaching or clinical work

As far as medical students are concerned Dr Chan doesnrsquot see the urgency of deciding our future spe-cialty yet Medical school gives us a broad and general exposure to various fields and offers a good place to learn and gain experience sharpening our skills before serving as doctors We could still explore more in our senior years to come

ldquoFollow your heartrdquo Dr Chan gave us as a conclud-ing word He believes that the so-called ldquoROADrdquo to success is not really that important if one does not en-joy onersquos profession Listen to yourself and ask whether you really like your job

DrHenryChan陳衍里醫生

Specialist in Dermatology and Venereology

MBBS(London) MRCP(UK) FHKAM(Medicine) FRCP(Glasgow)

FRCP(Edinburgh)

Hon Professor LKS Faculty of Medicine HKU

Hon Consultant Dermatologist QMH HKSAR

Visiting Scientist Wellman Centre for Photomedicine USA

ldquoirsquoM a firM believer iN the theory that people oNly do their best at thiNgs they truly eNjoy it is difficult to excel at soMethiNg you doNrsquot eNjoyrdquo ndash jack Nicklaus

We run a profession not a businesshellip [doctors]

should not be more interested in making money than in

helping people

22 | Caduceus September 2011

Art and Medicine Seeing Diseases in ArtHow art masterpieces reveal medical conditionsAndrew Seto (M15)

F or centuries art historians have been mesmerized by

the enigmatic smile of Mona Lisa coming up with theories that range from the mundane to the bizarre Was she a silk merchantrsquos wife or a self-portrait of Leonardo da Vinci himself Was she pregnant An adulterer Leonardo da Vincirsquos se-cret male lover The theories never cease

BehindMonaLisarsquossmileHighcholesterolIt turns out that Mona Lisa had

ldquovery high cholesterolrdquo at least ac-cording to Vito Franco a Sicilian professor of pathological anatomy A medical expert who enjoys study-ing art masterpieces for evidence of diseases Franco concluded that Mona Lisa had xanthelasma (the accumulation of cholesterol under the skin) Indeed a closer look at her mysterious face does show a yellowish collection around the in-ner corner of her left eye He even found evidence of lipoma (a fatty tissue tumor) on her right hand Probably the least poetic finding for the most renowned beauty in Renaissance art

This was not the first time medical experts have associated Mona Lisa with clinical conditions Charles Bell the 19th century Scot-tish surgeon who discovered Bellrsquos palsy a form of facial paralysis resulting from facial nerve palsy once coined the term ldquoMona Lisa syndromerdquo This was a reference to the facial muscle contracture that develops after Bellrsquos palsy resulting in a ldquoMona Lisa-like smilerdquo

Mona Lisa Xanthelasma or just a blotch by mistake

Insight

hkucaduceusnet | 23

Hardly would Parmigianino have known that the long slen-der fingers and limbs of Madonna with the Long Neck was the result of a genetic disorder called Mar-fan syndrome And of all the things that crosses onersquos mind upon first glance of Caravaggiorsquos Sleeping Cu-pid the notion that the baby was inflicted with juvenile rheumatoid arthritis would be hard to imagine Franco claims that his goal was to expose the human vulnerability of the people depicted in art

MichelangelorsquosgoutykneeAnother subject who has been

scrutinized by medical experts is Michelangelo Renaissance painter and sculptor Scholars looked at his knee from Raphaelrsquos School of Ath-ens and concluded that he suffered from gout a form of inflammatory arthritis that occurs when crystals form in the joints

Based on the appearance of his knee which appears swollen en-larged and covered in hard lumps a diagnosis of gout seems plausible It was known that Michelangelo de-veloped various diseases during his life In his writings he complained of having kidney and bladder prob-lems In 1549 he had an episode of anuria followed by passing of grav-el and stone fragments in his urine

Many experts believe that Michelangelo like many of his contemporaries developed gout from lead poisoning A well-known workaholic Michelangelo con-stantly lived off a diet of bread and wine (processed in lead contain-ers at the time) and was frequently exposed to lead-based paint All evidence points to lead poisoning which promotes kidney damage and inhibits uric acid excretion causing it to build up in blood This predisposed him to gout precisely as depicted in Raphaelrsquos fresco

RenaissanceArtandNeuroanatomyLike Leonardo Michelangelo

was not just an artistic genius but also a great anatomist At 18 he be-

Michelangelorsquos knee from the school of atheNs by Raphael (c 1509-1510)

Madonna with the Long Neck Was it Marfan Syndrome

Juvenile rheumatoid arthritis

ldquoall art is autobiographical the pearl is the oysterrsquos autobiographyrdquo ndash federico felliNi

24 | Caduceus September 2011

gan dissecting cadavers in a mon-astery in Florence where he honed his technical skills and knowledge of the human body

According to neuroscientists Michelangelo disguised sketches of the human brain in his famous Sistine Chapel ceiling painting which has remained unnoticed for 500 years His fresco The Creation of Adam shares a striking similar-ity with the sagittal section of the brain The fold in the cape repre-sents the Sylvian fissure separating the frontal and parietal lobes You may even recognize the angelrsquos foot as the pituitary gland his thigh as the optic nerve and his leg as the optic tract And that sassy green robe running down the ponsmdashthatrsquos the vertebral artery

Look at Godrsquos neck in The Sepa-ration of Light from Darkness from the same fresco Art historians have long speculated that its lumpy ap-pearance represents goiter Yet medical experts have found an ac-curate picture of the brainstem and spinal cord in Godrsquos throat stun-ningly similar to the creases and crevices of the brain

Yet why would Michelangelo embed the brainstem in Godrsquos throat Was he alluding to Godrsquos wisdom or was it a form of protest to the Church After all dissecting cadavers was considered unethical at that time and for an anatomist like Michelangelo who fell out with the Pope while painting the Sis-tine Chapel ceiling could he have been painting anatomical images directly above the chapel altar in defiance to the Church

Artandophthal-mologyHowvi-sionchangesartClaude Monet is recognized as

one of the founders of the Impres-sionist movement but his vision got cloudy during his later years He wrote letters to friends describ-ing his growing frustration with his vision changes He was even forced to memorize colours on his palette

the creatioN of adaM by Michelangelo (c 1511)

the separatioN of light froM darkNess by Michelangelo (c 1512)

hkucaduceusnet | 25

and label tubes of paint Red began to look muddy to him and he saw his painting as becoming ldquoincreas-ingly darkenedrdquo Whenever he com-pared his paintings with his earlier works he would be sent into a tow-ering rage to destroy them

This was because he had cata-racts Cataract patients have yel-lowing and opacification of the lens so his vision essentially be-came more brownish The yel-lowish brown cataracts he looked through filtered out violet and blue shades Monet underwent two eye operations in 1923 after which he returned to his old painting style even throwing away some of his paintings and repainting them

Thesufferingart-istDepictingill-nessesinartPerhaps no one better personi-

fies the notion of a ldquosuffering artistrdquo than Vincent van Gogh Clinicians have posthumously diagnosed him with a range of medical problems including epilepsy schizophrenic and bipolar disorder His later works have long been noted for his preference for the colour yellow and some have speculated that this was related to his yellow vision

One theory was that van Goghrsquos doctors prescribed him with digi-talis to treat his epileptic seizures His painting Starry Night has yel-low circles around the stars and not surprisingly people with digi-talis overdose often see a yellowish halo around objects Other experts speculated that it was his addiction to absinthe that led to his yellow vi-sion Absinthe is a highly alcoholic drink that contains a highly psy-choactive neurotoxin called thu-jone which causes yellow vision

Van Gogh was not the only art-ist who projected his illness into his art Edvard Munch had tuber-culosis and spit blood as a boy Her mother died when he was five her sister spent most of her life in-stitutionalized for mental illness and his brother died of pneumo-

nia Munch may have depicted his own psychotic state of mind in The Scream which portrays a twisted agonized creature wracked with anxiety and horror

ConclusionDo these findings actually

prove something or are we over-analyzing artworks with our medi-cal knowledge Exactly what ben-efit would these discoveries have for the world at large is unknown At least we know it could lead to yet another interpretation for Mona Lisarsquos smile the result of a scrump-tious meal of pizza and pasta with cheese tomato sauce and meat balls before sitting for her portrait (which would certainly also explain her cholesterol problem)

Two pictures by Monet of the same Japanese bridgemdashthe first painted in 1899 the second between 1918 and 1922 revealing a dramatic loss of shape and detail

suNflowers by Vincent van Gogh (1888) the screaM by Edvard Munch (1893)

ldquoeverythiNg that we see is a shadow cast by that which we do Not seerdquo ndash MartiN luther kiNg jr

26 | Caduceus September 2011

The End is Near Apocalyptic TheoriesRead more to learn about the terrifying future that awaits us Chariene Woo (M15)

S urge of waves rush over the mountains with unstop-

pable speed engulfing and shatter-ing our homes Flaming asteroids rain from the sky causing roads to crumble like sheets of paper Peo-ple running away from burning cities screaming fearfully Civiliza-tion ruined in matter of mere sec-onds Is this what the future lies for us

Nobody knows

Apocalyptic literature and movies have always raised interest among the general public partly

because it involves the end of our world as we know it and partly due to the fact that there is no solid proof how an apocalypse would come about The interest has re-cently skyrocketed with rumors about the world ending on 21st De-cember 2012 about how the May-an calendar finishes at that specific time and how it will be the end of the world as we know it So the big question is when and how will our world end

NostradamusProphetofDoomNostradamus of France was

one of the worldrsquos most famous seers and is most well known for Les Propheties (The Prophecies) a collection of his major long-term prophecies written in quatrains Many of his prophecies have cor-rectly predicted current events including the destruction of the space shuttle Challenger the death of Lady Diana and the destruction of Twin Towers of the World Trade Center As a result of these predic-tions he has been given the nick-

How do you survive the apocalyptic world

Insight

hkucaduceusnet | 27

name ldquoThe Prophet of Doomrdquo

Nostradamusrsquo prophecies have huge room for interpretation speculation and controversy and some people think his writing has no merit at all The following is an example of a quatrain alluding to some sort of environmental disas-ter in the future

ldquoFor forty years the rainbow will not appear

For forty years it will be seen every day

The arid earth will grow more dry

And great floods when it will be seenrdquo

(Century 1 Quatrain 17)

In other quatrains images of great comet alien invasion and nu-clear contamination are also men-tioned so these could all be the prospects that are waiting for us in the future Despite Nostradamusrsquo ldquoaccurate predictionsrdquo of what had happened in the past the quatrains do not have a specific order So out of all the disasters predicted in the many quatrains it is uncertain which will happen where or when giving it less importance in predict-ing an actual apocalypse

PlanetXAccording to Nancy Lieder a

woman who claims to have been contacted by extraterrestrial life forms Planet X (also known as Nibiru) would come close to planet Earth on May 27th 2003 resulting in the Earthrsquos rotation ceasing for 59 terrestrial days The Earthrsquos pole will then undergo a physical polar shift due to the magnetic attraction between the Earthrsquos core and the magnetism of the passing planet This will ultimately lead to the dis-placement of Earthrsquos crust and the end of us But when this did not happen the event was postponed and re-dated to coincide with the Mayan calendar hysteria

NASA argues that this is merely an Internet hoax with no factual or scientific basis They explain that if Planet X was approaching Earth astronomers would have

been tracking it for at least the past decade and the planet would now be visible by the naked eye This is a very comforting bit of news Yet some people believe that NASA is part of a conspiracy to cover up the existence of such planet and keep the truth of impending apocalypse from general public Again the ar-gument can go either way and the ldquotruthrdquo depends on which side you choose or want to believe in

2012TheendoftimeSo what is so special about the

year 2012 There are claims saying that the Mayan calendar ends on 21st December 2012 and that will be the end of time for mankind However just like every calendar it merely rolls over to the new year on that date and it doesnrsquot signify anything special In the Mayan cal-endar 21st December 2012 will be the end of brsquoakrsquotun 13 and marks the start of brsquoakrsquotun 14 A brsquoakrsquotun is 144000 days (a little more than 394 years) and there is no archeological or historical evidence to show that the Mayans expected anything sig-nificant or drastic to happen at the

end of each brsquoakrsquotun

However there exists litera-ture that suggests otherwise In 1975 Frank Waters the author of the book Mexico Mystique identi-fied the 13th brsquoakrsquotun interval to be the ldquoMayan Great Cyclerdquo where it ends in the worldrsquos destruction and rebirth Waters claims that cata-strophic earthquakes will destroy the world but he miscalculated the date and announced that the end of the ldquoGreat Cyclerdquo would be on 24th

December 2011 AD

The year 1987 marked an in-creased in interest regarding the prophesized big event in 2012 The author of The Mayan Factor Path Beyond Technology Jose Arguelles linked the 13th brsquoakrsquotun period to a ldquobeamrdquo that links people the plan-et the Sun and the center of Galaxy According to Arguelles the beam is the key to harmonic resonance in the universe and the Mayan knew when we would enter and leave this beam hence set their 13th brsquoakrsquotun to mark our passage accordingly He also claims that this beam could advance the development of any-thing with DNA hence creating a more positive view of the future

V838 Mon a star with expanding light echo purported as photographic evidence of Nibiru

ldquoevery MaN dies Not every MaN really livesrdquo ndash williaM wallace

28 | Caduceus September 2011

No one can be sure of whether the end of brsquoakrsquotun 13 signifies something great or disastrous for us or if it is just another restart in the Mayan calendar We can only know for certain when the day ar-rives

GodrsquosplanforusThis is by far the most detailed

and terrifying image portrayed out of all apocalyptic claims that I have gone through The Book of Rev-elation from the New Testament reveals signs of apocalypse through a wide variety of symbolism One of such is the frightening image of the ldquofour horsemenrdquo

ldquoAnd I saw and behold a pale horse and he that sat upon him his name was Death and Hades followed with him And there was given unto them authority over the fourth part of the earth to kill with sword and with famine and with death and by the wild beasts of the

earthrdquo (68)

The pale horse carries the horseman of Death which is be-lieved to release global plague and pandemics to the world and take the lives of a quarter of the popu-lation This has already manifested

itself in many forms in different parts of the world at different times hence the first sign of apocalypse is said to be already happening among us

In similar manners the bible describes the arrival a black red and white horsemen represent-ing the delivery of global food shortages war and conflict and the coming of an antichrist to the world From historical genocide terrorism to increased occurrence of food shortages so often seen nowadays it seems that the red and black horsemen has arrived as well and now we are just waiting for the arrival of an antichrist to conquer us

The Book of Revelation also provides readers with a glimpse into the ldquoactionrdquo in how the world will end

ldquoAnd I saw when he opened the sixth seal and there was a great earthquake and the sun became black as sackcloth of hair and the whole moon became as blood and the stars of the heaven fell unto the earthhellipand every mountain and is-land were moved out of their placesrdquo

(612-13)

Besides the great earthquake and the darkening of the sun there is a repetitive mentioning of stars falling from heaven on earth in the Bible This is postulated as the at-tack of massive meteors on planet Earth Out of all prophecies in the Book scientists assume this to be the most likely since an asteroid impact at a scale as large as that may have already wiped out an entire species that came before mankind Scientists believe that showers of space rocks that rained down 65 million years ago (due to the collision of Near Earth Object) were the culprit for the extinction of dinosaurs Luckily NASA recent-ly launched an early warning sys-tem called ldquoSpaceguardrdquo that aims to monitor such Near Earth Objects to prevent future collisions and ex-tinctions

Having read the above the Bible seems to combine all the horrifying specifics in different apocalyptic speculations into one nightmare But donrsquot worry since there are many different interpretations of the Revelation Historicists are the ones who see the Book as a broad view of history (good news wersquove already escaped all the horrors in the depiction) whereas Futurists

believe the description as prophecies of the fu-ture The Idealists hold the belief that the Rev-elation does not refer to actual people or events which makes sense as the Bible is often not inter-preted literally So fingers crossed that the Revela-tion is not interpreted in the futurist way because in that way there is going to be a daunting future awaiting us

Four horsemen of Apocalypse

hkucaduceusnet | 29

ldquoDevolvingrdquoEarthTheoryThis is probably the

most scientific theory that I have come across so far from a news article pub-lished from ABC News A group of scientists from University of Washing-ton hypothesized that the Earth will gradually de-volve in the next half bil-lion years In short their logic works as follows

As we all know the sun is constantly grow-ing bigger yet the Earthrsquos environment has been reasonably constant This is because as the sun is warmed up carbon diox-ide from the atmosphere is removed and deposited in soil as carbonates This keeps our environment stable by the balance be-tween an increasing sun and reducing carbon di-oxide in the atmosphere (Note that global warming resulting from an increase carbon dioxide in atmosphere is just a brief blip in the grand scale of things) Since carbon dioxide is the ldquofood of liferdquo the reduction will cause plants and animals (including humans) to die To battle the rising heat some creatures will retreat into the sea hence reversing the evolutionary process And as the sun continues to expand the Earth will become so hot that even the oceans will gradu-ally be evaporated Eventually the sun blasts off its mass through ther-mal pulses engulfing the Earth

This is a very scientific specula-tion from an astrophysicistrsquos point of view and they claim that at best we have no more than half a billion years left This might be more reas-suring for some of us as the world will not end in the near future But the grief lies in the inevitability of our planet Earth coming to an end

Everythingthathasabegin-ninghasanendSo we are back where we start-

ed With more speculation and the-ories and still no closer to the truth The end could happen any day or time or maybe it could be a proc-ess that is already happening Even though it is not to the scale of an-nihilation of the human race hur-ricanes and earthquakes and car crashes have already been stealth-ily taking the lives of millions We know for sure that we must die eventually through chance old age or disease There is only very little we can do to fight against what has been planned for us and reducing the resources we consume is the best chance that we have in delay-ing this happening There might be some benefit if we know the in-sights of when and how it will hap-pen but really it doesnrsquot change anything Moreover it is possible that these speculations came about to force mankind to live life to the

fullest to treasure each day and every resource we have as a gift so it doesnrsquot matter which theory is the accurate one In the midst of these theories about apocalypse all we can do is to live every day as if it was our last with no regrets and enjoy life as it is now

ReferncesThe End of the Worldhttpwwwnostradamus101compropheciespart4P7

The Great 2012 Doomsday Scare httpwwwnasagovtopicsearthfeatures2012-guesthtml

When Will the World End New Theory EmergeshttpabcnewsgocomTechnol-ogystoryid=97756amppage=2

2012 Beginning of the End or Why the World Wonrsquot Endhttpwwwnasagovtopicsearthfeatures2012html

Video from history channel (from youtube link)httpwwwyoutubecomwatchv=BoTExQEyblU

ldquothe MeaNiNg of life is coNtaiNed iN every siNgle expressioN of life it is preseNt iN the iNfiNity of forMs aNd pheNoMeNa that exist iN all of creatioNrdquo ndash Michael jacksoN

30 | Caduceus September 2011

笑的神奇魔力「當你笑你改變了當你改變了整個世界也改變了」

麻丹卡塔利亞醫生(大笑瑜伽的始創人)何麗敏 (N14)

被隱藏的笑容

日 本大地震及核洩漏事件馬頭圍道唐樓火災三死十九傷中區

警長為勸示威人士中不慎失足墮橋身亡

各政黨爭相你嘲我罵helliphellip在城市裡我們

每天都被一些飛來橫禍天災人禍或社會

爭執的信息圍繞著充斥著愁雲慘霧的氣

氛甚至在家庭朋友學業工作和

健康方面我們亦會遇到不如意之事負

能量和心理壓力不斷增加沒有適當的疏

導和發洩方法之下不少人染上酗酒或沉

迷賭博等壞習慣來自我麻醉長期把情感

抑制的一些人更有機會患上

情緒病我們彷彿硬把自己

困在死胡同裡忘記兒時怎

樣整天咧嘴哈哈大笑如何

在跌倒後笑著站起來現

在很多人都像被魔鬼牽著

鼻子走每天板著一副無奈

沮喪的嘴臉掛上冷漠的眼

神笑聲更差不多成為絕

朋友啊你可有嘗試計

算過一天總共大笑了多少

次英國格拉根大學研究發

現在英國嬰兒每天會笑

達三百次而青少年時期的

每天大笑次數大幅減至六

次五十多歲的人平均每天

更只笑了三次無可厚非

我們在成長過程中必遇到愈來愈多的煩惱

和挑戰事情的確不是我們所能控制但

面對的心態我們為何不能放開一時所謂

的包袱像孩子般笑著面對呢為甚麼大

笑要有一定的理由或被時間限制呢

瑜伽加愉

近半個世紀工作學業和情緒波動

很大生活方式變得愈來愈物質主義容

易出現精神緊張大家都被壓得透不過氣

來變得不太愛笑在一九九五年印

度孟買註冊家庭醫生麻丹卡塔利亞(Dr Madan Kataria)創立「大笑瑜伽」以笑聲驅除怨氣大笑瑜伽是以笑聲互相交流

的透過眼神接觸傳遞歡樂的信息學習

別人的笑容代入孩童的心態再全情投

入地開懷大笑同時亦融入瑜伽的腹式

不妨一試

大笑瑜珈三式一預備式林中步行

在樹林慢走就是愛笑瑜伽的熱身方式步行時間

可以是10-30分鐘邊走路邊拍手同時不時地做深呼

吸目的是讓身體和情緒都徹底放鬆下來為後面的

內容做好準備

二進行式學習動物的表情

在瑜伽導師的帶領下活動面部肌肉然後模仿瑜

珈導師的動物表情這些表情看上去本身已很滑稽

只要按照瑜伽師的樣子去做再發出笑聲

三結束式調整呼吸

經歷了一場大笑面部表情鬆弛了心情也舒服

了不少大家慢慢收回笑容調整呼吸一邊在森林

裡散步一邊大聲告訴自己說「我們是世界上最快樂的

人」

灼見

hkucaduceusnet | 31

呼吸和伸展動作鼓勵大笑達至身心健康

的效果精神科專科曾繁光醫生指出 

「笑令腦自然分泌天然多巴胺以抗衡人

體緊張時所分泌的皮質醇預防患上焦

慮抑鬱的情況」除了改善情緒還能

促進健康笑能促進肺部呼吸功能和加強

血液循環現代醫學認為笑可以成為一種

治病方式治療神經衰弱消除肌肉的緊

張預防或減緩疼痛

筆者在此並不是宣傳大笑瑜伽其治

療成效仍有待商榷和科學實證但愈來愈

多人證實大笑和保持歡樂的心態能有效放

鬆自己張立新先生是第一位在中國推廣 

「大笑瑜伽」的人他患上憂鬱症遍尋

各種治療方式皆無成效一次機緣巧合

從網路接觸「大笑瑜伽」亦在電視上看

到介紹而開始學習和練習他的憂鬱症因

此不藥而癒從此他就開始在中國研究和

推廣愛笑運動暫且別論大笑瑜伽的奏效

程度但人生所遇到的事可真不少何不

笑對人生

尋回被遺忘的赤子之心

大笑並不是靈丹妙藥但它的確能帶來

正能量即使事情有多糟糕笑著面對總

比怨聲載道好而且美國加州大學柏克

萊分校心理學教授丹卓凱納說「笑對

人的進化很重要」目前心理學家們認

為笑是人類之間交流的古老方式之一笑

能互相影響把歡樂的氣氛傳染開去嬰

兒還未學懂說話時笑是與身俱來為何

我們長大後卻隱藏笑容呢朋友們參考

左頁所列大笑瑜伽的基本招式大家可相

約三五知己輕鬆一番找回孩童時的笑聲

大笑瑜伽的始創人麻丹卡塔利亞醫生

大笑瑜伽在六十多國家盛行

ldquolaughter is the best MediciNe - uNless yoursquore diabetic theN iNsuliN coMes pretty high oN the listrdquo ndash jasper carrott

32 | Caduceus September 2011

Learning Experiencing GivingA magical 10-day journey away from the cityErin Yeoh (M15)

C lad in backpacks light clothing and sneakers 21 medical students from HKU and CUHK

were prepared to leave the comforts of home and the internet (did I hear Facebook) We were bound to Chi-na about to embark on a learning-cum-volunteering trip organized by Medical Outreachers

After saying our final goodbyes at the Shenzhen air-port we split into two teams Team A with 9 members were bound to Xirsquoan where they would see volunteer orthopedic surgeons at work The 12 people in Team B including me left for Guizhou to understand the role of village doctors in rural China Both teams aimed to find out the effectiveness of public health policies in rural areas of China We were to meet up 4 days later at Dongshan Guangdong

Part1GuizhouUpon landing in Guizhou we were provided with

excellent hospitality by the local officers and the lo-cal NGO Amity Foundation We were given a brief introduction to Guizhou and also the work that the government and Amity Foundation were doing in the province Amity Foundation actually helped to build numerous new village clinics to improve the quality of healthcare in the region

The next day we were taken on a tour around the province visiting different village clinics (村診所) lo-cated in areas further away from the city Usually there would be one or two village doctors (村醫) on duty

at a time to attend to the villagers with population of around 1000 to 4000 per village

However the village doctors were not the type of ldquoheroesrdquo I had in mind They were not your typical doctor working in a worn out run-down wooden hut where there would be a row of sick villagers lining up to see them How ignorant I was In fact the village clin-ics were mostly renovated and well equipped with ba-sic amenities The standard village clinic has 5 rooms main lobby (大廳) treatment room (治療室) pharma-cy (藥房) observation room (觀察室) and a doctorrsquos rest room (醫生休息室) Furthermore their patient flow was rather small sometimes only one or two pa-tients per day This was probably due to the fact that some village clinics were located only a stonersquos throw away from major cities Those in a medical emergency would of course go straight to the main hospital to seek help immediately instead of consulting a village doc-tor

To be a village doctor one at least had to be a sec-ondary school graduate They would also undergo constant training and certification by qualified doctors in larger clinics According to the village doctors they spent most of their time doing paperwork keeping track of the villagers and their medical history They would also conduct regular home visits to those suf-fering from chronic illnesses or those that needed con-stant monitoring such as patients with hypertension or rheumatoid arthritis Another point that I found

A village clinic before receiving funding from Amity Foundation

hellipand a comparison after

Life

hkucaduceusnet | 33

interesting was that they would also visit families with newborn babies to check on their general health At the same time they would educate mothers on proper breastfeeding techniques and how to provide adequate nutrition for their children in the future

To learn more about their daily routine we fol-lowed a village doctor on his home visit rounds The doctor would sometimes have to travel as far as 2 kil-ometers for a home visit which would be the other end of the village This was as in the case of a pregnant lady due for delivery soon (photo as shown below) The doctor who came to check on her health status reas-sured her that her delivery would be a successful one From her sigh of relief and tired smile we could tell that she was grateful to see the doctor

However things didnrsquot always run as smoothly According to some of the village doctors they used to be scolded and rejected by the locals who did not understand why the doctors would often come up to their doorsteps asking them questions regarding their health and pestering them to go for checkups Some of them being superstitious would think of doctors as ldquoharbingers of bad luckrdquo as the doctors would talk about ldquosicknessrdquo and ldquodiseaserdquo when they were actu-ally feeling as fit as a fiddle Thankfully the situation has much improved since then

From what we saw instead of playing a curative role in a society the village doctors were actually much more involved in disease prevention and monitoring

This is actually the ldquoupstream modelrdquo concept in pub-lic health Instead urban doctors are overwhelmed by limited consultation time and when fatigue kicks in they simply do not have the energy to further educate their patients They would also not have the time to un-derstand their patients on a personal level unlike that of the village doctors

However the indiscriminate use of antibiotics in China was truly a frightening sight Doctors adminis-tered antibiotics intravenously for mild diseases like the common cold When we asked the doctors as to why they did so they simply smiled and shrugged off the question It is probably still a common practice in China and if the doctors did not give such medication the patients would probably lose trust in the doctor The fact that the similar practices were seen even in large hospitals probably indicates that this problem is hardly a localized one

Part2DongshanGuangdongWe met up with the team from Xirsquoan at the

Guangzhou airport and proceeded to our next desti-nationmdashDongshan After 5 hours of car ride we began to see signs that we were approaching our destination Mountains sharply angled clustered in twos or threes fondly known as ldquoMcDonalds mountainsrdquo were begin-ning to be in sight

As soon as we arrived we were greeted by eager curious young faces The children huddled close by as we unloaded our luggage some commenting that they hadnrsquot seen some of us while others were already play-ing around with the past participants It was my first time to Dongshan but there were some of us who were not new to the kids there

After settling down we were given an introduction to Dongshan and its residents by the local NGO Green Action Foundation led by Mr Wong

Located at the outskirts of the province Dongshan is one of the 4 poorest areas in Guangdong Its natu-ral terrain abundant in limestone makes it especially hard to retain water This has taken a toll on the resi-dents especially during the drought season Another problem faced by the local residents is that there are many young people and adults migrating to big cities to earn a living leaving behind the children and elderly

Village doctor on one of his home visits

Discarded bottles of intravenous antibiotics near the village clinic

ldquoMediciNe also disregards NatioNal bouNdariesrdquo ndash irviNg laNgMuir

34 | Caduceus September 2011

at home

Green Action Foundation took the initiative to plant trees around the area so that more water was available for irrigation and domestic purposes This improved the quality of their crops and boosted their source of income They also sponsored some of the

childrenrsquos education depending on their performance in school to ease the burden on their families

The next few days were jam-packed with activities A sports day was held as an icebreaker so that the new participants could get to know the children better We also spent half a day at the Dongshan Primary School where we taught the kids personal hygiene simple first aid moral education and also sex education for the grade 5 and 6 students

Another interesting activity that we had was a weed-cutting session up at a mountain with the other children Each of us was assigned with 2 to 3 chil-dren who were supposed to ldquoguiderdquo us along the way It was a 2-hour hike up and down hilly ter-rain While I would stop once in a while to take a breather the kids were barely panting The kids would often stop to ask if I was tired and even of-fered to help me carry my backpack Note to self more exercise next semester

Nevertheless it was a great chance to know the kids better We had the time to chat about their school life and what they thought about their future and also the chance to share snip-pets of our lives in the city

We then split into small groups and visited the homes of the children in order to gain a bet-ter understanding of their household hygiene

condition any medical conditions in the family as well as their economic standing We had also prepared questionnaires to be kept as future record Some of the families were very poor to the extent of having no source of income at all They depended solely on their own crops for food If they went to see the doctor they would usually owe the doctor money until they had

enough money to pay back The hygiene status of the villagers varied but most of them had swarms of flies around food Many even had their live poultry like chickens running around the house Before we left we gave them some hygiene products like soap washing detergent and toothbrushes to encourage better hy-giene We also gave them a poster explaining ways of maintaining a clean household environment

Another main focus of the trip was to find out the effectiveness of a medical insurance policy newly in-troduced by the government Each person had to pay 30 Renminbi annually to be guaranteed free medica-

Sports day activity

Weed cutting with the children

hkucaduceusnet | 35

tion and hospitalization thereafter Generally the vil-lagers were grateful for this plan as many found it dif-ficult to afford medical fees while struggling to pay for

basic necessities at the same time However some vil-lagers complained that the prices of medicine spiked after this policy was introduced and hospitals would of-ten ask patients to

do unnecessary scans just to earn more money

This trip made me realize that there is much that we can do but how great an impact we can make might not be seen immediately With follow up trips one could see the change as compared to the last visit and make further modifications to improve the situation

As the trip came to an end we were reluctant to leave There was something very magical about Dong-shan where the skies would turn to an exuberant red during sunset and on a clear night you could see stars scattered across every corner of the sky It is a place of beauty struggle and hopefully a place of triumph in the years to come

It is a place of beauty struggle and hopefully a place of triumph in the years to come

On one of our home visits

More to ExploreMedical Outreachers 醫心httpmedicaloutreachersorg

The Amity Foundation 愛德基金會httpwwwamityfoundationorg The beautiful sunset in Dongshan

ldquoshariNg is soMetiMes More deMaNdiNg thaN giviNgrdquo ndash Mary catheriNe batesoN

36 | Caduceus September 2011

就 在這一刻世界沉默了

城市的繁囂隨飛機引擎

逐點逐點噴走了繁囂的離

開是為了讓簡單的生活回

來剛踏出廈門機場一張

又一張的笑臉映入眼簾刺

熱的太陽把兩地之間的隔膜

融化

早從香港回歸時開始

香港人經常強調自己只是 

「香港人」而不是「中國

人」自以為比內地人高一

等可惜這班自視過高的都

市人曾幾何時為外地人送上

熱情的款待這一點廈門

人比誰都做得更好

廈門是一個位於中國

東南部的海島也許就是近

海讓居於廈門的人都把一

切怨恨煩惱拋下大海讓

它們隨水流漂走埋藏在海

床上每年廈門的鳳凰花花

開兩季一朵又一朵鮮艷如

火的鳳凰花在六月時歡送一

個又一個的畢業生彷彿為

他們添上一份祝福九月時

的鳳凰花熱情地歡迎一屆又

一屆的新生為新生的精彩

校園生活揭開序幕一份一

份的熱情含苞待放身在廈

門又怎會不被這市花的熱情

感動呢廈門大至人與人

之間小至花與花之間都存

著一份情

要追溯廈門人的情懷

可數至土樓的建成土樓

是個大多呈方形或圓形大型

群居的建築整座土樓樓高

三至五層由於牆身頗厚及

只有一個出入口甚具有防

禦功能亦因為這緣故當

大門關起來土樓便成了一

個家這個家佔地不大但卻

藏著成千上萬的人情味在

萬里無雲陽光普照的天空

下土樓居民的熱情好客

被蒸發出來懸浮在空中

一代一代傳下去更讓它隨

風走出土樓傳遍整個廈

門即使土樓漸漸成為旅遊

景點一些擺賣紀念品的攤

檔已經進駐但卻無礙居民間

的感情商販彼此交流從

不出現爭客的情況在土樓

中央休憩的居民除了為外地

人介紹他們的祠堂外亦邀

請遊客跟隨他們到遊客禁區

參觀在土樓居住的每伙都

中門大開當遊客投進好奇

的目光屋內的人往往以親

切的笑容作回答鄉土人

情在這世代多冷漠的心也

被融化

細膩的人情味外最令

遊客津津樂道的是廈門人的

態度廈門大學附近有一條

芙蓉隧道只要你願意便可

在隧道內壁上畫下你所思所

想當然美觀與否見仁見

智但這一種對藝術尊重

欣賞的態度是值得欣賞我

有我盡情地畫你有你盡責

青春在廈門留下足印潘曉彤 (N14)

生活

hkucaduceusnet | 37

地去管轄城市各處的整潔

彼此留下空間達至相輔相

成的效果廈門人就懂得人

最基本的禮貌尊重不

過廈門人對他人的尊重遠超

於人的基本禮貌當你去唱

「卡拉OK」的時候每次

待應的出入時看到的就只

有他們的正面而他們前行

或後退的方式就像看到皇帝

一樣卑恭屈膝香港人常常

強調面子哪一天才能捨下

那過高的尊嚴為不相識的

人作一個最謙卑的招待

其實任何人一離開香

港都不難發現就只有香

港愈夜愈精彩其他地方晚

上八時大多關門大吉而廈

門就只有中山路才媲美得

上香港的夜夜笙歌夜幕低

垂萬千燈火的中山路上

與來自各區的人擦肩而過

昏黃的燈光下照出一群又一

群的沉默影子剛好與路上

喧鬧的行人相映成趣騎樓

在霓虹燈的點綴下顯出了獨

有的閩南特色大街小巷傳

來不同地道小食的香氣車

輪餅燒仙草土笋凍helliphellip

為我們外來的交流生帶來美

味可口的夜宵飲飽食醉過

後走到中山路的盡頭又

回到了沉睡中的廈門

在優美的環境影響下

廈門人的生活也自然變得

純樸優閒單車車輪在環

島路上留下一圈又一圈的印

記沿路能細聽海浪輕拍岸

邊的聲音細嗅四處洋溢的

花香感受微風吹散太陽散

發的熱力見證一對又一對

的新人在拍下幸福的照片

據說廈門有戀愛天堂之稱

不管走到哪一處也會

看到準新人拍下甜蜜的婚紗

照而在裡面享受的人永遠

不知道這風景如畫的背

後是透過多少人的血汗換

來當我們在追求經濟成果

的同時往往破壞了造物者

在世上留下的藝術品隨中

國經濟急速發展一個又一

個的世外桃園被摧毀銅臭

替代了花香車聲替代了鳥

語這仙境又可維持多久

廈門另一世外桃園就是

鼓浪嶼它活像香港的長

洲島上滿有歐陸建築風

格但當中不乏中國特色的

建築中國古城風味與洋風

互相交替帶出截然不同的

感覺島上遠離汽車的廢

氣與金門就只是一海之

隔一家大小在享受天倫之

樂時一群又一群的青少

年情侶在沙灘上嬉戲立

即為島上升溫

筆者認為在這個混亂的

俗世確實需要抽空來欣賞

造物者留下來的藝術品大

財團不斷興建大型商場國

際知名品牌不停進駐留下

的就只有愈來愈狹窄的街

道被石屎封蓋寸草不生

的土地人人被金錢蒙蔽

迷失在霓虹燈光中又有多

少知音人能放下生活的瑣碎

事情在這裡享受時間一分

一秒的流走你被海浪聲

喚醒了嗎

筆者參加這次是由香

港廈門兩地大學的交流

團一連六天已經習慣了

當地的優閒生活模式體會

到的不只是廈門的風土人

情歷史文化而是兩地大

學生那種衝破界限的交流

雖說年輕人容易打成一片

但廈門獨有的熱情確實融化

了彼此間的隔膜廈門的美

是成人之美成就了兩地大

學生的友誼

飛機又再起飛了廈門

再見了

ldquothe tiMe of life is short to speNd that shortNess basely it would be too loNgrdquo ndash williaM shake-speare

38 | Caduceus September 2011

生 命形成之際只要一秒鐘的差遲世界便會不一樣

蝴蝶效應從來都是玄的全因一個 

「緣」字

隨著人成長要決擇的事太多學生

有兩件人生大事幾乎都不是由自己決定的

入讀小學及中學然而到了大學這

關卡自己也許可以拿定主意了若果你

入讀了心水科恭喜你若不然祝福

誠然入大學是最影響未來生活的關

口是好是壞無人知曉不用量化不

用比較太多即管做自己所想活出自己

的路只因你不會曉得你的下一步會怎樣

影響著你的生命

或許一個活動你會遇上你的最愛

或許一個宿位你會遇上你的知己

或許一句說話你會惹來一個敵人

或許一次走堂你會由B變C

這就是大學

在大學各人有各人的大學生活大

學講求自由學習學習真的是「求學不是

求分數」有些人愛廣交朋友有些人愛

住宿有些人愛做莊務有些人愛拍拖

有些人愛參加各樣活動有些人愛做兼

職有些人愛讀書有些人卻愛甚麼都不

做helliphellip不少大學生強調入大學必定要做齊

大學五件事(上莊住宿讀書拍拖

兼職)但其實只要自己開心不害人的

話做甚麼也沒問題最要緊的是認清讀

大學的目的以免沉淪於大學這花海

朋友

大學可以令你對「朋友」的概念愈來

愈含糊幾乎每個活動都可令你認識新朋

友通常大家都會輪流講述自己的名字與

學科(Round Table)這亦是考驗大腦對人名的記憶所謂的「Hi-Bye Friend」會愈來愈多隨便在細小的港大內穿梭會令你

無可奈何地對他們說聲Hi

不過別標籤你的「Hi-Bye Friend」要是連Hi-Bye也談不上更不用說做深交了上大學了大家已有既定的圈子很

多時約會或聊天都先找中學朋友而且很

多人會把大學朋友與中學的作比較雖情

有可原但有時未免先入為主地覺得中學

的較好

這亦難怪即使是日日碰面的同學也

未必是自己的好友人人都有自己的時間

表下課後各散東西不是大家不想互相

認識只是有時身不由己若想互相了

解不妨盡量製造共處之時有時甚至可

以分一些約會給大學朋友然後你會發

現大學朋友也可跟你熟絡可別為自己

建造一塊厚厚的心牆

舍堂

要入宿無人會不曉得十日的迎新營

有些舍堂平均每天的作息時間只有兩三小

時有人說住宿最辛苦就是迎新營然而

它卻是最難忘的

要數活動單單一個舍堂已數之不盡

要是投入舍堂生活每天24小時是不夠

用的舍堂之間有各樣比賽堂友要參加

各個組別為比賽出席各樣練習否則可

能被拒於來年再住基於許多人都只在夜

晚有空要全體出席那可是晚九朝五的

大學之緣賴彥積 (N14)

新鮮人

hkucaduceusnet | 39

宿生們之所以會熱衷於舍堂活動因他

們對自身舍堂有強烈的歸屬感好比中學

時學生參加校際比賽要是沒有歸屬感

就不會有心參加所屬舍堂的活動

除舍堂之間之活動樓層之間亦有各類

活動樓內亦然只要有人的地方就有玩

樂彷如天天宿營你不會有機會偷偷早

睡其他樓友常常打擾你你原來的生活

時間會推後數小時睡於二時已是罕有

早上的八半堂彷如無物

可以住宿但不參加活動嗎當然可以

但你會面對的是朋輩壓力他們雖未必逼

你參加卻會在言談中有意無意的滲出

來那種壓力不只限於自己樓層甚至是

跨樓層千萬可別輕看宿中流言

上莊

有人說上莊所學遠超課堂上莊所學

的是如何籌辦活動非常實用有時要對

外聯絡有時要面對公眾helliphellip像是要為將

來工作鋪路似的當然這亦要視乎你上

的是甚麼莊

一般而言上莊可訓練你待人處事的技

巧有時表面看來很友好的朋友當背

負上一定的要求後關係少不免有磨擦再

者初時莊員素未謀面最後卻因朝夕相

對而演變成朋友這段關係是很可貴的

成莊前要宣傳內閣爭取選票成莊了

又要舉行咨詢大會包受歷莊指導然後

又有就職典禮此後的活動更接踵而至

當然包括迎新活動招莊活動等helliphellip君不

見很多人視莊房為睡房少不免有「通

頂」之時忙是忙但必有價值至於是

好是壞要看自己的造化了

拍拖

人上了大學有時心思思想拍拖眼見

身旁多個好友都紛紛拍拖自己少不免羨

慕別人這想法十分正常畢竟大學生真

的可以放下只讀書的重擔真的可以規劃

人生大事了

香港大學一些營新活動中隨了Round Table外還有Round Status即說自己現在有否拍拖以及拍過多少次拖如 

A 0即Ava i lab l e之前至現在沒有拍拖O1即Occupied之前至現在共拍了一次拖當然也有一些同學自己創的甚

麼OBA (Occupied But Available)或D10(Desperate拍過10次拖)等等至於Round Status的動機何在可能是組爸媽想穿針引線吧當然也可能是別有用心的

不同人對拍拖有不同想法上了大學更

有不同擇偶條件人大了在感性的議題

上往往加上種種理性的數據開始現實起

來哪個帥哪個富有哪個有前途helliphellip

有些不在乎天長地久只求剎那的光輝

有些求虛榮有人疼愛在朋友前炫耀

有些甚至會在拍拖前已想定分手後的模

樣所以不想選擇跟自己同科的同學

活動

不同團體(包括舍堂學會及學校部

門)都有不同活動不用愁沒事幹只用

愁沒時間只要多留意Portal Mass Email或Main Campus海報不難發現幾乎每天都有各樣活動動靜皆宜開學時有迎

新營考試時有勁過飯新學期有開Sem

飯有些學會如戲劇舞蹈合唱團不時

有演出有關運動的學會則多練習以參

加比賽有關學術的也有很多興趣班講

座比賽等想幫人的亦可參加義工團

體如蛇蛇豬扶青等舉辦的義工活動

兼職

大學生的兼職大多以補習為主畢竟

這是我們能力範圍內可賺取最多外快又是

時間最彈性的工作有些人卻因補習不能

寫在履歷表而選擇別的工作然而很多時

我們都要在兼職與大學活動中取捨我的

ldquotake a chaNce all life is a chaNce the MaN who goes farthest is geNerally the oNe who is williNg to do aNd darerdquo ndash dale carNegie

40 | Caduceus September 2011

E mily was the chairperson of Pharmacy Socie-ty session 2010 As a student she has actively

participated in holding activities for many medical stu-dents and taken part in providing welfare to all phar-macy students Her following sharing will especially enlighten our new pharmacy students

Q Why did you choose Pharmacy SocietyA To be frank ldquosheung jongrdquo was really out of

my expectation when I anticipated my university life However my perspective has changed when I officially became a pharmacy student in HKU As members of the opening class of the Pharmacy programme my classmates and I realised the importance of having our own student body We do need an independent soci-ety to represent us pharmacy students to cater for our specific needs to listen to our points of view and to act as a bridge to facilitate our communication with the Medical Faculty the entire university and ultimately the pharmaceutical field in Hong Kong My class-mates and I who later became ldquojong yausrdquo believed we should act immediately to establish and run our own society which is why I decided to ldquosheung jongrdquo

Q Would you like to share some of the pros and cons of sheung jong

A ldquoSheung jongrdquo definitely helped me achieve per-sonal growth It was a concurrent commitment and re-sponsibility to serve and to lead our colleagues Bear-ing this in mind we always pushed ourselves to attain the best of our work ethics efficiency and efficacy As the very first session of the Society we lacked the guidance of any previous committee member Instead analysing carefully and critically we thought better of every decision which I personally found an enriching experience ldquoSheung jongrdquo was also an eye-opening journey Wersquod got to meet different people and learnt more about the professional work for as our career-to-be after graduation This in my opinion is always beneficial Last but not least I was fortunate enough to have worked with my amazing fellow committee mem-bers I frankly couldnrsquot ask for better ldquojong yausrdquo than initium Irsquom absolutely thankful for having them as my friends and it is definitely my greatest gain along the way

Despite the merits ldquosheung jongrdquo definitely has its downsides as well It is a lie to say ldquosheung jongrdquo does not affect our daily life because it does take up a big chunk of our time At the end of the day it is about time management which is easy to say but extremely dif-

建議是如家庭環境較困難賺錢吧反

之可以多留時間給各活動畢竟大學一

年的學費不只值那幾十堂課如何善用這

$42100就在乎你如何投入大學生活

讀書

假若你認為大學的考試可考核學生的

真正讀書能力並要求學生活學活用課堂

所學那麼你大失所望了假若你善於背

誦有過目不忘之本領大學的筆試不會

難倒你只要靠著前人留下的歷屆試題

背到滾瓜爛熟是不可能不及格的很多屆

試卷都是千篇一律的很多教授可沒空大

改試題那同學們就走運了有些課堂

即使再專業的學科都會有只理論無實

踐的課堂然後考試就要你把一大堆理論

背出來helliphellip例如甚麼叫批判思維噢

我可不知道只知道我掉了5分

不同學系在某程度上定下了人的前途

對於醫學院學生而言前路是較清晰可見

的但對於非專業學科前路不可只靠讀

書也許要靠自己另外摸索讀書所帶來

的必然是較高的GPA高GPA所帶來的是

獎學金到外國交流工作實習日後工

作機會等等當然大學學習不只局限於

讀書會否因此失彼就只有自己知道

蝶翼拍動之時往難以預料機會是

要自己摸索的

如經上所記

「神為愛他的人所預備的是眼睛未曾看見耳

朵未曾聽見人心也未曾想到的」

(哥林多前書29)

「栽種的和澆灌的都是一樣但將來各人要照自

己的工夫得自己的賞賜」

(哥林多前書38)

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

Freshmen

hkucaduceusnet | 41

ficult to achieve Also working as a Committee mem-ber can be very exhausting and difficult You definitely need lots of determination and support to get through some of the busiest times

Q How did you handle and balance the workload of study and your ldquojongrdquo

A As Irsquove said before it was tremendously difficult I guess my best advice for the future committee is to know your limitations and always plan ahead You have to know your time to work to rest to study etc No one will be over-worked and eve-ryone will have some personal time if you share the burden wisely between ldquojong yausrdquo Secondly you have to make very clear plans so that you can make full use of every little piece of your time I may not have succeeded in my time management but most of my ldquojong yausrdquo managed to do so de-spite the packed schedule of our Soci-ety This is sufficient proof of ldquoimpos-sible is nothingrdquo

Q As there are only about 25 pharmacy students per class do you have any suggestions for P14 fresh-men to make more friends from other curricula

A It really depends on what kind of person you are If you consider your-self socially active living in a hall or ldquosheung jongrdquo will be a great idea for you But if you see yourself as a much quieter person you can still make use of opportunities such as Medic Orien-tation Camp and other events jointly organised by student bodies within the Medical Faculty to make new friends

Q Any special things for P14 freshmen to be aware of

A First of all welcome You all are now members of Pharmacy Society MS HKUSU and I would like to let you know that this is a student body aiming to serve you Thus feel free to share your viewpoints and voice out your opinions to the current Com-mittee members The Society has to

understand your needs to improve and provide better welfare and services for you

Q Any other comments or important things to re-mind P14 freshmen

A If you would like to get to know more fellow pharmacy students especially students from P12 and P13 grab the opportunity to join the Pharmacy Society Orientation Camp and the Mentorship Programme These are great chances to make new friends and Irsquom sure you will enjoy them

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

ldquoas huMaN beiNgs we do chaNge grow adapt perhaps eveN learN aNd becoMe wiserrdquo ndash weNdy carlos

42 | Caduceus September 2011

筆 者是一位護理系的學生半年前有幸成為二零一一年啟思編輯委員會的總編輯在期間所體驗到的希望藉著這次機會作出分享特別希望新加入醫學院的同學

能對「上莊」有更多了解

上莊之路上莊是大學五件事之一證明它對大學生

活有一定的重要性一定的位置筆者在初入學的時候曾為了上莊與否而煩惱猶豫了好一段時間期間考慮到自己能力怕學業應負不來但最後仍然下了上莊這個決定原因是上莊是個難得的機會充實增值自己不同的莊會提供不同的機會讓莊友去學習透過不同的莊務去讓自己眼界擴大另外可以了解醫學院內發生既事情例如院內活動的進展情況更可以參加舉辦院活動為醫學院出一分力最後當然會認識到將會相處一整年的莊友工作伙伴有機會認識到不同學系的同學從他們身上可以觀察到學習到各種的特質從而令自己有所進步有所啟發

護理學生作為護理系學生起初擔任總編輯一職實

在是倍感壓力畢竟歷屆的總編輯都是由醫科生出任因此筆者起初都害怕跟醫科生共事怕自己的能力不足夠應付莊務所以起初都是戰戰兢兢地上莊

一位三年的護理學生曾對我說「我認為你不太尊重護理系護理系和醫科都是個專業希望你能加以尊重自己的學系不要輕視護理這個學系你要肯定自己的學系才能帶領整支莊因為莊內成員來自不同的學系你必須肯定和認同每個學系都有一定的重要性以及其專業」這番當頭棒喝的良言令我明白到自己一直都太輕視護理系過於重視醫科現在我明白到認同自己學系是尤其重要只有這樣才可以用自己學系的身份去發表意見只有認同自己學系才懂得尊重其他的學系莊內便可以融洽一點

在筆者的莊友中醫科生都是較有責任感而且做事更有計劃從他們身上的確學到不少東西這點是無可否認的事實筆者並不是在分享學系與學系之間的差別而是希望有志上莊的同學能互相尊重明白到各學系的莊

友都有其值得學習的地方起初對其他學系有隔膜是無可避免的畢竟對他們的學系都不太了解又沒有歸屬感但如果因為對方是別的學系而輕視對方的人不但失去與人相處學習的機會而且會令莊內的氣氛失去和諧

幸好的就我所見所聞醫學院內的莊多年來都能融洽相處互相支持令到一眾上莊的同學都能輕鬆地享受上莊的喜與樂甚至是不愉快的事情

依靠你的莊友莊是一個團體不是一兩個人可以應

付得來所以筆者認為與莊友互相溝通合作是個重要的元素新同學如果有志參與莊務期望從上莊中有所得著首要的事情是與莊友建立關係因為他們將會是你來年的工作伙伴也是你遇到困難時依靠的對象一位上莊曾對我說「其實一件的莊期不會令你有太大的得著或成長反而長久的友誼才是你將會得到最重要的」這句說話是千真萬確的上莊的人不會由詞不達意改變成談吐得宜不要期望自己會有驚人的轉變也許上莊會令人處事成熟一點有計劃一點但上莊所得到的關係將會是更重要更珍貴一年的相處中面對過有無數的會議共同處理過不少困難從中

建立的友誼真的是畢生受用

責任感上莊另外一個十分重要既條件就是責任

感有志上莊的同學必須明白到莊期是長達一整年在繁重的學業中騰出時間來處理莊務是個考驗責任感和毅力的測試同學必須再三思考想清楚自己是否真係熱衷於上莊或是只是一時衝動畢竟你將要許下的是一年的承諾必須對這個莊負上責任願意付出才選擇上莊這個決定這樣的付出就會有相對的回

總結上莊的確是個好機會讓自己去學習從處

理事務中或是從莊友身上都會有所得著充實著自己的大學生活從中可以認識到各學系的同學建立一段段受用終身的友誼在此筆者希望各學系的新同學可以善用機會作出上莊這個無悔的決定

護理系的啟思總編石志榮 (N14)

新鮮人

hkucaduceusnet | 43

慈兄吟(下)奇晶

最 後還是麥教授先開了口「他的確是一個好學生對醫學有獨到見解他不但學業成績優異而且樂於助人你是他的妹妹吧」婉慧努力控制自己的淚水繼繼續續的說「是啊但helliphellip但helliphellip我不知道helliphellip他竟會在這裏出現」麥教授用悲天憫人的目光看着婉慧語重深長說「人生自古誰無死人生命的有為與否並不取決於他生命的長短而是在於人生的意義你哥哥雖然最後當不了醫生但他的犧牲卻間接為一些同學做醫生鋪路讓他們做醫生去救人這真是一種無私的愛」婉慧點點頭覺得自己對哥哥的了解實在太少了

最後她還是孤獨的離開實驗室她覺得自己跟哥哥比起來實在相差得太遠了原來他除了是十優狀元在醫學院的成績名列前茅外還是個熱心助人的好青年自己除了少了一優外少的更有對別人的同情及樂於助人這造就了她心靈上的空虛她明白到冷漠不是一種對哥哥思念的正當表達方法她應該做的是把哥哥對其他人的愛傳揚開去以圓他的心願

第一步往往是最困難的婉慧平日對他人的態度已令不少人對她敬而遠之有很多次她嘗試向同班同學投以友善的笑容得到的總是詫異的目光或別人的不理不睬在小組討論中儘管她踴躍發言盡量避免冷場的發生偶同學們卻認為她變本加厲想阻止同學們取得好成績她四處碰壁又再次陷入了想念哥哥的深淵

時間一天一天過去了上學期考試前的休假開始了婉慧每天都勤奮的在圖書館溫習期望取得好成績這時候的圖書館堆滿了人如果遲來一個小時想找一個位子也難就在假期的第二天同班的王文在圖書館跑得氣急敗壞仍找不到一個座位婉慧不知怎樣有點同情他將座位讓給他王文驚訝道「不用了我還是回家吧真倒楣遲來了一個小時就沒有『接位』」

「但你住在哪裏呀」

「元朗今天早上我忘了校鬧鐘八時才起」

「那你還是要我的座位吧我可以坐到電腦桌因為我認識的人不少沒有什麼人會打擾我的」

王文謝了她頓時對這位冷漠的同學刮目相看原來她的內心也是溫暖的這並不是他所能料及的坐在電腦桌前溫習的她也感到特別的快樂溫習的速度也快多了王文就此成為了她的「飯檔」考試期間每天和她一起吃飯他更將自己的好友介紹給婉慧認識

在一個晚上她又悄悄的在圖書館的角落溫習着突然一隻溫暖的手搭着她的肩上她抬起頭但見解剖學的同桌手中拿着一杯熱飲輕輕的放在她的桌上婉慧正感詫異卻聽見他說「這杯熱巧克力是給你的繼續努力吧」她喝着巧克力心中感到一股暖流彷彿哥哥的關懷又在她內作出回響

十年生死兩茫茫不思量自難忘千里孤墳無處話淒涼helliphellip

寒風吹起了她額上的劉海佇立在墓前的婉慧不禁凜冽她想起了從前想到自己最後一次和哥哥吵架雙方面紅耳赤的情況想起自己無法親口跟哥哥道歉想起哥哥無私的付出她對着那空虛的墳心中不忍一陣淒然淚水漱漱的流下來她身旁攜扶着年紀老邁的母親邊拭淚邊喃喃道「我的兒子helliphellip歿了helliphellip」大家心情漸漸平復了緩緩走出了墳地

雨一滴一滴的落下飽歷辛酸的婉慧卻仍在懸壼濟世

短篇

ldquoyesterday is but todayrsquos MeMory aNd toMorrow is todayrsquos dreaMrdquo ndash khalil gibraN

44 | Caduceus September 2011

Eternal Flame (1)Tulipa

Itrsquos cold The chills from my fingertips imbibe deep into me This person drills into my mind digging out the truth inside me Itrsquos agonizing She comes right inhellip di-rectly I cannot stop her

Irsquom losing myselfhellip

My hand felt the soggy pillow I realised I had come back to life the world where I lived Staring blankly at the ceiling still losing focus in my eyes I felt my brows with my forearm For the first time I didnrsquot want to lose this feeling

The bedroom door slowly opened I quickly rubbed off the drops that had blurred my vision pretending that I had just woken up

ldquoDo you have lessons this morningrdquo My grand-mother whispered into my ear

ldquoOh goshrdquo I turned right to my alarm clock It was the real life I had forgotten to turn the alarm on last night and it was now seven thirty I knew it I was going to be late every time she caught me in bed Irsquod got to hurry up

Living in Hong Kong Island though it took me more than an hour to get to school I had to comfort my little brother sometimes till two or three in the morning in order to get him to sleep In addition to the consistently heavy study load in the medical school I could hardly get enough rest Running on my heels al-most became my routine starting from last November But I well understood the consequence of skipping lec-tures It was the beginning of the Cardiovascular Sys-tem Block For someone like me who gave least priority in revising Anatomy materials lectures remained the prime source of information for exams Absence from class was suicidal To make the situation worse this professor was one of those who did NOT upload lec-ture notes online

Hoping I wouldnrsquot arrive too late to miss the impor-tant points I finally stepped onto a route no 8 minibus at ten past eight What I could do now was to pay trust in the driver who would bring me to my destination

Coaxing kids was never easy Little Bruce just hap-pened to give me such a hassle last night

He knew I would check on him when I returned home Sitting right next to the door of his room he begged me for a story once I opened the door I sat down together with him on his little couch after Irsquod taken a quick shower This was a time to relax leaving

aside all the other concerns

Kindling through his favourite reader I saw that he wasnrsquot listening but distracted by all sorts of toys around He even invited me into his world of fantasy But it was getting late I had to calm him down so that I too could have some rest Being one of the brightest in his elementary school he should understand this was not the time for recreation

I began to feel annoyed

Yet he was my brother I had a gut feeling that this was unusual He didnrsquot use to be so ldquohyperactiverdquo It re-ally took me a while to adjust to his change With him still tossing and turning in my arms I apprehended his restlessness Unpredictable though he was true to his feelings In one way or another he might find the shadow of our mother in me

He finally settled when I laid him back in bed It was nearly two forty in the morning

The first week of the CVS Block ran as plotted PBL tutorials would start on next Monday Dr Youngrsquos fa-cial expression in the first PBL evaluation flashed over my Embryology notes and references She didnrsquot teach Embryology but I could tell she did have a hypertroph-ic heart-shaped face which looked familiar to the dia-grams in the Atlas

Back in the IHD Block most of us were puzzled about the scrambled content of our course Various forms of seemingly related knowledge came in through lectures practical and tutorial sessions But the neural circuit formed in our brain just failed to resonate as if the conductance-inductance mismatch had aberrated our thought from minimal impedance Sometimes things even happened in a ldquomore-than-extrardquo manner The presence of common core courses in a parallel but independent branch in the network could rightly be detached without causing a blip on the galvanometer Everything was dubious We had no idea of what we were doing

Maybe we were just on the way seeking for a sense of attachment

My mind too was racing in haste I was struggling with my decision to become a doctor Too many things had happened over the year I just couldnrsquot stop ques-tioning myself what was I thinking when I put lsquo6456 MBBSrsquo in my JUPAS application I should have expect-ed and prepared to face all these I just didnrsquot knowhellip

Novella

hkucaduceusnet | 45

It was midterm evaluation in the IHD Block Her face looked tense in that heart shape She was so stiff in her facial expression that no one could read her mind from her poker face The conference room of the Physi-ology Department was large We seemed to be the odd ones out in the spacious carpeted room In this secre-tive silence you could hear the drumming in your ears as if you were tingling

I realised this was not a matter of ldquoam-I-suitable-for-a-medical-careerrdquo but ldquois-a-medical-career-suita-ble-for-merdquo I was lying in bed playing with my plush bear when these thoughts burst in me Dr Young looked through me She felt certain that different from other group mates there were crises behind me But I didnrsquot tell her anything that day

We all were sensitive At times some subtle trepi-dation seeped in gradually sucking peace away from my sleep It was so to say below threshold sub-lethal though it lingered for weeks once it set inhellip

Drenched in bloodhellip There is no life in the boy His eyes are widely opened slightly protruded The lifeless pair of black pearlshellip I cannot escape from his glance He wants to talk to mehellip There is something he wants me to know

A van runs over himhellip

I fell down the edge of my mattress Breathing heavilyhellip Sweating all overhellip

ldquoScreechrdquo People began to gather around a tel-ephone booth a few metres behind us

I turned back I couldnrsquot see a lot from this anglehellip

ldquohellip What a pity He is so younghelliprdquo a middle-aged couple passed by

The victim resting just in front of the wheel looked towards me through a break in the crowdhellip

As we were wandering around thinking what to eat for dinner my cousin found me standing there rooted to the ground stunned by the victimrsquos gaze My heart was pounding She wouldnrsquot believe what I was again experiencing For a number of times already scenarios in my dreams were mirrored into reality

I couldnrsquot tell her

ldquoI was just thinking whether you would like Korean cuisine There is a new restaurant two corners awayrdquo I made up a talk while escaping from the scene so that I wouldnrsquot look so strange

ldquoWhy not go and have a try thenrdquo She was not dis-appointed for calling it a day as the food there was sur-prisingly good

Not until some years ago when I was Form 3 in college I discovered my ability to look into the future Sometimes I could see them coming up on the news in days or weeks And some didnrsquot ever happen at least not around me But seeing the night visions coming into concrete existence wasnrsquot always a pleasure when the mental images turned gradually into mostly night-mares When I visualised my close ones it felt like I was in the middle of an insecure chain bridge above a torrent that would sweep me into the vast ocean with no return It was entirely different from what you might understand as ldquodreams come truerdquo

I had witnessed misfortunes in proximityhellip

But I could do nothing about ithellip

Friends were a source of solace someone to con-fide all frustrations in But with my paranormal ability which appeared to everybody else only on screen-plays I wasnrsquot courageous enough to open my life wholeheartedly to them Seldom talking about myself avoiding all sorts of gatherings I became an eccentric figure among my classmates

Sometimes mutual understanding carried more weight than words I remembered my physics teacher being one of my few friends during my teen years De-spite his boisterous faccedilade he was always sensitive to whenever I was dwelling on my burdens Physics was our common language Intermingling our emotions and feelings with concepts that were alien to my fel-lows we developed a close rapport impenetrable by anyone else

ldquoWhat is the nature of a flamerdquo This was the most discussed problem between us Neither in solid liquid nor vapour state Not having any definite shape and colour It seems not any material but a type of energy giving out heat and light At the moment of providing it also exhausts its fuel and eventually itselfhellip

The romance of physics is more than anything you could read write and talk about Once you were truly connected with it nothing can stop you Your mind will bounce irrespective of the chronology of space-time but only under the guidance of your thoughts

I was so devoted to the discipline at the time that I was almost making it my lifelong career in some way He envisaged that I would demand much more than any academia could provide with its scientific basis alone We were both seeking a philosophy beyond the facts But Hong Kong may not be the right place for it

I made him a promise at the end to contain our flame and I knew I would

For the first and the last time I saw his eyes filled with tears We knew existence by itself is a miracle

ldquoi love life because what More is thererdquo ndash aNthoNy hopkiNs

46 | Caduceus September 2011

說華佗都說「華佗再世」誰知箇中真諦雲方 (M15)

烽煙起戰火燃萬里 

三國並爭英雄地亂世有誰顧生死 

待神醫行世將民眾救濟

渺渺江山東西瞰俞跗巧手扁鵲心(1) 應向何處尋 

滾滾黃沙無世家終有奇士放奇葩

沛國 華元化(2) 

他經書貫通南北遊動 

一望斷症如神助三劑消病不必多

說斷症悉如所料 

甘陵 相夫人腹痛極難忍(3) 號脈知死嬰在左為男形(4)廣陵 梅軍吏除名歸故里

見貌知壽盡速返見萱椿(5) 

說消病藥到病除 

飲蒜醋有三升蟲一嘔而盡清 (6)母服丸而溫儲兒不藥而自癒 (7)

絕妙處 

是他開腸剖腹刀至辟毒 

神醫號 

除他內外皆精有誰配稱

[1]   俞跗黃帝時代之名醫扁鵲春秋戰國之名醫《淮南子人間訓》「患至而多後憂之helliphellip雖有扁鵲俞跗之巧猶不能生也」

[2]   華佗字元化沛國人(今安徽 亳州)

[3]   甘陵相(即甘陵之行政長官)夫人懷胎六月腹痛不安華佗為其切脈便知胎死於是命人摸知所在在左則男在右則女人云「在左」夫人飲藥後果然產出男胎腹痛立即痊癒

[4]   廣陵有軍吏名曰梅平離鄉服役後來退役歸家於路上巧遇華佗華佗視之嘆道「若能早些見我當不至於此而今你僅餘五日壽命速速回家還能與家人相見」平旋即趕抵故鄉五日後亦如料身亡

[5]   萱椿多作椿萱比喻父母漢牟融《送徐浩》詩「知君此去情偏切堂上椿萱雪滿頭」

[6]   華佗見路邊有人食不下嚥教他到路邊餅店買醋三升混上蒜泥然後飲用路人服後即吐出一條長蛇(即寄生蟲)

[7]   兩歲男孩長年腹瀉藥石無靈華佗往診謂病在母命其服用華佗親研之「四物女宛丸」服後母親乳汁不再寒涼男孩亦不藥而癒

意興

hkucaduceusnet | 47

只可惜人無完壁

「關將軍使君予我手刮骨惡毒走

曹丞相使君予我頭剖顱苦痛收」

「怎能不收怎能不收一命嗚呼萬事休 

簡直荒謬簡直荒謬殺此庸醫未須愁」(8) 

五禽戲尚能傳 (9)麻沸散從此絕 

何不一飲醉死不知世忍氣吞聲事權貴 (10)心神委曲須臾苦奇術失迭千秋計 

烽煙止無改生死事 

且當醫仙謫世間神技終須風裏散 (11)回首仰高山景行請君範 (12)

[8]     曹操欲殺華佗臣下勸之不可答曰「不憂天下當無此鼠輩耶」

[9]     死前華佗欲托所著醫書於獄卒不果便盡數焚毀唯有其養生體操「五禽戲」流傳後世

[10]   《三國志魏書方技傳》「當須刳割者便飲其麻沸散須臾便如醉死無所知」

[11]   唐白居易《簡簡吟》「恐是天仙謫人世只合人間十三歲」

[12]   景行(音航)即大道以高山景行比喻人品德行為之高尚典出《詩經小雅車轄》又東漢鄭玄曰「古人有高德者則慕仰之有明行者則而行之」

ldquothe art of MediciNe was to be properly learNer oNly forM its practice aNd its exerciserdquo - thoMas sydeNhaM

48 | Caduceus September 2011

啟程

清晨空白的天空看不見藍天雲彩

只有溫柔的雨絲和朦朦朧朧的霧水跟隨

著大隊的足印踏上沉重的腳步穿過橫

街小巷和煩囂熱鬧的市場走過自動門

撲鼻的消毒藥水味道讓大家屏住呼吸筆

者和夥伴們終於到達了入讀護理系以來第

一次實習的醫院

還記得在實習的前幾天心情是既忐忑

又期待的畢竟這一次實習的地方不再是

在社區中心宣傳健康方面的知識亦不是

只面對著健康活潑的小朋友和老友記或是

學校課堂上所提供的假人張靜汶卻是照

顧一羣真正需要關懷的病人心中充滿著

憂慮不知自己所學的知識足夠在應用上

嗎自己平日的練習足夠嗎雖然心存在

著不少疑惑但也十分期待可以體會一下

做小學護的感受嘗試把這一年裡所學到

的知識運用出來

很多的第一次

在病房裡總有心酸和膽戰心驚的時

候第一次為昏迷的病人清潔口腔第一

次為難以進食的人插入胃喉第一次為老

公公清洗背上壓瘡的傷口helliphellip照顧他們時

的心情都是一步一驚心生怕自己沒法應

付得來又怕會把事情弄得更糟糕最重

要的是恐怕自己不純熟的技巧令他們受苦

了記得有一回第一次為女病人插入尿

喉採取尿液樣本可能技巧不太純熟的關

係延長了病人的痛苦過程中她皺著

眉頭不斷呻吟又緊張得咬破脣眼看

她樣子心中真的不是味兒來身為病人

的其中之一依靠我們不得不給自己信

心如果連自己也不相信自己哪會有病

人願意把他們交給我們照料呢

捕捉那瞬間的美麗與淒然何麗敏 (N14)

上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

意興

hkucaduceusnet | 49

另外第一次面對病人的心情是頗為

緊張的說話技巧亦有改進的空間但和

病人傾談了數分鐘後氣氛也漸漸變得和

諧可能那些老公公整天呆在醫院裡真是

悶到慌看見一羣年青人與自己聊天照

顧和關心他們他們不禁咧嘴而笑醫院

職員透露有一位老公公平日不太願意吃東

西於是我們便主動和他談天說地又

悉心照料他進食的情況後來他不但胃

口好了不少就連心情也開朗了他生動

活潑的談吐讓我們笑了他回復健康精

神的體魄也讓我們感到安慰

相處片刻

雖然為期一星期的病房日子不是特別繁

忙或是辛勞但是也會有不習慣的時候

幸好得到醫院職員和一班夥伴的支持病

房經理和註冊護士不但相信我們的能力

對學護的包容更是不用多說還主動地介

紹病房的環境和細心地教導我們醫療護理

上的知識讓我們上了一堂實在而又寶貴

的課同時今次的實習也令我感到團體

精神也十分重要在技巧上大家互相提

點互補不足當有人準備照料有需要的

病人如插喉或洗傷口等大家送上一句 

「加油」就能令對方增加不少自信心和正

能量無論遇上甚麼事情我也榮幸有如

此一班學習夥伴從旁支持

學習的階級

在這一次病房實習中雖然醫療和藥物

知識方面有待加強但是我學懂了如何與

不同身份的病人相處之道溝通上也得到

了很大的進步獲益不少除此之外我

也真正體會到如何做一個好護士並清楚

了解這個行業是否適合自己鐘樓也不是

一天就能建成而是需要一磚一瓦搭建而

成的所以在學習上我們不但要打好

穩固的基礎還要增強醫療知識在技巧

上馬虎了事和走捷徑是於是無補的應

該多探究和練習才行這樣才對得起病人

和自己也減少不必要的醫療失當事故

總之多一份認真多一點耐性多一些

愛心就是學護必記的左右銘 上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

ldquoit is reasoNable to expect the doctor to recogNise that scieNce May Not have all the aNswers to probleMs of health aNd healiNgrdquo ndash NorMaN cousiNs

50 | Caduceus September 2011

Fun Corner

Medical AppsEver wondered how your handheld device can save your time and

effort when it comes to studying Here is how

Anatomy Pronunciations by HipposoftAccurate pronunciations of over a hundred important anatomy terms you have trouble with are provided

at your fingertips to help you spell those difficult words Anyone who has taken an anatomy course can tell you how challenging it can be to pro-nounce the names of those complicated anatomi-cal terms It is even linked directly to Wikipedia and Google through web browser for additional information

iPharmacy ndash Pill Identifier and Medication Guide by SigmaPhone LLCAn essential medication guide of 20000+ drugs is provided for con-sumers amp professionals This ex-

pands the image library to include 12000 pill and package images and includes digital drug identifier with official drug information (indica-tions dosage adverse reactions and more) You can check the drugs anywhere

Grades 2 by TapityIt tells you what grades you need in the coming tests in order to get your target grade You can easily calcu-late your GPA so as to maintain it It

is a useful tool helping you to keep an eye on your GPA all the time

Human Anatomy by SusaSoftXThe application provides you with information of 15 different biologi-cal systems You can keep on revis-ing while you are traveling without

carrying heavy books

Medscape by WebMD LLCFrom drug classes interaction clin-ical procedures and even the lat-est medical news Medscape helps medical students and healthcare

professionals to reiterate knowledge that has slipped from the mind It is a free application for iPhone iPad Android and Blackberry Yet it contains more function on Android phones and Apple products and lacks detailed clinical infor-mation for diseases and clinical procedures walk through on Blackberry

Pro Medical Terminology Dic-tionary by TreascoveryTerminology might be a tough work for medical students Even if we can master those English terms we can

hardly think of the Chinese terms This applica-tion can help you when you face this problem Note that it is not a free application

3M Littmann SoundBuilder by 3M CompanyA great tool designed to help im-prove auscultation skills of medical students with 14 unique lessons of

key heart sounds combing text virtual manne-quin 3D cardiac animation and dynamic wave-forms

iRadiology by Liebermans iRadi-ologyAn excellent learning tool for medi-cal students demonstrating classic radiological findings of a multitude

of abnormalities including over 500 radiologic images Radiologic images include CT US MRI and nuclear imaging each clearly labeled and followed by key teaching points

Micromedex Drug Information by Thomson Reuters (Healthcare) IncIs Cephalexin a first generation ce-phalosporin This application from

Thomson Reuters is the easiest way to navigate in the sea of drug names Drugs are sorted by classes and supplemented with rich information

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 12: Caduceus Issue 2, Volume 42

12 | Caduceus September 2011

Radiologist

Ophthalmologist

Anaesthesiologist

All roads lead to Rome but have you missed the ROA and D

when it comes to success in medical career

to success

hkucaduceusnet | 13

Anaesthesiologist

Dermatologist

All roads lead to Rome but have you missed the ROA and D

when it comes to success in medical career

to success

14 | Caduceus September 2011

「形影不離」的造影術專訪放射科邱麗珊醫生陳伊樂 (M15) 賀曉琳 (M15)

邱 麗珊醫生於一九八三年畢業於香港大學醫學院並於一九八

六年開始修讀放射科邱醫生不但在東區

尤德夫人那打素醫院身兼前線管理和訓

練多職而且積極參與香港放射科醫學院

的工作我們非常感謝邱醫生能夠在百忙

中抽空接受訪問向各位同學分享一下她

踏上成功路的經歷與待人處事的態度

甚麼是放射科

放射科是利用X光(X-ray)電腦斷層攝影(CT)磁共振成像(MRI)和超聲波造影(Ultrasound)等技術展示患者身體內部結構的影像從而協助診斷和進行治療

當放射科醫生危險嗎

誠然放射科醫生需要經常接觸對身

體有害的輻射可是這門專科有不同的

措施保障我們的安全首先每一個放射

工作者都需要領取牌照此外我們會每

個月檢查掛在胸前的放射量測定器確保

接觸到的輻射劑量沒有超越安全水平當

然有關部門亦會定期檢查儀器確保它

們正常運作

爲什麼你會選擇放射科你對於有意將

來當上你的專科的同學有甚麼建議

選擇放射科純粹是因為爸爸的一句「

放射科適合女孩子」當上放射科醫生之

後才發現事實並非如此放射科是一個重

要的專科幾乎每一個住院病人都需要用

上造影技術但除非做超聲波或介入放射

治療放射科醫生卻好像很少與病人直接

接觸有些醫生喜歡多和病人接觸放射

科便不適合他們了另外放射科正面對

著迅速的科技發展對新科技有興趣的同

學這個專科的確是一個不錯的選擇可

是由於學位有限每年報讀放射科的六

邱麗珊醫生Dr Jennifer Khoo放射科專科醫生

香港大學內外全科醫學士 英國皇家放射科學醫學院院士 香港醫學專科學院院士(放射科)

東區尤德夫人那打素醫院 放射科 部門主管 及 顧問醫生

醫院管理局 港島東聯網 Service Director (Radiology)

香港放射科醫學院 首席副院長 及 科學委員會主席

專題

hkucaduceusnet | 15

七十人當中總會有四五十人因願望落空

而要轉投其他專科我的建議是千萬不要

灰心人總不能夠經常做自己喜歡的事

但一定要喜歡自己正在做的事(You canrsquot always do the things you like but you can learn to like the things that you have to do)

請詳述對你人生有大影響的起落人

事物

人一生中如果能夠遇上一兩位良師益

友在你碰到困難時扶你一把在你迷

惘時給予意見上天就已經算是對你不薄

了而我自己也算是非常幸運有兩位

前輩當上我的引導者一位是瑪麗醫院

的陳富六醫生另一位是澳洲的Professor Michael Sage因為兩位的提點我決定善用自己的長處留在公營醫院參與一些

行政和訓練的工作幫助培訓醫生使更

多病人受惠

你有甚麼人生的哲學嗎是甚麼信念使

你堅持當一名醫生

我認為每個人都需要有自己的優先順序

(priority)對我來說家人和家庭生活永遠都是排在首位縱使我已經涉足到很多

管理方面的工作但病人還是排在行政管

理之前有著清晰的優先順序不管遇到

多大的衝擊都能使自己勇敢面對邁步

向前優先順序或多或少都與個人經歷有

關有部份同行可能會基於不同原因或

許是滿足感或許是工作量而轉投私人

市場我想每個人的價值觀和信念都有不

你對現今醫學院的學生有甚麼寄語叮

習醫是一條漫漫長路少不免遇上困難

和挫折而這些難題往往會轉化成使身心

俱疲的壓力身為醫學生一定要及早學

會如何面對壓力我的忠告是凡事都要

以平常心面對要從錯誤中學習懂得避

免犯上同樣的錯誤要有反彈能力勝過

昨日的自己

醫科生基本上都是能力不錯的一群

(cream of the cream)要好好利用自己的能力為社會作出貢獻 

ldquowheN you are dowN aNd out soMethiNg always turNs up it is usually the Noses of your frieNdsrdquo ndash orsoN welles

16 | Caduceus September 2011

A Discourse with a Female Gold-MedalistInterview with an Ophthalmologist ndash Dr Charmaine HonChariene Woo (M15) Charis Chan (M15)

W hile waiting for Dr Hon at her Central clin-ic the Hong Kong Ophthalmic Associates

we were amazed at how the spacious clinic was crowd-ed with patients When we finally meet Dr Honrsquos big friendly smile made an impression on me as she invit-ed us into her room Despite having a busy schedule Dr Hon is very down-to-earth and eager to provide valuable advice for our fellow schoolmates

Dr Hon started out as a medical doctor and changed to the specialty of ophthal-mology Initially she worked with the public sector fulfill-ing her duties as a doctor re-searcher and teacher at the same time Then she turned to the private sector and joined the Hong Kong Ophthalmic Associates as she feels that she can be more focused on the aspect of patient care ldquoIn public hospitals it is hard to follow up on patient care and it is rare to meet the same patient twicerdquo she reflected ldquobut in the private clinical set-ting I get to know the patientrsquos family and medical his-tory better and I feel more like a doctor by having the ability to follow my patientrsquos progressrdquo

As a recipient of the John Anderson gold medal for the highest aggregate of marks in all the MBBS professional examinations Dr Hon also shares her advice in studying ldquoBasic knowledge is a must but clinical sense is the most importantrdquo and with a smile

she added ldquoyou have to pay attention to your mentors during attachments to hospitals even if you are just ob-servingrdquo But donrsquot think Dr Hon is all about studies She emphasizes that she is not the most hardworking student in her graduating class and suggests medi-cal students to explore outside of the medical world especially in the first two years of study ldquoYou have to have a life outside of medicine and you should do it in

the non-clinical years as there are decreasing chances and time for you to meet non-medically related peo-ple after year 3 onwardsrdquo the ex-member of the Union Choir said ldquoAnd as you come more into contact with different people you learn how to communicate bet-ter which will definitely help your medical career and will keep your life diversifiedrdquo

As for advice to students in clinical years she shares her insights in how to choose your specialty She sug-gests students to look into their strengths and inter-ests and to understand and explore as much as pos-sible in attachments since it is a lot harder to change onersquos specialty nowadays compared to the past ldquoThe most important point is to identify yourself and not to blindly follow the path of others Do not think of future

achievements since what you chose will probably stick with you for liferdquo True enough ophthalmology was not a developed specialty during her times of studies and Dr Hon says she is probably one of the very first gold medalists who pursued it as a career A note to her future female counterparts ldquoYou have to think of your future path and plan accordingly and be ready

Basic knowledge is a must but clinical sense

is the most important

The most important point is to identify yourself and not to blindly

follow the path of others

Feature

hkucaduceusnet | 17

to put your career before marriage Many of us delay our plans of marriage and pregnancy after finishing our specialty fellowship which is at around 30rdquo After hearing this I was very worried but she added ldquoGen-eral practice is also a good choice and there are some females doctors who donrsquot follow this trendrdquo

One of the things that struck me the most is that Dr Hon sticks to the principle of doing everything with all your heart ldquoYou only pass through this life once and when you look back you should not regret what you have donerdquo So when presented with conflicting ideas with her principle what does she do ldquoI reflect and fight for itrdquo she laughs ldquoIt sounds rebellious but as a doctor you have to have a judgment that is best for your patient and you cannot conform to society or systemsrdquo Using the limited consultation time for each patient in public hospital settings as an example she explains that doctors arenrsquot machines and should be able to adjust to different patientsrsquo needs appropriately so to do what is best for the patient ldquoYou should never lose yourself under the system and should always do whatever you think is best for your patientrdquo

When asked about the specialty of ophthalmol-ogy Dr Hon tells us with passion that ophthalmology allows instant gratification and makes a difference to patientrsquos life ldquoMany specialties can make a difference but only a few have a clean-cut immediate effect like ophthalmologyrdquo But ophthalmology is also about hard work and persistence ldquoIn this specialty there is con-stant advancement in the past we do extra capsular extraction but now there are frequency emulsifica-tion and other advancements I am always awed by the senior partners in this clinic who have a strong will to chase and read up on new techniquesrdquo So besides steady hands and good eyesight intellectual curiosity on the latest research is a must if you are thinking of pursuing a career in ophthalmology

Before we parted Dr Hon gave us a final word of wisdom ldquoThis is going to be hard for you two gals but you look tough and yoursquoll survive Since you chose this career path do expect to work very hard as it is not easy but so is every other occupation nothing is ever easy in this worldrdquo

DrCharmaineHon韓尚穎醫生

Specialist in Ophthalmology

MBBS(HK) MRCS(Edinburgh)

FC Ophth(HK) FHKAM(Ophthalmology)

ldquoas you grow older yoursquoll fiNd the oNly thiNgs you regret are the thiNgs you didNrsquot dordquo ndash Zach-ary scott

18 | Caduceus September 2011

奉行完美主義的守護天使專訪麻醉科李靜芬醫生吳瑞麟 (M15) 李庭翰 (M15)

說 起麻醉越野挑戰馬拉松義工無國界醫生你想到甚

麽幾樣風馬牛不相及的東西可以用三

個字關聯起來李靜芬

李靜芬醫生畢業於香港大學醫學院

現於養和醫院疼痛治療門診工作她曾經

加入無國界醫生到南蘇丹服務又是醫療

輔助隊動員主任香港不少的大型活動

例如馬拉松東亞運奧運馬術等都由她

去統籌急救站的運作她又經常舉辦醫療

會議亦於很多地方做義務醫療顧問熱

衷於向公眾推廣疼痛管理與健康的知識

另一方面她是香港全能運動學會醫療顧

問經常參加越野挑戰戶外活動又參

加半馬拉松比賽看完李醫生這麼的一個

簡介實在很難不驚歎好一個「周身

刀張張利」的奇人

人生的轉捩點

其實初中時期的她與醫生根本扯不上

半點關係身為壘球隊隊長在中四的一

次練習中她被壘球擊中一眼從此改變

了她的命運當時全港只有一位眼科醫生

會在晚間應診眼科的醫療設施也不足

令她眼睛流着血水在黑暗中東奔西跑尋找

醫生她由大埔賽馬會診所走到威爾斯

然後到伊莉莎伯再到油麻地終於找到

眼科醫生李醫生由四點奔波到十點令

她深深體會到作為病人的痛苦也從此立

志要做一個醫生幫助有需要的病人

初中時的李醫生每天放學就練球以

致成績中等但自從立志投身醫護她虛

心求教又得到當時的班主任授予時間管

理和讀書的方法成績突飛猛進在短短

六個月間從中等成績進步至模擬考試全

李靜芬醫生Dr Carina Li

麻醉科專科醫生

香港大學內外全科醫學士 澳洲及紐西蘭麻醉科醫學院院士 香港麻醉科醫學院院士 

香港麻醉科醫學院疼痛科文憑

香港醫學專科學院院士(麻醉科)

專題

hkucaduceusnet | 19

級第一她的毅力和決心實在令人佩服

她的傲氣

其後她獲中文大學收作暫取生但她

又再次作出驚人之舉李醫生認為要讀醫

科生物化學科就得好些所以一定要認

真研讀高級程度的生物化學但是人是有

惰性的如果做了暫取生就一定會變得不

思進取讀不好生物化學於是她毅然

放棄暫取生的資格全心全意去考好高級

程度會考李醫生的豪氣決斷她破釜

沉舟的決心她的好勝和哲學令筆者從

心底裏衷心地拜服她

結果她當然考得很好的成績在選擇

大學時她再一次認真考慮自己將來的

路向她生來就有一種使命感覺得一定

要做一樣在任何時候任何地方都最有用

的工作加上她常常留意時事總覺得天

災人禍真的可以隨時發生於是她就選擇

了兩種無論是面臨戰爭還是天災的時候

對所有人都十分重要的工作記者和醫

生她終於入讀了港大醫學院並於九五

年畢業

與麻醉科結緣

實習的時候她特意選擇了一些能夠獲

得較多經驗的部門到投考專科的時候

她也選上了可以接觸很多不同類型病人的

兒科只可惜當時兒科並沒有學額但在

朋友介紹之下知道了麻醉科麻醉科同樣

可以接觸到不同的病人而且無論在甚麽

地方都可以發揮所長正正符合了李醫生

的志向結果她便入了麻醉科

據李醫生所說雖然一般人認為麻醉

科對體力的要求較少適合女孩子但

是現實並不這樣簡單由於麻醉要求一絲

不苟麻醉科的醫生都是完美主義者而

且學習的內容艱深每一種藥物的作用

反應甚至化學結構都要讀得滾瓜爛熟

她形容麻醉科醫生就好像病人背後的守護

天使在手術中要不停監測病人的維生指

數感覺病人的生命就在自己的手中所

以要承受着很大的壓力

作為麻醉科醫生每次見到的都是昏

迷或者沒有意識的病人事實上並沒有甚

麽可以跟病人溝通的機會病人通常感覺

不到麻醉科醫生的付出所以作為麻醉科

醫生未必可以從病人身上得到很大的滿足

感但他們卻比其他醫生更能夠專注地為

病人服務因為每次在手術中只照顧一位

病人

她的叮囑

李醫生叮囑現在的醫學生一定要僅記當

初想做醫生的原因她覺得在這個物質

社會中人是很容易迷失的她感覺到現

在的某些醫學生只為了一份穩定的工作

甚至是因為父母的意見而選擇行醫關於

作為醫生的意義卻從沒有思考過她勸

我們要好好問自己兩條問題人為甚麽生

存於世上作為醫生又是為了甚麼她

認為醫者要有父母心處處為病人而

不是為自己着想作為醫生就是要去服

務幫助人而不是為了求回報我們生

存於世上為的是信望愛並不用時時

記住利益金錢等東西最後她又提醒我

們不可以歧視病人不論是黑社會成員還

是香港首富只要病了就是一個無助的

病人就需要我們的幫助

李醫生思考獨立為人熱情健談跟李

醫生做訪問真的是一件有趣的事又令筆

者獲益良多特別是她有關人生意義的看

法的確值得反思作為醫學生的大家

你又可曾想過為甚麼要生存為甚麼要做

醫生呢

ldquothere is No MeaNiNg to life except the MeaNiNg MaN gives his life by the uNfoldiNg of his powersrdquo ndash erich froMM

在手術中不停監測病人的維生指數麻醉科醫生就好像病人背後的

守護天使

20 | Caduceus September 2011

To Succeed is to Fight Against ComplacencyInterview with a Dermatologist ndash Dr Henry ChanLily Cheng (M15) Andrew Seto (M15)

W ith our scheduled interview being inter-rupted by an emergency case of Stevens-

Johnson syndrome a life-threatening allergic skin re-action to medication Dr Chan rushed to the hospital for his patient

Sitting in Dr Chanrsquos office at his private practice the Hong Kong Dermatology and Laser Centre in the middle of a conference call with his overseas counter-part researchers we saw a pragmatic doctor at work This is a doctor who would never be complacent with his performance but keeps striving for excellence

AmedicalcareerDr Chanrsquos interest in dermatology was sown well

before his exposure to the discipline Having been in-flicted with eczema during his childhood he suffered from an excruciating itch in his skin that caused him much distress As a result of his own medical condi-tion he developed an interest in dermatology at a young age

During his fourth year in medical school he ex-plored an elective in dermatology at Yale University and began formal training in the field He obtained his medical degree and worked for several years in the UK before returning to Hong Kong to work at the Prince of Wales Hospital He then received a grant from the Hos-pital Authority to read dermatology in the UK

Working back and forth between Hong Kong and Britain in and out of universities and hospitals in his early years of practice Dr Chan settled his work base in Hong Kong in 1995 He was Associate Professor of CUHK from 1998 to 2000 and Chief of Dermatology and Associate Professor in HKU from 2000 to 2004

After entering private practice in 2004 Dr Chan now spends a lot less time on doing administrative work and more time on treating patients While he was actively engaged in teaching research and clini-cal work his current focus has shifted to mainly clini-cal work As an honorary clinical associate professor of our faculty he enjoys teaching and values the opportu-nity to cultivate and influence medical students

A renowned dermatologist with a strong research interest in medical devices Dr Chan is still very active in terms of research output His private practice sup-ported by a team of full-time research staff is unique

for its active research component ndash a practice which is well-established overseas but rare in Hong Kong

AsadoctoranddermatologistIn the beginning laser devices were developed to

treat medical conditions such as haemangioma and black moles but technological advancements driven by recent research has explored new possibilities for their applications in cosmetic treatment As a result new cosmetic procedures have appeared for the treat-ment of various conditions from skin rejuvenation to body contouring

While it is true that most dermatological conditions are rarely life-threatening they may nonetheless have a profound impact on patientsrsquo physical and psycho-social wellbeing For instance eczema often presents with rash It may give exudate in serious cases but is rarely fatal Nevertheless it might constitute great dis-comfort and inconvenience to patients Similarly se-vere cases of acne may also diminish onersquos self-esteem Dr Chan stressed that treatments for many skin condi-tions are not merely cosmetic in nature but may im-prove patientsrsquo self-esteem body image and psychoso-cial wellbeing

On the other hand some skin problems such as psoriasis and chronic eczema are incurable It is there-fore the doctorrsquos duty to educate patients and enhance their understanding of their disease One of the re-sponsibilities for dermatologists is to evaluate the im-pact of their patientsrsquo conditions to their quality of life Other than helping them return to their normal routine and diet as far as possible dermatologists also need to teach patients the way to get along with their chronic illnesses

Dr Chan emphasized that we run a profession not a business On this ground a doctor should never tell a patient what procedure they should receive Rather a doctorrsquos role is to explain the options available and provide the relevant information that carry with each procedure including potential risks and complica-tions

Dr Chan reminded us that financial return is only a ldquoby-productrdquo of a doctorrsquos work as a professional Doctors work hard and should be paid for their serv-ices but they should not be more interested in making

Feature

hkucaduceusnet | 21

money than in helping people He believes that shap-ing doctors into commercials in some way jeopard-izes medical professionalism

SuccessRedefinedSummoning his days as a fresh medical officer Dr

Chan recalled the death of the 18-year-old girl inflicted with necrotizing fasciitis who died within 24 hours He bore in mind every complicated case as an alarm to his future practice admitting that there is always room for him to improve

Quoting the professional golfer Jack Nicklaus Dr Chan reminded us that ldquocomplacency is a continuous struggle that we all have to fightrdquo It is easy to let our guard down but doctors have to be responsible for their patients all the time It is demanding but impor-tant for every medical professional to be vigilant and maintain onersquos standard at the top level He believes that good doctors should keep themselves in an appro-priate amount of stress and tension which keeps them mindful of their patientsrsquo needs

When asked about his rules for success Dr Chan emphasized that he does not feel he has attained his goal yet He feels that he may have had a decent start but it is inappropriate to judge his career before his retirement as he is still in the middle of his career To him it is far too early to define success Despite his change in roles over the years he still maintains his enthusiasm and passion that motivate him to do his best whether it be research teaching or clinical work

As far as medical students are concerned Dr Chan doesnrsquot see the urgency of deciding our future spe-cialty yet Medical school gives us a broad and general exposure to various fields and offers a good place to learn and gain experience sharpening our skills before serving as doctors We could still explore more in our senior years to come

ldquoFollow your heartrdquo Dr Chan gave us as a conclud-ing word He believes that the so-called ldquoROADrdquo to success is not really that important if one does not en-joy onersquos profession Listen to yourself and ask whether you really like your job

DrHenryChan陳衍里醫生

Specialist in Dermatology and Venereology

MBBS(London) MRCP(UK) FHKAM(Medicine) FRCP(Glasgow)

FRCP(Edinburgh)

Hon Professor LKS Faculty of Medicine HKU

Hon Consultant Dermatologist QMH HKSAR

Visiting Scientist Wellman Centre for Photomedicine USA

ldquoirsquoM a firM believer iN the theory that people oNly do their best at thiNgs they truly eNjoy it is difficult to excel at soMethiNg you doNrsquot eNjoyrdquo ndash jack Nicklaus

We run a profession not a businesshellip [doctors]

should not be more interested in making money than in

helping people

22 | Caduceus September 2011

Art and Medicine Seeing Diseases in ArtHow art masterpieces reveal medical conditionsAndrew Seto (M15)

F or centuries art historians have been mesmerized by

the enigmatic smile of Mona Lisa coming up with theories that range from the mundane to the bizarre Was she a silk merchantrsquos wife or a self-portrait of Leonardo da Vinci himself Was she pregnant An adulterer Leonardo da Vincirsquos se-cret male lover The theories never cease

BehindMonaLisarsquossmileHighcholesterolIt turns out that Mona Lisa had

ldquovery high cholesterolrdquo at least ac-cording to Vito Franco a Sicilian professor of pathological anatomy A medical expert who enjoys study-ing art masterpieces for evidence of diseases Franco concluded that Mona Lisa had xanthelasma (the accumulation of cholesterol under the skin) Indeed a closer look at her mysterious face does show a yellowish collection around the in-ner corner of her left eye He even found evidence of lipoma (a fatty tissue tumor) on her right hand Probably the least poetic finding for the most renowned beauty in Renaissance art

This was not the first time medical experts have associated Mona Lisa with clinical conditions Charles Bell the 19th century Scot-tish surgeon who discovered Bellrsquos palsy a form of facial paralysis resulting from facial nerve palsy once coined the term ldquoMona Lisa syndromerdquo This was a reference to the facial muscle contracture that develops after Bellrsquos palsy resulting in a ldquoMona Lisa-like smilerdquo

Mona Lisa Xanthelasma or just a blotch by mistake

Insight

hkucaduceusnet | 23

Hardly would Parmigianino have known that the long slen-der fingers and limbs of Madonna with the Long Neck was the result of a genetic disorder called Mar-fan syndrome And of all the things that crosses onersquos mind upon first glance of Caravaggiorsquos Sleeping Cu-pid the notion that the baby was inflicted with juvenile rheumatoid arthritis would be hard to imagine Franco claims that his goal was to expose the human vulnerability of the people depicted in art

MichelangelorsquosgoutykneeAnother subject who has been

scrutinized by medical experts is Michelangelo Renaissance painter and sculptor Scholars looked at his knee from Raphaelrsquos School of Ath-ens and concluded that he suffered from gout a form of inflammatory arthritis that occurs when crystals form in the joints

Based on the appearance of his knee which appears swollen en-larged and covered in hard lumps a diagnosis of gout seems plausible It was known that Michelangelo de-veloped various diseases during his life In his writings he complained of having kidney and bladder prob-lems In 1549 he had an episode of anuria followed by passing of grav-el and stone fragments in his urine

Many experts believe that Michelangelo like many of his contemporaries developed gout from lead poisoning A well-known workaholic Michelangelo con-stantly lived off a diet of bread and wine (processed in lead contain-ers at the time) and was frequently exposed to lead-based paint All evidence points to lead poisoning which promotes kidney damage and inhibits uric acid excretion causing it to build up in blood This predisposed him to gout precisely as depicted in Raphaelrsquos fresco

RenaissanceArtandNeuroanatomyLike Leonardo Michelangelo

was not just an artistic genius but also a great anatomist At 18 he be-

Michelangelorsquos knee from the school of atheNs by Raphael (c 1509-1510)

Madonna with the Long Neck Was it Marfan Syndrome

Juvenile rheumatoid arthritis

ldquoall art is autobiographical the pearl is the oysterrsquos autobiographyrdquo ndash federico felliNi

24 | Caduceus September 2011

gan dissecting cadavers in a mon-astery in Florence where he honed his technical skills and knowledge of the human body

According to neuroscientists Michelangelo disguised sketches of the human brain in his famous Sistine Chapel ceiling painting which has remained unnoticed for 500 years His fresco The Creation of Adam shares a striking similar-ity with the sagittal section of the brain The fold in the cape repre-sents the Sylvian fissure separating the frontal and parietal lobes You may even recognize the angelrsquos foot as the pituitary gland his thigh as the optic nerve and his leg as the optic tract And that sassy green robe running down the ponsmdashthatrsquos the vertebral artery

Look at Godrsquos neck in The Sepa-ration of Light from Darkness from the same fresco Art historians have long speculated that its lumpy ap-pearance represents goiter Yet medical experts have found an ac-curate picture of the brainstem and spinal cord in Godrsquos throat stun-ningly similar to the creases and crevices of the brain

Yet why would Michelangelo embed the brainstem in Godrsquos throat Was he alluding to Godrsquos wisdom or was it a form of protest to the Church After all dissecting cadavers was considered unethical at that time and for an anatomist like Michelangelo who fell out with the Pope while painting the Sis-tine Chapel ceiling could he have been painting anatomical images directly above the chapel altar in defiance to the Church

Artandophthal-mologyHowvi-sionchangesartClaude Monet is recognized as

one of the founders of the Impres-sionist movement but his vision got cloudy during his later years He wrote letters to friends describ-ing his growing frustration with his vision changes He was even forced to memorize colours on his palette

the creatioN of adaM by Michelangelo (c 1511)

the separatioN of light froM darkNess by Michelangelo (c 1512)

hkucaduceusnet | 25

and label tubes of paint Red began to look muddy to him and he saw his painting as becoming ldquoincreas-ingly darkenedrdquo Whenever he com-pared his paintings with his earlier works he would be sent into a tow-ering rage to destroy them

This was because he had cata-racts Cataract patients have yel-lowing and opacification of the lens so his vision essentially be-came more brownish The yel-lowish brown cataracts he looked through filtered out violet and blue shades Monet underwent two eye operations in 1923 after which he returned to his old painting style even throwing away some of his paintings and repainting them

Thesufferingart-istDepictingill-nessesinartPerhaps no one better personi-

fies the notion of a ldquosuffering artistrdquo than Vincent van Gogh Clinicians have posthumously diagnosed him with a range of medical problems including epilepsy schizophrenic and bipolar disorder His later works have long been noted for his preference for the colour yellow and some have speculated that this was related to his yellow vision

One theory was that van Goghrsquos doctors prescribed him with digi-talis to treat his epileptic seizures His painting Starry Night has yel-low circles around the stars and not surprisingly people with digi-talis overdose often see a yellowish halo around objects Other experts speculated that it was his addiction to absinthe that led to his yellow vi-sion Absinthe is a highly alcoholic drink that contains a highly psy-choactive neurotoxin called thu-jone which causes yellow vision

Van Gogh was not the only art-ist who projected his illness into his art Edvard Munch had tuber-culosis and spit blood as a boy Her mother died when he was five her sister spent most of her life in-stitutionalized for mental illness and his brother died of pneumo-

nia Munch may have depicted his own psychotic state of mind in The Scream which portrays a twisted agonized creature wracked with anxiety and horror

ConclusionDo these findings actually

prove something or are we over-analyzing artworks with our medi-cal knowledge Exactly what ben-efit would these discoveries have for the world at large is unknown At least we know it could lead to yet another interpretation for Mona Lisarsquos smile the result of a scrump-tious meal of pizza and pasta with cheese tomato sauce and meat balls before sitting for her portrait (which would certainly also explain her cholesterol problem)

Two pictures by Monet of the same Japanese bridgemdashthe first painted in 1899 the second between 1918 and 1922 revealing a dramatic loss of shape and detail

suNflowers by Vincent van Gogh (1888) the screaM by Edvard Munch (1893)

ldquoeverythiNg that we see is a shadow cast by that which we do Not seerdquo ndash MartiN luther kiNg jr

26 | Caduceus September 2011

The End is Near Apocalyptic TheoriesRead more to learn about the terrifying future that awaits us Chariene Woo (M15)

S urge of waves rush over the mountains with unstop-

pable speed engulfing and shatter-ing our homes Flaming asteroids rain from the sky causing roads to crumble like sheets of paper Peo-ple running away from burning cities screaming fearfully Civiliza-tion ruined in matter of mere sec-onds Is this what the future lies for us

Nobody knows

Apocalyptic literature and movies have always raised interest among the general public partly

because it involves the end of our world as we know it and partly due to the fact that there is no solid proof how an apocalypse would come about The interest has re-cently skyrocketed with rumors about the world ending on 21st De-cember 2012 about how the May-an calendar finishes at that specific time and how it will be the end of the world as we know it So the big question is when and how will our world end

NostradamusProphetofDoomNostradamus of France was

one of the worldrsquos most famous seers and is most well known for Les Propheties (The Prophecies) a collection of his major long-term prophecies written in quatrains Many of his prophecies have cor-rectly predicted current events including the destruction of the space shuttle Challenger the death of Lady Diana and the destruction of Twin Towers of the World Trade Center As a result of these predic-tions he has been given the nick-

How do you survive the apocalyptic world

Insight

hkucaduceusnet | 27

name ldquoThe Prophet of Doomrdquo

Nostradamusrsquo prophecies have huge room for interpretation speculation and controversy and some people think his writing has no merit at all The following is an example of a quatrain alluding to some sort of environmental disas-ter in the future

ldquoFor forty years the rainbow will not appear

For forty years it will be seen every day

The arid earth will grow more dry

And great floods when it will be seenrdquo

(Century 1 Quatrain 17)

In other quatrains images of great comet alien invasion and nu-clear contamination are also men-tioned so these could all be the prospects that are waiting for us in the future Despite Nostradamusrsquo ldquoaccurate predictionsrdquo of what had happened in the past the quatrains do not have a specific order So out of all the disasters predicted in the many quatrains it is uncertain which will happen where or when giving it less importance in predict-ing an actual apocalypse

PlanetXAccording to Nancy Lieder a

woman who claims to have been contacted by extraterrestrial life forms Planet X (also known as Nibiru) would come close to planet Earth on May 27th 2003 resulting in the Earthrsquos rotation ceasing for 59 terrestrial days The Earthrsquos pole will then undergo a physical polar shift due to the magnetic attraction between the Earthrsquos core and the magnetism of the passing planet This will ultimately lead to the dis-placement of Earthrsquos crust and the end of us But when this did not happen the event was postponed and re-dated to coincide with the Mayan calendar hysteria

NASA argues that this is merely an Internet hoax with no factual or scientific basis They explain that if Planet X was approaching Earth astronomers would have

been tracking it for at least the past decade and the planet would now be visible by the naked eye This is a very comforting bit of news Yet some people believe that NASA is part of a conspiracy to cover up the existence of such planet and keep the truth of impending apocalypse from general public Again the ar-gument can go either way and the ldquotruthrdquo depends on which side you choose or want to believe in

2012TheendoftimeSo what is so special about the

year 2012 There are claims saying that the Mayan calendar ends on 21st December 2012 and that will be the end of time for mankind However just like every calendar it merely rolls over to the new year on that date and it doesnrsquot signify anything special In the Mayan cal-endar 21st December 2012 will be the end of brsquoakrsquotun 13 and marks the start of brsquoakrsquotun 14 A brsquoakrsquotun is 144000 days (a little more than 394 years) and there is no archeological or historical evidence to show that the Mayans expected anything sig-nificant or drastic to happen at the

end of each brsquoakrsquotun

However there exists litera-ture that suggests otherwise In 1975 Frank Waters the author of the book Mexico Mystique identi-fied the 13th brsquoakrsquotun interval to be the ldquoMayan Great Cyclerdquo where it ends in the worldrsquos destruction and rebirth Waters claims that cata-strophic earthquakes will destroy the world but he miscalculated the date and announced that the end of the ldquoGreat Cyclerdquo would be on 24th

December 2011 AD

The year 1987 marked an in-creased in interest regarding the prophesized big event in 2012 The author of The Mayan Factor Path Beyond Technology Jose Arguelles linked the 13th brsquoakrsquotun period to a ldquobeamrdquo that links people the plan-et the Sun and the center of Galaxy According to Arguelles the beam is the key to harmonic resonance in the universe and the Mayan knew when we would enter and leave this beam hence set their 13th brsquoakrsquotun to mark our passage accordingly He also claims that this beam could advance the development of any-thing with DNA hence creating a more positive view of the future

V838 Mon a star with expanding light echo purported as photographic evidence of Nibiru

ldquoevery MaN dies Not every MaN really livesrdquo ndash williaM wallace

28 | Caduceus September 2011

No one can be sure of whether the end of brsquoakrsquotun 13 signifies something great or disastrous for us or if it is just another restart in the Mayan calendar We can only know for certain when the day ar-rives

GodrsquosplanforusThis is by far the most detailed

and terrifying image portrayed out of all apocalyptic claims that I have gone through The Book of Rev-elation from the New Testament reveals signs of apocalypse through a wide variety of symbolism One of such is the frightening image of the ldquofour horsemenrdquo

ldquoAnd I saw and behold a pale horse and he that sat upon him his name was Death and Hades followed with him And there was given unto them authority over the fourth part of the earth to kill with sword and with famine and with death and by the wild beasts of the

earthrdquo (68)

The pale horse carries the horseman of Death which is be-lieved to release global plague and pandemics to the world and take the lives of a quarter of the popu-lation This has already manifested

itself in many forms in different parts of the world at different times hence the first sign of apocalypse is said to be already happening among us

In similar manners the bible describes the arrival a black red and white horsemen represent-ing the delivery of global food shortages war and conflict and the coming of an antichrist to the world From historical genocide terrorism to increased occurrence of food shortages so often seen nowadays it seems that the red and black horsemen has arrived as well and now we are just waiting for the arrival of an antichrist to conquer us

The Book of Revelation also provides readers with a glimpse into the ldquoactionrdquo in how the world will end

ldquoAnd I saw when he opened the sixth seal and there was a great earthquake and the sun became black as sackcloth of hair and the whole moon became as blood and the stars of the heaven fell unto the earthhellipand every mountain and is-land were moved out of their placesrdquo

(612-13)

Besides the great earthquake and the darkening of the sun there is a repetitive mentioning of stars falling from heaven on earth in the Bible This is postulated as the at-tack of massive meteors on planet Earth Out of all prophecies in the Book scientists assume this to be the most likely since an asteroid impact at a scale as large as that may have already wiped out an entire species that came before mankind Scientists believe that showers of space rocks that rained down 65 million years ago (due to the collision of Near Earth Object) were the culprit for the extinction of dinosaurs Luckily NASA recent-ly launched an early warning sys-tem called ldquoSpaceguardrdquo that aims to monitor such Near Earth Objects to prevent future collisions and ex-tinctions

Having read the above the Bible seems to combine all the horrifying specifics in different apocalyptic speculations into one nightmare But donrsquot worry since there are many different interpretations of the Revelation Historicists are the ones who see the Book as a broad view of history (good news wersquove already escaped all the horrors in the depiction) whereas Futurists

believe the description as prophecies of the fu-ture The Idealists hold the belief that the Rev-elation does not refer to actual people or events which makes sense as the Bible is often not inter-preted literally So fingers crossed that the Revela-tion is not interpreted in the futurist way because in that way there is going to be a daunting future awaiting us

Four horsemen of Apocalypse

hkucaduceusnet | 29

ldquoDevolvingrdquoEarthTheoryThis is probably the

most scientific theory that I have come across so far from a news article pub-lished from ABC News A group of scientists from University of Washing-ton hypothesized that the Earth will gradually de-volve in the next half bil-lion years In short their logic works as follows

As we all know the sun is constantly grow-ing bigger yet the Earthrsquos environment has been reasonably constant This is because as the sun is warmed up carbon diox-ide from the atmosphere is removed and deposited in soil as carbonates This keeps our environment stable by the balance be-tween an increasing sun and reducing carbon di-oxide in the atmosphere (Note that global warming resulting from an increase carbon dioxide in atmosphere is just a brief blip in the grand scale of things) Since carbon dioxide is the ldquofood of liferdquo the reduction will cause plants and animals (including humans) to die To battle the rising heat some creatures will retreat into the sea hence reversing the evolutionary process And as the sun continues to expand the Earth will become so hot that even the oceans will gradu-ally be evaporated Eventually the sun blasts off its mass through ther-mal pulses engulfing the Earth

This is a very scientific specula-tion from an astrophysicistrsquos point of view and they claim that at best we have no more than half a billion years left This might be more reas-suring for some of us as the world will not end in the near future But the grief lies in the inevitability of our planet Earth coming to an end

Everythingthathasabegin-ninghasanendSo we are back where we start-

ed With more speculation and the-ories and still no closer to the truth The end could happen any day or time or maybe it could be a proc-ess that is already happening Even though it is not to the scale of an-nihilation of the human race hur-ricanes and earthquakes and car crashes have already been stealth-ily taking the lives of millions We know for sure that we must die eventually through chance old age or disease There is only very little we can do to fight against what has been planned for us and reducing the resources we consume is the best chance that we have in delay-ing this happening There might be some benefit if we know the in-sights of when and how it will hap-pen but really it doesnrsquot change anything Moreover it is possible that these speculations came about to force mankind to live life to the

fullest to treasure each day and every resource we have as a gift so it doesnrsquot matter which theory is the accurate one In the midst of these theories about apocalypse all we can do is to live every day as if it was our last with no regrets and enjoy life as it is now

ReferncesThe End of the Worldhttpwwwnostradamus101compropheciespart4P7

The Great 2012 Doomsday Scare httpwwwnasagovtopicsearthfeatures2012-guesthtml

When Will the World End New Theory EmergeshttpabcnewsgocomTechnol-ogystoryid=97756amppage=2

2012 Beginning of the End or Why the World Wonrsquot Endhttpwwwnasagovtopicsearthfeatures2012html

Video from history channel (from youtube link)httpwwwyoutubecomwatchv=BoTExQEyblU

ldquothe MeaNiNg of life is coNtaiNed iN every siNgle expressioN of life it is preseNt iN the iNfiNity of forMs aNd pheNoMeNa that exist iN all of creatioNrdquo ndash Michael jacksoN

30 | Caduceus September 2011

笑的神奇魔力「當你笑你改變了當你改變了整個世界也改變了」

麻丹卡塔利亞醫生(大笑瑜伽的始創人)何麗敏 (N14)

被隱藏的笑容

日 本大地震及核洩漏事件馬頭圍道唐樓火災三死十九傷中區

警長為勸示威人士中不慎失足墮橋身亡

各政黨爭相你嘲我罵helliphellip在城市裡我們

每天都被一些飛來橫禍天災人禍或社會

爭執的信息圍繞著充斥著愁雲慘霧的氣

氛甚至在家庭朋友學業工作和

健康方面我們亦會遇到不如意之事負

能量和心理壓力不斷增加沒有適當的疏

導和發洩方法之下不少人染上酗酒或沉

迷賭博等壞習慣來自我麻醉長期把情感

抑制的一些人更有機會患上

情緒病我們彷彿硬把自己

困在死胡同裡忘記兒時怎

樣整天咧嘴哈哈大笑如何

在跌倒後笑著站起來現

在很多人都像被魔鬼牽著

鼻子走每天板著一副無奈

沮喪的嘴臉掛上冷漠的眼

神笑聲更差不多成為絕

朋友啊你可有嘗試計

算過一天總共大笑了多少

次英國格拉根大學研究發

現在英國嬰兒每天會笑

達三百次而青少年時期的

每天大笑次數大幅減至六

次五十多歲的人平均每天

更只笑了三次無可厚非

我們在成長過程中必遇到愈來愈多的煩惱

和挑戰事情的確不是我們所能控制但

面對的心態我們為何不能放開一時所謂

的包袱像孩子般笑著面對呢為甚麼大

笑要有一定的理由或被時間限制呢

瑜伽加愉

近半個世紀工作學業和情緒波動

很大生活方式變得愈來愈物質主義容

易出現精神緊張大家都被壓得透不過氣

來變得不太愛笑在一九九五年印

度孟買註冊家庭醫生麻丹卡塔利亞(Dr Madan Kataria)創立「大笑瑜伽」以笑聲驅除怨氣大笑瑜伽是以笑聲互相交流

的透過眼神接觸傳遞歡樂的信息學習

別人的笑容代入孩童的心態再全情投

入地開懷大笑同時亦融入瑜伽的腹式

不妨一試

大笑瑜珈三式一預備式林中步行

在樹林慢走就是愛笑瑜伽的熱身方式步行時間

可以是10-30分鐘邊走路邊拍手同時不時地做深呼

吸目的是讓身體和情緒都徹底放鬆下來為後面的

內容做好準備

二進行式學習動物的表情

在瑜伽導師的帶領下活動面部肌肉然後模仿瑜

珈導師的動物表情這些表情看上去本身已很滑稽

只要按照瑜伽師的樣子去做再發出笑聲

三結束式調整呼吸

經歷了一場大笑面部表情鬆弛了心情也舒服

了不少大家慢慢收回笑容調整呼吸一邊在森林

裡散步一邊大聲告訴自己說「我們是世界上最快樂的

人」

灼見

hkucaduceusnet | 31

呼吸和伸展動作鼓勵大笑達至身心健康

的效果精神科專科曾繁光醫生指出 

「笑令腦自然分泌天然多巴胺以抗衡人

體緊張時所分泌的皮質醇預防患上焦

慮抑鬱的情況」除了改善情緒還能

促進健康笑能促進肺部呼吸功能和加強

血液循環現代醫學認為笑可以成為一種

治病方式治療神經衰弱消除肌肉的緊

張預防或減緩疼痛

筆者在此並不是宣傳大笑瑜伽其治

療成效仍有待商榷和科學實證但愈來愈

多人證實大笑和保持歡樂的心態能有效放

鬆自己張立新先生是第一位在中國推廣 

「大笑瑜伽」的人他患上憂鬱症遍尋

各種治療方式皆無成效一次機緣巧合

從網路接觸「大笑瑜伽」亦在電視上看

到介紹而開始學習和練習他的憂鬱症因

此不藥而癒從此他就開始在中國研究和

推廣愛笑運動暫且別論大笑瑜伽的奏效

程度但人生所遇到的事可真不少何不

笑對人生

尋回被遺忘的赤子之心

大笑並不是靈丹妙藥但它的確能帶來

正能量即使事情有多糟糕笑著面對總

比怨聲載道好而且美國加州大學柏克

萊分校心理學教授丹卓凱納說「笑對

人的進化很重要」目前心理學家們認

為笑是人類之間交流的古老方式之一笑

能互相影響把歡樂的氣氛傳染開去嬰

兒還未學懂說話時笑是與身俱來為何

我們長大後卻隱藏笑容呢朋友們參考

左頁所列大笑瑜伽的基本招式大家可相

約三五知己輕鬆一番找回孩童時的笑聲

大笑瑜伽的始創人麻丹卡塔利亞醫生

大笑瑜伽在六十多國家盛行

ldquolaughter is the best MediciNe - uNless yoursquore diabetic theN iNsuliN coMes pretty high oN the listrdquo ndash jasper carrott

32 | Caduceus September 2011

Learning Experiencing GivingA magical 10-day journey away from the cityErin Yeoh (M15)

C lad in backpacks light clothing and sneakers 21 medical students from HKU and CUHK

were prepared to leave the comforts of home and the internet (did I hear Facebook) We were bound to Chi-na about to embark on a learning-cum-volunteering trip organized by Medical Outreachers

After saying our final goodbyes at the Shenzhen air-port we split into two teams Team A with 9 members were bound to Xirsquoan where they would see volunteer orthopedic surgeons at work The 12 people in Team B including me left for Guizhou to understand the role of village doctors in rural China Both teams aimed to find out the effectiveness of public health policies in rural areas of China We were to meet up 4 days later at Dongshan Guangdong

Part1GuizhouUpon landing in Guizhou we were provided with

excellent hospitality by the local officers and the lo-cal NGO Amity Foundation We were given a brief introduction to Guizhou and also the work that the government and Amity Foundation were doing in the province Amity Foundation actually helped to build numerous new village clinics to improve the quality of healthcare in the region

The next day we were taken on a tour around the province visiting different village clinics (村診所) lo-cated in areas further away from the city Usually there would be one or two village doctors (村醫) on duty

at a time to attend to the villagers with population of around 1000 to 4000 per village

However the village doctors were not the type of ldquoheroesrdquo I had in mind They were not your typical doctor working in a worn out run-down wooden hut where there would be a row of sick villagers lining up to see them How ignorant I was In fact the village clin-ics were mostly renovated and well equipped with ba-sic amenities The standard village clinic has 5 rooms main lobby (大廳) treatment room (治療室) pharma-cy (藥房) observation room (觀察室) and a doctorrsquos rest room (醫生休息室) Furthermore their patient flow was rather small sometimes only one or two pa-tients per day This was probably due to the fact that some village clinics were located only a stonersquos throw away from major cities Those in a medical emergency would of course go straight to the main hospital to seek help immediately instead of consulting a village doc-tor

To be a village doctor one at least had to be a sec-ondary school graduate They would also undergo constant training and certification by qualified doctors in larger clinics According to the village doctors they spent most of their time doing paperwork keeping track of the villagers and their medical history They would also conduct regular home visits to those suf-fering from chronic illnesses or those that needed con-stant monitoring such as patients with hypertension or rheumatoid arthritis Another point that I found

A village clinic before receiving funding from Amity Foundation

hellipand a comparison after

Life

hkucaduceusnet | 33

interesting was that they would also visit families with newborn babies to check on their general health At the same time they would educate mothers on proper breastfeeding techniques and how to provide adequate nutrition for their children in the future

To learn more about their daily routine we fol-lowed a village doctor on his home visit rounds The doctor would sometimes have to travel as far as 2 kil-ometers for a home visit which would be the other end of the village This was as in the case of a pregnant lady due for delivery soon (photo as shown below) The doctor who came to check on her health status reas-sured her that her delivery would be a successful one From her sigh of relief and tired smile we could tell that she was grateful to see the doctor

However things didnrsquot always run as smoothly According to some of the village doctors they used to be scolded and rejected by the locals who did not understand why the doctors would often come up to their doorsteps asking them questions regarding their health and pestering them to go for checkups Some of them being superstitious would think of doctors as ldquoharbingers of bad luckrdquo as the doctors would talk about ldquosicknessrdquo and ldquodiseaserdquo when they were actu-ally feeling as fit as a fiddle Thankfully the situation has much improved since then

From what we saw instead of playing a curative role in a society the village doctors were actually much more involved in disease prevention and monitoring

This is actually the ldquoupstream modelrdquo concept in pub-lic health Instead urban doctors are overwhelmed by limited consultation time and when fatigue kicks in they simply do not have the energy to further educate their patients They would also not have the time to un-derstand their patients on a personal level unlike that of the village doctors

However the indiscriminate use of antibiotics in China was truly a frightening sight Doctors adminis-tered antibiotics intravenously for mild diseases like the common cold When we asked the doctors as to why they did so they simply smiled and shrugged off the question It is probably still a common practice in China and if the doctors did not give such medication the patients would probably lose trust in the doctor The fact that the similar practices were seen even in large hospitals probably indicates that this problem is hardly a localized one

Part2DongshanGuangdongWe met up with the team from Xirsquoan at the

Guangzhou airport and proceeded to our next desti-nationmdashDongshan After 5 hours of car ride we began to see signs that we were approaching our destination Mountains sharply angled clustered in twos or threes fondly known as ldquoMcDonalds mountainsrdquo were begin-ning to be in sight

As soon as we arrived we were greeted by eager curious young faces The children huddled close by as we unloaded our luggage some commenting that they hadnrsquot seen some of us while others were already play-ing around with the past participants It was my first time to Dongshan but there were some of us who were not new to the kids there

After settling down we were given an introduction to Dongshan and its residents by the local NGO Green Action Foundation led by Mr Wong

Located at the outskirts of the province Dongshan is one of the 4 poorest areas in Guangdong Its natu-ral terrain abundant in limestone makes it especially hard to retain water This has taken a toll on the resi-dents especially during the drought season Another problem faced by the local residents is that there are many young people and adults migrating to big cities to earn a living leaving behind the children and elderly

Village doctor on one of his home visits

Discarded bottles of intravenous antibiotics near the village clinic

ldquoMediciNe also disregards NatioNal bouNdariesrdquo ndash irviNg laNgMuir

34 | Caduceus September 2011

at home

Green Action Foundation took the initiative to plant trees around the area so that more water was available for irrigation and domestic purposes This improved the quality of their crops and boosted their source of income They also sponsored some of the

childrenrsquos education depending on their performance in school to ease the burden on their families

The next few days were jam-packed with activities A sports day was held as an icebreaker so that the new participants could get to know the children better We also spent half a day at the Dongshan Primary School where we taught the kids personal hygiene simple first aid moral education and also sex education for the grade 5 and 6 students

Another interesting activity that we had was a weed-cutting session up at a mountain with the other children Each of us was assigned with 2 to 3 chil-dren who were supposed to ldquoguiderdquo us along the way It was a 2-hour hike up and down hilly ter-rain While I would stop once in a while to take a breather the kids were barely panting The kids would often stop to ask if I was tired and even of-fered to help me carry my backpack Note to self more exercise next semester

Nevertheless it was a great chance to know the kids better We had the time to chat about their school life and what they thought about their future and also the chance to share snip-pets of our lives in the city

We then split into small groups and visited the homes of the children in order to gain a bet-ter understanding of their household hygiene

condition any medical conditions in the family as well as their economic standing We had also prepared questionnaires to be kept as future record Some of the families were very poor to the extent of having no source of income at all They depended solely on their own crops for food If they went to see the doctor they would usually owe the doctor money until they had

enough money to pay back The hygiene status of the villagers varied but most of them had swarms of flies around food Many even had their live poultry like chickens running around the house Before we left we gave them some hygiene products like soap washing detergent and toothbrushes to encourage better hy-giene We also gave them a poster explaining ways of maintaining a clean household environment

Another main focus of the trip was to find out the effectiveness of a medical insurance policy newly in-troduced by the government Each person had to pay 30 Renminbi annually to be guaranteed free medica-

Sports day activity

Weed cutting with the children

hkucaduceusnet | 35

tion and hospitalization thereafter Generally the vil-lagers were grateful for this plan as many found it dif-ficult to afford medical fees while struggling to pay for

basic necessities at the same time However some vil-lagers complained that the prices of medicine spiked after this policy was introduced and hospitals would of-ten ask patients to

do unnecessary scans just to earn more money

This trip made me realize that there is much that we can do but how great an impact we can make might not be seen immediately With follow up trips one could see the change as compared to the last visit and make further modifications to improve the situation

As the trip came to an end we were reluctant to leave There was something very magical about Dong-shan where the skies would turn to an exuberant red during sunset and on a clear night you could see stars scattered across every corner of the sky It is a place of beauty struggle and hopefully a place of triumph in the years to come

It is a place of beauty struggle and hopefully a place of triumph in the years to come

On one of our home visits

More to ExploreMedical Outreachers 醫心httpmedicaloutreachersorg

The Amity Foundation 愛德基金會httpwwwamityfoundationorg The beautiful sunset in Dongshan

ldquoshariNg is soMetiMes More deMaNdiNg thaN giviNgrdquo ndash Mary catheriNe batesoN

36 | Caduceus September 2011

就 在這一刻世界沉默了

城市的繁囂隨飛機引擎

逐點逐點噴走了繁囂的離

開是為了讓簡單的生活回

來剛踏出廈門機場一張

又一張的笑臉映入眼簾刺

熱的太陽把兩地之間的隔膜

融化

早從香港回歸時開始

香港人經常強調自己只是 

「香港人」而不是「中國

人」自以為比內地人高一

等可惜這班自視過高的都

市人曾幾何時為外地人送上

熱情的款待這一點廈門

人比誰都做得更好

廈門是一個位於中國

東南部的海島也許就是近

海讓居於廈門的人都把一

切怨恨煩惱拋下大海讓

它們隨水流漂走埋藏在海

床上每年廈門的鳳凰花花

開兩季一朵又一朵鮮艷如

火的鳳凰花在六月時歡送一

個又一個的畢業生彷彿為

他們添上一份祝福九月時

的鳳凰花熱情地歡迎一屆又

一屆的新生為新生的精彩

校園生活揭開序幕一份一

份的熱情含苞待放身在廈

門又怎會不被這市花的熱情

感動呢廈門大至人與人

之間小至花與花之間都存

著一份情

要追溯廈門人的情懷

可數至土樓的建成土樓

是個大多呈方形或圓形大型

群居的建築整座土樓樓高

三至五層由於牆身頗厚及

只有一個出入口甚具有防

禦功能亦因為這緣故當

大門關起來土樓便成了一

個家這個家佔地不大但卻

藏著成千上萬的人情味在

萬里無雲陽光普照的天空

下土樓居民的熱情好客

被蒸發出來懸浮在空中

一代一代傳下去更讓它隨

風走出土樓傳遍整個廈

門即使土樓漸漸成為旅遊

景點一些擺賣紀念品的攤

檔已經進駐但卻無礙居民間

的感情商販彼此交流從

不出現爭客的情況在土樓

中央休憩的居民除了為外地

人介紹他們的祠堂外亦邀

請遊客跟隨他們到遊客禁區

參觀在土樓居住的每伙都

中門大開當遊客投進好奇

的目光屋內的人往往以親

切的笑容作回答鄉土人

情在這世代多冷漠的心也

被融化

細膩的人情味外最令

遊客津津樂道的是廈門人的

態度廈門大學附近有一條

芙蓉隧道只要你願意便可

在隧道內壁上畫下你所思所

想當然美觀與否見仁見

智但這一種對藝術尊重

欣賞的態度是值得欣賞我

有我盡情地畫你有你盡責

青春在廈門留下足印潘曉彤 (N14)

生活

hkucaduceusnet | 37

地去管轄城市各處的整潔

彼此留下空間達至相輔相

成的效果廈門人就懂得人

最基本的禮貌尊重不

過廈門人對他人的尊重遠超

於人的基本禮貌當你去唱

「卡拉OK」的時候每次

待應的出入時看到的就只

有他們的正面而他們前行

或後退的方式就像看到皇帝

一樣卑恭屈膝香港人常常

強調面子哪一天才能捨下

那過高的尊嚴為不相識的

人作一個最謙卑的招待

其實任何人一離開香

港都不難發現就只有香

港愈夜愈精彩其他地方晚

上八時大多關門大吉而廈

門就只有中山路才媲美得

上香港的夜夜笙歌夜幕低

垂萬千燈火的中山路上

與來自各區的人擦肩而過

昏黃的燈光下照出一群又一

群的沉默影子剛好與路上

喧鬧的行人相映成趣騎樓

在霓虹燈的點綴下顯出了獨

有的閩南特色大街小巷傳

來不同地道小食的香氣車

輪餅燒仙草土笋凍helliphellip

為我們外來的交流生帶來美

味可口的夜宵飲飽食醉過

後走到中山路的盡頭又

回到了沉睡中的廈門

在優美的環境影響下

廈門人的生活也自然變得

純樸優閒單車車輪在環

島路上留下一圈又一圈的印

記沿路能細聽海浪輕拍岸

邊的聲音細嗅四處洋溢的

花香感受微風吹散太陽散

發的熱力見證一對又一對

的新人在拍下幸福的照片

據說廈門有戀愛天堂之稱

不管走到哪一處也會

看到準新人拍下甜蜜的婚紗

照而在裡面享受的人永遠

不知道這風景如畫的背

後是透過多少人的血汗換

來當我們在追求經濟成果

的同時往往破壞了造物者

在世上留下的藝術品隨中

國經濟急速發展一個又一

個的世外桃園被摧毀銅臭

替代了花香車聲替代了鳥

語這仙境又可維持多久

廈門另一世外桃園就是

鼓浪嶼它活像香港的長

洲島上滿有歐陸建築風

格但當中不乏中國特色的

建築中國古城風味與洋風

互相交替帶出截然不同的

感覺島上遠離汽車的廢

氣與金門就只是一海之

隔一家大小在享受天倫之

樂時一群又一群的青少

年情侶在沙灘上嬉戲立

即為島上升溫

筆者認為在這個混亂的

俗世確實需要抽空來欣賞

造物者留下來的藝術品大

財團不斷興建大型商場國

際知名品牌不停進駐留下

的就只有愈來愈狹窄的街

道被石屎封蓋寸草不生

的土地人人被金錢蒙蔽

迷失在霓虹燈光中又有多

少知音人能放下生活的瑣碎

事情在這裡享受時間一分

一秒的流走你被海浪聲

喚醒了嗎

筆者參加這次是由香

港廈門兩地大學的交流

團一連六天已經習慣了

當地的優閒生活模式體會

到的不只是廈門的風土人

情歷史文化而是兩地大

學生那種衝破界限的交流

雖說年輕人容易打成一片

但廈門獨有的熱情確實融化

了彼此間的隔膜廈門的美

是成人之美成就了兩地大

學生的友誼

飛機又再起飛了廈門

再見了

ldquothe tiMe of life is short to speNd that shortNess basely it would be too loNgrdquo ndash williaM shake-speare

38 | Caduceus September 2011

生 命形成之際只要一秒鐘的差遲世界便會不一樣

蝴蝶效應從來都是玄的全因一個 

「緣」字

隨著人成長要決擇的事太多學生

有兩件人生大事幾乎都不是由自己決定的

入讀小學及中學然而到了大學這

關卡自己也許可以拿定主意了若果你

入讀了心水科恭喜你若不然祝福

誠然入大學是最影響未來生活的關

口是好是壞無人知曉不用量化不

用比較太多即管做自己所想活出自己

的路只因你不會曉得你的下一步會怎樣

影響著你的生命

或許一個活動你會遇上你的最愛

或許一個宿位你會遇上你的知己

或許一句說話你會惹來一個敵人

或許一次走堂你會由B變C

這就是大學

在大學各人有各人的大學生活大

學講求自由學習學習真的是「求學不是

求分數」有些人愛廣交朋友有些人愛

住宿有些人愛做莊務有些人愛拍拖

有些人愛參加各樣活動有些人愛做兼

職有些人愛讀書有些人卻愛甚麼都不

做helliphellip不少大學生強調入大學必定要做齊

大學五件事(上莊住宿讀書拍拖

兼職)但其實只要自己開心不害人的

話做甚麼也沒問題最要緊的是認清讀

大學的目的以免沉淪於大學這花海

朋友

大學可以令你對「朋友」的概念愈來

愈含糊幾乎每個活動都可令你認識新朋

友通常大家都會輪流講述自己的名字與

學科(Round Table)這亦是考驗大腦對人名的記憶所謂的「Hi-Bye Friend」會愈來愈多隨便在細小的港大內穿梭會令你

無可奈何地對他們說聲Hi

不過別標籤你的「Hi-Bye Friend」要是連Hi-Bye也談不上更不用說做深交了上大學了大家已有既定的圈子很

多時約會或聊天都先找中學朋友而且很

多人會把大學朋友與中學的作比較雖情

有可原但有時未免先入為主地覺得中學

的較好

這亦難怪即使是日日碰面的同學也

未必是自己的好友人人都有自己的時間

表下課後各散東西不是大家不想互相

認識只是有時身不由己若想互相了

解不妨盡量製造共處之時有時甚至可

以分一些約會給大學朋友然後你會發

現大學朋友也可跟你熟絡可別為自己

建造一塊厚厚的心牆

舍堂

要入宿無人會不曉得十日的迎新營

有些舍堂平均每天的作息時間只有兩三小

時有人說住宿最辛苦就是迎新營然而

它卻是最難忘的

要數活動單單一個舍堂已數之不盡

要是投入舍堂生活每天24小時是不夠

用的舍堂之間有各樣比賽堂友要參加

各個組別為比賽出席各樣練習否則可

能被拒於來年再住基於許多人都只在夜

晚有空要全體出席那可是晚九朝五的

大學之緣賴彥積 (N14)

新鮮人

hkucaduceusnet | 39

宿生們之所以會熱衷於舍堂活動因他

們對自身舍堂有強烈的歸屬感好比中學

時學生參加校際比賽要是沒有歸屬感

就不會有心參加所屬舍堂的活動

除舍堂之間之活動樓層之間亦有各類

活動樓內亦然只要有人的地方就有玩

樂彷如天天宿營你不會有機會偷偷早

睡其他樓友常常打擾你你原來的生活

時間會推後數小時睡於二時已是罕有

早上的八半堂彷如無物

可以住宿但不參加活動嗎當然可以

但你會面對的是朋輩壓力他們雖未必逼

你參加卻會在言談中有意無意的滲出

來那種壓力不只限於自己樓層甚至是

跨樓層千萬可別輕看宿中流言

上莊

有人說上莊所學遠超課堂上莊所學

的是如何籌辦活動非常實用有時要對

外聯絡有時要面對公眾helliphellip像是要為將

來工作鋪路似的當然這亦要視乎你上

的是甚麼莊

一般而言上莊可訓練你待人處事的技

巧有時表面看來很友好的朋友當背

負上一定的要求後關係少不免有磨擦再

者初時莊員素未謀面最後卻因朝夕相

對而演變成朋友這段關係是很可貴的

成莊前要宣傳內閣爭取選票成莊了

又要舉行咨詢大會包受歷莊指導然後

又有就職典禮此後的活動更接踵而至

當然包括迎新活動招莊活動等helliphellip君不

見很多人視莊房為睡房少不免有「通

頂」之時忙是忙但必有價值至於是

好是壞要看自己的造化了

拍拖

人上了大學有時心思思想拍拖眼見

身旁多個好友都紛紛拍拖自己少不免羨

慕別人這想法十分正常畢竟大學生真

的可以放下只讀書的重擔真的可以規劃

人生大事了

香港大學一些營新活動中隨了Round Table外還有Round Status即說自己現在有否拍拖以及拍過多少次拖如 

A 0即Ava i lab l e之前至現在沒有拍拖O1即Occupied之前至現在共拍了一次拖當然也有一些同學自己創的甚

麼OBA (Occupied But Available)或D10(Desperate拍過10次拖)等等至於Round Status的動機何在可能是組爸媽想穿針引線吧當然也可能是別有用心的

不同人對拍拖有不同想法上了大學更

有不同擇偶條件人大了在感性的議題

上往往加上種種理性的數據開始現實起

來哪個帥哪個富有哪個有前途helliphellip

有些不在乎天長地久只求剎那的光輝

有些求虛榮有人疼愛在朋友前炫耀

有些甚至會在拍拖前已想定分手後的模

樣所以不想選擇跟自己同科的同學

活動

不同團體(包括舍堂學會及學校部

門)都有不同活動不用愁沒事幹只用

愁沒時間只要多留意Portal Mass Email或Main Campus海報不難發現幾乎每天都有各樣活動動靜皆宜開學時有迎

新營考試時有勁過飯新學期有開Sem

飯有些學會如戲劇舞蹈合唱團不時

有演出有關運動的學會則多練習以參

加比賽有關學術的也有很多興趣班講

座比賽等想幫人的亦可參加義工團

體如蛇蛇豬扶青等舉辦的義工活動

兼職

大學生的兼職大多以補習為主畢竟

這是我們能力範圍內可賺取最多外快又是

時間最彈性的工作有些人卻因補習不能

寫在履歷表而選擇別的工作然而很多時

我們都要在兼職與大學活動中取捨我的

ldquotake a chaNce all life is a chaNce the MaN who goes farthest is geNerally the oNe who is williNg to do aNd darerdquo ndash dale carNegie

40 | Caduceus September 2011

E mily was the chairperson of Pharmacy Socie-ty session 2010 As a student she has actively

participated in holding activities for many medical stu-dents and taken part in providing welfare to all phar-macy students Her following sharing will especially enlighten our new pharmacy students

Q Why did you choose Pharmacy SocietyA To be frank ldquosheung jongrdquo was really out of

my expectation when I anticipated my university life However my perspective has changed when I officially became a pharmacy student in HKU As members of the opening class of the Pharmacy programme my classmates and I realised the importance of having our own student body We do need an independent soci-ety to represent us pharmacy students to cater for our specific needs to listen to our points of view and to act as a bridge to facilitate our communication with the Medical Faculty the entire university and ultimately the pharmaceutical field in Hong Kong My class-mates and I who later became ldquojong yausrdquo believed we should act immediately to establish and run our own society which is why I decided to ldquosheung jongrdquo

Q Would you like to share some of the pros and cons of sheung jong

A ldquoSheung jongrdquo definitely helped me achieve per-sonal growth It was a concurrent commitment and re-sponsibility to serve and to lead our colleagues Bear-ing this in mind we always pushed ourselves to attain the best of our work ethics efficiency and efficacy As the very first session of the Society we lacked the guidance of any previous committee member Instead analysing carefully and critically we thought better of every decision which I personally found an enriching experience ldquoSheung jongrdquo was also an eye-opening journey Wersquod got to meet different people and learnt more about the professional work for as our career-to-be after graduation This in my opinion is always beneficial Last but not least I was fortunate enough to have worked with my amazing fellow committee mem-bers I frankly couldnrsquot ask for better ldquojong yausrdquo than initium Irsquom absolutely thankful for having them as my friends and it is definitely my greatest gain along the way

Despite the merits ldquosheung jongrdquo definitely has its downsides as well It is a lie to say ldquosheung jongrdquo does not affect our daily life because it does take up a big chunk of our time At the end of the day it is about time management which is easy to say but extremely dif-

建議是如家庭環境較困難賺錢吧反

之可以多留時間給各活動畢竟大學一

年的學費不只值那幾十堂課如何善用這

$42100就在乎你如何投入大學生活

讀書

假若你認為大學的考試可考核學生的

真正讀書能力並要求學生活學活用課堂

所學那麼你大失所望了假若你善於背

誦有過目不忘之本領大學的筆試不會

難倒你只要靠著前人留下的歷屆試題

背到滾瓜爛熟是不可能不及格的很多屆

試卷都是千篇一律的很多教授可沒空大

改試題那同學們就走運了有些課堂

即使再專業的學科都會有只理論無實

踐的課堂然後考試就要你把一大堆理論

背出來helliphellip例如甚麼叫批判思維噢

我可不知道只知道我掉了5分

不同學系在某程度上定下了人的前途

對於醫學院學生而言前路是較清晰可見

的但對於非專業學科前路不可只靠讀

書也許要靠自己另外摸索讀書所帶來

的必然是較高的GPA高GPA所帶來的是

獎學金到外國交流工作實習日後工

作機會等等當然大學學習不只局限於

讀書會否因此失彼就只有自己知道

蝶翼拍動之時往難以預料機會是

要自己摸索的

如經上所記

「神為愛他的人所預備的是眼睛未曾看見耳

朵未曾聽見人心也未曾想到的」

(哥林多前書29)

「栽種的和澆灌的都是一樣但將來各人要照自

己的工夫得自己的賞賜」

(哥林多前書38)

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

Freshmen

hkucaduceusnet | 41

ficult to achieve Also working as a Committee mem-ber can be very exhausting and difficult You definitely need lots of determination and support to get through some of the busiest times

Q How did you handle and balance the workload of study and your ldquojongrdquo

A As Irsquove said before it was tremendously difficult I guess my best advice for the future committee is to know your limitations and always plan ahead You have to know your time to work to rest to study etc No one will be over-worked and eve-ryone will have some personal time if you share the burden wisely between ldquojong yausrdquo Secondly you have to make very clear plans so that you can make full use of every little piece of your time I may not have succeeded in my time management but most of my ldquojong yausrdquo managed to do so de-spite the packed schedule of our Soci-ety This is sufficient proof of ldquoimpos-sible is nothingrdquo

Q As there are only about 25 pharmacy students per class do you have any suggestions for P14 fresh-men to make more friends from other curricula

A It really depends on what kind of person you are If you consider your-self socially active living in a hall or ldquosheung jongrdquo will be a great idea for you But if you see yourself as a much quieter person you can still make use of opportunities such as Medic Orien-tation Camp and other events jointly organised by student bodies within the Medical Faculty to make new friends

Q Any special things for P14 freshmen to be aware of

A First of all welcome You all are now members of Pharmacy Society MS HKUSU and I would like to let you know that this is a student body aiming to serve you Thus feel free to share your viewpoints and voice out your opinions to the current Com-mittee members The Society has to

understand your needs to improve and provide better welfare and services for you

Q Any other comments or important things to re-mind P14 freshmen

A If you would like to get to know more fellow pharmacy students especially students from P12 and P13 grab the opportunity to join the Pharmacy Society Orientation Camp and the Mentorship Programme These are great chances to make new friends and Irsquom sure you will enjoy them

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

ldquoas huMaN beiNgs we do chaNge grow adapt perhaps eveN learN aNd becoMe wiserrdquo ndash weNdy carlos

42 | Caduceus September 2011

筆 者是一位護理系的學生半年前有幸成為二零一一年啟思編輯委員會的總編輯在期間所體驗到的希望藉著這次機會作出分享特別希望新加入醫學院的同學

能對「上莊」有更多了解

上莊之路上莊是大學五件事之一證明它對大學生

活有一定的重要性一定的位置筆者在初入學的時候曾為了上莊與否而煩惱猶豫了好一段時間期間考慮到自己能力怕學業應負不來但最後仍然下了上莊這個決定原因是上莊是個難得的機會充實增值自己不同的莊會提供不同的機會讓莊友去學習透過不同的莊務去讓自己眼界擴大另外可以了解醫學院內發生既事情例如院內活動的進展情況更可以參加舉辦院活動為醫學院出一分力最後當然會認識到將會相處一整年的莊友工作伙伴有機會認識到不同學系的同學從他們身上可以觀察到學習到各種的特質從而令自己有所進步有所啟發

護理學生作為護理系學生起初擔任總編輯一職實

在是倍感壓力畢竟歷屆的總編輯都是由醫科生出任因此筆者起初都害怕跟醫科生共事怕自己的能力不足夠應付莊務所以起初都是戰戰兢兢地上莊

一位三年的護理學生曾對我說「我認為你不太尊重護理系護理系和醫科都是個專業希望你能加以尊重自己的學系不要輕視護理這個學系你要肯定自己的學系才能帶領整支莊因為莊內成員來自不同的學系你必須肯定和認同每個學系都有一定的重要性以及其專業」這番當頭棒喝的良言令我明白到自己一直都太輕視護理系過於重視醫科現在我明白到認同自己學系是尤其重要只有這樣才可以用自己學系的身份去發表意見只有認同自己學系才懂得尊重其他的學系莊內便可以融洽一點

在筆者的莊友中醫科生都是較有責任感而且做事更有計劃從他們身上的確學到不少東西這點是無可否認的事實筆者並不是在分享學系與學系之間的差別而是希望有志上莊的同學能互相尊重明白到各學系的莊

友都有其值得學習的地方起初對其他學系有隔膜是無可避免的畢竟對他們的學系都不太了解又沒有歸屬感但如果因為對方是別的學系而輕視對方的人不但失去與人相處學習的機會而且會令莊內的氣氛失去和諧

幸好的就我所見所聞醫學院內的莊多年來都能融洽相處互相支持令到一眾上莊的同學都能輕鬆地享受上莊的喜與樂甚至是不愉快的事情

依靠你的莊友莊是一個團體不是一兩個人可以應

付得來所以筆者認為與莊友互相溝通合作是個重要的元素新同學如果有志參與莊務期望從上莊中有所得著首要的事情是與莊友建立關係因為他們將會是你來年的工作伙伴也是你遇到困難時依靠的對象一位上莊曾對我說「其實一件的莊期不會令你有太大的得著或成長反而長久的友誼才是你將會得到最重要的」這句說話是千真萬確的上莊的人不會由詞不達意改變成談吐得宜不要期望自己會有驚人的轉變也許上莊會令人處事成熟一點有計劃一點但上莊所得到的關係將會是更重要更珍貴一年的相處中面對過有無數的會議共同處理過不少困難從中

建立的友誼真的是畢生受用

責任感上莊另外一個十分重要既條件就是責任

感有志上莊的同學必須明白到莊期是長達一整年在繁重的學業中騰出時間來處理莊務是個考驗責任感和毅力的測試同學必須再三思考想清楚自己是否真係熱衷於上莊或是只是一時衝動畢竟你將要許下的是一年的承諾必須對這個莊負上責任願意付出才選擇上莊這個決定這樣的付出就會有相對的回

總結上莊的確是個好機會讓自己去學習從處

理事務中或是從莊友身上都會有所得著充實著自己的大學生活從中可以認識到各學系的同學建立一段段受用終身的友誼在此筆者希望各學系的新同學可以善用機會作出上莊這個無悔的決定

護理系的啟思總編石志榮 (N14)

新鮮人

hkucaduceusnet | 43

慈兄吟(下)奇晶

最 後還是麥教授先開了口「他的確是一個好學生對醫學有獨到見解他不但學業成績優異而且樂於助人你是他的妹妹吧」婉慧努力控制自己的淚水繼繼續續的說「是啊但helliphellip但helliphellip我不知道helliphellip他竟會在這裏出現」麥教授用悲天憫人的目光看着婉慧語重深長說「人生自古誰無死人生命的有為與否並不取決於他生命的長短而是在於人生的意義你哥哥雖然最後當不了醫生但他的犧牲卻間接為一些同學做醫生鋪路讓他們做醫生去救人這真是一種無私的愛」婉慧點點頭覺得自己對哥哥的了解實在太少了

最後她還是孤獨的離開實驗室她覺得自己跟哥哥比起來實在相差得太遠了原來他除了是十優狀元在醫學院的成績名列前茅外還是個熱心助人的好青年自己除了少了一優外少的更有對別人的同情及樂於助人這造就了她心靈上的空虛她明白到冷漠不是一種對哥哥思念的正當表達方法她應該做的是把哥哥對其他人的愛傳揚開去以圓他的心願

第一步往往是最困難的婉慧平日對他人的態度已令不少人對她敬而遠之有很多次她嘗試向同班同學投以友善的笑容得到的總是詫異的目光或別人的不理不睬在小組討論中儘管她踴躍發言盡量避免冷場的發生偶同學們卻認為她變本加厲想阻止同學們取得好成績她四處碰壁又再次陷入了想念哥哥的深淵

時間一天一天過去了上學期考試前的休假開始了婉慧每天都勤奮的在圖書館溫習期望取得好成績這時候的圖書館堆滿了人如果遲來一個小時想找一個位子也難就在假期的第二天同班的王文在圖書館跑得氣急敗壞仍找不到一個座位婉慧不知怎樣有點同情他將座位讓給他王文驚訝道「不用了我還是回家吧真倒楣遲來了一個小時就沒有『接位』」

「但你住在哪裏呀」

「元朗今天早上我忘了校鬧鐘八時才起」

「那你還是要我的座位吧我可以坐到電腦桌因為我認識的人不少沒有什麼人會打擾我的」

王文謝了她頓時對這位冷漠的同學刮目相看原來她的內心也是溫暖的這並不是他所能料及的坐在電腦桌前溫習的她也感到特別的快樂溫習的速度也快多了王文就此成為了她的「飯檔」考試期間每天和她一起吃飯他更將自己的好友介紹給婉慧認識

在一個晚上她又悄悄的在圖書館的角落溫習着突然一隻溫暖的手搭着她的肩上她抬起頭但見解剖學的同桌手中拿着一杯熱飲輕輕的放在她的桌上婉慧正感詫異卻聽見他說「這杯熱巧克力是給你的繼續努力吧」她喝着巧克力心中感到一股暖流彷彿哥哥的關懷又在她內作出回響

十年生死兩茫茫不思量自難忘千里孤墳無處話淒涼helliphellip

寒風吹起了她額上的劉海佇立在墓前的婉慧不禁凜冽她想起了從前想到自己最後一次和哥哥吵架雙方面紅耳赤的情況想起自己無法親口跟哥哥道歉想起哥哥無私的付出她對着那空虛的墳心中不忍一陣淒然淚水漱漱的流下來她身旁攜扶着年紀老邁的母親邊拭淚邊喃喃道「我的兒子helliphellip歿了helliphellip」大家心情漸漸平復了緩緩走出了墳地

雨一滴一滴的落下飽歷辛酸的婉慧卻仍在懸壼濟世

短篇

ldquoyesterday is but todayrsquos MeMory aNd toMorrow is todayrsquos dreaMrdquo ndash khalil gibraN

44 | Caduceus September 2011

Eternal Flame (1)Tulipa

Itrsquos cold The chills from my fingertips imbibe deep into me This person drills into my mind digging out the truth inside me Itrsquos agonizing She comes right inhellip di-rectly I cannot stop her

Irsquom losing myselfhellip

My hand felt the soggy pillow I realised I had come back to life the world where I lived Staring blankly at the ceiling still losing focus in my eyes I felt my brows with my forearm For the first time I didnrsquot want to lose this feeling

The bedroom door slowly opened I quickly rubbed off the drops that had blurred my vision pretending that I had just woken up

ldquoDo you have lessons this morningrdquo My grand-mother whispered into my ear

ldquoOh goshrdquo I turned right to my alarm clock It was the real life I had forgotten to turn the alarm on last night and it was now seven thirty I knew it I was going to be late every time she caught me in bed Irsquod got to hurry up

Living in Hong Kong Island though it took me more than an hour to get to school I had to comfort my little brother sometimes till two or three in the morning in order to get him to sleep In addition to the consistently heavy study load in the medical school I could hardly get enough rest Running on my heels al-most became my routine starting from last November But I well understood the consequence of skipping lec-tures It was the beginning of the Cardiovascular Sys-tem Block For someone like me who gave least priority in revising Anatomy materials lectures remained the prime source of information for exams Absence from class was suicidal To make the situation worse this professor was one of those who did NOT upload lec-ture notes online

Hoping I wouldnrsquot arrive too late to miss the impor-tant points I finally stepped onto a route no 8 minibus at ten past eight What I could do now was to pay trust in the driver who would bring me to my destination

Coaxing kids was never easy Little Bruce just hap-pened to give me such a hassle last night

He knew I would check on him when I returned home Sitting right next to the door of his room he begged me for a story once I opened the door I sat down together with him on his little couch after Irsquod taken a quick shower This was a time to relax leaving

aside all the other concerns

Kindling through his favourite reader I saw that he wasnrsquot listening but distracted by all sorts of toys around He even invited me into his world of fantasy But it was getting late I had to calm him down so that I too could have some rest Being one of the brightest in his elementary school he should understand this was not the time for recreation

I began to feel annoyed

Yet he was my brother I had a gut feeling that this was unusual He didnrsquot use to be so ldquohyperactiverdquo It re-ally took me a while to adjust to his change With him still tossing and turning in my arms I apprehended his restlessness Unpredictable though he was true to his feelings In one way or another he might find the shadow of our mother in me

He finally settled when I laid him back in bed It was nearly two forty in the morning

The first week of the CVS Block ran as plotted PBL tutorials would start on next Monday Dr Youngrsquos fa-cial expression in the first PBL evaluation flashed over my Embryology notes and references She didnrsquot teach Embryology but I could tell she did have a hypertroph-ic heart-shaped face which looked familiar to the dia-grams in the Atlas

Back in the IHD Block most of us were puzzled about the scrambled content of our course Various forms of seemingly related knowledge came in through lectures practical and tutorial sessions But the neural circuit formed in our brain just failed to resonate as if the conductance-inductance mismatch had aberrated our thought from minimal impedance Sometimes things even happened in a ldquomore-than-extrardquo manner The presence of common core courses in a parallel but independent branch in the network could rightly be detached without causing a blip on the galvanometer Everything was dubious We had no idea of what we were doing

Maybe we were just on the way seeking for a sense of attachment

My mind too was racing in haste I was struggling with my decision to become a doctor Too many things had happened over the year I just couldnrsquot stop ques-tioning myself what was I thinking when I put lsquo6456 MBBSrsquo in my JUPAS application I should have expect-ed and prepared to face all these I just didnrsquot knowhellip

Novella

hkucaduceusnet | 45

It was midterm evaluation in the IHD Block Her face looked tense in that heart shape She was so stiff in her facial expression that no one could read her mind from her poker face The conference room of the Physi-ology Department was large We seemed to be the odd ones out in the spacious carpeted room In this secre-tive silence you could hear the drumming in your ears as if you were tingling

I realised this was not a matter of ldquoam-I-suitable-for-a-medical-careerrdquo but ldquois-a-medical-career-suita-ble-for-merdquo I was lying in bed playing with my plush bear when these thoughts burst in me Dr Young looked through me She felt certain that different from other group mates there were crises behind me But I didnrsquot tell her anything that day

We all were sensitive At times some subtle trepi-dation seeped in gradually sucking peace away from my sleep It was so to say below threshold sub-lethal though it lingered for weeks once it set inhellip

Drenched in bloodhellip There is no life in the boy His eyes are widely opened slightly protruded The lifeless pair of black pearlshellip I cannot escape from his glance He wants to talk to mehellip There is something he wants me to know

A van runs over himhellip

I fell down the edge of my mattress Breathing heavilyhellip Sweating all overhellip

ldquoScreechrdquo People began to gather around a tel-ephone booth a few metres behind us

I turned back I couldnrsquot see a lot from this anglehellip

ldquohellip What a pity He is so younghelliprdquo a middle-aged couple passed by

The victim resting just in front of the wheel looked towards me through a break in the crowdhellip

As we were wandering around thinking what to eat for dinner my cousin found me standing there rooted to the ground stunned by the victimrsquos gaze My heart was pounding She wouldnrsquot believe what I was again experiencing For a number of times already scenarios in my dreams were mirrored into reality

I couldnrsquot tell her

ldquoI was just thinking whether you would like Korean cuisine There is a new restaurant two corners awayrdquo I made up a talk while escaping from the scene so that I wouldnrsquot look so strange

ldquoWhy not go and have a try thenrdquo She was not dis-appointed for calling it a day as the food there was sur-prisingly good

Not until some years ago when I was Form 3 in college I discovered my ability to look into the future Sometimes I could see them coming up on the news in days or weeks And some didnrsquot ever happen at least not around me But seeing the night visions coming into concrete existence wasnrsquot always a pleasure when the mental images turned gradually into mostly night-mares When I visualised my close ones it felt like I was in the middle of an insecure chain bridge above a torrent that would sweep me into the vast ocean with no return It was entirely different from what you might understand as ldquodreams come truerdquo

I had witnessed misfortunes in proximityhellip

But I could do nothing about ithellip

Friends were a source of solace someone to con-fide all frustrations in But with my paranormal ability which appeared to everybody else only on screen-plays I wasnrsquot courageous enough to open my life wholeheartedly to them Seldom talking about myself avoiding all sorts of gatherings I became an eccentric figure among my classmates

Sometimes mutual understanding carried more weight than words I remembered my physics teacher being one of my few friends during my teen years De-spite his boisterous faccedilade he was always sensitive to whenever I was dwelling on my burdens Physics was our common language Intermingling our emotions and feelings with concepts that were alien to my fel-lows we developed a close rapport impenetrable by anyone else

ldquoWhat is the nature of a flamerdquo This was the most discussed problem between us Neither in solid liquid nor vapour state Not having any definite shape and colour It seems not any material but a type of energy giving out heat and light At the moment of providing it also exhausts its fuel and eventually itselfhellip

The romance of physics is more than anything you could read write and talk about Once you were truly connected with it nothing can stop you Your mind will bounce irrespective of the chronology of space-time but only under the guidance of your thoughts

I was so devoted to the discipline at the time that I was almost making it my lifelong career in some way He envisaged that I would demand much more than any academia could provide with its scientific basis alone We were both seeking a philosophy beyond the facts But Hong Kong may not be the right place for it

I made him a promise at the end to contain our flame and I knew I would

For the first and the last time I saw his eyes filled with tears We knew existence by itself is a miracle

ldquoi love life because what More is thererdquo ndash aNthoNy hopkiNs

46 | Caduceus September 2011

說華佗都說「華佗再世」誰知箇中真諦雲方 (M15)

烽煙起戰火燃萬里 

三國並爭英雄地亂世有誰顧生死 

待神醫行世將民眾救濟

渺渺江山東西瞰俞跗巧手扁鵲心(1) 應向何處尋 

滾滾黃沙無世家終有奇士放奇葩

沛國 華元化(2) 

他經書貫通南北遊動 

一望斷症如神助三劑消病不必多

說斷症悉如所料 

甘陵 相夫人腹痛極難忍(3) 號脈知死嬰在左為男形(4)廣陵 梅軍吏除名歸故里

見貌知壽盡速返見萱椿(5) 

說消病藥到病除 

飲蒜醋有三升蟲一嘔而盡清 (6)母服丸而溫儲兒不藥而自癒 (7)

絕妙處 

是他開腸剖腹刀至辟毒 

神醫號 

除他內外皆精有誰配稱

[1]   俞跗黃帝時代之名醫扁鵲春秋戰國之名醫《淮南子人間訓》「患至而多後憂之helliphellip雖有扁鵲俞跗之巧猶不能生也」

[2]   華佗字元化沛國人(今安徽 亳州)

[3]   甘陵相(即甘陵之行政長官)夫人懷胎六月腹痛不安華佗為其切脈便知胎死於是命人摸知所在在左則男在右則女人云「在左」夫人飲藥後果然產出男胎腹痛立即痊癒

[4]   廣陵有軍吏名曰梅平離鄉服役後來退役歸家於路上巧遇華佗華佗視之嘆道「若能早些見我當不至於此而今你僅餘五日壽命速速回家還能與家人相見」平旋即趕抵故鄉五日後亦如料身亡

[5]   萱椿多作椿萱比喻父母漢牟融《送徐浩》詩「知君此去情偏切堂上椿萱雪滿頭」

[6]   華佗見路邊有人食不下嚥教他到路邊餅店買醋三升混上蒜泥然後飲用路人服後即吐出一條長蛇(即寄生蟲)

[7]   兩歲男孩長年腹瀉藥石無靈華佗往診謂病在母命其服用華佗親研之「四物女宛丸」服後母親乳汁不再寒涼男孩亦不藥而癒

意興

hkucaduceusnet | 47

只可惜人無完壁

「關將軍使君予我手刮骨惡毒走

曹丞相使君予我頭剖顱苦痛收」

「怎能不收怎能不收一命嗚呼萬事休 

簡直荒謬簡直荒謬殺此庸醫未須愁」(8) 

五禽戲尚能傳 (9)麻沸散從此絕 

何不一飲醉死不知世忍氣吞聲事權貴 (10)心神委曲須臾苦奇術失迭千秋計 

烽煙止無改生死事 

且當醫仙謫世間神技終須風裏散 (11)回首仰高山景行請君範 (12)

[8]     曹操欲殺華佗臣下勸之不可答曰「不憂天下當無此鼠輩耶」

[9]     死前華佗欲托所著醫書於獄卒不果便盡數焚毀唯有其養生體操「五禽戲」流傳後世

[10]   《三國志魏書方技傳》「當須刳割者便飲其麻沸散須臾便如醉死無所知」

[11]   唐白居易《簡簡吟》「恐是天仙謫人世只合人間十三歲」

[12]   景行(音航)即大道以高山景行比喻人品德行為之高尚典出《詩經小雅車轄》又東漢鄭玄曰「古人有高德者則慕仰之有明行者則而行之」

ldquothe art of MediciNe was to be properly learNer oNly forM its practice aNd its exerciserdquo - thoMas sydeNhaM

48 | Caduceus September 2011

啟程

清晨空白的天空看不見藍天雲彩

只有溫柔的雨絲和朦朦朧朧的霧水跟隨

著大隊的足印踏上沉重的腳步穿過橫

街小巷和煩囂熱鬧的市場走過自動門

撲鼻的消毒藥水味道讓大家屏住呼吸筆

者和夥伴們終於到達了入讀護理系以來第

一次實習的醫院

還記得在實習的前幾天心情是既忐忑

又期待的畢竟這一次實習的地方不再是

在社區中心宣傳健康方面的知識亦不是

只面對著健康活潑的小朋友和老友記或是

學校課堂上所提供的假人張靜汶卻是照

顧一羣真正需要關懷的病人心中充滿著

憂慮不知自己所學的知識足夠在應用上

嗎自己平日的練習足夠嗎雖然心存在

著不少疑惑但也十分期待可以體會一下

做小學護的感受嘗試把這一年裡所學到

的知識運用出來

很多的第一次

在病房裡總有心酸和膽戰心驚的時

候第一次為昏迷的病人清潔口腔第一

次為難以進食的人插入胃喉第一次為老

公公清洗背上壓瘡的傷口helliphellip照顧他們時

的心情都是一步一驚心生怕自己沒法應

付得來又怕會把事情弄得更糟糕最重

要的是恐怕自己不純熟的技巧令他們受苦

了記得有一回第一次為女病人插入尿

喉採取尿液樣本可能技巧不太純熟的關

係延長了病人的痛苦過程中她皺著

眉頭不斷呻吟又緊張得咬破脣眼看

她樣子心中真的不是味兒來身為病人

的其中之一依靠我們不得不給自己信

心如果連自己也不相信自己哪會有病

人願意把他們交給我們照料呢

捕捉那瞬間的美麗與淒然何麗敏 (N14)

上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

意興

hkucaduceusnet | 49

另外第一次面對病人的心情是頗為

緊張的說話技巧亦有改進的空間但和

病人傾談了數分鐘後氣氛也漸漸變得和

諧可能那些老公公整天呆在醫院裡真是

悶到慌看見一羣年青人與自己聊天照

顧和關心他們他們不禁咧嘴而笑醫院

職員透露有一位老公公平日不太願意吃東

西於是我們便主動和他談天說地又

悉心照料他進食的情況後來他不但胃

口好了不少就連心情也開朗了他生動

活潑的談吐讓我們笑了他回復健康精

神的體魄也讓我們感到安慰

相處片刻

雖然為期一星期的病房日子不是特別繁

忙或是辛勞但是也會有不習慣的時候

幸好得到醫院職員和一班夥伴的支持病

房經理和註冊護士不但相信我們的能力

對學護的包容更是不用多說還主動地介

紹病房的環境和細心地教導我們醫療護理

上的知識讓我們上了一堂實在而又寶貴

的課同時今次的實習也令我感到團體

精神也十分重要在技巧上大家互相提

點互補不足當有人準備照料有需要的

病人如插喉或洗傷口等大家送上一句 

「加油」就能令對方增加不少自信心和正

能量無論遇上甚麼事情我也榮幸有如

此一班學習夥伴從旁支持

學習的階級

在這一次病房實習中雖然醫療和藥物

知識方面有待加強但是我學懂了如何與

不同身份的病人相處之道溝通上也得到

了很大的進步獲益不少除此之外我

也真正體會到如何做一個好護士並清楚

了解這個行業是否適合自己鐘樓也不是

一天就能建成而是需要一磚一瓦搭建而

成的所以在學習上我們不但要打好

穩固的基礎還要增強醫療知識在技巧

上馬虎了事和走捷徑是於是無補的應

該多探究和練習才行這樣才對得起病人

和自己也減少不必要的醫療失當事故

總之多一份認真多一點耐性多一些

愛心就是學護必記的左右銘 上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

ldquoit is reasoNable to expect the doctor to recogNise that scieNce May Not have all the aNswers to probleMs of health aNd healiNgrdquo ndash NorMaN cousiNs

50 | Caduceus September 2011

Fun Corner

Medical AppsEver wondered how your handheld device can save your time and

effort when it comes to studying Here is how

Anatomy Pronunciations by HipposoftAccurate pronunciations of over a hundred important anatomy terms you have trouble with are provided

at your fingertips to help you spell those difficult words Anyone who has taken an anatomy course can tell you how challenging it can be to pro-nounce the names of those complicated anatomi-cal terms It is even linked directly to Wikipedia and Google through web browser for additional information

iPharmacy ndash Pill Identifier and Medication Guide by SigmaPhone LLCAn essential medication guide of 20000+ drugs is provided for con-sumers amp professionals This ex-

pands the image library to include 12000 pill and package images and includes digital drug identifier with official drug information (indica-tions dosage adverse reactions and more) You can check the drugs anywhere

Grades 2 by TapityIt tells you what grades you need in the coming tests in order to get your target grade You can easily calcu-late your GPA so as to maintain it It

is a useful tool helping you to keep an eye on your GPA all the time

Human Anatomy by SusaSoftXThe application provides you with information of 15 different biologi-cal systems You can keep on revis-ing while you are traveling without

carrying heavy books

Medscape by WebMD LLCFrom drug classes interaction clin-ical procedures and even the lat-est medical news Medscape helps medical students and healthcare

professionals to reiterate knowledge that has slipped from the mind It is a free application for iPhone iPad Android and Blackberry Yet it contains more function on Android phones and Apple products and lacks detailed clinical infor-mation for diseases and clinical procedures walk through on Blackberry

Pro Medical Terminology Dic-tionary by TreascoveryTerminology might be a tough work for medical students Even if we can master those English terms we can

hardly think of the Chinese terms This applica-tion can help you when you face this problem Note that it is not a free application

3M Littmann SoundBuilder by 3M CompanyA great tool designed to help im-prove auscultation skills of medical students with 14 unique lessons of

key heart sounds combing text virtual manne-quin 3D cardiac animation and dynamic wave-forms

iRadiology by Liebermans iRadi-ologyAn excellent learning tool for medi-cal students demonstrating classic radiological findings of a multitude

of abnormalities including over 500 radiologic images Radiologic images include CT US MRI and nuclear imaging each clearly labeled and followed by key teaching points

Micromedex Drug Information by Thomson Reuters (Healthcare) IncIs Cephalexin a first generation ce-phalosporin This application from

Thomson Reuters is the easiest way to navigate in the sea of drug names Drugs are sorted by classes and supplemented with rich information

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 13: Caduceus Issue 2, Volume 42

hkucaduceusnet | 13

Anaesthesiologist

Dermatologist

All roads lead to Rome but have you missed the ROA and D

when it comes to success in medical career

to success

14 | Caduceus September 2011

「形影不離」的造影術專訪放射科邱麗珊醫生陳伊樂 (M15) 賀曉琳 (M15)

邱 麗珊醫生於一九八三年畢業於香港大學醫學院並於一九八

六年開始修讀放射科邱醫生不但在東區

尤德夫人那打素醫院身兼前線管理和訓

練多職而且積極參與香港放射科醫學院

的工作我們非常感謝邱醫生能夠在百忙

中抽空接受訪問向各位同學分享一下她

踏上成功路的經歷與待人處事的態度

甚麼是放射科

放射科是利用X光(X-ray)電腦斷層攝影(CT)磁共振成像(MRI)和超聲波造影(Ultrasound)等技術展示患者身體內部結構的影像從而協助診斷和進行治療

當放射科醫生危險嗎

誠然放射科醫生需要經常接觸對身

體有害的輻射可是這門專科有不同的

措施保障我們的安全首先每一個放射

工作者都需要領取牌照此外我們會每

個月檢查掛在胸前的放射量測定器確保

接觸到的輻射劑量沒有超越安全水平當

然有關部門亦會定期檢查儀器確保它

們正常運作

爲什麼你會選擇放射科你對於有意將

來當上你的專科的同學有甚麼建議

選擇放射科純粹是因為爸爸的一句「

放射科適合女孩子」當上放射科醫生之

後才發現事實並非如此放射科是一個重

要的專科幾乎每一個住院病人都需要用

上造影技術但除非做超聲波或介入放射

治療放射科醫生卻好像很少與病人直接

接觸有些醫生喜歡多和病人接觸放射

科便不適合他們了另外放射科正面對

著迅速的科技發展對新科技有興趣的同

學這個專科的確是一個不錯的選擇可

是由於學位有限每年報讀放射科的六

邱麗珊醫生Dr Jennifer Khoo放射科專科醫生

香港大學內外全科醫學士 英國皇家放射科學醫學院院士 香港醫學專科學院院士(放射科)

東區尤德夫人那打素醫院 放射科 部門主管 及 顧問醫生

醫院管理局 港島東聯網 Service Director (Radiology)

香港放射科醫學院 首席副院長 及 科學委員會主席

專題

hkucaduceusnet | 15

七十人當中總會有四五十人因願望落空

而要轉投其他專科我的建議是千萬不要

灰心人總不能夠經常做自己喜歡的事

但一定要喜歡自己正在做的事(You canrsquot always do the things you like but you can learn to like the things that you have to do)

請詳述對你人生有大影響的起落人

事物

人一生中如果能夠遇上一兩位良師益

友在你碰到困難時扶你一把在你迷

惘時給予意見上天就已經算是對你不薄

了而我自己也算是非常幸運有兩位

前輩當上我的引導者一位是瑪麗醫院

的陳富六醫生另一位是澳洲的Professor Michael Sage因為兩位的提點我決定善用自己的長處留在公營醫院參與一些

行政和訓練的工作幫助培訓醫生使更

多病人受惠

你有甚麼人生的哲學嗎是甚麼信念使

你堅持當一名醫生

我認為每個人都需要有自己的優先順序

(priority)對我來說家人和家庭生活永遠都是排在首位縱使我已經涉足到很多

管理方面的工作但病人還是排在行政管

理之前有著清晰的優先順序不管遇到

多大的衝擊都能使自己勇敢面對邁步

向前優先順序或多或少都與個人經歷有

關有部份同行可能會基於不同原因或

許是滿足感或許是工作量而轉投私人

市場我想每個人的價值觀和信念都有不

你對現今醫學院的學生有甚麼寄語叮

習醫是一條漫漫長路少不免遇上困難

和挫折而這些難題往往會轉化成使身心

俱疲的壓力身為醫學生一定要及早學

會如何面對壓力我的忠告是凡事都要

以平常心面對要從錯誤中學習懂得避

免犯上同樣的錯誤要有反彈能力勝過

昨日的自己

醫科生基本上都是能力不錯的一群

(cream of the cream)要好好利用自己的能力為社會作出貢獻 

ldquowheN you are dowN aNd out soMethiNg always turNs up it is usually the Noses of your frieNdsrdquo ndash orsoN welles

16 | Caduceus September 2011

A Discourse with a Female Gold-MedalistInterview with an Ophthalmologist ndash Dr Charmaine HonChariene Woo (M15) Charis Chan (M15)

W hile waiting for Dr Hon at her Central clin-ic the Hong Kong Ophthalmic Associates

we were amazed at how the spacious clinic was crowd-ed with patients When we finally meet Dr Honrsquos big friendly smile made an impression on me as she invit-ed us into her room Despite having a busy schedule Dr Hon is very down-to-earth and eager to provide valuable advice for our fellow schoolmates

Dr Hon started out as a medical doctor and changed to the specialty of ophthal-mology Initially she worked with the public sector fulfill-ing her duties as a doctor re-searcher and teacher at the same time Then she turned to the private sector and joined the Hong Kong Ophthalmic Associates as she feels that she can be more focused on the aspect of patient care ldquoIn public hospitals it is hard to follow up on patient care and it is rare to meet the same patient twicerdquo she reflected ldquobut in the private clinical set-ting I get to know the patientrsquos family and medical his-tory better and I feel more like a doctor by having the ability to follow my patientrsquos progressrdquo

As a recipient of the John Anderson gold medal for the highest aggregate of marks in all the MBBS professional examinations Dr Hon also shares her advice in studying ldquoBasic knowledge is a must but clinical sense is the most importantrdquo and with a smile

she added ldquoyou have to pay attention to your mentors during attachments to hospitals even if you are just ob-servingrdquo But donrsquot think Dr Hon is all about studies She emphasizes that she is not the most hardworking student in her graduating class and suggests medi-cal students to explore outside of the medical world especially in the first two years of study ldquoYou have to have a life outside of medicine and you should do it in

the non-clinical years as there are decreasing chances and time for you to meet non-medically related peo-ple after year 3 onwardsrdquo the ex-member of the Union Choir said ldquoAnd as you come more into contact with different people you learn how to communicate bet-ter which will definitely help your medical career and will keep your life diversifiedrdquo

As for advice to students in clinical years she shares her insights in how to choose your specialty She sug-gests students to look into their strengths and inter-ests and to understand and explore as much as pos-sible in attachments since it is a lot harder to change onersquos specialty nowadays compared to the past ldquoThe most important point is to identify yourself and not to blindly follow the path of others Do not think of future

achievements since what you chose will probably stick with you for liferdquo True enough ophthalmology was not a developed specialty during her times of studies and Dr Hon says she is probably one of the very first gold medalists who pursued it as a career A note to her future female counterparts ldquoYou have to think of your future path and plan accordingly and be ready

Basic knowledge is a must but clinical sense

is the most important

The most important point is to identify yourself and not to blindly

follow the path of others

Feature

hkucaduceusnet | 17

to put your career before marriage Many of us delay our plans of marriage and pregnancy after finishing our specialty fellowship which is at around 30rdquo After hearing this I was very worried but she added ldquoGen-eral practice is also a good choice and there are some females doctors who donrsquot follow this trendrdquo

One of the things that struck me the most is that Dr Hon sticks to the principle of doing everything with all your heart ldquoYou only pass through this life once and when you look back you should not regret what you have donerdquo So when presented with conflicting ideas with her principle what does she do ldquoI reflect and fight for itrdquo she laughs ldquoIt sounds rebellious but as a doctor you have to have a judgment that is best for your patient and you cannot conform to society or systemsrdquo Using the limited consultation time for each patient in public hospital settings as an example she explains that doctors arenrsquot machines and should be able to adjust to different patientsrsquo needs appropriately so to do what is best for the patient ldquoYou should never lose yourself under the system and should always do whatever you think is best for your patientrdquo

When asked about the specialty of ophthalmol-ogy Dr Hon tells us with passion that ophthalmology allows instant gratification and makes a difference to patientrsquos life ldquoMany specialties can make a difference but only a few have a clean-cut immediate effect like ophthalmologyrdquo But ophthalmology is also about hard work and persistence ldquoIn this specialty there is con-stant advancement in the past we do extra capsular extraction but now there are frequency emulsifica-tion and other advancements I am always awed by the senior partners in this clinic who have a strong will to chase and read up on new techniquesrdquo So besides steady hands and good eyesight intellectual curiosity on the latest research is a must if you are thinking of pursuing a career in ophthalmology

Before we parted Dr Hon gave us a final word of wisdom ldquoThis is going to be hard for you two gals but you look tough and yoursquoll survive Since you chose this career path do expect to work very hard as it is not easy but so is every other occupation nothing is ever easy in this worldrdquo

DrCharmaineHon韓尚穎醫生

Specialist in Ophthalmology

MBBS(HK) MRCS(Edinburgh)

FC Ophth(HK) FHKAM(Ophthalmology)

ldquoas you grow older yoursquoll fiNd the oNly thiNgs you regret are the thiNgs you didNrsquot dordquo ndash Zach-ary scott

18 | Caduceus September 2011

奉行完美主義的守護天使專訪麻醉科李靜芬醫生吳瑞麟 (M15) 李庭翰 (M15)

說 起麻醉越野挑戰馬拉松義工無國界醫生你想到甚

麽幾樣風馬牛不相及的東西可以用三

個字關聯起來李靜芬

李靜芬醫生畢業於香港大學醫學院

現於養和醫院疼痛治療門診工作她曾經

加入無國界醫生到南蘇丹服務又是醫療

輔助隊動員主任香港不少的大型活動

例如馬拉松東亞運奧運馬術等都由她

去統籌急救站的運作她又經常舉辦醫療

會議亦於很多地方做義務醫療顧問熱

衷於向公眾推廣疼痛管理與健康的知識

另一方面她是香港全能運動學會醫療顧

問經常參加越野挑戰戶外活動又參

加半馬拉松比賽看完李醫生這麼的一個

簡介實在很難不驚歎好一個「周身

刀張張利」的奇人

人生的轉捩點

其實初中時期的她與醫生根本扯不上

半點關係身為壘球隊隊長在中四的一

次練習中她被壘球擊中一眼從此改變

了她的命運當時全港只有一位眼科醫生

會在晚間應診眼科的醫療設施也不足

令她眼睛流着血水在黑暗中東奔西跑尋找

醫生她由大埔賽馬會診所走到威爾斯

然後到伊莉莎伯再到油麻地終於找到

眼科醫生李醫生由四點奔波到十點令

她深深體會到作為病人的痛苦也從此立

志要做一個醫生幫助有需要的病人

初中時的李醫生每天放學就練球以

致成績中等但自從立志投身醫護她虛

心求教又得到當時的班主任授予時間管

理和讀書的方法成績突飛猛進在短短

六個月間從中等成績進步至模擬考試全

李靜芬醫生Dr Carina Li

麻醉科專科醫生

香港大學內外全科醫學士 澳洲及紐西蘭麻醉科醫學院院士 香港麻醉科醫學院院士 

香港麻醉科醫學院疼痛科文憑

香港醫學專科學院院士(麻醉科)

專題

hkucaduceusnet | 19

級第一她的毅力和決心實在令人佩服

她的傲氣

其後她獲中文大學收作暫取生但她

又再次作出驚人之舉李醫生認為要讀醫

科生物化學科就得好些所以一定要認

真研讀高級程度的生物化學但是人是有

惰性的如果做了暫取生就一定會變得不

思進取讀不好生物化學於是她毅然

放棄暫取生的資格全心全意去考好高級

程度會考李醫生的豪氣決斷她破釜

沉舟的決心她的好勝和哲學令筆者從

心底裏衷心地拜服她

結果她當然考得很好的成績在選擇

大學時她再一次認真考慮自己將來的

路向她生來就有一種使命感覺得一定

要做一樣在任何時候任何地方都最有用

的工作加上她常常留意時事總覺得天

災人禍真的可以隨時發生於是她就選擇

了兩種無論是面臨戰爭還是天災的時候

對所有人都十分重要的工作記者和醫

生她終於入讀了港大醫學院並於九五

年畢業

與麻醉科結緣

實習的時候她特意選擇了一些能夠獲

得較多經驗的部門到投考專科的時候

她也選上了可以接觸很多不同類型病人的

兒科只可惜當時兒科並沒有學額但在

朋友介紹之下知道了麻醉科麻醉科同樣

可以接觸到不同的病人而且無論在甚麽

地方都可以發揮所長正正符合了李醫生

的志向結果她便入了麻醉科

據李醫生所說雖然一般人認為麻醉

科對體力的要求較少適合女孩子但

是現實並不這樣簡單由於麻醉要求一絲

不苟麻醉科的醫生都是完美主義者而

且學習的內容艱深每一種藥物的作用

反應甚至化學結構都要讀得滾瓜爛熟

她形容麻醉科醫生就好像病人背後的守護

天使在手術中要不停監測病人的維生指

數感覺病人的生命就在自己的手中所

以要承受着很大的壓力

作為麻醉科醫生每次見到的都是昏

迷或者沒有意識的病人事實上並沒有甚

麽可以跟病人溝通的機會病人通常感覺

不到麻醉科醫生的付出所以作為麻醉科

醫生未必可以從病人身上得到很大的滿足

感但他們卻比其他醫生更能夠專注地為

病人服務因為每次在手術中只照顧一位

病人

她的叮囑

李醫生叮囑現在的醫學生一定要僅記當

初想做醫生的原因她覺得在這個物質

社會中人是很容易迷失的她感覺到現

在的某些醫學生只為了一份穩定的工作

甚至是因為父母的意見而選擇行醫關於

作為醫生的意義卻從沒有思考過她勸

我們要好好問自己兩條問題人為甚麽生

存於世上作為醫生又是為了甚麼她

認為醫者要有父母心處處為病人而

不是為自己着想作為醫生就是要去服

務幫助人而不是為了求回報我們生

存於世上為的是信望愛並不用時時

記住利益金錢等東西最後她又提醒我

們不可以歧視病人不論是黑社會成員還

是香港首富只要病了就是一個無助的

病人就需要我們的幫助

李醫生思考獨立為人熱情健談跟李

醫生做訪問真的是一件有趣的事又令筆

者獲益良多特別是她有關人生意義的看

法的確值得反思作為醫學生的大家

你又可曾想過為甚麼要生存為甚麼要做

醫生呢

ldquothere is No MeaNiNg to life except the MeaNiNg MaN gives his life by the uNfoldiNg of his powersrdquo ndash erich froMM

在手術中不停監測病人的維生指數麻醉科醫生就好像病人背後的

守護天使

20 | Caduceus September 2011

To Succeed is to Fight Against ComplacencyInterview with a Dermatologist ndash Dr Henry ChanLily Cheng (M15) Andrew Seto (M15)

W ith our scheduled interview being inter-rupted by an emergency case of Stevens-

Johnson syndrome a life-threatening allergic skin re-action to medication Dr Chan rushed to the hospital for his patient

Sitting in Dr Chanrsquos office at his private practice the Hong Kong Dermatology and Laser Centre in the middle of a conference call with his overseas counter-part researchers we saw a pragmatic doctor at work This is a doctor who would never be complacent with his performance but keeps striving for excellence

AmedicalcareerDr Chanrsquos interest in dermatology was sown well

before his exposure to the discipline Having been in-flicted with eczema during his childhood he suffered from an excruciating itch in his skin that caused him much distress As a result of his own medical condi-tion he developed an interest in dermatology at a young age

During his fourth year in medical school he ex-plored an elective in dermatology at Yale University and began formal training in the field He obtained his medical degree and worked for several years in the UK before returning to Hong Kong to work at the Prince of Wales Hospital He then received a grant from the Hos-pital Authority to read dermatology in the UK

Working back and forth between Hong Kong and Britain in and out of universities and hospitals in his early years of practice Dr Chan settled his work base in Hong Kong in 1995 He was Associate Professor of CUHK from 1998 to 2000 and Chief of Dermatology and Associate Professor in HKU from 2000 to 2004

After entering private practice in 2004 Dr Chan now spends a lot less time on doing administrative work and more time on treating patients While he was actively engaged in teaching research and clini-cal work his current focus has shifted to mainly clini-cal work As an honorary clinical associate professor of our faculty he enjoys teaching and values the opportu-nity to cultivate and influence medical students

A renowned dermatologist with a strong research interest in medical devices Dr Chan is still very active in terms of research output His private practice sup-ported by a team of full-time research staff is unique

for its active research component ndash a practice which is well-established overseas but rare in Hong Kong

AsadoctoranddermatologistIn the beginning laser devices were developed to

treat medical conditions such as haemangioma and black moles but technological advancements driven by recent research has explored new possibilities for their applications in cosmetic treatment As a result new cosmetic procedures have appeared for the treat-ment of various conditions from skin rejuvenation to body contouring

While it is true that most dermatological conditions are rarely life-threatening they may nonetheless have a profound impact on patientsrsquo physical and psycho-social wellbeing For instance eczema often presents with rash It may give exudate in serious cases but is rarely fatal Nevertheless it might constitute great dis-comfort and inconvenience to patients Similarly se-vere cases of acne may also diminish onersquos self-esteem Dr Chan stressed that treatments for many skin condi-tions are not merely cosmetic in nature but may im-prove patientsrsquo self-esteem body image and psychoso-cial wellbeing

On the other hand some skin problems such as psoriasis and chronic eczema are incurable It is there-fore the doctorrsquos duty to educate patients and enhance their understanding of their disease One of the re-sponsibilities for dermatologists is to evaluate the im-pact of their patientsrsquo conditions to their quality of life Other than helping them return to their normal routine and diet as far as possible dermatologists also need to teach patients the way to get along with their chronic illnesses

Dr Chan emphasized that we run a profession not a business On this ground a doctor should never tell a patient what procedure they should receive Rather a doctorrsquos role is to explain the options available and provide the relevant information that carry with each procedure including potential risks and complica-tions

Dr Chan reminded us that financial return is only a ldquoby-productrdquo of a doctorrsquos work as a professional Doctors work hard and should be paid for their serv-ices but they should not be more interested in making

Feature

hkucaduceusnet | 21

money than in helping people He believes that shap-ing doctors into commercials in some way jeopard-izes medical professionalism

SuccessRedefinedSummoning his days as a fresh medical officer Dr

Chan recalled the death of the 18-year-old girl inflicted with necrotizing fasciitis who died within 24 hours He bore in mind every complicated case as an alarm to his future practice admitting that there is always room for him to improve

Quoting the professional golfer Jack Nicklaus Dr Chan reminded us that ldquocomplacency is a continuous struggle that we all have to fightrdquo It is easy to let our guard down but doctors have to be responsible for their patients all the time It is demanding but impor-tant for every medical professional to be vigilant and maintain onersquos standard at the top level He believes that good doctors should keep themselves in an appro-priate amount of stress and tension which keeps them mindful of their patientsrsquo needs

When asked about his rules for success Dr Chan emphasized that he does not feel he has attained his goal yet He feels that he may have had a decent start but it is inappropriate to judge his career before his retirement as he is still in the middle of his career To him it is far too early to define success Despite his change in roles over the years he still maintains his enthusiasm and passion that motivate him to do his best whether it be research teaching or clinical work

As far as medical students are concerned Dr Chan doesnrsquot see the urgency of deciding our future spe-cialty yet Medical school gives us a broad and general exposure to various fields and offers a good place to learn and gain experience sharpening our skills before serving as doctors We could still explore more in our senior years to come

ldquoFollow your heartrdquo Dr Chan gave us as a conclud-ing word He believes that the so-called ldquoROADrdquo to success is not really that important if one does not en-joy onersquos profession Listen to yourself and ask whether you really like your job

DrHenryChan陳衍里醫生

Specialist in Dermatology and Venereology

MBBS(London) MRCP(UK) FHKAM(Medicine) FRCP(Glasgow)

FRCP(Edinburgh)

Hon Professor LKS Faculty of Medicine HKU

Hon Consultant Dermatologist QMH HKSAR

Visiting Scientist Wellman Centre for Photomedicine USA

ldquoirsquoM a firM believer iN the theory that people oNly do their best at thiNgs they truly eNjoy it is difficult to excel at soMethiNg you doNrsquot eNjoyrdquo ndash jack Nicklaus

We run a profession not a businesshellip [doctors]

should not be more interested in making money than in

helping people

22 | Caduceus September 2011

Art and Medicine Seeing Diseases in ArtHow art masterpieces reveal medical conditionsAndrew Seto (M15)

F or centuries art historians have been mesmerized by

the enigmatic smile of Mona Lisa coming up with theories that range from the mundane to the bizarre Was she a silk merchantrsquos wife or a self-portrait of Leonardo da Vinci himself Was she pregnant An adulterer Leonardo da Vincirsquos se-cret male lover The theories never cease

BehindMonaLisarsquossmileHighcholesterolIt turns out that Mona Lisa had

ldquovery high cholesterolrdquo at least ac-cording to Vito Franco a Sicilian professor of pathological anatomy A medical expert who enjoys study-ing art masterpieces for evidence of diseases Franco concluded that Mona Lisa had xanthelasma (the accumulation of cholesterol under the skin) Indeed a closer look at her mysterious face does show a yellowish collection around the in-ner corner of her left eye He even found evidence of lipoma (a fatty tissue tumor) on her right hand Probably the least poetic finding for the most renowned beauty in Renaissance art

This was not the first time medical experts have associated Mona Lisa with clinical conditions Charles Bell the 19th century Scot-tish surgeon who discovered Bellrsquos palsy a form of facial paralysis resulting from facial nerve palsy once coined the term ldquoMona Lisa syndromerdquo This was a reference to the facial muscle contracture that develops after Bellrsquos palsy resulting in a ldquoMona Lisa-like smilerdquo

Mona Lisa Xanthelasma or just a blotch by mistake

Insight

hkucaduceusnet | 23

Hardly would Parmigianino have known that the long slen-der fingers and limbs of Madonna with the Long Neck was the result of a genetic disorder called Mar-fan syndrome And of all the things that crosses onersquos mind upon first glance of Caravaggiorsquos Sleeping Cu-pid the notion that the baby was inflicted with juvenile rheumatoid arthritis would be hard to imagine Franco claims that his goal was to expose the human vulnerability of the people depicted in art

MichelangelorsquosgoutykneeAnother subject who has been

scrutinized by medical experts is Michelangelo Renaissance painter and sculptor Scholars looked at his knee from Raphaelrsquos School of Ath-ens and concluded that he suffered from gout a form of inflammatory arthritis that occurs when crystals form in the joints

Based on the appearance of his knee which appears swollen en-larged and covered in hard lumps a diagnosis of gout seems plausible It was known that Michelangelo de-veloped various diseases during his life In his writings he complained of having kidney and bladder prob-lems In 1549 he had an episode of anuria followed by passing of grav-el and stone fragments in his urine

Many experts believe that Michelangelo like many of his contemporaries developed gout from lead poisoning A well-known workaholic Michelangelo con-stantly lived off a diet of bread and wine (processed in lead contain-ers at the time) and was frequently exposed to lead-based paint All evidence points to lead poisoning which promotes kidney damage and inhibits uric acid excretion causing it to build up in blood This predisposed him to gout precisely as depicted in Raphaelrsquos fresco

RenaissanceArtandNeuroanatomyLike Leonardo Michelangelo

was not just an artistic genius but also a great anatomist At 18 he be-

Michelangelorsquos knee from the school of atheNs by Raphael (c 1509-1510)

Madonna with the Long Neck Was it Marfan Syndrome

Juvenile rheumatoid arthritis

ldquoall art is autobiographical the pearl is the oysterrsquos autobiographyrdquo ndash federico felliNi

24 | Caduceus September 2011

gan dissecting cadavers in a mon-astery in Florence where he honed his technical skills and knowledge of the human body

According to neuroscientists Michelangelo disguised sketches of the human brain in his famous Sistine Chapel ceiling painting which has remained unnoticed for 500 years His fresco The Creation of Adam shares a striking similar-ity with the sagittal section of the brain The fold in the cape repre-sents the Sylvian fissure separating the frontal and parietal lobes You may even recognize the angelrsquos foot as the pituitary gland his thigh as the optic nerve and his leg as the optic tract And that sassy green robe running down the ponsmdashthatrsquos the vertebral artery

Look at Godrsquos neck in The Sepa-ration of Light from Darkness from the same fresco Art historians have long speculated that its lumpy ap-pearance represents goiter Yet medical experts have found an ac-curate picture of the brainstem and spinal cord in Godrsquos throat stun-ningly similar to the creases and crevices of the brain

Yet why would Michelangelo embed the brainstem in Godrsquos throat Was he alluding to Godrsquos wisdom or was it a form of protest to the Church After all dissecting cadavers was considered unethical at that time and for an anatomist like Michelangelo who fell out with the Pope while painting the Sis-tine Chapel ceiling could he have been painting anatomical images directly above the chapel altar in defiance to the Church

Artandophthal-mologyHowvi-sionchangesartClaude Monet is recognized as

one of the founders of the Impres-sionist movement but his vision got cloudy during his later years He wrote letters to friends describ-ing his growing frustration with his vision changes He was even forced to memorize colours on his palette

the creatioN of adaM by Michelangelo (c 1511)

the separatioN of light froM darkNess by Michelangelo (c 1512)

hkucaduceusnet | 25

and label tubes of paint Red began to look muddy to him and he saw his painting as becoming ldquoincreas-ingly darkenedrdquo Whenever he com-pared his paintings with his earlier works he would be sent into a tow-ering rage to destroy them

This was because he had cata-racts Cataract patients have yel-lowing and opacification of the lens so his vision essentially be-came more brownish The yel-lowish brown cataracts he looked through filtered out violet and blue shades Monet underwent two eye operations in 1923 after which he returned to his old painting style even throwing away some of his paintings and repainting them

Thesufferingart-istDepictingill-nessesinartPerhaps no one better personi-

fies the notion of a ldquosuffering artistrdquo than Vincent van Gogh Clinicians have posthumously diagnosed him with a range of medical problems including epilepsy schizophrenic and bipolar disorder His later works have long been noted for his preference for the colour yellow and some have speculated that this was related to his yellow vision

One theory was that van Goghrsquos doctors prescribed him with digi-talis to treat his epileptic seizures His painting Starry Night has yel-low circles around the stars and not surprisingly people with digi-talis overdose often see a yellowish halo around objects Other experts speculated that it was his addiction to absinthe that led to his yellow vi-sion Absinthe is a highly alcoholic drink that contains a highly psy-choactive neurotoxin called thu-jone which causes yellow vision

Van Gogh was not the only art-ist who projected his illness into his art Edvard Munch had tuber-culosis and spit blood as a boy Her mother died when he was five her sister spent most of her life in-stitutionalized for mental illness and his brother died of pneumo-

nia Munch may have depicted his own psychotic state of mind in The Scream which portrays a twisted agonized creature wracked with anxiety and horror

ConclusionDo these findings actually

prove something or are we over-analyzing artworks with our medi-cal knowledge Exactly what ben-efit would these discoveries have for the world at large is unknown At least we know it could lead to yet another interpretation for Mona Lisarsquos smile the result of a scrump-tious meal of pizza and pasta with cheese tomato sauce and meat balls before sitting for her portrait (which would certainly also explain her cholesterol problem)

Two pictures by Monet of the same Japanese bridgemdashthe first painted in 1899 the second between 1918 and 1922 revealing a dramatic loss of shape and detail

suNflowers by Vincent van Gogh (1888) the screaM by Edvard Munch (1893)

ldquoeverythiNg that we see is a shadow cast by that which we do Not seerdquo ndash MartiN luther kiNg jr

26 | Caduceus September 2011

The End is Near Apocalyptic TheoriesRead more to learn about the terrifying future that awaits us Chariene Woo (M15)

S urge of waves rush over the mountains with unstop-

pable speed engulfing and shatter-ing our homes Flaming asteroids rain from the sky causing roads to crumble like sheets of paper Peo-ple running away from burning cities screaming fearfully Civiliza-tion ruined in matter of mere sec-onds Is this what the future lies for us

Nobody knows

Apocalyptic literature and movies have always raised interest among the general public partly

because it involves the end of our world as we know it and partly due to the fact that there is no solid proof how an apocalypse would come about The interest has re-cently skyrocketed with rumors about the world ending on 21st De-cember 2012 about how the May-an calendar finishes at that specific time and how it will be the end of the world as we know it So the big question is when and how will our world end

NostradamusProphetofDoomNostradamus of France was

one of the worldrsquos most famous seers and is most well known for Les Propheties (The Prophecies) a collection of his major long-term prophecies written in quatrains Many of his prophecies have cor-rectly predicted current events including the destruction of the space shuttle Challenger the death of Lady Diana and the destruction of Twin Towers of the World Trade Center As a result of these predic-tions he has been given the nick-

How do you survive the apocalyptic world

Insight

hkucaduceusnet | 27

name ldquoThe Prophet of Doomrdquo

Nostradamusrsquo prophecies have huge room for interpretation speculation and controversy and some people think his writing has no merit at all The following is an example of a quatrain alluding to some sort of environmental disas-ter in the future

ldquoFor forty years the rainbow will not appear

For forty years it will be seen every day

The arid earth will grow more dry

And great floods when it will be seenrdquo

(Century 1 Quatrain 17)

In other quatrains images of great comet alien invasion and nu-clear contamination are also men-tioned so these could all be the prospects that are waiting for us in the future Despite Nostradamusrsquo ldquoaccurate predictionsrdquo of what had happened in the past the quatrains do not have a specific order So out of all the disasters predicted in the many quatrains it is uncertain which will happen where or when giving it less importance in predict-ing an actual apocalypse

PlanetXAccording to Nancy Lieder a

woman who claims to have been contacted by extraterrestrial life forms Planet X (also known as Nibiru) would come close to planet Earth on May 27th 2003 resulting in the Earthrsquos rotation ceasing for 59 terrestrial days The Earthrsquos pole will then undergo a physical polar shift due to the magnetic attraction between the Earthrsquos core and the magnetism of the passing planet This will ultimately lead to the dis-placement of Earthrsquos crust and the end of us But when this did not happen the event was postponed and re-dated to coincide with the Mayan calendar hysteria

NASA argues that this is merely an Internet hoax with no factual or scientific basis They explain that if Planet X was approaching Earth astronomers would have

been tracking it for at least the past decade and the planet would now be visible by the naked eye This is a very comforting bit of news Yet some people believe that NASA is part of a conspiracy to cover up the existence of such planet and keep the truth of impending apocalypse from general public Again the ar-gument can go either way and the ldquotruthrdquo depends on which side you choose or want to believe in

2012TheendoftimeSo what is so special about the

year 2012 There are claims saying that the Mayan calendar ends on 21st December 2012 and that will be the end of time for mankind However just like every calendar it merely rolls over to the new year on that date and it doesnrsquot signify anything special In the Mayan cal-endar 21st December 2012 will be the end of brsquoakrsquotun 13 and marks the start of brsquoakrsquotun 14 A brsquoakrsquotun is 144000 days (a little more than 394 years) and there is no archeological or historical evidence to show that the Mayans expected anything sig-nificant or drastic to happen at the

end of each brsquoakrsquotun

However there exists litera-ture that suggests otherwise In 1975 Frank Waters the author of the book Mexico Mystique identi-fied the 13th brsquoakrsquotun interval to be the ldquoMayan Great Cyclerdquo where it ends in the worldrsquos destruction and rebirth Waters claims that cata-strophic earthquakes will destroy the world but he miscalculated the date and announced that the end of the ldquoGreat Cyclerdquo would be on 24th

December 2011 AD

The year 1987 marked an in-creased in interest regarding the prophesized big event in 2012 The author of The Mayan Factor Path Beyond Technology Jose Arguelles linked the 13th brsquoakrsquotun period to a ldquobeamrdquo that links people the plan-et the Sun and the center of Galaxy According to Arguelles the beam is the key to harmonic resonance in the universe and the Mayan knew when we would enter and leave this beam hence set their 13th brsquoakrsquotun to mark our passage accordingly He also claims that this beam could advance the development of any-thing with DNA hence creating a more positive view of the future

V838 Mon a star with expanding light echo purported as photographic evidence of Nibiru

ldquoevery MaN dies Not every MaN really livesrdquo ndash williaM wallace

28 | Caduceus September 2011

No one can be sure of whether the end of brsquoakrsquotun 13 signifies something great or disastrous for us or if it is just another restart in the Mayan calendar We can only know for certain when the day ar-rives

GodrsquosplanforusThis is by far the most detailed

and terrifying image portrayed out of all apocalyptic claims that I have gone through The Book of Rev-elation from the New Testament reveals signs of apocalypse through a wide variety of symbolism One of such is the frightening image of the ldquofour horsemenrdquo

ldquoAnd I saw and behold a pale horse and he that sat upon him his name was Death and Hades followed with him And there was given unto them authority over the fourth part of the earth to kill with sword and with famine and with death and by the wild beasts of the

earthrdquo (68)

The pale horse carries the horseman of Death which is be-lieved to release global plague and pandemics to the world and take the lives of a quarter of the popu-lation This has already manifested

itself in many forms in different parts of the world at different times hence the first sign of apocalypse is said to be already happening among us

In similar manners the bible describes the arrival a black red and white horsemen represent-ing the delivery of global food shortages war and conflict and the coming of an antichrist to the world From historical genocide terrorism to increased occurrence of food shortages so often seen nowadays it seems that the red and black horsemen has arrived as well and now we are just waiting for the arrival of an antichrist to conquer us

The Book of Revelation also provides readers with a glimpse into the ldquoactionrdquo in how the world will end

ldquoAnd I saw when he opened the sixth seal and there was a great earthquake and the sun became black as sackcloth of hair and the whole moon became as blood and the stars of the heaven fell unto the earthhellipand every mountain and is-land were moved out of their placesrdquo

(612-13)

Besides the great earthquake and the darkening of the sun there is a repetitive mentioning of stars falling from heaven on earth in the Bible This is postulated as the at-tack of massive meteors on planet Earth Out of all prophecies in the Book scientists assume this to be the most likely since an asteroid impact at a scale as large as that may have already wiped out an entire species that came before mankind Scientists believe that showers of space rocks that rained down 65 million years ago (due to the collision of Near Earth Object) were the culprit for the extinction of dinosaurs Luckily NASA recent-ly launched an early warning sys-tem called ldquoSpaceguardrdquo that aims to monitor such Near Earth Objects to prevent future collisions and ex-tinctions

Having read the above the Bible seems to combine all the horrifying specifics in different apocalyptic speculations into one nightmare But donrsquot worry since there are many different interpretations of the Revelation Historicists are the ones who see the Book as a broad view of history (good news wersquove already escaped all the horrors in the depiction) whereas Futurists

believe the description as prophecies of the fu-ture The Idealists hold the belief that the Rev-elation does not refer to actual people or events which makes sense as the Bible is often not inter-preted literally So fingers crossed that the Revela-tion is not interpreted in the futurist way because in that way there is going to be a daunting future awaiting us

Four horsemen of Apocalypse

hkucaduceusnet | 29

ldquoDevolvingrdquoEarthTheoryThis is probably the

most scientific theory that I have come across so far from a news article pub-lished from ABC News A group of scientists from University of Washing-ton hypothesized that the Earth will gradually de-volve in the next half bil-lion years In short their logic works as follows

As we all know the sun is constantly grow-ing bigger yet the Earthrsquos environment has been reasonably constant This is because as the sun is warmed up carbon diox-ide from the atmosphere is removed and deposited in soil as carbonates This keeps our environment stable by the balance be-tween an increasing sun and reducing carbon di-oxide in the atmosphere (Note that global warming resulting from an increase carbon dioxide in atmosphere is just a brief blip in the grand scale of things) Since carbon dioxide is the ldquofood of liferdquo the reduction will cause plants and animals (including humans) to die To battle the rising heat some creatures will retreat into the sea hence reversing the evolutionary process And as the sun continues to expand the Earth will become so hot that even the oceans will gradu-ally be evaporated Eventually the sun blasts off its mass through ther-mal pulses engulfing the Earth

This is a very scientific specula-tion from an astrophysicistrsquos point of view and they claim that at best we have no more than half a billion years left This might be more reas-suring for some of us as the world will not end in the near future But the grief lies in the inevitability of our planet Earth coming to an end

Everythingthathasabegin-ninghasanendSo we are back where we start-

ed With more speculation and the-ories and still no closer to the truth The end could happen any day or time or maybe it could be a proc-ess that is already happening Even though it is not to the scale of an-nihilation of the human race hur-ricanes and earthquakes and car crashes have already been stealth-ily taking the lives of millions We know for sure that we must die eventually through chance old age or disease There is only very little we can do to fight against what has been planned for us and reducing the resources we consume is the best chance that we have in delay-ing this happening There might be some benefit if we know the in-sights of when and how it will hap-pen but really it doesnrsquot change anything Moreover it is possible that these speculations came about to force mankind to live life to the

fullest to treasure each day and every resource we have as a gift so it doesnrsquot matter which theory is the accurate one In the midst of these theories about apocalypse all we can do is to live every day as if it was our last with no regrets and enjoy life as it is now

ReferncesThe End of the Worldhttpwwwnostradamus101compropheciespart4P7

The Great 2012 Doomsday Scare httpwwwnasagovtopicsearthfeatures2012-guesthtml

When Will the World End New Theory EmergeshttpabcnewsgocomTechnol-ogystoryid=97756amppage=2

2012 Beginning of the End or Why the World Wonrsquot Endhttpwwwnasagovtopicsearthfeatures2012html

Video from history channel (from youtube link)httpwwwyoutubecomwatchv=BoTExQEyblU

ldquothe MeaNiNg of life is coNtaiNed iN every siNgle expressioN of life it is preseNt iN the iNfiNity of forMs aNd pheNoMeNa that exist iN all of creatioNrdquo ndash Michael jacksoN

30 | Caduceus September 2011

笑的神奇魔力「當你笑你改變了當你改變了整個世界也改變了」

麻丹卡塔利亞醫生(大笑瑜伽的始創人)何麗敏 (N14)

被隱藏的笑容

日 本大地震及核洩漏事件馬頭圍道唐樓火災三死十九傷中區

警長為勸示威人士中不慎失足墮橋身亡

各政黨爭相你嘲我罵helliphellip在城市裡我們

每天都被一些飛來橫禍天災人禍或社會

爭執的信息圍繞著充斥著愁雲慘霧的氣

氛甚至在家庭朋友學業工作和

健康方面我們亦會遇到不如意之事負

能量和心理壓力不斷增加沒有適當的疏

導和發洩方法之下不少人染上酗酒或沉

迷賭博等壞習慣來自我麻醉長期把情感

抑制的一些人更有機會患上

情緒病我們彷彿硬把自己

困在死胡同裡忘記兒時怎

樣整天咧嘴哈哈大笑如何

在跌倒後笑著站起來現

在很多人都像被魔鬼牽著

鼻子走每天板著一副無奈

沮喪的嘴臉掛上冷漠的眼

神笑聲更差不多成為絕

朋友啊你可有嘗試計

算過一天總共大笑了多少

次英國格拉根大學研究發

現在英國嬰兒每天會笑

達三百次而青少年時期的

每天大笑次數大幅減至六

次五十多歲的人平均每天

更只笑了三次無可厚非

我們在成長過程中必遇到愈來愈多的煩惱

和挑戰事情的確不是我們所能控制但

面對的心態我們為何不能放開一時所謂

的包袱像孩子般笑著面對呢為甚麼大

笑要有一定的理由或被時間限制呢

瑜伽加愉

近半個世紀工作學業和情緒波動

很大生活方式變得愈來愈物質主義容

易出現精神緊張大家都被壓得透不過氣

來變得不太愛笑在一九九五年印

度孟買註冊家庭醫生麻丹卡塔利亞(Dr Madan Kataria)創立「大笑瑜伽」以笑聲驅除怨氣大笑瑜伽是以笑聲互相交流

的透過眼神接觸傳遞歡樂的信息學習

別人的笑容代入孩童的心態再全情投

入地開懷大笑同時亦融入瑜伽的腹式

不妨一試

大笑瑜珈三式一預備式林中步行

在樹林慢走就是愛笑瑜伽的熱身方式步行時間

可以是10-30分鐘邊走路邊拍手同時不時地做深呼

吸目的是讓身體和情緒都徹底放鬆下來為後面的

內容做好準備

二進行式學習動物的表情

在瑜伽導師的帶領下活動面部肌肉然後模仿瑜

珈導師的動物表情這些表情看上去本身已很滑稽

只要按照瑜伽師的樣子去做再發出笑聲

三結束式調整呼吸

經歷了一場大笑面部表情鬆弛了心情也舒服

了不少大家慢慢收回笑容調整呼吸一邊在森林

裡散步一邊大聲告訴自己說「我們是世界上最快樂的

人」

灼見

hkucaduceusnet | 31

呼吸和伸展動作鼓勵大笑達至身心健康

的效果精神科專科曾繁光醫生指出 

「笑令腦自然分泌天然多巴胺以抗衡人

體緊張時所分泌的皮質醇預防患上焦

慮抑鬱的情況」除了改善情緒還能

促進健康笑能促進肺部呼吸功能和加強

血液循環現代醫學認為笑可以成為一種

治病方式治療神經衰弱消除肌肉的緊

張預防或減緩疼痛

筆者在此並不是宣傳大笑瑜伽其治

療成效仍有待商榷和科學實證但愈來愈

多人證實大笑和保持歡樂的心態能有效放

鬆自己張立新先生是第一位在中國推廣 

「大笑瑜伽」的人他患上憂鬱症遍尋

各種治療方式皆無成效一次機緣巧合

從網路接觸「大笑瑜伽」亦在電視上看

到介紹而開始學習和練習他的憂鬱症因

此不藥而癒從此他就開始在中國研究和

推廣愛笑運動暫且別論大笑瑜伽的奏效

程度但人生所遇到的事可真不少何不

笑對人生

尋回被遺忘的赤子之心

大笑並不是靈丹妙藥但它的確能帶來

正能量即使事情有多糟糕笑著面對總

比怨聲載道好而且美國加州大學柏克

萊分校心理學教授丹卓凱納說「笑對

人的進化很重要」目前心理學家們認

為笑是人類之間交流的古老方式之一笑

能互相影響把歡樂的氣氛傳染開去嬰

兒還未學懂說話時笑是與身俱來為何

我們長大後卻隱藏笑容呢朋友們參考

左頁所列大笑瑜伽的基本招式大家可相

約三五知己輕鬆一番找回孩童時的笑聲

大笑瑜伽的始創人麻丹卡塔利亞醫生

大笑瑜伽在六十多國家盛行

ldquolaughter is the best MediciNe - uNless yoursquore diabetic theN iNsuliN coMes pretty high oN the listrdquo ndash jasper carrott

32 | Caduceus September 2011

Learning Experiencing GivingA magical 10-day journey away from the cityErin Yeoh (M15)

C lad in backpacks light clothing and sneakers 21 medical students from HKU and CUHK

were prepared to leave the comforts of home and the internet (did I hear Facebook) We were bound to Chi-na about to embark on a learning-cum-volunteering trip organized by Medical Outreachers

After saying our final goodbyes at the Shenzhen air-port we split into two teams Team A with 9 members were bound to Xirsquoan where they would see volunteer orthopedic surgeons at work The 12 people in Team B including me left for Guizhou to understand the role of village doctors in rural China Both teams aimed to find out the effectiveness of public health policies in rural areas of China We were to meet up 4 days later at Dongshan Guangdong

Part1GuizhouUpon landing in Guizhou we were provided with

excellent hospitality by the local officers and the lo-cal NGO Amity Foundation We were given a brief introduction to Guizhou and also the work that the government and Amity Foundation were doing in the province Amity Foundation actually helped to build numerous new village clinics to improve the quality of healthcare in the region

The next day we were taken on a tour around the province visiting different village clinics (村診所) lo-cated in areas further away from the city Usually there would be one or two village doctors (村醫) on duty

at a time to attend to the villagers with population of around 1000 to 4000 per village

However the village doctors were not the type of ldquoheroesrdquo I had in mind They were not your typical doctor working in a worn out run-down wooden hut where there would be a row of sick villagers lining up to see them How ignorant I was In fact the village clin-ics were mostly renovated and well equipped with ba-sic amenities The standard village clinic has 5 rooms main lobby (大廳) treatment room (治療室) pharma-cy (藥房) observation room (觀察室) and a doctorrsquos rest room (醫生休息室) Furthermore their patient flow was rather small sometimes only one or two pa-tients per day This was probably due to the fact that some village clinics were located only a stonersquos throw away from major cities Those in a medical emergency would of course go straight to the main hospital to seek help immediately instead of consulting a village doc-tor

To be a village doctor one at least had to be a sec-ondary school graduate They would also undergo constant training and certification by qualified doctors in larger clinics According to the village doctors they spent most of their time doing paperwork keeping track of the villagers and their medical history They would also conduct regular home visits to those suf-fering from chronic illnesses or those that needed con-stant monitoring such as patients with hypertension or rheumatoid arthritis Another point that I found

A village clinic before receiving funding from Amity Foundation

hellipand a comparison after

Life

hkucaduceusnet | 33

interesting was that they would also visit families with newborn babies to check on their general health At the same time they would educate mothers on proper breastfeeding techniques and how to provide adequate nutrition for their children in the future

To learn more about their daily routine we fol-lowed a village doctor on his home visit rounds The doctor would sometimes have to travel as far as 2 kil-ometers for a home visit which would be the other end of the village This was as in the case of a pregnant lady due for delivery soon (photo as shown below) The doctor who came to check on her health status reas-sured her that her delivery would be a successful one From her sigh of relief and tired smile we could tell that she was grateful to see the doctor

However things didnrsquot always run as smoothly According to some of the village doctors they used to be scolded and rejected by the locals who did not understand why the doctors would often come up to their doorsteps asking them questions regarding their health and pestering them to go for checkups Some of them being superstitious would think of doctors as ldquoharbingers of bad luckrdquo as the doctors would talk about ldquosicknessrdquo and ldquodiseaserdquo when they were actu-ally feeling as fit as a fiddle Thankfully the situation has much improved since then

From what we saw instead of playing a curative role in a society the village doctors were actually much more involved in disease prevention and monitoring

This is actually the ldquoupstream modelrdquo concept in pub-lic health Instead urban doctors are overwhelmed by limited consultation time and when fatigue kicks in they simply do not have the energy to further educate their patients They would also not have the time to un-derstand their patients on a personal level unlike that of the village doctors

However the indiscriminate use of antibiotics in China was truly a frightening sight Doctors adminis-tered antibiotics intravenously for mild diseases like the common cold When we asked the doctors as to why they did so they simply smiled and shrugged off the question It is probably still a common practice in China and if the doctors did not give such medication the patients would probably lose trust in the doctor The fact that the similar practices were seen even in large hospitals probably indicates that this problem is hardly a localized one

Part2DongshanGuangdongWe met up with the team from Xirsquoan at the

Guangzhou airport and proceeded to our next desti-nationmdashDongshan After 5 hours of car ride we began to see signs that we were approaching our destination Mountains sharply angled clustered in twos or threes fondly known as ldquoMcDonalds mountainsrdquo were begin-ning to be in sight

As soon as we arrived we were greeted by eager curious young faces The children huddled close by as we unloaded our luggage some commenting that they hadnrsquot seen some of us while others were already play-ing around with the past participants It was my first time to Dongshan but there were some of us who were not new to the kids there

After settling down we were given an introduction to Dongshan and its residents by the local NGO Green Action Foundation led by Mr Wong

Located at the outskirts of the province Dongshan is one of the 4 poorest areas in Guangdong Its natu-ral terrain abundant in limestone makes it especially hard to retain water This has taken a toll on the resi-dents especially during the drought season Another problem faced by the local residents is that there are many young people and adults migrating to big cities to earn a living leaving behind the children and elderly

Village doctor on one of his home visits

Discarded bottles of intravenous antibiotics near the village clinic

ldquoMediciNe also disregards NatioNal bouNdariesrdquo ndash irviNg laNgMuir

34 | Caduceus September 2011

at home

Green Action Foundation took the initiative to plant trees around the area so that more water was available for irrigation and domestic purposes This improved the quality of their crops and boosted their source of income They also sponsored some of the

childrenrsquos education depending on their performance in school to ease the burden on their families

The next few days were jam-packed with activities A sports day was held as an icebreaker so that the new participants could get to know the children better We also spent half a day at the Dongshan Primary School where we taught the kids personal hygiene simple first aid moral education and also sex education for the grade 5 and 6 students

Another interesting activity that we had was a weed-cutting session up at a mountain with the other children Each of us was assigned with 2 to 3 chil-dren who were supposed to ldquoguiderdquo us along the way It was a 2-hour hike up and down hilly ter-rain While I would stop once in a while to take a breather the kids were barely panting The kids would often stop to ask if I was tired and even of-fered to help me carry my backpack Note to self more exercise next semester

Nevertheless it was a great chance to know the kids better We had the time to chat about their school life and what they thought about their future and also the chance to share snip-pets of our lives in the city

We then split into small groups and visited the homes of the children in order to gain a bet-ter understanding of their household hygiene

condition any medical conditions in the family as well as their economic standing We had also prepared questionnaires to be kept as future record Some of the families were very poor to the extent of having no source of income at all They depended solely on their own crops for food If they went to see the doctor they would usually owe the doctor money until they had

enough money to pay back The hygiene status of the villagers varied but most of them had swarms of flies around food Many even had their live poultry like chickens running around the house Before we left we gave them some hygiene products like soap washing detergent and toothbrushes to encourage better hy-giene We also gave them a poster explaining ways of maintaining a clean household environment

Another main focus of the trip was to find out the effectiveness of a medical insurance policy newly in-troduced by the government Each person had to pay 30 Renminbi annually to be guaranteed free medica-

Sports day activity

Weed cutting with the children

hkucaduceusnet | 35

tion and hospitalization thereafter Generally the vil-lagers were grateful for this plan as many found it dif-ficult to afford medical fees while struggling to pay for

basic necessities at the same time However some vil-lagers complained that the prices of medicine spiked after this policy was introduced and hospitals would of-ten ask patients to

do unnecessary scans just to earn more money

This trip made me realize that there is much that we can do but how great an impact we can make might not be seen immediately With follow up trips one could see the change as compared to the last visit and make further modifications to improve the situation

As the trip came to an end we were reluctant to leave There was something very magical about Dong-shan where the skies would turn to an exuberant red during sunset and on a clear night you could see stars scattered across every corner of the sky It is a place of beauty struggle and hopefully a place of triumph in the years to come

It is a place of beauty struggle and hopefully a place of triumph in the years to come

On one of our home visits

More to ExploreMedical Outreachers 醫心httpmedicaloutreachersorg

The Amity Foundation 愛德基金會httpwwwamityfoundationorg The beautiful sunset in Dongshan

ldquoshariNg is soMetiMes More deMaNdiNg thaN giviNgrdquo ndash Mary catheriNe batesoN

36 | Caduceus September 2011

就 在這一刻世界沉默了

城市的繁囂隨飛機引擎

逐點逐點噴走了繁囂的離

開是為了讓簡單的生活回

來剛踏出廈門機場一張

又一張的笑臉映入眼簾刺

熱的太陽把兩地之間的隔膜

融化

早從香港回歸時開始

香港人經常強調自己只是 

「香港人」而不是「中國

人」自以為比內地人高一

等可惜這班自視過高的都

市人曾幾何時為外地人送上

熱情的款待這一點廈門

人比誰都做得更好

廈門是一個位於中國

東南部的海島也許就是近

海讓居於廈門的人都把一

切怨恨煩惱拋下大海讓

它們隨水流漂走埋藏在海

床上每年廈門的鳳凰花花

開兩季一朵又一朵鮮艷如

火的鳳凰花在六月時歡送一

個又一個的畢業生彷彿為

他們添上一份祝福九月時

的鳳凰花熱情地歡迎一屆又

一屆的新生為新生的精彩

校園生活揭開序幕一份一

份的熱情含苞待放身在廈

門又怎會不被這市花的熱情

感動呢廈門大至人與人

之間小至花與花之間都存

著一份情

要追溯廈門人的情懷

可數至土樓的建成土樓

是個大多呈方形或圓形大型

群居的建築整座土樓樓高

三至五層由於牆身頗厚及

只有一個出入口甚具有防

禦功能亦因為這緣故當

大門關起來土樓便成了一

個家這個家佔地不大但卻

藏著成千上萬的人情味在

萬里無雲陽光普照的天空

下土樓居民的熱情好客

被蒸發出來懸浮在空中

一代一代傳下去更讓它隨

風走出土樓傳遍整個廈

門即使土樓漸漸成為旅遊

景點一些擺賣紀念品的攤

檔已經進駐但卻無礙居民間

的感情商販彼此交流從

不出現爭客的情況在土樓

中央休憩的居民除了為外地

人介紹他們的祠堂外亦邀

請遊客跟隨他們到遊客禁區

參觀在土樓居住的每伙都

中門大開當遊客投進好奇

的目光屋內的人往往以親

切的笑容作回答鄉土人

情在這世代多冷漠的心也

被融化

細膩的人情味外最令

遊客津津樂道的是廈門人的

態度廈門大學附近有一條

芙蓉隧道只要你願意便可

在隧道內壁上畫下你所思所

想當然美觀與否見仁見

智但這一種對藝術尊重

欣賞的態度是值得欣賞我

有我盡情地畫你有你盡責

青春在廈門留下足印潘曉彤 (N14)

生活

hkucaduceusnet | 37

地去管轄城市各處的整潔

彼此留下空間達至相輔相

成的效果廈門人就懂得人

最基本的禮貌尊重不

過廈門人對他人的尊重遠超

於人的基本禮貌當你去唱

「卡拉OK」的時候每次

待應的出入時看到的就只

有他們的正面而他們前行

或後退的方式就像看到皇帝

一樣卑恭屈膝香港人常常

強調面子哪一天才能捨下

那過高的尊嚴為不相識的

人作一個最謙卑的招待

其實任何人一離開香

港都不難發現就只有香

港愈夜愈精彩其他地方晚

上八時大多關門大吉而廈

門就只有中山路才媲美得

上香港的夜夜笙歌夜幕低

垂萬千燈火的中山路上

與來自各區的人擦肩而過

昏黃的燈光下照出一群又一

群的沉默影子剛好與路上

喧鬧的行人相映成趣騎樓

在霓虹燈的點綴下顯出了獨

有的閩南特色大街小巷傳

來不同地道小食的香氣車

輪餅燒仙草土笋凍helliphellip

為我們外來的交流生帶來美

味可口的夜宵飲飽食醉過

後走到中山路的盡頭又

回到了沉睡中的廈門

在優美的環境影響下

廈門人的生活也自然變得

純樸優閒單車車輪在環

島路上留下一圈又一圈的印

記沿路能細聽海浪輕拍岸

邊的聲音細嗅四處洋溢的

花香感受微風吹散太陽散

發的熱力見證一對又一對

的新人在拍下幸福的照片

據說廈門有戀愛天堂之稱

不管走到哪一處也會

看到準新人拍下甜蜜的婚紗

照而在裡面享受的人永遠

不知道這風景如畫的背

後是透過多少人的血汗換

來當我們在追求經濟成果

的同時往往破壞了造物者

在世上留下的藝術品隨中

國經濟急速發展一個又一

個的世外桃園被摧毀銅臭

替代了花香車聲替代了鳥

語這仙境又可維持多久

廈門另一世外桃園就是

鼓浪嶼它活像香港的長

洲島上滿有歐陸建築風

格但當中不乏中國特色的

建築中國古城風味與洋風

互相交替帶出截然不同的

感覺島上遠離汽車的廢

氣與金門就只是一海之

隔一家大小在享受天倫之

樂時一群又一群的青少

年情侶在沙灘上嬉戲立

即為島上升溫

筆者認為在這個混亂的

俗世確實需要抽空來欣賞

造物者留下來的藝術品大

財團不斷興建大型商場國

際知名品牌不停進駐留下

的就只有愈來愈狹窄的街

道被石屎封蓋寸草不生

的土地人人被金錢蒙蔽

迷失在霓虹燈光中又有多

少知音人能放下生活的瑣碎

事情在這裡享受時間一分

一秒的流走你被海浪聲

喚醒了嗎

筆者參加這次是由香

港廈門兩地大學的交流

團一連六天已經習慣了

當地的優閒生活模式體會

到的不只是廈門的風土人

情歷史文化而是兩地大

學生那種衝破界限的交流

雖說年輕人容易打成一片

但廈門獨有的熱情確實融化

了彼此間的隔膜廈門的美

是成人之美成就了兩地大

學生的友誼

飛機又再起飛了廈門

再見了

ldquothe tiMe of life is short to speNd that shortNess basely it would be too loNgrdquo ndash williaM shake-speare

38 | Caduceus September 2011

生 命形成之際只要一秒鐘的差遲世界便會不一樣

蝴蝶效應從來都是玄的全因一個 

「緣」字

隨著人成長要決擇的事太多學生

有兩件人生大事幾乎都不是由自己決定的

入讀小學及中學然而到了大學這

關卡自己也許可以拿定主意了若果你

入讀了心水科恭喜你若不然祝福

誠然入大學是最影響未來生活的關

口是好是壞無人知曉不用量化不

用比較太多即管做自己所想活出自己

的路只因你不會曉得你的下一步會怎樣

影響著你的生命

或許一個活動你會遇上你的最愛

或許一個宿位你會遇上你的知己

或許一句說話你會惹來一個敵人

或許一次走堂你會由B變C

這就是大學

在大學各人有各人的大學生活大

學講求自由學習學習真的是「求學不是

求分數」有些人愛廣交朋友有些人愛

住宿有些人愛做莊務有些人愛拍拖

有些人愛參加各樣活動有些人愛做兼

職有些人愛讀書有些人卻愛甚麼都不

做helliphellip不少大學生強調入大學必定要做齊

大學五件事(上莊住宿讀書拍拖

兼職)但其實只要自己開心不害人的

話做甚麼也沒問題最要緊的是認清讀

大學的目的以免沉淪於大學這花海

朋友

大學可以令你對「朋友」的概念愈來

愈含糊幾乎每個活動都可令你認識新朋

友通常大家都會輪流講述自己的名字與

學科(Round Table)這亦是考驗大腦對人名的記憶所謂的「Hi-Bye Friend」會愈來愈多隨便在細小的港大內穿梭會令你

無可奈何地對他們說聲Hi

不過別標籤你的「Hi-Bye Friend」要是連Hi-Bye也談不上更不用說做深交了上大學了大家已有既定的圈子很

多時約會或聊天都先找中學朋友而且很

多人會把大學朋友與中學的作比較雖情

有可原但有時未免先入為主地覺得中學

的較好

這亦難怪即使是日日碰面的同學也

未必是自己的好友人人都有自己的時間

表下課後各散東西不是大家不想互相

認識只是有時身不由己若想互相了

解不妨盡量製造共處之時有時甚至可

以分一些約會給大學朋友然後你會發

現大學朋友也可跟你熟絡可別為自己

建造一塊厚厚的心牆

舍堂

要入宿無人會不曉得十日的迎新營

有些舍堂平均每天的作息時間只有兩三小

時有人說住宿最辛苦就是迎新營然而

它卻是最難忘的

要數活動單單一個舍堂已數之不盡

要是投入舍堂生活每天24小時是不夠

用的舍堂之間有各樣比賽堂友要參加

各個組別為比賽出席各樣練習否則可

能被拒於來年再住基於許多人都只在夜

晚有空要全體出席那可是晚九朝五的

大學之緣賴彥積 (N14)

新鮮人

hkucaduceusnet | 39

宿生們之所以會熱衷於舍堂活動因他

們對自身舍堂有強烈的歸屬感好比中學

時學生參加校際比賽要是沒有歸屬感

就不會有心參加所屬舍堂的活動

除舍堂之間之活動樓層之間亦有各類

活動樓內亦然只要有人的地方就有玩

樂彷如天天宿營你不會有機會偷偷早

睡其他樓友常常打擾你你原來的生活

時間會推後數小時睡於二時已是罕有

早上的八半堂彷如無物

可以住宿但不參加活動嗎當然可以

但你會面對的是朋輩壓力他們雖未必逼

你參加卻會在言談中有意無意的滲出

來那種壓力不只限於自己樓層甚至是

跨樓層千萬可別輕看宿中流言

上莊

有人說上莊所學遠超課堂上莊所學

的是如何籌辦活動非常實用有時要對

外聯絡有時要面對公眾helliphellip像是要為將

來工作鋪路似的當然這亦要視乎你上

的是甚麼莊

一般而言上莊可訓練你待人處事的技

巧有時表面看來很友好的朋友當背

負上一定的要求後關係少不免有磨擦再

者初時莊員素未謀面最後卻因朝夕相

對而演變成朋友這段關係是很可貴的

成莊前要宣傳內閣爭取選票成莊了

又要舉行咨詢大會包受歷莊指導然後

又有就職典禮此後的活動更接踵而至

當然包括迎新活動招莊活動等helliphellip君不

見很多人視莊房為睡房少不免有「通

頂」之時忙是忙但必有價值至於是

好是壞要看自己的造化了

拍拖

人上了大學有時心思思想拍拖眼見

身旁多個好友都紛紛拍拖自己少不免羨

慕別人這想法十分正常畢竟大學生真

的可以放下只讀書的重擔真的可以規劃

人生大事了

香港大學一些營新活動中隨了Round Table外還有Round Status即說自己現在有否拍拖以及拍過多少次拖如 

A 0即Ava i lab l e之前至現在沒有拍拖O1即Occupied之前至現在共拍了一次拖當然也有一些同學自己創的甚

麼OBA (Occupied But Available)或D10(Desperate拍過10次拖)等等至於Round Status的動機何在可能是組爸媽想穿針引線吧當然也可能是別有用心的

不同人對拍拖有不同想法上了大學更

有不同擇偶條件人大了在感性的議題

上往往加上種種理性的數據開始現實起

來哪個帥哪個富有哪個有前途helliphellip

有些不在乎天長地久只求剎那的光輝

有些求虛榮有人疼愛在朋友前炫耀

有些甚至會在拍拖前已想定分手後的模

樣所以不想選擇跟自己同科的同學

活動

不同團體(包括舍堂學會及學校部

門)都有不同活動不用愁沒事幹只用

愁沒時間只要多留意Portal Mass Email或Main Campus海報不難發現幾乎每天都有各樣活動動靜皆宜開學時有迎

新營考試時有勁過飯新學期有開Sem

飯有些學會如戲劇舞蹈合唱團不時

有演出有關運動的學會則多練習以參

加比賽有關學術的也有很多興趣班講

座比賽等想幫人的亦可參加義工團

體如蛇蛇豬扶青等舉辦的義工活動

兼職

大學生的兼職大多以補習為主畢竟

這是我們能力範圍內可賺取最多外快又是

時間最彈性的工作有些人卻因補習不能

寫在履歷表而選擇別的工作然而很多時

我們都要在兼職與大學活動中取捨我的

ldquotake a chaNce all life is a chaNce the MaN who goes farthest is geNerally the oNe who is williNg to do aNd darerdquo ndash dale carNegie

40 | Caduceus September 2011

E mily was the chairperson of Pharmacy Socie-ty session 2010 As a student she has actively

participated in holding activities for many medical stu-dents and taken part in providing welfare to all phar-macy students Her following sharing will especially enlighten our new pharmacy students

Q Why did you choose Pharmacy SocietyA To be frank ldquosheung jongrdquo was really out of

my expectation when I anticipated my university life However my perspective has changed when I officially became a pharmacy student in HKU As members of the opening class of the Pharmacy programme my classmates and I realised the importance of having our own student body We do need an independent soci-ety to represent us pharmacy students to cater for our specific needs to listen to our points of view and to act as a bridge to facilitate our communication with the Medical Faculty the entire university and ultimately the pharmaceutical field in Hong Kong My class-mates and I who later became ldquojong yausrdquo believed we should act immediately to establish and run our own society which is why I decided to ldquosheung jongrdquo

Q Would you like to share some of the pros and cons of sheung jong

A ldquoSheung jongrdquo definitely helped me achieve per-sonal growth It was a concurrent commitment and re-sponsibility to serve and to lead our colleagues Bear-ing this in mind we always pushed ourselves to attain the best of our work ethics efficiency and efficacy As the very first session of the Society we lacked the guidance of any previous committee member Instead analysing carefully and critically we thought better of every decision which I personally found an enriching experience ldquoSheung jongrdquo was also an eye-opening journey Wersquod got to meet different people and learnt more about the professional work for as our career-to-be after graduation This in my opinion is always beneficial Last but not least I was fortunate enough to have worked with my amazing fellow committee mem-bers I frankly couldnrsquot ask for better ldquojong yausrdquo than initium Irsquom absolutely thankful for having them as my friends and it is definitely my greatest gain along the way

Despite the merits ldquosheung jongrdquo definitely has its downsides as well It is a lie to say ldquosheung jongrdquo does not affect our daily life because it does take up a big chunk of our time At the end of the day it is about time management which is easy to say but extremely dif-

建議是如家庭環境較困難賺錢吧反

之可以多留時間給各活動畢竟大學一

年的學費不只值那幾十堂課如何善用這

$42100就在乎你如何投入大學生活

讀書

假若你認為大學的考試可考核學生的

真正讀書能力並要求學生活學活用課堂

所學那麼你大失所望了假若你善於背

誦有過目不忘之本領大學的筆試不會

難倒你只要靠著前人留下的歷屆試題

背到滾瓜爛熟是不可能不及格的很多屆

試卷都是千篇一律的很多教授可沒空大

改試題那同學們就走運了有些課堂

即使再專業的學科都會有只理論無實

踐的課堂然後考試就要你把一大堆理論

背出來helliphellip例如甚麼叫批判思維噢

我可不知道只知道我掉了5分

不同學系在某程度上定下了人的前途

對於醫學院學生而言前路是較清晰可見

的但對於非專業學科前路不可只靠讀

書也許要靠自己另外摸索讀書所帶來

的必然是較高的GPA高GPA所帶來的是

獎學金到外國交流工作實習日後工

作機會等等當然大學學習不只局限於

讀書會否因此失彼就只有自己知道

蝶翼拍動之時往難以預料機會是

要自己摸索的

如經上所記

「神為愛他的人所預備的是眼睛未曾看見耳

朵未曾聽見人心也未曾想到的」

(哥林多前書29)

「栽種的和澆灌的都是一樣但將來各人要照自

己的工夫得自己的賞賜」

(哥林多前書38)

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

Freshmen

hkucaduceusnet | 41

ficult to achieve Also working as a Committee mem-ber can be very exhausting and difficult You definitely need lots of determination and support to get through some of the busiest times

Q How did you handle and balance the workload of study and your ldquojongrdquo

A As Irsquove said before it was tremendously difficult I guess my best advice for the future committee is to know your limitations and always plan ahead You have to know your time to work to rest to study etc No one will be over-worked and eve-ryone will have some personal time if you share the burden wisely between ldquojong yausrdquo Secondly you have to make very clear plans so that you can make full use of every little piece of your time I may not have succeeded in my time management but most of my ldquojong yausrdquo managed to do so de-spite the packed schedule of our Soci-ety This is sufficient proof of ldquoimpos-sible is nothingrdquo

Q As there are only about 25 pharmacy students per class do you have any suggestions for P14 fresh-men to make more friends from other curricula

A It really depends on what kind of person you are If you consider your-self socially active living in a hall or ldquosheung jongrdquo will be a great idea for you But if you see yourself as a much quieter person you can still make use of opportunities such as Medic Orien-tation Camp and other events jointly organised by student bodies within the Medical Faculty to make new friends

Q Any special things for P14 freshmen to be aware of

A First of all welcome You all are now members of Pharmacy Society MS HKUSU and I would like to let you know that this is a student body aiming to serve you Thus feel free to share your viewpoints and voice out your opinions to the current Com-mittee members The Society has to

understand your needs to improve and provide better welfare and services for you

Q Any other comments or important things to re-mind P14 freshmen

A If you would like to get to know more fellow pharmacy students especially students from P12 and P13 grab the opportunity to join the Pharmacy Society Orientation Camp and the Mentorship Programme These are great chances to make new friends and Irsquom sure you will enjoy them

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

ldquoas huMaN beiNgs we do chaNge grow adapt perhaps eveN learN aNd becoMe wiserrdquo ndash weNdy carlos

42 | Caduceus September 2011

筆 者是一位護理系的學生半年前有幸成為二零一一年啟思編輯委員會的總編輯在期間所體驗到的希望藉著這次機會作出分享特別希望新加入醫學院的同學

能對「上莊」有更多了解

上莊之路上莊是大學五件事之一證明它對大學生

活有一定的重要性一定的位置筆者在初入學的時候曾為了上莊與否而煩惱猶豫了好一段時間期間考慮到自己能力怕學業應負不來但最後仍然下了上莊這個決定原因是上莊是個難得的機會充實增值自己不同的莊會提供不同的機會讓莊友去學習透過不同的莊務去讓自己眼界擴大另外可以了解醫學院內發生既事情例如院內活動的進展情況更可以參加舉辦院活動為醫學院出一分力最後當然會認識到將會相處一整年的莊友工作伙伴有機會認識到不同學系的同學從他們身上可以觀察到學習到各種的特質從而令自己有所進步有所啟發

護理學生作為護理系學生起初擔任總編輯一職實

在是倍感壓力畢竟歷屆的總編輯都是由醫科生出任因此筆者起初都害怕跟醫科生共事怕自己的能力不足夠應付莊務所以起初都是戰戰兢兢地上莊

一位三年的護理學生曾對我說「我認為你不太尊重護理系護理系和醫科都是個專業希望你能加以尊重自己的學系不要輕視護理這個學系你要肯定自己的學系才能帶領整支莊因為莊內成員來自不同的學系你必須肯定和認同每個學系都有一定的重要性以及其專業」這番當頭棒喝的良言令我明白到自己一直都太輕視護理系過於重視醫科現在我明白到認同自己學系是尤其重要只有這樣才可以用自己學系的身份去發表意見只有認同自己學系才懂得尊重其他的學系莊內便可以融洽一點

在筆者的莊友中醫科生都是較有責任感而且做事更有計劃從他們身上的確學到不少東西這點是無可否認的事實筆者並不是在分享學系與學系之間的差別而是希望有志上莊的同學能互相尊重明白到各學系的莊

友都有其值得學習的地方起初對其他學系有隔膜是無可避免的畢竟對他們的學系都不太了解又沒有歸屬感但如果因為對方是別的學系而輕視對方的人不但失去與人相處學習的機會而且會令莊內的氣氛失去和諧

幸好的就我所見所聞醫學院內的莊多年來都能融洽相處互相支持令到一眾上莊的同學都能輕鬆地享受上莊的喜與樂甚至是不愉快的事情

依靠你的莊友莊是一個團體不是一兩個人可以應

付得來所以筆者認為與莊友互相溝通合作是個重要的元素新同學如果有志參與莊務期望從上莊中有所得著首要的事情是與莊友建立關係因為他們將會是你來年的工作伙伴也是你遇到困難時依靠的對象一位上莊曾對我說「其實一件的莊期不會令你有太大的得著或成長反而長久的友誼才是你將會得到最重要的」這句說話是千真萬確的上莊的人不會由詞不達意改變成談吐得宜不要期望自己會有驚人的轉變也許上莊會令人處事成熟一點有計劃一點但上莊所得到的關係將會是更重要更珍貴一年的相處中面對過有無數的會議共同處理過不少困難從中

建立的友誼真的是畢生受用

責任感上莊另外一個十分重要既條件就是責任

感有志上莊的同學必須明白到莊期是長達一整年在繁重的學業中騰出時間來處理莊務是個考驗責任感和毅力的測試同學必須再三思考想清楚自己是否真係熱衷於上莊或是只是一時衝動畢竟你將要許下的是一年的承諾必須對這個莊負上責任願意付出才選擇上莊這個決定這樣的付出就會有相對的回

總結上莊的確是個好機會讓自己去學習從處

理事務中或是從莊友身上都會有所得著充實著自己的大學生活從中可以認識到各學系的同學建立一段段受用終身的友誼在此筆者希望各學系的新同學可以善用機會作出上莊這個無悔的決定

護理系的啟思總編石志榮 (N14)

新鮮人

hkucaduceusnet | 43

慈兄吟(下)奇晶

最 後還是麥教授先開了口「他的確是一個好學生對醫學有獨到見解他不但學業成績優異而且樂於助人你是他的妹妹吧」婉慧努力控制自己的淚水繼繼續續的說「是啊但helliphellip但helliphellip我不知道helliphellip他竟會在這裏出現」麥教授用悲天憫人的目光看着婉慧語重深長說「人生自古誰無死人生命的有為與否並不取決於他生命的長短而是在於人生的意義你哥哥雖然最後當不了醫生但他的犧牲卻間接為一些同學做醫生鋪路讓他們做醫生去救人這真是一種無私的愛」婉慧點點頭覺得自己對哥哥的了解實在太少了

最後她還是孤獨的離開實驗室她覺得自己跟哥哥比起來實在相差得太遠了原來他除了是十優狀元在醫學院的成績名列前茅外還是個熱心助人的好青年自己除了少了一優外少的更有對別人的同情及樂於助人這造就了她心靈上的空虛她明白到冷漠不是一種對哥哥思念的正當表達方法她應該做的是把哥哥對其他人的愛傳揚開去以圓他的心願

第一步往往是最困難的婉慧平日對他人的態度已令不少人對她敬而遠之有很多次她嘗試向同班同學投以友善的笑容得到的總是詫異的目光或別人的不理不睬在小組討論中儘管她踴躍發言盡量避免冷場的發生偶同學們卻認為她變本加厲想阻止同學們取得好成績她四處碰壁又再次陷入了想念哥哥的深淵

時間一天一天過去了上學期考試前的休假開始了婉慧每天都勤奮的在圖書館溫習期望取得好成績這時候的圖書館堆滿了人如果遲來一個小時想找一個位子也難就在假期的第二天同班的王文在圖書館跑得氣急敗壞仍找不到一個座位婉慧不知怎樣有點同情他將座位讓給他王文驚訝道「不用了我還是回家吧真倒楣遲來了一個小時就沒有『接位』」

「但你住在哪裏呀」

「元朗今天早上我忘了校鬧鐘八時才起」

「那你還是要我的座位吧我可以坐到電腦桌因為我認識的人不少沒有什麼人會打擾我的」

王文謝了她頓時對這位冷漠的同學刮目相看原來她的內心也是溫暖的這並不是他所能料及的坐在電腦桌前溫習的她也感到特別的快樂溫習的速度也快多了王文就此成為了她的「飯檔」考試期間每天和她一起吃飯他更將自己的好友介紹給婉慧認識

在一個晚上她又悄悄的在圖書館的角落溫習着突然一隻溫暖的手搭着她的肩上她抬起頭但見解剖學的同桌手中拿着一杯熱飲輕輕的放在她的桌上婉慧正感詫異卻聽見他說「這杯熱巧克力是給你的繼續努力吧」她喝着巧克力心中感到一股暖流彷彿哥哥的關懷又在她內作出回響

十年生死兩茫茫不思量自難忘千里孤墳無處話淒涼helliphellip

寒風吹起了她額上的劉海佇立在墓前的婉慧不禁凜冽她想起了從前想到自己最後一次和哥哥吵架雙方面紅耳赤的情況想起自己無法親口跟哥哥道歉想起哥哥無私的付出她對着那空虛的墳心中不忍一陣淒然淚水漱漱的流下來她身旁攜扶着年紀老邁的母親邊拭淚邊喃喃道「我的兒子helliphellip歿了helliphellip」大家心情漸漸平復了緩緩走出了墳地

雨一滴一滴的落下飽歷辛酸的婉慧卻仍在懸壼濟世

短篇

ldquoyesterday is but todayrsquos MeMory aNd toMorrow is todayrsquos dreaMrdquo ndash khalil gibraN

44 | Caduceus September 2011

Eternal Flame (1)Tulipa

Itrsquos cold The chills from my fingertips imbibe deep into me This person drills into my mind digging out the truth inside me Itrsquos agonizing She comes right inhellip di-rectly I cannot stop her

Irsquom losing myselfhellip

My hand felt the soggy pillow I realised I had come back to life the world where I lived Staring blankly at the ceiling still losing focus in my eyes I felt my brows with my forearm For the first time I didnrsquot want to lose this feeling

The bedroom door slowly opened I quickly rubbed off the drops that had blurred my vision pretending that I had just woken up

ldquoDo you have lessons this morningrdquo My grand-mother whispered into my ear

ldquoOh goshrdquo I turned right to my alarm clock It was the real life I had forgotten to turn the alarm on last night and it was now seven thirty I knew it I was going to be late every time she caught me in bed Irsquod got to hurry up

Living in Hong Kong Island though it took me more than an hour to get to school I had to comfort my little brother sometimes till two or three in the morning in order to get him to sleep In addition to the consistently heavy study load in the medical school I could hardly get enough rest Running on my heels al-most became my routine starting from last November But I well understood the consequence of skipping lec-tures It was the beginning of the Cardiovascular Sys-tem Block For someone like me who gave least priority in revising Anatomy materials lectures remained the prime source of information for exams Absence from class was suicidal To make the situation worse this professor was one of those who did NOT upload lec-ture notes online

Hoping I wouldnrsquot arrive too late to miss the impor-tant points I finally stepped onto a route no 8 minibus at ten past eight What I could do now was to pay trust in the driver who would bring me to my destination

Coaxing kids was never easy Little Bruce just hap-pened to give me such a hassle last night

He knew I would check on him when I returned home Sitting right next to the door of his room he begged me for a story once I opened the door I sat down together with him on his little couch after Irsquod taken a quick shower This was a time to relax leaving

aside all the other concerns

Kindling through his favourite reader I saw that he wasnrsquot listening but distracted by all sorts of toys around He even invited me into his world of fantasy But it was getting late I had to calm him down so that I too could have some rest Being one of the brightest in his elementary school he should understand this was not the time for recreation

I began to feel annoyed

Yet he was my brother I had a gut feeling that this was unusual He didnrsquot use to be so ldquohyperactiverdquo It re-ally took me a while to adjust to his change With him still tossing and turning in my arms I apprehended his restlessness Unpredictable though he was true to his feelings In one way or another he might find the shadow of our mother in me

He finally settled when I laid him back in bed It was nearly two forty in the morning

The first week of the CVS Block ran as plotted PBL tutorials would start on next Monday Dr Youngrsquos fa-cial expression in the first PBL evaluation flashed over my Embryology notes and references She didnrsquot teach Embryology but I could tell she did have a hypertroph-ic heart-shaped face which looked familiar to the dia-grams in the Atlas

Back in the IHD Block most of us were puzzled about the scrambled content of our course Various forms of seemingly related knowledge came in through lectures practical and tutorial sessions But the neural circuit formed in our brain just failed to resonate as if the conductance-inductance mismatch had aberrated our thought from minimal impedance Sometimes things even happened in a ldquomore-than-extrardquo manner The presence of common core courses in a parallel but independent branch in the network could rightly be detached without causing a blip on the galvanometer Everything was dubious We had no idea of what we were doing

Maybe we were just on the way seeking for a sense of attachment

My mind too was racing in haste I was struggling with my decision to become a doctor Too many things had happened over the year I just couldnrsquot stop ques-tioning myself what was I thinking when I put lsquo6456 MBBSrsquo in my JUPAS application I should have expect-ed and prepared to face all these I just didnrsquot knowhellip

Novella

hkucaduceusnet | 45

It was midterm evaluation in the IHD Block Her face looked tense in that heart shape She was so stiff in her facial expression that no one could read her mind from her poker face The conference room of the Physi-ology Department was large We seemed to be the odd ones out in the spacious carpeted room In this secre-tive silence you could hear the drumming in your ears as if you were tingling

I realised this was not a matter of ldquoam-I-suitable-for-a-medical-careerrdquo but ldquois-a-medical-career-suita-ble-for-merdquo I was lying in bed playing with my plush bear when these thoughts burst in me Dr Young looked through me She felt certain that different from other group mates there were crises behind me But I didnrsquot tell her anything that day

We all were sensitive At times some subtle trepi-dation seeped in gradually sucking peace away from my sleep It was so to say below threshold sub-lethal though it lingered for weeks once it set inhellip

Drenched in bloodhellip There is no life in the boy His eyes are widely opened slightly protruded The lifeless pair of black pearlshellip I cannot escape from his glance He wants to talk to mehellip There is something he wants me to know

A van runs over himhellip

I fell down the edge of my mattress Breathing heavilyhellip Sweating all overhellip

ldquoScreechrdquo People began to gather around a tel-ephone booth a few metres behind us

I turned back I couldnrsquot see a lot from this anglehellip

ldquohellip What a pity He is so younghelliprdquo a middle-aged couple passed by

The victim resting just in front of the wheel looked towards me through a break in the crowdhellip

As we were wandering around thinking what to eat for dinner my cousin found me standing there rooted to the ground stunned by the victimrsquos gaze My heart was pounding She wouldnrsquot believe what I was again experiencing For a number of times already scenarios in my dreams were mirrored into reality

I couldnrsquot tell her

ldquoI was just thinking whether you would like Korean cuisine There is a new restaurant two corners awayrdquo I made up a talk while escaping from the scene so that I wouldnrsquot look so strange

ldquoWhy not go and have a try thenrdquo She was not dis-appointed for calling it a day as the food there was sur-prisingly good

Not until some years ago when I was Form 3 in college I discovered my ability to look into the future Sometimes I could see them coming up on the news in days or weeks And some didnrsquot ever happen at least not around me But seeing the night visions coming into concrete existence wasnrsquot always a pleasure when the mental images turned gradually into mostly night-mares When I visualised my close ones it felt like I was in the middle of an insecure chain bridge above a torrent that would sweep me into the vast ocean with no return It was entirely different from what you might understand as ldquodreams come truerdquo

I had witnessed misfortunes in proximityhellip

But I could do nothing about ithellip

Friends were a source of solace someone to con-fide all frustrations in But with my paranormal ability which appeared to everybody else only on screen-plays I wasnrsquot courageous enough to open my life wholeheartedly to them Seldom talking about myself avoiding all sorts of gatherings I became an eccentric figure among my classmates

Sometimes mutual understanding carried more weight than words I remembered my physics teacher being one of my few friends during my teen years De-spite his boisterous faccedilade he was always sensitive to whenever I was dwelling on my burdens Physics was our common language Intermingling our emotions and feelings with concepts that were alien to my fel-lows we developed a close rapport impenetrable by anyone else

ldquoWhat is the nature of a flamerdquo This was the most discussed problem between us Neither in solid liquid nor vapour state Not having any definite shape and colour It seems not any material but a type of energy giving out heat and light At the moment of providing it also exhausts its fuel and eventually itselfhellip

The romance of physics is more than anything you could read write and talk about Once you were truly connected with it nothing can stop you Your mind will bounce irrespective of the chronology of space-time but only under the guidance of your thoughts

I was so devoted to the discipline at the time that I was almost making it my lifelong career in some way He envisaged that I would demand much more than any academia could provide with its scientific basis alone We were both seeking a philosophy beyond the facts But Hong Kong may not be the right place for it

I made him a promise at the end to contain our flame and I knew I would

For the first and the last time I saw his eyes filled with tears We knew existence by itself is a miracle

ldquoi love life because what More is thererdquo ndash aNthoNy hopkiNs

46 | Caduceus September 2011

說華佗都說「華佗再世」誰知箇中真諦雲方 (M15)

烽煙起戰火燃萬里 

三國並爭英雄地亂世有誰顧生死 

待神醫行世將民眾救濟

渺渺江山東西瞰俞跗巧手扁鵲心(1) 應向何處尋 

滾滾黃沙無世家終有奇士放奇葩

沛國 華元化(2) 

他經書貫通南北遊動 

一望斷症如神助三劑消病不必多

說斷症悉如所料 

甘陵 相夫人腹痛極難忍(3) 號脈知死嬰在左為男形(4)廣陵 梅軍吏除名歸故里

見貌知壽盡速返見萱椿(5) 

說消病藥到病除 

飲蒜醋有三升蟲一嘔而盡清 (6)母服丸而溫儲兒不藥而自癒 (7)

絕妙處 

是他開腸剖腹刀至辟毒 

神醫號 

除他內外皆精有誰配稱

[1]   俞跗黃帝時代之名醫扁鵲春秋戰國之名醫《淮南子人間訓》「患至而多後憂之helliphellip雖有扁鵲俞跗之巧猶不能生也」

[2]   華佗字元化沛國人(今安徽 亳州)

[3]   甘陵相(即甘陵之行政長官)夫人懷胎六月腹痛不安華佗為其切脈便知胎死於是命人摸知所在在左則男在右則女人云「在左」夫人飲藥後果然產出男胎腹痛立即痊癒

[4]   廣陵有軍吏名曰梅平離鄉服役後來退役歸家於路上巧遇華佗華佗視之嘆道「若能早些見我當不至於此而今你僅餘五日壽命速速回家還能與家人相見」平旋即趕抵故鄉五日後亦如料身亡

[5]   萱椿多作椿萱比喻父母漢牟融《送徐浩》詩「知君此去情偏切堂上椿萱雪滿頭」

[6]   華佗見路邊有人食不下嚥教他到路邊餅店買醋三升混上蒜泥然後飲用路人服後即吐出一條長蛇(即寄生蟲)

[7]   兩歲男孩長年腹瀉藥石無靈華佗往診謂病在母命其服用華佗親研之「四物女宛丸」服後母親乳汁不再寒涼男孩亦不藥而癒

意興

hkucaduceusnet | 47

只可惜人無完壁

「關將軍使君予我手刮骨惡毒走

曹丞相使君予我頭剖顱苦痛收」

「怎能不收怎能不收一命嗚呼萬事休 

簡直荒謬簡直荒謬殺此庸醫未須愁」(8) 

五禽戲尚能傳 (9)麻沸散從此絕 

何不一飲醉死不知世忍氣吞聲事權貴 (10)心神委曲須臾苦奇術失迭千秋計 

烽煙止無改生死事 

且當醫仙謫世間神技終須風裏散 (11)回首仰高山景行請君範 (12)

[8]     曹操欲殺華佗臣下勸之不可答曰「不憂天下當無此鼠輩耶」

[9]     死前華佗欲托所著醫書於獄卒不果便盡數焚毀唯有其養生體操「五禽戲」流傳後世

[10]   《三國志魏書方技傳》「當須刳割者便飲其麻沸散須臾便如醉死無所知」

[11]   唐白居易《簡簡吟》「恐是天仙謫人世只合人間十三歲」

[12]   景行(音航)即大道以高山景行比喻人品德行為之高尚典出《詩經小雅車轄》又東漢鄭玄曰「古人有高德者則慕仰之有明行者則而行之」

ldquothe art of MediciNe was to be properly learNer oNly forM its practice aNd its exerciserdquo - thoMas sydeNhaM

48 | Caduceus September 2011

啟程

清晨空白的天空看不見藍天雲彩

只有溫柔的雨絲和朦朦朧朧的霧水跟隨

著大隊的足印踏上沉重的腳步穿過橫

街小巷和煩囂熱鬧的市場走過自動門

撲鼻的消毒藥水味道讓大家屏住呼吸筆

者和夥伴們終於到達了入讀護理系以來第

一次實習的醫院

還記得在實習的前幾天心情是既忐忑

又期待的畢竟這一次實習的地方不再是

在社區中心宣傳健康方面的知識亦不是

只面對著健康活潑的小朋友和老友記或是

學校課堂上所提供的假人張靜汶卻是照

顧一羣真正需要關懷的病人心中充滿著

憂慮不知自己所學的知識足夠在應用上

嗎自己平日的練習足夠嗎雖然心存在

著不少疑惑但也十分期待可以體會一下

做小學護的感受嘗試把這一年裡所學到

的知識運用出來

很多的第一次

在病房裡總有心酸和膽戰心驚的時

候第一次為昏迷的病人清潔口腔第一

次為難以進食的人插入胃喉第一次為老

公公清洗背上壓瘡的傷口helliphellip照顧他們時

的心情都是一步一驚心生怕自己沒法應

付得來又怕會把事情弄得更糟糕最重

要的是恐怕自己不純熟的技巧令他們受苦

了記得有一回第一次為女病人插入尿

喉採取尿液樣本可能技巧不太純熟的關

係延長了病人的痛苦過程中她皺著

眉頭不斷呻吟又緊張得咬破脣眼看

她樣子心中真的不是味兒來身為病人

的其中之一依靠我們不得不給自己信

心如果連自己也不相信自己哪會有病

人願意把他們交給我們照料呢

捕捉那瞬間的美麗與淒然何麗敏 (N14)

上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

意興

hkucaduceusnet | 49

另外第一次面對病人的心情是頗為

緊張的說話技巧亦有改進的空間但和

病人傾談了數分鐘後氣氛也漸漸變得和

諧可能那些老公公整天呆在醫院裡真是

悶到慌看見一羣年青人與自己聊天照

顧和關心他們他們不禁咧嘴而笑醫院

職員透露有一位老公公平日不太願意吃東

西於是我們便主動和他談天說地又

悉心照料他進食的情況後來他不但胃

口好了不少就連心情也開朗了他生動

活潑的談吐讓我們笑了他回復健康精

神的體魄也讓我們感到安慰

相處片刻

雖然為期一星期的病房日子不是特別繁

忙或是辛勞但是也會有不習慣的時候

幸好得到醫院職員和一班夥伴的支持病

房經理和註冊護士不但相信我們的能力

對學護的包容更是不用多說還主動地介

紹病房的環境和細心地教導我們醫療護理

上的知識讓我們上了一堂實在而又寶貴

的課同時今次的實習也令我感到團體

精神也十分重要在技巧上大家互相提

點互補不足當有人準備照料有需要的

病人如插喉或洗傷口等大家送上一句 

「加油」就能令對方增加不少自信心和正

能量無論遇上甚麼事情我也榮幸有如

此一班學習夥伴從旁支持

學習的階級

在這一次病房實習中雖然醫療和藥物

知識方面有待加強但是我學懂了如何與

不同身份的病人相處之道溝通上也得到

了很大的進步獲益不少除此之外我

也真正體會到如何做一個好護士並清楚

了解這個行業是否適合自己鐘樓也不是

一天就能建成而是需要一磚一瓦搭建而

成的所以在學習上我們不但要打好

穩固的基礎還要增強醫療知識在技巧

上馬虎了事和走捷徑是於是無補的應

該多探究和練習才行這樣才對得起病人

和自己也減少不必要的醫療失當事故

總之多一份認真多一點耐性多一些

愛心就是學護必記的左右銘 上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

ldquoit is reasoNable to expect the doctor to recogNise that scieNce May Not have all the aNswers to probleMs of health aNd healiNgrdquo ndash NorMaN cousiNs

50 | Caduceus September 2011

Fun Corner

Medical AppsEver wondered how your handheld device can save your time and

effort when it comes to studying Here is how

Anatomy Pronunciations by HipposoftAccurate pronunciations of over a hundred important anatomy terms you have trouble with are provided

at your fingertips to help you spell those difficult words Anyone who has taken an anatomy course can tell you how challenging it can be to pro-nounce the names of those complicated anatomi-cal terms It is even linked directly to Wikipedia and Google through web browser for additional information

iPharmacy ndash Pill Identifier and Medication Guide by SigmaPhone LLCAn essential medication guide of 20000+ drugs is provided for con-sumers amp professionals This ex-

pands the image library to include 12000 pill and package images and includes digital drug identifier with official drug information (indica-tions dosage adverse reactions and more) You can check the drugs anywhere

Grades 2 by TapityIt tells you what grades you need in the coming tests in order to get your target grade You can easily calcu-late your GPA so as to maintain it It

is a useful tool helping you to keep an eye on your GPA all the time

Human Anatomy by SusaSoftXThe application provides you with information of 15 different biologi-cal systems You can keep on revis-ing while you are traveling without

carrying heavy books

Medscape by WebMD LLCFrom drug classes interaction clin-ical procedures and even the lat-est medical news Medscape helps medical students and healthcare

professionals to reiterate knowledge that has slipped from the mind It is a free application for iPhone iPad Android and Blackberry Yet it contains more function on Android phones and Apple products and lacks detailed clinical infor-mation for diseases and clinical procedures walk through on Blackberry

Pro Medical Terminology Dic-tionary by TreascoveryTerminology might be a tough work for medical students Even if we can master those English terms we can

hardly think of the Chinese terms This applica-tion can help you when you face this problem Note that it is not a free application

3M Littmann SoundBuilder by 3M CompanyA great tool designed to help im-prove auscultation skills of medical students with 14 unique lessons of

key heart sounds combing text virtual manne-quin 3D cardiac animation and dynamic wave-forms

iRadiology by Liebermans iRadi-ologyAn excellent learning tool for medi-cal students demonstrating classic radiological findings of a multitude

of abnormalities including over 500 radiologic images Radiologic images include CT US MRI and nuclear imaging each clearly labeled and followed by key teaching points

Micromedex Drug Information by Thomson Reuters (Healthcare) IncIs Cephalexin a first generation ce-phalosporin This application from

Thomson Reuters is the easiest way to navigate in the sea of drug names Drugs are sorted by classes and supplemented with rich information

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 14: Caduceus Issue 2, Volume 42

14 | Caduceus September 2011

「形影不離」的造影術專訪放射科邱麗珊醫生陳伊樂 (M15) 賀曉琳 (M15)

邱 麗珊醫生於一九八三年畢業於香港大學醫學院並於一九八

六年開始修讀放射科邱醫生不但在東區

尤德夫人那打素醫院身兼前線管理和訓

練多職而且積極參與香港放射科醫學院

的工作我們非常感謝邱醫生能夠在百忙

中抽空接受訪問向各位同學分享一下她

踏上成功路的經歷與待人處事的態度

甚麼是放射科

放射科是利用X光(X-ray)電腦斷層攝影(CT)磁共振成像(MRI)和超聲波造影(Ultrasound)等技術展示患者身體內部結構的影像從而協助診斷和進行治療

當放射科醫生危險嗎

誠然放射科醫生需要經常接觸對身

體有害的輻射可是這門專科有不同的

措施保障我們的安全首先每一個放射

工作者都需要領取牌照此外我們會每

個月檢查掛在胸前的放射量測定器確保

接觸到的輻射劑量沒有超越安全水平當

然有關部門亦會定期檢查儀器確保它

們正常運作

爲什麼你會選擇放射科你對於有意將

來當上你的專科的同學有甚麼建議

選擇放射科純粹是因為爸爸的一句「

放射科適合女孩子」當上放射科醫生之

後才發現事實並非如此放射科是一個重

要的專科幾乎每一個住院病人都需要用

上造影技術但除非做超聲波或介入放射

治療放射科醫生卻好像很少與病人直接

接觸有些醫生喜歡多和病人接觸放射

科便不適合他們了另外放射科正面對

著迅速的科技發展對新科技有興趣的同

學這個專科的確是一個不錯的選擇可

是由於學位有限每年報讀放射科的六

邱麗珊醫生Dr Jennifer Khoo放射科專科醫生

香港大學內外全科醫學士 英國皇家放射科學醫學院院士 香港醫學專科學院院士(放射科)

東區尤德夫人那打素醫院 放射科 部門主管 及 顧問醫生

醫院管理局 港島東聯網 Service Director (Radiology)

香港放射科醫學院 首席副院長 及 科學委員會主席

專題

hkucaduceusnet | 15

七十人當中總會有四五十人因願望落空

而要轉投其他專科我的建議是千萬不要

灰心人總不能夠經常做自己喜歡的事

但一定要喜歡自己正在做的事(You canrsquot always do the things you like but you can learn to like the things that you have to do)

請詳述對你人生有大影響的起落人

事物

人一生中如果能夠遇上一兩位良師益

友在你碰到困難時扶你一把在你迷

惘時給予意見上天就已經算是對你不薄

了而我自己也算是非常幸運有兩位

前輩當上我的引導者一位是瑪麗醫院

的陳富六醫生另一位是澳洲的Professor Michael Sage因為兩位的提點我決定善用自己的長處留在公營醫院參與一些

行政和訓練的工作幫助培訓醫生使更

多病人受惠

你有甚麼人生的哲學嗎是甚麼信念使

你堅持當一名醫生

我認為每個人都需要有自己的優先順序

(priority)對我來說家人和家庭生活永遠都是排在首位縱使我已經涉足到很多

管理方面的工作但病人還是排在行政管

理之前有著清晰的優先順序不管遇到

多大的衝擊都能使自己勇敢面對邁步

向前優先順序或多或少都與個人經歷有

關有部份同行可能會基於不同原因或

許是滿足感或許是工作量而轉投私人

市場我想每個人的價值觀和信念都有不

你對現今醫學院的學生有甚麼寄語叮

習醫是一條漫漫長路少不免遇上困難

和挫折而這些難題往往會轉化成使身心

俱疲的壓力身為醫學生一定要及早學

會如何面對壓力我的忠告是凡事都要

以平常心面對要從錯誤中學習懂得避

免犯上同樣的錯誤要有反彈能力勝過

昨日的自己

醫科生基本上都是能力不錯的一群

(cream of the cream)要好好利用自己的能力為社會作出貢獻 

ldquowheN you are dowN aNd out soMethiNg always turNs up it is usually the Noses of your frieNdsrdquo ndash orsoN welles

16 | Caduceus September 2011

A Discourse with a Female Gold-MedalistInterview with an Ophthalmologist ndash Dr Charmaine HonChariene Woo (M15) Charis Chan (M15)

W hile waiting for Dr Hon at her Central clin-ic the Hong Kong Ophthalmic Associates

we were amazed at how the spacious clinic was crowd-ed with patients When we finally meet Dr Honrsquos big friendly smile made an impression on me as she invit-ed us into her room Despite having a busy schedule Dr Hon is very down-to-earth and eager to provide valuable advice for our fellow schoolmates

Dr Hon started out as a medical doctor and changed to the specialty of ophthal-mology Initially she worked with the public sector fulfill-ing her duties as a doctor re-searcher and teacher at the same time Then she turned to the private sector and joined the Hong Kong Ophthalmic Associates as she feels that she can be more focused on the aspect of patient care ldquoIn public hospitals it is hard to follow up on patient care and it is rare to meet the same patient twicerdquo she reflected ldquobut in the private clinical set-ting I get to know the patientrsquos family and medical his-tory better and I feel more like a doctor by having the ability to follow my patientrsquos progressrdquo

As a recipient of the John Anderson gold medal for the highest aggregate of marks in all the MBBS professional examinations Dr Hon also shares her advice in studying ldquoBasic knowledge is a must but clinical sense is the most importantrdquo and with a smile

she added ldquoyou have to pay attention to your mentors during attachments to hospitals even if you are just ob-servingrdquo But donrsquot think Dr Hon is all about studies She emphasizes that she is not the most hardworking student in her graduating class and suggests medi-cal students to explore outside of the medical world especially in the first two years of study ldquoYou have to have a life outside of medicine and you should do it in

the non-clinical years as there are decreasing chances and time for you to meet non-medically related peo-ple after year 3 onwardsrdquo the ex-member of the Union Choir said ldquoAnd as you come more into contact with different people you learn how to communicate bet-ter which will definitely help your medical career and will keep your life diversifiedrdquo

As for advice to students in clinical years she shares her insights in how to choose your specialty She sug-gests students to look into their strengths and inter-ests and to understand and explore as much as pos-sible in attachments since it is a lot harder to change onersquos specialty nowadays compared to the past ldquoThe most important point is to identify yourself and not to blindly follow the path of others Do not think of future

achievements since what you chose will probably stick with you for liferdquo True enough ophthalmology was not a developed specialty during her times of studies and Dr Hon says she is probably one of the very first gold medalists who pursued it as a career A note to her future female counterparts ldquoYou have to think of your future path and plan accordingly and be ready

Basic knowledge is a must but clinical sense

is the most important

The most important point is to identify yourself and not to blindly

follow the path of others

Feature

hkucaduceusnet | 17

to put your career before marriage Many of us delay our plans of marriage and pregnancy after finishing our specialty fellowship which is at around 30rdquo After hearing this I was very worried but she added ldquoGen-eral practice is also a good choice and there are some females doctors who donrsquot follow this trendrdquo

One of the things that struck me the most is that Dr Hon sticks to the principle of doing everything with all your heart ldquoYou only pass through this life once and when you look back you should not regret what you have donerdquo So when presented with conflicting ideas with her principle what does she do ldquoI reflect and fight for itrdquo she laughs ldquoIt sounds rebellious but as a doctor you have to have a judgment that is best for your patient and you cannot conform to society or systemsrdquo Using the limited consultation time for each patient in public hospital settings as an example she explains that doctors arenrsquot machines and should be able to adjust to different patientsrsquo needs appropriately so to do what is best for the patient ldquoYou should never lose yourself under the system and should always do whatever you think is best for your patientrdquo

When asked about the specialty of ophthalmol-ogy Dr Hon tells us with passion that ophthalmology allows instant gratification and makes a difference to patientrsquos life ldquoMany specialties can make a difference but only a few have a clean-cut immediate effect like ophthalmologyrdquo But ophthalmology is also about hard work and persistence ldquoIn this specialty there is con-stant advancement in the past we do extra capsular extraction but now there are frequency emulsifica-tion and other advancements I am always awed by the senior partners in this clinic who have a strong will to chase and read up on new techniquesrdquo So besides steady hands and good eyesight intellectual curiosity on the latest research is a must if you are thinking of pursuing a career in ophthalmology

Before we parted Dr Hon gave us a final word of wisdom ldquoThis is going to be hard for you two gals but you look tough and yoursquoll survive Since you chose this career path do expect to work very hard as it is not easy but so is every other occupation nothing is ever easy in this worldrdquo

DrCharmaineHon韓尚穎醫生

Specialist in Ophthalmology

MBBS(HK) MRCS(Edinburgh)

FC Ophth(HK) FHKAM(Ophthalmology)

ldquoas you grow older yoursquoll fiNd the oNly thiNgs you regret are the thiNgs you didNrsquot dordquo ndash Zach-ary scott

18 | Caduceus September 2011

奉行完美主義的守護天使專訪麻醉科李靜芬醫生吳瑞麟 (M15) 李庭翰 (M15)

說 起麻醉越野挑戰馬拉松義工無國界醫生你想到甚

麽幾樣風馬牛不相及的東西可以用三

個字關聯起來李靜芬

李靜芬醫生畢業於香港大學醫學院

現於養和醫院疼痛治療門診工作她曾經

加入無國界醫生到南蘇丹服務又是醫療

輔助隊動員主任香港不少的大型活動

例如馬拉松東亞運奧運馬術等都由她

去統籌急救站的運作她又經常舉辦醫療

會議亦於很多地方做義務醫療顧問熱

衷於向公眾推廣疼痛管理與健康的知識

另一方面她是香港全能運動學會醫療顧

問經常參加越野挑戰戶外活動又參

加半馬拉松比賽看完李醫生這麼的一個

簡介實在很難不驚歎好一個「周身

刀張張利」的奇人

人生的轉捩點

其實初中時期的她與醫生根本扯不上

半點關係身為壘球隊隊長在中四的一

次練習中她被壘球擊中一眼從此改變

了她的命運當時全港只有一位眼科醫生

會在晚間應診眼科的醫療設施也不足

令她眼睛流着血水在黑暗中東奔西跑尋找

醫生她由大埔賽馬會診所走到威爾斯

然後到伊莉莎伯再到油麻地終於找到

眼科醫生李醫生由四點奔波到十點令

她深深體會到作為病人的痛苦也從此立

志要做一個醫生幫助有需要的病人

初中時的李醫生每天放學就練球以

致成績中等但自從立志投身醫護她虛

心求教又得到當時的班主任授予時間管

理和讀書的方法成績突飛猛進在短短

六個月間從中等成績進步至模擬考試全

李靜芬醫生Dr Carina Li

麻醉科專科醫生

香港大學內外全科醫學士 澳洲及紐西蘭麻醉科醫學院院士 香港麻醉科醫學院院士 

香港麻醉科醫學院疼痛科文憑

香港醫學專科學院院士(麻醉科)

專題

hkucaduceusnet | 19

級第一她的毅力和決心實在令人佩服

她的傲氣

其後她獲中文大學收作暫取生但她

又再次作出驚人之舉李醫生認為要讀醫

科生物化學科就得好些所以一定要認

真研讀高級程度的生物化學但是人是有

惰性的如果做了暫取生就一定會變得不

思進取讀不好生物化學於是她毅然

放棄暫取生的資格全心全意去考好高級

程度會考李醫生的豪氣決斷她破釜

沉舟的決心她的好勝和哲學令筆者從

心底裏衷心地拜服她

結果她當然考得很好的成績在選擇

大學時她再一次認真考慮自己將來的

路向她生來就有一種使命感覺得一定

要做一樣在任何時候任何地方都最有用

的工作加上她常常留意時事總覺得天

災人禍真的可以隨時發生於是她就選擇

了兩種無論是面臨戰爭還是天災的時候

對所有人都十分重要的工作記者和醫

生她終於入讀了港大醫學院並於九五

年畢業

與麻醉科結緣

實習的時候她特意選擇了一些能夠獲

得較多經驗的部門到投考專科的時候

她也選上了可以接觸很多不同類型病人的

兒科只可惜當時兒科並沒有學額但在

朋友介紹之下知道了麻醉科麻醉科同樣

可以接觸到不同的病人而且無論在甚麽

地方都可以發揮所長正正符合了李醫生

的志向結果她便入了麻醉科

據李醫生所說雖然一般人認為麻醉

科對體力的要求較少適合女孩子但

是現實並不這樣簡單由於麻醉要求一絲

不苟麻醉科的醫生都是完美主義者而

且學習的內容艱深每一種藥物的作用

反應甚至化學結構都要讀得滾瓜爛熟

她形容麻醉科醫生就好像病人背後的守護

天使在手術中要不停監測病人的維生指

數感覺病人的生命就在自己的手中所

以要承受着很大的壓力

作為麻醉科醫生每次見到的都是昏

迷或者沒有意識的病人事實上並沒有甚

麽可以跟病人溝通的機會病人通常感覺

不到麻醉科醫生的付出所以作為麻醉科

醫生未必可以從病人身上得到很大的滿足

感但他們卻比其他醫生更能夠專注地為

病人服務因為每次在手術中只照顧一位

病人

她的叮囑

李醫生叮囑現在的醫學生一定要僅記當

初想做醫生的原因她覺得在這個物質

社會中人是很容易迷失的她感覺到現

在的某些醫學生只為了一份穩定的工作

甚至是因為父母的意見而選擇行醫關於

作為醫生的意義卻從沒有思考過她勸

我們要好好問自己兩條問題人為甚麽生

存於世上作為醫生又是為了甚麼她

認為醫者要有父母心處處為病人而

不是為自己着想作為醫生就是要去服

務幫助人而不是為了求回報我們生

存於世上為的是信望愛並不用時時

記住利益金錢等東西最後她又提醒我

們不可以歧視病人不論是黑社會成員還

是香港首富只要病了就是一個無助的

病人就需要我們的幫助

李醫生思考獨立為人熱情健談跟李

醫生做訪問真的是一件有趣的事又令筆

者獲益良多特別是她有關人生意義的看

法的確值得反思作為醫學生的大家

你又可曾想過為甚麼要生存為甚麼要做

醫生呢

ldquothere is No MeaNiNg to life except the MeaNiNg MaN gives his life by the uNfoldiNg of his powersrdquo ndash erich froMM

在手術中不停監測病人的維生指數麻醉科醫生就好像病人背後的

守護天使

20 | Caduceus September 2011

To Succeed is to Fight Against ComplacencyInterview with a Dermatologist ndash Dr Henry ChanLily Cheng (M15) Andrew Seto (M15)

W ith our scheduled interview being inter-rupted by an emergency case of Stevens-

Johnson syndrome a life-threatening allergic skin re-action to medication Dr Chan rushed to the hospital for his patient

Sitting in Dr Chanrsquos office at his private practice the Hong Kong Dermatology and Laser Centre in the middle of a conference call with his overseas counter-part researchers we saw a pragmatic doctor at work This is a doctor who would never be complacent with his performance but keeps striving for excellence

AmedicalcareerDr Chanrsquos interest in dermatology was sown well

before his exposure to the discipline Having been in-flicted with eczema during his childhood he suffered from an excruciating itch in his skin that caused him much distress As a result of his own medical condi-tion he developed an interest in dermatology at a young age

During his fourth year in medical school he ex-plored an elective in dermatology at Yale University and began formal training in the field He obtained his medical degree and worked for several years in the UK before returning to Hong Kong to work at the Prince of Wales Hospital He then received a grant from the Hos-pital Authority to read dermatology in the UK

Working back and forth between Hong Kong and Britain in and out of universities and hospitals in his early years of practice Dr Chan settled his work base in Hong Kong in 1995 He was Associate Professor of CUHK from 1998 to 2000 and Chief of Dermatology and Associate Professor in HKU from 2000 to 2004

After entering private practice in 2004 Dr Chan now spends a lot less time on doing administrative work and more time on treating patients While he was actively engaged in teaching research and clini-cal work his current focus has shifted to mainly clini-cal work As an honorary clinical associate professor of our faculty he enjoys teaching and values the opportu-nity to cultivate and influence medical students

A renowned dermatologist with a strong research interest in medical devices Dr Chan is still very active in terms of research output His private practice sup-ported by a team of full-time research staff is unique

for its active research component ndash a practice which is well-established overseas but rare in Hong Kong

AsadoctoranddermatologistIn the beginning laser devices were developed to

treat medical conditions such as haemangioma and black moles but technological advancements driven by recent research has explored new possibilities for their applications in cosmetic treatment As a result new cosmetic procedures have appeared for the treat-ment of various conditions from skin rejuvenation to body contouring

While it is true that most dermatological conditions are rarely life-threatening they may nonetheless have a profound impact on patientsrsquo physical and psycho-social wellbeing For instance eczema often presents with rash It may give exudate in serious cases but is rarely fatal Nevertheless it might constitute great dis-comfort and inconvenience to patients Similarly se-vere cases of acne may also diminish onersquos self-esteem Dr Chan stressed that treatments for many skin condi-tions are not merely cosmetic in nature but may im-prove patientsrsquo self-esteem body image and psychoso-cial wellbeing

On the other hand some skin problems such as psoriasis and chronic eczema are incurable It is there-fore the doctorrsquos duty to educate patients and enhance their understanding of their disease One of the re-sponsibilities for dermatologists is to evaluate the im-pact of their patientsrsquo conditions to their quality of life Other than helping them return to their normal routine and diet as far as possible dermatologists also need to teach patients the way to get along with their chronic illnesses

Dr Chan emphasized that we run a profession not a business On this ground a doctor should never tell a patient what procedure they should receive Rather a doctorrsquos role is to explain the options available and provide the relevant information that carry with each procedure including potential risks and complica-tions

Dr Chan reminded us that financial return is only a ldquoby-productrdquo of a doctorrsquos work as a professional Doctors work hard and should be paid for their serv-ices but they should not be more interested in making

Feature

hkucaduceusnet | 21

money than in helping people He believes that shap-ing doctors into commercials in some way jeopard-izes medical professionalism

SuccessRedefinedSummoning his days as a fresh medical officer Dr

Chan recalled the death of the 18-year-old girl inflicted with necrotizing fasciitis who died within 24 hours He bore in mind every complicated case as an alarm to his future practice admitting that there is always room for him to improve

Quoting the professional golfer Jack Nicklaus Dr Chan reminded us that ldquocomplacency is a continuous struggle that we all have to fightrdquo It is easy to let our guard down but doctors have to be responsible for their patients all the time It is demanding but impor-tant for every medical professional to be vigilant and maintain onersquos standard at the top level He believes that good doctors should keep themselves in an appro-priate amount of stress and tension which keeps them mindful of their patientsrsquo needs

When asked about his rules for success Dr Chan emphasized that he does not feel he has attained his goal yet He feels that he may have had a decent start but it is inappropriate to judge his career before his retirement as he is still in the middle of his career To him it is far too early to define success Despite his change in roles over the years he still maintains his enthusiasm and passion that motivate him to do his best whether it be research teaching or clinical work

As far as medical students are concerned Dr Chan doesnrsquot see the urgency of deciding our future spe-cialty yet Medical school gives us a broad and general exposure to various fields and offers a good place to learn and gain experience sharpening our skills before serving as doctors We could still explore more in our senior years to come

ldquoFollow your heartrdquo Dr Chan gave us as a conclud-ing word He believes that the so-called ldquoROADrdquo to success is not really that important if one does not en-joy onersquos profession Listen to yourself and ask whether you really like your job

DrHenryChan陳衍里醫生

Specialist in Dermatology and Venereology

MBBS(London) MRCP(UK) FHKAM(Medicine) FRCP(Glasgow)

FRCP(Edinburgh)

Hon Professor LKS Faculty of Medicine HKU

Hon Consultant Dermatologist QMH HKSAR

Visiting Scientist Wellman Centre for Photomedicine USA

ldquoirsquoM a firM believer iN the theory that people oNly do their best at thiNgs they truly eNjoy it is difficult to excel at soMethiNg you doNrsquot eNjoyrdquo ndash jack Nicklaus

We run a profession not a businesshellip [doctors]

should not be more interested in making money than in

helping people

22 | Caduceus September 2011

Art and Medicine Seeing Diseases in ArtHow art masterpieces reveal medical conditionsAndrew Seto (M15)

F or centuries art historians have been mesmerized by

the enigmatic smile of Mona Lisa coming up with theories that range from the mundane to the bizarre Was she a silk merchantrsquos wife or a self-portrait of Leonardo da Vinci himself Was she pregnant An adulterer Leonardo da Vincirsquos se-cret male lover The theories never cease

BehindMonaLisarsquossmileHighcholesterolIt turns out that Mona Lisa had

ldquovery high cholesterolrdquo at least ac-cording to Vito Franco a Sicilian professor of pathological anatomy A medical expert who enjoys study-ing art masterpieces for evidence of diseases Franco concluded that Mona Lisa had xanthelasma (the accumulation of cholesterol under the skin) Indeed a closer look at her mysterious face does show a yellowish collection around the in-ner corner of her left eye He even found evidence of lipoma (a fatty tissue tumor) on her right hand Probably the least poetic finding for the most renowned beauty in Renaissance art

This was not the first time medical experts have associated Mona Lisa with clinical conditions Charles Bell the 19th century Scot-tish surgeon who discovered Bellrsquos palsy a form of facial paralysis resulting from facial nerve palsy once coined the term ldquoMona Lisa syndromerdquo This was a reference to the facial muscle contracture that develops after Bellrsquos palsy resulting in a ldquoMona Lisa-like smilerdquo

Mona Lisa Xanthelasma or just a blotch by mistake

Insight

hkucaduceusnet | 23

Hardly would Parmigianino have known that the long slen-der fingers and limbs of Madonna with the Long Neck was the result of a genetic disorder called Mar-fan syndrome And of all the things that crosses onersquos mind upon first glance of Caravaggiorsquos Sleeping Cu-pid the notion that the baby was inflicted with juvenile rheumatoid arthritis would be hard to imagine Franco claims that his goal was to expose the human vulnerability of the people depicted in art

MichelangelorsquosgoutykneeAnother subject who has been

scrutinized by medical experts is Michelangelo Renaissance painter and sculptor Scholars looked at his knee from Raphaelrsquos School of Ath-ens and concluded that he suffered from gout a form of inflammatory arthritis that occurs when crystals form in the joints

Based on the appearance of his knee which appears swollen en-larged and covered in hard lumps a diagnosis of gout seems plausible It was known that Michelangelo de-veloped various diseases during his life In his writings he complained of having kidney and bladder prob-lems In 1549 he had an episode of anuria followed by passing of grav-el and stone fragments in his urine

Many experts believe that Michelangelo like many of his contemporaries developed gout from lead poisoning A well-known workaholic Michelangelo con-stantly lived off a diet of bread and wine (processed in lead contain-ers at the time) and was frequently exposed to lead-based paint All evidence points to lead poisoning which promotes kidney damage and inhibits uric acid excretion causing it to build up in blood This predisposed him to gout precisely as depicted in Raphaelrsquos fresco

RenaissanceArtandNeuroanatomyLike Leonardo Michelangelo

was not just an artistic genius but also a great anatomist At 18 he be-

Michelangelorsquos knee from the school of atheNs by Raphael (c 1509-1510)

Madonna with the Long Neck Was it Marfan Syndrome

Juvenile rheumatoid arthritis

ldquoall art is autobiographical the pearl is the oysterrsquos autobiographyrdquo ndash federico felliNi

24 | Caduceus September 2011

gan dissecting cadavers in a mon-astery in Florence where he honed his technical skills and knowledge of the human body

According to neuroscientists Michelangelo disguised sketches of the human brain in his famous Sistine Chapel ceiling painting which has remained unnoticed for 500 years His fresco The Creation of Adam shares a striking similar-ity with the sagittal section of the brain The fold in the cape repre-sents the Sylvian fissure separating the frontal and parietal lobes You may even recognize the angelrsquos foot as the pituitary gland his thigh as the optic nerve and his leg as the optic tract And that sassy green robe running down the ponsmdashthatrsquos the vertebral artery

Look at Godrsquos neck in The Sepa-ration of Light from Darkness from the same fresco Art historians have long speculated that its lumpy ap-pearance represents goiter Yet medical experts have found an ac-curate picture of the brainstem and spinal cord in Godrsquos throat stun-ningly similar to the creases and crevices of the brain

Yet why would Michelangelo embed the brainstem in Godrsquos throat Was he alluding to Godrsquos wisdom or was it a form of protest to the Church After all dissecting cadavers was considered unethical at that time and for an anatomist like Michelangelo who fell out with the Pope while painting the Sis-tine Chapel ceiling could he have been painting anatomical images directly above the chapel altar in defiance to the Church

Artandophthal-mologyHowvi-sionchangesartClaude Monet is recognized as

one of the founders of the Impres-sionist movement but his vision got cloudy during his later years He wrote letters to friends describ-ing his growing frustration with his vision changes He was even forced to memorize colours on his palette

the creatioN of adaM by Michelangelo (c 1511)

the separatioN of light froM darkNess by Michelangelo (c 1512)

hkucaduceusnet | 25

and label tubes of paint Red began to look muddy to him and he saw his painting as becoming ldquoincreas-ingly darkenedrdquo Whenever he com-pared his paintings with his earlier works he would be sent into a tow-ering rage to destroy them

This was because he had cata-racts Cataract patients have yel-lowing and opacification of the lens so his vision essentially be-came more brownish The yel-lowish brown cataracts he looked through filtered out violet and blue shades Monet underwent two eye operations in 1923 after which he returned to his old painting style even throwing away some of his paintings and repainting them

Thesufferingart-istDepictingill-nessesinartPerhaps no one better personi-

fies the notion of a ldquosuffering artistrdquo than Vincent van Gogh Clinicians have posthumously diagnosed him with a range of medical problems including epilepsy schizophrenic and bipolar disorder His later works have long been noted for his preference for the colour yellow and some have speculated that this was related to his yellow vision

One theory was that van Goghrsquos doctors prescribed him with digi-talis to treat his epileptic seizures His painting Starry Night has yel-low circles around the stars and not surprisingly people with digi-talis overdose often see a yellowish halo around objects Other experts speculated that it was his addiction to absinthe that led to his yellow vi-sion Absinthe is a highly alcoholic drink that contains a highly psy-choactive neurotoxin called thu-jone which causes yellow vision

Van Gogh was not the only art-ist who projected his illness into his art Edvard Munch had tuber-culosis and spit blood as a boy Her mother died when he was five her sister spent most of her life in-stitutionalized for mental illness and his brother died of pneumo-

nia Munch may have depicted his own psychotic state of mind in The Scream which portrays a twisted agonized creature wracked with anxiety and horror

ConclusionDo these findings actually

prove something or are we over-analyzing artworks with our medi-cal knowledge Exactly what ben-efit would these discoveries have for the world at large is unknown At least we know it could lead to yet another interpretation for Mona Lisarsquos smile the result of a scrump-tious meal of pizza and pasta with cheese tomato sauce and meat balls before sitting for her portrait (which would certainly also explain her cholesterol problem)

Two pictures by Monet of the same Japanese bridgemdashthe first painted in 1899 the second between 1918 and 1922 revealing a dramatic loss of shape and detail

suNflowers by Vincent van Gogh (1888) the screaM by Edvard Munch (1893)

ldquoeverythiNg that we see is a shadow cast by that which we do Not seerdquo ndash MartiN luther kiNg jr

26 | Caduceus September 2011

The End is Near Apocalyptic TheoriesRead more to learn about the terrifying future that awaits us Chariene Woo (M15)

S urge of waves rush over the mountains with unstop-

pable speed engulfing and shatter-ing our homes Flaming asteroids rain from the sky causing roads to crumble like sheets of paper Peo-ple running away from burning cities screaming fearfully Civiliza-tion ruined in matter of mere sec-onds Is this what the future lies for us

Nobody knows

Apocalyptic literature and movies have always raised interest among the general public partly

because it involves the end of our world as we know it and partly due to the fact that there is no solid proof how an apocalypse would come about The interest has re-cently skyrocketed with rumors about the world ending on 21st De-cember 2012 about how the May-an calendar finishes at that specific time and how it will be the end of the world as we know it So the big question is when and how will our world end

NostradamusProphetofDoomNostradamus of France was

one of the worldrsquos most famous seers and is most well known for Les Propheties (The Prophecies) a collection of his major long-term prophecies written in quatrains Many of his prophecies have cor-rectly predicted current events including the destruction of the space shuttle Challenger the death of Lady Diana and the destruction of Twin Towers of the World Trade Center As a result of these predic-tions he has been given the nick-

How do you survive the apocalyptic world

Insight

hkucaduceusnet | 27

name ldquoThe Prophet of Doomrdquo

Nostradamusrsquo prophecies have huge room for interpretation speculation and controversy and some people think his writing has no merit at all The following is an example of a quatrain alluding to some sort of environmental disas-ter in the future

ldquoFor forty years the rainbow will not appear

For forty years it will be seen every day

The arid earth will grow more dry

And great floods when it will be seenrdquo

(Century 1 Quatrain 17)

In other quatrains images of great comet alien invasion and nu-clear contamination are also men-tioned so these could all be the prospects that are waiting for us in the future Despite Nostradamusrsquo ldquoaccurate predictionsrdquo of what had happened in the past the quatrains do not have a specific order So out of all the disasters predicted in the many quatrains it is uncertain which will happen where or when giving it less importance in predict-ing an actual apocalypse

PlanetXAccording to Nancy Lieder a

woman who claims to have been contacted by extraterrestrial life forms Planet X (also known as Nibiru) would come close to planet Earth on May 27th 2003 resulting in the Earthrsquos rotation ceasing for 59 terrestrial days The Earthrsquos pole will then undergo a physical polar shift due to the magnetic attraction between the Earthrsquos core and the magnetism of the passing planet This will ultimately lead to the dis-placement of Earthrsquos crust and the end of us But when this did not happen the event was postponed and re-dated to coincide with the Mayan calendar hysteria

NASA argues that this is merely an Internet hoax with no factual or scientific basis They explain that if Planet X was approaching Earth astronomers would have

been tracking it for at least the past decade and the planet would now be visible by the naked eye This is a very comforting bit of news Yet some people believe that NASA is part of a conspiracy to cover up the existence of such planet and keep the truth of impending apocalypse from general public Again the ar-gument can go either way and the ldquotruthrdquo depends on which side you choose or want to believe in

2012TheendoftimeSo what is so special about the

year 2012 There are claims saying that the Mayan calendar ends on 21st December 2012 and that will be the end of time for mankind However just like every calendar it merely rolls over to the new year on that date and it doesnrsquot signify anything special In the Mayan cal-endar 21st December 2012 will be the end of brsquoakrsquotun 13 and marks the start of brsquoakrsquotun 14 A brsquoakrsquotun is 144000 days (a little more than 394 years) and there is no archeological or historical evidence to show that the Mayans expected anything sig-nificant or drastic to happen at the

end of each brsquoakrsquotun

However there exists litera-ture that suggests otherwise In 1975 Frank Waters the author of the book Mexico Mystique identi-fied the 13th brsquoakrsquotun interval to be the ldquoMayan Great Cyclerdquo where it ends in the worldrsquos destruction and rebirth Waters claims that cata-strophic earthquakes will destroy the world but he miscalculated the date and announced that the end of the ldquoGreat Cyclerdquo would be on 24th

December 2011 AD

The year 1987 marked an in-creased in interest regarding the prophesized big event in 2012 The author of The Mayan Factor Path Beyond Technology Jose Arguelles linked the 13th brsquoakrsquotun period to a ldquobeamrdquo that links people the plan-et the Sun and the center of Galaxy According to Arguelles the beam is the key to harmonic resonance in the universe and the Mayan knew when we would enter and leave this beam hence set their 13th brsquoakrsquotun to mark our passage accordingly He also claims that this beam could advance the development of any-thing with DNA hence creating a more positive view of the future

V838 Mon a star with expanding light echo purported as photographic evidence of Nibiru

ldquoevery MaN dies Not every MaN really livesrdquo ndash williaM wallace

28 | Caduceus September 2011

No one can be sure of whether the end of brsquoakrsquotun 13 signifies something great or disastrous for us or if it is just another restart in the Mayan calendar We can only know for certain when the day ar-rives

GodrsquosplanforusThis is by far the most detailed

and terrifying image portrayed out of all apocalyptic claims that I have gone through The Book of Rev-elation from the New Testament reveals signs of apocalypse through a wide variety of symbolism One of such is the frightening image of the ldquofour horsemenrdquo

ldquoAnd I saw and behold a pale horse and he that sat upon him his name was Death and Hades followed with him And there was given unto them authority over the fourth part of the earth to kill with sword and with famine and with death and by the wild beasts of the

earthrdquo (68)

The pale horse carries the horseman of Death which is be-lieved to release global plague and pandemics to the world and take the lives of a quarter of the popu-lation This has already manifested

itself in many forms in different parts of the world at different times hence the first sign of apocalypse is said to be already happening among us

In similar manners the bible describes the arrival a black red and white horsemen represent-ing the delivery of global food shortages war and conflict and the coming of an antichrist to the world From historical genocide terrorism to increased occurrence of food shortages so often seen nowadays it seems that the red and black horsemen has arrived as well and now we are just waiting for the arrival of an antichrist to conquer us

The Book of Revelation also provides readers with a glimpse into the ldquoactionrdquo in how the world will end

ldquoAnd I saw when he opened the sixth seal and there was a great earthquake and the sun became black as sackcloth of hair and the whole moon became as blood and the stars of the heaven fell unto the earthhellipand every mountain and is-land were moved out of their placesrdquo

(612-13)

Besides the great earthquake and the darkening of the sun there is a repetitive mentioning of stars falling from heaven on earth in the Bible This is postulated as the at-tack of massive meteors on planet Earth Out of all prophecies in the Book scientists assume this to be the most likely since an asteroid impact at a scale as large as that may have already wiped out an entire species that came before mankind Scientists believe that showers of space rocks that rained down 65 million years ago (due to the collision of Near Earth Object) were the culprit for the extinction of dinosaurs Luckily NASA recent-ly launched an early warning sys-tem called ldquoSpaceguardrdquo that aims to monitor such Near Earth Objects to prevent future collisions and ex-tinctions

Having read the above the Bible seems to combine all the horrifying specifics in different apocalyptic speculations into one nightmare But donrsquot worry since there are many different interpretations of the Revelation Historicists are the ones who see the Book as a broad view of history (good news wersquove already escaped all the horrors in the depiction) whereas Futurists

believe the description as prophecies of the fu-ture The Idealists hold the belief that the Rev-elation does not refer to actual people or events which makes sense as the Bible is often not inter-preted literally So fingers crossed that the Revela-tion is not interpreted in the futurist way because in that way there is going to be a daunting future awaiting us

Four horsemen of Apocalypse

hkucaduceusnet | 29

ldquoDevolvingrdquoEarthTheoryThis is probably the

most scientific theory that I have come across so far from a news article pub-lished from ABC News A group of scientists from University of Washing-ton hypothesized that the Earth will gradually de-volve in the next half bil-lion years In short their logic works as follows

As we all know the sun is constantly grow-ing bigger yet the Earthrsquos environment has been reasonably constant This is because as the sun is warmed up carbon diox-ide from the atmosphere is removed and deposited in soil as carbonates This keeps our environment stable by the balance be-tween an increasing sun and reducing carbon di-oxide in the atmosphere (Note that global warming resulting from an increase carbon dioxide in atmosphere is just a brief blip in the grand scale of things) Since carbon dioxide is the ldquofood of liferdquo the reduction will cause plants and animals (including humans) to die To battle the rising heat some creatures will retreat into the sea hence reversing the evolutionary process And as the sun continues to expand the Earth will become so hot that even the oceans will gradu-ally be evaporated Eventually the sun blasts off its mass through ther-mal pulses engulfing the Earth

This is a very scientific specula-tion from an astrophysicistrsquos point of view and they claim that at best we have no more than half a billion years left This might be more reas-suring for some of us as the world will not end in the near future But the grief lies in the inevitability of our planet Earth coming to an end

Everythingthathasabegin-ninghasanendSo we are back where we start-

ed With more speculation and the-ories and still no closer to the truth The end could happen any day or time or maybe it could be a proc-ess that is already happening Even though it is not to the scale of an-nihilation of the human race hur-ricanes and earthquakes and car crashes have already been stealth-ily taking the lives of millions We know for sure that we must die eventually through chance old age or disease There is only very little we can do to fight against what has been planned for us and reducing the resources we consume is the best chance that we have in delay-ing this happening There might be some benefit if we know the in-sights of when and how it will hap-pen but really it doesnrsquot change anything Moreover it is possible that these speculations came about to force mankind to live life to the

fullest to treasure each day and every resource we have as a gift so it doesnrsquot matter which theory is the accurate one In the midst of these theories about apocalypse all we can do is to live every day as if it was our last with no regrets and enjoy life as it is now

ReferncesThe End of the Worldhttpwwwnostradamus101compropheciespart4P7

The Great 2012 Doomsday Scare httpwwwnasagovtopicsearthfeatures2012-guesthtml

When Will the World End New Theory EmergeshttpabcnewsgocomTechnol-ogystoryid=97756amppage=2

2012 Beginning of the End or Why the World Wonrsquot Endhttpwwwnasagovtopicsearthfeatures2012html

Video from history channel (from youtube link)httpwwwyoutubecomwatchv=BoTExQEyblU

ldquothe MeaNiNg of life is coNtaiNed iN every siNgle expressioN of life it is preseNt iN the iNfiNity of forMs aNd pheNoMeNa that exist iN all of creatioNrdquo ndash Michael jacksoN

30 | Caduceus September 2011

笑的神奇魔力「當你笑你改變了當你改變了整個世界也改變了」

麻丹卡塔利亞醫生(大笑瑜伽的始創人)何麗敏 (N14)

被隱藏的笑容

日 本大地震及核洩漏事件馬頭圍道唐樓火災三死十九傷中區

警長為勸示威人士中不慎失足墮橋身亡

各政黨爭相你嘲我罵helliphellip在城市裡我們

每天都被一些飛來橫禍天災人禍或社會

爭執的信息圍繞著充斥著愁雲慘霧的氣

氛甚至在家庭朋友學業工作和

健康方面我們亦會遇到不如意之事負

能量和心理壓力不斷增加沒有適當的疏

導和發洩方法之下不少人染上酗酒或沉

迷賭博等壞習慣來自我麻醉長期把情感

抑制的一些人更有機會患上

情緒病我們彷彿硬把自己

困在死胡同裡忘記兒時怎

樣整天咧嘴哈哈大笑如何

在跌倒後笑著站起來現

在很多人都像被魔鬼牽著

鼻子走每天板著一副無奈

沮喪的嘴臉掛上冷漠的眼

神笑聲更差不多成為絕

朋友啊你可有嘗試計

算過一天總共大笑了多少

次英國格拉根大學研究發

現在英國嬰兒每天會笑

達三百次而青少年時期的

每天大笑次數大幅減至六

次五十多歲的人平均每天

更只笑了三次無可厚非

我們在成長過程中必遇到愈來愈多的煩惱

和挑戰事情的確不是我們所能控制但

面對的心態我們為何不能放開一時所謂

的包袱像孩子般笑著面對呢為甚麼大

笑要有一定的理由或被時間限制呢

瑜伽加愉

近半個世紀工作學業和情緒波動

很大生活方式變得愈來愈物質主義容

易出現精神緊張大家都被壓得透不過氣

來變得不太愛笑在一九九五年印

度孟買註冊家庭醫生麻丹卡塔利亞(Dr Madan Kataria)創立「大笑瑜伽」以笑聲驅除怨氣大笑瑜伽是以笑聲互相交流

的透過眼神接觸傳遞歡樂的信息學習

別人的笑容代入孩童的心態再全情投

入地開懷大笑同時亦融入瑜伽的腹式

不妨一試

大笑瑜珈三式一預備式林中步行

在樹林慢走就是愛笑瑜伽的熱身方式步行時間

可以是10-30分鐘邊走路邊拍手同時不時地做深呼

吸目的是讓身體和情緒都徹底放鬆下來為後面的

內容做好準備

二進行式學習動物的表情

在瑜伽導師的帶領下活動面部肌肉然後模仿瑜

珈導師的動物表情這些表情看上去本身已很滑稽

只要按照瑜伽師的樣子去做再發出笑聲

三結束式調整呼吸

經歷了一場大笑面部表情鬆弛了心情也舒服

了不少大家慢慢收回笑容調整呼吸一邊在森林

裡散步一邊大聲告訴自己說「我們是世界上最快樂的

人」

灼見

hkucaduceusnet | 31

呼吸和伸展動作鼓勵大笑達至身心健康

的效果精神科專科曾繁光醫生指出 

「笑令腦自然分泌天然多巴胺以抗衡人

體緊張時所分泌的皮質醇預防患上焦

慮抑鬱的情況」除了改善情緒還能

促進健康笑能促進肺部呼吸功能和加強

血液循環現代醫學認為笑可以成為一種

治病方式治療神經衰弱消除肌肉的緊

張預防或減緩疼痛

筆者在此並不是宣傳大笑瑜伽其治

療成效仍有待商榷和科學實證但愈來愈

多人證實大笑和保持歡樂的心態能有效放

鬆自己張立新先生是第一位在中國推廣 

「大笑瑜伽」的人他患上憂鬱症遍尋

各種治療方式皆無成效一次機緣巧合

從網路接觸「大笑瑜伽」亦在電視上看

到介紹而開始學習和練習他的憂鬱症因

此不藥而癒從此他就開始在中國研究和

推廣愛笑運動暫且別論大笑瑜伽的奏效

程度但人生所遇到的事可真不少何不

笑對人生

尋回被遺忘的赤子之心

大笑並不是靈丹妙藥但它的確能帶來

正能量即使事情有多糟糕笑著面對總

比怨聲載道好而且美國加州大學柏克

萊分校心理學教授丹卓凱納說「笑對

人的進化很重要」目前心理學家們認

為笑是人類之間交流的古老方式之一笑

能互相影響把歡樂的氣氛傳染開去嬰

兒還未學懂說話時笑是與身俱來為何

我們長大後卻隱藏笑容呢朋友們參考

左頁所列大笑瑜伽的基本招式大家可相

約三五知己輕鬆一番找回孩童時的笑聲

大笑瑜伽的始創人麻丹卡塔利亞醫生

大笑瑜伽在六十多國家盛行

ldquolaughter is the best MediciNe - uNless yoursquore diabetic theN iNsuliN coMes pretty high oN the listrdquo ndash jasper carrott

32 | Caduceus September 2011

Learning Experiencing GivingA magical 10-day journey away from the cityErin Yeoh (M15)

C lad in backpacks light clothing and sneakers 21 medical students from HKU and CUHK

were prepared to leave the comforts of home and the internet (did I hear Facebook) We were bound to Chi-na about to embark on a learning-cum-volunteering trip organized by Medical Outreachers

After saying our final goodbyes at the Shenzhen air-port we split into two teams Team A with 9 members were bound to Xirsquoan where they would see volunteer orthopedic surgeons at work The 12 people in Team B including me left for Guizhou to understand the role of village doctors in rural China Both teams aimed to find out the effectiveness of public health policies in rural areas of China We were to meet up 4 days later at Dongshan Guangdong

Part1GuizhouUpon landing in Guizhou we were provided with

excellent hospitality by the local officers and the lo-cal NGO Amity Foundation We were given a brief introduction to Guizhou and also the work that the government and Amity Foundation were doing in the province Amity Foundation actually helped to build numerous new village clinics to improve the quality of healthcare in the region

The next day we were taken on a tour around the province visiting different village clinics (村診所) lo-cated in areas further away from the city Usually there would be one or two village doctors (村醫) on duty

at a time to attend to the villagers with population of around 1000 to 4000 per village

However the village doctors were not the type of ldquoheroesrdquo I had in mind They were not your typical doctor working in a worn out run-down wooden hut where there would be a row of sick villagers lining up to see them How ignorant I was In fact the village clin-ics were mostly renovated and well equipped with ba-sic amenities The standard village clinic has 5 rooms main lobby (大廳) treatment room (治療室) pharma-cy (藥房) observation room (觀察室) and a doctorrsquos rest room (醫生休息室) Furthermore their patient flow was rather small sometimes only one or two pa-tients per day This was probably due to the fact that some village clinics were located only a stonersquos throw away from major cities Those in a medical emergency would of course go straight to the main hospital to seek help immediately instead of consulting a village doc-tor

To be a village doctor one at least had to be a sec-ondary school graduate They would also undergo constant training and certification by qualified doctors in larger clinics According to the village doctors they spent most of their time doing paperwork keeping track of the villagers and their medical history They would also conduct regular home visits to those suf-fering from chronic illnesses or those that needed con-stant monitoring such as patients with hypertension or rheumatoid arthritis Another point that I found

A village clinic before receiving funding from Amity Foundation

hellipand a comparison after

Life

hkucaduceusnet | 33

interesting was that they would also visit families with newborn babies to check on their general health At the same time they would educate mothers on proper breastfeeding techniques and how to provide adequate nutrition for their children in the future

To learn more about their daily routine we fol-lowed a village doctor on his home visit rounds The doctor would sometimes have to travel as far as 2 kil-ometers for a home visit which would be the other end of the village This was as in the case of a pregnant lady due for delivery soon (photo as shown below) The doctor who came to check on her health status reas-sured her that her delivery would be a successful one From her sigh of relief and tired smile we could tell that she was grateful to see the doctor

However things didnrsquot always run as smoothly According to some of the village doctors they used to be scolded and rejected by the locals who did not understand why the doctors would often come up to their doorsteps asking them questions regarding their health and pestering them to go for checkups Some of them being superstitious would think of doctors as ldquoharbingers of bad luckrdquo as the doctors would talk about ldquosicknessrdquo and ldquodiseaserdquo when they were actu-ally feeling as fit as a fiddle Thankfully the situation has much improved since then

From what we saw instead of playing a curative role in a society the village doctors were actually much more involved in disease prevention and monitoring

This is actually the ldquoupstream modelrdquo concept in pub-lic health Instead urban doctors are overwhelmed by limited consultation time and when fatigue kicks in they simply do not have the energy to further educate their patients They would also not have the time to un-derstand their patients on a personal level unlike that of the village doctors

However the indiscriminate use of antibiotics in China was truly a frightening sight Doctors adminis-tered antibiotics intravenously for mild diseases like the common cold When we asked the doctors as to why they did so they simply smiled and shrugged off the question It is probably still a common practice in China and if the doctors did not give such medication the patients would probably lose trust in the doctor The fact that the similar practices were seen even in large hospitals probably indicates that this problem is hardly a localized one

Part2DongshanGuangdongWe met up with the team from Xirsquoan at the

Guangzhou airport and proceeded to our next desti-nationmdashDongshan After 5 hours of car ride we began to see signs that we were approaching our destination Mountains sharply angled clustered in twos or threes fondly known as ldquoMcDonalds mountainsrdquo were begin-ning to be in sight

As soon as we arrived we were greeted by eager curious young faces The children huddled close by as we unloaded our luggage some commenting that they hadnrsquot seen some of us while others were already play-ing around with the past participants It was my first time to Dongshan but there were some of us who were not new to the kids there

After settling down we were given an introduction to Dongshan and its residents by the local NGO Green Action Foundation led by Mr Wong

Located at the outskirts of the province Dongshan is one of the 4 poorest areas in Guangdong Its natu-ral terrain abundant in limestone makes it especially hard to retain water This has taken a toll on the resi-dents especially during the drought season Another problem faced by the local residents is that there are many young people and adults migrating to big cities to earn a living leaving behind the children and elderly

Village doctor on one of his home visits

Discarded bottles of intravenous antibiotics near the village clinic

ldquoMediciNe also disregards NatioNal bouNdariesrdquo ndash irviNg laNgMuir

34 | Caduceus September 2011

at home

Green Action Foundation took the initiative to plant trees around the area so that more water was available for irrigation and domestic purposes This improved the quality of their crops and boosted their source of income They also sponsored some of the

childrenrsquos education depending on their performance in school to ease the burden on their families

The next few days were jam-packed with activities A sports day was held as an icebreaker so that the new participants could get to know the children better We also spent half a day at the Dongshan Primary School where we taught the kids personal hygiene simple first aid moral education and also sex education for the grade 5 and 6 students

Another interesting activity that we had was a weed-cutting session up at a mountain with the other children Each of us was assigned with 2 to 3 chil-dren who were supposed to ldquoguiderdquo us along the way It was a 2-hour hike up and down hilly ter-rain While I would stop once in a while to take a breather the kids were barely panting The kids would often stop to ask if I was tired and even of-fered to help me carry my backpack Note to self more exercise next semester

Nevertheless it was a great chance to know the kids better We had the time to chat about their school life and what they thought about their future and also the chance to share snip-pets of our lives in the city

We then split into small groups and visited the homes of the children in order to gain a bet-ter understanding of their household hygiene

condition any medical conditions in the family as well as their economic standing We had also prepared questionnaires to be kept as future record Some of the families were very poor to the extent of having no source of income at all They depended solely on their own crops for food If they went to see the doctor they would usually owe the doctor money until they had

enough money to pay back The hygiene status of the villagers varied but most of them had swarms of flies around food Many even had their live poultry like chickens running around the house Before we left we gave them some hygiene products like soap washing detergent and toothbrushes to encourage better hy-giene We also gave them a poster explaining ways of maintaining a clean household environment

Another main focus of the trip was to find out the effectiveness of a medical insurance policy newly in-troduced by the government Each person had to pay 30 Renminbi annually to be guaranteed free medica-

Sports day activity

Weed cutting with the children

hkucaduceusnet | 35

tion and hospitalization thereafter Generally the vil-lagers were grateful for this plan as many found it dif-ficult to afford medical fees while struggling to pay for

basic necessities at the same time However some vil-lagers complained that the prices of medicine spiked after this policy was introduced and hospitals would of-ten ask patients to

do unnecessary scans just to earn more money

This trip made me realize that there is much that we can do but how great an impact we can make might not be seen immediately With follow up trips one could see the change as compared to the last visit and make further modifications to improve the situation

As the trip came to an end we were reluctant to leave There was something very magical about Dong-shan where the skies would turn to an exuberant red during sunset and on a clear night you could see stars scattered across every corner of the sky It is a place of beauty struggle and hopefully a place of triumph in the years to come

It is a place of beauty struggle and hopefully a place of triumph in the years to come

On one of our home visits

More to ExploreMedical Outreachers 醫心httpmedicaloutreachersorg

The Amity Foundation 愛德基金會httpwwwamityfoundationorg The beautiful sunset in Dongshan

ldquoshariNg is soMetiMes More deMaNdiNg thaN giviNgrdquo ndash Mary catheriNe batesoN

36 | Caduceus September 2011

就 在這一刻世界沉默了

城市的繁囂隨飛機引擎

逐點逐點噴走了繁囂的離

開是為了讓簡單的生活回

來剛踏出廈門機場一張

又一張的笑臉映入眼簾刺

熱的太陽把兩地之間的隔膜

融化

早從香港回歸時開始

香港人經常強調自己只是 

「香港人」而不是「中國

人」自以為比內地人高一

等可惜這班自視過高的都

市人曾幾何時為外地人送上

熱情的款待這一點廈門

人比誰都做得更好

廈門是一個位於中國

東南部的海島也許就是近

海讓居於廈門的人都把一

切怨恨煩惱拋下大海讓

它們隨水流漂走埋藏在海

床上每年廈門的鳳凰花花

開兩季一朵又一朵鮮艷如

火的鳳凰花在六月時歡送一

個又一個的畢業生彷彿為

他們添上一份祝福九月時

的鳳凰花熱情地歡迎一屆又

一屆的新生為新生的精彩

校園生活揭開序幕一份一

份的熱情含苞待放身在廈

門又怎會不被這市花的熱情

感動呢廈門大至人與人

之間小至花與花之間都存

著一份情

要追溯廈門人的情懷

可數至土樓的建成土樓

是個大多呈方形或圓形大型

群居的建築整座土樓樓高

三至五層由於牆身頗厚及

只有一個出入口甚具有防

禦功能亦因為這緣故當

大門關起來土樓便成了一

個家這個家佔地不大但卻

藏著成千上萬的人情味在

萬里無雲陽光普照的天空

下土樓居民的熱情好客

被蒸發出來懸浮在空中

一代一代傳下去更讓它隨

風走出土樓傳遍整個廈

門即使土樓漸漸成為旅遊

景點一些擺賣紀念品的攤

檔已經進駐但卻無礙居民間

的感情商販彼此交流從

不出現爭客的情況在土樓

中央休憩的居民除了為外地

人介紹他們的祠堂外亦邀

請遊客跟隨他們到遊客禁區

參觀在土樓居住的每伙都

中門大開當遊客投進好奇

的目光屋內的人往往以親

切的笑容作回答鄉土人

情在這世代多冷漠的心也

被融化

細膩的人情味外最令

遊客津津樂道的是廈門人的

態度廈門大學附近有一條

芙蓉隧道只要你願意便可

在隧道內壁上畫下你所思所

想當然美觀與否見仁見

智但這一種對藝術尊重

欣賞的態度是值得欣賞我

有我盡情地畫你有你盡責

青春在廈門留下足印潘曉彤 (N14)

生活

hkucaduceusnet | 37

地去管轄城市各處的整潔

彼此留下空間達至相輔相

成的效果廈門人就懂得人

最基本的禮貌尊重不

過廈門人對他人的尊重遠超

於人的基本禮貌當你去唱

「卡拉OK」的時候每次

待應的出入時看到的就只

有他們的正面而他們前行

或後退的方式就像看到皇帝

一樣卑恭屈膝香港人常常

強調面子哪一天才能捨下

那過高的尊嚴為不相識的

人作一個最謙卑的招待

其實任何人一離開香

港都不難發現就只有香

港愈夜愈精彩其他地方晚

上八時大多關門大吉而廈

門就只有中山路才媲美得

上香港的夜夜笙歌夜幕低

垂萬千燈火的中山路上

與來自各區的人擦肩而過

昏黃的燈光下照出一群又一

群的沉默影子剛好與路上

喧鬧的行人相映成趣騎樓

在霓虹燈的點綴下顯出了獨

有的閩南特色大街小巷傳

來不同地道小食的香氣車

輪餅燒仙草土笋凍helliphellip

為我們外來的交流生帶來美

味可口的夜宵飲飽食醉過

後走到中山路的盡頭又

回到了沉睡中的廈門

在優美的環境影響下

廈門人的生活也自然變得

純樸優閒單車車輪在環

島路上留下一圈又一圈的印

記沿路能細聽海浪輕拍岸

邊的聲音細嗅四處洋溢的

花香感受微風吹散太陽散

發的熱力見證一對又一對

的新人在拍下幸福的照片

據說廈門有戀愛天堂之稱

不管走到哪一處也會

看到準新人拍下甜蜜的婚紗

照而在裡面享受的人永遠

不知道這風景如畫的背

後是透過多少人的血汗換

來當我們在追求經濟成果

的同時往往破壞了造物者

在世上留下的藝術品隨中

國經濟急速發展一個又一

個的世外桃園被摧毀銅臭

替代了花香車聲替代了鳥

語這仙境又可維持多久

廈門另一世外桃園就是

鼓浪嶼它活像香港的長

洲島上滿有歐陸建築風

格但當中不乏中國特色的

建築中國古城風味與洋風

互相交替帶出截然不同的

感覺島上遠離汽車的廢

氣與金門就只是一海之

隔一家大小在享受天倫之

樂時一群又一群的青少

年情侶在沙灘上嬉戲立

即為島上升溫

筆者認為在這個混亂的

俗世確實需要抽空來欣賞

造物者留下來的藝術品大

財團不斷興建大型商場國

際知名品牌不停進駐留下

的就只有愈來愈狹窄的街

道被石屎封蓋寸草不生

的土地人人被金錢蒙蔽

迷失在霓虹燈光中又有多

少知音人能放下生活的瑣碎

事情在這裡享受時間一分

一秒的流走你被海浪聲

喚醒了嗎

筆者參加這次是由香

港廈門兩地大學的交流

團一連六天已經習慣了

當地的優閒生活模式體會

到的不只是廈門的風土人

情歷史文化而是兩地大

學生那種衝破界限的交流

雖說年輕人容易打成一片

但廈門獨有的熱情確實融化

了彼此間的隔膜廈門的美

是成人之美成就了兩地大

學生的友誼

飛機又再起飛了廈門

再見了

ldquothe tiMe of life is short to speNd that shortNess basely it would be too loNgrdquo ndash williaM shake-speare

38 | Caduceus September 2011

生 命形成之際只要一秒鐘的差遲世界便會不一樣

蝴蝶效應從來都是玄的全因一個 

「緣」字

隨著人成長要決擇的事太多學生

有兩件人生大事幾乎都不是由自己決定的

入讀小學及中學然而到了大學這

關卡自己也許可以拿定主意了若果你

入讀了心水科恭喜你若不然祝福

誠然入大學是最影響未來生活的關

口是好是壞無人知曉不用量化不

用比較太多即管做自己所想活出自己

的路只因你不會曉得你的下一步會怎樣

影響著你的生命

或許一個活動你會遇上你的最愛

或許一個宿位你會遇上你的知己

或許一句說話你會惹來一個敵人

或許一次走堂你會由B變C

這就是大學

在大學各人有各人的大學生活大

學講求自由學習學習真的是「求學不是

求分數」有些人愛廣交朋友有些人愛

住宿有些人愛做莊務有些人愛拍拖

有些人愛參加各樣活動有些人愛做兼

職有些人愛讀書有些人卻愛甚麼都不

做helliphellip不少大學生強調入大學必定要做齊

大學五件事(上莊住宿讀書拍拖

兼職)但其實只要自己開心不害人的

話做甚麼也沒問題最要緊的是認清讀

大學的目的以免沉淪於大學這花海

朋友

大學可以令你對「朋友」的概念愈來

愈含糊幾乎每個活動都可令你認識新朋

友通常大家都會輪流講述自己的名字與

學科(Round Table)這亦是考驗大腦對人名的記憶所謂的「Hi-Bye Friend」會愈來愈多隨便在細小的港大內穿梭會令你

無可奈何地對他們說聲Hi

不過別標籤你的「Hi-Bye Friend」要是連Hi-Bye也談不上更不用說做深交了上大學了大家已有既定的圈子很

多時約會或聊天都先找中學朋友而且很

多人會把大學朋友與中學的作比較雖情

有可原但有時未免先入為主地覺得中學

的較好

這亦難怪即使是日日碰面的同學也

未必是自己的好友人人都有自己的時間

表下課後各散東西不是大家不想互相

認識只是有時身不由己若想互相了

解不妨盡量製造共處之時有時甚至可

以分一些約會給大學朋友然後你會發

現大學朋友也可跟你熟絡可別為自己

建造一塊厚厚的心牆

舍堂

要入宿無人會不曉得十日的迎新營

有些舍堂平均每天的作息時間只有兩三小

時有人說住宿最辛苦就是迎新營然而

它卻是最難忘的

要數活動單單一個舍堂已數之不盡

要是投入舍堂生活每天24小時是不夠

用的舍堂之間有各樣比賽堂友要參加

各個組別為比賽出席各樣練習否則可

能被拒於來年再住基於許多人都只在夜

晚有空要全體出席那可是晚九朝五的

大學之緣賴彥積 (N14)

新鮮人

hkucaduceusnet | 39

宿生們之所以會熱衷於舍堂活動因他

們對自身舍堂有強烈的歸屬感好比中學

時學生參加校際比賽要是沒有歸屬感

就不會有心參加所屬舍堂的活動

除舍堂之間之活動樓層之間亦有各類

活動樓內亦然只要有人的地方就有玩

樂彷如天天宿營你不會有機會偷偷早

睡其他樓友常常打擾你你原來的生活

時間會推後數小時睡於二時已是罕有

早上的八半堂彷如無物

可以住宿但不參加活動嗎當然可以

但你會面對的是朋輩壓力他們雖未必逼

你參加卻會在言談中有意無意的滲出

來那種壓力不只限於自己樓層甚至是

跨樓層千萬可別輕看宿中流言

上莊

有人說上莊所學遠超課堂上莊所學

的是如何籌辦活動非常實用有時要對

外聯絡有時要面對公眾helliphellip像是要為將

來工作鋪路似的當然這亦要視乎你上

的是甚麼莊

一般而言上莊可訓練你待人處事的技

巧有時表面看來很友好的朋友當背

負上一定的要求後關係少不免有磨擦再

者初時莊員素未謀面最後卻因朝夕相

對而演變成朋友這段關係是很可貴的

成莊前要宣傳內閣爭取選票成莊了

又要舉行咨詢大會包受歷莊指導然後

又有就職典禮此後的活動更接踵而至

當然包括迎新活動招莊活動等helliphellip君不

見很多人視莊房為睡房少不免有「通

頂」之時忙是忙但必有價值至於是

好是壞要看自己的造化了

拍拖

人上了大學有時心思思想拍拖眼見

身旁多個好友都紛紛拍拖自己少不免羨

慕別人這想法十分正常畢竟大學生真

的可以放下只讀書的重擔真的可以規劃

人生大事了

香港大學一些營新活動中隨了Round Table外還有Round Status即說自己現在有否拍拖以及拍過多少次拖如 

A 0即Ava i lab l e之前至現在沒有拍拖O1即Occupied之前至現在共拍了一次拖當然也有一些同學自己創的甚

麼OBA (Occupied But Available)或D10(Desperate拍過10次拖)等等至於Round Status的動機何在可能是組爸媽想穿針引線吧當然也可能是別有用心的

不同人對拍拖有不同想法上了大學更

有不同擇偶條件人大了在感性的議題

上往往加上種種理性的數據開始現實起

來哪個帥哪個富有哪個有前途helliphellip

有些不在乎天長地久只求剎那的光輝

有些求虛榮有人疼愛在朋友前炫耀

有些甚至會在拍拖前已想定分手後的模

樣所以不想選擇跟自己同科的同學

活動

不同團體(包括舍堂學會及學校部

門)都有不同活動不用愁沒事幹只用

愁沒時間只要多留意Portal Mass Email或Main Campus海報不難發現幾乎每天都有各樣活動動靜皆宜開學時有迎

新營考試時有勁過飯新學期有開Sem

飯有些學會如戲劇舞蹈合唱團不時

有演出有關運動的學會則多練習以參

加比賽有關學術的也有很多興趣班講

座比賽等想幫人的亦可參加義工團

體如蛇蛇豬扶青等舉辦的義工活動

兼職

大學生的兼職大多以補習為主畢竟

這是我們能力範圍內可賺取最多外快又是

時間最彈性的工作有些人卻因補習不能

寫在履歷表而選擇別的工作然而很多時

我們都要在兼職與大學活動中取捨我的

ldquotake a chaNce all life is a chaNce the MaN who goes farthest is geNerally the oNe who is williNg to do aNd darerdquo ndash dale carNegie

40 | Caduceus September 2011

E mily was the chairperson of Pharmacy Socie-ty session 2010 As a student she has actively

participated in holding activities for many medical stu-dents and taken part in providing welfare to all phar-macy students Her following sharing will especially enlighten our new pharmacy students

Q Why did you choose Pharmacy SocietyA To be frank ldquosheung jongrdquo was really out of

my expectation when I anticipated my university life However my perspective has changed when I officially became a pharmacy student in HKU As members of the opening class of the Pharmacy programme my classmates and I realised the importance of having our own student body We do need an independent soci-ety to represent us pharmacy students to cater for our specific needs to listen to our points of view and to act as a bridge to facilitate our communication with the Medical Faculty the entire university and ultimately the pharmaceutical field in Hong Kong My class-mates and I who later became ldquojong yausrdquo believed we should act immediately to establish and run our own society which is why I decided to ldquosheung jongrdquo

Q Would you like to share some of the pros and cons of sheung jong

A ldquoSheung jongrdquo definitely helped me achieve per-sonal growth It was a concurrent commitment and re-sponsibility to serve and to lead our colleagues Bear-ing this in mind we always pushed ourselves to attain the best of our work ethics efficiency and efficacy As the very first session of the Society we lacked the guidance of any previous committee member Instead analysing carefully and critically we thought better of every decision which I personally found an enriching experience ldquoSheung jongrdquo was also an eye-opening journey Wersquod got to meet different people and learnt more about the professional work for as our career-to-be after graduation This in my opinion is always beneficial Last but not least I was fortunate enough to have worked with my amazing fellow committee mem-bers I frankly couldnrsquot ask for better ldquojong yausrdquo than initium Irsquom absolutely thankful for having them as my friends and it is definitely my greatest gain along the way

Despite the merits ldquosheung jongrdquo definitely has its downsides as well It is a lie to say ldquosheung jongrdquo does not affect our daily life because it does take up a big chunk of our time At the end of the day it is about time management which is easy to say but extremely dif-

建議是如家庭環境較困難賺錢吧反

之可以多留時間給各活動畢竟大學一

年的學費不只值那幾十堂課如何善用這

$42100就在乎你如何投入大學生活

讀書

假若你認為大學的考試可考核學生的

真正讀書能力並要求學生活學活用課堂

所學那麼你大失所望了假若你善於背

誦有過目不忘之本領大學的筆試不會

難倒你只要靠著前人留下的歷屆試題

背到滾瓜爛熟是不可能不及格的很多屆

試卷都是千篇一律的很多教授可沒空大

改試題那同學們就走運了有些課堂

即使再專業的學科都會有只理論無實

踐的課堂然後考試就要你把一大堆理論

背出來helliphellip例如甚麼叫批判思維噢

我可不知道只知道我掉了5分

不同學系在某程度上定下了人的前途

對於醫學院學生而言前路是較清晰可見

的但對於非專業學科前路不可只靠讀

書也許要靠自己另外摸索讀書所帶來

的必然是較高的GPA高GPA所帶來的是

獎學金到外國交流工作實習日後工

作機會等等當然大學學習不只局限於

讀書會否因此失彼就只有自己知道

蝶翼拍動之時往難以預料機會是

要自己摸索的

如經上所記

「神為愛他的人所預備的是眼睛未曾看見耳

朵未曾聽見人心也未曾想到的」

(哥林多前書29)

「栽種的和澆灌的都是一樣但將來各人要照自

己的工夫得自己的賞賜」

(哥林多前書38)

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

Freshmen

hkucaduceusnet | 41

ficult to achieve Also working as a Committee mem-ber can be very exhausting and difficult You definitely need lots of determination and support to get through some of the busiest times

Q How did you handle and balance the workload of study and your ldquojongrdquo

A As Irsquove said before it was tremendously difficult I guess my best advice for the future committee is to know your limitations and always plan ahead You have to know your time to work to rest to study etc No one will be over-worked and eve-ryone will have some personal time if you share the burden wisely between ldquojong yausrdquo Secondly you have to make very clear plans so that you can make full use of every little piece of your time I may not have succeeded in my time management but most of my ldquojong yausrdquo managed to do so de-spite the packed schedule of our Soci-ety This is sufficient proof of ldquoimpos-sible is nothingrdquo

Q As there are only about 25 pharmacy students per class do you have any suggestions for P14 fresh-men to make more friends from other curricula

A It really depends on what kind of person you are If you consider your-self socially active living in a hall or ldquosheung jongrdquo will be a great idea for you But if you see yourself as a much quieter person you can still make use of opportunities such as Medic Orien-tation Camp and other events jointly organised by student bodies within the Medical Faculty to make new friends

Q Any special things for P14 freshmen to be aware of

A First of all welcome You all are now members of Pharmacy Society MS HKUSU and I would like to let you know that this is a student body aiming to serve you Thus feel free to share your viewpoints and voice out your opinions to the current Com-mittee members The Society has to

understand your needs to improve and provide better welfare and services for you

Q Any other comments or important things to re-mind P14 freshmen

A If you would like to get to know more fellow pharmacy students especially students from P12 and P13 grab the opportunity to join the Pharmacy Society Orientation Camp and the Mentorship Programme These are great chances to make new friends and Irsquom sure you will enjoy them

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

ldquoas huMaN beiNgs we do chaNge grow adapt perhaps eveN learN aNd becoMe wiserrdquo ndash weNdy carlos

42 | Caduceus September 2011

筆 者是一位護理系的學生半年前有幸成為二零一一年啟思編輯委員會的總編輯在期間所體驗到的希望藉著這次機會作出分享特別希望新加入醫學院的同學

能對「上莊」有更多了解

上莊之路上莊是大學五件事之一證明它對大學生

活有一定的重要性一定的位置筆者在初入學的時候曾為了上莊與否而煩惱猶豫了好一段時間期間考慮到自己能力怕學業應負不來但最後仍然下了上莊這個決定原因是上莊是個難得的機會充實增值自己不同的莊會提供不同的機會讓莊友去學習透過不同的莊務去讓自己眼界擴大另外可以了解醫學院內發生既事情例如院內活動的進展情況更可以參加舉辦院活動為醫學院出一分力最後當然會認識到將會相處一整年的莊友工作伙伴有機會認識到不同學系的同學從他們身上可以觀察到學習到各種的特質從而令自己有所進步有所啟發

護理學生作為護理系學生起初擔任總編輯一職實

在是倍感壓力畢竟歷屆的總編輯都是由醫科生出任因此筆者起初都害怕跟醫科生共事怕自己的能力不足夠應付莊務所以起初都是戰戰兢兢地上莊

一位三年的護理學生曾對我說「我認為你不太尊重護理系護理系和醫科都是個專業希望你能加以尊重自己的學系不要輕視護理這個學系你要肯定自己的學系才能帶領整支莊因為莊內成員來自不同的學系你必須肯定和認同每個學系都有一定的重要性以及其專業」這番當頭棒喝的良言令我明白到自己一直都太輕視護理系過於重視醫科現在我明白到認同自己學系是尤其重要只有這樣才可以用自己學系的身份去發表意見只有認同自己學系才懂得尊重其他的學系莊內便可以融洽一點

在筆者的莊友中醫科生都是較有責任感而且做事更有計劃從他們身上的確學到不少東西這點是無可否認的事實筆者並不是在分享學系與學系之間的差別而是希望有志上莊的同學能互相尊重明白到各學系的莊

友都有其值得學習的地方起初對其他學系有隔膜是無可避免的畢竟對他們的學系都不太了解又沒有歸屬感但如果因為對方是別的學系而輕視對方的人不但失去與人相處學習的機會而且會令莊內的氣氛失去和諧

幸好的就我所見所聞醫學院內的莊多年來都能融洽相處互相支持令到一眾上莊的同學都能輕鬆地享受上莊的喜與樂甚至是不愉快的事情

依靠你的莊友莊是一個團體不是一兩個人可以應

付得來所以筆者認為與莊友互相溝通合作是個重要的元素新同學如果有志參與莊務期望從上莊中有所得著首要的事情是與莊友建立關係因為他們將會是你來年的工作伙伴也是你遇到困難時依靠的對象一位上莊曾對我說「其實一件的莊期不會令你有太大的得著或成長反而長久的友誼才是你將會得到最重要的」這句說話是千真萬確的上莊的人不會由詞不達意改變成談吐得宜不要期望自己會有驚人的轉變也許上莊會令人處事成熟一點有計劃一點但上莊所得到的關係將會是更重要更珍貴一年的相處中面對過有無數的會議共同處理過不少困難從中

建立的友誼真的是畢生受用

責任感上莊另外一個十分重要既條件就是責任

感有志上莊的同學必須明白到莊期是長達一整年在繁重的學業中騰出時間來處理莊務是個考驗責任感和毅力的測試同學必須再三思考想清楚自己是否真係熱衷於上莊或是只是一時衝動畢竟你將要許下的是一年的承諾必須對這個莊負上責任願意付出才選擇上莊這個決定這樣的付出就會有相對的回

總結上莊的確是個好機會讓自己去學習從處

理事務中或是從莊友身上都會有所得著充實著自己的大學生活從中可以認識到各學系的同學建立一段段受用終身的友誼在此筆者希望各學系的新同學可以善用機會作出上莊這個無悔的決定

護理系的啟思總編石志榮 (N14)

新鮮人

hkucaduceusnet | 43

慈兄吟(下)奇晶

最 後還是麥教授先開了口「他的確是一個好學生對醫學有獨到見解他不但學業成績優異而且樂於助人你是他的妹妹吧」婉慧努力控制自己的淚水繼繼續續的說「是啊但helliphellip但helliphellip我不知道helliphellip他竟會在這裏出現」麥教授用悲天憫人的目光看着婉慧語重深長說「人生自古誰無死人生命的有為與否並不取決於他生命的長短而是在於人生的意義你哥哥雖然最後當不了醫生但他的犧牲卻間接為一些同學做醫生鋪路讓他們做醫生去救人這真是一種無私的愛」婉慧點點頭覺得自己對哥哥的了解實在太少了

最後她還是孤獨的離開實驗室她覺得自己跟哥哥比起來實在相差得太遠了原來他除了是十優狀元在醫學院的成績名列前茅外還是個熱心助人的好青年自己除了少了一優外少的更有對別人的同情及樂於助人這造就了她心靈上的空虛她明白到冷漠不是一種對哥哥思念的正當表達方法她應該做的是把哥哥對其他人的愛傳揚開去以圓他的心願

第一步往往是最困難的婉慧平日對他人的態度已令不少人對她敬而遠之有很多次她嘗試向同班同學投以友善的笑容得到的總是詫異的目光或別人的不理不睬在小組討論中儘管她踴躍發言盡量避免冷場的發生偶同學們卻認為她變本加厲想阻止同學們取得好成績她四處碰壁又再次陷入了想念哥哥的深淵

時間一天一天過去了上學期考試前的休假開始了婉慧每天都勤奮的在圖書館溫習期望取得好成績這時候的圖書館堆滿了人如果遲來一個小時想找一個位子也難就在假期的第二天同班的王文在圖書館跑得氣急敗壞仍找不到一個座位婉慧不知怎樣有點同情他將座位讓給他王文驚訝道「不用了我還是回家吧真倒楣遲來了一個小時就沒有『接位』」

「但你住在哪裏呀」

「元朗今天早上我忘了校鬧鐘八時才起」

「那你還是要我的座位吧我可以坐到電腦桌因為我認識的人不少沒有什麼人會打擾我的」

王文謝了她頓時對這位冷漠的同學刮目相看原來她的內心也是溫暖的這並不是他所能料及的坐在電腦桌前溫習的她也感到特別的快樂溫習的速度也快多了王文就此成為了她的「飯檔」考試期間每天和她一起吃飯他更將自己的好友介紹給婉慧認識

在一個晚上她又悄悄的在圖書館的角落溫習着突然一隻溫暖的手搭着她的肩上她抬起頭但見解剖學的同桌手中拿着一杯熱飲輕輕的放在她的桌上婉慧正感詫異卻聽見他說「這杯熱巧克力是給你的繼續努力吧」她喝着巧克力心中感到一股暖流彷彿哥哥的關懷又在她內作出回響

十年生死兩茫茫不思量自難忘千里孤墳無處話淒涼helliphellip

寒風吹起了她額上的劉海佇立在墓前的婉慧不禁凜冽她想起了從前想到自己最後一次和哥哥吵架雙方面紅耳赤的情況想起自己無法親口跟哥哥道歉想起哥哥無私的付出她對着那空虛的墳心中不忍一陣淒然淚水漱漱的流下來她身旁攜扶着年紀老邁的母親邊拭淚邊喃喃道「我的兒子helliphellip歿了helliphellip」大家心情漸漸平復了緩緩走出了墳地

雨一滴一滴的落下飽歷辛酸的婉慧卻仍在懸壼濟世

短篇

ldquoyesterday is but todayrsquos MeMory aNd toMorrow is todayrsquos dreaMrdquo ndash khalil gibraN

44 | Caduceus September 2011

Eternal Flame (1)Tulipa

Itrsquos cold The chills from my fingertips imbibe deep into me This person drills into my mind digging out the truth inside me Itrsquos agonizing She comes right inhellip di-rectly I cannot stop her

Irsquom losing myselfhellip

My hand felt the soggy pillow I realised I had come back to life the world where I lived Staring blankly at the ceiling still losing focus in my eyes I felt my brows with my forearm For the first time I didnrsquot want to lose this feeling

The bedroom door slowly opened I quickly rubbed off the drops that had blurred my vision pretending that I had just woken up

ldquoDo you have lessons this morningrdquo My grand-mother whispered into my ear

ldquoOh goshrdquo I turned right to my alarm clock It was the real life I had forgotten to turn the alarm on last night and it was now seven thirty I knew it I was going to be late every time she caught me in bed Irsquod got to hurry up

Living in Hong Kong Island though it took me more than an hour to get to school I had to comfort my little brother sometimes till two or three in the morning in order to get him to sleep In addition to the consistently heavy study load in the medical school I could hardly get enough rest Running on my heels al-most became my routine starting from last November But I well understood the consequence of skipping lec-tures It was the beginning of the Cardiovascular Sys-tem Block For someone like me who gave least priority in revising Anatomy materials lectures remained the prime source of information for exams Absence from class was suicidal To make the situation worse this professor was one of those who did NOT upload lec-ture notes online

Hoping I wouldnrsquot arrive too late to miss the impor-tant points I finally stepped onto a route no 8 minibus at ten past eight What I could do now was to pay trust in the driver who would bring me to my destination

Coaxing kids was never easy Little Bruce just hap-pened to give me such a hassle last night

He knew I would check on him when I returned home Sitting right next to the door of his room he begged me for a story once I opened the door I sat down together with him on his little couch after Irsquod taken a quick shower This was a time to relax leaving

aside all the other concerns

Kindling through his favourite reader I saw that he wasnrsquot listening but distracted by all sorts of toys around He even invited me into his world of fantasy But it was getting late I had to calm him down so that I too could have some rest Being one of the brightest in his elementary school he should understand this was not the time for recreation

I began to feel annoyed

Yet he was my brother I had a gut feeling that this was unusual He didnrsquot use to be so ldquohyperactiverdquo It re-ally took me a while to adjust to his change With him still tossing and turning in my arms I apprehended his restlessness Unpredictable though he was true to his feelings In one way or another he might find the shadow of our mother in me

He finally settled when I laid him back in bed It was nearly two forty in the morning

The first week of the CVS Block ran as plotted PBL tutorials would start on next Monday Dr Youngrsquos fa-cial expression in the first PBL evaluation flashed over my Embryology notes and references She didnrsquot teach Embryology but I could tell she did have a hypertroph-ic heart-shaped face which looked familiar to the dia-grams in the Atlas

Back in the IHD Block most of us were puzzled about the scrambled content of our course Various forms of seemingly related knowledge came in through lectures practical and tutorial sessions But the neural circuit formed in our brain just failed to resonate as if the conductance-inductance mismatch had aberrated our thought from minimal impedance Sometimes things even happened in a ldquomore-than-extrardquo manner The presence of common core courses in a parallel but independent branch in the network could rightly be detached without causing a blip on the galvanometer Everything was dubious We had no idea of what we were doing

Maybe we were just on the way seeking for a sense of attachment

My mind too was racing in haste I was struggling with my decision to become a doctor Too many things had happened over the year I just couldnrsquot stop ques-tioning myself what was I thinking when I put lsquo6456 MBBSrsquo in my JUPAS application I should have expect-ed and prepared to face all these I just didnrsquot knowhellip

Novella

hkucaduceusnet | 45

It was midterm evaluation in the IHD Block Her face looked tense in that heart shape She was so stiff in her facial expression that no one could read her mind from her poker face The conference room of the Physi-ology Department was large We seemed to be the odd ones out in the spacious carpeted room In this secre-tive silence you could hear the drumming in your ears as if you were tingling

I realised this was not a matter of ldquoam-I-suitable-for-a-medical-careerrdquo but ldquois-a-medical-career-suita-ble-for-merdquo I was lying in bed playing with my plush bear when these thoughts burst in me Dr Young looked through me She felt certain that different from other group mates there were crises behind me But I didnrsquot tell her anything that day

We all were sensitive At times some subtle trepi-dation seeped in gradually sucking peace away from my sleep It was so to say below threshold sub-lethal though it lingered for weeks once it set inhellip

Drenched in bloodhellip There is no life in the boy His eyes are widely opened slightly protruded The lifeless pair of black pearlshellip I cannot escape from his glance He wants to talk to mehellip There is something he wants me to know

A van runs over himhellip

I fell down the edge of my mattress Breathing heavilyhellip Sweating all overhellip

ldquoScreechrdquo People began to gather around a tel-ephone booth a few metres behind us

I turned back I couldnrsquot see a lot from this anglehellip

ldquohellip What a pity He is so younghelliprdquo a middle-aged couple passed by

The victim resting just in front of the wheel looked towards me through a break in the crowdhellip

As we were wandering around thinking what to eat for dinner my cousin found me standing there rooted to the ground stunned by the victimrsquos gaze My heart was pounding She wouldnrsquot believe what I was again experiencing For a number of times already scenarios in my dreams were mirrored into reality

I couldnrsquot tell her

ldquoI was just thinking whether you would like Korean cuisine There is a new restaurant two corners awayrdquo I made up a talk while escaping from the scene so that I wouldnrsquot look so strange

ldquoWhy not go and have a try thenrdquo She was not dis-appointed for calling it a day as the food there was sur-prisingly good

Not until some years ago when I was Form 3 in college I discovered my ability to look into the future Sometimes I could see them coming up on the news in days or weeks And some didnrsquot ever happen at least not around me But seeing the night visions coming into concrete existence wasnrsquot always a pleasure when the mental images turned gradually into mostly night-mares When I visualised my close ones it felt like I was in the middle of an insecure chain bridge above a torrent that would sweep me into the vast ocean with no return It was entirely different from what you might understand as ldquodreams come truerdquo

I had witnessed misfortunes in proximityhellip

But I could do nothing about ithellip

Friends were a source of solace someone to con-fide all frustrations in But with my paranormal ability which appeared to everybody else only on screen-plays I wasnrsquot courageous enough to open my life wholeheartedly to them Seldom talking about myself avoiding all sorts of gatherings I became an eccentric figure among my classmates

Sometimes mutual understanding carried more weight than words I remembered my physics teacher being one of my few friends during my teen years De-spite his boisterous faccedilade he was always sensitive to whenever I was dwelling on my burdens Physics was our common language Intermingling our emotions and feelings with concepts that were alien to my fel-lows we developed a close rapport impenetrable by anyone else

ldquoWhat is the nature of a flamerdquo This was the most discussed problem between us Neither in solid liquid nor vapour state Not having any definite shape and colour It seems not any material but a type of energy giving out heat and light At the moment of providing it also exhausts its fuel and eventually itselfhellip

The romance of physics is more than anything you could read write and talk about Once you were truly connected with it nothing can stop you Your mind will bounce irrespective of the chronology of space-time but only under the guidance of your thoughts

I was so devoted to the discipline at the time that I was almost making it my lifelong career in some way He envisaged that I would demand much more than any academia could provide with its scientific basis alone We were both seeking a philosophy beyond the facts But Hong Kong may not be the right place for it

I made him a promise at the end to contain our flame and I knew I would

For the first and the last time I saw his eyes filled with tears We knew existence by itself is a miracle

ldquoi love life because what More is thererdquo ndash aNthoNy hopkiNs

46 | Caduceus September 2011

說華佗都說「華佗再世」誰知箇中真諦雲方 (M15)

烽煙起戰火燃萬里 

三國並爭英雄地亂世有誰顧生死 

待神醫行世將民眾救濟

渺渺江山東西瞰俞跗巧手扁鵲心(1) 應向何處尋 

滾滾黃沙無世家終有奇士放奇葩

沛國 華元化(2) 

他經書貫通南北遊動 

一望斷症如神助三劑消病不必多

說斷症悉如所料 

甘陵 相夫人腹痛極難忍(3) 號脈知死嬰在左為男形(4)廣陵 梅軍吏除名歸故里

見貌知壽盡速返見萱椿(5) 

說消病藥到病除 

飲蒜醋有三升蟲一嘔而盡清 (6)母服丸而溫儲兒不藥而自癒 (7)

絕妙處 

是他開腸剖腹刀至辟毒 

神醫號 

除他內外皆精有誰配稱

[1]   俞跗黃帝時代之名醫扁鵲春秋戰國之名醫《淮南子人間訓》「患至而多後憂之helliphellip雖有扁鵲俞跗之巧猶不能生也」

[2]   華佗字元化沛國人(今安徽 亳州)

[3]   甘陵相(即甘陵之行政長官)夫人懷胎六月腹痛不安華佗為其切脈便知胎死於是命人摸知所在在左則男在右則女人云「在左」夫人飲藥後果然產出男胎腹痛立即痊癒

[4]   廣陵有軍吏名曰梅平離鄉服役後來退役歸家於路上巧遇華佗華佗視之嘆道「若能早些見我當不至於此而今你僅餘五日壽命速速回家還能與家人相見」平旋即趕抵故鄉五日後亦如料身亡

[5]   萱椿多作椿萱比喻父母漢牟融《送徐浩》詩「知君此去情偏切堂上椿萱雪滿頭」

[6]   華佗見路邊有人食不下嚥教他到路邊餅店買醋三升混上蒜泥然後飲用路人服後即吐出一條長蛇(即寄生蟲)

[7]   兩歲男孩長年腹瀉藥石無靈華佗往診謂病在母命其服用華佗親研之「四物女宛丸」服後母親乳汁不再寒涼男孩亦不藥而癒

意興

hkucaduceusnet | 47

只可惜人無完壁

「關將軍使君予我手刮骨惡毒走

曹丞相使君予我頭剖顱苦痛收」

「怎能不收怎能不收一命嗚呼萬事休 

簡直荒謬簡直荒謬殺此庸醫未須愁」(8) 

五禽戲尚能傳 (9)麻沸散從此絕 

何不一飲醉死不知世忍氣吞聲事權貴 (10)心神委曲須臾苦奇術失迭千秋計 

烽煙止無改生死事 

且當醫仙謫世間神技終須風裏散 (11)回首仰高山景行請君範 (12)

[8]     曹操欲殺華佗臣下勸之不可答曰「不憂天下當無此鼠輩耶」

[9]     死前華佗欲托所著醫書於獄卒不果便盡數焚毀唯有其養生體操「五禽戲」流傳後世

[10]   《三國志魏書方技傳》「當須刳割者便飲其麻沸散須臾便如醉死無所知」

[11]   唐白居易《簡簡吟》「恐是天仙謫人世只合人間十三歲」

[12]   景行(音航)即大道以高山景行比喻人品德行為之高尚典出《詩經小雅車轄》又東漢鄭玄曰「古人有高德者則慕仰之有明行者則而行之」

ldquothe art of MediciNe was to be properly learNer oNly forM its practice aNd its exerciserdquo - thoMas sydeNhaM

48 | Caduceus September 2011

啟程

清晨空白的天空看不見藍天雲彩

只有溫柔的雨絲和朦朦朧朧的霧水跟隨

著大隊的足印踏上沉重的腳步穿過橫

街小巷和煩囂熱鬧的市場走過自動門

撲鼻的消毒藥水味道讓大家屏住呼吸筆

者和夥伴們終於到達了入讀護理系以來第

一次實習的醫院

還記得在實習的前幾天心情是既忐忑

又期待的畢竟這一次實習的地方不再是

在社區中心宣傳健康方面的知識亦不是

只面對著健康活潑的小朋友和老友記或是

學校課堂上所提供的假人張靜汶卻是照

顧一羣真正需要關懷的病人心中充滿著

憂慮不知自己所學的知識足夠在應用上

嗎自己平日的練習足夠嗎雖然心存在

著不少疑惑但也十分期待可以體會一下

做小學護的感受嘗試把這一年裡所學到

的知識運用出來

很多的第一次

在病房裡總有心酸和膽戰心驚的時

候第一次為昏迷的病人清潔口腔第一

次為難以進食的人插入胃喉第一次為老

公公清洗背上壓瘡的傷口helliphellip照顧他們時

的心情都是一步一驚心生怕自己沒法應

付得來又怕會把事情弄得更糟糕最重

要的是恐怕自己不純熟的技巧令他們受苦

了記得有一回第一次為女病人插入尿

喉採取尿液樣本可能技巧不太純熟的關

係延長了病人的痛苦過程中她皺著

眉頭不斷呻吟又緊張得咬破脣眼看

她樣子心中真的不是味兒來身為病人

的其中之一依靠我們不得不給自己信

心如果連自己也不相信自己哪會有病

人願意把他們交給我們照料呢

捕捉那瞬間的美麗與淒然何麗敏 (N14)

上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

意興

hkucaduceusnet | 49

另外第一次面對病人的心情是頗為

緊張的說話技巧亦有改進的空間但和

病人傾談了數分鐘後氣氛也漸漸變得和

諧可能那些老公公整天呆在醫院裡真是

悶到慌看見一羣年青人與自己聊天照

顧和關心他們他們不禁咧嘴而笑醫院

職員透露有一位老公公平日不太願意吃東

西於是我們便主動和他談天說地又

悉心照料他進食的情況後來他不但胃

口好了不少就連心情也開朗了他生動

活潑的談吐讓我們笑了他回復健康精

神的體魄也讓我們感到安慰

相處片刻

雖然為期一星期的病房日子不是特別繁

忙或是辛勞但是也會有不習慣的時候

幸好得到醫院職員和一班夥伴的支持病

房經理和註冊護士不但相信我們的能力

對學護的包容更是不用多說還主動地介

紹病房的環境和細心地教導我們醫療護理

上的知識讓我們上了一堂實在而又寶貴

的課同時今次的實習也令我感到團體

精神也十分重要在技巧上大家互相提

點互補不足當有人準備照料有需要的

病人如插喉或洗傷口等大家送上一句 

「加油」就能令對方增加不少自信心和正

能量無論遇上甚麼事情我也榮幸有如

此一班學習夥伴從旁支持

學習的階級

在這一次病房實習中雖然醫療和藥物

知識方面有待加強但是我學懂了如何與

不同身份的病人相處之道溝通上也得到

了很大的進步獲益不少除此之外我

也真正體會到如何做一個好護士並清楚

了解這個行業是否適合自己鐘樓也不是

一天就能建成而是需要一磚一瓦搭建而

成的所以在學習上我們不但要打好

穩固的基礎還要增強醫療知識在技巧

上馬虎了事和走捷徑是於是無補的應

該多探究和練習才行這樣才對得起病人

和自己也減少不必要的醫療失當事故

總之多一份認真多一點耐性多一些

愛心就是學護必記的左右銘 上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

ldquoit is reasoNable to expect the doctor to recogNise that scieNce May Not have all the aNswers to probleMs of health aNd healiNgrdquo ndash NorMaN cousiNs

50 | Caduceus September 2011

Fun Corner

Medical AppsEver wondered how your handheld device can save your time and

effort when it comes to studying Here is how

Anatomy Pronunciations by HipposoftAccurate pronunciations of over a hundred important anatomy terms you have trouble with are provided

at your fingertips to help you spell those difficult words Anyone who has taken an anatomy course can tell you how challenging it can be to pro-nounce the names of those complicated anatomi-cal terms It is even linked directly to Wikipedia and Google through web browser for additional information

iPharmacy ndash Pill Identifier and Medication Guide by SigmaPhone LLCAn essential medication guide of 20000+ drugs is provided for con-sumers amp professionals This ex-

pands the image library to include 12000 pill and package images and includes digital drug identifier with official drug information (indica-tions dosage adverse reactions and more) You can check the drugs anywhere

Grades 2 by TapityIt tells you what grades you need in the coming tests in order to get your target grade You can easily calcu-late your GPA so as to maintain it It

is a useful tool helping you to keep an eye on your GPA all the time

Human Anatomy by SusaSoftXThe application provides you with information of 15 different biologi-cal systems You can keep on revis-ing while you are traveling without

carrying heavy books

Medscape by WebMD LLCFrom drug classes interaction clin-ical procedures and even the lat-est medical news Medscape helps medical students and healthcare

professionals to reiterate knowledge that has slipped from the mind It is a free application for iPhone iPad Android and Blackberry Yet it contains more function on Android phones and Apple products and lacks detailed clinical infor-mation for diseases and clinical procedures walk through on Blackberry

Pro Medical Terminology Dic-tionary by TreascoveryTerminology might be a tough work for medical students Even if we can master those English terms we can

hardly think of the Chinese terms This applica-tion can help you when you face this problem Note that it is not a free application

3M Littmann SoundBuilder by 3M CompanyA great tool designed to help im-prove auscultation skills of medical students with 14 unique lessons of

key heart sounds combing text virtual manne-quin 3D cardiac animation and dynamic wave-forms

iRadiology by Liebermans iRadi-ologyAn excellent learning tool for medi-cal students demonstrating classic radiological findings of a multitude

of abnormalities including over 500 radiologic images Radiologic images include CT US MRI and nuclear imaging each clearly labeled and followed by key teaching points

Micromedex Drug Information by Thomson Reuters (Healthcare) IncIs Cephalexin a first generation ce-phalosporin This application from

Thomson Reuters is the easiest way to navigate in the sea of drug names Drugs are sorted by classes and supplemented with rich information

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 15: Caduceus Issue 2, Volume 42

hkucaduceusnet | 15

七十人當中總會有四五十人因願望落空

而要轉投其他專科我的建議是千萬不要

灰心人總不能夠經常做自己喜歡的事

但一定要喜歡自己正在做的事(You canrsquot always do the things you like but you can learn to like the things that you have to do)

請詳述對你人生有大影響的起落人

事物

人一生中如果能夠遇上一兩位良師益

友在你碰到困難時扶你一把在你迷

惘時給予意見上天就已經算是對你不薄

了而我自己也算是非常幸運有兩位

前輩當上我的引導者一位是瑪麗醫院

的陳富六醫生另一位是澳洲的Professor Michael Sage因為兩位的提點我決定善用自己的長處留在公營醫院參與一些

行政和訓練的工作幫助培訓醫生使更

多病人受惠

你有甚麼人生的哲學嗎是甚麼信念使

你堅持當一名醫生

我認為每個人都需要有自己的優先順序

(priority)對我來說家人和家庭生活永遠都是排在首位縱使我已經涉足到很多

管理方面的工作但病人還是排在行政管

理之前有著清晰的優先順序不管遇到

多大的衝擊都能使自己勇敢面對邁步

向前優先順序或多或少都與個人經歷有

關有部份同行可能會基於不同原因或

許是滿足感或許是工作量而轉投私人

市場我想每個人的價值觀和信念都有不

你對現今醫學院的學生有甚麼寄語叮

習醫是一條漫漫長路少不免遇上困難

和挫折而這些難題往往會轉化成使身心

俱疲的壓力身為醫學生一定要及早學

會如何面對壓力我的忠告是凡事都要

以平常心面對要從錯誤中學習懂得避

免犯上同樣的錯誤要有反彈能力勝過

昨日的自己

醫科生基本上都是能力不錯的一群

(cream of the cream)要好好利用自己的能力為社會作出貢獻 

ldquowheN you are dowN aNd out soMethiNg always turNs up it is usually the Noses of your frieNdsrdquo ndash orsoN welles

16 | Caduceus September 2011

A Discourse with a Female Gold-MedalistInterview with an Ophthalmologist ndash Dr Charmaine HonChariene Woo (M15) Charis Chan (M15)

W hile waiting for Dr Hon at her Central clin-ic the Hong Kong Ophthalmic Associates

we were amazed at how the spacious clinic was crowd-ed with patients When we finally meet Dr Honrsquos big friendly smile made an impression on me as she invit-ed us into her room Despite having a busy schedule Dr Hon is very down-to-earth and eager to provide valuable advice for our fellow schoolmates

Dr Hon started out as a medical doctor and changed to the specialty of ophthal-mology Initially she worked with the public sector fulfill-ing her duties as a doctor re-searcher and teacher at the same time Then she turned to the private sector and joined the Hong Kong Ophthalmic Associates as she feels that she can be more focused on the aspect of patient care ldquoIn public hospitals it is hard to follow up on patient care and it is rare to meet the same patient twicerdquo she reflected ldquobut in the private clinical set-ting I get to know the patientrsquos family and medical his-tory better and I feel more like a doctor by having the ability to follow my patientrsquos progressrdquo

As a recipient of the John Anderson gold medal for the highest aggregate of marks in all the MBBS professional examinations Dr Hon also shares her advice in studying ldquoBasic knowledge is a must but clinical sense is the most importantrdquo and with a smile

she added ldquoyou have to pay attention to your mentors during attachments to hospitals even if you are just ob-servingrdquo But donrsquot think Dr Hon is all about studies She emphasizes that she is not the most hardworking student in her graduating class and suggests medi-cal students to explore outside of the medical world especially in the first two years of study ldquoYou have to have a life outside of medicine and you should do it in

the non-clinical years as there are decreasing chances and time for you to meet non-medically related peo-ple after year 3 onwardsrdquo the ex-member of the Union Choir said ldquoAnd as you come more into contact with different people you learn how to communicate bet-ter which will definitely help your medical career and will keep your life diversifiedrdquo

As for advice to students in clinical years she shares her insights in how to choose your specialty She sug-gests students to look into their strengths and inter-ests and to understand and explore as much as pos-sible in attachments since it is a lot harder to change onersquos specialty nowadays compared to the past ldquoThe most important point is to identify yourself and not to blindly follow the path of others Do not think of future

achievements since what you chose will probably stick with you for liferdquo True enough ophthalmology was not a developed specialty during her times of studies and Dr Hon says she is probably one of the very first gold medalists who pursued it as a career A note to her future female counterparts ldquoYou have to think of your future path and plan accordingly and be ready

Basic knowledge is a must but clinical sense

is the most important

The most important point is to identify yourself and not to blindly

follow the path of others

Feature

hkucaduceusnet | 17

to put your career before marriage Many of us delay our plans of marriage and pregnancy after finishing our specialty fellowship which is at around 30rdquo After hearing this I was very worried but she added ldquoGen-eral practice is also a good choice and there are some females doctors who donrsquot follow this trendrdquo

One of the things that struck me the most is that Dr Hon sticks to the principle of doing everything with all your heart ldquoYou only pass through this life once and when you look back you should not regret what you have donerdquo So when presented with conflicting ideas with her principle what does she do ldquoI reflect and fight for itrdquo she laughs ldquoIt sounds rebellious but as a doctor you have to have a judgment that is best for your patient and you cannot conform to society or systemsrdquo Using the limited consultation time for each patient in public hospital settings as an example she explains that doctors arenrsquot machines and should be able to adjust to different patientsrsquo needs appropriately so to do what is best for the patient ldquoYou should never lose yourself under the system and should always do whatever you think is best for your patientrdquo

When asked about the specialty of ophthalmol-ogy Dr Hon tells us with passion that ophthalmology allows instant gratification and makes a difference to patientrsquos life ldquoMany specialties can make a difference but only a few have a clean-cut immediate effect like ophthalmologyrdquo But ophthalmology is also about hard work and persistence ldquoIn this specialty there is con-stant advancement in the past we do extra capsular extraction but now there are frequency emulsifica-tion and other advancements I am always awed by the senior partners in this clinic who have a strong will to chase and read up on new techniquesrdquo So besides steady hands and good eyesight intellectual curiosity on the latest research is a must if you are thinking of pursuing a career in ophthalmology

Before we parted Dr Hon gave us a final word of wisdom ldquoThis is going to be hard for you two gals but you look tough and yoursquoll survive Since you chose this career path do expect to work very hard as it is not easy but so is every other occupation nothing is ever easy in this worldrdquo

DrCharmaineHon韓尚穎醫生

Specialist in Ophthalmology

MBBS(HK) MRCS(Edinburgh)

FC Ophth(HK) FHKAM(Ophthalmology)

ldquoas you grow older yoursquoll fiNd the oNly thiNgs you regret are the thiNgs you didNrsquot dordquo ndash Zach-ary scott

18 | Caduceus September 2011

奉行完美主義的守護天使專訪麻醉科李靜芬醫生吳瑞麟 (M15) 李庭翰 (M15)

說 起麻醉越野挑戰馬拉松義工無國界醫生你想到甚

麽幾樣風馬牛不相及的東西可以用三

個字關聯起來李靜芬

李靜芬醫生畢業於香港大學醫學院

現於養和醫院疼痛治療門診工作她曾經

加入無國界醫生到南蘇丹服務又是醫療

輔助隊動員主任香港不少的大型活動

例如馬拉松東亞運奧運馬術等都由她

去統籌急救站的運作她又經常舉辦醫療

會議亦於很多地方做義務醫療顧問熱

衷於向公眾推廣疼痛管理與健康的知識

另一方面她是香港全能運動學會醫療顧

問經常參加越野挑戰戶外活動又參

加半馬拉松比賽看完李醫生這麼的一個

簡介實在很難不驚歎好一個「周身

刀張張利」的奇人

人生的轉捩點

其實初中時期的她與醫生根本扯不上

半點關係身為壘球隊隊長在中四的一

次練習中她被壘球擊中一眼從此改變

了她的命運當時全港只有一位眼科醫生

會在晚間應診眼科的醫療設施也不足

令她眼睛流着血水在黑暗中東奔西跑尋找

醫生她由大埔賽馬會診所走到威爾斯

然後到伊莉莎伯再到油麻地終於找到

眼科醫生李醫生由四點奔波到十點令

她深深體會到作為病人的痛苦也從此立

志要做一個醫生幫助有需要的病人

初中時的李醫生每天放學就練球以

致成績中等但自從立志投身醫護她虛

心求教又得到當時的班主任授予時間管

理和讀書的方法成績突飛猛進在短短

六個月間從中等成績進步至模擬考試全

李靜芬醫生Dr Carina Li

麻醉科專科醫生

香港大學內外全科醫學士 澳洲及紐西蘭麻醉科醫學院院士 香港麻醉科醫學院院士 

香港麻醉科醫學院疼痛科文憑

香港醫學專科學院院士(麻醉科)

專題

hkucaduceusnet | 19

級第一她的毅力和決心實在令人佩服

她的傲氣

其後她獲中文大學收作暫取生但她

又再次作出驚人之舉李醫生認為要讀醫

科生物化學科就得好些所以一定要認

真研讀高級程度的生物化學但是人是有

惰性的如果做了暫取生就一定會變得不

思進取讀不好生物化學於是她毅然

放棄暫取生的資格全心全意去考好高級

程度會考李醫生的豪氣決斷她破釜

沉舟的決心她的好勝和哲學令筆者從

心底裏衷心地拜服她

結果她當然考得很好的成績在選擇

大學時她再一次認真考慮自己將來的

路向她生來就有一種使命感覺得一定

要做一樣在任何時候任何地方都最有用

的工作加上她常常留意時事總覺得天

災人禍真的可以隨時發生於是她就選擇

了兩種無論是面臨戰爭還是天災的時候

對所有人都十分重要的工作記者和醫

生她終於入讀了港大醫學院並於九五

年畢業

與麻醉科結緣

實習的時候她特意選擇了一些能夠獲

得較多經驗的部門到投考專科的時候

她也選上了可以接觸很多不同類型病人的

兒科只可惜當時兒科並沒有學額但在

朋友介紹之下知道了麻醉科麻醉科同樣

可以接觸到不同的病人而且無論在甚麽

地方都可以發揮所長正正符合了李醫生

的志向結果她便入了麻醉科

據李醫生所說雖然一般人認為麻醉

科對體力的要求較少適合女孩子但

是現實並不這樣簡單由於麻醉要求一絲

不苟麻醉科的醫生都是完美主義者而

且學習的內容艱深每一種藥物的作用

反應甚至化學結構都要讀得滾瓜爛熟

她形容麻醉科醫生就好像病人背後的守護

天使在手術中要不停監測病人的維生指

數感覺病人的生命就在自己的手中所

以要承受着很大的壓力

作為麻醉科醫生每次見到的都是昏

迷或者沒有意識的病人事實上並沒有甚

麽可以跟病人溝通的機會病人通常感覺

不到麻醉科醫生的付出所以作為麻醉科

醫生未必可以從病人身上得到很大的滿足

感但他們卻比其他醫生更能夠專注地為

病人服務因為每次在手術中只照顧一位

病人

她的叮囑

李醫生叮囑現在的醫學生一定要僅記當

初想做醫生的原因她覺得在這個物質

社會中人是很容易迷失的她感覺到現

在的某些醫學生只為了一份穩定的工作

甚至是因為父母的意見而選擇行醫關於

作為醫生的意義卻從沒有思考過她勸

我們要好好問自己兩條問題人為甚麽生

存於世上作為醫生又是為了甚麼她

認為醫者要有父母心處處為病人而

不是為自己着想作為醫生就是要去服

務幫助人而不是為了求回報我們生

存於世上為的是信望愛並不用時時

記住利益金錢等東西最後她又提醒我

們不可以歧視病人不論是黑社會成員還

是香港首富只要病了就是一個無助的

病人就需要我們的幫助

李醫生思考獨立為人熱情健談跟李

醫生做訪問真的是一件有趣的事又令筆

者獲益良多特別是她有關人生意義的看

法的確值得反思作為醫學生的大家

你又可曾想過為甚麼要生存為甚麼要做

醫生呢

ldquothere is No MeaNiNg to life except the MeaNiNg MaN gives his life by the uNfoldiNg of his powersrdquo ndash erich froMM

在手術中不停監測病人的維生指數麻醉科醫生就好像病人背後的

守護天使

20 | Caduceus September 2011

To Succeed is to Fight Against ComplacencyInterview with a Dermatologist ndash Dr Henry ChanLily Cheng (M15) Andrew Seto (M15)

W ith our scheduled interview being inter-rupted by an emergency case of Stevens-

Johnson syndrome a life-threatening allergic skin re-action to medication Dr Chan rushed to the hospital for his patient

Sitting in Dr Chanrsquos office at his private practice the Hong Kong Dermatology and Laser Centre in the middle of a conference call with his overseas counter-part researchers we saw a pragmatic doctor at work This is a doctor who would never be complacent with his performance but keeps striving for excellence

AmedicalcareerDr Chanrsquos interest in dermatology was sown well

before his exposure to the discipline Having been in-flicted with eczema during his childhood he suffered from an excruciating itch in his skin that caused him much distress As a result of his own medical condi-tion he developed an interest in dermatology at a young age

During his fourth year in medical school he ex-plored an elective in dermatology at Yale University and began formal training in the field He obtained his medical degree and worked for several years in the UK before returning to Hong Kong to work at the Prince of Wales Hospital He then received a grant from the Hos-pital Authority to read dermatology in the UK

Working back and forth between Hong Kong and Britain in and out of universities and hospitals in his early years of practice Dr Chan settled his work base in Hong Kong in 1995 He was Associate Professor of CUHK from 1998 to 2000 and Chief of Dermatology and Associate Professor in HKU from 2000 to 2004

After entering private practice in 2004 Dr Chan now spends a lot less time on doing administrative work and more time on treating patients While he was actively engaged in teaching research and clini-cal work his current focus has shifted to mainly clini-cal work As an honorary clinical associate professor of our faculty he enjoys teaching and values the opportu-nity to cultivate and influence medical students

A renowned dermatologist with a strong research interest in medical devices Dr Chan is still very active in terms of research output His private practice sup-ported by a team of full-time research staff is unique

for its active research component ndash a practice which is well-established overseas but rare in Hong Kong

AsadoctoranddermatologistIn the beginning laser devices were developed to

treat medical conditions such as haemangioma and black moles but technological advancements driven by recent research has explored new possibilities for their applications in cosmetic treatment As a result new cosmetic procedures have appeared for the treat-ment of various conditions from skin rejuvenation to body contouring

While it is true that most dermatological conditions are rarely life-threatening they may nonetheless have a profound impact on patientsrsquo physical and psycho-social wellbeing For instance eczema often presents with rash It may give exudate in serious cases but is rarely fatal Nevertheless it might constitute great dis-comfort and inconvenience to patients Similarly se-vere cases of acne may also diminish onersquos self-esteem Dr Chan stressed that treatments for many skin condi-tions are not merely cosmetic in nature but may im-prove patientsrsquo self-esteem body image and psychoso-cial wellbeing

On the other hand some skin problems such as psoriasis and chronic eczema are incurable It is there-fore the doctorrsquos duty to educate patients and enhance their understanding of their disease One of the re-sponsibilities for dermatologists is to evaluate the im-pact of their patientsrsquo conditions to their quality of life Other than helping them return to their normal routine and diet as far as possible dermatologists also need to teach patients the way to get along with their chronic illnesses

Dr Chan emphasized that we run a profession not a business On this ground a doctor should never tell a patient what procedure they should receive Rather a doctorrsquos role is to explain the options available and provide the relevant information that carry with each procedure including potential risks and complica-tions

Dr Chan reminded us that financial return is only a ldquoby-productrdquo of a doctorrsquos work as a professional Doctors work hard and should be paid for their serv-ices but they should not be more interested in making

Feature

hkucaduceusnet | 21

money than in helping people He believes that shap-ing doctors into commercials in some way jeopard-izes medical professionalism

SuccessRedefinedSummoning his days as a fresh medical officer Dr

Chan recalled the death of the 18-year-old girl inflicted with necrotizing fasciitis who died within 24 hours He bore in mind every complicated case as an alarm to his future practice admitting that there is always room for him to improve

Quoting the professional golfer Jack Nicklaus Dr Chan reminded us that ldquocomplacency is a continuous struggle that we all have to fightrdquo It is easy to let our guard down but doctors have to be responsible for their patients all the time It is demanding but impor-tant for every medical professional to be vigilant and maintain onersquos standard at the top level He believes that good doctors should keep themselves in an appro-priate amount of stress and tension which keeps them mindful of their patientsrsquo needs

When asked about his rules for success Dr Chan emphasized that he does not feel he has attained his goal yet He feels that he may have had a decent start but it is inappropriate to judge his career before his retirement as he is still in the middle of his career To him it is far too early to define success Despite his change in roles over the years he still maintains his enthusiasm and passion that motivate him to do his best whether it be research teaching or clinical work

As far as medical students are concerned Dr Chan doesnrsquot see the urgency of deciding our future spe-cialty yet Medical school gives us a broad and general exposure to various fields and offers a good place to learn and gain experience sharpening our skills before serving as doctors We could still explore more in our senior years to come

ldquoFollow your heartrdquo Dr Chan gave us as a conclud-ing word He believes that the so-called ldquoROADrdquo to success is not really that important if one does not en-joy onersquos profession Listen to yourself and ask whether you really like your job

DrHenryChan陳衍里醫生

Specialist in Dermatology and Venereology

MBBS(London) MRCP(UK) FHKAM(Medicine) FRCP(Glasgow)

FRCP(Edinburgh)

Hon Professor LKS Faculty of Medicine HKU

Hon Consultant Dermatologist QMH HKSAR

Visiting Scientist Wellman Centre for Photomedicine USA

ldquoirsquoM a firM believer iN the theory that people oNly do their best at thiNgs they truly eNjoy it is difficult to excel at soMethiNg you doNrsquot eNjoyrdquo ndash jack Nicklaus

We run a profession not a businesshellip [doctors]

should not be more interested in making money than in

helping people

22 | Caduceus September 2011

Art and Medicine Seeing Diseases in ArtHow art masterpieces reveal medical conditionsAndrew Seto (M15)

F or centuries art historians have been mesmerized by

the enigmatic smile of Mona Lisa coming up with theories that range from the mundane to the bizarre Was she a silk merchantrsquos wife or a self-portrait of Leonardo da Vinci himself Was she pregnant An adulterer Leonardo da Vincirsquos se-cret male lover The theories never cease

BehindMonaLisarsquossmileHighcholesterolIt turns out that Mona Lisa had

ldquovery high cholesterolrdquo at least ac-cording to Vito Franco a Sicilian professor of pathological anatomy A medical expert who enjoys study-ing art masterpieces for evidence of diseases Franco concluded that Mona Lisa had xanthelasma (the accumulation of cholesterol under the skin) Indeed a closer look at her mysterious face does show a yellowish collection around the in-ner corner of her left eye He even found evidence of lipoma (a fatty tissue tumor) on her right hand Probably the least poetic finding for the most renowned beauty in Renaissance art

This was not the first time medical experts have associated Mona Lisa with clinical conditions Charles Bell the 19th century Scot-tish surgeon who discovered Bellrsquos palsy a form of facial paralysis resulting from facial nerve palsy once coined the term ldquoMona Lisa syndromerdquo This was a reference to the facial muscle contracture that develops after Bellrsquos palsy resulting in a ldquoMona Lisa-like smilerdquo

Mona Lisa Xanthelasma or just a blotch by mistake

Insight

hkucaduceusnet | 23

Hardly would Parmigianino have known that the long slen-der fingers and limbs of Madonna with the Long Neck was the result of a genetic disorder called Mar-fan syndrome And of all the things that crosses onersquos mind upon first glance of Caravaggiorsquos Sleeping Cu-pid the notion that the baby was inflicted with juvenile rheumatoid arthritis would be hard to imagine Franco claims that his goal was to expose the human vulnerability of the people depicted in art

MichelangelorsquosgoutykneeAnother subject who has been

scrutinized by medical experts is Michelangelo Renaissance painter and sculptor Scholars looked at his knee from Raphaelrsquos School of Ath-ens and concluded that he suffered from gout a form of inflammatory arthritis that occurs when crystals form in the joints

Based on the appearance of his knee which appears swollen en-larged and covered in hard lumps a diagnosis of gout seems plausible It was known that Michelangelo de-veloped various diseases during his life In his writings he complained of having kidney and bladder prob-lems In 1549 he had an episode of anuria followed by passing of grav-el and stone fragments in his urine

Many experts believe that Michelangelo like many of his contemporaries developed gout from lead poisoning A well-known workaholic Michelangelo con-stantly lived off a diet of bread and wine (processed in lead contain-ers at the time) and was frequently exposed to lead-based paint All evidence points to lead poisoning which promotes kidney damage and inhibits uric acid excretion causing it to build up in blood This predisposed him to gout precisely as depicted in Raphaelrsquos fresco

RenaissanceArtandNeuroanatomyLike Leonardo Michelangelo

was not just an artistic genius but also a great anatomist At 18 he be-

Michelangelorsquos knee from the school of atheNs by Raphael (c 1509-1510)

Madonna with the Long Neck Was it Marfan Syndrome

Juvenile rheumatoid arthritis

ldquoall art is autobiographical the pearl is the oysterrsquos autobiographyrdquo ndash federico felliNi

24 | Caduceus September 2011

gan dissecting cadavers in a mon-astery in Florence where he honed his technical skills and knowledge of the human body

According to neuroscientists Michelangelo disguised sketches of the human brain in his famous Sistine Chapel ceiling painting which has remained unnoticed for 500 years His fresco The Creation of Adam shares a striking similar-ity with the sagittal section of the brain The fold in the cape repre-sents the Sylvian fissure separating the frontal and parietal lobes You may even recognize the angelrsquos foot as the pituitary gland his thigh as the optic nerve and his leg as the optic tract And that sassy green robe running down the ponsmdashthatrsquos the vertebral artery

Look at Godrsquos neck in The Sepa-ration of Light from Darkness from the same fresco Art historians have long speculated that its lumpy ap-pearance represents goiter Yet medical experts have found an ac-curate picture of the brainstem and spinal cord in Godrsquos throat stun-ningly similar to the creases and crevices of the brain

Yet why would Michelangelo embed the brainstem in Godrsquos throat Was he alluding to Godrsquos wisdom or was it a form of protest to the Church After all dissecting cadavers was considered unethical at that time and for an anatomist like Michelangelo who fell out with the Pope while painting the Sis-tine Chapel ceiling could he have been painting anatomical images directly above the chapel altar in defiance to the Church

Artandophthal-mologyHowvi-sionchangesartClaude Monet is recognized as

one of the founders of the Impres-sionist movement but his vision got cloudy during his later years He wrote letters to friends describ-ing his growing frustration with his vision changes He was even forced to memorize colours on his palette

the creatioN of adaM by Michelangelo (c 1511)

the separatioN of light froM darkNess by Michelangelo (c 1512)

hkucaduceusnet | 25

and label tubes of paint Red began to look muddy to him and he saw his painting as becoming ldquoincreas-ingly darkenedrdquo Whenever he com-pared his paintings with his earlier works he would be sent into a tow-ering rage to destroy them

This was because he had cata-racts Cataract patients have yel-lowing and opacification of the lens so his vision essentially be-came more brownish The yel-lowish brown cataracts he looked through filtered out violet and blue shades Monet underwent two eye operations in 1923 after which he returned to his old painting style even throwing away some of his paintings and repainting them

Thesufferingart-istDepictingill-nessesinartPerhaps no one better personi-

fies the notion of a ldquosuffering artistrdquo than Vincent van Gogh Clinicians have posthumously diagnosed him with a range of medical problems including epilepsy schizophrenic and bipolar disorder His later works have long been noted for his preference for the colour yellow and some have speculated that this was related to his yellow vision

One theory was that van Goghrsquos doctors prescribed him with digi-talis to treat his epileptic seizures His painting Starry Night has yel-low circles around the stars and not surprisingly people with digi-talis overdose often see a yellowish halo around objects Other experts speculated that it was his addiction to absinthe that led to his yellow vi-sion Absinthe is a highly alcoholic drink that contains a highly psy-choactive neurotoxin called thu-jone which causes yellow vision

Van Gogh was not the only art-ist who projected his illness into his art Edvard Munch had tuber-culosis and spit blood as a boy Her mother died when he was five her sister spent most of her life in-stitutionalized for mental illness and his brother died of pneumo-

nia Munch may have depicted his own psychotic state of mind in The Scream which portrays a twisted agonized creature wracked with anxiety and horror

ConclusionDo these findings actually

prove something or are we over-analyzing artworks with our medi-cal knowledge Exactly what ben-efit would these discoveries have for the world at large is unknown At least we know it could lead to yet another interpretation for Mona Lisarsquos smile the result of a scrump-tious meal of pizza and pasta with cheese tomato sauce and meat balls before sitting for her portrait (which would certainly also explain her cholesterol problem)

Two pictures by Monet of the same Japanese bridgemdashthe first painted in 1899 the second between 1918 and 1922 revealing a dramatic loss of shape and detail

suNflowers by Vincent van Gogh (1888) the screaM by Edvard Munch (1893)

ldquoeverythiNg that we see is a shadow cast by that which we do Not seerdquo ndash MartiN luther kiNg jr

26 | Caduceus September 2011

The End is Near Apocalyptic TheoriesRead more to learn about the terrifying future that awaits us Chariene Woo (M15)

S urge of waves rush over the mountains with unstop-

pable speed engulfing and shatter-ing our homes Flaming asteroids rain from the sky causing roads to crumble like sheets of paper Peo-ple running away from burning cities screaming fearfully Civiliza-tion ruined in matter of mere sec-onds Is this what the future lies for us

Nobody knows

Apocalyptic literature and movies have always raised interest among the general public partly

because it involves the end of our world as we know it and partly due to the fact that there is no solid proof how an apocalypse would come about The interest has re-cently skyrocketed with rumors about the world ending on 21st De-cember 2012 about how the May-an calendar finishes at that specific time and how it will be the end of the world as we know it So the big question is when and how will our world end

NostradamusProphetofDoomNostradamus of France was

one of the worldrsquos most famous seers and is most well known for Les Propheties (The Prophecies) a collection of his major long-term prophecies written in quatrains Many of his prophecies have cor-rectly predicted current events including the destruction of the space shuttle Challenger the death of Lady Diana and the destruction of Twin Towers of the World Trade Center As a result of these predic-tions he has been given the nick-

How do you survive the apocalyptic world

Insight

hkucaduceusnet | 27

name ldquoThe Prophet of Doomrdquo

Nostradamusrsquo prophecies have huge room for interpretation speculation and controversy and some people think his writing has no merit at all The following is an example of a quatrain alluding to some sort of environmental disas-ter in the future

ldquoFor forty years the rainbow will not appear

For forty years it will be seen every day

The arid earth will grow more dry

And great floods when it will be seenrdquo

(Century 1 Quatrain 17)

In other quatrains images of great comet alien invasion and nu-clear contamination are also men-tioned so these could all be the prospects that are waiting for us in the future Despite Nostradamusrsquo ldquoaccurate predictionsrdquo of what had happened in the past the quatrains do not have a specific order So out of all the disasters predicted in the many quatrains it is uncertain which will happen where or when giving it less importance in predict-ing an actual apocalypse

PlanetXAccording to Nancy Lieder a

woman who claims to have been contacted by extraterrestrial life forms Planet X (also known as Nibiru) would come close to planet Earth on May 27th 2003 resulting in the Earthrsquos rotation ceasing for 59 terrestrial days The Earthrsquos pole will then undergo a physical polar shift due to the magnetic attraction between the Earthrsquos core and the magnetism of the passing planet This will ultimately lead to the dis-placement of Earthrsquos crust and the end of us But when this did not happen the event was postponed and re-dated to coincide with the Mayan calendar hysteria

NASA argues that this is merely an Internet hoax with no factual or scientific basis They explain that if Planet X was approaching Earth astronomers would have

been tracking it for at least the past decade and the planet would now be visible by the naked eye This is a very comforting bit of news Yet some people believe that NASA is part of a conspiracy to cover up the existence of such planet and keep the truth of impending apocalypse from general public Again the ar-gument can go either way and the ldquotruthrdquo depends on which side you choose or want to believe in

2012TheendoftimeSo what is so special about the

year 2012 There are claims saying that the Mayan calendar ends on 21st December 2012 and that will be the end of time for mankind However just like every calendar it merely rolls over to the new year on that date and it doesnrsquot signify anything special In the Mayan cal-endar 21st December 2012 will be the end of brsquoakrsquotun 13 and marks the start of brsquoakrsquotun 14 A brsquoakrsquotun is 144000 days (a little more than 394 years) and there is no archeological or historical evidence to show that the Mayans expected anything sig-nificant or drastic to happen at the

end of each brsquoakrsquotun

However there exists litera-ture that suggests otherwise In 1975 Frank Waters the author of the book Mexico Mystique identi-fied the 13th brsquoakrsquotun interval to be the ldquoMayan Great Cyclerdquo where it ends in the worldrsquos destruction and rebirth Waters claims that cata-strophic earthquakes will destroy the world but he miscalculated the date and announced that the end of the ldquoGreat Cyclerdquo would be on 24th

December 2011 AD

The year 1987 marked an in-creased in interest regarding the prophesized big event in 2012 The author of The Mayan Factor Path Beyond Technology Jose Arguelles linked the 13th brsquoakrsquotun period to a ldquobeamrdquo that links people the plan-et the Sun and the center of Galaxy According to Arguelles the beam is the key to harmonic resonance in the universe and the Mayan knew when we would enter and leave this beam hence set their 13th brsquoakrsquotun to mark our passage accordingly He also claims that this beam could advance the development of any-thing with DNA hence creating a more positive view of the future

V838 Mon a star with expanding light echo purported as photographic evidence of Nibiru

ldquoevery MaN dies Not every MaN really livesrdquo ndash williaM wallace

28 | Caduceus September 2011

No one can be sure of whether the end of brsquoakrsquotun 13 signifies something great or disastrous for us or if it is just another restart in the Mayan calendar We can only know for certain when the day ar-rives

GodrsquosplanforusThis is by far the most detailed

and terrifying image portrayed out of all apocalyptic claims that I have gone through The Book of Rev-elation from the New Testament reveals signs of apocalypse through a wide variety of symbolism One of such is the frightening image of the ldquofour horsemenrdquo

ldquoAnd I saw and behold a pale horse and he that sat upon him his name was Death and Hades followed with him And there was given unto them authority over the fourth part of the earth to kill with sword and with famine and with death and by the wild beasts of the

earthrdquo (68)

The pale horse carries the horseman of Death which is be-lieved to release global plague and pandemics to the world and take the lives of a quarter of the popu-lation This has already manifested

itself in many forms in different parts of the world at different times hence the first sign of apocalypse is said to be already happening among us

In similar manners the bible describes the arrival a black red and white horsemen represent-ing the delivery of global food shortages war and conflict and the coming of an antichrist to the world From historical genocide terrorism to increased occurrence of food shortages so often seen nowadays it seems that the red and black horsemen has arrived as well and now we are just waiting for the arrival of an antichrist to conquer us

The Book of Revelation also provides readers with a glimpse into the ldquoactionrdquo in how the world will end

ldquoAnd I saw when he opened the sixth seal and there was a great earthquake and the sun became black as sackcloth of hair and the whole moon became as blood and the stars of the heaven fell unto the earthhellipand every mountain and is-land were moved out of their placesrdquo

(612-13)

Besides the great earthquake and the darkening of the sun there is a repetitive mentioning of stars falling from heaven on earth in the Bible This is postulated as the at-tack of massive meteors on planet Earth Out of all prophecies in the Book scientists assume this to be the most likely since an asteroid impact at a scale as large as that may have already wiped out an entire species that came before mankind Scientists believe that showers of space rocks that rained down 65 million years ago (due to the collision of Near Earth Object) were the culprit for the extinction of dinosaurs Luckily NASA recent-ly launched an early warning sys-tem called ldquoSpaceguardrdquo that aims to monitor such Near Earth Objects to prevent future collisions and ex-tinctions

Having read the above the Bible seems to combine all the horrifying specifics in different apocalyptic speculations into one nightmare But donrsquot worry since there are many different interpretations of the Revelation Historicists are the ones who see the Book as a broad view of history (good news wersquove already escaped all the horrors in the depiction) whereas Futurists

believe the description as prophecies of the fu-ture The Idealists hold the belief that the Rev-elation does not refer to actual people or events which makes sense as the Bible is often not inter-preted literally So fingers crossed that the Revela-tion is not interpreted in the futurist way because in that way there is going to be a daunting future awaiting us

Four horsemen of Apocalypse

hkucaduceusnet | 29

ldquoDevolvingrdquoEarthTheoryThis is probably the

most scientific theory that I have come across so far from a news article pub-lished from ABC News A group of scientists from University of Washing-ton hypothesized that the Earth will gradually de-volve in the next half bil-lion years In short their logic works as follows

As we all know the sun is constantly grow-ing bigger yet the Earthrsquos environment has been reasonably constant This is because as the sun is warmed up carbon diox-ide from the atmosphere is removed and deposited in soil as carbonates This keeps our environment stable by the balance be-tween an increasing sun and reducing carbon di-oxide in the atmosphere (Note that global warming resulting from an increase carbon dioxide in atmosphere is just a brief blip in the grand scale of things) Since carbon dioxide is the ldquofood of liferdquo the reduction will cause plants and animals (including humans) to die To battle the rising heat some creatures will retreat into the sea hence reversing the evolutionary process And as the sun continues to expand the Earth will become so hot that even the oceans will gradu-ally be evaporated Eventually the sun blasts off its mass through ther-mal pulses engulfing the Earth

This is a very scientific specula-tion from an astrophysicistrsquos point of view and they claim that at best we have no more than half a billion years left This might be more reas-suring for some of us as the world will not end in the near future But the grief lies in the inevitability of our planet Earth coming to an end

Everythingthathasabegin-ninghasanendSo we are back where we start-

ed With more speculation and the-ories and still no closer to the truth The end could happen any day or time or maybe it could be a proc-ess that is already happening Even though it is not to the scale of an-nihilation of the human race hur-ricanes and earthquakes and car crashes have already been stealth-ily taking the lives of millions We know for sure that we must die eventually through chance old age or disease There is only very little we can do to fight against what has been planned for us and reducing the resources we consume is the best chance that we have in delay-ing this happening There might be some benefit if we know the in-sights of when and how it will hap-pen but really it doesnrsquot change anything Moreover it is possible that these speculations came about to force mankind to live life to the

fullest to treasure each day and every resource we have as a gift so it doesnrsquot matter which theory is the accurate one In the midst of these theories about apocalypse all we can do is to live every day as if it was our last with no regrets and enjoy life as it is now

ReferncesThe End of the Worldhttpwwwnostradamus101compropheciespart4P7

The Great 2012 Doomsday Scare httpwwwnasagovtopicsearthfeatures2012-guesthtml

When Will the World End New Theory EmergeshttpabcnewsgocomTechnol-ogystoryid=97756amppage=2

2012 Beginning of the End or Why the World Wonrsquot Endhttpwwwnasagovtopicsearthfeatures2012html

Video from history channel (from youtube link)httpwwwyoutubecomwatchv=BoTExQEyblU

ldquothe MeaNiNg of life is coNtaiNed iN every siNgle expressioN of life it is preseNt iN the iNfiNity of forMs aNd pheNoMeNa that exist iN all of creatioNrdquo ndash Michael jacksoN

30 | Caduceus September 2011

笑的神奇魔力「當你笑你改變了當你改變了整個世界也改變了」

麻丹卡塔利亞醫生(大笑瑜伽的始創人)何麗敏 (N14)

被隱藏的笑容

日 本大地震及核洩漏事件馬頭圍道唐樓火災三死十九傷中區

警長為勸示威人士中不慎失足墮橋身亡

各政黨爭相你嘲我罵helliphellip在城市裡我們

每天都被一些飛來橫禍天災人禍或社會

爭執的信息圍繞著充斥著愁雲慘霧的氣

氛甚至在家庭朋友學業工作和

健康方面我們亦會遇到不如意之事負

能量和心理壓力不斷增加沒有適當的疏

導和發洩方法之下不少人染上酗酒或沉

迷賭博等壞習慣來自我麻醉長期把情感

抑制的一些人更有機會患上

情緒病我們彷彿硬把自己

困在死胡同裡忘記兒時怎

樣整天咧嘴哈哈大笑如何

在跌倒後笑著站起來現

在很多人都像被魔鬼牽著

鼻子走每天板著一副無奈

沮喪的嘴臉掛上冷漠的眼

神笑聲更差不多成為絕

朋友啊你可有嘗試計

算過一天總共大笑了多少

次英國格拉根大學研究發

現在英國嬰兒每天會笑

達三百次而青少年時期的

每天大笑次數大幅減至六

次五十多歲的人平均每天

更只笑了三次無可厚非

我們在成長過程中必遇到愈來愈多的煩惱

和挑戰事情的確不是我們所能控制但

面對的心態我們為何不能放開一時所謂

的包袱像孩子般笑著面對呢為甚麼大

笑要有一定的理由或被時間限制呢

瑜伽加愉

近半個世紀工作學業和情緒波動

很大生活方式變得愈來愈物質主義容

易出現精神緊張大家都被壓得透不過氣

來變得不太愛笑在一九九五年印

度孟買註冊家庭醫生麻丹卡塔利亞(Dr Madan Kataria)創立「大笑瑜伽」以笑聲驅除怨氣大笑瑜伽是以笑聲互相交流

的透過眼神接觸傳遞歡樂的信息學習

別人的笑容代入孩童的心態再全情投

入地開懷大笑同時亦融入瑜伽的腹式

不妨一試

大笑瑜珈三式一預備式林中步行

在樹林慢走就是愛笑瑜伽的熱身方式步行時間

可以是10-30分鐘邊走路邊拍手同時不時地做深呼

吸目的是讓身體和情緒都徹底放鬆下來為後面的

內容做好準備

二進行式學習動物的表情

在瑜伽導師的帶領下活動面部肌肉然後模仿瑜

珈導師的動物表情這些表情看上去本身已很滑稽

只要按照瑜伽師的樣子去做再發出笑聲

三結束式調整呼吸

經歷了一場大笑面部表情鬆弛了心情也舒服

了不少大家慢慢收回笑容調整呼吸一邊在森林

裡散步一邊大聲告訴自己說「我們是世界上最快樂的

人」

灼見

hkucaduceusnet | 31

呼吸和伸展動作鼓勵大笑達至身心健康

的效果精神科專科曾繁光醫生指出 

「笑令腦自然分泌天然多巴胺以抗衡人

體緊張時所分泌的皮質醇預防患上焦

慮抑鬱的情況」除了改善情緒還能

促進健康笑能促進肺部呼吸功能和加強

血液循環現代醫學認為笑可以成為一種

治病方式治療神經衰弱消除肌肉的緊

張預防或減緩疼痛

筆者在此並不是宣傳大笑瑜伽其治

療成效仍有待商榷和科學實證但愈來愈

多人證實大笑和保持歡樂的心態能有效放

鬆自己張立新先生是第一位在中國推廣 

「大笑瑜伽」的人他患上憂鬱症遍尋

各種治療方式皆無成效一次機緣巧合

從網路接觸「大笑瑜伽」亦在電視上看

到介紹而開始學習和練習他的憂鬱症因

此不藥而癒從此他就開始在中國研究和

推廣愛笑運動暫且別論大笑瑜伽的奏效

程度但人生所遇到的事可真不少何不

笑對人生

尋回被遺忘的赤子之心

大笑並不是靈丹妙藥但它的確能帶來

正能量即使事情有多糟糕笑著面對總

比怨聲載道好而且美國加州大學柏克

萊分校心理學教授丹卓凱納說「笑對

人的進化很重要」目前心理學家們認

為笑是人類之間交流的古老方式之一笑

能互相影響把歡樂的氣氛傳染開去嬰

兒還未學懂說話時笑是與身俱來為何

我們長大後卻隱藏笑容呢朋友們參考

左頁所列大笑瑜伽的基本招式大家可相

約三五知己輕鬆一番找回孩童時的笑聲

大笑瑜伽的始創人麻丹卡塔利亞醫生

大笑瑜伽在六十多國家盛行

ldquolaughter is the best MediciNe - uNless yoursquore diabetic theN iNsuliN coMes pretty high oN the listrdquo ndash jasper carrott

32 | Caduceus September 2011

Learning Experiencing GivingA magical 10-day journey away from the cityErin Yeoh (M15)

C lad in backpacks light clothing and sneakers 21 medical students from HKU and CUHK

were prepared to leave the comforts of home and the internet (did I hear Facebook) We were bound to Chi-na about to embark on a learning-cum-volunteering trip organized by Medical Outreachers

After saying our final goodbyes at the Shenzhen air-port we split into two teams Team A with 9 members were bound to Xirsquoan where they would see volunteer orthopedic surgeons at work The 12 people in Team B including me left for Guizhou to understand the role of village doctors in rural China Both teams aimed to find out the effectiveness of public health policies in rural areas of China We were to meet up 4 days later at Dongshan Guangdong

Part1GuizhouUpon landing in Guizhou we were provided with

excellent hospitality by the local officers and the lo-cal NGO Amity Foundation We were given a brief introduction to Guizhou and also the work that the government and Amity Foundation were doing in the province Amity Foundation actually helped to build numerous new village clinics to improve the quality of healthcare in the region

The next day we were taken on a tour around the province visiting different village clinics (村診所) lo-cated in areas further away from the city Usually there would be one or two village doctors (村醫) on duty

at a time to attend to the villagers with population of around 1000 to 4000 per village

However the village doctors were not the type of ldquoheroesrdquo I had in mind They were not your typical doctor working in a worn out run-down wooden hut where there would be a row of sick villagers lining up to see them How ignorant I was In fact the village clin-ics were mostly renovated and well equipped with ba-sic amenities The standard village clinic has 5 rooms main lobby (大廳) treatment room (治療室) pharma-cy (藥房) observation room (觀察室) and a doctorrsquos rest room (醫生休息室) Furthermore their patient flow was rather small sometimes only one or two pa-tients per day This was probably due to the fact that some village clinics were located only a stonersquos throw away from major cities Those in a medical emergency would of course go straight to the main hospital to seek help immediately instead of consulting a village doc-tor

To be a village doctor one at least had to be a sec-ondary school graduate They would also undergo constant training and certification by qualified doctors in larger clinics According to the village doctors they spent most of their time doing paperwork keeping track of the villagers and their medical history They would also conduct regular home visits to those suf-fering from chronic illnesses or those that needed con-stant monitoring such as patients with hypertension or rheumatoid arthritis Another point that I found

A village clinic before receiving funding from Amity Foundation

hellipand a comparison after

Life

hkucaduceusnet | 33

interesting was that they would also visit families with newborn babies to check on their general health At the same time they would educate mothers on proper breastfeeding techniques and how to provide adequate nutrition for their children in the future

To learn more about their daily routine we fol-lowed a village doctor on his home visit rounds The doctor would sometimes have to travel as far as 2 kil-ometers for a home visit which would be the other end of the village This was as in the case of a pregnant lady due for delivery soon (photo as shown below) The doctor who came to check on her health status reas-sured her that her delivery would be a successful one From her sigh of relief and tired smile we could tell that she was grateful to see the doctor

However things didnrsquot always run as smoothly According to some of the village doctors they used to be scolded and rejected by the locals who did not understand why the doctors would often come up to their doorsteps asking them questions regarding their health and pestering them to go for checkups Some of them being superstitious would think of doctors as ldquoharbingers of bad luckrdquo as the doctors would talk about ldquosicknessrdquo and ldquodiseaserdquo when they were actu-ally feeling as fit as a fiddle Thankfully the situation has much improved since then

From what we saw instead of playing a curative role in a society the village doctors were actually much more involved in disease prevention and monitoring

This is actually the ldquoupstream modelrdquo concept in pub-lic health Instead urban doctors are overwhelmed by limited consultation time and when fatigue kicks in they simply do not have the energy to further educate their patients They would also not have the time to un-derstand their patients on a personal level unlike that of the village doctors

However the indiscriminate use of antibiotics in China was truly a frightening sight Doctors adminis-tered antibiotics intravenously for mild diseases like the common cold When we asked the doctors as to why they did so they simply smiled and shrugged off the question It is probably still a common practice in China and if the doctors did not give such medication the patients would probably lose trust in the doctor The fact that the similar practices were seen even in large hospitals probably indicates that this problem is hardly a localized one

Part2DongshanGuangdongWe met up with the team from Xirsquoan at the

Guangzhou airport and proceeded to our next desti-nationmdashDongshan After 5 hours of car ride we began to see signs that we were approaching our destination Mountains sharply angled clustered in twos or threes fondly known as ldquoMcDonalds mountainsrdquo were begin-ning to be in sight

As soon as we arrived we were greeted by eager curious young faces The children huddled close by as we unloaded our luggage some commenting that they hadnrsquot seen some of us while others were already play-ing around with the past participants It was my first time to Dongshan but there were some of us who were not new to the kids there

After settling down we were given an introduction to Dongshan and its residents by the local NGO Green Action Foundation led by Mr Wong

Located at the outskirts of the province Dongshan is one of the 4 poorest areas in Guangdong Its natu-ral terrain abundant in limestone makes it especially hard to retain water This has taken a toll on the resi-dents especially during the drought season Another problem faced by the local residents is that there are many young people and adults migrating to big cities to earn a living leaving behind the children and elderly

Village doctor on one of his home visits

Discarded bottles of intravenous antibiotics near the village clinic

ldquoMediciNe also disregards NatioNal bouNdariesrdquo ndash irviNg laNgMuir

34 | Caduceus September 2011

at home

Green Action Foundation took the initiative to plant trees around the area so that more water was available for irrigation and domestic purposes This improved the quality of their crops and boosted their source of income They also sponsored some of the

childrenrsquos education depending on their performance in school to ease the burden on their families

The next few days were jam-packed with activities A sports day was held as an icebreaker so that the new participants could get to know the children better We also spent half a day at the Dongshan Primary School where we taught the kids personal hygiene simple first aid moral education and also sex education for the grade 5 and 6 students

Another interesting activity that we had was a weed-cutting session up at a mountain with the other children Each of us was assigned with 2 to 3 chil-dren who were supposed to ldquoguiderdquo us along the way It was a 2-hour hike up and down hilly ter-rain While I would stop once in a while to take a breather the kids were barely panting The kids would often stop to ask if I was tired and even of-fered to help me carry my backpack Note to self more exercise next semester

Nevertheless it was a great chance to know the kids better We had the time to chat about their school life and what they thought about their future and also the chance to share snip-pets of our lives in the city

We then split into small groups and visited the homes of the children in order to gain a bet-ter understanding of their household hygiene

condition any medical conditions in the family as well as their economic standing We had also prepared questionnaires to be kept as future record Some of the families were very poor to the extent of having no source of income at all They depended solely on their own crops for food If they went to see the doctor they would usually owe the doctor money until they had

enough money to pay back The hygiene status of the villagers varied but most of them had swarms of flies around food Many even had their live poultry like chickens running around the house Before we left we gave them some hygiene products like soap washing detergent and toothbrushes to encourage better hy-giene We also gave them a poster explaining ways of maintaining a clean household environment

Another main focus of the trip was to find out the effectiveness of a medical insurance policy newly in-troduced by the government Each person had to pay 30 Renminbi annually to be guaranteed free medica-

Sports day activity

Weed cutting with the children

hkucaduceusnet | 35

tion and hospitalization thereafter Generally the vil-lagers were grateful for this plan as many found it dif-ficult to afford medical fees while struggling to pay for

basic necessities at the same time However some vil-lagers complained that the prices of medicine spiked after this policy was introduced and hospitals would of-ten ask patients to

do unnecessary scans just to earn more money

This trip made me realize that there is much that we can do but how great an impact we can make might not be seen immediately With follow up trips one could see the change as compared to the last visit and make further modifications to improve the situation

As the trip came to an end we were reluctant to leave There was something very magical about Dong-shan where the skies would turn to an exuberant red during sunset and on a clear night you could see stars scattered across every corner of the sky It is a place of beauty struggle and hopefully a place of triumph in the years to come

It is a place of beauty struggle and hopefully a place of triumph in the years to come

On one of our home visits

More to ExploreMedical Outreachers 醫心httpmedicaloutreachersorg

The Amity Foundation 愛德基金會httpwwwamityfoundationorg The beautiful sunset in Dongshan

ldquoshariNg is soMetiMes More deMaNdiNg thaN giviNgrdquo ndash Mary catheriNe batesoN

36 | Caduceus September 2011

就 在這一刻世界沉默了

城市的繁囂隨飛機引擎

逐點逐點噴走了繁囂的離

開是為了讓簡單的生活回

來剛踏出廈門機場一張

又一張的笑臉映入眼簾刺

熱的太陽把兩地之間的隔膜

融化

早從香港回歸時開始

香港人經常強調自己只是 

「香港人」而不是「中國

人」自以為比內地人高一

等可惜這班自視過高的都

市人曾幾何時為外地人送上

熱情的款待這一點廈門

人比誰都做得更好

廈門是一個位於中國

東南部的海島也許就是近

海讓居於廈門的人都把一

切怨恨煩惱拋下大海讓

它們隨水流漂走埋藏在海

床上每年廈門的鳳凰花花

開兩季一朵又一朵鮮艷如

火的鳳凰花在六月時歡送一

個又一個的畢業生彷彿為

他們添上一份祝福九月時

的鳳凰花熱情地歡迎一屆又

一屆的新生為新生的精彩

校園生活揭開序幕一份一

份的熱情含苞待放身在廈

門又怎會不被這市花的熱情

感動呢廈門大至人與人

之間小至花與花之間都存

著一份情

要追溯廈門人的情懷

可數至土樓的建成土樓

是個大多呈方形或圓形大型

群居的建築整座土樓樓高

三至五層由於牆身頗厚及

只有一個出入口甚具有防

禦功能亦因為這緣故當

大門關起來土樓便成了一

個家這個家佔地不大但卻

藏著成千上萬的人情味在

萬里無雲陽光普照的天空

下土樓居民的熱情好客

被蒸發出來懸浮在空中

一代一代傳下去更讓它隨

風走出土樓傳遍整個廈

門即使土樓漸漸成為旅遊

景點一些擺賣紀念品的攤

檔已經進駐但卻無礙居民間

的感情商販彼此交流從

不出現爭客的情況在土樓

中央休憩的居民除了為外地

人介紹他們的祠堂外亦邀

請遊客跟隨他們到遊客禁區

參觀在土樓居住的每伙都

中門大開當遊客投進好奇

的目光屋內的人往往以親

切的笑容作回答鄉土人

情在這世代多冷漠的心也

被融化

細膩的人情味外最令

遊客津津樂道的是廈門人的

態度廈門大學附近有一條

芙蓉隧道只要你願意便可

在隧道內壁上畫下你所思所

想當然美觀與否見仁見

智但這一種對藝術尊重

欣賞的態度是值得欣賞我

有我盡情地畫你有你盡責

青春在廈門留下足印潘曉彤 (N14)

生活

hkucaduceusnet | 37

地去管轄城市各處的整潔

彼此留下空間達至相輔相

成的效果廈門人就懂得人

最基本的禮貌尊重不

過廈門人對他人的尊重遠超

於人的基本禮貌當你去唱

「卡拉OK」的時候每次

待應的出入時看到的就只

有他們的正面而他們前行

或後退的方式就像看到皇帝

一樣卑恭屈膝香港人常常

強調面子哪一天才能捨下

那過高的尊嚴為不相識的

人作一個最謙卑的招待

其實任何人一離開香

港都不難發現就只有香

港愈夜愈精彩其他地方晚

上八時大多關門大吉而廈

門就只有中山路才媲美得

上香港的夜夜笙歌夜幕低

垂萬千燈火的中山路上

與來自各區的人擦肩而過

昏黃的燈光下照出一群又一

群的沉默影子剛好與路上

喧鬧的行人相映成趣騎樓

在霓虹燈的點綴下顯出了獨

有的閩南特色大街小巷傳

來不同地道小食的香氣車

輪餅燒仙草土笋凍helliphellip

為我們外來的交流生帶來美

味可口的夜宵飲飽食醉過

後走到中山路的盡頭又

回到了沉睡中的廈門

在優美的環境影響下

廈門人的生活也自然變得

純樸優閒單車車輪在環

島路上留下一圈又一圈的印

記沿路能細聽海浪輕拍岸

邊的聲音細嗅四處洋溢的

花香感受微風吹散太陽散

發的熱力見證一對又一對

的新人在拍下幸福的照片

據說廈門有戀愛天堂之稱

不管走到哪一處也會

看到準新人拍下甜蜜的婚紗

照而在裡面享受的人永遠

不知道這風景如畫的背

後是透過多少人的血汗換

來當我們在追求經濟成果

的同時往往破壞了造物者

在世上留下的藝術品隨中

國經濟急速發展一個又一

個的世外桃園被摧毀銅臭

替代了花香車聲替代了鳥

語這仙境又可維持多久

廈門另一世外桃園就是

鼓浪嶼它活像香港的長

洲島上滿有歐陸建築風

格但當中不乏中國特色的

建築中國古城風味與洋風

互相交替帶出截然不同的

感覺島上遠離汽車的廢

氣與金門就只是一海之

隔一家大小在享受天倫之

樂時一群又一群的青少

年情侶在沙灘上嬉戲立

即為島上升溫

筆者認為在這個混亂的

俗世確實需要抽空來欣賞

造物者留下來的藝術品大

財團不斷興建大型商場國

際知名品牌不停進駐留下

的就只有愈來愈狹窄的街

道被石屎封蓋寸草不生

的土地人人被金錢蒙蔽

迷失在霓虹燈光中又有多

少知音人能放下生活的瑣碎

事情在這裡享受時間一分

一秒的流走你被海浪聲

喚醒了嗎

筆者參加這次是由香

港廈門兩地大學的交流

團一連六天已經習慣了

當地的優閒生活模式體會

到的不只是廈門的風土人

情歷史文化而是兩地大

學生那種衝破界限的交流

雖說年輕人容易打成一片

但廈門獨有的熱情確實融化

了彼此間的隔膜廈門的美

是成人之美成就了兩地大

學生的友誼

飛機又再起飛了廈門

再見了

ldquothe tiMe of life is short to speNd that shortNess basely it would be too loNgrdquo ndash williaM shake-speare

38 | Caduceus September 2011

生 命形成之際只要一秒鐘的差遲世界便會不一樣

蝴蝶效應從來都是玄的全因一個 

「緣」字

隨著人成長要決擇的事太多學生

有兩件人生大事幾乎都不是由自己決定的

入讀小學及中學然而到了大學這

關卡自己也許可以拿定主意了若果你

入讀了心水科恭喜你若不然祝福

誠然入大學是最影響未來生活的關

口是好是壞無人知曉不用量化不

用比較太多即管做自己所想活出自己

的路只因你不會曉得你的下一步會怎樣

影響著你的生命

或許一個活動你會遇上你的最愛

或許一個宿位你會遇上你的知己

或許一句說話你會惹來一個敵人

或許一次走堂你會由B變C

這就是大學

在大學各人有各人的大學生活大

學講求自由學習學習真的是「求學不是

求分數」有些人愛廣交朋友有些人愛

住宿有些人愛做莊務有些人愛拍拖

有些人愛參加各樣活動有些人愛做兼

職有些人愛讀書有些人卻愛甚麼都不

做helliphellip不少大學生強調入大學必定要做齊

大學五件事(上莊住宿讀書拍拖

兼職)但其實只要自己開心不害人的

話做甚麼也沒問題最要緊的是認清讀

大學的目的以免沉淪於大學這花海

朋友

大學可以令你對「朋友」的概念愈來

愈含糊幾乎每個活動都可令你認識新朋

友通常大家都會輪流講述自己的名字與

學科(Round Table)這亦是考驗大腦對人名的記憶所謂的「Hi-Bye Friend」會愈來愈多隨便在細小的港大內穿梭會令你

無可奈何地對他們說聲Hi

不過別標籤你的「Hi-Bye Friend」要是連Hi-Bye也談不上更不用說做深交了上大學了大家已有既定的圈子很

多時約會或聊天都先找中學朋友而且很

多人會把大學朋友與中學的作比較雖情

有可原但有時未免先入為主地覺得中學

的較好

這亦難怪即使是日日碰面的同學也

未必是自己的好友人人都有自己的時間

表下課後各散東西不是大家不想互相

認識只是有時身不由己若想互相了

解不妨盡量製造共處之時有時甚至可

以分一些約會給大學朋友然後你會發

現大學朋友也可跟你熟絡可別為自己

建造一塊厚厚的心牆

舍堂

要入宿無人會不曉得十日的迎新營

有些舍堂平均每天的作息時間只有兩三小

時有人說住宿最辛苦就是迎新營然而

它卻是最難忘的

要數活動單單一個舍堂已數之不盡

要是投入舍堂生活每天24小時是不夠

用的舍堂之間有各樣比賽堂友要參加

各個組別為比賽出席各樣練習否則可

能被拒於來年再住基於許多人都只在夜

晚有空要全體出席那可是晚九朝五的

大學之緣賴彥積 (N14)

新鮮人

hkucaduceusnet | 39

宿生們之所以會熱衷於舍堂活動因他

們對自身舍堂有強烈的歸屬感好比中學

時學生參加校際比賽要是沒有歸屬感

就不會有心參加所屬舍堂的活動

除舍堂之間之活動樓層之間亦有各類

活動樓內亦然只要有人的地方就有玩

樂彷如天天宿營你不會有機會偷偷早

睡其他樓友常常打擾你你原來的生活

時間會推後數小時睡於二時已是罕有

早上的八半堂彷如無物

可以住宿但不參加活動嗎當然可以

但你會面對的是朋輩壓力他們雖未必逼

你參加卻會在言談中有意無意的滲出

來那種壓力不只限於自己樓層甚至是

跨樓層千萬可別輕看宿中流言

上莊

有人說上莊所學遠超課堂上莊所學

的是如何籌辦活動非常實用有時要對

外聯絡有時要面對公眾helliphellip像是要為將

來工作鋪路似的當然這亦要視乎你上

的是甚麼莊

一般而言上莊可訓練你待人處事的技

巧有時表面看來很友好的朋友當背

負上一定的要求後關係少不免有磨擦再

者初時莊員素未謀面最後卻因朝夕相

對而演變成朋友這段關係是很可貴的

成莊前要宣傳內閣爭取選票成莊了

又要舉行咨詢大會包受歷莊指導然後

又有就職典禮此後的活動更接踵而至

當然包括迎新活動招莊活動等helliphellip君不

見很多人視莊房為睡房少不免有「通

頂」之時忙是忙但必有價值至於是

好是壞要看自己的造化了

拍拖

人上了大學有時心思思想拍拖眼見

身旁多個好友都紛紛拍拖自己少不免羨

慕別人這想法十分正常畢竟大學生真

的可以放下只讀書的重擔真的可以規劃

人生大事了

香港大學一些營新活動中隨了Round Table外還有Round Status即說自己現在有否拍拖以及拍過多少次拖如 

A 0即Ava i lab l e之前至現在沒有拍拖O1即Occupied之前至現在共拍了一次拖當然也有一些同學自己創的甚

麼OBA (Occupied But Available)或D10(Desperate拍過10次拖)等等至於Round Status的動機何在可能是組爸媽想穿針引線吧當然也可能是別有用心的

不同人對拍拖有不同想法上了大學更

有不同擇偶條件人大了在感性的議題

上往往加上種種理性的數據開始現實起

來哪個帥哪個富有哪個有前途helliphellip

有些不在乎天長地久只求剎那的光輝

有些求虛榮有人疼愛在朋友前炫耀

有些甚至會在拍拖前已想定分手後的模

樣所以不想選擇跟自己同科的同學

活動

不同團體(包括舍堂學會及學校部

門)都有不同活動不用愁沒事幹只用

愁沒時間只要多留意Portal Mass Email或Main Campus海報不難發現幾乎每天都有各樣活動動靜皆宜開學時有迎

新營考試時有勁過飯新學期有開Sem

飯有些學會如戲劇舞蹈合唱團不時

有演出有關運動的學會則多練習以參

加比賽有關學術的也有很多興趣班講

座比賽等想幫人的亦可參加義工團

體如蛇蛇豬扶青等舉辦的義工活動

兼職

大學生的兼職大多以補習為主畢竟

這是我們能力範圍內可賺取最多外快又是

時間最彈性的工作有些人卻因補習不能

寫在履歷表而選擇別的工作然而很多時

我們都要在兼職與大學活動中取捨我的

ldquotake a chaNce all life is a chaNce the MaN who goes farthest is geNerally the oNe who is williNg to do aNd darerdquo ndash dale carNegie

40 | Caduceus September 2011

E mily was the chairperson of Pharmacy Socie-ty session 2010 As a student she has actively

participated in holding activities for many medical stu-dents and taken part in providing welfare to all phar-macy students Her following sharing will especially enlighten our new pharmacy students

Q Why did you choose Pharmacy SocietyA To be frank ldquosheung jongrdquo was really out of

my expectation when I anticipated my university life However my perspective has changed when I officially became a pharmacy student in HKU As members of the opening class of the Pharmacy programme my classmates and I realised the importance of having our own student body We do need an independent soci-ety to represent us pharmacy students to cater for our specific needs to listen to our points of view and to act as a bridge to facilitate our communication with the Medical Faculty the entire university and ultimately the pharmaceutical field in Hong Kong My class-mates and I who later became ldquojong yausrdquo believed we should act immediately to establish and run our own society which is why I decided to ldquosheung jongrdquo

Q Would you like to share some of the pros and cons of sheung jong

A ldquoSheung jongrdquo definitely helped me achieve per-sonal growth It was a concurrent commitment and re-sponsibility to serve and to lead our colleagues Bear-ing this in mind we always pushed ourselves to attain the best of our work ethics efficiency and efficacy As the very first session of the Society we lacked the guidance of any previous committee member Instead analysing carefully and critically we thought better of every decision which I personally found an enriching experience ldquoSheung jongrdquo was also an eye-opening journey Wersquod got to meet different people and learnt more about the professional work for as our career-to-be after graduation This in my opinion is always beneficial Last but not least I was fortunate enough to have worked with my amazing fellow committee mem-bers I frankly couldnrsquot ask for better ldquojong yausrdquo than initium Irsquom absolutely thankful for having them as my friends and it is definitely my greatest gain along the way

Despite the merits ldquosheung jongrdquo definitely has its downsides as well It is a lie to say ldquosheung jongrdquo does not affect our daily life because it does take up a big chunk of our time At the end of the day it is about time management which is easy to say but extremely dif-

建議是如家庭環境較困難賺錢吧反

之可以多留時間給各活動畢竟大學一

年的學費不只值那幾十堂課如何善用這

$42100就在乎你如何投入大學生活

讀書

假若你認為大學的考試可考核學生的

真正讀書能力並要求學生活學活用課堂

所學那麼你大失所望了假若你善於背

誦有過目不忘之本領大學的筆試不會

難倒你只要靠著前人留下的歷屆試題

背到滾瓜爛熟是不可能不及格的很多屆

試卷都是千篇一律的很多教授可沒空大

改試題那同學們就走運了有些課堂

即使再專業的學科都會有只理論無實

踐的課堂然後考試就要你把一大堆理論

背出來helliphellip例如甚麼叫批判思維噢

我可不知道只知道我掉了5分

不同學系在某程度上定下了人的前途

對於醫學院學生而言前路是較清晰可見

的但對於非專業學科前路不可只靠讀

書也許要靠自己另外摸索讀書所帶來

的必然是較高的GPA高GPA所帶來的是

獎學金到外國交流工作實習日後工

作機會等等當然大學學習不只局限於

讀書會否因此失彼就只有自己知道

蝶翼拍動之時往難以預料機會是

要自己摸索的

如經上所記

「神為愛他的人所預備的是眼睛未曾看見耳

朵未曾聽見人心也未曾想到的」

(哥林多前書29)

「栽種的和澆灌的都是一樣但將來各人要照自

己的工夫得自己的賞賜」

(哥林多前書38)

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

Freshmen

hkucaduceusnet | 41

ficult to achieve Also working as a Committee mem-ber can be very exhausting and difficult You definitely need lots of determination and support to get through some of the busiest times

Q How did you handle and balance the workload of study and your ldquojongrdquo

A As Irsquove said before it was tremendously difficult I guess my best advice for the future committee is to know your limitations and always plan ahead You have to know your time to work to rest to study etc No one will be over-worked and eve-ryone will have some personal time if you share the burden wisely between ldquojong yausrdquo Secondly you have to make very clear plans so that you can make full use of every little piece of your time I may not have succeeded in my time management but most of my ldquojong yausrdquo managed to do so de-spite the packed schedule of our Soci-ety This is sufficient proof of ldquoimpos-sible is nothingrdquo

Q As there are only about 25 pharmacy students per class do you have any suggestions for P14 fresh-men to make more friends from other curricula

A It really depends on what kind of person you are If you consider your-self socially active living in a hall or ldquosheung jongrdquo will be a great idea for you But if you see yourself as a much quieter person you can still make use of opportunities such as Medic Orien-tation Camp and other events jointly organised by student bodies within the Medical Faculty to make new friends

Q Any special things for P14 freshmen to be aware of

A First of all welcome You all are now members of Pharmacy Society MS HKUSU and I would like to let you know that this is a student body aiming to serve you Thus feel free to share your viewpoints and voice out your opinions to the current Com-mittee members The Society has to

understand your needs to improve and provide better welfare and services for you

Q Any other comments or important things to re-mind P14 freshmen

A If you would like to get to know more fellow pharmacy students especially students from P12 and P13 grab the opportunity to join the Pharmacy Society Orientation Camp and the Mentorship Programme These are great chances to make new friends and Irsquom sure you will enjoy them

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

ldquoas huMaN beiNgs we do chaNge grow adapt perhaps eveN learN aNd becoMe wiserrdquo ndash weNdy carlos

42 | Caduceus September 2011

筆 者是一位護理系的學生半年前有幸成為二零一一年啟思編輯委員會的總編輯在期間所體驗到的希望藉著這次機會作出分享特別希望新加入醫學院的同學

能對「上莊」有更多了解

上莊之路上莊是大學五件事之一證明它對大學生

活有一定的重要性一定的位置筆者在初入學的時候曾為了上莊與否而煩惱猶豫了好一段時間期間考慮到自己能力怕學業應負不來但最後仍然下了上莊這個決定原因是上莊是個難得的機會充實增值自己不同的莊會提供不同的機會讓莊友去學習透過不同的莊務去讓自己眼界擴大另外可以了解醫學院內發生既事情例如院內活動的進展情況更可以參加舉辦院活動為醫學院出一分力最後當然會認識到將會相處一整年的莊友工作伙伴有機會認識到不同學系的同學從他們身上可以觀察到學習到各種的特質從而令自己有所進步有所啟發

護理學生作為護理系學生起初擔任總編輯一職實

在是倍感壓力畢竟歷屆的總編輯都是由醫科生出任因此筆者起初都害怕跟醫科生共事怕自己的能力不足夠應付莊務所以起初都是戰戰兢兢地上莊

一位三年的護理學生曾對我說「我認為你不太尊重護理系護理系和醫科都是個專業希望你能加以尊重自己的學系不要輕視護理這個學系你要肯定自己的學系才能帶領整支莊因為莊內成員來自不同的學系你必須肯定和認同每個學系都有一定的重要性以及其專業」這番當頭棒喝的良言令我明白到自己一直都太輕視護理系過於重視醫科現在我明白到認同自己學系是尤其重要只有這樣才可以用自己學系的身份去發表意見只有認同自己學系才懂得尊重其他的學系莊內便可以融洽一點

在筆者的莊友中醫科生都是較有責任感而且做事更有計劃從他們身上的確學到不少東西這點是無可否認的事實筆者並不是在分享學系與學系之間的差別而是希望有志上莊的同學能互相尊重明白到各學系的莊

友都有其值得學習的地方起初對其他學系有隔膜是無可避免的畢竟對他們的學系都不太了解又沒有歸屬感但如果因為對方是別的學系而輕視對方的人不但失去與人相處學習的機會而且會令莊內的氣氛失去和諧

幸好的就我所見所聞醫學院內的莊多年來都能融洽相處互相支持令到一眾上莊的同學都能輕鬆地享受上莊的喜與樂甚至是不愉快的事情

依靠你的莊友莊是一個團體不是一兩個人可以應

付得來所以筆者認為與莊友互相溝通合作是個重要的元素新同學如果有志參與莊務期望從上莊中有所得著首要的事情是與莊友建立關係因為他們將會是你來年的工作伙伴也是你遇到困難時依靠的對象一位上莊曾對我說「其實一件的莊期不會令你有太大的得著或成長反而長久的友誼才是你將會得到最重要的」這句說話是千真萬確的上莊的人不會由詞不達意改變成談吐得宜不要期望自己會有驚人的轉變也許上莊會令人處事成熟一點有計劃一點但上莊所得到的關係將會是更重要更珍貴一年的相處中面對過有無數的會議共同處理過不少困難從中

建立的友誼真的是畢生受用

責任感上莊另外一個十分重要既條件就是責任

感有志上莊的同學必須明白到莊期是長達一整年在繁重的學業中騰出時間來處理莊務是個考驗責任感和毅力的測試同學必須再三思考想清楚自己是否真係熱衷於上莊或是只是一時衝動畢竟你將要許下的是一年的承諾必須對這個莊負上責任願意付出才選擇上莊這個決定這樣的付出就會有相對的回

總結上莊的確是個好機會讓自己去學習從處

理事務中或是從莊友身上都會有所得著充實著自己的大學生活從中可以認識到各學系的同學建立一段段受用終身的友誼在此筆者希望各學系的新同學可以善用機會作出上莊這個無悔的決定

護理系的啟思總編石志榮 (N14)

新鮮人

hkucaduceusnet | 43

慈兄吟(下)奇晶

最 後還是麥教授先開了口「他的確是一個好學生對醫學有獨到見解他不但學業成績優異而且樂於助人你是他的妹妹吧」婉慧努力控制自己的淚水繼繼續續的說「是啊但helliphellip但helliphellip我不知道helliphellip他竟會在這裏出現」麥教授用悲天憫人的目光看着婉慧語重深長說「人生自古誰無死人生命的有為與否並不取決於他生命的長短而是在於人生的意義你哥哥雖然最後當不了醫生但他的犧牲卻間接為一些同學做醫生鋪路讓他們做醫生去救人這真是一種無私的愛」婉慧點點頭覺得自己對哥哥的了解實在太少了

最後她還是孤獨的離開實驗室她覺得自己跟哥哥比起來實在相差得太遠了原來他除了是十優狀元在醫學院的成績名列前茅外還是個熱心助人的好青年自己除了少了一優外少的更有對別人的同情及樂於助人這造就了她心靈上的空虛她明白到冷漠不是一種對哥哥思念的正當表達方法她應該做的是把哥哥對其他人的愛傳揚開去以圓他的心願

第一步往往是最困難的婉慧平日對他人的態度已令不少人對她敬而遠之有很多次她嘗試向同班同學投以友善的笑容得到的總是詫異的目光或別人的不理不睬在小組討論中儘管她踴躍發言盡量避免冷場的發生偶同學們卻認為她變本加厲想阻止同學們取得好成績她四處碰壁又再次陷入了想念哥哥的深淵

時間一天一天過去了上學期考試前的休假開始了婉慧每天都勤奮的在圖書館溫習期望取得好成績這時候的圖書館堆滿了人如果遲來一個小時想找一個位子也難就在假期的第二天同班的王文在圖書館跑得氣急敗壞仍找不到一個座位婉慧不知怎樣有點同情他將座位讓給他王文驚訝道「不用了我還是回家吧真倒楣遲來了一個小時就沒有『接位』」

「但你住在哪裏呀」

「元朗今天早上我忘了校鬧鐘八時才起」

「那你還是要我的座位吧我可以坐到電腦桌因為我認識的人不少沒有什麼人會打擾我的」

王文謝了她頓時對這位冷漠的同學刮目相看原來她的內心也是溫暖的這並不是他所能料及的坐在電腦桌前溫習的她也感到特別的快樂溫習的速度也快多了王文就此成為了她的「飯檔」考試期間每天和她一起吃飯他更將自己的好友介紹給婉慧認識

在一個晚上她又悄悄的在圖書館的角落溫習着突然一隻溫暖的手搭着她的肩上她抬起頭但見解剖學的同桌手中拿着一杯熱飲輕輕的放在她的桌上婉慧正感詫異卻聽見他說「這杯熱巧克力是給你的繼續努力吧」她喝着巧克力心中感到一股暖流彷彿哥哥的關懷又在她內作出回響

十年生死兩茫茫不思量自難忘千里孤墳無處話淒涼helliphellip

寒風吹起了她額上的劉海佇立在墓前的婉慧不禁凜冽她想起了從前想到自己最後一次和哥哥吵架雙方面紅耳赤的情況想起自己無法親口跟哥哥道歉想起哥哥無私的付出她對着那空虛的墳心中不忍一陣淒然淚水漱漱的流下來她身旁攜扶着年紀老邁的母親邊拭淚邊喃喃道「我的兒子helliphellip歿了helliphellip」大家心情漸漸平復了緩緩走出了墳地

雨一滴一滴的落下飽歷辛酸的婉慧卻仍在懸壼濟世

短篇

ldquoyesterday is but todayrsquos MeMory aNd toMorrow is todayrsquos dreaMrdquo ndash khalil gibraN

44 | Caduceus September 2011

Eternal Flame (1)Tulipa

Itrsquos cold The chills from my fingertips imbibe deep into me This person drills into my mind digging out the truth inside me Itrsquos agonizing She comes right inhellip di-rectly I cannot stop her

Irsquom losing myselfhellip

My hand felt the soggy pillow I realised I had come back to life the world where I lived Staring blankly at the ceiling still losing focus in my eyes I felt my brows with my forearm For the first time I didnrsquot want to lose this feeling

The bedroom door slowly opened I quickly rubbed off the drops that had blurred my vision pretending that I had just woken up

ldquoDo you have lessons this morningrdquo My grand-mother whispered into my ear

ldquoOh goshrdquo I turned right to my alarm clock It was the real life I had forgotten to turn the alarm on last night and it was now seven thirty I knew it I was going to be late every time she caught me in bed Irsquod got to hurry up

Living in Hong Kong Island though it took me more than an hour to get to school I had to comfort my little brother sometimes till two or three in the morning in order to get him to sleep In addition to the consistently heavy study load in the medical school I could hardly get enough rest Running on my heels al-most became my routine starting from last November But I well understood the consequence of skipping lec-tures It was the beginning of the Cardiovascular Sys-tem Block For someone like me who gave least priority in revising Anatomy materials lectures remained the prime source of information for exams Absence from class was suicidal To make the situation worse this professor was one of those who did NOT upload lec-ture notes online

Hoping I wouldnrsquot arrive too late to miss the impor-tant points I finally stepped onto a route no 8 minibus at ten past eight What I could do now was to pay trust in the driver who would bring me to my destination

Coaxing kids was never easy Little Bruce just hap-pened to give me such a hassle last night

He knew I would check on him when I returned home Sitting right next to the door of his room he begged me for a story once I opened the door I sat down together with him on his little couch after Irsquod taken a quick shower This was a time to relax leaving

aside all the other concerns

Kindling through his favourite reader I saw that he wasnrsquot listening but distracted by all sorts of toys around He even invited me into his world of fantasy But it was getting late I had to calm him down so that I too could have some rest Being one of the brightest in his elementary school he should understand this was not the time for recreation

I began to feel annoyed

Yet he was my brother I had a gut feeling that this was unusual He didnrsquot use to be so ldquohyperactiverdquo It re-ally took me a while to adjust to his change With him still tossing and turning in my arms I apprehended his restlessness Unpredictable though he was true to his feelings In one way or another he might find the shadow of our mother in me

He finally settled when I laid him back in bed It was nearly two forty in the morning

The first week of the CVS Block ran as plotted PBL tutorials would start on next Monday Dr Youngrsquos fa-cial expression in the first PBL evaluation flashed over my Embryology notes and references She didnrsquot teach Embryology but I could tell she did have a hypertroph-ic heart-shaped face which looked familiar to the dia-grams in the Atlas

Back in the IHD Block most of us were puzzled about the scrambled content of our course Various forms of seemingly related knowledge came in through lectures practical and tutorial sessions But the neural circuit formed in our brain just failed to resonate as if the conductance-inductance mismatch had aberrated our thought from minimal impedance Sometimes things even happened in a ldquomore-than-extrardquo manner The presence of common core courses in a parallel but independent branch in the network could rightly be detached without causing a blip on the galvanometer Everything was dubious We had no idea of what we were doing

Maybe we were just on the way seeking for a sense of attachment

My mind too was racing in haste I was struggling with my decision to become a doctor Too many things had happened over the year I just couldnrsquot stop ques-tioning myself what was I thinking when I put lsquo6456 MBBSrsquo in my JUPAS application I should have expect-ed and prepared to face all these I just didnrsquot knowhellip

Novella

hkucaduceusnet | 45

It was midterm evaluation in the IHD Block Her face looked tense in that heart shape She was so stiff in her facial expression that no one could read her mind from her poker face The conference room of the Physi-ology Department was large We seemed to be the odd ones out in the spacious carpeted room In this secre-tive silence you could hear the drumming in your ears as if you were tingling

I realised this was not a matter of ldquoam-I-suitable-for-a-medical-careerrdquo but ldquois-a-medical-career-suita-ble-for-merdquo I was lying in bed playing with my plush bear when these thoughts burst in me Dr Young looked through me She felt certain that different from other group mates there were crises behind me But I didnrsquot tell her anything that day

We all were sensitive At times some subtle trepi-dation seeped in gradually sucking peace away from my sleep It was so to say below threshold sub-lethal though it lingered for weeks once it set inhellip

Drenched in bloodhellip There is no life in the boy His eyes are widely opened slightly protruded The lifeless pair of black pearlshellip I cannot escape from his glance He wants to talk to mehellip There is something he wants me to know

A van runs over himhellip

I fell down the edge of my mattress Breathing heavilyhellip Sweating all overhellip

ldquoScreechrdquo People began to gather around a tel-ephone booth a few metres behind us

I turned back I couldnrsquot see a lot from this anglehellip

ldquohellip What a pity He is so younghelliprdquo a middle-aged couple passed by

The victim resting just in front of the wheel looked towards me through a break in the crowdhellip

As we were wandering around thinking what to eat for dinner my cousin found me standing there rooted to the ground stunned by the victimrsquos gaze My heart was pounding She wouldnrsquot believe what I was again experiencing For a number of times already scenarios in my dreams were mirrored into reality

I couldnrsquot tell her

ldquoI was just thinking whether you would like Korean cuisine There is a new restaurant two corners awayrdquo I made up a talk while escaping from the scene so that I wouldnrsquot look so strange

ldquoWhy not go and have a try thenrdquo She was not dis-appointed for calling it a day as the food there was sur-prisingly good

Not until some years ago when I was Form 3 in college I discovered my ability to look into the future Sometimes I could see them coming up on the news in days or weeks And some didnrsquot ever happen at least not around me But seeing the night visions coming into concrete existence wasnrsquot always a pleasure when the mental images turned gradually into mostly night-mares When I visualised my close ones it felt like I was in the middle of an insecure chain bridge above a torrent that would sweep me into the vast ocean with no return It was entirely different from what you might understand as ldquodreams come truerdquo

I had witnessed misfortunes in proximityhellip

But I could do nothing about ithellip

Friends were a source of solace someone to con-fide all frustrations in But with my paranormal ability which appeared to everybody else only on screen-plays I wasnrsquot courageous enough to open my life wholeheartedly to them Seldom talking about myself avoiding all sorts of gatherings I became an eccentric figure among my classmates

Sometimes mutual understanding carried more weight than words I remembered my physics teacher being one of my few friends during my teen years De-spite his boisterous faccedilade he was always sensitive to whenever I was dwelling on my burdens Physics was our common language Intermingling our emotions and feelings with concepts that were alien to my fel-lows we developed a close rapport impenetrable by anyone else

ldquoWhat is the nature of a flamerdquo This was the most discussed problem between us Neither in solid liquid nor vapour state Not having any definite shape and colour It seems not any material but a type of energy giving out heat and light At the moment of providing it also exhausts its fuel and eventually itselfhellip

The romance of physics is more than anything you could read write and talk about Once you were truly connected with it nothing can stop you Your mind will bounce irrespective of the chronology of space-time but only under the guidance of your thoughts

I was so devoted to the discipline at the time that I was almost making it my lifelong career in some way He envisaged that I would demand much more than any academia could provide with its scientific basis alone We were both seeking a philosophy beyond the facts But Hong Kong may not be the right place for it

I made him a promise at the end to contain our flame and I knew I would

For the first and the last time I saw his eyes filled with tears We knew existence by itself is a miracle

ldquoi love life because what More is thererdquo ndash aNthoNy hopkiNs

46 | Caduceus September 2011

說華佗都說「華佗再世」誰知箇中真諦雲方 (M15)

烽煙起戰火燃萬里 

三國並爭英雄地亂世有誰顧生死 

待神醫行世將民眾救濟

渺渺江山東西瞰俞跗巧手扁鵲心(1) 應向何處尋 

滾滾黃沙無世家終有奇士放奇葩

沛國 華元化(2) 

他經書貫通南北遊動 

一望斷症如神助三劑消病不必多

說斷症悉如所料 

甘陵 相夫人腹痛極難忍(3) 號脈知死嬰在左為男形(4)廣陵 梅軍吏除名歸故里

見貌知壽盡速返見萱椿(5) 

說消病藥到病除 

飲蒜醋有三升蟲一嘔而盡清 (6)母服丸而溫儲兒不藥而自癒 (7)

絕妙處 

是他開腸剖腹刀至辟毒 

神醫號 

除他內外皆精有誰配稱

[1]   俞跗黃帝時代之名醫扁鵲春秋戰國之名醫《淮南子人間訓》「患至而多後憂之helliphellip雖有扁鵲俞跗之巧猶不能生也」

[2]   華佗字元化沛國人(今安徽 亳州)

[3]   甘陵相(即甘陵之行政長官)夫人懷胎六月腹痛不安華佗為其切脈便知胎死於是命人摸知所在在左則男在右則女人云「在左」夫人飲藥後果然產出男胎腹痛立即痊癒

[4]   廣陵有軍吏名曰梅平離鄉服役後來退役歸家於路上巧遇華佗華佗視之嘆道「若能早些見我當不至於此而今你僅餘五日壽命速速回家還能與家人相見」平旋即趕抵故鄉五日後亦如料身亡

[5]   萱椿多作椿萱比喻父母漢牟融《送徐浩》詩「知君此去情偏切堂上椿萱雪滿頭」

[6]   華佗見路邊有人食不下嚥教他到路邊餅店買醋三升混上蒜泥然後飲用路人服後即吐出一條長蛇(即寄生蟲)

[7]   兩歲男孩長年腹瀉藥石無靈華佗往診謂病在母命其服用華佗親研之「四物女宛丸」服後母親乳汁不再寒涼男孩亦不藥而癒

意興

hkucaduceusnet | 47

只可惜人無完壁

「關將軍使君予我手刮骨惡毒走

曹丞相使君予我頭剖顱苦痛收」

「怎能不收怎能不收一命嗚呼萬事休 

簡直荒謬簡直荒謬殺此庸醫未須愁」(8) 

五禽戲尚能傳 (9)麻沸散從此絕 

何不一飲醉死不知世忍氣吞聲事權貴 (10)心神委曲須臾苦奇術失迭千秋計 

烽煙止無改生死事 

且當醫仙謫世間神技終須風裏散 (11)回首仰高山景行請君範 (12)

[8]     曹操欲殺華佗臣下勸之不可答曰「不憂天下當無此鼠輩耶」

[9]     死前華佗欲托所著醫書於獄卒不果便盡數焚毀唯有其養生體操「五禽戲」流傳後世

[10]   《三國志魏書方技傳》「當須刳割者便飲其麻沸散須臾便如醉死無所知」

[11]   唐白居易《簡簡吟》「恐是天仙謫人世只合人間十三歲」

[12]   景行(音航)即大道以高山景行比喻人品德行為之高尚典出《詩經小雅車轄》又東漢鄭玄曰「古人有高德者則慕仰之有明行者則而行之」

ldquothe art of MediciNe was to be properly learNer oNly forM its practice aNd its exerciserdquo - thoMas sydeNhaM

48 | Caduceus September 2011

啟程

清晨空白的天空看不見藍天雲彩

只有溫柔的雨絲和朦朦朧朧的霧水跟隨

著大隊的足印踏上沉重的腳步穿過橫

街小巷和煩囂熱鬧的市場走過自動門

撲鼻的消毒藥水味道讓大家屏住呼吸筆

者和夥伴們終於到達了入讀護理系以來第

一次實習的醫院

還記得在實習的前幾天心情是既忐忑

又期待的畢竟這一次實習的地方不再是

在社區中心宣傳健康方面的知識亦不是

只面對著健康活潑的小朋友和老友記或是

學校課堂上所提供的假人張靜汶卻是照

顧一羣真正需要關懷的病人心中充滿著

憂慮不知自己所學的知識足夠在應用上

嗎自己平日的練習足夠嗎雖然心存在

著不少疑惑但也十分期待可以體會一下

做小學護的感受嘗試把這一年裡所學到

的知識運用出來

很多的第一次

在病房裡總有心酸和膽戰心驚的時

候第一次為昏迷的病人清潔口腔第一

次為難以進食的人插入胃喉第一次為老

公公清洗背上壓瘡的傷口helliphellip照顧他們時

的心情都是一步一驚心生怕自己沒法應

付得來又怕會把事情弄得更糟糕最重

要的是恐怕自己不純熟的技巧令他們受苦

了記得有一回第一次為女病人插入尿

喉採取尿液樣本可能技巧不太純熟的關

係延長了病人的痛苦過程中她皺著

眉頭不斷呻吟又緊張得咬破脣眼看

她樣子心中真的不是味兒來身為病人

的其中之一依靠我們不得不給自己信

心如果連自己也不相信自己哪會有病

人願意把他們交給我們照料呢

捕捉那瞬間的美麗與淒然何麗敏 (N14)

上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

意興

hkucaduceusnet | 49

另外第一次面對病人的心情是頗為

緊張的說話技巧亦有改進的空間但和

病人傾談了數分鐘後氣氛也漸漸變得和

諧可能那些老公公整天呆在醫院裡真是

悶到慌看見一羣年青人與自己聊天照

顧和關心他們他們不禁咧嘴而笑醫院

職員透露有一位老公公平日不太願意吃東

西於是我們便主動和他談天說地又

悉心照料他進食的情況後來他不但胃

口好了不少就連心情也開朗了他生動

活潑的談吐讓我們笑了他回復健康精

神的體魄也讓我們感到安慰

相處片刻

雖然為期一星期的病房日子不是特別繁

忙或是辛勞但是也會有不習慣的時候

幸好得到醫院職員和一班夥伴的支持病

房經理和註冊護士不但相信我們的能力

對學護的包容更是不用多說還主動地介

紹病房的環境和細心地教導我們醫療護理

上的知識讓我們上了一堂實在而又寶貴

的課同時今次的實習也令我感到團體

精神也十分重要在技巧上大家互相提

點互補不足當有人準備照料有需要的

病人如插喉或洗傷口等大家送上一句 

「加油」就能令對方增加不少自信心和正

能量無論遇上甚麼事情我也榮幸有如

此一班學習夥伴從旁支持

學習的階級

在這一次病房實習中雖然醫療和藥物

知識方面有待加強但是我學懂了如何與

不同身份的病人相處之道溝通上也得到

了很大的進步獲益不少除此之外我

也真正體會到如何做一個好護士並清楚

了解這個行業是否適合自己鐘樓也不是

一天就能建成而是需要一磚一瓦搭建而

成的所以在學習上我們不但要打好

穩固的基礎還要增強醫療知識在技巧

上馬虎了事和走捷徑是於是無補的應

該多探究和練習才行這樣才對得起病人

和自己也減少不必要的醫療失當事故

總之多一份認真多一點耐性多一些

愛心就是學護必記的左右銘 上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

ldquoit is reasoNable to expect the doctor to recogNise that scieNce May Not have all the aNswers to probleMs of health aNd healiNgrdquo ndash NorMaN cousiNs

50 | Caduceus September 2011

Fun Corner

Medical AppsEver wondered how your handheld device can save your time and

effort when it comes to studying Here is how

Anatomy Pronunciations by HipposoftAccurate pronunciations of over a hundred important anatomy terms you have trouble with are provided

at your fingertips to help you spell those difficult words Anyone who has taken an anatomy course can tell you how challenging it can be to pro-nounce the names of those complicated anatomi-cal terms It is even linked directly to Wikipedia and Google through web browser for additional information

iPharmacy ndash Pill Identifier and Medication Guide by SigmaPhone LLCAn essential medication guide of 20000+ drugs is provided for con-sumers amp professionals This ex-

pands the image library to include 12000 pill and package images and includes digital drug identifier with official drug information (indica-tions dosage adverse reactions and more) You can check the drugs anywhere

Grades 2 by TapityIt tells you what grades you need in the coming tests in order to get your target grade You can easily calcu-late your GPA so as to maintain it It

is a useful tool helping you to keep an eye on your GPA all the time

Human Anatomy by SusaSoftXThe application provides you with information of 15 different biologi-cal systems You can keep on revis-ing while you are traveling without

carrying heavy books

Medscape by WebMD LLCFrom drug classes interaction clin-ical procedures and even the lat-est medical news Medscape helps medical students and healthcare

professionals to reiterate knowledge that has slipped from the mind It is a free application for iPhone iPad Android and Blackberry Yet it contains more function on Android phones and Apple products and lacks detailed clinical infor-mation for diseases and clinical procedures walk through on Blackberry

Pro Medical Terminology Dic-tionary by TreascoveryTerminology might be a tough work for medical students Even if we can master those English terms we can

hardly think of the Chinese terms This applica-tion can help you when you face this problem Note that it is not a free application

3M Littmann SoundBuilder by 3M CompanyA great tool designed to help im-prove auscultation skills of medical students with 14 unique lessons of

key heart sounds combing text virtual manne-quin 3D cardiac animation and dynamic wave-forms

iRadiology by Liebermans iRadi-ologyAn excellent learning tool for medi-cal students demonstrating classic radiological findings of a multitude

of abnormalities including over 500 radiologic images Radiologic images include CT US MRI and nuclear imaging each clearly labeled and followed by key teaching points

Micromedex Drug Information by Thomson Reuters (Healthcare) IncIs Cephalexin a first generation ce-phalosporin This application from

Thomson Reuters is the easiest way to navigate in the sea of drug names Drugs are sorted by classes and supplemented with rich information

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 16: Caduceus Issue 2, Volume 42

16 | Caduceus September 2011

A Discourse with a Female Gold-MedalistInterview with an Ophthalmologist ndash Dr Charmaine HonChariene Woo (M15) Charis Chan (M15)

W hile waiting for Dr Hon at her Central clin-ic the Hong Kong Ophthalmic Associates

we were amazed at how the spacious clinic was crowd-ed with patients When we finally meet Dr Honrsquos big friendly smile made an impression on me as she invit-ed us into her room Despite having a busy schedule Dr Hon is very down-to-earth and eager to provide valuable advice for our fellow schoolmates

Dr Hon started out as a medical doctor and changed to the specialty of ophthal-mology Initially she worked with the public sector fulfill-ing her duties as a doctor re-searcher and teacher at the same time Then she turned to the private sector and joined the Hong Kong Ophthalmic Associates as she feels that she can be more focused on the aspect of patient care ldquoIn public hospitals it is hard to follow up on patient care and it is rare to meet the same patient twicerdquo she reflected ldquobut in the private clinical set-ting I get to know the patientrsquos family and medical his-tory better and I feel more like a doctor by having the ability to follow my patientrsquos progressrdquo

As a recipient of the John Anderson gold medal for the highest aggregate of marks in all the MBBS professional examinations Dr Hon also shares her advice in studying ldquoBasic knowledge is a must but clinical sense is the most importantrdquo and with a smile

she added ldquoyou have to pay attention to your mentors during attachments to hospitals even if you are just ob-servingrdquo But donrsquot think Dr Hon is all about studies She emphasizes that she is not the most hardworking student in her graduating class and suggests medi-cal students to explore outside of the medical world especially in the first two years of study ldquoYou have to have a life outside of medicine and you should do it in

the non-clinical years as there are decreasing chances and time for you to meet non-medically related peo-ple after year 3 onwardsrdquo the ex-member of the Union Choir said ldquoAnd as you come more into contact with different people you learn how to communicate bet-ter which will definitely help your medical career and will keep your life diversifiedrdquo

As for advice to students in clinical years she shares her insights in how to choose your specialty She sug-gests students to look into their strengths and inter-ests and to understand and explore as much as pos-sible in attachments since it is a lot harder to change onersquos specialty nowadays compared to the past ldquoThe most important point is to identify yourself and not to blindly follow the path of others Do not think of future

achievements since what you chose will probably stick with you for liferdquo True enough ophthalmology was not a developed specialty during her times of studies and Dr Hon says she is probably one of the very first gold medalists who pursued it as a career A note to her future female counterparts ldquoYou have to think of your future path and plan accordingly and be ready

Basic knowledge is a must but clinical sense

is the most important

The most important point is to identify yourself and not to blindly

follow the path of others

Feature

hkucaduceusnet | 17

to put your career before marriage Many of us delay our plans of marriage and pregnancy after finishing our specialty fellowship which is at around 30rdquo After hearing this I was very worried but she added ldquoGen-eral practice is also a good choice and there are some females doctors who donrsquot follow this trendrdquo

One of the things that struck me the most is that Dr Hon sticks to the principle of doing everything with all your heart ldquoYou only pass through this life once and when you look back you should not regret what you have donerdquo So when presented with conflicting ideas with her principle what does she do ldquoI reflect and fight for itrdquo she laughs ldquoIt sounds rebellious but as a doctor you have to have a judgment that is best for your patient and you cannot conform to society or systemsrdquo Using the limited consultation time for each patient in public hospital settings as an example she explains that doctors arenrsquot machines and should be able to adjust to different patientsrsquo needs appropriately so to do what is best for the patient ldquoYou should never lose yourself under the system and should always do whatever you think is best for your patientrdquo

When asked about the specialty of ophthalmol-ogy Dr Hon tells us with passion that ophthalmology allows instant gratification and makes a difference to patientrsquos life ldquoMany specialties can make a difference but only a few have a clean-cut immediate effect like ophthalmologyrdquo But ophthalmology is also about hard work and persistence ldquoIn this specialty there is con-stant advancement in the past we do extra capsular extraction but now there are frequency emulsifica-tion and other advancements I am always awed by the senior partners in this clinic who have a strong will to chase and read up on new techniquesrdquo So besides steady hands and good eyesight intellectual curiosity on the latest research is a must if you are thinking of pursuing a career in ophthalmology

Before we parted Dr Hon gave us a final word of wisdom ldquoThis is going to be hard for you two gals but you look tough and yoursquoll survive Since you chose this career path do expect to work very hard as it is not easy but so is every other occupation nothing is ever easy in this worldrdquo

DrCharmaineHon韓尚穎醫生

Specialist in Ophthalmology

MBBS(HK) MRCS(Edinburgh)

FC Ophth(HK) FHKAM(Ophthalmology)

ldquoas you grow older yoursquoll fiNd the oNly thiNgs you regret are the thiNgs you didNrsquot dordquo ndash Zach-ary scott

18 | Caduceus September 2011

奉行完美主義的守護天使專訪麻醉科李靜芬醫生吳瑞麟 (M15) 李庭翰 (M15)

說 起麻醉越野挑戰馬拉松義工無國界醫生你想到甚

麽幾樣風馬牛不相及的東西可以用三

個字關聯起來李靜芬

李靜芬醫生畢業於香港大學醫學院

現於養和醫院疼痛治療門診工作她曾經

加入無國界醫生到南蘇丹服務又是醫療

輔助隊動員主任香港不少的大型活動

例如馬拉松東亞運奧運馬術等都由她

去統籌急救站的運作她又經常舉辦醫療

會議亦於很多地方做義務醫療顧問熱

衷於向公眾推廣疼痛管理與健康的知識

另一方面她是香港全能運動學會醫療顧

問經常參加越野挑戰戶外活動又參

加半馬拉松比賽看完李醫生這麼的一個

簡介實在很難不驚歎好一個「周身

刀張張利」的奇人

人生的轉捩點

其實初中時期的她與醫生根本扯不上

半點關係身為壘球隊隊長在中四的一

次練習中她被壘球擊中一眼從此改變

了她的命運當時全港只有一位眼科醫生

會在晚間應診眼科的醫療設施也不足

令她眼睛流着血水在黑暗中東奔西跑尋找

醫生她由大埔賽馬會診所走到威爾斯

然後到伊莉莎伯再到油麻地終於找到

眼科醫生李醫生由四點奔波到十點令

她深深體會到作為病人的痛苦也從此立

志要做一個醫生幫助有需要的病人

初中時的李醫生每天放學就練球以

致成績中等但自從立志投身醫護她虛

心求教又得到當時的班主任授予時間管

理和讀書的方法成績突飛猛進在短短

六個月間從中等成績進步至模擬考試全

李靜芬醫生Dr Carina Li

麻醉科專科醫生

香港大學內外全科醫學士 澳洲及紐西蘭麻醉科醫學院院士 香港麻醉科醫學院院士 

香港麻醉科醫學院疼痛科文憑

香港醫學專科學院院士(麻醉科)

專題

hkucaduceusnet | 19

級第一她的毅力和決心實在令人佩服

她的傲氣

其後她獲中文大學收作暫取生但她

又再次作出驚人之舉李醫生認為要讀醫

科生物化學科就得好些所以一定要認

真研讀高級程度的生物化學但是人是有

惰性的如果做了暫取生就一定會變得不

思進取讀不好生物化學於是她毅然

放棄暫取生的資格全心全意去考好高級

程度會考李醫生的豪氣決斷她破釜

沉舟的決心她的好勝和哲學令筆者從

心底裏衷心地拜服她

結果她當然考得很好的成績在選擇

大學時她再一次認真考慮自己將來的

路向她生來就有一種使命感覺得一定

要做一樣在任何時候任何地方都最有用

的工作加上她常常留意時事總覺得天

災人禍真的可以隨時發生於是她就選擇

了兩種無論是面臨戰爭還是天災的時候

對所有人都十分重要的工作記者和醫

生她終於入讀了港大醫學院並於九五

年畢業

與麻醉科結緣

實習的時候她特意選擇了一些能夠獲

得較多經驗的部門到投考專科的時候

她也選上了可以接觸很多不同類型病人的

兒科只可惜當時兒科並沒有學額但在

朋友介紹之下知道了麻醉科麻醉科同樣

可以接觸到不同的病人而且無論在甚麽

地方都可以發揮所長正正符合了李醫生

的志向結果她便入了麻醉科

據李醫生所說雖然一般人認為麻醉

科對體力的要求較少適合女孩子但

是現實並不這樣簡單由於麻醉要求一絲

不苟麻醉科的醫生都是完美主義者而

且學習的內容艱深每一種藥物的作用

反應甚至化學結構都要讀得滾瓜爛熟

她形容麻醉科醫生就好像病人背後的守護

天使在手術中要不停監測病人的維生指

數感覺病人的生命就在自己的手中所

以要承受着很大的壓力

作為麻醉科醫生每次見到的都是昏

迷或者沒有意識的病人事實上並沒有甚

麽可以跟病人溝通的機會病人通常感覺

不到麻醉科醫生的付出所以作為麻醉科

醫生未必可以從病人身上得到很大的滿足

感但他們卻比其他醫生更能夠專注地為

病人服務因為每次在手術中只照顧一位

病人

她的叮囑

李醫生叮囑現在的醫學生一定要僅記當

初想做醫生的原因她覺得在這個物質

社會中人是很容易迷失的她感覺到現

在的某些醫學生只為了一份穩定的工作

甚至是因為父母的意見而選擇行醫關於

作為醫生的意義卻從沒有思考過她勸

我們要好好問自己兩條問題人為甚麽生

存於世上作為醫生又是為了甚麼她

認為醫者要有父母心處處為病人而

不是為自己着想作為醫生就是要去服

務幫助人而不是為了求回報我們生

存於世上為的是信望愛並不用時時

記住利益金錢等東西最後她又提醒我

們不可以歧視病人不論是黑社會成員還

是香港首富只要病了就是一個無助的

病人就需要我們的幫助

李醫生思考獨立為人熱情健談跟李

醫生做訪問真的是一件有趣的事又令筆

者獲益良多特別是她有關人生意義的看

法的確值得反思作為醫學生的大家

你又可曾想過為甚麼要生存為甚麼要做

醫生呢

ldquothere is No MeaNiNg to life except the MeaNiNg MaN gives his life by the uNfoldiNg of his powersrdquo ndash erich froMM

在手術中不停監測病人的維生指數麻醉科醫生就好像病人背後的

守護天使

20 | Caduceus September 2011

To Succeed is to Fight Against ComplacencyInterview with a Dermatologist ndash Dr Henry ChanLily Cheng (M15) Andrew Seto (M15)

W ith our scheduled interview being inter-rupted by an emergency case of Stevens-

Johnson syndrome a life-threatening allergic skin re-action to medication Dr Chan rushed to the hospital for his patient

Sitting in Dr Chanrsquos office at his private practice the Hong Kong Dermatology and Laser Centre in the middle of a conference call with his overseas counter-part researchers we saw a pragmatic doctor at work This is a doctor who would never be complacent with his performance but keeps striving for excellence

AmedicalcareerDr Chanrsquos interest in dermatology was sown well

before his exposure to the discipline Having been in-flicted with eczema during his childhood he suffered from an excruciating itch in his skin that caused him much distress As a result of his own medical condi-tion he developed an interest in dermatology at a young age

During his fourth year in medical school he ex-plored an elective in dermatology at Yale University and began formal training in the field He obtained his medical degree and worked for several years in the UK before returning to Hong Kong to work at the Prince of Wales Hospital He then received a grant from the Hos-pital Authority to read dermatology in the UK

Working back and forth between Hong Kong and Britain in and out of universities and hospitals in his early years of practice Dr Chan settled his work base in Hong Kong in 1995 He was Associate Professor of CUHK from 1998 to 2000 and Chief of Dermatology and Associate Professor in HKU from 2000 to 2004

After entering private practice in 2004 Dr Chan now spends a lot less time on doing administrative work and more time on treating patients While he was actively engaged in teaching research and clini-cal work his current focus has shifted to mainly clini-cal work As an honorary clinical associate professor of our faculty he enjoys teaching and values the opportu-nity to cultivate and influence medical students

A renowned dermatologist with a strong research interest in medical devices Dr Chan is still very active in terms of research output His private practice sup-ported by a team of full-time research staff is unique

for its active research component ndash a practice which is well-established overseas but rare in Hong Kong

AsadoctoranddermatologistIn the beginning laser devices were developed to

treat medical conditions such as haemangioma and black moles but technological advancements driven by recent research has explored new possibilities for their applications in cosmetic treatment As a result new cosmetic procedures have appeared for the treat-ment of various conditions from skin rejuvenation to body contouring

While it is true that most dermatological conditions are rarely life-threatening they may nonetheless have a profound impact on patientsrsquo physical and psycho-social wellbeing For instance eczema often presents with rash It may give exudate in serious cases but is rarely fatal Nevertheless it might constitute great dis-comfort and inconvenience to patients Similarly se-vere cases of acne may also diminish onersquos self-esteem Dr Chan stressed that treatments for many skin condi-tions are not merely cosmetic in nature but may im-prove patientsrsquo self-esteem body image and psychoso-cial wellbeing

On the other hand some skin problems such as psoriasis and chronic eczema are incurable It is there-fore the doctorrsquos duty to educate patients and enhance their understanding of their disease One of the re-sponsibilities for dermatologists is to evaluate the im-pact of their patientsrsquo conditions to their quality of life Other than helping them return to their normal routine and diet as far as possible dermatologists also need to teach patients the way to get along with their chronic illnesses

Dr Chan emphasized that we run a profession not a business On this ground a doctor should never tell a patient what procedure they should receive Rather a doctorrsquos role is to explain the options available and provide the relevant information that carry with each procedure including potential risks and complica-tions

Dr Chan reminded us that financial return is only a ldquoby-productrdquo of a doctorrsquos work as a professional Doctors work hard and should be paid for their serv-ices but they should not be more interested in making

Feature

hkucaduceusnet | 21

money than in helping people He believes that shap-ing doctors into commercials in some way jeopard-izes medical professionalism

SuccessRedefinedSummoning his days as a fresh medical officer Dr

Chan recalled the death of the 18-year-old girl inflicted with necrotizing fasciitis who died within 24 hours He bore in mind every complicated case as an alarm to his future practice admitting that there is always room for him to improve

Quoting the professional golfer Jack Nicklaus Dr Chan reminded us that ldquocomplacency is a continuous struggle that we all have to fightrdquo It is easy to let our guard down but doctors have to be responsible for their patients all the time It is demanding but impor-tant for every medical professional to be vigilant and maintain onersquos standard at the top level He believes that good doctors should keep themselves in an appro-priate amount of stress and tension which keeps them mindful of their patientsrsquo needs

When asked about his rules for success Dr Chan emphasized that he does not feel he has attained his goal yet He feels that he may have had a decent start but it is inappropriate to judge his career before his retirement as he is still in the middle of his career To him it is far too early to define success Despite his change in roles over the years he still maintains his enthusiasm and passion that motivate him to do his best whether it be research teaching or clinical work

As far as medical students are concerned Dr Chan doesnrsquot see the urgency of deciding our future spe-cialty yet Medical school gives us a broad and general exposure to various fields and offers a good place to learn and gain experience sharpening our skills before serving as doctors We could still explore more in our senior years to come

ldquoFollow your heartrdquo Dr Chan gave us as a conclud-ing word He believes that the so-called ldquoROADrdquo to success is not really that important if one does not en-joy onersquos profession Listen to yourself and ask whether you really like your job

DrHenryChan陳衍里醫生

Specialist in Dermatology and Venereology

MBBS(London) MRCP(UK) FHKAM(Medicine) FRCP(Glasgow)

FRCP(Edinburgh)

Hon Professor LKS Faculty of Medicine HKU

Hon Consultant Dermatologist QMH HKSAR

Visiting Scientist Wellman Centre for Photomedicine USA

ldquoirsquoM a firM believer iN the theory that people oNly do their best at thiNgs they truly eNjoy it is difficult to excel at soMethiNg you doNrsquot eNjoyrdquo ndash jack Nicklaus

We run a profession not a businesshellip [doctors]

should not be more interested in making money than in

helping people

22 | Caduceus September 2011

Art and Medicine Seeing Diseases in ArtHow art masterpieces reveal medical conditionsAndrew Seto (M15)

F or centuries art historians have been mesmerized by

the enigmatic smile of Mona Lisa coming up with theories that range from the mundane to the bizarre Was she a silk merchantrsquos wife or a self-portrait of Leonardo da Vinci himself Was she pregnant An adulterer Leonardo da Vincirsquos se-cret male lover The theories never cease

BehindMonaLisarsquossmileHighcholesterolIt turns out that Mona Lisa had

ldquovery high cholesterolrdquo at least ac-cording to Vito Franco a Sicilian professor of pathological anatomy A medical expert who enjoys study-ing art masterpieces for evidence of diseases Franco concluded that Mona Lisa had xanthelasma (the accumulation of cholesterol under the skin) Indeed a closer look at her mysterious face does show a yellowish collection around the in-ner corner of her left eye He even found evidence of lipoma (a fatty tissue tumor) on her right hand Probably the least poetic finding for the most renowned beauty in Renaissance art

This was not the first time medical experts have associated Mona Lisa with clinical conditions Charles Bell the 19th century Scot-tish surgeon who discovered Bellrsquos palsy a form of facial paralysis resulting from facial nerve palsy once coined the term ldquoMona Lisa syndromerdquo This was a reference to the facial muscle contracture that develops after Bellrsquos palsy resulting in a ldquoMona Lisa-like smilerdquo

Mona Lisa Xanthelasma or just a blotch by mistake

Insight

hkucaduceusnet | 23

Hardly would Parmigianino have known that the long slen-der fingers and limbs of Madonna with the Long Neck was the result of a genetic disorder called Mar-fan syndrome And of all the things that crosses onersquos mind upon first glance of Caravaggiorsquos Sleeping Cu-pid the notion that the baby was inflicted with juvenile rheumatoid arthritis would be hard to imagine Franco claims that his goal was to expose the human vulnerability of the people depicted in art

MichelangelorsquosgoutykneeAnother subject who has been

scrutinized by medical experts is Michelangelo Renaissance painter and sculptor Scholars looked at his knee from Raphaelrsquos School of Ath-ens and concluded that he suffered from gout a form of inflammatory arthritis that occurs when crystals form in the joints

Based on the appearance of his knee which appears swollen en-larged and covered in hard lumps a diagnosis of gout seems plausible It was known that Michelangelo de-veloped various diseases during his life In his writings he complained of having kidney and bladder prob-lems In 1549 he had an episode of anuria followed by passing of grav-el and stone fragments in his urine

Many experts believe that Michelangelo like many of his contemporaries developed gout from lead poisoning A well-known workaholic Michelangelo con-stantly lived off a diet of bread and wine (processed in lead contain-ers at the time) and was frequently exposed to lead-based paint All evidence points to lead poisoning which promotes kidney damage and inhibits uric acid excretion causing it to build up in blood This predisposed him to gout precisely as depicted in Raphaelrsquos fresco

RenaissanceArtandNeuroanatomyLike Leonardo Michelangelo

was not just an artistic genius but also a great anatomist At 18 he be-

Michelangelorsquos knee from the school of atheNs by Raphael (c 1509-1510)

Madonna with the Long Neck Was it Marfan Syndrome

Juvenile rheumatoid arthritis

ldquoall art is autobiographical the pearl is the oysterrsquos autobiographyrdquo ndash federico felliNi

24 | Caduceus September 2011

gan dissecting cadavers in a mon-astery in Florence where he honed his technical skills and knowledge of the human body

According to neuroscientists Michelangelo disguised sketches of the human brain in his famous Sistine Chapel ceiling painting which has remained unnoticed for 500 years His fresco The Creation of Adam shares a striking similar-ity with the sagittal section of the brain The fold in the cape repre-sents the Sylvian fissure separating the frontal and parietal lobes You may even recognize the angelrsquos foot as the pituitary gland his thigh as the optic nerve and his leg as the optic tract And that sassy green robe running down the ponsmdashthatrsquos the vertebral artery

Look at Godrsquos neck in The Sepa-ration of Light from Darkness from the same fresco Art historians have long speculated that its lumpy ap-pearance represents goiter Yet medical experts have found an ac-curate picture of the brainstem and spinal cord in Godrsquos throat stun-ningly similar to the creases and crevices of the brain

Yet why would Michelangelo embed the brainstem in Godrsquos throat Was he alluding to Godrsquos wisdom or was it a form of protest to the Church After all dissecting cadavers was considered unethical at that time and for an anatomist like Michelangelo who fell out with the Pope while painting the Sis-tine Chapel ceiling could he have been painting anatomical images directly above the chapel altar in defiance to the Church

Artandophthal-mologyHowvi-sionchangesartClaude Monet is recognized as

one of the founders of the Impres-sionist movement but his vision got cloudy during his later years He wrote letters to friends describ-ing his growing frustration with his vision changes He was even forced to memorize colours on his palette

the creatioN of adaM by Michelangelo (c 1511)

the separatioN of light froM darkNess by Michelangelo (c 1512)

hkucaduceusnet | 25

and label tubes of paint Red began to look muddy to him and he saw his painting as becoming ldquoincreas-ingly darkenedrdquo Whenever he com-pared his paintings with his earlier works he would be sent into a tow-ering rage to destroy them

This was because he had cata-racts Cataract patients have yel-lowing and opacification of the lens so his vision essentially be-came more brownish The yel-lowish brown cataracts he looked through filtered out violet and blue shades Monet underwent two eye operations in 1923 after which he returned to his old painting style even throwing away some of his paintings and repainting them

Thesufferingart-istDepictingill-nessesinartPerhaps no one better personi-

fies the notion of a ldquosuffering artistrdquo than Vincent van Gogh Clinicians have posthumously diagnosed him with a range of medical problems including epilepsy schizophrenic and bipolar disorder His later works have long been noted for his preference for the colour yellow and some have speculated that this was related to his yellow vision

One theory was that van Goghrsquos doctors prescribed him with digi-talis to treat his epileptic seizures His painting Starry Night has yel-low circles around the stars and not surprisingly people with digi-talis overdose often see a yellowish halo around objects Other experts speculated that it was his addiction to absinthe that led to his yellow vi-sion Absinthe is a highly alcoholic drink that contains a highly psy-choactive neurotoxin called thu-jone which causes yellow vision

Van Gogh was not the only art-ist who projected his illness into his art Edvard Munch had tuber-culosis and spit blood as a boy Her mother died when he was five her sister spent most of her life in-stitutionalized for mental illness and his brother died of pneumo-

nia Munch may have depicted his own psychotic state of mind in The Scream which portrays a twisted agonized creature wracked with anxiety and horror

ConclusionDo these findings actually

prove something or are we over-analyzing artworks with our medi-cal knowledge Exactly what ben-efit would these discoveries have for the world at large is unknown At least we know it could lead to yet another interpretation for Mona Lisarsquos smile the result of a scrump-tious meal of pizza and pasta with cheese tomato sauce and meat balls before sitting for her portrait (which would certainly also explain her cholesterol problem)

Two pictures by Monet of the same Japanese bridgemdashthe first painted in 1899 the second between 1918 and 1922 revealing a dramatic loss of shape and detail

suNflowers by Vincent van Gogh (1888) the screaM by Edvard Munch (1893)

ldquoeverythiNg that we see is a shadow cast by that which we do Not seerdquo ndash MartiN luther kiNg jr

26 | Caduceus September 2011

The End is Near Apocalyptic TheoriesRead more to learn about the terrifying future that awaits us Chariene Woo (M15)

S urge of waves rush over the mountains with unstop-

pable speed engulfing and shatter-ing our homes Flaming asteroids rain from the sky causing roads to crumble like sheets of paper Peo-ple running away from burning cities screaming fearfully Civiliza-tion ruined in matter of mere sec-onds Is this what the future lies for us

Nobody knows

Apocalyptic literature and movies have always raised interest among the general public partly

because it involves the end of our world as we know it and partly due to the fact that there is no solid proof how an apocalypse would come about The interest has re-cently skyrocketed with rumors about the world ending on 21st De-cember 2012 about how the May-an calendar finishes at that specific time and how it will be the end of the world as we know it So the big question is when and how will our world end

NostradamusProphetofDoomNostradamus of France was

one of the worldrsquos most famous seers and is most well known for Les Propheties (The Prophecies) a collection of his major long-term prophecies written in quatrains Many of his prophecies have cor-rectly predicted current events including the destruction of the space shuttle Challenger the death of Lady Diana and the destruction of Twin Towers of the World Trade Center As a result of these predic-tions he has been given the nick-

How do you survive the apocalyptic world

Insight

hkucaduceusnet | 27

name ldquoThe Prophet of Doomrdquo

Nostradamusrsquo prophecies have huge room for interpretation speculation and controversy and some people think his writing has no merit at all The following is an example of a quatrain alluding to some sort of environmental disas-ter in the future

ldquoFor forty years the rainbow will not appear

For forty years it will be seen every day

The arid earth will grow more dry

And great floods when it will be seenrdquo

(Century 1 Quatrain 17)

In other quatrains images of great comet alien invasion and nu-clear contamination are also men-tioned so these could all be the prospects that are waiting for us in the future Despite Nostradamusrsquo ldquoaccurate predictionsrdquo of what had happened in the past the quatrains do not have a specific order So out of all the disasters predicted in the many quatrains it is uncertain which will happen where or when giving it less importance in predict-ing an actual apocalypse

PlanetXAccording to Nancy Lieder a

woman who claims to have been contacted by extraterrestrial life forms Planet X (also known as Nibiru) would come close to planet Earth on May 27th 2003 resulting in the Earthrsquos rotation ceasing for 59 terrestrial days The Earthrsquos pole will then undergo a physical polar shift due to the magnetic attraction between the Earthrsquos core and the magnetism of the passing planet This will ultimately lead to the dis-placement of Earthrsquos crust and the end of us But when this did not happen the event was postponed and re-dated to coincide with the Mayan calendar hysteria

NASA argues that this is merely an Internet hoax with no factual or scientific basis They explain that if Planet X was approaching Earth astronomers would have

been tracking it for at least the past decade and the planet would now be visible by the naked eye This is a very comforting bit of news Yet some people believe that NASA is part of a conspiracy to cover up the existence of such planet and keep the truth of impending apocalypse from general public Again the ar-gument can go either way and the ldquotruthrdquo depends on which side you choose or want to believe in

2012TheendoftimeSo what is so special about the

year 2012 There are claims saying that the Mayan calendar ends on 21st December 2012 and that will be the end of time for mankind However just like every calendar it merely rolls over to the new year on that date and it doesnrsquot signify anything special In the Mayan cal-endar 21st December 2012 will be the end of brsquoakrsquotun 13 and marks the start of brsquoakrsquotun 14 A brsquoakrsquotun is 144000 days (a little more than 394 years) and there is no archeological or historical evidence to show that the Mayans expected anything sig-nificant or drastic to happen at the

end of each brsquoakrsquotun

However there exists litera-ture that suggests otherwise In 1975 Frank Waters the author of the book Mexico Mystique identi-fied the 13th brsquoakrsquotun interval to be the ldquoMayan Great Cyclerdquo where it ends in the worldrsquos destruction and rebirth Waters claims that cata-strophic earthquakes will destroy the world but he miscalculated the date and announced that the end of the ldquoGreat Cyclerdquo would be on 24th

December 2011 AD

The year 1987 marked an in-creased in interest regarding the prophesized big event in 2012 The author of The Mayan Factor Path Beyond Technology Jose Arguelles linked the 13th brsquoakrsquotun period to a ldquobeamrdquo that links people the plan-et the Sun and the center of Galaxy According to Arguelles the beam is the key to harmonic resonance in the universe and the Mayan knew when we would enter and leave this beam hence set their 13th brsquoakrsquotun to mark our passage accordingly He also claims that this beam could advance the development of any-thing with DNA hence creating a more positive view of the future

V838 Mon a star with expanding light echo purported as photographic evidence of Nibiru

ldquoevery MaN dies Not every MaN really livesrdquo ndash williaM wallace

28 | Caduceus September 2011

No one can be sure of whether the end of brsquoakrsquotun 13 signifies something great or disastrous for us or if it is just another restart in the Mayan calendar We can only know for certain when the day ar-rives

GodrsquosplanforusThis is by far the most detailed

and terrifying image portrayed out of all apocalyptic claims that I have gone through The Book of Rev-elation from the New Testament reveals signs of apocalypse through a wide variety of symbolism One of such is the frightening image of the ldquofour horsemenrdquo

ldquoAnd I saw and behold a pale horse and he that sat upon him his name was Death and Hades followed with him And there was given unto them authority over the fourth part of the earth to kill with sword and with famine and with death and by the wild beasts of the

earthrdquo (68)

The pale horse carries the horseman of Death which is be-lieved to release global plague and pandemics to the world and take the lives of a quarter of the popu-lation This has already manifested

itself in many forms in different parts of the world at different times hence the first sign of apocalypse is said to be already happening among us

In similar manners the bible describes the arrival a black red and white horsemen represent-ing the delivery of global food shortages war and conflict and the coming of an antichrist to the world From historical genocide terrorism to increased occurrence of food shortages so often seen nowadays it seems that the red and black horsemen has arrived as well and now we are just waiting for the arrival of an antichrist to conquer us

The Book of Revelation also provides readers with a glimpse into the ldquoactionrdquo in how the world will end

ldquoAnd I saw when he opened the sixth seal and there was a great earthquake and the sun became black as sackcloth of hair and the whole moon became as blood and the stars of the heaven fell unto the earthhellipand every mountain and is-land were moved out of their placesrdquo

(612-13)

Besides the great earthquake and the darkening of the sun there is a repetitive mentioning of stars falling from heaven on earth in the Bible This is postulated as the at-tack of massive meteors on planet Earth Out of all prophecies in the Book scientists assume this to be the most likely since an asteroid impact at a scale as large as that may have already wiped out an entire species that came before mankind Scientists believe that showers of space rocks that rained down 65 million years ago (due to the collision of Near Earth Object) were the culprit for the extinction of dinosaurs Luckily NASA recent-ly launched an early warning sys-tem called ldquoSpaceguardrdquo that aims to monitor such Near Earth Objects to prevent future collisions and ex-tinctions

Having read the above the Bible seems to combine all the horrifying specifics in different apocalyptic speculations into one nightmare But donrsquot worry since there are many different interpretations of the Revelation Historicists are the ones who see the Book as a broad view of history (good news wersquove already escaped all the horrors in the depiction) whereas Futurists

believe the description as prophecies of the fu-ture The Idealists hold the belief that the Rev-elation does not refer to actual people or events which makes sense as the Bible is often not inter-preted literally So fingers crossed that the Revela-tion is not interpreted in the futurist way because in that way there is going to be a daunting future awaiting us

Four horsemen of Apocalypse

hkucaduceusnet | 29

ldquoDevolvingrdquoEarthTheoryThis is probably the

most scientific theory that I have come across so far from a news article pub-lished from ABC News A group of scientists from University of Washing-ton hypothesized that the Earth will gradually de-volve in the next half bil-lion years In short their logic works as follows

As we all know the sun is constantly grow-ing bigger yet the Earthrsquos environment has been reasonably constant This is because as the sun is warmed up carbon diox-ide from the atmosphere is removed and deposited in soil as carbonates This keeps our environment stable by the balance be-tween an increasing sun and reducing carbon di-oxide in the atmosphere (Note that global warming resulting from an increase carbon dioxide in atmosphere is just a brief blip in the grand scale of things) Since carbon dioxide is the ldquofood of liferdquo the reduction will cause plants and animals (including humans) to die To battle the rising heat some creatures will retreat into the sea hence reversing the evolutionary process And as the sun continues to expand the Earth will become so hot that even the oceans will gradu-ally be evaporated Eventually the sun blasts off its mass through ther-mal pulses engulfing the Earth

This is a very scientific specula-tion from an astrophysicistrsquos point of view and they claim that at best we have no more than half a billion years left This might be more reas-suring for some of us as the world will not end in the near future But the grief lies in the inevitability of our planet Earth coming to an end

Everythingthathasabegin-ninghasanendSo we are back where we start-

ed With more speculation and the-ories and still no closer to the truth The end could happen any day or time or maybe it could be a proc-ess that is already happening Even though it is not to the scale of an-nihilation of the human race hur-ricanes and earthquakes and car crashes have already been stealth-ily taking the lives of millions We know for sure that we must die eventually through chance old age or disease There is only very little we can do to fight against what has been planned for us and reducing the resources we consume is the best chance that we have in delay-ing this happening There might be some benefit if we know the in-sights of when and how it will hap-pen but really it doesnrsquot change anything Moreover it is possible that these speculations came about to force mankind to live life to the

fullest to treasure each day and every resource we have as a gift so it doesnrsquot matter which theory is the accurate one In the midst of these theories about apocalypse all we can do is to live every day as if it was our last with no regrets and enjoy life as it is now

ReferncesThe End of the Worldhttpwwwnostradamus101compropheciespart4P7

The Great 2012 Doomsday Scare httpwwwnasagovtopicsearthfeatures2012-guesthtml

When Will the World End New Theory EmergeshttpabcnewsgocomTechnol-ogystoryid=97756amppage=2

2012 Beginning of the End or Why the World Wonrsquot Endhttpwwwnasagovtopicsearthfeatures2012html

Video from history channel (from youtube link)httpwwwyoutubecomwatchv=BoTExQEyblU

ldquothe MeaNiNg of life is coNtaiNed iN every siNgle expressioN of life it is preseNt iN the iNfiNity of forMs aNd pheNoMeNa that exist iN all of creatioNrdquo ndash Michael jacksoN

30 | Caduceus September 2011

笑的神奇魔力「當你笑你改變了當你改變了整個世界也改變了」

麻丹卡塔利亞醫生(大笑瑜伽的始創人)何麗敏 (N14)

被隱藏的笑容

日 本大地震及核洩漏事件馬頭圍道唐樓火災三死十九傷中區

警長為勸示威人士中不慎失足墮橋身亡

各政黨爭相你嘲我罵helliphellip在城市裡我們

每天都被一些飛來橫禍天災人禍或社會

爭執的信息圍繞著充斥著愁雲慘霧的氣

氛甚至在家庭朋友學業工作和

健康方面我們亦會遇到不如意之事負

能量和心理壓力不斷增加沒有適當的疏

導和發洩方法之下不少人染上酗酒或沉

迷賭博等壞習慣來自我麻醉長期把情感

抑制的一些人更有機會患上

情緒病我們彷彿硬把自己

困在死胡同裡忘記兒時怎

樣整天咧嘴哈哈大笑如何

在跌倒後笑著站起來現

在很多人都像被魔鬼牽著

鼻子走每天板著一副無奈

沮喪的嘴臉掛上冷漠的眼

神笑聲更差不多成為絕

朋友啊你可有嘗試計

算過一天總共大笑了多少

次英國格拉根大學研究發

現在英國嬰兒每天會笑

達三百次而青少年時期的

每天大笑次數大幅減至六

次五十多歲的人平均每天

更只笑了三次無可厚非

我們在成長過程中必遇到愈來愈多的煩惱

和挑戰事情的確不是我們所能控制但

面對的心態我們為何不能放開一時所謂

的包袱像孩子般笑著面對呢為甚麼大

笑要有一定的理由或被時間限制呢

瑜伽加愉

近半個世紀工作學業和情緒波動

很大生活方式變得愈來愈物質主義容

易出現精神緊張大家都被壓得透不過氣

來變得不太愛笑在一九九五年印

度孟買註冊家庭醫生麻丹卡塔利亞(Dr Madan Kataria)創立「大笑瑜伽」以笑聲驅除怨氣大笑瑜伽是以笑聲互相交流

的透過眼神接觸傳遞歡樂的信息學習

別人的笑容代入孩童的心態再全情投

入地開懷大笑同時亦融入瑜伽的腹式

不妨一試

大笑瑜珈三式一預備式林中步行

在樹林慢走就是愛笑瑜伽的熱身方式步行時間

可以是10-30分鐘邊走路邊拍手同時不時地做深呼

吸目的是讓身體和情緒都徹底放鬆下來為後面的

內容做好準備

二進行式學習動物的表情

在瑜伽導師的帶領下活動面部肌肉然後模仿瑜

珈導師的動物表情這些表情看上去本身已很滑稽

只要按照瑜伽師的樣子去做再發出笑聲

三結束式調整呼吸

經歷了一場大笑面部表情鬆弛了心情也舒服

了不少大家慢慢收回笑容調整呼吸一邊在森林

裡散步一邊大聲告訴自己說「我們是世界上最快樂的

人」

灼見

hkucaduceusnet | 31

呼吸和伸展動作鼓勵大笑達至身心健康

的效果精神科專科曾繁光醫生指出 

「笑令腦自然分泌天然多巴胺以抗衡人

體緊張時所分泌的皮質醇預防患上焦

慮抑鬱的情況」除了改善情緒還能

促進健康笑能促進肺部呼吸功能和加強

血液循環現代醫學認為笑可以成為一種

治病方式治療神經衰弱消除肌肉的緊

張預防或減緩疼痛

筆者在此並不是宣傳大笑瑜伽其治

療成效仍有待商榷和科學實證但愈來愈

多人證實大笑和保持歡樂的心態能有效放

鬆自己張立新先生是第一位在中國推廣 

「大笑瑜伽」的人他患上憂鬱症遍尋

各種治療方式皆無成效一次機緣巧合

從網路接觸「大笑瑜伽」亦在電視上看

到介紹而開始學習和練習他的憂鬱症因

此不藥而癒從此他就開始在中國研究和

推廣愛笑運動暫且別論大笑瑜伽的奏效

程度但人生所遇到的事可真不少何不

笑對人生

尋回被遺忘的赤子之心

大笑並不是靈丹妙藥但它的確能帶來

正能量即使事情有多糟糕笑著面對總

比怨聲載道好而且美國加州大學柏克

萊分校心理學教授丹卓凱納說「笑對

人的進化很重要」目前心理學家們認

為笑是人類之間交流的古老方式之一笑

能互相影響把歡樂的氣氛傳染開去嬰

兒還未學懂說話時笑是與身俱來為何

我們長大後卻隱藏笑容呢朋友們參考

左頁所列大笑瑜伽的基本招式大家可相

約三五知己輕鬆一番找回孩童時的笑聲

大笑瑜伽的始創人麻丹卡塔利亞醫生

大笑瑜伽在六十多國家盛行

ldquolaughter is the best MediciNe - uNless yoursquore diabetic theN iNsuliN coMes pretty high oN the listrdquo ndash jasper carrott

32 | Caduceus September 2011

Learning Experiencing GivingA magical 10-day journey away from the cityErin Yeoh (M15)

C lad in backpacks light clothing and sneakers 21 medical students from HKU and CUHK

were prepared to leave the comforts of home and the internet (did I hear Facebook) We were bound to Chi-na about to embark on a learning-cum-volunteering trip organized by Medical Outreachers

After saying our final goodbyes at the Shenzhen air-port we split into two teams Team A with 9 members were bound to Xirsquoan where they would see volunteer orthopedic surgeons at work The 12 people in Team B including me left for Guizhou to understand the role of village doctors in rural China Both teams aimed to find out the effectiveness of public health policies in rural areas of China We were to meet up 4 days later at Dongshan Guangdong

Part1GuizhouUpon landing in Guizhou we were provided with

excellent hospitality by the local officers and the lo-cal NGO Amity Foundation We were given a brief introduction to Guizhou and also the work that the government and Amity Foundation were doing in the province Amity Foundation actually helped to build numerous new village clinics to improve the quality of healthcare in the region

The next day we were taken on a tour around the province visiting different village clinics (村診所) lo-cated in areas further away from the city Usually there would be one or two village doctors (村醫) on duty

at a time to attend to the villagers with population of around 1000 to 4000 per village

However the village doctors were not the type of ldquoheroesrdquo I had in mind They were not your typical doctor working in a worn out run-down wooden hut where there would be a row of sick villagers lining up to see them How ignorant I was In fact the village clin-ics were mostly renovated and well equipped with ba-sic amenities The standard village clinic has 5 rooms main lobby (大廳) treatment room (治療室) pharma-cy (藥房) observation room (觀察室) and a doctorrsquos rest room (醫生休息室) Furthermore their patient flow was rather small sometimes only one or two pa-tients per day This was probably due to the fact that some village clinics were located only a stonersquos throw away from major cities Those in a medical emergency would of course go straight to the main hospital to seek help immediately instead of consulting a village doc-tor

To be a village doctor one at least had to be a sec-ondary school graduate They would also undergo constant training and certification by qualified doctors in larger clinics According to the village doctors they spent most of their time doing paperwork keeping track of the villagers and their medical history They would also conduct regular home visits to those suf-fering from chronic illnesses or those that needed con-stant monitoring such as patients with hypertension or rheumatoid arthritis Another point that I found

A village clinic before receiving funding from Amity Foundation

hellipand a comparison after

Life

hkucaduceusnet | 33

interesting was that they would also visit families with newborn babies to check on their general health At the same time they would educate mothers on proper breastfeeding techniques and how to provide adequate nutrition for their children in the future

To learn more about their daily routine we fol-lowed a village doctor on his home visit rounds The doctor would sometimes have to travel as far as 2 kil-ometers for a home visit which would be the other end of the village This was as in the case of a pregnant lady due for delivery soon (photo as shown below) The doctor who came to check on her health status reas-sured her that her delivery would be a successful one From her sigh of relief and tired smile we could tell that she was grateful to see the doctor

However things didnrsquot always run as smoothly According to some of the village doctors they used to be scolded and rejected by the locals who did not understand why the doctors would often come up to their doorsteps asking them questions regarding their health and pestering them to go for checkups Some of them being superstitious would think of doctors as ldquoharbingers of bad luckrdquo as the doctors would talk about ldquosicknessrdquo and ldquodiseaserdquo when they were actu-ally feeling as fit as a fiddle Thankfully the situation has much improved since then

From what we saw instead of playing a curative role in a society the village doctors were actually much more involved in disease prevention and monitoring

This is actually the ldquoupstream modelrdquo concept in pub-lic health Instead urban doctors are overwhelmed by limited consultation time and when fatigue kicks in they simply do not have the energy to further educate their patients They would also not have the time to un-derstand their patients on a personal level unlike that of the village doctors

However the indiscriminate use of antibiotics in China was truly a frightening sight Doctors adminis-tered antibiotics intravenously for mild diseases like the common cold When we asked the doctors as to why they did so they simply smiled and shrugged off the question It is probably still a common practice in China and if the doctors did not give such medication the patients would probably lose trust in the doctor The fact that the similar practices were seen even in large hospitals probably indicates that this problem is hardly a localized one

Part2DongshanGuangdongWe met up with the team from Xirsquoan at the

Guangzhou airport and proceeded to our next desti-nationmdashDongshan After 5 hours of car ride we began to see signs that we were approaching our destination Mountains sharply angled clustered in twos or threes fondly known as ldquoMcDonalds mountainsrdquo were begin-ning to be in sight

As soon as we arrived we were greeted by eager curious young faces The children huddled close by as we unloaded our luggage some commenting that they hadnrsquot seen some of us while others were already play-ing around with the past participants It was my first time to Dongshan but there were some of us who were not new to the kids there

After settling down we were given an introduction to Dongshan and its residents by the local NGO Green Action Foundation led by Mr Wong

Located at the outskirts of the province Dongshan is one of the 4 poorest areas in Guangdong Its natu-ral terrain abundant in limestone makes it especially hard to retain water This has taken a toll on the resi-dents especially during the drought season Another problem faced by the local residents is that there are many young people and adults migrating to big cities to earn a living leaving behind the children and elderly

Village doctor on one of his home visits

Discarded bottles of intravenous antibiotics near the village clinic

ldquoMediciNe also disregards NatioNal bouNdariesrdquo ndash irviNg laNgMuir

34 | Caduceus September 2011

at home

Green Action Foundation took the initiative to plant trees around the area so that more water was available for irrigation and domestic purposes This improved the quality of their crops and boosted their source of income They also sponsored some of the

childrenrsquos education depending on their performance in school to ease the burden on their families

The next few days were jam-packed with activities A sports day was held as an icebreaker so that the new participants could get to know the children better We also spent half a day at the Dongshan Primary School where we taught the kids personal hygiene simple first aid moral education and also sex education for the grade 5 and 6 students

Another interesting activity that we had was a weed-cutting session up at a mountain with the other children Each of us was assigned with 2 to 3 chil-dren who were supposed to ldquoguiderdquo us along the way It was a 2-hour hike up and down hilly ter-rain While I would stop once in a while to take a breather the kids were barely panting The kids would often stop to ask if I was tired and even of-fered to help me carry my backpack Note to self more exercise next semester

Nevertheless it was a great chance to know the kids better We had the time to chat about their school life and what they thought about their future and also the chance to share snip-pets of our lives in the city

We then split into small groups and visited the homes of the children in order to gain a bet-ter understanding of their household hygiene

condition any medical conditions in the family as well as their economic standing We had also prepared questionnaires to be kept as future record Some of the families were very poor to the extent of having no source of income at all They depended solely on their own crops for food If they went to see the doctor they would usually owe the doctor money until they had

enough money to pay back The hygiene status of the villagers varied but most of them had swarms of flies around food Many even had their live poultry like chickens running around the house Before we left we gave them some hygiene products like soap washing detergent and toothbrushes to encourage better hy-giene We also gave them a poster explaining ways of maintaining a clean household environment

Another main focus of the trip was to find out the effectiveness of a medical insurance policy newly in-troduced by the government Each person had to pay 30 Renminbi annually to be guaranteed free medica-

Sports day activity

Weed cutting with the children

hkucaduceusnet | 35

tion and hospitalization thereafter Generally the vil-lagers were grateful for this plan as many found it dif-ficult to afford medical fees while struggling to pay for

basic necessities at the same time However some vil-lagers complained that the prices of medicine spiked after this policy was introduced and hospitals would of-ten ask patients to

do unnecessary scans just to earn more money

This trip made me realize that there is much that we can do but how great an impact we can make might not be seen immediately With follow up trips one could see the change as compared to the last visit and make further modifications to improve the situation

As the trip came to an end we were reluctant to leave There was something very magical about Dong-shan where the skies would turn to an exuberant red during sunset and on a clear night you could see stars scattered across every corner of the sky It is a place of beauty struggle and hopefully a place of triumph in the years to come

It is a place of beauty struggle and hopefully a place of triumph in the years to come

On one of our home visits

More to ExploreMedical Outreachers 醫心httpmedicaloutreachersorg

The Amity Foundation 愛德基金會httpwwwamityfoundationorg The beautiful sunset in Dongshan

ldquoshariNg is soMetiMes More deMaNdiNg thaN giviNgrdquo ndash Mary catheriNe batesoN

36 | Caduceus September 2011

就 在這一刻世界沉默了

城市的繁囂隨飛機引擎

逐點逐點噴走了繁囂的離

開是為了讓簡單的生活回

來剛踏出廈門機場一張

又一張的笑臉映入眼簾刺

熱的太陽把兩地之間的隔膜

融化

早從香港回歸時開始

香港人經常強調自己只是 

「香港人」而不是「中國

人」自以為比內地人高一

等可惜這班自視過高的都

市人曾幾何時為外地人送上

熱情的款待這一點廈門

人比誰都做得更好

廈門是一個位於中國

東南部的海島也許就是近

海讓居於廈門的人都把一

切怨恨煩惱拋下大海讓

它們隨水流漂走埋藏在海

床上每年廈門的鳳凰花花

開兩季一朵又一朵鮮艷如

火的鳳凰花在六月時歡送一

個又一個的畢業生彷彿為

他們添上一份祝福九月時

的鳳凰花熱情地歡迎一屆又

一屆的新生為新生的精彩

校園生活揭開序幕一份一

份的熱情含苞待放身在廈

門又怎會不被這市花的熱情

感動呢廈門大至人與人

之間小至花與花之間都存

著一份情

要追溯廈門人的情懷

可數至土樓的建成土樓

是個大多呈方形或圓形大型

群居的建築整座土樓樓高

三至五層由於牆身頗厚及

只有一個出入口甚具有防

禦功能亦因為這緣故當

大門關起來土樓便成了一

個家這個家佔地不大但卻

藏著成千上萬的人情味在

萬里無雲陽光普照的天空

下土樓居民的熱情好客

被蒸發出來懸浮在空中

一代一代傳下去更讓它隨

風走出土樓傳遍整個廈

門即使土樓漸漸成為旅遊

景點一些擺賣紀念品的攤

檔已經進駐但卻無礙居民間

的感情商販彼此交流從

不出現爭客的情況在土樓

中央休憩的居民除了為外地

人介紹他們的祠堂外亦邀

請遊客跟隨他們到遊客禁區

參觀在土樓居住的每伙都

中門大開當遊客投進好奇

的目光屋內的人往往以親

切的笑容作回答鄉土人

情在這世代多冷漠的心也

被融化

細膩的人情味外最令

遊客津津樂道的是廈門人的

態度廈門大學附近有一條

芙蓉隧道只要你願意便可

在隧道內壁上畫下你所思所

想當然美觀與否見仁見

智但這一種對藝術尊重

欣賞的態度是值得欣賞我

有我盡情地畫你有你盡責

青春在廈門留下足印潘曉彤 (N14)

生活

hkucaduceusnet | 37

地去管轄城市各處的整潔

彼此留下空間達至相輔相

成的效果廈門人就懂得人

最基本的禮貌尊重不

過廈門人對他人的尊重遠超

於人的基本禮貌當你去唱

「卡拉OK」的時候每次

待應的出入時看到的就只

有他們的正面而他們前行

或後退的方式就像看到皇帝

一樣卑恭屈膝香港人常常

強調面子哪一天才能捨下

那過高的尊嚴為不相識的

人作一個最謙卑的招待

其實任何人一離開香

港都不難發現就只有香

港愈夜愈精彩其他地方晚

上八時大多關門大吉而廈

門就只有中山路才媲美得

上香港的夜夜笙歌夜幕低

垂萬千燈火的中山路上

與來自各區的人擦肩而過

昏黃的燈光下照出一群又一

群的沉默影子剛好與路上

喧鬧的行人相映成趣騎樓

在霓虹燈的點綴下顯出了獨

有的閩南特色大街小巷傳

來不同地道小食的香氣車

輪餅燒仙草土笋凍helliphellip

為我們外來的交流生帶來美

味可口的夜宵飲飽食醉過

後走到中山路的盡頭又

回到了沉睡中的廈門

在優美的環境影響下

廈門人的生活也自然變得

純樸優閒單車車輪在環

島路上留下一圈又一圈的印

記沿路能細聽海浪輕拍岸

邊的聲音細嗅四處洋溢的

花香感受微風吹散太陽散

發的熱力見證一對又一對

的新人在拍下幸福的照片

據說廈門有戀愛天堂之稱

不管走到哪一處也會

看到準新人拍下甜蜜的婚紗

照而在裡面享受的人永遠

不知道這風景如畫的背

後是透過多少人的血汗換

來當我們在追求經濟成果

的同時往往破壞了造物者

在世上留下的藝術品隨中

國經濟急速發展一個又一

個的世外桃園被摧毀銅臭

替代了花香車聲替代了鳥

語這仙境又可維持多久

廈門另一世外桃園就是

鼓浪嶼它活像香港的長

洲島上滿有歐陸建築風

格但當中不乏中國特色的

建築中國古城風味與洋風

互相交替帶出截然不同的

感覺島上遠離汽車的廢

氣與金門就只是一海之

隔一家大小在享受天倫之

樂時一群又一群的青少

年情侶在沙灘上嬉戲立

即為島上升溫

筆者認為在這個混亂的

俗世確實需要抽空來欣賞

造物者留下來的藝術品大

財團不斷興建大型商場國

際知名品牌不停進駐留下

的就只有愈來愈狹窄的街

道被石屎封蓋寸草不生

的土地人人被金錢蒙蔽

迷失在霓虹燈光中又有多

少知音人能放下生活的瑣碎

事情在這裡享受時間一分

一秒的流走你被海浪聲

喚醒了嗎

筆者參加這次是由香

港廈門兩地大學的交流

團一連六天已經習慣了

當地的優閒生活模式體會

到的不只是廈門的風土人

情歷史文化而是兩地大

學生那種衝破界限的交流

雖說年輕人容易打成一片

但廈門獨有的熱情確實融化

了彼此間的隔膜廈門的美

是成人之美成就了兩地大

學生的友誼

飛機又再起飛了廈門

再見了

ldquothe tiMe of life is short to speNd that shortNess basely it would be too loNgrdquo ndash williaM shake-speare

38 | Caduceus September 2011

生 命形成之際只要一秒鐘的差遲世界便會不一樣

蝴蝶效應從來都是玄的全因一個 

「緣」字

隨著人成長要決擇的事太多學生

有兩件人生大事幾乎都不是由自己決定的

入讀小學及中學然而到了大學這

關卡自己也許可以拿定主意了若果你

入讀了心水科恭喜你若不然祝福

誠然入大學是最影響未來生活的關

口是好是壞無人知曉不用量化不

用比較太多即管做自己所想活出自己

的路只因你不會曉得你的下一步會怎樣

影響著你的生命

或許一個活動你會遇上你的最愛

或許一個宿位你會遇上你的知己

或許一句說話你會惹來一個敵人

或許一次走堂你會由B變C

這就是大學

在大學各人有各人的大學生活大

學講求自由學習學習真的是「求學不是

求分數」有些人愛廣交朋友有些人愛

住宿有些人愛做莊務有些人愛拍拖

有些人愛參加各樣活動有些人愛做兼

職有些人愛讀書有些人卻愛甚麼都不

做helliphellip不少大學生強調入大學必定要做齊

大學五件事(上莊住宿讀書拍拖

兼職)但其實只要自己開心不害人的

話做甚麼也沒問題最要緊的是認清讀

大學的目的以免沉淪於大學這花海

朋友

大學可以令你對「朋友」的概念愈來

愈含糊幾乎每個活動都可令你認識新朋

友通常大家都會輪流講述自己的名字與

學科(Round Table)這亦是考驗大腦對人名的記憶所謂的「Hi-Bye Friend」會愈來愈多隨便在細小的港大內穿梭會令你

無可奈何地對他們說聲Hi

不過別標籤你的「Hi-Bye Friend」要是連Hi-Bye也談不上更不用說做深交了上大學了大家已有既定的圈子很

多時約會或聊天都先找中學朋友而且很

多人會把大學朋友與中學的作比較雖情

有可原但有時未免先入為主地覺得中學

的較好

這亦難怪即使是日日碰面的同學也

未必是自己的好友人人都有自己的時間

表下課後各散東西不是大家不想互相

認識只是有時身不由己若想互相了

解不妨盡量製造共處之時有時甚至可

以分一些約會給大學朋友然後你會發

現大學朋友也可跟你熟絡可別為自己

建造一塊厚厚的心牆

舍堂

要入宿無人會不曉得十日的迎新營

有些舍堂平均每天的作息時間只有兩三小

時有人說住宿最辛苦就是迎新營然而

它卻是最難忘的

要數活動單單一個舍堂已數之不盡

要是投入舍堂生活每天24小時是不夠

用的舍堂之間有各樣比賽堂友要參加

各個組別為比賽出席各樣練習否則可

能被拒於來年再住基於許多人都只在夜

晚有空要全體出席那可是晚九朝五的

大學之緣賴彥積 (N14)

新鮮人

hkucaduceusnet | 39

宿生們之所以會熱衷於舍堂活動因他

們對自身舍堂有強烈的歸屬感好比中學

時學生參加校際比賽要是沒有歸屬感

就不會有心參加所屬舍堂的活動

除舍堂之間之活動樓層之間亦有各類

活動樓內亦然只要有人的地方就有玩

樂彷如天天宿營你不會有機會偷偷早

睡其他樓友常常打擾你你原來的生活

時間會推後數小時睡於二時已是罕有

早上的八半堂彷如無物

可以住宿但不參加活動嗎當然可以

但你會面對的是朋輩壓力他們雖未必逼

你參加卻會在言談中有意無意的滲出

來那種壓力不只限於自己樓層甚至是

跨樓層千萬可別輕看宿中流言

上莊

有人說上莊所學遠超課堂上莊所學

的是如何籌辦活動非常實用有時要對

外聯絡有時要面對公眾helliphellip像是要為將

來工作鋪路似的當然這亦要視乎你上

的是甚麼莊

一般而言上莊可訓練你待人處事的技

巧有時表面看來很友好的朋友當背

負上一定的要求後關係少不免有磨擦再

者初時莊員素未謀面最後卻因朝夕相

對而演變成朋友這段關係是很可貴的

成莊前要宣傳內閣爭取選票成莊了

又要舉行咨詢大會包受歷莊指導然後

又有就職典禮此後的活動更接踵而至

當然包括迎新活動招莊活動等helliphellip君不

見很多人視莊房為睡房少不免有「通

頂」之時忙是忙但必有價值至於是

好是壞要看自己的造化了

拍拖

人上了大學有時心思思想拍拖眼見

身旁多個好友都紛紛拍拖自己少不免羨

慕別人這想法十分正常畢竟大學生真

的可以放下只讀書的重擔真的可以規劃

人生大事了

香港大學一些營新活動中隨了Round Table外還有Round Status即說自己現在有否拍拖以及拍過多少次拖如 

A 0即Ava i lab l e之前至現在沒有拍拖O1即Occupied之前至現在共拍了一次拖當然也有一些同學自己創的甚

麼OBA (Occupied But Available)或D10(Desperate拍過10次拖)等等至於Round Status的動機何在可能是組爸媽想穿針引線吧當然也可能是別有用心的

不同人對拍拖有不同想法上了大學更

有不同擇偶條件人大了在感性的議題

上往往加上種種理性的數據開始現實起

來哪個帥哪個富有哪個有前途helliphellip

有些不在乎天長地久只求剎那的光輝

有些求虛榮有人疼愛在朋友前炫耀

有些甚至會在拍拖前已想定分手後的模

樣所以不想選擇跟自己同科的同學

活動

不同團體(包括舍堂學會及學校部

門)都有不同活動不用愁沒事幹只用

愁沒時間只要多留意Portal Mass Email或Main Campus海報不難發現幾乎每天都有各樣活動動靜皆宜開學時有迎

新營考試時有勁過飯新學期有開Sem

飯有些學會如戲劇舞蹈合唱團不時

有演出有關運動的學會則多練習以參

加比賽有關學術的也有很多興趣班講

座比賽等想幫人的亦可參加義工團

體如蛇蛇豬扶青等舉辦的義工活動

兼職

大學生的兼職大多以補習為主畢竟

這是我們能力範圍內可賺取最多外快又是

時間最彈性的工作有些人卻因補習不能

寫在履歷表而選擇別的工作然而很多時

我們都要在兼職與大學活動中取捨我的

ldquotake a chaNce all life is a chaNce the MaN who goes farthest is geNerally the oNe who is williNg to do aNd darerdquo ndash dale carNegie

40 | Caduceus September 2011

E mily was the chairperson of Pharmacy Socie-ty session 2010 As a student she has actively

participated in holding activities for many medical stu-dents and taken part in providing welfare to all phar-macy students Her following sharing will especially enlighten our new pharmacy students

Q Why did you choose Pharmacy SocietyA To be frank ldquosheung jongrdquo was really out of

my expectation when I anticipated my university life However my perspective has changed when I officially became a pharmacy student in HKU As members of the opening class of the Pharmacy programme my classmates and I realised the importance of having our own student body We do need an independent soci-ety to represent us pharmacy students to cater for our specific needs to listen to our points of view and to act as a bridge to facilitate our communication with the Medical Faculty the entire university and ultimately the pharmaceutical field in Hong Kong My class-mates and I who later became ldquojong yausrdquo believed we should act immediately to establish and run our own society which is why I decided to ldquosheung jongrdquo

Q Would you like to share some of the pros and cons of sheung jong

A ldquoSheung jongrdquo definitely helped me achieve per-sonal growth It was a concurrent commitment and re-sponsibility to serve and to lead our colleagues Bear-ing this in mind we always pushed ourselves to attain the best of our work ethics efficiency and efficacy As the very first session of the Society we lacked the guidance of any previous committee member Instead analysing carefully and critically we thought better of every decision which I personally found an enriching experience ldquoSheung jongrdquo was also an eye-opening journey Wersquod got to meet different people and learnt more about the professional work for as our career-to-be after graduation This in my opinion is always beneficial Last but not least I was fortunate enough to have worked with my amazing fellow committee mem-bers I frankly couldnrsquot ask for better ldquojong yausrdquo than initium Irsquom absolutely thankful for having them as my friends and it is definitely my greatest gain along the way

Despite the merits ldquosheung jongrdquo definitely has its downsides as well It is a lie to say ldquosheung jongrdquo does not affect our daily life because it does take up a big chunk of our time At the end of the day it is about time management which is easy to say but extremely dif-

建議是如家庭環境較困難賺錢吧反

之可以多留時間給各活動畢竟大學一

年的學費不只值那幾十堂課如何善用這

$42100就在乎你如何投入大學生活

讀書

假若你認為大學的考試可考核學生的

真正讀書能力並要求學生活學活用課堂

所學那麼你大失所望了假若你善於背

誦有過目不忘之本領大學的筆試不會

難倒你只要靠著前人留下的歷屆試題

背到滾瓜爛熟是不可能不及格的很多屆

試卷都是千篇一律的很多教授可沒空大

改試題那同學們就走運了有些課堂

即使再專業的學科都會有只理論無實

踐的課堂然後考試就要你把一大堆理論

背出來helliphellip例如甚麼叫批判思維噢

我可不知道只知道我掉了5分

不同學系在某程度上定下了人的前途

對於醫學院學生而言前路是較清晰可見

的但對於非專業學科前路不可只靠讀

書也許要靠自己另外摸索讀書所帶來

的必然是較高的GPA高GPA所帶來的是

獎學金到外國交流工作實習日後工

作機會等等當然大學學習不只局限於

讀書會否因此失彼就只有自己知道

蝶翼拍動之時往難以預料機會是

要自己摸索的

如經上所記

「神為愛他的人所預備的是眼睛未曾看見耳

朵未曾聽見人心也未曾想到的」

(哥林多前書29)

「栽種的和澆灌的都是一樣但將來各人要照自

己的工夫得自己的賞賜」

(哥林多前書38)

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

Freshmen

hkucaduceusnet | 41

ficult to achieve Also working as a Committee mem-ber can be very exhausting and difficult You definitely need lots of determination and support to get through some of the busiest times

Q How did you handle and balance the workload of study and your ldquojongrdquo

A As Irsquove said before it was tremendously difficult I guess my best advice for the future committee is to know your limitations and always plan ahead You have to know your time to work to rest to study etc No one will be over-worked and eve-ryone will have some personal time if you share the burden wisely between ldquojong yausrdquo Secondly you have to make very clear plans so that you can make full use of every little piece of your time I may not have succeeded in my time management but most of my ldquojong yausrdquo managed to do so de-spite the packed schedule of our Soci-ety This is sufficient proof of ldquoimpos-sible is nothingrdquo

Q As there are only about 25 pharmacy students per class do you have any suggestions for P14 fresh-men to make more friends from other curricula

A It really depends on what kind of person you are If you consider your-self socially active living in a hall or ldquosheung jongrdquo will be a great idea for you But if you see yourself as a much quieter person you can still make use of opportunities such as Medic Orien-tation Camp and other events jointly organised by student bodies within the Medical Faculty to make new friends

Q Any special things for P14 freshmen to be aware of

A First of all welcome You all are now members of Pharmacy Society MS HKUSU and I would like to let you know that this is a student body aiming to serve you Thus feel free to share your viewpoints and voice out your opinions to the current Com-mittee members The Society has to

understand your needs to improve and provide better welfare and services for you

Q Any other comments or important things to re-mind P14 freshmen

A If you would like to get to know more fellow pharmacy students especially students from P12 and P13 grab the opportunity to join the Pharmacy Society Orientation Camp and the Mentorship Programme These are great chances to make new friends and Irsquom sure you will enjoy them

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

ldquoas huMaN beiNgs we do chaNge grow adapt perhaps eveN learN aNd becoMe wiserrdquo ndash weNdy carlos

42 | Caduceus September 2011

筆 者是一位護理系的學生半年前有幸成為二零一一年啟思編輯委員會的總編輯在期間所體驗到的希望藉著這次機會作出分享特別希望新加入醫學院的同學

能對「上莊」有更多了解

上莊之路上莊是大學五件事之一證明它對大學生

活有一定的重要性一定的位置筆者在初入學的時候曾為了上莊與否而煩惱猶豫了好一段時間期間考慮到自己能力怕學業應負不來但最後仍然下了上莊這個決定原因是上莊是個難得的機會充實增值自己不同的莊會提供不同的機會讓莊友去學習透過不同的莊務去讓自己眼界擴大另外可以了解醫學院內發生既事情例如院內活動的進展情況更可以參加舉辦院活動為醫學院出一分力最後當然會認識到將會相處一整年的莊友工作伙伴有機會認識到不同學系的同學從他們身上可以觀察到學習到各種的特質從而令自己有所進步有所啟發

護理學生作為護理系學生起初擔任總編輯一職實

在是倍感壓力畢竟歷屆的總編輯都是由醫科生出任因此筆者起初都害怕跟醫科生共事怕自己的能力不足夠應付莊務所以起初都是戰戰兢兢地上莊

一位三年的護理學生曾對我說「我認為你不太尊重護理系護理系和醫科都是個專業希望你能加以尊重自己的學系不要輕視護理這個學系你要肯定自己的學系才能帶領整支莊因為莊內成員來自不同的學系你必須肯定和認同每個學系都有一定的重要性以及其專業」這番當頭棒喝的良言令我明白到自己一直都太輕視護理系過於重視醫科現在我明白到認同自己學系是尤其重要只有這樣才可以用自己學系的身份去發表意見只有認同自己學系才懂得尊重其他的學系莊內便可以融洽一點

在筆者的莊友中醫科生都是較有責任感而且做事更有計劃從他們身上的確學到不少東西這點是無可否認的事實筆者並不是在分享學系與學系之間的差別而是希望有志上莊的同學能互相尊重明白到各學系的莊

友都有其值得學習的地方起初對其他學系有隔膜是無可避免的畢竟對他們的學系都不太了解又沒有歸屬感但如果因為對方是別的學系而輕視對方的人不但失去與人相處學習的機會而且會令莊內的氣氛失去和諧

幸好的就我所見所聞醫學院內的莊多年來都能融洽相處互相支持令到一眾上莊的同學都能輕鬆地享受上莊的喜與樂甚至是不愉快的事情

依靠你的莊友莊是一個團體不是一兩個人可以應

付得來所以筆者認為與莊友互相溝通合作是個重要的元素新同學如果有志參與莊務期望從上莊中有所得著首要的事情是與莊友建立關係因為他們將會是你來年的工作伙伴也是你遇到困難時依靠的對象一位上莊曾對我說「其實一件的莊期不會令你有太大的得著或成長反而長久的友誼才是你將會得到最重要的」這句說話是千真萬確的上莊的人不會由詞不達意改變成談吐得宜不要期望自己會有驚人的轉變也許上莊會令人處事成熟一點有計劃一點但上莊所得到的關係將會是更重要更珍貴一年的相處中面對過有無數的會議共同處理過不少困難從中

建立的友誼真的是畢生受用

責任感上莊另外一個十分重要既條件就是責任

感有志上莊的同學必須明白到莊期是長達一整年在繁重的學業中騰出時間來處理莊務是個考驗責任感和毅力的測試同學必須再三思考想清楚自己是否真係熱衷於上莊或是只是一時衝動畢竟你將要許下的是一年的承諾必須對這個莊負上責任願意付出才選擇上莊這個決定這樣的付出就會有相對的回

總結上莊的確是個好機會讓自己去學習從處

理事務中或是從莊友身上都會有所得著充實著自己的大學生活從中可以認識到各學系的同學建立一段段受用終身的友誼在此筆者希望各學系的新同學可以善用機會作出上莊這個無悔的決定

護理系的啟思總編石志榮 (N14)

新鮮人

hkucaduceusnet | 43

慈兄吟(下)奇晶

最 後還是麥教授先開了口「他的確是一個好學生對醫學有獨到見解他不但學業成績優異而且樂於助人你是他的妹妹吧」婉慧努力控制自己的淚水繼繼續續的說「是啊但helliphellip但helliphellip我不知道helliphellip他竟會在這裏出現」麥教授用悲天憫人的目光看着婉慧語重深長說「人生自古誰無死人生命的有為與否並不取決於他生命的長短而是在於人生的意義你哥哥雖然最後當不了醫生但他的犧牲卻間接為一些同學做醫生鋪路讓他們做醫生去救人這真是一種無私的愛」婉慧點點頭覺得自己對哥哥的了解實在太少了

最後她還是孤獨的離開實驗室她覺得自己跟哥哥比起來實在相差得太遠了原來他除了是十優狀元在醫學院的成績名列前茅外還是個熱心助人的好青年自己除了少了一優外少的更有對別人的同情及樂於助人這造就了她心靈上的空虛她明白到冷漠不是一種對哥哥思念的正當表達方法她應該做的是把哥哥對其他人的愛傳揚開去以圓他的心願

第一步往往是最困難的婉慧平日對他人的態度已令不少人對她敬而遠之有很多次她嘗試向同班同學投以友善的笑容得到的總是詫異的目光或別人的不理不睬在小組討論中儘管她踴躍發言盡量避免冷場的發生偶同學們卻認為她變本加厲想阻止同學們取得好成績她四處碰壁又再次陷入了想念哥哥的深淵

時間一天一天過去了上學期考試前的休假開始了婉慧每天都勤奮的在圖書館溫習期望取得好成績這時候的圖書館堆滿了人如果遲來一個小時想找一個位子也難就在假期的第二天同班的王文在圖書館跑得氣急敗壞仍找不到一個座位婉慧不知怎樣有點同情他將座位讓給他王文驚訝道「不用了我還是回家吧真倒楣遲來了一個小時就沒有『接位』」

「但你住在哪裏呀」

「元朗今天早上我忘了校鬧鐘八時才起」

「那你還是要我的座位吧我可以坐到電腦桌因為我認識的人不少沒有什麼人會打擾我的」

王文謝了她頓時對這位冷漠的同學刮目相看原來她的內心也是溫暖的這並不是他所能料及的坐在電腦桌前溫習的她也感到特別的快樂溫習的速度也快多了王文就此成為了她的「飯檔」考試期間每天和她一起吃飯他更將自己的好友介紹給婉慧認識

在一個晚上她又悄悄的在圖書館的角落溫習着突然一隻溫暖的手搭着她的肩上她抬起頭但見解剖學的同桌手中拿着一杯熱飲輕輕的放在她的桌上婉慧正感詫異卻聽見他說「這杯熱巧克力是給你的繼續努力吧」她喝着巧克力心中感到一股暖流彷彿哥哥的關懷又在她內作出回響

十年生死兩茫茫不思量自難忘千里孤墳無處話淒涼helliphellip

寒風吹起了她額上的劉海佇立在墓前的婉慧不禁凜冽她想起了從前想到自己最後一次和哥哥吵架雙方面紅耳赤的情況想起自己無法親口跟哥哥道歉想起哥哥無私的付出她對着那空虛的墳心中不忍一陣淒然淚水漱漱的流下來她身旁攜扶着年紀老邁的母親邊拭淚邊喃喃道「我的兒子helliphellip歿了helliphellip」大家心情漸漸平復了緩緩走出了墳地

雨一滴一滴的落下飽歷辛酸的婉慧卻仍在懸壼濟世

短篇

ldquoyesterday is but todayrsquos MeMory aNd toMorrow is todayrsquos dreaMrdquo ndash khalil gibraN

44 | Caduceus September 2011

Eternal Flame (1)Tulipa

Itrsquos cold The chills from my fingertips imbibe deep into me This person drills into my mind digging out the truth inside me Itrsquos agonizing She comes right inhellip di-rectly I cannot stop her

Irsquom losing myselfhellip

My hand felt the soggy pillow I realised I had come back to life the world where I lived Staring blankly at the ceiling still losing focus in my eyes I felt my brows with my forearm For the first time I didnrsquot want to lose this feeling

The bedroom door slowly opened I quickly rubbed off the drops that had blurred my vision pretending that I had just woken up

ldquoDo you have lessons this morningrdquo My grand-mother whispered into my ear

ldquoOh goshrdquo I turned right to my alarm clock It was the real life I had forgotten to turn the alarm on last night and it was now seven thirty I knew it I was going to be late every time she caught me in bed Irsquod got to hurry up

Living in Hong Kong Island though it took me more than an hour to get to school I had to comfort my little brother sometimes till two or three in the morning in order to get him to sleep In addition to the consistently heavy study load in the medical school I could hardly get enough rest Running on my heels al-most became my routine starting from last November But I well understood the consequence of skipping lec-tures It was the beginning of the Cardiovascular Sys-tem Block For someone like me who gave least priority in revising Anatomy materials lectures remained the prime source of information for exams Absence from class was suicidal To make the situation worse this professor was one of those who did NOT upload lec-ture notes online

Hoping I wouldnrsquot arrive too late to miss the impor-tant points I finally stepped onto a route no 8 minibus at ten past eight What I could do now was to pay trust in the driver who would bring me to my destination

Coaxing kids was never easy Little Bruce just hap-pened to give me such a hassle last night

He knew I would check on him when I returned home Sitting right next to the door of his room he begged me for a story once I opened the door I sat down together with him on his little couch after Irsquod taken a quick shower This was a time to relax leaving

aside all the other concerns

Kindling through his favourite reader I saw that he wasnrsquot listening but distracted by all sorts of toys around He even invited me into his world of fantasy But it was getting late I had to calm him down so that I too could have some rest Being one of the brightest in his elementary school he should understand this was not the time for recreation

I began to feel annoyed

Yet he was my brother I had a gut feeling that this was unusual He didnrsquot use to be so ldquohyperactiverdquo It re-ally took me a while to adjust to his change With him still tossing and turning in my arms I apprehended his restlessness Unpredictable though he was true to his feelings In one way or another he might find the shadow of our mother in me

He finally settled when I laid him back in bed It was nearly two forty in the morning

The first week of the CVS Block ran as plotted PBL tutorials would start on next Monday Dr Youngrsquos fa-cial expression in the first PBL evaluation flashed over my Embryology notes and references She didnrsquot teach Embryology but I could tell she did have a hypertroph-ic heart-shaped face which looked familiar to the dia-grams in the Atlas

Back in the IHD Block most of us were puzzled about the scrambled content of our course Various forms of seemingly related knowledge came in through lectures practical and tutorial sessions But the neural circuit formed in our brain just failed to resonate as if the conductance-inductance mismatch had aberrated our thought from minimal impedance Sometimes things even happened in a ldquomore-than-extrardquo manner The presence of common core courses in a parallel but independent branch in the network could rightly be detached without causing a blip on the galvanometer Everything was dubious We had no idea of what we were doing

Maybe we were just on the way seeking for a sense of attachment

My mind too was racing in haste I was struggling with my decision to become a doctor Too many things had happened over the year I just couldnrsquot stop ques-tioning myself what was I thinking when I put lsquo6456 MBBSrsquo in my JUPAS application I should have expect-ed and prepared to face all these I just didnrsquot knowhellip

Novella

hkucaduceusnet | 45

It was midterm evaluation in the IHD Block Her face looked tense in that heart shape She was so stiff in her facial expression that no one could read her mind from her poker face The conference room of the Physi-ology Department was large We seemed to be the odd ones out in the spacious carpeted room In this secre-tive silence you could hear the drumming in your ears as if you were tingling

I realised this was not a matter of ldquoam-I-suitable-for-a-medical-careerrdquo but ldquois-a-medical-career-suita-ble-for-merdquo I was lying in bed playing with my plush bear when these thoughts burst in me Dr Young looked through me She felt certain that different from other group mates there were crises behind me But I didnrsquot tell her anything that day

We all were sensitive At times some subtle trepi-dation seeped in gradually sucking peace away from my sleep It was so to say below threshold sub-lethal though it lingered for weeks once it set inhellip

Drenched in bloodhellip There is no life in the boy His eyes are widely opened slightly protruded The lifeless pair of black pearlshellip I cannot escape from his glance He wants to talk to mehellip There is something he wants me to know

A van runs over himhellip

I fell down the edge of my mattress Breathing heavilyhellip Sweating all overhellip

ldquoScreechrdquo People began to gather around a tel-ephone booth a few metres behind us

I turned back I couldnrsquot see a lot from this anglehellip

ldquohellip What a pity He is so younghelliprdquo a middle-aged couple passed by

The victim resting just in front of the wheel looked towards me through a break in the crowdhellip

As we were wandering around thinking what to eat for dinner my cousin found me standing there rooted to the ground stunned by the victimrsquos gaze My heart was pounding She wouldnrsquot believe what I was again experiencing For a number of times already scenarios in my dreams were mirrored into reality

I couldnrsquot tell her

ldquoI was just thinking whether you would like Korean cuisine There is a new restaurant two corners awayrdquo I made up a talk while escaping from the scene so that I wouldnrsquot look so strange

ldquoWhy not go and have a try thenrdquo She was not dis-appointed for calling it a day as the food there was sur-prisingly good

Not until some years ago when I was Form 3 in college I discovered my ability to look into the future Sometimes I could see them coming up on the news in days or weeks And some didnrsquot ever happen at least not around me But seeing the night visions coming into concrete existence wasnrsquot always a pleasure when the mental images turned gradually into mostly night-mares When I visualised my close ones it felt like I was in the middle of an insecure chain bridge above a torrent that would sweep me into the vast ocean with no return It was entirely different from what you might understand as ldquodreams come truerdquo

I had witnessed misfortunes in proximityhellip

But I could do nothing about ithellip

Friends were a source of solace someone to con-fide all frustrations in But with my paranormal ability which appeared to everybody else only on screen-plays I wasnrsquot courageous enough to open my life wholeheartedly to them Seldom talking about myself avoiding all sorts of gatherings I became an eccentric figure among my classmates

Sometimes mutual understanding carried more weight than words I remembered my physics teacher being one of my few friends during my teen years De-spite his boisterous faccedilade he was always sensitive to whenever I was dwelling on my burdens Physics was our common language Intermingling our emotions and feelings with concepts that were alien to my fel-lows we developed a close rapport impenetrable by anyone else

ldquoWhat is the nature of a flamerdquo This was the most discussed problem between us Neither in solid liquid nor vapour state Not having any definite shape and colour It seems not any material but a type of energy giving out heat and light At the moment of providing it also exhausts its fuel and eventually itselfhellip

The romance of physics is more than anything you could read write and talk about Once you were truly connected with it nothing can stop you Your mind will bounce irrespective of the chronology of space-time but only under the guidance of your thoughts

I was so devoted to the discipline at the time that I was almost making it my lifelong career in some way He envisaged that I would demand much more than any academia could provide with its scientific basis alone We were both seeking a philosophy beyond the facts But Hong Kong may not be the right place for it

I made him a promise at the end to contain our flame and I knew I would

For the first and the last time I saw his eyes filled with tears We knew existence by itself is a miracle

ldquoi love life because what More is thererdquo ndash aNthoNy hopkiNs

46 | Caduceus September 2011

說華佗都說「華佗再世」誰知箇中真諦雲方 (M15)

烽煙起戰火燃萬里 

三國並爭英雄地亂世有誰顧生死 

待神醫行世將民眾救濟

渺渺江山東西瞰俞跗巧手扁鵲心(1) 應向何處尋 

滾滾黃沙無世家終有奇士放奇葩

沛國 華元化(2) 

他經書貫通南北遊動 

一望斷症如神助三劑消病不必多

說斷症悉如所料 

甘陵 相夫人腹痛極難忍(3) 號脈知死嬰在左為男形(4)廣陵 梅軍吏除名歸故里

見貌知壽盡速返見萱椿(5) 

說消病藥到病除 

飲蒜醋有三升蟲一嘔而盡清 (6)母服丸而溫儲兒不藥而自癒 (7)

絕妙處 

是他開腸剖腹刀至辟毒 

神醫號 

除他內外皆精有誰配稱

[1]   俞跗黃帝時代之名醫扁鵲春秋戰國之名醫《淮南子人間訓》「患至而多後憂之helliphellip雖有扁鵲俞跗之巧猶不能生也」

[2]   華佗字元化沛國人(今安徽 亳州)

[3]   甘陵相(即甘陵之行政長官)夫人懷胎六月腹痛不安華佗為其切脈便知胎死於是命人摸知所在在左則男在右則女人云「在左」夫人飲藥後果然產出男胎腹痛立即痊癒

[4]   廣陵有軍吏名曰梅平離鄉服役後來退役歸家於路上巧遇華佗華佗視之嘆道「若能早些見我當不至於此而今你僅餘五日壽命速速回家還能與家人相見」平旋即趕抵故鄉五日後亦如料身亡

[5]   萱椿多作椿萱比喻父母漢牟融《送徐浩》詩「知君此去情偏切堂上椿萱雪滿頭」

[6]   華佗見路邊有人食不下嚥教他到路邊餅店買醋三升混上蒜泥然後飲用路人服後即吐出一條長蛇(即寄生蟲)

[7]   兩歲男孩長年腹瀉藥石無靈華佗往診謂病在母命其服用華佗親研之「四物女宛丸」服後母親乳汁不再寒涼男孩亦不藥而癒

意興

hkucaduceusnet | 47

只可惜人無完壁

「關將軍使君予我手刮骨惡毒走

曹丞相使君予我頭剖顱苦痛收」

「怎能不收怎能不收一命嗚呼萬事休 

簡直荒謬簡直荒謬殺此庸醫未須愁」(8) 

五禽戲尚能傳 (9)麻沸散從此絕 

何不一飲醉死不知世忍氣吞聲事權貴 (10)心神委曲須臾苦奇術失迭千秋計 

烽煙止無改生死事 

且當醫仙謫世間神技終須風裏散 (11)回首仰高山景行請君範 (12)

[8]     曹操欲殺華佗臣下勸之不可答曰「不憂天下當無此鼠輩耶」

[9]     死前華佗欲托所著醫書於獄卒不果便盡數焚毀唯有其養生體操「五禽戲」流傳後世

[10]   《三國志魏書方技傳》「當須刳割者便飲其麻沸散須臾便如醉死無所知」

[11]   唐白居易《簡簡吟》「恐是天仙謫人世只合人間十三歲」

[12]   景行(音航)即大道以高山景行比喻人品德行為之高尚典出《詩經小雅車轄》又東漢鄭玄曰「古人有高德者則慕仰之有明行者則而行之」

ldquothe art of MediciNe was to be properly learNer oNly forM its practice aNd its exerciserdquo - thoMas sydeNhaM

48 | Caduceus September 2011

啟程

清晨空白的天空看不見藍天雲彩

只有溫柔的雨絲和朦朦朧朧的霧水跟隨

著大隊的足印踏上沉重的腳步穿過橫

街小巷和煩囂熱鬧的市場走過自動門

撲鼻的消毒藥水味道讓大家屏住呼吸筆

者和夥伴們終於到達了入讀護理系以來第

一次實習的醫院

還記得在實習的前幾天心情是既忐忑

又期待的畢竟這一次實習的地方不再是

在社區中心宣傳健康方面的知識亦不是

只面對著健康活潑的小朋友和老友記或是

學校課堂上所提供的假人張靜汶卻是照

顧一羣真正需要關懷的病人心中充滿著

憂慮不知自己所學的知識足夠在應用上

嗎自己平日的練習足夠嗎雖然心存在

著不少疑惑但也十分期待可以體會一下

做小學護的感受嘗試把這一年裡所學到

的知識運用出來

很多的第一次

在病房裡總有心酸和膽戰心驚的時

候第一次為昏迷的病人清潔口腔第一

次為難以進食的人插入胃喉第一次為老

公公清洗背上壓瘡的傷口helliphellip照顧他們時

的心情都是一步一驚心生怕自己沒法應

付得來又怕會把事情弄得更糟糕最重

要的是恐怕自己不純熟的技巧令他們受苦

了記得有一回第一次為女病人插入尿

喉採取尿液樣本可能技巧不太純熟的關

係延長了病人的痛苦過程中她皺著

眉頭不斷呻吟又緊張得咬破脣眼看

她樣子心中真的不是味兒來身為病人

的其中之一依靠我們不得不給自己信

心如果連自己也不相信自己哪會有病

人願意把他們交給我們照料呢

捕捉那瞬間的美麗與淒然何麗敏 (N14)

上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

意興

hkucaduceusnet | 49

另外第一次面對病人的心情是頗為

緊張的說話技巧亦有改進的空間但和

病人傾談了數分鐘後氣氛也漸漸變得和

諧可能那些老公公整天呆在醫院裡真是

悶到慌看見一羣年青人與自己聊天照

顧和關心他們他們不禁咧嘴而笑醫院

職員透露有一位老公公平日不太願意吃東

西於是我們便主動和他談天說地又

悉心照料他進食的情況後來他不但胃

口好了不少就連心情也開朗了他生動

活潑的談吐讓我們笑了他回復健康精

神的體魄也讓我們感到安慰

相處片刻

雖然為期一星期的病房日子不是特別繁

忙或是辛勞但是也會有不習慣的時候

幸好得到醫院職員和一班夥伴的支持病

房經理和註冊護士不但相信我們的能力

對學護的包容更是不用多說還主動地介

紹病房的環境和細心地教導我們醫療護理

上的知識讓我們上了一堂實在而又寶貴

的課同時今次的實習也令我感到團體

精神也十分重要在技巧上大家互相提

點互補不足當有人準備照料有需要的

病人如插喉或洗傷口等大家送上一句 

「加油」就能令對方增加不少自信心和正

能量無論遇上甚麼事情我也榮幸有如

此一班學習夥伴從旁支持

學習的階級

在這一次病房實習中雖然醫療和藥物

知識方面有待加強但是我學懂了如何與

不同身份的病人相處之道溝通上也得到

了很大的進步獲益不少除此之外我

也真正體會到如何做一個好護士並清楚

了解這個行業是否適合自己鐘樓也不是

一天就能建成而是需要一磚一瓦搭建而

成的所以在學習上我們不但要打好

穩固的基礎還要增強醫療知識在技巧

上馬虎了事和走捷徑是於是無補的應

該多探究和練習才行這樣才對得起病人

和自己也減少不必要的醫療失當事故

總之多一份認真多一點耐性多一些

愛心就是學護必記的左右銘 上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

ldquoit is reasoNable to expect the doctor to recogNise that scieNce May Not have all the aNswers to probleMs of health aNd healiNgrdquo ndash NorMaN cousiNs

50 | Caduceus September 2011

Fun Corner

Medical AppsEver wondered how your handheld device can save your time and

effort when it comes to studying Here is how

Anatomy Pronunciations by HipposoftAccurate pronunciations of over a hundred important anatomy terms you have trouble with are provided

at your fingertips to help you spell those difficult words Anyone who has taken an anatomy course can tell you how challenging it can be to pro-nounce the names of those complicated anatomi-cal terms It is even linked directly to Wikipedia and Google through web browser for additional information

iPharmacy ndash Pill Identifier and Medication Guide by SigmaPhone LLCAn essential medication guide of 20000+ drugs is provided for con-sumers amp professionals This ex-

pands the image library to include 12000 pill and package images and includes digital drug identifier with official drug information (indica-tions dosage adverse reactions and more) You can check the drugs anywhere

Grades 2 by TapityIt tells you what grades you need in the coming tests in order to get your target grade You can easily calcu-late your GPA so as to maintain it It

is a useful tool helping you to keep an eye on your GPA all the time

Human Anatomy by SusaSoftXThe application provides you with information of 15 different biologi-cal systems You can keep on revis-ing while you are traveling without

carrying heavy books

Medscape by WebMD LLCFrom drug classes interaction clin-ical procedures and even the lat-est medical news Medscape helps medical students and healthcare

professionals to reiterate knowledge that has slipped from the mind It is a free application for iPhone iPad Android and Blackberry Yet it contains more function on Android phones and Apple products and lacks detailed clinical infor-mation for diseases and clinical procedures walk through on Blackberry

Pro Medical Terminology Dic-tionary by TreascoveryTerminology might be a tough work for medical students Even if we can master those English terms we can

hardly think of the Chinese terms This applica-tion can help you when you face this problem Note that it is not a free application

3M Littmann SoundBuilder by 3M CompanyA great tool designed to help im-prove auscultation skills of medical students with 14 unique lessons of

key heart sounds combing text virtual manne-quin 3D cardiac animation and dynamic wave-forms

iRadiology by Liebermans iRadi-ologyAn excellent learning tool for medi-cal students demonstrating classic radiological findings of a multitude

of abnormalities including over 500 radiologic images Radiologic images include CT US MRI and nuclear imaging each clearly labeled and followed by key teaching points

Micromedex Drug Information by Thomson Reuters (Healthcare) IncIs Cephalexin a first generation ce-phalosporin This application from

Thomson Reuters is the easiest way to navigate in the sea of drug names Drugs are sorted by classes and supplemented with rich information

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 17: Caduceus Issue 2, Volume 42

hkucaduceusnet | 17

to put your career before marriage Many of us delay our plans of marriage and pregnancy after finishing our specialty fellowship which is at around 30rdquo After hearing this I was very worried but she added ldquoGen-eral practice is also a good choice and there are some females doctors who donrsquot follow this trendrdquo

One of the things that struck me the most is that Dr Hon sticks to the principle of doing everything with all your heart ldquoYou only pass through this life once and when you look back you should not regret what you have donerdquo So when presented with conflicting ideas with her principle what does she do ldquoI reflect and fight for itrdquo she laughs ldquoIt sounds rebellious but as a doctor you have to have a judgment that is best for your patient and you cannot conform to society or systemsrdquo Using the limited consultation time for each patient in public hospital settings as an example she explains that doctors arenrsquot machines and should be able to adjust to different patientsrsquo needs appropriately so to do what is best for the patient ldquoYou should never lose yourself under the system and should always do whatever you think is best for your patientrdquo

When asked about the specialty of ophthalmol-ogy Dr Hon tells us with passion that ophthalmology allows instant gratification and makes a difference to patientrsquos life ldquoMany specialties can make a difference but only a few have a clean-cut immediate effect like ophthalmologyrdquo But ophthalmology is also about hard work and persistence ldquoIn this specialty there is con-stant advancement in the past we do extra capsular extraction but now there are frequency emulsifica-tion and other advancements I am always awed by the senior partners in this clinic who have a strong will to chase and read up on new techniquesrdquo So besides steady hands and good eyesight intellectual curiosity on the latest research is a must if you are thinking of pursuing a career in ophthalmology

Before we parted Dr Hon gave us a final word of wisdom ldquoThis is going to be hard for you two gals but you look tough and yoursquoll survive Since you chose this career path do expect to work very hard as it is not easy but so is every other occupation nothing is ever easy in this worldrdquo

DrCharmaineHon韓尚穎醫生

Specialist in Ophthalmology

MBBS(HK) MRCS(Edinburgh)

FC Ophth(HK) FHKAM(Ophthalmology)

ldquoas you grow older yoursquoll fiNd the oNly thiNgs you regret are the thiNgs you didNrsquot dordquo ndash Zach-ary scott

18 | Caduceus September 2011

奉行完美主義的守護天使專訪麻醉科李靜芬醫生吳瑞麟 (M15) 李庭翰 (M15)

說 起麻醉越野挑戰馬拉松義工無國界醫生你想到甚

麽幾樣風馬牛不相及的東西可以用三

個字關聯起來李靜芬

李靜芬醫生畢業於香港大學醫學院

現於養和醫院疼痛治療門診工作她曾經

加入無國界醫生到南蘇丹服務又是醫療

輔助隊動員主任香港不少的大型活動

例如馬拉松東亞運奧運馬術等都由她

去統籌急救站的運作她又經常舉辦醫療

會議亦於很多地方做義務醫療顧問熱

衷於向公眾推廣疼痛管理與健康的知識

另一方面她是香港全能運動學會醫療顧

問經常參加越野挑戰戶外活動又參

加半馬拉松比賽看完李醫生這麼的一個

簡介實在很難不驚歎好一個「周身

刀張張利」的奇人

人生的轉捩點

其實初中時期的她與醫生根本扯不上

半點關係身為壘球隊隊長在中四的一

次練習中她被壘球擊中一眼從此改變

了她的命運當時全港只有一位眼科醫生

會在晚間應診眼科的醫療設施也不足

令她眼睛流着血水在黑暗中東奔西跑尋找

醫生她由大埔賽馬會診所走到威爾斯

然後到伊莉莎伯再到油麻地終於找到

眼科醫生李醫生由四點奔波到十點令

她深深體會到作為病人的痛苦也從此立

志要做一個醫生幫助有需要的病人

初中時的李醫生每天放學就練球以

致成績中等但自從立志投身醫護她虛

心求教又得到當時的班主任授予時間管

理和讀書的方法成績突飛猛進在短短

六個月間從中等成績進步至模擬考試全

李靜芬醫生Dr Carina Li

麻醉科專科醫生

香港大學內外全科醫學士 澳洲及紐西蘭麻醉科醫學院院士 香港麻醉科醫學院院士 

香港麻醉科醫學院疼痛科文憑

香港醫學專科學院院士(麻醉科)

專題

hkucaduceusnet | 19

級第一她的毅力和決心實在令人佩服

她的傲氣

其後她獲中文大學收作暫取生但她

又再次作出驚人之舉李醫生認為要讀醫

科生物化學科就得好些所以一定要認

真研讀高級程度的生物化學但是人是有

惰性的如果做了暫取生就一定會變得不

思進取讀不好生物化學於是她毅然

放棄暫取生的資格全心全意去考好高級

程度會考李醫生的豪氣決斷她破釜

沉舟的決心她的好勝和哲學令筆者從

心底裏衷心地拜服她

結果她當然考得很好的成績在選擇

大學時她再一次認真考慮自己將來的

路向她生來就有一種使命感覺得一定

要做一樣在任何時候任何地方都最有用

的工作加上她常常留意時事總覺得天

災人禍真的可以隨時發生於是她就選擇

了兩種無論是面臨戰爭還是天災的時候

對所有人都十分重要的工作記者和醫

生她終於入讀了港大醫學院並於九五

年畢業

與麻醉科結緣

實習的時候她特意選擇了一些能夠獲

得較多經驗的部門到投考專科的時候

她也選上了可以接觸很多不同類型病人的

兒科只可惜當時兒科並沒有學額但在

朋友介紹之下知道了麻醉科麻醉科同樣

可以接觸到不同的病人而且無論在甚麽

地方都可以發揮所長正正符合了李醫生

的志向結果她便入了麻醉科

據李醫生所說雖然一般人認為麻醉

科對體力的要求較少適合女孩子但

是現實並不這樣簡單由於麻醉要求一絲

不苟麻醉科的醫生都是完美主義者而

且學習的內容艱深每一種藥物的作用

反應甚至化學結構都要讀得滾瓜爛熟

她形容麻醉科醫生就好像病人背後的守護

天使在手術中要不停監測病人的維生指

數感覺病人的生命就在自己的手中所

以要承受着很大的壓力

作為麻醉科醫生每次見到的都是昏

迷或者沒有意識的病人事實上並沒有甚

麽可以跟病人溝通的機會病人通常感覺

不到麻醉科醫生的付出所以作為麻醉科

醫生未必可以從病人身上得到很大的滿足

感但他們卻比其他醫生更能夠專注地為

病人服務因為每次在手術中只照顧一位

病人

她的叮囑

李醫生叮囑現在的醫學生一定要僅記當

初想做醫生的原因她覺得在這個物質

社會中人是很容易迷失的她感覺到現

在的某些醫學生只為了一份穩定的工作

甚至是因為父母的意見而選擇行醫關於

作為醫生的意義卻從沒有思考過她勸

我們要好好問自己兩條問題人為甚麽生

存於世上作為醫生又是為了甚麼她

認為醫者要有父母心處處為病人而

不是為自己着想作為醫生就是要去服

務幫助人而不是為了求回報我們生

存於世上為的是信望愛並不用時時

記住利益金錢等東西最後她又提醒我

們不可以歧視病人不論是黑社會成員還

是香港首富只要病了就是一個無助的

病人就需要我們的幫助

李醫生思考獨立為人熱情健談跟李

醫生做訪問真的是一件有趣的事又令筆

者獲益良多特別是她有關人生意義的看

法的確值得反思作為醫學生的大家

你又可曾想過為甚麼要生存為甚麼要做

醫生呢

ldquothere is No MeaNiNg to life except the MeaNiNg MaN gives his life by the uNfoldiNg of his powersrdquo ndash erich froMM

在手術中不停監測病人的維生指數麻醉科醫生就好像病人背後的

守護天使

20 | Caduceus September 2011

To Succeed is to Fight Against ComplacencyInterview with a Dermatologist ndash Dr Henry ChanLily Cheng (M15) Andrew Seto (M15)

W ith our scheduled interview being inter-rupted by an emergency case of Stevens-

Johnson syndrome a life-threatening allergic skin re-action to medication Dr Chan rushed to the hospital for his patient

Sitting in Dr Chanrsquos office at his private practice the Hong Kong Dermatology and Laser Centre in the middle of a conference call with his overseas counter-part researchers we saw a pragmatic doctor at work This is a doctor who would never be complacent with his performance but keeps striving for excellence

AmedicalcareerDr Chanrsquos interest in dermatology was sown well

before his exposure to the discipline Having been in-flicted with eczema during his childhood he suffered from an excruciating itch in his skin that caused him much distress As a result of his own medical condi-tion he developed an interest in dermatology at a young age

During his fourth year in medical school he ex-plored an elective in dermatology at Yale University and began formal training in the field He obtained his medical degree and worked for several years in the UK before returning to Hong Kong to work at the Prince of Wales Hospital He then received a grant from the Hos-pital Authority to read dermatology in the UK

Working back and forth between Hong Kong and Britain in and out of universities and hospitals in his early years of practice Dr Chan settled his work base in Hong Kong in 1995 He was Associate Professor of CUHK from 1998 to 2000 and Chief of Dermatology and Associate Professor in HKU from 2000 to 2004

After entering private practice in 2004 Dr Chan now spends a lot less time on doing administrative work and more time on treating patients While he was actively engaged in teaching research and clini-cal work his current focus has shifted to mainly clini-cal work As an honorary clinical associate professor of our faculty he enjoys teaching and values the opportu-nity to cultivate and influence medical students

A renowned dermatologist with a strong research interest in medical devices Dr Chan is still very active in terms of research output His private practice sup-ported by a team of full-time research staff is unique

for its active research component ndash a practice which is well-established overseas but rare in Hong Kong

AsadoctoranddermatologistIn the beginning laser devices were developed to

treat medical conditions such as haemangioma and black moles but technological advancements driven by recent research has explored new possibilities for their applications in cosmetic treatment As a result new cosmetic procedures have appeared for the treat-ment of various conditions from skin rejuvenation to body contouring

While it is true that most dermatological conditions are rarely life-threatening they may nonetheless have a profound impact on patientsrsquo physical and psycho-social wellbeing For instance eczema often presents with rash It may give exudate in serious cases but is rarely fatal Nevertheless it might constitute great dis-comfort and inconvenience to patients Similarly se-vere cases of acne may also diminish onersquos self-esteem Dr Chan stressed that treatments for many skin condi-tions are not merely cosmetic in nature but may im-prove patientsrsquo self-esteem body image and psychoso-cial wellbeing

On the other hand some skin problems such as psoriasis and chronic eczema are incurable It is there-fore the doctorrsquos duty to educate patients and enhance their understanding of their disease One of the re-sponsibilities for dermatologists is to evaluate the im-pact of their patientsrsquo conditions to their quality of life Other than helping them return to their normal routine and diet as far as possible dermatologists also need to teach patients the way to get along with their chronic illnesses

Dr Chan emphasized that we run a profession not a business On this ground a doctor should never tell a patient what procedure they should receive Rather a doctorrsquos role is to explain the options available and provide the relevant information that carry with each procedure including potential risks and complica-tions

Dr Chan reminded us that financial return is only a ldquoby-productrdquo of a doctorrsquos work as a professional Doctors work hard and should be paid for their serv-ices but they should not be more interested in making

Feature

hkucaduceusnet | 21

money than in helping people He believes that shap-ing doctors into commercials in some way jeopard-izes medical professionalism

SuccessRedefinedSummoning his days as a fresh medical officer Dr

Chan recalled the death of the 18-year-old girl inflicted with necrotizing fasciitis who died within 24 hours He bore in mind every complicated case as an alarm to his future practice admitting that there is always room for him to improve

Quoting the professional golfer Jack Nicklaus Dr Chan reminded us that ldquocomplacency is a continuous struggle that we all have to fightrdquo It is easy to let our guard down but doctors have to be responsible for their patients all the time It is demanding but impor-tant for every medical professional to be vigilant and maintain onersquos standard at the top level He believes that good doctors should keep themselves in an appro-priate amount of stress and tension which keeps them mindful of their patientsrsquo needs

When asked about his rules for success Dr Chan emphasized that he does not feel he has attained his goal yet He feels that he may have had a decent start but it is inappropriate to judge his career before his retirement as he is still in the middle of his career To him it is far too early to define success Despite his change in roles over the years he still maintains his enthusiasm and passion that motivate him to do his best whether it be research teaching or clinical work

As far as medical students are concerned Dr Chan doesnrsquot see the urgency of deciding our future spe-cialty yet Medical school gives us a broad and general exposure to various fields and offers a good place to learn and gain experience sharpening our skills before serving as doctors We could still explore more in our senior years to come

ldquoFollow your heartrdquo Dr Chan gave us as a conclud-ing word He believes that the so-called ldquoROADrdquo to success is not really that important if one does not en-joy onersquos profession Listen to yourself and ask whether you really like your job

DrHenryChan陳衍里醫生

Specialist in Dermatology and Venereology

MBBS(London) MRCP(UK) FHKAM(Medicine) FRCP(Glasgow)

FRCP(Edinburgh)

Hon Professor LKS Faculty of Medicine HKU

Hon Consultant Dermatologist QMH HKSAR

Visiting Scientist Wellman Centre for Photomedicine USA

ldquoirsquoM a firM believer iN the theory that people oNly do their best at thiNgs they truly eNjoy it is difficult to excel at soMethiNg you doNrsquot eNjoyrdquo ndash jack Nicklaus

We run a profession not a businesshellip [doctors]

should not be more interested in making money than in

helping people

22 | Caduceus September 2011

Art and Medicine Seeing Diseases in ArtHow art masterpieces reveal medical conditionsAndrew Seto (M15)

F or centuries art historians have been mesmerized by

the enigmatic smile of Mona Lisa coming up with theories that range from the mundane to the bizarre Was she a silk merchantrsquos wife or a self-portrait of Leonardo da Vinci himself Was she pregnant An adulterer Leonardo da Vincirsquos se-cret male lover The theories never cease

BehindMonaLisarsquossmileHighcholesterolIt turns out that Mona Lisa had

ldquovery high cholesterolrdquo at least ac-cording to Vito Franco a Sicilian professor of pathological anatomy A medical expert who enjoys study-ing art masterpieces for evidence of diseases Franco concluded that Mona Lisa had xanthelasma (the accumulation of cholesterol under the skin) Indeed a closer look at her mysterious face does show a yellowish collection around the in-ner corner of her left eye He even found evidence of lipoma (a fatty tissue tumor) on her right hand Probably the least poetic finding for the most renowned beauty in Renaissance art

This was not the first time medical experts have associated Mona Lisa with clinical conditions Charles Bell the 19th century Scot-tish surgeon who discovered Bellrsquos palsy a form of facial paralysis resulting from facial nerve palsy once coined the term ldquoMona Lisa syndromerdquo This was a reference to the facial muscle contracture that develops after Bellrsquos palsy resulting in a ldquoMona Lisa-like smilerdquo

Mona Lisa Xanthelasma or just a blotch by mistake

Insight

hkucaduceusnet | 23

Hardly would Parmigianino have known that the long slen-der fingers and limbs of Madonna with the Long Neck was the result of a genetic disorder called Mar-fan syndrome And of all the things that crosses onersquos mind upon first glance of Caravaggiorsquos Sleeping Cu-pid the notion that the baby was inflicted with juvenile rheumatoid arthritis would be hard to imagine Franco claims that his goal was to expose the human vulnerability of the people depicted in art

MichelangelorsquosgoutykneeAnother subject who has been

scrutinized by medical experts is Michelangelo Renaissance painter and sculptor Scholars looked at his knee from Raphaelrsquos School of Ath-ens and concluded that he suffered from gout a form of inflammatory arthritis that occurs when crystals form in the joints

Based on the appearance of his knee which appears swollen en-larged and covered in hard lumps a diagnosis of gout seems plausible It was known that Michelangelo de-veloped various diseases during his life In his writings he complained of having kidney and bladder prob-lems In 1549 he had an episode of anuria followed by passing of grav-el and stone fragments in his urine

Many experts believe that Michelangelo like many of his contemporaries developed gout from lead poisoning A well-known workaholic Michelangelo con-stantly lived off a diet of bread and wine (processed in lead contain-ers at the time) and was frequently exposed to lead-based paint All evidence points to lead poisoning which promotes kidney damage and inhibits uric acid excretion causing it to build up in blood This predisposed him to gout precisely as depicted in Raphaelrsquos fresco

RenaissanceArtandNeuroanatomyLike Leonardo Michelangelo

was not just an artistic genius but also a great anatomist At 18 he be-

Michelangelorsquos knee from the school of atheNs by Raphael (c 1509-1510)

Madonna with the Long Neck Was it Marfan Syndrome

Juvenile rheumatoid arthritis

ldquoall art is autobiographical the pearl is the oysterrsquos autobiographyrdquo ndash federico felliNi

24 | Caduceus September 2011

gan dissecting cadavers in a mon-astery in Florence where he honed his technical skills and knowledge of the human body

According to neuroscientists Michelangelo disguised sketches of the human brain in his famous Sistine Chapel ceiling painting which has remained unnoticed for 500 years His fresco The Creation of Adam shares a striking similar-ity with the sagittal section of the brain The fold in the cape repre-sents the Sylvian fissure separating the frontal and parietal lobes You may even recognize the angelrsquos foot as the pituitary gland his thigh as the optic nerve and his leg as the optic tract And that sassy green robe running down the ponsmdashthatrsquos the vertebral artery

Look at Godrsquos neck in The Sepa-ration of Light from Darkness from the same fresco Art historians have long speculated that its lumpy ap-pearance represents goiter Yet medical experts have found an ac-curate picture of the brainstem and spinal cord in Godrsquos throat stun-ningly similar to the creases and crevices of the brain

Yet why would Michelangelo embed the brainstem in Godrsquos throat Was he alluding to Godrsquos wisdom or was it a form of protest to the Church After all dissecting cadavers was considered unethical at that time and for an anatomist like Michelangelo who fell out with the Pope while painting the Sis-tine Chapel ceiling could he have been painting anatomical images directly above the chapel altar in defiance to the Church

Artandophthal-mologyHowvi-sionchangesartClaude Monet is recognized as

one of the founders of the Impres-sionist movement but his vision got cloudy during his later years He wrote letters to friends describ-ing his growing frustration with his vision changes He was even forced to memorize colours on his palette

the creatioN of adaM by Michelangelo (c 1511)

the separatioN of light froM darkNess by Michelangelo (c 1512)

hkucaduceusnet | 25

and label tubes of paint Red began to look muddy to him and he saw his painting as becoming ldquoincreas-ingly darkenedrdquo Whenever he com-pared his paintings with his earlier works he would be sent into a tow-ering rage to destroy them

This was because he had cata-racts Cataract patients have yel-lowing and opacification of the lens so his vision essentially be-came more brownish The yel-lowish brown cataracts he looked through filtered out violet and blue shades Monet underwent two eye operations in 1923 after which he returned to his old painting style even throwing away some of his paintings and repainting them

Thesufferingart-istDepictingill-nessesinartPerhaps no one better personi-

fies the notion of a ldquosuffering artistrdquo than Vincent van Gogh Clinicians have posthumously diagnosed him with a range of medical problems including epilepsy schizophrenic and bipolar disorder His later works have long been noted for his preference for the colour yellow and some have speculated that this was related to his yellow vision

One theory was that van Goghrsquos doctors prescribed him with digi-talis to treat his epileptic seizures His painting Starry Night has yel-low circles around the stars and not surprisingly people with digi-talis overdose often see a yellowish halo around objects Other experts speculated that it was his addiction to absinthe that led to his yellow vi-sion Absinthe is a highly alcoholic drink that contains a highly psy-choactive neurotoxin called thu-jone which causes yellow vision

Van Gogh was not the only art-ist who projected his illness into his art Edvard Munch had tuber-culosis and spit blood as a boy Her mother died when he was five her sister spent most of her life in-stitutionalized for mental illness and his brother died of pneumo-

nia Munch may have depicted his own psychotic state of mind in The Scream which portrays a twisted agonized creature wracked with anxiety and horror

ConclusionDo these findings actually

prove something or are we over-analyzing artworks with our medi-cal knowledge Exactly what ben-efit would these discoveries have for the world at large is unknown At least we know it could lead to yet another interpretation for Mona Lisarsquos smile the result of a scrump-tious meal of pizza and pasta with cheese tomato sauce and meat balls before sitting for her portrait (which would certainly also explain her cholesterol problem)

Two pictures by Monet of the same Japanese bridgemdashthe first painted in 1899 the second between 1918 and 1922 revealing a dramatic loss of shape and detail

suNflowers by Vincent van Gogh (1888) the screaM by Edvard Munch (1893)

ldquoeverythiNg that we see is a shadow cast by that which we do Not seerdquo ndash MartiN luther kiNg jr

26 | Caduceus September 2011

The End is Near Apocalyptic TheoriesRead more to learn about the terrifying future that awaits us Chariene Woo (M15)

S urge of waves rush over the mountains with unstop-

pable speed engulfing and shatter-ing our homes Flaming asteroids rain from the sky causing roads to crumble like sheets of paper Peo-ple running away from burning cities screaming fearfully Civiliza-tion ruined in matter of mere sec-onds Is this what the future lies for us

Nobody knows

Apocalyptic literature and movies have always raised interest among the general public partly

because it involves the end of our world as we know it and partly due to the fact that there is no solid proof how an apocalypse would come about The interest has re-cently skyrocketed with rumors about the world ending on 21st De-cember 2012 about how the May-an calendar finishes at that specific time and how it will be the end of the world as we know it So the big question is when and how will our world end

NostradamusProphetofDoomNostradamus of France was

one of the worldrsquos most famous seers and is most well known for Les Propheties (The Prophecies) a collection of his major long-term prophecies written in quatrains Many of his prophecies have cor-rectly predicted current events including the destruction of the space shuttle Challenger the death of Lady Diana and the destruction of Twin Towers of the World Trade Center As a result of these predic-tions he has been given the nick-

How do you survive the apocalyptic world

Insight

hkucaduceusnet | 27

name ldquoThe Prophet of Doomrdquo

Nostradamusrsquo prophecies have huge room for interpretation speculation and controversy and some people think his writing has no merit at all The following is an example of a quatrain alluding to some sort of environmental disas-ter in the future

ldquoFor forty years the rainbow will not appear

For forty years it will be seen every day

The arid earth will grow more dry

And great floods when it will be seenrdquo

(Century 1 Quatrain 17)

In other quatrains images of great comet alien invasion and nu-clear contamination are also men-tioned so these could all be the prospects that are waiting for us in the future Despite Nostradamusrsquo ldquoaccurate predictionsrdquo of what had happened in the past the quatrains do not have a specific order So out of all the disasters predicted in the many quatrains it is uncertain which will happen where or when giving it less importance in predict-ing an actual apocalypse

PlanetXAccording to Nancy Lieder a

woman who claims to have been contacted by extraterrestrial life forms Planet X (also known as Nibiru) would come close to planet Earth on May 27th 2003 resulting in the Earthrsquos rotation ceasing for 59 terrestrial days The Earthrsquos pole will then undergo a physical polar shift due to the magnetic attraction between the Earthrsquos core and the magnetism of the passing planet This will ultimately lead to the dis-placement of Earthrsquos crust and the end of us But when this did not happen the event was postponed and re-dated to coincide with the Mayan calendar hysteria

NASA argues that this is merely an Internet hoax with no factual or scientific basis They explain that if Planet X was approaching Earth astronomers would have

been tracking it for at least the past decade and the planet would now be visible by the naked eye This is a very comforting bit of news Yet some people believe that NASA is part of a conspiracy to cover up the existence of such planet and keep the truth of impending apocalypse from general public Again the ar-gument can go either way and the ldquotruthrdquo depends on which side you choose or want to believe in

2012TheendoftimeSo what is so special about the

year 2012 There are claims saying that the Mayan calendar ends on 21st December 2012 and that will be the end of time for mankind However just like every calendar it merely rolls over to the new year on that date and it doesnrsquot signify anything special In the Mayan cal-endar 21st December 2012 will be the end of brsquoakrsquotun 13 and marks the start of brsquoakrsquotun 14 A brsquoakrsquotun is 144000 days (a little more than 394 years) and there is no archeological or historical evidence to show that the Mayans expected anything sig-nificant or drastic to happen at the

end of each brsquoakrsquotun

However there exists litera-ture that suggests otherwise In 1975 Frank Waters the author of the book Mexico Mystique identi-fied the 13th brsquoakrsquotun interval to be the ldquoMayan Great Cyclerdquo where it ends in the worldrsquos destruction and rebirth Waters claims that cata-strophic earthquakes will destroy the world but he miscalculated the date and announced that the end of the ldquoGreat Cyclerdquo would be on 24th

December 2011 AD

The year 1987 marked an in-creased in interest regarding the prophesized big event in 2012 The author of The Mayan Factor Path Beyond Technology Jose Arguelles linked the 13th brsquoakrsquotun period to a ldquobeamrdquo that links people the plan-et the Sun and the center of Galaxy According to Arguelles the beam is the key to harmonic resonance in the universe and the Mayan knew when we would enter and leave this beam hence set their 13th brsquoakrsquotun to mark our passage accordingly He also claims that this beam could advance the development of any-thing with DNA hence creating a more positive view of the future

V838 Mon a star with expanding light echo purported as photographic evidence of Nibiru

ldquoevery MaN dies Not every MaN really livesrdquo ndash williaM wallace

28 | Caduceus September 2011

No one can be sure of whether the end of brsquoakrsquotun 13 signifies something great or disastrous for us or if it is just another restart in the Mayan calendar We can only know for certain when the day ar-rives

GodrsquosplanforusThis is by far the most detailed

and terrifying image portrayed out of all apocalyptic claims that I have gone through The Book of Rev-elation from the New Testament reveals signs of apocalypse through a wide variety of symbolism One of such is the frightening image of the ldquofour horsemenrdquo

ldquoAnd I saw and behold a pale horse and he that sat upon him his name was Death and Hades followed with him And there was given unto them authority over the fourth part of the earth to kill with sword and with famine and with death and by the wild beasts of the

earthrdquo (68)

The pale horse carries the horseman of Death which is be-lieved to release global plague and pandemics to the world and take the lives of a quarter of the popu-lation This has already manifested

itself in many forms in different parts of the world at different times hence the first sign of apocalypse is said to be already happening among us

In similar manners the bible describes the arrival a black red and white horsemen represent-ing the delivery of global food shortages war and conflict and the coming of an antichrist to the world From historical genocide terrorism to increased occurrence of food shortages so often seen nowadays it seems that the red and black horsemen has arrived as well and now we are just waiting for the arrival of an antichrist to conquer us

The Book of Revelation also provides readers with a glimpse into the ldquoactionrdquo in how the world will end

ldquoAnd I saw when he opened the sixth seal and there was a great earthquake and the sun became black as sackcloth of hair and the whole moon became as blood and the stars of the heaven fell unto the earthhellipand every mountain and is-land were moved out of their placesrdquo

(612-13)

Besides the great earthquake and the darkening of the sun there is a repetitive mentioning of stars falling from heaven on earth in the Bible This is postulated as the at-tack of massive meteors on planet Earth Out of all prophecies in the Book scientists assume this to be the most likely since an asteroid impact at a scale as large as that may have already wiped out an entire species that came before mankind Scientists believe that showers of space rocks that rained down 65 million years ago (due to the collision of Near Earth Object) were the culprit for the extinction of dinosaurs Luckily NASA recent-ly launched an early warning sys-tem called ldquoSpaceguardrdquo that aims to monitor such Near Earth Objects to prevent future collisions and ex-tinctions

Having read the above the Bible seems to combine all the horrifying specifics in different apocalyptic speculations into one nightmare But donrsquot worry since there are many different interpretations of the Revelation Historicists are the ones who see the Book as a broad view of history (good news wersquove already escaped all the horrors in the depiction) whereas Futurists

believe the description as prophecies of the fu-ture The Idealists hold the belief that the Rev-elation does not refer to actual people or events which makes sense as the Bible is often not inter-preted literally So fingers crossed that the Revela-tion is not interpreted in the futurist way because in that way there is going to be a daunting future awaiting us

Four horsemen of Apocalypse

hkucaduceusnet | 29

ldquoDevolvingrdquoEarthTheoryThis is probably the

most scientific theory that I have come across so far from a news article pub-lished from ABC News A group of scientists from University of Washing-ton hypothesized that the Earth will gradually de-volve in the next half bil-lion years In short their logic works as follows

As we all know the sun is constantly grow-ing bigger yet the Earthrsquos environment has been reasonably constant This is because as the sun is warmed up carbon diox-ide from the atmosphere is removed and deposited in soil as carbonates This keeps our environment stable by the balance be-tween an increasing sun and reducing carbon di-oxide in the atmosphere (Note that global warming resulting from an increase carbon dioxide in atmosphere is just a brief blip in the grand scale of things) Since carbon dioxide is the ldquofood of liferdquo the reduction will cause plants and animals (including humans) to die To battle the rising heat some creatures will retreat into the sea hence reversing the evolutionary process And as the sun continues to expand the Earth will become so hot that even the oceans will gradu-ally be evaporated Eventually the sun blasts off its mass through ther-mal pulses engulfing the Earth

This is a very scientific specula-tion from an astrophysicistrsquos point of view and they claim that at best we have no more than half a billion years left This might be more reas-suring for some of us as the world will not end in the near future But the grief lies in the inevitability of our planet Earth coming to an end

Everythingthathasabegin-ninghasanendSo we are back where we start-

ed With more speculation and the-ories and still no closer to the truth The end could happen any day or time or maybe it could be a proc-ess that is already happening Even though it is not to the scale of an-nihilation of the human race hur-ricanes and earthquakes and car crashes have already been stealth-ily taking the lives of millions We know for sure that we must die eventually through chance old age or disease There is only very little we can do to fight against what has been planned for us and reducing the resources we consume is the best chance that we have in delay-ing this happening There might be some benefit if we know the in-sights of when and how it will hap-pen but really it doesnrsquot change anything Moreover it is possible that these speculations came about to force mankind to live life to the

fullest to treasure each day and every resource we have as a gift so it doesnrsquot matter which theory is the accurate one In the midst of these theories about apocalypse all we can do is to live every day as if it was our last with no regrets and enjoy life as it is now

ReferncesThe End of the Worldhttpwwwnostradamus101compropheciespart4P7

The Great 2012 Doomsday Scare httpwwwnasagovtopicsearthfeatures2012-guesthtml

When Will the World End New Theory EmergeshttpabcnewsgocomTechnol-ogystoryid=97756amppage=2

2012 Beginning of the End or Why the World Wonrsquot Endhttpwwwnasagovtopicsearthfeatures2012html

Video from history channel (from youtube link)httpwwwyoutubecomwatchv=BoTExQEyblU

ldquothe MeaNiNg of life is coNtaiNed iN every siNgle expressioN of life it is preseNt iN the iNfiNity of forMs aNd pheNoMeNa that exist iN all of creatioNrdquo ndash Michael jacksoN

30 | Caduceus September 2011

笑的神奇魔力「當你笑你改變了當你改變了整個世界也改變了」

麻丹卡塔利亞醫生(大笑瑜伽的始創人)何麗敏 (N14)

被隱藏的笑容

日 本大地震及核洩漏事件馬頭圍道唐樓火災三死十九傷中區

警長為勸示威人士中不慎失足墮橋身亡

各政黨爭相你嘲我罵helliphellip在城市裡我們

每天都被一些飛來橫禍天災人禍或社會

爭執的信息圍繞著充斥著愁雲慘霧的氣

氛甚至在家庭朋友學業工作和

健康方面我們亦會遇到不如意之事負

能量和心理壓力不斷增加沒有適當的疏

導和發洩方法之下不少人染上酗酒或沉

迷賭博等壞習慣來自我麻醉長期把情感

抑制的一些人更有機會患上

情緒病我們彷彿硬把自己

困在死胡同裡忘記兒時怎

樣整天咧嘴哈哈大笑如何

在跌倒後笑著站起來現

在很多人都像被魔鬼牽著

鼻子走每天板著一副無奈

沮喪的嘴臉掛上冷漠的眼

神笑聲更差不多成為絕

朋友啊你可有嘗試計

算過一天總共大笑了多少

次英國格拉根大學研究發

現在英國嬰兒每天會笑

達三百次而青少年時期的

每天大笑次數大幅減至六

次五十多歲的人平均每天

更只笑了三次無可厚非

我們在成長過程中必遇到愈來愈多的煩惱

和挑戰事情的確不是我們所能控制但

面對的心態我們為何不能放開一時所謂

的包袱像孩子般笑著面對呢為甚麼大

笑要有一定的理由或被時間限制呢

瑜伽加愉

近半個世紀工作學業和情緒波動

很大生活方式變得愈來愈物質主義容

易出現精神緊張大家都被壓得透不過氣

來變得不太愛笑在一九九五年印

度孟買註冊家庭醫生麻丹卡塔利亞(Dr Madan Kataria)創立「大笑瑜伽」以笑聲驅除怨氣大笑瑜伽是以笑聲互相交流

的透過眼神接觸傳遞歡樂的信息學習

別人的笑容代入孩童的心態再全情投

入地開懷大笑同時亦融入瑜伽的腹式

不妨一試

大笑瑜珈三式一預備式林中步行

在樹林慢走就是愛笑瑜伽的熱身方式步行時間

可以是10-30分鐘邊走路邊拍手同時不時地做深呼

吸目的是讓身體和情緒都徹底放鬆下來為後面的

內容做好準備

二進行式學習動物的表情

在瑜伽導師的帶領下活動面部肌肉然後模仿瑜

珈導師的動物表情這些表情看上去本身已很滑稽

只要按照瑜伽師的樣子去做再發出笑聲

三結束式調整呼吸

經歷了一場大笑面部表情鬆弛了心情也舒服

了不少大家慢慢收回笑容調整呼吸一邊在森林

裡散步一邊大聲告訴自己說「我們是世界上最快樂的

人」

灼見

hkucaduceusnet | 31

呼吸和伸展動作鼓勵大笑達至身心健康

的效果精神科專科曾繁光醫生指出 

「笑令腦自然分泌天然多巴胺以抗衡人

體緊張時所分泌的皮質醇預防患上焦

慮抑鬱的情況」除了改善情緒還能

促進健康笑能促進肺部呼吸功能和加強

血液循環現代醫學認為笑可以成為一種

治病方式治療神經衰弱消除肌肉的緊

張預防或減緩疼痛

筆者在此並不是宣傳大笑瑜伽其治

療成效仍有待商榷和科學實證但愈來愈

多人證實大笑和保持歡樂的心態能有效放

鬆自己張立新先生是第一位在中國推廣 

「大笑瑜伽」的人他患上憂鬱症遍尋

各種治療方式皆無成效一次機緣巧合

從網路接觸「大笑瑜伽」亦在電視上看

到介紹而開始學習和練習他的憂鬱症因

此不藥而癒從此他就開始在中國研究和

推廣愛笑運動暫且別論大笑瑜伽的奏效

程度但人生所遇到的事可真不少何不

笑對人生

尋回被遺忘的赤子之心

大笑並不是靈丹妙藥但它的確能帶來

正能量即使事情有多糟糕笑著面對總

比怨聲載道好而且美國加州大學柏克

萊分校心理學教授丹卓凱納說「笑對

人的進化很重要」目前心理學家們認

為笑是人類之間交流的古老方式之一笑

能互相影響把歡樂的氣氛傳染開去嬰

兒還未學懂說話時笑是與身俱來為何

我們長大後卻隱藏笑容呢朋友們參考

左頁所列大笑瑜伽的基本招式大家可相

約三五知己輕鬆一番找回孩童時的笑聲

大笑瑜伽的始創人麻丹卡塔利亞醫生

大笑瑜伽在六十多國家盛行

ldquolaughter is the best MediciNe - uNless yoursquore diabetic theN iNsuliN coMes pretty high oN the listrdquo ndash jasper carrott

32 | Caduceus September 2011

Learning Experiencing GivingA magical 10-day journey away from the cityErin Yeoh (M15)

C lad in backpacks light clothing and sneakers 21 medical students from HKU and CUHK

were prepared to leave the comforts of home and the internet (did I hear Facebook) We were bound to Chi-na about to embark on a learning-cum-volunteering trip organized by Medical Outreachers

After saying our final goodbyes at the Shenzhen air-port we split into two teams Team A with 9 members were bound to Xirsquoan where they would see volunteer orthopedic surgeons at work The 12 people in Team B including me left for Guizhou to understand the role of village doctors in rural China Both teams aimed to find out the effectiveness of public health policies in rural areas of China We were to meet up 4 days later at Dongshan Guangdong

Part1GuizhouUpon landing in Guizhou we were provided with

excellent hospitality by the local officers and the lo-cal NGO Amity Foundation We were given a brief introduction to Guizhou and also the work that the government and Amity Foundation were doing in the province Amity Foundation actually helped to build numerous new village clinics to improve the quality of healthcare in the region

The next day we were taken on a tour around the province visiting different village clinics (村診所) lo-cated in areas further away from the city Usually there would be one or two village doctors (村醫) on duty

at a time to attend to the villagers with population of around 1000 to 4000 per village

However the village doctors were not the type of ldquoheroesrdquo I had in mind They were not your typical doctor working in a worn out run-down wooden hut where there would be a row of sick villagers lining up to see them How ignorant I was In fact the village clin-ics were mostly renovated and well equipped with ba-sic amenities The standard village clinic has 5 rooms main lobby (大廳) treatment room (治療室) pharma-cy (藥房) observation room (觀察室) and a doctorrsquos rest room (醫生休息室) Furthermore their patient flow was rather small sometimes only one or two pa-tients per day This was probably due to the fact that some village clinics were located only a stonersquos throw away from major cities Those in a medical emergency would of course go straight to the main hospital to seek help immediately instead of consulting a village doc-tor

To be a village doctor one at least had to be a sec-ondary school graduate They would also undergo constant training and certification by qualified doctors in larger clinics According to the village doctors they spent most of their time doing paperwork keeping track of the villagers and their medical history They would also conduct regular home visits to those suf-fering from chronic illnesses or those that needed con-stant monitoring such as patients with hypertension or rheumatoid arthritis Another point that I found

A village clinic before receiving funding from Amity Foundation

hellipand a comparison after

Life

hkucaduceusnet | 33

interesting was that they would also visit families with newborn babies to check on their general health At the same time they would educate mothers on proper breastfeeding techniques and how to provide adequate nutrition for their children in the future

To learn more about their daily routine we fol-lowed a village doctor on his home visit rounds The doctor would sometimes have to travel as far as 2 kil-ometers for a home visit which would be the other end of the village This was as in the case of a pregnant lady due for delivery soon (photo as shown below) The doctor who came to check on her health status reas-sured her that her delivery would be a successful one From her sigh of relief and tired smile we could tell that she was grateful to see the doctor

However things didnrsquot always run as smoothly According to some of the village doctors they used to be scolded and rejected by the locals who did not understand why the doctors would often come up to their doorsteps asking them questions regarding their health and pestering them to go for checkups Some of them being superstitious would think of doctors as ldquoharbingers of bad luckrdquo as the doctors would talk about ldquosicknessrdquo and ldquodiseaserdquo when they were actu-ally feeling as fit as a fiddle Thankfully the situation has much improved since then

From what we saw instead of playing a curative role in a society the village doctors were actually much more involved in disease prevention and monitoring

This is actually the ldquoupstream modelrdquo concept in pub-lic health Instead urban doctors are overwhelmed by limited consultation time and when fatigue kicks in they simply do not have the energy to further educate their patients They would also not have the time to un-derstand their patients on a personal level unlike that of the village doctors

However the indiscriminate use of antibiotics in China was truly a frightening sight Doctors adminis-tered antibiotics intravenously for mild diseases like the common cold When we asked the doctors as to why they did so they simply smiled and shrugged off the question It is probably still a common practice in China and if the doctors did not give such medication the patients would probably lose trust in the doctor The fact that the similar practices were seen even in large hospitals probably indicates that this problem is hardly a localized one

Part2DongshanGuangdongWe met up with the team from Xirsquoan at the

Guangzhou airport and proceeded to our next desti-nationmdashDongshan After 5 hours of car ride we began to see signs that we were approaching our destination Mountains sharply angled clustered in twos or threes fondly known as ldquoMcDonalds mountainsrdquo were begin-ning to be in sight

As soon as we arrived we were greeted by eager curious young faces The children huddled close by as we unloaded our luggage some commenting that they hadnrsquot seen some of us while others were already play-ing around with the past participants It was my first time to Dongshan but there were some of us who were not new to the kids there

After settling down we were given an introduction to Dongshan and its residents by the local NGO Green Action Foundation led by Mr Wong

Located at the outskirts of the province Dongshan is one of the 4 poorest areas in Guangdong Its natu-ral terrain abundant in limestone makes it especially hard to retain water This has taken a toll on the resi-dents especially during the drought season Another problem faced by the local residents is that there are many young people and adults migrating to big cities to earn a living leaving behind the children and elderly

Village doctor on one of his home visits

Discarded bottles of intravenous antibiotics near the village clinic

ldquoMediciNe also disregards NatioNal bouNdariesrdquo ndash irviNg laNgMuir

34 | Caduceus September 2011

at home

Green Action Foundation took the initiative to plant trees around the area so that more water was available for irrigation and domestic purposes This improved the quality of their crops and boosted their source of income They also sponsored some of the

childrenrsquos education depending on their performance in school to ease the burden on their families

The next few days were jam-packed with activities A sports day was held as an icebreaker so that the new participants could get to know the children better We also spent half a day at the Dongshan Primary School where we taught the kids personal hygiene simple first aid moral education and also sex education for the grade 5 and 6 students

Another interesting activity that we had was a weed-cutting session up at a mountain with the other children Each of us was assigned with 2 to 3 chil-dren who were supposed to ldquoguiderdquo us along the way It was a 2-hour hike up and down hilly ter-rain While I would stop once in a while to take a breather the kids were barely panting The kids would often stop to ask if I was tired and even of-fered to help me carry my backpack Note to self more exercise next semester

Nevertheless it was a great chance to know the kids better We had the time to chat about their school life and what they thought about their future and also the chance to share snip-pets of our lives in the city

We then split into small groups and visited the homes of the children in order to gain a bet-ter understanding of their household hygiene

condition any medical conditions in the family as well as their economic standing We had also prepared questionnaires to be kept as future record Some of the families were very poor to the extent of having no source of income at all They depended solely on their own crops for food If they went to see the doctor they would usually owe the doctor money until they had

enough money to pay back The hygiene status of the villagers varied but most of them had swarms of flies around food Many even had their live poultry like chickens running around the house Before we left we gave them some hygiene products like soap washing detergent and toothbrushes to encourage better hy-giene We also gave them a poster explaining ways of maintaining a clean household environment

Another main focus of the trip was to find out the effectiveness of a medical insurance policy newly in-troduced by the government Each person had to pay 30 Renminbi annually to be guaranteed free medica-

Sports day activity

Weed cutting with the children

hkucaduceusnet | 35

tion and hospitalization thereafter Generally the vil-lagers were grateful for this plan as many found it dif-ficult to afford medical fees while struggling to pay for

basic necessities at the same time However some vil-lagers complained that the prices of medicine spiked after this policy was introduced and hospitals would of-ten ask patients to

do unnecessary scans just to earn more money

This trip made me realize that there is much that we can do but how great an impact we can make might not be seen immediately With follow up trips one could see the change as compared to the last visit and make further modifications to improve the situation

As the trip came to an end we were reluctant to leave There was something very magical about Dong-shan where the skies would turn to an exuberant red during sunset and on a clear night you could see stars scattered across every corner of the sky It is a place of beauty struggle and hopefully a place of triumph in the years to come

It is a place of beauty struggle and hopefully a place of triumph in the years to come

On one of our home visits

More to ExploreMedical Outreachers 醫心httpmedicaloutreachersorg

The Amity Foundation 愛德基金會httpwwwamityfoundationorg The beautiful sunset in Dongshan

ldquoshariNg is soMetiMes More deMaNdiNg thaN giviNgrdquo ndash Mary catheriNe batesoN

36 | Caduceus September 2011

就 在這一刻世界沉默了

城市的繁囂隨飛機引擎

逐點逐點噴走了繁囂的離

開是為了讓簡單的生活回

來剛踏出廈門機場一張

又一張的笑臉映入眼簾刺

熱的太陽把兩地之間的隔膜

融化

早從香港回歸時開始

香港人經常強調自己只是 

「香港人」而不是「中國

人」自以為比內地人高一

等可惜這班自視過高的都

市人曾幾何時為外地人送上

熱情的款待這一點廈門

人比誰都做得更好

廈門是一個位於中國

東南部的海島也許就是近

海讓居於廈門的人都把一

切怨恨煩惱拋下大海讓

它們隨水流漂走埋藏在海

床上每年廈門的鳳凰花花

開兩季一朵又一朵鮮艷如

火的鳳凰花在六月時歡送一

個又一個的畢業生彷彿為

他們添上一份祝福九月時

的鳳凰花熱情地歡迎一屆又

一屆的新生為新生的精彩

校園生活揭開序幕一份一

份的熱情含苞待放身在廈

門又怎會不被這市花的熱情

感動呢廈門大至人與人

之間小至花與花之間都存

著一份情

要追溯廈門人的情懷

可數至土樓的建成土樓

是個大多呈方形或圓形大型

群居的建築整座土樓樓高

三至五層由於牆身頗厚及

只有一個出入口甚具有防

禦功能亦因為這緣故當

大門關起來土樓便成了一

個家這個家佔地不大但卻

藏著成千上萬的人情味在

萬里無雲陽光普照的天空

下土樓居民的熱情好客

被蒸發出來懸浮在空中

一代一代傳下去更讓它隨

風走出土樓傳遍整個廈

門即使土樓漸漸成為旅遊

景點一些擺賣紀念品的攤

檔已經進駐但卻無礙居民間

的感情商販彼此交流從

不出現爭客的情況在土樓

中央休憩的居民除了為外地

人介紹他們的祠堂外亦邀

請遊客跟隨他們到遊客禁區

參觀在土樓居住的每伙都

中門大開當遊客投進好奇

的目光屋內的人往往以親

切的笑容作回答鄉土人

情在這世代多冷漠的心也

被融化

細膩的人情味外最令

遊客津津樂道的是廈門人的

態度廈門大學附近有一條

芙蓉隧道只要你願意便可

在隧道內壁上畫下你所思所

想當然美觀與否見仁見

智但這一種對藝術尊重

欣賞的態度是值得欣賞我

有我盡情地畫你有你盡責

青春在廈門留下足印潘曉彤 (N14)

生活

hkucaduceusnet | 37

地去管轄城市各處的整潔

彼此留下空間達至相輔相

成的效果廈門人就懂得人

最基本的禮貌尊重不

過廈門人對他人的尊重遠超

於人的基本禮貌當你去唱

「卡拉OK」的時候每次

待應的出入時看到的就只

有他們的正面而他們前行

或後退的方式就像看到皇帝

一樣卑恭屈膝香港人常常

強調面子哪一天才能捨下

那過高的尊嚴為不相識的

人作一個最謙卑的招待

其實任何人一離開香

港都不難發現就只有香

港愈夜愈精彩其他地方晚

上八時大多關門大吉而廈

門就只有中山路才媲美得

上香港的夜夜笙歌夜幕低

垂萬千燈火的中山路上

與來自各區的人擦肩而過

昏黃的燈光下照出一群又一

群的沉默影子剛好與路上

喧鬧的行人相映成趣騎樓

在霓虹燈的點綴下顯出了獨

有的閩南特色大街小巷傳

來不同地道小食的香氣車

輪餅燒仙草土笋凍helliphellip

為我們外來的交流生帶來美

味可口的夜宵飲飽食醉過

後走到中山路的盡頭又

回到了沉睡中的廈門

在優美的環境影響下

廈門人的生活也自然變得

純樸優閒單車車輪在環

島路上留下一圈又一圈的印

記沿路能細聽海浪輕拍岸

邊的聲音細嗅四處洋溢的

花香感受微風吹散太陽散

發的熱力見證一對又一對

的新人在拍下幸福的照片

據說廈門有戀愛天堂之稱

不管走到哪一處也會

看到準新人拍下甜蜜的婚紗

照而在裡面享受的人永遠

不知道這風景如畫的背

後是透過多少人的血汗換

來當我們在追求經濟成果

的同時往往破壞了造物者

在世上留下的藝術品隨中

國經濟急速發展一個又一

個的世外桃園被摧毀銅臭

替代了花香車聲替代了鳥

語這仙境又可維持多久

廈門另一世外桃園就是

鼓浪嶼它活像香港的長

洲島上滿有歐陸建築風

格但當中不乏中國特色的

建築中國古城風味與洋風

互相交替帶出截然不同的

感覺島上遠離汽車的廢

氣與金門就只是一海之

隔一家大小在享受天倫之

樂時一群又一群的青少

年情侶在沙灘上嬉戲立

即為島上升溫

筆者認為在這個混亂的

俗世確實需要抽空來欣賞

造物者留下來的藝術品大

財團不斷興建大型商場國

際知名品牌不停進駐留下

的就只有愈來愈狹窄的街

道被石屎封蓋寸草不生

的土地人人被金錢蒙蔽

迷失在霓虹燈光中又有多

少知音人能放下生活的瑣碎

事情在這裡享受時間一分

一秒的流走你被海浪聲

喚醒了嗎

筆者參加這次是由香

港廈門兩地大學的交流

團一連六天已經習慣了

當地的優閒生活模式體會

到的不只是廈門的風土人

情歷史文化而是兩地大

學生那種衝破界限的交流

雖說年輕人容易打成一片

但廈門獨有的熱情確實融化

了彼此間的隔膜廈門的美

是成人之美成就了兩地大

學生的友誼

飛機又再起飛了廈門

再見了

ldquothe tiMe of life is short to speNd that shortNess basely it would be too loNgrdquo ndash williaM shake-speare

38 | Caduceus September 2011

生 命形成之際只要一秒鐘的差遲世界便會不一樣

蝴蝶效應從來都是玄的全因一個 

「緣」字

隨著人成長要決擇的事太多學生

有兩件人生大事幾乎都不是由自己決定的

入讀小學及中學然而到了大學這

關卡自己也許可以拿定主意了若果你

入讀了心水科恭喜你若不然祝福

誠然入大學是最影響未來生活的關

口是好是壞無人知曉不用量化不

用比較太多即管做自己所想活出自己

的路只因你不會曉得你的下一步會怎樣

影響著你的生命

或許一個活動你會遇上你的最愛

或許一個宿位你會遇上你的知己

或許一句說話你會惹來一個敵人

或許一次走堂你會由B變C

這就是大學

在大學各人有各人的大學生活大

學講求自由學習學習真的是「求學不是

求分數」有些人愛廣交朋友有些人愛

住宿有些人愛做莊務有些人愛拍拖

有些人愛參加各樣活動有些人愛做兼

職有些人愛讀書有些人卻愛甚麼都不

做helliphellip不少大學生強調入大學必定要做齊

大學五件事(上莊住宿讀書拍拖

兼職)但其實只要自己開心不害人的

話做甚麼也沒問題最要緊的是認清讀

大學的目的以免沉淪於大學這花海

朋友

大學可以令你對「朋友」的概念愈來

愈含糊幾乎每個活動都可令你認識新朋

友通常大家都會輪流講述自己的名字與

學科(Round Table)這亦是考驗大腦對人名的記憶所謂的「Hi-Bye Friend」會愈來愈多隨便在細小的港大內穿梭會令你

無可奈何地對他們說聲Hi

不過別標籤你的「Hi-Bye Friend」要是連Hi-Bye也談不上更不用說做深交了上大學了大家已有既定的圈子很

多時約會或聊天都先找中學朋友而且很

多人會把大學朋友與中學的作比較雖情

有可原但有時未免先入為主地覺得中學

的較好

這亦難怪即使是日日碰面的同學也

未必是自己的好友人人都有自己的時間

表下課後各散東西不是大家不想互相

認識只是有時身不由己若想互相了

解不妨盡量製造共處之時有時甚至可

以分一些約會給大學朋友然後你會發

現大學朋友也可跟你熟絡可別為自己

建造一塊厚厚的心牆

舍堂

要入宿無人會不曉得十日的迎新營

有些舍堂平均每天的作息時間只有兩三小

時有人說住宿最辛苦就是迎新營然而

它卻是最難忘的

要數活動單單一個舍堂已數之不盡

要是投入舍堂生活每天24小時是不夠

用的舍堂之間有各樣比賽堂友要參加

各個組別為比賽出席各樣練習否則可

能被拒於來年再住基於許多人都只在夜

晚有空要全體出席那可是晚九朝五的

大學之緣賴彥積 (N14)

新鮮人

hkucaduceusnet | 39

宿生們之所以會熱衷於舍堂活動因他

們對自身舍堂有強烈的歸屬感好比中學

時學生參加校際比賽要是沒有歸屬感

就不會有心參加所屬舍堂的活動

除舍堂之間之活動樓層之間亦有各類

活動樓內亦然只要有人的地方就有玩

樂彷如天天宿營你不會有機會偷偷早

睡其他樓友常常打擾你你原來的生活

時間會推後數小時睡於二時已是罕有

早上的八半堂彷如無物

可以住宿但不參加活動嗎當然可以

但你會面對的是朋輩壓力他們雖未必逼

你參加卻會在言談中有意無意的滲出

來那種壓力不只限於自己樓層甚至是

跨樓層千萬可別輕看宿中流言

上莊

有人說上莊所學遠超課堂上莊所學

的是如何籌辦活動非常實用有時要對

外聯絡有時要面對公眾helliphellip像是要為將

來工作鋪路似的當然這亦要視乎你上

的是甚麼莊

一般而言上莊可訓練你待人處事的技

巧有時表面看來很友好的朋友當背

負上一定的要求後關係少不免有磨擦再

者初時莊員素未謀面最後卻因朝夕相

對而演變成朋友這段關係是很可貴的

成莊前要宣傳內閣爭取選票成莊了

又要舉行咨詢大會包受歷莊指導然後

又有就職典禮此後的活動更接踵而至

當然包括迎新活動招莊活動等helliphellip君不

見很多人視莊房為睡房少不免有「通

頂」之時忙是忙但必有價值至於是

好是壞要看自己的造化了

拍拖

人上了大學有時心思思想拍拖眼見

身旁多個好友都紛紛拍拖自己少不免羨

慕別人這想法十分正常畢竟大學生真

的可以放下只讀書的重擔真的可以規劃

人生大事了

香港大學一些營新活動中隨了Round Table外還有Round Status即說自己現在有否拍拖以及拍過多少次拖如 

A 0即Ava i lab l e之前至現在沒有拍拖O1即Occupied之前至現在共拍了一次拖當然也有一些同學自己創的甚

麼OBA (Occupied But Available)或D10(Desperate拍過10次拖)等等至於Round Status的動機何在可能是組爸媽想穿針引線吧當然也可能是別有用心的

不同人對拍拖有不同想法上了大學更

有不同擇偶條件人大了在感性的議題

上往往加上種種理性的數據開始現實起

來哪個帥哪個富有哪個有前途helliphellip

有些不在乎天長地久只求剎那的光輝

有些求虛榮有人疼愛在朋友前炫耀

有些甚至會在拍拖前已想定分手後的模

樣所以不想選擇跟自己同科的同學

活動

不同團體(包括舍堂學會及學校部

門)都有不同活動不用愁沒事幹只用

愁沒時間只要多留意Portal Mass Email或Main Campus海報不難發現幾乎每天都有各樣活動動靜皆宜開學時有迎

新營考試時有勁過飯新學期有開Sem

飯有些學會如戲劇舞蹈合唱團不時

有演出有關運動的學會則多練習以參

加比賽有關學術的也有很多興趣班講

座比賽等想幫人的亦可參加義工團

體如蛇蛇豬扶青等舉辦的義工活動

兼職

大學生的兼職大多以補習為主畢竟

這是我們能力範圍內可賺取最多外快又是

時間最彈性的工作有些人卻因補習不能

寫在履歷表而選擇別的工作然而很多時

我們都要在兼職與大學活動中取捨我的

ldquotake a chaNce all life is a chaNce the MaN who goes farthest is geNerally the oNe who is williNg to do aNd darerdquo ndash dale carNegie

40 | Caduceus September 2011

E mily was the chairperson of Pharmacy Socie-ty session 2010 As a student she has actively

participated in holding activities for many medical stu-dents and taken part in providing welfare to all phar-macy students Her following sharing will especially enlighten our new pharmacy students

Q Why did you choose Pharmacy SocietyA To be frank ldquosheung jongrdquo was really out of

my expectation when I anticipated my university life However my perspective has changed when I officially became a pharmacy student in HKU As members of the opening class of the Pharmacy programme my classmates and I realised the importance of having our own student body We do need an independent soci-ety to represent us pharmacy students to cater for our specific needs to listen to our points of view and to act as a bridge to facilitate our communication with the Medical Faculty the entire university and ultimately the pharmaceutical field in Hong Kong My class-mates and I who later became ldquojong yausrdquo believed we should act immediately to establish and run our own society which is why I decided to ldquosheung jongrdquo

Q Would you like to share some of the pros and cons of sheung jong

A ldquoSheung jongrdquo definitely helped me achieve per-sonal growth It was a concurrent commitment and re-sponsibility to serve and to lead our colleagues Bear-ing this in mind we always pushed ourselves to attain the best of our work ethics efficiency and efficacy As the very first session of the Society we lacked the guidance of any previous committee member Instead analysing carefully and critically we thought better of every decision which I personally found an enriching experience ldquoSheung jongrdquo was also an eye-opening journey Wersquod got to meet different people and learnt more about the professional work for as our career-to-be after graduation This in my opinion is always beneficial Last but not least I was fortunate enough to have worked with my amazing fellow committee mem-bers I frankly couldnrsquot ask for better ldquojong yausrdquo than initium Irsquom absolutely thankful for having them as my friends and it is definitely my greatest gain along the way

Despite the merits ldquosheung jongrdquo definitely has its downsides as well It is a lie to say ldquosheung jongrdquo does not affect our daily life because it does take up a big chunk of our time At the end of the day it is about time management which is easy to say but extremely dif-

建議是如家庭環境較困難賺錢吧反

之可以多留時間給各活動畢竟大學一

年的學費不只值那幾十堂課如何善用這

$42100就在乎你如何投入大學生活

讀書

假若你認為大學的考試可考核學生的

真正讀書能力並要求學生活學活用課堂

所學那麼你大失所望了假若你善於背

誦有過目不忘之本領大學的筆試不會

難倒你只要靠著前人留下的歷屆試題

背到滾瓜爛熟是不可能不及格的很多屆

試卷都是千篇一律的很多教授可沒空大

改試題那同學們就走運了有些課堂

即使再專業的學科都會有只理論無實

踐的課堂然後考試就要你把一大堆理論

背出來helliphellip例如甚麼叫批判思維噢

我可不知道只知道我掉了5分

不同學系在某程度上定下了人的前途

對於醫學院學生而言前路是較清晰可見

的但對於非專業學科前路不可只靠讀

書也許要靠自己另外摸索讀書所帶來

的必然是較高的GPA高GPA所帶來的是

獎學金到外國交流工作實習日後工

作機會等等當然大學學習不只局限於

讀書會否因此失彼就只有自己知道

蝶翼拍動之時往難以預料機會是

要自己摸索的

如經上所記

「神為愛他的人所預備的是眼睛未曾看見耳

朵未曾聽見人心也未曾想到的」

(哥林多前書29)

「栽種的和澆灌的都是一樣但將來各人要照自

己的工夫得自己的賞賜」

(哥林多前書38)

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

Freshmen

hkucaduceusnet | 41

ficult to achieve Also working as a Committee mem-ber can be very exhausting and difficult You definitely need lots of determination and support to get through some of the busiest times

Q How did you handle and balance the workload of study and your ldquojongrdquo

A As Irsquove said before it was tremendously difficult I guess my best advice for the future committee is to know your limitations and always plan ahead You have to know your time to work to rest to study etc No one will be over-worked and eve-ryone will have some personal time if you share the burden wisely between ldquojong yausrdquo Secondly you have to make very clear plans so that you can make full use of every little piece of your time I may not have succeeded in my time management but most of my ldquojong yausrdquo managed to do so de-spite the packed schedule of our Soci-ety This is sufficient proof of ldquoimpos-sible is nothingrdquo

Q As there are only about 25 pharmacy students per class do you have any suggestions for P14 fresh-men to make more friends from other curricula

A It really depends on what kind of person you are If you consider your-self socially active living in a hall or ldquosheung jongrdquo will be a great idea for you But if you see yourself as a much quieter person you can still make use of opportunities such as Medic Orien-tation Camp and other events jointly organised by student bodies within the Medical Faculty to make new friends

Q Any special things for P14 freshmen to be aware of

A First of all welcome You all are now members of Pharmacy Society MS HKUSU and I would like to let you know that this is a student body aiming to serve you Thus feel free to share your viewpoints and voice out your opinions to the current Com-mittee members The Society has to

understand your needs to improve and provide better welfare and services for you

Q Any other comments or important things to re-mind P14 freshmen

A If you would like to get to know more fellow pharmacy students especially students from P12 and P13 grab the opportunity to join the Pharmacy Society Orientation Camp and the Mentorship Programme These are great chances to make new friends and Irsquom sure you will enjoy them

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

ldquoas huMaN beiNgs we do chaNge grow adapt perhaps eveN learN aNd becoMe wiserrdquo ndash weNdy carlos

42 | Caduceus September 2011

筆 者是一位護理系的學生半年前有幸成為二零一一年啟思編輯委員會的總編輯在期間所體驗到的希望藉著這次機會作出分享特別希望新加入醫學院的同學

能對「上莊」有更多了解

上莊之路上莊是大學五件事之一證明它對大學生

活有一定的重要性一定的位置筆者在初入學的時候曾為了上莊與否而煩惱猶豫了好一段時間期間考慮到自己能力怕學業應負不來但最後仍然下了上莊這個決定原因是上莊是個難得的機會充實增值自己不同的莊會提供不同的機會讓莊友去學習透過不同的莊務去讓自己眼界擴大另外可以了解醫學院內發生既事情例如院內活動的進展情況更可以參加舉辦院活動為醫學院出一分力最後當然會認識到將會相處一整年的莊友工作伙伴有機會認識到不同學系的同學從他們身上可以觀察到學習到各種的特質從而令自己有所進步有所啟發

護理學生作為護理系學生起初擔任總編輯一職實

在是倍感壓力畢竟歷屆的總編輯都是由醫科生出任因此筆者起初都害怕跟醫科生共事怕自己的能力不足夠應付莊務所以起初都是戰戰兢兢地上莊

一位三年的護理學生曾對我說「我認為你不太尊重護理系護理系和醫科都是個專業希望你能加以尊重自己的學系不要輕視護理這個學系你要肯定自己的學系才能帶領整支莊因為莊內成員來自不同的學系你必須肯定和認同每個學系都有一定的重要性以及其專業」這番當頭棒喝的良言令我明白到自己一直都太輕視護理系過於重視醫科現在我明白到認同自己學系是尤其重要只有這樣才可以用自己學系的身份去發表意見只有認同自己學系才懂得尊重其他的學系莊內便可以融洽一點

在筆者的莊友中醫科生都是較有責任感而且做事更有計劃從他們身上的確學到不少東西這點是無可否認的事實筆者並不是在分享學系與學系之間的差別而是希望有志上莊的同學能互相尊重明白到各學系的莊

友都有其值得學習的地方起初對其他學系有隔膜是無可避免的畢竟對他們的學系都不太了解又沒有歸屬感但如果因為對方是別的學系而輕視對方的人不但失去與人相處學習的機會而且會令莊內的氣氛失去和諧

幸好的就我所見所聞醫學院內的莊多年來都能融洽相處互相支持令到一眾上莊的同學都能輕鬆地享受上莊的喜與樂甚至是不愉快的事情

依靠你的莊友莊是一個團體不是一兩個人可以應

付得來所以筆者認為與莊友互相溝通合作是個重要的元素新同學如果有志參與莊務期望從上莊中有所得著首要的事情是與莊友建立關係因為他們將會是你來年的工作伙伴也是你遇到困難時依靠的對象一位上莊曾對我說「其實一件的莊期不會令你有太大的得著或成長反而長久的友誼才是你將會得到最重要的」這句說話是千真萬確的上莊的人不會由詞不達意改變成談吐得宜不要期望自己會有驚人的轉變也許上莊會令人處事成熟一點有計劃一點但上莊所得到的關係將會是更重要更珍貴一年的相處中面對過有無數的會議共同處理過不少困難從中

建立的友誼真的是畢生受用

責任感上莊另外一個十分重要既條件就是責任

感有志上莊的同學必須明白到莊期是長達一整年在繁重的學業中騰出時間來處理莊務是個考驗責任感和毅力的測試同學必須再三思考想清楚自己是否真係熱衷於上莊或是只是一時衝動畢竟你將要許下的是一年的承諾必須對這個莊負上責任願意付出才選擇上莊這個決定這樣的付出就會有相對的回

總結上莊的確是個好機會讓自己去學習從處

理事務中或是從莊友身上都會有所得著充實著自己的大學生活從中可以認識到各學系的同學建立一段段受用終身的友誼在此筆者希望各學系的新同學可以善用機會作出上莊這個無悔的決定

護理系的啟思總編石志榮 (N14)

新鮮人

hkucaduceusnet | 43

慈兄吟(下)奇晶

最 後還是麥教授先開了口「他的確是一個好學生對醫學有獨到見解他不但學業成績優異而且樂於助人你是他的妹妹吧」婉慧努力控制自己的淚水繼繼續續的說「是啊但helliphellip但helliphellip我不知道helliphellip他竟會在這裏出現」麥教授用悲天憫人的目光看着婉慧語重深長說「人生自古誰無死人生命的有為與否並不取決於他生命的長短而是在於人生的意義你哥哥雖然最後當不了醫生但他的犧牲卻間接為一些同學做醫生鋪路讓他們做醫生去救人這真是一種無私的愛」婉慧點點頭覺得自己對哥哥的了解實在太少了

最後她還是孤獨的離開實驗室她覺得自己跟哥哥比起來實在相差得太遠了原來他除了是十優狀元在醫學院的成績名列前茅外還是個熱心助人的好青年自己除了少了一優外少的更有對別人的同情及樂於助人這造就了她心靈上的空虛她明白到冷漠不是一種對哥哥思念的正當表達方法她應該做的是把哥哥對其他人的愛傳揚開去以圓他的心願

第一步往往是最困難的婉慧平日對他人的態度已令不少人對她敬而遠之有很多次她嘗試向同班同學投以友善的笑容得到的總是詫異的目光或別人的不理不睬在小組討論中儘管她踴躍發言盡量避免冷場的發生偶同學們卻認為她變本加厲想阻止同學們取得好成績她四處碰壁又再次陷入了想念哥哥的深淵

時間一天一天過去了上學期考試前的休假開始了婉慧每天都勤奮的在圖書館溫習期望取得好成績這時候的圖書館堆滿了人如果遲來一個小時想找一個位子也難就在假期的第二天同班的王文在圖書館跑得氣急敗壞仍找不到一個座位婉慧不知怎樣有點同情他將座位讓給他王文驚訝道「不用了我還是回家吧真倒楣遲來了一個小時就沒有『接位』」

「但你住在哪裏呀」

「元朗今天早上我忘了校鬧鐘八時才起」

「那你還是要我的座位吧我可以坐到電腦桌因為我認識的人不少沒有什麼人會打擾我的」

王文謝了她頓時對這位冷漠的同學刮目相看原來她的內心也是溫暖的這並不是他所能料及的坐在電腦桌前溫習的她也感到特別的快樂溫習的速度也快多了王文就此成為了她的「飯檔」考試期間每天和她一起吃飯他更將自己的好友介紹給婉慧認識

在一個晚上她又悄悄的在圖書館的角落溫習着突然一隻溫暖的手搭着她的肩上她抬起頭但見解剖學的同桌手中拿着一杯熱飲輕輕的放在她的桌上婉慧正感詫異卻聽見他說「這杯熱巧克力是給你的繼續努力吧」她喝着巧克力心中感到一股暖流彷彿哥哥的關懷又在她內作出回響

十年生死兩茫茫不思量自難忘千里孤墳無處話淒涼helliphellip

寒風吹起了她額上的劉海佇立在墓前的婉慧不禁凜冽她想起了從前想到自己最後一次和哥哥吵架雙方面紅耳赤的情況想起自己無法親口跟哥哥道歉想起哥哥無私的付出她對着那空虛的墳心中不忍一陣淒然淚水漱漱的流下來她身旁攜扶着年紀老邁的母親邊拭淚邊喃喃道「我的兒子helliphellip歿了helliphellip」大家心情漸漸平復了緩緩走出了墳地

雨一滴一滴的落下飽歷辛酸的婉慧卻仍在懸壼濟世

短篇

ldquoyesterday is but todayrsquos MeMory aNd toMorrow is todayrsquos dreaMrdquo ndash khalil gibraN

44 | Caduceus September 2011

Eternal Flame (1)Tulipa

Itrsquos cold The chills from my fingertips imbibe deep into me This person drills into my mind digging out the truth inside me Itrsquos agonizing She comes right inhellip di-rectly I cannot stop her

Irsquom losing myselfhellip

My hand felt the soggy pillow I realised I had come back to life the world where I lived Staring blankly at the ceiling still losing focus in my eyes I felt my brows with my forearm For the first time I didnrsquot want to lose this feeling

The bedroom door slowly opened I quickly rubbed off the drops that had blurred my vision pretending that I had just woken up

ldquoDo you have lessons this morningrdquo My grand-mother whispered into my ear

ldquoOh goshrdquo I turned right to my alarm clock It was the real life I had forgotten to turn the alarm on last night and it was now seven thirty I knew it I was going to be late every time she caught me in bed Irsquod got to hurry up

Living in Hong Kong Island though it took me more than an hour to get to school I had to comfort my little brother sometimes till two or three in the morning in order to get him to sleep In addition to the consistently heavy study load in the medical school I could hardly get enough rest Running on my heels al-most became my routine starting from last November But I well understood the consequence of skipping lec-tures It was the beginning of the Cardiovascular Sys-tem Block For someone like me who gave least priority in revising Anatomy materials lectures remained the prime source of information for exams Absence from class was suicidal To make the situation worse this professor was one of those who did NOT upload lec-ture notes online

Hoping I wouldnrsquot arrive too late to miss the impor-tant points I finally stepped onto a route no 8 minibus at ten past eight What I could do now was to pay trust in the driver who would bring me to my destination

Coaxing kids was never easy Little Bruce just hap-pened to give me such a hassle last night

He knew I would check on him when I returned home Sitting right next to the door of his room he begged me for a story once I opened the door I sat down together with him on his little couch after Irsquod taken a quick shower This was a time to relax leaving

aside all the other concerns

Kindling through his favourite reader I saw that he wasnrsquot listening but distracted by all sorts of toys around He even invited me into his world of fantasy But it was getting late I had to calm him down so that I too could have some rest Being one of the brightest in his elementary school he should understand this was not the time for recreation

I began to feel annoyed

Yet he was my brother I had a gut feeling that this was unusual He didnrsquot use to be so ldquohyperactiverdquo It re-ally took me a while to adjust to his change With him still tossing and turning in my arms I apprehended his restlessness Unpredictable though he was true to his feelings In one way or another he might find the shadow of our mother in me

He finally settled when I laid him back in bed It was nearly two forty in the morning

The first week of the CVS Block ran as plotted PBL tutorials would start on next Monday Dr Youngrsquos fa-cial expression in the first PBL evaluation flashed over my Embryology notes and references She didnrsquot teach Embryology but I could tell she did have a hypertroph-ic heart-shaped face which looked familiar to the dia-grams in the Atlas

Back in the IHD Block most of us were puzzled about the scrambled content of our course Various forms of seemingly related knowledge came in through lectures practical and tutorial sessions But the neural circuit formed in our brain just failed to resonate as if the conductance-inductance mismatch had aberrated our thought from minimal impedance Sometimes things even happened in a ldquomore-than-extrardquo manner The presence of common core courses in a parallel but independent branch in the network could rightly be detached without causing a blip on the galvanometer Everything was dubious We had no idea of what we were doing

Maybe we were just on the way seeking for a sense of attachment

My mind too was racing in haste I was struggling with my decision to become a doctor Too many things had happened over the year I just couldnrsquot stop ques-tioning myself what was I thinking when I put lsquo6456 MBBSrsquo in my JUPAS application I should have expect-ed and prepared to face all these I just didnrsquot knowhellip

Novella

hkucaduceusnet | 45

It was midterm evaluation in the IHD Block Her face looked tense in that heart shape She was so stiff in her facial expression that no one could read her mind from her poker face The conference room of the Physi-ology Department was large We seemed to be the odd ones out in the spacious carpeted room In this secre-tive silence you could hear the drumming in your ears as if you were tingling

I realised this was not a matter of ldquoam-I-suitable-for-a-medical-careerrdquo but ldquois-a-medical-career-suita-ble-for-merdquo I was lying in bed playing with my plush bear when these thoughts burst in me Dr Young looked through me She felt certain that different from other group mates there were crises behind me But I didnrsquot tell her anything that day

We all were sensitive At times some subtle trepi-dation seeped in gradually sucking peace away from my sleep It was so to say below threshold sub-lethal though it lingered for weeks once it set inhellip

Drenched in bloodhellip There is no life in the boy His eyes are widely opened slightly protruded The lifeless pair of black pearlshellip I cannot escape from his glance He wants to talk to mehellip There is something he wants me to know

A van runs over himhellip

I fell down the edge of my mattress Breathing heavilyhellip Sweating all overhellip

ldquoScreechrdquo People began to gather around a tel-ephone booth a few metres behind us

I turned back I couldnrsquot see a lot from this anglehellip

ldquohellip What a pity He is so younghelliprdquo a middle-aged couple passed by

The victim resting just in front of the wheel looked towards me through a break in the crowdhellip

As we were wandering around thinking what to eat for dinner my cousin found me standing there rooted to the ground stunned by the victimrsquos gaze My heart was pounding She wouldnrsquot believe what I was again experiencing For a number of times already scenarios in my dreams were mirrored into reality

I couldnrsquot tell her

ldquoI was just thinking whether you would like Korean cuisine There is a new restaurant two corners awayrdquo I made up a talk while escaping from the scene so that I wouldnrsquot look so strange

ldquoWhy not go and have a try thenrdquo She was not dis-appointed for calling it a day as the food there was sur-prisingly good

Not until some years ago when I was Form 3 in college I discovered my ability to look into the future Sometimes I could see them coming up on the news in days or weeks And some didnrsquot ever happen at least not around me But seeing the night visions coming into concrete existence wasnrsquot always a pleasure when the mental images turned gradually into mostly night-mares When I visualised my close ones it felt like I was in the middle of an insecure chain bridge above a torrent that would sweep me into the vast ocean with no return It was entirely different from what you might understand as ldquodreams come truerdquo

I had witnessed misfortunes in proximityhellip

But I could do nothing about ithellip

Friends were a source of solace someone to con-fide all frustrations in But with my paranormal ability which appeared to everybody else only on screen-plays I wasnrsquot courageous enough to open my life wholeheartedly to them Seldom talking about myself avoiding all sorts of gatherings I became an eccentric figure among my classmates

Sometimes mutual understanding carried more weight than words I remembered my physics teacher being one of my few friends during my teen years De-spite his boisterous faccedilade he was always sensitive to whenever I was dwelling on my burdens Physics was our common language Intermingling our emotions and feelings with concepts that were alien to my fel-lows we developed a close rapport impenetrable by anyone else

ldquoWhat is the nature of a flamerdquo This was the most discussed problem between us Neither in solid liquid nor vapour state Not having any definite shape and colour It seems not any material but a type of energy giving out heat and light At the moment of providing it also exhausts its fuel and eventually itselfhellip

The romance of physics is more than anything you could read write and talk about Once you were truly connected with it nothing can stop you Your mind will bounce irrespective of the chronology of space-time but only under the guidance of your thoughts

I was so devoted to the discipline at the time that I was almost making it my lifelong career in some way He envisaged that I would demand much more than any academia could provide with its scientific basis alone We were both seeking a philosophy beyond the facts But Hong Kong may not be the right place for it

I made him a promise at the end to contain our flame and I knew I would

For the first and the last time I saw his eyes filled with tears We knew existence by itself is a miracle

ldquoi love life because what More is thererdquo ndash aNthoNy hopkiNs

46 | Caduceus September 2011

說華佗都說「華佗再世」誰知箇中真諦雲方 (M15)

烽煙起戰火燃萬里 

三國並爭英雄地亂世有誰顧生死 

待神醫行世將民眾救濟

渺渺江山東西瞰俞跗巧手扁鵲心(1) 應向何處尋 

滾滾黃沙無世家終有奇士放奇葩

沛國 華元化(2) 

他經書貫通南北遊動 

一望斷症如神助三劑消病不必多

說斷症悉如所料 

甘陵 相夫人腹痛極難忍(3) 號脈知死嬰在左為男形(4)廣陵 梅軍吏除名歸故里

見貌知壽盡速返見萱椿(5) 

說消病藥到病除 

飲蒜醋有三升蟲一嘔而盡清 (6)母服丸而溫儲兒不藥而自癒 (7)

絕妙處 

是他開腸剖腹刀至辟毒 

神醫號 

除他內外皆精有誰配稱

[1]   俞跗黃帝時代之名醫扁鵲春秋戰國之名醫《淮南子人間訓》「患至而多後憂之helliphellip雖有扁鵲俞跗之巧猶不能生也」

[2]   華佗字元化沛國人(今安徽 亳州)

[3]   甘陵相(即甘陵之行政長官)夫人懷胎六月腹痛不安華佗為其切脈便知胎死於是命人摸知所在在左則男在右則女人云「在左」夫人飲藥後果然產出男胎腹痛立即痊癒

[4]   廣陵有軍吏名曰梅平離鄉服役後來退役歸家於路上巧遇華佗華佗視之嘆道「若能早些見我當不至於此而今你僅餘五日壽命速速回家還能與家人相見」平旋即趕抵故鄉五日後亦如料身亡

[5]   萱椿多作椿萱比喻父母漢牟融《送徐浩》詩「知君此去情偏切堂上椿萱雪滿頭」

[6]   華佗見路邊有人食不下嚥教他到路邊餅店買醋三升混上蒜泥然後飲用路人服後即吐出一條長蛇(即寄生蟲)

[7]   兩歲男孩長年腹瀉藥石無靈華佗往診謂病在母命其服用華佗親研之「四物女宛丸」服後母親乳汁不再寒涼男孩亦不藥而癒

意興

hkucaduceusnet | 47

只可惜人無完壁

「關將軍使君予我手刮骨惡毒走

曹丞相使君予我頭剖顱苦痛收」

「怎能不收怎能不收一命嗚呼萬事休 

簡直荒謬簡直荒謬殺此庸醫未須愁」(8) 

五禽戲尚能傳 (9)麻沸散從此絕 

何不一飲醉死不知世忍氣吞聲事權貴 (10)心神委曲須臾苦奇術失迭千秋計 

烽煙止無改生死事 

且當醫仙謫世間神技終須風裏散 (11)回首仰高山景行請君範 (12)

[8]     曹操欲殺華佗臣下勸之不可答曰「不憂天下當無此鼠輩耶」

[9]     死前華佗欲托所著醫書於獄卒不果便盡數焚毀唯有其養生體操「五禽戲」流傳後世

[10]   《三國志魏書方技傳》「當須刳割者便飲其麻沸散須臾便如醉死無所知」

[11]   唐白居易《簡簡吟》「恐是天仙謫人世只合人間十三歲」

[12]   景行(音航)即大道以高山景行比喻人品德行為之高尚典出《詩經小雅車轄》又東漢鄭玄曰「古人有高德者則慕仰之有明行者則而行之」

ldquothe art of MediciNe was to be properly learNer oNly forM its practice aNd its exerciserdquo - thoMas sydeNhaM

48 | Caduceus September 2011

啟程

清晨空白的天空看不見藍天雲彩

只有溫柔的雨絲和朦朦朧朧的霧水跟隨

著大隊的足印踏上沉重的腳步穿過橫

街小巷和煩囂熱鬧的市場走過自動門

撲鼻的消毒藥水味道讓大家屏住呼吸筆

者和夥伴們終於到達了入讀護理系以來第

一次實習的醫院

還記得在實習的前幾天心情是既忐忑

又期待的畢竟這一次實習的地方不再是

在社區中心宣傳健康方面的知識亦不是

只面對著健康活潑的小朋友和老友記或是

學校課堂上所提供的假人張靜汶卻是照

顧一羣真正需要關懷的病人心中充滿著

憂慮不知自己所學的知識足夠在應用上

嗎自己平日的練習足夠嗎雖然心存在

著不少疑惑但也十分期待可以體會一下

做小學護的感受嘗試把這一年裡所學到

的知識運用出來

很多的第一次

在病房裡總有心酸和膽戰心驚的時

候第一次為昏迷的病人清潔口腔第一

次為難以進食的人插入胃喉第一次為老

公公清洗背上壓瘡的傷口helliphellip照顧他們時

的心情都是一步一驚心生怕自己沒法應

付得來又怕會把事情弄得更糟糕最重

要的是恐怕自己不純熟的技巧令他們受苦

了記得有一回第一次為女病人插入尿

喉採取尿液樣本可能技巧不太純熟的關

係延長了病人的痛苦過程中她皺著

眉頭不斷呻吟又緊張得咬破脣眼看

她樣子心中真的不是味兒來身為病人

的其中之一依靠我們不得不給自己信

心如果連自己也不相信自己哪會有病

人願意把他們交給我們照料呢

捕捉那瞬間的美麗與淒然何麗敏 (N14)

上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

意興

hkucaduceusnet | 49

另外第一次面對病人的心情是頗為

緊張的說話技巧亦有改進的空間但和

病人傾談了數分鐘後氣氛也漸漸變得和

諧可能那些老公公整天呆在醫院裡真是

悶到慌看見一羣年青人與自己聊天照

顧和關心他們他們不禁咧嘴而笑醫院

職員透露有一位老公公平日不太願意吃東

西於是我們便主動和他談天說地又

悉心照料他進食的情況後來他不但胃

口好了不少就連心情也開朗了他生動

活潑的談吐讓我們笑了他回復健康精

神的體魄也讓我們感到安慰

相處片刻

雖然為期一星期的病房日子不是特別繁

忙或是辛勞但是也會有不習慣的時候

幸好得到醫院職員和一班夥伴的支持病

房經理和註冊護士不但相信我們的能力

對學護的包容更是不用多說還主動地介

紹病房的環境和細心地教導我們醫療護理

上的知識讓我們上了一堂實在而又寶貴

的課同時今次的實習也令我感到團體

精神也十分重要在技巧上大家互相提

點互補不足當有人準備照料有需要的

病人如插喉或洗傷口等大家送上一句 

「加油」就能令對方增加不少自信心和正

能量無論遇上甚麼事情我也榮幸有如

此一班學習夥伴從旁支持

學習的階級

在這一次病房實習中雖然醫療和藥物

知識方面有待加強但是我學懂了如何與

不同身份的病人相處之道溝通上也得到

了很大的進步獲益不少除此之外我

也真正體會到如何做一個好護士並清楚

了解這個行業是否適合自己鐘樓也不是

一天就能建成而是需要一磚一瓦搭建而

成的所以在學習上我們不但要打好

穩固的基礎還要增強醫療知識在技巧

上馬虎了事和走捷徑是於是無補的應

該多探究和練習才行這樣才對得起病人

和自己也減少不必要的醫療失當事故

總之多一份認真多一點耐性多一些

愛心就是學護必記的左右銘 上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

ldquoit is reasoNable to expect the doctor to recogNise that scieNce May Not have all the aNswers to probleMs of health aNd healiNgrdquo ndash NorMaN cousiNs

50 | Caduceus September 2011

Fun Corner

Medical AppsEver wondered how your handheld device can save your time and

effort when it comes to studying Here is how

Anatomy Pronunciations by HipposoftAccurate pronunciations of over a hundred important anatomy terms you have trouble with are provided

at your fingertips to help you spell those difficult words Anyone who has taken an anatomy course can tell you how challenging it can be to pro-nounce the names of those complicated anatomi-cal terms It is even linked directly to Wikipedia and Google through web browser for additional information

iPharmacy ndash Pill Identifier and Medication Guide by SigmaPhone LLCAn essential medication guide of 20000+ drugs is provided for con-sumers amp professionals This ex-

pands the image library to include 12000 pill and package images and includes digital drug identifier with official drug information (indica-tions dosage adverse reactions and more) You can check the drugs anywhere

Grades 2 by TapityIt tells you what grades you need in the coming tests in order to get your target grade You can easily calcu-late your GPA so as to maintain it It

is a useful tool helping you to keep an eye on your GPA all the time

Human Anatomy by SusaSoftXThe application provides you with information of 15 different biologi-cal systems You can keep on revis-ing while you are traveling without

carrying heavy books

Medscape by WebMD LLCFrom drug classes interaction clin-ical procedures and even the lat-est medical news Medscape helps medical students and healthcare

professionals to reiterate knowledge that has slipped from the mind It is a free application for iPhone iPad Android and Blackberry Yet it contains more function on Android phones and Apple products and lacks detailed clinical infor-mation for diseases and clinical procedures walk through on Blackberry

Pro Medical Terminology Dic-tionary by TreascoveryTerminology might be a tough work for medical students Even if we can master those English terms we can

hardly think of the Chinese terms This applica-tion can help you when you face this problem Note that it is not a free application

3M Littmann SoundBuilder by 3M CompanyA great tool designed to help im-prove auscultation skills of medical students with 14 unique lessons of

key heart sounds combing text virtual manne-quin 3D cardiac animation and dynamic wave-forms

iRadiology by Liebermans iRadi-ologyAn excellent learning tool for medi-cal students demonstrating classic radiological findings of a multitude

of abnormalities including over 500 radiologic images Radiologic images include CT US MRI and nuclear imaging each clearly labeled and followed by key teaching points

Micromedex Drug Information by Thomson Reuters (Healthcare) IncIs Cephalexin a first generation ce-phalosporin This application from

Thomson Reuters is the easiest way to navigate in the sea of drug names Drugs are sorted by classes and supplemented with rich information

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 18: Caduceus Issue 2, Volume 42

18 | Caduceus September 2011

奉行完美主義的守護天使專訪麻醉科李靜芬醫生吳瑞麟 (M15) 李庭翰 (M15)

說 起麻醉越野挑戰馬拉松義工無國界醫生你想到甚

麽幾樣風馬牛不相及的東西可以用三

個字關聯起來李靜芬

李靜芬醫生畢業於香港大學醫學院

現於養和醫院疼痛治療門診工作她曾經

加入無國界醫生到南蘇丹服務又是醫療

輔助隊動員主任香港不少的大型活動

例如馬拉松東亞運奧運馬術等都由她

去統籌急救站的運作她又經常舉辦醫療

會議亦於很多地方做義務醫療顧問熱

衷於向公眾推廣疼痛管理與健康的知識

另一方面她是香港全能運動學會醫療顧

問經常參加越野挑戰戶外活動又參

加半馬拉松比賽看完李醫生這麼的一個

簡介實在很難不驚歎好一個「周身

刀張張利」的奇人

人生的轉捩點

其實初中時期的她與醫生根本扯不上

半點關係身為壘球隊隊長在中四的一

次練習中她被壘球擊中一眼從此改變

了她的命運當時全港只有一位眼科醫生

會在晚間應診眼科的醫療設施也不足

令她眼睛流着血水在黑暗中東奔西跑尋找

醫生她由大埔賽馬會診所走到威爾斯

然後到伊莉莎伯再到油麻地終於找到

眼科醫生李醫生由四點奔波到十點令

她深深體會到作為病人的痛苦也從此立

志要做一個醫生幫助有需要的病人

初中時的李醫生每天放學就練球以

致成績中等但自從立志投身醫護她虛

心求教又得到當時的班主任授予時間管

理和讀書的方法成績突飛猛進在短短

六個月間從中等成績進步至模擬考試全

李靜芬醫生Dr Carina Li

麻醉科專科醫生

香港大學內外全科醫學士 澳洲及紐西蘭麻醉科醫學院院士 香港麻醉科醫學院院士 

香港麻醉科醫學院疼痛科文憑

香港醫學專科學院院士(麻醉科)

專題

hkucaduceusnet | 19

級第一她的毅力和決心實在令人佩服

她的傲氣

其後她獲中文大學收作暫取生但她

又再次作出驚人之舉李醫生認為要讀醫

科生物化學科就得好些所以一定要認

真研讀高級程度的生物化學但是人是有

惰性的如果做了暫取生就一定會變得不

思進取讀不好生物化學於是她毅然

放棄暫取生的資格全心全意去考好高級

程度會考李醫生的豪氣決斷她破釜

沉舟的決心她的好勝和哲學令筆者從

心底裏衷心地拜服她

結果她當然考得很好的成績在選擇

大學時她再一次認真考慮自己將來的

路向她生來就有一種使命感覺得一定

要做一樣在任何時候任何地方都最有用

的工作加上她常常留意時事總覺得天

災人禍真的可以隨時發生於是她就選擇

了兩種無論是面臨戰爭還是天災的時候

對所有人都十分重要的工作記者和醫

生她終於入讀了港大醫學院並於九五

年畢業

與麻醉科結緣

實習的時候她特意選擇了一些能夠獲

得較多經驗的部門到投考專科的時候

她也選上了可以接觸很多不同類型病人的

兒科只可惜當時兒科並沒有學額但在

朋友介紹之下知道了麻醉科麻醉科同樣

可以接觸到不同的病人而且無論在甚麽

地方都可以發揮所長正正符合了李醫生

的志向結果她便入了麻醉科

據李醫生所說雖然一般人認為麻醉

科對體力的要求較少適合女孩子但

是現實並不這樣簡單由於麻醉要求一絲

不苟麻醉科的醫生都是完美主義者而

且學習的內容艱深每一種藥物的作用

反應甚至化學結構都要讀得滾瓜爛熟

她形容麻醉科醫生就好像病人背後的守護

天使在手術中要不停監測病人的維生指

數感覺病人的生命就在自己的手中所

以要承受着很大的壓力

作為麻醉科醫生每次見到的都是昏

迷或者沒有意識的病人事實上並沒有甚

麽可以跟病人溝通的機會病人通常感覺

不到麻醉科醫生的付出所以作為麻醉科

醫生未必可以從病人身上得到很大的滿足

感但他們卻比其他醫生更能夠專注地為

病人服務因為每次在手術中只照顧一位

病人

她的叮囑

李醫生叮囑現在的醫學生一定要僅記當

初想做醫生的原因她覺得在這個物質

社會中人是很容易迷失的她感覺到現

在的某些醫學生只為了一份穩定的工作

甚至是因為父母的意見而選擇行醫關於

作為醫生的意義卻從沒有思考過她勸

我們要好好問自己兩條問題人為甚麽生

存於世上作為醫生又是為了甚麼她

認為醫者要有父母心處處為病人而

不是為自己着想作為醫生就是要去服

務幫助人而不是為了求回報我們生

存於世上為的是信望愛並不用時時

記住利益金錢等東西最後她又提醒我

們不可以歧視病人不論是黑社會成員還

是香港首富只要病了就是一個無助的

病人就需要我們的幫助

李醫生思考獨立為人熱情健談跟李

醫生做訪問真的是一件有趣的事又令筆

者獲益良多特別是她有關人生意義的看

法的確值得反思作為醫學生的大家

你又可曾想過為甚麼要生存為甚麼要做

醫生呢

ldquothere is No MeaNiNg to life except the MeaNiNg MaN gives his life by the uNfoldiNg of his powersrdquo ndash erich froMM

在手術中不停監測病人的維生指數麻醉科醫生就好像病人背後的

守護天使

20 | Caduceus September 2011

To Succeed is to Fight Against ComplacencyInterview with a Dermatologist ndash Dr Henry ChanLily Cheng (M15) Andrew Seto (M15)

W ith our scheduled interview being inter-rupted by an emergency case of Stevens-

Johnson syndrome a life-threatening allergic skin re-action to medication Dr Chan rushed to the hospital for his patient

Sitting in Dr Chanrsquos office at his private practice the Hong Kong Dermatology and Laser Centre in the middle of a conference call with his overseas counter-part researchers we saw a pragmatic doctor at work This is a doctor who would never be complacent with his performance but keeps striving for excellence

AmedicalcareerDr Chanrsquos interest in dermatology was sown well

before his exposure to the discipline Having been in-flicted with eczema during his childhood he suffered from an excruciating itch in his skin that caused him much distress As a result of his own medical condi-tion he developed an interest in dermatology at a young age

During his fourth year in medical school he ex-plored an elective in dermatology at Yale University and began formal training in the field He obtained his medical degree and worked for several years in the UK before returning to Hong Kong to work at the Prince of Wales Hospital He then received a grant from the Hos-pital Authority to read dermatology in the UK

Working back and forth between Hong Kong and Britain in and out of universities and hospitals in his early years of practice Dr Chan settled his work base in Hong Kong in 1995 He was Associate Professor of CUHK from 1998 to 2000 and Chief of Dermatology and Associate Professor in HKU from 2000 to 2004

After entering private practice in 2004 Dr Chan now spends a lot less time on doing administrative work and more time on treating patients While he was actively engaged in teaching research and clini-cal work his current focus has shifted to mainly clini-cal work As an honorary clinical associate professor of our faculty he enjoys teaching and values the opportu-nity to cultivate and influence medical students

A renowned dermatologist with a strong research interest in medical devices Dr Chan is still very active in terms of research output His private practice sup-ported by a team of full-time research staff is unique

for its active research component ndash a practice which is well-established overseas but rare in Hong Kong

AsadoctoranddermatologistIn the beginning laser devices were developed to

treat medical conditions such as haemangioma and black moles but technological advancements driven by recent research has explored new possibilities for their applications in cosmetic treatment As a result new cosmetic procedures have appeared for the treat-ment of various conditions from skin rejuvenation to body contouring

While it is true that most dermatological conditions are rarely life-threatening they may nonetheless have a profound impact on patientsrsquo physical and psycho-social wellbeing For instance eczema often presents with rash It may give exudate in serious cases but is rarely fatal Nevertheless it might constitute great dis-comfort and inconvenience to patients Similarly se-vere cases of acne may also diminish onersquos self-esteem Dr Chan stressed that treatments for many skin condi-tions are not merely cosmetic in nature but may im-prove patientsrsquo self-esteem body image and psychoso-cial wellbeing

On the other hand some skin problems such as psoriasis and chronic eczema are incurable It is there-fore the doctorrsquos duty to educate patients and enhance their understanding of their disease One of the re-sponsibilities for dermatologists is to evaluate the im-pact of their patientsrsquo conditions to their quality of life Other than helping them return to their normal routine and diet as far as possible dermatologists also need to teach patients the way to get along with their chronic illnesses

Dr Chan emphasized that we run a profession not a business On this ground a doctor should never tell a patient what procedure they should receive Rather a doctorrsquos role is to explain the options available and provide the relevant information that carry with each procedure including potential risks and complica-tions

Dr Chan reminded us that financial return is only a ldquoby-productrdquo of a doctorrsquos work as a professional Doctors work hard and should be paid for their serv-ices but they should not be more interested in making

Feature

hkucaduceusnet | 21

money than in helping people He believes that shap-ing doctors into commercials in some way jeopard-izes medical professionalism

SuccessRedefinedSummoning his days as a fresh medical officer Dr

Chan recalled the death of the 18-year-old girl inflicted with necrotizing fasciitis who died within 24 hours He bore in mind every complicated case as an alarm to his future practice admitting that there is always room for him to improve

Quoting the professional golfer Jack Nicklaus Dr Chan reminded us that ldquocomplacency is a continuous struggle that we all have to fightrdquo It is easy to let our guard down but doctors have to be responsible for their patients all the time It is demanding but impor-tant for every medical professional to be vigilant and maintain onersquos standard at the top level He believes that good doctors should keep themselves in an appro-priate amount of stress and tension which keeps them mindful of their patientsrsquo needs

When asked about his rules for success Dr Chan emphasized that he does not feel he has attained his goal yet He feels that he may have had a decent start but it is inappropriate to judge his career before his retirement as he is still in the middle of his career To him it is far too early to define success Despite his change in roles over the years he still maintains his enthusiasm and passion that motivate him to do his best whether it be research teaching or clinical work

As far as medical students are concerned Dr Chan doesnrsquot see the urgency of deciding our future spe-cialty yet Medical school gives us a broad and general exposure to various fields and offers a good place to learn and gain experience sharpening our skills before serving as doctors We could still explore more in our senior years to come

ldquoFollow your heartrdquo Dr Chan gave us as a conclud-ing word He believes that the so-called ldquoROADrdquo to success is not really that important if one does not en-joy onersquos profession Listen to yourself and ask whether you really like your job

DrHenryChan陳衍里醫生

Specialist in Dermatology and Venereology

MBBS(London) MRCP(UK) FHKAM(Medicine) FRCP(Glasgow)

FRCP(Edinburgh)

Hon Professor LKS Faculty of Medicine HKU

Hon Consultant Dermatologist QMH HKSAR

Visiting Scientist Wellman Centre for Photomedicine USA

ldquoirsquoM a firM believer iN the theory that people oNly do their best at thiNgs they truly eNjoy it is difficult to excel at soMethiNg you doNrsquot eNjoyrdquo ndash jack Nicklaus

We run a profession not a businesshellip [doctors]

should not be more interested in making money than in

helping people

22 | Caduceus September 2011

Art and Medicine Seeing Diseases in ArtHow art masterpieces reveal medical conditionsAndrew Seto (M15)

F or centuries art historians have been mesmerized by

the enigmatic smile of Mona Lisa coming up with theories that range from the mundane to the bizarre Was she a silk merchantrsquos wife or a self-portrait of Leonardo da Vinci himself Was she pregnant An adulterer Leonardo da Vincirsquos se-cret male lover The theories never cease

BehindMonaLisarsquossmileHighcholesterolIt turns out that Mona Lisa had

ldquovery high cholesterolrdquo at least ac-cording to Vito Franco a Sicilian professor of pathological anatomy A medical expert who enjoys study-ing art masterpieces for evidence of diseases Franco concluded that Mona Lisa had xanthelasma (the accumulation of cholesterol under the skin) Indeed a closer look at her mysterious face does show a yellowish collection around the in-ner corner of her left eye He even found evidence of lipoma (a fatty tissue tumor) on her right hand Probably the least poetic finding for the most renowned beauty in Renaissance art

This was not the first time medical experts have associated Mona Lisa with clinical conditions Charles Bell the 19th century Scot-tish surgeon who discovered Bellrsquos palsy a form of facial paralysis resulting from facial nerve palsy once coined the term ldquoMona Lisa syndromerdquo This was a reference to the facial muscle contracture that develops after Bellrsquos palsy resulting in a ldquoMona Lisa-like smilerdquo

Mona Lisa Xanthelasma or just a blotch by mistake

Insight

hkucaduceusnet | 23

Hardly would Parmigianino have known that the long slen-der fingers and limbs of Madonna with the Long Neck was the result of a genetic disorder called Mar-fan syndrome And of all the things that crosses onersquos mind upon first glance of Caravaggiorsquos Sleeping Cu-pid the notion that the baby was inflicted with juvenile rheumatoid arthritis would be hard to imagine Franco claims that his goal was to expose the human vulnerability of the people depicted in art

MichelangelorsquosgoutykneeAnother subject who has been

scrutinized by medical experts is Michelangelo Renaissance painter and sculptor Scholars looked at his knee from Raphaelrsquos School of Ath-ens and concluded that he suffered from gout a form of inflammatory arthritis that occurs when crystals form in the joints

Based on the appearance of his knee which appears swollen en-larged and covered in hard lumps a diagnosis of gout seems plausible It was known that Michelangelo de-veloped various diseases during his life In his writings he complained of having kidney and bladder prob-lems In 1549 he had an episode of anuria followed by passing of grav-el and stone fragments in his urine

Many experts believe that Michelangelo like many of his contemporaries developed gout from lead poisoning A well-known workaholic Michelangelo con-stantly lived off a diet of bread and wine (processed in lead contain-ers at the time) and was frequently exposed to lead-based paint All evidence points to lead poisoning which promotes kidney damage and inhibits uric acid excretion causing it to build up in blood This predisposed him to gout precisely as depicted in Raphaelrsquos fresco

RenaissanceArtandNeuroanatomyLike Leonardo Michelangelo

was not just an artistic genius but also a great anatomist At 18 he be-

Michelangelorsquos knee from the school of atheNs by Raphael (c 1509-1510)

Madonna with the Long Neck Was it Marfan Syndrome

Juvenile rheumatoid arthritis

ldquoall art is autobiographical the pearl is the oysterrsquos autobiographyrdquo ndash federico felliNi

24 | Caduceus September 2011

gan dissecting cadavers in a mon-astery in Florence where he honed his technical skills and knowledge of the human body

According to neuroscientists Michelangelo disguised sketches of the human brain in his famous Sistine Chapel ceiling painting which has remained unnoticed for 500 years His fresco The Creation of Adam shares a striking similar-ity with the sagittal section of the brain The fold in the cape repre-sents the Sylvian fissure separating the frontal and parietal lobes You may even recognize the angelrsquos foot as the pituitary gland his thigh as the optic nerve and his leg as the optic tract And that sassy green robe running down the ponsmdashthatrsquos the vertebral artery

Look at Godrsquos neck in The Sepa-ration of Light from Darkness from the same fresco Art historians have long speculated that its lumpy ap-pearance represents goiter Yet medical experts have found an ac-curate picture of the brainstem and spinal cord in Godrsquos throat stun-ningly similar to the creases and crevices of the brain

Yet why would Michelangelo embed the brainstem in Godrsquos throat Was he alluding to Godrsquos wisdom or was it a form of protest to the Church After all dissecting cadavers was considered unethical at that time and for an anatomist like Michelangelo who fell out with the Pope while painting the Sis-tine Chapel ceiling could he have been painting anatomical images directly above the chapel altar in defiance to the Church

Artandophthal-mologyHowvi-sionchangesartClaude Monet is recognized as

one of the founders of the Impres-sionist movement but his vision got cloudy during his later years He wrote letters to friends describ-ing his growing frustration with his vision changes He was even forced to memorize colours on his palette

the creatioN of adaM by Michelangelo (c 1511)

the separatioN of light froM darkNess by Michelangelo (c 1512)

hkucaduceusnet | 25

and label tubes of paint Red began to look muddy to him and he saw his painting as becoming ldquoincreas-ingly darkenedrdquo Whenever he com-pared his paintings with his earlier works he would be sent into a tow-ering rage to destroy them

This was because he had cata-racts Cataract patients have yel-lowing and opacification of the lens so his vision essentially be-came more brownish The yel-lowish brown cataracts he looked through filtered out violet and blue shades Monet underwent two eye operations in 1923 after which he returned to his old painting style even throwing away some of his paintings and repainting them

Thesufferingart-istDepictingill-nessesinartPerhaps no one better personi-

fies the notion of a ldquosuffering artistrdquo than Vincent van Gogh Clinicians have posthumously diagnosed him with a range of medical problems including epilepsy schizophrenic and bipolar disorder His later works have long been noted for his preference for the colour yellow and some have speculated that this was related to his yellow vision

One theory was that van Goghrsquos doctors prescribed him with digi-talis to treat his epileptic seizures His painting Starry Night has yel-low circles around the stars and not surprisingly people with digi-talis overdose often see a yellowish halo around objects Other experts speculated that it was his addiction to absinthe that led to his yellow vi-sion Absinthe is a highly alcoholic drink that contains a highly psy-choactive neurotoxin called thu-jone which causes yellow vision

Van Gogh was not the only art-ist who projected his illness into his art Edvard Munch had tuber-culosis and spit blood as a boy Her mother died when he was five her sister spent most of her life in-stitutionalized for mental illness and his brother died of pneumo-

nia Munch may have depicted his own psychotic state of mind in The Scream which portrays a twisted agonized creature wracked with anxiety and horror

ConclusionDo these findings actually

prove something or are we over-analyzing artworks with our medi-cal knowledge Exactly what ben-efit would these discoveries have for the world at large is unknown At least we know it could lead to yet another interpretation for Mona Lisarsquos smile the result of a scrump-tious meal of pizza and pasta with cheese tomato sauce and meat balls before sitting for her portrait (which would certainly also explain her cholesterol problem)

Two pictures by Monet of the same Japanese bridgemdashthe first painted in 1899 the second between 1918 and 1922 revealing a dramatic loss of shape and detail

suNflowers by Vincent van Gogh (1888) the screaM by Edvard Munch (1893)

ldquoeverythiNg that we see is a shadow cast by that which we do Not seerdquo ndash MartiN luther kiNg jr

26 | Caduceus September 2011

The End is Near Apocalyptic TheoriesRead more to learn about the terrifying future that awaits us Chariene Woo (M15)

S urge of waves rush over the mountains with unstop-

pable speed engulfing and shatter-ing our homes Flaming asteroids rain from the sky causing roads to crumble like sheets of paper Peo-ple running away from burning cities screaming fearfully Civiliza-tion ruined in matter of mere sec-onds Is this what the future lies for us

Nobody knows

Apocalyptic literature and movies have always raised interest among the general public partly

because it involves the end of our world as we know it and partly due to the fact that there is no solid proof how an apocalypse would come about The interest has re-cently skyrocketed with rumors about the world ending on 21st De-cember 2012 about how the May-an calendar finishes at that specific time and how it will be the end of the world as we know it So the big question is when and how will our world end

NostradamusProphetofDoomNostradamus of France was

one of the worldrsquos most famous seers and is most well known for Les Propheties (The Prophecies) a collection of his major long-term prophecies written in quatrains Many of his prophecies have cor-rectly predicted current events including the destruction of the space shuttle Challenger the death of Lady Diana and the destruction of Twin Towers of the World Trade Center As a result of these predic-tions he has been given the nick-

How do you survive the apocalyptic world

Insight

hkucaduceusnet | 27

name ldquoThe Prophet of Doomrdquo

Nostradamusrsquo prophecies have huge room for interpretation speculation and controversy and some people think his writing has no merit at all The following is an example of a quatrain alluding to some sort of environmental disas-ter in the future

ldquoFor forty years the rainbow will not appear

For forty years it will be seen every day

The arid earth will grow more dry

And great floods when it will be seenrdquo

(Century 1 Quatrain 17)

In other quatrains images of great comet alien invasion and nu-clear contamination are also men-tioned so these could all be the prospects that are waiting for us in the future Despite Nostradamusrsquo ldquoaccurate predictionsrdquo of what had happened in the past the quatrains do not have a specific order So out of all the disasters predicted in the many quatrains it is uncertain which will happen where or when giving it less importance in predict-ing an actual apocalypse

PlanetXAccording to Nancy Lieder a

woman who claims to have been contacted by extraterrestrial life forms Planet X (also known as Nibiru) would come close to planet Earth on May 27th 2003 resulting in the Earthrsquos rotation ceasing for 59 terrestrial days The Earthrsquos pole will then undergo a physical polar shift due to the magnetic attraction between the Earthrsquos core and the magnetism of the passing planet This will ultimately lead to the dis-placement of Earthrsquos crust and the end of us But when this did not happen the event was postponed and re-dated to coincide with the Mayan calendar hysteria

NASA argues that this is merely an Internet hoax with no factual or scientific basis They explain that if Planet X was approaching Earth astronomers would have

been tracking it for at least the past decade and the planet would now be visible by the naked eye This is a very comforting bit of news Yet some people believe that NASA is part of a conspiracy to cover up the existence of such planet and keep the truth of impending apocalypse from general public Again the ar-gument can go either way and the ldquotruthrdquo depends on which side you choose or want to believe in

2012TheendoftimeSo what is so special about the

year 2012 There are claims saying that the Mayan calendar ends on 21st December 2012 and that will be the end of time for mankind However just like every calendar it merely rolls over to the new year on that date and it doesnrsquot signify anything special In the Mayan cal-endar 21st December 2012 will be the end of brsquoakrsquotun 13 and marks the start of brsquoakrsquotun 14 A brsquoakrsquotun is 144000 days (a little more than 394 years) and there is no archeological or historical evidence to show that the Mayans expected anything sig-nificant or drastic to happen at the

end of each brsquoakrsquotun

However there exists litera-ture that suggests otherwise In 1975 Frank Waters the author of the book Mexico Mystique identi-fied the 13th brsquoakrsquotun interval to be the ldquoMayan Great Cyclerdquo where it ends in the worldrsquos destruction and rebirth Waters claims that cata-strophic earthquakes will destroy the world but he miscalculated the date and announced that the end of the ldquoGreat Cyclerdquo would be on 24th

December 2011 AD

The year 1987 marked an in-creased in interest regarding the prophesized big event in 2012 The author of The Mayan Factor Path Beyond Technology Jose Arguelles linked the 13th brsquoakrsquotun period to a ldquobeamrdquo that links people the plan-et the Sun and the center of Galaxy According to Arguelles the beam is the key to harmonic resonance in the universe and the Mayan knew when we would enter and leave this beam hence set their 13th brsquoakrsquotun to mark our passage accordingly He also claims that this beam could advance the development of any-thing with DNA hence creating a more positive view of the future

V838 Mon a star with expanding light echo purported as photographic evidence of Nibiru

ldquoevery MaN dies Not every MaN really livesrdquo ndash williaM wallace

28 | Caduceus September 2011

No one can be sure of whether the end of brsquoakrsquotun 13 signifies something great or disastrous for us or if it is just another restart in the Mayan calendar We can only know for certain when the day ar-rives

GodrsquosplanforusThis is by far the most detailed

and terrifying image portrayed out of all apocalyptic claims that I have gone through The Book of Rev-elation from the New Testament reveals signs of apocalypse through a wide variety of symbolism One of such is the frightening image of the ldquofour horsemenrdquo

ldquoAnd I saw and behold a pale horse and he that sat upon him his name was Death and Hades followed with him And there was given unto them authority over the fourth part of the earth to kill with sword and with famine and with death and by the wild beasts of the

earthrdquo (68)

The pale horse carries the horseman of Death which is be-lieved to release global plague and pandemics to the world and take the lives of a quarter of the popu-lation This has already manifested

itself in many forms in different parts of the world at different times hence the first sign of apocalypse is said to be already happening among us

In similar manners the bible describes the arrival a black red and white horsemen represent-ing the delivery of global food shortages war and conflict and the coming of an antichrist to the world From historical genocide terrorism to increased occurrence of food shortages so often seen nowadays it seems that the red and black horsemen has arrived as well and now we are just waiting for the arrival of an antichrist to conquer us

The Book of Revelation also provides readers with a glimpse into the ldquoactionrdquo in how the world will end

ldquoAnd I saw when he opened the sixth seal and there was a great earthquake and the sun became black as sackcloth of hair and the whole moon became as blood and the stars of the heaven fell unto the earthhellipand every mountain and is-land were moved out of their placesrdquo

(612-13)

Besides the great earthquake and the darkening of the sun there is a repetitive mentioning of stars falling from heaven on earth in the Bible This is postulated as the at-tack of massive meteors on planet Earth Out of all prophecies in the Book scientists assume this to be the most likely since an asteroid impact at a scale as large as that may have already wiped out an entire species that came before mankind Scientists believe that showers of space rocks that rained down 65 million years ago (due to the collision of Near Earth Object) were the culprit for the extinction of dinosaurs Luckily NASA recent-ly launched an early warning sys-tem called ldquoSpaceguardrdquo that aims to monitor such Near Earth Objects to prevent future collisions and ex-tinctions

Having read the above the Bible seems to combine all the horrifying specifics in different apocalyptic speculations into one nightmare But donrsquot worry since there are many different interpretations of the Revelation Historicists are the ones who see the Book as a broad view of history (good news wersquove already escaped all the horrors in the depiction) whereas Futurists

believe the description as prophecies of the fu-ture The Idealists hold the belief that the Rev-elation does not refer to actual people or events which makes sense as the Bible is often not inter-preted literally So fingers crossed that the Revela-tion is not interpreted in the futurist way because in that way there is going to be a daunting future awaiting us

Four horsemen of Apocalypse

hkucaduceusnet | 29

ldquoDevolvingrdquoEarthTheoryThis is probably the

most scientific theory that I have come across so far from a news article pub-lished from ABC News A group of scientists from University of Washing-ton hypothesized that the Earth will gradually de-volve in the next half bil-lion years In short their logic works as follows

As we all know the sun is constantly grow-ing bigger yet the Earthrsquos environment has been reasonably constant This is because as the sun is warmed up carbon diox-ide from the atmosphere is removed and deposited in soil as carbonates This keeps our environment stable by the balance be-tween an increasing sun and reducing carbon di-oxide in the atmosphere (Note that global warming resulting from an increase carbon dioxide in atmosphere is just a brief blip in the grand scale of things) Since carbon dioxide is the ldquofood of liferdquo the reduction will cause plants and animals (including humans) to die To battle the rising heat some creatures will retreat into the sea hence reversing the evolutionary process And as the sun continues to expand the Earth will become so hot that even the oceans will gradu-ally be evaporated Eventually the sun blasts off its mass through ther-mal pulses engulfing the Earth

This is a very scientific specula-tion from an astrophysicistrsquos point of view and they claim that at best we have no more than half a billion years left This might be more reas-suring for some of us as the world will not end in the near future But the grief lies in the inevitability of our planet Earth coming to an end

Everythingthathasabegin-ninghasanendSo we are back where we start-

ed With more speculation and the-ories and still no closer to the truth The end could happen any day or time or maybe it could be a proc-ess that is already happening Even though it is not to the scale of an-nihilation of the human race hur-ricanes and earthquakes and car crashes have already been stealth-ily taking the lives of millions We know for sure that we must die eventually through chance old age or disease There is only very little we can do to fight against what has been planned for us and reducing the resources we consume is the best chance that we have in delay-ing this happening There might be some benefit if we know the in-sights of when and how it will hap-pen but really it doesnrsquot change anything Moreover it is possible that these speculations came about to force mankind to live life to the

fullest to treasure each day and every resource we have as a gift so it doesnrsquot matter which theory is the accurate one In the midst of these theories about apocalypse all we can do is to live every day as if it was our last with no regrets and enjoy life as it is now

ReferncesThe End of the Worldhttpwwwnostradamus101compropheciespart4P7

The Great 2012 Doomsday Scare httpwwwnasagovtopicsearthfeatures2012-guesthtml

When Will the World End New Theory EmergeshttpabcnewsgocomTechnol-ogystoryid=97756amppage=2

2012 Beginning of the End or Why the World Wonrsquot Endhttpwwwnasagovtopicsearthfeatures2012html

Video from history channel (from youtube link)httpwwwyoutubecomwatchv=BoTExQEyblU

ldquothe MeaNiNg of life is coNtaiNed iN every siNgle expressioN of life it is preseNt iN the iNfiNity of forMs aNd pheNoMeNa that exist iN all of creatioNrdquo ndash Michael jacksoN

30 | Caduceus September 2011

笑的神奇魔力「當你笑你改變了當你改變了整個世界也改變了」

麻丹卡塔利亞醫生(大笑瑜伽的始創人)何麗敏 (N14)

被隱藏的笑容

日 本大地震及核洩漏事件馬頭圍道唐樓火災三死十九傷中區

警長為勸示威人士中不慎失足墮橋身亡

各政黨爭相你嘲我罵helliphellip在城市裡我們

每天都被一些飛來橫禍天災人禍或社會

爭執的信息圍繞著充斥著愁雲慘霧的氣

氛甚至在家庭朋友學業工作和

健康方面我們亦會遇到不如意之事負

能量和心理壓力不斷增加沒有適當的疏

導和發洩方法之下不少人染上酗酒或沉

迷賭博等壞習慣來自我麻醉長期把情感

抑制的一些人更有機會患上

情緒病我們彷彿硬把自己

困在死胡同裡忘記兒時怎

樣整天咧嘴哈哈大笑如何

在跌倒後笑著站起來現

在很多人都像被魔鬼牽著

鼻子走每天板著一副無奈

沮喪的嘴臉掛上冷漠的眼

神笑聲更差不多成為絕

朋友啊你可有嘗試計

算過一天總共大笑了多少

次英國格拉根大學研究發

現在英國嬰兒每天會笑

達三百次而青少年時期的

每天大笑次數大幅減至六

次五十多歲的人平均每天

更只笑了三次無可厚非

我們在成長過程中必遇到愈來愈多的煩惱

和挑戰事情的確不是我們所能控制但

面對的心態我們為何不能放開一時所謂

的包袱像孩子般笑著面對呢為甚麼大

笑要有一定的理由或被時間限制呢

瑜伽加愉

近半個世紀工作學業和情緒波動

很大生活方式變得愈來愈物質主義容

易出現精神緊張大家都被壓得透不過氣

來變得不太愛笑在一九九五年印

度孟買註冊家庭醫生麻丹卡塔利亞(Dr Madan Kataria)創立「大笑瑜伽」以笑聲驅除怨氣大笑瑜伽是以笑聲互相交流

的透過眼神接觸傳遞歡樂的信息學習

別人的笑容代入孩童的心態再全情投

入地開懷大笑同時亦融入瑜伽的腹式

不妨一試

大笑瑜珈三式一預備式林中步行

在樹林慢走就是愛笑瑜伽的熱身方式步行時間

可以是10-30分鐘邊走路邊拍手同時不時地做深呼

吸目的是讓身體和情緒都徹底放鬆下來為後面的

內容做好準備

二進行式學習動物的表情

在瑜伽導師的帶領下活動面部肌肉然後模仿瑜

珈導師的動物表情這些表情看上去本身已很滑稽

只要按照瑜伽師的樣子去做再發出笑聲

三結束式調整呼吸

經歷了一場大笑面部表情鬆弛了心情也舒服

了不少大家慢慢收回笑容調整呼吸一邊在森林

裡散步一邊大聲告訴自己說「我們是世界上最快樂的

人」

灼見

hkucaduceusnet | 31

呼吸和伸展動作鼓勵大笑達至身心健康

的效果精神科專科曾繁光醫生指出 

「笑令腦自然分泌天然多巴胺以抗衡人

體緊張時所分泌的皮質醇預防患上焦

慮抑鬱的情況」除了改善情緒還能

促進健康笑能促進肺部呼吸功能和加強

血液循環現代醫學認為笑可以成為一種

治病方式治療神經衰弱消除肌肉的緊

張預防或減緩疼痛

筆者在此並不是宣傳大笑瑜伽其治

療成效仍有待商榷和科學實證但愈來愈

多人證實大笑和保持歡樂的心態能有效放

鬆自己張立新先生是第一位在中國推廣 

「大笑瑜伽」的人他患上憂鬱症遍尋

各種治療方式皆無成效一次機緣巧合

從網路接觸「大笑瑜伽」亦在電視上看

到介紹而開始學習和練習他的憂鬱症因

此不藥而癒從此他就開始在中國研究和

推廣愛笑運動暫且別論大笑瑜伽的奏效

程度但人生所遇到的事可真不少何不

笑對人生

尋回被遺忘的赤子之心

大笑並不是靈丹妙藥但它的確能帶來

正能量即使事情有多糟糕笑著面對總

比怨聲載道好而且美國加州大學柏克

萊分校心理學教授丹卓凱納說「笑對

人的進化很重要」目前心理學家們認

為笑是人類之間交流的古老方式之一笑

能互相影響把歡樂的氣氛傳染開去嬰

兒還未學懂說話時笑是與身俱來為何

我們長大後卻隱藏笑容呢朋友們參考

左頁所列大笑瑜伽的基本招式大家可相

約三五知己輕鬆一番找回孩童時的笑聲

大笑瑜伽的始創人麻丹卡塔利亞醫生

大笑瑜伽在六十多國家盛行

ldquolaughter is the best MediciNe - uNless yoursquore diabetic theN iNsuliN coMes pretty high oN the listrdquo ndash jasper carrott

32 | Caduceus September 2011

Learning Experiencing GivingA magical 10-day journey away from the cityErin Yeoh (M15)

C lad in backpacks light clothing and sneakers 21 medical students from HKU and CUHK

were prepared to leave the comforts of home and the internet (did I hear Facebook) We were bound to Chi-na about to embark on a learning-cum-volunteering trip organized by Medical Outreachers

After saying our final goodbyes at the Shenzhen air-port we split into two teams Team A with 9 members were bound to Xirsquoan where they would see volunteer orthopedic surgeons at work The 12 people in Team B including me left for Guizhou to understand the role of village doctors in rural China Both teams aimed to find out the effectiveness of public health policies in rural areas of China We were to meet up 4 days later at Dongshan Guangdong

Part1GuizhouUpon landing in Guizhou we were provided with

excellent hospitality by the local officers and the lo-cal NGO Amity Foundation We were given a brief introduction to Guizhou and also the work that the government and Amity Foundation were doing in the province Amity Foundation actually helped to build numerous new village clinics to improve the quality of healthcare in the region

The next day we were taken on a tour around the province visiting different village clinics (村診所) lo-cated in areas further away from the city Usually there would be one or two village doctors (村醫) on duty

at a time to attend to the villagers with population of around 1000 to 4000 per village

However the village doctors were not the type of ldquoheroesrdquo I had in mind They were not your typical doctor working in a worn out run-down wooden hut where there would be a row of sick villagers lining up to see them How ignorant I was In fact the village clin-ics were mostly renovated and well equipped with ba-sic amenities The standard village clinic has 5 rooms main lobby (大廳) treatment room (治療室) pharma-cy (藥房) observation room (觀察室) and a doctorrsquos rest room (醫生休息室) Furthermore their patient flow was rather small sometimes only one or two pa-tients per day This was probably due to the fact that some village clinics were located only a stonersquos throw away from major cities Those in a medical emergency would of course go straight to the main hospital to seek help immediately instead of consulting a village doc-tor

To be a village doctor one at least had to be a sec-ondary school graduate They would also undergo constant training and certification by qualified doctors in larger clinics According to the village doctors they spent most of their time doing paperwork keeping track of the villagers and their medical history They would also conduct regular home visits to those suf-fering from chronic illnesses or those that needed con-stant monitoring such as patients with hypertension or rheumatoid arthritis Another point that I found

A village clinic before receiving funding from Amity Foundation

hellipand a comparison after

Life

hkucaduceusnet | 33

interesting was that they would also visit families with newborn babies to check on their general health At the same time they would educate mothers on proper breastfeeding techniques and how to provide adequate nutrition for their children in the future

To learn more about their daily routine we fol-lowed a village doctor on his home visit rounds The doctor would sometimes have to travel as far as 2 kil-ometers for a home visit which would be the other end of the village This was as in the case of a pregnant lady due for delivery soon (photo as shown below) The doctor who came to check on her health status reas-sured her that her delivery would be a successful one From her sigh of relief and tired smile we could tell that she was grateful to see the doctor

However things didnrsquot always run as smoothly According to some of the village doctors they used to be scolded and rejected by the locals who did not understand why the doctors would often come up to their doorsteps asking them questions regarding their health and pestering them to go for checkups Some of them being superstitious would think of doctors as ldquoharbingers of bad luckrdquo as the doctors would talk about ldquosicknessrdquo and ldquodiseaserdquo when they were actu-ally feeling as fit as a fiddle Thankfully the situation has much improved since then

From what we saw instead of playing a curative role in a society the village doctors were actually much more involved in disease prevention and monitoring

This is actually the ldquoupstream modelrdquo concept in pub-lic health Instead urban doctors are overwhelmed by limited consultation time and when fatigue kicks in they simply do not have the energy to further educate their patients They would also not have the time to un-derstand their patients on a personal level unlike that of the village doctors

However the indiscriminate use of antibiotics in China was truly a frightening sight Doctors adminis-tered antibiotics intravenously for mild diseases like the common cold When we asked the doctors as to why they did so they simply smiled and shrugged off the question It is probably still a common practice in China and if the doctors did not give such medication the patients would probably lose trust in the doctor The fact that the similar practices were seen even in large hospitals probably indicates that this problem is hardly a localized one

Part2DongshanGuangdongWe met up with the team from Xirsquoan at the

Guangzhou airport and proceeded to our next desti-nationmdashDongshan After 5 hours of car ride we began to see signs that we were approaching our destination Mountains sharply angled clustered in twos or threes fondly known as ldquoMcDonalds mountainsrdquo were begin-ning to be in sight

As soon as we arrived we were greeted by eager curious young faces The children huddled close by as we unloaded our luggage some commenting that they hadnrsquot seen some of us while others were already play-ing around with the past participants It was my first time to Dongshan but there were some of us who were not new to the kids there

After settling down we were given an introduction to Dongshan and its residents by the local NGO Green Action Foundation led by Mr Wong

Located at the outskirts of the province Dongshan is one of the 4 poorest areas in Guangdong Its natu-ral terrain abundant in limestone makes it especially hard to retain water This has taken a toll on the resi-dents especially during the drought season Another problem faced by the local residents is that there are many young people and adults migrating to big cities to earn a living leaving behind the children and elderly

Village doctor on one of his home visits

Discarded bottles of intravenous antibiotics near the village clinic

ldquoMediciNe also disregards NatioNal bouNdariesrdquo ndash irviNg laNgMuir

34 | Caduceus September 2011

at home

Green Action Foundation took the initiative to plant trees around the area so that more water was available for irrigation and domestic purposes This improved the quality of their crops and boosted their source of income They also sponsored some of the

childrenrsquos education depending on their performance in school to ease the burden on their families

The next few days were jam-packed with activities A sports day was held as an icebreaker so that the new participants could get to know the children better We also spent half a day at the Dongshan Primary School where we taught the kids personal hygiene simple first aid moral education and also sex education for the grade 5 and 6 students

Another interesting activity that we had was a weed-cutting session up at a mountain with the other children Each of us was assigned with 2 to 3 chil-dren who were supposed to ldquoguiderdquo us along the way It was a 2-hour hike up and down hilly ter-rain While I would stop once in a while to take a breather the kids were barely panting The kids would often stop to ask if I was tired and even of-fered to help me carry my backpack Note to self more exercise next semester

Nevertheless it was a great chance to know the kids better We had the time to chat about their school life and what they thought about their future and also the chance to share snip-pets of our lives in the city

We then split into small groups and visited the homes of the children in order to gain a bet-ter understanding of their household hygiene

condition any medical conditions in the family as well as their economic standing We had also prepared questionnaires to be kept as future record Some of the families were very poor to the extent of having no source of income at all They depended solely on their own crops for food If they went to see the doctor they would usually owe the doctor money until they had

enough money to pay back The hygiene status of the villagers varied but most of them had swarms of flies around food Many even had their live poultry like chickens running around the house Before we left we gave them some hygiene products like soap washing detergent and toothbrushes to encourage better hy-giene We also gave them a poster explaining ways of maintaining a clean household environment

Another main focus of the trip was to find out the effectiveness of a medical insurance policy newly in-troduced by the government Each person had to pay 30 Renminbi annually to be guaranteed free medica-

Sports day activity

Weed cutting with the children

hkucaduceusnet | 35

tion and hospitalization thereafter Generally the vil-lagers were grateful for this plan as many found it dif-ficult to afford medical fees while struggling to pay for

basic necessities at the same time However some vil-lagers complained that the prices of medicine spiked after this policy was introduced and hospitals would of-ten ask patients to

do unnecessary scans just to earn more money

This trip made me realize that there is much that we can do but how great an impact we can make might not be seen immediately With follow up trips one could see the change as compared to the last visit and make further modifications to improve the situation

As the trip came to an end we were reluctant to leave There was something very magical about Dong-shan where the skies would turn to an exuberant red during sunset and on a clear night you could see stars scattered across every corner of the sky It is a place of beauty struggle and hopefully a place of triumph in the years to come

It is a place of beauty struggle and hopefully a place of triumph in the years to come

On one of our home visits

More to ExploreMedical Outreachers 醫心httpmedicaloutreachersorg

The Amity Foundation 愛德基金會httpwwwamityfoundationorg The beautiful sunset in Dongshan

ldquoshariNg is soMetiMes More deMaNdiNg thaN giviNgrdquo ndash Mary catheriNe batesoN

36 | Caduceus September 2011

就 在這一刻世界沉默了

城市的繁囂隨飛機引擎

逐點逐點噴走了繁囂的離

開是為了讓簡單的生活回

來剛踏出廈門機場一張

又一張的笑臉映入眼簾刺

熱的太陽把兩地之間的隔膜

融化

早從香港回歸時開始

香港人經常強調自己只是 

「香港人」而不是「中國

人」自以為比內地人高一

等可惜這班自視過高的都

市人曾幾何時為外地人送上

熱情的款待這一點廈門

人比誰都做得更好

廈門是一個位於中國

東南部的海島也許就是近

海讓居於廈門的人都把一

切怨恨煩惱拋下大海讓

它們隨水流漂走埋藏在海

床上每年廈門的鳳凰花花

開兩季一朵又一朵鮮艷如

火的鳳凰花在六月時歡送一

個又一個的畢業生彷彿為

他們添上一份祝福九月時

的鳳凰花熱情地歡迎一屆又

一屆的新生為新生的精彩

校園生活揭開序幕一份一

份的熱情含苞待放身在廈

門又怎會不被這市花的熱情

感動呢廈門大至人與人

之間小至花與花之間都存

著一份情

要追溯廈門人的情懷

可數至土樓的建成土樓

是個大多呈方形或圓形大型

群居的建築整座土樓樓高

三至五層由於牆身頗厚及

只有一個出入口甚具有防

禦功能亦因為這緣故當

大門關起來土樓便成了一

個家這個家佔地不大但卻

藏著成千上萬的人情味在

萬里無雲陽光普照的天空

下土樓居民的熱情好客

被蒸發出來懸浮在空中

一代一代傳下去更讓它隨

風走出土樓傳遍整個廈

門即使土樓漸漸成為旅遊

景點一些擺賣紀念品的攤

檔已經進駐但卻無礙居民間

的感情商販彼此交流從

不出現爭客的情況在土樓

中央休憩的居民除了為外地

人介紹他們的祠堂外亦邀

請遊客跟隨他們到遊客禁區

參觀在土樓居住的每伙都

中門大開當遊客投進好奇

的目光屋內的人往往以親

切的笑容作回答鄉土人

情在這世代多冷漠的心也

被融化

細膩的人情味外最令

遊客津津樂道的是廈門人的

態度廈門大學附近有一條

芙蓉隧道只要你願意便可

在隧道內壁上畫下你所思所

想當然美觀與否見仁見

智但這一種對藝術尊重

欣賞的態度是值得欣賞我

有我盡情地畫你有你盡責

青春在廈門留下足印潘曉彤 (N14)

生活

hkucaduceusnet | 37

地去管轄城市各處的整潔

彼此留下空間達至相輔相

成的效果廈門人就懂得人

最基本的禮貌尊重不

過廈門人對他人的尊重遠超

於人的基本禮貌當你去唱

「卡拉OK」的時候每次

待應的出入時看到的就只

有他們的正面而他們前行

或後退的方式就像看到皇帝

一樣卑恭屈膝香港人常常

強調面子哪一天才能捨下

那過高的尊嚴為不相識的

人作一個最謙卑的招待

其實任何人一離開香

港都不難發現就只有香

港愈夜愈精彩其他地方晚

上八時大多關門大吉而廈

門就只有中山路才媲美得

上香港的夜夜笙歌夜幕低

垂萬千燈火的中山路上

與來自各區的人擦肩而過

昏黃的燈光下照出一群又一

群的沉默影子剛好與路上

喧鬧的行人相映成趣騎樓

在霓虹燈的點綴下顯出了獨

有的閩南特色大街小巷傳

來不同地道小食的香氣車

輪餅燒仙草土笋凍helliphellip

為我們外來的交流生帶來美

味可口的夜宵飲飽食醉過

後走到中山路的盡頭又

回到了沉睡中的廈門

在優美的環境影響下

廈門人的生活也自然變得

純樸優閒單車車輪在環

島路上留下一圈又一圈的印

記沿路能細聽海浪輕拍岸

邊的聲音細嗅四處洋溢的

花香感受微風吹散太陽散

發的熱力見證一對又一對

的新人在拍下幸福的照片

據說廈門有戀愛天堂之稱

不管走到哪一處也會

看到準新人拍下甜蜜的婚紗

照而在裡面享受的人永遠

不知道這風景如畫的背

後是透過多少人的血汗換

來當我們在追求經濟成果

的同時往往破壞了造物者

在世上留下的藝術品隨中

國經濟急速發展一個又一

個的世外桃園被摧毀銅臭

替代了花香車聲替代了鳥

語這仙境又可維持多久

廈門另一世外桃園就是

鼓浪嶼它活像香港的長

洲島上滿有歐陸建築風

格但當中不乏中國特色的

建築中國古城風味與洋風

互相交替帶出截然不同的

感覺島上遠離汽車的廢

氣與金門就只是一海之

隔一家大小在享受天倫之

樂時一群又一群的青少

年情侶在沙灘上嬉戲立

即為島上升溫

筆者認為在這個混亂的

俗世確實需要抽空來欣賞

造物者留下來的藝術品大

財團不斷興建大型商場國

際知名品牌不停進駐留下

的就只有愈來愈狹窄的街

道被石屎封蓋寸草不生

的土地人人被金錢蒙蔽

迷失在霓虹燈光中又有多

少知音人能放下生活的瑣碎

事情在這裡享受時間一分

一秒的流走你被海浪聲

喚醒了嗎

筆者參加這次是由香

港廈門兩地大學的交流

團一連六天已經習慣了

當地的優閒生活模式體會

到的不只是廈門的風土人

情歷史文化而是兩地大

學生那種衝破界限的交流

雖說年輕人容易打成一片

但廈門獨有的熱情確實融化

了彼此間的隔膜廈門的美

是成人之美成就了兩地大

學生的友誼

飛機又再起飛了廈門

再見了

ldquothe tiMe of life is short to speNd that shortNess basely it would be too loNgrdquo ndash williaM shake-speare

38 | Caduceus September 2011

生 命形成之際只要一秒鐘的差遲世界便會不一樣

蝴蝶效應從來都是玄的全因一個 

「緣」字

隨著人成長要決擇的事太多學生

有兩件人生大事幾乎都不是由自己決定的

入讀小學及中學然而到了大學這

關卡自己也許可以拿定主意了若果你

入讀了心水科恭喜你若不然祝福

誠然入大學是最影響未來生活的關

口是好是壞無人知曉不用量化不

用比較太多即管做自己所想活出自己

的路只因你不會曉得你的下一步會怎樣

影響著你的生命

或許一個活動你會遇上你的最愛

或許一個宿位你會遇上你的知己

或許一句說話你會惹來一個敵人

或許一次走堂你會由B變C

這就是大學

在大學各人有各人的大學生活大

學講求自由學習學習真的是「求學不是

求分數」有些人愛廣交朋友有些人愛

住宿有些人愛做莊務有些人愛拍拖

有些人愛參加各樣活動有些人愛做兼

職有些人愛讀書有些人卻愛甚麼都不

做helliphellip不少大學生強調入大學必定要做齊

大學五件事(上莊住宿讀書拍拖

兼職)但其實只要自己開心不害人的

話做甚麼也沒問題最要緊的是認清讀

大學的目的以免沉淪於大學這花海

朋友

大學可以令你對「朋友」的概念愈來

愈含糊幾乎每個活動都可令你認識新朋

友通常大家都會輪流講述自己的名字與

學科(Round Table)這亦是考驗大腦對人名的記憶所謂的「Hi-Bye Friend」會愈來愈多隨便在細小的港大內穿梭會令你

無可奈何地對他們說聲Hi

不過別標籤你的「Hi-Bye Friend」要是連Hi-Bye也談不上更不用說做深交了上大學了大家已有既定的圈子很

多時約會或聊天都先找中學朋友而且很

多人會把大學朋友與中學的作比較雖情

有可原但有時未免先入為主地覺得中學

的較好

這亦難怪即使是日日碰面的同學也

未必是自己的好友人人都有自己的時間

表下課後各散東西不是大家不想互相

認識只是有時身不由己若想互相了

解不妨盡量製造共處之時有時甚至可

以分一些約會給大學朋友然後你會發

現大學朋友也可跟你熟絡可別為自己

建造一塊厚厚的心牆

舍堂

要入宿無人會不曉得十日的迎新營

有些舍堂平均每天的作息時間只有兩三小

時有人說住宿最辛苦就是迎新營然而

它卻是最難忘的

要數活動單單一個舍堂已數之不盡

要是投入舍堂生活每天24小時是不夠

用的舍堂之間有各樣比賽堂友要參加

各個組別為比賽出席各樣練習否則可

能被拒於來年再住基於許多人都只在夜

晚有空要全體出席那可是晚九朝五的

大學之緣賴彥積 (N14)

新鮮人

hkucaduceusnet | 39

宿生們之所以會熱衷於舍堂活動因他

們對自身舍堂有強烈的歸屬感好比中學

時學生參加校際比賽要是沒有歸屬感

就不會有心參加所屬舍堂的活動

除舍堂之間之活動樓層之間亦有各類

活動樓內亦然只要有人的地方就有玩

樂彷如天天宿營你不會有機會偷偷早

睡其他樓友常常打擾你你原來的生活

時間會推後數小時睡於二時已是罕有

早上的八半堂彷如無物

可以住宿但不參加活動嗎當然可以

但你會面對的是朋輩壓力他們雖未必逼

你參加卻會在言談中有意無意的滲出

來那種壓力不只限於自己樓層甚至是

跨樓層千萬可別輕看宿中流言

上莊

有人說上莊所學遠超課堂上莊所學

的是如何籌辦活動非常實用有時要對

外聯絡有時要面對公眾helliphellip像是要為將

來工作鋪路似的當然這亦要視乎你上

的是甚麼莊

一般而言上莊可訓練你待人處事的技

巧有時表面看來很友好的朋友當背

負上一定的要求後關係少不免有磨擦再

者初時莊員素未謀面最後卻因朝夕相

對而演變成朋友這段關係是很可貴的

成莊前要宣傳內閣爭取選票成莊了

又要舉行咨詢大會包受歷莊指導然後

又有就職典禮此後的活動更接踵而至

當然包括迎新活動招莊活動等helliphellip君不

見很多人視莊房為睡房少不免有「通

頂」之時忙是忙但必有價值至於是

好是壞要看自己的造化了

拍拖

人上了大學有時心思思想拍拖眼見

身旁多個好友都紛紛拍拖自己少不免羨

慕別人這想法十分正常畢竟大學生真

的可以放下只讀書的重擔真的可以規劃

人生大事了

香港大學一些營新活動中隨了Round Table外還有Round Status即說自己現在有否拍拖以及拍過多少次拖如 

A 0即Ava i lab l e之前至現在沒有拍拖O1即Occupied之前至現在共拍了一次拖當然也有一些同學自己創的甚

麼OBA (Occupied But Available)或D10(Desperate拍過10次拖)等等至於Round Status的動機何在可能是組爸媽想穿針引線吧當然也可能是別有用心的

不同人對拍拖有不同想法上了大學更

有不同擇偶條件人大了在感性的議題

上往往加上種種理性的數據開始現實起

來哪個帥哪個富有哪個有前途helliphellip

有些不在乎天長地久只求剎那的光輝

有些求虛榮有人疼愛在朋友前炫耀

有些甚至會在拍拖前已想定分手後的模

樣所以不想選擇跟自己同科的同學

活動

不同團體(包括舍堂學會及學校部

門)都有不同活動不用愁沒事幹只用

愁沒時間只要多留意Portal Mass Email或Main Campus海報不難發現幾乎每天都有各樣活動動靜皆宜開學時有迎

新營考試時有勁過飯新學期有開Sem

飯有些學會如戲劇舞蹈合唱團不時

有演出有關運動的學會則多練習以參

加比賽有關學術的也有很多興趣班講

座比賽等想幫人的亦可參加義工團

體如蛇蛇豬扶青等舉辦的義工活動

兼職

大學生的兼職大多以補習為主畢竟

這是我們能力範圍內可賺取最多外快又是

時間最彈性的工作有些人卻因補習不能

寫在履歷表而選擇別的工作然而很多時

我們都要在兼職與大學活動中取捨我的

ldquotake a chaNce all life is a chaNce the MaN who goes farthest is geNerally the oNe who is williNg to do aNd darerdquo ndash dale carNegie

40 | Caduceus September 2011

E mily was the chairperson of Pharmacy Socie-ty session 2010 As a student she has actively

participated in holding activities for many medical stu-dents and taken part in providing welfare to all phar-macy students Her following sharing will especially enlighten our new pharmacy students

Q Why did you choose Pharmacy SocietyA To be frank ldquosheung jongrdquo was really out of

my expectation when I anticipated my university life However my perspective has changed when I officially became a pharmacy student in HKU As members of the opening class of the Pharmacy programme my classmates and I realised the importance of having our own student body We do need an independent soci-ety to represent us pharmacy students to cater for our specific needs to listen to our points of view and to act as a bridge to facilitate our communication with the Medical Faculty the entire university and ultimately the pharmaceutical field in Hong Kong My class-mates and I who later became ldquojong yausrdquo believed we should act immediately to establish and run our own society which is why I decided to ldquosheung jongrdquo

Q Would you like to share some of the pros and cons of sheung jong

A ldquoSheung jongrdquo definitely helped me achieve per-sonal growth It was a concurrent commitment and re-sponsibility to serve and to lead our colleagues Bear-ing this in mind we always pushed ourselves to attain the best of our work ethics efficiency and efficacy As the very first session of the Society we lacked the guidance of any previous committee member Instead analysing carefully and critically we thought better of every decision which I personally found an enriching experience ldquoSheung jongrdquo was also an eye-opening journey Wersquod got to meet different people and learnt more about the professional work for as our career-to-be after graduation This in my opinion is always beneficial Last but not least I was fortunate enough to have worked with my amazing fellow committee mem-bers I frankly couldnrsquot ask for better ldquojong yausrdquo than initium Irsquom absolutely thankful for having them as my friends and it is definitely my greatest gain along the way

Despite the merits ldquosheung jongrdquo definitely has its downsides as well It is a lie to say ldquosheung jongrdquo does not affect our daily life because it does take up a big chunk of our time At the end of the day it is about time management which is easy to say but extremely dif-

建議是如家庭環境較困難賺錢吧反

之可以多留時間給各活動畢竟大學一

年的學費不只值那幾十堂課如何善用這

$42100就在乎你如何投入大學生活

讀書

假若你認為大學的考試可考核學生的

真正讀書能力並要求學生活學活用課堂

所學那麼你大失所望了假若你善於背

誦有過目不忘之本領大學的筆試不會

難倒你只要靠著前人留下的歷屆試題

背到滾瓜爛熟是不可能不及格的很多屆

試卷都是千篇一律的很多教授可沒空大

改試題那同學們就走運了有些課堂

即使再專業的學科都會有只理論無實

踐的課堂然後考試就要你把一大堆理論

背出來helliphellip例如甚麼叫批判思維噢

我可不知道只知道我掉了5分

不同學系在某程度上定下了人的前途

對於醫學院學生而言前路是較清晰可見

的但對於非專業學科前路不可只靠讀

書也許要靠自己另外摸索讀書所帶來

的必然是較高的GPA高GPA所帶來的是

獎學金到外國交流工作實習日後工

作機會等等當然大學學習不只局限於

讀書會否因此失彼就只有自己知道

蝶翼拍動之時往難以預料機會是

要自己摸索的

如經上所記

「神為愛他的人所預備的是眼睛未曾看見耳

朵未曾聽見人心也未曾想到的」

(哥林多前書29)

「栽種的和澆灌的都是一樣但將來各人要照自

己的工夫得自己的賞賜」

(哥林多前書38)

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

Freshmen

hkucaduceusnet | 41

ficult to achieve Also working as a Committee mem-ber can be very exhausting and difficult You definitely need lots of determination and support to get through some of the busiest times

Q How did you handle and balance the workload of study and your ldquojongrdquo

A As Irsquove said before it was tremendously difficult I guess my best advice for the future committee is to know your limitations and always plan ahead You have to know your time to work to rest to study etc No one will be over-worked and eve-ryone will have some personal time if you share the burden wisely between ldquojong yausrdquo Secondly you have to make very clear plans so that you can make full use of every little piece of your time I may not have succeeded in my time management but most of my ldquojong yausrdquo managed to do so de-spite the packed schedule of our Soci-ety This is sufficient proof of ldquoimpos-sible is nothingrdquo

Q As there are only about 25 pharmacy students per class do you have any suggestions for P14 fresh-men to make more friends from other curricula

A It really depends on what kind of person you are If you consider your-self socially active living in a hall or ldquosheung jongrdquo will be a great idea for you But if you see yourself as a much quieter person you can still make use of opportunities such as Medic Orien-tation Camp and other events jointly organised by student bodies within the Medical Faculty to make new friends

Q Any special things for P14 freshmen to be aware of

A First of all welcome You all are now members of Pharmacy Society MS HKUSU and I would like to let you know that this is a student body aiming to serve you Thus feel free to share your viewpoints and voice out your opinions to the current Com-mittee members The Society has to

understand your needs to improve and provide better welfare and services for you

Q Any other comments or important things to re-mind P14 freshmen

A If you would like to get to know more fellow pharmacy students especially students from P12 and P13 grab the opportunity to join the Pharmacy Society Orientation Camp and the Mentorship Programme These are great chances to make new friends and Irsquom sure you will enjoy them

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

ldquoas huMaN beiNgs we do chaNge grow adapt perhaps eveN learN aNd becoMe wiserrdquo ndash weNdy carlos

42 | Caduceus September 2011

筆 者是一位護理系的學生半年前有幸成為二零一一年啟思編輯委員會的總編輯在期間所體驗到的希望藉著這次機會作出分享特別希望新加入醫學院的同學

能對「上莊」有更多了解

上莊之路上莊是大學五件事之一證明它對大學生

活有一定的重要性一定的位置筆者在初入學的時候曾為了上莊與否而煩惱猶豫了好一段時間期間考慮到自己能力怕學業應負不來但最後仍然下了上莊這個決定原因是上莊是個難得的機會充實增值自己不同的莊會提供不同的機會讓莊友去學習透過不同的莊務去讓自己眼界擴大另外可以了解醫學院內發生既事情例如院內活動的進展情況更可以參加舉辦院活動為醫學院出一分力最後當然會認識到將會相處一整年的莊友工作伙伴有機會認識到不同學系的同學從他們身上可以觀察到學習到各種的特質從而令自己有所進步有所啟發

護理學生作為護理系學生起初擔任總編輯一職實

在是倍感壓力畢竟歷屆的總編輯都是由醫科生出任因此筆者起初都害怕跟醫科生共事怕自己的能力不足夠應付莊務所以起初都是戰戰兢兢地上莊

一位三年的護理學生曾對我說「我認為你不太尊重護理系護理系和醫科都是個專業希望你能加以尊重自己的學系不要輕視護理這個學系你要肯定自己的學系才能帶領整支莊因為莊內成員來自不同的學系你必須肯定和認同每個學系都有一定的重要性以及其專業」這番當頭棒喝的良言令我明白到自己一直都太輕視護理系過於重視醫科現在我明白到認同自己學系是尤其重要只有這樣才可以用自己學系的身份去發表意見只有認同自己學系才懂得尊重其他的學系莊內便可以融洽一點

在筆者的莊友中醫科生都是較有責任感而且做事更有計劃從他們身上的確學到不少東西這點是無可否認的事實筆者並不是在分享學系與學系之間的差別而是希望有志上莊的同學能互相尊重明白到各學系的莊

友都有其值得學習的地方起初對其他學系有隔膜是無可避免的畢竟對他們的學系都不太了解又沒有歸屬感但如果因為對方是別的學系而輕視對方的人不但失去與人相處學習的機會而且會令莊內的氣氛失去和諧

幸好的就我所見所聞醫學院內的莊多年來都能融洽相處互相支持令到一眾上莊的同學都能輕鬆地享受上莊的喜與樂甚至是不愉快的事情

依靠你的莊友莊是一個團體不是一兩個人可以應

付得來所以筆者認為與莊友互相溝通合作是個重要的元素新同學如果有志參與莊務期望從上莊中有所得著首要的事情是與莊友建立關係因為他們將會是你來年的工作伙伴也是你遇到困難時依靠的對象一位上莊曾對我說「其實一件的莊期不會令你有太大的得著或成長反而長久的友誼才是你將會得到最重要的」這句說話是千真萬確的上莊的人不會由詞不達意改變成談吐得宜不要期望自己會有驚人的轉變也許上莊會令人處事成熟一點有計劃一點但上莊所得到的關係將會是更重要更珍貴一年的相處中面對過有無數的會議共同處理過不少困難從中

建立的友誼真的是畢生受用

責任感上莊另外一個十分重要既條件就是責任

感有志上莊的同學必須明白到莊期是長達一整年在繁重的學業中騰出時間來處理莊務是個考驗責任感和毅力的測試同學必須再三思考想清楚自己是否真係熱衷於上莊或是只是一時衝動畢竟你將要許下的是一年的承諾必須對這個莊負上責任願意付出才選擇上莊這個決定這樣的付出就會有相對的回

總結上莊的確是個好機會讓自己去學習從處

理事務中或是從莊友身上都會有所得著充實著自己的大學生活從中可以認識到各學系的同學建立一段段受用終身的友誼在此筆者希望各學系的新同學可以善用機會作出上莊這個無悔的決定

護理系的啟思總編石志榮 (N14)

新鮮人

hkucaduceusnet | 43

慈兄吟(下)奇晶

最 後還是麥教授先開了口「他的確是一個好學生對醫學有獨到見解他不但學業成績優異而且樂於助人你是他的妹妹吧」婉慧努力控制自己的淚水繼繼續續的說「是啊但helliphellip但helliphellip我不知道helliphellip他竟會在這裏出現」麥教授用悲天憫人的目光看着婉慧語重深長說「人生自古誰無死人生命的有為與否並不取決於他生命的長短而是在於人生的意義你哥哥雖然最後當不了醫生但他的犧牲卻間接為一些同學做醫生鋪路讓他們做醫生去救人這真是一種無私的愛」婉慧點點頭覺得自己對哥哥的了解實在太少了

最後她還是孤獨的離開實驗室她覺得自己跟哥哥比起來實在相差得太遠了原來他除了是十優狀元在醫學院的成績名列前茅外還是個熱心助人的好青年自己除了少了一優外少的更有對別人的同情及樂於助人這造就了她心靈上的空虛她明白到冷漠不是一種對哥哥思念的正當表達方法她應該做的是把哥哥對其他人的愛傳揚開去以圓他的心願

第一步往往是最困難的婉慧平日對他人的態度已令不少人對她敬而遠之有很多次她嘗試向同班同學投以友善的笑容得到的總是詫異的目光或別人的不理不睬在小組討論中儘管她踴躍發言盡量避免冷場的發生偶同學們卻認為她變本加厲想阻止同學們取得好成績她四處碰壁又再次陷入了想念哥哥的深淵

時間一天一天過去了上學期考試前的休假開始了婉慧每天都勤奮的在圖書館溫習期望取得好成績這時候的圖書館堆滿了人如果遲來一個小時想找一個位子也難就在假期的第二天同班的王文在圖書館跑得氣急敗壞仍找不到一個座位婉慧不知怎樣有點同情他將座位讓給他王文驚訝道「不用了我還是回家吧真倒楣遲來了一個小時就沒有『接位』」

「但你住在哪裏呀」

「元朗今天早上我忘了校鬧鐘八時才起」

「那你還是要我的座位吧我可以坐到電腦桌因為我認識的人不少沒有什麼人會打擾我的」

王文謝了她頓時對這位冷漠的同學刮目相看原來她的內心也是溫暖的這並不是他所能料及的坐在電腦桌前溫習的她也感到特別的快樂溫習的速度也快多了王文就此成為了她的「飯檔」考試期間每天和她一起吃飯他更將自己的好友介紹給婉慧認識

在一個晚上她又悄悄的在圖書館的角落溫習着突然一隻溫暖的手搭着她的肩上她抬起頭但見解剖學的同桌手中拿着一杯熱飲輕輕的放在她的桌上婉慧正感詫異卻聽見他說「這杯熱巧克力是給你的繼續努力吧」她喝着巧克力心中感到一股暖流彷彿哥哥的關懷又在她內作出回響

十年生死兩茫茫不思量自難忘千里孤墳無處話淒涼helliphellip

寒風吹起了她額上的劉海佇立在墓前的婉慧不禁凜冽她想起了從前想到自己最後一次和哥哥吵架雙方面紅耳赤的情況想起自己無法親口跟哥哥道歉想起哥哥無私的付出她對着那空虛的墳心中不忍一陣淒然淚水漱漱的流下來她身旁攜扶着年紀老邁的母親邊拭淚邊喃喃道「我的兒子helliphellip歿了helliphellip」大家心情漸漸平復了緩緩走出了墳地

雨一滴一滴的落下飽歷辛酸的婉慧卻仍在懸壼濟世

短篇

ldquoyesterday is but todayrsquos MeMory aNd toMorrow is todayrsquos dreaMrdquo ndash khalil gibraN

44 | Caduceus September 2011

Eternal Flame (1)Tulipa

Itrsquos cold The chills from my fingertips imbibe deep into me This person drills into my mind digging out the truth inside me Itrsquos agonizing She comes right inhellip di-rectly I cannot stop her

Irsquom losing myselfhellip

My hand felt the soggy pillow I realised I had come back to life the world where I lived Staring blankly at the ceiling still losing focus in my eyes I felt my brows with my forearm For the first time I didnrsquot want to lose this feeling

The bedroom door slowly opened I quickly rubbed off the drops that had blurred my vision pretending that I had just woken up

ldquoDo you have lessons this morningrdquo My grand-mother whispered into my ear

ldquoOh goshrdquo I turned right to my alarm clock It was the real life I had forgotten to turn the alarm on last night and it was now seven thirty I knew it I was going to be late every time she caught me in bed Irsquod got to hurry up

Living in Hong Kong Island though it took me more than an hour to get to school I had to comfort my little brother sometimes till two or three in the morning in order to get him to sleep In addition to the consistently heavy study load in the medical school I could hardly get enough rest Running on my heels al-most became my routine starting from last November But I well understood the consequence of skipping lec-tures It was the beginning of the Cardiovascular Sys-tem Block For someone like me who gave least priority in revising Anatomy materials lectures remained the prime source of information for exams Absence from class was suicidal To make the situation worse this professor was one of those who did NOT upload lec-ture notes online

Hoping I wouldnrsquot arrive too late to miss the impor-tant points I finally stepped onto a route no 8 minibus at ten past eight What I could do now was to pay trust in the driver who would bring me to my destination

Coaxing kids was never easy Little Bruce just hap-pened to give me such a hassle last night

He knew I would check on him when I returned home Sitting right next to the door of his room he begged me for a story once I opened the door I sat down together with him on his little couch after Irsquod taken a quick shower This was a time to relax leaving

aside all the other concerns

Kindling through his favourite reader I saw that he wasnrsquot listening but distracted by all sorts of toys around He even invited me into his world of fantasy But it was getting late I had to calm him down so that I too could have some rest Being one of the brightest in his elementary school he should understand this was not the time for recreation

I began to feel annoyed

Yet he was my brother I had a gut feeling that this was unusual He didnrsquot use to be so ldquohyperactiverdquo It re-ally took me a while to adjust to his change With him still tossing and turning in my arms I apprehended his restlessness Unpredictable though he was true to his feelings In one way or another he might find the shadow of our mother in me

He finally settled when I laid him back in bed It was nearly two forty in the morning

The first week of the CVS Block ran as plotted PBL tutorials would start on next Monday Dr Youngrsquos fa-cial expression in the first PBL evaluation flashed over my Embryology notes and references She didnrsquot teach Embryology but I could tell she did have a hypertroph-ic heart-shaped face which looked familiar to the dia-grams in the Atlas

Back in the IHD Block most of us were puzzled about the scrambled content of our course Various forms of seemingly related knowledge came in through lectures practical and tutorial sessions But the neural circuit formed in our brain just failed to resonate as if the conductance-inductance mismatch had aberrated our thought from minimal impedance Sometimes things even happened in a ldquomore-than-extrardquo manner The presence of common core courses in a parallel but independent branch in the network could rightly be detached without causing a blip on the galvanometer Everything was dubious We had no idea of what we were doing

Maybe we were just on the way seeking for a sense of attachment

My mind too was racing in haste I was struggling with my decision to become a doctor Too many things had happened over the year I just couldnrsquot stop ques-tioning myself what was I thinking when I put lsquo6456 MBBSrsquo in my JUPAS application I should have expect-ed and prepared to face all these I just didnrsquot knowhellip

Novella

hkucaduceusnet | 45

It was midterm evaluation in the IHD Block Her face looked tense in that heart shape She was so stiff in her facial expression that no one could read her mind from her poker face The conference room of the Physi-ology Department was large We seemed to be the odd ones out in the spacious carpeted room In this secre-tive silence you could hear the drumming in your ears as if you were tingling

I realised this was not a matter of ldquoam-I-suitable-for-a-medical-careerrdquo but ldquois-a-medical-career-suita-ble-for-merdquo I was lying in bed playing with my plush bear when these thoughts burst in me Dr Young looked through me She felt certain that different from other group mates there were crises behind me But I didnrsquot tell her anything that day

We all were sensitive At times some subtle trepi-dation seeped in gradually sucking peace away from my sleep It was so to say below threshold sub-lethal though it lingered for weeks once it set inhellip

Drenched in bloodhellip There is no life in the boy His eyes are widely opened slightly protruded The lifeless pair of black pearlshellip I cannot escape from his glance He wants to talk to mehellip There is something he wants me to know

A van runs over himhellip

I fell down the edge of my mattress Breathing heavilyhellip Sweating all overhellip

ldquoScreechrdquo People began to gather around a tel-ephone booth a few metres behind us

I turned back I couldnrsquot see a lot from this anglehellip

ldquohellip What a pity He is so younghelliprdquo a middle-aged couple passed by

The victim resting just in front of the wheel looked towards me through a break in the crowdhellip

As we were wandering around thinking what to eat for dinner my cousin found me standing there rooted to the ground stunned by the victimrsquos gaze My heart was pounding She wouldnrsquot believe what I was again experiencing For a number of times already scenarios in my dreams were mirrored into reality

I couldnrsquot tell her

ldquoI was just thinking whether you would like Korean cuisine There is a new restaurant two corners awayrdquo I made up a talk while escaping from the scene so that I wouldnrsquot look so strange

ldquoWhy not go and have a try thenrdquo She was not dis-appointed for calling it a day as the food there was sur-prisingly good

Not until some years ago when I was Form 3 in college I discovered my ability to look into the future Sometimes I could see them coming up on the news in days or weeks And some didnrsquot ever happen at least not around me But seeing the night visions coming into concrete existence wasnrsquot always a pleasure when the mental images turned gradually into mostly night-mares When I visualised my close ones it felt like I was in the middle of an insecure chain bridge above a torrent that would sweep me into the vast ocean with no return It was entirely different from what you might understand as ldquodreams come truerdquo

I had witnessed misfortunes in proximityhellip

But I could do nothing about ithellip

Friends were a source of solace someone to con-fide all frustrations in But with my paranormal ability which appeared to everybody else only on screen-plays I wasnrsquot courageous enough to open my life wholeheartedly to them Seldom talking about myself avoiding all sorts of gatherings I became an eccentric figure among my classmates

Sometimes mutual understanding carried more weight than words I remembered my physics teacher being one of my few friends during my teen years De-spite his boisterous faccedilade he was always sensitive to whenever I was dwelling on my burdens Physics was our common language Intermingling our emotions and feelings with concepts that were alien to my fel-lows we developed a close rapport impenetrable by anyone else

ldquoWhat is the nature of a flamerdquo This was the most discussed problem between us Neither in solid liquid nor vapour state Not having any definite shape and colour It seems not any material but a type of energy giving out heat and light At the moment of providing it also exhausts its fuel and eventually itselfhellip

The romance of physics is more than anything you could read write and talk about Once you were truly connected with it nothing can stop you Your mind will bounce irrespective of the chronology of space-time but only under the guidance of your thoughts

I was so devoted to the discipline at the time that I was almost making it my lifelong career in some way He envisaged that I would demand much more than any academia could provide with its scientific basis alone We were both seeking a philosophy beyond the facts But Hong Kong may not be the right place for it

I made him a promise at the end to contain our flame and I knew I would

For the first and the last time I saw his eyes filled with tears We knew existence by itself is a miracle

ldquoi love life because what More is thererdquo ndash aNthoNy hopkiNs

46 | Caduceus September 2011

說華佗都說「華佗再世」誰知箇中真諦雲方 (M15)

烽煙起戰火燃萬里 

三國並爭英雄地亂世有誰顧生死 

待神醫行世將民眾救濟

渺渺江山東西瞰俞跗巧手扁鵲心(1) 應向何處尋 

滾滾黃沙無世家終有奇士放奇葩

沛國 華元化(2) 

他經書貫通南北遊動 

一望斷症如神助三劑消病不必多

說斷症悉如所料 

甘陵 相夫人腹痛極難忍(3) 號脈知死嬰在左為男形(4)廣陵 梅軍吏除名歸故里

見貌知壽盡速返見萱椿(5) 

說消病藥到病除 

飲蒜醋有三升蟲一嘔而盡清 (6)母服丸而溫儲兒不藥而自癒 (7)

絕妙處 

是他開腸剖腹刀至辟毒 

神醫號 

除他內外皆精有誰配稱

[1]   俞跗黃帝時代之名醫扁鵲春秋戰國之名醫《淮南子人間訓》「患至而多後憂之helliphellip雖有扁鵲俞跗之巧猶不能生也」

[2]   華佗字元化沛國人(今安徽 亳州)

[3]   甘陵相(即甘陵之行政長官)夫人懷胎六月腹痛不安華佗為其切脈便知胎死於是命人摸知所在在左則男在右則女人云「在左」夫人飲藥後果然產出男胎腹痛立即痊癒

[4]   廣陵有軍吏名曰梅平離鄉服役後來退役歸家於路上巧遇華佗華佗視之嘆道「若能早些見我當不至於此而今你僅餘五日壽命速速回家還能與家人相見」平旋即趕抵故鄉五日後亦如料身亡

[5]   萱椿多作椿萱比喻父母漢牟融《送徐浩》詩「知君此去情偏切堂上椿萱雪滿頭」

[6]   華佗見路邊有人食不下嚥教他到路邊餅店買醋三升混上蒜泥然後飲用路人服後即吐出一條長蛇(即寄生蟲)

[7]   兩歲男孩長年腹瀉藥石無靈華佗往診謂病在母命其服用華佗親研之「四物女宛丸」服後母親乳汁不再寒涼男孩亦不藥而癒

意興

hkucaduceusnet | 47

只可惜人無完壁

「關將軍使君予我手刮骨惡毒走

曹丞相使君予我頭剖顱苦痛收」

「怎能不收怎能不收一命嗚呼萬事休 

簡直荒謬簡直荒謬殺此庸醫未須愁」(8) 

五禽戲尚能傳 (9)麻沸散從此絕 

何不一飲醉死不知世忍氣吞聲事權貴 (10)心神委曲須臾苦奇術失迭千秋計 

烽煙止無改生死事 

且當醫仙謫世間神技終須風裏散 (11)回首仰高山景行請君範 (12)

[8]     曹操欲殺華佗臣下勸之不可答曰「不憂天下當無此鼠輩耶」

[9]     死前華佗欲托所著醫書於獄卒不果便盡數焚毀唯有其養生體操「五禽戲」流傳後世

[10]   《三國志魏書方技傳》「當須刳割者便飲其麻沸散須臾便如醉死無所知」

[11]   唐白居易《簡簡吟》「恐是天仙謫人世只合人間十三歲」

[12]   景行(音航)即大道以高山景行比喻人品德行為之高尚典出《詩經小雅車轄》又東漢鄭玄曰「古人有高德者則慕仰之有明行者則而行之」

ldquothe art of MediciNe was to be properly learNer oNly forM its practice aNd its exerciserdquo - thoMas sydeNhaM

48 | Caduceus September 2011

啟程

清晨空白的天空看不見藍天雲彩

只有溫柔的雨絲和朦朦朧朧的霧水跟隨

著大隊的足印踏上沉重的腳步穿過橫

街小巷和煩囂熱鬧的市場走過自動門

撲鼻的消毒藥水味道讓大家屏住呼吸筆

者和夥伴們終於到達了入讀護理系以來第

一次實習的醫院

還記得在實習的前幾天心情是既忐忑

又期待的畢竟這一次實習的地方不再是

在社區中心宣傳健康方面的知識亦不是

只面對著健康活潑的小朋友和老友記或是

學校課堂上所提供的假人張靜汶卻是照

顧一羣真正需要關懷的病人心中充滿著

憂慮不知自己所學的知識足夠在應用上

嗎自己平日的練習足夠嗎雖然心存在

著不少疑惑但也十分期待可以體會一下

做小學護的感受嘗試把這一年裡所學到

的知識運用出來

很多的第一次

在病房裡總有心酸和膽戰心驚的時

候第一次為昏迷的病人清潔口腔第一

次為難以進食的人插入胃喉第一次為老

公公清洗背上壓瘡的傷口helliphellip照顧他們時

的心情都是一步一驚心生怕自己沒法應

付得來又怕會把事情弄得更糟糕最重

要的是恐怕自己不純熟的技巧令他們受苦

了記得有一回第一次為女病人插入尿

喉採取尿液樣本可能技巧不太純熟的關

係延長了病人的痛苦過程中她皺著

眉頭不斷呻吟又緊張得咬破脣眼看

她樣子心中真的不是味兒來身為病人

的其中之一依靠我們不得不給自己信

心如果連自己也不相信自己哪會有病

人願意把他們交給我們照料呢

捕捉那瞬間的美麗與淒然何麗敏 (N14)

上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

意興

hkucaduceusnet | 49

另外第一次面對病人的心情是頗為

緊張的說話技巧亦有改進的空間但和

病人傾談了數分鐘後氣氛也漸漸變得和

諧可能那些老公公整天呆在醫院裡真是

悶到慌看見一羣年青人與自己聊天照

顧和關心他們他們不禁咧嘴而笑醫院

職員透露有一位老公公平日不太願意吃東

西於是我們便主動和他談天說地又

悉心照料他進食的情況後來他不但胃

口好了不少就連心情也開朗了他生動

活潑的談吐讓我們笑了他回復健康精

神的體魄也讓我們感到安慰

相處片刻

雖然為期一星期的病房日子不是特別繁

忙或是辛勞但是也會有不習慣的時候

幸好得到醫院職員和一班夥伴的支持病

房經理和註冊護士不但相信我們的能力

對學護的包容更是不用多說還主動地介

紹病房的環境和細心地教導我們醫療護理

上的知識讓我們上了一堂實在而又寶貴

的課同時今次的實習也令我感到團體

精神也十分重要在技巧上大家互相提

點互補不足當有人準備照料有需要的

病人如插喉或洗傷口等大家送上一句 

「加油」就能令對方增加不少自信心和正

能量無論遇上甚麼事情我也榮幸有如

此一班學習夥伴從旁支持

學習的階級

在這一次病房實習中雖然醫療和藥物

知識方面有待加強但是我學懂了如何與

不同身份的病人相處之道溝通上也得到

了很大的進步獲益不少除此之外我

也真正體會到如何做一個好護士並清楚

了解這個行業是否適合自己鐘樓也不是

一天就能建成而是需要一磚一瓦搭建而

成的所以在學習上我們不但要打好

穩固的基礎還要增強醫療知識在技巧

上馬虎了事和走捷徑是於是無補的應

該多探究和練習才行這樣才對得起病人

和自己也減少不必要的醫療失當事故

總之多一份認真多一點耐性多一些

愛心就是學護必記的左右銘 上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

ldquoit is reasoNable to expect the doctor to recogNise that scieNce May Not have all the aNswers to probleMs of health aNd healiNgrdquo ndash NorMaN cousiNs

50 | Caduceus September 2011

Fun Corner

Medical AppsEver wondered how your handheld device can save your time and

effort when it comes to studying Here is how

Anatomy Pronunciations by HipposoftAccurate pronunciations of over a hundred important anatomy terms you have trouble with are provided

at your fingertips to help you spell those difficult words Anyone who has taken an anatomy course can tell you how challenging it can be to pro-nounce the names of those complicated anatomi-cal terms It is even linked directly to Wikipedia and Google through web browser for additional information

iPharmacy ndash Pill Identifier and Medication Guide by SigmaPhone LLCAn essential medication guide of 20000+ drugs is provided for con-sumers amp professionals This ex-

pands the image library to include 12000 pill and package images and includes digital drug identifier with official drug information (indica-tions dosage adverse reactions and more) You can check the drugs anywhere

Grades 2 by TapityIt tells you what grades you need in the coming tests in order to get your target grade You can easily calcu-late your GPA so as to maintain it It

is a useful tool helping you to keep an eye on your GPA all the time

Human Anatomy by SusaSoftXThe application provides you with information of 15 different biologi-cal systems You can keep on revis-ing while you are traveling without

carrying heavy books

Medscape by WebMD LLCFrom drug classes interaction clin-ical procedures and even the lat-est medical news Medscape helps medical students and healthcare

professionals to reiterate knowledge that has slipped from the mind It is a free application for iPhone iPad Android and Blackberry Yet it contains more function on Android phones and Apple products and lacks detailed clinical infor-mation for diseases and clinical procedures walk through on Blackberry

Pro Medical Terminology Dic-tionary by TreascoveryTerminology might be a tough work for medical students Even if we can master those English terms we can

hardly think of the Chinese terms This applica-tion can help you when you face this problem Note that it is not a free application

3M Littmann SoundBuilder by 3M CompanyA great tool designed to help im-prove auscultation skills of medical students with 14 unique lessons of

key heart sounds combing text virtual manne-quin 3D cardiac animation and dynamic wave-forms

iRadiology by Liebermans iRadi-ologyAn excellent learning tool for medi-cal students demonstrating classic radiological findings of a multitude

of abnormalities including over 500 radiologic images Radiologic images include CT US MRI and nuclear imaging each clearly labeled and followed by key teaching points

Micromedex Drug Information by Thomson Reuters (Healthcare) IncIs Cephalexin a first generation ce-phalosporin This application from

Thomson Reuters is the easiest way to navigate in the sea of drug names Drugs are sorted by classes and supplemented with rich information

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 19: Caduceus Issue 2, Volume 42

hkucaduceusnet | 19

級第一她的毅力和決心實在令人佩服

她的傲氣

其後她獲中文大學收作暫取生但她

又再次作出驚人之舉李醫生認為要讀醫

科生物化學科就得好些所以一定要認

真研讀高級程度的生物化學但是人是有

惰性的如果做了暫取生就一定會變得不

思進取讀不好生物化學於是她毅然

放棄暫取生的資格全心全意去考好高級

程度會考李醫生的豪氣決斷她破釜

沉舟的決心她的好勝和哲學令筆者從

心底裏衷心地拜服她

結果她當然考得很好的成績在選擇

大學時她再一次認真考慮自己將來的

路向她生來就有一種使命感覺得一定

要做一樣在任何時候任何地方都最有用

的工作加上她常常留意時事總覺得天

災人禍真的可以隨時發生於是她就選擇

了兩種無論是面臨戰爭還是天災的時候

對所有人都十分重要的工作記者和醫

生她終於入讀了港大醫學院並於九五

年畢業

與麻醉科結緣

實習的時候她特意選擇了一些能夠獲

得較多經驗的部門到投考專科的時候

她也選上了可以接觸很多不同類型病人的

兒科只可惜當時兒科並沒有學額但在

朋友介紹之下知道了麻醉科麻醉科同樣

可以接觸到不同的病人而且無論在甚麽

地方都可以發揮所長正正符合了李醫生

的志向結果她便入了麻醉科

據李醫生所說雖然一般人認為麻醉

科對體力的要求較少適合女孩子但

是現實並不這樣簡單由於麻醉要求一絲

不苟麻醉科的醫生都是完美主義者而

且學習的內容艱深每一種藥物的作用

反應甚至化學結構都要讀得滾瓜爛熟

她形容麻醉科醫生就好像病人背後的守護

天使在手術中要不停監測病人的維生指

數感覺病人的生命就在自己的手中所

以要承受着很大的壓力

作為麻醉科醫生每次見到的都是昏

迷或者沒有意識的病人事實上並沒有甚

麽可以跟病人溝通的機會病人通常感覺

不到麻醉科醫生的付出所以作為麻醉科

醫生未必可以從病人身上得到很大的滿足

感但他們卻比其他醫生更能夠專注地為

病人服務因為每次在手術中只照顧一位

病人

她的叮囑

李醫生叮囑現在的醫學生一定要僅記當

初想做醫生的原因她覺得在這個物質

社會中人是很容易迷失的她感覺到現

在的某些醫學生只為了一份穩定的工作

甚至是因為父母的意見而選擇行醫關於

作為醫生的意義卻從沒有思考過她勸

我們要好好問自己兩條問題人為甚麽生

存於世上作為醫生又是為了甚麼她

認為醫者要有父母心處處為病人而

不是為自己着想作為醫生就是要去服

務幫助人而不是為了求回報我們生

存於世上為的是信望愛並不用時時

記住利益金錢等東西最後她又提醒我

們不可以歧視病人不論是黑社會成員還

是香港首富只要病了就是一個無助的

病人就需要我們的幫助

李醫生思考獨立為人熱情健談跟李

醫生做訪問真的是一件有趣的事又令筆

者獲益良多特別是她有關人生意義的看

法的確值得反思作為醫學生的大家

你又可曾想過為甚麼要生存為甚麼要做

醫生呢

ldquothere is No MeaNiNg to life except the MeaNiNg MaN gives his life by the uNfoldiNg of his powersrdquo ndash erich froMM

在手術中不停監測病人的維生指數麻醉科醫生就好像病人背後的

守護天使

20 | Caduceus September 2011

To Succeed is to Fight Against ComplacencyInterview with a Dermatologist ndash Dr Henry ChanLily Cheng (M15) Andrew Seto (M15)

W ith our scheduled interview being inter-rupted by an emergency case of Stevens-

Johnson syndrome a life-threatening allergic skin re-action to medication Dr Chan rushed to the hospital for his patient

Sitting in Dr Chanrsquos office at his private practice the Hong Kong Dermatology and Laser Centre in the middle of a conference call with his overseas counter-part researchers we saw a pragmatic doctor at work This is a doctor who would never be complacent with his performance but keeps striving for excellence

AmedicalcareerDr Chanrsquos interest in dermatology was sown well

before his exposure to the discipline Having been in-flicted with eczema during his childhood he suffered from an excruciating itch in his skin that caused him much distress As a result of his own medical condi-tion he developed an interest in dermatology at a young age

During his fourth year in medical school he ex-plored an elective in dermatology at Yale University and began formal training in the field He obtained his medical degree and worked for several years in the UK before returning to Hong Kong to work at the Prince of Wales Hospital He then received a grant from the Hos-pital Authority to read dermatology in the UK

Working back and forth between Hong Kong and Britain in and out of universities and hospitals in his early years of practice Dr Chan settled his work base in Hong Kong in 1995 He was Associate Professor of CUHK from 1998 to 2000 and Chief of Dermatology and Associate Professor in HKU from 2000 to 2004

After entering private practice in 2004 Dr Chan now spends a lot less time on doing administrative work and more time on treating patients While he was actively engaged in teaching research and clini-cal work his current focus has shifted to mainly clini-cal work As an honorary clinical associate professor of our faculty he enjoys teaching and values the opportu-nity to cultivate and influence medical students

A renowned dermatologist with a strong research interest in medical devices Dr Chan is still very active in terms of research output His private practice sup-ported by a team of full-time research staff is unique

for its active research component ndash a practice which is well-established overseas but rare in Hong Kong

AsadoctoranddermatologistIn the beginning laser devices were developed to

treat medical conditions such as haemangioma and black moles but technological advancements driven by recent research has explored new possibilities for their applications in cosmetic treatment As a result new cosmetic procedures have appeared for the treat-ment of various conditions from skin rejuvenation to body contouring

While it is true that most dermatological conditions are rarely life-threatening they may nonetheless have a profound impact on patientsrsquo physical and psycho-social wellbeing For instance eczema often presents with rash It may give exudate in serious cases but is rarely fatal Nevertheless it might constitute great dis-comfort and inconvenience to patients Similarly se-vere cases of acne may also diminish onersquos self-esteem Dr Chan stressed that treatments for many skin condi-tions are not merely cosmetic in nature but may im-prove patientsrsquo self-esteem body image and psychoso-cial wellbeing

On the other hand some skin problems such as psoriasis and chronic eczema are incurable It is there-fore the doctorrsquos duty to educate patients and enhance their understanding of their disease One of the re-sponsibilities for dermatologists is to evaluate the im-pact of their patientsrsquo conditions to their quality of life Other than helping them return to their normal routine and diet as far as possible dermatologists also need to teach patients the way to get along with their chronic illnesses

Dr Chan emphasized that we run a profession not a business On this ground a doctor should never tell a patient what procedure they should receive Rather a doctorrsquos role is to explain the options available and provide the relevant information that carry with each procedure including potential risks and complica-tions

Dr Chan reminded us that financial return is only a ldquoby-productrdquo of a doctorrsquos work as a professional Doctors work hard and should be paid for their serv-ices but they should not be more interested in making

Feature

hkucaduceusnet | 21

money than in helping people He believes that shap-ing doctors into commercials in some way jeopard-izes medical professionalism

SuccessRedefinedSummoning his days as a fresh medical officer Dr

Chan recalled the death of the 18-year-old girl inflicted with necrotizing fasciitis who died within 24 hours He bore in mind every complicated case as an alarm to his future practice admitting that there is always room for him to improve

Quoting the professional golfer Jack Nicklaus Dr Chan reminded us that ldquocomplacency is a continuous struggle that we all have to fightrdquo It is easy to let our guard down but doctors have to be responsible for their patients all the time It is demanding but impor-tant for every medical professional to be vigilant and maintain onersquos standard at the top level He believes that good doctors should keep themselves in an appro-priate amount of stress and tension which keeps them mindful of their patientsrsquo needs

When asked about his rules for success Dr Chan emphasized that he does not feel he has attained his goal yet He feels that he may have had a decent start but it is inappropriate to judge his career before his retirement as he is still in the middle of his career To him it is far too early to define success Despite his change in roles over the years he still maintains his enthusiasm and passion that motivate him to do his best whether it be research teaching or clinical work

As far as medical students are concerned Dr Chan doesnrsquot see the urgency of deciding our future spe-cialty yet Medical school gives us a broad and general exposure to various fields and offers a good place to learn and gain experience sharpening our skills before serving as doctors We could still explore more in our senior years to come

ldquoFollow your heartrdquo Dr Chan gave us as a conclud-ing word He believes that the so-called ldquoROADrdquo to success is not really that important if one does not en-joy onersquos profession Listen to yourself and ask whether you really like your job

DrHenryChan陳衍里醫生

Specialist in Dermatology and Venereology

MBBS(London) MRCP(UK) FHKAM(Medicine) FRCP(Glasgow)

FRCP(Edinburgh)

Hon Professor LKS Faculty of Medicine HKU

Hon Consultant Dermatologist QMH HKSAR

Visiting Scientist Wellman Centre for Photomedicine USA

ldquoirsquoM a firM believer iN the theory that people oNly do their best at thiNgs they truly eNjoy it is difficult to excel at soMethiNg you doNrsquot eNjoyrdquo ndash jack Nicklaus

We run a profession not a businesshellip [doctors]

should not be more interested in making money than in

helping people

22 | Caduceus September 2011

Art and Medicine Seeing Diseases in ArtHow art masterpieces reveal medical conditionsAndrew Seto (M15)

F or centuries art historians have been mesmerized by

the enigmatic smile of Mona Lisa coming up with theories that range from the mundane to the bizarre Was she a silk merchantrsquos wife or a self-portrait of Leonardo da Vinci himself Was she pregnant An adulterer Leonardo da Vincirsquos se-cret male lover The theories never cease

BehindMonaLisarsquossmileHighcholesterolIt turns out that Mona Lisa had

ldquovery high cholesterolrdquo at least ac-cording to Vito Franco a Sicilian professor of pathological anatomy A medical expert who enjoys study-ing art masterpieces for evidence of diseases Franco concluded that Mona Lisa had xanthelasma (the accumulation of cholesterol under the skin) Indeed a closer look at her mysterious face does show a yellowish collection around the in-ner corner of her left eye He even found evidence of lipoma (a fatty tissue tumor) on her right hand Probably the least poetic finding for the most renowned beauty in Renaissance art

This was not the first time medical experts have associated Mona Lisa with clinical conditions Charles Bell the 19th century Scot-tish surgeon who discovered Bellrsquos palsy a form of facial paralysis resulting from facial nerve palsy once coined the term ldquoMona Lisa syndromerdquo This was a reference to the facial muscle contracture that develops after Bellrsquos palsy resulting in a ldquoMona Lisa-like smilerdquo

Mona Lisa Xanthelasma or just a blotch by mistake

Insight

hkucaduceusnet | 23

Hardly would Parmigianino have known that the long slen-der fingers and limbs of Madonna with the Long Neck was the result of a genetic disorder called Mar-fan syndrome And of all the things that crosses onersquos mind upon first glance of Caravaggiorsquos Sleeping Cu-pid the notion that the baby was inflicted with juvenile rheumatoid arthritis would be hard to imagine Franco claims that his goal was to expose the human vulnerability of the people depicted in art

MichelangelorsquosgoutykneeAnother subject who has been

scrutinized by medical experts is Michelangelo Renaissance painter and sculptor Scholars looked at his knee from Raphaelrsquos School of Ath-ens and concluded that he suffered from gout a form of inflammatory arthritis that occurs when crystals form in the joints

Based on the appearance of his knee which appears swollen en-larged and covered in hard lumps a diagnosis of gout seems plausible It was known that Michelangelo de-veloped various diseases during his life In his writings he complained of having kidney and bladder prob-lems In 1549 he had an episode of anuria followed by passing of grav-el and stone fragments in his urine

Many experts believe that Michelangelo like many of his contemporaries developed gout from lead poisoning A well-known workaholic Michelangelo con-stantly lived off a diet of bread and wine (processed in lead contain-ers at the time) and was frequently exposed to lead-based paint All evidence points to lead poisoning which promotes kidney damage and inhibits uric acid excretion causing it to build up in blood This predisposed him to gout precisely as depicted in Raphaelrsquos fresco

RenaissanceArtandNeuroanatomyLike Leonardo Michelangelo

was not just an artistic genius but also a great anatomist At 18 he be-

Michelangelorsquos knee from the school of atheNs by Raphael (c 1509-1510)

Madonna with the Long Neck Was it Marfan Syndrome

Juvenile rheumatoid arthritis

ldquoall art is autobiographical the pearl is the oysterrsquos autobiographyrdquo ndash federico felliNi

24 | Caduceus September 2011

gan dissecting cadavers in a mon-astery in Florence where he honed his technical skills and knowledge of the human body

According to neuroscientists Michelangelo disguised sketches of the human brain in his famous Sistine Chapel ceiling painting which has remained unnoticed for 500 years His fresco The Creation of Adam shares a striking similar-ity with the sagittal section of the brain The fold in the cape repre-sents the Sylvian fissure separating the frontal and parietal lobes You may even recognize the angelrsquos foot as the pituitary gland his thigh as the optic nerve and his leg as the optic tract And that sassy green robe running down the ponsmdashthatrsquos the vertebral artery

Look at Godrsquos neck in The Sepa-ration of Light from Darkness from the same fresco Art historians have long speculated that its lumpy ap-pearance represents goiter Yet medical experts have found an ac-curate picture of the brainstem and spinal cord in Godrsquos throat stun-ningly similar to the creases and crevices of the brain

Yet why would Michelangelo embed the brainstem in Godrsquos throat Was he alluding to Godrsquos wisdom or was it a form of protest to the Church After all dissecting cadavers was considered unethical at that time and for an anatomist like Michelangelo who fell out with the Pope while painting the Sis-tine Chapel ceiling could he have been painting anatomical images directly above the chapel altar in defiance to the Church

Artandophthal-mologyHowvi-sionchangesartClaude Monet is recognized as

one of the founders of the Impres-sionist movement but his vision got cloudy during his later years He wrote letters to friends describ-ing his growing frustration with his vision changes He was even forced to memorize colours on his palette

the creatioN of adaM by Michelangelo (c 1511)

the separatioN of light froM darkNess by Michelangelo (c 1512)

hkucaduceusnet | 25

and label tubes of paint Red began to look muddy to him and he saw his painting as becoming ldquoincreas-ingly darkenedrdquo Whenever he com-pared his paintings with his earlier works he would be sent into a tow-ering rage to destroy them

This was because he had cata-racts Cataract patients have yel-lowing and opacification of the lens so his vision essentially be-came more brownish The yel-lowish brown cataracts he looked through filtered out violet and blue shades Monet underwent two eye operations in 1923 after which he returned to his old painting style even throwing away some of his paintings and repainting them

Thesufferingart-istDepictingill-nessesinartPerhaps no one better personi-

fies the notion of a ldquosuffering artistrdquo than Vincent van Gogh Clinicians have posthumously diagnosed him with a range of medical problems including epilepsy schizophrenic and bipolar disorder His later works have long been noted for his preference for the colour yellow and some have speculated that this was related to his yellow vision

One theory was that van Goghrsquos doctors prescribed him with digi-talis to treat his epileptic seizures His painting Starry Night has yel-low circles around the stars and not surprisingly people with digi-talis overdose often see a yellowish halo around objects Other experts speculated that it was his addiction to absinthe that led to his yellow vi-sion Absinthe is a highly alcoholic drink that contains a highly psy-choactive neurotoxin called thu-jone which causes yellow vision

Van Gogh was not the only art-ist who projected his illness into his art Edvard Munch had tuber-culosis and spit blood as a boy Her mother died when he was five her sister spent most of her life in-stitutionalized for mental illness and his brother died of pneumo-

nia Munch may have depicted his own psychotic state of mind in The Scream which portrays a twisted agonized creature wracked with anxiety and horror

ConclusionDo these findings actually

prove something or are we over-analyzing artworks with our medi-cal knowledge Exactly what ben-efit would these discoveries have for the world at large is unknown At least we know it could lead to yet another interpretation for Mona Lisarsquos smile the result of a scrump-tious meal of pizza and pasta with cheese tomato sauce and meat balls before sitting for her portrait (which would certainly also explain her cholesterol problem)

Two pictures by Monet of the same Japanese bridgemdashthe first painted in 1899 the second between 1918 and 1922 revealing a dramatic loss of shape and detail

suNflowers by Vincent van Gogh (1888) the screaM by Edvard Munch (1893)

ldquoeverythiNg that we see is a shadow cast by that which we do Not seerdquo ndash MartiN luther kiNg jr

26 | Caduceus September 2011

The End is Near Apocalyptic TheoriesRead more to learn about the terrifying future that awaits us Chariene Woo (M15)

S urge of waves rush over the mountains with unstop-

pable speed engulfing and shatter-ing our homes Flaming asteroids rain from the sky causing roads to crumble like sheets of paper Peo-ple running away from burning cities screaming fearfully Civiliza-tion ruined in matter of mere sec-onds Is this what the future lies for us

Nobody knows

Apocalyptic literature and movies have always raised interest among the general public partly

because it involves the end of our world as we know it and partly due to the fact that there is no solid proof how an apocalypse would come about The interest has re-cently skyrocketed with rumors about the world ending on 21st De-cember 2012 about how the May-an calendar finishes at that specific time and how it will be the end of the world as we know it So the big question is when and how will our world end

NostradamusProphetofDoomNostradamus of France was

one of the worldrsquos most famous seers and is most well known for Les Propheties (The Prophecies) a collection of his major long-term prophecies written in quatrains Many of his prophecies have cor-rectly predicted current events including the destruction of the space shuttle Challenger the death of Lady Diana and the destruction of Twin Towers of the World Trade Center As a result of these predic-tions he has been given the nick-

How do you survive the apocalyptic world

Insight

hkucaduceusnet | 27

name ldquoThe Prophet of Doomrdquo

Nostradamusrsquo prophecies have huge room for interpretation speculation and controversy and some people think his writing has no merit at all The following is an example of a quatrain alluding to some sort of environmental disas-ter in the future

ldquoFor forty years the rainbow will not appear

For forty years it will be seen every day

The arid earth will grow more dry

And great floods when it will be seenrdquo

(Century 1 Quatrain 17)

In other quatrains images of great comet alien invasion and nu-clear contamination are also men-tioned so these could all be the prospects that are waiting for us in the future Despite Nostradamusrsquo ldquoaccurate predictionsrdquo of what had happened in the past the quatrains do not have a specific order So out of all the disasters predicted in the many quatrains it is uncertain which will happen where or when giving it less importance in predict-ing an actual apocalypse

PlanetXAccording to Nancy Lieder a

woman who claims to have been contacted by extraterrestrial life forms Planet X (also known as Nibiru) would come close to planet Earth on May 27th 2003 resulting in the Earthrsquos rotation ceasing for 59 terrestrial days The Earthrsquos pole will then undergo a physical polar shift due to the magnetic attraction between the Earthrsquos core and the magnetism of the passing planet This will ultimately lead to the dis-placement of Earthrsquos crust and the end of us But when this did not happen the event was postponed and re-dated to coincide with the Mayan calendar hysteria

NASA argues that this is merely an Internet hoax with no factual or scientific basis They explain that if Planet X was approaching Earth astronomers would have

been tracking it for at least the past decade and the planet would now be visible by the naked eye This is a very comforting bit of news Yet some people believe that NASA is part of a conspiracy to cover up the existence of such planet and keep the truth of impending apocalypse from general public Again the ar-gument can go either way and the ldquotruthrdquo depends on which side you choose or want to believe in

2012TheendoftimeSo what is so special about the

year 2012 There are claims saying that the Mayan calendar ends on 21st December 2012 and that will be the end of time for mankind However just like every calendar it merely rolls over to the new year on that date and it doesnrsquot signify anything special In the Mayan cal-endar 21st December 2012 will be the end of brsquoakrsquotun 13 and marks the start of brsquoakrsquotun 14 A brsquoakrsquotun is 144000 days (a little more than 394 years) and there is no archeological or historical evidence to show that the Mayans expected anything sig-nificant or drastic to happen at the

end of each brsquoakrsquotun

However there exists litera-ture that suggests otherwise In 1975 Frank Waters the author of the book Mexico Mystique identi-fied the 13th brsquoakrsquotun interval to be the ldquoMayan Great Cyclerdquo where it ends in the worldrsquos destruction and rebirth Waters claims that cata-strophic earthquakes will destroy the world but he miscalculated the date and announced that the end of the ldquoGreat Cyclerdquo would be on 24th

December 2011 AD

The year 1987 marked an in-creased in interest regarding the prophesized big event in 2012 The author of The Mayan Factor Path Beyond Technology Jose Arguelles linked the 13th brsquoakrsquotun period to a ldquobeamrdquo that links people the plan-et the Sun and the center of Galaxy According to Arguelles the beam is the key to harmonic resonance in the universe and the Mayan knew when we would enter and leave this beam hence set their 13th brsquoakrsquotun to mark our passage accordingly He also claims that this beam could advance the development of any-thing with DNA hence creating a more positive view of the future

V838 Mon a star with expanding light echo purported as photographic evidence of Nibiru

ldquoevery MaN dies Not every MaN really livesrdquo ndash williaM wallace

28 | Caduceus September 2011

No one can be sure of whether the end of brsquoakrsquotun 13 signifies something great or disastrous for us or if it is just another restart in the Mayan calendar We can only know for certain when the day ar-rives

GodrsquosplanforusThis is by far the most detailed

and terrifying image portrayed out of all apocalyptic claims that I have gone through The Book of Rev-elation from the New Testament reveals signs of apocalypse through a wide variety of symbolism One of such is the frightening image of the ldquofour horsemenrdquo

ldquoAnd I saw and behold a pale horse and he that sat upon him his name was Death and Hades followed with him And there was given unto them authority over the fourth part of the earth to kill with sword and with famine and with death and by the wild beasts of the

earthrdquo (68)

The pale horse carries the horseman of Death which is be-lieved to release global plague and pandemics to the world and take the lives of a quarter of the popu-lation This has already manifested

itself in many forms in different parts of the world at different times hence the first sign of apocalypse is said to be already happening among us

In similar manners the bible describes the arrival a black red and white horsemen represent-ing the delivery of global food shortages war and conflict and the coming of an antichrist to the world From historical genocide terrorism to increased occurrence of food shortages so often seen nowadays it seems that the red and black horsemen has arrived as well and now we are just waiting for the arrival of an antichrist to conquer us

The Book of Revelation also provides readers with a glimpse into the ldquoactionrdquo in how the world will end

ldquoAnd I saw when he opened the sixth seal and there was a great earthquake and the sun became black as sackcloth of hair and the whole moon became as blood and the stars of the heaven fell unto the earthhellipand every mountain and is-land were moved out of their placesrdquo

(612-13)

Besides the great earthquake and the darkening of the sun there is a repetitive mentioning of stars falling from heaven on earth in the Bible This is postulated as the at-tack of massive meteors on planet Earth Out of all prophecies in the Book scientists assume this to be the most likely since an asteroid impact at a scale as large as that may have already wiped out an entire species that came before mankind Scientists believe that showers of space rocks that rained down 65 million years ago (due to the collision of Near Earth Object) were the culprit for the extinction of dinosaurs Luckily NASA recent-ly launched an early warning sys-tem called ldquoSpaceguardrdquo that aims to monitor such Near Earth Objects to prevent future collisions and ex-tinctions

Having read the above the Bible seems to combine all the horrifying specifics in different apocalyptic speculations into one nightmare But donrsquot worry since there are many different interpretations of the Revelation Historicists are the ones who see the Book as a broad view of history (good news wersquove already escaped all the horrors in the depiction) whereas Futurists

believe the description as prophecies of the fu-ture The Idealists hold the belief that the Rev-elation does not refer to actual people or events which makes sense as the Bible is often not inter-preted literally So fingers crossed that the Revela-tion is not interpreted in the futurist way because in that way there is going to be a daunting future awaiting us

Four horsemen of Apocalypse

hkucaduceusnet | 29

ldquoDevolvingrdquoEarthTheoryThis is probably the

most scientific theory that I have come across so far from a news article pub-lished from ABC News A group of scientists from University of Washing-ton hypothesized that the Earth will gradually de-volve in the next half bil-lion years In short their logic works as follows

As we all know the sun is constantly grow-ing bigger yet the Earthrsquos environment has been reasonably constant This is because as the sun is warmed up carbon diox-ide from the atmosphere is removed and deposited in soil as carbonates This keeps our environment stable by the balance be-tween an increasing sun and reducing carbon di-oxide in the atmosphere (Note that global warming resulting from an increase carbon dioxide in atmosphere is just a brief blip in the grand scale of things) Since carbon dioxide is the ldquofood of liferdquo the reduction will cause plants and animals (including humans) to die To battle the rising heat some creatures will retreat into the sea hence reversing the evolutionary process And as the sun continues to expand the Earth will become so hot that even the oceans will gradu-ally be evaporated Eventually the sun blasts off its mass through ther-mal pulses engulfing the Earth

This is a very scientific specula-tion from an astrophysicistrsquos point of view and they claim that at best we have no more than half a billion years left This might be more reas-suring for some of us as the world will not end in the near future But the grief lies in the inevitability of our planet Earth coming to an end

Everythingthathasabegin-ninghasanendSo we are back where we start-

ed With more speculation and the-ories and still no closer to the truth The end could happen any day or time or maybe it could be a proc-ess that is already happening Even though it is not to the scale of an-nihilation of the human race hur-ricanes and earthquakes and car crashes have already been stealth-ily taking the lives of millions We know for sure that we must die eventually through chance old age or disease There is only very little we can do to fight against what has been planned for us and reducing the resources we consume is the best chance that we have in delay-ing this happening There might be some benefit if we know the in-sights of when and how it will hap-pen but really it doesnrsquot change anything Moreover it is possible that these speculations came about to force mankind to live life to the

fullest to treasure each day and every resource we have as a gift so it doesnrsquot matter which theory is the accurate one In the midst of these theories about apocalypse all we can do is to live every day as if it was our last with no regrets and enjoy life as it is now

ReferncesThe End of the Worldhttpwwwnostradamus101compropheciespart4P7

The Great 2012 Doomsday Scare httpwwwnasagovtopicsearthfeatures2012-guesthtml

When Will the World End New Theory EmergeshttpabcnewsgocomTechnol-ogystoryid=97756amppage=2

2012 Beginning of the End or Why the World Wonrsquot Endhttpwwwnasagovtopicsearthfeatures2012html

Video from history channel (from youtube link)httpwwwyoutubecomwatchv=BoTExQEyblU

ldquothe MeaNiNg of life is coNtaiNed iN every siNgle expressioN of life it is preseNt iN the iNfiNity of forMs aNd pheNoMeNa that exist iN all of creatioNrdquo ndash Michael jacksoN

30 | Caduceus September 2011

笑的神奇魔力「當你笑你改變了當你改變了整個世界也改變了」

麻丹卡塔利亞醫生(大笑瑜伽的始創人)何麗敏 (N14)

被隱藏的笑容

日 本大地震及核洩漏事件馬頭圍道唐樓火災三死十九傷中區

警長為勸示威人士中不慎失足墮橋身亡

各政黨爭相你嘲我罵helliphellip在城市裡我們

每天都被一些飛來橫禍天災人禍或社會

爭執的信息圍繞著充斥著愁雲慘霧的氣

氛甚至在家庭朋友學業工作和

健康方面我們亦會遇到不如意之事負

能量和心理壓力不斷增加沒有適當的疏

導和發洩方法之下不少人染上酗酒或沉

迷賭博等壞習慣來自我麻醉長期把情感

抑制的一些人更有機會患上

情緒病我們彷彿硬把自己

困在死胡同裡忘記兒時怎

樣整天咧嘴哈哈大笑如何

在跌倒後笑著站起來現

在很多人都像被魔鬼牽著

鼻子走每天板著一副無奈

沮喪的嘴臉掛上冷漠的眼

神笑聲更差不多成為絕

朋友啊你可有嘗試計

算過一天總共大笑了多少

次英國格拉根大學研究發

現在英國嬰兒每天會笑

達三百次而青少年時期的

每天大笑次數大幅減至六

次五十多歲的人平均每天

更只笑了三次無可厚非

我們在成長過程中必遇到愈來愈多的煩惱

和挑戰事情的確不是我們所能控制但

面對的心態我們為何不能放開一時所謂

的包袱像孩子般笑著面對呢為甚麼大

笑要有一定的理由或被時間限制呢

瑜伽加愉

近半個世紀工作學業和情緒波動

很大生活方式變得愈來愈物質主義容

易出現精神緊張大家都被壓得透不過氣

來變得不太愛笑在一九九五年印

度孟買註冊家庭醫生麻丹卡塔利亞(Dr Madan Kataria)創立「大笑瑜伽」以笑聲驅除怨氣大笑瑜伽是以笑聲互相交流

的透過眼神接觸傳遞歡樂的信息學習

別人的笑容代入孩童的心態再全情投

入地開懷大笑同時亦融入瑜伽的腹式

不妨一試

大笑瑜珈三式一預備式林中步行

在樹林慢走就是愛笑瑜伽的熱身方式步行時間

可以是10-30分鐘邊走路邊拍手同時不時地做深呼

吸目的是讓身體和情緒都徹底放鬆下來為後面的

內容做好準備

二進行式學習動物的表情

在瑜伽導師的帶領下活動面部肌肉然後模仿瑜

珈導師的動物表情這些表情看上去本身已很滑稽

只要按照瑜伽師的樣子去做再發出笑聲

三結束式調整呼吸

經歷了一場大笑面部表情鬆弛了心情也舒服

了不少大家慢慢收回笑容調整呼吸一邊在森林

裡散步一邊大聲告訴自己說「我們是世界上最快樂的

人」

灼見

hkucaduceusnet | 31

呼吸和伸展動作鼓勵大笑達至身心健康

的效果精神科專科曾繁光醫生指出 

「笑令腦自然分泌天然多巴胺以抗衡人

體緊張時所分泌的皮質醇預防患上焦

慮抑鬱的情況」除了改善情緒還能

促進健康笑能促進肺部呼吸功能和加強

血液循環現代醫學認為笑可以成為一種

治病方式治療神經衰弱消除肌肉的緊

張預防或減緩疼痛

筆者在此並不是宣傳大笑瑜伽其治

療成效仍有待商榷和科學實證但愈來愈

多人證實大笑和保持歡樂的心態能有效放

鬆自己張立新先生是第一位在中國推廣 

「大笑瑜伽」的人他患上憂鬱症遍尋

各種治療方式皆無成效一次機緣巧合

從網路接觸「大笑瑜伽」亦在電視上看

到介紹而開始學習和練習他的憂鬱症因

此不藥而癒從此他就開始在中國研究和

推廣愛笑運動暫且別論大笑瑜伽的奏效

程度但人生所遇到的事可真不少何不

笑對人生

尋回被遺忘的赤子之心

大笑並不是靈丹妙藥但它的確能帶來

正能量即使事情有多糟糕笑著面對總

比怨聲載道好而且美國加州大學柏克

萊分校心理學教授丹卓凱納說「笑對

人的進化很重要」目前心理學家們認

為笑是人類之間交流的古老方式之一笑

能互相影響把歡樂的氣氛傳染開去嬰

兒還未學懂說話時笑是與身俱來為何

我們長大後卻隱藏笑容呢朋友們參考

左頁所列大笑瑜伽的基本招式大家可相

約三五知己輕鬆一番找回孩童時的笑聲

大笑瑜伽的始創人麻丹卡塔利亞醫生

大笑瑜伽在六十多國家盛行

ldquolaughter is the best MediciNe - uNless yoursquore diabetic theN iNsuliN coMes pretty high oN the listrdquo ndash jasper carrott

32 | Caduceus September 2011

Learning Experiencing GivingA magical 10-day journey away from the cityErin Yeoh (M15)

C lad in backpacks light clothing and sneakers 21 medical students from HKU and CUHK

were prepared to leave the comforts of home and the internet (did I hear Facebook) We were bound to Chi-na about to embark on a learning-cum-volunteering trip organized by Medical Outreachers

After saying our final goodbyes at the Shenzhen air-port we split into two teams Team A with 9 members were bound to Xirsquoan where they would see volunteer orthopedic surgeons at work The 12 people in Team B including me left for Guizhou to understand the role of village doctors in rural China Both teams aimed to find out the effectiveness of public health policies in rural areas of China We were to meet up 4 days later at Dongshan Guangdong

Part1GuizhouUpon landing in Guizhou we were provided with

excellent hospitality by the local officers and the lo-cal NGO Amity Foundation We were given a brief introduction to Guizhou and also the work that the government and Amity Foundation were doing in the province Amity Foundation actually helped to build numerous new village clinics to improve the quality of healthcare in the region

The next day we were taken on a tour around the province visiting different village clinics (村診所) lo-cated in areas further away from the city Usually there would be one or two village doctors (村醫) on duty

at a time to attend to the villagers with population of around 1000 to 4000 per village

However the village doctors were not the type of ldquoheroesrdquo I had in mind They were not your typical doctor working in a worn out run-down wooden hut where there would be a row of sick villagers lining up to see them How ignorant I was In fact the village clin-ics were mostly renovated and well equipped with ba-sic amenities The standard village clinic has 5 rooms main lobby (大廳) treatment room (治療室) pharma-cy (藥房) observation room (觀察室) and a doctorrsquos rest room (醫生休息室) Furthermore their patient flow was rather small sometimes only one or two pa-tients per day This was probably due to the fact that some village clinics were located only a stonersquos throw away from major cities Those in a medical emergency would of course go straight to the main hospital to seek help immediately instead of consulting a village doc-tor

To be a village doctor one at least had to be a sec-ondary school graduate They would also undergo constant training and certification by qualified doctors in larger clinics According to the village doctors they spent most of their time doing paperwork keeping track of the villagers and their medical history They would also conduct regular home visits to those suf-fering from chronic illnesses or those that needed con-stant monitoring such as patients with hypertension or rheumatoid arthritis Another point that I found

A village clinic before receiving funding from Amity Foundation

hellipand a comparison after

Life

hkucaduceusnet | 33

interesting was that they would also visit families with newborn babies to check on their general health At the same time they would educate mothers on proper breastfeeding techniques and how to provide adequate nutrition for their children in the future

To learn more about their daily routine we fol-lowed a village doctor on his home visit rounds The doctor would sometimes have to travel as far as 2 kil-ometers for a home visit which would be the other end of the village This was as in the case of a pregnant lady due for delivery soon (photo as shown below) The doctor who came to check on her health status reas-sured her that her delivery would be a successful one From her sigh of relief and tired smile we could tell that she was grateful to see the doctor

However things didnrsquot always run as smoothly According to some of the village doctors they used to be scolded and rejected by the locals who did not understand why the doctors would often come up to their doorsteps asking them questions regarding their health and pestering them to go for checkups Some of them being superstitious would think of doctors as ldquoharbingers of bad luckrdquo as the doctors would talk about ldquosicknessrdquo and ldquodiseaserdquo when they were actu-ally feeling as fit as a fiddle Thankfully the situation has much improved since then

From what we saw instead of playing a curative role in a society the village doctors were actually much more involved in disease prevention and monitoring

This is actually the ldquoupstream modelrdquo concept in pub-lic health Instead urban doctors are overwhelmed by limited consultation time and when fatigue kicks in they simply do not have the energy to further educate their patients They would also not have the time to un-derstand their patients on a personal level unlike that of the village doctors

However the indiscriminate use of antibiotics in China was truly a frightening sight Doctors adminis-tered antibiotics intravenously for mild diseases like the common cold When we asked the doctors as to why they did so they simply smiled and shrugged off the question It is probably still a common practice in China and if the doctors did not give such medication the patients would probably lose trust in the doctor The fact that the similar practices were seen even in large hospitals probably indicates that this problem is hardly a localized one

Part2DongshanGuangdongWe met up with the team from Xirsquoan at the

Guangzhou airport and proceeded to our next desti-nationmdashDongshan After 5 hours of car ride we began to see signs that we were approaching our destination Mountains sharply angled clustered in twos or threes fondly known as ldquoMcDonalds mountainsrdquo were begin-ning to be in sight

As soon as we arrived we were greeted by eager curious young faces The children huddled close by as we unloaded our luggage some commenting that they hadnrsquot seen some of us while others were already play-ing around with the past participants It was my first time to Dongshan but there were some of us who were not new to the kids there

After settling down we were given an introduction to Dongshan and its residents by the local NGO Green Action Foundation led by Mr Wong

Located at the outskirts of the province Dongshan is one of the 4 poorest areas in Guangdong Its natu-ral terrain abundant in limestone makes it especially hard to retain water This has taken a toll on the resi-dents especially during the drought season Another problem faced by the local residents is that there are many young people and adults migrating to big cities to earn a living leaving behind the children and elderly

Village doctor on one of his home visits

Discarded bottles of intravenous antibiotics near the village clinic

ldquoMediciNe also disregards NatioNal bouNdariesrdquo ndash irviNg laNgMuir

34 | Caduceus September 2011

at home

Green Action Foundation took the initiative to plant trees around the area so that more water was available for irrigation and domestic purposes This improved the quality of their crops and boosted their source of income They also sponsored some of the

childrenrsquos education depending on their performance in school to ease the burden on their families

The next few days were jam-packed with activities A sports day was held as an icebreaker so that the new participants could get to know the children better We also spent half a day at the Dongshan Primary School where we taught the kids personal hygiene simple first aid moral education and also sex education for the grade 5 and 6 students

Another interesting activity that we had was a weed-cutting session up at a mountain with the other children Each of us was assigned with 2 to 3 chil-dren who were supposed to ldquoguiderdquo us along the way It was a 2-hour hike up and down hilly ter-rain While I would stop once in a while to take a breather the kids were barely panting The kids would often stop to ask if I was tired and even of-fered to help me carry my backpack Note to self more exercise next semester

Nevertheless it was a great chance to know the kids better We had the time to chat about their school life and what they thought about their future and also the chance to share snip-pets of our lives in the city

We then split into small groups and visited the homes of the children in order to gain a bet-ter understanding of their household hygiene

condition any medical conditions in the family as well as their economic standing We had also prepared questionnaires to be kept as future record Some of the families were very poor to the extent of having no source of income at all They depended solely on their own crops for food If they went to see the doctor they would usually owe the doctor money until they had

enough money to pay back The hygiene status of the villagers varied but most of them had swarms of flies around food Many even had their live poultry like chickens running around the house Before we left we gave them some hygiene products like soap washing detergent and toothbrushes to encourage better hy-giene We also gave them a poster explaining ways of maintaining a clean household environment

Another main focus of the trip was to find out the effectiveness of a medical insurance policy newly in-troduced by the government Each person had to pay 30 Renminbi annually to be guaranteed free medica-

Sports day activity

Weed cutting with the children

hkucaduceusnet | 35

tion and hospitalization thereafter Generally the vil-lagers were grateful for this plan as many found it dif-ficult to afford medical fees while struggling to pay for

basic necessities at the same time However some vil-lagers complained that the prices of medicine spiked after this policy was introduced and hospitals would of-ten ask patients to

do unnecessary scans just to earn more money

This trip made me realize that there is much that we can do but how great an impact we can make might not be seen immediately With follow up trips one could see the change as compared to the last visit and make further modifications to improve the situation

As the trip came to an end we were reluctant to leave There was something very magical about Dong-shan where the skies would turn to an exuberant red during sunset and on a clear night you could see stars scattered across every corner of the sky It is a place of beauty struggle and hopefully a place of triumph in the years to come

It is a place of beauty struggle and hopefully a place of triumph in the years to come

On one of our home visits

More to ExploreMedical Outreachers 醫心httpmedicaloutreachersorg

The Amity Foundation 愛德基金會httpwwwamityfoundationorg The beautiful sunset in Dongshan

ldquoshariNg is soMetiMes More deMaNdiNg thaN giviNgrdquo ndash Mary catheriNe batesoN

36 | Caduceus September 2011

就 在這一刻世界沉默了

城市的繁囂隨飛機引擎

逐點逐點噴走了繁囂的離

開是為了讓簡單的生活回

來剛踏出廈門機場一張

又一張的笑臉映入眼簾刺

熱的太陽把兩地之間的隔膜

融化

早從香港回歸時開始

香港人經常強調自己只是 

「香港人」而不是「中國

人」自以為比內地人高一

等可惜這班自視過高的都

市人曾幾何時為外地人送上

熱情的款待這一點廈門

人比誰都做得更好

廈門是一個位於中國

東南部的海島也許就是近

海讓居於廈門的人都把一

切怨恨煩惱拋下大海讓

它們隨水流漂走埋藏在海

床上每年廈門的鳳凰花花

開兩季一朵又一朵鮮艷如

火的鳳凰花在六月時歡送一

個又一個的畢業生彷彿為

他們添上一份祝福九月時

的鳳凰花熱情地歡迎一屆又

一屆的新生為新生的精彩

校園生活揭開序幕一份一

份的熱情含苞待放身在廈

門又怎會不被這市花的熱情

感動呢廈門大至人與人

之間小至花與花之間都存

著一份情

要追溯廈門人的情懷

可數至土樓的建成土樓

是個大多呈方形或圓形大型

群居的建築整座土樓樓高

三至五層由於牆身頗厚及

只有一個出入口甚具有防

禦功能亦因為這緣故當

大門關起來土樓便成了一

個家這個家佔地不大但卻

藏著成千上萬的人情味在

萬里無雲陽光普照的天空

下土樓居民的熱情好客

被蒸發出來懸浮在空中

一代一代傳下去更讓它隨

風走出土樓傳遍整個廈

門即使土樓漸漸成為旅遊

景點一些擺賣紀念品的攤

檔已經進駐但卻無礙居民間

的感情商販彼此交流從

不出現爭客的情況在土樓

中央休憩的居民除了為外地

人介紹他們的祠堂外亦邀

請遊客跟隨他們到遊客禁區

參觀在土樓居住的每伙都

中門大開當遊客投進好奇

的目光屋內的人往往以親

切的笑容作回答鄉土人

情在這世代多冷漠的心也

被融化

細膩的人情味外最令

遊客津津樂道的是廈門人的

態度廈門大學附近有一條

芙蓉隧道只要你願意便可

在隧道內壁上畫下你所思所

想當然美觀與否見仁見

智但這一種對藝術尊重

欣賞的態度是值得欣賞我

有我盡情地畫你有你盡責

青春在廈門留下足印潘曉彤 (N14)

生活

hkucaduceusnet | 37

地去管轄城市各處的整潔

彼此留下空間達至相輔相

成的效果廈門人就懂得人

最基本的禮貌尊重不

過廈門人對他人的尊重遠超

於人的基本禮貌當你去唱

「卡拉OK」的時候每次

待應的出入時看到的就只

有他們的正面而他們前行

或後退的方式就像看到皇帝

一樣卑恭屈膝香港人常常

強調面子哪一天才能捨下

那過高的尊嚴為不相識的

人作一個最謙卑的招待

其實任何人一離開香

港都不難發現就只有香

港愈夜愈精彩其他地方晚

上八時大多關門大吉而廈

門就只有中山路才媲美得

上香港的夜夜笙歌夜幕低

垂萬千燈火的中山路上

與來自各區的人擦肩而過

昏黃的燈光下照出一群又一

群的沉默影子剛好與路上

喧鬧的行人相映成趣騎樓

在霓虹燈的點綴下顯出了獨

有的閩南特色大街小巷傳

來不同地道小食的香氣車

輪餅燒仙草土笋凍helliphellip

為我們外來的交流生帶來美

味可口的夜宵飲飽食醉過

後走到中山路的盡頭又

回到了沉睡中的廈門

在優美的環境影響下

廈門人的生活也自然變得

純樸優閒單車車輪在環

島路上留下一圈又一圈的印

記沿路能細聽海浪輕拍岸

邊的聲音細嗅四處洋溢的

花香感受微風吹散太陽散

發的熱力見證一對又一對

的新人在拍下幸福的照片

據說廈門有戀愛天堂之稱

不管走到哪一處也會

看到準新人拍下甜蜜的婚紗

照而在裡面享受的人永遠

不知道這風景如畫的背

後是透過多少人的血汗換

來當我們在追求經濟成果

的同時往往破壞了造物者

在世上留下的藝術品隨中

國經濟急速發展一個又一

個的世外桃園被摧毀銅臭

替代了花香車聲替代了鳥

語這仙境又可維持多久

廈門另一世外桃園就是

鼓浪嶼它活像香港的長

洲島上滿有歐陸建築風

格但當中不乏中國特色的

建築中國古城風味與洋風

互相交替帶出截然不同的

感覺島上遠離汽車的廢

氣與金門就只是一海之

隔一家大小在享受天倫之

樂時一群又一群的青少

年情侶在沙灘上嬉戲立

即為島上升溫

筆者認為在這個混亂的

俗世確實需要抽空來欣賞

造物者留下來的藝術品大

財團不斷興建大型商場國

際知名品牌不停進駐留下

的就只有愈來愈狹窄的街

道被石屎封蓋寸草不生

的土地人人被金錢蒙蔽

迷失在霓虹燈光中又有多

少知音人能放下生活的瑣碎

事情在這裡享受時間一分

一秒的流走你被海浪聲

喚醒了嗎

筆者參加這次是由香

港廈門兩地大學的交流

團一連六天已經習慣了

當地的優閒生活模式體會

到的不只是廈門的風土人

情歷史文化而是兩地大

學生那種衝破界限的交流

雖說年輕人容易打成一片

但廈門獨有的熱情確實融化

了彼此間的隔膜廈門的美

是成人之美成就了兩地大

學生的友誼

飛機又再起飛了廈門

再見了

ldquothe tiMe of life is short to speNd that shortNess basely it would be too loNgrdquo ndash williaM shake-speare

38 | Caduceus September 2011

生 命形成之際只要一秒鐘的差遲世界便會不一樣

蝴蝶效應從來都是玄的全因一個 

「緣」字

隨著人成長要決擇的事太多學生

有兩件人生大事幾乎都不是由自己決定的

入讀小學及中學然而到了大學這

關卡自己也許可以拿定主意了若果你

入讀了心水科恭喜你若不然祝福

誠然入大學是最影響未來生活的關

口是好是壞無人知曉不用量化不

用比較太多即管做自己所想活出自己

的路只因你不會曉得你的下一步會怎樣

影響著你的生命

或許一個活動你會遇上你的最愛

或許一個宿位你會遇上你的知己

或許一句說話你會惹來一個敵人

或許一次走堂你會由B變C

這就是大學

在大學各人有各人的大學生活大

學講求自由學習學習真的是「求學不是

求分數」有些人愛廣交朋友有些人愛

住宿有些人愛做莊務有些人愛拍拖

有些人愛參加各樣活動有些人愛做兼

職有些人愛讀書有些人卻愛甚麼都不

做helliphellip不少大學生強調入大學必定要做齊

大學五件事(上莊住宿讀書拍拖

兼職)但其實只要自己開心不害人的

話做甚麼也沒問題最要緊的是認清讀

大學的目的以免沉淪於大學這花海

朋友

大學可以令你對「朋友」的概念愈來

愈含糊幾乎每個活動都可令你認識新朋

友通常大家都會輪流講述自己的名字與

學科(Round Table)這亦是考驗大腦對人名的記憶所謂的「Hi-Bye Friend」會愈來愈多隨便在細小的港大內穿梭會令你

無可奈何地對他們說聲Hi

不過別標籤你的「Hi-Bye Friend」要是連Hi-Bye也談不上更不用說做深交了上大學了大家已有既定的圈子很

多時約會或聊天都先找中學朋友而且很

多人會把大學朋友與中學的作比較雖情

有可原但有時未免先入為主地覺得中學

的較好

這亦難怪即使是日日碰面的同學也

未必是自己的好友人人都有自己的時間

表下課後各散東西不是大家不想互相

認識只是有時身不由己若想互相了

解不妨盡量製造共處之時有時甚至可

以分一些約會給大學朋友然後你會發

現大學朋友也可跟你熟絡可別為自己

建造一塊厚厚的心牆

舍堂

要入宿無人會不曉得十日的迎新營

有些舍堂平均每天的作息時間只有兩三小

時有人說住宿最辛苦就是迎新營然而

它卻是最難忘的

要數活動單單一個舍堂已數之不盡

要是投入舍堂生活每天24小時是不夠

用的舍堂之間有各樣比賽堂友要參加

各個組別為比賽出席各樣練習否則可

能被拒於來年再住基於許多人都只在夜

晚有空要全體出席那可是晚九朝五的

大學之緣賴彥積 (N14)

新鮮人

hkucaduceusnet | 39

宿生們之所以會熱衷於舍堂活動因他

們對自身舍堂有強烈的歸屬感好比中學

時學生參加校際比賽要是沒有歸屬感

就不會有心參加所屬舍堂的活動

除舍堂之間之活動樓層之間亦有各類

活動樓內亦然只要有人的地方就有玩

樂彷如天天宿營你不會有機會偷偷早

睡其他樓友常常打擾你你原來的生活

時間會推後數小時睡於二時已是罕有

早上的八半堂彷如無物

可以住宿但不參加活動嗎當然可以

但你會面對的是朋輩壓力他們雖未必逼

你參加卻會在言談中有意無意的滲出

來那種壓力不只限於自己樓層甚至是

跨樓層千萬可別輕看宿中流言

上莊

有人說上莊所學遠超課堂上莊所學

的是如何籌辦活動非常實用有時要對

外聯絡有時要面對公眾helliphellip像是要為將

來工作鋪路似的當然這亦要視乎你上

的是甚麼莊

一般而言上莊可訓練你待人處事的技

巧有時表面看來很友好的朋友當背

負上一定的要求後關係少不免有磨擦再

者初時莊員素未謀面最後卻因朝夕相

對而演變成朋友這段關係是很可貴的

成莊前要宣傳內閣爭取選票成莊了

又要舉行咨詢大會包受歷莊指導然後

又有就職典禮此後的活動更接踵而至

當然包括迎新活動招莊活動等helliphellip君不

見很多人視莊房為睡房少不免有「通

頂」之時忙是忙但必有價值至於是

好是壞要看自己的造化了

拍拖

人上了大學有時心思思想拍拖眼見

身旁多個好友都紛紛拍拖自己少不免羨

慕別人這想法十分正常畢竟大學生真

的可以放下只讀書的重擔真的可以規劃

人生大事了

香港大學一些營新活動中隨了Round Table外還有Round Status即說自己現在有否拍拖以及拍過多少次拖如 

A 0即Ava i lab l e之前至現在沒有拍拖O1即Occupied之前至現在共拍了一次拖當然也有一些同學自己創的甚

麼OBA (Occupied But Available)或D10(Desperate拍過10次拖)等等至於Round Status的動機何在可能是組爸媽想穿針引線吧當然也可能是別有用心的

不同人對拍拖有不同想法上了大學更

有不同擇偶條件人大了在感性的議題

上往往加上種種理性的數據開始現實起

來哪個帥哪個富有哪個有前途helliphellip

有些不在乎天長地久只求剎那的光輝

有些求虛榮有人疼愛在朋友前炫耀

有些甚至會在拍拖前已想定分手後的模

樣所以不想選擇跟自己同科的同學

活動

不同團體(包括舍堂學會及學校部

門)都有不同活動不用愁沒事幹只用

愁沒時間只要多留意Portal Mass Email或Main Campus海報不難發現幾乎每天都有各樣活動動靜皆宜開學時有迎

新營考試時有勁過飯新學期有開Sem

飯有些學會如戲劇舞蹈合唱團不時

有演出有關運動的學會則多練習以參

加比賽有關學術的也有很多興趣班講

座比賽等想幫人的亦可參加義工團

體如蛇蛇豬扶青等舉辦的義工活動

兼職

大學生的兼職大多以補習為主畢竟

這是我們能力範圍內可賺取最多外快又是

時間最彈性的工作有些人卻因補習不能

寫在履歷表而選擇別的工作然而很多時

我們都要在兼職與大學活動中取捨我的

ldquotake a chaNce all life is a chaNce the MaN who goes farthest is geNerally the oNe who is williNg to do aNd darerdquo ndash dale carNegie

40 | Caduceus September 2011

E mily was the chairperson of Pharmacy Socie-ty session 2010 As a student she has actively

participated in holding activities for many medical stu-dents and taken part in providing welfare to all phar-macy students Her following sharing will especially enlighten our new pharmacy students

Q Why did you choose Pharmacy SocietyA To be frank ldquosheung jongrdquo was really out of

my expectation when I anticipated my university life However my perspective has changed when I officially became a pharmacy student in HKU As members of the opening class of the Pharmacy programme my classmates and I realised the importance of having our own student body We do need an independent soci-ety to represent us pharmacy students to cater for our specific needs to listen to our points of view and to act as a bridge to facilitate our communication with the Medical Faculty the entire university and ultimately the pharmaceutical field in Hong Kong My class-mates and I who later became ldquojong yausrdquo believed we should act immediately to establish and run our own society which is why I decided to ldquosheung jongrdquo

Q Would you like to share some of the pros and cons of sheung jong

A ldquoSheung jongrdquo definitely helped me achieve per-sonal growth It was a concurrent commitment and re-sponsibility to serve and to lead our colleagues Bear-ing this in mind we always pushed ourselves to attain the best of our work ethics efficiency and efficacy As the very first session of the Society we lacked the guidance of any previous committee member Instead analysing carefully and critically we thought better of every decision which I personally found an enriching experience ldquoSheung jongrdquo was also an eye-opening journey Wersquod got to meet different people and learnt more about the professional work for as our career-to-be after graduation This in my opinion is always beneficial Last but not least I was fortunate enough to have worked with my amazing fellow committee mem-bers I frankly couldnrsquot ask for better ldquojong yausrdquo than initium Irsquom absolutely thankful for having them as my friends and it is definitely my greatest gain along the way

Despite the merits ldquosheung jongrdquo definitely has its downsides as well It is a lie to say ldquosheung jongrdquo does not affect our daily life because it does take up a big chunk of our time At the end of the day it is about time management which is easy to say but extremely dif-

建議是如家庭環境較困難賺錢吧反

之可以多留時間給各活動畢竟大學一

年的學費不只值那幾十堂課如何善用這

$42100就在乎你如何投入大學生活

讀書

假若你認為大學的考試可考核學生的

真正讀書能力並要求學生活學活用課堂

所學那麼你大失所望了假若你善於背

誦有過目不忘之本領大學的筆試不會

難倒你只要靠著前人留下的歷屆試題

背到滾瓜爛熟是不可能不及格的很多屆

試卷都是千篇一律的很多教授可沒空大

改試題那同學們就走運了有些課堂

即使再專業的學科都會有只理論無實

踐的課堂然後考試就要你把一大堆理論

背出來helliphellip例如甚麼叫批判思維噢

我可不知道只知道我掉了5分

不同學系在某程度上定下了人的前途

對於醫學院學生而言前路是較清晰可見

的但對於非專業學科前路不可只靠讀

書也許要靠自己另外摸索讀書所帶來

的必然是較高的GPA高GPA所帶來的是

獎學金到外國交流工作實習日後工

作機會等等當然大學學習不只局限於

讀書會否因此失彼就只有自己知道

蝶翼拍動之時往難以預料機會是

要自己摸索的

如經上所記

「神為愛他的人所預備的是眼睛未曾看見耳

朵未曾聽見人心也未曾想到的」

(哥林多前書29)

「栽種的和澆灌的都是一樣但將來各人要照自

己的工夫得自己的賞賜」

(哥林多前書38)

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

Freshmen

hkucaduceusnet | 41

ficult to achieve Also working as a Committee mem-ber can be very exhausting and difficult You definitely need lots of determination and support to get through some of the busiest times

Q How did you handle and balance the workload of study and your ldquojongrdquo

A As Irsquove said before it was tremendously difficult I guess my best advice for the future committee is to know your limitations and always plan ahead You have to know your time to work to rest to study etc No one will be over-worked and eve-ryone will have some personal time if you share the burden wisely between ldquojong yausrdquo Secondly you have to make very clear plans so that you can make full use of every little piece of your time I may not have succeeded in my time management but most of my ldquojong yausrdquo managed to do so de-spite the packed schedule of our Soci-ety This is sufficient proof of ldquoimpos-sible is nothingrdquo

Q As there are only about 25 pharmacy students per class do you have any suggestions for P14 fresh-men to make more friends from other curricula

A It really depends on what kind of person you are If you consider your-self socially active living in a hall or ldquosheung jongrdquo will be a great idea for you But if you see yourself as a much quieter person you can still make use of opportunities such as Medic Orien-tation Camp and other events jointly organised by student bodies within the Medical Faculty to make new friends

Q Any special things for P14 freshmen to be aware of

A First of all welcome You all are now members of Pharmacy Society MS HKUSU and I would like to let you know that this is a student body aiming to serve you Thus feel free to share your viewpoints and voice out your opinions to the current Com-mittee members The Society has to

understand your needs to improve and provide better welfare and services for you

Q Any other comments or important things to re-mind P14 freshmen

A If you would like to get to know more fellow pharmacy students especially students from P12 and P13 grab the opportunity to join the Pharmacy Society Orientation Camp and the Mentorship Programme These are great chances to make new friends and Irsquom sure you will enjoy them

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

ldquoas huMaN beiNgs we do chaNge grow adapt perhaps eveN learN aNd becoMe wiserrdquo ndash weNdy carlos

42 | Caduceus September 2011

筆 者是一位護理系的學生半年前有幸成為二零一一年啟思編輯委員會的總編輯在期間所體驗到的希望藉著這次機會作出分享特別希望新加入醫學院的同學

能對「上莊」有更多了解

上莊之路上莊是大學五件事之一證明它對大學生

活有一定的重要性一定的位置筆者在初入學的時候曾為了上莊與否而煩惱猶豫了好一段時間期間考慮到自己能力怕學業應負不來但最後仍然下了上莊這個決定原因是上莊是個難得的機會充實增值自己不同的莊會提供不同的機會讓莊友去學習透過不同的莊務去讓自己眼界擴大另外可以了解醫學院內發生既事情例如院內活動的進展情況更可以參加舉辦院活動為醫學院出一分力最後當然會認識到將會相處一整年的莊友工作伙伴有機會認識到不同學系的同學從他們身上可以觀察到學習到各種的特質從而令自己有所進步有所啟發

護理學生作為護理系學生起初擔任總編輯一職實

在是倍感壓力畢竟歷屆的總編輯都是由醫科生出任因此筆者起初都害怕跟醫科生共事怕自己的能力不足夠應付莊務所以起初都是戰戰兢兢地上莊

一位三年的護理學生曾對我說「我認為你不太尊重護理系護理系和醫科都是個專業希望你能加以尊重自己的學系不要輕視護理這個學系你要肯定自己的學系才能帶領整支莊因為莊內成員來自不同的學系你必須肯定和認同每個學系都有一定的重要性以及其專業」這番當頭棒喝的良言令我明白到自己一直都太輕視護理系過於重視醫科現在我明白到認同自己學系是尤其重要只有這樣才可以用自己學系的身份去發表意見只有認同自己學系才懂得尊重其他的學系莊內便可以融洽一點

在筆者的莊友中醫科生都是較有責任感而且做事更有計劃從他們身上的確學到不少東西這點是無可否認的事實筆者並不是在分享學系與學系之間的差別而是希望有志上莊的同學能互相尊重明白到各學系的莊

友都有其值得學習的地方起初對其他學系有隔膜是無可避免的畢竟對他們的學系都不太了解又沒有歸屬感但如果因為對方是別的學系而輕視對方的人不但失去與人相處學習的機會而且會令莊內的氣氛失去和諧

幸好的就我所見所聞醫學院內的莊多年來都能融洽相處互相支持令到一眾上莊的同學都能輕鬆地享受上莊的喜與樂甚至是不愉快的事情

依靠你的莊友莊是一個團體不是一兩個人可以應

付得來所以筆者認為與莊友互相溝通合作是個重要的元素新同學如果有志參與莊務期望從上莊中有所得著首要的事情是與莊友建立關係因為他們將會是你來年的工作伙伴也是你遇到困難時依靠的對象一位上莊曾對我說「其實一件的莊期不會令你有太大的得著或成長反而長久的友誼才是你將會得到最重要的」這句說話是千真萬確的上莊的人不會由詞不達意改變成談吐得宜不要期望自己會有驚人的轉變也許上莊會令人處事成熟一點有計劃一點但上莊所得到的關係將會是更重要更珍貴一年的相處中面對過有無數的會議共同處理過不少困難從中

建立的友誼真的是畢生受用

責任感上莊另外一個十分重要既條件就是責任

感有志上莊的同學必須明白到莊期是長達一整年在繁重的學業中騰出時間來處理莊務是個考驗責任感和毅力的測試同學必須再三思考想清楚自己是否真係熱衷於上莊或是只是一時衝動畢竟你將要許下的是一年的承諾必須對這個莊負上責任願意付出才選擇上莊這個決定這樣的付出就會有相對的回

總結上莊的確是個好機會讓自己去學習從處

理事務中或是從莊友身上都會有所得著充實著自己的大學生活從中可以認識到各學系的同學建立一段段受用終身的友誼在此筆者希望各學系的新同學可以善用機會作出上莊這個無悔的決定

護理系的啟思總編石志榮 (N14)

新鮮人

hkucaduceusnet | 43

慈兄吟(下)奇晶

最 後還是麥教授先開了口「他的確是一個好學生對醫學有獨到見解他不但學業成績優異而且樂於助人你是他的妹妹吧」婉慧努力控制自己的淚水繼繼續續的說「是啊但helliphellip但helliphellip我不知道helliphellip他竟會在這裏出現」麥教授用悲天憫人的目光看着婉慧語重深長說「人生自古誰無死人生命的有為與否並不取決於他生命的長短而是在於人生的意義你哥哥雖然最後當不了醫生但他的犧牲卻間接為一些同學做醫生鋪路讓他們做醫生去救人這真是一種無私的愛」婉慧點點頭覺得自己對哥哥的了解實在太少了

最後她還是孤獨的離開實驗室她覺得自己跟哥哥比起來實在相差得太遠了原來他除了是十優狀元在醫學院的成績名列前茅外還是個熱心助人的好青年自己除了少了一優外少的更有對別人的同情及樂於助人這造就了她心靈上的空虛她明白到冷漠不是一種對哥哥思念的正當表達方法她應該做的是把哥哥對其他人的愛傳揚開去以圓他的心願

第一步往往是最困難的婉慧平日對他人的態度已令不少人對她敬而遠之有很多次她嘗試向同班同學投以友善的笑容得到的總是詫異的目光或別人的不理不睬在小組討論中儘管她踴躍發言盡量避免冷場的發生偶同學們卻認為她變本加厲想阻止同學們取得好成績她四處碰壁又再次陷入了想念哥哥的深淵

時間一天一天過去了上學期考試前的休假開始了婉慧每天都勤奮的在圖書館溫習期望取得好成績這時候的圖書館堆滿了人如果遲來一個小時想找一個位子也難就在假期的第二天同班的王文在圖書館跑得氣急敗壞仍找不到一個座位婉慧不知怎樣有點同情他將座位讓給他王文驚訝道「不用了我還是回家吧真倒楣遲來了一個小時就沒有『接位』」

「但你住在哪裏呀」

「元朗今天早上我忘了校鬧鐘八時才起」

「那你還是要我的座位吧我可以坐到電腦桌因為我認識的人不少沒有什麼人會打擾我的」

王文謝了她頓時對這位冷漠的同學刮目相看原來她的內心也是溫暖的這並不是他所能料及的坐在電腦桌前溫習的她也感到特別的快樂溫習的速度也快多了王文就此成為了她的「飯檔」考試期間每天和她一起吃飯他更將自己的好友介紹給婉慧認識

在一個晚上她又悄悄的在圖書館的角落溫習着突然一隻溫暖的手搭着她的肩上她抬起頭但見解剖學的同桌手中拿着一杯熱飲輕輕的放在她的桌上婉慧正感詫異卻聽見他說「這杯熱巧克力是給你的繼續努力吧」她喝着巧克力心中感到一股暖流彷彿哥哥的關懷又在她內作出回響

十年生死兩茫茫不思量自難忘千里孤墳無處話淒涼helliphellip

寒風吹起了她額上的劉海佇立在墓前的婉慧不禁凜冽她想起了從前想到自己最後一次和哥哥吵架雙方面紅耳赤的情況想起自己無法親口跟哥哥道歉想起哥哥無私的付出她對着那空虛的墳心中不忍一陣淒然淚水漱漱的流下來她身旁攜扶着年紀老邁的母親邊拭淚邊喃喃道「我的兒子helliphellip歿了helliphellip」大家心情漸漸平復了緩緩走出了墳地

雨一滴一滴的落下飽歷辛酸的婉慧卻仍在懸壼濟世

短篇

ldquoyesterday is but todayrsquos MeMory aNd toMorrow is todayrsquos dreaMrdquo ndash khalil gibraN

44 | Caduceus September 2011

Eternal Flame (1)Tulipa

Itrsquos cold The chills from my fingertips imbibe deep into me This person drills into my mind digging out the truth inside me Itrsquos agonizing She comes right inhellip di-rectly I cannot stop her

Irsquom losing myselfhellip

My hand felt the soggy pillow I realised I had come back to life the world where I lived Staring blankly at the ceiling still losing focus in my eyes I felt my brows with my forearm For the first time I didnrsquot want to lose this feeling

The bedroom door slowly opened I quickly rubbed off the drops that had blurred my vision pretending that I had just woken up

ldquoDo you have lessons this morningrdquo My grand-mother whispered into my ear

ldquoOh goshrdquo I turned right to my alarm clock It was the real life I had forgotten to turn the alarm on last night and it was now seven thirty I knew it I was going to be late every time she caught me in bed Irsquod got to hurry up

Living in Hong Kong Island though it took me more than an hour to get to school I had to comfort my little brother sometimes till two or three in the morning in order to get him to sleep In addition to the consistently heavy study load in the medical school I could hardly get enough rest Running on my heels al-most became my routine starting from last November But I well understood the consequence of skipping lec-tures It was the beginning of the Cardiovascular Sys-tem Block For someone like me who gave least priority in revising Anatomy materials lectures remained the prime source of information for exams Absence from class was suicidal To make the situation worse this professor was one of those who did NOT upload lec-ture notes online

Hoping I wouldnrsquot arrive too late to miss the impor-tant points I finally stepped onto a route no 8 minibus at ten past eight What I could do now was to pay trust in the driver who would bring me to my destination

Coaxing kids was never easy Little Bruce just hap-pened to give me such a hassle last night

He knew I would check on him when I returned home Sitting right next to the door of his room he begged me for a story once I opened the door I sat down together with him on his little couch after Irsquod taken a quick shower This was a time to relax leaving

aside all the other concerns

Kindling through his favourite reader I saw that he wasnrsquot listening but distracted by all sorts of toys around He even invited me into his world of fantasy But it was getting late I had to calm him down so that I too could have some rest Being one of the brightest in his elementary school he should understand this was not the time for recreation

I began to feel annoyed

Yet he was my brother I had a gut feeling that this was unusual He didnrsquot use to be so ldquohyperactiverdquo It re-ally took me a while to adjust to his change With him still tossing and turning in my arms I apprehended his restlessness Unpredictable though he was true to his feelings In one way or another he might find the shadow of our mother in me

He finally settled when I laid him back in bed It was nearly two forty in the morning

The first week of the CVS Block ran as plotted PBL tutorials would start on next Monday Dr Youngrsquos fa-cial expression in the first PBL evaluation flashed over my Embryology notes and references She didnrsquot teach Embryology but I could tell she did have a hypertroph-ic heart-shaped face which looked familiar to the dia-grams in the Atlas

Back in the IHD Block most of us were puzzled about the scrambled content of our course Various forms of seemingly related knowledge came in through lectures practical and tutorial sessions But the neural circuit formed in our brain just failed to resonate as if the conductance-inductance mismatch had aberrated our thought from minimal impedance Sometimes things even happened in a ldquomore-than-extrardquo manner The presence of common core courses in a parallel but independent branch in the network could rightly be detached without causing a blip on the galvanometer Everything was dubious We had no idea of what we were doing

Maybe we were just on the way seeking for a sense of attachment

My mind too was racing in haste I was struggling with my decision to become a doctor Too many things had happened over the year I just couldnrsquot stop ques-tioning myself what was I thinking when I put lsquo6456 MBBSrsquo in my JUPAS application I should have expect-ed and prepared to face all these I just didnrsquot knowhellip

Novella

hkucaduceusnet | 45

It was midterm evaluation in the IHD Block Her face looked tense in that heart shape She was so stiff in her facial expression that no one could read her mind from her poker face The conference room of the Physi-ology Department was large We seemed to be the odd ones out in the spacious carpeted room In this secre-tive silence you could hear the drumming in your ears as if you were tingling

I realised this was not a matter of ldquoam-I-suitable-for-a-medical-careerrdquo but ldquois-a-medical-career-suita-ble-for-merdquo I was lying in bed playing with my plush bear when these thoughts burst in me Dr Young looked through me She felt certain that different from other group mates there were crises behind me But I didnrsquot tell her anything that day

We all were sensitive At times some subtle trepi-dation seeped in gradually sucking peace away from my sleep It was so to say below threshold sub-lethal though it lingered for weeks once it set inhellip

Drenched in bloodhellip There is no life in the boy His eyes are widely opened slightly protruded The lifeless pair of black pearlshellip I cannot escape from his glance He wants to talk to mehellip There is something he wants me to know

A van runs over himhellip

I fell down the edge of my mattress Breathing heavilyhellip Sweating all overhellip

ldquoScreechrdquo People began to gather around a tel-ephone booth a few metres behind us

I turned back I couldnrsquot see a lot from this anglehellip

ldquohellip What a pity He is so younghelliprdquo a middle-aged couple passed by

The victim resting just in front of the wheel looked towards me through a break in the crowdhellip

As we were wandering around thinking what to eat for dinner my cousin found me standing there rooted to the ground stunned by the victimrsquos gaze My heart was pounding She wouldnrsquot believe what I was again experiencing For a number of times already scenarios in my dreams were mirrored into reality

I couldnrsquot tell her

ldquoI was just thinking whether you would like Korean cuisine There is a new restaurant two corners awayrdquo I made up a talk while escaping from the scene so that I wouldnrsquot look so strange

ldquoWhy not go and have a try thenrdquo She was not dis-appointed for calling it a day as the food there was sur-prisingly good

Not until some years ago when I was Form 3 in college I discovered my ability to look into the future Sometimes I could see them coming up on the news in days or weeks And some didnrsquot ever happen at least not around me But seeing the night visions coming into concrete existence wasnrsquot always a pleasure when the mental images turned gradually into mostly night-mares When I visualised my close ones it felt like I was in the middle of an insecure chain bridge above a torrent that would sweep me into the vast ocean with no return It was entirely different from what you might understand as ldquodreams come truerdquo

I had witnessed misfortunes in proximityhellip

But I could do nothing about ithellip

Friends were a source of solace someone to con-fide all frustrations in But with my paranormal ability which appeared to everybody else only on screen-plays I wasnrsquot courageous enough to open my life wholeheartedly to them Seldom talking about myself avoiding all sorts of gatherings I became an eccentric figure among my classmates

Sometimes mutual understanding carried more weight than words I remembered my physics teacher being one of my few friends during my teen years De-spite his boisterous faccedilade he was always sensitive to whenever I was dwelling on my burdens Physics was our common language Intermingling our emotions and feelings with concepts that were alien to my fel-lows we developed a close rapport impenetrable by anyone else

ldquoWhat is the nature of a flamerdquo This was the most discussed problem between us Neither in solid liquid nor vapour state Not having any definite shape and colour It seems not any material but a type of energy giving out heat and light At the moment of providing it also exhausts its fuel and eventually itselfhellip

The romance of physics is more than anything you could read write and talk about Once you were truly connected with it nothing can stop you Your mind will bounce irrespective of the chronology of space-time but only under the guidance of your thoughts

I was so devoted to the discipline at the time that I was almost making it my lifelong career in some way He envisaged that I would demand much more than any academia could provide with its scientific basis alone We were both seeking a philosophy beyond the facts But Hong Kong may not be the right place for it

I made him a promise at the end to contain our flame and I knew I would

For the first and the last time I saw his eyes filled with tears We knew existence by itself is a miracle

ldquoi love life because what More is thererdquo ndash aNthoNy hopkiNs

46 | Caduceus September 2011

說華佗都說「華佗再世」誰知箇中真諦雲方 (M15)

烽煙起戰火燃萬里 

三國並爭英雄地亂世有誰顧生死 

待神醫行世將民眾救濟

渺渺江山東西瞰俞跗巧手扁鵲心(1) 應向何處尋 

滾滾黃沙無世家終有奇士放奇葩

沛國 華元化(2) 

他經書貫通南北遊動 

一望斷症如神助三劑消病不必多

說斷症悉如所料 

甘陵 相夫人腹痛極難忍(3) 號脈知死嬰在左為男形(4)廣陵 梅軍吏除名歸故里

見貌知壽盡速返見萱椿(5) 

說消病藥到病除 

飲蒜醋有三升蟲一嘔而盡清 (6)母服丸而溫儲兒不藥而自癒 (7)

絕妙處 

是他開腸剖腹刀至辟毒 

神醫號 

除他內外皆精有誰配稱

[1]   俞跗黃帝時代之名醫扁鵲春秋戰國之名醫《淮南子人間訓》「患至而多後憂之helliphellip雖有扁鵲俞跗之巧猶不能生也」

[2]   華佗字元化沛國人(今安徽 亳州)

[3]   甘陵相(即甘陵之行政長官)夫人懷胎六月腹痛不安華佗為其切脈便知胎死於是命人摸知所在在左則男在右則女人云「在左」夫人飲藥後果然產出男胎腹痛立即痊癒

[4]   廣陵有軍吏名曰梅平離鄉服役後來退役歸家於路上巧遇華佗華佗視之嘆道「若能早些見我當不至於此而今你僅餘五日壽命速速回家還能與家人相見」平旋即趕抵故鄉五日後亦如料身亡

[5]   萱椿多作椿萱比喻父母漢牟融《送徐浩》詩「知君此去情偏切堂上椿萱雪滿頭」

[6]   華佗見路邊有人食不下嚥教他到路邊餅店買醋三升混上蒜泥然後飲用路人服後即吐出一條長蛇(即寄生蟲)

[7]   兩歲男孩長年腹瀉藥石無靈華佗往診謂病在母命其服用華佗親研之「四物女宛丸」服後母親乳汁不再寒涼男孩亦不藥而癒

意興

hkucaduceusnet | 47

只可惜人無完壁

「關將軍使君予我手刮骨惡毒走

曹丞相使君予我頭剖顱苦痛收」

「怎能不收怎能不收一命嗚呼萬事休 

簡直荒謬簡直荒謬殺此庸醫未須愁」(8) 

五禽戲尚能傳 (9)麻沸散從此絕 

何不一飲醉死不知世忍氣吞聲事權貴 (10)心神委曲須臾苦奇術失迭千秋計 

烽煙止無改生死事 

且當醫仙謫世間神技終須風裏散 (11)回首仰高山景行請君範 (12)

[8]     曹操欲殺華佗臣下勸之不可答曰「不憂天下當無此鼠輩耶」

[9]     死前華佗欲托所著醫書於獄卒不果便盡數焚毀唯有其養生體操「五禽戲」流傳後世

[10]   《三國志魏書方技傳》「當須刳割者便飲其麻沸散須臾便如醉死無所知」

[11]   唐白居易《簡簡吟》「恐是天仙謫人世只合人間十三歲」

[12]   景行(音航)即大道以高山景行比喻人品德行為之高尚典出《詩經小雅車轄》又東漢鄭玄曰「古人有高德者則慕仰之有明行者則而行之」

ldquothe art of MediciNe was to be properly learNer oNly forM its practice aNd its exerciserdquo - thoMas sydeNhaM

48 | Caduceus September 2011

啟程

清晨空白的天空看不見藍天雲彩

只有溫柔的雨絲和朦朦朧朧的霧水跟隨

著大隊的足印踏上沉重的腳步穿過橫

街小巷和煩囂熱鬧的市場走過自動門

撲鼻的消毒藥水味道讓大家屏住呼吸筆

者和夥伴們終於到達了入讀護理系以來第

一次實習的醫院

還記得在實習的前幾天心情是既忐忑

又期待的畢竟這一次實習的地方不再是

在社區中心宣傳健康方面的知識亦不是

只面對著健康活潑的小朋友和老友記或是

學校課堂上所提供的假人張靜汶卻是照

顧一羣真正需要關懷的病人心中充滿著

憂慮不知自己所學的知識足夠在應用上

嗎自己平日的練習足夠嗎雖然心存在

著不少疑惑但也十分期待可以體會一下

做小學護的感受嘗試把這一年裡所學到

的知識運用出來

很多的第一次

在病房裡總有心酸和膽戰心驚的時

候第一次為昏迷的病人清潔口腔第一

次為難以進食的人插入胃喉第一次為老

公公清洗背上壓瘡的傷口helliphellip照顧他們時

的心情都是一步一驚心生怕自己沒法應

付得來又怕會把事情弄得更糟糕最重

要的是恐怕自己不純熟的技巧令他們受苦

了記得有一回第一次為女病人插入尿

喉採取尿液樣本可能技巧不太純熟的關

係延長了病人的痛苦過程中她皺著

眉頭不斷呻吟又緊張得咬破脣眼看

她樣子心中真的不是味兒來身為病人

的其中之一依靠我們不得不給自己信

心如果連自己也不相信自己哪會有病

人願意把他們交給我們照料呢

捕捉那瞬間的美麗與淒然何麗敏 (N14)

上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

意興

hkucaduceusnet | 49

另外第一次面對病人的心情是頗為

緊張的說話技巧亦有改進的空間但和

病人傾談了數分鐘後氣氛也漸漸變得和

諧可能那些老公公整天呆在醫院裡真是

悶到慌看見一羣年青人與自己聊天照

顧和關心他們他們不禁咧嘴而笑醫院

職員透露有一位老公公平日不太願意吃東

西於是我們便主動和他談天說地又

悉心照料他進食的情況後來他不但胃

口好了不少就連心情也開朗了他生動

活潑的談吐讓我們笑了他回復健康精

神的體魄也讓我們感到安慰

相處片刻

雖然為期一星期的病房日子不是特別繁

忙或是辛勞但是也會有不習慣的時候

幸好得到醫院職員和一班夥伴的支持病

房經理和註冊護士不但相信我們的能力

對學護的包容更是不用多說還主動地介

紹病房的環境和細心地教導我們醫療護理

上的知識讓我們上了一堂實在而又寶貴

的課同時今次的實習也令我感到團體

精神也十分重要在技巧上大家互相提

點互補不足當有人準備照料有需要的

病人如插喉或洗傷口等大家送上一句 

「加油」就能令對方增加不少自信心和正

能量無論遇上甚麼事情我也榮幸有如

此一班學習夥伴從旁支持

學習的階級

在這一次病房實習中雖然醫療和藥物

知識方面有待加強但是我學懂了如何與

不同身份的病人相處之道溝通上也得到

了很大的進步獲益不少除此之外我

也真正體會到如何做一個好護士並清楚

了解這個行業是否適合自己鐘樓也不是

一天就能建成而是需要一磚一瓦搭建而

成的所以在學習上我們不但要打好

穩固的基礎還要增強醫療知識在技巧

上馬虎了事和走捷徑是於是無補的應

該多探究和練習才行這樣才對得起病人

和自己也減少不必要的醫療失當事故

總之多一份認真多一點耐性多一些

愛心就是學護必記的左右銘 上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

ldquoit is reasoNable to expect the doctor to recogNise that scieNce May Not have all the aNswers to probleMs of health aNd healiNgrdquo ndash NorMaN cousiNs

50 | Caduceus September 2011

Fun Corner

Medical AppsEver wondered how your handheld device can save your time and

effort when it comes to studying Here is how

Anatomy Pronunciations by HipposoftAccurate pronunciations of over a hundred important anatomy terms you have trouble with are provided

at your fingertips to help you spell those difficult words Anyone who has taken an anatomy course can tell you how challenging it can be to pro-nounce the names of those complicated anatomi-cal terms It is even linked directly to Wikipedia and Google through web browser for additional information

iPharmacy ndash Pill Identifier and Medication Guide by SigmaPhone LLCAn essential medication guide of 20000+ drugs is provided for con-sumers amp professionals This ex-

pands the image library to include 12000 pill and package images and includes digital drug identifier with official drug information (indica-tions dosage adverse reactions and more) You can check the drugs anywhere

Grades 2 by TapityIt tells you what grades you need in the coming tests in order to get your target grade You can easily calcu-late your GPA so as to maintain it It

is a useful tool helping you to keep an eye on your GPA all the time

Human Anatomy by SusaSoftXThe application provides you with information of 15 different biologi-cal systems You can keep on revis-ing while you are traveling without

carrying heavy books

Medscape by WebMD LLCFrom drug classes interaction clin-ical procedures and even the lat-est medical news Medscape helps medical students and healthcare

professionals to reiterate knowledge that has slipped from the mind It is a free application for iPhone iPad Android and Blackberry Yet it contains more function on Android phones and Apple products and lacks detailed clinical infor-mation for diseases and clinical procedures walk through on Blackberry

Pro Medical Terminology Dic-tionary by TreascoveryTerminology might be a tough work for medical students Even if we can master those English terms we can

hardly think of the Chinese terms This applica-tion can help you when you face this problem Note that it is not a free application

3M Littmann SoundBuilder by 3M CompanyA great tool designed to help im-prove auscultation skills of medical students with 14 unique lessons of

key heart sounds combing text virtual manne-quin 3D cardiac animation and dynamic wave-forms

iRadiology by Liebermans iRadi-ologyAn excellent learning tool for medi-cal students demonstrating classic radiological findings of a multitude

of abnormalities including over 500 radiologic images Radiologic images include CT US MRI and nuclear imaging each clearly labeled and followed by key teaching points

Micromedex Drug Information by Thomson Reuters (Healthcare) IncIs Cephalexin a first generation ce-phalosporin This application from

Thomson Reuters is the easiest way to navigate in the sea of drug names Drugs are sorted by classes and supplemented with rich information

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 20: Caduceus Issue 2, Volume 42

20 | Caduceus September 2011

To Succeed is to Fight Against ComplacencyInterview with a Dermatologist ndash Dr Henry ChanLily Cheng (M15) Andrew Seto (M15)

W ith our scheduled interview being inter-rupted by an emergency case of Stevens-

Johnson syndrome a life-threatening allergic skin re-action to medication Dr Chan rushed to the hospital for his patient

Sitting in Dr Chanrsquos office at his private practice the Hong Kong Dermatology and Laser Centre in the middle of a conference call with his overseas counter-part researchers we saw a pragmatic doctor at work This is a doctor who would never be complacent with his performance but keeps striving for excellence

AmedicalcareerDr Chanrsquos interest in dermatology was sown well

before his exposure to the discipline Having been in-flicted with eczema during his childhood he suffered from an excruciating itch in his skin that caused him much distress As a result of his own medical condi-tion he developed an interest in dermatology at a young age

During his fourth year in medical school he ex-plored an elective in dermatology at Yale University and began formal training in the field He obtained his medical degree and worked for several years in the UK before returning to Hong Kong to work at the Prince of Wales Hospital He then received a grant from the Hos-pital Authority to read dermatology in the UK

Working back and forth between Hong Kong and Britain in and out of universities and hospitals in his early years of practice Dr Chan settled his work base in Hong Kong in 1995 He was Associate Professor of CUHK from 1998 to 2000 and Chief of Dermatology and Associate Professor in HKU from 2000 to 2004

After entering private practice in 2004 Dr Chan now spends a lot less time on doing administrative work and more time on treating patients While he was actively engaged in teaching research and clini-cal work his current focus has shifted to mainly clini-cal work As an honorary clinical associate professor of our faculty he enjoys teaching and values the opportu-nity to cultivate and influence medical students

A renowned dermatologist with a strong research interest in medical devices Dr Chan is still very active in terms of research output His private practice sup-ported by a team of full-time research staff is unique

for its active research component ndash a practice which is well-established overseas but rare in Hong Kong

AsadoctoranddermatologistIn the beginning laser devices were developed to

treat medical conditions such as haemangioma and black moles but technological advancements driven by recent research has explored new possibilities for their applications in cosmetic treatment As a result new cosmetic procedures have appeared for the treat-ment of various conditions from skin rejuvenation to body contouring

While it is true that most dermatological conditions are rarely life-threatening they may nonetheless have a profound impact on patientsrsquo physical and psycho-social wellbeing For instance eczema often presents with rash It may give exudate in serious cases but is rarely fatal Nevertheless it might constitute great dis-comfort and inconvenience to patients Similarly se-vere cases of acne may also diminish onersquos self-esteem Dr Chan stressed that treatments for many skin condi-tions are not merely cosmetic in nature but may im-prove patientsrsquo self-esteem body image and psychoso-cial wellbeing

On the other hand some skin problems such as psoriasis and chronic eczema are incurable It is there-fore the doctorrsquos duty to educate patients and enhance their understanding of their disease One of the re-sponsibilities for dermatologists is to evaluate the im-pact of their patientsrsquo conditions to their quality of life Other than helping them return to their normal routine and diet as far as possible dermatologists also need to teach patients the way to get along with their chronic illnesses

Dr Chan emphasized that we run a profession not a business On this ground a doctor should never tell a patient what procedure they should receive Rather a doctorrsquos role is to explain the options available and provide the relevant information that carry with each procedure including potential risks and complica-tions

Dr Chan reminded us that financial return is only a ldquoby-productrdquo of a doctorrsquos work as a professional Doctors work hard and should be paid for their serv-ices but they should not be more interested in making

Feature

hkucaduceusnet | 21

money than in helping people He believes that shap-ing doctors into commercials in some way jeopard-izes medical professionalism

SuccessRedefinedSummoning his days as a fresh medical officer Dr

Chan recalled the death of the 18-year-old girl inflicted with necrotizing fasciitis who died within 24 hours He bore in mind every complicated case as an alarm to his future practice admitting that there is always room for him to improve

Quoting the professional golfer Jack Nicklaus Dr Chan reminded us that ldquocomplacency is a continuous struggle that we all have to fightrdquo It is easy to let our guard down but doctors have to be responsible for their patients all the time It is demanding but impor-tant for every medical professional to be vigilant and maintain onersquos standard at the top level He believes that good doctors should keep themselves in an appro-priate amount of stress and tension which keeps them mindful of their patientsrsquo needs

When asked about his rules for success Dr Chan emphasized that he does not feel he has attained his goal yet He feels that he may have had a decent start but it is inappropriate to judge his career before his retirement as he is still in the middle of his career To him it is far too early to define success Despite his change in roles over the years he still maintains his enthusiasm and passion that motivate him to do his best whether it be research teaching or clinical work

As far as medical students are concerned Dr Chan doesnrsquot see the urgency of deciding our future spe-cialty yet Medical school gives us a broad and general exposure to various fields and offers a good place to learn and gain experience sharpening our skills before serving as doctors We could still explore more in our senior years to come

ldquoFollow your heartrdquo Dr Chan gave us as a conclud-ing word He believes that the so-called ldquoROADrdquo to success is not really that important if one does not en-joy onersquos profession Listen to yourself and ask whether you really like your job

DrHenryChan陳衍里醫生

Specialist in Dermatology and Venereology

MBBS(London) MRCP(UK) FHKAM(Medicine) FRCP(Glasgow)

FRCP(Edinburgh)

Hon Professor LKS Faculty of Medicine HKU

Hon Consultant Dermatologist QMH HKSAR

Visiting Scientist Wellman Centre for Photomedicine USA

ldquoirsquoM a firM believer iN the theory that people oNly do their best at thiNgs they truly eNjoy it is difficult to excel at soMethiNg you doNrsquot eNjoyrdquo ndash jack Nicklaus

We run a profession not a businesshellip [doctors]

should not be more interested in making money than in

helping people

22 | Caduceus September 2011

Art and Medicine Seeing Diseases in ArtHow art masterpieces reveal medical conditionsAndrew Seto (M15)

F or centuries art historians have been mesmerized by

the enigmatic smile of Mona Lisa coming up with theories that range from the mundane to the bizarre Was she a silk merchantrsquos wife or a self-portrait of Leonardo da Vinci himself Was she pregnant An adulterer Leonardo da Vincirsquos se-cret male lover The theories never cease

BehindMonaLisarsquossmileHighcholesterolIt turns out that Mona Lisa had

ldquovery high cholesterolrdquo at least ac-cording to Vito Franco a Sicilian professor of pathological anatomy A medical expert who enjoys study-ing art masterpieces for evidence of diseases Franco concluded that Mona Lisa had xanthelasma (the accumulation of cholesterol under the skin) Indeed a closer look at her mysterious face does show a yellowish collection around the in-ner corner of her left eye He even found evidence of lipoma (a fatty tissue tumor) on her right hand Probably the least poetic finding for the most renowned beauty in Renaissance art

This was not the first time medical experts have associated Mona Lisa with clinical conditions Charles Bell the 19th century Scot-tish surgeon who discovered Bellrsquos palsy a form of facial paralysis resulting from facial nerve palsy once coined the term ldquoMona Lisa syndromerdquo This was a reference to the facial muscle contracture that develops after Bellrsquos palsy resulting in a ldquoMona Lisa-like smilerdquo

Mona Lisa Xanthelasma or just a blotch by mistake

Insight

hkucaduceusnet | 23

Hardly would Parmigianino have known that the long slen-der fingers and limbs of Madonna with the Long Neck was the result of a genetic disorder called Mar-fan syndrome And of all the things that crosses onersquos mind upon first glance of Caravaggiorsquos Sleeping Cu-pid the notion that the baby was inflicted with juvenile rheumatoid arthritis would be hard to imagine Franco claims that his goal was to expose the human vulnerability of the people depicted in art

MichelangelorsquosgoutykneeAnother subject who has been

scrutinized by medical experts is Michelangelo Renaissance painter and sculptor Scholars looked at his knee from Raphaelrsquos School of Ath-ens and concluded that he suffered from gout a form of inflammatory arthritis that occurs when crystals form in the joints

Based on the appearance of his knee which appears swollen en-larged and covered in hard lumps a diagnosis of gout seems plausible It was known that Michelangelo de-veloped various diseases during his life In his writings he complained of having kidney and bladder prob-lems In 1549 he had an episode of anuria followed by passing of grav-el and stone fragments in his urine

Many experts believe that Michelangelo like many of his contemporaries developed gout from lead poisoning A well-known workaholic Michelangelo con-stantly lived off a diet of bread and wine (processed in lead contain-ers at the time) and was frequently exposed to lead-based paint All evidence points to lead poisoning which promotes kidney damage and inhibits uric acid excretion causing it to build up in blood This predisposed him to gout precisely as depicted in Raphaelrsquos fresco

RenaissanceArtandNeuroanatomyLike Leonardo Michelangelo

was not just an artistic genius but also a great anatomist At 18 he be-

Michelangelorsquos knee from the school of atheNs by Raphael (c 1509-1510)

Madonna with the Long Neck Was it Marfan Syndrome

Juvenile rheumatoid arthritis

ldquoall art is autobiographical the pearl is the oysterrsquos autobiographyrdquo ndash federico felliNi

24 | Caduceus September 2011

gan dissecting cadavers in a mon-astery in Florence where he honed his technical skills and knowledge of the human body

According to neuroscientists Michelangelo disguised sketches of the human brain in his famous Sistine Chapel ceiling painting which has remained unnoticed for 500 years His fresco The Creation of Adam shares a striking similar-ity with the sagittal section of the brain The fold in the cape repre-sents the Sylvian fissure separating the frontal and parietal lobes You may even recognize the angelrsquos foot as the pituitary gland his thigh as the optic nerve and his leg as the optic tract And that sassy green robe running down the ponsmdashthatrsquos the vertebral artery

Look at Godrsquos neck in The Sepa-ration of Light from Darkness from the same fresco Art historians have long speculated that its lumpy ap-pearance represents goiter Yet medical experts have found an ac-curate picture of the brainstem and spinal cord in Godrsquos throat stun-ningly similar to the creases and crevices of the brain

Yet why would Michelangelo embed the brainstem in Godrsquos throat Was he alluding to Godrsquos wisdom or was it a form of protest to the Church After all dissecting cadavers was considered unethical at that time and for an anatomist like Michelangelo who fell out with the Pope while painting the Sis-tine Chapel ceiling could he have been painting anatomical images directly above the chapel altar in defiance to the Church

Artandophthal-mologyHowvi-sionchangesartClaude Monet is recognized as

one of the founders of the Impres-sionist movement but his vision got cloudy during his later years He wrote letters to friends describ-ing his growing frustration with his vision changes He was even forced to memorize colours on his palette

the creatioN of adaM by Michelangelo (c 1511)

the separatioN of light froM darkNess by Michelangelo (c 1512)

hkucaduceusnet | 25

and label tubes of paint Red began to look muddy to him and he saw his painting as becoming ldquoincreas-ingly darkenedrdquo Whenever he com-pared his paintings with his earlier works he would be sent into a tow-ering rage to destroy them

This was because he had cata-racts Cataract patients have yel-lowing and opacification of the lens so his vision essentially be-came more brownish The yel-lowish brown cataracts he looked through filtered out violet and blue shades Monet underwent two eye operations in 1923 after which he returned to his old painting style even throwing away some of his paintings and repainting them

Thesufferingart-istDepictingill-nessesinartPerhaps no one better personi-

fies the notion of a ldquosuffering artistrdquo than Vincent van Gogh Clinicians have posthumously diagnosed him with a range of medical problems including epilepsy schizophrenic and bipolar disorder His later works have long been noted for his preference for the colour yellow and some have speculated that this was related to his yellow vision

One theory was that van Goghrsquos doctors prescribed him with digi-talis to treat his epileptic seizures His painting Starry Night has yel-low circles around the stars and not surprisingly people with digi-talis overdose often see a yellowish halo around objects Other experts speculated that it was his addiction to absinthe that led to his yellow vi-sion Absinthe is a highly alcoholic drink that contains a highly psy-choactive neurotoxin called thu-jone which causes yellow vision

Van Gogh was not the only art-ist who projected his illness into his art Edvard Munch had tuber-culosis and spit blood as a boy Her mother died when he was five her sister spent most of her life in-stitutionalized for mental illness and his brother died of pneumo-

nia Munch may have depicted his own psychotic state of mind in The Scream which portrays a twisted agonized creature wracked with anxiety and horror

ConclusionDo these findings actually

prove something or are we over-analyzing artworks with our medi-cal knowledge Exactly what ben-efit would these discoveries have for the world at large is unknown At least we know it could lead to yet another interpretation for Mona Lisarsquos smile the result of a scrump-tious meal of pizza and pasta with cheese tomato sauce and meat balls before sitting for her portrait (which would certainly also explain her cholesterol problem)

Two pictures by Monet of the same Japanese bridgemdashthe first painted in 1899 the second between 1918 and 1922 revealing a dramatic loss of shape and detail

suNflowers by Vincent van Gogh (1888) the screaM by Edvard Munch (1893)

ldquoeverythiNg that we see is a shadow cast by that which we do Not seerdquo ndash MartiN luther kiNg jr

26 | Caduceus September 2011

The End is Near Apocalyptic TheoriesRead more to learn about the terrifying future that awaits us Chariene Woo (M15)

S urge of waves rush over the mountains with unstop-

pable speed engulfing and shatter-ing our homes Flaming asteroids rain from the sky causing roads to crumble like sheets of paper Peo-ple running away from burning cities screaming fearfully Civiliza-tion ruined in matter of mere sec-onds Is this what the future lies for us

Nobody knows

Apocalyptic literature and movies have always raised interest among the general public partly

because it involves the end of our world as we know it and partly due to the fact that there is no solid proof how an apocalypse would come about The interest has re-cently skyrocketed with rumors about the world ending on 21st De-cember 2012 about how the May-an calendar finishes at that specific time and how it will be the end of the world as we know it So the big question is when and how will our world end

NostradamusProphetofDoomNostradamus of France was

one of the worldrsquos most famous seers and is most well known for Les Propheties (The Prophecies) a collection of his major long-term prophecies written in quatrains Many of his prophecies have cor-rectly predicted current events including the destruction of the space shuttle Challenger the death of Lady Diana and the destruction of Twin Towers of the World Trade Center As a result of these predic-tions he has been given the nick-

How do you survive the apocalyptic world

Insight

hkucaduceusnet | 27

name ldquoThe Prophet of Doomrdquo

Nostradamusrsquo prophecies have huge room for interpretation speculation and controversy and some people think his writing has no merit at all The following is an example of a quatrain alluding to some sort of environmental disas-ter in the future

ldquoFor forty years the rainbow will not appear

For forty years it will be seen every day

The arid earth will grow more dry

And great floods when it will be seenrdquo

(Century 1 Quatrain 17)

In other quatrains images of great comet alien invasion and nu-clear contamination are also men-tioned so these could all be the prospects that are waiting for us in the future Despite Nostradamusrsquo ldquoaccurate predictionsrdquo of what had happened in the past the quatrains do not have a specific order So out of all the disasters predicted in the many quatrains it is uncertain which will happen where or when giving it less importance in predict-ing an actual apocalypse

PlanetXAccording to Nancy Lieder a

woman who claims to have been contacted by extraterrestrial life forms Planet X (also known as Nibiru) would come close to planet Earth on May 27th 2003 resulting in the Earthrsquos rotation ceasing for 59 terrestrial days The Earthrsquos pole will then undergo a physical polar shift due to the magnetic attraction between the Earthrsquos core and the magnetism of the passing planet This will ultimately lead to the dis-placement of Earthrsquos crust and the end of us But when this did not happen the event was postponed and re-dated to coincide with the Mayan calendar hysteria

NASA argues that this is merely an Internet hoax with no factual or scientific basis They explain that if Planet X was approaching Earth astronomers would have

been tracking it for at least the past decade and the planet would now be visible by the naked eye This is a very comforting bit of news Yet some people believe that NASA is part of a conspiracy to cover up the existence of such planet and keep the truth of impending apocalypse from general public Again the ar-gument can go either way and the ldquotruthrdquo depends on which side you choose or want to believe in

2012TheendoftimeSo what is so special about the

year 2012 There are claims saying that the Mayan calendar ends on 21st December 2012 and that will be the end of time for mankind However just like every calendar it merely rolls over to the new year on that date and it doesnrsquot signify anything special In the Mayan cal-endar 21st December 2012 will be the end of brsquoakrsquotun 13 and marks the start of brsquoakrsquotun 14 A brsquoakrsquotun is 144000 days (a little more than 394 years) and there is no archeological or historical evidence to show that the Mayans expected anything sig-nificant or drastic to happen at the

end of each brsquoakrsquotun

However there exists litera-ture that suggests otherwise In 1975 Frank Waters the author of the book Mexico Mystique identi-fied the 13th brsquoakrsquotun interval to be the ldquoMayan Great Cyclerdquo where it ends in the worldrsquos destruction and rebirth Waters claims that cata-strophic earthquakes will destroy the world but he miscalculated the date and announced that the end of the ldquoGreat Cyclerdquo would be on 24th

December 2011 AD

The year 1987 marked an in-creased in interest regarding the prophesized big event in 2012 The author of The Mayan Factor Path Beyond Technology Jose Arguelles linked the 13th brsquoakrsquotun period to a ldquobeamrdquo that links people the plan-et the Sun and the center of Galaxy According to Arguelles the beam is the key to harmonic resonance in the universe and the Mayan knew when we would enter and leave this beam hence set their 13th brsquoakrsquotun to mark our passage accordingly He also claims that this beam could advance the development of any-thing with DNA hence creating a more positive view of the future

V838 Mon a star with expanding light echo purported as photographic evidence of Nibiru

ldquoevery MaN dies Not every MaN really livesrdquo ndash williaM wallace

28 | Caduceus September 2011

No one can be sure of whether the end of brsquoakrsquotun 13 signifies something great or disastrous for us or if it is just another restart in the Mayan calendar We can only know for certain when the day ar-rives

GodrsquosplanforusThis is by far the most detailed

and terrifying image portrayed out of all apocalyptic claims that I have gone through The Book of Rev-elation from the New Testament reveals signs of apocalypse through a wide variety of symbolism One of such is the frightening image of the ldquofour horsemenrdquo

ldquoAnd I saw and behold a pale horse and he that sat upon him his name was Death and Hades followed with him And there was given unto them authority over the fourth part of the earth to kill with sword and with famine and with death and by the wild beasts of the

earthrdquo (68)

The pale horse carries the horseman of Death which is be-lieved to release global plague and pandemics to the world and take the lives of a quarter of the popu-lation This has already manifested

itself in many forms in different parts of the world at different times hence the first sign of apocalypse is said to be already happening among us

In similar manners the bible describes the arrival a black red and white horsemen represent-ing the delivery of global food shortages war and conflict and the coming of an antichrist to the world From historical genocide terrorism to increased occurrence of food shortages so often seen nowadays it seems that the red and black horsemen has arrived as well and now we are just waiting for the arrival of an antichrist to conquer us

The Book of Revelation also provides readers with a glimpse into the ldquoactionrdquo in how the world will end

ldquoAnd I saw when he opened the sixth seal and there was a great earthquake and the sun became black as sackcloth of hair and the whole moon became as blood and the stars of the heaven fell unto the earthhellipand every mountain and is-land were moved out of their placesrdquo

(612-13)

Besides the great earthquake and the darkening of the sun there is a repetitive mentioning of stars falling from heaven on earth in the Bible This is postulated as the at-tack of massive meteors on planet Earth Out of all prophecies in the Book scientists assume this to be the most likely since an asteroid impact at a scale as large as that may have already wiped out an entire species that came before mankind Scientists believe that showers of space rocks that rained down 65 million years ago (due to the collision of Near Earth Object) were the culprit for the extinction of dinosaurs Luckily NASA recent-ly launched an early warning sys-tem called ldquoSpaceguardrdquo that aims to monitor such Near Earth Objects to prevent future collisions and ex-tinctions

Having read the above the Bible seems to combine all the horrifying specifics in different apocalyptic speculations into one nightmare But donrsquot worry since there are many different interpretations of the Revelation Historicists are the ones who see the Book as a broad view of history (good news wersquove already escaped all the horrors in the depiction) whereas Futurists

believe the description as prophecies of the fu-ture The Idealists hold the belief that the Rev-elation does not refer to actual people or events which makes sense as the Bible is often not inter-preted literally So fingers crossed that the Revela-tion is not interpreted in the futurist way because in that way there is going to be a daunting future awaiting us

Four horsemen of Apocalypse

hkucaduceusnet | 29

ldquoDevolvingrdquoEarthTheoryThis is probably the

most scientific theory that I have come across so far from a news article pub-lished from ABC News A group of scientists from University of Washing-ton hypothesized that the Earth will gradually de-volve in the next half bil-lion years In short their logic works as follows

As we all know the sun is constantly grow-ing bigger yet the Earthrsquos environment has been reasonably constant This is because as the sun is warmed up carbon diox-ide from the atmosphere is removed and deposited in soil as carbonates This keeps our environment stable by the balance be-tween an increasing sun and reducing carbon di-oxide in the atmosphere (Note that global warming resulting from an increase carbon dioxide in atmosphere is just a brief blip in the grand scale of things) Since carbon dioxide is the ldquofood of liferdquo the reduction will cause plants and animals (including humans) to die To battle the rising heat some creatures will retreat into the sea hence reversing the evolutionary process And as the sun continues to expand the Earth will become so hot that even the oceans will gradu-ally be evaporated Eventually the sun blasts off its mass through ther-mal pulses engulfing the Earth

This is a very scientific specula-tion from an astrophysicistrsquos point of view and they claim that at best we have no more than half a billion years left This might be more reas-suring for some of us as the world will not end in the near future But the grief lies in the inevitability of our planet Earth coming to an end

Everythingthathasabegin-ninghasanendSo we are back where we start-

ed With more speculation and the-ories and still no closer to the truth The end could happen any day or time or maybe it could be a proc-ess that is already happening Even though it is not to the scale of an-nihilation of the human race hur-ricanes and earthquakes and car crashes have already been stealth-ily taking the lives of millions We know for sure that we must die eventually through chance old age or disease There is only very little we can do to fight against what has been planned for us and reducing the resources we consume is the best chance that we have in delay-ing this happening There might be some benefit if we know the in-sights of when and how it will hap-pen but really it doesnrsquot change anything Moreover it is possible that these speculations came about to force mankind to live life to the

fullest to treasure each day and every resource we have as a gift so it doesnrsquot matter which theory is the accurate one In the midst of these theories about apocalypse all we can do is to live every day as if it was our last with no regrets and enjoy life as it is now

ReferncesThe End of the Worldhttpwwwnostradamus101compropheciespart4P7

The Great 2012 Doomsday Scare httpwwwnasagovtopicsearthfeatures2012-guesthtml

When Will the World End New Theory EmergeshttpabcnewsgocomTechnol-ogystoryid=97756amppage=2

2012 Beginning of the End or Why the World Wonrsquot Endhttpwwwnasagovtopicsearthfeatures2012html

Video from history channel (from youtube link)httpwwwyoutubecomwatchv=BoTExQEyblU

ldquothe MeaNiNg of life is coNtaiNed iN every siNgle expressioN of life it is preseNt iN the iNfiNity of forMs aNd pheNoMeNa that exist iN all of creatioNrdquo ndash Michael jacksoN

30 | Caduceus September 2011

笑的神奇魔力「當你笑你改變了當你改變了整個世界也改變了」

麻丹卡塔利亞醫生(大笑瑜伽的始創人)何麗敏 (N14)

被隱藏的笑容

日 本大地震及核洩漏事件馬頭圍道唐樓火災三死十九傷中區

警長為勸示威人士中不慎失足墮橋身亡

各政黨爭相你嘲我罵helliphellip在城市裡我們

每天都被一些飛來橫禍天災人禍或社會

爭執的信息圍繞著充斥著愁雲慘霧的氣

氛甚至在家庭朋友學業工作和

健康方面我們亦會遇到不如意之事負

能量和心理壓力不斷增加沒有適當的疏

導和發洩方法之下不少人染上酗酒或沉

迷賭博等壞習慣來自我麻醉長期把情感

抑制的一些人更有機會患上

情緒病我們彷彿硬把自己

困在死胡同裡忘記兒時怎

樣整天咧嘴哈哈大笑如何

在跌倒後笑著站起來現

在很多人都像被魔鬼牽著

鼻子走每天板著一副無奈

沮喪的嘴臉掛上冷漠的眼

神笑聲更差不多成為絕

朋友啊你可有嘗試計

算過一天總共大笑了多少

次英國格拉根大學研究發

現在英國嬰兒每天會笑

達三百次而青少年時期的

每天大笑次數大幅減至六

次五十多歲的人平均每天

更只笑了三次無可厚非

我們在成長過程中必遇到愈來愈多的煩惱

和挑戰事情的確不是我們所能控制但

面對的心態我們為何不能放開一時所謂

的包袱像孩子般笑著面對呢為甚麼大

笑要有一定的理由或被時間限制呢

瑜伽加愉

近半個世紀工作學業和情緒波動

很大生活方式變得愈來愈物質主義容

易出現精神緊張大家都被壓得透不過氣

來變得不太愛笑在一九九五年印

度孟買註冊家庭醫生麻丹卡塔利亞(Dr Madan Kataria)創立「大笑瑜伽」以笑聲驅除怨氣大笑瑜伽是以笑聲互相交流

的透過眼神接觸傳遞歡樂的信息學習

別人的笑容代入孩童的心態再全情投

入地開懷大笑同時亦融入瑜伽的腹式

不妨一試

大笑瑜珈三式一預備式林中步行

在樹林慢走就是愛笑瑜伽的熱身方式步行時間

可以是10-30分鐘邊走路邊拍手同時不時地做深呼

吸目的是讓身體和情緒都徹底放鬆下來為後面的

內容做好準備

二進行式學習動物的表情

在瑜伽導師的帶領下活動面部肌肉然後模仿瑜

珈導師的動物表情這些表情看上去本身已很滑稽

只要按照瑜伽師的樣子去做再發出笑聲

三結束式調整呼吸

經歷了一場大笑面部表情鬆弛了心情也舒服

了不少大家慢慢收回笑容調整呼吸一邊在森林

裡散步一邊大聲告訴自己說「我們是世界上最快樂的

人」

灼見

hkucaduceusnet | 31

呼吸和伸展動作鼓勵大笑達至身心健康

的效果精神科專科曾繁光醫生指出 

「笑令腦自然分泌天然多巴胺以抗衡人

體緊張時所分泌的皮質醇預防患上焦

慮抑鬱的情況」除了改善情緒還能

促進健康笑能促進肺部呼吸功能和加強

血液循環現代醫學認為笑可以成為一種

治病方式治療神經衰弱消除肌肉的緊

張預防或減緩疼痛

筆者在此並不是宣傳大笑瑜伽其治

療成效仍有待商榷和科學實證但愈來愈

多人證實大笑和保持歡樂的心態能有效放

鬆自己張立新先生是第一位在中國推廣 

「大笑瑜伽」的人他患上憂鬱症遍尋

各種治療方式皆無成效一次機緣巧合

從網路接觸「大笑瑜伽」亦在電視上看

到介紹而開始學習和練習他的憂鬱症因

此不藥而癒從此他就開始在中國研究和

推廣愛笑運動暫且別論大笑瑜伽的奏效

程度但人生所遇到的事可真不少何不

笑對人生

尋回被遺忘的赤子之心

大笑並不是靈丹妙藥但它的確能帶來

正能量即使事情有多糟糕笑著面對總

比怨聲載道好而且美國加州大學柏克

萊分校心理學教授丹卓凱納說「笑對

人的進化很重要」目前心理學家們認

為笑是人類之間交流的古老方式之一笑

能互相影響把歡樂的氣氛傳染開去嬰

兒還未學懂說話時笑是與身俱來為何

我們長大後卻隱藏笑容呢朋友們參考

左頁所列大笑瑜伽的基本招式大家可相

約三五知己輕鬆一番找回孩童時的笑聲

大笑瑜伽的始創人麻丹卡塔利亞醫生

大笑瑜伽在六十多國家盛行

ldquolaughter is the best MediciNe - uNless yoursquore diabetic theN iNsuliN coMes pretty high oN the listrdquo ndash jasper carrott

32 | Caduceus September 2011

Learning Experiencing GivingA magical 10-day journey away from the cityErin Yeoh (M15)

C lad in backpacks light clothing and sneakers 21 medical students from HKU and CUHK

were prepared to leave the comforts of home and the internet (did I hear Facebook) We were bound to Chi-na about to embark on a learning-cum-volunteering trip organized by Medical Outreachers

After saying our final goodbyes at the Shenzhen air-port we split into two teams Team A with 9 members were bound to Xirsquoan where they would see volunteer orthopedic surgeons at work The 12 people in Team B including me left for Guizhou to understand the role of village doctors in rural China Both teams aimed to find out the effectiveness of public health policies in rural areas of China We were to meet up 4 days later at Dongshan Guangdong

Part1GuizhouUpon landing in Guizhou we were provided with

excellent hospitality by the local officers and the lo-cal NGO Amity Foundation We were given a brief introduction to Guizhou and also the work that the government and Amity Foundation were doing in the province Amity Foundation actually helped to build numerous new village clinics to improve the quality of healthcare in the region

The next day we were taken on a tour around the province visiting different village clinics (村診所) lo-cated in areas further away from the city Usually there would be one or two village doctors (村醫) on duty

at a time to attend to the villagers with population of around 1000 to 4000 per village

However the village doctors were not the type of ldquoheroesrdquo I had in mind They were not your typical doctor working in a worn out run-down wooden hut where there would be a row of sick villagers lining up to see them How ignorant I was In fact the village clin-ics were mostly renovated and well equipped with ba-sic amenities The standard village clinic has 5 rooms main lobby (大廳) treatment room (治療室) pharma-cy (藥房) observation room (觀察室) and a doctorrsquos rest room (醫生休息室) Furthermore their patient flow was rather small sometimes only one or two pa-tients per day This was probably due to the fact that some village clinics were located only a stonersquos throw away from major cities Those in a medical emergency would of course go straight to the main hospital to seek help immediately instead of consulting a village doc-tor

To be a village doctor one at least had to be a sec-ondary school graduate They would also undergo constant training and certification by qualified doctors in larger clinics According to the village doctors they spent most of their time doing paperwork keeping track of the villagers and their medical history They would also conduct regular home visits to those suf-fering from chronic illnesses or those that needed con-stant monitoring such as patients with hypertension or rheumatoid arthritis Another point that I found

A village clinic before receiving funding from Amity Foundation

hellipand a comparison after

Life

hkucaduceusnet | 33

interesting was that they would also visit families with newborn babies to check on their general health At the same time they would educate mothers on proper breastfeeding techniques and how to provide adequate nutrition for their children in the future

To learn more about their daily routine we fol-lowed a village doctor on his home visit rounds The doctor would sometimes have to travel as far as 2 kil-ometers for a home visit which would be the other end of the village This was as in the case of a pregnant lady due for delivery soon (photo as shown below) The doctor who came to check on her health status reas-sured her that her delivery would be a successful one From her sigh of relief and tired smile we could tell that she was grateful to see the doctor

However things didnrsquot always run as smoothly According to some of the village doctors they used to be scolded and rejected by the locals who did not understand why the doctors would often come up to their doorsteps asking them questions regarding their health and pestering them to go for checkups Some of them being superstitious would think of doctors as ldquoharbingers of bad luckrdquo as the doctors would talk about ldquosicknessrdquo and ldquodiseaserdquo when they were actu-ally feeling as fit as a fiddle Thankfully the situation has much improved since then

From what we saw instead of playing a curative role in a society the village doctors were actually much more involved in disease prevention and monitoring

This is actually the ldquoupstream modelrdquo concept in pub-lic health Instead urban doctors are overwhelmed by limited consultation time and when fatigue kicks in they simply do not have the energy to further educate their patients They would also not have the time to un-derstand their patients on a personal level unlike that of the village doctors

However the indiscriminate use of antibiotics in China was truly a frightening sight Doctors adminis-tered antibiotics intravenously for mild diseases like the common cold When we asked the doctors as to why they did so they simply smiled and shrugged off the question It is probably still a common practice in China and if the doctors did not give such medication the patients would probably lose trust in the doctor The fact that the similar practices were seen even in large hospitals probably indicates that this problem is hardly a localized one

Part2DongshanGuangdongWe met up with the team from Xirsquoan at the

Guangzhou airport and proceeded to our next desti-nationmdashDongshan After 5 hours of car ride we began to see signs that we were approaching our destination Mountains sharply angled clustered in twos or threes fondly known as ldquoMcDonalds mountainsrdquo were begin-ning to be in sight

As soon as we arrived we were greeted by eager curious young faces The children huddled close by as we unloaded our luggage some commenting that they hadnrsquot seen some of us while others were already play-ing around with the past participants It was my first time to Dongshan but there were some of us who were not new to the kids there

After settling down we were given an introduction to Dongshan and its residents by the local NGO Green Action Foundation led by Mr Wong

Located at the outskirts of the province Dongshan is one of the 4 poorest areas in Guangdong Its natu-ral terrain abundant in limestone makes it especially hard to retain water This has taken a toll on the resi-dents especially during the drought season Another problem faced by the local residents is that there are many young people and adults migrating to big cities to earn a living leaving behind the children and elderly

Village doctor on one of his home visits

Discarded bottles of intravenous antibiotics near the village clinic

ldquoMediciNe also disregards NatioNal bouNdariesrdquo ndash irviNg laNgMuir

34 | Caduceus September 2011

at home

Green Action Foundation took the initiative to plant trees around the area so that more water was available for irrigation and domestic purposes This improved the quality of their crops and boosted their source of income They also sponsored some of the

childrenrsquos education depending on their performance in school to ease the burden on their families

The next few days were jam-packed with activities A sports day was held as an icebreaker so that the new participants could get to know the children better We also spent half a day at the Dongshan Primary School where we taught the kids personal hygiene simple first aid moral education and also sex education for the grade 5 and 6 students

Another interesting activity that we had was a weed-cutting session up at a mountain with the other children Each of us was assigned with 2 to 3 chil-dren who were supposed to ldquoguiderdquo us along the way It was a 2-hour hike up and down hilly ter-rain While I would stop once in a while to take a breather the kids were barely panting The kids would often stop to ask if I was tired and even of-fered to help me carry my backpack Note to self more exercise next semester

Nevertheless it was a great chance to know the kids better We had the time to chat about their school life and what they thought about their future and also the chance to share snip-pets of our lives in the city

We then split into small groups and visited the homes of the children in order to gain a bet-ter understanding of their household hygiene

condition any medical conditions in the family as well as their economic standing We had also prepared questionnaires to be kept as future record Some of the families were very poor to the extent of having no source of income at all They depended solely on their own crops for food If they went to see the doctor they would usually owe the doctor money until they had

enough money to pay back The hygiene status of the villagers varied but most of them had swarms of flies around food Many even had their live poultry like chickens running around the house Before we left we gave them some hygiene products like soap washing detergent and toothbrushes to encourage better hy-giene We also gave them a poster explaining ways of maintaining a clean household environment

Another main focus of the trip was to find out the effectiveness of a medical insurance policy newly in-troduced by the government Each person had to pay 30 Renminbi annually to be guaranteed free medica-

Sports day activity

Weed cutting with the children

hkucaduceusnet | 35

tion and hospitalization thereafter Generally the vil-lagers were grateful for this plan as many found it dif-ficult to afford medical fees while struggling to pay for

basic necessities at the same time However some vil-lagers complained that the prices of medicine spiked after this policy was introduced and hospitals would of-ten ask patients to

do unnecessary scans just to earn more money

This trip made me realize that there is much that we can do but how great an impact we can make might not be seen immediately With follow up trips one could see the change as compared to the last visit and make further modifications to improve the situation

As the trip came to an end we were reluctant to leave There was something very magical about Dong-shan where the skies would turn to an exuberant red during sunset and on a clear night you could see stars scattered across every corner of the sky It is a place of beauty struggle and hopefully a place of triumph in the years to come

It is a place of beauty struggle and hopefully a place of triumph in the years to come

On one of our home visits

More to ExploreMedical Outreachers 醫心httpmedicaloutreachersorg

The Amity Foundation 愛德基金會httpwwwamityfoundationorg The beautiful sunset in Dongshan

ldquoshariNg is soMetiMes More deMaNdiNg thaN giviNgrdquo ndash Mary catheriNe batesoN

36 | Caduceus September 2011

就 在這一刻世界沉默了

城市的繁囂隨飛機引擎

逐點逐點噴走了繁囂的離

開是為了讓簡單的生活回

來剛踏出廈門機場一張

又一張的笑臉映入眼簾刺

熱的太陽把兩地之間的隔膜

融化

早從香港回歸時開始

香港人經常強調自己只是 

「香港人」而不是「中國

人」自以為比內地人高一

等可惜這班自視過高的都

市人曾幾何時為外地人送上

熱情的款待這一點廈門

人比誰都做得更好

廈門是一個位於中國

東南部的海島也許就是近

海讓居於廈門的人都把一

切怨恨煩惱拋下大海讓

它們隨水流漂走埋藏在海

床上每年廈門的鳳凰花花

開兩季一朵又一朵鮮艷如

火的鳳凰花在六月時歡送一

個又一個的畢業生彷彿為

他們添上一份祝福九月時

的鳳凰花熱情地歡迎一屆又

一屆的新生為新生的精彩

校園生活揭開序幕一份一

份的熱情含苞待放身在廈

門又怎會不被這市花的熱情

感動呢廈門大至人與人

之間小至花與花之間都存

著一份情

要追溯廈門人的情懷

可數至土樓的建成土樓

是個大多呈方形或圓形大型

群居的建築整座土樓樓高

三至五層由於牆身頗厚及

只有一個出入口甚具有防

禦功能亦因為這緣故當

大門關起來土樓便成了一

個家這個家佔地不大但卻

藏著成千上萬的人情味在

萬里無雲陽光普照的天空

下土樓居民的熱情好客

被蒸發出來懸浮在空中

一代一代傳下去更讓它隨

風走出土樓傳遍整個廈

門即使土樓漸漸成為旅遊

景點一些擺賣紀念品的攤

檔已經進駐但卻無礙居民間

的感情商販彼此交流從

不出現爭客的情況在土樓

中央休憩的居民除了為外地

人介紹他們的祠堂外亦邀

請遊客跟隨他們到遊客禁區

參觀在土樓居住的每伙都

中門大開當遊客投進好奇

的目光屋內的人往往以親

切的笑容作回答鄉土人

情在這世代多冷漠的心也

被融化

細膩的人情味外最令

遊客津津樂道的是廈門人的

態度廈門大學附近有一條

芙蓉隧道只要你願意便可

在隧道內壁上畫下你所思所

想當然美觀與否見仁見

智但這一種對藝術尊重

欣賞的態度是值得欣賞我

有我盡情地畫你有你盡責

青春在廈門留下足印潘曉彤 (N14)

生活

hkucaduceusnet | 37

地去管轄城市各處的整潔

彼此留下空間達至相輔相

成的效果廈門人就懂得人

最基本的禮貌尊重不

過廈門人對他人的尊重遠超

於人的基本禮貌當你去唱

「卡拉OK」的時候每次

待應的出入時看到的就只

有他們的正面而他們前行

或後退的方式就像看到皇帝

一樣卑恭屈膝香港人常常

強調面子哪一天才能捨下

那過高的尊嚴為不相識的

人作一個最謙卑的招待

其實任何人一離開香

港都不難發現就只有香

港愈夜愈精彩其他地方晚

上八時大多關門大吉而廈

門就只有中山路才媲美得

上香港的夜夜笙歌夜幕低

垂萬千燈火的中山路上

與來自各區的人擦肩而過

昏黃的燈光下照出一群又一

群的沉默影子剛好與路上

喧鬧的行人相映成趣騎樓

在霓虹燈的點綴下顯出了獨

有的閩南特色大街小巷傳

來不同地道小食的香氣車

輪餅燒仙草土笋凍helliphellip

為我們外來的交流生帶來美

味可口的夜宵飲飽食醉過

後走到中山路的盡頭又

回到了沉睡中的廈門

在優美的環境影響下

廈門人的生活也自然變得

純樸優閒單車車輪在環

島路上留下一圈又一圈的印

記沿路能細聽海浪輕拍岸

邊的聲音細嗅四處洋溢的

花香感受微風吹散太陽散

發的熱力見證一對又一對

的新人在拍下幸福的照片

據說廈門有戀愛天堂之稱

不管走到哪一處也會

看到準新人拍下甜蜜的婚紗

照而在裡面享受的人永遠

不知道這風景如畫的背

後是透過多少人的血汗換

來當我們在追求經濟成果

的同時往往破壞了造物者

在世上留下的藝術品隨中

國經濟急速發展一個又一

個的世外桃園被摧毀銅臭

替代了花香車聲替代了鳥

語這仙境又可維持多久

廈門另一世外桃園就是

鼓浪嶼它活像香港的長

洲島上滿有歐陸建築風

格但當中不乏中國特色的

建築中國古城風味與洋風

互相交替帶出截然不同的

感覺島上遠離汽車的廢

氣與金門就只是一海之

隔一家大小在享受天倫之

樂時一群又一群的青少

年情侶在沙灘上嬉戲立

即為島上升溫

筆者認為在這個混亂的

俗世確實需要抽空來欣賞

造物者留下來的藝術品大

財團不斷興建大型商場國

際知名品牌不停進駐留下

的就只有愈來愈狹窄的街

道被石屎封蓋寸草不生

的土地人人被金錢蒙蔽

迷失在霓虹燈光中又有多

少知音人能放下生活的瑣碎

事情在這裡享受時間一分

一秒的流走你被海浪聲

喚醒了嗎

筆者參加這次是由香

港廈門兩地大學的交流

團一連六天已經習慣了

當地的優閒生活模式體會

到的不只是廈門的風土人

情歷史文化而是兩地大

學生那種衝破界限的交流

雖說年輕人容易打成一片

但廈門獨有的熱情確實融化

了彼此間的隔膜廈門的美

是成人之美成就了兩地大

學生的友誼

飛機又再起飛了廈門

再見了

ldquothe tiMe of life is short to speNd that shortNess basely it would be too loNgrdquo ndash williaM shake-speare

38 | Caduceus September 2011

生 命形成之際只要一秒鐘的差遲世界便會不一樣

蝴蝶效應從來都是玄的全因一個 

「緣」字

隨著人成長要決擇的事太多學生

有兩件人生大事幾乎都不是由自己決定的

入讀小學及中學然而到了大學這

關卡自己也許可以拿定主意了若果你

入讀了心水科恭喜你若不然祝福

誠然入大學是最影響未來生活的關

口是好是壞無人知曉不用量化不

用比較太多即管做自己所想活出自己

的路只因你不會曉得你的下一步會怎樣

影響著你的生命

或許一個活動你會遇上你的最愛

或許一個宿位你會遇上你的知己

或許一句說話你會惹來一個敵人

或許一次走堂你會由B變C

這就是大學

在大學各人有各人的大學生活大

學講求自由學習學習真的是「求學不是

求分數」有些人愛廣交朋友有些人愛

住宿有些人愛做莊務有些人愛拍拖

有些人愛參加各樣活動有些人愛做兼

職有些人愛讀書有些人卻愛甚麼都不

做helliphellip不少大學生強調入大學必定要做齊

大學五件事(上莊住宿讀書拍拖

兼職)但其實只要自己開心不害人的

話做甚麼也沒問題最要緊的是認清讀

大學的目的以免沉淪於大學這花海

朋友

大學可以令你對「朋友」的概念愈來

愈含糊幾乎每個活動都可令你認識新朋

友通常大家都會輪流講述自己的名字與

學科(Round Table)這亦是考驗大腦對人名的記憶所謂的「Hi-Bye Friend」會愈來愈多隨便在細小的港大內穿梭會令你

無可奈何地對他們說聲Hi

不過別標籤你的「Hi-Bye Friend」要是連Hi-Bye也談不上更不用說做深交了上大學了大家已有既定的圈子很

多時約會或聊天都先找中學朋友而且很

多人會把大學朋友與中學的作比較雖情

有可原但有時未免先入為主地覺得中學

的較好

這亦難怪即使是日日碰面的同學也

未必是自己的好友人人都有自己的時間

表下課後各散東西不是大家不想互相

認識只是有時身不由己若想互相了

解不妨盡量製造共處之時有時甚至可

以分一些約會給大學朋友然後你會發

現大學朋友也可跟你熟絡可別為自己

建造一塊厚厚的心牆

舍堂

要入宿無人會不曉得十日的迎新營

有些舍堂平均每天的作息時間只有兩三小

時有人說住宿最辛苦就是迎新營然而

它卻是最難忘的

要數活動單單一個舍堂已數之不盡

要是投入舍堂生活每天24小時是不夠

用的舍堂之間有各樣比賽堂友要參加

各個組別為比賽出席各樣練習否則可

能被拒於來年再住基於許多人都只在夜

晚有空要全體出席那可是晚九朝五的

大學之緣賴彥積 (N14)

新鮮人

hkucaduceusnet | 39

宿生們之所以會熱衷於舍堂活動因他

們對自身舍堂有強烈的歸屬感好比中學

時學生參加校際比賽要是沒有歸屬感

就不會有心參加所屬舍堂的活動

除舍堂之間之活動樓層之間亦有各類

活動樓內亦然只要有人的地方就有玩

樂彷如天天宿營你不會有機會偷偷早

睡其他樓友常常打擾你你原來的生活

時間會推後數小時睡於二時已是罕有

早上的八半堂彷如無物

可以住宿但不參加活動嗎當然可以

但你會面對的是朋輩壓力他們雖未必逼

你參加卻會在言談中有意無意的滲出

來那種壓力不只限於自己樓層甚至是

跨樓層千萬可別輕看宿中流言

上莊

有人說上莊所學遠超課堂上莊所學

的是如何籌辦活動非常實用有時要對

外聯絡有時要面對公眾helliphellip像是要為將

來工作鋪路似的當然這亦要視乎你上

的是甚麼莊

一般而言上莊可訓練你待人處事的技

巧有時表面看來很友好的朋友當背

負上一定的要求後關係少不免有磨擦再

者初時莊員素未謀面最後卻因朝夕相

對而演變成朋友這段關係是很可貴的

成莊前要宣傳內閣爭取選票成莊了

又要舉行咨詢大會包受歷莊指導然後

又有就職典禮此後的活動更接踵而至

當然包括迎新活動招莊活動等helliphellip君不

見很多人視莊房為睡房少不免有「通

頂」之時忙是忙但必有價值至於是

好是壞要看自己的造化了

拍拖

人上了大學有時心思思想拍拖眼見

身旁多個好友都紛紛拍拖自己少不免羨

慕別人這想法十分正常畢竟大學生真

的可以放下只讀書的重擔真的可以規劃

人生大事了

香港大學一些營新活動中隨了Round Table外還有Round Status即說自己現在有否拍拖以及拍過多少次拖如 

A 0即Ava i lab l e之前至現在沒有拍拖O1即Occupied之前至現在共拍了一次拖當然也有一些同學自己創的甚

麼OBA (Occupied But Available)或D10(Desperate拍過10次拖)等等至於Round Status的動機何在可能是組爸媽想穿針引線吧當然也可能是別有用心的

不同人對拍拖有不同想法上了大學更

有不同擇偶條件人大了在感性的議題

上往往加上種種理性的數據開始現實起

來哪個帥哪個富有哪個有前途helliphellip

有些不在乎天長地久只求剎那的光輝

有些求虛榮有人疼愛在朋友前炫耀

有些甚至會在拍拖前已想定分手後的模

樣所以不想選擇跟自己同科的同學

活動

不同團體(包括舍堂學會及學校部

門)都有不同活動不用愁沒事幹只用

愁沒時間只要多留意Portal Mass Email或Main Campus海報不難發現幾乎每天都有各樣活動動靜皆宜開學時有迎

新營考試時有勁過飯新學期有開Sem

飯有些學會如戲劇舞蹈合唱團不時

有演出有關運動的學會則多練習以參

加比賽有關學術的也有很多興趣班講

座比賽等想幫人的亦可參加義工團

體如蛇蛇豬扶青等舉辦的義工活動

兼職

大學生的兼職大多以補習為主畢竟

這是我們能力範圍內可賺取最多外快又是

時間最彈性的工作有些人卻因補習不能

寫在履歷表而選擇別的工作然而很多時

我們都要在兼職與大學活動中取捨我的

ldquotake a chaNce all life is a chaNce the MaN who goes farthest is geNerally the oNe who is williNg to do aNd darerdquo ndash dale carNegie

40 | Caduceus September 2011

E mily was the chairperson of Pharmacy Socie-ty session 2010 As a student she has actively

participated in holding activities for many medical stu-dents and taken part in providing welfare to all phar-macy students Her following sharing will especially enlighten our new pharmacy students

Q Why did you choose Pharmacy SocietyA To be frank ldquosheung jongrdquo was really out of

my expectation when I anticipated my university life However my perspective has changed when I officially became a pharmacy student in HKU As members of the opening class of the Pharmacy programme my classmates and I realised the importance of having our own student body We do need an independent soci-ety to represent us pharmacy students to cater for our specific needs to listen to our points of view and to act as a bridge to facilitate our communication with the Medical Faculty the entire university and ultimately the pharmaceutical field in Hong Kong My class-mates and I who later became ldquojong yausrdquo believed we should act immediately to establish and run our own society which is why I decided to ldquosheung jongrdquo

Q Would you like to share some of the pros and cons of sheung jong

A ldquoSheung jongrdquo definitely helped me achieve per-sonal growth It was a concurrent commitment and re-sponsibility to serve and to lead our colleagues Bear-ing this in mind we always pushed ourselves to attain the best of our work ethics efficiency and efficacy As the very first session of the Society we lacked the guidance of any previous committee member Instead analysing carefully and critically we thought better of every decision which I personally found an enriching experience ldquoSheung jongrdquo was also an eye-opening journey Wersquod got to meet different people and learnt more about the professional work for as our career-to-be after graduation This in my opinion is always beneficial Last but not least I was fortunate enough to have worked with my amazing fellow committee mem-bers I frankly couldnrsquot ask for better ldquojong yausrdquo than initium Irsquom absolutely thankful for having them as my friends and it is definitely my greatest gain along the way

Despite the merits ldquosheung jongrdquo definitely has its downsides as well It is a lie to say ldquosheung jongrdquo does not affect our daily life because it does take up a big chunk of our time At the end of the day it is about time management which is easy to say but extremely dif-

建議是如家庭環境較困難賺錢吧反

之可以多留時間給各活動畢竟大學一

年的學費不只值那幾十堂課如何善用這

$42100就在乎你如何投入大學生活

讀書

假若你認為大學的考試可考核學生的

真正讀書能力並要求學生活學活用課堂

所學那麼你大失所望了假若你善於背

誦有過目不忘之本領大學的筆試不會

難倒你只要靠著前人留下的歷屆試題

背到滾瓜爛熟是不可能不及格的很多屆

試卷都是千篇一律的很多教授可沒空大

改試題那同學們就走運了有些課堂

即使再專業的學科都會有只理論無實

踐的課堂然後考試就要你把一大堆理論

背出來helliphellip例如甚麼叫批判思維噢

我可不知道只知道我掉了5分

不同學系在某程度上定下了人的前途

對於醫學院學生而言前路是較清晰可見

的但對於非專業學科前路不可只靠讀

書也許要靠自己另外摸索讀書所帶來

的必然是較高的GPA高GPA所帶來的是

獎學金到外國交流工作實習日後工

作機會等等當然大學學習不只局限於

讀書會否因此失彼就只有自己知道

蝶翼拍動之時往難以預料機會是

要自己摸索的

如經上所記

「神為愛他的人所預備的是眼睛未曾看見耳

朵未曾聽見人心也未曾想到的」

(哥林多前書29)

「栽種的和澆灌的都是一樣但將來各人要照自

己的工夫得自己的賞賜」

(哥林多前書38)

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

Freshmen

hkucaduceusnet | 41

ficult to achieve Also working as a Committee mem-ber can be very exhausting and difficult You definitely need lots of determination and support to get through some of the busiest times

Q How did you handle and balance the workload of study and your ldquojongrdquo

A As Irsquove said before it was tremendously difficult I guess my best advice for the future committee is to know your limitations and always plan ahead You have to know your time to work to rest to study etc No one will be over-worked and eve-ryone will have some personal time if you share the burden wisely between ldquojong yausrdquo Secondly you have to make very clear plans so that you can make full use of every little piece of your time I may not have succeeded in my time management but most of my ldquojong yausrdquo managed to do so de-spite the packed schedule of our Soci-ety This is sufficient proof of ldquoimpos-sible is nothingrdquo

Q As there are only about 25 pharmacy students per class do you have any suggestions for P14 fresh-men to make more friends from other curricula

A It really depends on what kind of person you are If you consider your-self socially active living in a hall or ldquosheung jongrdquo will be a great idea for you But if you see yourself as a much quieter person you can still make use of opportunities such as Medic Orien-tation Camp and other events jointly organised by student bodies within the Medical Faculty to make new friends

Q Any special things for P14 freshmen to be aware of

A First of all welcome You all are now members of Pharmacy Society MS HKUSU and I would like to let you know that this is a student body aiming to serve you Thus feel free to share your viewpoints and voice out your opinions to the current Com-mittee members The Society has to

understand your needs to improve and provide better welfare and services for you

Q Any other comments or important things to re-mind P14 freshmen

A If you would like to get to know more fellow pharmacy students especially students from P12 and P13 grab the opportunity to join the Pharmacy Society Orientation Camp and the Mentorship Programme These are great chances to make new friends and Irsquom sure you will enjoy them

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

ldquoas huMaN beiNgs we do chaNge grow adapt perhaps eveN learN aNd becoMe wiserrdquo ndash weNdy carlos

42 | Caduceus September 2011

筆 者是一位護理系的學生半年前有幸成為二零一一年啟思編輯委員會的總編輯在期間所體驗到的希望藉著這次機會作出分享特別希望新加入醫學院的同學

能對「上莊」有更多了解

上莊之路上莊是大學五件事之一證明它對大學生

活有一定的重要性一定的位置筆者在初入學的時候曾為了上莊與否而煩惱猶豫了好一段時間期間考慮到自己能力怕學業應負不來但最後仍然下了上莊這個決定原因是上莊是個難得的機會充實增值自己不同的莊會提供不同的機會讓莊友去學習透過不同的莊務去讓自己眼界擴大另外可以了解醫學院內發生既事情例如院內活動的進展情況更可以參加舉辦院活動為醫學院出一分力最後當然會認識到將會相處一整年的莊友工作伙伴有機會認識到不同學系的同學從他們身上可以觀察到學習到各種的特質從而令自己有所進步有所啟發

護理學生作為護理系學生起初擔任總編輯一職實

在是倍感壓力畢竟歷屆的總編輯都是由醫科生出任因此筆者起初都害怕跟醫科生共事怕自己的能力不足夠應付莊務所以起初都是戰戰兢兢地上莊

一位三年的護理學生曾對我說「我認為你不太尊重護理系護理系和醫科都是個專業希望你能加以尊重自己的學系不要輕視護理這個學系你要肯定自己的學系才能帶領整支莊因為莊內成員來自不同的學系你必須肯定和認同每個學系都有一定的重要性以及其專業」這番當頭棒喝的良言令我明白到自己一直都太輕視護理系過於重視醫科現在我明白到認同自己學系是尤其重要只有這樣才可以用自己學系的身份去發表意見只有認同自己學系才懂得尊重其他的學系莊內便可以融洽一點

在筆者的莊友中醫科生都是較有責任感而且做事更有計劃從他們身上的確學到不少東西這點是無可否認的事實筆者並不是在分享學系與學系之間的差別而是希望有志上莊的同學能互相尊重明白到各學系的莊

友都有其值得學習的地方起初對其他學系有隔膜是無可避免的畢竟對他們的學系都不太了解又沒有歸屬感但如果因為對方是別的學系而輕視對方的人不但失去與人相處學習的機會而且會令莊內的氣氛失去和諧

幸好的就我所見所聞醫學院內的莊多年來都能融洽相處互相支持令到一眾上莊的同學都能輕鬆地享受上莊的喜與樂甚至是不愉快的事情

依靠你的莊友莊是一個團體不是一兩個人可以應

付得來所以筆者認為與莊友互相溝通合作是個重要的元素新同學如果有志參與莊務期望從上莊中有所得著首要的事情是與莊友建立關係因為他們將會是你來年的工作伙伴也是你遇到困難時依靠的對象一位上莊曾對我說「其實一件的莊期不會令你有太大的得著或成長反而長久的友誼才是你將會得到最重要的」這句說話是千真萬確的上莊的人不會由詞不達意改變成談吐得宜不要期望自己會有驚人的轉變也許上莊會令人處事成熟一點有計劃一點但上莊所得到的關係將會是更重要更珍貴一年的相處中面對過有無數的會議共同處理過不少困難從中

建立的友誼真的是畢生受用

責任感上莊另外一個十分重要既條件就是責任

感有志上莊的同學必須明白到莊期是長達一整年在繁重的學業中騰出時間來處理莊務是個考驗責任感和毅力的測試同學必須再三思考想清楚自己是否真係熱衷於上莊或是只是一時衝動畢竟你將要許下的是一年的承諾必須對這個莊負上責任願意付出才選擇上莊這個決定這樣的付出就會有相對的回

總結上莊的確是個好機會讓自己去學習從處

理事務中或是從莊友身上都會有所得著充實著自己的大學生活從中可以認識到各學系的同學建立一段段受用終身的友誼在此筆者希望各學系的新同學可以善用機會作出上莊這個無悔的決定

護理系的啟思總編石志榮 (N14)

新鮮人

hkucaduceusnet | 43

慈兄吟(下)奇晶

最 後還是麥教授先開了口「他的確是一個好學生對醫學有獨到見解他不但學業成績優異而且樂於助人你是他的妹妹吧」婉慧努力控制自己的淚水繼繼續續的說「是啊但helliphellip但helliphellip我不知道helliphellip他竟會在這裏出現」麥教授用悲天憫人的目光看着婉慧語重深長說「人生自古誰無死人生命的有為與否並不取決於他生命的長短而是在於人生的意義你哥哥雖然最後當不了醫生但他的犧牲卻間接為一些同學做醫生鋪路讓他們做醫生去救人這真是一種無私的愛」婉慧點點頭覺得自己對哥哥的了解實在太少了

最後她還是孤獨的離開實驗室她覺得自己跟哥哥比起來實在相差得太遠了原來他除了是十優狀元在醫學院的成績名列前茅外還是個熱心助人的好青年自己除了少了一優外少的更有對別人的同情及樂於助人這造就了她心靈上的空虛她明白到冷漠不是一種對哥哥思念的正當表達方法她應該做的是把哥哥對其他人的愛傳揚開去以圓他的心願

第一步往往是最困難的婉慧平日對他人的態度已令不少人對她敬而遠之有很多次她嘗試向同班同學投以友善的笑容得到的總是詫異的目光或別人的不理不睬在小組討論中儘管她踴躍發言盡量避免冷場的發生偶同學們卻認為她變本加厲想阻止同學們取得好成績她四處碰壁又再次陷入了想念哥哥的深淵

時間一天一天過去了上學期考試前的休假開始了婉慧每天都勤奮的在圖書館溫習期望取得好成績這時候的圖書館堆滿了人如果遲來一個小時想找一個位子也難就在假期的第二天同班的王文在圖書館跑得氣急敗壞仍找不到一個座位婉慧不知怎樣有點同情他將座位讓給他王文驚訝道「不用了我還是回家吧真倒楣遲來了一個小時就沒有『接位』」

「但你住在哪裏呀」

「元朗今天早上我忘了校鬧鐘八時才起」

「那你還是要我的座位吧我可以坐到電腦桌因為我認識的人不少沒有什麼人會打擾我的」

王文謝了她頓時對這位冷漠的同學刮目相看原來她的內心也是溫暖的這並不是他所能料及的坐在電腦桌前溫習的她也感到特別的快樂溫習的速度也快多了王文就此成為了她的「飯檔」考試期間每天和她一起吃飯他更將自己的好友介紹給婉慧認識

在一個晚上她又悄悄的在圖書館的角落溫習着突然一隻溫暖的手搭着她的肩上她抬起頭但見解剖學的同桌手中拿着一杯熱飲輕輕的放在她的桌上婉慧正感詫異卻聽見他說「這杯熱巧克力是給你的繼續努力吧」她喝着巧克力心中感到一股暖流彷彿哥哥的關懷又在她內作出回響

十年生死兩茫茫不思量自難忘千里孤墳無處話淒涼helliphellip

寒風吹起了她額上的劉海佇立在墓前的婉慧不禁凜冽她想起了從前想到自己最後一次和哥哥吵架雙方面紅耳赤的情況想起自己無法親口跟哥哥道歉想起哥哥無私的付出她對着那空虛的墳心中不忍一陣淒然淚水漱漱的流下來她身旁攜扶着年紀老邁的母親邊拭淚邊喃喃道「我的兒子helliphellip歿了helliphellip」大家心情漸漸平復了緩緩走出了墳地

雨一滴一滴的落下飽歷辛酸的婉慧卻仍在懸壼濟世

短篇

ldquoyesterday is but todayrsquos MeMory aNd toMorrow is todayrsquos dreaMrdquo ndash khalil gibraN

44 | Caduceus September 2011

Eternal Flame (1)Tulipa

Itrsquos cold The chills from my fingertips imbibe deep into me This person drills into my mind digging out the truth inside me Itrsquos agonizing She comes right inhellip di-rectly I cannot stop her

Irsquom losing myselfhellip

My hand felt the soggy pillow I realised I had come back to life the world where I lived Staring blankly at the ceiling still losing focus in my eyes I felt my brows with my forearm For the first time I didnrsquot want to lose this feeling

The bedroom door slowly opened I quickly rubbed off the drops that had blurred my vision pretending that I had just woken up

ldquoDo you have lessons this morningrdquo My grand-mother whispered into my ear

ldquoOh goshrdquo I turned right to my alarm clock It was the real life I had forgotten to turn the alarm on last night and it was now seven thirty I knew it I was going to be late every time she caught me in bed Irsquod got to hurry up

Living in Hong Kong Island though it took me more than an hour to get to school I had to comfort my little brother sometimes till two or three in the morning in order to get him to sleep In addition to the consistently heavy study load in the medical school I could hardly get enough rest Running on my heels al-most became my routine starting from last November But I well understood the consequence of skipping lec-tures It was the beginning of the Cardiovascular Sys-tem Block For someone like me who gave least priority in revising Anatomy materials lectures remained the prime source of information for exams Absence from class was suicidal To make the situation worse this professor was one of those who did NOT upload lec-ture notes online

Hoping I wouldnrsquot arrive too late to miss the impor-tant points I finally stepped onto a route no 8 minibus at ten past eight What I could do now was to pay trust in the driver who would bring me to my destination

Coaxing kids was never easy Little Bruce just hap-pened to give me such a hassle last night

He knew I would check on him when I returned home Sitting right next to the door of his room he begged me for a story once I opened the door I sat down together with him on his little couch after Irsquod taken a quick shower This was a time to relax leaving

aside all the other concerns

Kindling through his favourite reader I saw that he wasnrsquot listening but distracted by all sorts of toys around He even invited me into his world of fantasy But it was getting late I had to calm him down so that I too could have some rest Being one of the brightest in his elementary school he should understand this was not the time for recreation

I began to feel annoyed

Yet he was my brother I had a gut feeling that this was unusual He didnrsquot use to be so ldquohyperactiverdquo It re-ally took me a while to adjust to his change With him still tossing and turning in my arms I apprehended his restlessness Unpredictable though he was true to his feelings In one way or another he might find the shadow of our mother in me

He finally settled when I laid him back in bed It was nearly two forty in the morning

The first week of the CVS Block ran as plotted PBL tutorials would start on next Monday Dr Youngrsquos fa-cial expression in the first PBL evaluation flashed over my Embryology notes and references She didnrsquot teach Embryology but I could tell she did have a hypertroph-ic heart-shaped face which looked familiar to the dia-grams in the Atlas

Back in the IHD Block most of us were puzzled about the scrambled content of our course Various forms of seemingly related knowledge came in through lectures practical and tutorial sessions But the neural circuit formed in our brain just failed to resonate as if the conductance-inductance mismatch had aberrated our thought from minimal impedance Sometimes things even happened in a ldquomore-than-extrardquo manner The presence of common core courses in a parallel but independent branch in the network could rightly be detached without causing a blip on the galvanometer Everything was dubious We had no idea of what we were doing

Maybe we were just on the way seeking for a sense of attachment

My mind too was racing in haste I was struggling with my decision to become a doctor Too many things had happened over the year I just couldnrsquot stop ques-tioning myself what was I thinking when I put lsquo6456 MBBSrsquo in my JUPAS application I should have expect-ed and prepared to face all these I just didnrsquot knowhellip

Novella

hkucaduceusnet | 45

It was midterm evaluation in the IHD Block Her face looked tense in that heart shape She was so stiff in her facial expression that no one could read her mind from her poker face The conference room of the Physi-ology Department was large We seemed to be the odd ones out in the spacious carpeted room In this secre-tive silence you could hear the drumming in your ears as if you were tingling

I realised this was not a matter of ldquoam-I-suitable-for-a-medical-careerrdquo but ldquois-a-medical-career-suita-ble-for-merdquo I was lying in bed playing with my plush bear when these thoughts burst in me Dr Young looked through me She felt certain that different from other group mates there were crises behind me But I didnrsquot tell her anything that day

We all were sensitive At times some subtle trepi-dation seeped in gradually sucking peace away from my sleep It was so to say below threshold sub-lethal though it lingered for weeks once it set inhellip

Drenched in bloodhellip There is no life in the boy His eyes are widely opened slightly protruded The lifeless pair of black pearlshellip I cannot escape from his glance He wants to talk to mehellip There is something he wants me to know

A van runs over himhellip

I fell down the edge of my mattress Breathing heavilyhellip Sweating all overhellip

ldquoScreechrdquo People began to gather around a tel-ephone booth a few metres behind us

I turned back I couldnrsquot see a lot from this anglehellip

ldquohellip What a pity He is so younghelliprdquo a middle-aged couple passed by

The victim resting just in front of the wheel looked towards me through a break in the crowdhellip

As we were wandering around thinking what to eat for dinner my cousin found me standing there rooted to the ground stunned by the victimrsquos gaze My heart was pounding She wouldnrsquot believe what I was again experiencing For a number of times already scenarios in my dreams were mirrored into reality

I couldnrsquot tell her

ldquoI was just thinking whether you would like Korean cuisine There is a new restaurant two corners awayrdquo I made up a talk while escaping from the scene so that I wouldnrsquot look so strange

ldquoWhy not go and have a try thenrdquo She was not dis-appointed for calling it a day as the food there was sur-prisingly good

Not until some years ago when I was Form 3 in college I discovered my ability to look into the future Sometimes I could see them coming up on the news in days or weeks And some didnrsquot ever happen at least not around me But seeing the night visions coming into concrete existence wasnrsquot always a pleasure when the mental images turned gradually into mostly night-mares When I visualised my close ones it felt like I was in the middle of an insecure chain bridge above a torrent that would sweep me into the vast ocean with no return It was entirely different from what you might understand as ldquodreams come truerdquo

I had witnessed misfortunes in proximityhellip

But I could do nothing about ithellip

Friends were a source of solace someone to con-fide all frustrations in But with my paranormal ability which appeared to everybody else only on screen-plays I wasnrsquot courageous enough to open my life wholeheartedly to them Seldom talking about myself avoiding all sorts of gatherings I became an eccentric figure among my classmates

Sometimes mutual understanding carried more weight than words I remembered my physics teacher being one of my few friends during my teen years De-spite his boisterous faccedilade he was always sensitive to whenever I was dwelling on my burdens Physics was our common language Intermingling our emotions and feelings with concepts that were alien to my fel-lows we developed a close rapport impenetrable by anyone else

ldquoWhat is the nature of a flamerdquo This was the most discussed problem between us Neither in solid liquid nor vapour state Not having any definite shape and colour It seems not any material but a type of energy giving out heat and light At the moment of providing it also exhausts its fuel and eventually itselfhellip

The romance of physics is more than anything you could read write and talk about Once you were truly connected with it nothing can stop you Your mind will bounce irrespective of the chronology of space-time but only under the guidance of your thoughts

I was so devoted to the discipline at the time that I was almost making it my lifelong career in some way He envisaged that I would demand much more than any academia could provide with its scientific basis alone We were both seeking a philosophy beyond the facts But Hong Kong may not be the right place for it

I made him a promise at the end to contain our flame and I knew I would

For the first and the last time I saw his eyes filled with tears We knew existence by itself is a miracle

ldquoi love life because what More is thererdquo ndash aNthoNy hopkiNs

46 | Caduceus September 2011

說華佗都說「華佗再世」誰知箇中真諦雲方 (M15)

烽煙起戰火燃萬里 

三國並爭英雄地亂世有誰顧生死 

待神醫行世將民眾救濟

渺渺江山東西瞰俞跗巧手扁鵲心(1) 應向何處尋 

滾滾黃沙無世家終有奇士放奇葩

沛國 華元化(2) 

他經書貫通南北遊動 

一望斷症如神助三劑消病不必多

說斷症悉如所料 

甘陵 相夫人腹痛極難忍(3) 號脈知死嬰在左為男形(4)廣陵 梅軍吏除名歸故里

見貌知壽盡速返見萱椿(5) 

說消病藥到病除 

飲蒜醋有三升蟲一嘔而盡清 (6)母服丸而溫儲兒不藥而自癒 (7)

絕妙處 

是他開腸剖腹刀至辟毒 

神醫號 

除他內外皆精有誰配稱

[1]   俞跗黃帝時代之名醫扁鵲春秋戰國之名醫《淮南子人間訓》「患至而多後憂之helliphellip雖有扁鵲俞跗之巧猶不能生也」

[2]   華佗字元化沛國人(今安徽 亳州)

[3]   甘陵相(即甘陵之行政長官)夫人懷胎六月腹痛不安華佗為其切脈便知胎死於是命人摸知所在在左則男在右則女人云「在左」夫人飲藥後果然產出男胎腹痛立即痊癒

[4]   廣陵有軍吏名曰梅平離鄉服役後來退役歸家於路上巧遇華佗華佗視之嘆道「若能早些見我當不至於此而今你僅餘五日壽命速速回家還能與家人相見」平旋即趕抵故鄉五日後亦如料身亡

[5]   萱椿多作椿萱比喻父母漢牟融《送徐浩》詩「知君此去情偏切堂上椿萱雪滿頭」

[6]   華佗見路邊有人食不下嚥教他到路邊餅店買醋三升混上蒜泥然後飲用路人服後即吐出一條長蛇(即寄生蟲)

[7]   兩歲男孩長年腹瀉藥石無靈華佗往診謂病在母命其服用華佗親研之「四物女宛丸」服後母親乳汁不再寒涼男孩亦不藥而癒

意興

hkucaduceusnet | 47

只可惜人無完壁

「關將軍使君予我手刮骨惡毒走

曹丞相使君予我頭剖顱苦痛收」

「怎能不收怎能不收一命嗚呼萬事休 

簡直荒謬簡直荒謬殺此庸醫未須愁」(8) 

五禽戲尚能傳 (9)麻沸散從此絕 

何不一飲醉死不知世忍氣吞聲事權貴 (10)心神委曲須臾苦奇術失迭千秋計 

烽煙止無改生死事 

且當醫仙謫世間神技終須風裏散 (11)回首仰高山景行請君範 (12)

[8]     曹操欲殺華佗臣下勸之不可答曰「不憂天下當無此鼠輩耶」

[9]     死前華佗欲托所著醫書於獄卒不果便盡數焚毀唯有其養生體操「五禽戲」流傳後世

[10]   《三國志魏書方技傳》「當須刳割者便飲其麻沸散須臾便如醉死無所知」

[11]   唐白居易《簡簡吟》「恐是天仙謫人世只合人間十三歲」

[12]   景行(音航)即大道以高山景行比喻人品德行為之高尚典出《詩經小雅車轄》又東漢鄭玄曰「古人有高德者則慕仰之有明行者則而行之」

ldquothe art of MediciNe was to be properly learNer oNly forM its practice aNd its exerciserdquo - thoMas sydeNhaM

48 | Caduceus September 2011

啟程

清晨空白的天空看不見藍天雲彩

只有溫柔的雨絲和朦朦朧朧的霧水跟隨

著大隊的足印踏上沉重的腳步穿過橫

街小巷和煩囂熱鬧的市場走過自動門

撲鼻的消毒藥水味道讓大家屏住呼吸筆

者和夥伴們終於到達了入讀護理系以來第

一次實習的醫院

還記得在實習的前幾天心情是既忐忑

又期待的畢竟這一次實習的地方不再是

在社區中心宣傳健康方面的知識亦不是

只面對著健康活潑的小朋友和老友記或是

學校課堂上所提供的假人張靜汶卻是照

顧一羣真正需要關懷的病人心中充滿著

憂慮不知自己所學的知識足夠在應用上

嗎自己平日的練習足夠嗎雖然心存在

著不少疑惑但也十分期待可以體會一下

做小學護的感受嘗試把這一年裡所學到

的知識運用出來

很多的第一次

在病房裡總有心酸和膽戰心驚的時

候第一次為昏迷的病人清潔口腔第一

次為難以進食的人插入胃喉第一次為老

公公清洗背上壓瘡的傷口helliphellip照顧他們時

的心情都是一步一驚心生怕自己沒法應

付得來又怕會把事情弄得更糟糕最重

要的是恐怕自己不純熟的技巧令他們受苦

了記得有一回第一次為女病人插入尿

喉採取尿液樣本可能技巧不太純熟的關

係延長了病人的痛苦過程中她皺著

眉頭不斷呻吟又緊張得咬破脣眼看

她樣子心中真的不是味兒來身為病人

的其中之一依靠我們不得不給自己信

心如果連自己也不相信自己哪會有病

人願意把他們交給我們照料呢

捕捉那瞬間的美麗與淒然何麗敏 (N14)

上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

意興

hkucaduceusnet | 49

另外第一次面對病人的心情是頗為

緊張的說話技巧亦有改進的空間但和

病人傾談了數分鐘後氣氛也漸漸變得和

諧可能那些老公公整天呆在醫院裡真是

悶到慌看見一羣年青人與自己聊天照

顧和關心他們他們不禁咧嘴而笑醫院

職員透露有一位老公公平日不太願意吃東

西於是我們便主動和他談天說地又

悉心照料他進食的情況後來他不但胃

口好了不少就連心情也開朗了他生動

活潑的談吐讓我們笑了他回復健康精

神的體魄也讓我們感到安慰

相處片刻

雖然為期一星期的病房日子不是特別繁

忙或是辛勞但是也會有不習慣的時候

幸好得到醫院職員和一班夥伴的支持病

房經理和註冊護士不但相信我們的能力

對學護的包容更是不用多說還主動地介

紹病房的環境和細心地教導我們醫療護理

上的知識讓我們上了一堂實在而又寶貴

的課同時今次的實習也令我感到團體

精神也十分重要在技巧上大家互相提

點互補不足當有人準備照料有需要的

病人如插喉或洗傷口等大家送上一句 

「加油」就能令對方增加不少自信心和正

能量無論遇上甚麼事情我也榮幸有如

此一班學習夥伴從旁支持

學習的階級

在這一次病房實習中雖然醫療和藥物

知識方面有待加強但是我學懂了如何與

不同身份的病人相處之道溝通上也得到

了很大的進步獲益不少除此之外我

也真正體會到如何做一個好護士並清楚

了解這個行業是否適合自己鐘樓也不是

一天就能建成而是需要一磚一瓦搭建而

成的所以在學習上我們不但要打好

穩固的基礎還要增強醫療知識在技巧

上馬虎了事和走捷徑是於是無補的應

該多探究和練習才行這樣才對得起病人

和自己也減少不必要的醫療失當事故

總之多一份認真多一點耐性多一些

愛心就是學護必記的左右銘 上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

ldquoit is reasoNable to expect the doctor to recogNise that scieNce May Not have all the aNswers to probleMs of health aNd healiNgrdquo ndash NorMaN cousiNs

50 | Caduceus September 2011

Fun Corner

Medical AppsEver wondered how your handheld device can save your time and

effort when it comes to studying Here is how

Anatomy Pronunciations by HipposoftAccurate pronunciations of over a hundred important anatomy terms you have trouble with are provided

at your fingertips to help you spell those difficult words Anyone who has taken an anatomy course can tell you how challenging it can be to pro-nounce the names of those complicated anatomi-cal terms It is even linked directly to Wikipedia and Google through web browser for additional information

iPharmacy ndash Pill Identifier and Medication Guide by SigmaPhone LLCAn essential medication guide of 20000+ drugs is provided for con-sumers amp professionals This ex-

pands the image library to include 12000 pill and package images and includes digital drug identifier with official drug information (indica-tions dosage adverse reactions and more) You can check the drugs anywhere

Grades 2 by TapityIt tells you what grades you need in the coming tests in order to get your target grade You can easily calcu-late your GPA so as to maintain it It

is a useful tool helping you to keep an eye on your GPA all the time

Human Anatomy by SusaSoftXThe application provides you with information of 15 different biologi-cal systems You can keep on revis-ing while you are traveling without

carrying heavy books

Medscape by WebMD LLCFrom drug classes interaction clin-ical procedures and even the lat-est medical news Medscape helps medical students and healthcare

professionals to reiterate knowledge that has slipped from the mind It is a free application for iPhone iPad Android and Blackberry Yet it contains more function on Android phones and Apple products and lacks detailed clinical infor-mation for diseases and clinical procedures walk through on Blackberry

Pro Medical Terminology Dic-tionary by TreascoveryTerminology might be a tough work for medical students Even if we can master those English terms we can

hardly think of the Chinese terms This applica-tion can help you when you face this problem Note that it is not a free application

3M Littmann SoundBuilder by 3M CompanyA great tool designed to help im-prove auscultation skills of medical students with 14 unique lessons of

key heart sounds combing text virtual manne-quin 3D cardiac animation and dynamic wave-forms

iRadiology by Liebermans iRadi-ologyAn excellent learning tool for medi-cal students demonstrating classic radiological findings of a multitude

of abnormalities including over 500 radiologic images Radiologic images include CT US MRI and nuclear imaging each clearly labeled and followed by key teaching points

Micromedex Drug Information by Thomson Reuters (Healthcare) IncIs Cephalexin a first generation ce-phalosporin This application from

Thomson Reuters is the easiest way to navigate in the sea of drug names Drugs are sorted by classes and supplemented with rich information

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 21: Caduceus Issue 2, Volume 42

hkucaduceusnet | 21

money than in helping people He believes that shap-ing doctors into commercials in some way jeopard-izes medical professionalism

SuccessRedefinedSummoning his days as a fresh medical officer Dr

Chan recalled the death of the 18-year-old girl inflicted with necrotizing fasciitis who died within 24 hours He bore in mind every complicated case as an alarm to his future practice admitting that there is always room for him to improve

Quoting the professional golfer Jack Nicklaus Dr Chan reminded us that ldquocomplacency is a continuous struggle that we all have to fightrdquo It is easy to let our guard down but doctors have to be responsible for their patients all the time It is demanding but impor-tant for every medical professional to be vigilant and maintain onersquos standard at the top level He believes that good doctors should keep themselves in an appro-priate amount of stress and tension which keeps them mindful of their patientsrsquo needs

When asked about his rules for success Dr Chan emphasized that he does not feel he has attained his goal yet He feels that he may have had a decent start but it is inappropriate to judge his career before his retirement as he is still in the middle of his career To him it is far too early to define success Despite his change in roles over the years he still maintains his enthusiasm and passion that motivate him to do his best whether it be research teaching or clinical work

As far as medical students are concerned Dr Chan doesnrsquot see the urgency of deciding our future spe-cialty yet Medical school gives us a broad and general exposure to various fields and offers a good place to learn and gain experience sharpening our skills before serving as doctors We could still explore more in our senior years to come

ldquoFollow your heartrdquo Dr Chan gave us as a conclud-ing word He believes that the so-called ldquoROADrdquo to success is not really that important if one does not en-joy onersquos profession Listen to yourself and ask whether you really like your job

DrHenryChan陳衍里醫生

Specialist in Dermatology and Venereology

MBBS(London) MRCP(UK) FHKAM(Medicine) FRCP(Glasgow)

FRCP(Edinburgh)

Hon Professor LKS Faculty of Medicine HKU

Hon Consultant Dermatologist QMH HKSAR

Visiting Scientist Wellman Centre for Photomedicine USA

ldquoirsquoM a firM believer iN the theory that people oNly do their best at thiNgs they truly eNjoy it is difficult to excel at soMethiNg you doNrsquot eNjoyrdquo ndash jack Nicklaus

We run a profession not a businesshellip [doctors]

should not be more interested in making money than in

helping people

22 | Caduceus September 2011

Art and Medicine Seeing Diseases in ArtHow art masterpieces reveal medical conditionsAndrew Seto (M15)

F or centuries art historians have been mesmerized by

the enigmatic smile of Mona Lisa coming up with theories that range from the mundane to the bizarre Was she a silk merchantrsquos wife or a self-portrait of Leonardo da Vinci himself Was she pregnant An adulterer Leonardo da Vincirsquos se-cret male lover The theories never cease

BehindMonaLisarsquossmileHighcholesterolIt turns out that Mona Lisa had

ldquovery high cholesterolrdquo at least ac-cording to Vito Franco a Sicilian professor of pathological anatomy A medical expert who enjoys study-ing art masterpieces for evidence of diseases Franco concluded that Mona Lisa had xanthelasma (the accumulation of cholesterol under the skin) Indeed a closer look at her mysterious face does show a yellowish collection around the in-ner corner of her left eye He even found evidence of lipoma (a fatty tissue tumor) on her right hand Probably the least poetic finding for the most renowned beauty in Renaissance art

This was not the first time medical experts have associated Mona Lisa with clinical conditions Charles Bell the 19th century Scot-tish surgeon who discovered Bellrsquos palsy a form of facial paralysis resulting from facial nerve palsy once coined the term ldquoMona Lisa syndromerdquo This was a reference to the facial muscle contracture that develops after Bellrsquos palsy resulting in a ldquoMona Lisa-like smilerdquo

Mona Lisa Xanthelasma or just a blotch by mistake

Insight

hkucaduceusnet | 23

Hardly would Parmigianino have known that the long slen-der fingers and limbs of Madonna with the Long Neck was the result of a genetic disorder called Mar-fan syndrome And of all the things that crosses onersquos mind upon first glance of Caravaggiorsquos Sleeping Cu-pid the notion that the baby was inflicted with juvenile rheumatoid arthritis would be hard to imagine Franco claims that his goal was to expose the human vulnerability of the people depicted in art

MichelangelorsquosgoutykneeAnother subject who has been

scrutinized by medical experts is Michelangelo Renaissance painter and sculptor Scholars looked at his knee from Raphaelrsquos School of Ath-ens and concluded that he suffered from gout a form of inflammatory arthritis that occurs when crystals form in the joints

Based on the appearance of his knee which appears swollen en-larged and covered in hard lumps a diagnosis of gout seems plausible It was known that Michelangelo de-veloped various diseases during his life In his writings he complained of having kidney and bladder prob-lems In 1549 he had an episode of anuria followed by passing of grav-el and stone fragments in his urine

Many experts believe that Michelangelo like many of his contemporaries developed gout from lead poisoning A well-known workaholic Michelangelo con-stantly lived off a diet of bread and wine (processed in lead contain-ers at the time) and was frequently exposed to lead-based paint All evidence points to lead poisoning which promotes kidney damage and inhibits uric acid excretion causing it to build up in blood This predisposed him to gout precisely as depicted in Raphaelrsquos fresco

RenaissanceArtandNeuroanatomyLike Leonardo Michelangelo

was not just an artistic genius but also a great anatomist At 18 he be-

Michelangelorsquos knee from the school of atheNs by Raphael (c 1509-1510)

Madonna with the Long Neck Was it Marfan Syndrome

Juvenile rheumatoid arthritis

ldquoall art is autobiographical the pearl is the oysterrsquos autobiographyrdquo ndash federico felliNi

24 | Caduceus September 2011

gan dissecting cadavers in a mon-astery in Florence where he honed his technical skills and knowledge of the human body

According to neuroscientists Michelangelo disguised sketches of the human brain in his famous Sistine Chapel ceiling painting which has remained unnoticed for 500 years His fresco The Creation of Adam shares a striking similar-ity with the sagittal section of the brain The fold in the cape repre-sents the Sylvian fissure separating the frontal and parietal lobes You may even recognize the angelrsquos foot as the pituitary gland his thigh as the optic nerve and his leg as the optic tract And that sassy green robe running down the ponsmdashthatrsquos the vertebral artery

Look at Godrsquos neck in The Sepa-ration of Light from Darkness from the same fresco Art historians have long speculated that its lumpy ap-pearance represents goiter Yet medical experts have found an ac-curate picture of the brainstem and spinal cord in Godrsquos throat stun-ningly similar to the creases and crevices of the brain

Yet why would Michelangelo embed the brainstem in Godrsquos throat Was he alluding to Godrsquos wisdom or was it a form of protest to the Church After all dissecting cadavers was considered unethical at that time and for an anatomist like Michelangelo who fell out with the Pope while painting the Sis-tine Chapel ceiling could he have been painting anatomical images directly above the chapel altar in defiance to the Church

Artandophthal-mologyHowvi-sionchangesartClaude Monet is recognized as

one of the founders of the Impres-sionist movement but his vision got cloudy during his later years He wrote letters to friends describ-ing his growing frustration with his vision changes He was even forced to memorize colours on his palette

the creatioN of adaM by Michelangelo (c 1511)

the separatioN of light froM darkNess by Michelangelo (c 1512)

hkucaduceusnet | 25

and label tubes of paint Red began to look muddy to him and he saw his painting as becoming ldquoincreas-ingly darkenedrdquo Whenever he com-pared his paintings with his earlier works he would be sent into a tow-ering rage to destroy them

This was because he had cata-racts Cataract patients have yel-lowing and opacification of the lens so his vision essentially be-came more brownish The yel-lowish brown cataracts he looked through filtered out violet and blue shades Monet underwent two eye operations in 1923 after which he returned to his old painting style even throwing away some of his paintings and repainting them

Thesufferingart-istDepictingill-nessesinartPerhaps no one better personi-

fies the notion of a ldquosuffering artistrdquo than Vincent van Gogh Clinicians have posthumously diagnosed him with a range of medical problems including epilepsy schizophrenic and bipolar disorder His later works have long been noted for his preference for the colour yellow and some have speculated that this was related to his yellow vision

One theory was that van Goghrsquos doctors prescribed him with digi-talis to treat his epileptic seizures His painting Starry Night has yel-low circles around the stars and not surprisingly people with digi-talis overdose often see a yellowish halo around objects Other experts speculated that it was his addiction to absinthe that led to his yellow vi-sion Absinthe is a highly alcoholic drink that contains a highly psy-choactive neurotoxin called thu-jone which causes yellow vision

Van Gogh was not the only art-ist who projected his illness into his art Edvard Munch had tuber-culosis and spit blood as a boy Her mother died when he was five her sister spent most of her life in-stitutionalized for mental illness and his brother died of pneumo-

nia Munch may have depicted his own psychotic state of mind in The Scream which portrays a twisted agonized creature wracked with anxiety and horror

ConclusionDo these findings actually

prove something or are we over-analyzing artworks with our medi-cal knowledge Exactly what ben-efit would these discoveries have for the world at large is unknown At least we know it could lead to yet another interpretation for Mona Lisarsquos smile the result of a scrump-tious meal of pizza and pasta with cheese tomato sauce and meat balls before sitting for her portrait (which would certainly also explain her cholesterol problem)

Two pictures by Monet of the same Japanese bridgemdashthe first painted in 1899 the second between 1918 and 1922 revealing a dramatic loss of shape and detail

suNflowers by Vincent van Gogh (1888) the screaM by Edvard Munch (1893)

ldquoeverythiNg that we see is a shadow cast by that which we do Not seerdquo ndash MartiN luther kiNg jr

26 | Caduceus September 2011

The End is Near Apocalyptic TheoriesRead more to learn about the terrifying future that awaits us Chariene Woo (M15)

S urge of waves rush over the mountains with unstop-

pable speed engulfing and shatter-ing our homes Flaming asteroids rain from the sky causing roads to crumble like sheets of paper Peo-ple running away from burning cities screaming fearfully Civiliza-tion ruined in matter of mere sec-onds Is this what the future lies for us

Nobody knows

Apocalyptic literature and movies have always raised interest among the general public partly

because it involves the end of our world as we know it and partly due to the fact that there is no solid proof how an apocalypse would come about The interest has re-cently skyrocketed with rumors about the world ending on 21st De-cember 2012 about how the May-an calendar finishes at that specific time and how it will be the end of the world as we know it So the big question is when and how will our world end

NostradamusProphetofDoomNostradamus of France was

one of the worldrsquos most famous seers and is most well known for Les Propheties (The Prophecies) a collection of his major long-term prophecies written in quatrains Many of his prophecies have cor-rectly predicted current events including the destruction of the space shuttle Challenger the death of Lady Diana and the destruction of Twin Towers of the World Trade Center As a result of these predic-tions he has been given the nick-

How do you survive the apocalyptic world

Insight

hkucaduceusnet | 27

name ldquoThe Prophet of Doomrdquo

Nostradamusrsquo prophecies have huge room for interpretation speculation and controversy and some people think his writing has no merit at all The following is an example of a quatrain alluding to some sort of environmental disas-ter in the future

ldquoFor forty years the rainbow will not appear

For forty years it will be seen every day

The arid earth will grow more dry

And great floods when it will be seenrdquo

(Century 1 Quatrain 17)

In other quatrains images of great comet alien invasion and nu-clear contamination are also men-tioned so these could all be the prospects that are waiting for us in the future Despite Nostradamusrsquo ldquoaccurate predictionsrdquo of what had happened in the past the quatrains do not have a specific order So out of all the disasters predicted in the many quatrains it is uncertain which will happen where or when giving it less importance in predict-ing an actual apocalypse

PlanetXAccording to Nancy Lieder a

woman who claims to have been contacted by extraterrestrial life forms Planet X (also known as Nibiru) would come close to planet Earth on May 27th 2003 resulting in the Earthrsquos rotation ceasing for 59 terrestrial days The Earthrsquos pole will then undergo a physical polar shift due to the magnetic attraction between the Earthrsquos core and the magnetism of the passing planet This will ultimately lead to the dis-placement of Earthrsquos crust and the end of us But when this did not happen the event was postponed and re-dated to coincide with the Mayan calendar hysteria

NASA argues that this is merely an Internet hoax with no factual or scientific basis They explain that if Planet X was approaching Earth astronomers would have

been tracking it for at least the past decade and the planet would now be visible by the naked eye This is a very comforting bit of news Yet some people believe that NASA is part of a conspiracy to cover up the existence of such planet and keep the truth of impending apocalypse from general public Again the ar-gument can go either way and the ldquotruthrdquo depends on which side you choose or want to believe in

2012TheendoftimeSo what is so special about the

year 2012 There are claims saying that the Mayan calendar ends on 21st December 2012 and that will be the end of time for mankind However just like every calendar it merely rolls over to the new year on that date and it doesnrsquot signify anything special In the Mayan cal-endar 21st December 2012 will be the end of brsquoakrsquotun 13 and marks the start of brsquoakrsquotun 14 A brsquoakrsquotun is 144000 days (a little more than 394 years) and there is no archeological or historical evidence to show that the Mayans expected anything sig-nificant or drastic to happen at the

end of each brsquoakrsquotun

However there exists litera-ture that suggests otherwise In 1975 Frank Waters the author of the book Mexico Mystique identi-fied the 13th brsquoakrsquotun interval to be the ldquoMayan Great Cyclerdquo where it ends in the worldrsquos destruction and rebirth Waters claims that cata-strophic earthquakes will destroy the world but he miscalculated the date and announced that the end of the ldquoGreat Cyclerdquo would be on 24th

December 2011 AD

The year 1987 marked an in-creased in interest regarding the prophesized big event in 2012 The author of The Mayan Factor Path Beyond Technology Jose Arguelles linked the 13th brsquoakrsquotun period to a ldquobeamrdquo that links people the plan-et the Sun and the center of Galaxy According to Arguelles the beam is the key to harmonic resonance in the universe and the Mayan knew when we would enter and leave this beam hence set their 13th brsquoakrsquotun to mark our passage accordingly He also claims that this beam could advance the development of any-thing with DNA hence creating a more positive view of the future

V838 Mon a star with expanding light echo purported as photographic evidence of Nibiru

ldquoevery MaN dies Not every MaN really livesrdquo ndash williaM wallace

28 | Caduceus September 2011

No one can be sure of whether the end of brsquoakrsquotun 13 signifies something great or disastrous for us or if it is just another restart in the Mayan calendar We can only know for certain when the day ar-rives

GodrsquosplanforusThis is by far the most detailed

and terrifying image portrayed out of all apocalyptic claims that I have gone through The Book of Rev-elation from the New Testament reveals signs of apocalypse through a wide variety of symbolism One of such is the frightening image of the ldquofour horsemenrdquo

ldquoAnd I saw and behold a pale horse and he that sat upon him his name was Death and Hades followed with him And there was given unto them authority over the fourth part of the earth to kill with sword and with famine and with death and by the wild beasts of the

earthrdquo (68)

The pale horse carries the horseman of Death which is be-lieved to release global plague and pandemics to the world and take the lives of a quarter of the popu-lation This has already manifested

itself in many forms in different parts of the world at different times hence the first sign of apocalypse is said to be already happening among us

In similar manners the bible describes the arrival a black red and white horsemen represent-ing the delivery of global food shortages war and conflict and the coming of an antichrist to the world From historical genocide terrorism to increased occurrence of food shortages so often seen nowadays it seems that the red and black horsemen has arrived as well and now we are just waiting for the arrival of an antichrist to conquer us

The Book of Revelation also provides readers with a glimpse into the ldquoactionrdquo in how the world will end

ldquoAnd I saw when he opened the sixth seal and there was a great earthquake and the sun became black as sackcloth of hair and the whole moon became as blood and the stars of the heaven fell unto the earthhellipand every mountain and is-land were moved out of their placesrdquo

(612-13)

Besides the great earthquake and the darkening of the sun there is a repetitive mentioning of stars falling from heaven on earth in the Bible This is postulated as the at-tack of massive meteors on planet Earth Out of all prophecies in the Book scientists assume this to be the most likely since an asteroid impact at a scale as large as that may have already wiped out an entire species that came before mankind Scientists believe that showers of space rocks that rained down 65 million years ago (due to the collision of Near Earth Object) were the culprit for the extinction of dinosaurs Luckily NASA recent-ly launched an early warning sys-tem called ldquoSpaceguardrdquo that aims to monitor such Near Earth Objects to prevent future collisions and ex-tinctions

Having read the above the Bible seems to combine all the horrifying specifics in different apocalyptic speculations into one nightmare But donrsquot worry since there are many different interpretations of the Revelation Historicists are the ones who see the Book as a broad view of history (good news wersquove already escaped all the horrors in the depiction) whereas Futurists

believe the description as prophecies of the fu-ture The Idealists hold the belief that the Rev-elation does not refer to actual people or events which makes sense as the Bible is often not inter-preted literally So fingers crossed that the Revela-tion is not interpreted in the futurist way because in that way there is going to be a daunting future awaiting us

Four horsemen of Apocalypse

hkucaduceusnet | 29

ldquoDevolvingrdquoEarthTheoryThis is probably the

most scientific theory that I have come across so far from a news article pub-lished from ABC News A group of scientists from University of Washing-ton hypothesized that the Earth will gradually de-volve in the next half bil-lion years In short their logic works as follows

As we all know the sun is constantly grow-ing bigger yet the Earthrsquos environment has been reasonably constant This is because as the sun is warmed up carbon diox-ide from the atmosphere is removed and deposited in soil as carbonates This keeps our environment stable by the balance be-tween an increasing sun and reducing carbon di-oxide in the atmosphere (Note that global warming resulting from an increase carbon dioxide in atmosphere is just a brief blip in the grand scale of things) Since carbon dioxide is the ldquofood of liferdquo the reduction will cause plants and animals (including humans) to die To battle the rising heat some creatures will retreat into the sea hence reversing the evolutionary process And as the sun continues to expand the Earth will become so hot that even the oceans will gradu-ally be evaporated Eventually the sun blasts off its mass through ther-mal pulses engulfing the Earth

This is a very scientific specula-tion from an astrophysicistrsquos point of view and they claim that at best we have no more than half a billion years left This might be more reas-suring for some of us as the world will not end in the near future But the grief lies in the inevitability of our planet Earth coming to an end

Everythingthathasabegin-ninghasanendSo we are back where we start-

ed With more speculation and the-ories and still no closer to the truth The end could happen any day or time or maybe it could be a proc-ess that is already happening Even though it is not to the scale of an-nihilation of the human race hur-ricanes and earthquakes and car crashes have already been stealth-ily taking the lives of millions We know for sure that we must die eventually through chance old age or disease There is only very little we can do to fight against what has been planned for us and reducing the resources we consume is the best chance that we have in delay-ing this happening There might be some benefit if we know the in-sights of when and how it will hap-pen but really it doesnrsquot change anything Moreover it is possible that these speculations came about to force mankind to live life to the

fullest to treasure each day and every resource we have as a gift so it doesnrsquot matter which theory is the accurate one In the midst of these theories about apocalypse all we can do is to live every day as if it was our last with no regrets and enjoy life as it is now

ReferncesThe End of the Worldhttpwwwnostradamus101compropheciespart4P7

The Great 2012 Doomsday Scare httpwwwnasagovtopicsearthfeatures2012-guesthtml

When Will the World End New Theory EmergeshttpabcnewsgocomTechnol-ogystoryid=97756amppage=2

2012 Beginning of the End or Why the World Wonrsquot Endhttpwwwnasagovtopicsearthfeatures2012html

Video from history channel (from youtube link)httpwwwyoutubecomwatchv=BoTExQEyblU

ldquothe MeaNiNg of life is coNtaiNed iN every siNgle expressioN of life it is preseNt iN the iNfiNity of forMs aNd pheNoMeNa that exist iN all of creatioNrdquo ndash Michael jacksoN

30 | Caduceus September 2011

笑的神奇魔力「當你笑你改變了當你改變了整個世界也改變了」

麻丹卡塔利亞醫生(大笑瑜伽的始創人)何麗敏 (N14)

被隱藏的笑容

日 本大地震及核洩漏事件馬頭圍道唐樓火災三死十九傷中區

警長為勸示威人士中不慎失足墮橋身亡

各政黨爭相你嘲我罵helliphellip在城市裡我們

每天都被一些飛來橫禍天災人禍或社會

爭執的信息圍繞著充斥著愁雲慘霧的氣

氛甚至在家庭朋友學業工作和

健康方面我們亦會遇到不如意之事負

能量和心理壓力不斷增加沒有適當的疏

導和發洩方法之下不少人染上酗酒或沉

迷賭博等壞習慣來自我麻醉長期把情感

抑制的一些人更有機會患上

情緒病我們彷彿硬把自己

困在死胡同裡忘記兒時怎

樣整天咧嘴哈哈大笑如何

在跌倒後笑著站起來現

在很多人都像被魔鬼牽著

鼻子走每天板著一副無奈

沮喪的嘴臉掛上冷漠的眼

神笑聲更差不多成為絕

朋友啊你可有嘗試計

算過一天總共大笑了多少

次英國格拉根大學研究發

現在英國嬰兒每天會笑

達三百次而青少年時期的

每天大笑次數大幅減至六

次五十多歲的人平均每天

更只笑了三次無可厚非

我們在成長過程中必遇到愈來愈多的煩惱

和挑戰事情的確不是我們所能控制但

面對的心態我們為何不能放開一時所謂

的包袱像孩子般笑著面對呢為甚麼大

笑要有一定的理由或被時間限制呢

瑜伽加愉

近半個世紀工作學業和情緒波動

很大生活方式變得愈來愈物質主義容

易出現精神緊張大家都被壓得透不過氣

來變得不太愛笑在一九九五年印

度孟買註冊家庭醫生麻丹卡塔利亞(Dr Madan Kataria)創立「大笑瑜伽」以笑聲驅除怨氣大笑瑜伽是以笑聲互相交流

的透過眼神接觸傳遞歡樂的信息學習

別人的笑容代入孩童的心態再全情投

入地開懷大笑同時亦融入瑜伽的腹式

不妨一試

大笑瑜珈三式一預備式林中步行

在樹林慢走就是愛笑瑜伽的熱身方式步行時間

可以是10-30分鐘邊走路邊拍手同時不時地做深呼

吸目的是讓身體和情緒都徹底放鬆下來為後面的

內容做好準備

二進行式學習動物的表情

在瑜伽導師的帶領下活動面部肌肉然後模仿瑜

珈導師的動物表情這些表情看上去本身已很滑稽

只要按照瑜伽師的樣子去做再發出笑聲

三結束式調整呼吸

經歷了一場大笑面部表情鬆弛了心情也舒服

了不少大家慢慢收回笑容調整呼吸一邊在森林

裡散步一邊大聲告訴自己說「我們是世界上最快樂的

人」

灼見

hkucaduceusnet | 31

呼吸和伸展動作鼓勵大笑達至身心健康

的效果精神科專科曾繁光醫生指出 

「笑令腦自然分泌天然多巴胺以抗衡人

體緊張時所分泌的皮質醇預防患上焦

慮抑鬱的情況」除了改善情緒還能

促進健康笑能促進肺部呼吸功能和加強

血液循環現代醫學認為笑可以成為一種

治病方式治療神經衰弱消除肌肉的緊

張預防或減緩疼痛

筆者在此並不是宣傳大笑瑜伽其治

療成效仍有待商榷和科學實證但愈來愈

多人證實大笑和保持歡樂的心態能有效放

鬆自己張立新先生是第一位在中國推廣 

「大笑瑜伽」的人他患上憂鬱症遍尋

各種治療方式皆無成效一次機緣巧合

從網路接觸「大笑瑜伽」亦在電視上看

到介紹而開始學習和練習他的憂鬱症因

此不藥而癒從此他就開始在中國研究和

推廣愛笑運動暫且別論大笑瑜伽的奏效

程度但人生所遇到的事可真不少何不

笑對人生

尋回被遺忘的赤子之心

大笑並不是靈丹妙藥但它的確能帶來

正能量即使事情有多糟糕笑著面對總

比怨聲載道好而且美國加州大學柏克

萊分校心理學教授丹卓凱納說「笑對

人的進化很重要」目前心理學家們認

為笑是人類之間交流的古老方式之一笑

能互相影響把歡樂的氣氛傳染開去嬰

兒還未學懂說話時笑是與身俱來為何

我們長大後卻隱藏笑容呢朋友們參考

左頁所列大笑瑜伽的基本招式大家可相

約三五知己輕鬆一番找回孩童時的笑聲

大笑瑜伽的始創人麻丹卡塔利亞醫生

大笑瑜伽在六十多國家盛行

ldquolaughter is the best MediciNe - uNless yoursquore diabetic theN iNsuliN coMes pretty high oN the listrdquo ndash jasper carrott

32 | Caduceus September 2011

Learning Experiencing GivingA magical 10-day journey away from the cityErin Yeoh (M15)

C lad in backpacks light clothing and sneakers 21 medical students from HKU and CUHK

were prepared to leave the comforts of home and the internet (did I hear Facebook) We were bound to Chi-na about to embark on a learning-cum-volunteering trip organized by Medical Outreachers

After saying our final goodbyes at the Shenzhen air-port we split into two teams Team A with 9 members were bound to Xirsquoan where they would see volunteer orthopedic surgeons at work The 12 people in Team B including me left for Guizhou to understand the role of village doctors in rural China Both teams aimed to find out the effectiveness of public health policies in rural areas of China We were to meet up 4 days later at Dongshan Guangdong

Part1GuizhouUpon landing in Guizhou we were provided with

excellent hospitality by the local officers and the lo-cal NGO Amity Foundation We were given a brief introduction to Guizhou and also the work that the government and Amity Foundation were doing in the province Amity Foundation actually helped to build numerous new village clinics to improve the quality of healthcare in the region

The next day we were taken on a tour around the province visiting different village clinics (村診所) lo-cated in areas further away from the city Usually there would be one or two village doctors (村醫) on duty

at a time to attend to the villagers with population of around 1000 to 4000 per village

However the village doctors were not the type of ldquoheroesrdquo I had in mind They were not your typical doctor working in a worn out run-down wooden hut where there would be a row of sick villagers lining up to see them How ignorant I was In fact the village clin-ics were mostly renovated and well equipped with ba-sic amenities The standard village clinic has 5 rooms main lobby (大廳) treatment room (治療室) pharma-cy (藥房) observation room (觀察室) and a doctorrsquos rest room (醫生休息室) Furthermore their patient flow was rather small sometimes only one or two pa-tients per day This was probably due to the fact that some village clinics were located only a stonersquos throw away from major cities Those in a medical emergency would of course go straight to the main hospital to seek help immediately instead of consulting a village doc-tor

To be a village doctor one at least had to be a sec-ondary school graduate They would also undergo constant training and certification by qualified doctors in larger clinics According to the village doctors they spent most of their time doing paperwork keeping track of the villagers and their medical history They would also conduct regular home visits to those suf-fering from chronic illnesses or those that needed con-stant monitoring such as patients with hypertension or rheumatoid arthritis Another point that I found

A village clinic before receiving funding from Amity Foundation

hellipand a comparison after

Life

hkucaduceusnet | 33

interesting was that they would also visit families with newborn babies to check on their general health At the same time they would educate mothers on proper breastfeeding techniques and how to provide adequate nutrition for their children in the future

To learn more about their daily routine we fol-lowed a village doctor on his home visit rounds The doctor would sometimes have to travel as far as 2 kil-ometers for a home visit which would be the other end of the village This was as in the case of a pregnant lady due for delivery soon (photo as shown below) The doctor who came to check on her health status reas-sured her that her delivery would be a successful one From her sigh of relief and tired smile we could tell that she was grateful to see the doctor

However things didnrsquot always run as smoothly According to some of the village doctors they used to be scolded and rejected by the locals who did not understand why the doctors would often come up to their doorsteps asking them questions regarding their health and pestering them to go for checkups Some of them being superstitious would think of doctors as ldquoharbingers of bad luckrdquo as the doctors would talk about ldquosicknessrdquo and ldquodiseaserdquo when they were actu-ally feeling as fit as a fiddle Thankfully the situation has much improved since then

From what we saw instead of playing a curative role in a society the village doctors were actually much more involved in disease prevention and monitoring

This is actually the ldquoupstream modelrdquo concept in pub-lic health Instead urban doctors are overwhelmed by limited consultation time and when fatigue kicks in they simply do not have the energy to further educate their patients They would also not have the time to un-derstand their patients on a personal level unlike that of the village doctors

However the indiscriminate use of antibiotics in China was truly a frightening sight Doctors adminis-tered antibiotics intravenously for mild diseases like the common cold When we asked the doctors as to why they did so they simply smiled and shrugged off the question It is probably still a common practice in China and if the doctors did not give such medication the patients would probably lose trust in the doctor The fact that the similar practices were seen even in large hospitals probably indicates that this problem is hardly a localized one

Part2DongshanGuangdongWe met up with the team from Xirsquoan at the

Guangzhou airport and proceeded to our next desti-nationmdashDongshan After 5 hours of car ride we began to see signs that we were approaching our destination Mountains sharply angled clustered in twos or threes fondly known as ldquoMcDonalds mountainsrdquo were begin-ning to be in sight

As soon as we arrived we were greeted by eager curious young faces The children huddled close by as we unloaded our luggage some commenting that they hadnrsquot seen some of us while others were already play-ing around with the past participants It was my first time to Dongshan but there were some of us who were not new to the kids there

After settling down we were given an introduction to Dongshan and its residents by the local NGO Green Action Foundation led by Mr Wong

Located at the outskirts of the province Dongshan is one of the 4 poorest areas in Guangdong Its natu-ral terrain abundant in limestone makes it especially hard to retain water This has taken a toll on the resi-dents especially during the drought season Another problem faced by the local residents is that there are many young people and adults migrating to big cities to earn a living leaving behind the children and elderly

Village doctor on one of his home visits

Discarded bottles of intravenous antibiotics near the village clinic

ldquoMediciNe also disregards NatioNal bouNdariesrdquo ndash irviNg laNgMuir

34 | Caduceus September 2011

at home

Green Action Foundation took the initiative to plant trees around the area so that more water was available for irrigation and domestic purposes This improved the quality of their crops and boosted their source of income They also sponsored some of the

childrenrsquos education depending on their performance in school to ease the burden on their families

The next few days were jam-packed with activities A sports day was held as an icebreaker so that the new participants could get to know the children better We also spent half a day at the Dongshan Primary School where we taught the kids personal hygiene simple first aid moral education and also sex education for the grade 5 and 6 students

Another interesting activity that we had was a weed-cutting session up at a mountain with the other children Each of us was assigned with 2 to 3 chil-dren who were supposed to ldquoguiderdquo us along the way It was a 2-hour hike up and down hilly ter-rain While I would stop once in a while to take a breather the kids were barely panting The kids would often stop to ask if I was tired and even of-fered to help me carry my backpack Note to self more exercise next semester

Nevertheless it was a great chance to know the kids better We had the time to chat about their school life and what they thought about their future and also the chance to share snip-pets of our lives in the city

We then split into small groups and visited the homes of the children in order to gain a bet-ter understanding of their household hygiene

condition any medical conditions in the family as well as their economic standing We had also prepared questionnaires to be kept as future record Some of the families were very poor to the extent of having no source of income at all They depended solely on their own crops for food If they went to see the doctor they would usually owe the doctor money until they had

enough money to pay back The hygiene status of the villagers varied but most of them had swarms of flies around food Many even had their live poultry like chickens running around the house Before we left we gave them some hygiene products like soap washing detergent and toothbrushes to encourage better hy-giene We also gave them a poster explaining ways of maintaining a clean household environment

Another main focus of the trip was to find out the effectiveness of a medical insurance policy newly in-troduced by the government Each person had to pay 30 Renminbi annually to be guaranteed free medica-

Sports day activity

Weed cutting with the children

hkucaduceusnet | 35

tion and hospitalization thereafter Generally the vil-lagers were grateful for this plan as many found it dif-ficult to afford medical fees while struggling to pay for

basic necessities at the same time However some vil-lagers complained that the prices of medicine spiked after this policy was introduced and hospitals would of-ten ask patients to

do unnecessary scans just to earn more money

This trip made me realize that there is much that we can do but how great an impact we can make might not be seen immediately With follow up trips one could see the change as compared to the last visit and make further modifications to improve the situation

As the trip came to an end we were reluctant to leave There was something very magical about Dong-shan where the skies would turn to an exuberant red during sunset and on a clear night you could see stars scattered across every corner of the sky It is a place of beauty struggle and hopefully a place of triumph in the years to come

It is a place of beauty struggle and hopefully a place of triumph in the years to come

On one of our home visits

More to ExploreMedical Outreachers 醫心httpmedicaloutreachersorg

The Amity Foundation 愛德基金會httpwwwamityfoundationorg The beautiful sunset in Dongshan

ldquoshariNg is soMetiMes More deMaNdiNg thaN giviNgrdquo ndash Mary catheriNe batesoN

36 | Caduceus September 2011

就 在這一刻世界沉默了

城市的繁囂隨飛機引擎

逐點逐點噴走了繁囂的離

開是為了讓簡單的生活回

來剛踏出廈門機場一張

又一張的笑臉映入眼簾刺

熱的太陽把兩地之間的隔膜

融化

早從香港回歸時開始

香港人經常強調自己只是 

「香港人」而不是「中國

人」自以為比內地人高一

等可惜這班自視過高的都

市人曾幾何時為外地人送上

熱情的款待這一點廈門

人比誰都做得更好

廈門是一個位於中國

東南部的海島也許就是近

海讓居於廈門的人都把一

切怨恨煩惱拋下大海讓

它們隨水流漂走埋藏在海

床上每年廈門的鳳凰花花

開兩季一朵又一朵鮮艷如

火的鳳凰花在六月時歡送一

個又一個的畢業生彷彿為

他們添上一份祝福九月時

的鳳凰花熱情地歡迎一屆又

一屆的新生為新生的精彩

校園生活揭開序幕一份一

份的熱情含苞待放身在廈

門又怎會不被這市花的熱情

感動呢廈門大至人與人

之間小至花與花之間都存

著一份情

要追溯廈門人的情懷

可數至土樓的建成土樓

是個大多呈方形或圓形大型

群居的建築整座土樓樓高

三至五層由於牆身頗厚及

只有一個出入口甚具有防

禦功能亦因為這緣故當

大門關起來土樓便成了一

個家這個家佔地不大但卻

藏著成千上萬的人情味在

萬里無雲陽光普照的天空

下土樓居民的熱情好客

被蒸發出來懸浮在空中

一代一代傳下去更讓它隨

風走出土樓傳遍整個廈

門即使土樓漸漸成為旅遊

景點一些擺賣紀念品的攤

檔已經進駐但卻無礙居民間

的感情商販彼此交流從

不出現爭客的情況在土樓

中央休憩的居民除了為外地

人介紹他們的祠堂外亦邀

請遊客跟隨他們到遊客禁區

參觀在土樓居住的每伙都

中門大開當遊客投進好奇

的目光屋內的人往往以親

切的笑容作回答鄉土人

情在這世代多冷漠的心也

被融化

細膩的人情味外最令

遊客津津樂道的是廈門人的

態度廈門大學附近有一條

芙蓉隧道只要你願意便可

在隧道內壁上畫下你所思所

想當然美觀與否見仁見

智但這一種對藝術尊重

欣賞的態度是值得欣賞我

有我盡情地畫你有你盡責

青春在廈門留下足印潘曉彤 (N14)

生活

hkucaduceusnet | 37

地去管轄城市各處的整潔

彼此留下空間達至相輔相

成的效果廈門人就懂得人

最基本的禮貌尊重不

過廈門人對他人的尊重遠超

於人的基本禮貌當你去唱

「卡拉OK」的時候每次

待應的出入時看到的就只

有他們的正面而他們前行

或後退的方式就像看到皇帝

一樣卑恭屈膝香港人常常

強調面子哪一天才能捨下

那過高的尊嚴為不相識的

人作一個最謙卑的招待

其實任何人一離開香

港都不難發現就只有香

港愈夜愈精彩其他地方晚

上八時大多關門大吉而廈

門就只有中山路才媲美得

上香港的夜夜笙歌夜幕低

垂萬千燈火的中山路上

與來自各區的人擦肩而過

昏黃的燈光下照出一群又一

群的沉默影子剛好與路上

喧鬧的行人相映成趣騎樓

在霓虹燈的點綴下顯出了獨

有的閩南特色大街小巷傳

來不同地道小食的香氣車

輪餅燒仙草土笋凍helliphellip

為我們外來的交流生帶來美

味可口的夜宵飲飽食醉過

後走到中山路的盡頭又

回到了沉睡中的廈門

在優美的環境影響下

廈門人的生活也自然變得

純樸優閒單車車輪在環

島路上留下一圈又一圈的印

記沿路能細聽海浪輕拍岸

邊的聲音細嗅四處洋溢的

花香感受微風吹散太陽散

發的熱力見證一對又一對

的新人在拍下幸福的照片

據說廈門有戀愛天堂之稱

不管走到哪一處也會

看到準新人拍下甜蜜的婚紗

照而在裡面享受的人永遠

不知道這風景如畫的背

後是透過多少人的血汗換

來當我們在追求經濟成果

的同時往往破壞了造物者

在世上留下的藝術品隨中

國經濟急速發展一個又一

個的世外桃園被摧毀銅臭

替代了花香車聲替代了鳥

語這仙境又可維持多久

廈門另一世外桃園就是

鼓浪嶼它活像香港的長

洲島上滿有歐陸建築風

格但當中不乏中國特色的

建築中國古城風味與洋風

互相交替帶出截然不同的

感覺島上遠離汽車的廢

氣與金門就只是一海之

隔一家大小在享受天倫之

樂時一群又一群的青少

年情侶在沙灘上嬉戲立

即為島上升溫

筆者認為在這個混亂的

俗世確實需要抽空來欣賞

造物者留下來的藝術品大

財團不斷興建大型商場國

際知名品牌不停進駐留下

的就只有愈來愈狹窄的街

道被石屎封蓋寸草不生

的土地人人被金錢蒙蔽

迷失在霓虹燈光中又有多

少知音人能放下生活的瑣碎

事情在這裡享受時間一分

一秒的流走你被海浪聲

喚醒了嗎

筆者參加這次是由香

港廈門兩地大學的交流

團一連六天已經習慣了

當地的優閒生活模式體會

到的不只是廈門的風土人

情歷史文化而是兩地大

學生那種衝破界限的交流

雖說年輕人容易打成一片

但廈門獨有的熱情確實融化

了彼此間的隔膜廈門的美

是成人之美成就了兩地大

學生的友誼

飛機又再起飛了廈門

再見了

ldquothe tiMe of life is short to speNd that shortNess basely it would be too loNgrdquo ndash williaM shake-speare

38 | Caduceus September 2011

生 命形成之際只要一秒鐘的差遲世界便會不一樣

蝴蝶效應從來都是玄的全因一個 

「緣」字

隨著人成長要決擇的事太多學生

有兩件人生大事幾乎都不是由自己決定的

入讀小學及中學然而到了大學這

關卡自己也許可以拿定主意了若果你

入讀了心水科恭喜你若不然祝福

誠然入大學是最影響未來生活的關

口是好是壞無人知曉不用量化不

用比較太多即管做自己所想活出自己

的路只因你不會曉得你的下一步會怎樣

影響著你的生命

或許一個活動你會遇上你的最愛

或許一個宿位你會遇上你的知己

或許一句說話你會惹來一個敵人

或許一次走堂你會由B變C

這就是大學

在大學各人有各人的大學生活大

學講求自由學習學習真的是「求學不是

求分數」有些人愛廣交朋友有些人愛

住宿有些人愛做莊務有些人愛拍拖

有些人愛參加各樣活動有些人愛做兼

職有些人愛讀書有些人卻愛甚麼都不

做helliphellip不少大學生強調入大學必定要做齊

大學五件事(上莊住宿讀書拍拖

兼職)但其實只要自己開心不害人的

話做甚麼也沒問題最要緊的是認清讀

大學的目的以免沉淪於大學這花海

朋友

大學可以令你對「朋友」的概念愈來

愈含糊幾乎每個活動都可令你認識新朋

友通常大家都會輪流講述自己的名字與

學科(Round Table)這亦是考驗大腦對人名的記憶所謂的「Hi-Bye Friend」會愈來愈多隨便在細小的港大內穿梭會令你

無可奈何地對他們說聲Hi

不過別標籤你的「Hi-Bye Friend」要是連Hi-Bye也談不上更不用說做深交了上大學了大家已有既定的圈子很

多時約會或聊天都先找中學朋友而且很

多人會把大學朋友與中學的作比較雖情

有可原但有時未免先入為主地覺得中學

的較好

這亦難怪即使是日日碰面的同學也

未必是自己的好友人人都有自己的時間

表下課後各散東西不是大家不想互相

認識只是有時身不由己若想互相了

解不妨盡量製造共處之時有時甚至可

以分一些約會給大學朋友然後你會發

現大學朋友也可跟你熟絡可別為自己

建造一塊厚厚的心牆

舍堂

要入宿無人會不曉得十日的迎新營

有些舍堂平均每天的作息時間只有兩三小

時有人說住宿最辛苦就是迎新營然而

它卻是最難忘的

要數活動單單一個舍堂已數之不盡

要是投入舍堂生活每天24小時是不夠

用的舍堂之間有各樣比賽堂友要參加

各個組別為比賽出席各樣練習否則可

能被拒於來年再住基於許多人都只在夜

晚有空要全體出席那可是晚九朝五的

大學之緣賴彥積 (N14)

新鮮人

hkucaduceusnet | 39

宿生們之所以會熱衷於舍堂活動因他

們對自身舍堂有強烈的歸屬感好比中學

時學生參加校際比賽要是沒有歸屬感

就不會有心參加所屬舍堂的活動

除舍堂之間之活動樓層之間亦有各類

活動樓內亦然只要有人的地方就有玩

樂彷如天天宿營你不會有機會偷偷早

睡其他樓友常常打擾你你原來的生活

時間會推後數小時睡於二時已是罕有

早上的八半堂彷如無物

可以住宿但不參加活動嗎當然可以

但你會面對的是朋輩壓力他們雖未必逼

你參加卻會在言談中有意無意的滲出

來那種壓力不只限於自己樓層甚至是

跨樓層千萬可別輕看宿中流言

上莊

有人說上莊所學遠超課堂上莊所學

的是如何籌辦活動非常實用有時要對

外聯絡有時要面對公眾helliphellip像是要為將

來工作鋪路似的當然這亦要視乎你上

的是甚麼莊

一般而言上莊可訓練你待人處事的技

巧有時表面看來很友好的朋友當背

負上一定的要求後關係少不免有磨擦再

者初時莊員素未謀面最後卻因朝夕相

對而演變成朋友這段關係是很可貴的

成莊前要宣傳內閣爭取選票成莊了

又要舉行咨詢大會包受歷莊指導然後

又有就職典禮此後的活動更接踵而至

當然包括迎新活動招莊活動等helliphellip君不

見很多人視莊房為睡房少不免有「通

頂」之時忙是忙但必有價值至於是

好是壞要看自己的造化了

拍拖

人上了大學有時心思思想拍拖眼見

身旁多個好友都紛紛拍拖自己少不免羨

慕別人這想法十分正常畢竟大學生真

的可以放下只讀書的重擔真的可以規劃

人生大事了

香港大學一些營新活動中隨了Round Table外還有Round Status即說自己現在有否拍拖以及拍過多少次拖如 

A 0即Ava i lab l e之前至現在沒有拍拖O1即Occupied之前至現在共拍了一次拖當然也有一些同學自己創的甚

麼OBA (Occupied But Available)或D10(Desperate拍過10次拖)等等至於Round Status的動機何在可能是組爸媽想穿針引線吧當然也可能是別有用心的

不同人對拍拖有不同想法上了大學更

有不同擇偶條件人大了在感性的議題

上往往加上種種理性的數據開始現實起

來哪個帥哪個富有哪個有前途helliphellip

有些不在乎天長地久只求剎那的光輝

有些求虛榮有人疼愛在朋友前炫耀

有些甚至會在拍拖前已想定分手後的模

樣所以不想選擇跟自己同科的同學

活動

不同團體(包括舍堂學會及學校部

門)都有不同活動不用愁沒事幹只用

愁沒時間只要多留意Portal Mass Email或Main Campus海報不難發現幾乎每天都有各樣活動動靜皆宜開學時有迎

新營考試時有勁過飯新學期有開Sem

飯有些學會如戲劇舞蹈合唱團不時

有演出有關運動的學會則多練習以參

加比賽有關學術的也有很多興趣班講

座比賽等想幫人的亦可參加義工團

體如蛇蛇豬扶青等舉辦的義工活動

兼職

大學生的兼職大多以補習為主畢竟

這是我們能力範圍內可賺取最多外快又是

時間最彈性的工作有些人卻因補習不能

寫在履歷表而選擇別的工作然而很多時

我們都要在兼職與大學活動中取捨我的

ldquotake a chaNce all life is a chaNce the MaN who goes farthest is geNerally the oNe who is williNg to do aNd darerdquo ndash dale carNegie

40 | Caduceus September 2011

E mily was the chairperson of Pharmacy Socie-ty session 2010 As a student she has actively

participated in holding activities for many medical stu-dents and taken part in providing welfare to all phar-macy students Her following sharing will especially enlighten our new pharmacy students

Q Why did you choose Pharmacy SocietyA To be frank ldquosheung jongrdquo was really out of

my expectation when I anticipated my university life However my perspective has changed when I officially became a pharmacy student in HKU As members of the opening class of the Pharmacy programme my classmates and I realised the importance of having our own student body We do need an independent soci-ety to represent us pharmacy students to cater for our specific needs to listen to our points of view and to act as a bridge to facilitate our communication with the Medical Faculty the entire university and ultimately the pharmaceutical field in Hong Kong My class-mates and I who later became ldquojong yausrdquo believed we should act immediately to establish and run our own society which is why I decided to ldquosheung jongrdquo

Q Would you like to share some of the pros and cons of sheung jong

A ldquoSheung jongrdquo definitely helped me achieve per-sonal growth It was a concurrent commitment and re-sponsibility to serve and to lead our colleagues Bear-ing this in mind we always pushed ourselves to attain the best of our work ethics efficiency and efficacy As the very first session of the Society we lacked the guidance of any previous committee member Instead analysing carefully and critically we thought better of every decision which I personally found an enriching experience ldquoSheung jongrdquo was also an eye-opening journey Wersquod got to meet different people and learnt more about the professional work for as our career-to-be after graduation This in my opinion is always beneficial Last but not least I was fortunate enough to have worked with my amazing fellow committee mem-bers I frankly couldnrsquot ask for better ldquojong yausrdquo than initium Irsquom absolutely thankful for having them as my friends and it is definitely my greatest gain along the way

Despite the merits ldquosheung jongrdquo definitely has its downsides as well It is a lie to say ldquosheung jongrdquo does not affect our daily life because it does take up a big chunk of our time At the end of the day it is about time management which is easy to say but extremely dif-

建議是如家庭環境較困難賺錢吧反

之可以多留時間給各活動畢竟大學一

年的學費不只值那幾十堂課如何善用這

$42100就在乎你如何投入大學生活

讀書

假若你認為大學的考試可考核學生的

真正讀書能力並要求學生活學活用課堂

所學那麼你大失所望了假若你善於背

誦有過目不忘之本領大學的筆試不會

難倒你只要靠著前人留下的歷屆試題

背到滾瓜爛熟是不可能不及格的很多屆

試卷都是千篇一律的很多教授可沒空大

改試題那同學們就走運了有些課堂

即使再專業的學科都會有只理論無實

踐的課堂然後考試就要你把一大堆理論

背出來helliphellip例如甚麼叫批判思維噢

我可不知道只知道我掉了5分

不同學系在某程度上定下了人的前途

對於醫學院學生而言前路是較清晰可見

的但對於非專業學科前路不可只靠讀

書也許要靠自己另外摸索讀書所帶來

的必然是較高的GPA高GPA所帶來的是

獎學金到外國交流工作實習日後工

作機會等等當然大學學習不只局限於

讀書會否因此失彼就只有自己知道

蝶翼拍動之時往難以預料機會是

要自己摸索的

如經上所記

「神為愛他的人所預備的是眼睛未曾看見耳

朵未曾聽見人心也未曾想到的」

(哥林多前書29)

「栽種的和澆灌的都是一樣但將來各人要照自

己的工夫得自己的賞賜」

(哥林多前書38)

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

Freshmen

hkucaduceusnet | 41

ficult to achieve Also working as a Committee mem-ber can be very exhausting and difficult You definitely need lots of determination and support to get through some of the busiest times

Q How did you handle and balance the workload of study and your ldquojongrdquo

A As Irsquove said before it was tremendously difficult I guess my best advice for the future committee is to know your limitations and always plan ahead You have to know your time to work to rest to study etc No one will be over-worked and eve-ryone will have some personal time if you share the burden wisely between ldquojong yausrdquo Secondly you have to make very clear plans so that you can make full use of every little piece of your time I may not have succeeded in my time management but most of my ldquojong yausrdquo managed to do so de-spite the packed schedule of our Soci-ety This is sufficient proof of ldquoimpos-sible is nothingrdquo

Q As there are only about 25 pharmacy students per class do you have any suggestions for P14 fresh-men to make more friends from other curricula

A It really depends on what kind of person you are If you consider your-self socially active living in a hall or ldquosheung jongrdquo will be a great idea for you But if you see yourself as a much quieter person you can still make use of opportunities such as Medic Orien-tation Camp and other events jointly organised by student bodies within the Medical Faculty to make new friends

Q Any special things for P14 freshmen to be aware of

A First of all welcome You all are now members of Pharmacy Society MS HKUSU and I would like to let you know that this is a student body aiming to serve you Thus feel free to share your viewpoints and voice out your opinions to the current Com-mittee members The Society has to

understand your needs to improve and provide better welfare and services for you

Q Any other comments or important things to re-mind P14 freshmen

A If you would like to get to know more fellow pharmacy students especially students from P12 and P13 grab the opportunity to join the Pharmacy Society Orientation Camp and the Mentorship Programme These are great chances to make new friends and Irsquom sure you will enjoy them

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

ldquoas huMaN beiNgs we do chaNge grow adapt perhaps eveN learN aNd becoMe wiserrdquo ndash weNdy carlos

42 | Caduceus September 2011

筆 者是一位護理系的學生半年前有幸成為二零一一年啟思編輯委員會的總編輯在期間所體驗到的希望藉著這次機會作出分享特別希望新加入醫學院的同學

能對「上莊」有更多了解

上莊之路上莊是大學五件事之一證明它對大學生

活有一定的重要性一定的位置筆者在初入學的時候曾為了上莊與否而煩惱猶豫了好一段時間期間考慮到自己能力怕學業應負不來但最後仍然下了上莊這個決定原因是上莊是個難得的機會充實增值自己不同的莊會提供不同的機會讓莊友去學習透過不同的莊務去讓自己眼界擴大另外可以了解醫學院內發生既事情例如院內活動的進展情況更可以參加舉辦院活動為醫學院出一分力最後當然會認識到將會相處一整年的莊友工作伙伴有機會認識到不同學系的同學從他們身上可以觀察到學習到各種的特質從而令自己有所進步有所啟發

護理學生作為護理系學生起初擔任總編輯一職實

在是倍感壓力畢竟歷屆的總編輯都是由醫科生出任因此筆者起初都害怕跟醫科生共事怕自己的能力不足夠應付莊務所以起初都是戰戰兢兢地上莊

一位三年的護理學生曾對我說「我認為你不太尊重護理系護理系和醫科都是個專業希望你能加以尊重自己的學系不要輕視護理這個學系你要肯定自己的學系才能帶領整支莊因為莊內成員來自不同的學系你必須肯定和認同每個學系都有一定的重要性以及其專業」這番當頭棒喝的良言令我明白到自己一直都太輕視護理系過於重視醫科現在我明白到認同自己學系是尤其重要只有這樣才可以用自己學系的身份去發表意見只有認同自己學系才懂得尊重其他的學系莊內便可以融洽一點

在筆者的莊友中醫科生都是較有責任感而且做事更有計劃從他們身上的確學到不少東西這點是無可否認的事實筆者並不是在分享學系與學系之間的差別而是希望有志上莊的同學能互相尊重明白到各學系的莊

友都有其值得學習的地方起初對其他學系有隔膜是無可避免的畢竟對他們的學系都不太了解又沒有歸屬感但如果因為對方是別的學系而輕視對方的人不但失去與人相處學習的機會而且會令莊內的氣氛失去和諧

幸好的就我所見所聞醫學院內的莊多年來都能融洽相處互相支持令到一眾上莊的同學都能輕鬆地享受上莊的喜與樂甚至是不愉快的事情

依靠你的莊友莊是一個團體不是一兩個人可以應

付得來所以筆者認為與莊友互相溝通合作是個重要的元素新同學如果有志參與莊務期望從上莊中有所得著首要的事情是與莊友建立關係因為他們將會是你來年的工作伙伴也是你遇到困難時依靠的對象一位上莊曾對我說「其實一件的莊期不會令你有太大的得著或成長反而長久的友誼才是你將會得到最重要的」這句說話是千真萬確的上莊的人不會由詞不達意改變成談吐得宜不要期望自己會有驚人的轉變也許上莊會令人處事成熟一點有計劃一點但上莊所得到的關係將會是更重要更珍貴一年的相處中面對過有無數的會議共同處理過不少困難從中

建立的友誼真的是畢生受用

責任感上莊另外一個十分重要既條件就是責任

感有志上莊的同學必須明白到莊期是長達一整年在繁重的學業中騰出時間來處理莊務是個考驗責任感和毅力的測試同學必須再三思考想清楚自己是否真係熱衷於上莊或是只是一時衝動畢竟你將要許下的是一年的承諾必須對這個莊負上責任願意付出才選擇上莊這個決定這樣的付出就會有相對的回

總結上莊的確是個好機會讓自己去學習從處

理事務中或是從莊友身上都會有所得著充實著自己的大學生活從中可以認識到各學系的同學建立一段段受用終身的友誼在此筆者希望各學系的新同學可以善用機會作出上莊這個無悔的決定

護理系的啟思總編石志榮 (N14)

新鮮人

hkucaduceusnet | 43

慈兄吟(下)奇晶

最 後還是麥教授先開了口「他的確是一個好學生對醫學有獨到見解他不但學業成績優異而且樂於助人你是他的妹妹吧」婉慧努力控制自己的淚水繼繼續續的說「是啊但helliphellip但helliphellip我不知道helliphellip他竟會在這裏出現」麥教授用悲天憫人的目光看着婉慧語重深長說「人生自古誰無死人生命的有為與否並不取決於他生命的長短而是在於人生的意義你哥哥雖然最後當不了醫生但他的犧牲卻間接為一些同學做醫生鋪路讓他們做醫生去救人這真是一種無私的愛」婉慧點點頭覺得自己對哥哥的了解實在太少了

最後她還是孤獨的離開實驗室她覺得自己跟哥哥比起來實在相差得太遠了原來他除了是十優狀元在醫學院的成績名列前茅外還是個熱心助人的好青年自己除了少了一優外少的更有對別人的同情及樂於助人這造就了她心靈上的空虛她明白到冷漠不是一種對哥哥思念的正當表達方法她應該做的是把哥哥對其他人的愛傳揚開去以圓他的心願

第一步往往是最困難的婉慧平日對他人的態度已令不少人對她敬而遠之有很多次她嘗試向同班同學投以友善的笑容得到的總是詫異的目光或別人的不理不睬在小組討論中儘管她踴躍發言盡量避免冷場的發生偶同學們卻認為她變本加厲想阻止同學們取得好成績她四處碰壁又再次陷入了想念哥哥的深淵

時間一天一天過去了上學期考試前的休假開始了婉慧每天都勤奮的在圖書館溫習期望取得好成績這時候的圖書館堆滿了人如果遲來一個小時想找一個位子也難就在假期的第二天同班的王文在圖書館跑得氣急敗壞仍找不到一個座位婉慧不知怎樣有點同情他將座位讓給他王文驚訝道「不用了我還是回家吧真倒楣遲來了一個小時就沒有『接位』」

「但你住在哪裏呀」

「元朗今天早上我忘了校鬧鐘八時才起」

「那你還是要我的座位吧我可以坐到電腦桌因為我認識的人不少沒有什麼人會打擾我的」

王文謝了她頓時對這位冷漠的同學刮目相看原來她的內心也是溫暖的這並不是他所能料及的坐在電腦桌前溫習的她也感到特別的快樂溫習的速度也快多了王文就此成為了她的「飯檔」考試期間每天和她一起吃飯他更將自己的好友介紹給婉慧認識

在一個晚上她又悄悄的在圖書館的角落溫習着突然一隻溫暖的手搭着她的肩上她抬起頭但見解剖學的同桌手中拿着一杯熱飲輕輕的放在她的桌上婉慧正感詫異卻聽見他說「這杯熱巧克力是給你的繼續努力吧」她喝着巧克力心中感到一股暖流彷彿哥哥的關懷又在她內作出回響

十年生死兩茫茫不思量自難忘千里孤墳無處話淒涼helliphellip

寒風吹起了她額上的劉海佇立在墓前的婉慧不禁凜冽她想起了從前想到自己最後一次和哥哥吵架雙方面紅耳赤的情況想起自己無法親口跟哥哥道歉想起哥哥無私的付出她對着那空虛的墳心中不忍一陣淒然淚水漱漱的流下來她身旁攜扶着年紀老邁的母親邊拭淚邊喃喃道「我的兒子helliphellip歿了helliphellip」大家心情漸漸平復了緩緩走出了墳地

雨一滴一滴的落下飽歷辛酸的婉慧卻仍在懸壼濟世

短篇

ldquoyesterday is but todayrsquos MeMory aNd toMorrow is todayrsquos dreaMrdquo ndash khalil gibraN

44 | Caduceus September 2011

Eternal Flame (1)Tulipa

Itrsquos cold The chills from my fingertips imbibe deep into me This person drills into my mind digging out the truth inside me Itrsquos agonizing She comes right inhellip di-rectly I cannot stop her

Irsquom losing myselfhellip

My hand felt the soggy pillow I realised I had come back to life the world where I lived Staring blankly at the ceiling still losing focus in my eyes I felt my brows with my forearm For the first time I didnrsquot want to lose this feeling

The bedroom door slowly opened I quickly rubbed off the drops that had blurred my vision pretending that I had just woken up

ldquoDo you have lessons this morningrdquo My grand-mother whispered into my ear

ldquoOh goshrdquo I turned right to my alarm clock It was the real life I had forgotten to turn the alarm on last night and it was now seven thirty I knew it I was going to be late every time she caught me in bed Irsquod got to hurry up

Living in Hong Kong Island though it took me more than an hour to get to school I had to comfort my little brother sometimes till two or three in the morning in order to get him to sleep In addition to the consistently heavy study load in the medical school I could hardly get enough rest Running on my heels al-most became my routine starting from last November But I well understood the consequence of skipping lec-tures It was the beginning of the Cardiovascular Sys-tem Block For someone like me who gave least priority in revising Anatomy materials lectures remained the prime source of information for exams Absence from class was suicidal To make the situation worse this professor was one of those who did NOT upload lec-ture notes online

Hoping I wouldnrsquot arrive too late to miss the impor-tant points I finally stepped onto a route no 8 minibus at ten past eight What I could do now was to pay trust in the driver who would bring me to my destination

Coaxing kids was never easy Little Bruce just hap-pened to give me such a hassle last night

He knew I would check on him when I returned home Sitting right next to the door of his room he begged me for a story once I opened the door I sat down together with him on his little couch after Irsquod taken a quick shower This was a time to relax leaving

aside all the other concerns

Kindling through his favourite reader I saw that he wasnrsquot listening but distracted by all sorts of toys around He even invited me into his world of fantasy But it was getting late I had to calm him down so that I too could have some rest Being one of the brightest in his elementary school he should understand this was not the time for recreation

I began to feel annoyed

Yet he was my brother I had a gut feeling that this was unusual He didnrsquot use to be so ldquohyperactiverdquo It re-ally took me a while to adjust to his change With him still tossing and turning in my arms I apprehended his restlessness Unpredictable though he was true to his feelings In one way or another he might find the shadow of our mother in me

He finally settled when I laid him back in bed It was nearly two forty in the morning

The first week of the CVS Block ran as plotted PBL tutorials would start on next Monday Dr Youngrsquos fa-cial expression in the first PBL evaluation flashed over my Embryology notes and references She didnrsquot teach Embryology but I could tell she did have a hypertroph-ic heart-shaped face which looked familiar to the dia-grams in the Atlas

Back in the IHD Block most of us were puzzled about the scrambled content of our course Various forms of seemingly related knowledge came in through lectures practical and tutorial sessions But the neural circuit formed in our brain just failed to resonate as if the conductance-inductance mismatch had aberrated our thought from minimal impedance Sometimes things even happened in a ldquomore-than-extrardquo manner The presence of common core courses in a parallel but independent branch in the network could rightly be detached without causing a blip on the galvanometer Everything was dubious We had no idea of what we were doing

Maybe we were just on the way seeking for a sense of attachment

My mind too was racing in haste I was struggling with my decision to become a doctor Too many things had happened over the year I just couldnrsquot stop ques-tioning myself what was I thinking when I put lsquo6456 MBBSrsquo in my JUPAS application I should have expect-ed and prepared to face all these I just didnrsquot knowhellip

Novella

hkucaduceusnet | 45

It was midterm evaluation in the IHD Block Her face looked tense in that heart shape She was so stiff in her facial expression that no one could read her mind from her poker face The conference room of the Physi-ology Department was large We seemed to be the odd ones out in the spacious carpeted room In this secre-tive silence you could hear the drumming in your ears as if you were tingling

I realised this was not a matter of ldquoam-I-suitable-for-a-medical-careerrdquo but ldquois-a-medical-career-suita-ble-for-merdquo I was lying in bed playing with my plush bear when these thoughts burst in me Dr Young looked through me She felt certain that different from other group mates there were crises behind me But I didnrsquot tell her anything that day

We all were sensitive At times some subtle trepi-dation seeped in gradually sucking peace away from my sleep It was so to say below threshold sub-lethal though it lingered for weeks once it set inhellip

Drenched in bloodhellip There is no life in the boy His eyes are widely opened slightly protruded The lifeless pair of black pearlshellip I cannot escape from his glance He wants to talk to mehellip There is something he wants me to know

A van runs over himhellip

I fell down the edge of my mattress Breathing heavilyhellip Sweating all overhellip

ldquoScreechrdquo People began to gather around a tel-ephone booth a few metres behind us

I turned back I couldnrsquot see a lot from this anglehellip

ldquohellip What a pity He is so younghelliprdquo a middle-aged couple passed by

The victim resting just in front of the wheel looked towards me through a break in the crowdhellip

As we were wandering around thinking what to eat for dinner my cousin found me standing there rooted to the ground stunned by the victimrsquos gaze My heart was pounding She wouldnrsquot believe what I was again experiencing For a number of times already scenarios in my dreams were mirrored into reality

I couldnrsquot tell her

ldquoI was just thinking whether you would like Korean cuisine There is a new restaurant two corners awayrdquo I made up a talk while escaping from the scene so that I wouldnrsquot look so strange

ldquoWhy not go and have a try thenrdquo She was not dis-appointed for calling it a day as the food there was sur-prisingly good

Not until some years ago when I was Form 3 in college I discovered my ability to look into the future Sometimes I could see them coming up on the news in days or weeks And some didnrsquot ever happen at least not around me But seeing the night visions coming into concrete existence wasnrsquot always a pleasure when the mental images turned gradually into mostly night-mares When I visualised my close ones it felt like I was in the middle of an insecure chain bridge above a torrent that would sweep me into the vast ocean with no return It was entirely different from what you might understand as ldquodreams come truerdquo

I had witnessed misfortunes in proximityhellip

But I could do nothing about ithellip

Friends were a source of solace someone to con-fide all frustrations in But with my paranormal ability which appeared to everybody else only on screen-plays I wasnrsquot courageous enough to open my life wholeheartedly to them Seldom talking about myself avoiding all sorts of gatherings I became an eccentric figure among my classmates

Sometimes mutual understanding carried more weight than words I remembered my physics teacher being one of my few friends during my teen years De-spite his boisterous faccedilade he was always sensitive to whenever I was dwelling on my burdens Physics was our common language Intermingling our emotions and feelings with concepts that were alien to my fel-lows we developed a close rapport impenetrable by anyone else

ldquoWhat is the nature of a flamerdquo This was the most discussed problem between us Neither in solid liquid nor vapour state Not having any definite shape and colour It seems not any material but a type of energy giving out heat and light At the moment of providing it also exhausts its fuel and eventually itselfhellip

The romance of physics is more than anything you could read write and talk about Once you were truly connected with it nothing can stop you Your mind will bounce irrespective of the chronology of space-time but only under the guidance of your thoughts

I was so devoted to the discipline at the time that I was almost making it my lifelong career in some way He envisaged that I would demand much more than any academia could provide with its scientific basis alone We were both seeking a philosophy beyond the facts But Hong Kong may not be the right place for it

I made him a promise at the end to contain our flame and I knew I would

For the first and the last time I saw his eyes filled with tears We knew existence by itself is a miracle

ldquoi love life because what More is thererdquo ndash aNthoNy hopkiNs

46 | Caduceus September 2011

說華佗都說「華佗再世」誰知箇中真諦雲方 (M15)

烽煙起戰火燃萬里 

三國並爭英雄地亂世有誰顧生死 

待神醫行世將民眾救濟

渺渺江山東西瞰俞跗巧手扁鵲心(1) 應向何處尋 

滾滾黃沙無世家終有奇士放奇葩

沛國 華元化(2) 

他經書貫通南北遊動 

一望斷症如神助三劑消病不必多

說斷症悉如所料 

甘陵 相夫人腹痛極難忍(3) 號脈知死嬰在左為男形(4)廣陵 梅軍吏除名歸故里

見貌知壽盡速返見萱椿(5) 

說消病藥到病除 

飲蒜醋有三升蟲一嘔而盡清 (6)母服丸而溫儲兒不藥而自癒 (7)

絕妙處 

是他開腸剖腹刀至辟毒 

神醫號 

除他內外皆精有誰配稱

[1]   俞跗黃帝時代之名醫扁鵲春秋戰國之名醫《淮南子人間訓》「患至而多後憂之helliphellip雖有扁鵲俞跗之巧猶不能生也」

[2]   華佗字元化沛國人(今安徽 亳州)

[3]   甘陵相(即甘陵之行政長官)夫人懷胎六月腹痛不安華佗為其切脈便知胎死於是命人摸知所在在左則男在右則女人云「在左」夫人飲藥後果然產出男胎腹痛立即痊癒

[4]   廣陵有軍吏名曰梅平離鄉服役後來退役歸家於路上巧遇華佗華佗視之嘆道「若能早些見我當不至於此而今你僅餘五日壽命速速回家還能與家人相見」平旋即趕抵故鄉五日後亦如料身亡

[5]   萱椿多作椿萱比喻父母漢牟融《送徐浩》詩「知君此去情偏切堂上椿萱雪滿頭」

[6]   華佗見路邊有人食不下嚥教他到路邊餅店買醋三升混上蒜泥然後飲用路人服後即吐出一條長蛇(即寄生蟲)

[7]   兩歲男孩長年腹瀉藥石無靈華佗往診謂病在母命其服用華佗親研之「四物女宛丸」服後母親乳汁不再寒涼男孩亦不藥而癒

意興

hkucaduceusnet | 47

只可惜人無完壁

「關將軍使君予我手刮骨惡毒走

曹丞相使君予我頭剖顱苦痛收」

「怎能不收怎能不收一命嗚呼萬事休 

簡直荒謬簡直荒謬殺此庸醫未須愁」(8) 

五禽戲尚能傳 (9)麻沸散從此絕 

何不一飲醉死不知世忍氣吞聲事權貴 (10)心神委曲須臾苦奇術失迭千秋計 

烽煙止無改生死事 

且當醫仙謫世間神技終須風裏散 (11)回首仰高山景行請君範 (12)

[8]     曹操欲殺華佗臣下勸之不可答曰「不憂天下當無此鼠輩耶」

[9]     死前華佗欲托所著醫書於獄卒不果便盡數焚毀唯有其養生體操「五禽戲」流傳後世

[10]   《三國志魏書方技傳》「當須刳割者便飲其麻沸散須臾便如醉死無所知」

[11]   唐白居易《簡簡吟》「恐是天仙謫人世只合人間十三歲」

[12]   景行(音航)即大道以高山景行比喻人品德行為之高尚典出《詩經小雅車轄》又東漢鄭玄曰「古人有高德者則慕仰之有明行者則而行之」

ldquothe art of MediciNe was to be properly learNer oNly forM its practice aNd its exerciserdquo - thoMas sydeNhaM

48 | Caduceus September 2011

啟程

清晨空白的天空看不見藍天雲彩

只有溫柔的雨絲和朦朦朧朧的霧水跟隨

著大隊的足印踏上沉重的腳步穿過橫

街小巷和煩囂熱鬧的市場走過自動門

撲鼻的消毒藥水味道讓大家屏住呼吸筆

者和夥伴們終於到達了入讀護理系以來第

一次實習的醫院

還記得在實習的前幾天心情是既忐忑

又期待的畢竟這一次實習的地方不再是

在社區中心宣傳健康方面的知識亦不是

只面對著健康活潑的小朋友和老友記或是

學校課堂上所提供的假人張靜汶卻是照

顧一羣真正需要關懷的病人心中充滿著

憂慮不知自己所學的知識足夠在應用上

嗎自己平日的練習足夠嗎雖然心存在

著不少疑惑但也十分期待可以體會一下

做小學護的感受嘗試把這一年裡所學到

的知識運用出來

很多的第一次

在病房裡總有心酸和膽戰心驚的時

候第一次為昏迷的病人清潔口腔第一

次為難以進食的人插入胃喉第一次為老

公公清洗背上壓瘡的傷口helliphellip照顧他們時

的心情都是一步一驚心生怕自己沒法應

付得來又怕會把事情弄得更糟糕最重

要的是恐怕自己不純熟的技巧令他們受苦

了記得有一回第一次為女病人插入尿

喉採取尿液樣本可能技巧不太純熟的關

係延長了病人的痛苦過程中她皺著

眉頭不斷呻吟又緊張得咬破脣眼看

她樣子心中真的不是味兒來身為病人

的其中之一依靠我們不得不給自己信

心如果連自己也不相信自己哪會有病

人願意把他們交給我們照料呢

捕捉那瞬間的美麗與淒然何麗敏 (N14)

上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

意興

hkucaduceusnet | 49

另外第一次面對病人的心情是頗為

緊張的說話技巧亦有改進的空間但和

病人傾談了數分鐘後氣氛也漸漸變得和

諧可能那些老公公整天呆在醫院裡真是

悶到慌看見一羣年青人與自己聊天照

顧和關心他們他們不禁咧嘴而笑醫院

職員透露有一位老公公平日不太願意吃東

西於是我們便主動和他談天說地又

悉心照料他進食的情況後來他不但胃

口好了不少就連心情也開朗了他生動

活潑的談吐讓我們笑了他回復健康精

神的體魄也讓我們感到安慰

相處片刻

雖然為期一星期的病房日子不是特別繁

忙或是辛勞但是也會有不習慣的時候

幸好得到醫院職員和一班夥伴的支持病

房經理和註冊護士不但相信我們的能力

對學護的包容更是不用多說還主動地介

紹病房的環境和細心地教導我們醫療護理

上的知識讓我們上了一堂實在而又寶貴

的課同時今次的實習也令我感到團體

精神也十分重要在技巧上大家互相提

點互補不足當有人準備照料有需要的

病人如插喉或洗傷口等大家送上一句 

「加油」就能令對方增加不少自信心和正

能量無論遇上甚麼事情我也榮幸有如

此一班學習夥伴從旁支持

學習的階級

在這一次病房實習中雖然醫療和藥物

知識方面有待加強但是我學懂了如何與

不同身份的病人相處之道溝通上也得到

了很大的進步獲益不少除此之外我

也真正體會到如何做一個好護士並清楚

了解這個行業是否適合自己鐘樓也不是

一天就能建成而是需要一磚一瓦搭建而

成的所以在學習上我們不但要打好

穩固的基礎還要增強醫療知識在技巧

上馬虎了事和走捷徑是於是無補的應

該多探究和練習才行這樣才對得起病人

和自己也減少不必要的醫療失當事故

總之多一份認真多一點耐性多一些

愛心就是學護必記的左右銘 上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

ldquoit is reasoNable to expect the doctor to recogNise that scieNce May Not have all the aNswers to probleMs of health aNd healiNgrdquo ndash NorMaN cousiNs

50 | Caduceus September 2011

Fun Corner

Medical AppsEver wondered how your handheld device can save your time and

effort when it comes to studying Here is how

Anatomy Pronunciations by HipposoftAccurate pronunciations of over a hundred important anatomy terms you have trouble with are provided

at your fingertips to help you spell those difficult words Anyone who has taken an anatomy course can tell you how challenging it can be to pro-nounce the names of those complicated anatomi-cal terms It is even linked directly to Wikipedia and Google through web browser for additional information

iPharmacy ndash Pill Identifier and Medication Guide by SigmaPhone LLCAn essential medication guide of 20000+ drugs is provided for con-sumers amp professionals This ex-

pands the image library to include 12000 pill and package images and includes digital drug identifier with official drug information (indica-tions dosage adverse reactions and more) You can check the drugs anywhere

Grades 2 by TapityIt tells you what grades you need in the coming tests in order to get your target grade You can easily calcu-late your GPA so as to maintain it It

is a useful tool helping you to keep an eye on your GPA all the time

Human Anatomy by SusaSoftXThe application provides you with information of 15 different biologi-cal systems You can keep on revis-ing while you are traveling without

carrying heavy books

Medscape by WebMD LLCFrom drug classes interaction clin-ical procedures and even the lat-est medical news Medscape helps medical students and healthcare

professionals to reiterate knowledge that has slipped from the mind It is a free application for iPhone iPad Android and Blackberry Yet it contains more function on Android phones and Apple products and lacks detailed clinical infor-mation for diseases and clinical procedures walk through on Blackberry

Pro Medical Terminology Dic-tionary by TreascoveryTerminology might be a tough work for medical students Even if we can master those English terms we can

hardly think of the Chinese terms This applica-tion can help you when you face this problem Note that it is not a free application

3M Littmann SoundBuilder by 3M CompanyA great tool designed to help im-prove auscultation skills of medical students with 14 unique lessons of

key heart sounds combing text virtual manne-quin 3D cardiac animation and dynamic wave-forms

iRadiology by Liebermans iRadi-ologyAn excellent learning tool for medi-cal students demonstrating classic radiological findings of a multitude

of abnormalities including over 500 radiologic images Radiologic images include CT US MRI and nuclear imaging each clearly labeled and followed by key teaching points

Micromedex Drug Information by Thomson Reuters (Healthcare) IncIs Cephalexin a first generation ce-phalosporin This application from

Thomson Reuters is the easiest way to navigate in the sea of drug names Drugs are sorted by classes and supplemented with rich information

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 22: Caduceus Issue 2, Volume 42

22 | Caduceus September 2011

Art and Medicine Seeing Diseases in ArtHow art masterpieces reveal medical conditionsAndrew Seto (M15)

F or centuries art historians have been mesmerized by

the enigmatic smile of Mona Lisa coming up with theories that range from the mundane to the bizarre Was she a silk merchantrsquos wife or a self-portrait of Leonardo da Vinci himself Was she pregnant An adulterer Leonardo da Vincirsquos se-cret male lover The theories never cease

BehindMonaLisarsquossmileHighcholesterolIt turns out that Mona Lisa had

ldquovery high cholesterolrdquo at least ac-cording to Vito Franco a Sicilian professor of pathological anatomy A medical expert who enjoys study-ing art masterpieces for evidence of diseases Franco concluded that Mona Lisa had xanthelasma (the accumulation of cholesterol under the skin) Indeed a closer look at her mysterious face does show a yellowish collection around the in-ner corner of her left eye He even found evidence of lipoma (a fatty tissue tumor) on her right hand Probably the least poetic finding for the most renowned beauty in Renaissance art

This was not the first time medical experts have associated Mona Lisa with clinical conditions Charles Bell the 19th century Scot-tish surgeon who discovered Bellrsquos palsy a form of facial paralysis resulting from facial nerve palsy once coined the term ldquoMona Lisa syndromerdquo This was a reference to the facial muscle contracture that develops after Bellrsquos palsy resulting in a ldquoMona Lisa-like smilerdquo

Mona Lisa Xanthelasma or just a blotch by mistake

Insight

hkucaduceusnet | 23

Hardly would Parmigianino have known that the long slen-der fingers and limbs of Madonna with the Long Neck was the result of a genetic disorder called Mar-fan syndrome And of all the things that crosses onersquos mind upon first glance of Caravaggiorsquos Sleeping Cu-pid the notion that the baby was inflicted with juvenile rheumatoid arthritis would be hard to imagine Franco claims that his goal was to expose the human vulnerability of the people depicted in art

MichelangelorsquosgoutykneeAnother subject who has been

scrutinized by medical experts is Michelangelo Renaissance painter and sculptor Scholars looked at his knee from Raphaelrsquos School of Ath-ens and concluded that he suffered from gout a form of inflammatory arthritis that occurs when crystals form in the joints

Based on the appearance of his knee which appears swollen en-larged and covered in hard lumps a diagnosis of gout seems plausible It was known that Michelangelo de-veloped various diseases during his life In his writings he complained of having kidney and bladder prob-lems In 1549 he had an episode of anuria followed by passing of grav-el and stone fragments in his urine

Many experts believe that Michelangelo like many of his contemporaries developed gout from lead poisoning A well-known workaholic Michelangelo con-stantly lived off a diet of bread and wine (processed in lead contain-ers at the time) and was frequently exposed to lead-based paint All evidence points to lead poisoning which promotes kidney damage and inhibits uric acid excretion causing it to build up in blood This predisposed him to gout precisely as depicted in Raphaelrsquos fresco

RenaissanceArtandNeuroanatomyLike Leonardo Michelangelo

was not just an artistic genius but also a great anatomist At 18 he be-

Michelangelorsquos knee from the school of atheNs by Raphael (c 1509-1510)

Madonna with the Long Neck Was it Marfan Syndrome

Juvenile rheumatoid arthritis

ldquoall art is autobiographical the pearl is the oysterrsquos autobiographyrdquo ndash federico felliNi

24 | Caduceus September 2011

gan dissecting cadavers in a mon-astery in Florence where he honed his technical skills and knowledge of the human body

According to neuroscientists Michelangelo disguised sketches of the human brain in his famous Sistine Chapel ceiling painting which has remained unnoticed for 500 years His fresco The Creation of Adam shares a striking similar-ity with the sagittal section of the brain The fold in the cape repre-sents the Sylvian fissure separating the frontal and parietal lobes You may even recognize the angelrsquos foot as the pituitary gland his thigh as the optic nerve and his leg as the optic tract And that sassy green robe running down the ponsmdashthatrsquos the vertebral artery

Look at Godrsquos neck in The Sepa-ration of Light from Darkness from the same fresco Art historians have long speculated that its lumpy ap-pearance represents goiter Yet medical experts have found an ac-curate picture of the brainstem and spinal cord in Godrsquos throat stun-ningly similar to the creases and crevices of the brain

Yet why would Michelangelo embed the brainstem in Godrsquos throat Was he alluding to Godrsquos wisdom or was it a form of protest to the Church After all dissecting cadavers was considered unethical at that time and for an anatomist like Michelangelo who fell out with the Pope while painting the Sis-tine Chapel ceiling could he have been painting anatomical images directly above the chapel altar in defiance to the Church

Artandophthal-mologyHowvi-sionchangesartClaude Monet is recognized as

one of the founders of the Impres-sionist movement but his vision got cloudy during his later years He wrote letters to friends describ-ing his growing frustration with his vision changes He was even forced to memorize colours on his palette

the creatioN of adaM by Michelangelo (c 1511)

the separatioN of light froM darkNess by Michelangelo (c 1512)

hkucaduceusnet | 25

and label tubes of paint Red began to look muddy to him and he saw his painting as becoming ldquoincreas-ingly darkenedrdquo Whenever he com-pared his paintings with his earlier works he would be sent into a tow-ering rage to destroy them

This was because he had cata-racts Cataract patients have yel-lowing and opacification of the lens so his vision essentially be-came more brownish The yel-lowish brown cataracts he looked through filtered out violet and blue shades Monet underwent two eye operations in 1923 after which he returned to his old painting style even throwing away some of his paintings and repainting them

Thesufferingart-istDepictingill-nessesinartPerhaps no one better personi-

fies the notion of a ldquosuffering artistrdquo than Vincent van Gogh Clinicians have posthumously diagnosed him with a range of medical problems including epilepsy schizophrenic and bipolar disorder His later works have long been noted for his preference for the colour yellow and some have speculated that this was related to his yellow vision

One theory was that van Goghrsquos doctors prescribed him with digi-talis to treat his epileptic seizures His painting Starry Night has yel-low circles around the stars and not surprisingly people with digi-talis overdose often see a yellowish halo around objects Other experts speculated that it was his addiction to absinthe that led to his yellow vi-sion Absinthe is a highly alcoholic drink that contains a highly psy-choactive neurotoxin called thu-jone which causes yellow vision

Van Gogh was not the only art-ist who projected his illness into his art Edvard Munch had tuber-culosis and spit blood as a boy Her mother died when he was five her sister spent most of her life in-stitutionalized for mental illness and his brother died of pneumo-

nia Munch may have depicted his own psychotic state of mind in The Scream which portrays a twisted agonized creature wracked with anxiety and horror

ConclusionDo these findings actually

prove something or are we over-analyzing artworks with our medi-cal knowledge Exactly what ben-efit would these discoveries have for the world at large is unknown At least we know it could lead to yet another interpretation for Mona Lisarsquos smile the result of a scrump-tious meal of pizza and pasta with cheese tomato sauce and meat balls before sitting for her portrait (which would certainly also explain her cholesterol problem)

Two pictures by Monet of the same Japanese bridgemdashthe first painted in 1899 the second between 1918 and 1922 revealing a dramatic loss of shape and detail

suNflowers by Vincent van Gogh (1888) the screaM by Edvard Munch (1893)

ldquoeverythiNg that we see is a shadow cast by that which we do Not seerdquo ndash MartiN luther kiNg jr

26 | Caduceus September 2011

The End is Near Apocalyptic TheoriesRead more to learn about the terrifying future that awaits us Chariene Woo (M15)

S urge of waves rush over the mountains with unstop-

pable speed engulfing and shatter-ing our homes Flaming asteroids rain from the sky causing roads to crumble like sheets of paper Peo-ple running away from burning cities screaming fearfully Civiliza-tion ruined in matter of mere sec-onds Is this what the future lies for us

Nobody knows

Apocalyptic literature and movies have always raised interest among the general public partly

because it involves the end of our world as we know it and partly due to the fact that there is no solid proof how an apocalypse would come about The interest has re-cently skyrocketed with rumors about the world ending on 21st De-cember 2012 about how the May-an calendar finishes at that specific time and how it will be the end of the world as we know it So the big question is when and how will our world end

NostradamusProphetofDoomNostradamus of France was

one of the worldrsquos most famous seers and is most well known for Les Propheties (The Prophecies) a collection of his major long-term prophecies written in quatrains Many of his prophecies have cor-rectly predicted current events including the destruction of the space shuttle Challenger the death of Lady Diana and the destruction of Twin Towers of the World Trade Center As a result of these predic-tions he has been given the nick-

How do you survive the apocalyptic world

Insight

hkucaduceusnet | 27

name ldquoThe Prophet of Doomrdquo

Nostradamusrsquo prophecies have huge room for interpretation speculation and controversy and some people think his writing has no merit at all The following is an example of a quatrain alluding to some sort of environmental disas-ter in the future

ldquoFor forty years the rainbow will not appear

For forty years it will be seen every day

The arid earth will grow more dry

And great floods when it will be seenrdquo

(Century 1 Quatrain 17)

In other quatrains images of great comet alien invasion and nu-clear contamination are also men-tioned so these could all be the prospects that are waiting for us in the future Despite Nostradamusrsquo ldquoaccurate predictionsrdquo of what had happened in the past the quatrains do not have a specific order So out of all the disasters predicted in the many quatrains it is uncertain which will happen where or when giving it less importance in predict-ing an actual apocalypse

PlanetXAccording to Nancy Lieder a

woman who claims to have been contacted by extraterrestrial life forms Planet X (also known as Nibiru) would come close to planet Earth on May 27th 2003 resulting in the Earthrsquos rotation ceasing for 59 terrestrial days The Earthrsquos pole will then undergo a physical polar shift due to the magnetic attraction between the Earthrsquos core and the magnetism of the passing planet This will ultimately lead to the dis-placement of Earthrsquos crust and the end of us But when this did not happen the event was postponed and re-dated to coincide with the Mayan calendar hysteria

NASA argues that this is merely an Internet hoax with no factual or scientific basis They explain that if Planet X was approaching Earth astronomers would have

been tracking it for at least the past decade and the planet would now be visible by the naked eye This is a very comforting bit of news Yet some people believe that NASA is part of a conspiracy to cover up the existence of such planet and keep the truth of impending apocalypse from general public Again the ar-gument can go either way and the ldquotruthrdquo depends on which side you choose or want to believe in

2012TheendoftimeSo what is so special about the

year 2012 There are claims saying that the Mayan calendar ends on 21st December 2012 and that will be the end of time for mankind However just like every calendar it merely rolls over to the new year on that date and it doesnrsquot signify anything special In the Mayan cal-endar 21st December 2012 will be the end of brsquoakrsquotun 13 and marks the start of brsquoakrsquotun 14 A brsquoakrsquotun is 144000 days (a little more than 394 years) and there is no archeological or historical evidence to show that the Mayans expected anything sig-nificant or drastic to happen at the

end of each brsquoakrsquotun

However there exists litera-ture that suggests otherwise In 1975 Frank Waters the author of the book Mexico Mystique identi-fied the 13th brsquoakrsquotun interval to be the ldquoMayan Great Cyclerdquo where it ends in the worldrsquos destruction and rebirth Waters claims that cata-strophic earthquakes will destroy the world but he miscalculated the date and announced that the end of the ldquoGreat Cyclerdquo would be on 24th

December 2011 AD

The year 1987 marked an in-creased in interest regarding the prophesized big event in 2012 The author of The Mayan Factor Path Beyond Technology Jose Arguelles linked the 13th brsquoakrsquotun period to a ldquobeamrdquo that links people the plan-et the Sun and the center of Galaxy According to Arguelles the beam is the key to harmonic resonance in the universe and the Mayan knew when we would enter and leave this beam hence set their 13th brsquoakrsquotun to mark our passage accordingly He also claims that this beam could advance the development of any-thing with DNA hence creating a more positive view of the future

V838 Mon a star with expanding light echo purported as photographic evidence of Nibiru

ldquoevery MaN dies Not every MaN really livesrdquo ndash williaM wallace

28 | Caduceus September 2011

No one can be sure of whether the end of brsquoakrsquotun 13 signifies something great or disastrous for us or if it is just another restart in the Mayan calendar We can only know for certain when the day ar-rives

GodrsquosplanforusThis is by far the most detailed

and terrifying image portrayed out of all apocalyptic claims that I have gone through The Book of Rev-elation from the New Testament reveals signs of apocalypse through a wide variety of symbolism One of such is the frightening image of the ldquofour horsemenrdquo

ldquoAnd I saw and behold a pale horse and he that sat upon him his name was Death and Hades followed with him And there was given unto them authority over the fourth part of the earth to kill with sword and with famine and with death and by the wild beasts of the

earthrdquo (68)

The pale horse carries the horseman of Death which is be-lieved to release global plague and pandemics to the world and take the lives of a quarter of the popu-lation This has already manifested

itself in many forms in different parts of the world at different times hence the first sign of apocalypse is said to be already happening among us

In similar manners the bible describes the arrival a black red and white horsemen represent-ing the delivery of global food shortages war and conflict and the coming of an antichrist to the world From historical genocide terrorism to increased occurrence of food shortages so often seen nowadays it seems that the red and black horsemen has arrived as well and now we are just waiting for the arrival of an antichrist to conquer us

The Book of Revelation also provides readers with a glimpse into the ldquoactionrdquo in how the world will end

ldquoAnd I saw when he opened the sixth seal and there was a great earthquake and the sun became black as sackcloth of hair and the whole moon became as blood and the stars of the heaven fell unto the earthhellipand every mountain and is-land were moved out of their placesrdquo

(612-13)

Besides the great earthquake and the darkening of the sun there is a repetitive mentioning of stars falling from heaven on earth in the Bible This is postulated as the at-tack of massive meteors on planet Earth Out of all prophecies in the Book scientists assume this to be the most likely since an asteroid impact at a scale as large as that may have already wiped out an entire species that came before mankind Scientists believe that showers of space rocks that rained down 65 million years ago (due to the collision of Near Earth Object) were the culprit for the extinction of dinosaurs Luckily NASA recent-ly launched an early warning sys-tem called ldquoSpaceguardrdquo that aims to monitor such Near Earth Objects to prevent future collisions and ex-tinctions

Having read the above the Bible seems to combine all the horrifying specifics in different apocalyptic speculations into one nightmare But donrsquot worry since there are many different interpretations of the Revelation Historicists are the ones who see the Book as a broad view of history (good news wersquove already escaped all the horrors in the depiction) whereas Futurists

believe the description as prophecies of the fu-ture The Idealists hold the belief that the Rev-elation does not refer to actual people or events which makes sense as the Bible is often not inter-preted literally So fingers crossed that the Revela-tion is not interpreted in the futurist way because in that way there is going to be a daunting future awaiting us

Four horsemen of Apocalypse

hkucaduceusnet | 29

ldquoDevolvingrdquoEarthTheoryThis is probably the

most scientific theory that I have come across so far from a news article pub-lished from ABC News A group of scientists from University of Washing-ton hypothesized that the Earth will gradually de-volve in the next half bil-lion years In short their logic works as follows

As we all know the sun is constantly grow-ing bigger yet the Earthrsquos environment has been reasonably constant This is because as the sun is warmed up carbon diox-ide from the atmosphere is removed and deposited in soil as carbonates This keeps our environment stable by the balance be-tween an increasing sun and reducing carbon di-oxide in the atmosphere (Note that global warming resulting from an increase carbon dioxide in atmosphere is just a brief blip in the grand scale of things) Since carbon dioxide is the ldquofood of liferdquo the reduction will cause plants and animals (including humans) to die To battle the rising heat some creatures will retreat into the sea hence reversing the evolutionary process And as the sun continues to expand the Earth will become so hot that even the oceans will gradu-ally be evaporated Eventually the sun blasts off its mass through ther-mal pulses engulfing the Earth

This is a very scientific specula-tion from an astrophysicistrsquos point of view and they claim that at best we have no more than half a billion years left This might be more reas-suring for some of us as the world will not end in the near future But the grief lies in the inevitability of our planet Earth coming to an end

Everythingthathasabegin-ninghasanendSo we are back where we start-

ed With more speculation and the-ories and still no closer to the truth The end could happen any day or time or maybe it could be a proc-ess that is already happening Even though it is not to the scale of an-nihilation of the human race hur-ricanes and earthquakes and car crashes have already been stealth-ily taking the lives of millions We know for sure that we must die eventually through chance old age or disease There is only very little we can do to fight against what has been planned for us and reducing the resources we consume is the best chance that we have in delay-ing this happening There might be some benefit if we know the in-sights of when and how it will hap-pen but really it doesnrsquot change anything Moreover it is possible that these speculations came about to force mankind to live life to the

fullest to treasure each day and every resource we have as a gift so it doesnrsquot matter which theory is the accurate one In the midst of these theories about apocalypse all we can do is to live every day as if it was our last with no regrets and enjoy life as it is now

ReferncesThe End of the Worldhttpwwwnostradamus101compropheciespart4P7

The Great 2012 Doomsday Scare httpwwwnasagovtopicsearthfeatures2012-guesthtml

When Will the World End New Theory EmergeshttpabcnewsgocomTechnol-ogystoryid=97756amppage=2

2012 Beginning of the End or Why the World Wonrsquot Endhttpwwwnasagovtopicsearthfeatures2012html

Video from history channel (from youtube link)httpwwwyoutubecomwatchv=BoTExQEyblU

ldquothe MeaNiNg of life is coNtaiNed iN every siNgle expressioN of life it is preseNt iN the iNfiNity of forMs aNd pheNoMeNa that exist iN all of creatioNrdquo ndash Michael jacksoN

30 | Caduceus September 2011

笑的神奇魔力「當你笑你改變了當你改變了整個世界也改變了」

麻丹卡塔利亞醫生(大笑瑜伽的始創人)何麗敏 (N14)

被隱藏的笑容

日 本大地震及核洩漏事件馬頭圍道唐樓火災三死十九傷中區

警長為勸示威人士中不慎失足墮橋身亡

各政黨爭相你嘲我罵helliphellip在城市裡我們

每天都被一些飛來橫禍天災人禍或社會

爭執的信息圍繞著充斥著愁雲慘霧的氣

氛甚至在家庭朋友學業工作和

健康方面我們亦會遇到不如意之事負

能量和心理壓力不斷增加沒有適當的疏

導和發洩方法之下不少人染上酗酒或沉

迷賭博等壞習慣來自我麻醉長期把情感

抑制的一些人更有機會患上

情緒病我們彷彿硬把自己

困在死胡同裡忘記兒時怎

樣整天咧嘴哈哈大笑如何

在跌倒後笑著站起來現

在很多人都像被魔鬼牽著

鼻子走每天板著一副無奈

沮喪的嘴臉掛上冷漠的眼

神笑聲更差不多成為絕

朋友啊你可有嘗試計

算過一天總共大笑了多少

次英國格拉根大學研究發

現在英國嬰兒每天會笑

達三百次而青少年時期的

每天大笑次數大幅減至六

次五十多歲的人平均每天

更只笑了三次無可厚非

我們在成長過程中必遇到愈來愈多的煩惱

和挑戰事情的確不是我們所能控制但

面對的心態我們為何不能放開一時所謂

的包袱像孩子般笑著面對呢為甚麼大

笑要有一定的理由或被時間限制呢

瑜伽加愉

近半個世紀工作學業和情緒波動

很大生活方式變得愈來愈物質主義容

易出現精神緊張大家都被壓得透不過氣

來變得不太愛笑在一九九五年印

度孟買註冊家庭醫生麻丹卡塔利亞(Dr Madan Kataria)創立「大笑瑜伽」以笑聲驅除怨氣大笑瑜伽是以笑聲互相交流

的透過眼神接觸傳遞歡樂的信息學習

別人的笑容代入孩童的心態再全情投

入地開懷大笑同時亦融入瑜伽的腹式

不妨一試

大笑瑜珈三式一預備式林中步行

在樹林慢走就是愛笑瑜伽的熱身方式步行時間

可以是10-30分鐘邊走路邊拍手同時不時地做深呼

吸目的是讓身體和情緒都徹底放鬆下來為後面的

內容做好準備

二進行式學習動物的表情

在瑜伽導師的帶領下活動面部肌肉然後模仿瑜

珈導師的動物表情這些表情看上去本身已很滑稽

只要按照瑜伽師的樣子去做再發出笑聲

三結束式調整呼吸

經歷了一場大笑面部表情鬆弛了心情也舒服

了不少大家慢慢收回笑容調整呼吸一邊在森林

裡散步一邊大聲告訴自己說「我們是世界上最快樂的

人」

灼見

hkucaduceusnet | 31

呼吸和伸展動作鼓勵大笑達至身心健康

的效果精神科專科曾繁光醫生指出 

「笑令腦自然分泌天然多巴胺以抗衡人

體緊張時所分泌的皮質醇預防患上焦

慮抑鬱的情況」除了改善情緒還能

促進健康笑能促進肺部呼吸功能和加強

血液循環現代醫學認為笑可以成為一種

治病方式治療神經衰弱消除肌肉的緊

張預防或減緩疼痛

筆者在此並不是宣傳大笑瑜伽其治

療成效仍有待商榷和科學實證但愈來愈

多人證實大笑和保持歡樂的心態能有效放

鬆自己張立新先生是第一位在中國推廣 

「大笑瑜伽」的人他患上憂鬱症遍尋

各種治療方式皆無成效一次機緣巧合

從網路接觸「大笑瑜伽」亦在電視上看

到介紹而開始學習和練習他的憂鬱症因

此不藥而癒從此他就開始在中國研究和

推廣愛笑運動暫且別論大笑瑜伽的奏效

程度但人生所遇到的事可真不少何不

笑對人生

尋回被遺忘的赤子之心

大笑並不是靈丹妙藥但它的確能帶來

正能量即使事情有多糟糕笑著面對總

比怨聲載道好而且美國加州大學柏克

萊分校心理學教授丹卓凱納說「笑對

人的進化很重要」目前心理學家們認

為笑是人類之間交流的古老方式之一笑

能互相影響把歡樂的氣氛傳染開去嬰

兒還未學懂說話時笑是與身俱來為何

我們長大後卻隱藏笑容呢朋友們參考

左頁所列大笑瑜伽的基本招式大家可相

約三五知己輕鬆一番找回孩童時的笑聲

大笑瑜伽的始創人麻丹卡塔利亞醫生

大笑瑜伽在六十多國家盛行

ldquolaughter is the best MediciNe - uNless yoursquore diabetic theN iNsuliN coMes pretty high oN the listrdquo ndash jasper carrott

32 | Caduceus September 2011

Learning Experiencing GivingA magical 10-day journey away from the cityErin Yeoh (M15)

C lad in backpacks light clothing and sneakers 21 medical students from HKU and CUHK

were prepared to leave the comforts of home and the internet (did I hear Facebook) We were bound to Chi-na about to embark on a learning-cum-volunteering trip organized by Medical Outreachers

After saying our final goodbyes at the Shenzhen air-port we split into two teams Team A with 9 members were bound to Xirsquoan where they would see volunteer orthopedic surgeons at work The 12 people in Team B including me left for Guizhou to understand the role of village doctors in rural China Both teams aimed to find out the effectiveness of public health policies in rural areas of China We were to meet up 4 days later at Dongshan Guangdong

Part1GuizhouUpon landing in Guizhou we were provided with

excellent hospitality by the local officers and the lo-cal NGO Amity Foundation We were given a brief introduction to Guizhou and also the work that the government and Amity Foundation were doing in the province Amity Foundation actually helped to build numerous new village clinics to improve the quality of healthcare in the region

The next day we were taken on a tour around the province visiting different village clinics (村診所) lo-cated in areas further away from the city Usually there would be one or two village doctors (村醫) on duty

at a time to attend to the villagers with population of around 1000 to 4000 per village

However the village doctors were not the type of ldquoheroesrdquo I had in mind They were not your typical doctor working in a worn out run-down wooden hut where there would be a row of sick villagers lining up to see them How ignorant I was In fact the village clin-ics were mostly renovated and well equipped with ba-sic amenities The standard village clinic has 5 rooms main lobby (大廳) treatment room (治療室) pharma-cy (藥房) observation room (觀察室) and a doctorrsquos rest room (醫生休息室) Furthermore their patient flow was rather small sometimes only one or two pa-tients per day This was probably due to the fact that some village clinics were located only a stonersquos throw away from major cities Those in a medical emergency would of course go straight to the main hospital to seek help immediately instead of consulting a village doc-tor

To be a village doctor one at least had to be a sec-ondary school graduate They would also undergo constant training and certification by qualified doctors in larger clinics According to the village doctors they spent most of their time doing paperwork keeping track of the villagers and their medical history They would also conduct regular home visits to those suf-fering from chronic illnesses or those that needed con-stant monitoring such as patients with hypertension or rheumatoid arthritis Another point that I found

A village clinic before receiving funding from Amity Foundation

hellipand a comparison after

Life

hkucaduceusnet | 33

interesting was that they would also visit families with newborn babies to check on their general health At the same time they would educate mothers on proper breastfeeding techniques and how to provide adequate nutrition for their children in the future

To learn more about their daily routine we fol-lowed a village doctor on his home visit rounds The doctor would sometimes have to travel as far as 2 kil-ometers for a home visit which would be the other end of the village This was as in the case of a pregnant lady due for delivery soon (photo as shown below) The doctor who came to check on her health status reas-sured her that her delivery would be a successful one From her sigh of relief and tired smile we could tell that she was grateful to see the doctor

However things didnrsquot always run as smoothly According to some of the village doctors they used to be scolded and rejected by the locals who did not understand why the doctors would often come up to their doorsteps asking them questions regarding their health and pestering them to go for checkups Some of them being superstitious would think of doctors as ldquoharbingers of bad luckrdquo as the doctors would talk about ldquosicknessrdquo and ldquodiseaserdquo when they were actu-ally feeling as fit as a fiddle Thankfully the situation has much improved since then

From what we saw instead of playing a curative role in a society the village doctors were actually much more involved in disease prevention and monitoring

This is actually the ldquoupstream modelrdquo concept in pub-lic health Instead urban doctors are overwhelmed by limited consultation time and when fatigue kicks in they simply do not have the energy to further educate their patients They would also not have the time to un-derstand their patients on a personal level unlike that of the village doctors

However the indiscriminate use of antibiotics in China was truly a frightening sight Doctors adminis-tered antibiotics intravenously for mild diseases like the common cold When we asked the doctors as to why they did so they simply smiled and shrugged off the question It is probably still a common practice in China and if the doctors did not give such medication the patients would probably lose trust in the doctor The fact that the similar practices were seen even in large hospitals probably indicates that this problem is hardly a localized one

Part2DongshanGuangdongWe met up with the team from Xirsquoan at the

Guangzhou airport and proceeded to our next desti-nationmdashDongshan After 5 hours of car ride we began to see signs that we were approaching our destination Mountains sharply angled clustered in twos or threes fondly known as ldquoMcDonalds mountainsrdquo were begin-ning to be in sight

As soon as we arrived we were greeted by eager curious young faces The children huddled close by as we unloaded our luggage some commenting that they hadnrsquot seen some of us while others were already play-ing around with the past participants It was my first time to Dongshan but there were some of us who were not new to the kids there

After settling down we were given an introduction to Dongshan and its residents by the local NGO Green Action Foundation led by Mr Wong

Located at the outskirts of the province Dongshan is one of the 4 poorest areas in Guangdong Its natu-ral terrain abundant in limestone makes it especially hard to retain water This has taken a toll on the resi-dents especially during the drought season Another problem faced by the local residents is that there are many young people and adults migrating to big cities to earn a living leaving behind the children and elderly

Village doctor on one of his home visits

Discarded bottles of intravenous antibiotics near the village clinic

ldquoMediciNe also disregards NatioNal bouNdariesrdquo ndash irviNg laNgMuir

34 | Caduceus September 2011

at home

Green Action Foundation took the initiative to plant trees around the area so that more water was available for irrigation and domestic purposes This improved the quality of their crops and boosted their source of income They also sponsored some of the

childrenrsquos education depending on their performance in school to ease the burden on their families

The next few days were jam-packed with activities A sports day was held as an icebreaker so that the new participants could get to know the children better We also spent half a day at the Dongshan Primary School where we taught the kids personal hygiene simple first aid moral education and also sex education for the grade 5 and 6 students

Another interesting activity that we had was a weed-cutting session up at a mountain with the other children Each of us was assigned with 2 to 3 chil-dren who were supposed to ldquoguiderdquo us along the way It was a 2-hour hike up and down hilly ter-rain While I would stop once in a while to take a breather the kids were barely panting The kids would often stop to ask if I was tired and even of-fered to help me carry my backpack Note to self more exercise next semester

Nevertheless it was a great chance to know the kids better We had the time to chat about their school life and what they thought about their future and also the chance to share snip-pets of our lives in the city

We then split into small groups and visited the homes of the children in order to gain a bet-ter understanding of their household hygiene

condition any medical conditions in the family as well as their economic standing We had also prepared questionnaires to be kept as future record Some of the families were very poor to the extent of having no source of income at all They depended solely on their own crops for food If they went to see the doctor they would usually owe the doctor money until they had

enough money to pay back The hygiene status of the villagers varied but most of them had swarms of flies around food Many even had their live poultry like chickens running around the house Before we left we gave them some hygiene products like soap washing detergent and toothbrushes to encourage better hy-giene We also gave them a poster explaining ways of maintaining a clean household environment

Another main focus of the trip was to find out the effectiveness of a medical insurance policy newly in-troduced by the government Each person had to pay 30 Renminbi annually to be guaranteed free medica-

Sports day activity

Weed cutting with the children

hkucaduceusnet | 35

tion and hospitalization thereafter Generally the vil-lagers were grateful for this plan as many found it dif-ficult to afford medical fees while struggling to pay for

basic necessities at the same time However some vil-lagers complained that the prices of medicine spiked after this policy was introduced and hospitals would of-ten ask patients to

do unnecessary scans just to earn more money

This trip made me realize that there is much that we can do but how great an impact we can make might not be seen immediately With follow up trips one could see the change as compared to the last visit and make further modifications to improve the situation

As the trip came to an end we were reluctant to leave There was something very magical about Dong-shan where the skies would turn to an exuberant red during sunset and on a clear night you could see stars scattered across every corner of the sky It is a place of beauty struggle and hopefully a place of triumph in the years to come

It is a place of beauty struggle and hopefully a place of triumph in the years to come

On one of our home visits

More to ExploreMedical Outreachers 醫心httpmedicaloutreachersorg

The Amity Foundation 愛德基金會httpwwwamityfoundationorg The beautiful sunset in Dongshan

ldquoshariNg is soMetiMes More deMaNdiNg thaN giviNgrdquo ndash Mary catheriNe batesoN

36 | Caduceus September 2011

就 在這一刻世界沉默了

城市的繁囂隨飛機引擎

逐點逐點噴走了繁囂的離

開是為了讓簡單的生活回

來剛踏出廈門機場一張

又一張的笑臉映入眼簾刺

熱的太陽把兩地之間的隔膜

融化

早從香港回歸時開始

香港人經常強調自己只是 

「香港人」而不是「中國

人」自以為比內地人高一

等可惜這班自視過高的都

市人曾幾何時為外地人送上

熱情的款待這一點廈門

人比誰都做得更好

廈門是一個位於中國

東南部的海島也許就是近

海讓居於廈門的人都把一

切怨恨煩惱拋下大海讓

它們隨水流漂走埋藏在海

床上每年廈門的鳳凰花花

開兩季一朵又一朵鮮艷如

火的鳳凰花在六月時歡送一

個又一個的畢業生彷彿為

他們添上一份祝福九月時

的鳳凰花熱情地歡迎一屆又

一屆的新生為新生的精彩

校園生活揭開序幕一份一

份的熱情含苞待放身在廈

門又怎會不被這市花的熱情

感動呢廈門大至人與人

之間小至花與花之間都存

著一份情

要追溯廈門人的情懷

可數至土樓的建成土樓

是個大多呈方形或圓形大型

群居的建築整座土樓樓高

三至五層由於牆身頗厚及

只有一個出入口甚具有防

禦功能亦因為這緣故當

大門關起來土樓便成了一

個家這個家佔地不大但卻

藏著成千上萬的人情味在

萬里無雲陽光普照的天空

下土樓居民的熱情好客

被蒸發出來懸浮在空中

一代一代傳下去更讓它隨

風走出土樓傳遍整個廈

門即使土樓漸漸成為旅遊

景點一些擺賣紀念品的攤

檔已經進駐但卻無礙居民間

的感情商販彼此交流從

不出現爭客的情況在土樓

中央休憩的居民除了為外地

人介紹他們的祠堂外亦邀

請遊客跟隨他們到遊客禁區

參觀在土樓居住的每伙都

中門大開當遊客投進好奇

的目光屋內的人往往以親

切的笑容作回答鄉土人

情在這世代多冷漠的心也

被融化

細膩的人情味外最令

遊客津津樂道的是廈門人的

態度廈門大學附近有一條

芙蓉隧道只要你願意便可

在隧道內壁上畫下你所思所

想當然美觀與否見仁見

智但這一種對藝術尊重

欣賞的態度是值得欣賞我

有我盡情地畫你有你盡責

青春在廈門留下足印潘曉彤 (N14)

生活

hkucaduceusnet | 37

地去管轄城市各處的整潔

彼此留下空間達至相輔相

成的效果廈門人就懂得人

最基本的禮貌尊重不

過廈門人對他人的尊重遠超

於人的基本禮貌當你去唱

「卡拉OK」的時候每次

待應的出入時看到的就只

有他們的正面而他們前行

或後退的方式就像看到皇帝

一樣卑恭屈膝香港人常常

強調面子哪一天才能捨下

那過高的尊嚴為不相識的

人作一個最謙卑的招待

其實任何人一離開香

港都不難發現就只有香

港愈夜愈精彩其他地方晚

上八時大多關門大吉而廈

門就只有中山路才媲美得

上香港的夜夜笙歌夜幕低

垂萬千燈火的中山路上

與來自各區的人擦肩而過

昏黃的燈光下照出一群又一

群的沉默影子剛好與路上

喧鬧的行人相映成趣騎樓

在霓虹燈的點綴下顯出了獨

有的閩南特色大街小巷傳

來不同地道小食的香氣車

輪餅燒仙草土笋凍helliphellip

為我們外來的交流生帶來美

味可口的夜宵飲飽食醉過

後走到中山路的盡頭又

回到了沉睡中的廈門

在優美的環境影響下

廈門人的生活也自然變得

純樸優閒單車車輪在環

島路上留下一圈又一圈的印

記沿路能細聽海浪輕拍岸

邊的聲音細嗅四處洋溢的

花香感受微風吹散太陽散

發的熱力見證一對又一對

的新人在拍下幸福的照片

據說廈門有戀愛天堂之稱

不管走到哪一處也會

看到準新人拍下甜蜜的婚紗

照而在裡面享受的人永遠

不知道這風景如畫的背

後是透過多少人的血汗換

來當我們在追求經濟成果

的同時往往破壞了造物者

在世上留下的藝術品隨中

國經濟急速發展一個又一

個的世外桃園被摧毀銅臭

替代了花香車聲替代了鳥

語這仙境又可維持多久

廈門另一世外桃園就是

鼓浪嶼它活像香港的長

洲島上滿有歐陸建築風

格但當中不乏中國特色的

建築中國古城風味與洋風

互相交替帶出截然不同的

感覺島上遠離汽車的廢

氣與金門就只是一海之

隔一家大小在享受天倫之

樂時一群又一群的青少

年情侶在沙灘上嬉戲立

即為島上升溫

筆者認為在這個混亂的

俗世確實需要抽空來欣賞

造物者留下來的藝術品大

財團不斷興建大型商場國

際知名品牌不停進駐留下

的就只有愈來愈狹窄的街

道被石屎封蓋寸草不生

的土地人人被金錢蒙蔽

迷失在霓虹燈光中又有多

少知音人能放下生活的瑣碎

事情在這裡享受時間一分

一秒的流走你被海浪聲

喚醒了嗎

筆者參加這次是由香

港廈門兩地大學的交流

團一連六天已經習慣了

當地的優閒生活模式體會

到的不只是廈門的風土人

情歷史文化而是兩地大

學生那種衝破界限的交流

雖說年輕人容易打成一片

但廈門獨有的熱情確實融化

了彼此間的隔膜廈門的美

是成人之美成就了兩地大

學生的友誼

飛機又再起飛了廈門

再見了

ldquothe tiMe of life is short to speNd that shortNess basely it would be too loNgrdquo ndash williaM shake-speare

38 | Caduceus September 2011

生 命形成之際只要一秒鐘的差遲世界便會不一樣

蝴蝶效應從來都是玄的全因一個 

「緣」字

隨著人成長要決擇的事太多學生

有兩件人生大事幾乎都不是由自己決定的

入讀小學及中學然而到了大學這

關卡自己也許可以拿定主意了若果你

入讀了心水科恭喜你若不然祝福

誠然入大學是最影響未來生活的關

口是好是壞無人知曉不用量化不

用比較太多即管做自己所想活出自己

的路只因你不會曉得你的下一步會怎樣

影響著你的生命

或許一個活動你會遇上你的最愛

或許一個宿位你會遇上你的知己

或許一句說話你會惹來一個敵人

或許一次走堂你會由B變C

這就是大學

在大學各人有各人的大學生活大

學講求自由學習學習真的是「求學不是

求分數」有些人愛廣交朋友有些人愛

住宿有些人愛做莊務有些人愛拍拖

有些人愛參加各樣活動有些人愛做兼

職有些人愛讀書有些人卻愛甚麼都不

做helliphellip不少大學生強調入大學必定要做齊

大學五件事(上莊住宿讀書拍拖

兼職)但其實只要自己開心不害人的

話做甚麼也沒問題最要緊的是認清讀

大學的目的以免沉淪於大學這花海

朋友

大學可以令你對「朋友」的概念愈來

愈含糊幾乎每個活動都可令你認識新朋

友通常大家都會輪流講述自己的名字與

學科(Round Table)這亦是考驗大腦對人名的記憶所謂的「Hi-Bye Friend」會愈來愈多隨便在細小的港大內穿梭會令你

無可奈何地對他們說聲Hi

不過別標籤你的「Hi-Bye Friend」要是連Hi-Bye也談不上更不用說做深交了上大學了大家已有既定的圈子很

多時約會或聊天都先找中學朋友而且很

多人會把大學朋友與中學的作比較雖情

有可原但有時未免先入為主地覺得中學

的較好

這亦難怪即使是日日碰面的同學也

未必是自己的好友人人都有自己的時間

表下課後各散東西不是大家不想互相

認識只是有時身不由己若想互相了

解不妨盡量製造共處之時有時甚至可

以分一些約會給大學朋友然後你會發

現大學朋友也可跟你熟絡可別為自己

建造一塊厚厚的心牆

舍堂

要入宿無人會不曉得十日的迎新營

有些舍堂平均每天的作息時間只有兩三小

時有人說住宿最辛苦就是迎新營然而

它卻是最難忘的

要數活動單單一個舍堂已數之不盡

要是投入舍堂生活每天24小時是不夠

用的舍堂之間有各樣比賽堂友要參加

各個組別為比賽出席各樣練習否則可

能被拒於來年再住基於許多人都只在夜

晚有空要全體出席那可是晚九朝五的

大學之緣賴彥積 (N14)

新鮮人

hkucaduceusnet | 39

宿生們之所以會熱衷於舍堂活動因他

們對自身舍堂有強烈的歸屬感好比中學

時學生參加校際比賽要是沒有歸屬感

就不會有心參加所屬舍堂的活動

除舍堂之間之活動樓層之間亦有各類

活動樓內亦然只要有人的地方就有玩

樂彷如天天宿營你不會有機會偷偷早

睡其他樓友常常打擾你你原來的生活

時間會推後數小時睡於二時已是罕有

早上的八半堂彷如無物

可以住宿但不參加活動嗎當然可以

但你會面對的是朋輩壓力他們雖未必逼

你參加卻會在言談中有意無意的滲出

來那種壓力不只限於自己樓層甚至是

跨樓層千萬可別輕看宿中流言

上莊

有人說上莊所學遠超課堂上莊所學

的是如何籌辦活動非常實用有時要對

外聯絡有時要面對公眾helliphellip像是要為將

來工作鋪路似的當然這亦要視乎你上

的是甚麼莊

一般而言上莊可訓練你待人處事的技

巧有時表面看來很友好的朋友當背

負上一定的要求後關係少不免有磨擦再

者初時莊員素未謀面最後卻因朝夕相

對而演變成朋友這段關係是很可貴的

成莊前要宣傳內閣爭取選票成莊了

又要舉行咨詢大會包受歷莊指導然後

又有就職典禮此後的活動更接踵而至

當然包括迎新活動招莊活動等helliphellip君不

見很多人視莊房為睡房少不免有「通

頂」之時忙是忙但必有價值至於是

好是壞要看自己的造化了

拍拖

人上了大學有時心思思想拍拖眼見

身旁多個好友都紛紛拍拖自己少不免羨

慕別人這想法十分正常畢竟大學生真

的可以放下只讀書的重擔真的可以規劃

人生大事了

香港大學一些營新活動中隨了Round Table外還有Round Status即說自己現在有否拍拖以及拍過多少次拖如 

A 0即Ava i lab l e之前至現在沒有拍拖O1即Occupied之前至現在共拍了一次拖當然也有一些同學自己創的甚

麼OBA (Occupied But Available)或D10(Desperate拍過10次拖)等等至於Round Status的動機何在可能是組爸媽想穿針引線吧當然也可能是別有用心的

不同人對拍拖有不同想法上了大學更

有不同擇偶條件人大了在感性的議題

上往往加上種種理性的數據開始現實起

來哪個帥哪個富有哪個有前途helliphellip

有些不在乎天長地久只求剎那的光輝

有些求虛榮有人疼愛在朋友前炫耀

有些甚至會在拍拖前已想定分手後的模

樣所以不想選擇跟自己同科的同學

活動

不同團體(包括舍堂學會及學校部

門)都有不同活動不用愁沒事幹只用

愁沒時間只要多留意Portal Mass Email或Main Campus海報不難發現幾乎每天都有各樣活動動靜皆宜開學時有迎

新營考試時有勁過飯新學期有開Sem

飯有些學會如戲劇舞蹈合唱團不時

有演出有關運動的學會則多練習以參

加比賽有關學術的也有很多興趣班講

座比賽等想幫人的亦可參加義工團

體如蛇蛇豬扶青等舉辦的義工活動

兼職

大學生的兼職大多以補習為主畢竟

這是我們能力範圍內可賺取最多外快又是

時間最彈性的工作有些人卻因補習不能

寫在履歷表而選擇別的工作然而很多時

我們都要在兼職與大學活動中取捨我的

ldquotake a chaNce all life is a chaNce the MaN who goes farthest is geNerally the oNe who is williNg to do aNd darerdquo ndash dale carNegie

40 | Caduceus September 2011

E mily was the chairperson of Pharmacy Socie-ty session 2010 As a student she has actively

participated in holding activities for many medical stu-dents and taken part in providing welfare to all phar-macy students Her following sharing will especially enlighten our new pharmacy students

Q Why did you choose Pharmacy SocietyA To be frank ldquosheung jongrdquo was really out of

my expectation when I anticipated my university life However my perspective has changed when I officially became a pharmacy student in HKU As members of the opening class of the Pharmacy programme my classmates and I realised the importance of having our own student body We do need an independent soci-ety to represent us pharmacy students to cater for our specific needs to listen to our points of view and to act as a bridge to facilitate our communication with the Medical Faculty the entire university and ultimately the pharmaceutical field in Hong Kong My class-mates and I who later became ldquojong yausrdquo believed we should act immediately to establish and run our own society which is why I decided to ldquosheung jongrdquo

Q Would you like to share some of the pros and cons of sheung jong

A ldquoSheung jongrdquo definitely helped me achieve per-sonal growth It was a concurrent commitment and re-sponsibility to serve and to lead our colleagues Bear-ing this in mind we always pushed ourselves to attain the best of our work ethics efficiency and efficacy As the very first session of the Society we lacked the guidance of any previous committee member Instead analysing carefully and critically we thought better of every decision which I personally found an enriching experience ldquoSheung jongrdquo was also an eye-opening journey Wersquod got to meet different people and learnt more about the professional work for as our career-to-be after graduation This in my opinion is always beneficial Last but not least I was fortunate enough to have worked with my amazing fellow committee mem-bers I frankly couldnrsquot ask for better ldquojong yausrdquo than initium Irsquom absolutely thankful for having them as my friends and it is definitely my greatest gain along the way

Despite the merits ldquosheung jongrdquo definitely has its downsides as well It is a lie to say ldquosheung jongrdquo does not affect our daily life because it does take up a big chunk of our time At the end of the day it is about time management which is easy to say but extremely dif-

建議是如家庭環境較困難賺錢吧反

之可以多留時間給各活動畢竟大學一

年的學費不只值那幾十堂課如何善用這

$42100就在乎你如何投入大學生活

讀書

假若你認為大學的考試可考核學生的

真正讀書能力並要求學生活學活用課堂

所學那麼你大失所望了假若你善於背

誦有過目不忘之本領大學的筆試不會

難倒你只要靠著前人留下的歷屆試題

背到滾瓜爛熟是不可能不及格的很多屆

試卷都是千篇一律的很多教授可沒空大

改試題那同學們就走運了有些課堂

即使再專業的學科都會有只理論無實

踐的課堂然後考試就要你把一大堆理論

背出來helliphellip例如甚麼叫批判思維噢

我可不知道只知道我掉了5分

不同學系在某程度上定下了人的前途

對於醫學院學生而言前路是較清晰可見

的但對於非專業學科前路不可只靠讀

書也許要靠自己另外摸索讀書所帶來

的必然是較高的GPA高GPA所帶來的是

獎學金到外國交流工作實習日後工

作機會等等當然大學學習不只局限於

讀書會否因此失彼就只有自己知道

蝶翼拍動之時往難以預料機會是

要自己摸索的

如經上所記

「神為愛他的人所預備的是眼睛未曾看見耳

朵未曾聽見人心也未曾想到的」

(哥林多前書29)

「栽種的和澆灌的都是一樣但將來各人要照自

己的工夫得自己的賞賜」

(哥林多前書38)

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

Freshmen

hkucaduceusnet | 41

ficult to achieve Also working as a Committee mem-ber can be very exhausting and difficult You definitely need lots of determination and support to get through some of the busiest times

Q How did you handle and balance the workload of study and your ldquojongrdquo

A As Irsquove said before it was tremendously difficult I guess my best advice for the future committee is to know your limitations and always plan ahead You have to know your time to work to rest to study etc No one will be over-worked and eve-ryone will have some personal time if you share the burden wisely between ldquojong yausrdquo Secondly you have to make very clear plans so that you can make full use of every little piece of your time I may not have succeeded in my time management but most of my ldquojong yausrdquo managed to do so de-spite the packed schedule of our Soci-ety This is sufficient proof of ldquoimpos-sible is nothingrdquo

Q As there are only about 25 pharmacy students per class do you have any suggestions for P14 fresh-men to make more friends from other curricula

A It really depends on what kind of person you are If you consider your-self socially active living in a hall or ldquosheung jongrdquo will be a great idea for you But if you see yourself as a much quieter person you can still make use of opportunities such as Medic Orien-tation Camp and other events jointly organised by student bodies within the Medical Faculty to make new friends

Q Any special things for P14 freshmen to be aware of

A First of all welcome You all are now members of Pharmacy Society MS HKUSU and I would like to let you know that this is a student body aiming to serve you Thus feel free to share your viewpoints and voice out your opinions to the current Com-mittee members The Society has to

understand your needs to improve and provide better welfare and services for you

Q Any other comments or important things to re-mind P14 freshmen

A If you would like to get to know more fellow pharmacy students especially students from P12 and P13 grab the opportunity to join the Pharmacy Society Orientation Camp and the Mentorship Programme These are great chances to make new friends and Irsquom sure you will enjoy them

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

ldquoas huMaN beiNgs we do chaNge grow adapt perhaps eveN learN aNd becoMe wiserrdquo ndash weNdy carlos

42 | Caduceus September 2011

筆 者是一位護理系的學生半年前有幸成為二零一一年啟思編輯委員會的總編輯在期間所體驗到的希望藉著這次機會作出分享特別希望新加入醫學院的同學

能對「上莊」有更多了解

上莊之路上莊是大學五件事之一證明它對大學生

活有一定的重要性一定的位置筆者在初入學的時候曾為了上莊與否而煩惱猶豫了好一段時間期間考慮到自己能力怕學業應負不來但最後仍然下了上莊這個決定原因是上莊是個難得的機會充實增值自己不同的莊會提供不同的機會讓莊友去學習透過不同的莊務去讓自己眼界擴大另外可以了解醫學院內發生既事情例如院內活動的進展情況更可以參加舉辦院活動為醫學院出一分力最後當然會認識到將會相處一整年的莊友工作伙伴有機會認識到不同學系的同學從他們身上可以觀察到學習到各種的特質從而令自己有所進步有所啟發

護理學生作為護理系學生起初擔任總編輯一職實

在是倍感壓力畢竟歷屆的總編輯都是由醫科生出任因此筆者起初都害怕跟醫科生共事怕自己的能力不足夠應付莊務所以起初都是戰戰兢兢地上莊

一位三年的護理學生曾對我說「我認為你不太尊重護理系護理系和醫科都是個專業希望你能加以尊重自己的學系不要輕視護理這個學系你要肯定自己的學系才能帶領整支莊因為莊內成員來自不同的學系你必須肯定和認同每個學系都有一定的重要性以及其專業」這番當頭棒喝的良言令我明白到自己一直都太輕視護理系過於重視醫科現在我明白到認同自己學系是尤其重要只有這樣才可以用自己學系的身份去發表意見只有認同自己學系才懂得尊重其他的學系莊內便可以融洽一點

在筆者的莊友中醫科生都是較有責任感而且做事更有計劃從他們身上的確學到不少東西這點是無可否認的事實筆者並不是在分享學系與學系之間的差別而是希望有志上莊的同學能互相尊重明白到各學系的莊

友都有其值得學習的地方起初對其他學系有隔膜是無可避免的畢竟對他們的學系都不太了解又沒有歸屬感但如果因為對方是別的學系而輕視對方的人不但失去與人相處學習的機會而且會令莊內的氣氛失去和諧

幸好的就我所見所聞醫學院內的莊多年來都能融洽相處互相支持令到一眾上莊的同學都能輕鬆地享受上莊的喜與樂甚至是不愉快的事情

依靠你的莊友莊是一個團體不是一兩個人可以應

付得來所以筆者認為與莊友互相溝通合作是個重要的元素新同學如果有志參與莊務期望從上莊中有所得著首要的事情是與莊友建立關係因為他們將會是你來年的工作伙伴也是你遇到困難時依靠的對象一位上莊曾對我說「其實一件的莊期不會令你有太大的得著或成長反而長久的友誼才是你將會得到最重要的」這句說話是千真萬確的上莊的人不會由詞不達意改變成談吐得宜不要期望自己會有驚人的轉變也許上莊會令人處事成熟一點有計劃一點但上莊所得到的關係將會是更重要更珍貴一年的相處中面對過有無數的會議共同處理過不少困難從中

建立的友誼真的是畢生受用

責任感上莊另外一個十分重要既條件就是責任

感有志上莊的同學必須明白到莊期是長達一整年在繁重的學業中騰出時間來處理莊務是個考驗責任感和毅力的測試同學必須再三思考想清楚自己是否真係熱衷於上莊或是只是一時衝動畢竟你將要許下的是一年的承諾必須對這個莊負上責任願意付出才選擇上莊這個決定這樣的付出就會有相對的回

總結上莊的確是個好機會讓自己去學習從處

理事務中或是從莊友身上都會有所得著充實著自己的大學生活從中可以認識到各學系的同學建立一段段受用終身的友誼在此筆者希望各學系的新同學可以善用機會作出上莊這個無悔的決定

護理系的啟思總編石志榮 (N14)

新鮮人

hkucaduceusnet | 43

慈兄吟(下)奇晶

最 後還是麥教授先開了口「他的確是一個好學生對醫學有獨到見解他不但學業成績優異而且樂於助人你是他的妹妹吧」婉慧努力控制自己的淚水繼繼續續的說「是啊但helliphellip但helliphellip我不知道helliphellip他竟會在這裏出現」麥教授用悲天憫人的目光看着婉慧語重深長說「人生自古誰無死人生命的有為與否並不取決於他生命的長短而是在於人生的意義你哥哥雖然最後當不了醫生但他的犧牲卻間接為一些同學做醫生鋪路讓他們做醫生去救人這真是一種無私的愛」婉慧點點頭覺得自己對哥哥的了解實在太少了

最後她還是孤獨的離開實驗室她覺得自己跟哥哥比起來實在相差得太遠了原來他除了是十優狀元在醫學院的成績名列前茅外還是個熱心助人的好青年自己除了少了一優外少的更有對別人的同情及樂於助人這造就了她心靈上的空虛她明白到冷漠不是一種對哥哥思念的正當表達方法她應該做的是把哥哥對其他人的愛傳揚開去以圓他的心願

第一步往往是最困難的婉慧平日對他人的態度已令不少人對她敬而遠之有很多次她嘗試向同班同學投以友善的笑容得到的總是詫異的目光或別人的不理不睬在小組討論中儘管她踴躍發言盡量避免冷場的發生偶同學們卻認為她變本加厲想阻止同學們取得好成績她四處碰壁又再次陷入了想念哥哥的深淵

時間一天一天過去了上學期考試前的休假開始了婉慧每天都勤奮的在圖書館溫習期望取得好成績這時候的圖書館堆滿了人如果遲來一個小時想找一個位子也難就在假期的第二天同班的王文在圖書館跑得氣急敗壞仍找不到一個座位婉慧不知怎樣有點同情他將座位讓給他王文驚訝道「不用了我還是回家吧真倒楣遲來了一個小時就沒有『接位』」

「但你住在哪裏呀」

「元朗今天早上我忘了校鬧鐘八時才起」

「那你還是要我的座位吧我可以坐到電腦桌因為我認識的人不少沒有什麼人會打擾我的」

王文謝了她頓時對這位冷漠的同學刮目相看原來她的內心也是溫暖的這並不是他所能料及的坐在電腦桌前溫習的她也感到特別的快樂溫習的速度也快多了王文就此成為了她的「飯檔」考試期間每天和她一起吃飯他更將自己的好友介紹給婉慧認識

在一個晚上她又悄悄的在圖書館的角落溫習着突然一隻溫暖的手搭着她的肩上她抬起頭但見解剖學的同桌手中拿着一杯熱飲輕輕的放在她的桌上婉慧正感詫異卻聽見他說「這杯熱巧克力是給你的繼續努力吧」她喝着巧克力心中感到一股暖流彷彿哥哥的關懷又在她內作出回響

十年生死兩茫茫不思量自難忘千里孤墳無處話淒涼helliphellip

寒風吹起了她額上的劉海佇立在墓前的婉慧不禁凜冽她想起了從前想到自己最後一次和哥哥吵架雙方面紅耳赤的情況想起自己無法親口跟哥哥道歉想起哥哥無私的付出她對着那空虛的墳心中不忍一陣淒然淚水漱漱的流下來她身旁攜扶着年紀老邁的母親邊拭淚邊喃喃道「我的兒子helliphellip歿了helliphellip」大家心情漸漸平復了緩緩走出了墳地

雨一滴一滴的落下飽歷辛酸的婉慧卻仍在懸壼濟世

短篇

ldquoyesterday is but todayrsquos MeMory aNd toMorrow is todayrsquos dreaMrdquo ndash khalil gibraN

44 | Caduceus September 2011

Eternal Flame (1)Tulipa

Itrsquos cold The chills from my fingertips imbibe deep into me This person drills into my mind digging out the truth inside me Itrsquos agonizing She comes right inhellip di-rectly I cannot stop her

Irsquom losing myselfhellip

My hand felt the soggy pillow I realised I had come back to life the world where I lived Staring blankly at the ceiling still losing focus in my eyes I felt my brows with my forearm For the first time I didnrsquot want to lose this feeling

The bedroom door slowly opened I quickly rubbed off the drops that had blurred my vision pretending that I had just woken up

ldquoDo you have lessons this morningrdquo My grand-mother whispered into my ear

ldquoOh goshrdquo I turned right to my alarm clock It was the real life I had forgotten to turn the alarm on last night and it was now seven thirty I knew it I was going to be late every time she caught me in bed Irsquod got to hurry up

Living in Hong Kong Island though it took me more than an hour to get to school I had to comfort my little brother sometimes till two or three in the morning in order to get him to sleep In addition to the consistently heavy study load in the medical school I could hardly get enough rest Running on my heels al-most became my routine starting from last November But I well understood the consequence of skipping lec-tures It was the beginning of the Cardiovascular Sys-tem Block For someone like me who gave least priority in revising Anatomy materials lectures remained the prime source of information for exams Absence from class was suicidal To make the situation worse this professor was one of those who did NOT upload lec-ture notes online

Hoping I wouldnrsquot arrive too late to miss the impor-tant points I finally stepped onto a route no 8 minibus at ten past eight What I could do now was to pay trust in the driver who would bring me to my destination

Coaxing kids was never easy Little Bruce just hap-pened to give me such a hassle last night

He knew I would check on him when I returned home Sitting right next to the door of his room he begged me for a story once I opened the door I sat down together with him on his little couch after Irsquod taken a quick shower This was a time to relax leaving

aside all the other concerns

Kindling through his favourite reader I saw that he wasnrsquot listening but distracted by all sorts of toys around He even invited me into his world of fantasy But it was getting late I had to calm him down so that I too could have some rest Being one of the brightest in his elementary school he should understand this was not the time for recreation

I began to feel annoyed

Yet he was my brother I had a gut feeling that this was unusual He didnrsquot use to be so ldquohyperactiverdquo It re-ally took me a while to adjust to his change With him still tossing and turning in my arms I apprehended his restlessness Unpredictable though he was true to his feelings In one way or another he might find the shadow of our mother in me

He finally settled when I laid him back in bed It was nearly two forty in the morning

The first week of the CVS Block ran as plotted PBL tutorials would start on next Monday Dr Youngrsquos fa-cial expression in the first PBL evaluation flashed over my Embryology notes and references She didnrsquot teach Embryology but I could tell she did have a hypertroph-ic heart-shaped face which looked familiar to the dia-grams in the Atlas

Back in the IHD Block most of us were puzzled about the scrambled content of our course Various forms of seemingly related knowledge came in through lectures practical and tutorial sessions But the neural circuit formed in our brain just failed to resonate as if the conductance-inductance mismatch had aberrated our thought from minimal impedance Sometimes things even happened in a ldquomore-than-extrardquo manner The presence of common core courses in a parallel but independent branch in the network could rightly be detached without causing a blip on the galvanometer Everything was dubious We had no idea of what we were doing

Maybe we were just on the way seeking for a sense of attachment

My mind too was racing in haste I was struggling with my decision to become a doctor Too many things had happened over the year I just couldnrsquot stop ques-tioning myself what was I thinking when I put lsquo6456 MBBSrsquo in my JUPAS application I should have expect-ed and prepared to face all these I just didnrsquot knowhellip

Novella

hkucaduceusnet | 45

It was midterm evaluation in the IHD Block Her face looked tense in that heart shape She was so stiff in her facial expression that no one could read her mind from her poker face The conference room of the Physi-ology Department was large We seemed to be the odd ones out in the spacious carpeted room In this secre-tive silence you could hear the drumming in your ears as if you were tingling

I realised this was not a matter of ldquoam-I-suitable-for-a-medical-careerrdquo but ldquois-a-medical-career-suita-ble-for-merdquo I was lying in bed playing with my plush bear when these thoughts burst in me Dr Young looked through me She felt certain that different from other group mates there were crises behind me But I didnrsquot tell her anything that day

We all were sensitive At times some subtle trepi-dation seeped in gradually sucking peace away from my sleep It was so to say below threshold sub-lethal though it lingered for weeks once it set inhellip

Drenched in bloodhellip There is no life in the boy His eyes are widely opened slightly protruded The lifeless pair of black pearlshellip I cannot escape from his glance He wants to talk to mehellip There is something he wants me to know

A van runs over himhellip

I fell down the edge of my mattress Breathing heavilyhellip Sweating all overhellip

ldquoScreechrdquo People began to gather around a tel-ephone booth a few metres behind us

I turned back I couldnrsquot see a lot from this anglehellip

ldquohellip What a pity He is so younghelliprdquo a middle-aged couple passed by

The victim resting just in front of the wheel looked towards me through a break in the crowdhellip

As we were wandering around thinking what to eat for dinner my cousin found me standing there rooted to the ground stunned by the victimrsquos gaze My heart was pounding She wouldnrsquot believe what I was again experiencing For a number of times already scenarios in my dreams were mirrored into reality

I couldnrsquot tell her

ldquoI was just thinking whether you would like Korean cuisine There is a new restaurant two corners awayrdquo I made up a talk while escaping from the scene so that I wouldnrsquot look so strange

ldquoWhy not go and have a try thenrdquo She was not dis-appointed for calling it a day as the food there was sur-prisingly good

Not until some years ago when I was Form 3 in college I discovered my ability to look into the future Sometimes I could see them coming up on the news in days or weeks And some didnrsquot ever happen at least not around me But seeing the night visions coming into concrete existence wasnrsquot always a pleasure when the mental images turned gradually into mostly night-mares When I visualised my close ones it felt like I was in the middle of an insecure chain bridge above a torrent that would sweep me into the vast ocean with no return It was entirely different from what you might understand as ldquodreams come truerdquo

I had witnessed misfortunes in proximityhellip

But I could do nothing about ithellip

Friends were a source of solace someone to con-fide all frustrations in But with my paranormal ability which appeared to everybody else only on screen-plays I wasnrsquot courageous enough to open my life wholeheartedly to them Seldom talking about myself avoiding all sorts of gatherings I became an eccentric figure among my classmates

Sometimes mutual understanding carried more weight than words I remembered my physics teacher being one of my few friends during my teen years De-spite his boisterous faccedilade he was always sensitive to whenever I was dwelling on my burdens Physics was our common language Intermingling our emotions and feelings with concepts that were alien to my fel-lows we developed a close rapport impenetrable by anyone else

ldquoWhat is the nature of a flamerdquo This was the most discussed problem between us Neither in solid liquid nor vapour state Not having any definite shape and colour It seems not any material but a type of energy giving out heat and light At the moment of providing it also exhausts its fuel and eventually itselfhellip

The romance of physics is more than anything you could read write and talk about Once you were truly connected with it nothing can stop you Your mind will bounce irrespective of the chronology of space-time but only under the guidance of your thoughts

I was so devoted to the discipline at the time that I was almost making it my lifelong career in some way He envisaged that I would demand much more than any academia could provide with its scientific basis alone We were both seeking a philosophy beyond the facts But Hong Kong may not be the right place for it

I made him a promise at the end to contain our flame and I knew I would

For the first and the last time I saw his eyes filled with tears We knew existence by itself is a miracle

ldquoi love life because what More is thererdquo ndash aNthoNy hopkiNs

46 | Caduceus September 2011

說華佗都說「華佗再世」誰知箇中真諦雲方 (M15)

烽煙起戰火燃萬里 

三國並爭英雄地亂世有誰顧生死 

待神醫行世將民眾救濟

渺渺江山東西瞰俞跗巧手扁鵲心(1) 應向何處尋 

滾滾黃沙無世家終有奇士放奇葩

沛國 華元化(2) 

他經書貫通南北遊動 

一望斷症如神助三劑消病不必多

說斷症悉如所料 

甘陵 相夫人腹痛極難忍(3) 號脈知死嬰在左為男形(4)廣陵 梅軍吏除名歸故里

見貌知壽盡速返見萱椿(5) 

說消病藥到病除 

飲蒜醋有三升蟲一嘔而盡清 (6)母服丸而溫儲兒不藥而自癒 (7)

絕妙處 

是他開腸剖腹刀至辟毒 

神醫號 

除他內外皆精有誰配稱

[1]   俞跗黃帝時代之名醫扁鵲春秋戰國之名醫《淮南子人間訓》「患至而多後憂之helliphellip雖有扁鵲俞跗之巧猶不能生也」

[2]   華佗字元化沛國人(今安徽 亳州)

[3]   甘陵相(即甘陵之行政長官)夫人懷胎六月腹痛不安華佗為其切脈便知胎死於是命人摸知所在在左則男在右則女人云「在左」夫人飲藥後果然產出男胎腹痛立即痊癒

[4]   廣陵有軍吏名曰梅平離鄉服役後來退役歸家於路上巧遇華佗華佗視之嘆道「若能早些見我當不至於此而今你僅餘五日壽命速速回家還能與家人相見」平旋即趕抵故鄉五日後亦如料身亡

[5]   萱椿多作椿萱比喻父母漢牟融《送徐浩》詩「知君此去情偏切堂上椿萱雪滿頭」

[6]   華佗見路邊有人食不下嚥教他到路邊餅店買醋三升混上蒜泥然後飲用路人服後即吐出一條長蛇(即寄生蟲)

[7]   兩歲男孩長年腹瀉藥石無靈華佗往診謂病在母命其服用華佗親研之「四物女宛丸」服後母親乳汁不再寒涼男孩亦不藥而癒

意興

hkucaduceusnet | 47

只可惜人無完壁

「關將軍使君予我手刮骨惡毒走

曹丞相使君予我頭剖顱苦痛收」

「怎能不收怎能不收一命嗚呼萬事休 

簡直荒謬簡直荒謬殺此庸醫未須愁」(8) 

五禽戲尚能傳 (9)麻沸散從此絕 

何不一飲醉死不知世忍氣吞聲事權貴 (10)心神委曲須臾苦奇術失迭千秋計 

烽煙止無改生死事 

且當醫仙謫世間神技終須風裏散 (11)回首仰高山景行請君範 (12)

[8]     曹操欲殺華佗臣下勸之不可答曰「不憂天下當無此鼠輩耶」

[9]     死前華佗欲托所著醫書於獄卒不果便盡數焚毀唯有其養生體操「五禽戲」流傳後世

[10]   《三國志魏書方技傳》「當須刳割者便飲其麻沸散須臾便如醉死無所知」

[11]   唐白居易《簡簡吟》「恐是天仙謫人世只合人間十三歲」

[12]   景行(音航)即大道以高山景行比喻人品德行為之高尚典出《詩經小雅車轄》又東漢鄭玄曰「古人有高德者則慕仰之有明行者則而行之」

ldquothe art of MediciNe was to be properly learNer oNly forM its practice aNd its exerciserdquo - thoMas sydeNhaM

48 | Caduceus September 2011

啟程

清晨空白的天空看不見藍天雲彩

只有溫柔的雨絲和朦朦朧朧的霧水跟隨

著大隊的足印踏上沉重的腳步穿過橫

街小巷和煩囂熱鬧的市場走過自動門

撲鼻的消毒藥水味道讓大家屏住呼吸筆

者和夥伴們終於到達了入讀護理系以來第

一次實習的醫院

還記得在實習的前幾天心情是既忐忑

又期待的畢竟這一次實習的地方不再是

在社區中心宣傳健康方面的知識亦不是

只面對著健康活潑的小朋友和老友記或是

學校課堂上所提供的假人張靜汶卻是照

顧一羣真正需要關懷的病人心中充滿著

憂慮不知自己所學的知識足夠在應用上

嗎自己平日的練習足夠嗎雖然心存在

著不少疑惑但也十分期待可以體會一下

做小學護的感受嘗試把這一年裡所學到

的知識運用出來

很多的第一次

在病房裡總有心酸和膽戰心驚的時

候第一次為昏迷的病人清潔口腔第一

次為難以進食的人插入胃喉第一次為老

公公清洗背上壓瘡的傷口helliphellip照顧他們時

的心情都是一步一驚心生怕自己沒法應

付得來又怕會把事情弄得更糟糕最重

要的是恐怕自己不純熟的技巧令他們受苦

了記得有一回第一次為女病人插入尿

喉採取尿液樣本可能技巧不太純熟的關

係延長了病人的痛苦過程中她皺著

眉頭不斷呻吟又緊張得咬破脣眼看

她樣子心中真的不是味兒來身為病人

的其中之一依靠我們不得不給自己信

心如果連自己也不相信自己哪會有病

人願意把他們交給我們照料呢

捕捉那瞬間的美麗與淒然何麗敏 (N14)

上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

意興

hkucaduceusnet | 49

另外第一次面對病人的心情是頗為

緊張的說話技巧亦有改進的空間但和

病人傾談了數分鐘後氣氛也漸漸變得和

諧可能那些老公公整天呆在醫院裡真是

悶到慌看見一羣年青人與自己聊天照

顧和關心他們他們不禁咧嘴而笑醫院

職員透露有一位老公公平日不太願意吃東

西於是我們便主動和他談天說地又

悉心照料他進食的情況後來他不但胃

口好了不少就連心情也開朗了他生動

活潑的談吐讓我們笑了他回復健康精

神的體魄也讓我們感到安慰

相處片刻

雖然為期一星期的病房日子不是特別繁

忙或是辛勞但是也會有不習慣的時候

幸好得到醫院職員和一班夥伴的支持病

房經理和註冊護士不但相信我們的能力

對學護的包容更是不用多說還主動地介

紹病房的環境和細心地教導我們醫療護理

上的知識讓我們上了一堂實在而又寶貴

的課同時今次的實習也令我感到團體

精神也十分重要在技巧上大家互相提

點互補不足當有人準備照料有需要的

病人如插喉或洗傷口等大家送上一句 

「加油」就能令對方增加不少自信心和正

能量無論遇上甚麼事情我也榮幸有如

此一班學習夥伴從旁支持

學習的階級

在這一次病房實習中雖然醫療和藥物

知識方面有待加強但是我學懂了如何與

不同身份的病人相處之道溝通上也得到

了很大的進步獲益不少除此之外我

也真正體會到如何做一個好護士並清楚

了解這個行業是否適合自己鐘樓也不是

一天就能建成而是需要一磚一瓦搭建而

成的所以在學習上我們不但要打好

穩固的基礎還要增強醫療知識在技巧

上馬虎了事和走捷徑是於是無補的應

該多探究和練習才行這樣才對得起病人

和自己也減少不必要的醫療失當事故

總之多一份認真多一點耐性多一些

愛心就是學護必記的左右銘 上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

ldquoit is reasoNable to expect the doctor to recogNise that scieNce May Not have all the aNswers to probleMs of health aNd healiNgrdquo ndash NorMaN cousiNs

50 | Caduceus September 2011

Fun Corner

Medical AppsEver wondered how your handheld device can save your time and

effort when it comes to studying Here is how

Anatomy Pronunciations by HipposoftAccurate pronunciations of over a hundred important anatomy terms you have trouble with are provided

at your fingertips to help you spell those difficult words Anyone who has taken an anatomy course can tell you how challenging it can be to pro-nounce the names of those complicated anatomi-cal terms It is even linked directly to Wikipedia and Google through web browser for additional information

iPharmacy ndash Pill Identifier and Medication Guide by SigmaPhone LLCAn essential medication guide of 20000+ drugs is provided for con-sumers amp professionals This ex-

pands the image library to include 12000 pill and package images and includes digital drug identifier with official drug information (indica-tions dosage adverse reactions and more) You can check the drugs anywhere

Grades 2 by TapityIt tells you what grades you need in the coming tests in order to get your target grade You can easily calcu-late your GPA so as to maintain it It

is a useful tool helping you to keep an eye on your GPA all the time

Human Anatomy by SusaSoftXThe application provides you with information of 15 different biologi-cal systems You can keep on revis-ing while you are traveling without

carrying heavy books

Medscape by WebMD LLCFrom drug classes interaction clin-ical procedures and even the lat-est medical news Medscape helps medical students and healthcare

professionals to reiterate knowledge that has slipped from the mind It is a free application for iPhone iPad Android and Blackberry Yet it contains more function on Android phones and Apple products and lacks detailed clinical infor-mation for diseases and clinical procedures walk through on Blackberry

Pro Medical Terminology Dic-tionary by TreascoveryTerminology might be a tough work for medical students Even if we can master those English terms we can

hardly think of the Chinese terms This applica-tion can help you when you face this problem Note that it is not a free application

3M Littmann SoundBuilder by 3M CompanyA great tool designed to help im-prove auscultation skills of medical students with 14 unique lessons of

key heart sounds combing text virtual manne-quin 3D cardiac animation and dynamic wave-forms

iRadiology by Liebermans iRadi-ologyAn excellent learning tool for medi-cal students demonstrating classic radiological findings of a multitude

of abnormalities including over 500 radiologic images Radiologic images include CT US MRI and nuclear imaging each clearly labeled and followed by key teaching points

Micromedex Drug Information by Thomson Reuters (Healthcare) IncIs Cephalexin a first generation ce-phalosporin This application from

Thomson Reuters is the easiest way to navigate in the sea of drug names Drugs are sorted by classes and supplemented with rich information

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 23: Caduceus Issue 2, Volume 42

hkucaduceusnet | 23

Hardly would Parmigianino have known that the long slen-der fingers and limbs of Madonna with the Long Neck was the result of a genetic disorder called Mar-fan syndrome And of all the things that crosses onersquos mind upon first glance of Caravaggiorsquos Sleeping Cu-pid the notion that the baby was inflicted with juvenile rheumatoid arthritis would be hard to imagine Franco claims that his goal was to expose the human vulnerability of the people depicted in art

MichelangelorsquosgoutykneeAnother subject who has been

scrutinized by medical experts is Michelangelo Renaissance painter and sculptor Scholars looked at his knee from Raphaelrsquos School of Ath-ens and concluded that he suffered from gout a form of inflammatory arthritis that occurs when crystals form in the joints

Based on the appearance of his knee which appears swollen en-larged and covered in hard lumps a diagnosis of gout seems plausible It was known that Michelangelo de-veloped various diseases during his life In his writings he complained of having kidney and bladder prob-lems In 1549 he had an episode of anuria followed by passing of grav-el and stone fragments in his urine

Many experts believe that Michelangelo like many of his contemporaries developed gout from lead poisoning A well-known workaholic Michelangelo con-stantly lived off a diet of bread and wine (processed in lead contain-ers at the time) and was frequently exposed to lead-based paint All evidence points to lead poisoning which promotes kidney damage and inhibits uric acid excretion causing it to build up in blood This predisposed him to gout precisely as depicted in Raphaelrsquos fresco

RenaissanceArtandNeuroanatomyLike Leonardo Michelangelo

was not just an artistic genius but also a great anatomist At 18 he be-

Michelangelorsquos knee from the school of atheNs by Raphael (c 1509-1510)

Madonna with the Long Neck Was it Marfan Syndrome

Juvenile rheumatoid arthritis

ldquoall art is autobiographical the pearl is the oysterrsquos autobiographyrdquo ndash federico felliNi

24 | Caduceus September 2011

gan dissecting cadavers in a mon-astery in Florence where he honed his technical skills and knowledge of the human body

According to neuroscientists Michelangelo disguised sketches of the human brain in his famous Sistine Chapel ceiling painting which has remained unnoticed for 500 years His fresco The Creation of Adam shares a striking similar-ity with the sagittal section of the brain The fold in the cape repre-sents the Sylvian fissure separating the frontal and parietal lobes You may even recognize the angelrsquos foot as the pituitary gland his thigh as the optic nerve and his leg as the optic tract And that sassy green robe running down the ponsmdashthatrsquos the vertebral artery

Look at Godrsquos neck in The Sepa-ration of Light from Darkness from the same fresco Art historians have long speculated that its lumpy ap-pearance represents goiter Yet medical experts have found an ac-curate picture of the brainstem and spinal cord in Godrsquos throat stun-ningly similar to the creases and crevices of the brain

Yet why would Michelangelo embed the brainstem in Godrsquos throat Was he alluding to Godrsquos wisdom or was it a form of protest to the Church After all dissecting cadavers was considered unethical at that time and for an anatomist like Michelangelo who fell out with the Pope while painting the Sis-tine Chapel ceiling could he have been painting anatomical images directly above the chapel altar in defiance to the Church

Artandophthal-mologyHowvi-sionchangesartClaude Monet is recognized as

one of the founders of the Impres-sionist movement but his vision got cloudy during his later years He wrote letters to friends describ-ing his growing frustration with his vision changes He was even forced to memorize colours on his palette

the creatioN of adaM by Michelangelo (c 1511)

the separatioN of light froM darkNess by Michelangelo (c 1512)

hkucaduceusnet | 25

and label tubes of paint Red began to look muddy to him and he saw his painting as becoming ldquoincreas-ingly darkenedrdquo Whenever he com-pared his paintings with his earlier works he would be sent into a tow-ering rage to destroy them

This was because he had cata-racts Cataract patients have yel-lowing and opacification of the lens so his vision essentially be-came more brownish The yel-lowish brown cataracts he looked through filtered out violet and blue shades Monet underwent two eye operations in 1923 after which he returned to his old painting style even throwing away some of his paintings and repainting them

Thesufferingart-istDepictingill-nessesinartPerhaps no one better personi-

fies the notion of a ldquosuffering artistrdquo than Vincent van Gogh Clinicians have posthumously diagnosed him with a range of medical problems including epilepsy schizophrenic and bipolar disorder His later works have long been noted for his preference for the colour yellow and some have speculated that this was related to his yellow vision

One theory was that van Goghrsquos doctors prescribed him with digi-talis to treat his epileptic seizures His painting Starry Night has yel-low circles around the stars and not surprisingly people with digi-talis overdose often see a yellowish halo around objects Other experts speculated that it was his addiction to absinthe that led to his yellow vi-sion Absinthe is a highly alcoholic drink that contains a highly psy-choactive neurotoxin called thu-jone which causes yellow vision

Van Gogh was not the only art-ist who projected his illness into his art Edvard Munch had tuber-culosis and spit blood as a boy Her mother died when he was five her sister spent most of her life in-stitutionalized for mental illness and his brother died of pneumo-

nia Munch may have depicted his own psychotic state of mind in The Scream which portrays a twisted agonized creature wracked with anxiety and horror

ConclusionDo these findings actually

prove something or are we over-analyzing artworks with our medi-cal knowledge Exactly what ben-efit would these discoveries have for the world at large is unknown At least we know it could lead to yet another interpretation for Mona Lisarsquos smile the result of a scrump-tious meal of pizza and pasta with cheese tomato sauce and meat balls before sitting for her portrait (which would certainly also explain her cholesterol problem)

Two pictures by Monet of the same Japanese bridgemdashthe first painted in 1899 the second between 1918 and 1922 revealing a dramatic loss of shape and detail

suNflowers by Vincent van Gogh (1888) the screaM by Edvard Munch (1893)

ldquoeverythiNg that we see is a shadow cast by that which we do Not seerdquo ndash MartiN luther kiNg jr

26 | Caduceus September 2011

The End is Near Apocalyptic TheoriesRead more to learn about the terrifying future that awaits us Chariene Woo (M15)

S urge of waves rush over the mountains with unstop-

pable speed engulfing and shatter-ing our homes Flaming asteroids rain from the sky causing roads to crumble like sheets of paper Peo-ple running away from burning cities screaming fearfully Civiliza-tion ruined in matter of mere sec-onds Is this what the future lies for us

Nobody knows

Apocalyptic literature and movies have always raised interest among the general public partly

because it involves the end of our world as we know it and partly due to the fact that there is no solid proof how an apocalypse would come about The interest has re-cently skyrocketed with rumors about the world ending on 21st De-cember 2012 about how the May-an calendar finishes at that specific time and how it will be the end of the world as we know it So the big question is when and how will our world end

NostradamusProphetofDoomNostradamus of France was

one of the worldrsquos most famous seers and is most well known for Les Propheties (The Prophecies) a collection of his major long-term prophecies written in quatrains Many of his prophecies have cor-rectly predicted current events including the destruction of the space shuttle Challenger the death of Lady Diana and the destruction of Twin Towers of the World Trade Center As a result of these predic-tions he has been given the nick-

How do you survive the apocalyptic world

Insight

hkucaduceusnet | 27

name ldquoThe Prophet of Doomrdquo

Nostradamusrsquo prophecies have huge room for interpretation speculation and controversy and some people think his writing has no merit at all The following is an example of a quatrain alluding to some sort of environmental disas-ter in the future

ldquoFor forty years the rainbow will not appear

For forty years it will be seen every day

The arid earth will grow more dry

And great floods when it will be seenrdquo

(Century 1 Quatrain 17)

In other quatrains images of great comet alien invasion and nu-clear contamination are also men-tioned so these could all be the prospects that are waiting for us in the future Despite Nostradamusrsquo ldquoaccurate predictionsrdquo of what had happened in the past the quatrains do not have a specific order So out of all the disasters predicted in the many quatrains it is uncertain which will happen where or when giving it less importance in predict-ing an actual apocalypse

PlanetXAccording to Nancy Lieder a

woman who claims to have been contacted by extraterrestrial life forms Planet X (also known as Nibiru) would come close to planet Earth on May 27th 2003 resulting in the Earthrsquos rotation ceasing for 59 terrestrial days The Earthrsquos pole will then undergo a physical polar shift due to the magnetic attraction between the Earthrsquos core and the magnetism of the passing planet This will ultimately lead to the dis-placement of Earthrsquos crust and the end of us But when this did not happen the event was postponed and re-dated to coincide with the Mayan calendar hysteria

NASA argues that this is merely an Internet hoax with no factual or scientific basis They explain that if Planet X was approaching Earth astronomers would have

been tracking it for at least the past decade and the planet would now be visible by the naked eye This is a very comforting bit of news Yet some people believe that NASA is part of a conspiracy to cover up the existence of such planet and keep the truth of impending apocalypse from general public Again the ar-gument can go either way and the ldquotruthrdquo depends on which side you choose or want to believe in

2012TheendoftimeSo what is so special about the

year 2012 There are claims saying that the Mayan calendar ends on 21st December 2012 and that will be the end of time for mankind However just like every calendar it merely rolls over to the new year on that date and it doesnrsquot signify anything special In the Mayan cal-endar 21st December 2012 will be the end of brsquoakrsquotun 13 and marks the start of brsquoakrsquotun 14 A brsquoakrsquotun is 144000 days (a little more than 394 years) and there is no archeological or historical evidence to show that the Mayans expected anything sig-nificant or drastic to happen at the

end of each brsquoakrsquotun

However there exists litera-ture that suggests otherwise In 1975 Frank Waters the author of the book Mexico Mystique identi-fied the 13th brsquoakrsquotun interval to be the ldquoMayan Great Cyclerdquo where it ends in the worldrsquos destruction and rebirth Waters claims that cata-strophic earthquakes will destroy the world but he miscalculated the date and announced that the end of the ldquoGreat Cyclerdquo would be on 24th

December 2011 AD

The year 1987 marked an in-creased in interest regarding the prophesized big event in 2012 The author of The Mayan Factor Path Beyond Technology Jose Arguelles linked the 13th brsquoakrsquotun period to a ldquobeamrdquo that links people the plan-et the Sun and the center of Galaxy According to Arguelles the beam is the key to harmonic resonance in the universe and the Mayan knew when we would enter and leave this beam hence set their 13th brsquoakrsquotun to mark our passage accordingly He also claims that this beam could advance the development of any-thing with DNA hence creating a more positive view of the future

V838 Mon a star with expanding light echo purported as photographic evidence of Nibiru

ldquoevery MaN dies Not every MaN really livesrdquo ndash williaM wallace

28 | Caduceus September 2011

No one can be sure of whether the end of brsquoakrsquotun 13 signifies something great or disastrous for us or if it is just another restart in the Mayan calendar We can only know for certain when the day ar-rives

GodrsquosplanforusThis is by far the most detailed

and terrifying image portrayed out of all apocalyptic claims that I have gone through The Book of Rev-elation from the New Testament reveals signs of apocalypse through a wide variety of symbolism One of such is the frightening image of the ldquofour horsemenrdquo

ldquoAnd I saw and behold a pale horse and he that sat upon him his name was Death and Hades followed with him And there was given unto them authority over the fourth part of the earth to kill with sword and with famine and with death and by the wild beasts of the

earthrdquo (68)

The pale horse carries the horseman of Death which is be-lieved to release global plague and pandemics to the world and take the lives of a quarter of the popu-lation This has already manifested

itself in many forms in different parts of the world at different times hence the first sign of apocalypse is said to be already happening among us

In similar manners the bible describes the arrival a black red and white horsemen represent-ing the delivery of global food shortages war and conflict and the coming of an antichrist to the world From historical genocide terrorism to increased occurrence of food shortages so often seen nowadays it seems that the red and black horsemen has arrived as well and now we are just waiting for the arrival of an antichrist to conquer us

The Book of Revelation also provides readers with a glimpse into the ldquoactionrdquo in how the world will end

ldquoAnd I saw when he opened the sixth seal and there was a great earthquake and the sun became black as sackcloth of hair and the whole moon became as blood and the stars of the heaven fell unto the earthhellipand every mountain and is-land were moved out of their placesrdquo

(612-13)

Besides the great earthquake and the darkening of the sun there is a repetitive mentioning of stars falling from heaven on earth in the Bible This is postulated as the at-tack of massive meteors on planet Earth Out of all prophecies in the Book scientists assume this to be the most likely since an asteroid impact at a scale as large as that may have already wiped out an entire species that came before mankind Scientists believe that showers of space rocks that rained down 65 million years ago (due to the collision of Near Earth Object) were the culprit for the extinction of dinosaurs Luckily NASA recent-ly launched an early warning sys-tem called ldquoSpaceguardrdquo that aims to monitor such Near Earth Objects to prevent future collisions and ex-tinctions

Having read the above the Bible seems to combine all the horrifying specifics in different apocalyptic speculations into one nightmare But donrsquot worry since there are many different interpretations of the Revelation Historicists are the ones who see the Book as a broad view of history (good news wersquove already escaped all the horrors in the depiction) whereas Futurists

believe the description as prophecies of the fu-ture The Idealists hold the belief that the Rev-elation does not refer to actual people or events which makes sense as the Bible is often not inter-preted literally So fingers crossed that the Revela-tion is not interpreted in the futurist way because in that way there is going to be a daunting future awaiting us

Four horsemen of Apocalypse

hkucaduceusnet | 29

ldquoDevolvingrdquoEarthTheoryThis is probably the

most scientific theory that I have come across so far from a news article pub-lished from ABC News A group of scientists from University of Washing-ton hypothesized that the Earth will gradually de-volve in the next half bil-lion years In short their logic works as follows

As we all know the sun is constantly grow-ing bigger yet the Earthrsquos environment has been reasonably constant This is because as the sun is warmed up carbon diox-ide from the atmosphere is removed and deposited in soil as carbonates This keeps our environment stable by the balance be-tween an increasing sun and reducing carbon di-oxide in the atmosphere (Note that global warming resulting from an increase carbon dioxide in atmosphere is just a brief blip in the grand scale of things) Since carbon dioxide is the ldquofood of liferdquo the reduction will cause plants and animals (including humans) to die To battle the rising heat some creatures will retreat into the sea hence reversing the evolutionary process And as the sun continues to expand the Earth will become so hot that even the oceans will gradu-ally be evaporated Eventually the sun blasts off its mass through ther-mal pulses engulfing the Earth

This is a very scientific specula-tion from an astrophysicistrsquos point of view and they claim that at best we have no more than half a billion years left This might be more reas-suring for some of us as the world will not end in the near future But the grief lies in the inevitability of our planet Earth coming to an end

Everythingthathasabegin-ninghasanendSo we are back where we start-

ed With more speculation and the-ories and still no closer to the truth The end could happen any day or time or maybe it could be a proc-ess that is already happening Even though it is not to the scale of an-nihilation of the human race hur-ricanes and earthquakes and car crashes have already been stealth-ily taking the lives of millions We know for sure that we must die eventually through chance old age or disease There is only very little we can do to fight against what has been planned for us and reducing the resources we consume is the best chance that we have in delay-ing this happening There might be some benefit if we know the in-sights of when and how it will hap-pen but really it doesnrsquot change anything Moreover it is possible that these speculations came about to force mankind to live life to the

fullest to treasure each day and every resource we have as a gift so it doesnrsquot matter which theory is the accurate one In the midst of these theories about apocalypse all we can do is to live every day as if it was our last with no regrets and enjoy life as it is now

ReferncesThe End of the Worldhttpwwwnostradamus101compropheciespart4P7

The Great 2012 Doomsday Scare httpwwwnasagovtopicsearthfeatures2012-guesthtml

When Will the World End New Theory EmergeshttpabcnewsgocomTechnol-ogystoryid=97756amppage=2

2012 Beginning of the End or Why the World Wonrsquot Endhttpwwwnasagovtopicsearthfeatures2012html

Video from history channel (from youtube link)httpwwwyoutubecomwatchv=BoTExQEyblU

ldquothe MeaNiNg of life is coNtaiNed iN every siNgle expressioN of life it is preseNt iN the iNfiNity of forMs aNd pheNoMeNa that exist iN all of creatioNrdquo ndash Michael jacksoN

30 | Caduceus September 2011

笑的神奇魔力「當你笑你改變了當你改變了整個世界也改變了」

麻丹卡塔利亞醫生(大笑瑜伽的始創人)何麗敏 (N14)

被隱藏的笑容

日 本大地震及核洩漏事件馬頭圍道唐樓火災三死十九傷中區

警長為勸示威人士中不慎失足墮橋身亡

各政黨爭相你嘲我罵helliphellip在城市裡我們

每天都被一些飛來橫禍天災人禍或社會

爭執的信息圍繞著充斥著愁雲慘霧的氣

氛甚至在家庭朋友學業工作和

健康方面我們亦會遇到不如意之事負

能量和心理壓力不斷增加沒有適當的疏

導和發洩方法之下不少人染上酗酒或沉

迷賭博等壞習慣來自我麻醉長期把情感

抑制的一些人更有機會患上

情緒病我們彷彿硬把自己

困在死胡同裡忘記兒時怎

樣整天咧嘴哈哈大笑如何

在跌倒後笑著站起來現

在很多人都像被魔鬼牽著

鼻子走每天板著一副無奈

沮喪的嘴臉掛上冷漠的眼

神笑聲更差不多成為絕

朋友啊你可有嘗試計

算過一天總共大笑了多少

次英國格拉根大學研究發

現在英國嬰兒每天會笑

達三百次而青少年時期的

每天大笑次數大幅減至六

次五十多歲的人平均每天

更只笑了三次無可厚非

我們在成長過程中必遇到愈來愈多的煩惱

和挑戰事情的確不是我們所能控制但

面對的心態我們為何不能放開一時所謂

的包袱像孩子般笑著面對呢為甚麼大

笑要有一定的理由或被時間限制呢

瑜伽加愉

近半個世紀工作學業和情緒波動

很大生活方式變得愈來愈物質主義容

易出現精神緊張大家都被壓得透不過氣

來變得不太愛笑在一九九五年印

度孟買註冊家庭醫生麻丹卡塔利亞(Dr Madan Kataria)創立「大笑瑜伽」以笑聲驅除怨氣大笑瑜伽是以笑聲互相交流

的透過眼神接觸傳遞歡樂的信息學習

別人的笑容代入孩童的心態再全情投

入地開懷大笑同時亦融入瑜伽的腹式

不妨一試

大笑瑜珈三式一預備式林中步行

在樹林慢走就是愛笑瑜伽的熱身方式步行時間

可以是10-30分鐘邊走路邊拍手同時不時地做深呼

吸目的是讓身體和情緒都徹底放鬆下來為後面的

內容做好準備

二進行式學習動物的表情

在瑜伽導師的帶領下活動面部肌肉然後模仿瑜

珈導師的動物表情這些表情看上去本身已很滑稽

只要按照瑜伽師的樣子去做再發出笑聲

三結束式調整呼吸

經歷了一場大笑面部表情鬆弛了心情也舒服

了不少大家慢慢收回笑容調整呼吸一邊在森林

裡散步一邊大聲告訴自己說「我們是世界上最快樂的

人」

灼見

hkucaduceusnet | 31

呼吸和伸展動作鼓勵大笑達至身心健康

的效果精神科專科曾繁光醫生指出 

「笑令腦自然分泌天然多巴胺以抗衡人

體緊張時所分泌的皮質醇預防患上焦

慮抑鬱的情況」除了改善情緒還能

促進健康笑能促進肺部呼吸功能和加強

血液循環現代醫學認為笑可以成為一種

治病方式治療神經衰弱消除肌肉的緊

張預防或減緩疼痛

筆者在此並不是宣傳大笑瑜伽其治

療成效仍有待商榷和科學實證但愈來愈

多人證實大笑和保持歡樂的心態能有效放

鬆自己張立新先生是第一位在中國推廣 

「大笑瑜伽」的人他患上憂鬱症遍尋

各種治療方式皆無成效一次機緣巧合

從網路接觸「大笑瑜伽」亦在電視上看

到介紹而開始學習和練習他的憂鬱症因

此不藥而癒從此他就開始在中國研究和

推廣愛笑運動暫且別論大笑瑜伽的奏效

程度但人生所遇到的事可真不少何不

笑對人生

尋回被遺忘的赤子之心

大笑並不是靈丹妙藥但它的確能帶來

正能量即使事情有多糟糕笑著面對總

比怨聲載道好而且美國加州大學柏克

萊分校心理學教授丹卓凱納說「笑對

人的進化很重要」目前心理學家們認

為笑是人類之間交流的古老方式之一笑

能互相影響把歡樂的氣氛傳染開去嬰

兒還未學懂說話時笑是與身俱來為何

我們長大後卻隱藏笑容呢朋友們參考

左頁所列大笑瑜伽的基本招式大家可相

約三五知己輕鬆一番找回孩童時的笑聲

大笑瑜伽的始創人麻丹卡塔利亞醫生

大笑瑜伽在六十多國家盛行

ldquolaughter is the best MediciNe - uNless yoursquore diabetic theN iNsuliN coMes pretty high oN the listrdquo ndash jasper carrott

32 | Caduceus September 2011

Learning Experiencing GivingA magical 10-day journey away from the cityErin Yeoh (M15)

C lad in backpacks light clothing and sneakers 21 medical students from HKU and CUHK

were prepared to leave the comforts of home and the internet (did I hear Facebook) We were bound to Chi-na about to embark on a learning-cum-volunteering trip organized by Medical Outreachers

After saying our final goodbyes at the Shenzhen air-port we split into two teams Team A with 9 members were bound to Xirsquoan where they would see volunteer orthopedic surgeons at work The 12 people in Team B including me left for Guizhou to understand the role of village doctors in rural China Both teams aimed to find out the effectiveness of public health policies in rural areas of China We were to meet up 4 days later at Dongshan Guangdong

Part1GuizhouUpon landing in Guizhou we were provided with

excellent hospitality by the local officers and the lo-cal NGO Amity Foundation We were given a brief introduction to Guizhou and also the work that the government and Amity Foundation were doing in the province Amity Foundation actually helped to build numerous new village clinics to improve the quality of healthcare in the region

The next day we were taken on a tour around the province visiting different village clinics (村診所) lo-cated in areas further away from the city Usually there would be one or two village doctors (村醫) on duty

at a time to attend to the villagers with population of around 1000 to 4000 per village

However the village doctors were not the type of ldquoheroesrdquo I had in mind They were not your typical doctor working in a worn out run-down wooden hut where there would be a row of sick villagers lining up to see them How ignorant I was In fact the village clin-ics were mostly renovated and well equipped with ba-sic amenities The standard village clinic has 5 rooms main lobby (大廳) treatment room (治療室) pharma-cy (藥房) observation room (觀察室) and a doctorrsquos rest room (醫生休息室) Furthermore their patient flow was rather small sometimes only one or two pa-tients per day This was probably due to the fact that some village clinics were located only a stonersquos throw away from major cities Those in a medical emergency would of course go straight to the main hospital to seek help immediately instead of consulting a village doc-tor

To be a village doctor one at least had to be a sec-ondary school graduate They would also undergo constant training and certification by qualified doctors in larger clinics According to the village doctors they spent most of their time doing paperwork keeping track of the villagers and their medical history They would also conduct regular home visits to those suf-fering from chronic illnesses or those that needed con-stant monitoring such as patients with hypertension or rheumatoid arthritis Another point that I found

A village clinic before receiving funding from Amity Foundation

hellipand a comparison after

Life

hkucaduceusnet | 33

interesting was that they would also visit families with newborn babies to check on their general health At the same time they would educate mothers on proper breastfeeding techniques and how to provide adequate nutrition for their children in the future

To learn more about their daily routine we fol-lowed a village doctor on his home visit rounds The doctor would sometimes have to travel as far as 2 kil-ometers for a home visit which would be the other end of the village This was as in the case of a pregnant lady due for delivery soon (photo as shown below) The doctor who came to check on her health status reas-sured her that her delivery would be a successful one From her sigh of relief and tired smile we could tell that she was grateful to see the doctor

However things didnrsquot always run as smoothly According to some of the village doctors they used to be scolded and rejected by the locals who did not understand why the doctors would often come up to their doorsteps asking them questions regarding their health and pestering them to go for checkups Some of them being superstitious would think of doctors as ldquoharbingers of bad luckrdquo as the doctors would talk about ldquosicknessrdquo and ldquodiseaserdquo when they were actu-ally feeling as fit as a fiddle Thankfully the situation has much improved since then

From what we saw instead of playing a curative role in a society the village doctors were actually much more involved in disease prevention and monitoring

This is actually the ldquoupstream modelrdquo concept in pub-lic health Instead urban doctors are overwhelmed by limited consultation time and when fatigue kicks in they simply do not have the energy to further educate their patients They would also not have the time to un-derstand their patients on a personal level unlike that of the village doctors

However the indiscriminate use of antibiotics in China was truly a frightening sight Doctors adminis-tered antibiotics intravenously for mild diseases like the common cold When we asked the doctors as to why they did so they simply smiled and shrugged off the question It is probably still a common practice in China and if the doctors did not give such medication the patients would probably lose trust in the doctor The fact that the similar practices were seen even in large hospitals probably indicates that this problem is hardly a localized one

Part2DongshanGuangdongWe met up with the team from Xirsquoan at the

Guangzhou airport and proceeded to our next desti-nationmdashDongshan After 5 hours of car ride we began to see signs that we were approaching our destination Mountains sharply angled clustered in twos or threes fondly known as ldquoMcDonalds mountainsrdquo were begin-ning to be in sight

As soon as we arrived we were greeted by eager curious young faces The children huddled close by as we unloaded our luggage some commenting that they hadnrsquot seen some of us while others were already play-ing around with the past participants It was my first time to Dongshan but there were some of us who were not new to the kids there

After settling down we were given an introduction to Dongshan and its residents by the local NGO Green Action Foundation led by Mr Wong

Located at the outskirts of the province Dongshan is one of the 4 poorest areas in Guangdong Its natu-ral terrain abundant in limestone makes it especially hard to retain water This has taken a toll on the resi-dents especially during the drought season Another problem faced by the local residents is that there are many young people and adults migrating to big cities to earn a living leaving behind the children and elderly

Village doctor on one of his home visits

Discarded bottles of intravenous antibiotics near the village clinic

ldquoMediciNe also disregards NatioNal bouNdariesrdquo ndash irviNg laNgMuir

34 | Caduceus September 2011

at home

Green Action Foundation took the initiative to plant trees around the area so that more water was available for irrigation and domestic purposes This improved the quality of their crops and boosted their source of income They also sponsored some of the

childrenrsquos education depending on their performance in school to ease the burden on their families

The next few days were jam-packed with activities A sports day was held as an icebreaker so that the new participants could get to know the children better We also spent half a day at the Dongshan Primary School where we taught the kids personal hygiene simple first aid moral education and also sex education for the grade 5 and 6 students

Another interesting activity that we had was a weed-cutting session up at a mountain with the other children Each of us was assigned with 2 to 3 chil-dren who were supposed to ldquoguiderdquo us along the way It was a 2-hour hike up and down hilly ter-rain While I would stop once in a while to take a breather the kids were barely panting The kids would often stop to ask if I was tired and even of-fered to help me carry my backpack Note to self more exercise next semester

Nevertheless it was a great chance to know the kids better We had the time to chat about their school life and what they thought about their future and also the chance to share snip-pets of our lives in the city

We then split into small groups and visited the homes of the children in order to gain a bet-ter understanding of their household hygiene

condition any medical conditions in the family as well as their economic standing We had also prepared questionnaires to be kept as future record Some of the families were very poor to the extent of having no source of income at all They depended solely on their own crops for food If they went to see the doctor they would usually owe the doctor money until they had

enough money to pay back The hygiene status of the villagers varied but most of them had swarms of flies around food Many even had their live poultry like chickens running around the house Before we left we gave them some hygiene products like soap washing detergent and toothbrushes to encourage better hy-giene We also gave them a poster explaining ways of maintaining a clean household environment

Another main focus of the trip was to find out the effectiveness of a medical insurance policy newly in-troduced by the government Each person had to pay 30 Renminbi annually to be guaranteed free medica-

Sports day activity

Weed cutting with the children

hkucaduceusnet | 35

tion and hospitalization thereafter Generally the vil-lagers were grateful for this plan as many found it dif-ficult to afford medical fees while struggling to pay for

basic necessities at the same time However some vil-lagers complained that the prices of medicine spiked after this policy was introduced and hospitals would of-ten ask patients to

do unnecessary scans just to earn more money

This trip made me realize that there is much that we can do but how great an impact we can make might not be seen immediately With follow up trips one could see the change as compared to the last visit and make further modifications to improve the situation

As the trip came to an end we were reluctant to leave There was something very magical about Dong-shan where the skies would turn to an exuberant red during sunset and on a clear night you could see stars scattered across every corner of the sky It is a place of beauty struggle and hopefully a place of triumph in the years to come

It is a place of beauty struggle and hopefully a place of triumph in the years to come

On one of our home visits

More to ExploreMedical Outreachers 醫心httpmedicaloutreachersorg

The Amity Foundation 愛德基金會httpwwwamityfoundationorg The beautiful sunset in Dongshan

ldquoshariNg is soMetiMes More deMaNdiNg thaN giviNgrdquo ndash Mary catheriNe batesoN

36 | Caduceus September 2011

就 在這一刻世界沉默了

城市的繁囂隨飛機引擎

逐點逐點噴走了繁囂的離

開是為了讓簡單的生活回

來剛踏出廈門機場一張

又一張的笑臉映入眼簾刺

熱的太陽把兩地之間的隔膜

融化

早從香港回歸時開始

香港人經常強調自己只是 

「香港人」而不是「中國

人」自以為比內地人高一

等可惜這班自視過高的都

市人曾幾何時為外地人送上

熱情的款待這一點廈門

人比誰都做得更好

廈門是一個位於中國

東南部的海島也許就是近

海讓居於廈門的人都把一

切怨恨煩惱拋下大海讓

它們隨水流漂走埋藏在海

床上每年廈門的鳳凰花花

開兩季一朵又一朵鮮艷如

火的鳳凰花在六月時歡送一

個又一個的畢業生彷彿為

他們添上一份祝福九月時

的鳳凰花熱情地歡迎一屆又

一屆的新生為新生的精彩

校園生活揭開序幕一份一

份的熱情含苞待放身在廈

門又怎會不被這市花的熱情

感動呢廈門大至人與人

之間小至花與花之間都存

著一份情

要追溯廈門人的情懷

可數至土樓的建成土樓

是個大多呈方形或圓形大型

群居的建築整座土樓樓高

三至五層由於牆身頗厚及

只有一個出入口甚具有防

禦功能亦因為這緣故當

大門關起來土樓便成了一

個家這個家佔地不大但卻

藏著成千上萬的人情味在

萬里無雲陽光普照的天空

下土樓居民的熱情好客

被蒸發出來懸浮在空中

一代一代傳下去更讓它隨

風走出土樓傳遍整個廈

門即使土樓漸漸成為旅遊

景點一些擺賣紀念品的攤

檔已經進駐但卻無礙居民間

的感情商販彼此交流從

不出現爭客的情況在土樓

中央休憩的居民除了為外地

人介紹他們的祠堂外亦邀

請遊客跟隨他們到遊客禁區

參觀在土樓居住的每伙都

中門大開當遊客投進好奇

的目光屋內的人往往以親

切的笑容作回答鄉土人

情在這世代多冷漠的心也

被融化

細膩的人情味外最令

遊客津津樂道的是廈門人的

態度廈門大學附近有一條

芙蓉隧道只要你願意便可

在隧道內壁上畫下你所思所

想當然美觀與否見仁見

智但這一種對藝術尊重

欣賞的態度是值得欣賞我

有我盡情地畫你有你盡責

青春在廈門留下足印潘曉彤 (N14)

生活

hkucaduceusnet | 37

地去管轄城市各處的整潔

彼此留下空間達至相輔相

成的效果廈門人就懂得人

最基本的禮貌尊重不

過廈門人對他人的尊重遠超

於人的基本禮貌當你去唱

「卡拉OK」的時候每次

待應的出入時看到的就只

有他們的正面而他們前行

或後退的方式就像看到皇帝

一樣卑恭屈膝香港人常常

強調面子哪一天才能捨下

那過高的尊嚴為不相識的

人作一個最謙卑的招待

其實任何人一離開香

港都不難發現就只有香

港愈夜愈精彩其他地方晚

上八時大多關門大吉而廈

門就只有中山路才媲美得

上香港的夜夜笙歌夜幕低

垂萬千燈火的中山路上

與來自各區的人擦肩而過

昏黃的燈光下照出一群又一

群的沉默影子剛好與路上

喧鬧的行人相映成趣騎樓

在霓虹燈的點綴下顯出了獨

有的閩南特色大街小巷傳

來不同地道小食的香氣車

輪餅燒仙草土笋凍helliphellip

為我們外來的交流生帶來美

味可口的夜宵飲飽食醉過

後走到中山路的盡頭又

回到了沉睡中的廈門

在優美的環境影響下

廈門人的生活也自然變得

純樸優閒單車車輪在環

島路上留下一圈又一圈的印

記沿路能細聽海浪輕拍岸

邊的聲音細嗅四處洋溢的

花香感受微風吹散太陽散

發的熱力見證一對又一對

的新人在拍下幸福的照片

據說廈門有戀愛天堂之稱

不管走到哪一處也會

看到準新人拍下甜蜜的婚紗

照而在裡面享受的人永遠

不知道這風景如畫的背

後是透過多少人的血汗換

來當我們在追求經濟成果

的同時往往破壞了造物者

在世上留下的藝術品隨中

國經濟急速發展一個又一

個的世外桃園被摧毀銅臭

替代了花香車聲替代了鳥

語這仙境又可維持多久

廈門另一世外桃園就是

鼓浪嶼它活像香港的長

洲島上滿有歐陸建築風

格但當中不乏中國特色的

建築中國古城風味與洋風

互相交替帶出截然不同的

感覺島上遠離汽車的廢

氣與金門就只是一海之

隔一家大小在享受天倫之

樂時一群又一群的青少

年情侶在沙灘上嬉戲立

即為島上升溫

筆者認為在這個混亂的

俗世確實需要抽空來欣賞

造物者留下來的藝術品大

財團不斷興建大型商場國

際知名品牌不停進駐留下

的就只有愈來愈狹窄的街

道被石屎封蓋寸草不生

的土地人人被金錢蒙蔽

迷失在霓虹燈光中又有多

少知音人能放下生活的瑣碎

事情在這裡享受時間一分

一秒的流走你被海浪聲

喚醒了嗎

筆者參加這次是由香

港廈門兩地大學的交流

團一連六天已經習慣了

當地的優閒生活模式體會

到的不只是廈門的風土人

情歷史文化而是兩地大

學生那種衝破界限的交流

雖說年輕人容易打成一片

但廈門獨有的熱情確實融化

了彼此間的隔膜廈門的美

是成人之美成就了兩地大

學生的友誼

飛機又再起飛了廈門

再見了

ldquothe tiMe of life is short to speNd that shortNess basely it would be too loNgrdquo ndash williaM shake-speare

38 | Caduceus September 2011

生 命形成之際只要一秒鐘的差遲世界便會不一樣

蝴蝶效應從來都是玄的全因一個 

「緣」字

隨著人成長要決擇的事太多學生

有兩件人生大事幾乎都不是由自己決定的

入讀小學及中學然而到了大學這

關卡自己也許可以拿定主意了若果你

入讀了心水科恭喜你若不然祝福

誠然入大學是最影響未來生活的關

口是好是壞無人知曉不用量化不

用比較太多即管做自己所想活出自己

的路只因你不會曉得你的下一步會怎樣

影響著你的生命

或許一個活動你會遇上你的最愛

或許一個宿位你會遇上你的知己

或許一句說話你會惹來一個敵人

或許一次走堂你會由B變C

這就是大學

在大學各人有各人的大學生活大

學講求自由學習學習真的是「求學不是

求分數」有些人愛廣交朋友有些人愛

住宿有些人愛做莊務有些人愛拍拖

有些人愛參加各樣活動有些人愛做兼

職有些人愛讀書有些人卻愛甚麼都不

做helliphellip不少大學生強調入大學必定要做齊

大學五件事(上莊住宿讀書拍拖

兼職)但其實只要自己開心不害人的

話做甚麼也沒問題最要緊的是認清讀

大學的目的以免沉淪於大學這花海

朋友

大學可以令你對「朋友」的概念愈來

愈含糊幾乎每個活動都可令你認識新朋

友通常大家都會輪流講述自己的名字與

學科(Round Table)這亦是考驗大腦對人名的記憶所謂的「Hi-Bye Friend」會愈來愈多隨便在細小的港大內穿梭會令你

無可奈何地對他們說聲Hi

不過別標籤你的「Hi-Bye Friend」要是連Hi-Bye也談不上更不用說做深交了上大學了大家已有既定的圈子很

多時約會或聊天都先找中學朋友而且很

多人會把大學朋友與中學的作比較雖情

有可原但有時未免先入為主地覺得中學

的較好

這亦難怪即使是日日碰面的同學也

未必是自己的好友人人都有自己的時間

表下課後各散東西不是大家不想互相

認識只是有時身不由己若想互相了

解不妨盡量製造共處之時有時甚至可

以分一些約會給大學朋友然後你會發

現大學朋友也可跟你熟絡可別為自己

建造一塊厚厚的心牆

舍堂

要入宿無人會不曉得十日的迎新營

有些舍堂平均每天的作息時間只有兩三小

時有人說住宿最辛苦就是迎新營然而

它卻是最難忘的

要數活動單單一個舍堂已數之不盡

要是投入舍堂生活每天24小時是不夠

用的舍堂之間有各樣比賽堂友要參加

各個組別為比賽出席各樣練習否則可

能被拒於來年再住基於許多人都只在夜

晚有空要全體出席那可是晚九朝五的

大學之緣賴彥積 (N14)

新鮮人

hkucaduceusnet | 39

宿生們之所以會熱衷於舍堂活動因他

們對自身舍堂有強烈的歸屬感好比中學

時學生參加校際比賽要是沒有歸屬感

就不會有心參加所屬舍堂的活動

除舍堂之間之活動樓層之間亦有各類

活動樓內亦然只要有人的地方就有玩

樂彷如天天宿營你不會有機會偷偷早

睡其他樓友常常打擾你你原來的生活

時間會推後數小時睡於二時已是罕有

早上的八半堂彷如無物

可以住宿但不參加活動嗎當然可以

但你會面對的是朋輩壓力他們雖未必逼

你參加卻會在言談中有意無意的滲出

來那種壓力不只限於自己樓層甚至是

跨樓層千萬可別輕看宿中流言

上莊

有人說上莊所學遠超課堂上莊所學

的是如何籌辦活動非常實用有時要對

外聯絡有時要面對公眾helliphellip像是要為將

來工作鋪路似的當然這亦要視乎你上

的是甚麼莊

一般而言上莊可訓練你待人處事的技

巧有時表面看來很友好的朋友當背

負上一定的要求後關係少不免有磨擦再

者初時莊員素未謀面最後卻因朝夕相

對而演變成朋友這段關係是很可貴的

成莊前要宣傳內閣爭取選票成莊了

又要舉行咨詢大會包受歷莊指導然後

又有就職典禮此後的活動更接踵而至

當然包括迎新活動招莊活動等helliphellip君不

見很多人視莊房為睡房少不免有「通

頂」之時忙是忙但必有價值至於是

好是壞要看自己的造化了

拍拖

人上了大學有時心思思想拍拖眼見

身旁多個好友都紛紛拍拖自己少不免羨

慕別人這想法十分正常畢竟大學生真

的可以放下只讀書的重擔真的可以規劃

人生大事了

香港大學一些營新活動中隨了Round Table外還有Round Status即說自己現在有否拍拖以及拍過多少次拖如 

A 0即Ava i lab l e之前至現在沒有拍拖O1即Occupied之前至現在共拍了一次拖當然也有一些同學自己創的甚

麼OBA (Occupied But Available)或D10(Desperate拍過10次拖)等等至於Round Status的動機何在可能是組爸媽想穿針引線吧當然也可能是別有用心的

不同人對拍拖有不同想法上了大學更

有不同擇偶條件人大了在感性的議題

上往往加上種種理性的數據開始現實起

來哪個帥哪個富有哪個有前途helliphellip

有些不在乎天長地久只求剎那的光輝

有些求虛榮有人疼愛在朋友前炫耀

有些甚至會在拍拖前已想定分手後的模

樣所以不想選擇跟自己同科的同學

活動

不同團體(包括舍堂學會及學校部

門)都有不同活動不用愁沒事幹只用

愁沒時間只要多留意Portal Mass Email或Main Campus海報不難發現幾乎每天都有各樣活動動靜皆宜開學時有迎

新營考試時有勁過飯新學期有開Sem

飯有些學會如戲劇舞蹈合唱團不時

有演出有關運動的學會則多練習以參

加比賽有關學術的也有很多興趣班講

座比賽等想幫人的亦可參加義工團

體如蛇蛇豬扶青等舉辦的義工活動

兼職

大學生的兼職大多以補習為主畢竟

這是我們能力範圍內可賺取最多外快又是

時間最彈性的工作有些人卻因補習不能

寫在履歷表而選擇別的工作然而很多時

我們都要在兼職與大學活動中取捨我的

ldquotake a chaNce all life is a chaNce the MaN who goes farthest is geNerally the oNe who is williNg to do aNd darerdquo ndash dale carNegie

40 | Caduceus September 2011

E mily was the chairperson of Pharmacy Socie-ty session 2010 As a student she has actively

participated in holding activities for many medical stu-dents and taken part in providing welfare to all phar-macy students Her following sharing will especially enlighten our new pharmacy students

Q Why did you choose Pharmacy SocietyA To be frank ldquosheung jongrdquo was really out of

my expectation when I anticipated my university life However my perspective has changed when I officially became a pharmacy student in HKU As members of the opening class of the Pharmacy programme my classmates and I realised the importance of having our own student body We do need an independent soci-ety to represent us pharmacy students to cater for our specific needs to listen to our points of view and to act as a bridge to facilitate our communication with the Medical Faculty the entire university and ultimately the pharmaceutical field in Hong Kong My class-mates and I who later became ldquojong yausrdquo believed we should act immediately to establish and run our own society which is why I decided to ldquosheung jongrdquo

Q Would you like to share some of the pros and cons of sheung jong

A ldquoSheung jongrdquo definitely helped me achieve per-sonal growth It was a concurrent commitment and re-sponsibility to serve and to lead our colleagues Bear-ing this in mind we always pushed ourselves to attain the best of our work ethics efficiency and efficacy As the very first session of the Society we lacked the guidance of any previous committee member Instead analysing carefully and critically we thought better of every decision which I personally found an enriching experience ldquoSheung jongrdquo was also an eye-opening journey Wersquod got to meet different people and learnt more about the professional work for as our career-to-be after graduation This in my opinion is always beneficial Last but not least I was fortunate enough to have worked with my amazing fellow committee mem-bers I frankly couldnrsquot ask for better ldquojong yausrdquo than initium Irsquom absolutely thankful for having them as my friends and it is definitely my greatest gain along the way

Despite the merits ldquosheung jongrdquo definitely has its downsides as well It is a lie to say ldquosheung jongrdquo does not affect our daily life because it does take up a big chunk of our time At the end of the day it is about time management which is easy to say but extremely dif-

建議是如家庭環境較困難賺錢吧反

之可以多留時間給各活動畢竟大學一

年的學費不只值那幾十堂課如何善用這

$42100就在乎你如何投入大學生活

讀書

假若你認為大學的考試可考核學生的

真正讀書能力並要求學生活學活用課堂

所學那麼你大失所望了假若你善於背

誦有過目不忘之本領大學的筆試不會

難倒你只要靠著前人留下的歷屆試題

背到滾瓜爛熟是不可能不及格的很多屆

試卷都是千篇一律的很多教授可沒空大

改試題那同學們就走運了有些課堂

即使再專業的學科都會有只理論無實

踐的課堂然後考試就要你把一大堆理論

背出來helliphellip例如甚麼叫批判思維噢

我可不知道只知道我掉了5分

不同學系在某程度上定下了人的前途

對於醫學院學生而言前路是較清晰可見

的但對於非專業學科前路不可只靠讀

書也許要靠自己另外摸索讀書所帶來

的必然是較高的GPA高GPA所帶來的是

獎學金到外國交流工作實習日後工

作機會等等當然大學學習不只局限於

讀書會否因此失彼就只有自己知道

蝶翼拍動之時往難以預料機會是

要自己摸索的

如經上所記

「神為愛他的人所預備的是眼睛未曾看見耳

朵未曾聽見人心也未曾想到的」

(哥林多前書29)

「栽種的和澆灌的都是一樣但將來各人要照自

己的工夫得自己的賞賜」

(哥林多前書38)

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

Freshmen

hkucaduceusnet | 41

ficult to achieve Also working as a Committee mem-ber can be very exhausting and difficult You definitely need lots of determination and support to get through some of the busiest times

Q How did you handle and balance the workload of study and your ldquojongrdquo

A As Irsquove said before it was tremendously difficult I guess my best advice for the future committee is to know your limitations and always plan ahead You have to know your time to work to rest to study etc No one will be over-worked and eve-ryone will have some personal time if you share the burden wisely between ldquojong yausrdquo Secondly you have to make very clear plans so that you can make full use of every little piece of your time I may not have succeeded in my time management but most of my ldquojong yausrdquo managed to do so de-spite the packed schedule of our Soci-ety This is sufficient proof of ldquoimpos-sible is nothingrdquo

Q As there are only about 25 pharmacy students per class do you have any suggestions for P14 fresh-men to make more friends from other curricula

A It really depends on what kind of person you are If you consider your-self socially active living in a hall or ldquosheung jongrdquo will be a great idea for you But if you see yourself as a much quieter person you can still make use of opportunities such as Medic Orien-tation Camp and other events jointly organised by student bodies within the Medical Faculty to make new friends

Q Any special things for P14 freshmen to be aware of

A First of all welcome You all are now members of Pharmacy Society MS HKUSU and I would like to let you know that this is a student body aiming to serve you Thus feel free to share your viewpoints and voice out your opinions to the current Com-mittee members The Society has to

understand your needs to improve and provide better welfare and services for you

Q Any other comments or important things to re-mind P14 freshmen

A If you would like to get to know more fellow pharmacy students especially students from P12 and P13 grab the opportunity to join the Pharmacy Society Orientation Camp and the Mentorship Programme These are great chances to make new friends and Irsquom sure you will enjoy them

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

ldquoas huMaN beiNgs we do chaNge grow adapt perhaps eveN learN aNd becoMe wiserrdquo ndash weNdy carlos

42 | Caduceus September 2011

筆 者是一位護理系的學生半年前有幸成為二零一一年啟思編輯委員會的總編輯在期間所體驗到的希望藉著這次機會作出分享特別希望新加入醫學院的同學

能對「上莊」有更多了解

上莊之路上莊是大學五件事之一證明它對大學生

活有一定的重要性一定的位置筆者在初入學的時候曾為了上莊與否而煩惱猶豫了好一段時間期間考慮到自己能力怕學業應負不來但最後仍然下了上莊這個決定原因是上莊是個難得的機會充實增值自己不同的莊會提供不同的機會讓莊友去學習透過不同的莊務去讓自己眼界擴大另外可以了解醫學院內發生既事情例如院內活動的進展情況更可以參加舉辦院活動為醫學院出一分力最後當然會認識到將會相處一整年的莊友工作伙伴有機會認識到不同學系的同學從他們身上可以觀察到學習到各種的特質從而令自己有所進步有所啟發

護理學生作為護理系學生起初擔任總編輯一職實

在是倍感壓力畢竟歷屆的總編輯都是由醫科生出任因此筆者起初都害怕跟醫科生共事怕自己的能力不足夠應付莊務所以起初都是戰戰兢兢地上莊

一位三年的護理學生曾對我說「我認為你不太尊重護理系護理系和醫科都是個專業希望你能加以尊重自己的學系不要輕視護理這個學系你要肯定自己的學系才能帶領整支莊因為莊內成員來自不同的學系你必須肯定和認同每個學系都有一定的重要性以及其專業」這番當頭棒喝的良言令我明白到自己一直都太輕視護理系過於重視醫科現在我明白到認同自己學系是尤其重要只有這樣才可以用自己學系的身份去發表意見只有認同自己學系才懂得尊重其他的學系莊內便可以融洽一點

在筆者的莊友中醫科生都是較有責任感而且做事更有計劃從他們身上的確學到不少東西這點是無可否認的事實筆者並不是在分享學系與學系之間的差別而是希望有志上莊的同學能互相尊重明白到各學系的莊

友都有其值得學習的地方起初對其他學系有隔膜是無可避免的畢竟對他們的學系都不太了解又沒有歸屬感但如果因為對方是別的學系而輕視對方的人不但失去與人相處學習的機會而且會令莊內的氣氛失去和諧

幸好的就我所見所聞醫學院內的莊多年來都能融洽相處互相支持令到一眾上莊的同學都能輕鬆地享受上莊的喜與樂甚至是不愉快的事情

依靠你的莊友莊是一個團體不是一兩個人可以應

付得來所以筆者認為與莊友互相溝通合作是個重要的元素新同學如果有志參與莊務期望從上莊中有所得著首要的事情是與莊友建立關係因為他們將會是你來年的工作伙伴也是你遇到困難時依靠的對象一位上莊曾對我說「其實一件的莊期不會令你有太大的得著或成長反而長久的友誼才是你將會得到最重要的」這句說話是千真萬確的上莊的人不會由詞不達意改變成談吐得宜不要期望自己會有驚人的轉變也許上莊會令人處事成熟一點有計劃一點但上莊所得到的關係將會是更重要更珍貴一年的相處中面對過有無數的會議共同處理過不少困難從中

建立的友誼真的是畢生受用

責任感上莊另外一個十分重要既條件就是責任

感有志上莊的同學必須明白到莊期是長達一整年在繁重的學業中騰出時間來處理莊務是個考驗責任感和毅力的測試同學必須再三思考想清楚自己是否真係熱衷於上莊或是只是一時衝動畢竟你將要許下的是一年的承諾必須對這個莊負上責任願意付出才選擇上莊這個決定這樣的付出就會有相對的回

總結上莊的確是個好機會讓自己去學習從處

理事務中或是從莊友身上都會有所得著充實著自己的大學生活從中可以認識到各學系的同學建立一段段受用終身的友誼在此筆者希望各學系的新同學可以善用機會作出上莊這個無悔的決定

護理系的啟思總編石志榮 (N14)

新鮮人

hkucaduceusnet | 43

慈兄吟(下)奇晶

最 後還是麥教授先開了口「他的確是一個好學生對醫學有獨到見解他不但學業成績優異而且樂於助人你是他的妹妹吧」婉慧努力控制自己的淚水繼繼續續的說「是啊但helliphellip但helliphellip我不知道helliphellip他竟會在這裏出現」麥教授用悲天憫人的目光看着婉慧語重深長說「人生自古誰無死人生命的有為與否並不取決於他生命的長短而是在於人生的意義你哥哥雖然最後當不了醫生但他的犧牲卻間接為一些同學做醫生鋪路讓他們做醫生去救人這真是一種無私的愛」婉慧點點頭覺得自己對哥哥的了解實在太少了

最後她還是孤獨的離開實驗室她覺得自己跟哥哥比起來實在相差得太遠了原來他除了是十優狀元在醫學院的成績名列前茅外還是個熱心助人的好青年自己除了少了一優外少的更有對別人的同情及樂於助人這造就了她心靈上的空虛她明白到冷漠不是一種對哥哥思念的正當表達方法她應該做的是把哥哥對其他人的愛傳揚開去以圓他的心願

第一步往往是最困難的婉慧平日對他人的態度已令不少人對她敬而遠之有很多次她嘗試向同班同學投以友善的笑容得到的總是詫異的目光或別人的不理不睬在小組討論中儘管她踴躍發言盡量避免冷場的發生偶同學們卻認為她變本加厲想阻止同學們取得好成績她四處碰壁又再次陷入了想念哥哥的深淵

時間一天一天過去了上學期考試前的休假開始了婉慧每天都勤奮的在圖書館溫習期望取得好成績這時候的圖書館堆滿了人如果遲來一個小時想找一個位子也難就在假期的第二天同班的王文在圖書館跑得氣急敗壞仍找不到一個座位婉慧不知怎樣有點同情他將座位讓給他王文驚訝道「不用了我還是回家吧真倒楣遲來了一個小時就沒有『接位』」

「但你住在哪裏呀」

「元朗今天早上我忘了校鬧鐘八時才起」

「那你還是要我的座位吧我可以坐到電腦桌因為我認識的人不少沒有什麼人會打擾我的」

王文謝了她頓時對這位冷漠的同學刮目相看原來她的內心也是溫暖的這並不是他所能料及的坐在電腦桌前溫習的她也感到特別的快樂溫習的速度也快多了王文就此成為了她的「飯檔」考試期間每天和她一起吃飯他更將自己的好友介紹給婉慧認識

在一個晚上她又悄悄的在圖書館的角落溫習着突然一隻溫暖的手搭着她的肩上她抬起頭但見解剖學的同桌手中拿着一杯熱飲輕輕的放在她的桌上婉慧正感詫異卻聽見他說「這杯熱巧克力是給你的繼續努力吧」她喝着巧克力心中感到一股暖流彷彿哥哥的關懷又在她內作出回響

十年生死兩茫茫不思量自難忘千里孤墳無處話淒涼helliphellip

寒風吹起了她額上的劉海佇立在墓前的婉慧不禁凜冽她想起了從前想到自己最後一次和哥哥吵架雙方面紅耳赤的情況想起自己無法親口跟哥哥道歉想起哥哥無私的付出她對着那空虛的墳心中不忍一陣淒然淚水漱漱的流下來她身旁攜扶着年紀老邁的母親邊拭淚邊喃喃道「我的兒子helliphellip歿了helliphellip」大家心情漸漸平復了緩緩走出了墳地

雨一滴一滴的落下飽歷辛酸的婉慧卻仍在懸壼濟世

短篇

ldquoyesterday is but todayrsquos MeMory aNd toMorrow is todayrsquos dreaMrdquo ndash khalil gibraN

44 | Caduceus September 2011

Eternal Flame (1)Tulipa

Itrsquos cold The chills from my fingertips imbibe deep into me This person drills into my mind digging out the truth inside me Itrsquos agonizing She comes right inhellip di-rectly I cannot stop her

Irsquom losing myselfhellip

My hand felt the soggy pillow I realised I had come back to life the world where I lived Staring blankly at the ceiling still losing focus in my eyes I felt my brows with my forearm For the first time I didnrsquot want to lose this feeling

The bedroom door slowly opened I quickly rubbed off the drops that had blurred my vision pretending that I had just woken up

ldquoDo you have lessons this morningrdquo My grand-mother whispered into my ear

ldquoOh goshrdquo I turned right to my alarm clock It was the real life I had forgotten to turn the alarm on last night and it was now seven thirty I knew it I was going to be late every time she caught me in bed Irsquod got to hurry up

Living in Hong Kong Island though it took me more than an hour to get to school I had to comfort my little brother sometimes till two or three in the morning in order to get him to sleep In addition to the consistently heavy study load in the medical school I could hardly get enough rest Running on my heels al-most became my routine starting from last November But I well understood the consequence of skipping lec-tures It was the beginning of the Cardiovascular Sys-tem Block For someone like me who gave least priority in revising Anatomy materials lectures remained the prime source of information for exams Absence from class was suicidal To make the situation worse this professor was one of those who did NOT upload lec-ture notes online

Hoping I wouldnrsquot arrive too late to miss the impor-tant points I finally stepped onto a route no 8 minibus at ten past eight What I could do now was to pay trust in the driver who would bring me to my destination

Coaxing kids was never easy Little Bruce just hap-pened to give me such a hassle last night

He knew I would check on him when I returned home Sitting right next to the door of his room he begged me for a story once I opened the door I sat down together with him on his little couch after Irsquod taken a quick shower This was a time to relax leaving

aside all the other concerns

Kindling through his favourite reader I saw that he wasnrsquot listening but distracted by all sorts of toys around He even invited me into his world of fantasy But it was getting late I had to calm him down so that I too could have some rest Being one of the brightest in his elementary school he should understand this was not the time for recreation

I began to feel annoyed

Yet he was my brother I had a gut feeling that this was unusual He didnrsquot use to be so ldquohyperactiverdquo It re-ally took me a while to adjust to his change With him still tossing and turning in my arms I apprehended his restlessness Unpredictable though he was true to his feelings In one way or another he might find the shadow of our mother in me

He finally settled when I laid him back in bed It was nearly two forty in the morning

The first week of the CVS Block ran as plotted PBL tutorials would start on next Monday Dr Youngrsquos fa-cial expression in the first PBL evaluation flashed over my Embryology notes and references She didnrsquot teach Embryology but I could tell she did have a hypertroph-ic heart-shaped face which looked familiar to the dia-grams in the Atlas

Back in the IHD Block most of us were puzzled about the scrambled content of our course Various forms of seemingly related knowledge came in through lectures practical and tutorial sessions But the neural circuit formed in our brain just failed to resonate as if the conductance-inductance mismatch had aberrated our thought from minimal impedance Sometimes things even happened in a ldquomore-than-extrardquo manner The presence of common core courses in a parallel but independent branch in the network could rightly be detached without causing a blip on the galvanometer Everything was dubious We had no idea of what we were doing

Maybe we were just on the way seeking for a sense of attachment

My mind too was racing in haste I was struggling with my decision to become a doctor Too many things had happened over the year I just couldnrsquot stop ques-tioning myself what was I thinking when I put lsquo6456 MBBSrsquo in my JUPAS application I should have expect-ed and prepared to face all these I just didnrsquot knowhellip

Novella

hkucaduceusnet | 45

It was midterm evaluation in the IHD Block Her face looked tense in that heart shape She was so stiff in her facial expression that no one could read her mind from her poker face The conference room of the Physi-ology Department was large We seemed to be the odd ones out in the spacious carpeted room In this secre-tive silence you could hear the drumming in your ears as if you were tingling

I realised this was not a matter of ldquoam-I-suitable-for-a-medical-careerrdquo but ldquois-a-medical-career-suita-ble-for-merdquo I was lying in bed playing with my plush bear when these thoughts burst in me Dr Young looked through me She felt certain that different from other group mates there were crises behind me But I didnrsquot tell her anything that day

We all were sensitive At times some subtle trepi-dation seeped in gradually sucking peace away from my sleep It was so to say below threshold sub-lethal though it lingered for weeks once it set inhellip

Drenched in bloodhellip There is no life in the boy His eyes are widely opened slightly protruded The lifeless pair of black pearlshellip I cannot escape from his glance He wants to talk to mehellip There is something he wants me to know

A van runs over himhellip

I fell down the edge of my mattress Breathing heavilyhellip Sweating all overhellip

ldquoScreechrdquo People began to gather around a tel-ephone booth a few metres behind us

I turned back I couldnrsquot see a lot from this anglehellip

ldquohellip What a pity He is so younghelliprdquo a middle-aged couple passed by

The victim resting just in front of the wheel looked towards me through a break in the crowdhellip

As we were wandering around thinking what to eat for dinner my cousin found me standing there rooted to the ground stunned by the victimrsquos gaze My heart was pounding She wouldnrsquot believe what I was again experiencing For a number of times already scenarios in my dreams were mirrored into reality

I couldnrsquot tell her

ldquoI was just thinking whether you would like Korean cuisine There is a new restaurant two corners awayrdquo I made up a talk while escaping from the scene so that I wouldnrsquot look so strange

ldquoWhy not go and have a try thenrdquo She was not dis-appointed for calling it a day as the food there was sur-prisingly good

Not until some years ago when I was Form 3 in college I discovered my ability to look into the future Sometimes I could see them coming up on the news in days or weeks And some didnrsquot ever happen at least not around me But seeing the night visions coming into concrete existence wasnrsquot always a pleasure when the mental images turned gradually into mostly night-mares When I visualised my close ones it felt like I was in the middle of an insecure chain bridge above a torrent that would sweep me into the vast ocean with no return It was entirely different from what you might understand as ldquodreams come truerdquo

I had witnessed misfortunes in proximityhellip

But I could do nothing about ithellip

Friends were a source of solace someone to con-fide all frustrations in But with my paranormal ability which appeared to everybody else only on screen-plays I wasnrsquot courageous enough to open my life wholeheartedly to them Seldom talking about myself avoiding all sorts of gatherings I became an eccentric figure among my classmates

Sometimes mutual understanding carried more weight than words I remembered my physics teacher being one of my few friends during my teen years De-spite his boisterous faccedilade he was always sensitive to whenever I was dwelling on my burdens Physics was our common language Intermingling our emotions and feelings with concepts that were alien to my fel-lows we developed a close rapport impenetrable by anyone else

ldquoWhat is the nature of a flamerdquo This was the most discussed problem between us Neither in solid liquid nor vapour state Not having any definite shape and colour It seems not any material but a type of energy giving out heat and light At the moment of providing it also exhausts its fuel and eventually itselfhellip

The romance of physics is more than anything you could read write and talk about Once you were truly connected with it nothing can stop you Your mind will bounce irrespective of the chronology of space-time but only under the guidance of your thoughts

I was so devoted to the discipline at the time that I was almost making it my lifelong career in some way He envisaged that I would demand much more than any academia could provide with its scientific basis alone We were both seeking a philosophy beyond the facts But Hong Kong may not be the right place for it

I made him a promise at the end to contain our flame and I knew I would

For the first and the last time I saw his eyes filled with tears We knew existence by itself is a miracle

ldquoi love life because what More is thererdquo ndash aNthoNy hopkiNs

46 | Caduceus September 2011

說華佗都說「華佗再世」誰知箇中真諦雲方 (M15)

烽煙起戰火燃萬里 

三國並爭英雄地亂世有誰顧生死 

待神醫行世將民眾救濟

渺渺江山東西瞰俞跗巧手扁鵲心(1) 應向何處尋 

滾滾黃沙無世家終有奇士放奇葩

沛國 華元化(2) 

他經書貫通南北遊動 

一望斷症如神助三劑消病不必多

說斷症悉如所料 

甘陵 相夫人腹痛極難忍(3) 號脈知死嬰在左為男形(4)廣陵 梅軍吏除名歸故里

見貌知壽盡速返見萱椿(5) 

說消病藥到病除 

飲蒜醋有三升蟲一嘔而盡清 (6)母服丸而溫儲兒不藥而自癒 (7)

絕妙處 

是他開腸剖腹刀至辟毒 

神醫號 

除他內外皆精有誰配稱

[1]   俞跗黃帝時代之名醫扁鵲春秋戰國之名醫《淮南子人間訓》「患至而多後憂之helliphellip雖有扁鵲俞跗之巧猶不能生也」

[2]   華佗字元化沛國人(今安徽 亳州)

[3]   甘陵相(即甘陵之行政長官)夫人懷胎六月腹痛不安華佗為其切脈便知胎死於是命人摸知所在在左則男在右則女人云「在左」夫人飲藥後果然產出男胎腹痛立即痊癒

[4]   廣陵有軍吏名曰梅平離鄉服役後來退役歸家於路上巧遇華佗華佗視之嘆道「若能早些見我當不至於此而今你僅餘五日壽命速速回家還能與家人相見」平旋即趕抵故鄉五日後亦如料身亡

[5]   萱椿多作椿萱比喻父母漢牟融《送徐浩》詩「知君此去情偏切堂上椿萱雪滿頭」

[6]   華佗見路邊有人食不下嚥教他到路邊餅店買醋三升混上蒜泥然後飲用路人服後即吐出一條長蛇(即寄生蟲)

[7]   兩歲男孩長年腹瀉藥石無靈華佗往診謂病在母命其服用華佗親研之「四物女宛丸」服後母親乳汁不再寒涼男孩亦不藥而癒

意興

hkucaduceusnet | 47

只可惜人無完壁

「關將軍使君予我手刮骨惡毒走

曹丞相使君予我頭剖顱苦痛收」

「怎能不收怎能不收一命嗚呼萬事休 

簡直荒謬簡直荒謬殺此庸醫未須愁」(8) 

五禽戲尚能傳 (9)麻沸散從此絕 

何不一飲醉死不知世忍氣吞聲事權貴 (10)心神委曲須臾苦奇術失迭千秋計 

烽煙止無改生死事 

且當醫仙謫世間神技終須風裏散 (11)回首仰高山景行請君範 (12)

[8]     曹操欲殺華佗臣下勸之不可答曰「不憂天下當無此鼠輩耶」

[9]     死前華佗欲托所著醫書於獄卒不果便盡數焚毀唯有其養生體操「五禽戲」流傳後世

[10]   《三國志魏書方技傳》「當須刳割者便飲其麻沸散須臾便如醉死無所知」

[11]   唐白居易《簡簡吟》「恐是天仙謫人世只合人間十三歲」

[12]   景行(音航)即大道以高山景行比喻人品德行為之高尚典出《詩經小雅車轄》又東漢鄭玄曰「古人有高德者則慕仰之有明行者則而行之」

ldquothe art of MediciNe was to be properly learNer oNly forM its practice aNd its exerciserdquo - thoMas sydeNhaM

48 | Caduceus September 2011

啟程

清晨空白的天空看不見藍天雲彩

只有溫柔的雨絲和朦朦朧朧的霧水跟隨

著大隊的足印踏上沉重的腳步穿過橫

街小巷和煩囂熱鬧的市場走過自動門

撲鼻的消毒藥水味道讓大家屏住呼吸筆

者和夥伴們終於到達了入讀護理系以來第

一次實習的醫院

還記得在實習的前幾天心情是既忐忑

又期待的畢竟這一次實習的地方不再是

在社區中心宣傳健康方面的知識亦不是

只面對著健康活潑的小朋友和老友記或是

學校課堂上所提供的假人張靜汶卻是照

顧一羣真正需要關懷的病人心中充滿著

憂慮不知自己所學的知識足夠在應用上

嗎自己平日的練習足夠嗎雖然心存在

著不少疑惑但也十分期待可以體會一下

做小學護的感受嘗試把這一年裡所學到

的知識運用出來

很多的第一次

在病房裡總有心酸和膽戰心驚的時

候第一次為昏迷的病人清潔口腔第一

次為難以進食的人插入胃喉第一次為老

公公清洗背上壓瘡的傷口helliphellip照顧他們時

的心情都是一步一驚心生怕自己沒法應

付得來又怕會把事情弄得更糟糕最重

要的是恐怕自己不純熟的技巧令他們受苦

了記得有一回第一次為女病人插入尿

喉採取尿液樣本可能技巧不太純熟的關

係延長了病人的痛苦過程中她皺著

眉頭不斷呻吟又緊張得咬破脣眼看

她樣子心中真的不是味兒來身為病人

的其中之一依靠我們不得不給自己信

心如果連自己也不相信自己哪會有病

人願意把他們交給我們照料呢

捕捉那瞬間的美麗與淒然何麗敏 (N14)

上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

意興

hkucaduceusnet | 49

另外第一次面對病人的心情是頗為

緊張的說話技巧亦有改進的空間但和

病人傾談了數分鐘後氣氛也漸漸變得和

諧可能那些老公公整天呆在醫院裡真是

悶到慌看見一羣年青人與自己聊天照

顧和關心他們他們不禁咧嘴而笑醫院

職員透露有一位老公公平日不太願意吃東

西於是我們便主動和他談天說地又

悉心照料他進食的情況後來他不但胃

口好了不少就連心情也開朗了他生動

活潑的談吐讓我們笑了他回復健康精

神的體魄也讓我們感到安慰

相處片刻

雖然為期一星期的病房日子不是特別繁

忙或是辛勞但是也會有不習慣的時候

幸好得到醫院職員和一班夥伴的支持病

房經理和註冊護士不但相信我們的能力

對學護的包容更是不用多說還主動地介

紹病房的環境和細心地教導我們醫療護理

上的知識讓我們上了一堂實在而又寶貴

的課同時今次的實習也令我感到團體

精神也十分重要在技巧上大家互相提

點互補不足當有人準備照料有需要的

病人如插喉或洗傷口等大家送上一句 

「加油」就能令對方增加不少自信心和正

能量無論遇上甚麼事情我也榮幸有如

此一班學習夥伴從旁支持

學習的階級

在這一次病房實習中雖然醫療和藥物

知識方面有待加強但是我學懂了如何與

不同身份的病人相處之道溝通上也得到

了很大的進步獲益不少除此之外我

也真正體會到如何做一個好護士並清楚

了解這個行業是否適合自己鐘樓也不是

一天就能建成而是需要一磚一瓦搭建而

成的所以在學習上我們不但要打好

穩固的基礎還要增強醫療知識在技巧

上馬虎了事和走捷徑是於是無補的應

該多探究和練習才行這樣才對得起病人

和自己也減少不必要的醫療失當事故

總之多一份認真多一點耐性多一些

愛心就是學護必記的左右銘 上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

ldquoit is reasoNable to expect the doctor to recogNise that scieNce May Not have all the aNswers to probleMs of health aNd healiNgrdquo ndash NorMaN cousiNs

50 | Caduceus September 2011

Fun Corner

Medical AppsEver wondered how your handheld device can save your time and

effort when it comes to studying Here is how

Anatomy Pronunciations by HipposoftAccurate pronunciations of over a hundred important anatomy terms you have trouble with are provided

at your fingertips to help you spell those difficult words Anyone who has taken an anatomy course can tell you how challenging it can be to pro-nounce the names of those complicated anatomi-cal terms It is even linked directly to Wikipedia and Google through web browser for additional information

iPharmacy ndash Pill Identifier and Medication Guide by SigmaPhone LLCAn essential medication guide of 20000+ drugs is provided for con-sumers amp professionals This ex-

pands the image library to include 12000 pill and package images and includes digital drug identifier with official drug information (indica-tions dosage adverse reactions and more) You can check the drugs anywhere

Grades 2 by TapityIt tells you what grades you need in the coming tests in order to get your target grade You can easily calcu-late your GPA so as to maintain it It

is a useful tool helping you to keep an eye on your GPA all the time

Human Anatomy by SusaSoftXThe application provides you with information of 15 different biologi-cal systems You can keep on revis-ing while you are traveling without

carrying heavy books

Medscape by WebMD LLCFrom drug classes interaction clin-ical procedures and even the lat-est medical news Medscape helps medical students and healthcare

professionals to reiterate knowledge that has slipped from the mind It is a free application for iPhone iPad Android and Blackberry Yet it contains more function on Android phones and Apple products and lacks detailed clinical infor-mation for diseases and clinical procedures walk through on Blackberry

Pro Medical Terminology Dic-tionary by TreascoveryTerminology might be a tough work for medical students Even if we can master those English terms we can

hardly think of the Chinese terms This applica-tion can help you when you face this problem Note that it is not a free application

3M Littmann SoundBuilder by 3M CompanyA great tool designed to help im-prove auscultation skills of medical students with 14 unique lessons of

key heart sounds combing text virtual manne-quin 3D cardiac animation and dynamic wave-forms

iRadiology by Liebermans iRadi-ologyAn excellent learning tool for medi-cal students demonstrating classic radiological findings of a multitude

of abnormalities including over 500 radiologic images Radiologic images include CT US MRI and nuclear imaging each clearly labeled and followed by key teaching points

Micromedex Drug Information by Thomson Reuters (Healthcare) IncIs Cephalexin a first generation ce-phalosporin This application from

Thomson Reuters is the easiest way to navigate in the sea of drug names Drugs are sorted by classes and supplemented with rich information

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 24: Caduceus Issue 2, Volume 42

24 | Caduceus September 2011

gan dissecting cadavers in a mon-astery in Florence where he honed his technical skills and knowledge of the human body

According to neuroscientists Michelangelo disguised sketches of the human brain in his famous Sistine Chapel ceiling painting which has remained unnoticed for 500 years His fresco The Creation of Adam shares a striking similar-ity with the sagittal section of the brain The fold in the cape repre-sents the Sylvian fissure separating the frontal and parietal lobes You may even recognize the angelrsquos foot as the pituitary gland his thigh as the optic nerve and his leg as the optic tract And that sassy green robe running down the ponsmdashthatrsquos the vertebral artery

Look at Godrsquos neck in The Sepa-ration of Light from Darkness from the same fresco Art historians have long speculated that its lumpy ap-pearance represents goiter Yet medical experts have found an ac-curate picture of the brainstem and spinal cord in Godrsquos throat stun-ningly similar to the creases and crevices of the brain

Yet why would Michelangelo embed the brainstem in Godrsquos throat Was he alluding to Godrsquos wisdom or was it a form of protest to the Church After all dissecting cadavers was considered unethical at that time and for an anatomist like Michelangelo who fell out with the Pope while painting the Sis-tine Chapel ceiling could he have been painting anatomical images directly above the chapel altar in defiance to the Church

Artandophthal-mologyHowvi-sionchangesartClaude Monet is recognized as

one of the founders of the Impres-sionist movement but his vision got cloudy during his later years He wrote letters to friends describ-ing his growing frustration with his vision changes He was even forced to memorize colours on his palette

the creatioN of adaM by Michelangelo (c 1511)

the separatioN of light froM darkNess by Michelangelo (c 1512)

hkucaduceusnet | 25

and label tubes of paint Red began to look muddy to him and he saw his painting as becoming ldquoincreas-ingly darkenedrdquo Whenever he com-pared his paintings with his earlier works he would be sent into a tow-ering rage to destroy them

This was because he had cata-racts Cataract patients have yel-lowing and opacification of the lens so his vision essentially be-came more brownish The yel-lowish brown cataracts he looked through filtered out violet and blue shades Monet underwent two eye operations in 1923 after which he returned to his old painting style even throwing away some of his paintings and repainting them

Thesufferingart-istDepictingill-nessesinartPerhaps no one better personi-

fies the notion of a ldquosuffering artistrdquo than Vincent van Gogh Clinicians have posthumously diagnosed him with a range of medical problems including epilepsy schizophrenic and bipolar disorder His later works have long been noted for his preference for the colour yellow and some have speculated that this was related to his yellow vision

One theory was that van Goghrsquos doctors prescribed him with digi-talis to treat his epileptic seizures His painting Starry Night has yel-low circles around the stars and not surprisingly people with digi-talis overdose often see a yellowish halo around objects Other experts speculated that it was his addiction to absinthe that led to his yellow vi-sion Absinthe is a highly alcoholic drink that contains a highly psy-choactive neurotoxin called thu-jone which causes yellow vision

Van Gogh was not the only art-ist who projected his illness into his art Edvard Munch had tuber-culosis and spit blood as a boy Her mother died when he was five her sister spent most of her life in-stitutionalized for mental illness and his brother died of pneumo-

nia Munch may have depicted his own psychotic state of mind in The Scream which portrays a twisted agonized creature wracked with anxiety and horror

ConclusionDo these findings actually

prove something or are we over-analyzing artworks with our medi-cal knowledge Exactly what ben-efit would these discoveries have for the world at large is unknown At least we know it could lead to yet another interpretation for Mona Lisarsquos smile the result of a scrump-tious meal of pizza and pasta with cheese tomato sauce and meat balls before sitting for her portrait (which would certainly also explain her cholesterol problem)

Two pictures by Monet of the same Japanese bridgemdashthe first painted in 1899 the second between 1918 and 1922 revealing a dramatic loss of shape and detail

suNflowers by Vincent van Gogh (1888) the screaM by Edvard Munch (1893)

ldquoeverythiNg that we see is a shadow cast by that which we do Not seerdquo ndash MartiN luther kiNg jr

26 | Caduceus September 2011

The End is Near Apocalyptic TheoriesRead more to learn about the terrifying future that awaits us Chariene Woo (M15)

S urge of waves rush over the mountains with unstop-

pable speed engulfing and shatter-ing our homes Flaming asteroids rain from the sky causing roads to crumble like sheets of paper Peo-ple running away from burning cities screaming fearfully Civiliza-tion ruined in matter of mere sec-onds Is this what the future lies for us

Nobody knows

Apocalyptic literature and movies have always raised interest among the general public partly

because it involves the end of our world as we know it and partly due to the fact that there is no solid proof how an apocalypse would come about The interest has re-cently skyrocketed with rumors about the world ending on 21st De-cember 2012 about how the May-an calendar finishes at that specific time and how it will be the end of the world as we know it So the big question is when and how will our world end

NostradamusProphetofDoomNostradamus of France was

one of the worldrsquos most famous seers and is most well known for Les Propheties (The Prophecies) a collection of his major long-term prophecies written in quatrains Many of his prophecies have cor-rectly predicted current events including the destruction of the space shuttle Challenger the death of Lady Diana and the destruction of Twin Towers of the World Trade Center As a result of these predic-tions he has been given the nick-

How do you survive the apocalyptic world

Insight

hkucaduceusnet | 27

name ldquoThe Prophet of Doomrdquo

Nostradamusrsquo prophecies have huge room for interpretation speculation and controversy and some people think his writing has no merit at all The following is an example of a quatrain alluding to some sort of environmental disas-ter in the future

ldquoFor forty years the rainbow will not appear

For forty years it will be seen every day

The arid earth will grow more dry

And great floods when it will be seenrdquo

(Century 1 Quatrain 17)

In other quatrains images of great comet alien invasion and nu-clear contamination are also men-tioned so these could all be the prospects that are waiting for us in the future Despite Nostradamusrsquo ldquoaccurate predictionsrdquo of what had happened in the past the quatrains do not have a specific order So out of all the disasters predicted in the many quatrains it is uncertain which will happen where or when giving it less importance in predict-ing an actual apocalypse

PlanetXAccording to Nancy Lieder a

woman who claims to have been contacted by extraterrestrial life forms Planet X (also known as Nibiru) would come close to planet Earth on May 27th 2003 resulting in the Earthrsquos rotation ceasing for 59 terrestrial days The Earthrsquos pole will then undergo a physical polar shift due to the magnetic attraction between the Earthrsquos core and the magnetism of the passing planet This will ultimately lead to the dis-placement of Earthrsquos crust and the end of us But when this did not happen the event was postponed and re-dated to coincide with the Mayan calendar hysteria

NASA argues that this is merely an Internet hoax with no factual or scientific basis They explain that if Planet X was approaching Earth astronomers would have

been tracking it for at least the past decade and the planet would now be visible by the naked eye This is a very comforting bit of news Yet some people believe that NASA is part of a conspiracy to cover up the existence of such planet and keep the truth of impending apocalypse from general public Again the ar-gument can go either way and the ldquotruthrdquo depends on which side you choose or want to believe in

2012TheendoftimeSo what is so special about the

year 2012 There are claims saying that the Mayan calendar ends on 21st December 2012 and that will be the end of time for mankind However just like every calendar it merely rolls over to the new year on that date and it doesnrsquot signify anything special In the Mayan cal-endar 21st December 2012 will be the end of brsquoakrsquotun 13 and marks the start of brsquoakrsquotun 14 A brsquoakrsquotun is 144000 days (a little more than 394 years) and there is no archeological or historical evidence to show that the Mayans expected anything sig-nificant or drastic to happen at the

end of each brsquoakrsquotun

However there exists litera-ture that suggests otherwise In 1975 Frank Waters the author of the book Mexico Mystique identi-fied the 13th brsquoakrsquotun interval to be the ldquoMayan Great Cyclerdquo where it ends in the worldrsquos destruction and rebirth Waters claims that cata-strophic earthquakes will destroy the world but he miscalculated the date and announced that the end of the ldquoGreat Cyclerdquo would be on 24th

December 2011 AD

The year 1987 marked an in-creased in interest regarding the prophesized big event in 2012 The author of The Mayan Factor Path Beyond Technology Jose Arguelles linked the 13th brsquoakrsquotun period to a ldquobeamrdquo that links people the plan-et the Sun and the center of Galaxy According to Arguelles the beam is the key to harmonic resonance in the universe and the Mayan knew when we would enter and leave this beam hence set their 13th brsquoakrsquotun to mark our passage accordingly He also claims that this beam could advance the development of any-thing with DNA hence creating a more positive view of the future

V838 Mon a star with expanding light echo purported as photographic evidence of Nibiru

ldquoevery MaN dies Not every MaN really livesrdquo ndash williaM wallace

28 | Caduceus September 2011

No one can be sure of whether the end of brsquoakrsquotun 13 signifies something great or disastrous for us or if it is just another restart in the Mayan calendar We can only know for certain when the day ar-rives

GodrsquosplanforusThis is by far the most detailed

and terrifying image portrayed out of all apocalyptic claims that I have gone through The Book of Rev-elation from the New Testament reveals signs of apocalypse through a wide variety of symbolism One of such is the frightening image of the ldquofour horsemenrdquo

ldquoAnd I saw and behold a pale horse and he that sat upon him his name was Death and Hades followed with him And there was given unto them authority over the fourth part of the earth to kill with sword and with famine and with death and by the wild beasts of the

earthrdquo (68)

The pale horse carries the horseman of Death which is be-lieved to release global plague and pandemics to the world and take the lives of a quarter of the popu-lation This has already manifested

itself in many forms in different parts of the world at different times hence the first sign of apocalypse is said to be already happening among us

In similar manners the bible describes the arrival a black red and white horsemen represent-ing the delivery of global food shortages war and conflict and the coming of an antichrist to the world From historical genocide terrorism to increased occurrence of food shortages so often seen nowadays it seems that the red and black horsemen has arrived as well and now we are just waiting for the arrival of an antichrist to conquer us

The Book of Revelation also provides readers with a glimpse into the ldquoactionrdquo in how the world will end

ldquoAnd I saw when he opened the sixth seal and there was a great earthquake and the sun became black as sackcloth of hair and the whole moon became as blood and the stars of the heaven fell unto the earthhellipand every mountain and is-land were moved out of their placesrdquo

(612-13)

Besides the great earthquake and the darkening of the sun there is a repetitive mentioning of stars falling from heaven on earth in the Bible This is postulated as the at-tack of massive meteors on planet Earth Out of all prophecies in the Book scientists assume this to be the most likely since an asteroid impact at a scale as large as that may have already wiped out an entire species that came before mankind Scientists believe that showers of space rocks that rained down 65 million years ago (due to the collision of Near Earth Object) were the culprit for the extinction of dinosaurs Luckily NASA recent-ly launched an early warning sys-tem called ldquoSpaceguardrdquo that aims to monitor such Near Earth Objects to prevent future collisions and ex-tinctions

Having read the above the Bible seems to combine all the horrifying specifics in different apocalyptic speculations into one nightmare But donrsquot worry since there are many different interpretations of the Revelation Historicists are the ones who see the Book as a broad view of history (good news wersquove already escaped all the horrors in the depiction) whereas Futurists

believe the description as prophecies of the fu-ture The Idealists hold the belief that the Rev-elation does not refer to actual people or events which makes sense as the Bible is often not inter-preted literally So fingers crossed that the Revela-tion is not interpreted in the futurist way because in that way there is going to be a daunting future awaiting us

Four horsemen of Apocalypse

hkucaduceusnet | 29

ldquoDevolvingrdquoEarthTheoryThis is probably the

most scientific theory that I have come across so far from a news article pub-lished from ABC News A group of scientists from University of Washing-ton hypothesized that the Earth will gradually de-volve in the next half bil-lion years In short their logic works as follows

As we all know the sun is constantly grow-ing bigger yet the Earthrsquos environment has been reasonably constant This is because as the sun is warmed up carbon diox-ide from the atmosphere is removed and deposited in soil as carbonates This keeps our environment stable by the balance be-tween an increasing sun and reducing carbon di-oxide in the atmosphere (Note that global warming resulting from an increase carbon dioxide in atmosphere is just a brief blip in the grand scale of things) Since carbon dioxide is the ldquofood of liferdquo the reduction will cause plants and animals (including humans) to die To battle the rising heat some creatures will retreat into the sea hence reversing the evolutionary process And as the sun continues to expand the Earth will become so hot that even the oceans will gradu-ally be evaporated Eventually the sun blasts off its mass through ther-mal pulses engulfing the Earth

This is a very scientific specula-tion from an astrophysicistrsquos point of view and they claim that at best we have no more than half a billion years left This might be more reas-suring for some of us as the world will not end in the near future But the grief lies in the inevitability of our planet Earth coming to an end

Everythingthathasabegin-ninghasanendSo we are back where we start-

ed With more speculation and the-ories and still no closer to the truth The end could happen any day or time or maybe it could be a proc-ess that is already happening Even though it is not to the scale of an-nihilation of the human race hur-ricanes and earthquakes and car crashes have already been stealth-ily taking the lives of millions We know for sure that we must die eventually through chance old age or disease There is only very little we can do to fight against what has been planned for us and reducing the resources we consume is the best chance that we have in delay-ing this happening There might be some benefit if we know the in-sights of when and how it will hap-pen but really it doesnrsquot change anything Moreover it is possible that these speculations came about to force mankind to live life to the

fullest to treasure each day and every resource we have as a gift so it doesnrsquot matter which theory is the accurate one In the midst of these theories about apocalypse all we can do is to live every day as if it was our last with no regrets and enjoy life as it is now

ReferncesThe End of the Worldhttpwwwnostradamus101compropheciespart4P7

The Great 2012 Doomsday Scare httpwwwnasagovtopicsearthfeatures2012-guesthtml

When Will the World End New Theory EmergeshttpabcnewsgocomTechnol-ogystoryid=97756amppage=2

2012 Beginning of the End or Why the World Wonrsquot Endhttpwwwnasagovtopicsearthfeatures2012html

Video from history channel (from youtube link)httpwwwyoutubecomwatchv=BoTExQEyblU

ldquothe MeaNiNg of life is coNtaiNed iN every siNgle expressioN of life it is preseNt iN the iNfiNity of forMs aNd pheNoMeNa that exist iN all of creatioNrdquo ndash Michael jacksoN

30 | Caduceus September 2011

笑的神奇魔力「當你笑你改變了當你改變了整個世界也改變了」

麻丹卡塔利亞醫生(大笑瑜伽的始創人)何麗敏 (N14)

被隱藏的笑容

日 本大地震及核洩漏事件馬頭圍道唐樓火災三死十九傷中區

警長為勸示威人士中不慎失足墮橋身亡

各政黨爭相你嘲我罵helliphellip在城市裡我們

每天都被一些飛來橫禍天災人禍或社會

爭執的信息圍繞著充斥著愁雲慘霧的氣

氛甚至在家庭朋友學業工作和

健康方面我們亦會遇到不如意之事負

能量和心理壓力不斷增加沒有適當的疏

導和發洩方法之下不少人染上酗酒或沉

迷賭博等壞習慣來自我麻醉長期把情感

抑制的一些人更有機會患上

情緒病我們彷彿硬把自己

困在死胡同裡忘記兒時怎

樣整天咧嘴哈哈大笑如何

在跌倒後笑著站起來現

在很多人都像被魔鬼牽著

鼻子走每天板著一副無奈

沮喪的嘴臉掛上冷漠的眼

神笑聲更差不多成為絕

朋友啊你可有嘗試計

算過一天總共大笑了多少

次英國格拉根大學研究發

現在英國嬰兒每天會笑

達三百次而青少年時期的

每天大笑次數大幅減至六

次五十多歲的人平均每天

更只笑了三次無可厚非

我們在成長過程中必遇到愈來愈多的煩惱

和挑戰事情的確不是我們所能控制但

面對的心態我們為何不能放開一時所謂

的包袱像孩子般笑著面對呢為甚麼大

笑要有一定的理由或被時間限制呢

瑜伽加愉

近半個世紀工作學業和情緒波動

很大生活方式變得愈來愈物質主義容

易出現精神緊張大家都被壓得透不過氣

來變得不太愛笑在一九九五年印

度孟買註冊家庭醫生麻丹卡塔利亞(Dr Madan Kataria)創立「大笑瑜伽」以笑聲驅除怨氣大笑瑜伽是以笑聲互相交流

的透過眼神接觸傳遞歡樂的信息學習

別人的笑容代入孩童的心態再全情投

入地開懷大笑同時亦融入瑜伽的腹式

不妨一試

大笑瑜珈三式一預備式林中步行

在樹林慢走就是愛笑瑜伽的熱身方式步行時間

可以是10-30分鐘邊走路邊拍手同時不時地做深呼

吸目的是讓身體和情緒都徹底放鬆下來為後面的

內容做好準備

二進行式學習動物的表情

在瑜伽導師的帶領下活動面部肌肉然後模仿瑜

珈導師的動物表情這些表情看上去本身已很滑稽

只要按照瑜伽師的樣子去做再發出笑聲

三結束式調整呼吸

經歷了一場大笑面部表情鬆弛了心情也舒服

了不少大家慢慢收回笑容調整呼吸一邊在森林

裡散步一邊大聲告訴自己說「我們是世界上最快樂的

人」

灼見

hkucaduceusnet | 31

呼吸和伸展動作鼓勵大笑達至身心健康

的效果精神科專科曾繁光醫生指出 

「笑令腦自然分泌天然多巴胺以抗衡人

體緊張時所分泌的皮質醇預防患上焦

慮抑鬱的情況」除了改善情緒還能

促進健康笑能促進肺部呼吸功能和加強

血液循環現代醫學認為笑可以成為一種

治病方式治療神經衰弱消除肌肉的緊

張預防或減緩疼痛

筆者在此並不是宣傳大笑瑜伽其治

療成效仍有待商榷和科學實證但愈來愈

多人證實大笑和保持歡樂的心態能有效放

鬆自己張立新先生是第一位在中國推廣 

「大笑瑜伽」的人他患上憂鬱症遍尋

各種治療方式皆無成效一次機緣巧合

從網路接觸「大笑瑜伽」亦在電視上看

到介紹而開始學習和練習他的憂鬱症因

此不藥而癒從此他就開始在中國研究和

推廣愛笑運動暫且別論大笑瑜伽的奏效

程度但人生所遇到的事可真不少何不

笑對人生

尋回被遺忘的赤子之心

大笑並不是靈丹妙藥但它的確能帶來

正能量即使事情有多糟糕笑著面對總

比怨聲載道好而且美國加州大學柏克

萊分校心理學教授丹卓凱納說「笑對

人的進化很重要」目前心理學家們認

為笑是人類之間交流的古老方式之一笑

能互相影響把歡樂的氣氛傳染開去嬰

兒還未學懂說話時笑是與身俱來為何

我們長大後卻隱藏笑容呢朋友們參考

左頁所列大笑瑜伽的基本招式大家可相

約三五知己輕鬆一番找回孩童時的笑聲

大笑瑜伽的始創人麻丹卡塔利亞醫生

大笑瑜伽在六十多國家盛行

ldquolaughter is the best MediciNe - uNless yoursquore diabetic theN iNsuliN coMes pretty high oN the listrdquo ndash jasper carrott

32 | Caduceus September 2011

Learning Experiencing GivingA magical 10-day journey away from the cityErin Yeoh (M15)

C lad in backpacks light clothing and sneakers 21 medical students from HKU and CUHK

were prepared to leave the comforts of home and the internet (did I hear Facebook) We were bound to Chi-na about to embark on a learning-cum-volunteering trip organized by Medical Outreachers

After saying our final goodbyes at the Shenzhen air-port we split into two teams Team A with 9 members were bound to Xirsquoan where they would see volunteer orthopedic surgeons at work The 12 people in Team B including me left for Guizhou to understand the role of village doctors in rural China Both teams aimed to find out the effectiveness of public health policies in rural areas of China We were to meet up 4 days later at Dongshan Guangdong

Part1GuizhouUpon landing in Guizhou we were provided with

excellent hospitality by the local officers and the lo-cal NGO Amity Foundation We were given a brief introduction to Guizhou and also the work that the government and Amity Foundation were doing in the province Amity Foundation actually helped to build numerous new village clinics to improve the quality of healthcare in the region

The next day we were taken on a tour around the province visiting different village clinics (村診所) lo-cated in areas further away from the city Usually there would be one or two village doctors (村醫) on duty

at a time to attend to the villagers with population of around 1000 to 4000 per village

However the village doctors were not the type of ldquoheroesrdquo I had in mind They were not your typical doctor working in a worn out run-down wooden hut where there would be a row of sick villagers lining up to see them How ignorant I was In fact the village clin-ics were mostly renovated and well equipped with ba-sic amenities The standard village clinic has 5 rooms main lobby (大廳) treatment room (治療室) pharma-cy (藥房) observation room (觀察室) and a doctorrsquos rest room (醫生休息室) Furthermore their patient flow was rather small sometimes only one or two pa-tients per day This was probably due to the fact that some village clinics were located only a stonersquos throw away from major cities Those in a medical emergency would of course go straight to the main hospital to seek help immediately instead of consulting a village doc-tor

To be a village doctor one at least had to be a sec-ondary school graduate They would also undergo constant training and certification by qualified doctors in larger clinics According to the village doctors they spent most of their time doing paperwork keeping track of the villagers and their medical history They would also conduct regular home visits to those suf-fering from chronic illnesses or those that needed con-stant monitoring such as patients with hypertension or rheumatoid arthritis Another point that I found

A village clinic before receiving funding from Amity Foundation

hellipand a comparison after

Life

hkucaduceusnet | 33

interesting was that they would also visit families with newborn babies to check on their general health At the same time they would educate mothers on proper breastfeeding techniques and how to provide adequate nutrition for their children in the future

To learn more about their daily routine we fol-lowed a village doctor on his home visit rounds The doctor would sometimes have to travel as far as 2 kil-ometers for a home visit which would be the other end of the village This was as in the case of a pregnant lady due for delivery soon (photo as shown below) The doctor who came to check on her health status reas-sured her that her delivery would be a successful one From her sigh of relief and tired smile we could tell that she was grateful to see the doctor

However things didnrsquot always run as smoothly According to some of the village doctors they used to be scolded and rejected by the locals who did not understand why the doctors would often come up to their doorsteps asking them questions regarding their health and pestering them to go for checkups Some of them being superstitious would think of doctors as ldquoharbingers of bad luckrdquo as the doctors would talk about ldquosicknessrdquo and ldquodiseaserdquo when they were actu-ally feeling as fit as a fiddle Thankfully the situation has much improved since then

From what we saw instead of playing a curative role in a society the village doctors were actually much more involved in disease prevention and monitoring

This is actually the ldquoupstream modelrdquo concept in pub-lic health Instead urban doctors are overwhelmed by limited consultation time and when fatigue kicks in they simply do not have the energy to further educate their patients They would also not have the time to un-derstand their patients on a personal level unlike that of the village doctors

However the indiscriminate use of antibiotics in China was truly a frightening sight Doctors adminis-tered antibiotics intravenously for mild diseases like the common cold When we asked the doctors as to why they did so they simply smiled and shrugged off the question It is probably still a common practice in China and if the doctors did not give such medication the patients would probably lose trust in the doctor The fact that the similar practices were seen even in large hospitals probably indicates that this problem is hardly a localized one

Part2DongshanGuangdongWe met up with the team from Xirsquoan at the

Guangzhou airport and proceeded to our next desti-nationmdashDongshan After 5 hours of car ride we began to see signs that we were approaching our destination Mountains sharply angled clustered in twos or threes fondly known as ldquoMcDonalds mountainsrdquo were begin-ning to be in sight

As soon as we arrived we were greeted by eager curious young faces The children huddled close by as we unloaded our luggage some commenting that they hadnrsquot seen some of us while others were already play-ing around with the past participants It was my first time to Dongshan but there were some of us who were not new to the kids there

After settling down we were given an introduction to Dongshan and its residents by the local NGO Green Action Foundation led by Mr Wong

Located at the outskirts of the province Dongshan is one of the 4 poorest areas in Guangdong Its natu-ral terrain abundant in limestone makes it especially hard to retain water This has taken a toll on the resi-dents especially during the drought season Another problem faced by the local residents is that there are many young people and adults migrating to big cities to earn a living leaving behind the children and elderly

Village doctor on one of his home visits

Discarded bottles of intravenous antibiotics near the village clinic

ldquoMediciNe also disregards NatioNal bouNdariesrdquo ndash irviNg laNgMuir

34 | Caduceus September 2011

at home

Green Action Foundation took the initiative to plant trees around the area so that more water was available for irrigation and domestic purposes This improved the quality of their crops and boosted their source of income They also sponsored some of the

childrenrsquos education depending on their performance in school to ease the burden on their families

The next few days were jam-packed with activities A sports day was held as an icebreaker so that the new participants could get to know the children better We also spent half a day at the Dongshan Primary School where we taught the kids personal hygiene simple first aid moral education and also sex education for the grade 5 and 6 students

Another interesting activity that we had was a weed-cutting session up at a mountain with the other children Each of us was assigned with 2 to 3 chil-dren who were supposed to ldquoguiderdquo us along the way It was a 2-hour hike up and down hilly ter-rain While I would stop once in a while to take a breather the kids were barely panting The kids would often stop to ask if I was tired and even of-fered to help me carry my backpack Note to self more exercise next semester

Nevertheless it was a great chance to know the kids better We had the time to chat about their school life and what they thought about their future and also the chance to share snip-pets of our lives in the city

We then split into small groups and visited the homes of the children in order to gain a bet-ter understanding of their household hygiene

condition any medical conditions in the family as well as their economic standing We had also prepared questionnaires to be kept as future record Some of the families were very poor to the extent of having no source of income at all They depended solely on their own crops for food If they went to see the doctor they would usually owe the doctor money until they had

enough money to pay back The hygiene status of the villagers varied but most of them had swarms of flies around food Many even had their live poultry like chickens running around the house Before we left we gave them some hygiene products like soap washing detergent and toothbrushes to encourage better hy-giene We also gave them a poster explaining ways of maintaining a clean household environment

Another main focus of the trip was to find out the effectiveness of a medical insurance policy newly in-troduced by the government Each person had to pay 30 Renminbi annually to be guaranteed free medica-

Sports day activity

Weed cutting with the children

hkucaduceusnet | 35

tion and hospitalization thereafter Generally the vil-lagers were grateful for this plan as many found it dif-ficult to afford medical fees while struggling to pay for

basic necessities at the same time However some vil-lagers complained that the prices of medicine spiked after this policy was introduced and hospitals would of-ten ask patients to

do unnecessary scans just to earn more money

This trip made me realize that there is much that we can do but how great an impact we can make might not be seen immediately With follow up trips one could see the change as compared to the last visit and make further modifications to improve the situation

As the trip came to an end we were reluctant to leave There was something very magical about Dong-shan where the skies would turn to an exuberant red during sunset and on a clear night you could see stars scattered across every corner of the sky It is a place of beauty struggle and hopefully a place of triumph in the years to come

It is a place of beauty struggle and hopefully a place of triumph in the years to come

On one of our home visits

More to ExploreMedical Outreachers 醫心httpmedicaloutreachersorg

The Amity Foundation 愛德基金會httpwwwamityfoundationorg The beautiful sunset in Dongshan

ldquoshariNg is soMetiMes More deMaNdiNg thaN giviNgrdquo ndash Mary catheriNe batesoN

36 | Caduceus September 2011

就 在這一刻世界沉默了

城市的繁囂隨飛機引擎

逐點逐點噴走了繁囂的離

開是為了讓簡單的生活回

來剛踏出廈門機場一張

又一張的笑臉映入眼簾刺

熱的太陽把兩地之間的隔膜

融化

早從香港回歸時開始

香港人經常強調自己只是 

「香港人」而不是「中國

人」自以為比內地人高一

等可惜這班自視過高的都

市人曾幾何時為外地人送上

熱情的款待這一點廈門

人比誰都做得更好

廈門是一個位於中國

東南部的海島也許就是近

海讓居於廈門的人都把一

切怨恨煩惱拋下大海讓

它們隨水流漂走埋藏在海

床上每年廈門的鳳凰花花

開兩季一朵又一朵鮮艷如

火的鳳凰花在六月時歡送一

個又一個的畢業生彷彿為

他們添上一份祝福九月時

的鳳凰花熱情地歡迎一屆又

一屆的新生為新生的精彩

校園生活揭開序幕一份一

份的熱情含苞待放身在廈

門又怎會不被這市花的熱情

感動呢廈門大至人與人

之間小至花與花之間都存

著一份情

要追溯廈門人的情懷

可數至土樓的建成土樓

是個大多呈方形或圓形大型

群居的建築整座土樓樓高

三至五層由於牆身頗厚及

只有一個出入口甚具有防

禦功能亦因為這緣故當

大門關起來土樓便成了一

個家這個家佔地不大但卻

藏著成千上萬的人情味在

萬里無雲陽光普照的天空

下土樓居民的熱情好客

被蒸發出來懸浮在空中

一代一代傳下去更讓它隨

風走出土樓傳遍整個廈

門即使土樓漸漸成為旅遊

景點一些擺賣紀念品的攤

檔已經進駐但卻無礙居民間

的感情商販彼此交流從

不出現爭客的情況在土樓

中央休憩的居民除了為外地

人介紹他們的祠堂外亦邀

請遊客跟隨他們到遊客禁區

參觀在土樓居住的每伙都

中門大開當遊客投進好奇

的目光屋內的人往往以親

切的笑容作回答鄉土人

情在這世代多冷漠的心也

被融化

細膩的人情味外最令

遊客津津樂道的是廈門人的

態度廈門大學附近有一條

芙蓉隧道只要你願意便可

在隧道內壁上畫下你所思所

想當然美觀與否見仁見

智但這一種對藝術尊重

欣賞的態度是值得欣賞我

有我盡情地畫你有你盡責

青春在廈門留下足印潘曉彤 (N14)

生活

hkucaduceusnet | 37

地去管轄城市各處的整潔

彼此留下空間達至相輔相

成的效果廈門人就懂得人

最基本的禮貌尊重不

過廈門人對他人的尊重遠超

於人的基本禮貌當你去唱

「卡拉OK」的時候每次

待應的出入時看到的就只

有他們的正面而他們前行

或後退的方式就像看到皇帝

一樣卑恭屈膝香港人常常

強調面子哪一天才能捨下

那過高的尊嚴為不相識的

人作一個最謙卑的招待

其實任何人一離開香

港都不難發現就只有香

港愈夜愈精彩其他地方晚

上八時大多關門大吉而廈

門就只有中山路才媲美得

上香港的夜夜笙歌夜幕低

垂萬千燈火的中山路上

與來自各區的人擦肩而過

昏黃的燈光下照出一群又一

群的沉默影子剛好與路上

喧鬧的行人相映成趣騎樓

在霓虹燈的點綴下顯出了獨

有的閩南特色大街小巷傳

來不同地道小食的香氣車

輪餅燒仙草土笋凍helliphellip

為我們外來的交流生帶來美

味可口的夜宵飲飽食醉過

後走到中山路的盡頭又

回到了沉睡中的廈門

在優美的環境影響下

廈門人的生活也自然變得

純樸優閒單車車輪在環

島路上留下一圈又一圈的印

記沿路能細聽海浪輕拍岸

邊的聲音細嗅四處洋溢的

花香感受微風吹散太陽散

發的熱力見證一對又一對

的新人在拍下幸福的照片

據說廈門有戀愛天堂之稱

不管走到哪一處也會

看到準新人拍下甜蜜的婚紗

照而在裡面享受的人永遠

不知道這風景如畫的背

後是透過多少人的血汗換

來當我們在追求經濟成果

的同時往往破壞了造物者

在世上留下的藝術品隨中

國經濟急速發展一個又一

個的世外桃園被摧毀銅臭

替代了花香車聲替代了鳥

語這仙境又可維持多久

廈門另一世外桃園就是

鼓浪嶼它活像香港的長

洲島上滿有歐陸建築風

格但當中不乏中國特色的

建築中國古城風味與洋風

互相交替帶出截然不同的

感覺島上遠離汽車的廢

氣與金門就只是一海之

隔一家大小在享受天倫之

樂時一群又一群的青少

年情侶在沙灘上嬉戲立

即為島上升溫

筆者認為在這個混亂的

俗世確實需要抽空來欣賞

造物者留下來的藝術品大

財團不斷興建大型商場國

際知名品牌不停進駐留下

的就只有愈來愈狹窄的街

道被石屎封蓋寸草不生

的土地人人被金錢蒙蔽

迷失在霓虹燈光中又有多

少知音人能放下生活的瑣碎

事情在這裡享受時間一分

一秒的流走你被海浪聲

喚醒了嗎

筆者參加這次是由香

港廈門兩地大學的交流

團一連六天已經習慣了

當地的優閒生活模式體會

到的不只是廈門的風土人

情歷史文化而是兩地大

學生那種衝破界限的交流

雖說年輕人容易打成一片

但廈門獨有的熱情確實融化

了彼此間的隔膜廈門的美

是成人之美成就了兩地大

學生的友誼

飛機又再起飛了廈門

再見了

ldquothe tiMe of life is short to speNd that shortNess basely it would be too loNgrdquo ndash williaM shake-speare

38 | Caduceus September 2011

生 命形成之際只要一秒鐘的差遲世界便會不一樣

蝴蝶效應從來都是玄的全因一個 

「緣」字

隨著人成長要決擇的事太多學生

有兩件人生大事幾乎都不是由自己決定的

入讀小學及中學然而到了大學這

關卡自己也許可以拿定主意了若果你

入讀了心水科恭喜你若不然祝福

誠然入大學是最影響未來生活的關

口是好是壞無人知曉不用量化不

用比較太多即管做自己所想活出自己

的路只因你不會曉得你的下一步會怎樣

影響著你的生命

或許一個活動你會遇上你的最愛

或許一個宿位你會遇上你的知己

或許一句說話你會惹來一個敵人

或許一次走堂你會由B變C

這就是大學

在大學各人有各人的大學生活大

學講求自由學習學習真的是「求學不是

求分數」有些人愛廣交朋友有些人愛

住宿有些人愛做莊務有些人愛拍拖

有些人愛參加各樣活動有些人愛做兼

職有些人愛讀書有些人卻愛甚麼都不

做helliphellip不少大學生強調入大學必定要做齊

大學五件事(上莊住宿讀書拍拖

兼職)但其實只要自己開心不害人的

話做甚麼也沒問題最要緊的是認清讀

大學的目的以免沉淪於大學這花海

朋友

大學可以令你對「朋友」的概念愈來

愈含糊幾乎每個活動都可令你認識新朋

友通常大家都會輪流講述自己的名字與

學科(Round Table)這亦是考驗大腦對人名的記憶所謂的「Hi-Bye Friend」會愈來愈多隨便在細小的港大內穿梭會令你

無可奈何地對他們說聲Hi

不過別標籤你的「Hi-Bye Friend」要是連Hi-Bye也談不上更不用說做深交了上大學了大家已有既定的圈子很

多時約會或聊天都先找中學朋友而且很

多人會把大學朋友與中學的作比較雖情

有可原但有時未免先入為主地覺得中學

的較好

這亦難怪即使是日日碰面的同學也

未必是自己的好友人人都有自己的時間

表下課後各散東西不是大家不想互相

認識只是有時身不由己若想互相了

解不妨盡量製造共處之時有時甚至可

以分一些約會給大學朋友然後你會發

現大學朋友也可跟你熟絡可別為自己

建造一塊厚厚的心牆

舍堂

要入宿無人會不曉得十日的迎新營

有些舍堂平均每天的作息時間只有兩三小

時有人說住宿最辛苦就是迎新營然而

它卻是最難忘的

要數活動單單一個舍堂已數之不盡

要是投入舍堂生活每天24小時是不夠

用的舍堂之間有各樣比賽堂友要參加

各個組別為比賽出席各樣練習否則可

能被拒於來年再住基於許多人都只在夜

晚有空要全體出席那可是晚九朝五的

大學之緣賴彥積 (N14)

新鮮人

hkucaduceusnet | 39

宿生們之所以會熱衷於舍堂活動因他

們對自身舍堂有強烈的歸屬感好比中學

時學生參加校際比賽要是沒有歸屬感

就不會有心參加所屬舍堂的活動

除舍堂之間之活動樓層之間亦有各類

活動樓內亦然只要有人的地方就有玩

樂彷如天天宿營你不會有機會偷偷早

睡其他樓友常常打擾你你原來的生活

時間會推後數小時睡於二時已是罕有

早上的八半堂彷如無物

可以住宿但不參加活動嗎當然可以

但你會面對的是朋輩壓力他們雖未必逼

你參加卻會在言談中有意無意的滲出

來那種壓力不只限於自己樓層甚至是

跨樓層千萬可別輕看宿中流言

上莊

有人說上莊所學遠超課堂上莊所學

的是如何籌辦活動非常實用有時要對

外聯絡有時要面對公眾helliphellip像是要為將

來工作鋪路似的當然這亦要視乎你上

的是甚麼莊

一般而言上莊可訓練你待人處事的技

巧有時表面看來很友好的朋友當背

負上一定的要求後關係少不免有磨擦再

者初時莊員素未謀面最後卻因朝夕相

對而演變成朋友這段關係是很可貴的

成莊前要宣傳內閣爭取選票成莊了

又要舉行咨詢大會包受歷莊指導然後

又有就職典禮此後的活動更接踵而至

當然包括迎新活動招莊活動等helliphellip君不

見很多人視莊房為睡房少不免有「通

頂」之時忙是忙但必有價值至於是

好是壞要看自己的造化了

拍拖

人上了大學有時心思思想拍拖眼見

身旁多個好友都紛紛拍拖自己少不免羨

慕別人這想法十分正常畢竟大學生真

的可以放下只讀書的重擔真的可以規劃

人生大事了

香港大學一些營新活動中隨了Round Table外還有Round Status即說自己現在有否拍拖以及拍過多少次拖如 

A 0即Ava i lab l e之前至現在沒有拍拖O1即Occupied之前至現在共拍了一次拖當然也有一些同學自己創的甚

麼OBA (Occupied But Available)或D10(Desperate拍過10次拖)等等至於Round Status的動機何在可能是組爸媽想穿針引線吧當然也可能是別有用心的

不同人對拍拖有不同想法上了大學更

有不同擇偶條件人大了在感性的議題

上往往加上種種理性的數據開始現實起

來哪個帥哪個富有哪個有前途helliphellip

有些不在乎天長地久只求剎那的光輝

有些求虛榮有人疼愛在朋友前炫耀

有些甚至會在拍拖前已想定分手後的模

樣所以不想選擇跟自己同科的同學

活動

不同團體(包括舍堂學會及學校部

門)都有不同活動不用愁沒事幹只用

愁沒時間只要多留意Portal Mass Email或Main Campus海報不難發現幾乎每天都有各樣活動動靜皆宜開學時有迎

新營考試時有勁過飯新學期有開Sem

飯有些學會如戲劇舞蹈合唱團不時

有演出有關運動的學會則多練習以參

加比賽有關學術的也有很多興趣班講

座比賽等想幫人的亦可參加義工團

體如蛇蛇豬扶青等舉辦的義工活動

兼職

大學生的兼職大多以補習為主畢竟

這是我們能力範圍內可賺取最多外快又是

時間最彈性的工作有些人卻因補習不能

寫在履歷表而選擇別的工作然而很多時

我們都要在兼職與大學活動中取捨我的

ldquotake a chaNce all life is a chaNce the MaN who goes farthest is geNerally the oNe who is williNg to do aNd darerdquo ndash dale carNegie

40 | Caduceus September 2011

E mily was the chairperson of Pharmacy Socie-ty session 2010 As a student she has actively

participated in holding activities for many medical stu-dents and taken part in providing welfare to all phar-macy students Her following sharing will especially enlighten our new pharmacy students

Q Why did you choose Pharmacy SocietyA To be frank ldquosheung jongrdquo was really out of

my expectation when I anticipated my university life However my perspective has changed when I officially became a pharmacy student in HKU As members of the opening class of the Pharmacy programme my classmates and I realised the importance of having our own student body We do need an independent soci-ety to represent us pharmacy students to cater for our specific needs to listen to our points of view and to act as a bridge to facilitate our communication with the Medical Faculty the entire university and ultimately the pharmaceutical field in Hong Kong My class-mates and I who later became ldquojong yausrdquo believed we should act immediately to establish and run our own society which is why I decided to ldquosheung jongrdquo

Q Would you like to share some of the pros and cons of sheung jong

A ldquoSheung jongrdquo definitely helped me achieve per-sonal growth It was a concurrent commitment and re-sponsibility to serve and to lead our colleagues Bear-ing this in mind we always pushed ourselves to attain the best of our work ethics efficiency and efficacy As the very first session of the Society we lacked the guidance of any previous committee member Instead analysing carefully and critically we thought better of every decision which I personally found an enriching experience ldquoSheung jongrdquo was also an eye-opening journey Wersquod got to meet different people and learnt more about the professional work for as our career-to-be after graduation This in my opinion is always beneficial Last but not least I was fortunate enough to have worked with my amazing fellow committee mem-bers I frankly couldnrsquot ask for better ldquojong yausrdquo than initium Irsquom absolutely thankful for having them as my friends and it is definitely my greatest gain along the way

Despite the merits ldquosheung jongrdquo definitely has its downsides as well It is a lie to say ldquosheung jongrdquo does not affect our daily life because it does take up a big chunk of our time At the end of the day it is about time management which is easy to say but extremely dif-

建議是如家庭環境較困難賺錢吧反

之可以多留時間給各活動畢竟大學一

年的學費不只值那幾十堂課如何善用這

$42100就在乎你如何投入大學生活

讀書

假若你認為大學的考試可考核學生的

真正讀書能力並要求學生活學活用課堂

所學那麼你大失所望了假若你善於背

誦有過目不忘之本領大學的筆試不會

難倒你只要靠著前人留下的歷屆試題

背到滾瓜爛熟是不可能不及格的很多屆

試卷都是千篇一律的很多教授可沒空大

改試題那同學們就走運了有些課堂

即使再專業的學科都會有只理論無實

踐的課堂然後考試就要你把一大堆理論

背出來helliphellip例如甚麼叫批判思維噢

我可不知道只知道我掉了5分

不同學系在某程度上定下了人的前途

對於醫學院學生而言前路是較清晰可見

的但對於非專業學科前路不可只靠讀

書也許要靠自己另外摸索讀書所帶來

的必然是較高的GPA高GPA所帶來的是

獎學金到外國交流工作實習日後工

作機會等等當然大學學習不只局限於

讀書會否因此失彼就只有自己知道

蝶翼拍動之時往難以預料機會是

要自己摸索的

如經上所記

「神為愛他的人所預備的是眼睛未曾看見耳

朵未曾聽見人心也未曾想到的」

(哥林多前書29)

「栽種的和澆灌的都是一樣但將來各人要照自

己的工夫得自己的賞賜」

(哥林多前書38)

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

Freshmen

hkucaduceusnet | 41

ficult to achieve Also working as a Committee mem-ber can be very exhausting and difficult You definitely need lots of determination and support to get through some of the busiest times

Q How did you handle and balance the workload of study and your ldquojongrdquo

A As Irsquove said before it was tremendously difficult I guess my best advice for the future committee is to know your limitations and always plan ahead You have to know your time to work to rest to study etc No one will be over-worked and eve-ryone will have some personal time if you share the burden wisely between ldquojong yausrdquo Secondly you have to make very clear plans so that you can make full use of every little piece of your time I may not have succeeded in my time management but most of my ldquojong yausrdquo managed to do so de-spite the packed schedule of our Soci-ety This is sufficient proof of ldquoimpos-sible is nothingrdquo

Q As there are only about 25 pharmacy students per class do you have any suggestions for P14 fresh-men to make more friends from other curricula

A It really depends on what kind of person you are If you consider your-self socially active living in a hall or ldquosheung jongrdquo will be a great idea for you But if you see yourself as a much quieter person you can still make use of opportunities such as Medic Orien-tation Camp and other events jointly organised by student bodies within the Medical Faculty to make new friends

Q Any special things for P14 freshmen to be aware of

A First of all welcome You all are now members of Pharmacy Society MS HKUSU and I would like to let you know that this is a student body aiming to serve you Thus feel free to share your viewpoints and voice out your opinions to the current Com-mittee members The Society has to

understand your needs to improve and provide better welfare and services for you

Q Any other comments or important things to re-mind P14 freshmen

A If you would like to get to know more fellow pharmacy students especially students from P12 and P13 grab the opportunity to join the Pharmacy Society Orientation Camp and the Mentorship Programme These are great chances to make new friends and Irsquom sure you will enjoy them

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

ldquoas huMaN beiNgs we do chaNge grow adapt perhaps eveN learN aNd becoMe wiserrdquo ndash weNdy carlos

42 | Caduceus September 2011

筆 者是一位護理系的學生半年前有幸成為二零一一年啟思編輯委員會的總編輯在期間所體驗到的希望藉著這次機會作出分享特別希望新加入醫學院的同學

能對「上莊」有更多了解

上莊之路上莊是大學五件事之一證明它對大學生

活有一定的重要性一定的位置筆者在初入學的時候曾為了上莊與否而煩惱猶豫了好一段時間期間考慮到自己能力怕學業應負不來但最後仍然下了上莊這個決定原因是上莊是個難得的機會充實增值自己不同的莊會提供不同的機會讓莊友去學習透過不同的莊務去讓自己眼界擴大另外可以了解醫學院內發生既事情例如院內活動的進展情況更可以參加舉辦院活動為醫學院出一分力最後當然會認識到將會相處一整年的莊友工作伙伴有機會認識到不同學系的同學從他們身上可以觀察到學習到各種的特質從而令自己有所進步有所啟發

護理學生作為護理系學生起初擔任總編輯一職實

在是倍感壓力畢竟歷屆的總編輯都是由醫科生出任因此筆者起初都害怕跟醫科生共事怕自己的能力不足夠應付莊務所以起初都是戰戰兢兢地上莊

一位三年的護理學生曾對我說「我認為你不太尊重護理系護理系和醫科都是個專業希望你能加以尊重自己的學系不要輕視護理這個學系你要肯定自己的學系才能帶領整支莊因為莊內成員來自不同的學系你必須肯定和認同每個學系都有一定的重要性以及其專業」這番當頭棒喝的良言令我明白到自己一直都太輕視護理系過於重視醫科現在我明白到認同自己學系是尤其重要只有這樣才可以用自己學系的身份去發表意見只有認同自己學系才懂得尊重其他的學系莊內便可以融洽一點

在筆者的莊友中醫科生都是較有責任感而且做事更有計劃從他們身上的確學到不少東西這點是無可否認的事實筆者並不是在分享學系與學系之間的差別而是希望有志上莊的同學能互相尊重明白到各學系的莊

友都有其值得學習的地方起初對其他學系有隔膜是無可避免的畢竟對他們的學系都不太了解又沒有歸屬感但如果因為對方是別的學系而輕視對方的人不但失去與人相處學習的機會而且會令莊內的氣氛失去和諧

幸好的就我所見所聞醫學院內的莊多年來都能融洽相處互相支持令到一眾上莊的同學都能輕鬆地享受上莊的喜與樂甚至是不愉快的事情

依靠你的莊友莊是一個團體不是一兩個人可以應

付得來所以筆者認為與莊友互相溝通合作是個重要的元素新同學如果有志參與莊務期望從上莊中有所得著首要的事情是與莊友建立關係因為他們將會是你來年的工作伙伴也是你遇到困難時依靠的對象一位上莊曾對我說「其實一件的莊期不會令你有太大的得著或成長反而長久的友誼才是你將會得到最重要的」這句說話是千真萬確的上莊的人不會由詞不達意改變成談吐得宜不要期望自己會有驚人的轉變也許上莊會令人處事成熟一點有計劃一點但上莊所得到的關係將會是更重要更珍貴一年的相處中面對過有無數的會議共同處理過不少困難從中

建立的友誼真的是畢生受用

責任感上莊另外一個十分重要既條件就是責任

感有志上莊的同學必須明白到莊期是長達一整年在繁重的學業中騰出時間來處理莊務是個考驗責任感和毅力的測試同學必須再三思考想清楚自己是否真係熱衷於上莊或是只是一時衝動畢竟你將要許下的是一年的承諾必須對這個莊負上責任願意付出才選擇上莊這個決定這樣的付出就會有相對的回

總結上莊的確是個好機會讓自己去學習從處

理事務中或是從莊友身上都會有所得著充實著自己的大學生活從中可以認識到各學系的同學建立一段段受用終身的友誼在此筆者希望各學系的新同學可以善用機會作出上莊這個無悔的決定

護理系的啟思總編石志榮 (N14)

新鮮人

hkucaduceusnet | 43

慈兄吟(下)奇晶

最 後還是麥教授先開了口「他的確是一個好學生對醫學有獨到見解他不但學業成績優異而且樂於助人你是他的妹妹吧」婉慧努力控制自己的淚水繼繼續續的說「是啊但helliphellip但helliphellip我不知道helliphellip他竟會在這裏出現」麥教授用悲天憫人的目光看着婉慧語重深長說「人生自古誰無死人生命的有為與否並不取決於他生命的長短而是在於人生的意義你哥哥雖然最後當不了醫生但他的犧牲卻間接為一些同學做醫生鋪路讓他們做醫生去救人這真是一種無私的愛」婉慧點點頭覺得自己對哥哥的了解實在太少了

最後她還是孤獨的離開實驗室她覺得自己跟哥哥比起來實在相差得太遠了原來他除了是十優狀元在醫學院的成績名列前茅外還是個熱心助人的好青年自己除了少了一優外少的更有對別人的同情及樂於助人這造就了她心靈上的空虛她明白到冷漠不是一種對哥哥思念的正當表達方法她應該做的是把哥哥對其他人的愛傳揚開去以圓他的心願

第一步往往是最困難的婉慧平日對他人的態度已令不少人對她敬而遠之有很多次她嘗試向同班同學投以友善的笑容得到的總是詫異的目光或別人的不理不睬在小組討論中儘管她踴躍發言盡量避免冷場的發生偶同學們卻認為她變本加厲想阻止同學們取得好成績她四處碰壁又再次陷入了想念哥哥的深淵

時間一天一天過去了上學期考試前的休假開始了婉慧每天都勤奮的在圖書館溫習期望取得好成績這時候的圖書館堆滿了人如果遲來一個小時想找一個位子也難就在假期的第二天同班的王文在圖書館跑得氣急敗壞仍找不到一個座位婉慧不知怎樣有點同情他將座位讓給他王文驚訝道「不用了我還是回家吧真倒楣遲來了一個小時就沒有『接位』」

「但你住在哪裏呀」

「元朗今天早上我忘了校鬧鐘八時才起」

「那你還是要我的座位吧我可以坐到電腦桌因為我認識的人不少沒有什麼人會打擾我的」

王文謝了她頓時對這位冷漠的同學刮目相看原來她的內心也是溫暖的這並不是他所能料及的坐在電腦桌前溫習的她也感到特別的快樂溫習的速度也快多了王文就此成為了她的「飯檔」考試期間每天和她一起吃飯他更將自己的好友介紹給婉慧認識

在一個晚上她又悄悄的在圖書館的角落溫習着突然一隻溫暖的手搭着她的肩上她抬起頭但見解剖學的同桌手中拿着一杯熱飲輕輕的放在她的桌上婉慧正感詫異卻聽見他說「這杯熱巧克力是給你的繼續努力吧」她喝着巧克力心中感到一股暖流彷彿哥哥的關懷又在她內作出回響

十年生死兩茫茫不思量自難忘千里孤墳無處話淒涼helliphellip

寒風吹起了她額上的劉海佇立在墓前的婉慧不禁凜冽她想起了從前想到自己最後一次和哥哥吵架雙方面紅耳赤的情況想起自己無法親口跟哥哥道歉想起哥哥無私的付出她對着那空虛的墳心中不忍一陣淒然淚水漱漱的流下來她身旁攜扶着年紀老邁的母親邊拭淚邊喃喃道「我的兒子helliphellip歿了helliphellip」大家心情漸漸平復了緩緩走出了墳地

雨一滴一滴的落下飽歷辛酸的婉慧卻仍在懸壼濟世

短篇

ldquoyesterday is but todayrsquos MeMory aNd toMorrow is todayrsquos dreaMrdquo ndash khalil gibraN

44 | Caduceus September 2011

Eternal Flame (1)Tulipa

Itrsquos cold The chills from my fingertips imbibe deep into me This person drills into my mind digging out the truth inside me Itrsquos agonizing She comes right inhellip di-rectly I cannot stop her

Irsquom losing myselfhellip

My hand felt the soggy pillow I realised I had come back to life the world where I lived Staring blankly at the ceiling still losing focus in my eyes I felt my brows with my forearm For the first time I didnrsquot want to lose this feeling

The bedroom door slowly opened I quickly rubbed off the drops that had blurred my vision pretending that I had just woken up

ldquoDo you have lessons this morningrdquo My grand-mother whispered into my ear

ldquoOh goshrdquo I turned right to my alarm clock It was the real life I had forgotten to turn the alarm on last night and it was now seven thirty I knew it I was going to be late every time she caught me in bed Irsquod got to hurry up

Living in Hong Kong Island though it took me more than an hour to get to school I had to comfort my little brother sometimes till two or three in the morning in order to get him to sleep In addition to the consistently heavy study load in the medical school I could hardly get enough rest Running on my heels al-most became my routine starting from last November But I well understood the consequence of skipping lec-tures It was the beginning of the Cardiovascular Sys-tem Block For someone like me who gave least priority in revising Anatomy materials lectures remained the prime source of information for exams Absence from class was suicidal To make the situation worse this professor was one of those who did NOT upload lec-ture notes online

Hoping I wouldnrsquot arrive too late to miss the impor-tant points I finally stepped onto a route no 8 minibus at ten past eight What I could do now was to pay trust in the driver who would bring me to my destination

Coaxing kids was never easy Little Bruce just hap-pened to give me such a hassle last night

He knew I would check on him when I returned home Sitting right next to the door of his room he begged me for a story once I opened the door I sat down together with him on his little couch after Irsquod taken a quick shower This was a time to relax leaving

aside all the other concerns

Kindling through his favourite reader I saw that he wasnrsquot listening but distracted by all sorts of toys around He even invited me into his world of fantasy But it was getting late I had to calm him down so that I too could have some rest Being one of the brightest in his elementary school he should understand this was not the time for recreation

I began to feel annoyed

Yet he was my brother I had a gut feeling that this was unusual He didnrsquot use to be so ldquohyperactiverdquo It re-ally took me a while to adjust to his change With him still tossing and turning in my arms I apprehended his restlessness Unpredictable though he was true to his feelings In one way or another he might find the shadow of our mother in me

He finally settled when I laid him back in bed It was nearly two forty in the morning

The first week of the CVS Block ran as plotted PBL tutorials would start on next Monday Dr Youngrsquos fa-cial expression in the first PBL evaluation flashed over my Embryology notes and references She didnrsquot teach Embryology but I could tell she did have a hypertroph-ic heart-shaped face which looked familiar to the dia-grams in the Atlas

Back in the IHD Block most of us were puzzled about the scrambled content of our course Various forms of seemingly related knowledge came in through lectures practical and tutorial sessions But the neural circuit formed in our brain just failed to resonate as if the conductance-inductance mismatch had aberrated our thought from minimal impedance Sometimes things even happened in a ldquomore-than-extrardquo manner The presence of common core courses in a parallel but independent branch in the network could rightly be detached without causing a blip on the galvanometer Everything was dubious We had no idea of what we were doing

Maybe we were just on the way seeking for a sense of attachment

My mind too was racing in haste I was struggling with my decision to become a doctor Too many things had happened over the year I just couldnrsquot stop ques-tioning myself what was I thinking when I put lsquo6456 MBBSrsquo in my JUPAS application I should have expect-ed and prepared to face all these I just didnrsquot knowhellip

Novella

hkucaduceusnet | 45

It was midterm evaluation in the IHD Block Her face looked tense in that heart shape She was so stiff in her facial expression that no one could read her mind from her poker face The conference room of the Physi-ology Department was large We seemed to be the odd ones out in the spacious carpeted room In this secre-tive silence you could hear the drumming in your ears as if you were tingling

I realised this was not a matter of ldquoam-I-suitable-for-a-medical-careerrdquo but ldquois-a-medical-career-suita-ble-for-merdquo I was lying in bed playing with my plush bear when these thoughts burst in me Dr Young looked through me She felt certain that different from other group mates there were crises behind me But I didnrsquot tell her anything that day

We all were sensitive At times some subtle trepi-dation seeped in gradually sucking peace away from my sleep It was so to say below threshold sub-lethal though it lingered for weeks once it set inhellip

Drenched in bloodhellip There is no life in the boy His eyes are widely opened slightly protruded The lifeless pair of black pearlshellip I cannot escape from his glance He wants to talk to mehellip There is something he wants me to know

A van runs over himhellip

I fell down the edge of my mattress Breathing heavilyhellip Sweating all overhellip

ldquoScreechrdquo People began to gather around a tel-ephone booth a few metres behind us

I turned back I couldnrsquot see a lot from this anglehellip

ldquohellip What a pity He is so younghelliprdquo a middle-aged couple passed by

The victim resting just in front of the wheel looked towards me through a break in the crowdhellip

As we were wandering around thinking what to eat for dinner my cousin found me standing there rooted to the ground stunned by the victimrsquos gaze My heart was pounding She wouldnrsquot believe what I was again experiencing For a number of times already scenarios in my dreams were mirrored into reality

I couldnrsquot tell her

ldquoI was just thinking whether you would like Korean cuisine There is a new restaurant two corners awayrdquo I made up a talk while escaping from the scene so that I wouldnrsquot look so strange

ldquoWhy not go and have a try thenrdquo She was not dis-appointed for calling it a day as the food there was sur-prisingly good

Not until some years ago when I was Form 3 in college I discovered my ability to look into the future Sometimes I could see them coming up on the news in days or weeks And some didnrsquot ever happen at least not around me But seeing the night visions coming into concrete existence wasnrsquot always a pleasure when the mental images turned gradually into mostly night-mares When I visualised my close ones it felt like I was in the middle of an insecure chain bridge above a torrent that would sweep me into the vast ocean with no return It was entirely different from what you might understand as ldquodreams come truerdquo

I had witnessed misfortunes in proximityhellip

But I could do nothing about ithellip

Friends were a source of solace someone to con-fide all frustrations in But with my paranormal ability which appeared to everybody else only on screen-plays I wasnrsquot courageous enough to open my life wholeheartedly to them Seldom talking about myself avoiding all sorts of gatherings I became an eccentric figure among my classmates

Sometimes mutual understanding carried more weight than words I remembered my physics teacher being one of my few friends during my teen years De-spite his boisterous faccedilade he was always sensitive to whenever I was dwelling on my burdens Physics was our common language Intermingling our emotions and feelings with concepts that were alien to my fel-lows we developed a close rapport impenetrable by anyone else

ldquoWhat is the nature of a flamerdquo This was the most discussed problem between us Neither in solid liquid nor vapour state Not having any definite shape and colour It seems not any material but a type of energy giving out heat and light At the moment of providing it also exhausts its fuel and eventually itselfhellip

The romance of physics is more than anything you could read write and talk about Once you were truly connected with it nothing can stop you Your mind will bounce irrespective of the chronology of space-time but only under the guidance of your thoughts

I was so devoted to the discipline at the time that I was almost making it my lifelong career in some way He envisaged that I would demand much more than any academia could provide with its scientific basis alone We were both seeking a philosophy beyond the facts But Hong Kong may not be the right place for it

I made him a promise at the end to contain our flame and I knew I would

For the first and the last time I saw his eyes filled with tears We knew existence by itself is a miracle

ldquoi love life because what More is thererdquo ndash aNthoNy hopkiNs

46 | Caduceus September 2011

說華佗都說「華佗再世」誰知箇中真諦雲方 (M15)

烽煙起戰火燃萬里 

三國並爭英雄地亂世有誰顧生死 

待神醫行世將民眾救濟

渺渺江山東西瞰俞跗巧手扁鵲心(1) 應向何處尋 

滾滾黃沙無世家終有奇士放奇葩

沛國 華元化(2) 

他經書貫通南北遊動 

一望斷症如神助三劑消病不必多

說斷症悉如所料 

甘陵 相夫人腹痛極難忍(3) 號脈知死嬰在左為男形(4)廣陵 梅軍吏除名歸故里

見貌知壽盡速返見萱椿(5) 

說消病藥到病除 

飲蒜醋有三升蟲一嘔而盡清 (6)母服丸而溫儲兒不藥而自癒 (7)

絕妙處 

是他開腸剖腹刀至辟毒 

神醫號 

除他內外皆精有誰配稱

[1]   俞跗黃帝時代之名醫扁鵲春秋戰國之名醫《淮南子人間訓》「患至而多後憂之helliphellip雖有扁鵲俞跗之巧猶不能生也」

[2]   華佗字元化沛國人(今安徽 亳州)

[3]   甘陵相(即甘陵之行政長官)夫人懷胎六月腹痛不安華佗為其切脈便知胎死於是命人摸知所在在左則男在右則女人云「在左」夫人飲藥後果然產出男胎腹痛立即痊癒

[4]   廣陵有軍吏名曰梅平離鄉服役後來退役歸家於路上巧遇華佗華佗視之嘆道「若能早些見我當不至於此而今你僅餘五日壽命速速回家還能與家人相見」平旋即趕抵故鄉五日後亦如料身亡

[5]   萱椿多作椿萱比喻父母漢牟融《送徐浩》詩「知君此去情偏切堂上椿萱雪滿頭」

[6]   華佗見路邊有人食不下嚥教他到路邊餅店買醋三升混上蒜泥然後飲用路人服後即吐出一條長蛇(即寄生蟲)

[7]   兩歲男孩長年腹瀉藥石無靈華佗往診謂病在母命其服用華佗親研之「四物女宛丸」服後母親乳汁不再寒涼男孩亦不藥而癒

意興

hkucaduceusnet | 47

只可惜人無完壁

「關將軍使君予我手刮骨惡毒走

曹丞相使君予我頭剖顱苦痛收」

「怎能不收怎能不收一命嗚呼萬事休 

簡直荒謬簡直荒謬殺此庸醫未須愁」(8) 

五禽戲尚能傳 (9)麻沸散從此絕 

何不一飲醉死不知世忍氣吞聲事權貴 (10)心神委曲須臾苦奇術失迭千秋計 

烽煙止無改生死事 

且當醫仙謫世間神技終須風裏散 (11)回首仰高山景行請君範 (12)

[8]     曹操欲殺華佗臣下勸之不可答曰「不憂天下當無此鼠輩耶」

[9]     死前華佗欲托所著醫書於獄卒不果便盡數焚毀唯有其養生體操「五禽戲」流傳後世

[10]   《三國志魏書方技傳》「當須刳割者便飲其麻沸散須臾便如醉死無所知」

[11]   唐白居易《簡簡吟》「恐是天仙謫人世只合人間十三歲」

[12]   景行(音航)即大道以高山景行比喻人品德行為之高尚典出《詩經小雅車轄》又東漢鄭玄曰「古人有高德者則慕仰之有明行者則而行之」

ldquothe art of MediciNe was to be properly learNer oNly forM its practice aNd its exerciserdquo - thoMas sydeNhaM

48 | Caduceus September 2011

啟程

清晨空白的天空看不見藍天雲彩

只有溫柔的雨絲和朦朦朧朧的霧水跟隨

著大隊的足印踏上沉重的腳步穿過橫

街小巷和煩囂熱鬧的市場走過自動門

撲鼻的消毒藥水味道讓大家屏住呼吸筆

者和夥伴們終於到達了入讀護理系以來第

一次實習的醫院

還記得在實習的前幾天心情是既忐忑

又期待的畢竟這一次實習的地方不再是

在社區中心宣傳健康方面的知識亦不是

只面對著健康活潑的小朋友和老友記或是

學校課堂上所提供的假人張靜汶卻是照

顧一羣真正需要關懷的病人心中充滿著

憂慮不知自己所學的知識足夠在應用上

嗎自己平日的練習足夠嗎雖然心存在

著不少疑惑但也十分期待可以體會一下

做小學護的感受嘗試把這一年裡所學到

的知識運用出來

很多的第一次

在病房裡總有心酸和膽戰心驚的時

候第一次為昏迷的病人清潔口腔第一

次為難以進食的人插入胃喉第一次為老

公公清洗背上壓瘡的傷口helliphellip照顧他們時

的心情都是一步一驚心生怕自己沒法應

付得來又怕會把事情弄得更糟糕最重

要的是恐怕自己不純熟的技巧令他們受苦

了記得有一回第一次為女病人插入尿

喉採取尿液樣本可能技巧不太純熟的關

係延長了病人的痛苦過程中她皺著

眉頭不斷呻吟又緊張得咬破脣眼看

她樣子心中真的不是味兒來身為病人

的其中之一依靠我們不得不給自己信

心如果連自己也不相信自己哪會有病

人願意把他們交給我們照料呢

捕捉那瞬間的美麗與淒然何麗敏 (N14)

上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

意興

hkucaduceusnet | 49

另外第一次面對病人的心情是頗為

緊張的說話技巧亦有改進的空間但和

病人傾談了數分鐘後氣氛也漸漸變得和

諧可能那些老公公整天呆在醫院裡真是

悶到慌看見一羣年青人與自己聊天照

顧和關心他們他們不禁咧嘴而笑醫院

職員透露有一位老公公平日不太願意吃東

西於是我們便主動和他談天說地又

悉心照料他進食的情況後來他不但胃

口好了不少就連心情也開朗了他生動

活潑的談吐讓我們笑了他回復健康精

神的體魄也讓我們感到安慰

相處片刻

雖然為期一星期的病房日子不是特別繁

忙或是辛勞但是也會有不習慣的時候

幸好得到醫院職員和一班夥伴的支持病

房經理和註冊護士不但相信我們的能力

對學護的包容更是不用多說還主動地介

紹病房的環境和細心地教導我們醫療護理

上的知識讓我們上了一堂實在而又寶貴

的課同時今次的實習也令我感到團體

精神也十分重要在技巧上大家互相提

點互補不足當有人準備照料有需要的

病人如插喉或洗傷口等大家送上一句 

「加油」就能令對方增加不少自信心和正

能量無論遇上甚麼事情我也榮幸有如

此一班學習夥伴從旁支持

學習的階級

在這一次病房實習中雖然醫療和藥物

知識方面有待加強但是我學懂了如何與

不同身份的病人相處之道溝通上也得到

了很大的進步獲益不少除此之外我

也真正體會到如何做一個好護士並清楚

了解這個行業是否適合自己鐘樓也不是

一天就能建成而是需要一磚一瓦搭建而

成的所以在學習上我們不但要打好

穩固的基礎還要增強醫療知識在技巧

上馬虎了事和走捷徑是於是無補的應

該多探究和練習才行這樣才對得起病人

和自己也減少不必要的醫療失當事故

總之多一份認真多一點耐性多一些

愛心就是學護必記的左右銘 上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

ldquoit is reasoNable to expect the doctor to recogNise that scieNce May Not have all the aNswers to probleMs of health aNd healiNgrdquo ndash NorMaN cousiNs

50 | Caduceus September 2011

Fun Corner

Medical AppsEver wondered how your handheld device can save your time and

effort when it comes to studying Here is how

Anatomy Pronunciations by HipposoftAccurate pronunciations of over a hundred important anatomy terms you have trouble with are provided

at your fingertips to help you spell those difficult words Anyone who has taken an anatomy course can tell you how challenging it can be to pro-nounce the names of those complicated anatomi-cal terms It is even linked directly to Wikipedia and Google through web browser for additional information

iPharmacy ndash Pill Identifier and Medication Guide by SigmaPhone LLCAn essential medication guide of 20000+ drugs is provided for con-sumers amp professionals This ex-

pands the image library to include 12000 pill and package images and includes digital drug identifier with official drug information (indica-tions dosage adverse reactions and more) You can check the drugs anywhere

Grades 2 by TapityIt tells you what grades you need in the coming tests in order to get your target grade You can easily calcu-late your GPA so as to maintain it It

is a useful tool helping you to keep an eye on your GPA all the time

Human Anatomy by SusaSoftXThe application provides you with information of 15 different biologi-cal systems You can keep on revis-ing while you are traveling without

carrying heavy books

Medscape by WebMD LLCFrom drug classes interaction clin-ical procedures and even the lat-est medical news Medscape helps medical students and healthcare

professionals to reiterate knowledge that has slipped from the mind It is a free application for iPhone iPad Android and Blackberry Yet it contains more function on Android phones and Apple products and lacks detailed clinical infor-mation for diseases and clinical procedures walk through on Blackberry

Pro Medical Terminology Dic-tionary by TreascoveryTerminology might be a tough work for medical students Even if we can master those English terms we can

hardly think of the Chinese terms This applica-tion can help you when you face this problem Note that it is not a free application

3M Littmann SoundBuilder by 3M CompanyA great tool designed to help im-prove auscultation skills of medical students with 14 unique lessons of

key heart sounds combing text virtual manne-quin 3D cardiac animation and dynamic wave-forms

iRadiology by Liebermans iRadi-ologyAn excellent learning tool for medi-cal students demonstrating classic radiological findings of a multitude

of abnormalities including over 500 radiologic images Radiologic images include CT US MRI and nuclear imaging each clearly labeled and followed by key teaching points

Micromedex Drug Information by Thomson Reuters (Healthcare) IncIs Cephalexin a first generation ce-phalosporin This application from

Thomson Reuters is the easiest way to navigate in the sea of drug names Drugs are sorted by classes and supplemented with rich information

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 25: Caduceus Issue 2, Volume 42

hkucaduceusnet | 25

and label tubes of paint Red began to look muddy to him and he saw his painting as becoming ldquoincreas-ingly darkenedrdquo Whenever he com-pared his paintings with his earlier works he would be sent into a tow-ering rage to destroy them

This was because he had cata-racts Cataract patients have yel-lowing and opacification of the lens so his vision essentially be-came more brownish The yel-lowish brown cataracts he looked through filtered out violet and blue shades Monet underwent two eye operations in 1923 after which he returned to his old painting style even throwing away some of his paintings and repainting them

Thesufferingart-istDepictingill-nessesinartPerhaps no one better personi-

fies the notion of a ldquosuffering artistrdquo than Vincent van Gogh Clinicians have posthumously diagnosed him with a range of medical problems including epilepsy schizophrenic and bipolar disorder His later works have long been noted for his preference for the colour yellow and some have speculated that this was related to his yellow vision

One theory was that van Goghrsquos doctors prescribed him with digi-talis to treat his epileptic seizures His painting Starry Night has yel-low circles around the stars and not surprisingly people with digi-talis overdose often see a yellowish halo around objects Other experts speculated that it was his addiction to absinthe that led to his yellow vi-sion Absinthe is a highly alcoholic drink that contains a highly psy-choactive neurotoxin called thu-jone which causes yellow vision

Van Gogh was not the only art-ist who projected his illness into his art Edvard Munch had tuber-culosis and spit blood as a boy Her mother died when he was five her sister spent most of her life in-stitutionalized for mental illness and his brother died of pneumo-

nia Munch may have depicted his own psychotic state of mind in The Scream which portrays a twisted agonized creature wracked with anxiety and horror

ConclusionDo these findings actually

prove something or are we over-analyzing artworks with our medi-cal knowledge Exactly what ben-efit would these discoveries have for the world at large is unknown At least we know it could lead to yet another interpretation for Mona Lisarsquos smile the result of a scrump-tious meal of pizza and pasta with cheese tomato sauce and meat balls before sitting for her portrait (which would certainly also explain her cholesterol problem)

Two pictures by Monet of the same Japanese bridgemdashthe first painted in 1899 the second between 1918 and 1922 revealing a dramatic loss of shape and detail

suNflowers by Vincent van Gogh (1888) the screaM by Edvard Munch (1893)

ldquoeverythiNg that we see is a shadow cast by that which we do Not seerdquo ndash MartiN luther kiNg jr

26 | Caduceus September 2011

The End is Near Apocalyptic TheoriesRead more to learn about the terrifying future that awaits us Chariene Woo (M15)

S urge of waves rush over the mountains with unstop-

pable speed engulfing and shatter-ing our homes Flaming asteroids rain from the sky causing roads to crumble like sheets of paper Peo-ple running away from burning cities screaming fearfully Civiliza-tion ruined in matter of mere sec-onds Is this what the future lies for us

Nobody knows

Apocalyptic literature and movies have always raised interest among the general public partly

because it involves the end of our world as we know it and partly due to the fact that there is no solid proof how an apocalypse would come about The interest has re-cently skyrocketed with rumors about the world ending on 21st De-cember 2012 about how the May-an calendar finishes at that specific time and how it will be the end of the world as we know it So the big question is when and how will our world end

NostradamusProphetofDoomNostradamus of France was

one of the worldrsquos most famous seers and is most well known for Les Propheties (The Prophecies) a collection of his major long-term prophecies written in quatrains Many of his prophecies have cor-rectly predicted current events including the destruction of the space shuttle Challenger the death of Lady Diana and the destruction of Twin Towers of the World Trade Center As a result of these predic-tions he has been given the nick-

How do you survive the apocalyptic world

Insight

hkucaduceusnet | 27

name ldquoThe Prophet of Doomrdquo

Nostradamusrsquo prophecies have huge room for interpretation speculation and controversy and some people think his writing has no merit at all The following is an example of a quatrain alluding to some sort of environmental disas-ter in the future

ldquoFor forty years the rainbow will not appear

For forty years it will be seen every day

The arid earth will grow more dry

And great floods when it will be seenrdquo

(Century 1 Quatrain 17)

In other quatrains images of great comet alien invasion and nu-clear contamination are also men-tioned so these could all be the prospects that are waiting for us in the future Despite Nostradamusrsquo ldquoaccurate predictionsrdquo of what had happened in the past the quatrains do not have a specific order So out of all the disasters predicted in the many quatrains it is uncertain which will happen where or when giving it less importance in predict-ing an actual apocalypse

PlanetXAccording to Nancy Lieder a

woman who claims to have been contacted by extraterrestrial life forms Planet X (also known as Nibiru) would come close to planet Earth on May 27th 2003 resulting in the Earthrsquos rotation ceasing for 59 terrestrial days The Earthrsquos pole will then undergo a physical polar shift due to the magnetic attraction between the Earthrsquos core and the magnetism of the passing planet This will ultimately lead to the dis-placement of Earthrsquos crust and the end of us But when this did not happen the event was postponed and re-dated to coincide with the Mayan calendar hysteria

NASA argues that this is merely an Internet hoax with no factual or scientific basis They explain that if Planet X was approaching Earth astronomers would have

been tracking it for at least the past decade and the planet would now be visible by the naked eye This is a very comforting bit of news Yet some people believe that NASA is part of a conspiracy to cover up the existence of such planet and keep the truth of impending apocalypse from general public Again the ar-gument can go either way and the ldquotruthrdquo depends on which side you choose or want to believe in

2012TheendoftimeSo what is so special about the

year 2012 There are claims saying that the Mayan calendar ends on 21st December 2012 and that will be the end of time for mankind However just like every calendar it merely rolls over to the new year on that date and it doesnrsquot signify anything special In the Mayan cal-endar 21st December 2012 will be the end of brsquoakrsquotun 13 and marks the start of brsquoakrsquotun 14 A brsquoakrsquotun is 144000 days (a little more than 394 years) and there is no archeological or historical evidence to show that the Mayans expected anything sig-nificant or drastic to happen at the

end of each brsquoakrsquotun

However there exists litera-ture that suggests otherwise In 1975 Frank Waters the author of the book Mexico Mystique identi-fied the 13th brsquoakrsquotun interval to be the ldquoMayan Great Cyclerdquo where it ends in the worldrsquos destruction and rebirth Waters claims that cata-strophic earthquakes will destroy the world but he miscalculated the date and announced that the end of the ldquoGreat Cyclerdquo would be on 24th

December 2011 AD

The year 1987 marked an in-creased in interest regarding the prophesized big event in 2012 The author of The Mayan Factor Path Beyond Technology Jose Arguelles linked the 13th brsquoakrsquotun period to a ldquobeamrdquo that links people the plan-et the Sun and the center of Galaxy According to Arguelles the beam is the key to harmonic resonance in the universe and the Mayan knew when we would enter and leave this beam hence set their 13th brsquoakrsquotun to mark our passage accordingly He also claims that this beam could advance the development of any-thing with DNA hence creating a more positive view of the future

V838 Mon a star with expanding light echo purported as photographic evidence of Nibiru

ldquoevery MaN dies Not every MaN really livesrdquo ndash williaM wallace

28 | Caduceus September 2011

No one can be sure of whether the end of brsquoakrsquotun 13 signifies something great or disastrous for us or if it is just another restart in the Mayan calendar We can only know for certain when the day ar-rives

GodrsquosplanforusThis is by far the most detailed

and terrifying image portrayed out of all apocalyptic claims that I have gone through The Book of Rev-elation from the New Testament reveals signs of apocalypse through a wide variety of symbolism One of such is the frightening image of the ldquofour horsemenrdquo

ldquoAnd I saw and behold a pale horse and he that sat upon him his name was Death and Hades followed with him And there was given unto them authority over the fourth part of the earth to kill with sword and with famine and with death and by the wild beasts of the

earthrdquo (68)

The pale horse carries the horseman of Death which is be-lieved to release global plague and pandemics to the world and take the lives of a quarter of the popu-lation This has already manifested

itself in many forms in different parts of the world at different times hence the first sign of apocalypse is said to be already happening among us

In similar manners the bible describes the arrival a black red and white horsemen represent-ing the delivery of global food shortages war and conflict and the coming of an antichrist to the world From historical genocide terrorism to increased occurrence of food shortages so often seen nowadays it seems that the red and black horsemen has arrived as well and now we are just waiting for the arrival of an antichrist to conquer us

The Book of Revelation also provides readers with a glimpse into the ldquoactionrdquo in how the world will end

ldquoAnd I saw when he opened the sixth seal and there was a great earthquake and the sun became black as sackcloth of hair and the whole moon became as blood and the stars of the heaven fell unto the earthhellipand every mountain and is-land were moved out of their placesrdquo

(612-13)

Besides the great earthquake and the darkening of the sun there is a repetitive mentioning of stars falling from heaven on earth in the Bible This is postulated as the at-tack of massive meteors on planet Earth Out of all prophecies in the Book scientists assume this to be the most likely since an asteroid impact at a scale as large as that may have already wiped out an entire species that came before mankind Scientists believe that showers of space rocks that rained down 65 million years ago (due to the collision of Near Earth Object) were the culprit for the extinction of dinosaurs Luckily NASA recent-ly launched an early warning sys-tem called ldquoSpaceguardrdquo that aims to monitor such Near Earth Objects to prevent future collisions and ex-tinctions

Having read the above the Bible seems to combine all the horrifying specifics in different apocalyptic speculations into one nightmare But donrsquot worry since there are many different interpretations of the Revelation Historicists are the ones who see the Book as a broad view of history (good news wersquove already escaped all the horrors in the depiction) whereas Futurists

believe the description as prophecies of the fu-ture The Idealists hold the belief that the Rev-elation does not refer to actual people or events which makes sense as the Bible is often not inter-preted literally So fingers crossed that the Revela-tion is not interpreted in the futurist way because in that way there is going to be a daunting future awaiting us

Four horsemen of Apocalypse

hkucaduceusnet | 29

ldquoDevolvingrdquoEarthTheoryThis is probably the

most scientific theory that I have come across so far from a news article pub-lished from ABC News A group of scientists from University of Washing-ton hypothesized that the Earth will gradually de-volve in the next half bil-lion years In short their logic works as follows

As we all know the sun is constantly grow-ing bigger yet the Earthrsquos environment has been reasonably constant This is because as the sun is warmed up carbon diox-ide from the atmosphere is removed and deposited in soil as carbonates This keeps our environment stable by the balance be-tween an increasing sun and reducing carbon di-oxide in the atmosphere (Note that global warming resulting from an increase carbon dioxide in atmosphere is just a brief blip in the grand scale of things) Since carbon dioxide is the ldquofood of liferdquo the reduction will cause plants and animals (including humans) to die To battle the rising heat some creatures will retreat into the sea hence reversing the evolutionary process And as the sun continues to expand the Earth will become so hot that even the oceans will gradu-ally be evaporated Eventually the sun blasts off its mass through ther-mal pulses engulfing the Earth

This is a very scientific specula-tion from an astrophysicistrsquos point of view and they claim that at best we have no more than half a billion years left This might be more reas-suring for some of us as the world will not end in the near future But the grief lies in the inevitability of our planet Earth coming to an end

Everythingthathasabegin-ninghasanendSo we are back where we start-

ed With more speculation and the-ories and still no closer to the truth The end could happen any day or time or maybe it could be a proc-ess that is already happening Even though it is not to the scale of an-nihilation of the human race hur-ricanes and earthquakes and car crashes have already been stealth-ily taking the lives of millions We know for sure that we must die eventually through chance old age or disease There is only very little we can do to fight against what has been planned for us and reducing the resources we consume is the best chance that we have in delay-ing this happening There might be some benefit if we know the in-sights of when and how it will hap-pen but really it doesnrsquot change anything Moreover it is possible that these speculations came about to force mankind to live life to the

fullest to treasure each day and every resource we have as a gift so it doesnrsquot matter which theory is the accurate one In the midst of these theories about apocalypse all we can do is to live every day as if it was our last with no regrets and enjoy life as it is now

ReferncesThe End of the Worldhttpwwwnostradamus101compropheciespart4P7

The Great 2012 Doomsday Scare httpwwwnasagovtopicsearthfeatures2012-guesthtml

When Will the World End New Theory EmergeshttpabcnewsgocomTechnol-ogystoryid=97756amppage=2

2012 Beginning of the End or Why the World Wonrsquot Endhttpwwwnasagovtopicsearthfeatures2012html

Video from history channel (from youtube link)httpwwwyoutubecomwatchv=BoTExQEyblU

ldquothe MeaNiNg of life is coNtaiNed iN every siNgle expressioN of life it is preseNt iN the iNfiNity of forMs aNd pheNoMeNa that exist iN all of creatioNrdquo ndash Michael jacksoN

30 | Caduceus September 2011

笑的神奇魔力「當你笑你改變了當你改變了整個世界也改變了」

麻丹卡塔利亞醫生(大笑瑜伽的始創人)何麗敏 (N14)

被隱藏的笑容

日 本大地震及核洩漏事件馬頭圍道唐樓火災三死十九傷中區

警長為勸示威人士中不慎失足墮橋身亡

各政黨爭相你嘲我罵helliphellip在城市裡我們

每天都被一些飛來橫禍天災人禍或社會

爭執的信息圍繞著充斥著愁雲慘霧的氣

氛甚至在家庭朋友學業工作和

健康方面我們亦會遇到不如意之事負

能量和心理壓力不斷增加沒有適當的疏

導和發洩方法之下不少人染上酗酒或沉

迷賭博等壞習慣來自我麻醉長期把情感

抑制的一些人更有機會患上

情緒病我們彷彿硬把自己

困在死胡同裡忘記兒時怎

樣整天咧嘴哈哈大笑如何

在跌倒後笑著站起來現

在很多人都像被魔鬼牽著

鼻子走每天板著一副無奈

沮喪的嘴臉掛上冷漠的眼

神笑聲更差不多成為絕

朋友啊你可有嘗試計

算過一天總共大笑了多少

次英國格拉根大學研究發

現在英國嬰兒每天會笑

達三百次而青少年時期的

每天大笑次數大幅減至六

次五十多歲的人平均每天

更只笑了三次無可厚非

我們在成長過程中必遇到愈來愈多的煩惱

和挑戰事情的確不是我們所能控制但

面對的心態我們為何不能放開一時所謂

的包袱像孩子般笑著面對呢為甚麼大

笑要有一定的理由或被時間限制呢

瑜伽加愉

近半個世紀工作學業和情緒波動

很大生活方式變得愈來愈物質主義容

易出現精神緊張大家都被壓得透不過氣

來變得不太愛笑在一九九五年印

度孟買註冊家庭醫生麻丹卡塔利亞(Dr Madan Kataria)創立「大笑瑜伽」以笑聲驅除怨氣大笑瑜伽是以笑聲互相交流

的透過眼神接觸傳遞歡樂的信息學習

別人的笑容代入孩童的心態再全情投

入地開懷大笑同時亦融入瑜伽的腹式

不妨一試

大笑瑜珈三式一預備式林中步行

在樹林慢走就是愛笑瑜伽的熱身方式步行時間

可以是10-30分鐘邊走路邊拍手同時不時地做深呼

吸目的是讓身體和情緒都徹底放鬆下來為後面的

內容做好準備

二進行式學習動物的表情

在瑜伽導師的帶領下活動面部肌肉然後模仿瑜

珈導師的動物表情這些表情看上去本身已很滑稽

只要按照瑜伽師的樣子去做再發出笑聲

三結束式調整呼吸

經歷了一場大笑面部表情鬆弛了心情也舒服

了不少大家慢慢收回笑容調整呼吸一邊在森林

裡散步一邊大聲告訴自己說「我們是世界上最快樂的

人」

灼見

hkucaduceusnet | 31

呼吸和伸展動作鼓勵大笑達至身心健康

的效果精神科專科曾繁光醫生指出 

「笑令腦自然分泌天然多巴胺以抗衡人

體緊張時所分泌的皮質醇預防患上焦

慮抑鬱的情況」除了改善情緒還能

促進健康笑能促進肺部呼吸功能和加強

血液循環現代醫學認為笑可以成為一種

治病方式治療神經衰弱消除肌肉的緊

張預防或減緩疼痛

筆者在此並不是宣傳大笑瑜伽其治

療成效仍有待商榷和科學實證但愈來愈

多人證實大笑和保持歡樂的心態能有效放

鬆自己張立新先生是第一位在中國推廣 

「大笑瑜伽」的人他患上憂鬱症遍尋

各種治療方式皆無成效一次機緣巧合

從網路接觸「大笑瑜伽」亦在電視上看

到介紹而開始學習和練習他的憂鬱症因

此不藥而癒從此他就開始在中國研究和

推廣愛笑運動暫且別論大笑瑜伽的奏效

程度但人生所遇到的事可真不少何不

笑對人生

尋回被遺忘的赤子之心

大笑並不是靈丹妙藥但它的確能帶來

正能量即使事情有多糟糕笑著面對總

比怨聲載道好而且美國加州大學柏克

萊分校心理學教授丹卓凱納說「笑對

人的進化很重要」目前心理學家們認

為笑是人類之間交流的古老方式之一笑

能互相影響把歡樂的氣氛傳染開去嬰

兒還未學懂說話時笑是與身俱來為何

我們長大後卻隱藏笑容呢朋友們參考

左頁所列大笑瑜伽的基本招式大家可相

約三五知己輕鬆一番找回孩童時的笑聲

大笑瑜伽的始創人麻丹卡塔利亞醫生

大笑瑜伽在六十多國家盛行

ldquolaughter is the best MediciNe - uNless yoursquore diabetic theN iNsuliN coMes pretty high oN the listrdquo ndash jasper carrott

32 | Caduceus September 2011

Learning Experiencing GivingA magical 10-day journey away from the cityErin Yeoh (M15)

C lad in backpacks light clothing and sneakers 21 medical students from HKU and CUHK

were prepared to leave the comforts of home and the internet (did I hear Facebook) We were bound to Chi-na about to embark on a learning-cum-volunteering trip organized by Medical Outreachers

After saying our final goodbyes at the Shenzhen air-port we split into two teams Team A with 9 members were bound to Xirsquoan where they would see volunteer orthopedic surgeons at work The 12 people in Team B including me left for Guizhou to understand the role of village doctors in rural China Both teams aimed to find out the effectiveness of public health policies in rural areas of China We were to meet up 4 days later at Dongshan Guangdong

Part1GuizhouUpon landing in Guizhou we were provided with

excellent hospitality by the local officers and the lo-cal NGO Amity Foundation We were given a brief introduction to Guizhou and also the work that the government and Amity Foundation were doing in the province Amity Foundation actually helped to build numerous new village clinics to improve the quality of healthcare in the region

The next day we were taken on a tour around the province visiting different village clinics (村診所) lo-cated in areas further away from the city Usually there would be one or two village doctors (村醫) on duty

at a time to attend to the villagers with population of around 1000 to 4000 per village

However the village doctors were not the type of ldquoheroesrdquo I had in mind They were not your typical doctor working in a worn out run-down wooden hut where there would be a row of sick villagers lining up to see them How ignorant I was In fact the village clin-ics were mostly renovated and well equipped with ba-sic amenities The standard village clinic has 5 rooms main lobby (大廳) treatment room (治療室) pharma-cy (藥房) observation room (觀察室) and a doctorrsquos rest room (醫生休息室) Furthermore their patient flow was rather small sometimes only one or two pa-tients per day This was probably due to the fact that some village clinics were located only a stonersquos throw away from major cities Those in a medical emergency would of course go straight to the main hospital to seek help immediately instead of consulting a village doc-tor

To be a village doctor one at least had to be a sec-ondary school graduate They would also undergo constant training and certification by qualified doctors in larger clinics According to the village doctors they spent most of their time doing paperwork keeping track of the villagers and their medical history They would also conduct regular home visits to those suf-fering from chronic illnesses or those that needed con-stant monitoring such as patients with hypertension or rheumatoid arthritis Another point that I found

A village clinic before receiving funding from Amity Foundation

hellipand a comparison after

Life

hkucaduceusnet | 33

interesting was that they would also visit families with newborn babies to check on their general health At the same time they would educate mothers on proper breastfeeding techniques and how to provide adequate nutrition for their children in the future

To learn more about their daily routine we fol-lowed a village doctor on his home visit rounds The doctor would sometimes have to travel as far as 2 kil-ometers for a home visit which would be the other end of the village This was as in the case of a pregnant lady due for delivery soon (photo as shown below) The doctor who came to check on her health status reas-sured her that her delivery would be a successful one From her sigh of relief and tired smile we could tell that she was grateful to see the doctor

However things didnrsquot always run as smoothly According to some of the village doctors they used to be scolded and rejected by the locals who did not understand why the doctors would often come up to their doorsteps asking them questions regarding their health and pestering them to go for checkups Some of them being superstitious would think of doctors as ldquoharbingers of bad luckrdquo as the doctors would talk about ldquosicknessrdquo and ldquodiseaserdquo when they were actu-ally feeling as fit as a fiddle Thankfully the situation has much improved since then

From what we saw instead of playing a curative role in a society the village doctors were actually much more involved in disease prevention and monitoring

This is actually the ldquoupstream modelrdquo concept in pub-lic health Instead urban doctors are overwhelmed by limited consultation time and when fatigue kicks in they simply do not have the energy to further educate their patients They would also not have the time to un-derstand their patients on a personal level unlike that of the village doctors

However the indiscriminate use of antibiotics in China was truly a frightening sight Doctors adminis-tered antibiotics intravenously for mild diseases like the common cold When we asked the doctors as to why they did so they simply smiled and shrugged off the question It is probably still a common practice in China and if the doctors did not give such medication the patients would probably lose trust in the doctor The fact that the similar practices were seen even in large hospitals probably indicates that this problem is hardly a localized one

Part2DongshanGuangdongWe met up with the team from Xirsquoan at the

Guangzhou airport and proceeded to our next desti-nationmdashDongshan After 5 hours of car ride we began to see signs that we were approaching our destination Mountains sharply angled clustered in twos or threes fondly known as ldquoMcDonalds mountainsrdquo were begin-ning to be in sight

As soon as we arrived we were greeted by eager curious young faces The children huddled close by as we unloaded our luggage some commenting that they hadnrsquot seen some of us while others were already play-ing around with the past participants It was my first time to Dongshan but there were some of us who were not new to the kids there

After settling down we were given an introduction to Dongshan and its residents by the local NGO Green Action Foundation led by Mr Wong

Located at the outskirts of the province Dongshan is one of the 4 poorest areas in Guangdong Its natu-ral terrain abundant in limestone makes it especially hard to retain water This has taken a toll on the resi-dents especially during the drought season Another problem faced by the local residents is that there are many young people and adults migrating to big cities to earn a living leaving behind the children and elderly

Village doctor on one of his home visits

Discarded bottles of intravenous antibiotics near the village clinic

ldquoMediciNe also disregards NatioNal bouNdariesrdquo ndash irviNg laNgMuir

34 | Caduceus September 2011

at home

Green Action Foundation took the initiative to plant trees around the area so that more water was available for irrigation and domestic purposes This improved the quality of their crops and boosted their source of income They also sponsored some of the

childrenrsquos education depending on their performance in school to ease the burden on their families

The next few days were jam-packed with activities A sports day was held as an icebreaker so that the new participants could get to know the children better We also spent half a day at the Dongshan Primary School where we taught the kids personal hygiene simple first aid moral education and also sex education for the grade 5 and 6 students

Another interesting activity that we had was a weed-cutting session up at a mountain with the other children Each of us was assigned with 2 to 3 chil-dren who were supposed to ldquoguiderdquo us along the way It was a 2-hour hike up and down hilly ter-rain While I would stop once in a while to take a breather the kids were barely panting The kids would often stop to ask if I was tired and even of-fered to help me carry my backpack Note to self more exercise next semester

Nevertheless it was a great chance to know the kids better We had the time to chat about their school life and what they thought about their future and also the chance to share snip-pets of our lives in the city

We then split into small groups and visited the homes of the children in order to gain a bet-ter understanding of their household hygiene

condition any medical conditions in the family as well as their economic standing We had also prepared questionnaires to be kept as future record Some of the families were very poor to the extent of having no source of income at all They depended solely on their own crops for food If they went to see the doctor they would usually owe the doctor money until they had

enough money to pay back The hygiene status of the villagers varied but most of them had swarms of flies around food Many even had their live poultry like chickens running around the house Before we left we gave them some hygiene products like soap washing detergent and toothbrushes to encourage better hy-giene We also gave them a poster explaining ways of maintaining a clean household environment

Another main focus of the trip was to find out the effectiveness of a medical insurance policy newly in-troduced by the government Each person had to pay 30 Renminbi annually to be guaranteed free medica-

Sports day activity

Weed cutting with the children

hkucaduceusnet | 35

tion and hospitalization thereafter Generally the vil-lagers were grateful for this plan as many found it dif-ficult to afford medical fees while struggling to pay for

basic necessities at the same time However some vil-lagers complained that the prices of medicine spiked after this policy was introduced and hospitals would of-ten ask patients to

do unnecessary scans just to earn more money

This trip made me realize that there is much that we can do but how great an impact we can make might not be seen immediately With follow up trips one could see the change as compared to the last visit and make further modifications to improve the situation

As the trip came to an end we were reluctant to leave There was something very magical about Dong-shan where the skies would turn to an exuberant red during sunset and on a clear night you could see stars scattered across every corner of the sky It is a place of beauty struggle and hopefully a place of triumph in the years to come

It is a place of beauty struggle and hopefully a place of triumph in the years to come

On one of our home visits

More to ExploreMedical Outreachers 醫心httpmedicaloutreachersorg

The Amity Foundation 愛德基金會httpwwwamityfoundationorg The beautiful sunset in Dongshan

ldquoshariNg is soMetiMes More deMaNdiNg thaN giviNgrdquo ndash Mary catheriNe batesoN

36 | Caduceus September 2011

就 在這一刻世界沉默了

城市的繁囂隨飛機引擎

逐點逐點噴走了繁囂的離

開是為了讓簡單的生活回

來剛踏出廈門機場一張

又一張的笑臉映入眼簾刺

熱的太陽把兩地之間的隔膜

融化

早從香港回歸時開始

香港人經常強調自己只是 

「香港人」而不是「中國

人」自以為比內地人高一

等可惜這班自視過高的都

市人曾幾何時為外地人送上

熱情的款待這一點廈門

人比誰都做得更好

廈門是一個位於中國

東南部的海島也許就是近

海讓居於廈門的人都把一

切怨恨煩惱拋下大海讓

它們隨水流漂走埋藏在海

床上每年廈門的鳳凰花花

開兩季一朵又一朵鮮艷如

火的鳳凰花在六月時歡送一

個又一個的畢業生彷彿為

他們添上一份祝福九月時

的鳳凰花熱情地歡迎一屆又

一屆的新生為新生的精彩

校園生活揭開序幕一份一

份的熱情含苞待放身在廈

門又怎會不被這市花的熱情

感動呢廈門大至人與人

之間小至花與花之間都存

著一份情

要追溯廈門人的情懷

可數至土樓的建成土樓

是個大多呈方形或圓形大型

群居的建築整座土樓樓高

三至五層由於牆身頗厚及

只有一個出入口甚具有防

禦功能亦因為這緣故當

大門關起來土樓便成了一

個家這個家佔地不大但卻

藏著成千上萬的人情味在

萬里無雲陽光普照的天空

下土樓居民的熱情好客

被蒸發出來懸浮在空中

一代一代傳下去更讓它隨

風走出土樓傳遍整個廈

門即使土樓漸漸成為旅遊

景點一些擺賣紀念品的攤

檔已經進駐但卻無礙居民間

的感情商販彼此交流從

不出現爭客的情況在土樓

中央休憩的居民除了為外地

人介紹他們的祠堂外亦邀

請遊客跟隨他們到遊客禁區

參觀在土樓居住的每伙都

中門大開當遊客投進好奇

的目光屋內的人往往以親

切的笑容作回答鄉土人

情在這世代多冷漠的心也

被融化

細膩的人情味外最令

遊客津津樂道的是廈門人的

態度廈門大學附近有一條

芙蓉隧道只要你願意便可

在隧道內壁上畫下你所思所

想當然美觀與否見仁見

智但這一種對藝術尊重

欣賞的態度是值得欣賞我

有我盡情地畫你有你盡責

青春在廈門留下足印潘曉彤 (N14)

生活

hkucaduceusnet | 37

地去管轄城市各處的整潔

彼此留下空間達至相輔相

成的效果廈門人就懂得人

最基本的禮貌尊重不

過廈門人對他人的尊重遠超

於人的基本禮貌當你去唱

「卡拉OK」的時候每次

待應的出入時看到的就只

有他們的正面而他們前行

或後退的方式就像看到皇帝

一樣卑恭屈膝香港人常常

強調面子哪一天才能捨下

那過高的尊嚴為不相識的

人作一個最謙卑的招待

其實任何人一離開香

港都不難發現就只有香

港愈夜愈精彩其他地方晚

上八時大多關門大吉而廈

門就只有中山路才媲美得

上香港的夜夜笙歌夜幕低

垂萬千燈火的中山路上

與來自各區的人擦肩而過

昏黃的燈光下照出一群又一

群的沉默影子剛好與路上

喧鬧的行人相映成趣騎樓

在霓虹燈的點綴下顯出了獨

有的閩南特色大街小巷傳

來不同地道小食的香氣車

輪餅燒仙草土笋凍helliphellip

為我們外來的交流生帶來美

味可口的夜宵飲飽食醉過

後走到中山路的盡頭又

回到了沉睡中的廈門

在優美的環境影響下

廈門人的生活也自然變得

純樸優閒單車車輪在環

島路上留下一圈又一圈的印

記沿路能細聽海浪輕拍岸

邊的聲音細嗅四處洋溢的

花香感受微風吹散太陽散

發的熱力見證一對又一對

的新人在拍下幸福的照片

據說廈門有戀愛天堂之稱

不管走到哪一處也會

看到準新人拍下甜蜜的婚紗

照而在裡面享受的人永遠

不知道這風景如畫的背

後是透過多少人的血汗換

來當我們在追求經濟成果

的同時往往破壞了造物者

在世上留下的藝術品隨中

國經濟急速發展一個又一

個的世外桃園被摧毀銅臭

替代了花香車聲替代了鳥

語這仙境又可維持多久

廈門另一世外桃園就是

鼓浪嶼它活像香港的長

洲島上滿有歐陸建築風

格但當中不乏中國特色的

建築中國古城風味與洋風

互相交替帶出截然不同的

感覺島上遠離汽車的廢

氣與金門就只是一海之

隔一家大小在享受天倫之

樂時一群又一群的青少

年情侶在沙灘上嬉戲立

即為島上升溫

筆者認為在這個混亂的

俗世確實需要抽空來欣賞

造物者留下來的藝術品大

財團不斷興建大型商場國

際知名品牌不停進駐留下

的就只有愈來愈狹窄的街

道被石屎封蓋寸草不生

的土地人人被金錢蒙蔽

迷失在霓虹燈光中又有多

少知音人能放下生活的瑣碎

事情在這裡享受時間一分

一秒的流走你被海浪聲

喚醒了嗎

筆者參加這次是由香

港廈門兩地大學的交流

團一連六天已經習慣了

當地的優閒生活模式體會

到的不只是廈門的風土人

情歷史文化而是兩地大

學生那種衝破界限的交流

雖說年輕人容易打成一片

但廈門獨有的熱情確實融化

了彼此間的隔膜廈門的美

是成人之美成就了兩地大

學生的友誼

飛機又再起飛了廈門

再見了

ldquothe tiMe of life is short to speNd that shortNess basely it would be too loNgrdquo ndash williaM shake-speare

38 | Caduceus September 2011

生 命形成之際只要一秒鐘的差遲世界便會不一樣

蝴蝶效應從來都是玄的全因一個 

「緣」字

隨著人成長要決擇的事太多學生

有兩件人生大事幾乎都不是由自己決定的

入讀小學及中學然而到了大學這

關卡自己也許可以拿定主意了若果你

入讀了心水科恭喜你若不然祝福

誠然入大學是最影響未來生活的關

口是好是壞無人知曉不用量化不

用比較太多即管做自己所想活出自己

的路只因你不會曉得你的下一步會怎樣

影響著你的生命

或許一個活動你會遇上你的最愛

或許一個宿位你會遇上你的知己

或許一句說話你會惹來一個敵人

或許一次走堂你會由B變C

這就是大學

在大學各人有各人的大學生活大

學講求自由學習學習真的是「求學不是

求分數」有些人愛廣交朋友有些人愛

住宿有些人愛做莊務有些人愛拍拖

有些人愛參加各樣活動有些人愛做兼

職有些人愛讀書有些人卻愛甚麼都不

做helliphellip不少大學生強調入大學必定要做齊

大學五件事(上莊住宿讀書拍拖

兼職)但其實只要自己開心不害人的

話做甚麼也沒問題最要緊的是認清讀

大學的目的以免沉淪於大學這花海

朋友

大學可以令你對「朋友」的概念愈來

愈含糊幾乎每個活動都可令你認識新朋

友通常大家都會輪流講述自己的名字與

學科(Round Table)這亦是考驗大腦對人名的記憶所謂的「Hi-Bye Friend」會愈來愈多隨便在細小的港大內穿梭會令你

無可奈何地對他們說聲Hi

不過別標籤你的「Hi-Bye Friend」要是連Hi-Bye也談不上更不用說做深交了上大學了大家已有既定的圈子很

多時約會或聊天都先找中學朋友而且很

多人會把大學朋友與中學的作比較雖情

有可原但有時未免先入為主地覺得中學

的較好

這亦難怪即使是日日碰面的同學也

未必是自己的好友人人都有自己的時間

表下課後各散東西不是大家不想互相

認識只是有時身不由己若想互相了

解不妨盡量製造共處之時有時甚至可

以分一些約會給大學朋友然後你會發

現大學朋友也可跟你熟絡可別為自己

建造一塊厚厚的心牆

舍堂

要入宿無人會不曉得十日的迎新營

有些舍堂平均每天的作息時間只有兩三小

時有人說住宿最辛苦就是迎新營然而

它卻是最難忘的

要數活動單單一個舍堂已數之不盡

要是投入舍堂生活每天24小時是不夠

用的舍堂之間有各樣比賽堂友要參加

各個組別為比賽出席各樣練習否則可

能被拒於來年再住基於許多人都只在夜

晚有空要全體出席那可是晚九朝五的

大學之緣賴彥積 (N14)

新鮮人

hkucaduceusnet | 39

宿生們之所以會熱衷於舍堂活動因他

們對自身舍堂有強烈的歸屬感好比中學

時學生參加校際比賽要是沒有歸屬感

就不會有心參加所屬舍堂的活動

除舍堂之間之活動樓層之間亦有各類

活動樓內亦然只要有人的地方就有玩

樂彷如天天宿營你不會有機會偷偷早

睡其他樓友常常打擾你你原來的生活

時間會推後數小時睡於二時已是罕有

早上的八半堂彷如無物

可以住宿但不參加活動嗎當然可以

但你會面對的是朋輩壓力他們雖未必逼

你參加卻會在言談中有意無意的滲出

來那種壓力不只限於自己樓層甚至是

跨樓層千萬可別輕看宿中流言

上莊

有人說上莊所學遠超課堂上莊所學

的是如何籌辦活動非常實用有時要對

外聯絡有時要面對公眾helliphellip像是要為將

來工作鋪路似的當然這亦要視乎你上

的是甚麼莊

一般而言上莊可訓練你待人處事的技

巧有時表面看來很友好的朋友當背

負上一定的要求後關係少不免有磨擦再

者初時莊員素未謀面最後卻因朝夕相

對而演變成朋友這段關係是很可貴的

成莊前要宣傳內閣爭取選票成莊了

又要舉行咨詢大會包受歷莊指導然後

又有就職典禮此後的活動更接踵而至

當然包括迎新活動招莊活動等helliphellip君不

見很多人視莊房為睡房少不免有「通

頂」之時忙是忙但必有價值至於是

好是壞要看自己的造化了

拍拖

人上了大學有時心思思想拍拖眼見

身旁多個好友都紛紛拍拖自己少不免羨

慕別人這想法十分正常畢竟大學生真

的可以放下只讀書的重擔真的可以規劃

人生大事了

香港大學一些營新活動中隨了Round Table外還有Round Status即說自己現在有否拍拖以及拍過多少次拖如 

A 0即Ava i lab l e之前至現在沒有拍拖O1即Occupied之前至現在共拍了一次拖當然也有一些同學自己創的甚

麼OBA (Occupied But Available)或D10(Desperate拍過10次拖)等等至於Round Status的動機何在可能是組爸媽想穿針引線吧當然也可能是別有用心的

不同人對拍拖有不同想法上了大學更

有不同擇偶條件人大了在感性的議題

上往往加上種種理性的數據開始現實起

來哪個帥哪個富有哪個有前途helliphellip

有些不在乎天長地久只求剎那的光輝

有些求虛榮有人疼愛在朋友前炫耀

有些甚至會在拍拖前已想定分手後的模

樣所以不想選擇跟自己同科的同學

活動

不同團體(包括舍堂學會及學校部

門)都有不同活動不用愁沒事幹只用

愁沒時間只要多留意Portal Mass Email或Main Campus海報不難發現幾乎每天都有各樣活動動靜皆宜開學時有迎

新營考試時有勁過飯新學期有開Sem

飯有些學會如戲劇舞蹈合唱團不時

有演出有關運動的學會則多練習以參

加比賽有關學術的也有很多興趣班講

座比賽等想幫人的亦可參加義工團

體如蛇蛇豬扶青等舉辦的義工活動

兼職

大學生的兼職大多以補習為主畢竟

這是我們能力範圍內可賺取最多外快又是

時間最彈性的工作有些人卻因補習不能

寫在履歷表而選擇別的工作然而很多時

我們都要在兼職與大學活動中取捨我的

ldquotake a chaNce all life is a chaNce the MaN who goes farthest is geNerally the oNe who is williNg to do aNd darerdquo ndash dale carNegie

40 | Caduceus September 2011

E mily was the chairperson of Pharmacy Socie-ty session 2010 As a student she has actively

participated in holding activities for many medical stu-dents and taken part in providing welfare to all phar-macy students Her following sharing will especially enlighten our new pharmacy students

Q Why did you choose Pharmacy SocietyA To be frank ldquosheung jongrdquo was really out of

my expectation when I anticipated my university life However my perspective has changed when I officially became a pharmacy student in HKU As members of the opening class of the Pharmacy programme my classmates and I realised the importance of having our own student body We do need an independent soci-ety to represent us pharmacy students to cater for our specific needs to listen to our points of view and to act as a bridge to facilitate our communication with the Medical Faculty the entire university and ultimately the pharmaceutical field in Hong Kong My class-mates and I who later became ldquojong yausrdquo believed we should act immediately to establish and run our own society which is why I decided to ldquosheung jongrdquo

Q Would you like to share some of the pros and cons of sheung jong

A ldquoSheung jongrdquo definitely helped me achieve per-sonal growth It was a concurrent commitment and re-sponsibility to serve and to lead our colleagues Bear-ing this in mind we always pushed ourselves to attain the best of our work ethics efficiency and efficacy As the very first session of the Society we lacked the guidance of any previous committee member Instead analysing carefully and critically we thought better of every decision which I personally found an enriching experience ldquoSheung jongrdquo was also an eye-opening journey Wersquod got to meet different people and learnt more about the professional work for as our career-to-be after graduation This in my opinion is always beneficial Last but not least I was fortunate enough to have worked with my amazing fellow committee mem-bers I frankly couldnrsquot ask for better ldquojong yausrdquo than initium Irsquom absolutely thankful for having them as my friends and it is definitely my greatest gain along the way

Despite the merits ldquosheung jongrdquo definitely has its downsides as well It is a lie to say ldquosheung jongrdquo does not affect our daily life because it does take up a big chunk of our time At the end of the day it is about time management which is easy to say but extremely dif-

建議是如家庭環境較困難賺錢吧反

之可以多留時間給各活動畢竟大學一

年的學費不只值那幾十堂課如何善用這

$42100就在乎你如何投入大學生活

讀書

假若你認為大學的考試可考核學生的

真正讀書能力並要求學生活學活用課堂

所學那麼你大失所望了假若你善於背

誦有過目不忘之本領大學的筆試不會

難倒你只要靠著前人留下的歷屆試題

背到滾瓜爛熟是不可能不及格的很多屆

試卷都是千篇一律的很多教授可沒空大

改試題那同學們就走運了有些課堂

即使再專業的學科都會有只理論無實

踐的課堂然後考試就要你把一大堆理論

背出來helliphellip例如甚麼叫批判思維噢

我可不知道只知道我掉了5分

不同學系在某程度上定下了人的前途

對於醫學院學生而言前路是較清晰可見

的但對於非專業學科前路不可只靠讀

書也許要靠自己另外摸索讀書所帶來

的必然是較高的GPA高GPA所帶來的是

獎學金到外國交流工作實習日後工

作機會等等當然大學學習不只局限於

讀書會否因此失彼就只有自己知道

蝶翼拍動之時往難以預料機會是

要自己摸索的

如經上所記

「神為愛他的人所預備的是眼睛未曾看見耳

朵未曾聽見人心也未曾想到的」

(哥林多前書29)

「栽種的和澆灌的都是一樣但將來各人要照自

己的工夫得自己的賞賜」

(哥林多前書38)

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

Freshmen

hkucaduceusnet | 41

ficult to achieve Also working as a Committee mem-ber can be very exhausting and difficult You definitely need lots of determination and support to get through some of the busiest times

Q How did you handle and balance the workload of study and your ldquojongrdquo

A As Irsquove said before it was tremendously difficult I guess my best advice for the future committee is to know your limitations and always plan ahead You have to know your time to work to rest to study etc No one will be over-worked and eve-ryone will have some personal time if you share the burden wisely between ldquojong yausrdquo Secondly you have to make very clear plans so that you can make full use of every little piece of your time I may not have succeeded in my time management but most of my ldquojong yausrdquo managed to do so de-spite the packed schedule of our Soci-ety This is sufficient proof of ldquoimpos-sible is nothingrdquo

Q As there are only about 25 pharmacy students per class do you have any suggestions for P14 fresh-men to make more friends from other curricula

A It really depends on what kind of person you are If you consider your-self socially active living in a hall or ldquosheung jongrdquo will be a great idea for you But if you see yourself as a much quieter person you can still make use of opportunities such as Medic Orien-tation Camp and other events jointly organised by student bodies within the Medical Faculty to make new friends

Q Any special things for P14 freshmen to be aware of

A First of all welcome You all are now members of Pharmacy Society MS HKUSU and I would like to let you know that this is a student body aiming to serve you Thus feel free to share your viewpoints and voice out your opinions to the current Com-mittee members The Society has to

understand your needs to improve and provide better welfare and services for you

Q Any other comments or important things to re-mind P14 freshmen

A If you would like to get to know more fellow pharmacy students especially students from P12 and P13 grab the opportunity to join the Pharmacy Society Orientation Camp and the Mentorship Programme These are great chances to make new friends and Irsquom sure you will enjoy them

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

ldquoas huMaN beiNgs we do chaNge grow adapt perhaps eveN learN aNd becoMe wiserrdquo ndash weNdy carlos

42 | Caduceus September 2011

筆 者是一位護理系的學生半年前有幸成為二零一一年啟思編輯委員會的總編輯在期間所體驗到的希望藉著這次機會作出分享特別希望新加入醫學院的同學

能對「上莊」有更多了解

上莊之路上莊是大學五件事之一證明它對大學生

活有一定的重要性一定的位置筆者在初入學的時候曾為了上莊與否而煩惱猶豫了好一段時間期間考慮到自己能力怕學業應負不來但最後仍然下了上莊這個決定原因是上莊是個難得的機會充實增值自己不同的莊會提供不同的機會讓莊友去學習透過不同的莊務去讓自己眼界擴大另外可以了解醫學院內發生既事情例如院內活動的進展情況更可以參加舉辦院活動為醫學院出一分力最後當然會認識到將會相處一整年的莊友工作伙伴有機會認識到不同學系的同學從他們身上可以觀察到學習到各種的特質從而令自己有所進步有所啟發

護理學生作為護理系學生起初擔任總編輯一職實

在是倍感壓力畢竟歷屆的總編輯都是由醫科生出任因此筆者起初都害怕跟醫科生共事怕自己的能力不足夠應付莊務所以起初都是戰戰兢兢地上莊

一位三年的護理學生曾對我說「我認為你不太尊重護理系護理系和醫科都是個專業希望你能加以尊重自己的學系不要輕視護理這個學系你要肯定自己的學系才能帶領整支莊因為莊內成員來自不同的學系你必須肯定和認同每個學系都有一定的重要性以及其專業」這番當頭棒喝的良言令我明白到自己一直都太輕視護理系過於重視醫科現在我明白到認同自己學系是尤其重要只有這樣才可以用自己學系的身份去發表意見只有認同自己學系才懂得尊重其他的學系莊內便可以融洽一點

在筆者的莊友中醫科生都是較有責任感而且做事更有計劃從他們身上的確學到不少東西這點是無可否認的事實筆者並不是在分享學系與學系之間的差別而是希望有志上莊的同學能互相尊重明白到各學系的莊

友都有其值得學習的地方起初對其他學系有隔膜是無可避免的畢竟對他們的學系都不太了解又沒有歸屬感但如果因為對方是別的學系而輕視對方的人不但失去與人相處學習的機會而且會令莊內的氣氛失去和諧

幸好的就我所見所聞醫學院內的莊多年來都能融洽相處互相支持令到一眾上莊的同學都能輕鬆地享受上莊的喜與樂甚至是不愉快的事情

依靠你的莊友莊是一個團體不是一兩個人可以應

付得來所以筆者認為與莊友互相溝通合作是個重要的元素新同學如果有志參與莊務期望從上莊中有所得著首要的事情是與莊友建立關係因為他們將會是你來年的工作伙伴也是你遇到困難時依靠的對象一位上莊曾對我說「其實一件的莊期不會令你有太大的得著或成長反而長久的友誼才是你將會得到最重要的」這句說話是千真萬確的上莊的人不會由詞不達意改變成談吐得宜不要期望自己會有驚人的轉變也許上莊會令人處事成熟一點有計劃一點但上莊所得到的關係將會是更重要更珍貴一年的相處中面對過有無數的會議共同處理過不少困難從中

建立的友誼真的是畢生受用

責任感上莊另外一個十分重要既條件就是責任

感有志上莊的同學必須明白到莊期是長達一整年在繁重的學業中騰出時間來處理莊務是個考驗責任感和毅力的測試同學必須再三思考想清楚自己是否真係熱衷於上莊或是只是一時衝動畢竟你將要許下的是一年的承諾必須對這個莊負上責任願意付出才選擇上莊這個決定這樣的付出就會有相對的回

總結上莊的確是個好機會讓自己去學習從處

理事務中或是從莊友身上都會有所得著充實著自己的大學生活從中可以認識到各學系的同學建立一段段受用終身的友誼在此筆者希望各學系的新同學可以善用機會作出上莊這個無悔的決定

護理系的啟思總編石志榮 (N14)

新鮮人

hkucaduceusnet | 43

慈兄吟(下)奇晶

最 後還是麥教授先開了口「他的確是一個好學生對醫學有獨到見解他不但學業成績優異而且樂於助人你是他的妹妹吧」婉慧努力控制自己的淚水繼繼續續的說「是啊但helliphellip但helliphellip我不知道helliphellip他竟會在這裏出現」麥教授用悲天憫人的目光看着婉慧語重深長說「人生自古誰無死人生命的有為與否並不取決於他生命的長短而是在於人生的意義你哥哥雖然最後當不了醫生但他的犧牲卻間接為一些同學做醫生鋪路讓他們做醫生去救人這真是一種無私的愛」婉慧點點頭覺得自己對哥哥的了解實在太少了

最後她還是孤獨的離開實驗室她覺得自己跟哥哥比起來實在相差得太遠了原來他除了是十優狀元在醫學院的成績名列前茅外還是個熱心助人的好青年自己除了少了一優外少的更有對別人的同情及樂於助人這造就了她心靈上的空虛她明白到冷漠不是一種對哥哥思念的正當表達方法她應該做的是把哥哥對其他人的愛傳揚開去以圓他的心願

第一步往往是最困難的婉慧平日對他人的態度已令不少人對她敬而遠之有很多次她嘗試向同班同學投以友善的笑容得到的總是詫異的目光或別人的不理不睬在小組討論中儘管她踴躍發言盡量避免冷場的發生偶同學們卻認為她變本加厲想阻止同學們取得好成績她四處碰壁又再次陷入了想念哥哥的深淵

時間一天一天過去了上學期考試前的休假開始了婉慧每天都勤奮的在圖書館溫習期望取得好成績這時候的圖書館堆滿了人如果遲來一個小時想找一個位子也難就在假期的第二天同班的王文在圖書館跑得氣急敗壞仍找不到一個座位婉慧不知怎樣有點同情他將座位讓給他王文驚訝道「不用了我還是回家吧真倒楣遲來了一個小時就沒有『接位』」

「但你住在哪裏呀」

「元朗今天早上我忘了校鬧鐘八時才起」

「那你還是要我的座位吧我可以坐到電腦桌因為我認識的人不少沒有什麼人會打擾我的」

王文謝了她頓時對這位冷漠的同學刮目相看原來她的內心也是溫暖的這並不是他所能料及的坐在電腦桌前溫習的她也感到特別的快樂溫習的速度也快多了王文就此成為了她的「飯檔」考試期間每天和她一起吃飯他更將自己的好友介紹給婉慧認識

在一個晚上她又悄悄的在圖書館的角落溫習着突然一隻溫暖的手搭着她的肩上她抬起頭但見解剖學的同桌手中拿着一杯熱飲輕輕的放在她的桌上婉慧正感詫異卻聽見他說「這杯熱巧克力是給你的繼續努力吧」她喝着巧克力心中感到一股暖流彷彿哥哥的關懷又在她內作出回響

十年生死兩茫茫不思量自難忘千里孤墳無處話淒涼helliphellip

寒風吹起了她額上的劉海佇立在墓前的婉慧不禁凜冽她想起了從前想到自己最後一次和哥哥吵架雙方面紅耳赤的情況想起自己無法親口跟哥哥道歉想起哥哥無私的付出她對着那空虛的墳心中不忍一陣淒然淚水漱漱的流下來她身旁攜扶着年紀老邁的母親邊拭淚邊喃喃道「我的兒子helliphellip歿了helliphellip」大家心情漸漸平復了緩緩走出了墳地

雨一滴一滴的落下飽歷辛酸的婉慧卻仍在懸壼濟世

短篇

ldquoyesterday is but todayrsquos MeMory aNd toMorrow is todayrsquos dreaMrdquo ndash khalil gibraN

44 | Caduceus September 2011

Eternal Flame (1)Tulipa

Itrsquos cold The chills from my fingertips imbibe deep into me This person drills into my mind digging out the truth inside me Itrsquos agonizing She comes right inhellip di-rectly I cannot stop her

Irsquom losing myselfhellip

My hand felt the soggy pillow I realised I had come back to life the world where I lived Staring blankly at the ceiling still losing focus in my eyes I felt my brows with my forearm For the first time I didnrsquot want to lose this feeling

The bedroom door slowly opened I quickly rubbed off the drops that had blurred my vision pretending that I had just woken up

ldquoDo you have lessons this morningrdquo My grand-mother whispered into my ear

ldquoOh goshrdquo I turned right to my alarm clock It was the real life I had forgotten to turn the alarm on last night and it was now seven thirty I knew it I was going to be late every time she caught me in bed Irsquod got to hurry up

Living in Hong Kong Island though it took me more than an hour to get to school I had to comfort my little brother sometimes till two or three in the morning in order to get him to sleep In addition to the consistently heavy study load in the medical school I could hardly get enough rest Running on my heels al-most became my routine starting from last November But I well understood the consequence of skipping lec-tures It was the beginning of the Cardiovascular Sys-tem Block For someone like me who gave least priority in revising Anatomy materials lectures remained the prime source of information for exams Absence from class was suicidal To make the situation worse this professor was one of those who did NOT upload lec-ture notes online

Hoping I wouldnrsquot arrive too late to miss the impor-tant points I finally stepped onto a route no 8 minibus at ten past eight What I could do now was to pay trust in the driver who would bring me to my destination

Coaxing kids was never easy Little Bruce just hap-pened to give me such a hassle last night

He knew I would check on him when I returned home Sitting right next to the door of his room he begged me for a story once I opened the door I sat down together with him on his little couch after Irsquod taken a quick shower This was a time to relax leaving

aside all the other concerns

Kindling through his favourite reader I saw that he wasnrsquot listening but distracted by all sorts of toys around He even invited me into his world of fantasy But it was getting late I had to calm him down so that I too could have some rest Being one of the brightest in his elementary school he should understand this was not the time for recreation

I began to feel annoyed

Yet he was my brother I had a gut feeling that this was unusual He didnrsquot use to be so ldquohyperactiverdquo It re-ally took me a while to adjust to his change With him still tossing and turning in my arms I apprehended his restlessness Unpredictable though he was true to his feelings In one way or another he might find the shadow of our mother in me

He finally settled when I laid him back in bed It was nearly two forty in the morning

The first week of the CVS Block ran as plotted PBL tutorials would start on next Monday Dr Youngrsquos fa-cial expression in the first PBL evaluation flashed over my Embryology notes and references She didnrsquot teach Embryology but I could tell she did have a hypertroph-ic heart-shaped face which looked familiar to the dia-grams in the Atlas

Back in the IHD Block most of us were puzzled about the scrambled content of our course Various forms of seemingly related knowledge came in through lectures practical and tutorial sessions But the neural circuit formed in our brain just failed to resonate as if the conductance-inductance mismatch had aberrated our thought from minimal impedance Sometimes things even happened in a ldquomore-than-extrardquo manner The presence of common core courses in a parallel but independent branch in the network could rightly be detached without causing a blip on the galvanometer Everything was dubious We had no idea of what we were doing

Maybe we were just on the way seeking for a sense of attachment

My mind too was racing in haste I was struggling with my decision to become a doctor Too many things had happened over the year I just couldnrsquot stop ques-tioning myself what was I thinking when I put lsquo6456 MBBSrsquo in my JUPAS application I should have expect-ed and prepared to face all these I just didnrsquot knowhellip

Novella

hkucaduceusnet | 45

It was midterm evaluation in the IHD Block Her face looked tense in that heart shape She was so stiff in her facial expression that no one could read her mind from her poker face The conference room of the Physi-ology Department was large We seemed to be the odd ones out in the spacious carpeted room In this secre-tive silence you could hear the drumming in your ears as if you were tingling

I realised this was not a matter of ldquoam-I-suitable-for-a-medical-careerrdquo but ldquois-a-medical-career-suita-ble-for-merdquo I was lying in bed playing with my plush bear when these thoughts burst in me Dr Young looked through me She felt certain that different from other group mates there were crises behind me But I didnrsquot tell her anything that day

We all were sensitive At times some subtle trepi-dation seeped in gradually sucking peace away from my sleep It was so to say below threshold sub-lethal though it lingered for weeks once it set inhellip

Drenched in bloodhellip There is no life in the boy His eyes are widely opened slightly protruded The lifeless pair of black pearlshellip I cannot escape from his glance He wants to talk to mehellip There is something he wants me to know

A van runs over himhellip

I fell down the edge of my mattress Breathing heavilyhellip Sweating all overhellip

ldquoScreechrdquo People began to gather around a tel-ephone booth a few metres behind us

I turned back I couldnrsquot see a lot from this anglehellip

ldquohellip What a pity He is so younghelliprdquo a middle-aged couple passed by

The victim resting just in front of the wheel looked towards me through a break in the crowdhellip

As we were wandering around thinking what to eat for dinner my cousin found me standing there rooted to the ground stunned by the victimrsquos gaze My heart was pounding She wouldnrsquot believe what I was again experiencing For a number of times already scenarios in my dreams were mirrored into reality

I couldnrsquot tell her

ldquoI was just thinking whether you would like Korean cuisine There is a new restaurant two corners awayrdquo I made up a talk while escaping from the scene so that I wouldnrsquot look so strange

ldquoWhy not go and have a try thenrdquo She was not dis-appointed for calling it a day as the food there was sur-prisingly good

Not until some years ago when I was Form 3 in college I discovered my ability to look into the future Sometimes I could see them coming up on the news in days or weeks And some didnrsquot ever happen at least not around me But seeing the night visions coming into concrete existence wasnrsquot always a pleasure when the mental images turned gradually into mostly night-mares When I visualised my close ones it felt like I was in the middle of an insecure chain bridge above a torrent that would sweep me into the vast ocean with no return It was entirely different from what you might understand as ldquodreams come truerdquo

I had witnessed misfortunes in proximityhellip

But I could do nothing about ithellip

Friends were a source of solace someone to con-fide all frustrations in But with my paranormal ability which appeared to everybody else only on screen-plays I wasnrsquot courageous enough to open my life wholeheartedly to them Seldom talking about myself avoiding all sorts of gatherings I became an eccentric figure among my classmates

Sometimes mutual understanding carried more weight than words I remembered my physics teacher being one of my few friends during my teen years De-spite his boisterous faccedilade he was always sensitive to whenever I was dwelling on my burdens Physics was our common language Intermingling our emotions and feelings with concepts that were alien to my fel-lows we developed a close rapport impenetrable by anyone else

ldquoWhat is the nature of a flamerdquo This was the most discussed problem between us Neither in solid liquid nor vapour state Not having any definite shape and colour It seems not any material but a type of energy giving out heat and light At the moment of providing it also exhausts its fuel and eventually itselfhellip

The romance of physics is more than anything you could read write and talk about Once you were truly connected with it nothing can stop you Your mind will bounce irrespective of the chronology of space-time but only under the guidance of your thoughts

I was so devoted to the discipline at the time that I was almost making it my lifelong career in some way He envisaged that I would demand much more than any academia could provide with its scientific basis alone We were both seeking a philosophy beyond the facts But Hong Kong may not be the right place for it

I made him a promise at the end to contain our flame and I knew I would

For the first and the last time I saw his eyes filled with tears We knew existence by itself is a miracle

ldquoi love life because what More is thererdquo ndash aNthoNy hopkiNs

46 | Caduceus September 2011

說華佗都說「華佗再世」誰知箇中真諦雲方 (M15)

烽煙起戰火燃萬里 

三國並爭英雄地亂世有誰顧生死 

待神醫行世將民眾救濟

渺渺江山東西瞰俞跗巧手扁鵲心(1) 應向何處尋 

滾滾黃沙無世家終有奇士放奇葩

沛國 華元化(2) 

他經書貫通南北遊動 

一望斷症如神助三劑消病不必多

說斷症悉如所料 

甘陵 相夫人腹痛極難忍(3) 號脈知死嬰在左為男形(4)廣陵 梅軍吏除名歸故里

見貌知壽盡速返見萱椿(5) 

說消病藥到病除 

飲蒜醋有三升蟲一嘔而盡清 (6)母服丸而溫儲兒不藥而自癒 (7)

絕妙處 

是他開腸剖腹刀至辟毒 

神醫號 

除他內外皆精有誰配稱

[1]   俞跗黃帝時代之名醫扁鵲春秋戰國之名醫《淮南子人間訓》「患至而多後憂之helliphellip雖有扁鵲俞跗之巧猶不能生也」

[2]   華佗字元化沛國人(今安徽 亳州)

[3]   甘陵相(即甘陵之行政長官)夫人懷胎六月腹痛不安華佗為其切脈便知胎死於是命人摸知所在在左則男在右則女人云「在左」夫人飲藥後果然產出男胎腹痛立即痊癒

[4]   廣陵有軍吏名曰梅平離鄉服役後來退役歸家於路上巧遇華佗華佗視之嘆道「若能早些見我當不至於此而今你僅餘五日壽命速速回家還能與家人相見」平旋即趕抵故鄉五日後亦如料身亡

[5]   萱椿多作椿萱比喻父母漢牟融《送徐浩》詩「知君此去情偏切堂上椿萱雪滿頭」

[6]   華佗見路邊有人食不下嚥教他到路邊餅店買醋三升混上蒜泥然後飲用路人服後即吐出一條長蛇(即寄生蟲)

[7]   兩歲男孩長年腹瀉藥石無靈華佗往診謂病在母命其服用華佗親研之「四物女宛丸」服後母親乳汁不再寒涼男孩亦不藥而癒

意興

hkucaduceusnet | 47

只可惜人無完壁

「關將軍使君予我手刮骨惡毒走

曹丞相使君予我頭剖顱苦痛收」

「怎能不收怎能不收一命嗚呼萬事休 

簡直荒謬簡直荒謬殺此庸醫未須愁」(8) 

五禽戲尚能傳 (9)麻沸散從此絕 

何不一飲醉死不知世忍氣吞聲事權貴 (10)心神委曲須臾苦奇術失迭千秋計 

烽煙止無改生死事 

且當醫仙謫世間神技終須風裏散 (11)回首仰高山景行請君範 (12)

[8]     曹操欲殺華佗臣下勸之不可答曰「不憂天下當無此鼠輩耶」

[9]     死前華佗欲托所著醫書於獄卒不果便盡數焚毀唯有其養生體操「五禽戲」流傳後世

[10]   《三國志魏書方技傳》「當須刳割者便飲其麻沸散須臾便如醉死無所知」

[11]   唐白居易《簡簡吟》「恐是天仙謫人世只合人間十三歲」

[12]   景行(音航)即大道以高山景行比喻人品德行為之高尚典出《詩經小雅車轄》又東漢鄭玄曰「古人有高德者則慕仰之有明行者則而行之」

ldquothe art of MediciNe was to be properly learNer oNly forM its practice aNd its exerciserdquo - thoMas sydeNhaM

48 | Caduceus September 2011

啟程

清晨空白的天空看不見藍天雲彩

只有溫柔的雨絲和朦朦朧朧的霧水跟隨

著大隊的足印踏上沉重的腳步穿過橫

街小巷和煩囂熱鬧的市場走過自動門

撲鼻的消毒藥水味道讓大家屏住呼吸筆

者和夥伴們終於到達了入讀護理系以來第

一次實習的醫院

還記得在實習的前幾天心情是既忐忑

又期待的畢竟這一次實習的地方不再是

在社區中心宣傳健康方面的知識亦不是

只面對著健康活潑的小朋友和老友記或是

學校課堂上所提供的假人張靜汶卻是照

顧一羣真正需要關懷的病人心中充滿著

憂慮不知自己所學的知識足夠在應用上

嗎自己平日的練習足夠嗎雖然心存在

著不少疑惑但也十分期待可以體會一下

做小學護的感受嘗試把這一年裡所學到

的知識運用出來

很多的第一次

在病房裡總有心酸和膽戰心驚的時

候第一次為昏迷的病人清潔口腔第一

次為難以進食的人插入胃喉第一次為老

公公清洗背上壓瘡的傷口helliphellip照顧他們時

的心情都是一步一驚心生怕自己沒法應

付得來又怕會把事情弄得更糟糕最重

要的是恐怕自己不純熟的技巧令他們受苦

了記得有一回第一次為女病人插入尿

喉採取尿液樣本可能技巧不太純熟的關

係延長了病人的痛苦過程中她皺著

眉頭不斷呻吟又緊張得咬破脣眼看

她樣子心中真的不是味兒來身為病人

的其中之一依靠我們不得不給自己信

心如果連自己也不相信自己哪會有病

人願意把他們交給我們照料呢

捕捉那瞬間的美麗與淒然何麗敏 (N14)

上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

意興

hkucaduceusnet | 49

另外第一次面對病人的心情是頗為

緊張的說話技巧亦有改進的空間但和

病人傾談了數分鐘後氣氛也漸漸變得和

諧可能那些老公公整天呆在醫院裡真是

悶到慌看見一羣年青人與自己聊天照

顧和關心他們他們不禁咧嘴而笑醫院

職員透露有一位老公公平日不太願意吃東

西於是我們便主動和他談天說地又

悉心照料他進食的情況後來他不但胃

口好了不少就連心情也開朗了他生動

活潑的談吐讓我們笑了他回復健康精

神的體魄也讓我們感到安慰

相處片刻

雖然為期一星期的病房日子不是特別繁

忙或是辛勞但是也會有不習慣的時候

幸好得到醫院職員和一班夥伴的支持病

房經理和註冊護士不但相信我們的能力

對學護的包容更是不用多說還主動地介

紹病房的環境和細心地教導我們醫療護理

上的知識讓我們上了一堂實在而又寶貴

的課同時今次的實習也令我感到團體

精神也十分重要在技巧上大家互相提

點互補不足當有人準備照料有需要的

病人如插喉或洗傷口等大家送上一句 

「加油」就能令對方增加不少自信心和正

能量無論遇上甚麼事情我也榮幸有如

此一班學習夥伴從旁支持

學習的階級

在這一次病房實習中雖然醫療和藥物

知識方面有待加強但是我學懂了如何與

不同身份的病人相處之道溝通上也得到

了很大的進步獲益不少除此之外我

也真正體會到如何做一個好護士並清楚

了解這個行業是否適合自己鐘樓也不是

一天就能建成而是需要一磚一瓦搭建而

成的所以在學習上我們不但要打好

穩固的基礎還要增強醫療知識在技巧

上馬虎了事和走捷徑是於是無補的應

該多探究和練習才行這樣才對得起病人

和自己也減少不必要的醫療失當事故

總之多一份認真多一點耐性多一些

愛心就是學護必記的左右銘 上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

ldquoit is reasoNable to expect the doctor to recogNise that scieNce May Not have all the aNswers to probleMs of health aNd healiNgrdquo ndash NorMaN cousiNs

50 | Caduceus September 2011

Fun Corner

Medical AppsEver wondered how your handheld device can save your time and

effort when it comes to studying Here is how

Anatomy Pronunciations by HipposoftAccurate pronunciations of over a hundred important anatomy terms you have trouble with are provided

at your fingertips to help you spell those difficult words Anyone who has taken an anatomy course can tell you how challenging it can be to pro-nounce the names of those complicated anatomi-cal terms It is even linked directly to Wikipedia and Google through web browser for additional information

iPharmacy ndash Pill Identifier and Medication Guide by SigmaPhone LLCAn essential medication guide of 20000+ drugs is provided for con-sumers amp professionals This ex-

pands the image library to include 12000 pill and package images and includes digital drug identifier with official drug information (indica-tions dosage adverse reactions and more) You can check the drugs anywhere

Grades 2 by TapityIt tells you what grades you need in the coming tests in order to get your target grade You can easily calcu-late your GPA so as to maintain it It

is a useful tool helping you to keep an eye on your GPA all the time

Human Anatomy by SusaSoftXThe application provides you with information of 15 different biologi-cal systems You can keep on revis-ing while you are traveling without

carrying heavy books

Medscape by WebMD LLCFrom drug classes interaction clin-ical procedures and even the lat-est medical news Medscape helps medical students and healthcare

professionals to reiterate knowledge that has slipped from the mind It is a free application for iPhone iPad Android and Blackberry Yet it contains more function on Android phones and Apple products and lacks detailed clinical infor-mation for diseases and clinical procedures walk through on Blackberry

Pro Medical Terminology Dic-tionary by TreascoveryTerminology might be a tough work for medical students Even if we can master those English terms we can

hardly think of the Chinese terms This applica-tion can help you when you face this problem Note that it is not a free application

3M Littmann SoundBuilder by 3M CompanyA great tool designed to help im-prove auscultation skills of medical students with 14 unique lessons of

key heart sounds combing text virtual manne-quin 3D cardiac animation and dynamic wave-forms

iRadiology by Liebermans iRadi-ologyAn excellent learning tool for medi-cal students demonstrating classic radiological findings of a multitude

of abnormalities including over 500 radiologic images Radiologic images include CT US MRI and nuclear imaging each clearly labeled and followed by key teaching points

Micromedex Drug Information by Thomson Reuters (Healthcare) IncIs Cephalexin a first generation ce-phalosporin This application from

Thomson Reuters is the easiest way to navigate in the sea of drug names Drugs are sorted by classes and supplemented with rich information

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 26: Caduceus Issue 2, Volume 42

26 | Caduceus September 2011

The End is Near Apocalyptic TheoriesRead more to learn about the terrifying future that awaits us Chariene Woo (M15)

S urge of waves rush over the mountains with unstop-

pable speed engulfing and shatter-ing our homes Flaming asteroids rain from the sky causing roads to crumble like sheets of paper Peo-ple running away from burning cities screaming fearfully Civiliza-tion ruined in matter of mere sec-onds Is this what the future lies for us

Nobody knows

Apocalyptic literature and movies have always raised interest among the general public partly

because it involves the end of our world as we know it and partly due to the fact that there is no solid proof how an apocalypse would come about The interest has re-cently skyrocketed with rumors about the world ending on 21st De-cember 2012 about how the May-an calendar finishes at that specific time and how it will be the end of the world as we know it So the big question is when and how will our world end

NostradamusProphetofDoomNostradamus of France was

one of the worldrsquos most famous seers and is most well known for Les Propheties (The Prophecies) a collection of his major long-term prophecies written in quatrains Many of his prophecies have cor-rectly predicted current events including the destruction of the space shuttle Challenger the death of Lady Diana and the destruction of Twin Towers of the World Trade Center As a result of these predic-tions he has been given the nick-

How do you survive the apocalyptic world

Insight

hkucaduceusnet | 27

name ldquoThe Prophet of Doomrdquo

Nostradamusrsquo prophecies have huge room for interpretation speculation and controversy and some people think his writing has no merit at all The following is an example of a quatrain alluding to some sort of environmental disas-ter in the future

ldquoFor forty years the rainbow will not appear

For forty years it will be seen every day

The arid earth will grow more dry

And great floods when it will be seenrdquo

(Century 1 Quatrain 17)

In other quatrains images of great comet alien invasion and nu-clear contamination are also men-tioned so these could all be the prospects that are waiting for us in the future Despite Nostradamusrsquo ldquoaccurate predictionsrdquo of what had happened in the past the quatrains do not have a specific order So out of all the disasters predicted in the many quatrains it is uncertain which will happen where or when giving it less importance in predict-ing an actual apocalypse

PlanetXAccording to Nancy Lieder a

woman who claims to have been contacted by extraterrestrial life forms Planet X (also known as Nibiru) would come close to planet Earth on May 27th 2003 resulting in the Earthrsquos rotation ceasing for 59 terrestrial days The Earthrsquos pole will then undergo a physical polar shift due to the magnetic attraction between the Earthrsquos core and the magnetism of the passing planet This will ultimately lead to the dis-placement of Earthrsquos crust and the end of us But when this did not happen the event was postponed and re-dated to coincide with the Mayan calendar hysteria

NASA argues that this is merely an Internet hoax with no factual or scientific basis They explain that if Planet X was approaching Earth astronomers would have

been tracking it for at least the past decade and the planet would now be visible by the naked eye This is a very comforting bit of news Yet some people believe that NASA is part of a conspiracy to cover up the existence of such planet and keep the truth of impending apocalypse from general public Again the ar-gument can go either way and the ldquotruthrdquo depends on which side you choose or want to believe in

2012TheendoftimeSo what is so special about the

year 2012 There are claims saying that the Mayan calendar ends on 21st December 2012 and that will be the end of time for mankind However just like every calendar it merely rolls over to the new year on that date and it doesnrsquot signify anything special In the Mayan cal-endar 21st December 2012 will be the end of brsquoakrsquotun 13 and marks the start of brsquoakrsquotun 14 A brsquoakrsquotun is 144000 days (a little more than 394 years) and there is no archeological or historical evidence to show that the Mayans expected anything sig-nificant or drastic to happen at the

end of each brsquoakrsquotun

However there exists litera-ture that suggests otherwise In 1975 Frank Waters the author of the book Mexico Mystique identi-fied the 13th brsquoakrsquotun interval to be the ldquoMayan Great Cyclerdquo where it ends in the worldrsquos destruction and rebirth Waters claims that cata-strophic earthquakes will destroy the world but he miscalculated the date and announced that the end of the ldquoGreat Cyclerdquo would be on 24th

December 2011 AD

The year 1987 marked an in-creased in interest regarding the prophesized big event in 2012 The author of The Mayan Factor Path Beyond Technology Jose Arguelles linked the 13th brsquoakrsquotun period to a ldquobeamrdquo that links people the plan-et the Sun and the center of Galaxy According to Arguelles the beam is the key to harmonic resonance in the universe and the Mayan knew when we would enter and leave this beam hence set their 13th brsquoakrsquotun to mark our passage accordingly He also claims that this beam could advance the development of any-thing with DNA hence creating a more positive view of the future

V838 Mon a star with expanding light echo purported as photographic evidence of Nibiru

ldquoevery MaN dies Not every MaN really livesrdquo ndash williaM wallace

28 | Caduceus September 2011

No one can be sure of whether the end of brsquoakrsquotun 13 signifies something great or disastrous for us or if it is just another restart in the Mayan calendar We can only know for certain when the day ar-rives

GodrsquosplanforusThis is by far the most detailed

and terrifying image portrayed out of all apocalyptic claims that I have gone through The Book of Rev-elation from the New Testament reveals signs of apocalypse through a wide variety of symbolism One of such is the frightening image of the ldquofour horsemenrdquo

ldquoAnd I saw and behold a pale horse and he that sat upon him his name was Death and Hades followed with him And there was given unto them authority over the fourth part of the earth to kill with sword and with famine and with death and by the wild beasts of the

earthrdquo (68)

The pale horse carries the horseman of Death which is be-lieved to release global plague and pandemics to the world and take the lives of a quarter of the popu-lation This has already manifested

itself in many forms in different parts of the world at different times hence the first sign of apocalypse is said to be already happening among us

In similar manners the bible describes the arrival a black red and white horsemen represent-ing the delivery of global food shortages war and conflict and the coming of an antichrist to the world From historical genocide terrorism to increased occurrence of food shortages so often seen nowadays it seems that the red and black horsemen has arrived as well and now we are just waiting for the arrival of an antichrist to conquer us

The Book of Revelation also provides readers with a glimpse into the ldquoactionrdquo in how the world will end

ldquoAnd I saw when he opened the sixth seal and there was a great earthquake and the sun became black as sackcloth of hair and the whole moon became as blood and the stars of the heaven fell unto the earthhellipand every mountain and is-land were moved out of their placesrdquo

(612-13)

Besides the great earthquake and the darkening of the sun there is a repetitive mentioning of stars falling from heaven on earth in the Bible This is postulated as the at-tack of massive meteors on planet Earth Out of all prophecies in the Book scientists assume this to be the most likely since an asteroid impact at a scale as large as that may have already wiped out an entire species that came before mankind Scientists believe that showers of space rocks that rained down 65 million years ago (due to the collision of Near Earth Object) were the culprit for the extinction of dinosaurs Luckily NASA recent-ly launched an early warning sys-tem called ldquoSpaceguardrdquo that aims to monitor such Near Earth Objects to prevent future collisions and ex-tinctions

Having read the above the Bible seems to combine all the horrifying specifics in different apocalyptic speculations into one nightmare But donrsquot worry since there are many different interpretations of the Revelation Historicists are the ones who see the Book as a broad view of history (good news wersquove already escaped all the horrors in the depiction) whereas Futurists

believe the description as prophecies of the fu-ture The Idealists hold the belief that the Rev-elation does not refer to actual people or events which makes sense as the Bible is often not inter-preted literally So fingers crossed that the Revela-tion is not interpreted in the futurist way because in that way there is going to be a daunting future awaiting us

Four horsemen of Apocalypse

hkucaduceusnet | 29

ldquoDevolvingrdquoEarthTheoryThis is probably the

most scientific theory that I have come across so far from a news article pub-lished from ABC News A group of scientists from University of Washing-ton hypothesized that the Earth will gradually de-volve in the next half bil-lion years In short their logic works as follows

As we all know the sun is constantly grow-ing bigger yet the Earthrsquos environment has been reasonably constant This is because as the sun is warmed up carbon diox-ide from the atmosphere is removed and deposited in soil as carbonates This keeps our environment stable by the balance be-tween an increasing sun and reducing carbon di-oxide in the atmosphere (Note that global warming resulting from an increase carbon dioxide in atmosphere is just a brief blip in the grand scale of things) Since carbon dioxide is the ldquofood of liferdquo the reduction will cause plants and animals (including humans) to die To battle the rising heat some creatures will retreat into the sea hence reversing the evolutionary process And as the sun continues to expand the Earth will become so hot that even the oceans will gradu-ally be evaporated Eventually the sun blasts off its mass through ther-mal pulses engulfing the Earth

This is a very scientific specula-tion from an astrophysicistrsquos point of view and they claim that at best we have no more than half a billion years left This might be more reas-suring for some of us as the world will not end in the near future But the grief lies in the inevitability of our planet Earth coming to an end

Everythingthathasabegin-ninghasanendSo we are back where we start-

ed With more speculation and the-ories and still no closer to the truth The end could happen any day or time or maybe it could be a proc-ess that is already happening Even though it is not to the scale of an-nihilation of the human race hur-ricanes and earthquakes and car crashes have already been stealth-ily taking the lives of millions We know for sure that we must die eventually through chance old age or disease There is only very little we can do to fight against what has been planned for us and reducing the resources we consume is the best chance that we have in delay-ing this happening There might be some benefit if we know the in-sights of when and how it will hap-pen but really it doesnrsquot change anything Moreover it is possible that these speculations came about to force mankind to live life to the

fullest to treasure each day and every resource we have as a gift so it doesnrsquot matter which theory is the accurate one In the midst of these theories about apocalypse all we can do is to live every day as if it was our last with no regrets and enjoy life as it is now

ReferncesThe End of the Worldhttpwwwnostradamus101compropheciespart4P7

The Great 2012 Doomsday Scare httpwwwnasagovtopicsearthfeatures2012-guesthtml

When Will the World End New Theory EmergeshttpabcnewsgocomTechnol-ogystoryid=97756amppage=2

2012 Beginning of the End or Why the World Wonrsquot Endhttpwwwnasagovtopicsearthfeatures2012html

Video from history channel (from youtube link)httpwwwyoutubecomwatchv=BoTExQEyblU

ldquothe MeaNiNg of life is coNtaiNed iN every siNgle expressioN of life it is preseNt iN the iNfiNity of forMs aNd pheNoMeNa that exist iN all of creatioNrdquo ndash Michael jacksoN

30 | Caduceus September 2011

笑的神奇魔力「當你笑你改變了當你改變了整個世界也改變了」

麻丹卡塔利亞醫生(大笑瑜伽的始創人)何麗敏 (N14)

被隱藏的笑容

日 本大地震及核洩漏事件馬頭圍道唐樓火災三死十九傷中區

警長為勸示威人士中不慎失足墮橋身亡

各政黨爭相你嘲我罵helliphellip在城市裡我們

每天都被一些飛來橫禍天災人禍或社會

爭執的信息圍繞著充斥著愁雲慘霧的氣

氛甚至在家庭朋友學業工作和

健康方面我們亦會遇到不如意之事負

能量和心理壓力不斷增加沒有適當的疏

導和發洩方法之下不少人染上酗酒或沉

迷賭博等壞習慣來自我麻醉長期把情感

抑制的一些人更有機會患上

情緒病我們彷彿硬把自己

困在死胡同裡忘記兒時怎

樣整天咧嘴哈哈大笑如何

在跌倒後笑著站起來現

在很多人都像被魔鬼牽著

鼻子走每天板著一副無奈

沮喪的嘴臉掛上冷漠的眼

神笑聲更差不多成為絕

朋友啊你可有嘗試計

算過一天總共大笑了多少

次英國格拉根大學研究發

現在英國嬰兒每天會笑

達三百次而青少年時期的

每天大笑次數大幅減至六

次五十多歲的人平均每天

更只笑了三次無可厚非

我們在成長過程中必遇到愈來愈多的煩惱

和挑戰事情的確不是我們所能控制但

面對的心態我們為何不能放開一時所謂

的包袱像孩子般笑著面對呢為甚麼大

笑要有一定的理由或被時間限制呢

瑜伽加愉

近半個世紀工作學業和情緒波動

很大生活方式變得愈來愈物質主義容

易出現精神緊張大家都被壓得透不過氣

來變得不太愛笑在一九九五年印

度孟買註冊家庭醫生麻丹卡塔利亞(Dr Madan Kataria)創立「大笑瑜伽」以笑聲驅除怨氣大笑瑜伽是以笑聲互相交流

的透過眼神接觸傳遞歡樂的信息學習

別人的笑容代入孩童的心態再全情投

入地開懷大笑同時亦融入瑜伽的腹式

不妨一試

大笑瑜珈三式一預備式林中步行

在樹林慢走就是愛笑瑜伽的熱身方式步行時間

可以是10-30分鐘邊走路邊拍手同時不時地做深呼

吸目的是讓身體和情緒都徹底放鬆下來為後面的

內容做好準備

二進行式學習動物的表情

在瑜伽導師的帶領下活動面部肌肉然後模仿瑜

珈導師的動物表情這些表情看上去本身已很滑稽

只要按照瑜伽師的樣子去做再發出笑聲

三結束式調整呼吸

經歷了一場大笑面部表情鬆弛了心情也舒服

了不少大家慢慢收回笑容調整呼吸一邊在森林

裡散步一邊大聲告訴自己說「我們是世界上最快樂的

人」

灼見

hkucaduceusnet | 31

呼吸和伸展動作鼓勵大笑達至身心健康

的效果精神科專科曾繁光醫生指出 

「笑令腦自然分泌天然多巴胺以抗衡人

體緊張時所分泌的皮質醇預防患上焦

慮抑鬱的情況」除了改善情緒還能

促進健康笑能促進肺部呼吸功能和加強

血液循環現代醫學認為笑可以成為一種

治病方式治療神經衰弱消除肌肉的緊

張預防或減緩疼痛

筆者在此並不是宣傳大笑瑜伽其治

療成效仍有待商榷和科學實證但愈來愈

多人證實大笑和保持歡樂的心態能有效放

鬆自己張立新先生是第一位在中國推廣 

「大笑瑜伽」的人他患上憂鬱症遍尋

各種治療方式皆無成效一次機緣巧合

從網路接觸「大笑瑜伽」亦在電視上看

到介紹而開始學習和練習他的憂鬱症因

此不藥而癒從此他就開始在中國研究和

推廣愛笑運動暫且別論大笑瑜伽的奏效

程度但人生所遇到的事可真不少何不

笑對人生

尋回被遺忘的赤子之心

大笑並不是靈丹妙藥但它的確能帶來

正能量即使事情有多糟糕笑著面對總

比怨聲載道好而且美國加州大學柏克

萊分校心理學教授丹卓凱納說「笑對

人的進化很重要」目前心理學家們認

為笑是人類之間交流的古老方式之一笑

能互相影響把歡樂的氣氛傳染開去嬰

兒還未學懂說話時笑是與身俱來為何

我們長大後卻隱藏笑容呢朋友們參考

左頁所列大笑瑜伽的基本招式大家可相

約三五知己輕鬆一番找回孩童時的笑聲

大笑瑜伽的始創人麻丹卡塔利亞醫生

大笑瑜伽在六十多國家盛行

ldquolaughter is the best MediciNe - uNless yoursquore diabetic theN iNsuliN coMes pretty high oN the listrdquo ndash jasper carrott

32 | Caduceus September 2011

Learning Experiencing GivingA magical 10-day journey away from the cityErin Yeoh (M15)

C lad in backpacks light clothing and sneakers 21 medical students from HKU and CUHK

were prepared to leave the comforts of home and the internet (did I hear Facebook) We were bound to Chi-na about to embark on a learning-cum-volunteering trip organized by Medical Outreachers

After saying our final goodbyes at the Shenzhen air-port we split into two teams Team A with 9 members were bound to Xirsquoan where they would see volunteer orthopedic surgeons at work The 12 people in Team B including me left for Guizhou to understand the role of village doctors in rural China Both teams aimed to find out the effectiveness of public health policies in rural areas of China We were to meet up 4 days later at Dongshan Guangdong

Part1GuizhouUpon landing in Guizhou we were provided with

excellent hospitality by the local officers and the lo-cal NGO Amity Foundation We were given a brief introduction to Guizhou and also the work that the government and Amity Foundation were doing in the province Amity Foundation actually helped to build numerous new village clinics to improve the quality of healthcare in the region

The next day we were taken on a tour around the province visiting different village clinics (村診所) lo-cated in areas further away from the city Usually there would be one or two village doctors (村醫) on duty

at a time to attend to the villagers with population of around 1000 to 4000 per village

However the village doctors were not the type of ldquoheroesrdquo I had in mind They were not your typical doctor working in a worn out run-down wooden hut where there would be a row of sick villagers lining up to see them How ignorant I was In fact the village clin-ics were mostly renovated and well equipped with ba-sic amenities The standard village clinic has 5 rooms main lobby (大廳) treatment room (治療室) pharma-cy (藥房) observation room (觀察室) and a doctorrsquos rest room (醫生休息室) Furthermore their patient flow was rather small sometimes only one or two pa-tients per day This was probably due to the fact that some village clinics were located only a stonersquos throw away from major cities Those in a medical emergency would of course go straight to the main hospital to seek help immediately instead of consulting a village doc-tor

To be a village doctor one at least had to be a sec-ondary school graduate They would also undergo constant training and certification by qualified doctors in larger clinics According to the village doctors they spent most of their time doing paperwork keeping track of the villagers and their medical history They would also conduct regular home visits to those suf-fering from chronic illnesses or those that needed con-stant monitoring such as patients with hypertension or rheumatoid arthritis Another point that I found

A village clinic before receiving funding from Amity Foundation

hellipand a comparison after

Life

hkucaduceusnet | 33

interesting was that they would also visit families with newborn babies to check on their general health At the same time they would educate mothers on proper breastfeeding techniques and how to provide adequate nutrition for their children in the future

To learn more about their daily routine we fol-lowed a village doctor on his home visit rounds The doctor would sometimes have to travel as far as 2 kil-ometers for a home visit which would be the other end of the village This was as in the case of a pregnant lady due for delivery soon (photo as shown below) The doctor who came to check on her health status reas-sured her that her delivery would be a successful one From her sigh of relief and tired smile we could tell that she was grateful to see the doctor

However things didnrsquot always run as smoothly According to some of the village doctors they used to be scolded and rejected by the locals who did not understand why the doctors would often come up to their doorsteps asking them questions regarding their health and pestering them to go for checkups Some of them being superstitious would think of doctors as ldquoharbingers of bad luckrdquo as the doctors would talk about ldquosicknessrdquo and ldquodiseaserdquo when they were actu-ally feeling as fit as a fiddle Thankfully the situation has much improved since then

From what we saw instead of playing a curative role in a society the village doctors were actually much more involved in disease prevention and monitoring

This is actually the ldquoupstream modelrdquo concept in pub-lic health Instead urban doctors are overwhelmed by limited consultation time and when fatigue kicks in they simply do not have the energy to further educate their patients They would also not have the time to un-derstand their patients on a personal level unlike that of the village doctors

However the indiscriminate use of antibiotics in China was truly a frightening sight Doctors adminis-tered antibiotics intravenously for mild diseases like the common cold When we asked the doctors as to why they did so they simply smiled and shrugged off the question It is probably still a common practice in China and if the doctors did not give such medication the patients would probably lose trust in the doctor The fact that the similar practices were seen even in large hospitals probably indicates that this problem is hardly a localized one

Part2DongshanGuangdongWe met up with the team from Xirsquoan at the

Guangzhou airport and proceeded to our next desti-nationmdashDongshan After 5 hours of car ride we began to see signs that we were approaching our destination Mountains sharply angled clustered in twos or threes fondly known as ldquoMcDonalds mountainsrdquo were begin-ning to be in sight

As soon as we arrived we were greeted by eager curious young faces The children huddled close by as we unloaded our luggage some commenting that they hadnrsquot seen some of us while others were already play-ing around with the past participants It was my first time to Dongshan but there were some of us who were not new to the kids there

After settling down we were given an introduction to Dongshan and its residents by the local NGO Green Action Foundation led by Mr Wong

Located at the outskirts of the province Dongshan is one of the 4 poorest areas in Guangdong Its natu-ral terrain abundant in limestone makes it especially hard to retain water This has taken a toll on the resi-dents especially during the drought season Another problem faced by the local residents is that there are many young people and adults migrating to big cities to earn a living leaving behind the children and elderly

Village doctor on one of his home visits

Discarded bottles of intravenous antibiotics near the village clinic

ldquoMediciNe also disregards NatioNal bouNdariesrdquo ndash irviNg laNgMuir

34 | Caduceus September 2011

at home

Green Action Foundation took the initiative to plant trees around the area so that more water was available for irrigation and domestic purposes This improved the quality of their crops and boosted their source of income They also sponsored some of the

childrenrsquos education depending on their performance in school to ease the burden on their families

The next few days were jam-packed with activities A sports day was held as an icebreaker so that the new participants could get to know the children better We also spent half a day at the Dongshan Primary School where we taught the kids personal hygiene simple first aid moral education and also sex education for the grade 5 and 6 students

Another interesting activity that we had was a weed-cutting session up at a mountain with the other children Each of us was assigned with 2 to 3 chil-dren who were supposed to ldquoguiderdquo us along the way It was a 2-hour hike up and down hilly ter-rain While I would stop once in a while to take a breather the kids were barely panting The kids would often stop to ask if I was tired and even of-fered to help me carry my backpack Note to self more exercise next semester

Nevertheless it was a great chance to know the kids better We had the time to chat about their school life and what they thought about their future and also the chance to share snip-pets of our lives in the city

We then split into small groups and visited the homes of the children in order to gain a bet-ter understanding of their household hygiene

condition any medical conditions in the family as well as their economic standing We had also prepared questionnaires to be kept as future record Some of the families were very poor to the extent of having no source of income at all They depended solely on their own crops for food If they went to see the doctor they would usually owe the doctor money until they had

enough money to pay back The hygiene status of the villagers varied but most of them had swarms of flies around food Many even had their live poultry like chickens running around the house Before we left we gave them some hygiene products like soap washing detergent and toothbrushes to encourage better hy-giene We also gave them a poster explaining ways of maintaining a clean household environment

Another main focus of the trip was to find out the effectiveness of a medical insurance policy newly in-troduced by the government Each person had to pay 30 Renminbi annually to be guaranteed free medica-

Sports day activity

Weed cutting with the children

hkucaduceusnet | 35

tion and hospitalization thereafter Generally the vil-lagers were grateful for this plan as many found it dif-ficult to afford medical fees while struggling to pay for

basic necessities at the same time However some vil-lagers complained that the prices of medicine spiked after this policy was introduced and hospitals would of-ten ask patients to

do unnecessary scans just to earn more money

This trip made me realize that there is much that we can do but how great an impact we can make might not be seen immediately With follow up trips one could see the change as compared to the last visit and make further modifications to improve the situation

As the trip came to an end we were reluctant to leave There was something very magical about Dong-shan where the skies would turn to an exuberant red during sunset and on a clear night you could see stars scattered across every corner of the sky It is a place of beauty struggle and hopefully a place of triumph in the years to come

It is a place of beauty struggle and hopefully a place of triumph in the years to come

On one of our home visits

More to ExploreMedical Outreachers 醫心httpmedicaloutreachersorg

The Amity Foundation 愛德基金會httpwwwamityfoundationorg The beautiful sunset in Dongshan

ldquoshariNg is soMetiMes More deMaNdiNg thaN giviNgrdquo ndash Mary catheriNe batesoN

36 | Caduceus September 2011

就 在這一刻世界沉默了

城市的繁囂隨飛機引擎

逐點逐點噴走了繁囂的離

開是為了讓簡單的生活回

來剛踏出廈門機場一張

又一張的笑臉映入眼簾刺

熱的太陽把兩地之間的隔膜

融化

早從香港回歸時開始

香港人經常強調自己只是 

「香港人」而不是「中國

人」自以為比內地人高一

等可惜這班自視過高的都

市人曾幾何時為外地人送上

熱情的款待這一點廈門

人比誰都做得更好

廈門是一個位於中國

東南部的海島也許就是近

海讓居於廈門的人都把一

切怨恨煩惱拋下大海讓

它們隨水流漂走埋藏在海

床上每年廈門的鳳凰花花

開兩季一朵又一朵鮮艷如

火的鳳凰花在六月時歡送一

個又一個的畢業生彷彿為

他們添上一份祝福九月時

的鳳凰花熱情地歡迎一屆又

一屆的新生為新生的精彩

校園生活揭開序幕一份一

份的熱情含苞待放身在廈

門又怎會不被這市花的熱情

感動呢廈門大至人與人

之間小至花與花之間都存

著一份情

要追溯廈門人的情懷

可數至土樓的建成土樓

是個大多呈方形或圓形大型

群居的建築整座土樓樓高

三至五層由於牆身頗厚及

只有一個出入口甚具有防

禦功能亦因為這緣故當

大門關起來土樓便成了一

個家這個家佔地不大但卻

藏著成千上萬的人情味在

萬里無雲陽光普照的天空

下土樓居民的熱情好客

被蒸發出來懸浮在空中

一代一代傳下去更讓它隨

風走出土樓傳遍整個廈

門即使土樓漸漸成為旅遊

景點一些擺賣紀念品的攤

檔已經進駐但卻無礙居民間

的感情商販彼此交流從

不出現爭客的情況在土樓

中央休憩的居民除了為外地

人介紹他們的祠堂外亦邀

請遊客跟隨他們到遊客禁區

參觀在土樓居住的每伙都

中門大開當遊客投進好奇

的目光屋內的人往往以親

切的笑容作回答鄉土人

情在這世代多冷漠的心也

被融化

細膩的人情味外最令

遊客津津樂道的是廈門人的

態度廈門大學附近有一條

芙蓉隧道只要你願意便可

在隧道內壁上畫下你所思所

想當然美觀與否見仁見

智但這一種對藝術尊重

欣賞的態度是值得欣賞我

有我盡情地畫你有你盡責

青春在廈門留下足印潘曉彤 (N14)

生活

hkucaduceusnet | 37

地去管轄城市各處的整潔

彼此留下空間達至相輔相

成的效果廈門人就懂得人

最基本的禮貌尊重不

過廈門人對他人的尊重遠超

於人的基本禮貌當你去唱

「卡拉OK」的時候每次

待應的出入時看到的就只

有他們的正面而他們前行

或後退的方式就像看到皇帝

一樣卑恭屈膝香港人常常

強調面子哪一天才能捨下

那過高的尊嚴為不相識的

人作一個最謙卑的招待

其實任何人一離開香

港都不難發現就只有香

港愈夜愈精彩其他地方晚

上八時大多關門大吉而廈

門就只有中山路才媲美得

上香港的夜夜笙歌夜幕低

垂萬千燈火的中山路上

與來自各區的人擦肩而過

昏黃的燈光下照出一群又一

群的沉默影子剛好與路上

喧鬧的行人相映成趣騎樓

在霓虹燈的點綴下顯出了獨

有的閩南特色大街小巷傳

來不同地道小食的香氣車

輪餅燒仙草土笋凍helliphellip

為我們外來的交流生帶來美

味可口的夜宵飲飽食醉過

後走到中山路的盡頭又

回到了沉睡中的廈門

在優美的環境影響下

廈門人的生活也自然變得

純樸優閒單車車輪在環

島路上留下一圈又一圈的印

記沿路能細聽海浪輕拍岸

邊的聲音細嗅四處洋溢的

花香感受微風吹散太陽散

發的熱力見證一對又一對

的新人在拍下幸福的照片

據說廈門有戀愛天堂之稱

不管走到哪一處也會

看到準新人拍下甜蜜的婚紗

照而在裡面享受的人永遠

不知道這風景如畫的背

後是透過多少人的血汗換

來當我們在追求經濟成果

的同時往往破壞了造物者

在世上留下的藝術品隨中

國經濟急速發展一個又一

個的世外桃園被摧毀銅臭

替代了花香車聲替代了鳥

語這仙境又可維持多久

廈門另一世外桃園就是

鼓浪嶼它活像香港的長

洲島上滿有歐陸建築風

格但當中不乏中國特色的

建築中國古城風味與洋風

互相交替帶出截然不同的

感覺島上遠離汽車的廢

氣與金門就只是一海之

隔一家大小在享受天倫之

樂時一群又一群的青少

年情侶在沙灘上嬉戲立

即為島上升溫

筆者認為在這個混亂的

俗世確實需要抽空來欣賞

造物者留下來的藝術品大

財團不斷興建大型商場國

際知名品牌不停進駐留下

的就只有愈來愈狹窄的街

道被石屎封蓋寸草不生

的土地人人被金錢蒙蔽

迷失在霓虹燈光中又有多

少知音人能放下生活的瑣碎

事情在這裡享受時間一分

一秒的流走你被海浪聲

喚醒了嗎

筆者參加這次是由香

港廈門兩地大學的交流

團一連六天已經習慣了

當地的優閒生活模式體會

到的不只是廈門的風土人

情歷史文化而是兩地大

學生那種衝破界限的交流

雖說年輕人容易打成一片

但廈門獨有的熱情確實融化

了彼此間的隔膜廈門的美

是成人之美成就了兩地大

學生的友誼

飛機又再起飛了廈門

再見了

ldquothe tiMe of life is short to speNd that shortNess basely it would be too loNgrdquo ndash williaM shake-speare

38 | Caduceus September 2011

生 命形成之際只要一秒鐘的差遲世界便會不一樣

蝴蝶效應從來都是玄的全因一個 

「緣」字

隨著人成長要決擇的事太多學生

有兩件人生大事幾乎都不是由自己決定的

入讀小學及中學然而到了大學這

關卡自己也許可以拿定主意了若果你

入讀了心水科恭喜你若不然祝福

誠然入大學是最影響未來生活的關

口是好是壞無人知曉不用量化不

用比較太多即管做自己所想活出自己

的路只因你不會曉得你的下一步會怎樣

影響著你的生命

或許一個活動你會遇上你的最愛

或許一個宿位你會遇上你的知己

或許一句說話你會惹來一個敵人

或許一次走堂你會由B變C

這就是大學

在大學各人有各人的大學生活大

學講求自由學習學習真的是「求學不是

求分數」有些人愛廣交朋友有些人愛

住宿有些人愛做莊務有些人愛拍拖

有些人愛參加各樣活動有些人愛做兼

職有些人愛讀書有些人卻愛甚麼都不

做helliphellip不少大學生強調入大學必定要做齊

大學五件事(上莊住宿讀書拍拖

兼職)但其實只要自己開心不害人的

話做甚麼也沒問題最要緊的是認清讀

大學的目的以免沉淪於大學這花海

朋友

大學可以令你對「朋友」的概念愈來

愈含糊幾乎每個活動都可令你認識新朋

友通常大家都會輪流講述自己的名字與

學科(Round Table)這亦是考驗大腦對人名的記憶所謂的「Hi-Bye Friend」會愈來愈多隨便在細小的港大內穿梭會令你

無可奈何地對他們說聲Hi

不過別標籤你的「Hi-Bye Friend」要是連Hi-Bye也談不上更不用說做深交了上大學了大家已有既定的圈子很

多時約會或聊天都先找中學朋友而且很

多人會把大學朋友與中學的作比較雖情

有可原但有時未免先入為主地覺得中學

的較好

這亦難怪即使是日日碰面的同學也

未必是自己的好友人人都有自己的時間

表下課後各散東西不是大家不想互相

認識只是有時身不由己若想互相了

解不妨盡量製造共處之時有時甚至可

以分一些約會給大學朋友然後你會發

現大學朋友也可跟你熟絡可別為自己

建造一塊厚厚的心牆

舍堂

要入宿無人會不曉得十日的迎新營

有些舍堂平均每天的作息時間只有兩三小

時有人說住宿最辛苦就是迎新營然而

它卻是最難忘的

要數活動單單一個舍堂已數之不盡

要是投入舍堂生活每天24小時是不夠

用的舍堂之間有各樣比賽堂友要參加

各個組別為比賽出席各樣練習否則可

能被拒於來年再住基於許多人都只在夜

晚有空要全體出席那可是晚九朝五的

大學之緣賴彥積 (N14)

新鮮人

hkucaduceusnet | 39

宿生們之所以會熱衷於舍堂活動因他

們對自身舍堂有強烈的歸屬感好比中學

時學生參加校際比賽要是沒有歸屬感

就不會有心參加所屬舍堂的活動

除舍堂之間之活動樓層之間亦有各類

活動樓內亦然只要有人的地方就有玩

樂彷如天天宿營你不會有機會偷偷早

睡其他樓友常常打擾你你原來的生活

時間會推後數小時睡於二時已是罕有

早上的八半堂彷如無物

可以住宿但不參加活動嗎當然可以

但你會面對的是朋輩壓力他們雖未必逼

你參加卻會在言談中有意無意的滲出

來那種壓力不只限於自己樓層甚至是

跨樓層千萬可別輕看宿中流言

上莊

有人說上莊所學遠超課堂上莊所學

的是如何籌辦活動非常實用有時要對

外聯絡有時要面對公眾helliphellip像是要為將

來工作鋪路似的當然這亦要視乎你上

的是甚麼莊

一般而言上莊可訓練你待人處事的技

巧有時表面看來很友好的朋友當背

負上一定的要求後關係少不免有磨擦再

者初時莊員素未謀面最後卻因朝夕相

對而演變成朋友這段關係是很可貴的

成莊前要宣傳內閣爭取選票成莊了

又要舉行咨詢大會包受歷莊指導然後

又有就職典禮此後的活動更接踵而至

當然包括迎新活動招莊活動等helliphellip君不

見很多人視莊房為睡房少不免有「通

頂」之時忙是忙但必有價值至於是

好是壞要看自己的造化了

拍拖

人上了大學有時心思思想拍拖眼見

身旁多個好友都紛紛拍拖自己少不免羨

慕別人這想法十分正常畢竟大學生真

的可以放下只讀書的重擔真的可以規劃

人生大事了

香港大學一些營新活動中隨了Round Table外還有Round Status即說自己現在有否拍拖以及拍過多少次拖如 

A 0即Ava i lab l e之前至現在沒有拍拖O1即Occupied之前至現在共拍了一次拖當然也有一些同學自己創的甚

麼OBA (Occupied But Available)或D10(Desperate拍過10次拖)等等至於Round Status的動機何在可能是組爸媽想穿針引線吧當然也可能是別有用心的

不同人對拍拖有不同想法上了大學更

有不同擇偶條件人大了在感性的議題

上往往加上種種理性的數據開始現實起

來哪個帥哪個富有哪個有前途helliphellip

有些不在乎天長地久只求剎那的光輝

有些求虛榮有人疼愛在朋友前炫耀

有些甚至會在拍拖前已想定分手後的模

樣所以不想選擇跟自己同科的同學

活動

不同團體(包括舍堂學會及學校部

門)都有不同活動不用愁沒事幹只用

愁沒時間只要多留意Portal Mass Email或Main Campus海報不難發現幾乎每天都有各樣活動動靜皆宜開學時有迎

新營考試時有勁過飯新學期有開Sem

飯有些學會如戲劇舞蹈合唱團不時

有演出有關運動的學會則多練習以參

加比賽有關學術的也有很多興趣班講

座比賽等想幫人的亦可參加義工團

體如蛇蛇豬扶青等舉辦的義工活動

兼職

大學生的兼職大多以補習為主畢竟

這是我們能力範圍內可賺取最多外快又是

時間最彈性的工作有些人卻因補習不能

寫在履歷表而選擇別的工作然而很多時

我們都要在兼職與大學活動中取捨我的

ldquotake a chaNce all life is a chaNce the MaN who goes farthest is geNerally the oNe who is williNg to do aNd darerdquo ndash dale carNegie

40 | Caduceus September 2011

E mily was the chairperson of Pharmacy Socie-ty session 2010 As a student she has actively

participated in holding activities for many medical stu-dents and taken part in providing welfare to all phar-macy students Her following sharing will especially enlighten our new pharmacy students

Q Why did you choose Pharmacy SocietyA To be frank ldquosheung jongrdquo was really out of

my expectation when I anticipated my university life However my perspective has changed when I officially became a pharmacy student in HKU As members of the opening class of the Pharmacy programme my classmates and I realised the importance of having our own student body We do need an independent soci-ety to represent us pharmacy students to cater for our specific needs to listen to our points of view and to act as a bridge to facilitate our communication with the Medical Faculty the entire university and ultimately the pharmaceutical field in Hong Kong My class-mates and I who later became ldquojong yausrdquo believed we should act immediately to establish and run our own society which is why I decided to ldquosheung jongrdquo

Q Would you like to share some of the pros and cons of sheung jong

A ldquoSheung jongrdquo definitely helped me achieve per-sonal growth It was a concurrent commitment and re-sponsibility to serve and to lead our colleagues Bear-ing this in mind we always pushed ourselves to attain the best of our work ethics efficiency and efficacy As the very first session of the Society we lacked the guidance of any previous committee member Instead analysing carefully and critically we thought better of every decision which I personally found an enriching experience ldquoSheung jongrdquo was also an eye-opening journey Wersquod got to meet different people and learnt more about the professional work for as our career-to-be after graduation This in my opinion is always beneficial Last but not least I was fortunate enough to have worked with my amazing fellow committee mem-bers I frankly couldnrsquot ask for better ldquojong yausrdquo than initium Irsquom absolutely thankful for having them as my friends and it is definitely my greatest gain along the way

Despite the merits ldquosheung jongrdquo definitely has its downsides as well It is a lie to say ldquosheung jongrdquo does not affect our daily life because it does take up a big chunk of our time At the end of the day it is about time management which is easy to say but extremely dif-

建議是如家庭環境較困難賺錢吧反

之可以多留時間給各活動畢竟大學一

年的學費不只值那幾十堂課如何善用這

$42100就在乎你如何投入大學生活

讀書

假若你認為大學的考試可考核學生的

真正讀書能力並要求學生活學活用課堂

所學那麼你大失所望了假若你善於背

誦有過目不忘之本領大學的筆試不會

難倒你只要靠著前人留下的歷屆試題

背到滾瓜爛熟是不可能不及格的很多屆

試卷都是千篇一律的很多教授可沒空大

改試題那同學們就走運了有些課堂

即使再專業的學科都會有只理論無實

踐的課堂然後考試就要你把一大堆理論

背出來helliphellip例如甚麼叫批判思維噢

我可不知道只知道我掉了5分

不同學系在某程度上定下了人的前途

對於醫學院學生而言前路是較清晰可見

的但對於非專業學科前路不可只靠讀

書也許要靠自己另外摸索讀書所帶來

的必然是較高的GPA高GPA所帶來的是

獎學金到外國交流工作實習日後工

作機會等等當然大學學習不只局限於

讀書會否因此失彼就只有自己知道

蝶翼拍動之時往難以預料機會是

要自己摸索的

如經上所記

「神為愛他的人所預備的是眼睛未曾看見耳

朵未曾聽見人心也未曾想到的」

(哥林多前書29)

「栽種的和澆灌的都是一樣但將來各人要照自

己的工夫得自己的賞賜」

(哥林多前書38)

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

Freshmen

hkucaduceusnet | 41

ficult to achieve Also working as a Committee mem-ber can be very exhausting and difficult You definitely need lots of determination and support to get through some of the busiest times

Q How did you handle and balance the workload of study and your ldquojongrdquo

A As Irsquove said before it was tremendously difficult I guess my best advice for the future committee is to know your limitations and always plan ahead You have to know your time to work to rest to study etc No one will be over-worked and eve-ryone will have some personal time if you share the burden wisely between ldquojong yausrdquo Secondly you have to make very clear plans so that you can make full use of every little piece of your time I may not have succeeded in my time management but most of my ldquojong yausrdquo managed to do so de-spite the packed schedule of our Soci-ety This is sufficient proof of ldquoimpos-sible is nothingrdquo

Q As there are only about 25 pharmacy students per class do you have any suggestions for P14 fresh-men to make more friends from other curricula

A It really depends on what kind of person you are If you consider your-self socially active living in a hall or ldquosheung jongrdquo will be a great idea for you But if you see yourself as a much quieter person you can still make use of opportunities such as Medic Orien-tation Camp and other events jointly organised by student bodies within the Medical Faculty to make new friends

Q Any special things for P14 freshmen to be aware of

A First of all welcome You all are now members of Pharmacy Society MS HKUSU and I would like to let you know that this is a student body aiming to serve you Thus feel free to share your viewpoints and voice out your opinions to the current Com-mittee members The Society has to

understand your needs to improve and provide better welfare and services for you

Q Any other comments or important things to re-mind P14 freshmen

A If you would like to get to know more fellow pharmacy students especially students from P12 and P13 grab the opportunity to join the Pharmacy Society Orientation Camp and the Mentorship Programme These are great chances to make new friends and Irsquom sure you will enjoy them

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

ldquoas huMaN beiNgs we do chaNge grow adapt perhaps eveN learN aNd becoMe wiserrdquo ndash weNdy carlos

42 | Caduceus September 2011

筆 者是一位護理系的學生半年前有幸成為二零一一年啟思編輯委員會的總編輯在期間所體驗到的希望藉著這次機會作出分享特別希望新加入醫學院的同學

能對「上莊」有更多了解

上莊之路上莊是大學五件事之一證明它對大學生

活有一定的重要性一定的位置筆者在初入學的時候曾為了上莊與否而煩惱猶豫了好一段時間期間考慮到自己能力怕學業應負不來但最後仍然下了上莊這個決定原因是上莊是個難得的機會充實增值自己不同的莊會提供不同的機會讓莊友去學習透過不同的莊務去讓自己眼界擴大另外可以了解醫學院內發生既事情例如院內活動的進展情況更可以參加舉辦院活動為醫學院出一分力最後當然會認識到將會相處一整年的莊友工作伙伴有機會認識到不同學系的同學從他們身上可以觀察到學習到各種的特質從而令自己有所進步有所啟發

護理學生作為護理系學生起初擔任總編輯一職實

在是倍感壓力畢竟歷屆的總編輯都是由醫科生出任因此筆者起初都害怕跟醫科生共事怕自己的能力不足夠應付莊務所以起初都是戰戰兢兢地上莊

一位三年的護理學生曾對我說「我認為你不太尊重護理系護理系和醫科都是個專業希望你能加以尊重自己的學系不要輕視護理這個學系你要肯定自己的學系才能帶領整支莊因為莊內成員來自不同的學系你必須肯定和認同每個學系都有一定的重要性以及其專業」這番當頭棒喝的良言令我明白到自己一直都太輕視護理系過於重視醫科現在我明白到認同自己學系是尤其重要只有這樣才可以用自己學系的身份去發表意見只有認同自己學系才懂得尊重其他的學系莊內便可以融洽一點

在筆者的莊友中醫科生都是較有責任感而且做事更有計劃從他們身上的確學到不少東西這點是無可否認的事實筆者並不是在分享學系與學系之間的差別而是希望有志上莊的同學能互相尊重明白到各學系的莊

友都有其值得學習的地方起初對其他學系有隔膜是無可避免的畢竟對他們的學系都不太了解又沒有歸屬感但如果因為對方是別的學系而輕視對方的人不但失去與人相處學習的機會而且會令莊內的氣氛失去和諧

幸好的就我所見所聞醫學院內的莊多年來都能融洽相處互相支持令到一眾上莊的同學都能輕鬆地享受上莊的喜與樂甚至是不愉快的事情

依靠你的莊友莊是一個團體不是一兩個人可以應

付得來所以筆者認為與莊友互相溝通合作是個重要的元素新同學如果有志參與莊務期望從上莊中有所得著首要的事情是與莊友建立關係因為他們將會是你來年的工作伙伴也是你遇到困難時依靠的對象一位上莊曾對我說「其實一件的莊期不會令你有太大的得著或成長反而長久的友誼才是你將會得到最重要的」這句說話是千真萬確的上莊的人不會由詞不達意改變成談吐得宜不要期望自己會有驚人的轉變也許上莊會令人處事成熟一點有計劃一點但上莊所得到的關係將會是更重要更珍貴一年的相處中面對過有無數的會議共同處理過不少困難從中

建立的友誼真的是畢生受用

責任感上莊另外一個十分重要既條件就是責任

感有志上莊的同學必須明白到莊期是長達一整年在繁重的學業中騰出時間來處理莊務是個考驗責任感和毅力的測試同學必須再三思考想清楚自己是否真係熱衷於上莊或是只是一時衝動畢竟你將要許下的是一年的承諾必須對這個莊負上責任願意付出才選擇上莊這個決定這樣的付出就會有相對的回

總結上莊的確是個好機會讓自己去學習從處

理事務中或是從莊友身上都會有所得著充實著自己的大學生活從中可以認識到各學系的同學建立一段段受用終身的友誼在此筆者希望各學系的新同學可以善用機會作出上莊這個無悔的決定

護理系的啟思總編石志榮 (N14)

新鮮人

hkucaduceusnet | 43

慈兄吟(下)奇晶

最 後還是麥教授先開了口「他的確是一個好學生對醫學有獨到見解他不但學業成績優異而且樂於助人你是他的妹妹吧」婉慧努力控制自己的淚水繼繼續續的說「是啊但helliphellip但helliphellip我不知道helliphellip他竟會在這裏出現」麥教授用悲天憫人的目光看着婉慧語重深長說「人生自古誰無死人生命的有為與否並不取決於他生命的長短而是在於人生的意義你哥哥雖然最後當不了醫生但他的犧牲卻間接為一些同學做醫生鋪路讓他們做醫生去救人這真是一種無私的愛」婉慧點點頭覺得自己對哥哥的了解實在太少了

最後她還是孤獨的離開實驗室她覺得自己跟哥哥比起來實在相差得太遠了原來他除了是十優狀元在醫學院的成績名列前茅外還是個熱心助人的好青年自己除了少了一優外少的更有對別人的同情及樂於助人這造就了她心靈上的空虛她明白到冷漠不是一種對哥哥思念的正當表達方法她應該做的是把哥哥對其他人的愛傳揚開去以圓他的心願

第一步往往是最困難的婉慧平日對他人的態度已令不少人對她敬而遠之有很多次她嘗試向同班同學投以友善的笑容得到的總是詫異的目光或別人的不理不睬在小組討論中儘管她踴躍發言盡量避免冷場的發生偶同學們卻認為她變本加厲想阻止同學們取得好成績她四處碰壁又再次陷入了想念哥哥的深淵

時間一天一天過去了上學期考試前的休假開始了婉慧每天都勤奮的在圖書館溫習期望取得好成績這時候的圖書館堆滿了人如果遲來一個小時想找一個位子也難就在假期的第二天同班的王文在圖書館跑得氣急敗壞仍找不到一個座位婉慧不知怎樣有點同情他將座位讓給他王文驚訝道「不用了我還是回家吧真倒楣遲來了一個小時就沒有『接位』」

「但你住在哪裏呀」

「元朗今天早上我忘了校鬧鐘八時才起」

「那你還是要我的座位吧我可以坐到電腦桌因為我認識的人不少沒有什麼人會打擾我的」

王文謝了她頓時對這位冷漠的同學刮目相看原來她的內心也是溫暖的這並不是他所能料及的坐在電腦桌前溫習的她也感到特別的快樂溫習的速度也快多了王文就此成為了她的「飯檔」考試期間每天和她一起吃飯他更將自己的好友介紹給婉慧認識

在一個晚上她又悄悄的在圖書館的角落溫習着突然一隻溫暖的手搭着她的肩上她抬起頭但見解剖學的同桌手中拿着一杯熱飲輕輕的放在她的桌上婉慧正感詫異卻聽見他說「這杯熱巧克力是給你的繼續努力吧」她喝着巧克力心中感到一股暖流彷彿哥哥的關懷又在她內作出回響

十年生死兩茫茫不思量自難忘千里孤墳無處話淒涼helliphellip

寒風吹起了她額上的劉海佇立在墓前的婉慧不禁凜冽她想起了從前想到自己最後一次和哥哥吵架雙方面紅耳赤的情況想起自己無法親口跟哥哥道歉想起哥哥無私的付出她對着那空虛的墳心中不忍一陣淒然淚水漱漱的流下來她身旁攜扶着年紀老邁的母親邊拭淚邊喃喃道「我的兒子helliphellip歿了helliphellip」大家心情漸漸平復了緩緩走出了墳地

雨一滴一滴的落下飽歷辛酸的婉慧卻仍在懸壼濟世

短篇

ldquoyesterday is but todayrsquos MeMory aNd toMorrow is todayrsquos dreaMrdquo ndash khalil gibraN

44 | Caduceus September 2011

Eternal Flame (1)Tulipa

Itrsquos cold The chills from my fingertips imbibe deep into me This person drills into my mind digging out the truth inside me Itrsquos agonizing She comes right inhellip di-rectly I cannot stop her

Irsquom losing myselfhellip

My hand felt the soggy pillow I realised I had come back to life the world where I lived Staring blankly at the ceiling still losing focus in my eyes I felt my brows with my forearm For the first time I didnrsquot want to lose this feeling

The bedroom door slowly opened I quickly rubbed off the drops that had blurred my vision pretending that I had just woken up

ldquoDo you have lessons this morningrdquo My grand-mother whispered into my ear

ldquoOh goshrdquo I turned right to my alarm clock It was the real life I had forgotten to turn the alarm on last night and it was now seven thirty I knew it I was going to be late every time she caught me in bed Irsquod got to hurry up

Living in Hong Kong Island though it took me more than an hour to get to school I had to comfort my little brother sometimes till two or three in the morning in order to get him to sleep In addition to the consistently heavy study load in the medical school I could hardly get enough rest Running on my heels al-most became my routine starting from last November But I well understood the consequence of skipping lec-tures It was the beginning of the Cardiovascular Sys-tem Block For someone like me who gave least priority in revising Anatomy materials lectures remained the prime source of information for exams Absence from class was suicidal To make the situation worse this professor was one of those who did NOT upload lec-ture notes online

Hoping I wouldnrsquot arrive too late to miss the impor-tant points I finally stepped onto a route no 8 minibus at ten past eight What I could do now was to pay trust in the driver who would bring me to my destination

Coaxing kids was never easy Little Bruce just hap-pened to give me such a hassle last night

He knew I would check on him when I returned home Sitting right next to the door of his room he begged me for a story once I opened the door I sat down together with him on his little couch after Irsquod taken a quick shower This was a time to relax leaving

aside all the other concerns

Kindling through his favourite reader I saw that he wasnrsquot listening but distracted by all sorts of toys around He even invited me into his world of fantasy But it was getting late I had to calm him down so that I too could have some rest Being one of the brightest in his elementary school he should understand this was not the time for recreation

I began to feel annoyed

Yet he was my brother I had a gut feeling that this was unusual He didnrsquot use to be so ldquohyperactiverdquo It re-ally took me a while to adjust to his change With him still tossing and turning in my arms I apprehended his restlessness Unpredictable though he was true to his feelings In one way or another he might find the shadow of our mother in me

He finally settled when I laid him back in bed It was nearly two forty in the morning

The first week of the CVS Block ran as plotted PBL tutorials would start on next Monday Dr Youngrsquos fa-cial expression in the first PBL evaluation flashed over my Embryology notes and references She didnrsquot teach Embryology but I could tell she did have a hypertroph-ic heart-shaped face which looked familiar to the dia-grams in the Atlas

Back in the IHD Block most of us were puzzled about the scrambled content of our course Various forms of seemingly related knowledge came in through lectures practical and tutorial sessions But the neural circuit formed in our brain just failed to resonate as if the conductance-inductance mismatch had aberrated our thought from minimal impedance Sometimes things even happened in a ldquomore-than-extrardquo manner The presence of common core courses in a parallel but independent branch in the network could rightly be detached without causing a blip on the galvanometer Everything was dubious We had no idea of what we were doing

Maybe we were just on the way seeking for a sense of attachment

My mind too was racing in haste I was struggling with my decision to become a doctor Too many things had happened over the year I just couldnrsquot stop ques-tioning myself what was I thinking when I put lsquo6456 MBBSrsquo in my JUPAS application I should have expect-ed and prepared to face all these I just didnrsquot knowhellip

Novella

hkucaduceusnet | 45

It was midterm evaluation in the IHD Block Her face looked tense in that heart shape She was so stiff in her facial expression that no one could read her mind from her poker face The conference room of the Physi-ology Department was large We seemed to be the odd ones out in the spacious carpeted room In this secre-tive silence you could hear the drumming in your ears as if you were tingling

I realised this was not a matter of ldquoam-I-suitable-for-a-medical-careerrdquo but ldquois-a-medical-career-suita-ble-for-merdquo I was lying in bed playing with my plush bear when these thoughts burst in me Dr Young looked through me She felt certain that different from other group mates there were crises behind me But I didnrsquot tell her anything that day

We all were sensitive At times some subtle trepi-dation seeped in gradually sucking peace away from my sleep It was so to say below threshold sub-lethal though it lingered for weeks once it set inhellip

Drenched in bloodhellip There is no life in the boy His eyes are widely opened slightly protruded The lifeless pair of black pearlshellip I cannot escape from his glance He wants to talk to mehellip There is something he wants me to know

A van runs over himhellip

I fell down the edge of my mattress Breathing heavilyhellip Sweating all overhellip

ldquoScreechrdquo People began to gather around a tel-ephone booth a few metres behind us

I turned back I couldnrsquot see a lot from this anglehellip

ldquohellip What a pity He is so younghelliprdquo a middle-aged couple passed by

The victim resting just in front of the wheel looked towards me through a break in the crowdhellip

As we were wandering around thinking what to eat for dinner my cousin found me standing there rooted to the ground stunned by the victimrsquos gaze My heart was pounding She wouldnrsquot believe what I was again experiencing For a number of times already scenarios in my dreams were mirrored into reality

I couldnrsquot tell her

ldquoI was just thinking whether you would like Korean cuisine There is a new restaurant two corners awayrdquo I made up a talk while escaping from the scene so that I wouldnrsquot look so strange

ldquoWhy not go and have a try thenrdquo She was not dis-appointed for calling it a day as the food there was sur-prisingly good

Not until some years ago when I was Form 3 in college I discovered my ability to look into the future Sometimes I could see them coming up on the news in days or weeks And some didnrsquot ever happen at least not around me But seeing the night visions coming into concrete existence wasnrsquot always a pleasure when the mental images turned gradually into mostly night-mares When I visualised my close ones it felt like I was in the middle of an insecure chain bridge above a torrent that would sweep me into the vast ocean with no return It was entirely different from what you might understand as ldquodreams come truerdquo

I had witnessed misfortunes in proximityhellip

But I could do nothing about ithellip

Friends were a source of solace someone to con-fide all frustrations in But with my paranormal ability which appeared to everybody else only on screen-plays I wasnrsquot courageous enough to open my life wholeheartedly to them Seldom talking about myself avoiding all sorts of gatherings I became an eccentric figure among my classmates

Sometimes mutual understanding carried more weight than words I remembered my physics teacher being one of my few friends during my teen years De-spite his boisterous faccedilade he was always sensitive to whenever I was dwelling on my burdens Physics was our common language Intermingling our emotions and feelings with concepts that were alien to my fel-lows we developed a close rapport impenetrable by anyone else

ldquoWhat is the nature of a flamerdquo This was the most discussed problem between us Neither in solid liquid nor vapour state Not having any definite shape and colour It seems not any material but a type of energy giving out heat and light At the moment of providing it also exhausts its fuel and eventually itselfhellip

The romance of physics is more than anything you could read write and talk about Once you were truly connected with it nothing can stop you Your mind will bounce irrespective of the chronology of space-time but only under the guidance of your thoughts

I was so devoted to the discipline at the time that I was almost making it my lifelong career in some way He envisaged that I would demand much more than any academia could provide with its scientific basis alone We were both seeking a philosophy beyond the facts But Hong Kong may not be the right place for it

I made him a promise at the end to contain our flame and I knew I would

For the first and the last time I saw his eyes filled with tears We knew existence by itself is a miracle

ldquoi love life because what More is thererdquo ndash aNthoNy hopkiNs

46 | Caduceus September 2011

說華佗都說「華佗再世」誰知箇中真諦雲方 (M15)

烽煙起戰火燃萬里 

三國並爭英雄地亂世有誰顧生死 

待神醫行世將民眾救濟

渺渺江山東西瞰俞跗巧手扁鵲心(1) 應向何處尋 

滾滾黃沙無世家終有奇士放奇葩

沛國 華元化(2) 

他經書貫通南北遊動 

一望斷症如神助三劑消病不必多

說斷症悉如所料 

甘陵 相夫人腹痛極難忍(3) 號脈知死嬰在左為男形(4)廣陵 梅軍吏除名歸故里

見貌知壽盡速返見萱椿(5) 

說消病藥到病除 

飲蒜醋有三升蟲一嘔而盡清 (6)母服丸而溫儲兒不藥而自癒 (7)

絕妙處 

是他開腸剖腹刀至辟毒 

神醫號 

除他內外皆精有誰配稱

[1]   俞跗黃帝時代之名醫扁鵲春秋戰國之名醫《淮南子人間訓》「患至而多後憂之helliphellip雖有扁鵲俞跗之巧猶不能生也」

[2]   華佗字元化沛國人(今安徽 亳州)

[3]   甘陵相(即甘陵之行政長官)夫人懷胎六月腹痛不安華佗為其切脈便知胎死於是命人摸知所在在左則男在右則女人云「在左」夫人飲藥後果然產出男胎腹痛立即痊癒

[4]   廣陵有軍吏名曰梅平離鄉服役後來退役歸家於路上巧遇華佗華佗視之嘆道「若能早些見我當不至於此而今你僅餘五日壽命速速回家還能與家人相見」平旋即趕抵故鄉五日後亦如料身亡

[5]   萱椿多作椿萱比喻父母漢牟融《送徐浩》詩「知君此去情偏切堂上椿萱雪滿頭」

[6]   華佗見路邊有人食不下嚥教他到路邊餅店買醋三升混上蒜泥然後飲用路人服後即吐出一條長蛇(即寄生蟲)

[7]   兩歲男孩長年腹瀉藥石無靈華佗往診謂病在母命其服用華佗親研之「四物女宛丸」服後母親乳汁不再寒涼男孩亦不藥而癒

意興

hkucaduceusnet | 47

只可惜人無完壁

「關將軍使君予我手刮骨惡毒走

曹丞相使君予我頭剖顱苦痛收」

「怎能不收怎能不收一命嗚呼萬事休 

簡直荒謬簡直荒謬殺此庸醫未須愁」(8) 

五禽戲尚能傳 (9)麻沸散從此絕 

何不一飲醉死不知世忍氣吞聲事權貴 (10)心神委曲須臾苦奇術失迭千秋計 

烽煙止無改生死事 

且當醫仙謫世間神技終須風裏散 (11)回首仰高山景行請君範 (12)

[8]     曹操欲殺華佗臣下勸之不可答曰「不憂天下當無此鼠輩耶」

[9]     死前華佗欲托所著醫書於獄卒不果便盡數焚毀唯有其養生體操「五禽戲」流傳後世

[10]   《三國志魏書方技傳》「當須刳割者便飲其麻沸散須臾便如醉死無所知」

[11]   唐白居易《簡簡吟》「恐是天仙謫人世只合人間十三歲」

[12]   景行(音航)即大道以高山景行比喻人品德行為之高尚典出《詩經小雅車轄》又東漢鄭玄曰「古人有高德者則慕仰之有明行者則而行之」

ldquothe art of MediciNe was to be properly learNer oNly forM its practice aNd its exerciserdquo - thoMas sydeNhaM

48 | Caduceus September 2011

啟程

清晨空白的天空看不見藍天雲彩

只有溫柔的雨絲和朦朦朧朧的霧水跟隨

著大隊的足印踏上沉重的腳步穿過橫

街小巷和煩囂熱鬧的市場走過自動門

撲鼻的消毒藥水味道讓大家屏住呼吸筆

者和夥伴們終於到達了入讀護理系以來第

一次實習的醫院

還記得在實習的前幾天心情是既忐忑

又期待的畢竟這一次實習的地方不再是

在社區中心宣傳健康方面的知識亦不是

只面對著健康活潑的小朋友和老友記或是

學校課堂上所提供的假人張靜汶卻是照

顧一羣真正需要關懷的病人心中充滿著

憂慮不知自己所學的知識足夠在應用上

嗎自己平日的練習足夠嗎雖然心存在

著不少疑惑但也十分期待可以體會一下

做小學護的感受嘗試把這一年裡所學到

的知識運用出來

很多的第一次

在病房裡總有心酸和膽戰心驚的時

候第一次為昏迷的病人清潔口腔第一

次為難以進食的人插入胃喉第一次為老

公公清洗背上壓瘡的傷口helliphellip照顧他們時

的心情都是一步一驚心生怕自己沒法應

付得來又怕會把事情弄得更糟糕最重

要的是恐怕自己不純熟的技巧令他們受苦

了記得有一回第一次為女病人插入尿

喉採取尿液樣本可能技巧不太純熟的關

係延長了病人的痛苦過程中她皺著

眉頭不斷呻吟又緊張得咬破脣眼看

她樣子心中真的不是味兒來身為病人

的其中之一依靠我們不得不給自己信

心如果連自己也不相信自己哪會有病

人願意把他們交給我們照料呢

捕捉那瞬間的美麗與淒然何麗敏 (N14)

上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

意興

hkucaduceusnet | 49

另外第一次面對病人的心情是頗為

緊張的說話技巧亦有改進的空間但和

病人傾談了數分鐘後氣氛也漸漸變得和

諧可能那些老公公整天呆在醫院裡真是

悶到慌看見一羣年青人與自己聊天照

顧和關心他們他們不禁咧嘴而笑醫院

職員透露有一位老公公平日不太願意吃東

西於是我們便主動和他談天說地又

悉心照料他進食的情況後來他不但胃

口好了不少就連心情也開朗了他生動

活潑的談吐讓我們笑了他回復健康精

神的體魄也讓我們感到安慰

相處片刻

雖然為期一星期的病房日子不是特別繁

忙或是辛勞但是也會有不習慣的時候

幸好得到醫院職員和一班夥伴的支持病

房經理和註冊護士不但相信我們的能力

對學護的包容更是不用多說還主動地介

紹病房的環境和細心地教導我們醫療護理

上的知識讓我們上了一堂實在而又寶貴

的課同時今次的實習也令我感到團體

精神也十分重要在技巧上大家互相提

點互補不足當有人準備照料有需要的

病人如插喉或洗傷口等大家送上一句 

「加油」就能令對方增加不少自信心和正

能量無論遇上甚麼事情我也榮幸有如

此一班學習夥伴從旁支持

學習的階級

在這一次病房實習中雖然醫療和藥物

知識方面有待加強但是我學懂了如何與

不同身份的病人相處之道溝通上也得到

了很大的進步獲益不少除此之外我

也真正體會到如何做一個好護士並清楚

了解這個行業是否適合自己鐘樓也不是

一天就能建成而是需要一磚一瓦搭建而

成的所以在學習上我們不但要打好

穩固的基礎還要增強醫療知識在技巧

上馬虎了事和走捷徑是於是無補的應

該多探究和練習才行這樣才對得起病人

和自己也減少不必要的醫療失當事故

總之多一份認真多一點耐性多一些

愛心就是學護必記的左右銘 上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

ldquoit is reasoNable to expect the doctor to recogNise that scieNce May Not have all the aNswers to probleMs of health aNd healiNgrdquo ndash NorMaN cousiNs

50 | Caduceus September 2011

Fun Corner

Medical AppsEver wondered how your handheld device can save your time and

effort when it comes to studying Here is how

Anatomy Pronunciations by HipposoftAccurate pronunciations of over a hundred important anatomy terms you have trouble with are provided

at your fingertips to help you spell those difficult words Anyone who has taken an anatomy course can tell you how challenging it can be to pro-nounce the names of those complicated anatomi-cal terms It is even linked directly to Wikipedia and Google through web browser for additional information

iPharmacy ndash Pill Identifier and Medication Guide by SigmaPhone LLCAn essential medication guide of 20000+ drugs is provided for con-sumers amp professionals This ex-

pands the image library to include 12000 pill and package images and includes digital drug identifier with official drug information (indica-tions dosage adverse reactions and more) You can check the drugs anywhere

Grades 2 by TapityIt tells you what grades you need in the coming tests in order to get your target grade You can easily calcu-late your GPA so as to maintain it It

is a useful tool helping you to keep an eye on your GPA all the time

Human Anatomy by SusaSoftXThe application provides you with information of 15 different biologi-cal systems You can keep on revis-ing while you are traveling without

carrying heavy books

Medscape by WebMD LLCFrom drug classes interaction clin-ical procedures and even the lat-est medical news Medscape helps medical students and healthcare

professionals to reiterate knowledge that has slipped from the mind It is a free application for iPhone iPad Android and Blackberry Yet it contains more function on Android phones and Apple products and lacks detailed clinical infor-mation for diseases and clinical procedures walk through on Blackberry

Pro Medical Terminology Dic-tionary by TreascoveryTerminology might be a tough work for medical students Even if we can master those English terms we can

hardly think of the Chinese terms This applica-tion can help you when you face this problem Note that it is not a free application

3M Littmann SoundBuilder by 3M CompanyA great tool designed to help im-prove auscultation skills of medical students with 14 unique lessons of

key heart sounds combing text virtual manne-quin 3D cardiac animation and dynamic wave-forms

iRadiology by Liebermans iRadi-ologyAn excellent learning tool for medi-cal students demonstrating classic radiological findings of a multitude

of abnormalities including over 500 radiologic images Radiologic images include CT US MRI and nuclear imaging each clearly labeled and followed by key teaching points

Micromedex Drug Information by Thomson Reuters (Healthcare) IncIs Cephalexin a first generation ce-phalosporin This application from

Thomson Reuters is the easiest way to navigate in the sea of drug names Drugs are sorted by classes and supplemented with rich information

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 27: Caduceus Issue 2, Volume 42

hkucaduceusnet | 27

name ldquoThe Prophet of Doomrdquo

Nostradamusrsquo prophecies have huge room for interpretation speculation and controversy and some people think his writing has no merit at all The following is an example of a quatrain alluding to some sort of environmental disas-ter in the future

ldquoFor forty years the rainbow will not appear

For forty years it will be seen every day

The arid earth will grow more dry

And great floods when it will be seenrdquo

(Century 1 Quatrain 17)

In other quatrains images of great comet alien invasion and nu-clear contamination are also men-tioned so these could all be the prospects that are waiting for us in the future Despite Nostradamusrsquo ldquoaccurate predictionsrdquo of what had happened in the past the quatrains do not have a specific order So out of all the disasters predicted in the many quatrains it is uncertain which will happen where or when giving it less importance in predict-ing an actual apocalypse

PlanetXAccording to Nancy Lieder a

woman who claims to have been contacted by extraterrestrial life forms Planet X (also known as Nibiru) would come close to planet Earth on May 27th 2003 resulting in the Earthrsquos rotation ceasing for 59 terrestrial days The Earthrsquos pole will then undergo a physical polar shift due to the magnetic attraction between the Earthrsquos core and the magnetism of the passing planet This will ultimately lead to the dis-placement of Earthrsquos crust and the end of us But when this did not happen the event was postponed and re-dated to coincide with the Mayan calendar hysteria

NASA argues that this is merely an Internet hoax with no factual or scientific basis They explain that if Planet X was approaching Earth astronomers would have

been tracking it for at least the past decade and the planet would now be visible by the naked eye This is a very comforting bit of news Yet some people believe that NASA is part of a conspiracy to cover up the existence of such planet and keep the truth of impending apocalypse from general public Again the ar-gument can go either way and the ldquotruthrdquo depends on which side you choose or want to believe in

2012TheendoftimeSo what is so special about the

year 2012 There are claims saying that the Mayan calendar ends on 21st December 2012 and that will be the end of time for mankind However just like every calendar it merely rolls over to the new year on that date and it doesnrsquot signify anything special In the Mayan cal-endar 21st December 2012 will be the end of brsquoakrsquotun 13 and marks the start of brsquoakrsquotun 14 A brsquoakrsquotun is 144000 days (a little more than 394 years) and there is no archeological or historical evidence to show that the Mayans expected anything sig-nificant or drastic to happen at the

end of each brsquoakrsquotun

However there exists litera-ture that suggests otherwise In 1975 Frank Waters the author of the book Mexico Mystique identi-fied the 13th brsquoakrsquotun interval to be the ldquoMayan Great Cyclerdquo where it ends in the worldrsquos destruction and rebirth Waters claims that cata-strophic earthquakes will destroy the world but he miscalculated the date and announced that the end of the ldquoGreat Cyclerdquo would be on 24th

December 2011 AD

The year 1987 marked an in-creased in interest regarding the prophesized big event in 2012 The author of The Mayan Factor Path Beyond Technology Jose Arguelles linked the 13th brsquoakrsquotun period to a ldquobeamrdquo that links people the plan-et the Sun and the center of Galaxy According to Arguelles the beam is the key to harmonic resonance in the universe and the Mayan knew when we would enter and leave this beam hence set their 13th brsquoakrsquotun to mark our passage accordingly He also claims that this beam could advance the development of any-thing with DNA hence creating a more positive view of the future

V838 Mon a star with expanding light echo purported as photographic evidence of Nibiru

ldquoevery MaN dies Not every MaN really livesrdquo ndash williaM wallace

28 | Caduceus September 2011

No one can be sure of whether the end of brsquoakrsquotun 13 signifies something great or disastrous for us or if it is just another restart in the Mayan calendar We can only know for certain when the day ar-rives

GodrsquosplanforusThis is by far the most detailed

and terrifying image portrayed out of all apocalyptic claims that I have gone through The Book of Rev-elation from the New Testament reveals signs of apocalypse through a wide variety of symbolism One of such is the frightening image of the ldquofour horsemenrdquo

ldquoAnd I saw and behold a pale horse and he that sat upon him his name was Death and Hades followed with him And there was given unto them authority over the fourth part of the earth to kill with sword and with famine and with death and by the wild beasts of the

earthrdquo (68)

The pale horse carries the horseman of Death which is be-lieved to release global plague and pandemics to the world and take the lives of a quarter of the popu-lation This has already manifested

itself in many forms in different parts of the world at different times hence the first sign of apocalypse is said to be already happening among us

In similar manners the bible describes the arrival a black red and white horsemen represent-ing the delivery of global food shortages war and conflict and the coming of an antichrist to the world From historical genocide terrorism to increased occurrence of food shortages so often seen nowadays it seems that the red and black horsemen has arrived as well and now we are just waiting for the arrival of an antichrist to conquer us

The Book of Revelation also provides readers with a glimpse into the ldquoactionrdquo in how the world will end

ldquoAnd I saw when he opened the sixth seal and there was a great earthquake and the sun became black as sackcloth of hair and the whole moon became as blood and the stars of the heaven fell unto the earthhellipand every mountain and is-land were moved out of their placesrdquo

(612-13)

Besides the great earthquake and the darkening of the sun there is a repetitive mentioning of stars falling from heaven on earth in the Bible This is postulated as the at-tack of massive meteors on planet Earth Out of all prophecies in the Book scientists assume this to be the most likely since an asteroid impact at a scale as large as that may have already wiped out an entire species that came before mankind Scientists believe that showers of space rocks that rained down 65 million years ago (due to the collision of Near Earth Object) were the culprit for the extinction of dinosaurs Luckily NASA recent-ly launched an early warning sys-tem called ldquoSpaceguardrdquo that aims to monitor such Near Earth Objects to prevent future collisions and ex-tinctions

Having read the above the Bible seems to combine all the horrifying specifics in different apocalyptic speculations into one nightmare But donrsquot worry since there are many different interpretations of the Revelation Historicists are the ones who see the Book as a broad view of history (good news wersquove already escaped all the horrors in the depiction) whereas Futurists

believe the description as prophecies of the fu-ture The Idealists hold the belief that the Rev-elation does not refer to actual people or events which makes sense as the Bible is often not inter-preted literally So fingers crossed that the Revela-tion is not interpreted in the futurist way because in that way there is going to be a daunting future awaiting us

Four horsemen of Apocalypse

hkucaduceusnet | 29

ldquoDevolvingrdquoEarthTheoryThis is probably the

most scientific theory that I have come across so far from a news article pub-lished from ABC News A group of scientists from University of Washing-ton hypothesized that the Earth will gradually de-volve in the next half bil-lion years In short their logic works as follows

As we all know the sun is constantly grow-ing bigger yet the Earthrsquos environment has been reasonably constant This is because as the sun is warmed up carbon diox-ide from the atmosphere is removed and deposited in soil as carbonates This keeps our environment stable by the balance be-tween an increasing sun and reducing carbon di-oxide in the atmosphere (Note that global warming resulting from an increase carbon dioxide in atmosphere is just a brief blip in the grand scale of things) Since carbon dioxide is the ldquofood of liferdquo the reduction will cause plants and animals (including humans) to die To battle the rising heat some creatures will retreat into the sea hence reversing the evolutionary process And as the sun continues to expand the Earth will become so hot that even the oceans will gradu-ally be evaporated Eventually the sun blasts off its mass through ther-mal pulses engulfing the Earth

This is a very scientific specula-tion from an astrophysicistrsquos point of view and they claim that at best we have no more than half a billion years left This might be more reas-suring for some of us as the world will not end in the near future But the grief lies in the inevitability of our planet Earth coming to an end

Everythingthathasabegin-ninghasanendSo we are back where we start-

ed With more speculation and the-ories and still no closer to the truth The end could happen any day or time or maybe it could be a proc-ess that is already happening Even though it is not to the scale of an-nihilation of the human race hur-ricanes and earthquakes and car crashes have already been stealth-ily taking the lives of millions We know for sure that we must die eventually through chance old age or disease There is only very little we can do to fight against what has been planned for us and reducing the resources we consume is the best chance that we have in delay-ing this happening There might be some benefit if we know the in-sights of when and how it will hap-pen but really it doesnrsquot change anything Moreover it is possible that these speculations came about to force mankind to live life to the

fullest to treasure each day and every resource we have as a gift so it doesnrsquot matter which theory is the accurate one In the midst of these theories about apocalypse all we can do is to live every day as if it was our last with no regrets and enjoy life as it is now

ReferncesThe End of the Worldhttpwwwnostradamus101compropheciespart4P7

The Great 2012 Doomsday Scare httpwwwnasagovtopicsearthfeatures2012-guesthtml

When Will the World End New Theory EmergeshttpabcnewsgocomTechnol-ogystoryid=97756amppage=2

2012 Beginning of the End or Why the World Wonrsquot Endhttpwwwnasagovtopicsearthfeatures2012html

Video from history channel (from youtube link)httpwwwyoutubecomwatchv=BoTExQEyblU

ldquothe MeaNiNg of life is coNtaiNed iN every siNgle expressioN of life it is preseNt iN the iNfiNity of forMs aNd pheNoMeNa that exist iN all of creatioNrdquo ndash Michael jacksoN

30 | Caduceus September 2011

笑的神奇魔力「當你笑你改變了當你改變了整個世界也改變了」

麻丹卡塔利亞醫生(大笑瑜伽的始創人)何麗敏 (N14)

被隱藏的笑容

日 本大地震及核洩漏事件馬頭圍道唐樓火災三死十九傷中區

警長為勸示威人士中不慎失足墮橋身亡

各政黨爭相你嘲我罵helliphellip在城市裡我們

每天都被一些飛來橫禍天災人禍或社會

爭執的信息圍繞著充斥著愁雲慘霧的氣

氛甚至在家庭朋友學業工作和

健康方面我們亦會遇到不如意之事負

能量和心理壓力不斷增加沒有適當的疏

導和發洩方法之下不少人染上酗酒或沉

迷賭博等壞習慣來自我麻醉長期把情感

抑制的一些人更有機會患上

情緒病我們彷彿硬把自己

困在死胡同裡忘記兒時怎

樣整天咧嘴哈哈大笑如何

在跌倒後笑著站起來現

在很多人都像被魔鬼牽著

鼻子走每天板著一副無奈

沮喪的嘴臉掛上冷漠的眼

神笑聲更差不多成為絕

朋友啊你可有嘗試計

算過一天總共大笑了多少

次英國格拉根大學研究發

現在英國嬰兒每天會笑

達三百次而青少年時期的

每天大笑次數大幅減至六

次五十多歲的人平均每天

更只笑了三次無可厚非

我們在成長過程中必遇到愈來愈多的煩惱

和挑戰事情的確不是我們所能控制但

面對的心態我們為何不能放開一時所謂

的包袱像孩子般笑著面對呢為甚麼大

笑要有一定的理由或被時間限制呢

瑜伽加愉

近半個世紀工作學業和情緒波動

很大生活方式變得愈來愈物質主義容

易出現精神緊張大家都被壓得透不過氣

來變得不太愛笑在一九九五年印

度孟買註冊家庭醫生麻丹卡塔利亞(Dr Madan Kataria)創立「大笑瑜伽」以笑聲驅除怨氣大笑瑜伽是以笑聲互相交流

的透過眼神接觸傳遞歡樂的信息學習

別人的笑容代入孩童的心態再全情投

入地開懷大笑同時亦融入瑜伽的腹式

不妨一試

大笑瑜珈三式一預備式林中步行

在樹林慢走就是愛笑瑜伽的熱身方式步行時間

可以是10-30分鐘邊走路邊拍手同時不時地做深呼

吸目的是讓身體和情緒都徹底放鬆下來為後面的

內容做好準備

二進行式學習動物的表情

在瑜伽導師的帶領下活動面部肌肉然後模仿瑜

珈導師的動物表情這些表情看上去本身已很滑稽

只要按照瑜伽師的樣子去做再發出笑聲

三結束式調整呼吸

經歷了一場大笑面部表情鬆弛了心情也舒服

了不少大家慢慢收回笑容調整呼吸一邊在森林

裡散步一邊大聲告訴自己說「我們是世界上最快樂的

人」

灼見

hkucaduceusnet | 31

呼吸和伸展動作鼓勵大笑達至身心健康

的效果精神科專科曾繁光醫生指出 

「笑令腦自然分泌天然多巴胺以抗衡人

體緊張時所分泌的皮質醇預防患上焦

慮抑鬱的情況」除了改善情緒還能

促進健康笑能促進肺部呼吸功能和加強

血液循環現代醫學認為笑可以成為一種

治病方式治療神經衰弱消除肌肉的緊

張預防或減緩疼痛

筆者在此並不是宣傳大笑瑜伽其治

療成效仍有待商榷和科學實證但愈來愈

多人證實大笑和保持歡樂的心態能有效放

鬆自己張立新先生是第一位在中國推廣 

「大笑瑜伽」的人他患上憂鬱症遍尋

各種治療方式皆無成效一次機緣巧合

從網路接觸「大笑瑜伽」亦在電視上看

到介紹而開始學習和練習他的憂鬱症因

此不藥而癒從此他就開始在中國研究和

推廣愛笑運動暫且別論大笑瑜伽的奏效

程度但人生所遇到的事可真不少何不

笑對人生

尋回被遺忘的赤子之心

大笑並不是靈丹妙藥但它的確能帶來

正能量即使事情有多糟糕笑著面對總

比怨聲載道好而且美國加州大學柏克

萊分校心理學教授丹卓凱納說「笑對

人的進化很重要」目前心理學家們認

為笑是人類之間交流的古老方式之一笑

能互相影響把歡樂的氣氛傳染開去嬰

兒還未學懂說話時笑是與身俱來為何

我們長大後卻隱藏笑容呢朋友們參考

左頁所列大笑瑜伽的基本招式大家可相

約三五知己輕鬆一番找回孩童時的笑聲

大笑瑜伽的始創人麻丹卡塔利亞醫生

大笑瑜伽在六十多國家盛行

ldquolaughter is the best MediciNe - uNless yoursquore diabetic theN iNsuliN coMes pretty high oN the listrdquo ndash jasper carrott

32 | Caduceus September 2011

Learning Experiencing GivingA magical 10-day journey away from the cityErin Yeoh (M15)

C lad in backpacks light clothing and sneakers 21 medical students from HKU and CUHK

were prepared to leave the comforts of home and the internet (did I hear Facebook) We were bound to Chi-na about to embark on a learning-cum-volunteering trip organized by Medical Outreachers

After saying our final goodbyes at the Shenzhen air-port we split into two teams Team A with 9 members were bound to Xirsquoan where they would see volunteer orthopedic surgeons at work The 12 people in Team B including me left for Guizhou to understand the role of village doctors in rural China Both teams aimed to find out the effectiveness of public health policies in rural areas of China We were to meet up 4 days later at Dongshan Guangdong

Part1GuizhouUpon landing in Guizhou we were provided with

excellent hospitality by the local officers and the lo-cal NGO Amity Foundation We were given a brief introduction to Guizhou and also the work that the government and Amity Foundation were doing in the province Amity Foundation actually helped to build numerous new village clinics to improve the quality of healthcare in the region

The next day we were taken on a tour around the province visiting different village clinics (村診所) lo-cated in areas further away from the city Usually there would be one or two village doctors (村醫) on duty

at a time to attend to the villagers with population of around 1000 to 4000 per village

However the village doctors were not the type of ldquoheroesrdquo I had in mind They were not your typical doctor working in a worn out run-down wooden hut where there would be a row of sick villagers lining up to see them How ignorant I was In fact the village clin-ics were mostly renovated and well equipped with ba-sic amenities The standard village clinic has 5 rooms main lobby (大廳) treatment room (治療室) pharma-cy (藥房) observation room (觀察室) and a doctorrsquos rest room (醫生休息室) Furthermore their patient flow was rather small sometimes only one or two pa-tients per day This was probably due to the fact that some village clinics were located only a stonersquos throw away from major cities Those in a medical emergency would of course go straight to the main hospital to seek help immediately instead of consulting a village doc-tor

To be a village doctor one at least had to be a sec-ondary school graduate They would also undergo constant training and certification by qualified doctors in larger clinics According to the village doctors they spent most of their time doing paperwork keeping track of the villagers and their medical history They would also conduct regular home visits to those suf-fering from chronic illnesses or those that needed con-stant monitoring such as patients with hypertension or rheumatoid arthritis Another point that I found

A village clinic before receiving funding from Amity Foundation

hellipand a comparison after

Life

hkucaduceusnet | 33

interesting was that they would also visit families with newborn babies to check on their general health At the same time they would educate mothers on proper breastfeeding techniques and how to provide adequate nutrition for their children in the future

To learn more about their daily routine we fol-lowed a village doctor on his home visit rounds The doctor would sometimes have to travel as far as 2 kil-ometers for a home visit which would be the other end of the village This was as in the case of a pregnant lady due for delivery soon (photo as shown below) The doctor who came to check on her health status reas-sured her that her delivery would be a successful one From her sigh of relief and tired smile we could tell that she was grateful to see the doctor

However things didnrsquot always run as smoothly According to some of the village doctors they used to be scolded and rejected by the locals who did not understand why the doctors would often come up to their doorsteps asking them questions regarding their health and pestering them to go for checkups Some of them being superstitious would think of doctors as ldquoharbingers of bad luckrdquo as the doctors would talk about ldquosicknessrdquo and ldquodiseaserdquo when they were actu-ally feeling as fit as a fiddle Thankfully the situation has much improved since then

From what we saw instead of playing a curative role in a society the village doctors were actually much more involved in disease prevention and monitoring

This is actually the ldquoupstream modelrdquo concept in pub-lic health Instead urban doctors are overwhelmed by limited consultation time and when fatigue kicks in they simply do not have the energy to further educate their patients They would also not have the time to un-derstand their patients on a personal level unlike that of the village doctors

However the indiscriminate use of antibiotics in China was truly a frightening sight Doctors adminis-tered antibiotics intravenously for mild diseases like the common cold When we asked the doctors as to why they did so they simply smiled and shrugged off the question It is probably still a common practice in China and if the doctors did not give such medication the patients would probably lose trust in the doctor The fact that the similar practices were seen even in large hospitals probably indicates that this problem is hardly a localized one

Part2DongshanGuangdongWe met up with the team from Xirsquoan at the

Guangzhou airport and proceeded to our next desti-nationmdashDongshan After 5 hours of car ride we began to see signs that we were approaching our destination Mountains sharply angled clustered in twos or threes fondly known as ldquoMcDonalds mountainsrdquo were begin-ning to be in sight

As soon as we arrived we were greeted by eager curious young faces The children huddled close by as we unloaded our luggage some commenting that they hadnrsquot seen some of us while others were already play-ing around with the past participants It was my first time to Dongshan but there were some of us who were not new to the kids there

After settling down we were given an introduction to Dongshan and its residents by the local NGO Green Action Foundation led by Mr Wong

Located at the outskirts of the province Dongshan is one of the 4 poorest areas in Guangdong Its natu-ral terrain abundant in limestone makes it especially hard to retain water This has taken a toll on the resi-dents especially during the drought season Another problem faced by the local residents is that there are many young people and adults migrating to big cities to earn a living leaving behind the children and elderly

Village doctor on one of his home visits

Discarded bottles of intravenous antibiotics near the village clinic

ldquoMediciNe also disregards NatioNal bouNdariesrdquo ndash irviNg laNgMuir

34 | Caduceus September 2011

at home

Green Action Foundation took the initiative to plant trees around the area so that more water was available for irrigation and domestic purposes This improved the quality of their crops and boosted their source of income They also sponsored some of the

childrenrsquos education depending on their performance in school to ease the burden on their families

The next few days were jam-packed with activities A sports day was held as an icebreaker so that the new participants could get to know the children better We also spent half a day at the Dongshan Primary School where we taught the kids personal hygiene simple first aid moral education and also sex education for the grade 5 and 6 students

Another interesting activity that we had was a weed-cutting session up at a mountain with the other children Each of us was assigned with 2 to 3 chil-dren who were supposed to ldquoguiderdquo us along the way It was a 2-hour hike up and down hilly ter-rain While I would stop once in a while to take a breather the kids were barely panting The kids would often stop to ask if I was tired and even of-fered to help me carry my backpack Note to self more exercise next semester

Nevertheless it was a great chance to know the kids better We had the time to chat about their school life and what they thought about their future and also the chance to share snip-pets of our lives in the city

We then split into small groups and visited the homes of the children in order to gain a bet-ter understanding of their household hygiene

condition any medical conditions in the family as well as their economic standing We had also prepared questionnaires to be kept as future record Some of the families were very poor to the extent of having no source of income at all They depended solely on their own crops for food If they went to see the doctor they would usually owe the doctor money until they had

enough money to pay back The hygiene status of the villagers varied but most of them had swarms of flies around food Many even had their live poultry like chickens running around the house Before we left we gave them some hygiene products like soap washing detergent and toothbrushes to encourage better hy-giene We also gave them a poster explaining ways of maintaining a clean household environment

Another main focus of the trip was to find out the effectiveness of a medical insurance policy newly in-troduced by the government Each person had to pay 30 Renminbi annually to be guaranteed free medica-

Sports day activity

Weed cutting with the children

hkucaduceusnet | 35

tion and hospitalization thereafter Generally the vil-lagers were grateful for this plan as many found it dif-ficult to afford medical fees while struggling to pay for

basic necessities at the same time However some vil-lagers complained that the prices of medicine spiked after this policy was introduced and hospitals would of-ten ask patients to

do unnecessary scans just to earn more money

This trip made me realize that there is much that we can do but how great an impact we can make might not be seen immediately With follow up trips one could see the change as compared to the last visit and make further modifications to improve the situation

As the trip came to an end we were reluctant to leave There was something very magical about Dong-shan where the skies would turn to an exuberant red during sunset and on a clear night you could see stars scattered across every corner of the sky It is a place of beauty struggle and hopefully a place of triumph in the years to come

It is a place of beauty struggle and hopefully a place of triumph in the years to come

On one of our home visits

More to ExploreMedical Outreachers 醫心httpmedicaloutreachersorg

The Amity Foundation 愛德基金會httpwwwamityfoundationorg The beautiful sunset in Dongshan

ldquoshariNg is soMetiMes More deMaNdiNg thaN giviNgrdquo ndash Mary catheriNe batesoN

36 | Caduceus September 2011

就 在這一刻世界沉默了

城市的繁囂隨飛機引擎

逐點逐點噴走了繁囂的離

開是為了讓簡單的生活回

來剛踏出廈門機場一張

又一張的笑臉映入眼簾刺

熱的太陽把兩地之間的隔膜

融化

早從香港回歸時開始

香港人經常強調自己只是 

「香港人」而不是「中國

人」自以為比內地人高一

等可惜這班自視過高的都

市人曾幾何時為外地人送上

熱情的款待這一點廈門

人比誰都做得更好

廈門是一個位於中國

東南部的海島也許就是近

海讓居於廈門的人都把一

切怨恨煩惱拋下大海讓

它們隨水流漂走埋藏在海

床上每年廈門的鳳凰花花

開兩季一朵又一朵鮮艷如

火的鳳凰花在六月時歡送一

個又一個的畢業生彷彿為

他們添上一份祝福九月時

的鳳凰花熱情地歡迎一屆又

一屆的新生為新生的精彩

校園生活揭開序幕一份一

份的熱情含苞待放身在廈

門又怎會不被這市花的熱情

感動呢廈門大至人與人

之間小至花與花之間都存

著一份情

要追溯廈門人的情懷

可數至土樓的建成土樓

是個大多呈方形或圓形大型

群居的建築整座土樓樓高

三至五層由於牆身頗厚及

只有一個出入口甚具有防

禦功能亦因為這緣故當

大門關起來土樓便成了一

個家這個家佔地不大但卻

藏著成千上萬的人情味在

萬里無雲陽光普照的天空

下土樓居民的熱情好客

被蒸發出來懸浮在空中

一代一代傳下去更讓它隨

風走出土樓傳遍整個廈

門即使土樓漸漸成為旅遊

景點一些擺賣紀念品的攤

檔已經進駐但卻無礙居民間

的感情商販彼此交流從

不出現爭客的情況在土樓

中央休憩的居民除了為外地

人介紹他們的祠堂外亦邀

請遊客跟隨他們到遊客禁區

參觀在土樓居住的每伙都

中門大開當遊客投進好奇

的目光屋內的人往往以親

切的笑容作回答鄉土人

情在這世代多冷漠的心也

被融化

細膩的人情味外最令

遊客津津樂道的是廈門人的

態度廈門大學附近有一條

芙蓉隧道只要你願意便可

在隧道內壁上畫下你所思所

想當然美觀與否見仁見

智但這一種對藝術尊重

欣賞的態度是值得欣賞我

有我盡情地畫你有你盡責

青春在廈門留下足印潘曉彤 (N14)

生活

hkucaduceusnet | 37

地去管轄城市各處的整潔

彼此留下空間達至相輔相

成的效果廈門人就懂得人

最基本的禮貌尊重不

過廈門人對他人的尊重遠超

於人的基本禮貌當你去唱

「卡拉OK」的時候每次

待應的出入時看到的就只

有他們的正面而他們前行

或後退的方式就像看到皇帝

一樣卑恭屈膝香港人常常

強調面子哪一天才能捨下

那過高的尊嚴為不相識的

人作一個最謙卑的招待

其實任何人一離開香

港都不難發現就只有香

港愈夜愈精彩其他地方晚

上八時大多關門大吉而廈

門就只有中山路才媲美得

上香港的夜夜笙歌夜幕低

垂萬千燈火的中山路上

與來自各區的人擦肩而過

昏黃的燈光下照出一群又一

群的沉默影子剛好與路上

喧鬧的行人相映成趣騎樓

在霓虹燈的點綴下顯出了獨

有的閩南特色大街小巷傳

來不同地道小食的香氣車

輪餅燒仙草土笋凍helliphellip

為我們外來的交流生帶來美

味可口的夜宵飲飽食醉過

後走到中山路的盡頭又

回到了沉睡中的廈門

在優美的環境影響下

廈門人的生活也自然變得

純樸優閒單車車輪在環

島路上留下一圈又一圈的印

記沿路能細聽海浪輕拍岸

邊的聲音細嗅四處洋溢的

花香感受微風吹散太陽散

發的熱力見證一對又一對

的新人在拍下幸福的照片

據說廈門有戀愛天堂之稱

不管走到哪一處也會

看到準新人拍下甜蜜的婚紗

照而在裡面享受的人永遠

不知道這風景如畫的背

後是透過多少人的血汗換

來當我們在追求經濟成果

的同時往往破壞了造物者

在世上留下的藝術品隨中

國經濟急速發展一個又一

個的世外桃園被摧毀銅臭

替代了花香車聲替代了鳥

語這仙境又可維持多久

廈門另一世外桃園就是

鼓浪嶼它活像香港的長

洲島上滿有歐陸建築風

格但當中不乏中國特色的

建築中國古城風味與洋風

互相交替帶出截然不同的

感覺島上遠離汽車的廢

氣與金門就只是一海之

隔一家大小在享受天倫之

樂時一群又一群的青少

年情侶在沙灘上嬉戲立

即為島上升溫

筆者認為在這個混亂的

俗世確實需要抽空來欣賞

造物者留下來的藝術品大

財團不斷興建大型商場國

際知名品牌不停進駐留下

的就只有愈來愈狹窄的街

道被石屎封蓋寸草不生

的土地人人被金錢蒙蔽

迷失在霓虹燈光中又有多

少知音人能放下生活的瑣碎

事情在這裡享受時間一分

一秒的流走你被海浪聲

喚醒了嗎

筆者參加這次是由香

港廈門兩地大學的交流

團一連六天已經習慣了

當地的優閒生活模式體會

到的不只是廈門的風土人

情歷史文化而是兩地大

學生那種衝破界限的交流

雖說年輕人容易打成一片

但廈門獨有的熱情確實融化

了彼此間的隔膜廈門的美

是成人之美成就了兩地大

學生的友誼

飛機又再起飛了廈門

再見了

ldquothe tiMe of life is short to speNd that shortNess basely it would be too loNgrdquo ndash williaM shake-speare

38 | Caduceus September 2011

生 命形成之際只要一秒鐘的差遲世界便會不一樣

蝴蝶效應從來都是玄的全因一個 

「緣」字

隨著人成長要決擇的事太多學生

有兩件人生大事幾乎都不是由自己決定的

入讀小學及中學然而到了大學這

關卡自己也許可以拿定主意了若果你

入讀了心水科恭喜你若不然祝福

誠然入大學是最影響未來生活的關

口是好是壞無人知曉不用量化不

用比較太多即管做自己所想活出自己

的路只因你不會曉得你的下一步會怎樣

影響著你的生命

或許一個活動你會遇上你的最愛

或許一個宿位你會遇上你的知己

或許一句說話你會惹來一個敵人

或許一次走堂你會由B變C

這就是大學

在大學各人有各人的大學生活大

學講求自由學習學習真的是「求學不是

求分數」有些人愛廣交朋友有些人愛

住宿有些人愛做莊務有些人愛拍拖

有些人愛參加各樣活動有些人愛做兼

職有些人愛讀書有些人卻愛甚麼都不

做helliphellip不少大學生強調入大學必定要做齊

大學五件事(上莊住宿讀書拍拖

兼職)但其實只要自己開心不害人的

話做甚麼也沒問題最要緊的是認清讀

大學的目的以免沉淪於大學這花海

朋友

大學可以令你對「朋友」的概念愈來

愈含糊幾乎每個活動都可令你認識新朋

友通常大家都會輪流講述自己的名字與

學科(Round Table)這亦是考驗大腦對人名的記憶所謂的「Hi-Bye Friend」會愈來愈多隨便在細小的港大內穿梭會令你

無可奈何地對他們說聲Hi

不過別標籤你的「Hi-Bye Friend」要是連Hi-Bye也談不上更不用說做深交了上大學了大家已有既定的圈子很

多時約會或聊天都先找中學朋友而且很

多人會把大學朋友與中學的作比較雖情

有可原但有時未免先入為主地覺得中學

的較好

這亦難怪即使是日日碰面的同學也

未必是自己的好友人人都有自己的時間

表下課後各散東西不是大家不想互相

認識只是有時身不由己若想互相了

解不妨盡量製造共處之時有時甚至可

以分一些約會給大學朋友然後你會發

現大學朋友也可跟你熟絡可別為自己

建造一塊厚厚的心牆

舍堂

要入宿無人會不曉得十日的迎新營

有些舍堂平均每天的作息時間只有兩三小

時有人說住宿最辛苦就是迎新營然而

它卻是最難忘的

要數活動單單一個舍堂已數之不盡

要是投入舍堂生活每天24小時是不夠

用的舍堂之間有各樣比賽堂友要參加

各個組別為比賽出席各樣練習否則可

能被拒於來年再住基於許多人都只在夜

晚有空要全體出席那可是晚九朝五的

大學之緣賴彥積 (N14)

新鮮人

hkucaduceusnet | 39

宿生們之所以會熱衷於舍堂活動因他

們對自身舍堂有強烈的歸屬感好比中學

時學生參加校際比賽要是沒有歸屬感

就不會有心參加所屬舍堂的活動

除舍堂之間之活動樓層之間亦有各類

活動樓內亦然只要有人的地方就有玩

樂彷如天天宿營你不會有機會偷偷早

睡其他樓友常常打擾你你原來的生活

時間會推後數小時睡於二時已是罕有

早上的八半堂彷如無物

可以住宿但不參加活動嗎當然可以

但你會面對的是朋輩壓力他們雖未必逼

你參加卻會在言談中有意無意的滲出

來那種壓力不只限於自己樓層甚至是

跨樓層千萬可別輕看宿中流言

上莊

有人說上莊所學遠超課堂上莊所學

的是如何籌辦活動非常實用有時要對

外聯絡有時要面對公眾helliphellip像是要為將

來工作鋪路似的當然這亦要視乎你上

的是甚麼莊

一般而言上莊可訓練你待人處事的技

巧有時表面看來很友好的朋友當背

負上一定的要求後關係少不免有磨擦再

者初時莊員素未謀面最後卻因朝夕相

對而演變成朋友這段關係是很可貴的

成莊前要宣傳內閣爭取選票成莊了

又要舉行咨詢大會包受歷莊指導然後

又有就職典禮此後的活動更接踵而至

當然包括迎新活動招莊活動等helliphellip君不

見很多人視莊房為睡房少不免有「通

頂」之時忙是忙但必有價值至於是

好是壞要看自己的造化了

拍拖

人上了大學有時心思思想拍拖眼見

身旁多個好友都紛紛拍拖自己少不免羨

慕別人這想法十分正常畢竟大學生真

的可以放下只讀書的重擔真的可以規劃

人生大事了

香港大學一些營新活動中隨了Round Table外還有Round Status即說自己現在有否拍拖以及拍過多少次拖如 

A 0即Ava i lab l e之前至現在沒有拍拖O1即Occupied之前至現在共拍了一次拖當然也有一些同學自己創的甚

麼OBA (Occupied But Available)或D10(Desperate拍過10次拖)等等至於Round Status的動機何在可能是組爸媽想穿針引線吧當然也可能是別有用心的

不同人對拍拖有不同想法上了大學更

有不同擇偶條件人大了在感性的議題

上往往加上種種理性的數據開始現實起

來哪個帥哪個富有哪個有前途helliphellip

有些不在乎天長地久只求剎那的光輝

有些求虛榮有人疼愛在朋友前炫耀

有些甚至會在拍拖前已想定分手後的模

樣所以不想選擇跟自己同科的同學

活動

不同團體(包括舍堂學會及學校部

門)都有不同活動不用愁沒事幹只用

愁沒時間只要多留意Portal Mass Email或Main Campus海報不難發現幾乎每天都有各樣活動動靜皆宜開學時有迎

新營考試時有勁過飯新學期有開Sem

飯有些學會如戲劇舞蹈合唱團不時

有演出有關運動的學會則多練習以參

加比賽有關學術的也有很多興趣班講

座比賽等想幫人的亦可參加義工團

體如蛇蛇豬扶青等舉辦的義工活動

兼職

大學生的兼職大多以補習為主畢竟

這是我們能力範圍內可賺取最多外快又是

時間最彈性的工作有些人卻因補習不能

寫在履歷表而選擇別的工作然而很多時

我們都要在兼職與大學活動中取捨我的

ldquotake a chaNce all life is a chaNce the MaN who goes farthest is geNerally the oNe who is williNg to do aNd darerdquo ndash dale carNegie

40 | Caduceus September 2011

E mily was the chairperson of Pharmacy Socie-ty session 2010 As a student she has actively

participated in holding activities for many medical stu-dents and taken part in providing welfare to all phar-macy students Her following sharing will especially enlighten our new pharmacy students

Q Why did you choose Pharmacy SocietyA To be frank ldquosheung jongrdquo was really out of

my expectation when I anticipated my university life However my perspective has changed when I officially became a pharmacy student in HKU As members of the opening class of the Pharmacy programme my classmates and I realised the importance of having our own student body We do need an independent soci-ety to represent us pharmacy students to cater for our specific needs to listen to our points of view and to act as a bridge to facilitate our communication with the Medical Faculty the entire university and ultimately the pharmaceutical field in Hong Kong My class-mates and I who later became ldquojong yausrdquo believed we should act immediately to establish and run our own society which is why I decided to ldquosheung jongrdquo

Q Would you like to share some of the pros and cons of sheung jong

A ldquoSheung jongrdquo definitely helped me achieve per-sonal growth It was a concurrent commitment and re-sponsibility to serve and to lead our colleagues Bear-ing this in mind we always pushed ourselves to attain the best of our work ethics efficiency and efficacy As the very first session of the Society we lacked the guidance of any previous committee member Instead analysing carefully and critically we thought better of every decision which I personally found an enriching experience ldquoSheung jongrdquo was also an eye-opening journey Wersquod got to meet different people and learnt more about the professional work for as our career-to-be after graduation This in my opinion is always beneficial Last but not least I was fortunate enough to have worked with my amazing fellow committee mem-bers I frankly couldnrsquot ask for better ldquojong yausrdquo than initium Irsquom absolutely thankful for having them as my friends and it is definitely my greatest gain along the way

Despite the merits ldquosheung jongrdquo definitely has its downsides as well It is a lie to say ldquosheung jongrdquo does not affect our daily life because it does take up a big chunk of our time At the end of the day it is about time management which is easy to say but extremely dif-

建議是如家庭環境較困難賺錢吧反

之可以多留時間給各活動畢竟大學一

年的學費不只值那幾十堂課如何善用這

$42100就在乎你如何投入大學生活

讀書

假若你認為大學的考試可考核學生的

真正讀書能力並要求學生活學活用課堂

所學那麼你大失所望了假若你善於背

誦有過目不忘之本領大學的筆試不會

難倒你只要靠著前人留下的歷屆試題

背到滾瓜爛熟是不可能不及格的很多屆

試卷都是千篇一律的很多教授可沒空大

改試題那同學們就走運了有些課堂

即使再專業的學科都會有只理論無實

踐的課堂然後考試就要你把一大堆理論

背出來helliphellip例如甚麼叫批判思維噢

我可不知道只知道我掉了5分

不同學系在某程度上定下了人的前途

對於醫學院學生而言前路是較清晰可見

的但對於非專業學科前路不可只靠讀

書也許要靠自己另外摸索讀書所帶來

的必然是較高的GPA高GPA所帶來的是

獎學金到外國交流工作實習日後工

作機會等等當然大學學習不只局限於

讀書會否因此失彼就只有自己知道

蝶翼拍動之時往難以預料機會是

要自己摸索的

如經上所記

「神為愛他的人所預備的是眼睛未曾看見耳

朵未曾聽見人心也未曾想到的」

(哥林多前書29)

「栽種的和澆灌的都是一樣但將來各人要照自

己的工夫得自己的賞賜」

(哥林多前書38)

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

Freshmen

hkucaduceusnet | 41

ficult to achieve Also working as a Committee mem-ber can be very exhausting and difficult You definitely need lots of determination and support to get through some of the busiest times

Q How did you handle and balance the workload of study and your ldquojongrdquo

A As Irsquove said before it was tremendously difficult I guess my best advice for the future committee is to know your limitations and always plan ahead You have to know your time to work to rest to study etc No one will be over-worked and eve-ryone will have some personal time if you share the burden wisely between ldquojong yausrdquo Secondly you have to make very clear plans so that you can make full use of every little piece of your time I may not have succeeded in my time management but most of my ldquojong yausrdquo managed to do so de-spite the packed schedule of our Soci-ety This is sufficient proof of ldquoimpos-sible is nothingrdquo

Q As there are only about 25 pharmacy students per class do you have any suggestions for P14 fresh-men to make more friends from other curricula

A It really depends on what kind of person you are If you consider your-self socially active living in a hall or ldquosheung jongrdquo will be a great idea for you But if you see yourself as a much quieter person you can still make use of opportunities such as Medic Orien-tation Camp and other events jointly organised by student bodies within the Medical Faculty to make new friends

Q Any special things for P14 freshmen to be aware of

A First of all welcome You all are now members of Pharmacy Society MS HKUSU and I would like to let you know that this is a student body aiming to serve you Thus feel free to share your viewpoints and voice out your opinions to the current Com-mittee members The Society has to

understand your needs to improve and provide better welfare and services for you

Q Any other comments or important things to re-mind P14 freshmen

A If you would like to get to know more fellow pharmacy students especially students from P12 and P13 grab the opportunity to join the Pharmacy Society Orientation Camp and the Mentorship Programme These are great chances to make new friends and Irsquom sure you will enjoy them

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

ldquoas huMaN beiNgs we do chaNge grow adapt perhaps eveN learN aNd becoMe wiserrdquo ndash weNdy carlos

42 | Caduceus September 2011

筆 者是一位護理系的學生半年前有幸成為二零一一年啟思編輯委員會的總編輯在期間所體驗到的希望藉著這次機會作出分享特別希望新加入醫學院的同學

能對「上莊」有更多了解

上莊之路上莊是大學五件事之一證明它對大學生

活有一定的重要性一定的位置筆者在初入學的時候曾為了上莊與否而煩惱猶豫了好一段時間期間考慮到自己能力怕學業應負不來但最後仍然下了上莊這個決定原因是上莊是個難得的機會充實增值自己不同的莊會提供不同的機會讓莊友去學習透過不同的莊務去讓自己眼界擴大另外可以了解醫學院內發生既事情例如院內活動的進展情況更可以參加舉辦院活動為醫學院出一分力最後當然會認識到將會相處一整年的莊友工作伙伴有機會認識到不同學系的同學從他們身上可以觀察到學習到各種的特質從而令自己有所進步有所啟發

護理學生作為護理系學生起初擔任總編輯一職實

在是倍感壓力畢竟歷屆的總編輯都是由醫科生出任因此筆者起初都害怕跟醫科生共事怕自己的能力不足夠應付莊務所以起初都是戰戰兢兢地上莊

一位三年的護理學生曾對我說「我認為你不太尊重護理系護理系和醫科都是個專業希望你能加以尊重自己的學系不要輕視護理這個學系你要肯定自己的學系才能帶領整支莊因為莊內成員來自不同的學系你必須肯定和認同每個學系都有一定的重要性以及其專業」這番當頭棒喝的良言令我明白到自己一直都太輕視護理系過於重視醫科現在我明白到認同自己學系是尤其重要只有這樣才可以用自己學系的身份去發表意見只有認同自己學系才懂得尊重其他的學系莊內便可以融洽一點

在筆者的莊友中醫科生都是較有責任感而且做事更有計劃從他們身上的確學到不少東西這點是無可否認的事實筆者並不是在分享學系與學系之間的差別而是希望有志上莊的同學能互相尊重明白到各學系的莊

友都有其值得學習的地方起初對其他學系有隔膜是無可避免的畢竟對他們的學系都不太了解又沒有歸屬感但如果因為對方是別的學系而輕視對方的人不但失去與人相處學習的機會而且會令莊內的氣氛失去和諧

幸好的就我所見所聞醫學院內的莊多年來都能融洽相處互相支持令到一眾上莊的同學都能輕鬆地享受上莊的喜與樂甚至是不愉快的事情

依靠你的莊友莊是一個團體不是一兩個人可以應

付得來所以筆者認為與莊友互相溝通合作是個重要的元素新同學如果有志參與莊務期望從上莊中有所得著首要的事情是與莊友建立關係因為他們將會是你來年的工作伙伴也是你遇到困難時依靠的對象一位上莊曾對我說「其實一件的莊期不會令你有太大的得著或成長反而長久的友誼才是你將會得到最重要的」這句說話是千真萬確的上莊的人不會由詞不達意改變成談吐得宜不要期望自己會有驚人的轉變也許上莊會令人處事成熟一點有計劃一點但上莊所得到的關係將會是更重要更珍貴一年的相處中面對過有無數的會議共同處理過不少困難從中

建立的友誼真的是畢生受用

責任感上莊另外一個十分重要既條件就是責任

感有志上莊的同學必須明白到莊期是長達一整年在繁重的學業中騰出時間來處理莊務是個考驗責任感和毅力的測試同學必須再三思考想清楚自己是否真係熱衷於上莊或是只是一時衝動畢竟你將要許下的是一年的承諾必須對這個莊負上責任願意付出才選擇上莊這個決定這樣的付出就會有相對的回

總結上莊的確是個好機會讓自己去學習從處

理事務中或是從莊友身上都會有所得著充實著自己的大學生活從中可以認識到各學系的同學建立一段段受用終身的友誼在此筆者希望各學系的新同學可以善用機會作出上莊這個無悔的決定

護理系的啟思總編石志榮 (N14)

新鮮人

hkucaduceusnet | 43

慈兄吟(下)奇晶

最 後還是麥教授先開了口「他的確是一個好學生對醫學有獨到見解他不但學業成績優異而且樂於助人你是他的妹妹吧」婉慧努力控制自己的淚水繼繼續續的說「是啊但helliphellip但helliphellip我不知道helliphellip他竟會在這裏出現」麥教授用悲天憫人的目光看着婉慧語重深長說「人生自古誰無死人生命的有為與否並不取決於他生命的長短而是在於人生的意義你哥哥雖然最後當不了醫生但他的犧牲卻間接為一些同學做醫生鋪路讓他們做醫生去救人這真是一種無私的愛」婉慧點點頭覺得自己對哥哥的了解實在太少了

最後她還是孤獨的離開實驗室她覺得自己跟哥哥比起來實在相差得太遠了原來他除了是十優狀元在醫學院的成績名列前茅外還是個熱心助人的好青年自己除了少了一優外少的更有對別人的同情及樂於助人這造就了她心靈上的空虛她明白到冷漠不是一種對哥哥思念的正當表達方法她應該做的是把哥哥對其他人的愛傳揚開去以圓他的心願

第一步往往是最困難的婉慧平日對他人的態度已令不少人對她敬而遠之有很多次她嘗試向同班同學投以友善的笑容得到的總是詫異的目光或別人的不理不睬在小組討論中儘管她踴躍發言盡量避免冷場的發生偶同學們卻認為她變本加厲想阻止同學們取得好成績她四處碰壁又再次陷入了想念哥哥的深淵

時間一天一天過去了上學期考試前的休假開始了婉慧每天都勤奮的在圖書館溫習期望取得好成績這時候的圖書館堆滿了人如果遲來一個小時想找一個位子也難就在假期的第二天同班的王文在圖書館跑得氣急敗壞仍找不到一個座位婉慧不知怎樣有點同情他將座位讓給他王文驚訝道「不用了我還是回家吧真倒楣遲來了一個小時就沒有『接位』」

「但你住在哪裏呀」

「元朗今天早上我忘了校鬧鐘八時才起」

「那你還是要我的座位吧我可以坐到電腦桌因為我認識的人不少沒有什麼人會打擾我的」

王文謝了她頓時對這位冷漠的同學刮目相看原來她的內心也是溫暖的這並不是他所能料及的坐在電腦桌前溫習的她也感到特別的快樂溫習的速度也快多了王文就此成為了她的「飯檔」考試期間每天和她一起吃飯他更將自己的好友介紹給婉慧認識

在一個晚上她又悄悄的在圖書館的角落溫習着突然一隻溫暖的手搭着她的肩上她抬起頭但見解剖學的同桌手中拿着一杯熱飲輕輕的放在她的桌上婉慧正感詫異卻聽見他說「這杯熱巧克力是給你的繼續努力吧」她喝着巧克力心中感到一股暖流彷彿哥哥的關懷又在她內作出回響

十年生死兩茫茫不思量自難忘千里孤墳無處話淒涼helliphellip

寒風吹起了她額上的劉海佇立在墓前的婉慧不禁凜冽她想起了從前想到自己最後一次和哥哥吵架雙方面紅耳赤的情況想起自己無法親口跟哥哥道歉想起哥哥無私的付出她對着那空虛的墳心中不忍一陣淒然淚水漱漱的流下來她身旁攜扶着年紀老邁的母親邊拭淚邊喃喃道「我的兒子helliphellip歿了helliphellip」大家心情漸漸平復了緩緩走出了墳地

雨一滴一滴的落下飽歷辛酸的婉慧卻仍在懸壼濟世

短篇

ldquoyesterday is but todayrsquos MeMory aNd toMorrow is todayrsquos dreaMrdquo ndash khalil gibraN

44 | Caduceus September 2011

Eternal Flame (1)Tulipa

Itrsquos cold The chills from my fingertips imbibe deep into me This person drills into my mind digging out the truth inside me Itrsquos agonizing She comes right inhellip di-rectly I cannot stop her

Irsquom losing myselfhellip

My hand felt the soggy pillow I realised I had come back to life the world where I lived Staring blankly at the ceiling still losing focus in my eyes I felt my brows with my forearm For the first time I didnrsquot want to lose this feeling

The bedroom door slowly opened I quickly rubbed off the drops that had blurred my vision pretending that I had just woken up

ldquoDo you have lessons this morningrdquo My grand-mother whispered into my ear

ldquoOh goshrdquo I turned right to my alarm clock It was the real life I had forgotten to turn the alarm on last night and it was now seven thirty I knew it I was going to be late every time she caught me in bed Irsquod got to hurry up

Living in Hong Kong Island though it took me more than an hour to get to school I had to comfort my little brother sometimes till two or three in the morning in order to get him to sleep In addition to the consistently heavy study load in the medical school I could hardly get enough rest Running on my heels al-most became my routine starting from last November But I well understood the consequence of skipping lec-tures It was the beginning of the Cardiovascular Sys-tem Block For someone like me who gave least priority in revising Anatomy materials lectures remained the prime source of information for exams Absence from class was suicidal To make the situation worse this professor was one of those who did NOT upload lec-ture notes online

Hoping I wouldnrsquot arrive too late to miss the impor-tant points I finally stepped onto a route no 8 minibus at ten past eight What I could do now was to pay trust in the driver who would bring me to my destination

Coaxing kids was never easy Little Bruce just hap-pened to give me such a hassle last night

He knew I would check on him when I returned home Sitting right next to the door of his room he begged me for a story once I opened the door I sat down together with him on his little couch after Irsquod taken a quick shower This was a time to relax leaving

aside all the other concerns

Kindling through his favourite reader I saw that he wasnrsquot listening but distracted by all sorts of toys around He even invited me into his world of fantasy But it was getting late I had to calm him down so that I too could have some rest Being one of the brightest in his elementary school he should understand this was not the time for recreation

I began to feel annoyed

Yet he was my brother I had a gut feeling that this was unusual He didnrsquot use to be so ldquohyperactiverdquo It re-ally took me a while to adjust to his change With him still tossing and turning in my arms I apprehended his restlessness Unpredictable though he was true to his feelings In one way or another he might find the shadow of our mother in me

He finally settled when I laid him back in bed It was nearly two forty in the morning

The first week of the CVS Block ran as plotted PBL tutorials would start on next Monday Dr Youngrsquos fa-cial expression in the first PBL evaluation flashed over my Embryology notes and references She didnrsquot teach Embryology but I could tell she did have a hypertroph-ic heart-shaped face which looked familiar to the dia-grams in the Atlas

Back in the IHD Block most of us were puzzled about the scrambled content of our course Various forms of seemingly related knowledge came in through lectures practical and tutorial sessions But the neural circuit formed in our brain just failed to resonate as if the conductance-inductance mismatch had aberrated our thought from minimal impedance Sometimes things even happened in a ldquomore-than-extrardquo manner The presence of common core courses in a parallel but independent branch in the network could rightly be detached without causing a blip on the galvanometer Everything was dubious We had no idea of what we were doing

Maybe we were just on the way seeking for a sense of attachment

My mind too was racing in haste I was struggling with my decision to become a doctor Too many things had happened over the year I just couldnrsquot stop ques-tioning myself what was I thinking when I put lsquo6456 MBBSrsquo in my JUPAS application I should have expect-ed and prepared to face all these I just didnrsquot knowhellip

Novella

hkucaduceusnet | 45

It was midterm evaluation in the IHD Block Her face looked tense in that heart shape She was so stiff in her facial expression that no one could read her mind from her poker face The conference room of the Physi-ology Department was large We seemed to be the odd ones out in the spacious carpeted room In this secre-tive silence you could hear the drumming in your ears as if you were tingling

I realised this was not a matter of ldquoam-I-suitable-for-a-medical-careerrdquo but ldquois-a-medical-career-suita-ble-for-merdquo I was lying in bed playing with my plush bear when these thoughts burst in me Dr Young looked through me She felt certain that different from other group mates there were crises behind me But I didnrsquot tell her anything that day

We all were sensitive At times some subtle trepi-dation seeped in gradually sucking peace away from my sleep It was so to say below threshold sub-lethal though it lingered for weeks once it set inhellip

Drenched in bloodhellip There is no life in the boy His eyes are widely opened slightly protruded The lifeless pair of black pearlshellip I cannot escape from his glance He wants to talk to mehellip There is something he wants me to know

A van runs over himhellip

I fell down the edge of my mattress Breathing heavilyhellip Sweating all overhellip

ldquoScreechrdquo People began to gather around a tel-ephone booth a few metres behind us

I turned back I couldnrsquot see a lot from this anglehellip

ldquohellip What a pity He is so younghelliprdquo a middle-aged couple passed by

The victim resting just in front of the wheel looked towards me through a break in the crowdhellip

As we were wandering around thinking what to eat for dinner my cousin found me standing there rooted to the ground stunned by the victimrsquos gaze My heart was pounding She wouldnrsquot believe what I was again experiencing For a number of times already scenarios in my dreams were mirrored into reality

I couldnrsquot tell her

ldquoI was just thinking whether you would like Korean cuisine There is a new restaurant two corners awayrdquo I made up a talk while escaping from the scene so that I wouldnrsquot look so strange

ldquoWhy not go and have a try thenrdquo She was not dis-appointed for calling it a day as the food there was sur-prisingly good

Not until some years ago when I was Form 3 in college I discovered my ability to look into the future Sometimes I could see them coming up on the news in days or weeks And some didnrsquot ever happen at least not around me But seeing the night visions coming into concrete existence wasnrsquot always a pleasure when the mental images turned gradually into mostly night-mares When I visualised my close ones it felt like I was in the middle of an insecure chain bridge above a torrent that would sweep me into the vast ocean with no return It was entirely different from what you might understand as ldquodreams come truerdquo

I had witnessed misfortunes in proximityhellip

But I could do nothing about ithellip

Friends were a source of solace someone to con-fide all frustrations in But with my paranormal ability which appeared to everybody else only on screen-plays I wasnrsquot courageous enough to open my life wholeheartedly to them Seldom talking about myself avoiding all sorts of gatherings I became an eccentric figure among my classmates

Sometimes mutual understanding carried more weight than words I remembered my physics teacher being one of my few friends during my teen years De-spite his boisterous faccedilade he was always sensitive to whenever I was dwelling on my burdens Physics was our common language Intermingling our emotions and feelings with concepts that were alien to my fel-lows we developed a close rapport impenetrable by anyone else

ldquoWhat is the nature of a flamerdquo This was the most discussed problem between us Neither in solid liquid nor vapour state Not having any definite shape and colour It seems not any material but a type of energy giving out heat and light At the moment of providing it also exhausts its fuel and eventually itselfhellip

The romance of physics is more than anything you could read write and talk about Once you were truly connected with it nothing can stop you Your mind will bounce irrespective of the chronology of space-time but only under the guidance of your thoughts

I was so devoted to the discipline at the time that I was almost making it my lifelong career in some way He envisaged that I would demand much more than any academia could provide with its scientific basis alone We were both seeking a philosophy beyond the facts But Hong Kong may not be the right place for it

I made him a promise at the end to contain our flame and I knew I would

For the first and the last time I saw his eyes filled with tears We knew existence by itself is a miracle

ldquoi love life because what More is thererdquo ndash aNthoNy hopkiNs

46 | Caduceus September 2011

說華佗都說「華佗再世」誰知箇中真諦雲方 (M15)

烽煙起戰火燃萬里 

三國並爭英雄地亂世有誰顧生死 

待神醫行世將民眾救濟

渺渺江山東西瞰俞跗巧手扁鵲心(1) 應向何處尋 

滾滾黃沙無世家終有奇士放奇葩

沛國 華元化(2) 

他經書貫通南北遊動 

一望斷症如神助三劑消病不必多

說斷症悉如所料 

甘陵 相夫人腹痛極難忍(3) 號脈知死嬰在左為男形(4)廣陵 梅軍吏除名歸故里

見貌知壽盡速返見萱椿(5) 

說消病藥到病除 

飲蒜醋有三升蟲一嘔而盡清 (6)母服丸而溫儲兒不藥而自癒 (7)

絕妙處 

是他開腸剖腹刀至辟毒 

神醫號 

除他內外皆精有誰配稱

[1]   俞跗黃帝時代之名醫扁鵲春秋戰國之名醫《淮南子人間訓》「患至而多後憂之helliphellip雖有扁鵲俞跗之巧猶不能生也」

[2]   華佗字元化沛國人(今安徽 亳州)

[3]   甘陵相(即甘陵之行政長官)夫人懷胎六月腹痛不安華佗為其切脈便知胎死於是命人摸知所在在左則男在右則女人云「在左」夫人飲藥後果然產出男胎腹痛立即痊癒

[4]   廣陵有軍吏名曰梅平離鄉服役後來退役歸家於路上巧遇華佗華佗視之嘆道「若能早些見我當不至於此而今你僅餘五日壽命速速回家還能與家人相見」平旋即趕抵故鄉五日後亦如料身亡

[5]   萱椿多作椿萱比喻父母漢牟融《送徐浩》詩「知君此去情偏切堂上椿萱雪滿頭」

[6]   華佗見路邊有人食不下嚥教他到路邊餅店買醋三升混上蒜泥然後飲用路人服後即吐出一條長蛇(即寄生蟲)

[7]   兩歲男孩長年腹瀉藥石無靈華佗往診謂病在母命其服用華佗親研之「四物女宛丸」服後母親乳汁不再寒涼男孩亦不藥而癒

意興

hkucaduceusnet | 47

只可惜人無完壁

「關將軍使君予我手刮骨惡毒走

曹丞相使君予我頭剖顱苦痛收」

「怎能不收怎能不收一命嗚呼萬事休 

簡直荒謬簡直荒謬殺此庸醫未須愁」(8) 

五禽戲尚能傳 (9)麻沸散從此絕 

何不一飲醉死不知世忍氣吞聲事權貴 (10)心神委曲須臾苦奇術失迭千秋計 

烽煙止無改生死事 

且當醫仙謫世間神技終須風裏散 (11)回首仰高山景行請君範 (12)

[8]     曹操欲殺華佗臣下勸之不可答曰「不憂天下當無此鼠輩耶」

[9]     死前華佗欲托所著醫書於獄卒不果便盡數焚毀唯有其養生體操「五禽戲」流傳後世

[10]   《三國志魏書方技傳》「當須刳割者便飲其麻沸散須臾便如醉死無所知」

[11]   唐白居易《簡簡吟》「恐是天仙謫人世只合人間十三歲」

[12]   景行(音航)即大道以高山景行比喻人品德行為之高尚典出《詩經小雅車轄》又東漢鄭玄曰「古人有高德者則慕仰之有明行者則而行之」

ldquothe art of MediciNe was to be properly learNer oNly forM its practice aNd its exerciserdquo - thoMas sydeNhaM

48 | Caduceus September 2011

啟程

清晨空白的天空看不見藍天雲彩

只有溫柔的雨絲和朦朦朧朧的霧水跟隨

著大隊的足印踏上沉重的腳步穿過橫

街小巷和煩囂熱鬧的市場走過自動門

撲鼻的消毒藥水味道讓大家屏住呼吸筆

者和夥伴們終於到達了入讀護理系以來第

一次實習的醫院

還記得在實習的前幾天心情是既忐忑

又期待的畢竟這一次實習的地方不再是

在社區中心宣傳健康方面的知識亦不是

只面對著健康活潑的小朋友和老友記或是

學校課堂上所提供的假人張靜汶卻是照

顧一羣真正需要關懷的病人心中充滿著

憂慮不知自己所學的知識足夠在應用上

嗎自己平日的練習足夠嗎雖然心存在

著不少疑惑但也十分期待可以體會一下

做小學護的感受嘗試把這一年裡所學到

的知識運用出來

很多的第一次

在病房裡總有心酸和膽戰心驚的時

候第一次為昏迷的病人清潔口腔第一

次為難以進食的人插入胃喉第一次為老

公公清洗背上壓瘡的傷口helliphellip照顧他們時

的心情都是一步一驚心生怕自己沒法應

付得來又怕會把事情弄得更糟糕最重

要的是恐怕自己不純熟的技巧令他們受苦

了記得有一回第一次為女病人插入尿

喉採取尿液樣本可能技巧不太純熟的關

係延長了病人的痛苦過程中她皺著

眉頭不斷呻吟又緊張得咬破脣眼看

她樣子心中真的不是味兒來身為病人

的其中之一依靠我們不得不給自己信

心如果連自己也不相信自己哪會有病

人願意把他們交給我們照料呢

捕捉那瞬間的美麗與淒然何麗敏 (N14)

上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

意興

hkucaduceusnet | 49

另外第一次面對病人的心情是頗為

緊張的說話技巧亦有改進的空間但和

病人傾談了數分鐘後氣氛也漸漸變得和

諧可能那些老公公整天呆在醫院裡真是

悶到慌看見一羣年青人與自己聊天照

顧和關心他們他們不禁咧嘴而笑醫院

職員透露有一位老公公平日不太願意吃東

西於是我們便主動和他談天說地又

悉心照料他進食的情況後來他不但胃

口好了不少就連心情也開朗了他生動

活潑的談吐讓我們笑了他回復健康精

神的體魄也讓我們感到安慰

相處片刻

雖然為期一星期的病房日子不是特別繁

忙或是辛勞但是也會有不習慣的時候

幸好得到醫院職員和一班夥伴的支持病

房經理和註冊護士不但相信我們的能力

對學護的包容更是不用多說還主動地介

紹病房的環境和細心地教導我們醫療護理

上的知識讓我們上了一堂實在而又寶貴

的課同時今次的實習也令我感到團體

精神也十分重要在技巧上大家互相提

點互補不足當有人準備照料有需要的

病人如插喉或洗傷口等大家送上一句 

「加油」就能令對方增加不少自信心和正

能量無論遇上甚麼事情我也榮幸有如

此一班學習夥伴從旁支持

學習的階級

在這一次病房實習中雖然醫療和藥物

知識方面有待加強但是我學懂了如何與

不同身份的病人相處之道溝通上也得到

了很大的進步獲益不少除此之外我

也真正體會到如何做一個好護士並清楚

了解這個行業是否適合自己鐘樓也不是

一天就能建成而是需要一磚一瓦搭建而

成的所以在學習上我們不但要打好

穩固的基礎還要增強醫療知識在技巧

上馬虎了事和走捷徑是於是無補的應

該多探究和練習才行這樣才對得起病人

和自己也減少不必要的醫療失當事故

總之多一份認真多一點耐性多一些

愛心就是學護必記的左右銘 上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

ldquoit is reasoNable to expect the doctor to recogNise that scieNce May Not have all the aNswers to probleMs of health aNd healiNgrdquo ndash NorMaN cousiNs

50 | Caduceus September 2011

Fun Corner

Medical AppsEver wondered how your handheld device can save your time and

effort when it comes to studying Here is how

Anatomy Pronunciations by HipposoftAccurate pronunciations of over a hundred important anatomy terms you have trouble with are provided

at your fingertips to help you spell those difficult words Anyone who has taken an anatomy course can tell you how challenging it can be to pro-nounce the names of those complicated anatomi-cal terms It is even linked directly to Wikipedia and Google through web browser for additional information

iPharmacy ndash Pill Identifier and Medication Guide by SigmaPhone LLCAn essential medication guide of 20000+ drugs is provided for con-sumers amp professionals This ex-

pands the image library to include 12000 pill and package images and includes digital drug identifier with official drug information (indica-tions dosage adverse reactions and more) You can check the drugs anywhere

Grades 2 by TapityIt tells you what grades you need in the coming tests in order to get your target grade You can easily calcu-late your GPA so as to maintain it It

is a useful tool helping you to keep an eye on your GPA all the time

Human Anatomy by SusaSoftXThe application provides you with information of 15 different biologi-cal systems You can keep on revis-ing while you are traveling without

carrying heavy books

Medscape by WebMD LLCFrom drug classes interaction clin-ical procedures and even the lat-est medical news Medscape helps medical students and healthcare

professionals to reiterate knowledge that has slipped from the mind It is a free application for iPhone iPad Android and Blackberry Yet it contains more function on Android phones and Apple products and lacks detailed clinical infor-mation for diseases and clinical procedures walk through on Blackberry

Pro Medical Terminology Dic-tionary by TreascoveryTerminology might be a tough work for medical students Even if we can master those English terms we can

hardly think of the Chinese terms This applica-tion can help you when you face this problem Note that it is not a free application

3M Littmann SoundBuilder by 3M CompanyA great tool designed to help im-prove auscultation skills of medical students with 14 unique lessons of

key heart sounds combing text virtual manne-quin 3D cardiac animation and dynamic wave-forms

iRadiology by Liebermans iRadi-ologyAn excellent learning tool for medi-cal students demonstrating classic radiological findings of a multitude

of abnormalities including over 500 radiologic images Radiologic images include CT US MRI and nuclear imaging each clearly labeled and followed by key teaching points

Micromedex Drug Information by Thomson Reuters (Healthcare) IncIs Cephalexin a first generation ce-phalosporin This application from

Thomson Reuters is the easiest way to navigate in the sea of drug names Drugs are sorted by classes and supplemented with rich information

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 28: Caduceus Issue 2, Volume 42

28 | Caduceus September 2011

No one can be sure of whether the end of brsquoakrsquotun 13 signifies something great or disastrous for us or if it is just another restart in the Mayan calendar We can only know for certain when the day ar-rives

GodrsquosplanforusThis is by far the most detailed

and terrifying image portrayed out of all apocalyptic claims that I have gone through The Book of Rev-elation from the New Testament reveals signs of apocalypse through a wide variety of symbolism One of such is the frightening image of the ldquofour horsemenrdquo

ldquoAnd I saw and behold a pale horse and he that sat upon him his name was Death and Hades followed with him And there was given unto them authority over the fourth part of the earth to kill with sword and with famine and with death and by the wild beasts of the

earthrdquo (68)

The pale horse carries the horseman of Death which is be-lieved to release global plague and pandemics to the world and take the lives of a quarter of the popu-lation This has already manifested

itself in many forms in different parts of the world at different times hence the first sign of apocalypse is said to be already happening among us

In similar manners the bible describes the arrival a black red and white horsemen represent-ing the delivery of global food shortages war and conflict and the coming of an antichrist to the world From historical genocide terrorism to increased occurrence of food shortages so often seen nowadays it seems that the red and black horsemen has arrived as well and now we are just waiting for the arrival of an antichrist to conquer us

The Book of Revelation also provides readers with a glimpse into the ldquoactionrdquo in how the world will end

ldquoAnd I saw when he opened the sixth seal and there was a great earthquake and the sun became black as sackcloth of hair and the whole moon became as blood and the stars of the heaven fell unto the earthhellipand every mountain and is-land were moved out of their placesrdquo

(612-13)

Besides the great earthquake and the darkening of the sun there is a repetitive mentioning of stars falling from heaven on earth in the Bible This is postulated as the at-tack of massive meteors on planet Earth Out of all prophecies in the Book scientists assume this to be the most likely since an asteroid impact at a scale as large as that may have already wiped out an entire species that came before mankind Scientists believe that showers of space rocks that rained down 65 million years ago (due to the collision of Near Earth Object) were the culprit for the extinction of dinosaurs Luckily NASA recent-ly launched an early warning sys-tem called ldquoSpaceguardrdquo that aims to monitor such Near Earth Objects to prevent future collisions and ex-tinctions

Having read the above the Bible seems to combine all the horrifying specifics in different apocalyptic speculations into one nightmare But donrsquot worry since there are many different interpretations of the Revelation Historicists are the ones who see the Book as a broad view of history (good news wersquove already escaped all the horrors in the depiction) whereas Futurists

believe the description as prophecies of the fu-ture The Idealists hold the belief that the Rev-elation does not refer to actual people or events which makes sense as the Bible is often not inter-preted literally So fingers crossed that the Revela-tion is not interpreted in the futurist way because in that way there is going to be a daunting future awaiting us

Four horsemen of Apocalypse

hkucaduceusnet | 29

ldquoDevolvingrdquoEarthTheoryThis is probably the

most scientific theory that I have come across so far from a news article pub-lished from ABC News A group of scientists from University of Washing-ton hypothesized that the Earth will gradually de-volve in the next half bil-lion years In short their logic works as follows

As we all know the sun is constantly grow-ing bigger yet the Earthrsquos environment has been reasonably constant This is because as the sun is warmed up carbon diox-ide from the atmosphere is removed and deposited in soil as carbonates This keeps our environment stable by the balance be-tween an increasing sun and reducing carbon di-oxide in the atmosphere (Note that global warming resulting from an increase carbon dioxide in atmosphere is just a brief blip in the grand scale of things) Since carbon dioxide is the ldquofood of liferdquo the reduction will cause plants and animals (including humans) to die To battle the rising heat some creatures will retreat into the sea hence reversing the evolutionary process And as the sun continues to expand the Earth will become so hot that even the oceans will gradu-ally be evaporated Eventually the sun blasts off its mass through ther-mal pulses engulfing the Earth

This is a very scientific specula-tion from an astrophysicistrsquos point of view and they claim that at best we have no more than half a billion years left This might be more reas-suring for some of us as the world will not end in the near future But the grief lies in the inevitability of our planet Earth coming to an end

Everythingthathasabegin-ninghasanendSo we are back where we start-

ed With more speculation and the-ories and still no closer to the truth The end could happen any day or time or maybe it could be a proc-ess that is already happening Even though it is not to the scale of an-nihilation of the human race hur-ricanes and earthquakes and car crashes have already been stealth-ily taking the lives of millions We know for sure that we must die eventually through chance old age or disease There is only very little we can do to fight against what has been planned for us and reducing the resources we consume is the best chance that we have in delay-ing this happening There might be some benefit if we know the in-sights of when and how it will hap-pen but really it doesnrsquot change anything Moreover it is possible that these speculations came about to force mankind to live life to the

fullest to treasure each day and every resource we have as a gift so it doesnrsquot matter which theory is the accurate one In the midst of these theories about apocalypse all we can do is to live every day as if it was our last with no regrets and enjoy life as it is now

ReferncesThe End of the Worldhttpwwwnostradamus101compropheciespart4P7

The Great 2012 Doomsday Scare httpwwwnasagovtopicsearthfeatures2012-guesthtml

When Will the World End New Theory EmergeshttpabcnewsgocomTechnol-ogystoryid=97756amppage=2

2012 Beginning of the End or Why the World Wonrsquot Endhttpwwwnasagovtopicsearthfeatures2012html

Video from history channel (from youtube link)httpwwwyoutubecomwatchv=BoTExQEyblU

ldquothe MeaNiNg of life is coNtaiNed iN every siNgle expressioN of life it is preseNt iN the iNfiNity of forMs aNd pheNoMeNa that exist iN all of creatioNrdquo ndash Michael jacksoN

30 | Caduceus September 2011

笑的神奇魔力「當你笑你改變了當你改變了整個世界也改變了」

麻丹卡塔利亞醫生(大笑瑜伽的始創人)何麗敏 (N14)

被隱藏的笑容

日 本大地震及核洩漏事件馬頭圍道唐樓火災三死十九傷中區

警長為勸示威人士中不慎失足墮橋身亡

各政黨爭相你嘲我罵helliphellip在城市裡我們

每天都被一些飛來橫禍天災人禍或社會

爭執的信息圍繞著充斥著愁雲慘霧的氣

氛甚至在家庭朋友學業工作和

健康方面我們亦會遇到不如意之事負

能量和心理壓力不斷增加沒有適當的疏

導和發洩方法之下不少人染上酗酒或沉

迷賭博等壞習慣來自我麻醉長期把情感

抑制的一些人更有機會患上

情緒病我們彷彿硬把自己

困在死胡同裡忘記兒時怎

樣整天咧嘴哈哈大笑如何

在跌倒後笑著站起來現

在很多人都像被魔鬼牽著

鼻子走每天板著一副無奈

沮喪的嘴臉掛上冷漠的眼

神笑聲更差不多成為絕

朋友啊你可有嘗試計

算過一天總共大笑了多少

次英國格拉根大學研究發

現在英國嬰兒每天會笑

達三百次而青少年時期的

每天大笑次數大幅減至六

次五十多歲的人平均每天

更只笑了三次無可厚非

我們在成長過程中必遇到愈來愈多的煩惱

和挑戰事情的確不是我們所能控制但

面對的心態我們為何不能放開一時所謂

的包袱像孩子般笑著面對呢為甚麼大

笑要有一定的理由或被時間限制呢

瑜伽加愉

近半個世紀工作學業和情緒波動

很大生活方式變得愈來愈物質主義容

易出現精神緊張大家都被壓得透不過氣

來變得不太愛笑在一九九五年印

度孟買註冊家庭醫生麻丹卡塔利亞(Dr Madan Kataria)創立「大笑瑜伽」以笑聲驅除怨氣大笑瑜伽是以笑聲互相交流

的透過眼神接觸傳遞歡樂的信息學習

別人的笑容代入孩童的心態再全情投

入地開懷大笑同時亦融入瑜伽的腹式

不妨一試

大笑瑜珈三式一預備式林中步行

在樹林慢走就是愛笑瑜伽的熱身方式步行時間

可以是10-30分鐘邊走路邊拍手同時不時地做深呼

吸目的是讓身體和情緒都徹底放鬆下來為後面的

內容做好準備

二進行式學習動物的表情

在瑜伽導師的帶領下活動面部肌肉然後模仿瑜

珈導師的動物表情這些表情看上去本身已很滑稽

只要按照瑜伽師的樣子去做再發出笑聲

三結束式調整呼吸

經歷了一場大笑面部表情鬆弛了心情也舒服

了不少大家慢慢收回笑容調整呼吸一邊在森林

裡散步一邊大聲告訴自己說「我們是世界上最快樂的

人」

灼見

hkucaduceusnet | 31

呼吸和伸展動作鼓勵大笑達至身心健康

的效果精神科專科曾繁光醫生指出 

「笑令腦自然分泌天然多巴胺以抗衡人

體緊張時所分泌的皮質醇預防患上焦

慮抑鬱的情況」除了改善情緒還能

促進健康笑能促進肺部呼吸功能和加強

血液循環現代醫學認為笑可以成為一種

治病方式治療神經衰弱消除肌肉的緊

張預防或減緩疼痛

筆者在此並不是宣傳大笑瑜伽其治

療成效仍有待商榷和科學實證但愈來愈

多人證實大笑和保持歡樂的心態能有效放

鬆自己張立新先生是第一位在中國推廣 

「大笑瑜伽」的人他患上憂鬱症遍尋

各種治療方式皆無成效一次機緣巧合

從網路接觸「大笑瑜伽」亦在電視上看

到介紹而開始學習和練習他的憂鬱症因

此不藥而癒從此他就開始在中國研究和

推廣愛笑運動暫且別論大笑瑜伽的奏效

程度但人生所遇到的事可真不少何不

笑對人生

尋回被遺忘的赤子之心

大笑並不是靈丹妙藥但它的確能帶來

正能量即使事情有多糟糕笑著面對總

比怨聲載道好而且美國加州大學柏克

萊分校心理學教授丹卓凱納說「笑對

人的進化很重要」目前心理學家們認

為笑是人類之間交流的古老方式之一笑

能互相影響把歡樂的氣氛傳染開去嬰

兒還未學懂說話時笑是與身俱來為何

我們長大後卻隱藏笑容呢朋友們參考

左頁所列大笑瑜伽的基本招式大家可相

約三五知己輕鬆一番找回孩童時的笑聲

大笑瑜伽的始創人麻丹卡塔利亞醫生

大笑瑜伽在六十多國家盛行

ldquolaughter is the best MediciNe - uNless yoursquore diabetic theN iNsuliN coMes pretty high oN the listrdquo ndash jasper carrott

32 | Caduceus September 2011

Learning Experiencing GivingA magical 10-day journey away from the cityErin Yeoh (M15)

C lad in backpacks light clothing and sneakers 21 medical students from HKU and CUHK

were prepared to leave the comforts of home and the internet (did I hear Facebook) We were bound to Chi-na about to embark on a learning-cum-volunteering trip organized by Medical Outreachers

After saying our final goodbyes at the Shenzhen air-port we split into two teams Team A with 9 members were bound to Xirsquoan where they would see volunteer orthopedic surgeons at work The 12 people in Team B including me left for Guizhou to understand the role of village doctors in rural China Both teams aimed to find out the effectiveness of public health policies in rural areas of China We were to meet up 4 days later at Dongshan Guangdong

Part1GuizhouUpon landing in Guizhou we were provided with

excellent hospitality by the local officers and the lo-cal NGO Amity Foundation We were given a brief introduction to Guizhou and also the work that the government and Amity Foundation were doing in the province Amity Foundation actually helped to build numerous new village clinics to improve the quality of healthcare in the region

The next day we were taken on a tour around the province visiting different village clinics (村診所) lo-cated in areas further away from the city Usually there would be one or two village doctors (村醫) on duty

at a time to attend to the villagers with population of around 1000 to 4000 per village

However the village doctors were not the type of ldquoheroesrdquo I had in mind They were not your typical doctor working in a worn out run-down wooden hut where there would be a row of sick villagers lining up to see them How ignorant I was In fact the village clin-ics were mostly renovated and well equipped with ba-sic amenities The standard village clinic has 5 rooms main lobby (大廳) treatment room (治療室) pharma-cy (藥房) observation room (觀察室) and a doctorrsquos rest room (醫生休息室) Furthermore their patient flow was rather small sometimes only one or two pa-tients per day This was probably due to the fact that some village clinics were located only a stonersquos throw away from major cities Those in a medical emergency would of course go straight to the main hospital to seek help immediately instead of consulting a village doc-tor

To be a village doctor one at least had to be a sec-ondary school graduate They would also undergo constant training and certification by qualified doctors in larger clinics According to the village doctors they spent most of their time doing paperwork keeping track of the villagers and their medical history They would also conduct regular home visits to those suf-fering from chronic illnesses or those that needed con-stant monitoring such as patients with hypertension or rheumatoid arthritis Another point that I found

A village clinic before receiving funding from Amity Foundation

hellipand a comparison after

Life

hkucaduceusnet | 33

interesting was that they would also visit families with newborn babies to check on their general health At the same time they would educate mothers on proper breastfeeding techniques and how to provide adequate nutrition for their children in the future

To learn more about their daily routine we fol-lowed a village doctor on his home visit rounds The doctor would sometimes have to travel as far as 2 kil-ometers for a home visit which would be the other end of the village This was as in the case of a pregnant lady due for delivery soon (photo as shown below) The doctor who came to check on her health status reas-sured her that her delivery would be a successful one From her sigh of relief and tired smile we could tell that she was grateful to see the doctor

However things didnrsquot always run as smoothly According to some of the village doctors they used to be scolded and rejected by the locals who did not understand why the doctors would often come up to their doorsteps asking them questions regarding their health and pestering them to go for checkups Some of them being superstitious would think of doctors as ldquoharbingers of bad luckrdquo as the doctors would talk about ldquosicknessrdquo and ldquodiseaserdquo when they were actu-ally feeling as fit as a fiddle Thankfully the situation has much improved since then

From what we saw instead of playing a curative role in a society the village doctors were actually much more involved in disease prevention and monitoring

This is actually the ldquoupstream modelrdquo concept in pub-lic health Instead urban doctors are overwhelmed by limited consultation time and when fatigue kicks in they simply do not have the energy to further educate their patients They would also not have the time to un-derstand their patients on a personal level unlike that of the village doctors

However the indiscriminate use of antibiotics in China was truly a frightening sight Doctors adminis-tered antibiotics intravenously for mild diseases like the common cold When we asked the doctors as to why they did so they simply smiled and shrugged off the question It is probably still a common practice in China and if the doctors did not give such medication the patients would probably lose trust in the doctor The fact that the similar practices were seen even in large hospitals probably indicates that this problem is hardly a localized one

Part2DongshanGuangdongWe met up with the team from Xirsquoan at the

Guangzhou airport and proceeded to our next desti-nationmdashDongshan After 5 hours of car ride we began to see signs that we were approaching our destination Mountains sharply angled clustered in twos or threes fondly known as ldquoMcDonalds mountainsrdquo were begin-ning to be in sight

As soon as we arrived we were greeted by eager curious young faces The children huddled close by as we unloaded our luggage some commenting that they hadnrsquot seen some of us while others were already play-ing around with the past participants It was my first time to Dongshan but there were some of us who were not new to the kids there

After settling down we were given an introduction to Dongshan and its residents by the local NGO Green Action Foundation led by Mr Wong

Located at the outskirts of the province Dongshan is one of the 4 poorest areas in Guangdong Its natu-ral terrain abundant in limestone makes it especially hard to retain water This has taken a toll on the resi-dents especially during the drought season Another problem faced by the local residents is that there are many young people and adults migrating to big cities to earn a living leaving behind the children and elderly

Village doctor on one of his home visits

Discarded bottles of intravenous antibiotics near the village clinic

ldquoMediciNe also disregards NatioNal bouNdariesrdquo ndash irviNg laNgMuir

34 | Caduceus September 2011

at home

Green Action Foundation took the initiative to plant trees around the area so that more water was available for irrigation and domestic purposes This improved the quality of their crops and boosted their source of income They also sponsored some of the

childrenrsquos education depending on their performance in school to ease the burden on their families

The next few days were jam-packed with activities A sports day was held as an icebreaker so that the new participants could get to know the children better We also spent half a day at the Dongshan Primary School where we taught the kids personal hygiene simple first aid moral education and also sex education for the grade 5 and 6 students

Another interesting activity that we had was a weed-cutting session up at a mountain with the other children Each of us was assigned with 2 to 3 chil-dren who were supposed to ldquoguiderdquo us along the way It was a 2-hour hike up and down hilly ter-rain While I would stop once in a while to take a breather the kids were barely panting The kids would often stop to ask if I was tired and even of-fered to help me carry my backpack Note to self more exercise next semester

Nevertheless it was a great chance to know the kids better We had the time to chat about their school life and what they thought about their future and also the chance to share snip-pets of our lives in the city

We then split into small groups and visited the homes of the children in order to gain a bet-ter understanding of their household hygiene

condition any medical conditions in the family as well as their economic standing We had also prepared questionnaires to be kept as future record Some of the families were very poor to the extent of having no source of income at all They depended solely on their own crops for food If they went to see the doctor they would usually owe the doctor money until they had

enough money to pay back The hygiene status of the villagers varied but most of them had swarms of flies around food Many even had their live poultry like chickens running around the house Before we left we gave them some hygiene products like soap washing detergent and toothbrushes to encourage better hy-giene We also gave them a poster explaining ways of maintaining a clean household environment

Another main focus of the trip was to find out the effectiveness of a medical insurance policy newly in-troduced by the government Each person had to pay 30 Renminbi annually to be guaranteed free medica-

Sports day activity

Weed cutting with the children

hkucaduceusnet | 35

tion and hospitalization thereafter Generally the vil-lagers were grateful for this plan as many found it dif-ficult to afford medical fees while struggling to pay for

basic necessities at the same time However some vil-lagers complained that the prices of medicine spiked after this policy was introduced and hospitals would of-ten ask patients to

do unnecessary scans just to earn more money

This trip made me realize that there is much that we can do but how great an impact we can make might not be seen immediately With follow up trips one could see the change as compared to the last visit and make further modifications to improve the situation

As the trip came to an end we were reluctant to leave There was something very magical about Dong-shan where the skies would turn to an exuberant red during sunset and on a clear night you could see stars scattered across every corner of the sky It is a place of beauty struggle and hopefully a place of triumph in the years to come

It is a place of beauty struggle and hopefully a place of triumph in the years to come

On one of our home visits

More to ExploreMedical Outreachers 醫心httpmedicaloutreachersorg

The Amity Foundation 愛德基金會httpwwwamityfoundationorg The beautiful sunset in Dongshan

ldquoshariNg is soMetiMes More deMaNdiNg thaN giviNgrdquo ndash Mary catheriNe batesoN

36 | Caduceus September 2011

就 在這一刻世界沉默了

城市的繁囂隨飛機引擎

逐點逐點噴走了繁囂的離

開是為了讓簡單的生活回

來剛踏出廈門機場一張

又一張的笑臉映入眼簾刺

熱的太陽把兩地之間的隔膜

融化

早從香港回歸時開始

香港人經常強調自己只是 

「香港人」而不是「中國

人」自以為比內地人高一

等可惜這班自視過高的都

市人曾幾何時為外地人送上

熱情的款待這一點廈門

人比誰都做得更好

廈門是一個位於中國

東南部的海島也許就是近

海讓居於廈門的人都把一

切怨恨煩惱拋下大海讓

它們隨水流漂走埋藏在海

床上每年廈門的鳳凰花花

開兩季一朵又一朵鮮艷如

火的鳳凰花在六月時歡送一

個又一個的畢業生彷彿為

他們添上一份祝福九月時

的鳳凰花熱情地歡迎一屆又

一屆的新生為新生的精彩

校園生活揭開序幕一份一

份的熱情含苞待放身在廈

門又怎會不被這市花的熱情

感動呢廈門大至人與人

之間小至花與花之間都存

著一份情

要追溯廈門人的情懷

可數至土樓的建成土樓

是個大多呈方形或圓形大型

群居的建築整座土樓樓高

三至五層由於牆身頗厚及

只有一個出入口甚具有防

禦功能亦因為這緣故當

大門關起來土樓便成了一

個家這個家佔地不大但卻

藏著成千上萬的人情味在

萬里無雲陽光普照的天空

下土樓居民的熱情好客

被蒸發出來懸浮在空中

一代一代傳下去更讓它隨

風走出土樓傳遍整個廈

門即使土樓漸漸成為旅遊

景點一些擺賣紀念品的攤

檔已經進駐但卻無礙居民間

的感情商販彼此交流從

不出現爭客的情況在土樓

中央休憩的居民除了為外地

人介紹他們的祠堂外亦邀

請遊客跟隨他們到遊客禁區

參觀在土樓居住的每伙都

中門大開當遊客投進好奇

的目光屋內的人往往以親

切的笑容作回答鄉土人

情在這世代多冷漠的心也

被融化

細膩的人情味外最令

遊客津津樂道的是廈門人的

態度廈門大學附近有一條

芙蓉隧道只要你願意便可

在隧道內壁上畫下你所思所

想當然美觀與否見仁見

智但這一種對藝術尊重

欣賞的態度是值得欣賞我

有我盡情地畫你有你盡責

青春在廈門留下足印潘曉彤 (N14)

生活

hkucaduceusnet | 37

地去管轄城市各處的整潔

彼此留下空間達至相輔相

成的效果廈門人就懂得人

最基本的禮貌尊重不

過廈門人對他人的尊重遠超

於人的基本禮貌當你去唱

「卡拉OK」的時候每次

待應的出入時看到的就只

有他們的正面而他們前行

或後退的方式就像看到皇帝

一樣卑恭屈膝香港人常常

強調面子哪一天才能捨下

那過高的尊嚴為不相識的

人作一個最謙卑的招待

其實任何人一離開香

港都不難發現就只有香

港愈夜愈精彩其他地方晚

上八時大多關門大吉而廈

門就只有中山路才媲美得

上香港的夜夜笙歌夜幕低

垂萬千燈火的中山路上

與來自各區的人擦肩而過

昏黃的燈光下照出一群又一

群的沉默影子剛好與路上

喧鬧的行人相映成趣騎樓

在霓虹燈的點綴下顯出了獨

有的閩南特色大街小巷傳

來不同地道小食的香氣車

輪餅燒仙草土笋凍helliphellip

為我們外來的交流生帶來美

味可口的夜宵飲飽食醉過

後走到中山路的盡頭又

回到了沉睡中的廈門

在優美的環境影響下

廈門人的生活也自然變得

純樸優閒單車車輪在環

島路上留下一圈又一圈的印

記沿路能細聽海浪輕拍岸

邊的聲音細嗅四處洋溢的

花香感受微風吹散太陽散

發的熱力見證一對又一對

的新人在拍下幸福的照片

據說廈門有戀愛天堂之稱

不管走到哪一處也會

看到準新人拍下甜蜜的婚紗

照而在裡面享受的人永遠

不知道這風景如畫的背

後是透過多少人的血汗換

來當我們在追求經濟成果

的同時往往破壞了造物者

在世上留下的藝術品隨中

國經濟急速發展一個又一

個的世外桃園被摧毀銅臭

替代了花香車聲替代了鳥

語這仙境又可維持多久

廈門另一世外桃園就是

鼓浪嶼它活像香港的長

洲島上滿有歐陸建築風

格但當中不乏中國特色的

建築中國古城風味與洋風

互相交替帶出截然不同的

感覺島上遠離汽車的廢

氣與金門就只是一海之

隔一家大小在享受天倫之

樂時一群又一群的青少

年情侶在沙灘上嬉戲立

即為島上升溫

筆者認為在這個混亂的

俗世確實需要抽空來欣賞

造物者留下來的藝術品大

財團不斷興建大型商場國

際知名品牌不停進駐留下

的就只有愈來愈狹窄的街

道被石屎封蓋寸草不生

的土地人人被金錢蒙蔽

迷失在霓虹燈光中又有多

少知音人能放下生活的瑣碎

事情在這裡享受時間一分

一秒的流走你被海浪聲

喚醒了嗎

筆者參加這次是由香

港廈門兩地大學的交流

團一連六天已經習慣了

當地的優閒生活模式體會

到的不只是廈門的風土人

情歷史文化而是兩地大

學生那種衝破界限的交流

雖說年輕人容易打成一片

但廈門獨有的熱情確實融化

了彼此間的隔膜廈門的美

是成人之美成就了兩地大

學生的友誼

飛機又再起飛了廈門

再見了

ldquothe tiMe of life is short to speNd that shortNess basely it would be too loNgrdquo ndash williaM shake-speare

38 | Caduceus September 2011

生 命形成之際只要一秒鐘的差遲世界便會不一樣

蝴蝶效應從來都是玄的全因一個 

「緣」字

隨著人成長要決擇的事太多學生

有兩件人生大事幾乎都不是由自己決定的

入讀小學及中學然而到了大學這

關卡自己也許可以拿定主意了若果你

入讀了心水科恭喜你若不然祝福

誠然入大學是最影響未來生活的關

口是好是壞無人知曉不用量化不

用比較太多即管做自己所想活出自己

的路只因你不會曉得你的下一步會怎樣

影響著你的生命

或許一個活動你會遇上你的最愛

或許一個宿位你會遇上你的知己

或許一句說話你會惹來一個敵人

或許一次走堂你會由B變C

這就是大學

在大學各人有各人的大學生活大

學講求自由學習學習真的是「求學不是

求分數」有些人愛廣交朋友有些人愛

住宿有些人愛做莊務有些人愛拍拖

有些人愛參加各樣活動有些人愛做兼

職有些人愛讀書有些人卻愛甚麼都不

做helliphellip不少大學生強調入大學必定要做齊

大學五件事(上莊住宿讀書拍拖

兼職)但其實只要自己開心不害人的

話做甚麼也沒問題最要緊的是認清讀

大學的目的以免沉淪於大學這花海

朋友

大學可以令你對「朋友」的概念愈來

愈含糊幾乎每個活動都可令你認識新朋

友通常大家都會輪流講述自己的名字與

學科(Round Table)這亦是考驗大腦對人名的記憶所謂的「Hi-Bye Friend」會愈來愈多隨便在細小的港大內穿梭會令你

無可奈何地對他們說聲Hi

不過別標籤你的「Hi-Bye Friend」要是連Hi-Bye也談不上更不用說做深交了上大學了大家已有既定的圈子很

多時約會或聊天都先找中學朋友而且很

多人會把大學朋友與中學的作比較雖情

有可原但有時未免先入為主地覺得中學

的較好

這亦難怪即使是日日碰面的同學也

未必是自己的好友人人都有自己的時間

表下課後各散東西不是大家不想互相

認識只是有時身不由己若想互相了

解不妨盡量製造共處之時有時甚至可

以分一些約會給大學朋友然後你會發

現大學朋友也可跟你熟絡可別為自己

建造一塊厚厚的心牆

舍堂

要入宿無人會不曉得十日的迎新營

有些舍堂平均每天的作息時間只有兩三小

時有人說住宿最辛苦就是迎新營然而

它卻是最難忘的

要數活動單單一個舍堂已數之不盡

要是投入舍堂生活每天24小時是不夠

用的舍堂之間有各樣比賽堂友要參加

各個組別為比賽出席各樣練習否則可

能被拒於來年再住基於許多人都只在夜

晚有空要全體出席那可是晚九朝五的

大學之緣賴彥積 (N14)

新鮮人

hkucaduceusnet | 39

宿生們之所以會熱衷於舍堂活動因他

們對自身舍堂有強烈的歸屬感好比中學

時學生參加校際比賽要是沒有歸屬感

就不會有心參加所屬舍堂的活動

除舍堂之間之活動樓層之間亦有各類

活動樓內亦然只要有人的地方就有玩

樂彷如天天宿營你不會有機會偷偷早

睡其他樓友常常打擾你你原來的生活

時間會推後數小時睡於二時已是罕有

早上的八半堂彷如無物

可以住宿但不參加活動嗎當然可以

但你會面對的是朋輩壓力他們雖未必逼

你參加卻會在言談中有意無意的滲出

來那種壓力不只限於自己樓層甚至是

跨樓層千萬可別輕看宿中流言

上莊

有人說上莊所學遠超課堂上莊所學

的是如何籌辦活動非常實用有時要對

外聯絡有時要面對公眾helliphellip像是要為將

來工作鋪路似的當然這亦要視乎你上

的是甚麼莊

一般而言上莊可訓練你待人處事的技

巧有時表面看來很友好的朋友當背

負上一定的要求後關係少不免有磨擦再

者初時莊員素未謀面最後卻因朝夕相

對而演變成朋友這段關係是很可貴的

成莊前要宣傳內閣爭取選票成莊了

又要舉行咨詢大會包受歷莊指導然後

又有就職典禮此後的活動更接踵而至

當然包括迎新活動招莊活動等helliphellip君不

見很多人視莊房為睡房少不免有「通

頂」之時忙是忙但必有價值至於是

好是壞要看自己的造化了

拍拖

人上了大學有時心思思想拍拖眼見

身旁多個好友都紛紛拍拖自己少不免羨

慕別人這想法十分正常畢竟大學生真

的可以放下只讀書的重擔真的可以規劃

人生大事了

香港大學一些營新活動中隨了Round Table外還有Round Status即說自己現在有否拍拖以及拍過多少次拖如 

A 0即Ava i lab l e之前至現在沒有拍拖O1即Occupied之前至現在共拍了一次拖當然也有一些同學自己創的甚

麼OBA (Occupied But Available)或D10(Desperate拍過10次拖)等等至於Round Status的動機何在可能是組爸媽想穿針引線吧當然也可能是別有用心的

不同人對拍拖有不同想法上了大學更

有不同擇偶條件人大了在感性的議題

上往往加上種種理性的數據開始現實起

來哪個帥哪個富有哪個有前途helliphellip

有些不在乎天長地久只求剎那的光輝

有些求虛榮有人疼愛在朋友前炫耀

有些甚至會在拍拖前已想定分手後的模

樣所以不想選擇跟自己同科的同學

活動

不同團體(包括舍堂學會及學校部

門)都有不同活動不用愁沒事幹只用

愁沒時間只要多留意Portal Mass Email或Main Campus海報不難發現幾乎每天都有各樣活動動靜皆宜開學時有迎

新營考試時有勁過飯新學期有開Sem

飯有些學會如戲劇舞蹈合唱團不時

有演出有關運動的學會則多練習以參

加比賽有關學術的也有很多興趣班講

座比賽等想幫人的亦可參加義工團

體如蛇蛇豬扶青等舉辦的義工活動

兼職

大學生的兼職大多以補習為主畢竟

這是我們能力範圍內可賺取最多外快又是

時間最彈性的工作有些人卻因補習不能

寫在履歷表而選擇別的工作然而很多時

我們都要在兼職與大學活動中取捨我的

ldquotake a chaNce all life is a chaNce the MaN who goes farthest is geNerally the oNe who is williNg to do aNd darerdquo ndash dale carNegie

40 | Caduceus September 2011

E mily was the chairperson of Pharmacy Socie-ty session 2010 As a student she has actively

participated in holding activities for many medical stu-dents and taken part in providing welfare to all phar-macy students Her following sharing will especially enlighten our new pharmacy students

Q Why did you choose Pharmacy SocietyA To be frank ldquosheung jongrdquo was really out of

my expectation when I anticipated my university life However my perspective has changed when I officially became a pharmacy student in HKU As members of the opening class of the Pharmacy programme my classmates and I realised the importance of having our own student body We do need an independent soci-ety to represent us pharmacy students to cater for our specific needs to listen to our points of view and to act as a bridge to facilitate our communication with the Medical Faculty the entire university and ultimately the pharmaceutical field in Hong Kong My class-mates and I who later became ldquojong yausrdquo believed we should act immediately to establish and run our own society which is why I decided to ldquosheung jongrdquo

Q Would you like to share some of the pros and cons of sheung jong

A ldquoSheung jongrdquo definitely helped me achieve per-sonal growth It was a concurrent commitment and re-sponsibility to serve and to lead our colleagues Bear-ing this in mind we always pushed ourselves to attain the best of our work ethics efficiency and efficacy As the very first session of the Society we lacked the guidance of any previous committee member Instead analysing carefully and critically we thought better of every decision which I personally found an enriching experience ldquoSheung jongrdquo was also an eye-opening journey Wersquod got to meet different people and learnt more about the professional work for as our career-to-be after graduation This in my opinion is always beneficial Last but not least I was fortunate enough to have worked with my amazing fellow committee mem-bers I frankly couldnrsquot ask for better ldquojong yausrdquo than initium Irsquom absolutely thankful for having them as my friends and it is definitely my greatest gain along the way

Despite the merits ldquosheung jongrdquo definitely has its downsides as well It is a lie to say ldquosheung jongrdquo does not affect our daily life because it does take up a big chunk of our time At the end of the day it is about time management which is easy to say but extremely dif-

建議是如家庭環境較困難賺錢吧反

之可以多留時間給各活動畢竟大學一

年的學費不只值那幾十堂課如何善用這

$42100就在乎你如何投入大學生活

讀書

假若你認為大學的考試可考核學生的

真正讀書能力並要求學生活學活用課堂

所學那麼你大失所望了假若你善於背

誦有過目不忘之本領大學的筆試不會

難倒你只要靠著前人留下的歷屆試題

背到滾瓜爛熟是不可能不及格的很多屆

試卷都是千篇一律的很多教授可沒空大

改試題那同學們就走運了有些課堂

即使再專業的學科都會有只理論無實

踐的課堂然後考試就要你把一大堆理論

背出來helliphellip例如甚麼叫批判思維噢

我可不知道只知道我掉了5分

不同學系在某程度上定下了人的前途

對於醫學院學生而言前路是較清晰可見

的但對於非專業學科前路不可只靠讀

書也許要靠自己另外摸索讀書所帶來

的必然是較高的GPA高GPA所帶來的是

獎學金到外國交流工作實習日後工

作機會等等當然大學學習不只局限於

讀書會否因此失彼就只有自己知道

蝶翼拍動之時往難以預料機會是

要自己摸索的

如經上所記

「神為愛他的人所預備的是眼睛未曾看見耳

朵未曾聽見人心也未曾想到的」

(哥林多前書29)

「栽種的和澆灌的都是一樣但將來各人要照自

己的工夫得自己的賞賜」

(哥林多前書38)

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

Freshmen

hkucaduceusnet | 41

ficult to achieve Also working as a Committee mem-ber can be very exhausting and difficult You definitely need lots of determination and support to get through some of the busiest times

Q How did you handle and balance the workload of study and your ldquojongrdquo

A As Irsquove said before it was tremendously difficult I guess my best advice for the future committee is to know your limitations and always plan ahead You have to know your time to work to rest to study etc No one will be over-worked and eve-ryone will have some personal time if you share the burden wisely between ldquojong yausrdquo Secondly you have to make very clear plans so that you can make full use of every little piece of your time I may not have succeeded in my time management but most of my ldquojong yausrdquo managed to do so de-spite the packed schedule of our Soci-ety This is sufficient proof of ldquoimpos-sible is nothingrdquo

Q As there are only about 25 pharmacy students per class do you have any suggestions for P14 fresh-men to make more friends from other curricula

A It really depends on what kind of person you are If you consider your-self socially active living in a hall or ldquosheung jongrdquo will be a great idea for you But if you see yourself as a much quieter person you can still make use of opportunities such as Medic Orien-tation Camp and other events jointly organised by student bodies within the Medical Faculty to make new friends

Q Any special things for P14 freshmen to be aware of

A First of all welcome You all are now members of Pharmacy Society MS HKUSU and I would like to let you know that this is a student body aiming to serve you Thus feel free to share your viewpoints and voice out your opinions to the current Com-mittee members The Society has to

understand your needs to improve and provide better welfare and services for you

Q Any other comments or important things to re-mind P14 freshmen

A If you would like to get to know more fellow pharmacy students especially students from P12 and P13 grab the opportunity to join the Pharmacy Society Orientation Camp and the Mentorship Programme These are great chances to make new friends and Irsquom sure you will enjoy them

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

ldquoas huMaN beiNgs we do chaNge grow adapt perhaps eveN learN aNd becoMe wiserrdquo ndash weNdy carlos

42 | Caduceus September 2011

筆 者是一位護理系的學生半年前有幸成為二零一一年啟思編輯委員會的總編輯在期間所體驗到的希望藉著這次機會作出分享特別希望新加入醫學院的同學

能對「上莊」有更多了解

上莊之路上莊是大學五件事之一證明它對大學生

活有一定的重要性一定的位置筆者在初入學的時候曾為了上莊與否而煩惱猶豫了好一段時間期間考慮到自己能力怕學業應負不來但最後仍然下了上莊這個決定原因是上莊是個難得的機會充實增值自己不同的莊會提供不同的機會讓莊友去學習透過不同的莊務去讓自己眼界擴大另外可以了解醫學院內發生既事情例如院內活動的進展情況更可以參加舉辦院活動為醫學院出一分力最後當然會認識到將會相處一整年的莊友工作伙伴有機會認識到不同學系的同學從他們身上可以觀察到學習到各種的特質從而令自己有所進步有所啟發

護理學生作為護理系學生起初擔任總編輯一職實

在是倍感壓力畢竟歷屆的總編輯都是由醫科生出任因此筆者起初都害怕跟醫科生共事怕自己的能力不足夠應付莊務所以起初都是戰戰兢兢地上莊

一位三年的護理學生曾對我說「我認為你不太尊重護理系護理系和醫科都是個專業希望你能加以尊重自己的學系不要輕視護理這個學系你要肯定自己的學系才能帶領整支莊因為莊內成員來自不同的學系你必須肯定和認同每個學系都有一定的重要性以及其專業」這番當頭棒喝的良言令我明白到自己一直都太輕視護理系過於重視醫科現在我明白到認同自己學系是尤其重要只有這樣才可以用自己學系的身份去發表意見只有認同自己學系才懂得尊重其他的學系莊內便可以融洽一點

在筆者的莊友中醫科生都是較有責任感而且做事更有計劃從他們身上的確學到不少東西這點是無可否認的事實筆者並不是在分享學系與學系之間的差別而是希望有志上莊的同學能互相尊重明白到各學系的莊

友都有其值得學習的地方起初對其他學系有隔膜是無可避免的畢竟對他們的學系都不太了解又沒有歸屬感但如果因為對方是別的學系而輕視對方的人不但失去與人相處學習的機會而且會令莊內的氣氛失去和諧

幸好的就我所見所聞醫學院內的莊多年來都能融洽相處互相支持令到一眾上莊的同學都能輕鬆地享受上莊的喜與樂甚至是不愉快的事情

依靠你的莊友莊是一個團體不是一兩個人可以應

付得來所以筆者認為與莊友互相溝通合作是個重要的元素新同學如果有志參與莊務期望從上莊中有所得著首要的事情是與莊友建立關係因為他們將會是你來年的工作伙伴也是你遇到困難時依靠的對象一位上莊曾對我說「其實一件的莊期不會令你有太大的得著或成長反而長久的友誼才是你將會得到最重要的」這句說話是千真萬確的上莊的人不會由詞不達意改變成談吐得宜不要期望自己會有驚人的轉變也許上莊會令人處事成熟一點有計劃一點但上莊所得到的關係將會是更重要更珍貴一年的相處中面對過有無數的會議共同處理過不少困難從中

建立的友誼真的是畢生受用

責任感上莊另外一個十分重要既條件就是責任

感有志上莊的同學必須明白到莊期是長達一整年在繁重的學業中騰出時間來處理莊務是個考驗責任感和毅力的測試同學必須再三思考想清楚自己是否真係熱衷於上莊或是只是一時衝動畢竟你將要許下的是一年的承諾必須對這個莊負上責任願意付出才選擇上莊這個決定這樣的付出就會有相對的回

總結上莊的確是個好機會讓自己去學習從處

理事務中或是從莊友身上都會有所得著充實著自己的大學生活從中可以認識到各學系的同學建立一段段受用終身的友誼在此筆者希望各學系的新同學可以善用機會作出上莊這個無悔的決定

護理系的啟思總編石志榮 (N14)

新鮮人

hkucaduceusnet | 43

慈兄吟(下)奇晶

最 後還是麥教授先開了口「他的確是一個好學生對醫學有獨到見解他不但學業成績優異而且樂於助人你是他的妹妹吧」婉慧努力控制自己的淚水繼繼續續的說「是啊但helliphellip但helliphellip我不知道helliphellip他竟會在這裏出現」麥教授用悲天憫人的目光看着婉慧語重深長說「人生自古誰無死人生命的有為與否並不取決於他生命的長短而是在於人生的意義你哥哥雖然最後當不了醫生但他的犧牲卻間接為一些同學做醫生鋪路讓他們做醫生去救人這真是一種無私的愛」婉慧點點頭覺得自己對哥哥的了解實在太少了

最後她還是孤獨的離開實驗室她覺得自己跟哥哥比起來實在相差得太遠了原來他除了是十優狀元在醫學院的成績名列前茅外還是個熱心助人的好青年自己除了少了一優外少的更有對別人的同情及樂於助人這造就了她心靈上的空虛她明白到冷漠不是一種對哥哥思念的正當表達方法她應該做的是把哥哥對其他人的愛傳揚開去以圓他的心願

第一步往往是最困難的婉慧平日對他人的態度已令不少人對她敬而遠之有很多次她嘗試向同班同學投以友善的笑容得到的總是詫異的目光或別人的不理不睬在小組討論中儘管她踴躍發言盡量避免冷場的發生偶同學們卻認為她變本加厲想阻止同學們取得好成績她四處碰壁又再次陷入了想念哥哥的深淵

時間一天一天過去了上學期考試前的休假開始了婉慧每天都勤奮的在圖書館溫習期望取得好成績這時候的圖書館堆滿了人如果遲來一個小時想找一個位子也難就在假期的第二天同班的王文在圖書館跑得氣急敗壞仍找不到一個座位婉慧不知怎樣有點同情他將座位讓給他王文驚訝道「不用了我還是回家吧真倒楣遲來了一個小時就沒有『接位』」

「但你住在哪裏呀」

「元朗今天早上我忘了校鬧鐘八時才起」

「那你還是要我的座位吧我可以坐到電腦桌因為我認識的人不少沒有什麼人會打擾我的」

王文謝了她頓時對這位冷漠的同學刮目相看原來她的內心也是溫暖的這並不是他所能料及的坐在電腦桌前溫習的她也感到特別的快樂溫習的速度也快多了王文就此成為了她的「飯檔」考試期間每天和她一起吃飯他更將自己的好友介紹給婉慧認識

在一個晚上她又悄悄的在圖書館的角落溫習着突然一隻溫暖的手搭着她的肩上她抬起頭但見解剖學的同桌手中拿着一杯熱飲輕輕的放在她的桌上婉慧正感詫異卻聽見他說「這杯熱巧克力是給你的繼續努力吧」她喝着巧克力心中感到一股暖流彷彿哥哥的關懷又在她內作出回響

十年生死兩茫茫不思量自難忘千里孤墳無處話淒涼helliphellip

寒風吹起了她額上的劉海佇立在墓前的婉慧不禁凜冽她想起了從前想到自己最後一次和哥哥吵架雙方面紅耳赤的情況想起自己無法親口跟哥哥道歉想起哥哥無私的付出她對着那空虛的墳心中不忍一陣淒然淚水漱漱的流下來她身旁攜扶着年紀老邁的母親邊拭淚邊喃喃道「我的兒子helliphellip歿了helliphellip」大家心情漸漸平復了緩緩走出了墳地

雨一滴一滴的落下飽歷辛酸的婉慧卻仍在懸壼濟世

短篇

ldquoyesterday is but todayrsquos MeMory aNd toMorrow is todayrsquos dreaMrdquo ndash khalil gibraN

44 | Caduceus September 2011

Eternal Flame (1)Tulipa

Itrsquos cold The chills from my fingertips imbibe deep into me This person drills into my mind digging out the truth inside me Itrsquos agonizing She comes right inhellip di-rectly I cannot stop her

Irsquom losing myselfhellip

My hand felt the soggy pillow I realised I had come back to life the world where I lived Staring blankly at the ceiling still losing focus in my eyes I felt my brows with my forearm For the first time I didnrsquot want to lose this feeling

The bedroom door slowly opened I quickly rubbed off the drops that had blurred my vision pretending that I had just woken up

ldquoDo you have lessons this morningrdquo My grand-mother whispered into my ear

ldquoOh goshrdquo I turned right to my alarm clock It was the real life I had forgotten to turn the alarm on last night and it was now seven thirty I knew it I was going to be late every time she caught me in bed Irsquod got to hurry up

Living in Hong Kong Island though it took me more than an hour to get to school I had to comfort my little brother sometimes till two or three in the morning in order to get him to sleep In addition to the consistently heavy study load in the medical school I could hardly get enough rest Running on my heels al-most became my routine starting from last November But I well understood the consequence of skipping lec-tures It was the beginning of the Cardiovascular Sys-tem Block For someone like me who gave least priority in revising Anatomy materials lectures remained the prime source of information for exams Absence from class was suicidal To make the situation worse this professor was one of those who did NOT upload lec-ture notes online

Hoping I wouldnrsquot arrive too late to miss the impor-tant points I finally stepped onto a route no 8 minibus at ten past eight What I could do now was to pay trust in the driver who would bring me to my destination

Coaxing kids was never easy Little Bruce just hap-pened to give me such a hassle last night

He knew I would check on him when I returned home Sitting right next to the door of his room he begged me for a story once I opened the door I sat down together with him on his little couch after Irsquod taken a quick shower This was a time to relax leaving

aside all the other concerns

Kindling through his favourite reader I saw that he wasnrsquot listening but distracted by all sorts of toys around He even invited me into his world of fantasy But it was getting late I had to calm him down so that I too could have some rest Being one of the brightest in his elementary school he should understand this was not the time for recreation

I began to feel annoyed

Yet he was my brother I had a gut feeling that this was unusual He didnrsquot use to be so ldquohyperactiverdquo It re-ally took me a while to adjust to his change With him still tossing and turning in my arms I apprehended his restlessness Unpredictable though he was true to his feelings In one way or another he might find the shadow of our mother in me

He finally settled when I laid him back in bed It was nearly two forty in the morning

The first week of the CVS Block ran as plotted PBL tutorials would start on next Monday Dr Youngrsquos fa-cial expression in the first PBL evaluation flashed over my Embryology notes and references She didnrsquot teach Embryology but I could tell she did have a hypertroph-ic heart-shaped face which looked familiar to the dia-grams in the Atlas

Back in the IHD Block most of us were puzzled about the scrambled content of our course Various forms of seemingly related knowledge came in through lectures practical and tutorial sessions But the neural circuit formed in our brain just failed to resonate as if the conductance-inductance mismatch had aberrated our thought from minimal impedance Sometimes things even happened in a ldquomore-than-extrardquo manner The presence of common core courses in a parallel but independent branch in the network could rightly be detached without causing a blip on the galvanometer Everything was dubious We had no idea of what we were doing

Maybe we were just on the way seeking for a sense of attachment

My mind too was racing in haste I was struggling with my decision to become a doctor Too many things had happened over the year I just couldnrsquot stop ques-tioning myself what was I thinking when I put lsquo6456 MBBSrsquo in my JUPAS application I should have expect-ed and prepared to face all these I just didnrsquot knowhellip

Novella

hkucaduceusnet | 45

It was midterm evaluation in the IHD Block Her face looked tense in that heart shape She was so stiff in her facial expression that no one could read her mind from her poker face The conference room of the Physi-ology Department was large We seemed to be the odd ones out in the spacious carpeted room In this secre-tive silence you could hear the drumming in your ears as if you were tingling

I realised this was not a matter of ldquoam-I-suitable-for-a-medical-careerrdquo but ldquois-a-medical-career-suita-ble-for-merdquo I was lying in bed playing with my plush bear when these thoughts burst in me Dr Young looked through me She felt certain that different from other group mates there were crises behind me But I didnrsquot tell her anything that day

We all were sensitive At times some subtle trepi-dation seeped in gradually sucking peace away from my sleep It was so to say below threshold sub-lethal though it lingered for weeks once it set inhellip

Drenched in bloodhellip There is no life in the boy His eyes are widely opened slightly protruded The lifeless pair of black pearlshellip I cannot escape from his glance He wants to talk to mehellip There is something he wants me to know

A van runs over himhellip

I fell down the edge of my mattress Breathing heavilyhellip Sweating all overhellip

ldquoScreechrdquo People began to gather around a tel-ephone booth a few metres behind us

I turned back I couldnrsquot see a lot from this anglehellip

ldquohellip What a pity He is so younghelliprdquo a middle-aged couple passed by

The victim resting just in front of the wheel looked towards me through a break in the crowdhellip

As we were wandering around thinking what to eat for dinner my cousin found me standing there rooted to the ground stunned by the victimrsquos gaze My heart was pounding She wouldnrsquot believe what I was again experiencing For a number of times already scenarios in my dreams were mirrored into reality

I couldnrsquot tell her

ldquoI was just thinking whether you would like Korean cuisine There is a new restaurant two corners awayrdquo I made up a talk while escaping from the scene so that I wouldnrsquot look so strange

ldquoWhy not go and have a try thenrdquo She was not dis-appointed for calling it a day as the food there was sur-prisingly good

Not until some years ago when I was Form 3 in college I discovered my ability to look into the future Sometimes I could see them coming up on the news in days or weeks And some didnrsquot ever happen at least not around me But seeing the night visions coming into concrete existence wasnrsquot always a pleasure when the mental images turned gradually into mostly night-mares When I visualised my close ones it felt like I was in the middle of an insecure chain bridge above a torrent that would sweep me into the vast ocean with no return It was entirely different from what you might understand as ldquodreams come truerdquo

I had witnessed misfortunes in proximityhellip

But I could do nothing about ithellip

Friends were a source of solace someone to con-fide all frustrations in But with my paranormal ability which appeared to everybody else only on screen-plays I wasnrsquot courageous enough to open my life wholeheartedly to them Seldom talking about myself avoiding all sorts of gatherings I became an eccentric figure among my classmates

Sometimes mutual understanding carried more weight than words I remembered my physics teacher being one of my few friends during my teen years De-spite his boisterous faccedilade he was always sensitive to whenever I was dwelling on my burdens Physics was our common language Intermingling our emotions and feelings with concepts that were alien to my fel-lows we developed a close rapport impenetrable by anyone else

ldquoWhat is the nature of a flamerdquo This was the most discussed problem between us Neither in solid liquid nor vapour state Not having any definite shape and colour It seems not any material but a type of energy giving out heat and light At the moment of providing it also exhausts its fuel and eventually itselfhellip

The romance of physics is more than anything you could read write and talk about Once you were truly connected with it nothing can stop you Your mind will bounce irrespective of the chronology of space-time but only under the guidance of your thoughts

I was so devoted to the discipline at the time that I was almost making it my lifelong career in some way He envisaged that I would demand much more than any academia could provide with its scientific basis alone We were both seeking a philosophy beyond the facts But Hong Kong may not be the right place for it

I made him a promise at the end to contain our flame and I knew I would

For the first and the last time I saw his eyes filled with tears We knew existence by itself is a miracle

ldquoi love life because what More is thererdquo ndash aNthoNy hopkiNs

46 | Caduceus September 2011

說華佗都說「華佗再世」誰知箇中真諦雲方 (M15)

烽煙起戰火燃萬里 

三國並爭英雄地亂世有誰顧生死 

待神醫行世將民眾救濟

渺渺江山東西瞰俞跗巧手扁鵲心(1) 應向何處尋 

滾滾黃沙無世家終有奇士放奇葩

沛國 華元化(2) 

他經書貫通南北遊動 

一望斷症如神助三劑消病不必多

說斷症悉如所料 

甘陵 相夫人腹痛極難忍(3) 號脈知死嬰在左為男形(4)廣陵 梅軍吏除名歸故里

見貌知壽盡速返見萱椿(5) 

說消病藥到病除 

飲蒜醋有三升蟲一嘔而盡清 (6)母服丸而溫儲兒不藥而自癒 (7)

絕妙處 

是他開腸剖腹刀至辟毒 

神醫號 

除他內外皆精有誰配稱

[1]   俞跗黃帝時代之名醫扁鵲春秋戰國之名醫《淮南子人間訓》「患至而多後憂之helliphellip雖有扁鵲俞跗之巧猶不能生也」

[2]   華佗字元化沛國人(今安徽 亳州)

[3]   甘陵相(即甘陵之行政長官)夫人懷胎六月腹痛不安華佗為其切脈便知胎死於是命人摸知所在在左則男在右則女人云「在左」夫人飲藥後果然產出男胎腹痛立即痊癒

[4]   廣陵有軍吏名曰梅平離鄉服役後來退役歸家於路上巧遇華佗華佗視之嘆道「若能早些見我當不至於此而今你僅餘五日壽命速速回家還能與家人相見」平旋即趕抵故鄉五日後亦如料身亡

[5]   萱椿多作椿萱比喻父母漢牟融《送徐浩》詩「知君此去情偏切堂上椿萱雪滿頭」

[6]   華佗見路邊有人食不下嚥教他到路邊餅店買醋三升混上蒜泥然後飲用路人服後即吐出一條長蛇(即寄生蟲)

[7]   兩歲男孩長年腹瀉藥石無靈華佗往診謂病在母命其服用華佗親研之「四物女宛丸」服後母親乳汁不再寒涼男孩亦不藥而癒

意興

hkucaduceusnet | 47

只可惜人無完壁

「關將軍使君予我手刮骨惡毒走

曹丞相使君予我頭剖顱苦痛收」

「怎能不收怎能不收一命嗚呼萬事休 

簡直荒謬簡直荒謬殺此庸醫未須愁」(8) 

五禽戲尚能傳 (9)麻沸散從此絕 

何不一飲醉死不知世忍氣吞聲事權貴 (10)心神委曲須臾苦奇術失迭千秋計 

烽煙止無改生死事 

且當醫仙謫世間神技終須風裏散 (11)回首仰高山景行請君範 (12)

[8]     曹操欲殺華佗臣下勸之不可答曰「不憂天下當無此鼠輩耶」

[9]     死前華佗欲托所著醫書於獄卒不果便盡數焚毀唯有其養生體操「五禽戲」流傳後世

[10]   《三國志魏書方技傳》「當須刳割者便飲其麻沸散須臾便如醉死無所知」

[11]   唐白居易《簡簡吟》「恐是天仙謫人世只合人間十三歲」

[12]   景行(音航)即大道以高山景行比喻人品德行為之高尚典出《詩經小雅車轄》又東漢鄭玄曰「古人有高德者則慕仰之有明行者則而行之」

ldquothe art of MediciNe was to be properly learNer oNly forM its practice aNd its exerciserdquo - thoMas sydeNhaM

48 | Caduceus September 2011

啟程

清晨空白的天空看不見藍天雲彩

只有溫柔的雨絲和朦朦朧朧的霧水跟隨

著大隊的足印踏上沉重的腳步穿過橫

街小巷和煩囂熱鬧的市場走過自動門

撲鼻的消毒藥水味道讓大家屏住呼吸筆

者和夥伴們終於到達了入讀護理系以來第

一次實習的醫院

還記得在實習的前幾天心情是既忐忑

又期待的畢竟這一次實習的地方不再是

在社區中心宣傳健康方面的知識亦不是

只面對著健康活潑的小朋友和老友記或是

學校課堂上所提供的假人張靜汶卻是照

顧一羣真正需要關懷的病人心中充滿著

憂慮不知自己所學的知識足夠在應用上

嗎自己平日的練習足夠嗎雖然心存在

著不少疑惑但也十分期待可以體會一下

做小學護的感受嘗試把這一年裡所學到

的知識運用出來

很多的第一次

在病房裡總有心酸和膽戰心驚的時

候第一次為昏迷的病人清潔口腔第一

次為難以進食的人插入胃喉第一次為老

公公清洗背上壓瘡的傷口helliphellip照顧他們時

的心情都是一步一驚心生怕自己沒法應

付得來又怕會把事情弄得更糟糕最重

要的是恐怕自己不純熟的技巧令他們受苦

了記得有一回第一次為女病人插入尿

喉採取尿液樣本可能技巧不太純熟的關

係延長了病人的痛苦過程中她皺著

眉頭不斷呻吟又緊張得咬破脣眼看

她樣子心中真的不是味兒來身為病人

的其中之一依靠我們不得不給自己信

心如果連自己也不相信自己哪會有病

人願意把他們交給我們照料呢

捕捉那瞬間的美麗與淒然何麗敏 (N14)

上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

意興

hkucaduceusnet | 49

另外第一次面對病人的心情是頗為

緊張的說話技巧亦有改進的空間但和

病人傾談了數分鐘後氣氛也漸漸變得和

諧可能那些老公公整天呆在醫院裡真是

悶到慌看見一羣年青人與自己聊天照

顧和關心他們他們不禁咧嘴而笑醫院

職員透露有一位老公公平日不太願意吃東

西於是我們便主動和他談天說地又

悉心照料他進食的情況後來他不但胃

口好了不少就連心情也開朗了他生動

活潑的談吐讓我們笑了他回復健康精

神的體魄也讓我們感到安慰

相處片刻

雖然為期一星期的病房日子不是特別繁

忙或是辛勞但是也會有不習慣的時候

幸好得到醫院職員和一班夥伴的支持病

房經理和註冊護士不但相信我們的能力

對學護的包容更是不用多說還主動地介

紹病房的環境和細心地教導我們醫療護理

上的知識讓我們上了一堂實在而又寶貴

的課同時今次的實習也令我感到團體

精神也十分重要在技巧上大家互相提

點互補不足當有人準備照料有需要的

病人如插喉或洗傷口等大家送上一句 

「加油」就能令對方增加不少自信心和正

能量無論遇上甚麼事情我也榮幸有如

此一班學習夥伴從旁支持

學習的階級

在這一次病房實習中雖然醫療和藥物

知識方面有待加強但是我學懂了如何與

不同身份的病人相處之道溝通上也得到

了很大的進步獲益不少除此之外我

也真正體會到如何做一個好護士並清楚

了解這個行業是否適合自己鐘樓也不是

一天就能建成而是需要一磚一瓦搭建而

成的所以在學習上我們不但要打好

穩固的基礎還要增強醫療知識在技巧

上馬虎了事和走捷徑是於是無補的應

該多探究和練習才行這樣才對得起病人

和自己也減少不必要的醫療失當事故

總之多一份認真多一點耐性多一些

愛心就是學護必記的左右銘 上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

ldquoit is reasoNable to expect the doctor to recogNise that scieNce May Not have all the aNswers to probleMs of health aNd healiNgrdquo ndash NorMaN cousiNs

50 | Caduceus September 2011

Fun Corner

Medical AppsEver wondered how your handheld device can save your time and

effort when it comes to studying Here is how

Anatomy Pronunciations by HipposoftAccurate pronunciations of over a hundred important anatomy terms you have trouble with are provided

at your fingertips to help you spell those difficult words Anyone who has taken an anatomy course can tell you how challenging it can be to pro-nounce the names of those complicated anatomi-cal terms It is even linked directly to Wikipedia and Google through web browser for additional information

iPharmacy ndash Pill Identifier and Medication Guide by SigmaPhone LLCAn essential medication guide of 20000+ drugs is provided for con-sumers amp professionals This ex-

pands the image library to include 12000 pill and package images and includes digital drug identifier with official drug information (indica-tions dosage adverse reactions and more) You can check the drugs anywhere

Grades 2 by TapityIt tells you what grades you need in the coming tests in order to get your target grade You can easily calcu-late your GPA so as to maintain it It

is a useful tool helping you to keep an eye on your GPA all the time

Human Anatomy by SusaSoftXThe application provides you with information of 15 different biologi-cal systems You can keep on revis-ing while you are traveling without

carrying heavy books

Medscape by WebMD LLCFrom drug classes interaction clin-ical procedures and even the lat-est medical news Medscape helps medical students and healthcare

professionals to reiterate knowledge that has slipped from the mind It is a free application for iPhone iPad Android and Blackberry Yet it contains more function on Android phones and Apple products and lacks detailed clinical infor-mation for diseases and clinical procedures walk through on Blackberry

Pro Medical Terminology Dic-tionary by TreascoveryTerminology might be a tough work for medical students Even if we can master those English terms we can

hardly think of the Chinese terms This applica-tion can help you when you face this problem Note that it is not a free application

3M Littmann SoundBuilder by 3M CompanyA great tool designed to help im-prove auscultation skills of medical students with 14 unique lessons of

key heart sounds combing text virtual manne-quin 3D cardiac animation and dynamic wave-forms

iRadiology by Liebermans iRadi-ologyAn excellent learning tool for medi-cal students demonstrating classic radiological findings of a multitude

of abnormalities including over 500 radiologic images Radiologic images include CT US MRI and nuclear imaging each clearly labeled and followed by key teaching points

Micromedex Drug Information by Thomson Reuters (Healthcare) IncIs Cephalexin a first generation ce-phalosporin This application from

Thomson Reuters is the easiest way to navigate in the sea of drug names Drugs are sorted by classes and supplemented with rich information

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 29: Caduceus Issue 2, Volume 42

hkucaduceusnet | 29

ldquoDevolvingrdquoEarthTheoryThis is probably the

most scientific theory that I have come across so far from a news article pub-lished from ABC News A group of scientists from University of Washing-ton hypothesized that the Earth will gradually de-volve in the next half bil-lion years In short their logic works as follows

As we all know the sun is constantly grow-ing bigger yet the Earthrsquos environment has been reasonably constant This is because as the sun is warmed up carbon diox-ide from the atmosphere is removed and deposited in soil as carbonates This keeps our environment stable by the balance be-tween an increasing sun and reducing carbon di-oxide in the atmosphere (Note that global warming resulting from an increase carbon dioxide in atmosphere is just a brief blip in the grand scale of things) Since carbon dioxide is the ldquofood of liferdquo the reduction will cause plants and animals (including humans) to die To battle the rising heat some creatures will retreat into the sea hence reversing the evolutionary process And as the sun continues to expand the Earth will become so hot that even the oceans will gradu-ally be evaporated Eventually the sun blasts off its mass through ther-mal pulses engulfing the Earth

This is a very scientific specula-tion from an astrophysicistrsquos point of view and they claim that at best we have no more than half a billion years left This might be more reas-suring for some of us as the world will not end in the near future But the grief lies in the inevitability of our planet Earth coming to an end

Everythingthathasabegin-ninghasanendSo we are back where we start-

ed With more speculation and the-ories and still no closer to the truth The end could happen any day or time or maybe it could be a proc-ess that is already happening Even though it is not to the scale of an-nihilation of the human race hur-ricanes and earthquakes and car crashes have already been stealth-ily taking the lives of millions We know for sure that we must die eventually through chance old age or disease There is only very little we can do to fight against what has been planned for us and reducing the resources we consume is the best chance that we have in delay-ing this happening There might be some benefit if we know the in-sights of when and how it will hap-pen but really it doesnrsquot change anything Moreover it is possible that these speculations came about to force mankind to live life to the

fullest to treasure each day and every resource we have as a gift so it doesnrsquot matter which theory is the accurate one In the midst of these theories about apocalypse all we can do is to live every day as if it was our last with no regrets and enjoy life as it is now

ReferncesThe End of the Worldhttpwwwnostradamus101compropheciespart4P7

The Great 2012 Doomsday Scare httpwwwnasagovtopicsearthfeatures2012-guesthtml

When Will the World End New Theory EmergeshttpabcnewsgocomTechnol-ogystoryid=97756amppage=2

2012 Beginning of the End or Why the World Wonrsquot Endhttpwwwnasagovtopicsearthfeatures2012html

Video from history channel (from youtube link)httpwwwyoutubecomwatchv=BoTExQEyblU

ldquothe MeaNiNg of life is coNtaiNed iN every siNgle expressioN of life it is preseNt iN the iNfiNity of forMs aNd pheNoMeNa that exist iN all of creatioNrdquo ndash Michael jacksoN

30 | Caduceus September 2011

笑的神奇魔力「當你笑你改變了當你改變了整個世界也改變了」

麻丹卡塔利亞醫生(大笑瑜伽的始創人)何麗敏 (N14)

被隱藏的笑容

日 本大地震及核洩漏事件馬頭圍道唐樓火災三死十九傷中區

警長為勸示威人士中不慎失足墮橋身亡

各政黨爭相你嘲我罵helliphellip在城市裡我們

每天都被一些飛來橫禍天災人禍或社會

爭執的信息圍繞著充斥著愁雲慘霧的氣

氛甚至在家庭朋友學業工作和

健康方面我們亦會遇到不如意之事負

能量和心理壓力不斷增加沒有適當的疏

導和發洩方法之下不少人染上酗酒或沉

迷賭博等壞習慣來自我麻醉長期把情感

抑制的一些人更有機會患上

情緒病我們彷彿硬把自己

困在死胡同裡忘記兒時怎

樣整天咧嘴哈哈大笑如何

在跌倒後笑著站起來現

在很多人都像被魔鬼牽著

鼻子走每天板著一副無奈

沮喪的嘴臉掛上冷漠的眼

神笑聲更差不多成為絕

朋友啊你可有嘗試計

算過一天總共大笑了多少

次英國格拉根大學研究發

現在英國嬰兒每天會笑

達三百次而青少年時期的

每天大笑次數大幅減至六

次五十多歲的人平均每天

更只笑了三次無可厚非

我們在成長過程中必遇到愈來愈多的煩惱

和挑戰事情的確不是我們所能控制但

面對的心態我們為何不能放開一時所謂

的包袱像孩子般笑著面對呢為甚麼大

笑要有一定的理由或被時間限制呢

瑜伽加愉

近半個世紀工作學業和情緒波動

很大生活方式變得愈來愈物質主義容

易出現精神緊張大家都被壓得透不過氣

來變得不太愛笑在一九九五年印

度孟買註冊家庭醫生麻丹卡塔利亞(Dr Madan Kataria)創立「大笑瑜伽」以笑聲驅除怨氣大笑瑜伽是以笑聲互相交流

的透過眼神接觸傳遞歡樂的信息學習

別人的笑容代入孩童的心態再全情投

入地開懷大笑同時亦融入瑜伽的腹式

不妨一試

大笑瑜珈三式一預備式林中步行

在樹林慢走就是愛笑瑜伽的熱身方式步行時間

可以是10-30分鐘邊走路邊拍手同時不時地做深呼

吸目的是讓身體和情緒都徹底放鬆下來為後面的

內容做好準備

二進行式學習動物的表情

在瑜伽導師的帶領下活動面部肌肉然後模仿瑜

珈導師的動物表情這些表情看上去本身已很滑稽

只要按照瑜伽師的樣子去做再發出笑聲

三結束式調整呼吸

經歷了一場大笑面部表情鬆弛了心情也舒服

了不少大家慢慢收回笑容調整呼吸一邊在森林

裡散步一邊大聲告訴自己說「我們是世界上最快樂的

人」

灼見

hkucaduceusnet | 31

呼吸和伸展動作鼓勵大笑達至身心健康

的效果精神科專科曾繁光醫生指出 

「笑令腦自然分泌天然多巴胺以抗衡人

體緊張時所分泌的皮質醇預防患上焦

慮抑鬱的情況」除了改善情緒還能

促進健康笑能促進肺部呼吸功能和加強

血液循環現代醫學認為笑可以成為一種

治病方式治療神經衰弱消除肌肉的緊

張預防或減緩疼痛

筆者在此並不是宣傳大笑瑜伽其治

療成效仍有待商榷和科學實證但愈來愈

多人證實大笑和保持歡樂的心態能有效放

鬆自己張立新先生是第一位在中國推廣 

「大笑瑜伽」的人他患上憂鬱症遍尋

各種治療方式皆無成效一次機緣巧合

從網路接觸「大笑瑜伽」亦在電視上看

到介紹而開始學習和練習他的憂鬱症因

此不藥而癒從此他就開始在中國研究和

推廣愛笑運動暫且別論大笑瑜伽的奏效

程度但人生所遇到的事可真不少何不

笑對人生

尋回被遺忘的赤子之心

大笑並不是靈丹妙藥但它的確能帶來

正能量即使事情有多糟糕笑著面對總

比怨聲載道好而且美國加州大學柏克

萊分校心理學教授丹卓凱納說「笑對

人的進化很重要」目前心理學家們認

為笑是人類之間交流的古老方式之一笑

能互相影響把歡樂的氣氛傳染開去嬰

兒還未學懂說話時笑是與身俱來為何

我們長大後卻隱藏笑容呢朋友們參考

左頁所列大笑瑜伽的基本招式大家可相

約三五知己輕鬆一番找回孩童時的笑聲

大笑瑜伽的始創人麻丹卡塔利亞醫生

大笑瑜伽在六十多國家盛行

ldquolaughter is the best MediciNe - uNless yoursquore diabetic theN iNsuliN coMes pretty high oN the listrdquo ndash jasper carrott

32 | Caduceus September 2011

Learning Experiencing GivingA magical 10-day journey away from the cityErin Yeoh (M15)

C lad in backpacks light clothing and sneakers 21 medical students from HKU and CUHK

were prepared to leave the comforts of home and the internet (did I hear Facebook) We were bound to Chi-na about to embark on a learning-cum-volunteering trip organized by Medical Outreachers

After saying our final goodbyes at the Shenzhen air-port we split into two teams Team A with 9 members were bound to Xirsquoan where they would see volunteer orthopedic surgeons at work The 12 people in Team B including me left for Guizhou to understand the role of village doctors in rural China Both teams aimed to find out the effectiveness of public health policies in rural areas of China We were to meet up 4 days later at Dongshan Guangdong

Part1GuizhouUpon landing in Guizhou we were provided with

excellent hospitality by the local officers and the lo-cal NGO Amity Foundation We were given a brief introduction to Guizhou and also the work that the government and Amity Foundation were doing in the province Amity Foundation actually helped to build numerous new village clinics to improve the quality of healthcare in the region

The next day we were taken on a tour around the province visiting different village clinics (村診所) lo-cated in areas further away from the city Usually there would be one or two village doctors (村醫) on duty

at a time to attend to the villagers with population of around 1000 to 4000 per village

However the village doctors were not the type of ldquoheroesrdquo I had in mind They were not your typical doctor working in a worn out run-down wooden hut where there would be a row of sick villagers lining up to see them How ignorant I was In fact the village clin-ics were mostly renovated and well equipped with ba-sic amenities The standard village clinic has 5 rooms main lobby (大廳) treatment room (治療室) pharma-cy (藥房) observation room (觀察室) and a doctorrsquos rest room (醫生休息室) Furthermore their patient flow was rather small sometimes only one or two pa-tients per day This was probably due to the fact that some village clinics were located only a stonersquos throw away from major cities Those in a medical emergency would of course go straight to the main hospital to seek help immediately instead of consulting a village doc-tor

To be a village doctor one at least had to be a sec-ondary school graduate They would also undergo constant training and certification by qualified doctors in larger clinics According to the village doctors they spent most of their time doing paperwork keeping track of the villagers and their medical history They would also conduct regular home visits to those suf-fering from chronic illnesses or those that needed con-stant monitoring such as patients with hypertension or rheumatoid arthritis Another point that I found

A village clinic before receiving funding from Amity Foundation

hellipand a comparison after

Life

hkucaduceusnet | 33

interesting was that they would also visit families with newborn babies to check on their general health At the same time they would educate mothers on proper breastfeeding techniques and how to provide adequate nutrition for their children in the future

To learn more about their daily routine we fol-lowed a village doctor on his home visit rounds The doctor would sometimes have to travel as far as 2 kil-ometers for a home visit which would be the other end of the village This was as in the case of a pregnant lady due for delivery soon (photo as shown below) The doctor who came to check on her health status reas-sured her that her delivery would be a successful one From her sigh of relief and tired smile we could tell that she was grateful to see the doctor

However things didnrsquot always run as smoothly According to some of the village doctors they used to be scolded and rejected by the locals who did not understand why the doctors would often come up to their doorsteps asking them questions regarding their health and pestering them to go for checkups Some of them being superstitious would think of doctors as ldquoharbingers of bad luckrdquo as the doctors would talk about ldquosicknessrdquo and ldquodiseaserdquo when they were actu-ally feeling as fit as a fiddle Thankfully the situation has much improved since then

From what we saw instead of playing a curative role in a society the village doctors were actually much more involved in disease prevention and monitoring

This is actually the ldquoupstream modelrdquo concept in pub-lic health Instead urban doctors are overwhelmed by limited consultation time and when fatigue kicks in they simply do not have the energy to further educate their patients They would also not have the time to un-derstand their patients on a personal level unlike that of the village doctors

However the indiscriminate use of antibiotics in China was truly a frightening sight Doctors adminis-tered antibiotics intravenously for mild diseases like the common cold When we asked the doctors as to why they did so they simply smiled and shrugged off the question It is probably still a common practice in China and if the doctors did not give such medication the patients would probably lose trust in the doctor The fact that the similar practices were seen even in large hospitals probably indicates that this problem is hardly a localized one

Part2DongshanGuangdongWe met up with the team from Xirsquoan at the

Guangzhou airport and proceeded to our next desti-nationmdashDongshan After 5 hours of car ride we began to see signs that we were approaching our destination Mountains sharply angled clustered in twos or threes fondly known as ldquoMcDonalds mountainsrdquo were begin-ning to be in sight

As soon as we arrived we were greeted by eager curious young faces The children huddled close by as we unloaded our luggage some commenting that they hadnrsquot seen some of us while others were already play-ing around with the past participants It was my first time to Dongshan but there were some of us who were not new to the kids there

After settling down we were given an introduction to Dongshan and its residents by the local NGO Green Action Foundation led by Mr Wong

Located at the outskirts of the province Dongshan is one of the 4 poorest areas in Guangdong Its natu-ral terrain abundant in limestone makes it especially hard to retain water This has taken a toll on the resi-dents especially during the drought season Another problem faced by the local residents is that there are many young people and adults migrating to big cities to earn a living leaving behind the children and elderly

Village doctor on one of his home visits

Discarded bottles of intravenous antibiotics near the village clinic

ldquoMediciNe also disregards NatioNal bouNdariesrdquo ndash irviNg laNgMuir

34 | Caduceus September 2011

at home

Green Action Foundation took the initiative to plant trees around the area so that more water was available for irrigation and domestic purposes This improved the quality of their crops and boosted their source of income They also sponsored some of the

childrenrsquos education depending on their performance in school to ease the burden on their families

The next few days were jam-packed with activities A sports day was held as an icebreaker so that the new participants could get to know the children better We also spent half a day at the Dongshan Primary School where we taught the kids personal hygiene simple first aid moral education and also sex education for the grade 5 and 6 students

Another interesting activity that we had was a weed-cutting session up at a mountain with the other children Each of us was assigned with 2 to 3 chil-dren who were supposed to ldquoguiderdquo us along the way It was a 2-hour hike up and down hilly ter-rain While I would stop once in a while to take a breather the kids were barely panting The kids would often stop to ask if I was tired and even of-fered to help me carry my backpack Note to self more exercise next semester

Nevertheless it was a great chance to know the kids better We had the time to chat about their school life and what they thought about their future and also the chance to share snip-pets of our lives in the city

We then split into small groups and visited the homes of the children in order to gain a bet-ter understanding of their household hygiene

condition any medical conditions in the family as well as their economic standing We had also prepared questionnaires to be kept as future record Some of the families were very poor to the extent of having no source of income at all They depended solely on their own crops for food If they went to see the doctor they would usually owe the doctor money until they had

enough money to pay back The hygiene status of the villagers varied but most of them had swarms of flies around food Many even had their live poultry like chickens running around the house Before we left we gave them some hygiene products like soap washing detergent and toothbrushes to encourage better hy-giene We also gave them a poster explaining ways of maintaining a clean household environment

Another main focus of the trip was to find out the effectiveness of a medical insurance policy newly in-troduced by the government Each person had to pay 30 Renminbi annually to be guaranteed free medica-

Sports day activity

Weed cutting with the children

hkucaduceusnet | 35

tion and hospitalization thereafter Generally the vil-lagers were grateful for this plan as many found it dif-ficult to afford medical fees while struggling to pay for

basic necessities at the same time However some vil-lagers complained that the prices of medicine spiked after this policy was introduced and hospitals would of-ten ask patients to

do unnecessary scans just to earn more money

This trip made me realize that there is much that we can do but how great an impact we can make might not be seen immediately With follow up trips one could see the change as compared to the last visit and make further modifications to improve the situation

As the trip came to an end we were reluctant to leave There was something very magical about Dong-shan where the skies would turn to an exuberant red during sunset and on a clear night you could see stars scattered across every corner of the sky It is a place of beauty struggle and hopefully a place of triumph in the years to come

It is a place of beauty struggle and hopefully a place of triumph in the years to come

On one of our home visits

More to ExploreMedical Outreachers 醫心httpmedicaloutreachersorg

The Amity Foundation 愛德基金會httpwwwamityfoundationorg The beautiful sunset in Dongshan

ldquoshariNg is soMetiMes More deMaNdiNg thaN giviNgrdquo ndash Mary catheriNe batesoN

36 | Caduceus September 2011

就 在這一刻世界沉默了

城市的繁囂隨飛機引擎

逐點逐點噴走了繁囂的離

開是為了讓簡單的生活回

來剛踏出廈門機場一張

又一張的笑臉映入眼簾刺

熱的太陽把兩地之間的隔膜

融化

早從香港回歸時開始

香港人經常強調自己只是 

「香港人」而不是「中國

人」自以為比內地人高一

等可惜這班自視過高的都

市人曾幾何時為外地人送上

熱情的款待這一點廈門

人比誰都做得更好

廈門是一個位於中國

東南部的海島也許就是近

海讓居於廈門的人都把一

切怨恨煩惱拋下大海讓

它們隨水流漂走埋藏在海

床上每年廈門的鳳凰花花

開兩季一朵又一朵鮮艷如

火的鳳凰花在六月時歡送一

個又一個的畢業生彷彿為

他們添上一份祝福九月時

的鳳凰花熱情地歡迎一屆又

一屆的新生為新生的精彩

校園生活揭開序幕一份一

份的熱情含苞待放身在廈

門又怎會不被這市花的熱情

感動呢廈門大至人與人

之間小至花與花之間都存

著一份情

要追溯廈門人的情懷

可數至土樓的建成土樓

是個大多呈方形或圓形大型

群居的建築整座土樓樓高

三至五層由於牆身頗厚及

只有一個出入口甚具有防

禦功能亦因為這緣故當

大門關起來土樓便成了一

個家這個家佔地不大但卻

藏著成千上萬的人情味在

萬里無雲陽光普照的天空

下土樓居民的熱情好客

被蒸發出來懸浮在空中

一代一代傳下去更讓它隨

風走出土樓傳遍整個廈

門即使土樓漸漸成為旅遊

景點一些擺賣紀念品的攤

檔已經進駐但卻無礙居民間

的感情商販彼此交流從

不出現爭客的情況在土樓

中央休憩的居民除了為外地

人介紹他們的祠堂外亦邀

請遊客跟隨他們到遊客禁區

參觀在土樓居住的每伙都

中門大開當遊客投進好奇

的目光屋內的人往往以親

切的笑容作回答鄉土人

情在這世代多冷漠的心也

被融化

細膩的人情味外最令

遊客津津樂道的是廈門人的

態度廈門大學附近有一條

芙蓉隧道只要你願意便可

在隧道內壁上畫下你所思所

想當然美觀與否見仁見

智但這一種對藝術尊重

欣賞的態度是值得欣賞我

有我盡情地畫你有你盡責

青春在廈門留下足印潘曉彤 (N14)

生活

hkucaduceusnet | 37

地去管轄城市各處的整潔

彼此留下空間達至相輔相

成的效果廈門人就懂得人

最基本的禮貌尊重不

過廈門人對他人的尊重遠超

於人的基本禮貌當你去唱

「卡拉OK」的時候每次

待應的出入時看到的就只

有他們的正面而他們前行

或後退的方式就像看到皇帝

一樣卑恭屈膝香港人常常

強調面子哪一天才能捨下

那過高的尊嚴為不相識的

人作一個最謙卑的招待

其實任何人一離開香

港都不難發現就只有香

港愈夜愈精彩其他地方晚

上八時大多關門大吉而廈

門就只有中山路才媲美得

上香港的夜夜笙歌夜幕低

垂萬千燈火的中山路上

與來自各區的人擦肩而過

昏黃的燈光下照出一群又一

群的沉默影子剛好與路上

喧鬧的行人相映成趣騎樓

在霓虹燈的點綴下顯出了獨

有的閩南特色大街小巷傳

來不同地道小食的香氣車

輪餅燒仙草土笋凍helliphellip

為我們外來的交流生帶來美

味可口的夜宵飲飽食醉過

後走到中山路的盡頭又

回到了沉睡中的廈門

在優美的環境影響下

廈門人的生活也自然變得

純樸優閒單車車輪在環

島路上留下一圈又一圈的印

記沿路能細聽海浪輕拍岸

邊的聲音細嗅四處洋溢的

花香感受微風吹散太陽散

發的熱力見證一對又一對

的新人在拍下幸福的照片

據說廈門有戀愛天堂之稱

不管走到哪一處也會

看到準新人拍下甜蜜的婚紗

照而在裡面享受的人永遠

不知道這風景如畫的背

後是透過多少人的血汗換

來當我們在追求經濟成果

的同時往往破壞了造物者

在世上留下的藝術品隨中

國經濟急速發展一個又一

個的世外桃園被摧毀銅臭

替代了花香車聲替代了鳥

語這仙境又可維持多久

廈門另一世外桃園就是

鼓浪嶼它活像香港的長

洲島上滿有歐陸建築風

格但當中不乏中國特色的

建築中國古城風味與洋風

互相交替帶出截然不同的

感覺島上遠離汽車的廢

氣與金門就只是一海之

隔一家大小在享受天倫之

樂時一群又一群的青少

年情侶在沙灘上嬉戲立

即為島上升溫

筆者認為在這個混亂的

俗世確實需要抽空來欣賞

造物者留下來的藝術品大

財團不斷興建大型商場國

際知名品牌不停進駐留下

的就只有愈來愈狹窄的街

道被石屎封蓋寸草不生

的土地人人被金錢蒙蔽

迷失在霓虹燈光中又有多

少知音人能放下生活的瑣碎

事情在這裡享受時間一分

一秒的流走你被海浪聲

喚醒了嗎

筆者參加這次是由香

港廈門兩地大學的交流

團一連六天已經習慣了

當地的優閒生活模式體會

到的不只是廈門的風土人

情歷史文化而是兩地大

學生那種衝破界限的交流

雖說年輕人容易打成一片

但廈門獨有的熱情確實融化

了彼此間的隔膜廈門的美

是成人之美成就了兩地大

學生的友誼

飛機又再起飛了廈門

再見了

ldquothe tiMe of life is short to speNd that shortNess basely it would be too loNgrdquo ndash williaM shake-speare

38 | Caduceus September 2011

生 命形成之際只要一秒鐘的差遲世界便會不一樣

蝴蝶效應從來都是玄的全因一個 

「緣」字

隨著人成長要決擇的事太多學生

有兩件人生大事幾乎都不是由自己決定的

入讀小學及中學然而到了大學這

關卡自己也許可以拿定主意了若果你

入讀了心水科恭喜你若不然祝福

誠然入大學是最影響未來生活的關

口是好是壞無人知曉不用量化不

用比較太多即管做自己所想活出自己

的路只因你不會曉得你的下一步會怎樣

影響著你的生命

或許一個活動你會遇上你的最愛

或許一個宿位你會遇上你的知己

或許一句說話你會惹來一個敵人

或許一次走堂你會由B變C

這就是大學

在大學各人有各人的大學生活大

學講求自由學習學習真的是「求學不是

求分數」有些人愛廣交朋友有些人愛

住宿有些人愛做莊務有些人愛拍拖

有些人愛參加各樣活動有些人愛做兼

職有些人愛讀書有些人卻愛甚麼都不

做helliphellip不少大學生強調入大學必定要做齊

大學五件事(上莊住宿讀書拍拖

兼職)但其實只要自己開心不害人的

話做甚麼也沒問題最要緊的是認清讀

大學的目的以免沉淪於大學這花海

朋友

大學可以令你對「朋友」的概念愈來

愈含糊幾乎每個活動都可令你認識新朋

友通常大家都會輪流講述自己的名字與

學科(Round Table)這亦是考驗大腦對人名的記憶所謂的「Hi-Bye Friend」會愈來愈多隨便在細小的港大內穿梭會令你

無可奈何地對他們說聲Hi

不過別標籤你的「Hi-Bye Friend」要是連Hi-Bye也談不上更不用說做深交了上大學了大家已有既定的圈子很

多時約會或聊天都先找中學朋友而且很

多人會把大學朋友與中學的作比較雖情

有可原但有時未免先入為主地覺得中學

的較好

這亦難怪即使是日日碰面的同學也

未必是自己的好友人人都有自己的時間

表下課後各散東西不是大家不想互相

認識只是有時身不由己若想互相了

解不妨盡量製造共處之時有時甚至可

以分一些約會給大學朋友然後你會發

現大學朋友也可跟你熟絡可別為自己

建造一塊厚厚的心牆

舍堂

要入宿無人會不曉得十日的迎新營

有些舍堂平均每天的作息時間只有兩三小

時有人說住宿最辛苦就是迎新營然而

它卻是最難忘的

要數活動單單一個舍堂已數之不盡

要是投入舍堂生活每天24小時是不夠

用的舍堂之間有各樣比賽堂友要參加

各個組別為比賽出席各樣練習否則可

能被拒於來年再住基於許多人都只在夜

晚有空要全體出席那可是晚九朝五的

大學之緣賴彥積 (N14)

新鮮人

hkucaduceusnet | 39

宿生們之所以會熱衷於舍堂活動因他

們對自身舍堂有強烈的歸屬感好比中學

時學生參加校際比賽要是沒有歸屬感

就不會有心參加所屬舍堂的活動

除舍堂之間之活動樓層之間亦有各類

活動樓內亦然只要有人的地方就有玩

樂彷如天天宿營你不會有機會偷偷早

睡其他樓友常常打擾你你原來的生活

時間會推後數小時睡於二時已是罕有

早上的八半堂彷如無物

可以住宿但不參加活動嗎當然可以

但你會面對的是朋輩壓力他們雖未必逼

你參加卻會在言談中有意無意的滲出

來那種壓力不只限於自己樓層甚至是

跨樓層千萬可別輕看宿中流言

上莊

有人說上莊所學遠超課堂上莊所學

的是如何籌辦活動非常實用有時要對

外聯絡有時要面對公眾helliphellip像是要為將

來工作鋪路似的當然這亦要視乎你上

的是甚麼莊

一般而言上莊可訓練你待人處事的技

巧有時表面看來很友好的朋友當背

負上一定的要求後關係少不免有磨擦再

者初時莊員素未謀面最後卻因朝夕相

對而演變成朋友這段關係是很可貴的

成莊前要宣傳內閣爭取選票成莊了

又要舉行咨詢大會包受歷莊指導然後

又有就職典禮此後的活動更接踵而至

當然包括迎新活動招莊活動等helliphellip君不

見很多人視莊房為睡房少不免有「通

頂」之時忙是忙但必有價值至於是

好是壞要看自己的造化了

拍拖

人上了大學有時心思思想拍拖眼見

身旁多個好友都紛紛拍拖自己少不免羨

慕別人這想法十分正常畢竟大學生真

的可以放下只讀書的重擔真的可以規劃

人生大事了

香港大學一些營新活動中隨了Round Table外還有Round Status即說自己現在有否拍拖以及拍過多少次拖如 

A 0即Ava i lab l e之前至現在沒有拍拖O1即Occupied之前至現在共拍了一次拖當然也有一些同學自己創的甚

麼OBA (Occupied But Available)或D10(Desperate拍過10次拖)等等至於Round Status的動機何在可能是組爸媽想穿針引線吧當然也可能是別有用心的

不同人對拍拖有不同想法上了大學更

有不同擇偶條件人大了在感性的議題

上往往加上種種理性的數據開始現實起

來哪個帥哪個富有哪個有前途helliphellip

有些不在乎天長地久只求剎那的光輝

有些求虛榮有人疼愛在朋友前炫耀

有些甚至會在拍拖前已想定分手後的模

樣所以不想選擇跟自己同科的同學

活動

不同團體(包括舍堂學會及學校部

門)都有不同活動不用愁沒事幹只用

愁沒時間只要多留意Portal Mass Email或Main Campus海報不難發現幾乎每天都有各樣活動動靜皆宜開學時有迎

新營考試時有勁過飯新學期有開Sem

飯有些學會如戲劇舞蹈合唱團不時

有演出有關運動的學會則多練習以參

加比賽有關學術的也有很多興趣班講

座比賽等想幫人的亦可參加義工團

體如蛇蛇豬扶青等舉辦的義工活動

兼職

大學生的兼職大多以補習為主畢竟

這是我們能力範圍內可賺取最多外快又是

時間最彈性的工作有些人卻因補習不能

寫在履歷表而選擇別的工作然而很多時

我們都要在兼職與大學活動中取捨我的

ldquotake a chaNce all life is a chaNce the MaN who goes farthest is geNerally the oNe who is williNg to do aNd darerdquo ndash dale carNegie

40 | Caduceus September 2011

E mily was the chairperson of Pharmacy Socie-ty session 2010 As a student she has actively

participated in holding activities for many medical stu-dents and taken part in providing welfare to all phar-macy students Her following sharing will especially enlighten our new pharmacy students

Q Why did you choose Pharmacy SocietyA To be frank ldquosheung jongrdquo was really out of

my expectation when I anticipated my university life However my perspective has changed when I officially became a pharmacy student in HKU As members of the opening class of the Pharmacy programme my classmates and I realised the importance of having our own student body We do need an independent soci-ety to represent us pharmacy students to cater for our specific needs to listen to our points of view and to act as a bridge to facilitate our communication with the Medical Faculty the entire university and ultimately the pharmaceutical field in Hong Kong My class-mates and I who later became ldquojong yausrdquo believed we should act immediately to establish and run our own society which is why I decided to ldquosheung jongrdquo

Q Would you like to share some of the pros and cons of sheung jong

A ldquoSheung jongrdquo definitely helped me achieve per-sonal growth It was a concurrent commitment and re-sponsibility to serve and to lead our colleagues Bear-ing this in mind we always pushed ourselves to attain the best of our work ethics efficiency and efficacy As the very first session of the Society we lacked the guidance of any previous committee member Instead analysing carefully and critically we thought better of every decision which I personally found an enriching experience ldquoSheung jongrdquo was also an eye-opening journey Wersquod got to meet different people and learnt more about the professional work for as our career-to-be after graduation This in my opinion is always beneficial Last but not least I was fortunate enough to have worked with my amazing fellow committee mem-bers I frankly couldnrsquot ask for better ldquojong yausrdquo than initium Irsquom absolutely thankful for having them as my friends and it is definitely my greatest gain along the way

Despite the merits ldquosheung jongrdquo definitely has its downsides as well It is a lie to say ldquosheung jongrdquo does not affect our daily life because it does take up a big chunk of our time At the end of the day it is about time management which is easy to say but extremely dif-

建議是如家庭環境較困難賺錢吧反

之可以多留時間給各活動畢竟大學一

年的學費不只值那幾十堂課如何善用這

$42100就在乎你如何投入大學生活

讀書

假若你認為大學的考試可考核學生的

真正讀書能力並要求學生活學活用課堂

所學那麼你大失所望了假若你善於背

誦有過目不忘之本領大學的筆試不會

難倒你只要靠著前人留下的歷屆試題

背到滾瓜爛熟是不可能不及格的很多屆

試卷都是千篇一律的很多教授可沒空大

改試題那同學們就走運了有些課堂

即使再專業的學科都會有只理論無實

踐的課堂然後考試就要你把一大堆理論

背出來helliphellip例如甚麼叫批判思維噢

我可不知道只知道我掉了5分

不同學系在某程度上定下了人的前途

對於醫學院學生而言前路是較清晰可見

的但對於非專業學科前路不可只靠讀

書也許要靠自己另外摸索讀書所帶來

的必然是較高的GPA高GPA所帶來的是

獎學金到外國交流工作實習日後工

作機會等等當然大學學習不只局限於

讀書會否因此失彼就只有自己知道

蝶翼拍動之時往難以預料機會是

要自己摸索的

如經上所記

「神為愛他的人所預備的是眼睛未曾看見耳

朵未曾聽見人心也未曾想到的」

(哥林多前書29)

「栽種的和澆灌的都是一樣但將來各人要照自

己的工夫得自己的賞賜」

(哥林多前書38)

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

Freshmen

hkucaduceusnet | 41

ficult to achieve Also working as a Committee mem-ber can be very exhausting and difficult You definitely need lots of determination and support to get through some of the busiest times

Q How did you handle and balance the workload of study and your ldquojongrdquo

A As Irsquove said before it was tremendously difficult I guess my best advice for the future committee is to know your limitations and always plan ahead You have to know your time to work to rest to study etc No one will be over-worked and eve-ryone will have some personal time if you share the burden wisely between ldquojong yausrdquo Secondly you have to make very clear plans so that you can make full use of every little piece of your time I may not have succeeded in my time management but most of my ldquojong yausrdquo managed to do so de-spite the packed schedule of our Soci-ety This is sufficient proof of ldquoimpos-sible is nothingrdquo

Q As there are only about 25 pharmacy students per class do you have any suggestions for P14 fresh-men to make more friends from other curricula

A It really depends on what kind of person you are If you consider your-self socially active living in a hall or ldquosheung jongrdquo will be a great idea for you But if you see yourself as a much quieter person you can still make use of opportunities such as Medic Orien-tation Camp and other events jointly organised by student bodies within the Medical Faculty to make new friends

Q Any special things for P14 freshmen to be aware of

A First of all welcome You all are now members of Pharmacy Society MS HKUSU and I would like to let you know that this is a student body aiming to serve you Thus feel free to share your viewpoints and voice out your opinions to the current Com-mittee members The Society has to

understand your needs to improve and provide better welfare and services for you

Q Any other comments or important things to re-mind P14 freshmen

A If you would like to get to know more fellow pharmacy students especially students from P12 and P13 grab the opportunity to join the Pharmacy Society Orientation Camp and the Mentorship Programme These are great chances to make new friends and Irsquom sure you will enjoy them

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

ldquoas huMaN beiNgs we do chaNge grow adapt perhaps eveN learN aNd becoMe wiserrdquo ndash weNdy carlos

42 | Caduceus September 2011

筆 者是一位護理系的學生半年前有幸成為二零一一年啟思編輯委員會的總編輯在期間所體驗到的希望藉著這次機會作出分享特別希望新加入醫學院的同學

能對「上莊」有更多了解

上莊之路上莊是大學五件事之一證明它對大學生

活有一定的重要性一定的位置筆者在初入學的時候曾為了上莊與否而煩惱猶豫了好一段時間期間考慮到自己能力怕學業應負不來但最後仍然下了上莊這個決定原因是上莊是個難得的機會充實增值自己不同的莊會提供不同的機會讓莊友去學習透過不同的莊務去讓自己眼界擴大另外可以了解醫學院內發生既事情例如院內活動的進展情況更可以參加舉辦院活動為醫學院出一分力最後當然會認識到將會相處一整年的莊友工作伙伴有機會認識到不同學系的同學從他們身上可以觀察到學習到各種的特質從而令自己有所進步有所啟發

護理學生作為護理系學生起初擔任總編輯一職實

在是倍感壓力畢竟歷屆的總編輯都是由醫科生出任因此筆者起初都害怕跟醫科生共事怕自己的能力不足夠應付莊務所以起初都是戰戰兢兢地上莊

一位三年的護理學生曾對我說「我認為你不太尊重護理系護理系和醫科都是個專業希望你能加以尊重自己的學系不要輕視護理這個學系你要肯定自己的學系才能帶領整支莊因為莊內成員來自不同的學系你必須肯定和認同每個學系都有一定的重要性以及其專業」這番當頭棒喝的良言令我明白到自己一直都太輕視護理系過於重視醫科現在我明白到認同自己學系是尤其重要只有這樣才可以用自己學系的身份去發表意見只有認同自己學系才懂得尊重其他的學系莊內便可以融洽一點

在筆者的莊友中醫科生都是較有責任感而且做事更有計劃從他們身上的確學到不少東西這點是無可否認的事實筆者並不是在分享學系與學系之間的差別而是希望有志上莊的同學能互相尊重明白到各學系的莊

友都有其值得學習的地方起初對其他學系有隔膜是無可避免的畢竟對他們的學系都不太了解又沒有歸屬感但如果因為對方是別的學系而輕視對方的人不但失去與人相處學習的機會而且會令莊內的氣氛失去和諧

幸好的就我所見所聞醫學院內的莊多年來都能融洽相處互相支持令到一眾上莊的同學都能輕鬆地享受上莊的喜與樂甚至是不愉快的事情

依靠你的莊友莊是一個團體不是一兩個人可以應

付得來所以筆者認為與莊友互相溝通合作是個重要的元素新同學如果有志參與莊務期望從上莊中有所得著首要的事情是與莊友建立關係因為他們將會是你來年的工作伙伴也是你遇到困難時依靠的對象一位上莊曾對我說「其實一件的莊期不會令你有太大的得著或成長反而長久的友誼才是你將會得到最重要的」這句說話是千真萬確的上莊的人不會由詞不達意改變成談吐得宜不要期望自己會有驚人的轉變也許上莊會令人處事成熟一點有計劃一點但上莊所得到的關係將會是更重要更珍貴一年的相處中面對過有無數的會議共同處理過不少困難從中

建立的友誼真的是畢生受用

責任感上莊另外一個十分重要既條件就是責任

感有志上莊的同學必須明白到莊期是長達一整年在繁重的學業中騰出時間來處理莊務是個考驗責任感和毅力的測試同學必須再三思考想清楚自己是否真係熱衷於上莊或是只是一時衝動畢竟你將要許下的是一年的承諾必須對這個莊負上責任願意付出才選擇上莊這個決定這樣的付出就會有相對的回

總結上莊的確是個好機會讓自己去學習從處

理事務中或是從莊友身上都會有所得著充實著自己的大學生活從中可以認識到各學系的同學建立一段段受用終身的友誼在此筆者希望各學系的新同學可以善用機會作出上莊這個無悔的決定

護理系的啟思總編石志榮 (N14)

新鮮人

hkucaduceusnet | 43

慈兄吟(下)奇晶

最 後還是麥教授先開了口「他的確是一個好學生對醫學有獨到見解他不但學業成績優異而且樂於助人你是他的妹妹吧」婉慧努力控制自己的淚水繼繼續續的說「是啊但helliphellip但helliphellip我不知道helliphellip他竟會在這裏出現」麥教授用悲天憫人的目光看着婉慧語重深長說「人生自古誰無死人生命的有為與否並不取決於他生命的長短而是在於人生的意義你哥哥雖然最後當不了醫生但他的犧牲卻間接為一些同學做醫生鋪路讓他們做醫生去救人這真是一種無私的愛」婉慧點點頭覺得自己對哥哥的了解實在太少了

最後她還是孤獨的離開實驗室她覺得自己跟哥哥比起來實在相差得太遠了原來他除了是十優狀元在醫學院的成績名列前茅外還是個熱心助人的好青年自己除了少了一優外少的更有對別人的同情及樂於助人這造就了她心靈上的空虛她明白到冷漠不是一種對哥哥思念的正當表達方法她應該做的是把哥哥對其他人的愛傳揚開去以圓他的心願

第一步往往是最困難的婉慧平日對他人的態度已令不少人對她敬而遠之有很多次她嘗試向同班同學投以友善的笑容得到的總是詫異的目光或別人的不理不睬在小組討論中儘管她踴躍發言盡量避免冷場的發生偶同學們卻認為她變本加厲想阻止同學們取得好成績她四處碰壁又再次陷入了想念哥哥的深淵

時間一天一天過去了上學期考試前的休假開始了婉慧每天都勤奮的在圖書館溫習期望取得好成績這時候的圖書館堆滿了人如果遲來一個小時想找一個位子也難就在假期的第二天同班的王文在圖書館跑得氣急敗壞仍找不到一個座位婉慧不知怎樣有點同情他將座位讓給他王文驚訝道「不用了我還是回家吧真倒楣遲來了一個小時就沒有『接位』」

「但你住在哪裏呀」

「元朗今天早上我忘了校鬧鐘八時才起」

「那你還是要我的座位吧我可以坐到電腦桌因為我認識的人不少沒有什麼人會打擾我的」

王文謝了她頓時對這位冷漠的同學刮目相看原來她的內心也是溫暖的這並不是他所能料及的坐在電腦桌前溫習的她也感到特別的快樂溫習的速度也快多了王文就此成為了她的「飯檔」考試期間每天和她一起吃飯他更將自己的好友介紹給婉慧認識

在一個晚上她又悄悄的在圖書館的角落溫習着突然一隻溫暖的手搭着她的肩上她抬起頭但見解剖學的同桌手中拿着一杯熱飲輕輕的放在她的桌上婉慧正感詫異卻聽見他說「這杯熱巧克力是給你的繼續努力吧」她喝着巧克力心中感到一股暖流彷彿哥哥的關懷又在她內作出回響

十年生死兩茫茫不思量自難忘千里孤墳無處話淒涼helliphellip

寒風吹起了她額上的劉海佇立在墓前的婉慧不禁凜冽她想起了從前想到自己最後一次和哥哥吵架雙方面紅耳赤的情況想起自己無法親口跟哥哥道歉想起哥哥無私的付出她對着那空虛的墳心中不忍一陣淒然淚水漱漱的流下來她身旁攜扶着年紀老邁的母親邊拭淚邊喃喃道「我的兒子helliphellip歿了helliphellip」大家心情漸漸平復了緩緩走出了墳地

雨一滴一滴的落下飽歷辛酸的婉慧卻仍在懸壼濟世

短篇

ldquoyesterday is but todayrsquos MeMory aNd toMorrow is todayrsquos dreaMrdquo ndash khalil gibraN

44 | Caduceus September 2011

Eternal Flame (1)Tulipa

Itrsquos cold The chills from my fingertips imbibe deep into me This person drills into my mind digging out the truth inside me Itrsquos agonizing She comes right inhellip di-rectly I cannot stop her

Irsquom losing myselfhellip

My hand felt the soggy pillow I realised I had come back to life the world where I lived Staring blankly at the ceiling still losing focus in my eyes I felt my brows with my forearm For the first time I didnrsquot want to lose this feeling

The bedroom door slowly opened I quickly rubbed off the drops that had blurred my vision pretending that I had just woken up

ldquoDo you have lessons this morningrdquo My grand-mother whispered into my ear

ldquoOh goshrdquo I turned right to my alarm clock It was the real life I had forgotten to turn the alarm on last night and it was now seven thirty I knew it I was going to be late every time she caught me in bed Irsquod got to hurry up

Living in Hong Kong Island though it took me more than an hour to get to school I had to comfort my little brother sometimes till two or three in the morning in order to get him to sleep In addition to the consistently heavy study load in the medical school I could hardly get enough rest Running on my heels al-most became my routine starting from last November But I well understood the consequence of skipping lec-tures It was the beginning of the Cardiovascular Sys-tem Block For someone like me who gave least priority in revising Anatomy materials lectures remained the prime source of information for exams Absence from class was suicidal To make the situation worse this professor was one of those who did NOT upload lec-ture notes online

Hoping I wouldnrsquot arrive too late to miss the impor-tant points I finally stepped onto a route no 8 minibus at ten past eight What I could do now was to pay trust in the driver who would bring me to my destination

Coaxing kids was never easy Little Bruce just hap-pened to give me such a hassle last night

He knew I would check on him when I returned home Sitting right next to the door of his room he begged me for a story once I opened the door I sat down together with him on his little couch after Irsquod taken a quick shower This was a time to relax leaving

aside all the other concerns

Kindling through his favourite reader I saw that he wasnrsquot listening but distracted by all sorts of toys around He even invited me into his world of fantasy But it was getting late I had to calm him down so that I too could have some rest Being one of the brightest in his elementary school he should understand this was not the time for recreation

I began to feel annoyed

Yet he was my brother I had a gut feeling that this was unusual He didnrsquot use to be so ldquohyperactiverdquo It re-ally took me a while to adjust to his change With him still tossing and turning in my arms I apprehended his restlessness Unpredictable though he was true to his feelings In one way or another he might find the shadow of our mother in me

He finally settled when I laid him back in bed It was nearly two forty in the morning

The first week of the CVS Block ran as plotted PBL tutorials would start on next Monday Dr Youngrsquos fa-cial expression in the first PBL evaluation flashed over my Embryology notes and references She didnrsquot teach Embryology but I could tell she did have a hypertroph-ic heart-shaped face which looked familiar to the dia-grams in the Atlas

Back in the IHD Block most of us were puzzled about the scrambled content of our course Various forms of seemingly related knowledge came in through lectures practical and tutorial sessions But the neural circuit formed in our brain just failed to resonate as if the conductance-inductance mismatch had aberrated our thought from minimal impedance Sometimes things even happened in a ldquomore-than-extrardquo manner The presence of common core courses in a parallel but independent branch in the network could rightly be detached without causing a blip on the galvanometer Everything was dubious We had no idea of what we were doing

Maybe we were just on the way seeking for a sense of attachment

My mind too was racing in haste I was struggling with my decision to become a doctor Too many things had happened over the year I just couldnrsquot stop ques-tioning myself what was I thinking when I put lsquo6456 MBBSrsquo in my JUPAS application I should have expect-ed and prepared to face all these I just didnrsquot knowhellip

Novella

hkucaduceusnet | 45

It was midterm evaluation in the IHD Block Her face looked tense in that heart shape She was so stiff in her facial expression that no one could read her mind from her poker face The conference room of the Physi-ology Department was large We seemed to be the odd ones out in the spacious carpeted room In this secre-tive silence you could hear the drumming in your ears as if you were tingling

I realised this was not a matter of ldquoam-I-suitable-for-a-medical-careerrdquo but ldquois-a-medical-career-suita-ble-for-merdquo I was lying in bed playing with my plush bear when these thoughts burst in me Dr Young looked through me She felt certain that different from other group mates there were crises behind me But I didnrsquot tell her anything that day

We all were sensitive At times some subtle trepi-dation seeped in gradually sucking peace away from my sleep It was so to say below threshold sub-lethal though it lingered for weeks once it set inhellip

Drenched in bloodhellip There is no life in the boy His eyes are widely opened slightly protruded The lifeless pair of black pearlshellip I cannot escape from his glance He wants to talk to mehellip There is something he wants me to know

A van runs over himhellip

I fell down the edge of my mattress Breathing heavilyhellip Sweating all overhellip

ldquoScreechrdquo People began to gather around a tel-ephone booth a few metres behind us

I turned back I couldnrsquot see a lot from this anglehellip

ldquohellip What a pity He is so younghelliprdquo a middle-aged couple passed by

The victim resting just in front of the wheel looked towards me through a break in the crowdhellip

As we were wandering around thinking what to eat for dinner my cousin found me standing there rooted to the ground stunned by the victimrsquos gaze My heart was pounding She wouldnrsquot believe what I was again experiencing For a number of times already scenarios in my dreams were mirrored into reality

I couldnrsquot tell her

ldquoI was just thinking whether you would like Korean cuisine There is a new restaurant two corners awayrdquo I made up a talk while escaping from the scene so that I wouldnrsquot look so strange

ldquoWhy not go and have a try thenrdquo She was not dis-appointed for calling it a day as the food there was sur-prisingly good

Not until some years ago when I was Form 3 in college I discovered my ability to look into the future Sometimes I could see them coming up on the news in days or weeks And some didnrsquot ever happen at least not around me But seeing the night visions coming into concrete existence wasnrsquot always a pleasure when the mental images turned gradually into mostly night-mares When I visualised my close ones it felt like I was in the middle of an insecure chain bridge above a torrent that would sweep me into the vast ocean with no return It was entirely different from what you might understand as ldquodreams come truerdquo

I had witnessed misfortunes in proximityhellip

But I could do nothing about ithellip

Friends were a source of solace someone to con-fide all frustrations in But with my paranormal ability which appeared to everybody else only on screen-plays I wasnrsquot courageous enough to open my life wholeheartedly to them Seldom talking about myself avoiding all sorts of gatherings I became an eccentric figure among my classmates

Sometimes mutual understanding carried more weight than words I remembered my physics teacher being one of my few friends during my teen years De-spite his boisterous faccedilade he was always sensitive to whenever I was dwelling on my burdens Physics was our common language Intermingling our emotions and feelings with concepts that were alien to my fel-lows we developed a close rapport impenetrable by anyone else

ldquoWhat is the nature of a flamerdquo This was the most discussed problem between us Neither in solid liquid nor vapour state Not having any definite shape and colour It seems not any material but a type of energy giving out heat and light At the moment of providing it also exhausts its fuel and eventually itselfhellip

The romance of physics is more than anything you could read write and talk about Once you were truly connected with it nothing can stop you Your mind will bounce irrespective of the chronology of space-time but only under the guidance of your thoughts

I was so devoted to the discipline at the time that I was almost making it my lifelong career in some way He envisaged that I would demand much more than any academia could provide with its scientific basis alone We were both seeking a philosophy beyond the facts But Hong Kong may not be the right place for it

I made him a promise at the end to contain our flame and I knew I would

For the first and the last time I saw his eyes filled with tears We knew existence by itself is a miracle

ldquoi love life because what More is thererdquo ndash aNthoNy hopkiNs

46 | Caduceus September 2011

說華佗都說「華佗再世」誰知箇中真諦雲方 (M15)

烽煙起戰火燃萬里 

三國並爭英雄地亂世有誰顧生死 

待神醫行世將民眾救濟

渺渺江山東西瞰俞跗巧手扁鵲心(1) 應向何處尋 

滾滾黃沙無世家終有奇士放奇葩

沛國 華元化(2) 

他經書貫通南北遊動 

一望斷症如神助三劑消病不必多

說斷症悉如所料 

甘陵 相夫人腹痛極難忍(3) 號脈知死嬰在左為男形(4)廣陵 梅軍吏除名歸故里

見貌知壽盡速返見萱椿(5) 

說消病藥到病除 

飲蒜醋有三升蟲一嘔而盡清 (6)母服丸而溫儲兒不藥而自癒 (7)

絕妙處 

是他開腸剖腹刀至辟毒 

神醫號 

除他內外皆精有誰配稱

[1]   俞跗黃帝時代之名醫扁鵲春秋戰國之名醫《淮南子人間訓》「患至而多後憂之helliphellip雖有扁鵲俞跗之巧猶不能生也」

[2]   華佗字元化沛國人(今安徽 亳州)

[3]   甘陵相(即甘陵之行政長官)夫人懷胎六月腹痛不安華佗為其切脈便知胎死於是命人摸知所在在左則男在右則女人云「在左」夫人飲藥後果然產出男胎腹痛立即痊癒

[4]   廣陵有軍吏名曰梅平離鄉服役後來退役歸家於路上巧遇華佗華佗視之嘆道「若能早些見我當不至於此而今你僅餘五日壽命速速回家還能與家人相見」平旋即趕抵故鄉五日後亦如料身亡

[5]   萱椿多作椿萱比喻父母漢牟融《送徐浩》詩「知君此去情偏切堂上椿萱雪滿頭」

[6]   華佗見路邊有人食不下嚥教他到路邊餅店買醋三升混上蒜泥然後飲用路人服後即吐出一條長蛇(即寄生蟲)

[7]   兩歲男孩長年腹瀉藥石無靈華佗往診謂病在母命其服用華佗親研之「四物女宛丸」服後母親乳汁不再寒涼男孩亦不藥而癒

意興

hkucaduceusnet | 47

只可惜人無完壁

「關將軍使君予我手刮骨惡毒走

曹丞相使君予我頭剖顱苦痛收」

「怎能不收怎能不收一命嗚呼萬事休 

簡直荒謬簡直荒謬殺此庸醫未須愁」(8) 

五禽戲尚能傳 (9)麻沸散從此絕 

何不一飲醉死不知世忍氣吞聲事權貴 (10)心神委曲須臾苦奇術失迭千秋計 

烽煙止無改生死事 

且當醫仙謫世間神技終須風裏散 (11)回首仰高山景行請君範 (12)

[8]     曹操欲殺華佗臣下勸之不可答曰「不憂天下當無此鼠輩耶」

[9]     死前華佗欲托所著醫書於獄卒不果便盡數焚毀唯有其養生體操「五禽戲」流傳後世

[10]   《三國志魏書方技傳》「當須刳割者便飲其麻沸散須臾便如醉死無所知」

[11]   唐白居易《簡簡吟》「恐是天仙謫人世只合人間十三歲」

[12]   景行(音航)即大道以高山景行比喻人品德行為之高尚典出《詩經小雅車轄》又東漢鄭玄曰「古人有高德者則慕仰之有明行者則而行之」

ldquothe art of MediciNe was to be properly learNer oNly forM its practice aNd its exerciserdquo - thoMas sydeNhaM

48 | Caduceus September 2011

啟程

清晨空白的天空看不見藍天雲彩

只有溫柔的雨絲和朦朦朧朧的霧水跟隨

著大隊的足印踏上沉重的腳步穿過橫

街小巷和煩囂熱鬧的市場走過自動門

撲鼻的消毒藥水味道讓大家屏住呼吸筆

者和夥伴們終於到達了入讀護理系以來第

一次實習的醫院

還記得在實習的前幾天心情是既忐忑

又期待的畢竟這一次實習的地方不再是

在社區中心宣傳健康方面的知識亦不是

只面對著健康活潑的小朋友和老友記或是

學校課堂上所提供的假人張靜汶卻是照

顧一羣真正需要關懷的病人心中充滿著

憂慮不知自己所學的知識足夠在應用上

嗎自己平日的練習足夠嗎雖然心存在

著不少疑惑但也十分期待可以體會一下

做小學護的感受嘗試把這一年裡所學到

的知識運用出來

很多的第一次

在病房裡總有心酸和膽戰心驚的時

候第一次為昏迷的病人清潔口腔第一

次為難以進食的人插入胃喉第一次為老

公公清洗背上壓瘡的傷口helliphellip照顧他們時

的心情都是一步一驚心生怕自己沒法應

付得來又怕會把事情弄得更糟糕最重

要的是恐怕自己不純熟的技巧令他們受苦

了記得有一回第一次為女病人插入尿

喉採取尿液樣本可能技巧不太純熟的關

係延長了病人的痛苦過程中她皺著

眉頭不斷呻吟又緊張得咬破脣眼看

她樣子心中真的不是味兒來身為病人

的其中之一依靠我們不得不給自己信

心如果連自己也不相信自己哪會有病

人願意把他們交給我們照料呢

捕捉那瞬間的美麗與淒然何麗敏 (N14)

上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

意興

hkucaduceusnet | 49

另外第一次面對病人的心情是頗為

緊張的說話技巧亦有改進的空間但和

病人傾談了數分鐘後氣氛也漸漸變得和

諧可能那些老公公整天呆在醫院裡真是

悶到慌看見一羣年青人與自己聊天照

顧和關心他們他們不禁咧嘴而笑醫院

職員透露有一位老公公平日不太願意吃東

西於是我們便主動和他談天說地又

悉心照料他進食的情況後來他不但胃

口好了不少就連心情也開朗了他生動

活潑的談吐讓我們笑了他回復健康精

神的體魄也讓我們感到安慰

相處片刻

雖然為期一星期的病房日子不是特別繁

忙或是辛勞但是也會有不習慣的時候

幸好得到醫院職員和一班夥伴的支持病

房經理和註冊護士不但相信我們的能力

對學護的包容更是不用多說還主動地介

紹病房的環境和細心地教導我們醫療護理

上的知識讓我們上了一堂實在而又寶貴

的課同時今次的實習也令我感到團體

精神也十分重要在技巧上大家互相提

點互補不足當有人準備照料有需要的

病人如插喉或洗傷口等大家送上一句 

「加油」就能令對方增加不少自信心和正

能量無論遇上甚麼事情我也榮幸有如

此一班學習夥伴從旁支持

學習的階級

在這一次病房實習中雖然醫療和藥物

知識方面有待加強但是我學懂了如何與

不同身份的病人相處之道溝通上也得到

了很大的進步獲益不少除此之外我

也真正體會到如何做一個好護士並清楚

了解這個行業是否適合自己鐘樓也不是

一天就能建成而是需要一磚一瓦搭建而

成的所以在學習上我們不但要打好

穩固的基礎還要增強醫療知識在技巧

上馬虎了事和走捷徑是於是無補的應

該多探究和練習才行這樣才對得起病人

和自己也減少不必要的醫療失當事故

總之多一份認真多一點耐性多一些

愛心就是學護必記的左右銘 上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

ldquoit is reasoNable to expect the doctor to recogNise that scieNce May Not have all the aNswers to probleMs of health aNd healiNgrdquo ndash NorMaN cousiNs

50 | Caduceus September 2011

Fun Corner

Medical AppsEver wondered how your handheld device can save your time and

effort when it comes to studying Here is how

Anatomy Pronunciations by HipposoftAccurate pronunciations of over a hundred important anatomy terms you have trouble with are provided

at your fingertips to help you spell those difficult words Anyone who has taken an anatomy course can tell you how challenging it can be to pro-nounce the names of those complicated anatomi-cal terms It is even linked directly to Wikipedia and Google through web browser for additional information

iPharmacy ndash Pill Identifier and Medication Guide by SigmaPhone LLCAn essential medication guide of 20000+ drugs is provided for con-sumers amp professionals This ex-

pands the image library to include 12000 pill and package images and includes digital drug identifier with official drug information (indica-tions dosage adverse reactions and more) You can check the drugs anywhere

Grades 2 by TapityIt tells you what grades you need in the coming tests in order to get your target grade You can easily calcu-late your GPA so as to maintain it It

is a useful tool helping you to keep an eye on your GPA all the time

Human Anatomy by SusaSoftXThe application provides you with information of 15 different biologi-cal systems You can keep on revis-ing while you are traveling without

carrying heavy books

Medscape by WebMD LLCFrom drug classes interaction clin-ical procedures and even the lat-est medical news Medscape helps medical students and healthcare

professionals to reiterate knowledge that has slipped from the mind It is a free application for iPhone iPad Android and Blackberry Yet it contains more function on Android phones and Apple products and lacks detailed clinical infor-mation for diseases and clinical procedures walk through on Blackberry

Pro Medical Terminology Dic-tionary by TreascoveryTerminology might be a tough work for medical students Even if we can master those English terms we can

hardly think of the Chinese terms This applica-tion can help you when you face this problem Note that it is not a free application

3M Littmann SoundBuilder by 3M CompanyA great tool designed to help im-prove auscultation skills of medical students with 14 unique lessons of

key heart sounds combing text virtual manne-quin 3D cardiac animation and dynamic wave-forms

iRadiology by Liebermans iRadi-ologyAn excellent learning tool for medi-cal students demonstrating classic radiological findings of a multitude

of abnormalities including over 500 radiologic images Radiologic images include CT US MRI and nuclear imaging each clearly labeled and followed by key teaching points

Micromedex Drug Information by Thomson Reuters (Healthcare) IncIs Cephalexin a first generation ce-phalosporin This application from

Thomson Reuters is the easiest way to navigate in the sea of drug names Drugs are sorted by classes and supplemented with rich information

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 30: Caduceus Issue 2, Volume 42

30 | Caduceus September 2011

笑的神奇魔力「當你笑你改變了當你改變了整個世界也改變了」

麻丹卡塔利亞醫生(大笑瑜伽的始創人)何麗敏 (N14)

被隱藏的笑容

日 本大地震及核洩漏事件馬頭圍道唐樓火災三死十九傷中區

警長為勸示威人士中不慎失足墮橋身亡

各政黨爭相你嘲我罵helliphellip在城市裡我們

每天都被一些飛來橫禍天災人禍或社會

爭執的信息圍繞著充斥著愁雲慘霧的氣

氛甚至在家庭朋友學業工作和

健康方面我們亦會遇到不如意之事負

能量和心理壓力不斷增加沒有適當的疏

導和發洩方法之下不少人染上酗酒或沉

迷賭博等壞習慣來自我麻醉長期把情感

抑制的一些人更有機會患上

情緒病我們彷彿硬把自己

困在死胡同裡忘記兒時怎

樣整天咧嘴哈哈大笑如何

在跌倒後笑著站起來現

在很多人都像被魔鬼牽著

鼻子走每天板著一副無奈

沮喪的嘴臉掛上冷漠的眼

神笑聲更差不多成為絕

朋友啊你可有嘗試計

算過一天總共大笑了多少

次英國格拉根大學研究發

現在英國嬰兒每天會笑

達三百次而青少年時期的

每天大笑次數大幅減至六

次五十多歲的人平均每天

更只笑了三次無可厚非

我們在成長過程中必遇到愈來愈多的煩惱

和挑戰事情的確不是我們所能控制但

面對的心態我們為何不能放開一時所謂

的包袱像孩子般笑著面對呢為甚麼大

笑要有一定的理由或被時間限制呢

瑜伽加愉

近半個世紀工作學業和情緒波動

很大生活方式變得愈來愈物質主義容

易出現精神緊張大家都被壓得透不過氣

來變得不太愛笑在一九九五年印

度孟買註冊家庭醫生麻丹卡塔利亞(Dr Madan Kataria)創立「大笑瑜伽」以笑聲驅除怨氣大笑瑜伽是以笑聲互相交流

的透過眼神接觸傳遞歡樂的信息學習

別人的笑容代入孩童的心態再全情投

入地開懷大笑同時亦融入瑜伽的腹式

不妨一試

大笑瑜珈三式一預備式林中步行

在樹林慢走就是愛笑瑜伽的熱身方式步行時間

可以是10-30分鐘邊走路邊拍手同時不時地做深呼

吸目的是讓身體和情緒都徹底放鬆下來為後面的

內容做好準備

二進行式學習動物的表情

在瑜伽導師的帶領下活動面部肌肉然後模仿瑜

珈導師的動物表情這些表情看上去本身已很滑稽

只要按照瑜伽師的樣子去做再發出笑聲

三結束式調整呼吸

經歷了一場大笑面部表情鬆弛了心情也舒服

了不少大家慢慢收回笑容調整呼吸一邊在森林

裡散步一邊大聲告訴自己說「我們是世界上最快樂的

人」

灼見

hkucaduceusnet | 31

呼吸和伸展動作鼓勵大笑達至身心健康

的效果精神科專科曾繁光醫生指出 

「笑令腦自然分泌天然多巴胺以抗衡人

體緊張時所分泌的皮質醇預防患上焦

慮抑鬱的情況」除了改善情緒還能

促進健康笑能促進肺部呼吸功能和加強

血液循環現代醫學認為笑可以成為一種

治病方式治療神經衰弱消除肌肉的緊

張預防或減緩疼痛

筆者在此並不是宣傳大笑瑜伽其治

療成效仍有待商榷和科學實證但愈來愈

多人證實大笑和保持歡樂的心態能有效放

鬆自己張立新先生是第一位在中國推廣 

「大笑瑜伽」的人他患上憂鬱症遍尋

各種治療方式皆無成效一次機緣巧合

從網路接觸「大笑瑜伽」亦在電視上看

到介紹而開始學習和練習他的憂鬱症因

此不藥而癒從此他就開始在中國研究和

推廣愛笑運動暫且別論大笑瑜伽的奏效

程度但人生所遇到的事可真不少何不

笑對人生

尋回被遺忘的赤子之心

大笑並不是靈丹妙藥但它的確能帶來

正能量即使事情有多糟糕笑著面對總

比怨聲載道好而且美國加州大學柏克

萊分校心理學教授丹卓凱納說「笑對

人的進化很重要」目前心理學家們認

為笑是人類之間交流的古老方式之一笑

能互相影響把歡樂的氣氛傳染開去嬰

兒還未學懂說話時笑是與身俱來為何

我們長大後卻隱藏笑容呢朋友們參考

左頁所列大笑瑜伽的基本招式大家可相

約三五知己輕鬆一番找回孩童時的笑聲

大笑瑜伽的始創人麻丹卡塔利亞醫生

大笑瑜伽在六十多國家盛行

ldquolaughter is the best MediciNe - uNless yoursquore diabetic theN iNsuliN coMes pretty high oN the listrdquo ndash jasper carrott

32 | Caduceus September 2011

Learning Experiencing GivingA magical 10-day journey away from the cityErin Yeoh (M15)

C lad in backpacks light clothing and sneakers 21 medical students from HKU and CUHK

were prepared to leave the comforts of home and the internet (did I hear Facebook) We were bound to Chi-na about to embark on a learning-cum-volunteering trip organized by Medical Outreachers

After saying our final goodbyes at the Shenzhen air-port we split into two teams Team A with 9 members were bound to Xirsquoan where they would see volunteer orthopedic surgeons at work The 12 people in Team B including me left for Guizhou to understand the role of village doctors in rural China Both teams aimed to find out the effectiveness of public health policies in rural areas of China We were to meet up 4 days later at Dongshan Guangdong

Part1GuizhouUpon landing in Guizhou we were provided with

excellent hospitality by the local officers and the lo-cal NGO Amity Foundation We were given a brief introduction to Guizhou and also the work that the government and Amity Foundation were doing in the province Amity Foundation actually helped to build numerous new village clinics to improve the quality of healthcare in the region

The next day we were taken on a tour around the province visiting different village clinics (村診所) lo-cated in areas further away from the city Usually there would be one or two village doctors (村醫) on duty

at a time to attend to the villagers with population of around 1000 to 4000 per village

However the village doctors were not the type of ldquoheroesrdquo I had in mind They were not your typical doctor working in a worn out run-down wooden hut where there would be a row of sick villagers lining up to see them How ignorant I was In fact the village clin-ics were mostly renovated and well equipped with ba-sic amenities The standard village clinic has 5 rooms main lobby (大廳) treatment room (治療室) pharma-cy (藥房) observation room (觀察室) and a doctorrsquos rest room (醫生休息室) Furthermore their patient flow was rather small sometimes only one or two pa-tients per day This was probably due to the fact that some village clinics were located only a stonersquos throw away from major cities Those in a medical emergency would of course go straight to the main hospital to seek help immediately instead of consulting a village doc-tor

To be a village doctor one at least had to be a sec-ondary school graduate They would also undergo constant training and certification by qualified doctors in larger clinics According to the village doctors they spent most of their time doing paperwork keeping track of the villagers and their medical history They would also conduct regular home visits to those suf-fering from chronic illnesses or those that needed con-stant monitoring such as patients with hypertension or rheumatoid arthritis Another point that I found

A village clinic before receiving funding from Amity Foundation

hellipand a comparison after

Life

hkucaduceusnet | 33

interesting was that they would also visit families with newborn babies to check on their general health At the same time they would educate mothers on proper breastfeeding techniques and how to provide adequate nutrition for their children in the future

To learn more about their daily routine we fol-lowed a village doctor on his home visit rounds The doctor would sometimes have to travel as far as 2 kil-ometers for a home visit which would be the other end of the village This was as in the case of a pregnant lady due for delivery soon (photo as shown below) The doctor who came to check on her health status reas-sured her that her delivery would be a successful one From her sigh of relief and tired smile we could tell that she was grateful to see the doctor

However things didnrsquot always run as smoothly According to some of the village doctors they used to be scolded and rejected by the locals who did not understand why the doctors would often come up to their doorsteps asking them questions regarding their health and pestering them to go for checkups Some of them being superstitious would think of doctors as ldquoharbingers of bad luckrdquo as the doctors would talk about ldquosicknessrdquo and ldquodiseaserdquo when they were actu-ally feeling as fit as a fiddle Thankfully the situation has much improved since then

From what we saw instead of playing a curative role in a society the village doctors were actually much more involved in disease prevention and monitoring

This is actually the ldquoupstream modelrdquo concept in pub-lic health Instead urban doctors are overwhelmed by limited consultation time and when fatigue kicks in they simply do not have the energy to further educate their patients They would also not have the time to un-derstand their patients on a personal level unlike that of the village doctors

However the indiscriminate use of antibiotics in China was truly a frightening sight Doctors adminis-tered antibiotics intravenously for mild diseases like the common cold When we asked the doctors as to why they did so they simply smiled and shrugged off the question It is probably still a common practice in China and if the doctors did not give such medication the patients would probably lose trust in the doctor The fact that the similar practices were seen even in large hospitals probably indicates that this problem is hardly a localized one

Part2DongshanGuangdongWe met up with the team from Xirsquoan at the

Guangzhou airport and proceeded to our next desti-nationmdashDongshan After 5 hours of car ride we began to see signs that we were approaching our destination Mountains sharply angled clustered in twos or threes fondly known as ldquoMcDonalds mountainsrdquo were begin-ning to be in sight

As soon as we arrived we were greeted by eager curious young faces The children huddled close by as we unloaded our luggage some commenting that they hadnrsquot seen some of us while others were already play-ing around with the past participants It was my first time to Dongshan but there were some of us who were not new to the kids there

After settling down we were given an introduction to Dongshan and its residents by the local NGO Green Action Foundation led by Mr Wong

Located at the outskirts of the province Dongshan is one of the 4 poorest areas in Guangdong Its natu-ral terrain abundant in limestone makes it especially hard to retain water This has taken a toll on the resi-dents especially during the drought season Another problem faced by the local residents is that there are many young people and adults migrating to big cities to earn a living leaving behind the children and elderly

Village doctor on one of his home visits

Discarded bottles of intravenous antibiotics near the village clinic

ldquoMediciNe also disregards NatioNal bouNdariesrdquo ndash irviNg laNgMuir

34 | Caduceus September 2011

at home

Green Action Foundation took the initiative to plant trees around the area so that more water was available for irrigation and domestic purposes This improved the quality of their crops and boosted their source of income They also sponsored some of the

childrenrsquos education depending on their performance in school to ease the burden on their families

The next few days were jam-packed with activities A sports day was held as an icebreaker so that the new participants could get to know the children better We also spent half a day at the Dongshan Primary School where we taught the kids personal hygiene simple first aid moral education and also sex education for the grade 5 and 6 students

Another interesting activity that we had was a weed-cutting session up at a mountain with the other children Each of us was assigned with 2 to 3 chil-dren who were supposed to ldquoguiderdquo us along the way It was a 2-hour hike up and down hilly ter-rain While I would stop once in a while to take a breather the kids were barely panting The kids would often stop to ask if I was tired and even of-fered to help me carry my backpack Note to self more exercise next semester

Nevertheless it was a great chance to know the kids better We had the time to chat about their school life and what they thought about their future and also the chance to share snip-pets of our lives in the city

We then split into small groups and visited the homes of the children in order to gain a bet-ter understanding of their household hygiene

condition any medical conditions in the family as well as their economic standing We had also prepared questionnaires to be kept as future record Some of the families were very poor to the extent of having no source of income at all They depended solely on their own crops for food If they went to see the doctor they would usually owe the doctor money until they had

enough money to pay back The hygiene status of the villagers varied but most of them had swarms of flies around food Many even had their live poultry like chickens running around the house Before we left we gave them some hygiene products like soap washing detergent and toothbrushes to encourage better hy-giene We also gave them a poster explaining ways of maintaining a clean household environment

Another main focus of the trip was to find out the effectiveness of a medical insurance policy newly in-troduced by the government Each person had to pay 30 Renminbi annually to be guaranteed free medica-

Sports day activity

Weed cutting with the children

hkucaduceusnet | 35

tion and hospitalization thereafter Generally the vil-lagers were grateful for this plan as many found it dif-ficult to afford medical fees while struggling to pay for

basic necessities at the same time However some vil-lagers complained that the prices of medicine spiked after this policy was introduced and hospitals would of-ten ask patients to

do unnecessary scans just to earn more money

This trip made me realize that there is much that we can do but how great an impact we can make might not be seen immediately With follow up trips one could see the change as compared to the last visit and make further modifications to improve the situation

As the trip came to an end we were reluctant to leave There was something very magical about Dong-shan where the skies would turn to an exuberant red during sunset and on a clear night you could see stars scattered across every corner of the sky It is a place of beauty struggle and hopefully a place of triumph in the years to come

It is a place of beauty struggle and hopefully a place of triumph in the years to come

On one of our home visits

More to ExploreMedical Outreachers 醫心httpmedicaloutreachersorg

The Amity Foundation 愛德基金會httpwwwamityfoundationorg The beautiful sunset in Dongshan

ldquoshariNg is soMetiMes More deMaNdiNg thaN giviNgrdquo ndash Mary catheriNe batesoN

36 | Caduceus September 2011

就 在這一刻世界沉默了

城市的繁囂隨飛機引擎

逐點逐點噴走了繁囂的離

開是為了讓簡單的生活回

來剛踏出廈門機場一張

又一張的笑臉映入眼簾刺

熱的太陽把兩地之間的隔膜

融化

早從香港回歸時開始

香港人經常強調自己只是 

「香港人」而不是「中國

人」自以為比內地人高一

等可惜這班自視過高的都

市人曾幾何時為外地人送上

熱情的款待這一點廈門

人比誰都做得更好

廈門是一個位於中國

東南部的海島也許就是近

海讓居於廈門的人都把一

切怨恨煩惱拋下大海讓

它們隨水流漂走埋藏在海

床上每年廈門的鳳凰花花

開兩季一朵又一朵鮮艷如

火的鳳凰花在六月時歡送一

個又一個的畢業生彷彿為

他們添上一份祝福九月時

的鳳凰花熱情地歡迎一屆又

一屆的新生為新生的精彩

校園生活揭開序幕一份一

份的熱情含苞待放身在廈

門又怎會不被這市花的熱情

感動呢廈門大至人與人

之間小至花與花之間都存

著一份情

要追溯廈門人的情懷

可數至土樓的建成土樓

是個大多呈方形或圓形大型

群居的建築整座土樓樓高

三至五層由於牆身頗厚及

只有一個出入口甚具有防

禦功能亦因為這緣故當

大門關起來土樓便成了一

個家這個家佔地不大但卻

藏著成千上萬的人情味在

萬里無雲陽光普照的天空

下土樓居民的熱情好客

被蒸發出來懸浮在空中

一代一代傳下去更讓它隨

風走出土樓傳遍整個廈

門即使土樓漸漸成為旅遊

景點一些擺賣紀念品的攤

檔已經進駐但卻無礙居民間

的感情商販彼此交流從

不出現爭客的情況在土樓

中央休憩的居民除了為外地

人介紹他們的祠堂外亦邀

請遊客跟隨他們到遊客禁區

參觀在土樓居住的每伙都

中門大開當遊客投進好奇

的目光屋內的人往往以親

切的笑容作回答鄉土人

情在這世代多冷漠的心也

被融化

細膩的人情味外最令

遊客津津樂道的是廈門人的

態度廈門大學附近有一條

芙蓉隧道只要你願意便可

在隧道內壁上畫下你所思所

想當然美觀與否見仁見

智但這一種對藝術尊重

欣賞的態度是值得欣賞我

有我盡情地畫你有你盡責

青春在廈門留下足印潘曉彤 (N14)

生活

hkucaduceusnet | 37

地去管轄城市各處的整潔

彼此留下空間達至相輔相

成的效果廈門人就懂得人

最基本的禮貌尊重不

過廈門人對他人的尊重遠超

於人的基本禮貌當你去唱

「卡拉OK」的時候每次

待應的出入時看到的就只

有他們的正面而他們前行

或後退的方式就像看到皇帝

一樣卑恭屈膝香港人常常

強調面子哪一天才能捨下

那過高的尊嚴為不相識的

人作一個最謙卑的招待

其實任何人一離開香

港都不難發現就只有香

港愈夜愈精彩其他地方晚

上八時大多關門大吉而廈

門就只有中山路才媲美得

上香港的夜夜笙歌夜幕低

垂萬千燈火的中山路上

與來自各區的人擦肩而過

昏黃的燈光下照出一群又一

群的沉默影子剛好與路上

喧鬧的行人相映成趣騎樓

在霓虹燈的點綴下顯出了獨

有的閩南特色大街小巷傳

來不同地道小食的香氣車

輪餅燒仙草土笋凍helliphellip

為我們外來的交流生帶來美

味可口的夜宵飲飽食醉過

後走到中山路的盡頭又

回到了沉睡中的廈門

在優美的環境影響下

廈門人的生活也自然變得

純樸優閒單車車輪在環

島路上留下一圈又一圈的印

記沿路能細聽海浪輕拍岸

邊的聲音細嗅四處洋溢的

花香感受微風吹散太陽散

發的熱力見證一對又一對

的新人在拍下幸福的照片

據說廈門有戀愛天堂之稱

不管走到哪一處也會

看到準新人拍下甜蜜的婚紗

照而在裡面享受的人永遠

不知道這風景如畫的背

後是透過多少人的血汗換

來當我們在追求經濟成果

的同時往往破壞了造物者

在世上留下的藝術品隨中

國經濟急速發展一個又一

個的世外桃園被摧毀銅臭

替代了花香車聲替代了鳥

語這仙境又可維持多久

廈門另一世外桃園就是

鼓浪嶼它活像香港的長

洲島上滿有歐陸建築風

格但當中不乏中國特色的

建築中國古城風味與洋風

互相交替帶出截然不同的

感覺島上遠離汽車的廢

氣與金門就只是一海之

隔一家大小在享受天倫之

樂時一群又一群的青少

年情侶在沙灘上嬉戲立

即為島上升溫

筆者認為在這個混亂的

俗世確實需要抽空來欣賞

造物者留下來的藝術品大

財團不斷興建大型商場國

際知名品牌不停進駐留下

的就只有愈來愈狹窄的街

道被石屎封蓋寸草不生

的土地人人被金錢蒙蔽

迷失在霓虹燈光中又有多

少知音人能放下生活的瑣碎

事情在這裡享受時間一分

一秒的流走你被海浪聲

喚醒了嗎

筆者參加這次是由香

港廈門兩地大學的交流

團一連六天已經習慣了

當地的優閒生活模式體會

到的不只是廈門的風土人

情歷史文化而是兩地大

學生那種衝破界限的交流

雖說年輕人容易打成一片

但廈門獨有的熱情確實融化

了彼此間的隔膜廈門的美

是成人之美成就了兩地大

學生的友誼

飛機又再起飛了廈門

再見了

ldquothe tiMe of life is short to speNd that shortNess basely it would be too loNgrdquo ndash williaM shake-speare

38 | Caduceus September 2011

生 命形成之際只要一秒鐘的差遲世界便會不一樣

蝴蝶效應從來都是玄的全因一個 

「緣」字

隨著人成長要決擇的事太多學生

有兩件人生大事幾乎都不是由自己決定的

入讀小學及中學然而到了大學這

關卡自己也許可以拿定主意了若果你

入讀了心水科恭喜你若不然祝福

誠然入大學是最影響未來生活的關

口是好是壞無人知曉不用量化不

用比較太多即管做自己所想活出自己

的路只因你不會曉得你的下一步會怎樣

影響著你的生命

或許一個活動你會遇上你的最愛

或許一個宿位你會遇上你的知己

或許一句說話你會惹來一個敵人

或許一次走堂你會由B變C

這就是大學

在大學各人有各人的大學生活大

學講求自由學習學習真的是「求學不是

求分數」有些人愛廣交朋友有些人愛

住宿有些人愛做莊務有些人愛拍拖

有些人愛參加各樣活動有些人愛做兼

職有些人愛讀書有些人卻愛甚麼都不

做helliphellip不少大學生強調入大學必定要做齊

大學五件事(上莊住宿讀書拍拖

兼職)但其實只要自己開心不害人的

話做甚麼也沒問題最要緊的是認清讀

大學的目的以免沉淪於大學這花海

朋友

大學可以令你對「朋友」的概念愈來

愈含糊幾乎每個活動都可令你認識新朋

友通常大家都會輪流講述自己的名字與

學科(Round Table)這亦是考驗大腦對人名的記憶所謂的「Hi-Bye Friend」會愈來愈多隨便在細小的港大內穿梭會令你

無可奈何地對他們說聲Hi

不過別標籤你的「Hi-Bye Friend」要是連Hi-Bye也談不上更不用說做深交了上大學了大家已有既定的圈子很

多時約會或聊天都先找中學朋友而且很

多人會把大學朋友與中學的作比較雖情

有可原但有時未免先入為主地覺得中學

的較好

這亦難怪即使是日日碰面的同學也

未必是自己的好友人人都有自己的時間

表下課後各散東西不是大家不想互相

認識只是有時身不由己若想互相了

解不妨盡量製造共處之時有時甚至可

以分一些約會給大學朋友然後你會發

現大學朋友也可跟你熟絡可別為自己

建造一塊厚厚的心牆

舍堂

要入宿無人會不曉得十日的迎新營

有些舍堂平均每天的作息時間只有兩三小

時有人說住宿最辛苦就是迎新營然而

它卻是最難忘的

要數活動單單一個舍堂已數之不盡

要是投入舍堂生活每天24小時是不夠

用的舍堂之間有各樣比賽堂友要參加

各個組別為比賽出席各樣練習否則可

能被拒於來年再住基於許多人都只在夜

晚有空要全體出席那可是晚九朝五的

大學之緣賴彥積 (N14)

新鮮人

hkucaduceusnet | 39

宿生們之所以會熱衷於舍堂活動因他

們對自身舍堂有強烈的歸屬感好比中學

時學生參加校際比賽要是沒有歸屬感

就不會有心參加所屬舍堂的活動

除舍堂之間之活動樓層之間亦有各類

活動樓內亦然只要有人的地方就有玩

樂彷如天天宿營你不會有機會偷偷早

睡其他樓友常常打擾你你原來的生活

時間會推後數小時睡於二時已是罕有

早上的八半堂彷如無物

可以住宿但不參加活動嗎當然可以

但你會面對的是朋輩壓力他們雖未必逼

你參加卻會在言談中有意無意的滲出

來那種壓力不只限於自己樓層甚至是

跨樓層千萬可別輕看宿中流言

上莊

有人說上莊所學遠超課堂上莊所學

的是如何籌辦活動非常實用有時要對

外聯絡有時要面對公眾helliphellip像是要為將

來工作鋪路似的當然這亦要視乎你上

的是甚麼莊

一般而言上莊可訓練你待人處事的技

巧有時表面看來很友好的朋友當背

負上一定的要求後關係少不免有磨擦再

者初時莊員素未謀面最後卻因朝夕相

對而演變成朋友這段關係是很可貴的

成莊前要宣傳內閣爭取選票成莊了

又要舉行咨詢大會包受歷莊指導然後

又有就職典禮此後的活動更接踵而至

當然包括迎新活動招莊活動等helliphellip君不

見很多人視莊房為睡房少不免有「通

頂」之時忙是忙但必有價值至於是

好是壞要看自己的造化了

拍拖

人上了大學有時心思思想拍拖眼見

身旁多個好友都紛紛拍拖自己少不免羨

慕別人這想法十分正常畢竟大學生真

的可以放下只讀書的重擔真的可以規劃

人生大事了

香港大學一些營新活動中隨了Round Table外還有Round Status即說自己現在有否拍拖以及拍過多少次拖如 

A 0即Ava i lab l e之前至現在沒有拍拖O1即Occupied之前至現在共拍了一次拖當然也有一些同學自己創的甚

麼OBA (Occupied But Available)或D10(Desperate拍過10次拖)等等至於Round Status的動機何在可能是組爸媽想穿針引線吧當然也可能是別有用心的

不同人對拍拖有不同想法上了大學更

有不同擇偶條件人大了在感性的議題

上往往加上種種理性的數據開始現實起

來哪個帥哪個富有哪個有前途helliphellip

有些不在乎天長地久只求剎那的光輝

有些求虛榮有人疼愛在朋友前炫耀

有些甚至會在拍拖前已想定分手後的模

樣所以不想選擇跟自己同科的同學

活動

不同團體(包括舍堂學會及學校部

門)都有不同活動不用愁沒事幹只用

愁沒時間只要多留意Portal Mass Email或Main Campus海報不難發現幾乎每天都有各樣活動動靜皆宜開學時有迎

新營考試時有勁過飯新學期有開Sem

飯有些學會如戲劇舞蹈合唱團不時

有演出有關運動的學會則多練習以參

加比賽有關學術的也有很多興趣班講

座比賽等想幫人的亦可參加義工團

體如蛇蛇豬扶青等舉辦的義工活動

兼職

大學生的兼職大多以補習為主畢竟

這是我們能力範圍內可賺取最多外快又是

時間最彈性的工作有些人卻因補習不能

寫在履歷表而選擇別的工作然而很多時

我們都要在兼職與大學活動中取捨我的

ldquotake a chaNce all life is a chaNce the MaN who goes farthest is geNerally the oNe who is williNg to do aNd darerdquo ndash dale carNegie

40 | Caduceus September 2011

E mily was the chairperson of Pharmacy Socie-ty session 2010 As a student she has actively

participated in holding activities for many medical stu-dents and taken part in providing welfare to all phar-macy students Her following sharing will especially enlighten our new pharmacy students

Q Why did you choose Pharmacy SocietyA To be frank ldquosheung jongrdquo was really out of

my expectation when I anticipated my university life However my perspective has changed when I officially became a pharmacy student in HKU As members of the opening class of the Pharmacy programme my classmates and I realised the importance of having our own student body We do need an independent soci-ety to represent us pharmacy students to cater for our specific needs to listen to our points of view and to act as a bridge to facilitate our communication with the Medical Faculty the entire university and ultimately the pharmaceutical field in Hong Kong My class-mates and I who later became ldquojong yausrdquo believed we should act immediately to establish and run our own society which is why I decided to ldquosheung jongrdquo

Q Would you like to share some of the pros and cons of sheung jong

A ldquoSheung jongrdquo definitely helped me achieve per-sonal growth It was a concurrent commitment and re-sponsibility to serve and to lead our colleagues Bear-ing this in mind we always pushed ourselves to attain the best of our work ethics efficiency and efficacy As the very first session of the Society we lacked the guidance of any previous committee member Instead analysing carefully and critically we thought better of every decision which I personally found an enriching experience ldquoSheung jongrdquo was also an eye-opening journey Wersquod got to meet different people and learnt more about the professional work for as our career-to-be after graduation This in my opinion is always beneficial Last but not least I was fortunate enough to have worked with my amazing fellow committee mem-bers I frankly couldnrsquot ask for better ldquojong yausrdquo than initium Irsquom absolutely thankful for having them as my friends and it is definitely my greatest gain along the way

Despite the merits ldquosheung jongrdquo definitely has its downsides as well It is a lie to say ldquosheung jongrdquo does not affect our daily life because it does take up a big chunk of our time At the end of the day it is about time management which is easy to say but extremely dif-

建議是如家庭環境較困難賺錢吧反

之可以多留時間給各活動畢竟大學一

年的學費不只值那幾十堂課如何善用這

$42100就在乎你如何投入大學生活

讀書

假若你認為大學的考試可考核學生的

真正讀書能力並要求學生活學活用課堂

所學那麼你大失所望了假若你善於背

誦有過目不忘之本領大學的筆試不會

難倒你只要靠著前人留下的歷屆試題

背到滾瓜爛熟是不可能不及格的很多屆

試卷都是千篇一律的很多教授可沒空大

改試題那同學們就走運了有些課堂

即使再專業的學科都會有只理論無實

踐的課堂然後考試就要你把一大堆理論

背出來helliphellip例如甚麼叫批判思維噢

我可不知道只知道我掉了5分

不同學系在某程度上定下了人的前途

對於醫學院學生而言前路是較清晰可見

的但對於非專業學科前路不可只靠讀

書也許要靠自己另外摸索讀書所帶來

的必然是較高的GPA高GPA所帶來的是

獎學金到外國交流工作實習日後工

作機會等等當然大學學習不只局限於

讀書會否因此失彼就只有自己知道

蝶翼拍動之時往難以預料機會是

要自己摸索的

如經上所記

「神為愛他的人所預備的是眼睛未曾看見耳

朵未曾聽見人心也未曾想到的」

(哥林多前書29)

「栽種的和澆灌的都是一樣但將來各人要照自

己的工夫得自己的賞賜」

(哥林多前書38)

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

Freshmen

hkucaduceusnet | 41

ficult to achieve Also working as a Committee mem-ber can be very exhausting and difficult You definitely need lots of determination and support to get through some of the busiest times

Q How did you handle and balance the workload of study and your ldquojongrdquo

A As Irsquove said before it was tremendously difficult I guess my best advice for the future committee is to know your limitations and always plan ahead You have to know your time to work to rest to study etc No one will be over-worked and eve-ryone will have some personal time if you share the burden wisely between ldquojong yausrdquo Secondly you have to make very clear plans so that you can make full use of every little piece of your time I may not have succeeded in my time management but most of my ldquojong yausrdquo managed to do so de-spite the packed schedule of our Soci-ety This is sufficient proof of ldquoimpos-sible is nothingrdquo

Q As there are only about 25 pharmacy students per class do you have any suggestions for P14 fresh-men to make more friends from other curricula

A It really depends on what kind of person you are If you consider your-self socially active living in a hall or ldquosheung jongrdquo will be a great idea for you But if you see yourself as a much quieter person you can still make use of opportunities such as Medic Orien-tation Camp and other events jointly organised by student bodies within the Medical Faculty to make new friends

Q Any special things for P14 freshmen to be aware of

A First of all welcome You all are now members of Pharmacy Society MS HKUSU and I would like to let you know that this is a student body aiming to serve you Thus feel free to share your viewpoints and voice out your opinions to the current Com-mittee members The Society has to

understand your needs to improve and provide better welfare and services for you

Q Any other comments or important things to re-mind P14 freshmen

A If you would like to get to know more fellow pharmacy students especially students from P12 and P13 grab the opportunity to join the Pharmacy Society Orientation Camp and the Mentorship Programme These are great chances to make new friends and Irsquom sure you will enjoy them

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

ldquoas huMaN beiNgs we do chaNge grow adapt perhaps eveN learN aNd becoMe wiserrdquo ndash weNdy carlos

42 | Caduceus September 2011

筆 者是一位護理系的學生半年前有幸成為二零一一年啟思編輯委員會的總編輯在期間所體驗到的希望藉著這次機會作出分享特別希望新加入醫學院的同學

能對「上莊」有更多了解

上莊之路上莊是大學五件事之一證明它對大學生

活有一定的重要性一定的位置筆者在初入學的時候曾為了上莊與否而煩惱猶豫了好一段時間期間考慮到自己能力怕學業應負不來但最後仍然下了上莊這個決定原因是上莊是個難得的機會充實增值自己不同的莊會提供不同的機會讓莊友去學習透過不同的莊務去讓自己眼界擴大另外可以了解醫學院內發生既事情例如院內活動的進展情況更可以參加舉辦院活動為醫學院出一分力最後當然會認識到將會相處一整年的莊友工作伙伴有機會認識到不同學系的同學從他們身上可以觀察到學習到各種的特質從而令自己有所進步有所啟發

護理學生作為護理系學生起初擔任總編輯一職實

在是倍感壓力畢竟歷屆的總編輯都是由醫科生出任因此筆者起初都害怕跟醫科生共事怕自己的能力不足夠應付莊務所以起初都是戰戰兢兢地上莊

一位三年的護理學生曾對我說「我認為你不太尊重護理系護理系和醫科都是個專業希望你能加以尊重自己的學系不要輕視護理這個學系你要肯定自己的學系才能帶領整支莊因為莊內成員來自不同的學系你必須肯定和認同每個學系都有一定的重要性以及其專業」這番當頭棒喝的良言令我明白到自己一直都太輕視護理系過於重視醫科現在我明白到認同自己學系是尤其重要只有這樣才可以用自己學系的身份去發表意見只有認同自己學系才懂得尊重其他的學系莊內便可以融洽一點

在筆者的莊友中醫科生都是較有責任感而且做事更有計劃從他們身上的確學到不少東西這點是無可否認的事實筆者並不是在分享學系與學系之間的差別而是希望有志上莊的同學能互相尊重明白到各學系的莊

友都有其值得學習的地方起初對其他學系有隔膜是無可避免的畢竟對他們的學系都不太了解又沒有歸屬感但如果因為對方是別的學系而輕視對方的人不但失去與人相處學習的機會而且會令莊內的氣氛失去和諧

幸好的就我所見所聞醫學院內的莊多年來都能融洽相處互相支持令到一眾上莊的同學都能輕鬆地享受上莊的喜與樂甚至是不愉快的事情

依靠你的莊友莊是一個團體不是一兩個人可以應

付得來所以筆者認為與莊友互相溝通合作是個重要的元素新同學如果有志參與莊務期望從上莊中有所得著首要的事情是與莊友建立關係因為他們將會是你來年的工作伙伴也是你遇到困難時依靠的對象一位上莊曾對我說「其實一件的莊期不會令你有太大的得著或成長反而長久的友誼才是你將會得到最重要的」這句說話是千真萬確的上莊的人不會由詞不達意改變成談吐得宜不要期望自己會有驚人的轉變也許上莊會令人處事成熟一點有計劃一點但上莊所得到的關係將會是更重要更珍貴一年的相處中面對過有無數的會議共同處理過不少困難從中

建立的友誼真的是畢生受用

責任感上莊另外一個十分重要既條件就是責任

感有志上莊的同學必須明白到莊期是長達一整年在繁重的學業中騰出時間來處理莊務是個考驗責任感和毅力的測試同學必須再三思考想清楚自己是否真係熱衷於上莊或是只是一時衝動畢竟你將要許下的是一年的承諾必須對這個莊負上責任願意付出才選擇上莊這個決定這樣的付出就會有相對的回

總結上莊的確是個好機會讓自己去學習從處

理事務中或是從莊友身上都會有所得著充實著自己的大學生活從中可以認識到各學系的同學建立一段段受用終身的友誼在此筆者希望各學系的新同學可以善用機會作出上莊這個無悔的決定

護理系的啟思總編石志榮 (N14)

新鮮人

hkucaduceusnet | 43

慈兄吟(下)奇晶

最 後還是麥教授先開了口「他的確是一個好學生對醫學有獨到見解他不但學業成績優異而且樂於助人你是他的妹妹吧」婉慧努力控制自己的淚水繼繼續續的說「是啊但helliphellip但helliphellip我不知道helliphellip他竟會在這裏出現」麥教授用悲天憫人的目光看着婉慧語重深長說「人生自古誰無死人生命的有為與否並不取決於他生命的長短而是在於人生的意義你哥哥雖然最後當不了醫生但他的犧牲卻間接為一些同學做醫生鋪路讓他們做醫生去救人這真是一種無私的愛」婉慧點點頭覺得自己對哥哥的了解實在太少了

最後她還是孤獨的離開實驗室她覺得自己跟哥哥比起來實在相差得太遠了原來他除了是十優狀元在醫學院的成績名列前茅外還是個熱心助人的好青年自己除了少了一優外少的更有對別人的同情及樂於助人這造就了她心靈上的空虛她明白到冷漠不是一種對哥哥思念的正當表達方法她應該做的是把哥哥對其他人的愛傳揚開去以圓他的心願

第一步往往是最困難的婉慧平日對他人的態度已令不少人對她敬而遠之有很多次她嘗試向同班同學投以友善的笑容得到的總是詫異的目光或別人的不理不睬在小組討論中儘管她踴躍發言盡量避免冷場的發生偶同學們卻認為她變本加厲想阻止同學們取得好成績她四處碰壁又再次陷入了想念哥哥的深淵

時間一天一天過去了上學期考試前的休假開始了婉慧每天都勤奮的在圖書館溫習期望取得好成績這時候的圖書館堆滿了人如果遲來一個小時想找一個位子也難就在假期的第二天同班的王文在圖書館跑得氣急敗壞仍找不到一個座位婉慧不知怎樣有點同情他將座位讓給他王文驚訝道「不用了我還是回家吧真倒楣遲來了一個小時就沒有『接位』」

「但你住在哪裏呀」

「元朗今天早上我忘了校鬧鐘八時才起」

「那你還是要我的座位吧我可以坐到電腦桌因為我認識的人不少沒有什麼人會打擾我的」

王文謝了她頓時對這位冷漠的同學刮目相看原來她的內心也是溫暖的這並不是他所能料及的坐在電腦桌前溫習的她也感到特別的快樂溫習的速度也快多了王文就此成為了她的「飯檔」考試期間每天和她一起吃飯他更將自己的好友介紹給婉慧認識

在一個晚上她又悄悄的在圖書館的角落溫習着突然一隻溫暖的手搭着她的肩上她抬起頭但見解剖學的同桌手中拿着一杯熱飲輕輕的放在她的桌上婉慧正感詫異卻聽見他說「這杯熱巧克力是給你的繼續努力吧」她喝着巧克力心中感到一股暖流彷彿哥哥的關懷又在她內作出回響

十年生死兩茫茫不思量自難忘千里孤墳無處話淒涼helliphellip

寒風吹起了她額上的劉海佇立在墓前的婉慧不禁凜冽她想起了從前想到自己最後一次和哥哥吵架雙方面紅耳赤的情況想起自己無法親口跟哥哥道歉想起哥哥無私的付出她對着那空虛的墳心中不忍一陣淒然淚水漱漱的流下來她身旁攜扶着年紀老邁的母親邊拭淚邊喃喃道「我的兒子helliphellip歿了helliphellip」大家心情漸漸平復了緩緩走出了墳地

雨一滴一滴的落下飽歷辛酸的婉慧卻仍在懸壼濟世

短篇

ldquoyesterday is but todayrsquos MeMory aNd toMorrow is todayrsquos dreaMrdquo ndash khalil gibraN

44 | Caduceus September 2011

Eternal Flame (1)Tulipa

Itrsquos cold The chills from my fingertips imbibe deep into me This person drills into my mind digging out the truth inside me Itrsquos agonizing She comes right inhellip di-rectly I cannot stop her

Irsquom losing myselfhellip

My hand felt the soggy pillow I realised I had come back to life the world where I lived Staring blankly at the ceiling still losing focus in my eyes I felt my brows with my forearm For the first time I didnrsquot want to lose this feeling

The bedroom door slowly opened I quickly rubbed off the drops that had blurred my vision pretending that I had just woken up

ldquoDo you have lessons this morningrdquo My grand-mother whispered into my ear

ldquoOh goshrdquo I turned right to my alarm clock It was the real life I had forgotten to turn the alarm on last night and it was now seven thirty I knew it I was going to be late every time she caught me in bed Irsquod got to hurry up

Living in Hong Kong Island though it took me more than an hour to get to school I had to comfort my little brother sometimes till two or three in the morning in order to get him to sleep In addition to the consistently heavy study load in the medical school I could hardly get enough rest Running on my heels al-most became my routine starting from last November But I well understood the consequence of skipping lec-tures It was the beginning of the Cardiovascular Sys-tem Block For someone like me who gave least priority in revising Anatomy materials lectures remained the prime source of information for exams Absence from class was suicidal To make the situation worse this professor was one of those who did NOT upload lec-ture notes online

Hoping I wouldnrsquot arrive too late to miss the impor-tant points I finally stepped onto a route no 8 minibus at ten past eight What I could do now was to pay trust in the driver who would bring me to my destination

Coaxing kids was never easy Little Bruce just hap-pened to give me such a hassle last night

He knew I would check on him when I returned home Sitting right next to the door of his room he begged me for a story once I opened the door I sat down together with him on his little couch after Irsquod taken a quick shower This was a time to relax leaving

aside all the other concerns

Kindling through his favourite reader I saw that he wasnrsquot listening but distracted by all sorts of toys around He even invited me into his world of fantasy But it was getting late I had to calm him down so that I too could have some rest Being one of the brightest in his elementary school he should understand this was not the time for recreation

I began to feel annoyed

Yet he was my brother I had a gut feeling that this was unusual He didnrsquot use to be so ldquohyperactiverdquo It re-ally took me a while to adjust to his change With him still tossing and turning in my arms I apprehended his restlessness Unpredictable though he was true to his feelings In one way or another he might find the shadow of our mother in me

He finally settled when I laid him back in bed It was nearly two forty in the morning

The first week of the CVS Block ran as plotted PBL tutorials would start on next Monday Dr Youngrsquos fa-cial expression in the first PBL evaluation flashed over my Embryology notes and references She didnrsquot teach Embryology but I could tell she did have a hypertroph-ic heart-shaped face which looked familiar to the dia-grams in the Atlas

Back in the IHD Block most of us were puzzled about the scrambled content of our course Various forms of seemingly related knowledge came in through lectures practical and tutorial sessions But the neural circuit formed in our brain just failed to resonate as if the conductance-inductance mismatch had aberrated our thought from minimal impedance Sometimes things even happened in a ldquomore-than-extrardquo manner The presence of common core courses in a parallel but independent branch in the network could rightly be detached without causing a blip on the galvanometer Everything was dubious We had no idea of what we were doing

Maybe we were just on the way seeking for a sense of attachment

My mind too was racing in haste I was struggling with my decision to become a doctor Too many things had happened over the year I just couldnrsquot stop ques-tioning myself what was I thinking when I put lsquo6456 MBBSrsquo in my JUPAS application I should have expect-ed and prepared to face all these I just didnrsquot knowhellip

Novella

hkucaduceusnet | 45

It was midterm evaluation in the IHD Block Her face looked tense in that heart shape She was so stiff in her facial expression that no one could read her mind from her poker face The conference room of the Physi-ology Department was large We seemed to be the odd ones out in the spacious carpeted room In this secre-tive silence you could hear the drumming in your ears as if you were tingling

I realised this was not a matter of ldquoam-I-suitable-for-a-medical-careerrdquo but ldquois-a-medical-career-suita-ble-for-merdquo I was lying in bed playing with my plush bear when these thoughts burst in me Dr Young looked through me She felt certain that different from other group mates there were crises behind me But I didnrsquot tell her anything that day

We all were sensitive At times some subtle trepi-dation seeped in gradually sucking peace away from my sleep It was so to say below threshold sub-lethal though it lingered for weeks once it set inhellip

Drenched in bloodhellip There is no life in the boy His eyes are widely opened slightly protruded The lifeless pair of black pearlshellip I cannot escape from his glance He wants to talk to mehellip There is something he wants me to know

A van runs over himhellip

I fell down the edge of my mattress Breathing heavilyhellip Sweating all overhellip

ldquoScreechrdquo People began to gather around a tel-ephone booth a few metres behind us

I turned back I couldnrsquot see a lot from this anglehellip

ldquohellip What a pity He is so younghelliprdquo a middle-aged couple passed by

The victim resting just in front of the wheel looked towards me through a break in the crowdhellip

As we were wandering around thinking what to eat for dinner my cousin found me standing there rooted to the ground stunned by the victimrsquos gaze My heart was pounding She wouldnrsquot believe what I was again experiencing For a number of times already scenarios in my dreams were mirrored into reality

I couldnrsquot tell her

ldquoI was just thinking whether you would like Korean cuisine There is a new restaurant two corners awayrdquo I made up a talk while escaping from the scene so that I wouldnrsquot look so strange

ldquoWhy not go and have a try thenrdquo She was not dis-appointed for calling it a day as the food there was sur-prisingly good

Not until some years ago when I was Form 3 in college I discovered my ability to look into the future Sometimes I could see them coming up on the news in days or weeks And some didnrsquot ever happen at least not around me But seeing the night visions coming into concrete existence wasnrsquot always a pleasure when the mental images turned gradually into mostly night-mares When I visualised my close ones it felt like I was in the middle of an insecure chain bridge above a torrent that would sweep me into the vast ocean with no return It was entirely different from what you might understand as ldquodreams come truerdquo

I had witnessed misfortunes in proximityhellip

But I could do nothing about ithellip

Friends were a source of solace someone to con-fide all frustrations in But with my paranormal ability which appeared to everybody else only on screen-plays I wasnrsquot courageous enough to open my life wholeheartedly to them Seldom talking about myself avoiding all sorts of gatherings I became an eccentric figure among my classmates

Sometimes mutual understanding carried more weight than words I remembered my physics teacher being one of my few friends during my teen years De-spite his boisterous faccedilade he was always sensitive to whenever I was dwelling on my burdens Physics was our common language Intermingling our emotions and feelings with concepts that were alien to my fel-lows we developed a close rapport impenetrable by anyone else

ldquoWhat is the nature of a flamerdquo This was the most discussed problem between us Neither in solid liquid nor vapour state Not having any definite shape and colour It seems not any material but a type of energy giving out heat and light At the moment of providing it also exhausts its fuel and eventually itselfhellip

The romance of physics is more than anything you could read write and talk about Once you were truly connected with it nothing can stop you Your mind will bounce irrespective of the chronology of space-time but only under the guidance of your thoughts

I was so devoted to the discipline at the time that I was almost making it my lifelong career in some way He envisaged that I would demand much more than any academia could provide with its scientific basis alone We were both seeking a philosophy beyond the facts But Hong Kong may not be the right place for it

I made him a promise at the end to contain our flame and I knew I would

For the first and the last time I saw his eyes filled with tears We knew existence by itself is a miracle

ldquoi love life because what More is thererdquo ndash aNthoNy hopkiNs

46 | Caduceus September 2011

說華佗都說「華佗再世」誰知箇中真諦雲方 (M15)

烽煙起戰火燃萬里 

三國並爭英雄地亂世有誰顧生死 

待神醫行世將民眾救濟

渺渺江山東西瞰俞跗巧手扁鵲心(1) 應向何處尋 

滾滾黃沙無世家終有奇士放奇葩

沛國 華元化(2) 

他經書貫通南北遊動 

一望斷症如神助三劑消病不必多

說斷症悉如所料 

甘陵 相夫人腹痛極難忍(3) 號脈知死嬰在左為男形(4)廣陵 梅軍吏除名歸故里

見貌知壽盡速返見萱椿(5) 

說消病藥到病除 

飲蒜醋有三升蟲一嘔而盡清 (6)母服丸而溫儲兒不藥而自癒 (7)

絕妙處 

是他開腸剖腹刀至辟毒 

神醫號 

除他內外皆精有誰配稱

[1]   俞跗黃帝時代之名醫扁鵲春秋戰國之名醫《淮南子人間訓》「患至而多後憂之helliphellip雖有扁鵲俞跗之巧猶不能生也」

[2]   華佗字元化沛國人(今安徽 亳州)

[3]   甘陵相(即甘陵之行政長官)夫人懷胎六月腹痛不安華佗為其切脈便知胎死於是命人摸知所在在左則男在右則女人云「在左」夫人飲藥後果然產出男胎腹痛立即痊癒

[4]   廣陵有軍吏名曰梅平離鄉服役後來退役歸家於路上巧遇華佗華佗視之嘆道「若能早些見我當不至於此而今你僅餘五日壽命速速回家還能與家人相見」平旋即趕抵故鄉五日後亦如料身亡

[5]   萱椿多作椿萱比喻父母漢牟融《送徐浩》詩「知君此去情偏切堂上椿萱雪滿頭」

[6]   華佗見路邊有人食不下嚥教他到路邊餅店買醋三升混上蒜泥然後飲用路人服後即吐出一條長蛇(即寄生蟲)

[7]   兩歲男孩長年腹瀉藥石無靈華佗往診謂病在母命其服用華佗親研之「四物女宛丸」服後母親乳汁不再寒涼男孩亦不藥而癒

意興

hkucaduceusnet | 47

只可惜人無完壁

「關將軍使君予我手刮骨惡毒走

曹丞相使君予我頭剖顱苦痛收」

「怎能不收怎能不收一命嗚呼萬事休 

簡直荒謬簡直荒謬殺此庸醫未須愁」(8) 

五禽戲尚能傳 (9)麻沸散從此絕 

何不一飲醉死不知世忍氣吞聲事權貴 (10)心神委曲須臾苦奇術失迭千秋計 

烽煙止無改生死事 

且當醫仙謫世間神技終須風裏散 (11)回首仰高山景行請君範 (12)

[8]     曹操欲殺華佗臣下勸之不可答曰「不憂天下當無此鼠輩耶」

[9]     死前華佗欲托所著醫書於獄卒不果便盡數焚毀唯有其養生體操「五禽戲」流傳後世

[10]   《三國志魏書方技傳》「當須刳割者便飲其麻沸散須臾便如醉死無所知」

[11]   唐白居易《簡簡吟》「恐是天仙謫人世只合人間十三歲」

[12]   景行(音航)即大道以高山景行比喻人品德行為之高尚典出《詩經小雅車轄》又東漢鄭玄曰「古人有高德者則慕仰之有明行者則而行之」

ldquothe art of MediciNe was to be properly learNer oNly forM its practice aNd its exerciserdquo - thoMas sydeNhaM

48 | Caduceus September 2011

啟程

清晨空白的天空看不見藍天雲彩

只有溫柔的雨絲和朦朦朧朧的霧水跟隨

著大隊的足印踏上沉重的腳步穿過橫

街小巷和煩囂熱鬧的市場走過自動門

撲鼻的消毒藥水味道讓大家屏住呼吸筆

者和夥伴們終於到達了入讀護理系以來第

一次實習的醫院

還記得在實習的前幾天心情是既忐忑

又期待的畢竟這一次實習的地方不再是

在社區中心宣傳健康方面的知識亦不是

只面對著健康活潑的小朋友和老友記或是

學校課堂上所提供的假人張靜汶卻是照

顧一羣真正需要關懷的病人心中充滿著

憂慮不知自己所學的知識足夠在應用上

嗎自己平日的練習足夠嗎雖然心存在

著不少疑惑但也十分期待可以體會一下

做小學護的感受嘗試把這一年裡所學到

的知識運用出來

很多的第一次

在病房裡總有心酸和膽戰心驚的時

候第一次為昏迷的病人清潔口腔第一

次為難以進食的人插入胃喉第一次為老

公公清洗背上壓瘡的傷口helliphellip照顧他們時

的心情都是一步一驚心生怕自己沒法應

付得來又怕會把事情弄得更糟糕最重

要的是恐怕自己不純熟的技巧令他們受苦

了記得有一回第一次為女病人插入尿

喉採取尿液樣本可能技巧不太純熟的關

係延長了病人的痛苦過程中她皺著

眉頭不斷呻吟又緊張得咬破脣眼看

她樣子心中真的不是味兒來身為病人

的其中之一依靠我們不得不給自己信

心如果連自己也不相信自己哪會有病

人願意把他們交給我們照料呢

捕捉那瞬間的美麗與淒然何麗敏 (N14)

上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

意興

hkucaduceusnet | 49

另外第一次面對病人的心情是頗為

緊張的說話技巧亦有改進的空間但和

病人傾談了數分鐘後氣氛也漸漸變得和

諧可能那些老公公整天呆在醫院裡真是

悶到慌看見一羣年青人與自己聊天照

顧和關心他們他們不禁咧嘴而笑醫院

職員透露有一位老公公平日不太願意吃東

西於是我們便主動和他談天說地又

悉心照料他進食的情況後來他不但胃

口好了不少就連心情也開朗了他生動

活潑的談吐讓我們笑了他回復健康精

神的體魄也讓我們感到安慰

相處片刻

雖然為期一星期的病房日子不是特別繁

忙或是辛勞但是也會有不習慣的時候

幸好得到醫院職員和一班夥伴的支持病

房經理和註冊護士不但相信我們的能力

對學護的包容更是不用多說還主動地介

紹病房的環境和細心地教導我們醫療護理

上的知識讓我們上了一堂實在而又寶貴

的課同時今次的實習也令我感到團體

精神也十分重要在技巧上大家互相提

點互補不足當有人準備照料有需要的

病人如插喉或洗傷口等大家送上一句 

「加油」就能令對方增加不少自信心和正

能量無論遇上甚麼事情我也榮幸有如

此一班學習夥伴從旁支持

學習的階級

在這一次病房實習中雖然醫療和藥物

知識方面有待加強但是我學懂了如何與

不同身份的病人相處之道溝通上也得到

了很大的進步獲益不少除此之外我

也真正體會到如何做一個好護士並清楚

了解這個行業是否適合自己鐘樓也不是

一天就能建成而是需要一磚一瓦搭建而

成的所以在學習上我們不但要打好

穩固的基礎還要增強醫療知識在技巧

上馬虎了事和走捷徑是於是無補的應

該多探究和練習才行這樣才對得起病人

和自己也減少不必要的醫療失當事故

總之多一份認真多一點耐性多一些

愛心就是學護必記的左右銘 上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

ldquoit is reasoNable to expect the doctor to recogNise that scieNce May Not have all the aNswers to probleMs of health aNd healiNgrdquo ndash NorMaN cousiNs

50 | Caduceus September 2011

Fun Corner

Medical AppsEver wondered how your handheld device can save your time and

effort when it comes to studying Here is how

Anatomy Pronunciations by HipposoftAccurate pronunciations of over a hundred important anatomy terms you have trouble with are provided

at your fingertips to help you spell those difficult words Anyone who has taken an anatomy course can tell you how challenging it can be to pro-nounce the names of those complicated anatomi-cal terms It is even linked directly to Wikipedia and Google through web browser for additional information

iPharmacy ndash Pill Identifier and Medication Guide by SigmaPhone LLCAn essential medication guide of 20000+ drugs is provided for con-sumers amp professionals This ex-

pands the image library to include 12000 pill and package images and includes digital drug identifier with official drug information (indica-tions dosage adverse reactions and more) You can check the drugs anywhere

Grades 2 by TapityIt tells you what grades you need in the coming tests in order to get your target grade You can easily calcu-late your GPA so as to maintain it It

is a useful tool helping you to keep an eye on your GPA all the time

Human Anatomy by SusaSoftXThe application provides you with information of 15 different biologi-cal systems You can keep on revis-ing while you are traveling without

carrying heavy books

Medscape by WebMD LLCFrom drug classes interaction clin-ical procedures and even the lat-est medical news Medscape helps medical students and healthcare

professionals to reiterate knowledge that has slipped from the mind It is a free application for iPhone iPad Android and Blackberry Yet it contains more function on Android phones and Apple products and lacks detailed clinical infor-mation for diseases and clinical procedures walk through on Blackberry

Pro Medical Terminology Dic-tionary by TreascoveryTerminology might be a tough work for medical students Even if we can master those English terms we can

hardly think of the Chinese terms This applica-tion can help you when you face this problem Note that it is not a free application

3M Littmann SoundBuilder by 3M CompanyA great tool designed to help im-prove auscultation skills of medical students with 14 unique lessons of

key heart sounds combing text virtual manne-quin 3D cardiac animation and dynamic wave-forms

iRadiology by Liebermans iRadi-ologyAn excellent learning tool for medi-cal students demonstrating classic radiological findings of a multitude

of abnormalities including over 500 radiologic images Radiologic images include CT US MRI and nuclear imaging each clearly labeled and followed by key teaching points

Micromedex Drug Information by Thomson Reuters (Healthcare) IncIs Cephalexin a first generation ce-phalosporin This application from

Thomson Reuters is the easiest way to navigate in the sea of drug names Drugs are sorted by classes and supplemented with rich information

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 31: Caduceus Issue 2, Volume 42

hkucaduceusnet | 31

呼吸和伸展動作鼓勵大笑達至身心健康

的效果精神科專科曾繁光醫生指出 

「笑令腦自然分泌天然多巴胺以抗衡人

體緊張時所分泌的皮質醇預防患上焦

慮抑鬱的情況」除了改善情緒還能

促進健康笑能促進肺部呼吸功能和加強

血液循環現代醫學認為笑可以成為一種

治病方式治療神經衰弱消除肌肉的緊

張預防或減緩疼痛

筆者在此並不是宣傳大笑瑜伽其治

療成效仍有待商榷和科學實證但愈來愈

多人證實大笑和保持歡樂的心態能有效放

鬆自己張立新先生是第一位在中國推廣 

「大笑瑜伽」的人他患上憂鬱症遍尋

各種治療方式皆無成效一次機緣巧合

從網路接觸「大笑瑜伽」亦在電視上看

到介紹而開始學習和練習他的憂鬱症因

此不藥而癒從此他就開始在中國研究和

推廣愛笑運動暫且別論大笑瑜伽的奏效

程度但人生所遇到的事可真不少何不

笑對人生

尋回被遺忘的赤子之心

大笑並不是靈丹妙藥但它的確能帶來

正能量即使事情有多糟糕笑著面對總

比怨聲載道好而且美國加州大學柏克

萊分校心理學教授丹卓凱納說「笑對

人的進化很重要」目前心理學家們認

為笑是人類之間交流的古老方式之一笑

能互相影響把歡樂的氣氛傳染開去嬰

兒還未學懂說話時笑是與身俱來為何

我們長大後卻隱藏笑容呢朋友們參考

左頁所列大笑瑜伽的基本招式大家可相

約三五知己輕鬆一番找回孩童時的笑聲

大笑瑜伽的始創人麻丹卡塔利亞醫生

大笑瑜伽在六十多國家盛行

ldquolaughter is the best MediciNe - uNless yoursquore diabetic theN iNsuliN coMes pretty high oN the listrdquo ndash jasper carrott

32 | Caduceus September 2011

Learning Experiencing GivingA magical 10-day journey away from the cityErin Yeoh (M15)

C lad in backpacks light clothing and sneakers 21 medical students from HKU and CUHK

were prepared to leave the comforts of home and the internet (did I hear Facebook) We were bound to Chi-na about to embark on a learning-cum-volunteering trip organized by Medical Outreachers

After saying our final goodbyes at the Shenzhen air-port we split into two teams Team A with 9 members were bound to Xirsquoan where they would see volunteer orthopedic surgeons at work The 12 people in Team B including me left for Guizhou to understand the role of village doctors in rural China Both teams aimed to find out the effectiveness of public health policies in rural areas of China We were to meet up 4 days later at Dongshan Guangdong

Part1GuizhouUpon landing in Guizhou we were provided with

excellent hospitality by the local officers and the lo-cal NGO Amity Foundation We were given a brief introduction to Guizhou and also the work that the government and Amity Foundation were doing in the province Amity Foundation actually helped to build numerous new village clinics to improve the quality of healthcare in the region

The next day we were taken on a tour around the province visiting different village clinics (村診所) lo-cated in areas further away from the city Usually there would be one or two village doctors (村醫) on duty

at a time to attend to the villagers with population of around 1000 to 4000 per village

However the village doctors were not the type of ldquoheroesrdquo I had in mind They were not your typical doctor working in a worn out run-down wooden hut where there would be a row of sick villagers lining up to see them How ignorant I was In fact the village clin-ics were mostly renovated and well equipped with ba-sic amenities The standard village clinic has 5 rooms main lobby (大廳) treatment room (治療室) pharma-cy (藥房) observation room (觀察室) and a doctorrsquos rest room (醫生休息室) Furthermore their patient flow was rather small sometimes only one or two pa-tients per day This was probably due to the fact that some village clinics were located only a stonersquos throw away from major cities Those in a medical emergency would of course go straight to the main hospital to seek help immediately instead of consulting a village doc-tor

To be a village doctor one at least had to be a sec-ondary school graduate They would also undergo constant training and certification by qualified doctors in larger clinics According to the village doctors they spent most of their time doing paperwork keeping track of the villagers and their medical history They would also conduct regular home visits to those suf-fering from chronic illnesses or those that needed con-stant monitoring such as patients with hypertension or rheumatoid arthritis Another point that I found

A village clinic before receiving funding from Amity Foundation

hellipand a comparison after

Life

hkucaduceusnet | 33

interesting was that they would also visit families with newborn babies to check on their general health At the same time they would educate mothers on proper breastfeeding techniques and how to provide adequate nutrition for their children in the future

To learn more about their daily routine we fol-lowed a village doctor on his home visit rounds The doctor would sometimes have to travel as far as 2 kil-ometers for a home visit which would be the other end of the village This was as in the case of a pregnant lady due for delivery soon (photo as shown below) The doctor who came to check on her health status reas-sured her that her delivery would be a successful one From her sigh of relief and tired smile we could tell that she was grateful to see the doctor

However things didnrsquot always run as smoothly According to some of the village doctors they used to be scolded and rejected by the locals who did not understand why the doctors would often come up to their doorsteps asking them questions regarding their health and pestering them to go for checkups Some of them being superstitious would think of doctors as ldquoharbingers of bad luckrdquo as the doctors would talk about ldquosicknessrdquo and ldquodiseaserdquo when they were actu-ally feeling as fit as a fiddle Thankfully the situation has much improved since then

From what we saw instead of playing a curative role in a society the village doctors were actually much more involved in disease prevention and monitoring

This is actually the ldquoupstream modelrdquo concept in pub-lic health Instead urban doctors are overwhelmed by limited consultation time and when fatigue kicks in they simply do not have the energy to further educate their patients They would also not have the time to un-derstand their patients on a personal level unlike that of the village doctors

However the indiscriminate use of antibiotics in China was truly a frightening sight Doctors adminis-tered antibiotics intravenously for mild diseases like the common cold When we asked the doctors as to why they did so they simply smiled and shrugged off the question It is probably still a common practice in China and if the doctors did not give such medication the patients would probably lose trust in the doctor The fact that the similar practices were seen even in large hospitals probably indicates that this problem is hardly a localized one

Part2DongshanGuangdongWe met up with the team from Xirsquoan at the

Guangzhou airport and proceeded to our next desti-nationmdashDongshan After 5 hours of car ride we began to see signs that we were approaching our destination Mountains sharply angled clustered in twos or threes fondly known as ldquoMcDonalds mountainsrdquo were begin-ning to be in sight

As soon as we arrived we were greeted by eager curious young faces The children huddled close by as we unloaded our luggage some commenting that they hadnrsquot seen some of us while others were already play-ing around with the past participants It was my first time to Dongshan but there were some of us who were not new to the kids there

After settling down we were given an introduction to Dongshan and its residents by the local NGO Green Action Foundation led by Mr Wong

Located at the outskirts of the province Dongshan is one of the 4 poorest areas in Guangdong Its natu-ral terrain abundant in limestone makes it especially hard to retain water This has taken a toll on the resi-dents especially during the drought season Another problem faced by the local residents is that there are many young people and adults migrating to big cities to earn a living leaving behind the children and elderly

Village doctor on one of his home visits

Discarded bottles of intravenous antibiotics near the village clinic

ldquoMediciNe also disregards NatioNal bouNdariesrdquo ndash irviNg laNgMuir

34 | Caduceus September 2011

at home

Green Action Foundation took the initiative to plant trees around the area so that more water was available for irrigation and domestic purposes This improved the quality of their crops and boosted their source of income They also sponsored some of the

childrenrsquos education depending on their performance in school to ease the burden on their families

The next few days were jam-packed with activities A sports day was held as an icebreaker so that the new participants could get to know the children better We also spent half a day at the Dongshan Primary School where we taught the kids personal hygiene simple first aid moral education and also sex education for the grade 5 and 6 students

Another interesting activity that we had was a weed-cutting session up at a mountain with the other children Each of us was assigned with 2 to 3 chil-dren who were supposed to ldquoguiderdquo us along the way It was a 2-hour hike up and down hilly ter-rain While I would stop once in a while to take a breather the kids were barely panting The kids would often stop to ask if I was tired and even of-fered to help me carry my backpack Note to self more exercise next semester

Nevertheless it was a great chance to know the kids better We had the time to chat about their school life and what they thought about their future and also the chance to share snip-pets of our lives in the city

We then split into small groups and visited the homes of the children in order to gain a bet-ter understanding of their household hygiene

condition any medical conditions in the family as well as their economic standing We had also prepared questionnaires to be kept as future record Some of the families were very poor to the extent of having no source of income at all They depended solely on their own crops for food If they went to see the doctor they would usually owe the doctor money until they had

enough money to pay back The hygiene status of the villagers varied but most of them had swarms of flies around food Many even had their live poultry like chickens running around the house Before we left we gave them some hygiene products like soap washing detergent and toothbrushes to encourage better hy-giene We also gave them a poster explaining ways of maintaining a clean household environment

Another main focus of the trip was to find out the effectiveness of a medical insurance policy newly in-troduced by the government Each person had to pay 30 Renminbi annually to be guaranteed free medica-

Sports day activity

Weed cutting with the children

hkucaduceusnet | 35

tion and hospitalization thereafter Generally the vil-lagers were grateful for this plan as many found it dif-ficult to afford medical fees while struggling to pay for

basic necessities at the same time However some vil-lagers complained that the prices of medicine spiked after this policy was introduced and hospitals would of-ten ask patients to

do unnecessary scans just to earn more money

This trip made me realize that there is much that we can do but how great an impact we can make might not be seen immediately With follow up trips one could see the change as compared to the last visit and make further modifications to improve the situation

As the trip came to an end we were reluctant to leave There was something very magical about Dong-shan where the skies would turn to an exuberant red during sunset and on a clear night you could see stars scattered across every corner of the sky It is a place of beauty struggle and hopefully a place of triumph in the years to come

It is a place of beauty struggle and hopefully a place of triumph in the years to come

On one of our home visits

More to ExploreMedical Outreachers 醫心httpmedicaloutreachersorg

The Amity Foundation 愛德基金會httpwwwamityfoundationorg The beautiful sunset in Dongshan

ldquoshariNg is soMetiMes More deMaNdiNg thaN giviNgrdquo ndash Mary catheriNe batesoN

36 | Caduceus September 2011

就 在這一刻世界沉默了

城市的繁囂隨飛機引擎

逐點逐點噴走了繁囂的離

開是為了讓簡單的生活回

來剛踏出廈門機場一張

又一張的笑臉映入眼簾刺

熱的太陽把兩地之間的隔膜

融化

早從香港回歸時開始

香港人經常強調自己只是 

「香港人」而不是「中國

人」自以為比內地人高一

等可惜這班自視過高的都

市人曾幾何時為外地人送上

熱情的款待這一點廈門

人比誰都做得更好

廈門是一個位於中國

東南部的海島也許就是近

海讓居於廈門的人都把一

切怨恨煩惱拋下大海讓

它們隨水流漂走埋藏在海

床上每年廈門的鳳凰花花

開兩季一朵又一朵鮮艷如

火的鳳凰花在六月時歡送一

個又一個的畢業生彷彿為

他們添上一份祝福九月時

的鳳凰花熱情地歡迎一屆又

一屆的新生為新生的精彩

校園生活揭開序幕一份一

份的熱情含苞待放身在廈

門又怎會不被這市花的熱情

感動呢廈門大至人與人

之間小至花與花之間都存

著一份情

要追溯廈門人的情懷

可數至土樓的建成土樓

是個大多呈方形或圓形大型

群居的建築整座土樓樓高

三至五層由於牆身頗厚及

只有一個出入口甚具有防

禦功能亦因為這緣故當

大門關起來土樓便成了一

個家這個家佔地不大但卻

藏著成千上萬的人情味在

萬里無雲陽光普照的天空

下土樓居民的熱情好客

被蒸發出來懸浮在空中

一代一代傳下去更讓它隨

風走出土樓傳遍整個廈

門即使土樓漸漸成為旅遊

景點一些擺賣紀念品的攤

檔已經進駐但卻無礙居民間

的感情商販彼此交流從

不出現爭客的情況在土樓

中央休憩的居民除了為外地

人介紹他們的祠堂外亦邀

請遊客跟隨他們到遊客禁區

參觀在土樓居住的每伙都

中門大開當遊客投進好奇

的目光屋內的人往往以親

切的笑容作回答鄉土人

情在這世代多冷漠的心也

被融化

細膩的人情味外最令

遊客津津樂道的是廈門人的

態度廈門大學附近有一條

芙蓉隧道只要你願意便可

在隧道內壁上畫下你所思所

想當然美觀與否見仁見

智但這一種對藝術尊重

欣賞的態度是值得欣賞我

有我盡情地畫你有你盡責

青春在廈門留下足印潘曉彤 (N14)

生活

hkucaduceusnet | 37

地去管轄城市各處的整潔

彼此留下空間達至相輔相

成的效果廈門人就懂得人

最基本的禮貌尊重不

過廈門人對他人的尊重遠超

於人的基本禮貌當你去唱

「卡拉OK」的時候每次

待應的出入時看到的就只

有他們的正面而他們前行

或後退的方式就像看到皇帝

一樣卑恭屈膝香港人常常

強調面子哪一天才能捨下

那過高的尊嚴為不相識的

人作一個最謙卑的招待

其實任何人一離開香

港都不難發現就只有香

港愈夜愈精彩其他地方晚

上八時大多關門大吉而廈

門就只有中山路才媲美得

上香港的夜夜笙歌夜幕低

垂萬千燈火的中山路上

與來自各區的人擦肩而過

昏黃的燈光下照出一群又一

群的沉默影子剛好與路上

喧鬧的行人相映成趣騎樓

在霓虹燈的點綴下顯出了獨

有的閩南特色大街小巷傳

來不同地道小食的香氣車

輪餅燒仙草土笋凍helliphellip

為我們外來的交流生帶來美

味可口的夜宵飲飽食醉過

後走到中山路的盡頭又

回到了沉睡中的廈門

在優美的環境影響下

廈門人的生活也自然變得

純樸優閒單車車輪在環

島路上留下一圈又一圈的印

記沿路能細聽海浪輕拍岸

邊的聲音細嗅四處洋溢的

花香感受微風吹散太陽散

發的熱力見證一對又一對

的新人在拍下幸福的照片

據說廈門有戀愛天堂之稱

不管走到哪一處也會

看到準新人拍下甜蜜的婚紗

照而在裡面享受的人永遠

不知道這風景如畫的背

後是透過多少人的血汗換

來當我們在追求經濟成果

的同時往往破壞了造物者

在世上留下的藝術品隨中

國經濟急速發展一個又一

個的世外桃園被摧毀銅臭

替代了花香車聲替代了鳥

語這仙境又可維持多久

廈門另一世外桃園就是

鼓浪嶼它活像香港的長

洲島上滿有歐陸建築風

格但當中不乏中國特色的

建築中國古城風味與洋風

互相交替帶出截然不同的

感覺島上遠離汽車的廢

氣與金門就只是一海之

隔一家大小在享受天倫之

樂時一群又一群的青少

年情侶在沙灘上嬉戲立

即為島上升溫

筆者認為在這個混亂的

俗世確實需要抽空來欣賞

造物者留下來的藝術品大

財團不斷興建大型商場國

際知名品牌不停進駐留下

的就只有愈來愈狹窄的街

道被石屎封蓋寸草不生

的土地人人被金錢蒙蔽

迷失在霓虹燈光中又有多

少知音人能放下生活的瑣碎

事情在這裡享受時間一分

一秒的流走你被海浪聲

喚醒了嗎

筆者參加這次是由香

港廈門兩地大學的交流

團一連六天已經習慣了

當地的優閒生活模式體會

到的不只是廈門的風土人

情歷史文化而是兩地大

學生那種衝破界限的交流

雖說年輕人容易打成一片

但廈門獨有的熱情確實融化

了彼此間的隔膜廈門的美

是成人之美成就了兩地大

學生的友誼

飛機又再起飛了廈門

再見了

ldquothe tiMe of life is short to speNd that shortNess basely it would be too loNgrdquo ndash williaM shake-speare

38 | Caduceus September 2011

生 命形成之際只要一秒鐘的差遲世界便會不一樣

蝴蝶效應從來都是玄的全因一個 

「緣」字

隨著人成長要決擇的事太多學生

有兩件人生大事幾乎都不是由自己決定的

入讀小學及中學然而到了大學這

關卡自己也許可以拿定主意了若果你

入讀了心水科恭喜你若不然祝福

誠然入大學是最影響未來生活的關

口是好是壞無人知曉不用量化不

用比較太多即管做自己所想活出自己

的路只因你不會曉得你的下一步會怎樣

影響著你的生命

或許一個活動你會遇上你的最愛

或許一個宿位你會遇上你的知己

或許一句說話你會惹來一個敵人

或許一次走堂你會由B變C

這就是大學

在大學各人有各人的大學生活大

學講求自由學習學習真的是「求學不是

求分數」有些人愛廣交朋友有些人愛

住宿有些人愛做莊務有些人愛拍拖

有些人愛參加各樣活動有些人愛做兼

職有些人愛讀書有些人卻愛甚麼都不

做helliphellip不少大學生強調入大學必定要做齊

大學五件事(上莊住宿讀書拍拖

兼職)但其實只要自己開心不害人的

話做甚麼也沒問題最要緊的是認清讀

大學的目的以免沉淪於大學這花海

朋友

大學可以令你對「朋友」的概念愈來

愈含糊幾乎每個活動都可令你認識新朋

友通常大家都會輪流講述自己的名字與

學科(Round Table)這亦是考驗大腦對人名的記憶所謂的「Hi-Bye Friend」會愈來愈多隨便在細小的港大內穿梭會令你

無可奈何地對他們說聲Hi

不過別標籤你的「Hi-Bye Friend」要是連Hi-Bye也談不上更不用說做深交了上大學了大家已有既定的圈子很

多時約會或聊天都先找中學朋友而且很

多人會把大學朋友與中學的作比較雖情

有可原但有時未免先入為主地覺得中學

的較好

這亦難怪即使是日日碰面的同學也

未必是自己的好友人人都有自己的時間

表下課後各散東西不是大家不想互相

認識只是有時身不由己若想互相了

解不妨盡量製造共處之時有時甚至可

以分一些約會給大學朋友然後你會發

現大學朋友也可跟你熟絡可別為自己

建造一塊厚厚的心牆

舍堂

要入宿無人會不曉得十日的迎新營

有些舍堂平均每天的作息時間只有兩三小

時有人說住宿最辛苦就是迎新營然而

它卻是最難忘的

要數活動單單一個舍堂已數之不盡

要是投入舍堂生活每天24小時是不夠

用的舍堂之間有各樣比賽堂友要參加

各個組別為比賽出席各樣練習否則可

能被拒於來年再住基於許多人都只在夜

晚有空要全體出席那可是晚九朝五的

大學之緣賴彥積 (N14)

新鮮人

hkucaduceusnet | 39

宿生們之所以會熱衷於舍堂活動因他

們對自身舍堂有強烈的歸屬感好比中學

時學生參加校際比賽要是沒有歸屬感

就不會有心參加所屬舍堂的活動

除舍堂之間之活動樓層之間亦有各類

活動樓內亦然只要有人的地方就有玩

樂彷如天天宿營你不會有機會偷偷早

睡其他樓友常常打擾你你原來的生活

時間會推後數小時睡於二時已是罕有

早上的八半堂彷如無物

可以住宿但不參加活動嗎當然可以

但你會面對的是朋輩壓力他們雖未必逼

你參加卻會在言談中有意無意的滲出

來那種壓力不只限於自己樓層甚至是

跨樓層千萬可別輕看宿中流言

上莊

有人說上莊所學遠超課堂上莊所學

的是如何籌辦活動非常實用有時要對

外聯絡有時要面對公眾helliphellip像是要為將

來工作鋪路似的當然這亦要視乎你上

的是甚麼莊

一般而言上莊可訓練你待人處事的技

巧有時表面看來很友好的朋友當背

負上一定的要求後關係少不免有磨擦再

者初時莊員素未謀面最後卻因朝夕相

對而演變成朋友這段關係是很可貴的

成莊前要宣傳內閣爭取選票成莊了

又要舉行咨詢大會包受歷莊指導然後

又有就職典禮此後的活動更接踵而至

當然包括迎新活動招莊活動等helliphellip君不

見很多人視莊房為睡房少不免有「通

頂」之時忙是忙但必有價值至於是

好是壞要看自己的造化了

拍拖

人上了大學有時心思思想拍拖眼見

身旁多個好友都紛紛拍拖自己少不免羨

慕別人這想法十分正常畢竟大學生真

的可以放下只讀書的重擔真的可以規劃

人生大事了

香港大學一些營新活動中隨了Round Table外還有Round Status即說自己現在有否拍拖以及拍過多少次拖如 

A 0即Ava i lab l e之前至現在沒有拍拖O1即Occupied之前至現在共拍了一次拖當然也有一些同學自己創的甚

麼OBA (Occupied But Available)或D10(Desperate拍過10次拖)等等至於Round Status的動機何在可能是組爸媽想穿針引線吧當然也可能是別有用心的

不同人對拍拖有不同想法上了大學更

有不同擇偶條件人大了在感性的議題

上往往加上種種理性的數據開始現實起

來哪個帥哪個富有哪個有前途helliphellip

有些不在乎天長地久只求剎那的光輝

有些求虛榮有人疼愛在朋友前炫耀

有些甚至會在拍拖前已想定分手後的模

樣所以不想選擇跟自己同科的同學

活動

不同團體(包括舍堂學會及學校部

門)都有不同活動不用愁沒事幹只用

愁沒時間只要多留意Portal Mass Email或Main Campus海報不難發現幾乎每天都有各樣活動動靜皆宜開學時有迎

新營考試時有勁過飯新學期有開Sem

飯有些學會如戲劇舞蹈合唱團不時

有演出有關運動的學會則多練習以參

加比賽有關學術的也有很多興趣班講

座比賽等想幫人的亦可參加義工團

體如蛇蛇豬扶青等舉辦的義工活動

兼職

大學生的兼職大多以補習為主畢竟

這是我們能力範圍內可賺取最多外快又是

時間最彈性的工作有些人卻因補習不能

寫在履歷表而選擇別的工作然而很多時

我們都要在兼職與大學活動中取捨我的

ldquotake a chaNce all life is a chaNce the MaN who goes farthest is geNerally the oNe who is williNg to do aNd darerdquo ndash dale carNegie

40 | Caduceus September 2011

E mily was the chairperson of Pharmacy Socie-ty session 2010 As a student she has actively

participated in holding activities for many medical stu-dents and taken part in providing welfare to all phar-macy students Her following sharing will especially enlighten our new pharmacy students

Q Why did you choose Pharmacy SocietyA To be frank ldquosheung jongrdquo was really out of

my expectation when I anticipated my university life However my perspective has changed when I officially became a pharmacy student in HKU As members of the opening class of the Pharmacy programme my classmates and I realised the importance of having our own student body We do need an independent soci-ety to represent us pharmacy students to cater for our specific needs to listen to our points of view and to act as a bridge to facilitate our communication with the Medical Faculty the entire university and ultimately the pharmaceutical field in Hong Kong My class-mates and I who later became ldquojong yausrdquo believed we should act immediately to establish and run our own society which is why I decided to ldquosheung jongrdquo

Q Would you like to share some of the pros and cons of sheung jong

A ldquoSheung jongrdquo definitely helped me achieve per-sonal growth It was a concurrent commitment and re-sponsibility to serve and to lead our colleagues Bear-ing this in mind we always pushed ourselves to attain the best of our work ethics efficiency and efficacy As the very first session of the Society we lacked the guidance of any previous committee member Instead analysing carefully and critically we thought better of every decision which I personally found an enriching experience ldquoSheung jongrdquo was also an eye-opening journey Wersquod got to meet different people and learnt more about the professional work for as our career-to-be after graduation This in my opinion is always beneficial Last but not least I was fortunate enough to have worked with my amazing fellow committee mem-bers I frankly couldnrsquot ask for better ldquojong yausrdquo than initium Irsquom absolutely thankful for having them as my friends and it is definitely my greatest gain along the way

Despite the merits ldquosheung jongrdquo definitely has its downsides as well It is a lie to say ldquosheung jongrdquo does not affect our daily life because it does take up a big chunk of our time At the end of the day it is about time management which is easy to say but extremely dif-

建議是如家庭環境較困難賺錢吧反

之可以多留時間給各活動畢竟大學一

年的學費不只值那幾十堂課如何善用這

$42100就在乎你如何投入大學生活

讀書

假若你認為大學的考試可考核學生的

真正讀書能力並要求學生活學活用課堂

所學那麼你大失所望了假若你善於背

誦有過目不忘之本領大學的筆試不會

難倒你只要靠著前人留下的歷屆試題

背到滾瓜爛熟是不可能不及格的很多屆

試卷都是千篇一律的很多教授可沒空大

改試題那同學們就走運了有些課堂

即使再專業的學科都會有只理論無實

踐的課堂然後考試就要你把一大堆理論

背出來helliphellip例如甚麼叫批判思維噢

我可不知道只知道我掉了5分

不同學系在某程度上定下了人的前途

對於醫學院學生而言前路是較清晰可見

的但對於非專業學科前路不可只靠讀

書也許要靠自己另外摸索讀書所帶來

的必然是較高的GPA高GPA所帶來的是

獎學金到外國交流工作實習日後工

作機會等等當然大學學習不只局限於

讀書會否因此失彼就只有自己知道

蝶翼拍動之時往難以預料機會是

要自己摸索的

如經上所記

「神為愛他的人所預備的是眼睛未曾看見耳

朵未曾聽見人心也未曾想到的」

(哥林多前書29)

「栽種的和澆灌的都是一樣但將來各人要照自

己的工夫得自己的賞賜」

(哥林多前書38)

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

Freshmen

hkucaduceusnet | 41

ficult to achieve Also working as a Committee mem-ber can be very exhausting and difficult You definitely need lots of determination and support to get through some of the busiest times

Q How did you handle and balance the workload of study and your ldquojongrdquo

A As Irsquove said before it was tremendously difficult I guess my best advice for the future committee is to know your limitations and always plan ahead You have to know your time to work to rest to study etc No one will be over-worked and eve-ryone will have some personal time if you share the burden wisely between ldquojong yausrdquo Secondly you have to make very clear plans so that you can make full use of every little piece of your time I may not have succeeded in my time management but most of my ldquojong yausrdquo managed to do so de-spite the packed schedule of our Soci-ety This is sufficient proof of ldquoimpos-sible is nothingrdquo

Q As there are only about 25 pharmacy students per class do you have any suggestions for P14 fresh-men to make more friends from other curricula

A It really depends on what kind of person you are If you consider your-self socially active living in a hall or ldquosheung jongrdquo will be a great idea for you But if you see yourself as a much quieter person you can still make use of opportunities such as Medic Orien-tation Camp and other events jointly organised by student bodies within the Medical Faculty to make new friends

Q Any special things for P14 freshmen to be aware of

A First of all welcome You all are now members of Pharmacy Society MS HKUSU and I would like to let you know that this is a student body aiming to serve you Thus feel free to share your viewpoints and voice out your opinions to the current Com-mittee members The Society has to

understand your needs to improve and provide better welfare and services for you

Q Any other comments or important things to re-mind P14 freshmen

A If you would like to get to know more fellow pharmacy students especially students from P12 and P13 grab the opportunity to join the Pharmacy Society Orientation Camp and the Mentorship Programme These are great chances to make new friends and Irsquom sure you will enjoy them

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

ldquoas huMaN beiNgs we do chaNge grow adapt perhaps eveN learN aNd becoMe wiserrdquo ndash weNdy carlos

42 | Caduceus September 2011

筆 者是一位護理系的學生半年前有幸成為二零一一年啟思編輯委員會的總編輯在期間所體驗到的希望藉著這次機會作出分享特別希望新加入醫學院的同學

能對「上莊」有更多了解

上莊之路上莊是大學五件事之一證明它對大學生

活有一定的重要性一定的位置筆者在初入學的時候曾為了上莊與否而煩惱猶豫了好一段時間期間考慮到自己能力怕學業應負不來但最後仍然下了上莊這個決定原因是上莊是個難得的機會充實增值自己不同的莊會提供不同的機會讓莊友去學習透過不同的莊務去讓自己眼界擴大另外可以了解醫學院內發生既事情例如院內活動的進展情況更可以參加舉辦院活動為醫學院出一分力最後當然會認識到將會相處一整年的莊友工作伙伴有機會認識到不同學系的同學從他們身上可以觀察到學習到各種的特質從而令自己有所進步有所啟發

護理學生作為護理系學生起初擔任總編輯一職實

在是倍感壓力畢竟歷屆的總編輯都是由醫科生出任因此筆者起初都害怕跟醫科生共事怕自己的能力不足夠應付莊務所以起初都是戰戰兢兢地上莊

一位三年的護理學生曾對我說「我認為你不太尊重護理系護理系和醫科都是個專業希望你能加以尊重自己的學系不要輕視護理這個學系你要肯定自己的學系才能帶領整支莊因為莊內成員來自不同的學系你必須肯定和認同每個學系都有一定的重要性以及其專業」這番當頭棒喝的良言令我明白到自己一直都太輕視護理系過於重視醫科現在我明白到認同自己學系是尤其重要只有這樣才可以用自己學系的身份去發表意見只有認同自己學系才懂得尊重其他的學系莊內便可以融洽一點

在筆者的莊友中醫科生都是較有責任感而且做事更有計劃從他們身上的確學到不少東西這點是無可否認的事實筆者並不是在分享學系與學系之間的差別而是希望有志上莊的同學能互相尊重明白到各學系的莊

友都有其值得學習的地方起初對其他學系有隔膜是無可避免的畢竟對他們的學系都不太了解又沒有歸屬感但如果因為對方是別的學系而輕視對方的人不但失去與人相處學習的機會而且會令莊內的氣氛失去和諧

幸好的就我所見所聞醫學院內的莊多年來都能融洽相處互相支持令到一眾上莊的同學都能輕鬆地享受上莊的喜與樂甚至是不愉快的事情

依靠你的莊友莊是一個團體不是一兩個人可以應

付得來所以筆者認為與莊友互相溝通合作是個重要的元素新同學如果有志參與莊務期望從上莊中有所得著首要的事情是與莊友建立關係因為他們將會是你來年的工作伙伴也是你遇到困難時依靠的對象一位上莊曾對我說「其實一件的莊期不會令你有太大的得著或成長反而長久的友誼才是你將會得到最重要的」這句說話是千真萬確的上莊的人不會由詞不達意改變成談吐得宜不要期望自己會有驚人的轉變也許上莊會令人處事成熟一點有計劃一點但上莊所得到的關係將會是更重要更珍貴一年的相處中面對過有無數的會議共同處理過不少困難從中

建立的友誼真的是畢生受用

責任感上莊另外一個十分重要既條件就是責任

感有志上莊的同學必須明白到莊期是長達一整年在繁重的學業中騰出時間來處理莊務是個考驗責任感和毅力的測試同學必須再三思考想清楚自己是否真係熱衷於上莊或是只是一時衝動畢竟你將要許下的是一年的承諾必須對這個莊負上責任願意付出才選擇上莊這個決定這樣的付出就會有相對的回

總結上莊的確是個好機會讓自己去學習從處

理事務中或是從莊友身上都會有所得著充實著自己的大學生活從中可以認識到各學系的同學建立一段段受用終身的友誼在此筆者希望各學系的新同學可以善用機會作出上莊這個無悔的決定

護理系的啟思總編石志榮 (N14)

新鮮人

hkucaduceusnet | 43

慈兄吟(下)奇晶

最 後還是麥教授先開了口「他的確是一個好學生對醫學有獨到見解他不但學業成績優異而且樂於助人你是他的妹妹吧」婉慧努力控制自己的淚水繼繼續續的說「是啊但helliphellip但helliphellip我不知道helliphellip他竟會在這裏出現」麥教授用悲天憫人的目光看着婉慧語重深長說「人生自古誰無死人生命的有為與否並不取決於他生命的長短而是在於人生的意義你哥哥雖然最後當不了醫生但他的犧牲卻間接為一些同學做醫生鋪路讓他們做醫生去救人這真是一種無私的愛」婉慧點點頭覺得自己對哥哥的了解實在太少了

最後她還是孤獨的離開實驗室她覺得自己跟哥哥比起來實在相差得太遠了原來他除了是十優狀元在醫學院的成績名列前茅外還是個熱心助人的好青年自己除了少了一優外少的更有對別人的同情及樂於助人這造就了她心靈上的空虛她明白到冷漠不是一種對哥哥思念的正當表達方法她應該做的是把哥哥對其他人的愛傳揚開去以圓他的心願

第一步往往是最困難的婉慧平日對他人的態度已令不少人對她敬而遠之有很多次她嘗試向同班同學投以友善的笑容得到的總是詫異的目光或別人的不理不睬在小組討論中儘管她踴躍發言盡量避免冷場的發生偶同學們卻認為她變本加厲想阻止同學們取得好成績她四處碰壁又再次陷入了想念哥哥的深淵

時間一天一天過去了上學期考試前的休假開始了婉慧每天都勤奮的在圖書館溫習期望取得好成績這時候的圖書館堆滿了人如果遲來一個小時想找一個位子也難就在假期的第二天同班的王文在圖書館跑得氣急敗壞仍找不到一個座位婉慧不知怎樣有點同情他將座位讓給他王文驚訝道「不用了我還是回家吧真倒楣遲來了一個小時就沒有『接位』」

「但你住在哪裏呀」

「元朗今天早上我忘了校鬧鐘八時才起」

「那你還是要我的座位吧我可以坐到電腦桌因為我認識的人不少沒有什麼人會打擾我的」

王文謝了她頓時對這位冷漠的同學刮目相看原來她的內心也是溫暖的這並不是他所能料及的坐在電腦桌前溫習的她也感到特別的快樂溫習的速度也快多了王文就此成為了她的「飯檔」考試期間每天和她一起吃飯他更將自己的好友介紹給婉慧認識

在一個晚上她又悄悄的在圖書館的角落溫習着突然一隻溫暖的手搭着她的肩上她抬起頭但見解剖學的同桌手中拿着一杯熱飲輕輕的放在她的桌上婉慧正感詫異卻聽見他說「這杯熱巧克力是給你的繼續努力吧」她喝着巧克力心中感到一股暖流彷彿哥哥的關懷又在她內作出回響

十年生死兩茫茫不思量自難忘千里孤墳無處話淒涼helliphellip

寒風吹起了她額上的劉海佇立在墓前的婉慧不禁凜冽她想起了從前想到自己最後一次和哥哥吵架雙方面紅耳赤的情況想起自己無法親口跟哥哥道歉想起哥哥無私的付出她對着那空虛的墳心中不忍一陣淒然淚水漱漱的流下來她身旁攜扶着年紀老邁的母親邊拭淚邊喃喃道「我的兒子helliphellip歿了helliphellip」大家心情漸漸平復了緩緩走出了墳地

雨一滴一滴的落下飽歷辛酸的婉慧卻仍在懸壼濟世

短篇

ldquoyesterday is but todayrsquos MeMory aNd toMorrow is todayrsquos dreaMrdquo ndash khalil gibraN

44 | Caduceus September 2011

Eternal Flame (1)Tulipa

Itrsquos cold The chills from my fingertips imbibe deep into me This person drills into my mind digging out the truth inside me Itrsquos agonizing She comes right inhellip di-rectly I cannot stop her

Irsquom losing myselfhellip

My hand felt the soggy pillow I realised I had come back to life the world where I lived Staring blankly at the ceiling still losing focus in my eyes I felt my brows with my forearm For the first time I didnrsquot want to lose this feeling

The bedroom door slowly opened I quickly rubbed off the drops that had blurred my vision pretending that I had just woken up

ldquoDo you have lessons this morningrdquo My grand-mother whispered into my ear

ldquoOh goshrdquo I turned right to my alarm clock It was the real life I had forgotten to turn the alarm on last night and it was now seven thirty I knew it I was going to be late every time she caught me in bed Irsquod got to hurry up

Living in Hong Kong Island though it took me more than an hour to get to school I had to comfort my little brother sometimes till two or three in the morning in order to get him to sleep In addition to the consistently heavy study load in the medical school I could hardly get enough rest Running on my heels al-most became my routine starting from last November But I well understood the consequence of skipping lec-tures It was the beginning of the Cardiovascular Sys-tem Block For someone like me who gave least priority in revising Anatomy materials lectures remained the prime source of information for exams Absence from class was suicidal To make the situation worse this professor was one of those who did NOT upload lec-ture notes online

Hoping I wouldnrsquot arrive too late to miss the impor-tant points I finally stepped onto a route no 8 minibus at ten past eight What I could do now was to pay trust in the driver who would bring me to my destination

Coaxing kids was never easy Little Bruce just hap-pened to give me such a hassle last night

He knew I would check on him when I returned home Sitting right next to the door of his room he begged me for a story once I opened the door I sat down together with him on his little couch after Irsquod taken a quick shower This was a time to relax leaving

aside all the other concerns

Kindling through his favourite reader I saw that he wasnrsquot listening but distracted by all sorts of toys around He even invited me into his world of fantasy But it was getting late I had to calm him down so that I too could have some rest Being one of the brightest in his elementary school he should understand this was not the time for recreation

I began to feel annoyed

Yet he was my brother I had a gut feeling that this was unusual He didnrsquot use to be so ldquohyperactiverdquo It re-ally took me a while to adjust to his change With him still tossing and turning in my arms I apprehended his restlessness Unpredictable though he was true to his feelings In one way or another he might find the shadow of our mother in me

He finally settled when I laid him back in bed It was nearly two forty in the morning

The first week of the CVS Block ran as plotted PBL tutorials would start on next Monday Dr Youngrsquos fa-cial expression in the first PBL evaluation flashed over my Embryology notes and references She didnrsquot teach Embryology but I could tell she did have a hypertroph-ic heart-shaped face which looked familiar to the dia-grams in the Atlas

Back in the IHD Block most of us were puzzled about the scrambled content of our course Various forms of seemingly related knowledge came in through lectures practical and tutorial sessions But the neural circuit formed in our brain just failed to resonate as if the conductance-inductance mismatch had aberrated our thought from minimal impedance Sometimes things even happened in a ldquomore-than-extrardquo manner The presence of common core courses in a parallel but independent branch in the network could rightly be detached without causing a blip on the galvanometer Everything was dubious We had no idea of what we were doing

Maybe we were just on the way seeking for a sense of attachment

My mind too was racing in haste I was struggling with my decision to become a doctor Too many things had happened over the year I just couldnrsquot stop ques-tioning myself what was I thinking when I put lsquo6456 MBBSrsquo in my JUPAS application I should have expect-ed and prepared to face all these I just didnrsquot knowhellip

Novella

hkucaduceusnet | 45

It was midterm evaluation in the IHD Block Her face looked tense in that heart shape She was so stiff in her facial expression that no one could read her mind from her poker face The conference room of the Physi-ology Department was large We seemed to be the odd ones out in the spacious carpeted room In this secre-tive silence you could hear the drumming in your ears as if you were tingling

I realised this was not a matter of ldquoam-I-suitable-for-a-medical-careerrdquo but ldquois-a-medical-career-suita-ble-for-merdquo I was lying in bed playing with my plush bear when these thoughts burst in me Dr Young looked through me She felt certain that different from other group mates there were crises behind me But I didnrsquot tell her anything that day

We all were sensitive At times some subtle trepi-dation seeped in gradually sucking peace away from my sleep It was so to say below threshold sub-lethal though it lingered for weeks once it set inhellip

Drenched in bloodhellip There is no life in the boy His eyes are widely opened slightly protruded The lifeless pair of black pearlshellip I cannot escape from his glance He wants to talk to mehellip There is something he wants me to know

A van runs over himhellip

I fell down the edge of my mattress Breathing heavilyhellip Sweating all overhellip

ldquoScreechrdquo People began to gather around a tel-ephone booth a few metres behind us

I turned back I couldnrsquot see a lot from this anglehellip

ldquohellip What a pity He is so younghelliprdquo a middle-aged couple passed by

The victim resting just in front of the wheel looked towards me through a break in the crowdhellip

As we were wandering around thinking what to eat for dinner my cousin found me standing there rooted to the ground stunned by the victimrsquos gaze My heart was pounding She wouldnrsquot believe what I was again experiencing For a number of times already scenarios in my dreams were mirrored into reality

I couldnrsquot tell her

ldquoI was just thinking whether you would like Korean cuisine There is a new restaurant two corners awayrdquo I made up a talk while escaping from the scene so that I wouldnrsquot look so strange

ldquoWhy not go and have a try thenrdquo She was not dis-appointed for calling it a day as the food there was sur-prisingly good

Not until some years ago when I was Form 3 in college I discovered my ability to look into the future Sometimes I could see them coming up on the news in days or weeks And some didnrsquot ever happen at least not around me But seeing the night visions coming into concrete existence wasnrsquot always a pleasure when the mental images turned gradually into mostly night-mares When I visualised my close ones it felt like I was in the middle of an insecure chain bridge above a torrent that would sweep me into the vast ocean with no return It was entirely different from what you might understand as ldquodreams come truerdquo

I had witnessed misfortunes in proximityhellip

But I could do nothing about ithellip

Friends were a source of solace someone to con-fide all frustrations in But with my paranormal ability which appeared to everybody else only on screen-plays I wasnrsquot courageous enough to open my life wholeheartedly to them Seldom talking about myself avoiding all sorts of gatherings I became an eccentric figure among my classmates

Sometimes mutual understanding carried more weight than words I remembered my physics teacher being one of my few friends during my teen years De-spite his boisterous faccedilade he was always sensitive to whenever I was dwelling on my burdens Physics was our common language Intermingling our emotions and feelings with concepts that were alien to my fel-lows we developed a close rapport impenetrable by anyone else

ldquoWhat is the nature of a flamerdquo This was the most discussed problem between us Neither in solid liquid nor vapour state Not having any definite shape and colour It seems not any material but a type of energy giving out heat and light At the moment of providing it also exhausts its fuel and eventually itselfhellip

The romance of physics is more than anything you could read write and talk about Once you were truly connected with it nothing can stop you Your mind will bounce irrespective of the chronology of space-time but only under the guidance of your thoughts

I was so devoted to the discipline at the time that I was almost making it my lifelong career in some way He envisaged that I would demand much more than any academia could provide with its scientific basis alone We were both seeking a philosophy beyond the facts But Hong Kong may not be the right place for it

I made him a promise at the end to contain our flame and I knew I would

For the first and the last time I saw his eyes filled with tears We knew existence by itself is a miracle

ldquoi love life because what More is thererdquo ndash aNthoNy hopkiNs

46 | Caduceus September 2011

說華佗都說「華佗再世」誰知箇中真諦雲方 (M15)

烽煙起戰火燃萬里 

三國並爭英雄地亂世有誰顧生死 

待神醫行世將民眾救濟

渺渺江山東西瞰俞跗巧手扁鵲心(1) 應向何處尋 

滾滾黃沙無世家終有奇士放奇葩

沛國 華元化(2) 

他經書貫通南北遊動 

一望斷症如神助三劑消病不必多

說斷症悉如所料 

甘陵 相夫人腹痛極難忍(3) 號脈知死嬰在左為男形(4)廣陵 梅軍吏除名歸故里

見貌知壽盡速返見萱椿(5) 

說消病藥到病除 

飲蒜醋有三升蟲一嘔而盡清 (6)母服丸而溫儲兒不藥而自癒 (7)

絕妙處 

是他開腸剖腹刀至辟毒 

神醫號 

除他內外皆精有誰配稱

[1]   俞跗黃帝時代之名醫扁鵲春秋戰國之名醫《淮南子人間訓》「患至而多後憂之helliphellip雖有扁鵲俞跗之巧猶不能生也」

[2]   華佗字元化沛國人(今安徽 亳州)

[3]   甘陵相(即甘陵之行政長官)夫人懷胎六月腹痛不安華佗為其切脈便知胎死於是命人摸知所在在左則男在右則女人云「在左」夫人飲藥後果然產出男胎腹痛立即痊癒

[4]   廣陵有軍吏名曰梅平離鄉服役後來退役歸家於路上巧遇華佗華佗視之嘆道「若能早些見我當不至於此而今你僅餘五日壽命速速回家還能與家人相見」平旋即趕抵故鄉五日後亦如料身亡

[5]   萱椿多作椿萱比喻父母漢牟融《送徐浩》詩「知君此去情偏切堂上椿萱雪滿頭」

[6]   華佗見路邊有人食不下嚥教他到路邊餅店買醋三升混上蒜泥然後飲用路人服後即吐出一條長蛇(即寄生蟲)

[7]   兩歲男孩長年腹瀉藥石無靈華佗往診謂病在母命其服用華佗親研之「四物女宛丸」服後母親乳汁不再寒涼男孩亦不藥而癒

意興

hkucaduceusnet | 47

只可惜人無完壁

「關將軍使君予我手刮骨惡毒走

曹丞相使君予我頭剖顱苦痛收」

「怎能不收怎能不收一命嗚呼萬事休 

簡直荒謬簡直荒謬殺此庸醫未須愁」(8) 

五禽戲尚能傳 (9)麻沸散從此絕 

何不一飲醉死不知世忍氣吞聲事權貴 (10)心神委曲須臾苦奇術失迭千秋計 

烽煙止無改生死事 

且當醫仙謫世間神技終須風裏散 (11)回首仰高山景行請君範 (12)

[8]     曹操欲殺華佗臣下勸之不可答曰「不憂天下當無此鼠輩耶」

[9]     死前華佗欲托所著醫書於獄卒不果便盡數焚毀唯有其養生體操「五禽戲」流傳後世

[10]   《三國志魏書方技傳》「當須刳割者便飲其麻沸散須臾便如醉死無所知」

[11]   唐白居易《簡簡吟》「恐是天仙謫人世只合人間十三歲」

[12]   景行(音航)即大道以高山景行比喻人品德行為之高尚典出《詩經小雅車轄》又東漢鄭玄曰「古人有高德者則慕仰之有明行者則而行之」

ldquothe art of MediciNe was to be properly learNer oNly forM its practice aNd its exerciserdquo - thoMas sydeNhaM

48 | Caduceus September 2011

啟程

清晨空白的天空看不見藍天雲彩

只有溫柔的雨絲和朦朦朧朧的霧水跟隨

著大隊的足印踏上沉重的腳步穿過橫

街小巷和煩囂熱鬧的市場走過自動門

撲鼻的消毒藥水味道讓大家屏住呼吸筆

者和夥伴們終於到達了入讀護理系以來第

一次實習的醫院

還記得在實習的前幾天心情是既忐忑

又期待的畢竟這一次實習的地方不再是

在社區中心宣傳健康方面的知識亦不是

只面對著健康活潑的小朋友和老友記或是

學校課堂上所提供的假人張靜汶卻是照

顧一羣真正需要關懷的病人心中充滿著

憂慮不知自己所學的知識足夠在應用上

嗎自己平日的練習足夠嗎雖然心存在

著不少疑惑但也十分期待可以體會一下

做小學護的感受嘗試把這一年裡所學到

的知識運用出來

很多的第一次

在病房裡總有心酸和膽戰心驚的時

候第一次為昏迷的病人清潔口腔第一

次為難以進食的人插入胃喉第一次為老

公公清洗背上壓瘡的傷口helliphellip照顧他們時

的心情都是一步一驚心生怕自己沒法應

付得來又怕會把事情弄得更糟糕最重

要的是恐怕自己不純熟的技巧令他們受苦

了記得有一回第一次為女病人插入尿

喉採取尿液樣本可能技巧不太純熟的關

係延長了病人的痛苦過程中她皺著

眉頭不斷呻吟又緊張得咬破脣眼看

她樣子心中真的不是味兒來身為病人

的其中之一依靠我們不得不給自己信

心如果連自己也不相信自己哪會有病

人願意把他們交給我們照料呢

捕捉那瞬間的美麗與淒然何麗敏 (N14)

上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

意興

hkucaduceusnet | 49

另外第一次面對病人的心情是頗為

緊張的說話技巧亦有改進的空間但和

病人傾談了數分鐘後氣氛也漸漸變得和

諧可能那些老公公整天呆在醫院裡真是

悶到慌看見一羣年青人與自己聊天照

顧和關心他們他們不禁咧嘴而笑醫院

職員透露有一位老公公平日不太願意吃東

西於是我們便主動和他談天說地又

悉心照料他進食的情況後來他不但胃

口好了不少就連心情也開朗了他生動

活潑的談吐讓我們笑了他回復健康精

神的體魄也讓我們感到安慰

相處片刻

雖然為期一星期的病房日子不是特別繁

忙或是辛勞但是也會有不習慣的時候

幸好得到醫院職員和一班夥伴的支持病

房經理和註冊護士不但相信我們的能力

對學護的包容更是不用多說還主動地介

紹病房的環境和細心地教導我們醫療護理

上的知識讓我們上了一堂實在而又寶貴

的課同時今次的實習也令我感到團體

精神也十分重要在技巧上大家互相提

點互補不足當有人準備照料有需要的

病人如插喉或洗傷口等大家送上一句 

「加油」就能令對方增加不少自信心和正

能量無論遇上甚麼事情我也榮幸有如

此一班學習夥伴從旁支持

學習的階級

在這一次病房實習中雖然醫療和藥物

知識方面有待加強但是我學懂了如何與

不同身份的病人相處之道溝通上也得到

了很大的進步獲益不少除此之外我

也真正體會到如何做一個好護士並清楚

了解這個行業是否適合自己鐘樓也不是

一天就能建成而是需要一磚一瓦搭建而

成的所以在學習上我們不但要打好

穩固的基礎還要增強醫療知識在技巧

上馬虎了事和走捷徑是於是無補的應

該多探究和練習才行這樣才對得起病人

和自己也減少不必要的醫療失當事故

總之多一份認真多一點耐性多一些

愛心就是學護必記的左右銘 上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

ldquoit is reasoNable to expect the doctor to recogNise that scieNce May Not have all the aNswers to probleMs of health aNd healiNgrdquo ndash NorMaN cousiNs

50 | Caduceus September 2011

Fun Corner

Medical AppsEver wondered how your handheld device can save your time and

effort when it comes to studying Here is how

Anatomy Pronunciations by HipposoftAccurate pronunciations of over a hundred important anatomy terms you have trouble with are provided

at your fingertips to help you spell those difficult words Anyone who has taken an anatomy course can tell you how challenging it can be to pro-nounce the names of those complicated anatomi-cal terms It is even linked directly to Wikipedia and Google through web browser for additional information

iPharmacy ndash Pill Identifier and Medication Guide by SigmaPhone LLCAn essential medication guide of 20000+ drugs is provided for con-sumers amp professionals This ex-

pands the image library to include 12000 pill and package images and includes digital drug identifier with official drug information (indica-tions dosage adverse reactions and more) You can check the drugs anywhere

Grades 2 by TapityIt tells you what grades you need in the coming tests in order to get your target grade You can easily calcu-late your GPA so as to maintain it It

is a useful tool helping you to keep an eye on your GPA all the time

Human Anatomy by SusaSoftXThe application provides you with information of 15 different biologi-cal systems You can keep on revis-ing while you are traveling without

carrying heavy books

Medscape by WebMD LLCFrom drug classes interaction clin-ical procedures and even the lat-est medical news Medscape helps medical students and healthcare

professionals to reiterate knowledge that has slipped from the mind It is a free application for iPhone iPad Android and Blackberry Yet it contains more function on Android phones and Apple products and lacks detailed clinical infor-mation for diseases and clinical procedures walk through on Blackberry

Pro Medical Terminology Dic-tionary by TreascoveryTerminology might be a tough work for medical students Even if we can master those English terms we can

hardly think of the Chinese terms This applica-tion can help you when you face this problem Note that it is not a free application

3M Littmann SoundBuilder by 3M CompanyA great tool designed to help im-prove auscultation skills of medical students with 14 unique lessons of

key heart sounds combing text virtual manne-quin 3D cardiac animation and dynamic wave-forms

iRadiology by Liebermans iRadi-ologyAn excellent learning tool for medi-cal students demonstrating classic radiological findings of a multitude

of abnormalities including over 500 radiologic images Radiologic images include CT US MRI and nuclear imaging each clearly labeled and followed by key teaching points

Micromedex Drug Information by Thomson Reuters (Healthcare) IncIs Cephalexin a first generation ce-phalosporin This application from

Thomson Reuters is the easiest way to navigate in the sea of drug names Drugs are sorted by classes and supplemented with rich information

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 32: Caduceus Issue 2, Volume 42

32 | Caduceus September 2011

Learning Experiencing GivingA magical 10-day journey away from the cityErin Yeoh (M15)

C lad in backpacks light clothing and sneakers 21 medical students from HKU and CUHK

were prepared to leave the comforts of home and the internet (did I hear Facebook) We were bound to Chi-na about to embark on a learning-cum-volunteering trip organized by Medical Outreachers

After saying our final goodbyes at the Shenzhen air-port we split into two teams Team A with 9 members were bound to Xirsquoan where they would see volunteer orthopedic surgeons at work The 12 people in Team B including me left for Guizhou to understand the role of village doctors in rural China Both teams aimed to find out the effectiveness of public health policies in rural areas of China We were to meet up 4 days later at Dongshan Guangdong

Part1GuizhouUpon landing in Guizhou we were provided with

excellent hospitality by the local officers and the lo-cal NGO Amity Foundation We were given a brief introduction to Guizhou and also the work that the government and Amity Foundation were doing in the province Amity Foundation actually helped to build numerous new village clinics to improve the quality of healthcare in the region

The next day we were taken on a tour around the province visiting different village clinics (村診所) lo-cated in areas further away from the city Usually there would be one or two village doctors (村醫) on duty

at a time to attend to the villagers with population of around 1000 to 4000 per village

However the village doctors were not the type of ldquoheroesrdquo I had in mind They were not your typical doctor working in a worn out run-down wooden hut where there would be a row of sick villagers lining up to see them How ignorant I was In fact the village clin-ics were mostly renovated and well equipped with ba-sic amenities The standard village clinic has 5 rooms main lobby (大廳) treatment room (治療室) pharma-cy (藥房) observation room (觀察室) and a doctorrsquos rest room (醫生休息室) Furthermore their patient flow was rather small sometimes only one or two pa-tients per day This was probably due to the fact that some village clinics were located only a stonersquos throw away from major cities Those in a medical emergency would of course go straight to the main hospital to seek help immediately instead of consulting a village doc-tor

To be a village doctor one at least had to be a sec-ondary school graduate They would also undergo constant training and certification by qualified doctors in larger clinics According to the village doctors they spent most of their time doing paperwork keeping track of the villagers and their medical history They would also conduct regular home visits to those suf-fering from chronic illnesses or those that needed con-stant monitoring such as patients with hypertension or rheumatoid arthritis Another point that I found

A village clinic before receiving funding from Amity Foundation

hellipand a comparison after

Life

hkucaduceusnet | 33

interesting was that they would also visit families with newborn babies to check on their general health At the same time they would educate mothers on proper breastfeeding techniques and how to provide adequate nutrition for their children in the future

To learn more about their daily routine we fol-lowed a village doctor on his home visit rounds The doctor would sometimes have to travel as far as 2 kil-ometers for a home visit which would be the other end of the village This was as in the case of a pregnant lady due for delivery soon (photo as shown below) The doctor who came to check on her health status reas-sured her that her delivery would be a successful one From her sigh of relief and tired smile we could tell that she was grateful to see the doctor

However things didnrsquot always run as smoothly According to some of the village doctors they used to be scolded and rejected by the locals who did not understand why the doctors would often come up to their doorsteps asking them questions regarding their health and pestering them to go for checkups Some of them being superstitious would think of doctors as ldquoharbingers of bad luckrdquo as the doctors would talk about ldquosicknessrdquo and ldquodiseaserdquo when they were actu-ally feeling as fit as a fiddle Thankfully the situation has much improved since then

From what we saw instead of playing a curative role in a society the village doctors were actually much more involved in disease prevention and monitoring

This is actually the ldquoupstream modelrdquo concept in pub-lic health Instead urban doctors are overwhelmed by limited consultation time and when fatigue kicks in they simply do not have the energy to further educate their patients They would also not have the time to un-derstand their patients on a personal level unlike that of the village doctors

However the indiscriminate use of antibiotics in China was truly a frightening sight Doctors adminis-tered antibiotics intravenously for mild diseases like the common cold When we asked the doctors as to why they did so they simply smiled and shrugged off the question It is probably still a common practice in China and if the doctors did not give such medication the patients would probably lose trust in the doctor The fact that the similar practices were seen even in large hospitals probably indicates that this problem is hardly a localized one

Part2DongshanGuangdongWe met up with the team from Xirsquoan at the

Guangzhou airport and proceeded to our next desti-nationmdashDongshan After 5 hours of car ride we began to see signs that we were approaching our destination Mountains sharply angled clustered in twos or threes fondly known as ldquoMcDonalds mountainsrdquo were begin-ning to be in sight

As soon as we arrived we were greeted by eager curious young faces The children huddled close by as we unloaded our luggage some commenting that they hadnrsquot seen some of us while others were already play-ing around with the past participants It was my first time to Dongshan but there were some of us who were not new to the kids there

After settling down we were given an introduction to Dongshan and its residents by the local NGO Green Action Foundation led by Mr Wong

Located at the outskirts of the province Dongshan is one of the 4 poorest areas in Guangdong Its natu-ral terrain abundant in limestone makes it especially hard to retain water This has taken a toll on the resi-dents especially during the drought season Another problem faced by the local residents is that there are many young people and adults migrating to big cities to earn a living leaving behind the children and elderly

Village doctor on one of his home visits

Discarded bottles of intravenous antibiotics near the village clinic

ldquoMediciNe also disregards NatioNal bouNdariesrdquo ndash irviNg laNgMuir

34 | Caduceus September 2011

at home

Green Action Foundation took the initiative to plant trees around the area so that more water was available for irrigation and domestic purposes This improved the quality of their crops and boosted their source of income They also sponsored some of the

childrenrsquos education depending on their performance in school to ease the burden on their families

The next few days were jam-packed with activities A sports day was held as an icebreaker so that the new participants could get to know the children better We also spent half a day at the Dongshan Primary School where we taught the kids personal hygiene simple first aid moral education and also sex education for the grade 5 and 6 students

Another interesting activity that we had was a weed-cutting session up at a mountain with the other children Each of us was assigned with 2 to 3 chil-dren who were supposed to ldquoguiderdquo us along the way It was a 2-hour hike up and down hilly ter-rain While I would stop once in a while to take a breather the kids were barely panting The kids would often stop to ask if I was tired and even of-fered to help me carry my backpack Note to self more exercise next semester

Nevertheless it was a great chance to know the kids better We had the time to chat about their school life and what they thought about their future and also the chance to share snip-pets of our lives in the city

We then split into small groups and visited the homes of the children in order to gain a bet-ter understanding of their household hygiene

condition any medical conditions in the family as well as their economic standing We had also prepared questionnaires to be kept as future record Some of the families were very poor to the extent of having no source of income at all They depended solely on their own crops for food If they went to see the doctor they would usually owe the doctor money until they had

enough money to pay back The hygiene status of the villagers varied but most of them had swarms of flies around food Many even had their live poultry like chickens running around the house Before we left we gave them some hygiene products like soap washing detergent and toothbrushes to encourage better hy-giene We also gave them a poster explaining ways of maintaining a clean household environment

Another main focus of the trip was to find out the effectiveness of a medical insurance policy newly in-troduced by the government Each person had to pay 30 Renminbi annually to be guaranteed free medica-

Sports day activity

Weed cutting with the children

hkucaduceusnet | 35

tion and hospitalization thereafter Generally the vil-lagers were grateful for this plan as many found it dif-ficult to afford medical fees while struggling to pay for

basic necessities at the same time However some vil-lagers complained that the prices of medicine spiked after this policy was introduced and hospitals would of-ten ask patients to

do unnecessary scans just to earn more money

This trip made me realize that there is much that we can do but how great an impact we can make might not be seen immediately With follow up trips one could see the change as compared to the last visit and make further modifications to improve the situation

As the trip came to an end we were reluctant to leave There was something very magical about Dong-shan where the skies would turn to an exuberant red during sunset and on a clear night you could see stars scattered across every corner of the sky It is a place of beauty struggle and hopefully a place of triumph in the years to come

It is a place of beauty struggle and hopefully a place of triumph in the years to come

On one of our home visits

More to ExploreMedical Outreachers 醫心httpmedicaloutreachersorg

The Amity Foundation 愛德基金會httpwwwamityfoundationorg The beautiful sunset in Dongshan

ldquoshariNg is soMetiMes More deMaNdiNg thaN giviNgrdquo ndash Mary catheriNe batesoN

36 | Caduceus September 2011

就 在這一刻世界沉默了

城市的繁囂隨飛機引擎

逐點逐點噴走了繁囂的離

開是為了讓簡單的生活回

來剛踏出廈門機場一張

又一張的笑臉映入眼簾刺

熱的太陽把兩地之間的隔膜

融化

早從香港回歸時開始

香港人經常強調自己只是 

「香港人」而不是「中國

人」自以為比內地人高一

等可惜這班自視過高的都

市人曾幾何時為外地人送上

熱情的款待這一點廈門

人比誰都做得更好

廈門是一個位於中國

東南部的海島也許就是近

海讓居於廈門的人都把一

切怨恨煩惱拋下大海讓

它們隨水流漂走埋藏在海

床上每年廈門的鳳凰花花

開兩季一朵又一朵鮮艷如

火的鳳凰花在六月時歡送一

個又一個的畢業生彷彿為

他們添上一份祝福九月時

的鳳凰花熱情地歡迎一屆又

一屆的新生為新生的精彩

校園生活揭開序幕一份一

份的熱情含苞待放身在廈

門又怎會不被這市花的熱情

感動呢廈門大至人與人

之間小至花與花之間都存

著一份情

要追溯廈門人的情懷

可數至土樓的建成土樓

是個大多呈方形或圓形大型

群居的建築整座土樓樓高

三至五層由於牆身頗厚及

只有一個出入口甚具有防

禦功能亦因為這緣故當

大門關起來土樓便成了一

個家這個家佔地不大但卻

藏著成千上萬的人情味在

萬里無雲陽光普照的天空

下土樓居民的熱情好客

被蒸發出來懸浮在空中

一代一代傳下去更讓它隨

風走出土樓傳遍整個廈

門即使土樓漸漸成為旅遊

景點一些擺賣紀念品的攤

檔已經進駐但卻無礙居民間

的感情商販彼此交流從

不出現爭客的情況在土樓

中央休憩的居民除了為外地

人介紹他們的祠堂外亦邀

請遊客跟隨他們到遊客禁區

參觀在土樓居住的每伙都

中門大開當遊客投進好奇

的目光屋內的人往往以親

切的笑容作回答鄉土人

情在這世代多冷漠的心也

被融化

細膩的人情味外最令

遊客津津樂道的是廈門人的

態度廈門大學附近有一條

芙蓉隧道只要你願意便可

在隧道內壁上畫下你所思所

想當然美觀與否見仁見

智但這一種對藝術尊重

欣賞的態度是值得欣賞我

有我盡情地畫你有你盡責

青春在廈門留下足印潘曉彤 (N14)

生活

hkucaduceusnet | 37

地去管轄城市各處的整潔

彼此留下空間達至相輔相

成的效果廈門人就懂得人

最基本的禮貌尊重不

過廈門人對他人的尊重遠超

於人的基本禮貌當你去唱

「卡拉OK」的時候每次

待應的出入時看到的就只

有他們的正面而他們前行

或後退的方式就像看到皇帝

一樣卑恭屈膝香港人常常

強調面子哪一天才能捨下

那過高的尊嚴為不相識的

人作一個最謙卑的招待

其實任何人一離開香

港都不難發現就只有香

港愈夜愈精彩其他地方晚

上八時大多關門大吉而廈

門就只有中山路才媲美得

上香港的夜夜笙歌夜幕低

垂萬千燈火的中山路上

與來自各區的人擦肩而過

昏黃的燈光下照出一群又一

群的沉默影子剛好與路上

喧鬧的行人相映成趣騎樓

在霓虹燈的點綴下顯出了獨

有的閩南特色大街小巷傳

來不同地道小食的香氣車

輪餅燒仙草土笋凍helliphellip

為我們外來的交流生帶來美

味可口的夜宵飲飽食醉過

後走到中山路的盡頭又

回到了沉睡中的廈門

在優美的環境影響下

廈門人的生活也自然變得

純樸優閒單車車輪在環

島路上留下一圈又一圈的印

記沿路能細聽海浪輕拍岸

邊的聲音細嗅四處洋溢的

花香感受微風吹散太陽散

發的熱力見證一對又一對

的新人在拍下幸福的照片

據說廈門有戀愛天堂之稱

不管走到哪一處也會

看到準新人拍下甜蜜的婚紗

照而在裡面享受的人永遠

不知道這風景如畫的背

後是透過多少人的血汗換

來當我們在追求經濟成果

的同時往往破壞了造物者

在世上留下的藝術品隨中

國經濟急速發展一個又一

個的世外桃園被摧毀銅臭

替代了花香車聲替代了鳥

語這仙境又可維持多久

廈門另一世外桃園就是

鼓浪嶼它活像香港的長

洲島上滿有歐陸建築風

格但當中不乏中國特色的

建築中國古城風味與洋風

互相交替帶出截然不同的

感覺島上遠離汽車的廢

氣與金門就只是一海之

隔一家大小在享受天倫之

樂時一群又一群的青少

年情侶在沙灘上嬉戲立

即為島上升溫

筆者認為在這個混亂的

俗世確實需要抽空來欣賞

造物者留下來的藝術品大

財團不斷興建大型商場國

際知名品牌不停進駐留下

的就只有愈來愈狹窄的街

道被石屎封蓋寸草不生

的土地人人被金錢蒙蔽

迷失在霓虹燈光中又有多

少知音人能放下生活的瑣碎

事情在這裡享受時間一分

一秒的流走你被海浪聲

喚醒了嗎

筆者參加這次是由香

港廈門兩地大學的交流

團一連六天已經習慣了

當地的優閒生活模式體會

到的不只是廈門的風土人

情歷史文化而是兩地大

學生那種衝破界限的交流

雖說年輕人容易打成一片

但廈門獨有的熱情確實融化

了彼此間的隔膜廈門的美

是成人之美成就了兩地大

學生的友誼

飛機又再起飛了廈門

再見了

ldquothe tiMe of life is short to speNd that shortNess basely it would be too loNgrdquo ndash williaM shake-speare

38 | Caduceus September 2011

生 命形成之際只要一秒鐘的差遲世界便會不一樣

蝴蝶效應從來都是玄的全因一個 

「緣」字

隨著人成長要決擇的事太多學生

有兩件人生大事幾乎都不是由自己決定的

入讀小學及中學然而到了大學這

關卡自己也許可以拿定主意了若果你

入讀了心水科恭喜你若不然祝福

誠然入大學是最影響未來生活的關

口是好是壞無人知曉不用量化不

用比較太多即管做自己所想活出自己

的路只因你不會曉得你的下一步會怎樣

影響著你的生命

或許一個活動你會遇上你的最愛

或許一個宿位你會遇上你的知己

或許一句說話你會惹來一個敵人

或許一次走堂你會由B變C

這就是大學

在大學各人有各人的大學生活大

學講求自由學習學習真的是「求學不是

求分數」有些人愛廣交朋友有些人愛

住宿有些人愛做莊務有些人愛拍拖

有些人愛參加各樣活動有些人愛做兼

職有些人愛讀書有些人卻愛甚麼都不

做helliphellip不少大學生強調入大學必定要做齊

大學五件事(上莊住宿讀書拍拖

兼職)但其實只要自己開心不害人的

話做甚麼也沒問題最要緊的是認清讀

大學的目的以免沉淪於大學這花海

朋友

大學可以令你對「朋友」的概念愈來

愈含糊幾乎每個活動都可令你認識新朋

友通常大家都會輪流講述自己的名字與

學科(Round Table)這亦是考驗大腦對人名的記憶所謂的「Hi-Bye Friend」會愈來愈多隨便在細小的港大內穿梭會令你

無可奈何地對他們說聲Hi

不過別標籤你的「Hi-Bye Friend」要是連Hi-Bye也談不上更不用說做深交了上大學了大家已有既定的圈子很

多時約會或聊天都先找中學朋友而且很

多人會把大學朋友與中學的作比較雖情

有可原但有時未免先入為主地覺得中學

的較好

這亦難怪即使是日日碰面的同學也

未必是自己的好友人人都有自己的時間

表下課後各散東西不是大家不想互相

認識只是有時身不由己若想互相了

解不妨盡量製造共處之時有時甚至可

以分一些約會給大學朋友然後你會發

現大學朋友也可跟你熟絡可別為自己

建造一塊厚厚的心牆

舍堂

要入宿無人會不曉得十日的迎新營

有些舍堂平均每天的作息時間只有兩三小

時有人說住宿最辛苦就是迎新營然而

它卻是最難忘的

要數活動單單一個舍堂已數之不盡

要是投入舍堂生活每天24小時是不夠

用的舍堂之間有各樣比賽堂友要參加

各個組別為比賽出席各樣練習否則可

能被拒於來年再住基於許多人都只在夜

晚有空要全體出席那可是晚九朝五的

大學之緣賴彥積 (N14)

新鮮人

hkucaduceusnet | 39

宿生們之所以會熱衷於舍堂活動因他

們對自身舍堂有強烈的歸屬感好比中學

時學生參加校際比賽要是沒有歸屬感

就不會有心參加所屬舍堂的活動

除舍堂之間之活動樓層之間亦有各類

活動樓內亦然只要有人的地方就有玩

樂彷如天天宿營你不會有機會偷偷早

睡其他樓友常常打擾你你原來的生活

時間會推後數小時睡於二時已是罕有

早上的八半堂彷如無物

可以住宿但不參加活動嗎當然可以

但你會面對的是朋輩壓力他們雖未必逼

你參加卻會在言談中有意無意的滲出

來那種壓力不只限於自己樓層甚至是

跨樓層千萬可別輕看宿中流言

上莊

有人說上莊所學遠超課堂上莊所學

的是如何籌辦活動非常實用有時要對

外聯絡有時要面對公眾helliphellip像是要為將

來工作鋪路似的當然這亦要視乎你上

的是甚麼莊

一般而言上莊可訓練你待人處事的技

巧有時表面看來很友好的朋友當背

負上一定的要求後關係少不免有磨擦再

者初時莊員素未謀面最後卻因朝夕相

對而演變成朋友這段關係是很可貴的

成莊前要宣傳內閣爭取選票成莊了

又要舉行咨詢大會包受歷莊指導然後

又有就職典禮此後的活動更接踵而至

當然包括迎新活動招莊活動等helliphellip君不

見很多人視莊房為睡房少不免有「通

頂」之時忙是忙但必有價值至於是

好是壞要看自己的造化了

拍拖

人上了大學有時心思思想拍拖眼見

身旁多個好友都紛紛拍拖自己少不免羨

慕別人這想法十分正常畢竟大學生真

的可以放下只讀書的重擔真的可以規劃

人生大事了

香港大學一些營新活動中隨了Round Table外還有Round Status即說自己現在有否拍拖以及拍過多少次拖如 

A 0即Ava i lab l e之前至現在沒有拍拖O1即Occupied之前至現在共拍了一次拖當然也有一些同學自己創的甚

麼OBA (Occupied But Available)或D10(Desperate拍過10次拖)等等至於Round Status的動機何在可能是組爸媽想穿針引線吧當然也可能是別有用心的

不同人對拍拖有不同想法上了大學更

有不同擇偶條件人大了在感性的議題

上往往加上種種理性的數據開始現實起

來哪個帥哪個富有哪個有前途helliphellip

有些不在乎天長地久只求剎那的光輝

有些求虛榮有人疼愛在朋友前炫耀

有些甚至會在拍拖前已想定分手後的模

樣所以不想選擇跟自己同科的同學

活動

不同團體(包括舍堂學會及學校部

門)都有不同活動不用愁沒事幹只用

愁沒時間只要多留意Portal Mass Email或Main Campus海報不難發現幾乎每天都有各樣活動動靜皆宜開學時有迎

新營考試時有勁過飯新學期有開Sem

飯有些學會如戲劇舞蹈合唱團不時

有演出有關運動的學會則多練習以參

加比賽有關學術的也有很多興趣班講

座比賽等想幫人的亦可參加義工團

體如蛇蛇豬扶青等舉辦的義工活動

兼職

大學生的兼職大多以補習為主畢竟

這是我們能力範圍內可賺取最多外快又是

時間最彈性的工作有些人卻因補習不能

寫在履歷表而選擇別的工作然而很多時

我們都要在兼職與大學活動中取捨我的

ldquotake a chaNce all life is a chaNce the MaN who goes farthest is geNerally the oNe who is williNg to do aNd darerdquo ndash dale carNegie

40 | Caduceus September 2011

E mily was the chairperson of Pharmacy Socie-ty session 2010 As a student she has actively

participated in holding activities for many medical stu-dents and taken part in providing welfare to all phar-macy students Her following sharing will especially enlighten our new pharmacy students

Q Why did you choose Pharmacy SocietyA To be frank ldquosheung jongrdquo was really out of

my expectation when I anticipated my university life However my perspective has changed when I officially became a pharmacy student in HKU As members of the opening class of the Pharmacy programme my classmates and I realised the importance of having our own student body We do need an independent soci-ety to represent us pharmacy students to cater for our specific needs to listen to our points of view and to act as a bridge to facilitate our communication with the Medical Faculty the entire university and ultimately the pharmaceutical field in Hong Kong My class-mates and I who later became ldquojong yausrdquo believed we should act immediately to establish and run our own society which is why I decided to ldquosheung jongrdquo

Q Would you like to share some of the pros and cons of sheung jong

A ldquoSheung jongrdquo definitely helped me achieve per-sonal growth It was a concurrent commitment and re-sponsibility to serve and to lead our colleagues Bear-ing this in mind we always pushed ourselves to attain the best of our work ethics efficiency and efficacy As the very first session of the Society we lacked the guidance of any previous committee member Instead analysing carefully and critically we thought better of every decision which I personally found an enriching experience ldquoSheung jongrdquo was also an eye-opening journey Wersquod got to meet different people and learnt more about the professional work for as our career-to-be after graduation This in my opinion is always beneficial Last but not least I was fortunate enough to have worked with my amazing fellow committee mem-bers I frankly couldnrsquot ask for better ldquojong yausrdquo than initium Irsquom absolutely thankful for having them as my friends and it is definitely my greatest gain along the way

Despite the merits ldquosheung jongrdquo definitely has its downsides as well It is a lie to say ldquosheung jongrdquo does not affect our daily life because it does take up a big chunk of our time At the end of the day it is about time management which is easy to say but extremely dif-

建議是如家庭環境較困難賺錢吧反

之可以多留時間給各活動畢竟大學一

年的學費不只值那幾十堂課如何善用這

$42100就在乎你如何投入大學生活

讀書

假若你認為大學的考試可考核學生的

真正讀書能力並要求學生活學活用課堂

所學那麼你大失所望了假若你善於背

誦有過目不忘之本領大學的筆試不會

難倒你只要靠著前人留下的歷屆試題

背到滾瓜爛熟是不可能不及格的很多屆

試卷都是千篇一律的很多教授可沒空大

改試題那同學們就走運了有些課堂

即使再專業的學科都會有只理論無實

踐的課堂然後考試就要你把一大堆理論

背出來helliphellip例如甚麼叫批判思維噢

我可不知道只知道我掉了5分

不同學系在某程度上定下了人的前途

對於醫學院學生而言前路是較清晰可見

的但對於非專業學科前路不可只靠讀

書也許要靠自己另外摸索讀書所帶來

的必然是較高的GPA高GPA所帶來的是

獎學金到外國交流工作實習日後工

作機會等等當然大學學習不只局限於

讀書會否因此失彼就只有自己知道

蝶翼拍動之時往難以預料機會是

要自己摸索的

如經上所記

「神為愛他的人所預備的是眼睛未曾看見耳

朵未曾聽見人心也未曾想到的」

(哥林多前書29)

「栽種的和澆灌的都是一樣但將來各人要照自

己的工夫得自己的賞賜」

(哥林多前書38)

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

Freshmen

hkucaduceusnet | 41

ficult to achieve Also working as a Committee mem-ber can be very exhausting and difficult You definitely need lots of determination and support to get through some of the busiest times

Q How did you handle and balance the workload of study and your ldquojongrdquo

A As Irsquove said before it was tremendously difficult I guess my best advice for the future committee is to know your limitations and always plan ahead You have to know your time to work to rest to study etc No one will be over-worked and eve-ryone will have some personal time if you share the burden wisely between ldquojong yausrdquo Secondly you have to make very clear plans so that you can make full use of every little piece of your time I may not have succeeded in my time management but most of my ldquojong yausrdquo managed to do so de-spite the packed schedule of our Soci-ety This is sufficient proof of ldquoimpos-sible is nothingrdquo

Q As there are only about 25 pharmacy students per class do you have any suggestions for P14 fresh-men to make more friends from other curricula

A It really depends on what kind of person you are If you consider your-self socially active living in a hall or ldquosheung jongrdquo will be a great idea for you But if you see yourself as a much quieter person you can still make use of opportunities such as Medic Orien-tation Camp and other events jointly organised by student bodies within the Medical Faculty to make new friends

Q Any special things for P14 freshmen to be aware of

A First of all welcome You all are now members of Pharmacy Society MS HKUSU and I would like to let you know that this is a student body aiming to serve you Thus feel free to share your viewpoints and voice out your opinions to the current Com-mittee members The Society has to

understand your needs to improve and provide better welfare and services for you

Q Any other comments or important things to re-mind P14 freshmen

A If you would like to get to know more fellow pharmacy students especially students from P12 and P13 grab the opportunity to join the Pharmacy Society Orientation Camp and the Mentorship Programme These are great chances to make new friends and Irsquom sure you will enjoy them

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

ldquoas huMaN beiNgs we do chaNge grow adapt perhaps eveN learN aNd becoMe wiserrdquo ndash weNdy carlos

42 | Caduceus September 2011

筆 者是一位護理系的學生半年前有幸成為二零一一年啟思編輯委員會的總編輯在期間所體驗到的希望藉著這次機會作出分享特別希望新加入醫學院的同學

能對「上莊」有更多了解

上莊之路上莊是大學五件事之一證明它對大學生

活有一定的重要性一定的位置筆者在初入學的時候曾為了上莊與否而煩惱猶豫了好一段時間期間考慮到自己能力怕學業應負不來但最後仍然下了上莊這個決定原因是上莊是個難得的機會充實增值自己不同的莊會提供不同的機會讓莊友去學習透過不同的莊務去讓自己眼界擴大另外可以了解醫學院內發生既事情例如院內活動的進展情況更可以參加舉辦院活動為醫學院出一分力最後當然會認識到將會相處一整年的莊友工作伙伴有機會認識到不同學系的同學從他們身上可以觀察到學習到各種的特質從而令自己有所進步有所啟發

護理學生作為護理系學生起初擔任總編輯一職實

在是倍感壓力畢竟歷屆的總編輯都是由醫科生出任因此筆者起初都害怕跟醫科生共事怕自己的能力不足夠應付莊務所以起初都是戰戰兢兢地上莊

一位三年的護理學生曾對我說「我認為你不太尊重護理系護理系和醫科都是個專業希望你能加以尊重自己的學系不要輕視護理這個學系你要肯定自己的學系才能帶領整支莊因為莊內成員來自不同的學系你必須肯定和認同每個學系都有一定的重要性以及其專業」這番當頭棒喝的良言令我明白到自己一直都太輕視護理系過於重視醫科現在我明白到認同自己學系是尤其重要只有這樣才可以用自己學系的身份去發表意見只有認同自己學系才懂得尊重其他的學系莊內便可以融洽一點

在筆者的莊友中醫科生都是較有責任感而且做事更有計劃從他們身上的確學到不少東西這點是無可否認的事實筆者並不是在分享學系與學系之間的差別而是希望有志上莊的同學能互相尊重明白到各學系的莊

友都有其值得學習的地方起初對其他學系有隔膜是無可避免的畢竟對他們的學系都不太了解又沒有歸屬感但如果因為對方是別的學系而輕視對方的人不但失去與人相處學習的機會而且會令莊內的氣氛失去和諧

幸好的就我所見所聞醫學院內的莊多年來都能融洽相處互相支持令到一眾上莊的同學都能輕鬆地享受上莊的喜與樂甚至是不愉快的事情

依靠你的莊友莊是一個團體不是一兩個人可以應

付得來所以筆者認為與莊友互相溝通合作是個重要的元素新同學如果有志參與莊務期望從上莊中有所得著首要的事情是與莊友建立關係因為他們將會是你來年的工作伙伴也是你遇到困難時依靠的對象一位上莊曾對我說「其實一件的莊期不會令你有太大的得著或成長反而長久的友誼才是你將會得到最重要的」這句說話是千真萬確的上莊的人不會由詞不達意改變成談吐得宜不要期望自己會有驚人的轉變也許上莊會令人處事成熟一點有計劃一點但上莊所得到的關係將會是更重要更珍貴一年的相處中面對過有無數的會議共同處理過不少困難從中

建立的友誼真的是畢生受用

責任感上莊另外一個十分重要既條件就是責任

感有志上莊的同學必須明白到莊期是長達一整年在繁重的學業中騰出時間來處理莊務是個考驗責任感和毅力的測試同學必須再三思考想清楚自己是否真係熱衷於上莊或是只是一時衝動畢竟你將要許下的是一年的承諾必須對這個莊負上責任願意付出才選擇上莊這個決定這樣的付出就會有相對的回

總結上莊的確是個好機會讓自己去學習從處

理事務中或是從莊友身上都會有所得著充實著自己的大學生活從中可以認識到各學系的同學建立一段段受用終身的友誼在此筆者希望各學系的新同學可以善用機會作出上莊這個無悔的決定

護理系的啟思總編石志榮 (N14)

新鮮人

hkucaduceusnet | 43

慈兄吟(下)奇晶

最 後還是麥教授先開了口「他的確是一個好學生對醫學有獨到見解他不但學業成績優異而且樂於助人你是他的妹妹吧」婉慧努力控制自己的淚水繼繼續續的說「是啊但helliphellip但helliphellip我不知道helliphellip他竟會在這裏出現」麥教授用悲天憫人的目光看着婉慧語重深長說「人生自古誰無死人生命的有為與否並不取決於他生命的長短而是在於人生的意義你哥哥雖然最後當不了醫生但他的犧牲卻間接為一些同學做醫生鋪路讓他們做醫生去救人這真是一種無私的愛」婉慧點點頭覺得自己對哥哥的了解實在太少了

最後她還是孤獨的離開實驗室她覺得自己跟哥哥比起來實在相差得太遠了原來他除了是十優狀元在醫學院的成績名列前茅外還是個熱心助人的好青年自己除了少了一優外少的更有對別人的同情及樂於助人這造就了她心靈上的空虛她明白到冷漠不是一種對哥哥思念的正當表達方法她應該做的是把哥哥對其他人的愛傳揚開去以圓他的心願

第一步往往是最困難的婉慧平日對他人的態度已令不少人對她敬而遠之有很多次她嘗試向同班同學投以友善的笑容得到的總是詫異的目光或別人的不理不睬在小組討論中儘管她踴躍發言盡量避免冷場的發生偶同學們卻認為她變本加厲想阻止同學們取得好成績她四處碰壁又再次陷入了想念哥哥的深淵

時間一天一天過去了上學期考試前的休假開始了婉慧每天都勤奮的在圖書館溫習期望取得好成績這時候的圖書館堆滿了人如果遲來一個小時想找一個位子也難就在假期的第二天同班的王文在圖書館跑得氣急敗壞仍找不到一個座位婉慧不知怎樣有點同情他將座位讓給他王文驚訝道「不用了我還是回家吧真倒楣遲來了一個小時就沒有『接位』」

「但你住在哪裏呀」

「元朗今天早上我忘了校鬧鐘八時才起」

「那你還是要我的座位吧我可以坐到電腦桌因為我認識的人不少沒有什麼人會打擾我的」

王文謝了她頓時對這位冷漠的同學刮目相看原來她的內心也是溫暖的這並不是他所能料及的坐在電腦桌前溫習的她也感到特別的快樂溫習的速度也快多了王文就此成為了她的「飯檔」考試期間每天和她一起吃飯他更將自己的好友介紹給婉慧認識

在一個晚上她又悄悄的在圖書館的角落溫習着突然一隻溫暖的手搭着她的肩上她抬起頭但見解剖學的同桌手中拿着一杯熱飲輕輕的放在她的桌上婉慧正感詫異卻聽見他說「這杯熱巧克力是給你的繼續努力吧」她喝着巧克力心中感到一股暖流彷彿哥哥的關懷又在她內作出回響

十年生死兩茫茫不思量自難忘千里孤墳無處話淒涼helliphellip

寒風吹起了她額上的劉海佇立在墓前的婉慧不禁凜冽她想起了從前想到自己最後一次和哥哥吵架雙方面紅耳赤的情況想起自己無法親口跟哥哥道歉想起哥哥無私的付出她對着那空虛的墳心中不忍一陣淒然淚水漱漱的流下來她身旁攜扶着年紀老邁的母親邊拭淚邊喃喃道「我的兒子helliphellip歿了helliphellip」大家心情漸漸平復了緩緩走出了墳地

雨一滴一滴的落下飽歷辛酸的婉慧卻仍在懸壼濟世

短篇

ldquoyesterday is but todayrsquos MeMory aNd toMorrow is todayrsquos dreaMrdquo ndash khalil gibraN

44 | Caduceus September 2011

Eternal Flame (1)Tulipa

Itrsquos cold The chills from my fingertips imbibe deep into me This person drills into my mind digging out the truth inside me Itrsquos agonizing She comes right inhellip di-rectly I cannot stop her

Irsquom losing myselfhellip

My hand felt the soggy pillow I realised I had come back to life the world where I lived Staring blankly at the ceiling still losing focus in my eyes I felt my brows with my forearm For the first time I didnrsquot want to lose this feeling

The bedroom door slowly opened I quickly rubbed off the drops that had blurred my vision pretending that I had just woken up

ldquoDo you have lessons this morningrdquo My grand-mother whispered into my ear

ldquoOh goshrdquo I turned right to my alarm clock It was the real life I had forgotten to turn the alarm on last night and it was now seven thirty I knew it I was going to be late every time she caught me in bed Irsquod got to hurry up

Living in Hong Kong Island though it took me more than an hour to get to school I had to comfort my little brother sometimes till two or three in the morning in order to get him to sleep In addition to the consistently heavy study load in the medical school I could hardly get enough rest Running on my heels al-most became my routine starting from last November But I well understood the consequence of skipping lec-tures It was the beginning of the Cardiovascular Sys-tem Block For someone like me who gave least priority in revising Anatomy materials lectures remained the prime source of information for exams Absence from class was suicidal To make the situation worse this professor was one of those who did NOT upload lec-ture notes online

Hoping I wouldnrsquot arrive too late to miss the impor-tant points I finally stepped onto a route no 8 minibus at ten past eight What I could do now was to pay trust in the driver who would bring me to my destination

Coaxing kids was never easy Little Bruce just hap-pened to give me such a hassle last night

He knew I would check on him when I returned home Sitting right next to the door of his room he begged me for a story once I opened the door I sat down together with him on his little couch after Irsquod taken a quick shower This was a time to relax leaving

aside all the other concerns

Kindling through his favourite reader I saw that he wasnrsquot listening but distracted by all sorts of toys around He even invited me into his world of fantasy But it was getting late I had to calm him down so that I too could have some rest Being one of the brightest in his elementary school he should understand this was not the time for recreation

I began to feel annoyed

Yet he was my brother I had a gut feeling that this was unusual He didnrsquot use to be so ldquohyperactiverdquo It re-ally took me a while to adjust to his change With him still tossing and turning in my arms I apprehended his restlessness Unpredictable though he was true to his feelings In one way or another he might find the shadow of our mother in me

He finally settled when I laid him back in bed It was nearly two forty in the morning

The first week of the CVS Block ran as plotted PBL tutorials would start on next Monday Dr Youngrsquos fa-cial expression in the first PBL evaluation flashed over my Embryology notes and references She didnrsquot teach Embryology but I could tell she did have a hypertroph-ic heart-shaped face which looked familiar to the dia-grams in the Atlas

Back in the IHD Block most of us were puzzled about the scrambled content of our course Various forms of seemingly related knowledge came in through lectures practical and tutorial sessions But the neural circuit formed in our brain just failed to resonate as if the conductance-inductance mismatch had aberrated our thought from minimal impedance Sometimes things even happened in a ldquomore-than-extrardquo manner The presence of common core courses in a parallel but independent branch in the network could rightly be detached without causing a blip on the galvanometer Everything was dubious We had no idea of what we were doing

Maybe we were just on the way seeking for a sense of attachment

My mind too was racing in haste I was struggling with my decision to become a doctor Too many things had happened over the year I just couldnrsquot stop ques-tioning myself what was I thinking when I put lsquo6456 MBBSrsquo in my JUPAS application I should have expect-ed and prepared to face all these I just didnrsquot knowhellip

Novella

hkucaduceusnet | 45

It was midterm evaluation in the IHD Block Her face looked tense in that heart shape She was so stiff in her facial expression that no one could read her mind from her poker face The conference room of the Physi-ology Department was large We seemed to be the odd ones out in the spacious carpeted room In this secre-tive silence you could hear the drumming in your ears as if you were tingling

I realised this was not a matter of ldquoam-I-suitable-for-a-medical-careerrdquo but ldquois-a-medical-career-suita-ble-for-merdquo I was lying in bed playing with my plush bear when these thoughts burst in me Dr Young looked through me She felt certain that different from other group mates there were crises behind me But I didnrsquot tell her anything that day

We all were sensitive At times some subtle trepi-dation seeped in gradually sucking peace away from my sleep It was so to say below threshold sub-lethal though it lingered for weeks once it set inhellip

Drenched in bloodhellip There is no life in the boy His eyes are widely opened slightly protruded The lifeless pair of black pearlshellip I cannot escape from his glance He wants to talk to mehellip There is something he wants me to know

A van runs over himhellip

I fell down the edge of my mattress Breathing heavilyhellip Sweating all overhellip

ldquoScreechrdquo People began to gather around a tel-ephone booth a few metres behind us

I turned back I couldnrsquot see a lot from this anglehellip

ldquohellip What a pity He is so younghelliprdquo a middle-aged couple passed by

The victim resting just in front of the wheel looked towards me through a break in the crowdhellip

As we were wandering around thinking what to eat for dinner my cousin found me standing there rooted to the ground stunned by the victimrsquos gaze My heart was pounding She wouldnrsquot believe what I was again experiencing For a number of times already scenarios in my dreams were mirrored into reality

I couldnrsquot tell her

ldquoI was just thinking whether you would like Korean cuisine There is a new restaurant two corners awayrdquo I made up a talk while escaping from the scene so that I wouldnrsquot look so strange

ldquoWhy not go and have a try thenrdquo She was not dis-appointed for calling it a day as the food there was sur-prisingly good

Not until some years ago when I was Form 3 in college I discovered my ability to look into the future Sometimes I could see them coming up on the news in days or weeks And some didnrsquot ever happen at least not around me But seeing the night visions coming into concrete existence wasnrsquot always a pleasure when the mental images turned gradually into mostly night-mares When I visualised my close ones it felt like I was in the middle of an insecure chain bridge above a torrent that would sweep me into the vast ocean with no return It was entirely different from what you might understand as ldquodreams come truerdquo

I had witnessed misfortunes in proximityhellip

But I could do nothing about ithellip

Friends were a source of solace someone to con-fide all frustrations in But with my paranormal ability which appeared to everybody else only on screen-plays I wasnrsquot courageous enough to open my life wholeheartedly to them Seldom talking about myself avoiding all sorts of gatherings I became an eccentric figure among my classmates

Sometimes mutual understanding carried more weight than words I remembered my physics teacher being one of my few friends during my teen years De-spite his boisterous faccedilade he was always sensitive to whenever I was dwelling on my burdens Physics was our common language Intermingling our emotions and feelings with concepts that were alien to my fel-lows we developed a close rapport impenetrable by anyone else

ldquoWhat is the nature of a flamerdquo This was the most discussed problem between us Neither in solid liquid nor vapour state Not having any definite shape and colour It seems not any material but a type of energy giving out heat and light At the moment of providing it also exhausts its fuel and eventually itselfhellip

The romance of physics is more than anything you could read write and talk about Once you were truly connected with it nothing can stop you Your mind will bounce irrespective of the chronology of space-time but only under the guidance of your thoughts

I was so devoted to the discipline at the time that I was almost making it my lifelong career in some way He envisaged that I would demand much more than any academia could provide with its scientific basis alone We were both seeking a philosophy beyond the facts But Hong Kong may not be the right place for it

I made him a promise at the end to contain our flame and I knew I would

For the first and the last time I saw his eyes filled with tears We knew existence by itself is a miracle

ldquoi love life because what More is thererdquo ndash aNthoNy hopkiNs

46 | Caduceus September 2011

說華佗都說「華佗再世」誰知箇中真諦雲方 (M15)

烽煙起戰火燃萬里 

三國並爭英雄地亂世有誰顧生死 

待神醫行世將民眾救濟

渺渺江山東西瞰俞跗巧手扁鵲心(1) 應向何處尋 

滾滾黃沙無世家終有奇士放奇葩

沛國 華元化(2) 

他經書貫通南北遊動 

一望斷症如神助三劑消病不必多

說斷症悉如所料 

甘陵 相夫人腹痛極難忍(3) 號脈知死嬰在左為男形(4)廣陵 梅軍吏除名歸故里

見貌知壽盡速返見萱椿(5) 

說消病藥到病除 

飲蒜醋有三升蟲一嘔而盡清 (6)母服丸而溫儲兒不藥而自癒 (7)

絕妙處 

是他開腸剖腹刀至辟毒 

神醫號 

除他內外皆精有誰配稱

[1]   俞跗黃帝時代之名醫扁鵲春秋戰國之名醫《淮南子人間訓》「患至而多後憂之helliphellip雖有扁鵲俞跗之巧猶不能生也」

[2]   華佗字元化沛國人(今安徽 亳州)

[3]   甘陵相(即甘陵之行政長官)夫人懷胎六月腹痛不安華佗為其切脈便知胎死於是命人摸知所在在左則男在右則女人云「在左」夫人飲藥後果然產出男胎腹痛立即痊癒

[4]   廣陵有軍吏名曰梅平離鄉服役後來退役歸家於路上巧遇華佗華佗視之嘆道「若能早些見我當不至於此而今你僅餘五日壽命速速回家還能與家人相見」平旋即趕抵故鄉五日後亦如料身亡

[5]   萱椿多作椿萱比喻父母漢牟融《送徐浩》詩「知君此去情偏切堂上椿萱雪滿頭」

[6]   華佗見路邊有人食不下嚥教他到路邊餅店買醋三升混上蒜泥然後飲用路人服後即吐出一條長蛇(即寄生蟲)

[7]   兩歲男孩長年腹瀉藥石無靈華佗往診謂病在母命其服用華佗親研之「四物女宛丸」服後母親乳汁不再寒涼男孩亦不藥而癒

意興

hkucaduceusnet | 47

只可惜人無完壁

「關將軍使君予我手刮骨惡毒走

曹丞相使君予我頭剖顱苦痛收」

「怎能不收怎能不收一命嗚呼萬事休 

簡直荒謬簡直荒謬殺此庸醫未須愁」(8) 

五禽戲尚能傳 (9)麻沸散從此絕 

何不一飲醉死不知世忍氣吞聲事權貴 (10)心神委曲須臾苦奇術失迭千秋計 

烽煙止無改生死事 

且當醫仙謫世間神技終須風裏散 (11)回首仰高山景行請君範 (12)

[8]     曹操欲殺華佗臣下勸之不可答曰「不憂天下當無此鼠輩耶」

[9]     死前華佗欲托所著醫書於獄卒不果便盡數焚毀唯有其養生體操「五禽戲」流傳後世

[10]   《三國志魏書方技傳》「當須刳割者便飲其麻沸散須臾便如醉死無所知」

[11]   唐白居易《簡簡吟》「恐是天仙謫人世只合人間十三歲」

[12]   景行(音航)即大道以高山景行比喻人品德行為之高尚典出《詩經小雅車轄》又東漢鄭玄曰「古人有高德者則慕仰之有明行者則而行之」

ldquothe art of MediciNe was to be properly learNer oNly forM its practice aNd its exerciserdquo - thoMas sydeNhaM

48 | Caduceus September 2011

啟程

清晨空白的天空看不見藍天雲彩

只有溫柔的雨絲和朦朦朧朧的霧水跟隨

著大隊的足印踏上沉重的腳步穿過橫

街小巷和煩囂熱鬧的市場走過自動門

撲鼻的消毒藥水味道讓大家屏住呼吸筆

者和夥伴們終於到達了入讀護理系以來第

一次實習的醫院

還記得在實習的前幾天心情是既忐忑

又期待的畢竟這一次實習的地方不再是

在社區中心宣傳健康方面的知識亦不是

只面對著健康活潑的小朋友和老友記或是

學校課堂上所提供的假人張靜汶卻是照

顧一羣真正需要關懷的病人心中充滿著

憂慮不知自己所學的知識足夠在應用上

嗎自己平日的練習足夠嗎雖然心存在

著不少疑惑但也十分期待可以體會一下

做小學護的感受嘗試把這一年裡所學到

的知識運用出來

很多的第一次

在病房裡總有心酸和膽戰心驚的時

候第一次為昏迷的病人清潔口腔第一

次為難以進食的人插入胃喉第一次為老

公公清洗背上壓瘡的傷口helliphellip照顧他們時

的心情都是一步一驚心生怕自己沒法應

付得來又怕會把事情弄得更糟糕最重

要的是恐怕自己不純熟的技巧令他們受苦

了記得有一回第一次為女病人插入尿

喉採取尿液樣本可能技巧不太純熟的關

係延長了病人的痛苦過程中她皺著

眉頭不斷呻吟又緊張得咬破脣眼看

她樣子心中真的不是味兒來身為病人

的其中之一依靠我們不得不給自己信

心如果連自己也不相信自己哪會有病

人願意把他們交給我們照料呢

捕捉那瞬間的美麗與淒然何麗敏 (N14)

上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

意興

hkucaduceusnet | 49

另外第一次面對病人的心情是頗為

緊張的說話技巧亦有改進的空間但和

病人傾談了數分鐘後氣氛也漸漸變得和

諧可能那些老公公整天呆在醫院裡真是

悶到慌看見一羣年青人與自己聊天照

顧和關心他們他們不禁咧嘴而笑醫院

職員透露有一位老公公平日不太願意吃東

西於是我們便主動和他談天說地又

悉心照料他進食的情況後來他不但胃

口好了不少就連心情也開朗了他生動

活潑的談吐讓我們笑了他回復健康精

神的體魄也讓我們感到安慰

相處片刻

雖然為期一星期的病房日子不是特別繁

忙或是辛勞但是也會有不習慣的時候

幸好得到醫院職員和一班夥伴的支持病

房經理和註冊護士不但相信我們的能力

對學護的包容更是不用多說還主動地介

紹病房的環境和細心地教導我們醫療護理

上的知識讓我們上了一堂實在而又寶貴

的課同時今次的實習也令我感到團體

精神也十分重要在技巧上大家互相提

點互補不足當有人準備照料有需要的

病人如插喉或洗傷口等大家送上一句 

「加油」就能令對方增加不少自信心和正

能量無論遇上甚麼事情我也榮幸有如

此一班學習夥伴從旁支持

學習的階級

在這一次病房實習中雖然醫療和藥物

知識方面有待加強但是我學懂了如何與

不同身份的病人相處之道溝通上也得到

了很大的進步獲益不少除此之外我

也真正體會到如何做一個好護士並清楚

了解這個行業是否適合自己鐘樓也不是

一天就能建成而是需要一磚一瓦搭建而

成的所以在學習上我們不但要打好

穩固的基礎還要增強醫療知識在技巧

上馬虎了事和走捷徑是於是無補的應

該多探究和練習才行這樣才對得起病人

和自己也減少不必要的醫療失當事故

總之多一份認真多一點耐性多一些

愛心就是學護必記的左右銘 上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

ldquoit is reasoNable to expect the doctor to recogNise that scieNce May Not have all the aNswers to probleMs of health aNd healiNgrdquo ndash NorMaN cousiNs

50 | Caduceus September 2011

Fun Corner

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at your fingertips to help you spell those difficult words Anyone who has taken an anatomy course can tell you how challenging it can be to pro-nounce the names of those complicated anatomi-cal terms It is even linked directly to Wikipedia and Google through web browser for additional information

iPharmacy ndash Pill Identifier and Medication Guide by SigmaPhone LLCAn essential medication guide of 20000+ drugs is provided for con-sumers amp professionals This ex-

pands the image library to include 12000 pill and package images and includes digital drug identifier with official drug information (indica-tions dosage adverse reactions and more) You can check the drugs anywhere

Grades 2 by TapityIt tells you what grades you need in the coming tests in order to get your target grade You can easily calcu-late your GPA so as to maintain it It

is a useful tool helping you to keep an eye on your GPA all the time

Human Anatomy by SusaSoftXThe application provides you with information of 15 different biologi-cal systems You can keep on revis-ing while you are traveling without

carrying heavy books

Medscape by WebMD LLCFrom drug classes interaction clin-ical procedures and even the lat-est medical news Medscape helps medical students and healthcare

professionals to reiterate knowledge that has slipped from the mind It is a free application for iPhone iPad Android and Blackberry Yet it contains more function on Android phones and Apple products and lacks detailed clinical infor-mation for diseases and clinical procedures walk through on Blackberry

Pro Medical Terminology Dic-tionary by TreascoveryTerminology might be a tough work for medical students Even if we can master those English terms we can

hardly think of the Chinese terms This applica-tion can help you when you face this problem Note that it is not a free application

3M Littmann SoundBuilder by 3M CompanyA great tool designed to help im-prove auscultation skills of medical students with 14 unique lessons of

key heart sounds combing text virtual manne-quin 3D cardiac animation and dynamic wave-forms

iRadiology by Liebermans iRadi-ologyAn excellent learning tool for medi-cal students demonstrating classic radiological findings of a multitude

of abnormalities including over 500 radiologic images Radiologic images include CT US MRI and nuclear imaging each clearly labeled and followed by key teaching points

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Thomson Reuters is the easiest way to navigate in the sea of drug names Drugs are sorted by classes and supplemented with rich information

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 33: Caduceus Issue 2, Volume 42

hkucaduceusnet | 33

interesting was that they would also visit families with newborn babies to check on their general health At the same time they would educate mothers on proper breastfeeding techniques and how to provide adequate nutrition for their children in the future

To learn more about their daily routine we fol-lowed a village doctor on his home visit rounds The doctor would sometimes have to travel as far as 2 kil-ometers for a home visit which would be the other end of the village This was as in the case of a pregnant lady due for delivery soon (photo as shown below) The doctor who came to check on her health status reas-sured her that her delivery would be a successful one From her sigh of relief and tired smile we could tell that she was grateful to see the doctor

However things didnrsquot always run as smoothly According to some of the village doctors they used to be scolded and rejected by the locals who did not understand why the doctors would often come up to their doorsteps asking them questions regarding their health and pestering them to go for checkups Some of them being superstitious would think of doctors as ldquoharbingers of bad luckrdquo as the doctors would talk about ldquosicknessrdquo and ldquodiseaserdquo when they were actu-ally feeling as fit as a fiddle Thankfully the situation has much improved since then

From what we saw instead of playing a curative role in a society the village doctors were actually much more involved in disease prevention and monitoring

This is actually the ldquoupstream modelrdquo concept in pub-lic health Instead urban doctors are overwhelmed by limited consultation time and when fatigue kicks in they simply do not have the energy to further educate their patients They would also not have the time to un-derstand their patients on a personal level unlike that of the village doctors

However the indiscriminate use of antibiotics in China was truly a frightening sight Doctors adminis-tered antibiotics intravenously for mild diseases like the common cold When we asked the doctors as to why they did so they simply smiled and shrugged off the question It is probably still a common practice in China and if the doctors did not give such medication the patients would probably lose trust in the doctor The fact that the similar practices were seen even in large hospitals probably indicates that this problem is hardly a localized one

Part2DongshanGuangdongWe met up with the team from Xirsquoan at the

Guangzhou airport and proceeded to our next desti-nationmdashDongshan After 5 hours of car ride we began to see signs that we were approaching our destination Mountains sharply angled clustered in twos or threes fondly known as ldquoMcDonalds mountainsrdquo were begin-ning to be in sight

As soon as we arrived we were greeted by eager curious young faces The children huddled close by as we unloaded our luggage some commenting that they hadnrsquot seen some of us while others were already play-ing around with the past participants It was my first time to Dongshan but there were some of us who were not new to the kids there

After settling down we were given an introduction to Dongshan and its residents by the local NGO Green Action Foundation led by Mr Wong

Located at the outskirts of the province Dongshan is one of the 4 poorest areas in Guangdong Its natu-ral terrain abundant in limestone makes it especially hard to retain water This has taken a toll on the resi-dents especially during the drought season Another problem faced by the local residents is that there are many young people and adults migrating to big cities to earn a living leaving behind the children and elderly

Village doctor on one of his home visits

Discarded bottles of intravenous antibiotics near the village clinic

ldquoMediciNe also disregards NatioNal bouNdariesrdquo ndash irviNg laNgMuir

34 | Caduceus September 2011

at home

Green Action Foundation took the initiative to plant trees around the area so that more water was available for irrigation and domestic purposes This improved the quality of their crops and boosted their source of income They also sponsored some of the

childrenrsquos education depending on their performance in school to ease the burden on their families

The next few days were jam-packed with activities A sports day was held as an icebreaker so that the new participants could get to know the children better We also spent half a day at the Dongshan Primary School where we taught the kids personal hygiene simple first aid moral education and also sex education for the grade 5 and 6 students

Another interesting activity that we had was a weed-cutting session up at a mountain with the other children Each of us was assigned with 2 to 3 chil-dren who were supposed to ldquoguiderdquo us along the way It was a 2-hour hike up and down hilly ter-rain While I would stop once in a while to take a breather the kids were barely panting The kids would often stop to ask if I was tired and even of-fered to help me carry my backpack Note to self more exercise next semester

Nevertheless it was a great chance to know the kids better We had the time to chat about their school life and what they thought about their future and also the chance to share snip-pets of our lives in the city

We then split into small groups and visited the homes of the children in order to gain a bet-ter understanding of their household hygiene

condition any medical conditions in the family as well as their economic standing We had also prepared questionnaires to be kept as future record Some of the families were very poor to the extent of having no source of income at all They depended solely on their own crops for food If they went to see the doctor they would usually owe the doctor money until they had

enough money to pay back The hygiene status of the villagers varied but most of them had swarms of flies around food Many even had their live poultry like chickens running around the house Before we left we gave them some hygiene products like soap washing detergent and toothbrushes to encourage better hy-giene We also gave them a poster explaining ways of maintaining a clean household environment

Another main focus of the trip was to find out the effectiveness of a medical insurance policy newly in-troduced by the government Each person had to pay 30 Renminbi annually to be guaranteed free medica-

Sports day activity

Weed cutting with the children

hkucaduceusnet | 35

tion and hospitalization thereafter Generally the vil-lagers were grateful for this plan as many found it dif-ficult to afford medical fees while struggling to pay for

basic necessities at the same time However some vil-lagers complained that the prices of medicine spiked after this policy was introduced and hospitals would of-ten ask patients to

do unnecessary scans just to earn more money

This trip made me realize that there is much that we can do but how great an impact we can make might not be seen immediately With follow up trips one could see the change as compared to the last visit and make further modifications to improve the situation

As the trip came to an end we were reluctant to leave There was something very magical about Dong-shan where the skies would turn to an exuberant red during sunset and on a clear night you could see stars scattered across every corner of the sky It is a place of beauty struggle and hopefully a place of triumph in the years to come

It is a place of beauty struggle and hopefully a place of triumph in the years to come

On one of our home visits

More to ExploreMedical Outreachers 醫心httpmedicaloutreachersorg

The Amity Foundation 愛德基金會httpwwwamityfoundationorg The beautiful sunset in Dongshan

ldquoshariNg is soMetiMes More deMaNdiNg thaN giviNgrdquo ndash Mary catheriNe batesoN

36 | Caduceus September 2011

就 在這一刻世界沉默了

城市的繁囂隨飛機引擎

逐點逐點噴走了繁囂的離

開是為了讓簡單的生活回

來剛踏出廈門機場一張

又一張的笑臉映入眼簾刺

熱的太陽把兩地之間的隔膜

融化

早從香港回歸時開始

香港人經常強調自己只是 

「香港人」而不是「中國

人」自以為比內地人高一

等可惜這班自視過高的都

市人曾幾何時為外地人送上

熱情的款待這一點廈門

人比誰都做得更好

廈門是一個位於中國

東南部的海島也許就是近

海讓居於廈門的人都把一

切怨恨煩惱拋下大海讓

它們隨水流漂走埋藏在海

床上每年廈門的鳳凰花花

開兩季一朵又一朵鮮艷如

火的鳳凰花在六月時歡送一

個又一個的畢業生彷彿為

他們添上一份祝福九月時

的鳳凰花熱情地歡迎一屆又

一屆的新生為新生的精彩

校園生活揭開序幕一份一

份的熱情含苞待放身在廈

門又怎會不被這市花的熱情

感動呢廈門大至人與人

之間小至花與花之間都存

著一份情

要追溯廈門人的情懷

可數至土樓的建成土樓

是個大多呈方形或圓形大型

群居的建築整座土樓樓高

三至五層由於牆身頗厚及

只有一個出入口甚具有防

禦功能亦因為這緣故當

大門關起來土樓便成了一

個家這個家佔地不大但卻

藏著成千上萬的人情味在

萬里無雲陽光普照的天空

下土樓居民的熱情好客

被蒸發出來懸浮在空中

一代一代傳下去更讓它隨

風走出土樓傳遍整個廈

門即使土樓漸漸成為旅遊

景點一些擺賣紀念品的攤

檔已經進駐但卻無礙居民間

的感情商販彼此交流從

不出現爭客的情況在土樓

中央休憩的居民除了為外地

人介紹他們的祠堂外亦邀

請遊客跟隨他們到遊客禁區

參觀在土樓居住的每伙都

中門大開當遊客投進好奇

的目光屋內的人往往以親

切的笑容作回答鄉土人

情在這世代多冷漠的心也

被融化

細膩的人情味外最令

遊客津津樂道的是廈門人的

態度廈門大學附近有一條

芙蓉隧道只要你願意便可

在隧道內壁上畫下你所思所

想當然美觀與否見仁見

智但這一種對藝術尊重

欣賞的態度是值得欣賞我

有我盡情地畫你有你盡責

青春在廈門留下足印潘曉彤 (N14)

生活

hkucaduceusnet | 37

地去管轄城市各處的整潔

彼此留下空間達至相輔相

成的效果廈門人就懂得人

最基本的禮貌尊重不

過廈門人對他人的尊重遠超

於人的基本禮貌當你去唱

「卡拉OK」的時候每次

待應的出入時看到的就只

有他們的正面而他們前行

或後退的方式就像看到皇帝

一樣卑恭屈膝香港人常常

強調面子哪一天才能捨下

那過高的尊嚴為不相識的

人作一個最謙卑的招待

其實任何人一離開香

港都不難發現就只有香

港愈夜愈精彩其他地方晚

上八時大多關門大吉而廈

門就只有中山路才媲美得

上香港的夜夜笙歌夜幕低

垂萬千燈火的中山路上

與來自各區的人擦肩而過

昏黃的燈光下照出一群又一

群的沉默影子剛好與路上

喧鬧的行人相映成趣騎樓

在霓虹燈的點綴下顯出了獨

有的閩南特色大街小巷傳

來不同地道小食的香氣車

輪餅燒仙草土笋凍helliphellip

為我們外來的交流生帶來美

味可口的夜宵飲飽食醉過

後走到中山路的盡頭又

回到了沉睡中的廈門

在優美的環境影響下

廈門人的生活也自然變得

純樸優閒單車車輪在環

島路上留下一圈又一圈的印

記沿路能細聽海浪輕拍岸

邊的聲音細嗅四處洋溢的

花香感受微風吹散太陽散

發的熱力見證一對又一對

的新人在拍下幸福的照片

據說廈門有戀愛天堂之稱

不管走到哪一處也會

看到準新人拍下甜蜜的婚紗

照而在裡面享受的人永遠

不知道這風景如畫的背

後是透過多少人的血汗換

來當我們在追求經濟成果

的同時往往破壞了造物者

在世上留下的藝術品隨中

國經濟急速發展一個又一

個的世外桃園被摧毀銅臭

替代了花香車聲替代了鳥

語這仙境又可維持多久

廈門另一世外桃園就是

鼓浪嶼它活像香港的長

洲島上滿有歐陸建築風

格但當中不乏中國特色的

建築中國古城風味與洋風

互相交替帶出截然不同的

感覺島上遠離汽車的廢

氣與金門就只是一海之

隔一家大小在享受天倫之

樂時一群又一群的青少

年情侶在沙灘上嬉戲立

即為島上升溫

筆者認為在這個混亂的

俗世確實需要抽空來欣賞

造物者留下來的藝術品大

財團不斷興建大型商場國

際知名品牌不停進駐留下

的就只有愈來愈狹窄的街

道被石屎封蓋寸草不生

的土地人人被金錢蒙蔽

迷失在霓虹燈光中又有多

少知音人能放下生活的瑣碎

事情在這裡享受時間一分

一秒的流走你被海浪聲

喚醒了嗎

筆者參加這次是由香

港廈門兩地大學的交流

團一連六天已經習慣了

當地的優閒生活模式體會

到的不只是廈門的風土人

情歷史文化而是兩地大

學生那種衝破界限的交流

雖說年輕人容易打成一片

但廈門獨有的熱情確實融化

了彼此間的隔膜廈門的美

是成人之美成就了兩地大

學生的友誼

飛機又再起飛了廈門

再見了

ldquothe tiMe of life is short to speNd that shortNess basely it would be too loNgrdquo ndash williaM shake-speare

38 | Caduceus September 2011

生 命形成之際只要一秒鐘的差遲世界便會不一樣

蝴蝶效應從來都是玄的全因一個 

「緣」字

隨著人成長要決擇的事太多學生

有兩件人生大事幾乎都不是由自己決定的

入讀小學及中學然而到了大學這

關卡自己也許可以拿定主意了若果你

入讀了心水科恭喜你若不然祝福

誠然入大學是最影響未來生活的關

口是好是壞無人知曉不用量化不

用比較太多即管做自己所想活出自己

的路只因你不會曉得你的下一步會怎樣

影響著你的生命

或許一個活動你會遇上你的最愛

或許一個宿位你會遇上你的知己

或許一句說話你會惹來一個敵人

或許一次走堂你會由B變C

這就是大學

在大學各人有各人的大學生活大

學講求自由學習學習真的是「求學不是

求分數」有些人愛廣交朋友有些人愛

住宿有些人愛做莊務有些人愛拍拖

有些人愛參加各樣活動有些人愛做兼

職有些人愛讀書有些人卻愛甚麼都不

做helliphellip不少大學生強調入大學必定要做齊

大學五件事(上莊住宿讀書拍拖

兼職)但其實只要自己開心不害人的

話做甚麼也沒問題最要緊的是認清讀

大學的目的以免沉淪於大學這花海

朋友

大學可以令你對「朋友」的概念愈來

愈含糊幾乎每個活動都可令你認識新朋

友通常大家都會輪流講述自己的名字與

學科(Round Table)這亦是考驗大腦對人名的記憶所謂的「Hi-Bye Friend」會愈來愈多隨便在細小的港大內穿梭會令你

無可奈何地對他們說聲Hi

不過別標籤你的「Hi-Bye Friend」要是連Hi-Bye也談不上更不用說做深交了上大學了大家已有既定的圈子很

多時約會或聊天都先找中學朋友而且很

多人會把大學朋友與中學的作比較雖情

有可原但有時未免先入為主地覺得中學

的較好

這亦難怪即使是日日碰面的同學也

未必是自己的好友人人都有自己的時間

表下課後各散東西不是大家不想互相

認識只是有時身不由己若想互相了

解不妨盡量製造共處之時有時甚至可

以分一些約會給大學朋友然後你會發

現大學朋友也可跟你熟絡可別為自己

建造一塊厚厚的心牆

舍堂

要入宿無人會不曉得十日的迎新營

有些舍堂平均每天的作息時間只有兩三小

時有人說住宿最辛苦就是迎新營然而

它卻是最難忘的

要數活動單單一個舍堂已數之不盡

要是投入舍堂生活每天24小時是不夠

用的舍堂之間有各樣比賽堂友要參加

各個組別為比賽出席各樣練習否則可

能被拒於來年再住基於許多人都只在夜

晚有空要全體出席那可是晚九朝五的

大學之緣賴彥積 (N14)

新鮮人

hkucaduceusnet | 39

宿生們之所以會熱衷於舍堂活動因他

們對自身舍堂有強烈的歸屬感好比中學

時學生參加校際比賽要是沒有歸屬感

就不會有心參加所屬舍堂的活動

除舍堂之間之活動樓層之間亦有各類

活動樓內亦然只要有人的地方就有玩

樂彷如天天宿營你不會有機會偷偷早

睡其他樓友常常打擾你你原來的生活

時間會推後數小時睡於二時已是罕有

早上的八半堂彷如無物

可以住宿但不參加活動嗎當然可以

但你會面對的是朋輩壓力他們雖未必逼

你參加卻會在言談中有意無意的滲出

來那種壓力不只限於自己樓層甚至是

跨樓層千萬可別輕看宿中流言

上莊

有人說上莊所學遠超課堂上莊所學

的是如何籌辦活動非常實用有時要對

外聯絡有時要面對公眾helliphellip像是要為將

來工作鋪路似的當然這亦要視乎你上

的是甚麼莊

一般而言上莊可訓練你待人處事的技

巧有時表面看來很友好的朋友當背

負上一定的要求後關係少不免有磨擦再

者初時莊員素未謀面最後卻因朝夕相

對而演變成朋友這段關係是很可貴的

成莊前要宣傳內閣爭取選票成莊了

又要舉行咨詢大會包受歷莊指導然後

又有就職典禮此後的活動更接踵而至

當然包括迎新活動招莊活動等helliphellip君不

見很多人視莊房為睡房少不免有「通

頂」之時忙是忙但必有價值至於是

好是壞要看自己的造化了

拍拖

人上了大學有時心思思想拍拖眼見

身旁多個好友都紛紛拍拖自己少不免羨

慕別人這想法十分正常畢竟大學生真

的可以放下只讀書的重擔真的可以規劃

人生大事了

香港大學一些營新活動中隨了Round Table外還有Round Status即說自己現在有否拍拖以及拍過多少次拖如 

A 0即Ava i lab l e之前至現在沒有拍拖O1即Occupied之前至現在共拍了一次拖當然也有一些同學自己創的甚

麼OBA (Occupied But Available)或D10(Desperate拍過10次拖)等等至於Round Status的動機何在可能是組爸媽想穿針引線吧當然也可能是別有用心的

不同人對拍拖有不同想法上了大學更

有不同擇偶條件人大了在感性的議題

上往往加上種種理性的數據開始現實起

來哪個帥哪個富有哪個有前途helliphellip

有些不在乎天長地久只求剎那的光輝

有些求虛榮有人疼愛在朋友前炫耀

有些甚至會在拍拖前已想定分手後的模

樣所以不想選擇跟自己同科的同學

活動

不同團體(包括舍堂學會及學校部

門)都有不同活動不用愁沒事幹只用

愁沒時間只要多留意Portal Mass Email或Main Campus海報不難發現幾乎每天都有各樣活動動靜皆宜開學時有迎

新營考試時有勁過飯新學期有開Sem

飯有些學會如戲劇舞蹈合唱團不時

有演出有關運動的學會則多練習以參

加比賽有關學術的也有很多興趣班講

座比賽等想幫人的亦可參加義工團

體如蛇蛇豬扶青等舉辦的義工活動

兼職

大學生的兼職大多以補習為主畢竟

這是我們能力範圍內可賺取最多外快又是

時間最彈性的工作有些人卻因補習不能

寫在履歷表而選擇別的工作然而很多時

我們都要在兼職與大學活動中取捨我的

ldquotake a chaNce all life is a chaNce the MaN who goes farthest is geNerally the oNe who is williNg to do aNd darerdquo ndash dale carNegie

40 | Caduceus September 2011

E mily was the chairperson of Pharmacy Socie-ty session 2010 As a student she has actively

participated in holding activities for many medical stu-dents and taken part in providing welfare to all phar-macy students Her following sharing will especially enlighten our new pharmacy students

Q Why did you choose Pharmacy SocietyA To be frank ldquosheung jongrdquo was really out of

my expectation when I anticipated my university life However my perspective has changed when I officially became a pharmacy student in HKU As members of the opening class of the Pharmacy programme my classmates and I realised the importance of having our own student body We do need an independent soci-ety to represent us pharmacy students to cater for our specific needs to listen to our points of view and to act as a bridge to facilitate our communication with the Medical Faculty the entire university and ultimately the pharmaceutical field in Hong Kong My class-mates and I who later became ldquojong yausrdquo believed we should act immediately to establish and run our own society which is why I decided to ldquosheung jongrdquo

Q Would you like to share some of the pros and cons of sheung jong

A ldquoSheung jongrdquo definitely helped me achieve per-sonal growth It was a concurrent commitment and re-sponsibility to serve and to lead our colleagues Bear-ing this in mind we always pushed ourselves to attain the best of our work ethics efficiency and efficacy As the very first session of the Society we lacked the guidance of any previous committee member Instead analysing carefully and critically we thought better of every decision which I personally found an enriching experience ldquoSheung jongrdquo was also an eye-opening journey Wersquod got to meet different people and learnt more about the professional work for as our career-to-be after graduation This in my opinion is always beneficial Last but not least I was fortunate enough to have worked with my amazing fellow committee mem-bers I frankly couldnrsquot ask for better ldquojong yausrdquo than initium Irsquom absolutely thankful for having them as my friends and it is definitely my greatest gain along the way

Despite the merits ldquosheung jongrdquo definitely has its downsides as well It is a lie to say ldquosheung jongrdquo does not affect our daily life because it does take up a big chunk of our time At the end of the day it is about time management which is easy to say but extremely dif-

建議是如家庭環境較困難賺錢吧反

之可以多留時間給各活動畢竟大學一

年的學費不只值那幾十堂課如何善用這

$42100就在乎你如何投入大學生活

讀書

假若你認為大學的考試可考核學生的

真正讀書能力並要求學生活學活用課堂

所學那麼你大失所望了假若你善於背

誦有過目不忘之本領大學的筆試不會

難倒你只要靠著前人留下的歷屆試題

背到滾瓜爛熟是不可能不及格的很多屆

試卷都是千篇一律的很多教授可沒空大

改試題那同學們就走運了有些課堂

即使再專業的學科都會有只理論無實

踐的課堂然後考試就要你把一大堆理論

背出來helliphellip例如甚麼叫批判思維噢

我可不知道只知道我掉了5分

不同學系在某程度上定下了人的前途

對於醫學院學生而言前路是較清晰可見

的但對於非專業學科前路不可只靠讀

書也許要靠自己另外摸索讀書所帶來

的必然是較高的GPA高GPA所帶來的是

獎學金到外國交流工作實習日後工

作機會等等當然大學學習不只局限於

讀書會否因此失彼就只有自己知道

蝶翼拍動之時往難以預料機會是

要自己摸索的

如經上所記

「神為愛他的人所預備的是眼睛未曾看見耳

朵未曾聽見人心也未曾想到的」

(哥林多前書29)

「栽種的和澆灌的都是一樣但將來各人要照自

己的工夫得自己的賞賜」

(哥林多前書38)

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

Freshmen

hkucaduceusnet | 41

ficult to achieve Also working as a Committee mem-ber can be very exhausting and difficult You definitely need lots of determination and support to get through some of the busiest times

Q How did you handle and balance the workload of study and your ldquojongrdquo

A As Irsquove said before it was tremendously difficult I guess my best advice for the future committee is to know your limitations and always plan ahead You have to know your time to work to rest to study etc No one will be over-worked and eve-ryone will have some personal time if you share the burden wisely between ldquojong yausrdquo Secondly you have to make very clear plans so that you can make full use of every little piece of your time I may not have succeeded in my time management but most of my ldquojong yausrdquo managed to do so de-spite the packed schedule of our Soci-ety This is sufficient proof of ldquoimpos-sible is nothingrdquo

Q As there are only about 25 pharmacy students per class do you have any suggestions for P14 fresh-men to make more friends from other curricula

A It really depends on what kind of person you are If you consider your-self socially active living in a hall or ldquosheung jongrdquo will be a great idea for you But if you see yourself as a much quieter person you can still make use of opportunities such as Medic Orien-tation Camp and other events jointly organised by student bodies within the Medical Faculty to make new friends

Q Any special things for P14 freshmen to be aware of

A First of all welcome You all are now members of Pharmacy Society MS HKUSU and I would like to let you know that this is a student body aiming to serve you Thus feel free to share your viewpoints and voice out your opinions to the current Com-mittee members The Society has to

understand your needs to improve and provide better welfare and services for you

Q Any other comments or important things to re-mind P14 freshmen

A If you would like to get to know more fellow pharmacy students especially students from P12 and P13 grab the opportunity to join the Pharmacy Society Orientation Camp and the Mentorship Programme These are great chances to make new friends and Irsquom sure you will enjoy them

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

ldquoas huMaN beiNgs we do chaNge grow adapt perhaps eveN learN aNd becoMe wiserrdquo ndash weNdy carlos

42 | Caduceus September 2011

筆 者是一位護理系的學生半年前有幸成為二零一一年啟思編輯委員會的總編輯在期間所體驗到的希望藉著這次機會作出分享特別希望新加入醫學院的同學

能對「上莊」有更多了解

上莊之路上莊是大學五件事之一證明它對大學生

活有一定的重要性一定的位置筆者在初入學的時候曾為了上莊與否而煩惱猶豫了好一段時間期間考慮到自己能力怕學業應負不來但最後仍然下了上莊這個決定原因是上莊是個難得的機會充實增值自己不同的莊會提供不同的機會讓莊友去學習透過不同的莊務去讓自己眼界擴大另外可以了解醫學院內發生既事情例如院內活動的進展情況更可以參加舉辦院活動為醫學院出一分力最後當然會認識到將會相處一整年的莊友工作伙伴有機會認識到不同學系的同學從他們身上可以觀察到學習到各種的特質從而令自己有所進步有所啟發

護理學生作為護理系學生起初擔任總編輯一職實

在是倍感壓力畢竟歷屆的總編輯都是由醫科生出任因此筆者起初都害怕跟醫科生共事怕自己的能力不足夠應付莊務所以起初都是戰戰兢兢地上莊

一位三年的護理學生曾對我說「我認為你不太尊重護理系護理系和醫科都是個專業希望你能加以尊重自己的學系不要輕視護理這個學系你要肯定自己的學系才能帶領整支莊因為莊內成員來自不同的學系你必須肯定和認同每個學系都有一定的重要性以及其專業」這番當頭棒喝的良言令我明白到自己一直都太輕視護理系過於重視醫科現在我明白到認同自己學系是尤其重要只有這樣才可以用自己學系的身份去發表意見只有認同自己學系才懂得尊重其他的學系莊內便可以融洽一點

在筆者的莊友中醫科生都是較有責任感而且做事更有計劃從他們身上的確學到不少東西這點是無可否認的事實筆者並不是在分享學系與學系之間的差別而是希望有志上莊的同學能互相尊重明白到各學系的莊

友都有其值得學習的地方起初對其他學系有隔膜是無可避免的畢竟對他們的學系都不太了解又沒有歸屬感但如果因為對方是別的學系而輕視對方的人不但失去與人相處學習的機會而且會令莊內的氣氛失去和諧

幸好的就我所見所聞醫學院內的莊多年來都能融洽相處互相支持令到一眾上莊的同學都能輕鬆地享受上莊的喜與樂甚至是不愉快的事情

依靠你的莊友莊是一個團體不是一兩個人可以應

付得來所以筆者認為與莊友互相溝通合作是個重要的元素新同學如果有志參與莊務期望從上莊中有所得著首要的事情是與莊友建立關係因為他們將會是你來年的工作伙伴也是你遇到困難時依靠的對象一位上莊曾對我說「其實一件的莊期不會令你有太大的得著或成長反而長久的友誼才是你將會得到最重要的」這句說話是千真萬確的上莊的人不會由詞不達意改變成談吐得宜不要期望自己會有驚人的轉變也許上莊會令人處事成熟一點有計劃一點但上莊所得到的關係將會是更重要更珍貴一年的相處中面對過有無數的會議共同處理過不少困難從中

建立的友誼真的是畢生受用

責任感上莊另外一個十分重要既條件就是責任

感有志上莊的同學必須明白到莊期是長達一整年在繁重的學業中騰出時間來處理莊務是個考驗責任感和毅力的測試同學必須再三思考想清楚自己是否真係熱衷於上莊或是只是一時衝動畢竟你將要許下的是一年的承諾必須對這個莊負上責任願意付出才選擇上莊這個決定這樣的付出就會有相對的回

總結上莊的確是個好機會讓自己去學習從處

理事務中或是從莊友身上都會有所得著充實著自己的大學生活從中可以認識到各學系的同學建立一段段受用終身的友誼在此筆者希望各學系的新同學可以善用機會作出上莊這個無悔的決定

護理系的啟思總編石志榮 (N14)

新鮮人

hkucaduceusnet | 43

慈兄吟(下)奇晶

最 後還是麥教授先開了口「他的確是一個好學生對醫學有獨到見解他不但學業成績優異而且樂於助人你是他的妹妹吧」婉慧努力控制自己的淚水繼繼續續的說「是啊但helliphellip但helliphellip我不知道helliphellip他竟會在這裏出現」麥教授用悲天憫人的目光看着婉慧語重深長說「人生自古誰無死人生命的有為與否並不取決於他生命的長短而是在於人生的意義你哥哥雖然最後當不了醫生但他的犧牲卻間接為一些同學做醫生鋪路讓他們做醫生去救人這真是一種無私的愛」婉慧點點頭覺得自己對哥哥的了解實在太少了

最後她還是孤獨的離開實驗室她覺得自己跟哥哥比起來實在相差得太遠了原來他除了是十優狀元在醫學院的成績名列前茅外還是個熱心助人的好青年自己除了少了一優外少的更有對別人的同情及樂於助人這造就了她心靈上的空虛她明白到冷漠不是一種對哥哥思念的正當表達方法她應該做的是把哥哥對其他人的愛傳揚開去以圓他的心願

第一步往往是最困難的婉慧平日對他人的態度已令不少人對她敬而遠之有很多次她嘗試向同班同學投以友善的笑容得到的總是詫異的目光或別人的不理不睬在小組討論中儘管她踴躍發言盡量避免冷場的發生偶同學們卻認為她變本加厲想阻止同學們取得好成績她四處碰壁又再次陷入了想念哥哥的深淵

時間一天一天過去了上學期考試前的休假開始了婉慧每天都勤奮的在圖書館溫習期望取得好成績這時候的圖書館堆滿了人如果遲來一個小時想找一個位子也難就在假期的第二天同班的王文在圖書館跑得氣急敗壞仍找不到一個座位婉慧不知怎樣有點同情他將座位讓給他王文驚訝道「不用了我還是回家吧真倒楣遲來了一個小時就沒有『接位』」

「但你住在哪裏呀」

「元朗今天早上我忘了校鬧鐘八時才起」

「那你還是要我的座位吧我可以坐到電腦桌因為我認識的人不少沒有什麼人會打擾我的」

王文謝了她頓時對這位冷漠的同學刮目相看原來她的內心也是溫暖的這並不是他所能料及的坐在電腦桌前溫習的她也感到特別的快樂溫習的速度也快多了王文就此成為了她的「飯檔」考試期間每天和她一起吃飯他更將自己的好友介紹給婉慧認識

在一個晚上她又悄悄的在圖書館的角落溫習着突然一隻溫暖的手搭着她的肩上她抬起頭但見解剖學的同桌手中拿着一杯熱飲輕輕的放在她的桌上婉慧正感詫異卻聽見他說「這杯熱巧克力是給你的繼續努力吧」她喝着巧克力心中感到一股暖流彷彿哥哥的關懷又在她內作出回響

十年生死兩茫茫不思量自難忘千里孤墳無處話淒涼helliphellip

寒風吹起了她額上的劉海佇立在墓前的婉慧不禁凜冽她想起了從前想到自己最後一次和哥哥吵架雙方面紅耳赤的情況想起自己無法親口跟哥哥道歉想起哥哥無私的付出她對着那空虛的墳心中不忍一陣淒然淚水漱漱的流下來她身旁攜扶着年紀老邁的母親邊拭淚邊喃喃道「我的兒子helliphellip歿了helliphellip」大家心情漸漸平復了緩緩走出了墳地

雨一滴一滴的落下飽歷辛酸的婉慧卻仍在懸壼濟世

短篇

ldquoyesterday is but todayrsquos MeMory aNd toMorrow is todayrsquos dreaMrdquo ndash khalil gibraN

44 | Caduceus September 2011

Eternal Flame (1)Tulipa

Itrsquos cold The chills from my fingertips imbibe deep into me This person drills into my mind digging out the truth inside me Itrsquos agonizing She comes right inhellip di-rectly I cannot stop her

Irsquom losing myselfhellip

My hand felt the soggy pillow I realised I had come back to life the world where I lived Staring blankly at the ceiling still losing focus in my eyes I felt my brows with my forearm For the first time I didnrsquot want to lose this feeling

The bedroom door slowly opened I quickly rubbed off the drops that had blurred my vision pretending that I had just woken up

ldquoDo you have lessons this morningrdquo My grand-mother whispered into my ear

ldquoOh goshrdquo I turned right to my alarm clock It was the real life I had forgotten to turn the alarm on last night and it was now seven thirty I knew it I was going to be late every time she caught me in bed Irsquod got to hurry up

Living in Hong Kong Island though it took me more than an hour to get to school I had to comfort my little brother sometimes till two or three in the morning in order to get him to sleep In addition to the consistently heavy study load in the medical school I could hardly get enough rest Running on my heels al-most became my routine starting from last November But I well understood the consequence of skipping lec-tures It was the beginning of the Cardiovascular Sys-tem Block For someone like me who gave least priority in revising Anatomy materials lectures remained the prime source of information for exams Absence from class was suicidal To make the situation worse this professor was one of those who did NOT upload lec-ture notes online

Hoping I wouldnrsquot arrive too late to miss the impor-tant points I finally stepped onto a route no 8 minibus at ten past eight What I could do now was to pay trust in the driver who would bring me to my destination

Coaxing kids was never easy Little Bruce just hap-pened to give me such a hassle last night

He knew I would check on him when I returned home Sitting right next to the door of his room he begged me for a story once I opened the door I sat down together with him on his little couch after Irsquod taken a quick shower This was a time to relax leaving

aside all the other concerns

Kindling through his favourite reader I saw that he wasnrsquot listening but distracted by all sorts of toys around He even invited me into his world of fantasy But it was getting late I had to calm him down so that I too could have some rest Being one of the brightest in his elementary school he should understand this was not the time for recreation

I began to feel annoyed

Yet he was my brother I had a gut feeling that this was unusual He didnrsquot use to be so ldquohyperactiverdquo It re-ally took me a while to adjust to his change With him still tossing and turning in my arms I apprehended his restlessness Unpredictable though he was true to his feelings In one way or another he might find the shadow of our mother in me

He finally settled when I laid him back in bed It was nearly two forty in the morning

The first week of the CVS Block ran as plotted PBL tutorials would start on next Monday Dr Youngrsquos fa-cial expression in the first PBL evaluation flashed over my Embryology notes and references She didnrsquot teach Embryology but I could tell she did have a hypertroph-ic heart-shaped face which looked familiar to the dia-grams in the Atlas

Back in the IHD Block most of us were puzzled about the scrambled content of our course Various forms of seemingly related knowledge came in through lectures practical and tutorial sessions But the neural circuit formed in our brain just failed to resonate as if the conductance-inductance mismatch had aberrated our thought from minimal impedance Sometimes things even happened in a ldquomore-than-extrardquo manner The presence of common core courses in a parallel but independent branch in the network could rightly be detached without causing a blip on the galvanometer Everything was dubious We had no idea of what we were doing

Maybe we were just on the way seeking for a sense of attachment

My mind too was racing in haste I was struggling with my decision to become a doctor Too many things had happened over the year I just couldnrsquot stop ques-tioning myself what was I thinking when I put lsquo6456 MBBSrsquo in my JUPAS application I should have expect-ed and prepared to face all these I just didnrsquot knowhellip

Novella

hkucaduceusnet | 45

It was midterm evaluation in the IHD Block Her face looked tense in that heart shape She was so stiff in her facial expression that no one could read her mind from her poker face The conference room of the Physi-ology Department was large We seemed to be the odd ones out in the spacious carpeted room In this secre-tive silence you could hear the drumming in your ears as if you were tingling

I realised this was not a matter of ldquoam-I-suitable-for-a-medical-careerrdquo but ldquois-a-medical-career-suita-ble-for-merdquo I was lying in bed playing with my plush bear when these thoughts burst in me Dr Young looked through me She felt certain that different from other group mates there were crises behind me But I didnrsquot tell her anything that day

We all were sensitive At times some subtle trepi-dation seeped in gradually sucking peace away from my sleep It was so to say below threshold sub-lethal though it lingered for weeks once it set inhellip

Drenched in bloodhellip There is no life in the boy His eyes are widely opened slightly protruded The lifeless pair of black pearlshellip I cannot escape from his glance He wants to talk to mehellip There is something he wants me to know

A van runs over himhellip

I fell down the edge of my mattress Breathing heavilyhellip Sweating all overhellip

ldquoScreechrdquo People began to gather around a tel-ephone booth a few metres behind us

I turned back I couldnrsquot see a lot from this anglehellip

ldquohellip What a pity He is so younghelliprdquo a middle-aged couple passed by

The victim resting just in front of the wheel looked towards me through a break in the crowdhellip

As we were wandering around thinking what to eat for dinner my cousin found me standing there rooted to the ground stunned by the victimrsquos gaze My heart was pounding She wouldnrsquot believe what I was again experiencing For a number of times already scenarios in my dreams were mirrored into reality

I couldnrsquot tell her

ldquoI was just thinking whether you would like Korean cuisine There is a new restaurant two corners awayrdquo I made up a talk while escaping from the scene so that I wouldnrsquot look so strange

ldquoWhy not go and have a try thenrdquo She was not dis-appointed for calling it a day as the food there was sur-prisingly good

Not until some years ago when I was Form 3 in college I discovered my ability to look into the future Sometimes I could see them coming up on the news in days or weeks And some didnrsquot ever happen at least not around me But seeing the night visions coming into concrete existence wasnrsquot always a pleasure when the mental images turned gradually into mostly night-mares When I visualised my close ones it felt like I was in the middle of an insecure chain bridge above a torrent that would sweep me into the vast ocean with no return It was entirely different from what you might understand as ldquodreams come truerdquo

I had witnessed misfortunes in proximityhellip

But I could do nothing about ithellip

Friends were a source of solace someone to con-fide all frustrations in But with my paranormal ability which appeared to everybody else only on screen-plays I wasnrsquot courageous enough to open my life wholeheartedly to them Seldom talking about myself avoiding all sorts of gatherings I became an eccentric figure among my classmates

Sometimes mutual understanding carried more weight than words I remembered my physics teacher being one of my few friends during my teen years De-spite his boisterous faccedilade he was always sensitive to whenever I was dwelling on my burdens Physics was our common language Intermingling our emotions and feelings with concepts that were alien to my fel-lows we developed a close rapport impenetrable by anyone else

ldquoWhat is the nature of a flamerdquo This was the most discussed problem between us Neither in solid liquid nor vapour state Not having any definite shape and colour It seems not any material but a type of energy giving out heat and light At the moment of providing it also exhausts its fuel and eventually itselfhellip

The romance of physics is more than anything you could read write and talk about Once you were truly connected with it nothing can stop you Your mind will bounce irrespective of the chronology of space-time but only under the guidance of your thoughts

I was so devoted to the discipline at the time that I was almost making it my lifelong career in some way He envisaged that I would demand much more than any academia could provide with its scientific basis alone We were both seeking a philosophy beyond the facts But Hong Kong may not be the right place for it

I made him a promise at the end to contain our flame and I knew I would

For the first and the last time I saw his eyes filled with tears We knew existence by itself is a miracle

ldquoi love life because what More is thererdquo ndash aNthoNy hopkiNs

46 | Caduceus September 2011

說華佗都說「華佗再世」誰知箇中真諦雲方 (M15)

烽煙起戰火燃萬里 

三國並爭英雄地亂世有誰顧生死 

待神醫行世將民眾救濟

渺渺江山東西瞰俞跗巧手扁鵲心(1) 應向何處尋 

滾滾黃沙無世家終有奇士放奇葩

沛國 華元化(2) 

他經書貫通南北遊動 

一望斷症如神助三劑消病不必多

說斷症悉如所料 

甘陵 相夫人腹痛極難忍(3) 號脈知死嬰在左為男形(4)廣陵 梅軍吏除名歸故里

見貌知壽盡速返見萱椿(5) 

說消病藥到病除 

飲蒜醋有三升蟲一嘔而盡清 (6)母服丸而溫儲兒不藥而自癒 (7)

絕妙處 

是他開腸剖腹刀至辟毒 

神醫號 

除他內外皆精有誰配稱

[1]   俞跗黃帝時代之名醫扁鵲春秋戰國之名醫《淮南子人間訓》「患至而多後憂之helliphellip雖有扁鵲俞跗之巧猶不能生也」

[2]   華佗字元化沛國人(今安徽 亳州)

[3]   甘陵相(即甘陵之行政長官)夫人懷胎六月腹痛不安華佗為其切脈便知胎死於是命人摸知所在在左則男在右則女人云「在左」夫人飲藥後果然產出男胎腹痛立即痊癒

[4]   廣陵有軍吏名曰梅平離鄉服役後來退役歸家於路上巧遇華佗華佗視之嘆道「若能早些見我當不至於此而今你僅餘五日壽命速速回家還能與家人相見」平旋即趕抵故鄉五日後亦如料身亡

[5]   萱椿多作椿萱比喻父母漢牟融《送徐浩》詩「知君此去情偏切堂上椿萱雪滿頭」

[6]   華佗見路邊有人食不下嚥教他到路邊餅店買醋三升混上蒜泥然後飲用路人服後即吐出一條長蛇(即寄生蟲)

[7]   兩歲男孩長年腹瀉藥石無靈華佗往診謂病在母命其服用華佗親研之「四物女宛丸」服後母親乳汁不再寒涼男孩亦不藥而癒

意興

hkucaduceusnet | 47

只可惜人無完壁

「關將軍使君予我手刮骨惡毒走

曹丞相使君予我頭剖顱苦痛收」

「怎能不收怎能不收一命嗚呼萬事休 

簡直荒謬簡直荒謬殺此庸醫未須愁」(8) 

五禽戲尚能傳 (9)麻沸散從此絕 

何不一飲醉死不知世忍氣吞聲事權貴 (10)心神委曲須臾苦奇術失迭千秋計 

烽煙止無改生死事 

且當醫仙謫世間神技終須風裏散 (11)回首仰高山景行請君範 (12)

[8]     曹操欲殺華佗臣下勸之不可答曰「不憂天下當無此鼠輩耶」

[9]     死前華佗欲托所著醫書於獄卒不果便盡數焚毀唯有其養生體操「五禽戲」流傳後世

[10]   《三國志魏書方技傳》「當須刳割者便飲其麻沸散須臾便如醉死無所知」

[11]   唐白居易《簡簡吟》「恐是天仙謫人世只合人間十三歲」

[12]   景行(音航)即大道以高山景行比喻人品德行為之高尚典出《詩經小雅車轄》又東漢鄭玄曰「古人有高德者則慕仰之有明行者則而行之」

ldquothe art of MediciNe was to be properly learNer oNly forM its practice aNd its exerciserdquo - thoMas sydeNhaM

48 | Caduceus September 2011

啟程

清晨空白的天空看不見藍天雲彩

只有溫柔的雨絲和朦朦朧朧的霧水跟隨

著大隊的足印踏上沉重的腳步穿過橫

街小巷和煩囂熱鬧的市場走過自動門

撲鼻的消毒藥水味道讓大家屏住呼吸筆

者和夥伴們終於到達了入讀護理系以來第

一次實習的醫院

還記得在實習的前幾天心情是既忐忑

又期待的畢竟這一次實習的地方不再是

在社區中心宣傳健康方面的知識亦不是

只面對著健康活潑的小朋友和老友記或是

學校課堂上所提供的假人張靜汶卻是照

顧一羣真正需要關懷的病人心中充滿著

憂慮不知自己所學的知識足夠在應用上

嗎自己平日的練習足夠嗎雖然心存在

著不少疑惑但也十分期待可以體會一下

做小學護的感受嘗試把這一年裡所學到

的知識運用出來

很多的第一次

在病房裡總有心酸和膽戰心驚的時

候第一次為昏迷的病人清潔口腔第一

次為難以進食的人插入胃喉第一次為老

公公清洗背上壓瘡的傷口helliphellip照顧他們時

的心情都是一步一驚心生怕自己沒法應

付得來又怕會把事情弄得更糟糕最重

要的是恐怕自己不純熟的技巧令他們受苦

了記得有一回第一次為女病人插入尿

喉採取尿液樣本可能技巧不太純熟的關

係延長了病人的痛苦過程中她皺著

眉頭不斷呻吟又緊張得咬破脣眼看

她樣子心中真的不是味兒來身為病人

的其中之一依靠我們不得不給自己信

心如果連自己也不相信自己哪會有病

人願意把他們交給我們照料呢

捕捉那瞬間的美麗與淒然何麗敏 (N14)

上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

意興

hkucaduceusnet | 49

另外第一次面對病人的心情是頗為

緊張的說話技巧亦有改進的空間但和

病人傾談了數分鐘後氣氛也漸漸變得和

諧可能那些老公公整天呆在醫院裡真是

悶到慌看見一羣年青人與自己聊天照

顧和關心他們他們不禁咧嘴而笑醫院

職員透露有一位老公公平日不太願意吃東

西於是我們便主動和他談天說地又

悉心照料他進食的情況後來他不但胃

口好了不少就連心情也開朗了他生動

活潑的談吐讓我們笑了他回復健康精

神的體魄也讓我們感到安慰

相處片刻

雖然為期一星期的病房日子不是特別繁

忙或是辛勞但是也會有不習慣的時候

幸好得到醫院職員和一班夥伴的支持病

房經理和註冊護士不但相信我們的能力

對學護的包容更是不用多說還主動地介

紹病房的環境和細心地教導我們醫療護理

上的知識讓我們上了一堂實在而又寶貴

的課同時今次的實習也令我感到團體

精神也十分重要在技巧上大家互相提

點互補不足當有人準備照料有需要的

病人如插喉或洗傷口等大家送上一句 

「加油」就能令對方增加不少自信心和正

能量無論遇上甚麼事情我也榮幸有如

此一班學習夥伴從旁支持

學習的階級

在這一次病房實習中雖然醫療和藥物

知識方面有待加強但是我學懂了如何與

不同身份的病人相處之道溝通上也得到

了很大的進步獲益不少除此之外我

也真正體會到如何做一個好護士並清楚

了解這個行業是否適合自己鐘樓也不是

一天就能建成而是需要一磚一瓦搭建而

成的所以在學習上我們不但要打好

穩固的基礎還要增強醫療知識在技巧

上馬虎了事和走捷徑是於是無補的應

該多探究和練習才行這樣才對得起病人

和自己也減少不必要的醫療失當事故

總之多一份認真多一點耐性多一些

愛心就是學護必記的左右銘 上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

ldquoit is reasoNable to expect the doctor to recogNise that scieNce May Not have all the aNswers to probleMs of health aNd healiNgrdquo ndash NorMaN cousiNs

50 | Caduceus September 2011

Fun Corner

Medical AppsEver wondered how your handheld device can save your time and

effort when it comes to studying Here is how

Anatomy Pronunciations by HipposoftAccurate pronunciations of over a hundred important anatomy terms you have trouble with are provided

at your fingertips to help you spell those difficult words Anyone who has taken an anatomy course can tell you how challenging it can be to pro-nounce the names of those complicated anatomi-cal terms It is even linked directly to Wikipedia and Google through web browser for additional information

iPharmacy ndash Pill Identifier and Medication Guide by SigmaPhone LLCAn essential medication guide of 20000+ drugs is provided for con-sumers amp professionals This ex-

pands the image library to include 12000 pill and package images and includes digital drug identifier with official drug information (indica-tions dosage adverse reactions and more) You can check the drugs anywhere

Grades 2 by TapityIt tells you what grades you need in the coming tests in order to get your target grade You can easily calcu-late your GPA so as to maintain it It

is a useful tool helping you to keep an eye on your GPA all the time

Human Anatomy by SusaSoftXThe application provides you with information of 15 different biologi-cal systems You can keep on revis-ing while you are traveling without

carrying heavy books

Medscape by WebMD LLCFrom drug classes interaction clin-ical procedures and even the lat-est medical news Medscape helps medical students and healthcare

professionals to reiterate knowledge that has slipped from the mind It is a free application for iPhone iPad Android and Blackberry Yet it contains more function on Android phones and Apple products and lacks detailed clinical infor-mation for diseases and clinical procedures walk through on Blackberry

Pro Medical Terminology Dic-tionary by TreascoveryTerminology might be a tough work for medical students Even if we can master those English terms we can

hardly think of the Chinese terms This applica-tion can help you when you face this problem Note that it is not a free application

3M Littmann SoundBuilder by 3M CompanyA great tool designed to help im-prove auscultation skills of medical students with 14 unique lessons of

key heart sounds combing text virtual manne-quin 3D cardiac animation and dynamic wave-forms

iRadiology by Liebermans iRadi-ologyAn excellent learning tool for medi-cal students demonstrating classic radiological findings of a multitude

of abnormalities including over 500 radiologic images Radiologic images include CT US MRI and nuclear imaging each clearly labeled and followed by key teaching points

Micromedex Drug Information by Thomson Reuters (Healthcare) IncIs Cephalexin a first generation ce-phalosporin This application from

Thomson Reuters is the easiest way to navigate in the sea of drug names Drugs are sorted by classes and supplemented with rich information

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 34: Caduceus Issue 2, Volume 42

34 | Caduceus September 2011

at home

Green Action Foundation took the initiative to plant trees around the area so that more water was available for irrigation and domestic purposes This improved the quality of their crops and boosted their source of income They also sponsored some of the

childrenrsquos education depending on their performance in school to ease the burden on their families

The next few days were jam-packed with activities A sports day was held as an icebreaker so that the new participants could get to know the children better We also spent half a day at the Dongshan Primary School where we taught the kids personal hygiene simple first aid moral education and also sex education for the grade 5 and 6 students

Another interesting activity that we had was a weed-cutting session up at a mountain with the other children Each of us was assigned with 2 to 3 chil-dren who were supposed to ldquoguiderdquo us along the way It was a 2-hour hike up and down hilly ter-rain While I would stop once in a while to take a breather the kids were barely panting The kids would often stop to ask if I was tired and even of-fered to help me carry my backpack Note to self more exercise next semester

Nevertheless it was a great chance to know the kids better We had the time to chat about their school life and what they thought about their future and also the chance to share snip-pets of our lives in the city

We then split into small groups and visited the homes of the children in order to gain a bet-ter understanding of their household hygiene

condition any medical conditions in the family as well as their economic standing We had also prepared questionnaires to be kept as future record Some of the families were very poor to the extent of having no source of income at all They depended solely on their own crops for food If they went to see the doctor they would usually owe the doctor money until they had

enough money to pay back The hygiene status of the villagers varied but most of them had swarms of flies around food Many even had their live poultry like chickens running around the house Before we left we gave them some hygiene products like soap washing detergent and toothbrushes to encourage better hy-giene We also gave them a poster explaining ways of maintaining a clean household environment

Another main focus of the trip was to find out the effectiveness of a medical insurance policy newly in-troduced by the government Each person had to pay 30 Renminbi annually to be guaranteed free medica-

Sports day activity

Weed cutting with the children

hkucaduceusnet | 35

tion and hospitalization thereafter Generally the vil-lagers were grateful for this plan as many found it dif-ficult to afford medical fees while struggling to pay for

basic necessities at the same time However some vil-lagers complained that the prices of medicine spiked after this policy was introduced and hospitals would of-ten ask patients to

do unnecessary scans just to earn more money

This trip made me realize that there is much that we can do but how great an impact we can make might not be seen immediately With follow up trips one could see the change as compared to the last visit and make further modifications to improve the situation

As the trip came to an end we were reluctant to leave There was something very magical about Dong-shan where the skies would turn to an exuberant red during sunset and on a clear night you could see stars scattered across every corner of the sky It is a place of beauty struggle and hopefully a place of triumph in the years to come

It is a place of beauty struggle and hopefully a place of triumph in the years to come

On one of our home visits

More to ExploreMedical Outreachers 醫心httpmedicaloutreachersorg

The Amity Foundation 愛德基金會httpwwwamityfoundationorg The beautiful sunset in Dongshan

ldquoshariNg is soMetiMes More deMaNdiNg thaN giviNgrdquo ndash Mary catheriNe batesoN

36 | Caduceus September 2011

就 在這一刻世界沉默了

城市的繁囂隨飛機引擎

逐點逐點噴走了繁囂的離

開是為了讓簡單的生活回

來剛踏出廈門機場一張

又一張的笑臉映入眼簾刺

熱的太陽把兩地之間的隔膜

融化

早從香港回歸時開始

香港人經常強調自己只是 

「香港人」而不是「中國

人」自以為比內地人高一

等可惜這班自視過高的都

市人曾幾何時為外地人送上

熱情的款待這一點廈門

人比誰都做得更好

廈門是一個位於中國

東南部的海島也許就是近

海讓居於廈門的人都把一

切怨恨煩惱拋下大海讓

它們隨水流漂走埋藏在海

床上每年廈門的鳳凰花花

開兩季一朵又一朵鮮艷如

火的鳳凰花在六月時歡送一

個又一個的畢業生彷彿為

他們添上一份祝福九月時

的鳳凰花熱情地歡迎一屆又

一屆的新生為新生的精彩

校園生活揭開序幕一份一

份的熱情含苞待放身在廈

門又怎會不被這市花的熱情

感動呢廈門大至人與人

之間小至花與花之間都存

著一份情

要追溯廈門人的情懷

可數至土樓的建成土樓

是個大多呈方形或圓形大型

群居的建築整座土樓樓高

三至五層由於牆身頗厚及

只有一個出入口甚具有防

禦功能亦因為這緣故當

大門關起來土樓便成了一

個家這個家佔地不大但卻

藏著成千上萬的人情味在

萬里無雲陽光普照的天空

下土樓居民的熱情好客

被蒸發出來懸浮在空中

一代一代傳下去更讓它隨

風走出土樓傳遍整個廈

門即使土樓漸漸成為旅遊

景點一些擺賣紀念品的攤

檔已經進駐但卻無礙居民間

的感情商販彼此交流從

不出現爭客的情況在土樓

中央休憩的居民除了為外地

人介紹他們的祠堂外亦邀

請遊客跟隨他們到遊客禁區

參觀在土樓居住的每伙都

中門大開當遊客投進好奇

的目光屋內的人往往以親

切的笑容作回答鄉土人

情在這世代多冷漠的心也

被融化

細膩的人情味外最令

遊客津津樂道的是廈門人的

態度廈門大學附近有一條

芙蓉隧道只要你願意便可

在隧道內壁上畫下你所思所

想當然美觀與否見仁見

智但這一種對藝術尊重

欣賞的態度是值得欣賞我

有我盡情地畫你有你盡責

青春在廈門留下足印潘曉彤 (N14)

生活

hkucaduceusnet | 37

地去管轄城市各處的整潔

彼此留下空間達至相輔相

成的效果廈門人就懂得人

最基本的禮貌尊重不

過廈門人對他人的尊重遠超

於人的基本禮貌當你去唱

「卡拉OK」的時候每次

待應的出入時看到的就只

有他們的正面而他們前行

或後退的方式就像看到皇帝

一樣卑恭屈膝香港人常常

強調面子哪一天才能捨下

那過高的尊嚴為不相識的

人作一個最謙卑的招待

其實任何人一離開香

港都不難發現就只有香

港愈夜愈精彩其他地方晚

上八時大多關門大吉而廈

門就只有中山路才媲美得

上香港的夜夜笙歌夜幕低

垂萬千燈火的中山路上

與來自各區的人擦肩而過

昏黃的燈光下照出一群又一

群的沉默影子剛好與路上

喧鬧的行人相映成趣騎樓

在霓虹燈的點綴下顯出了獨

有的閩南特色大街小巷傳

來不同地道小食的香氣車

輪餅燒仙草土笋凍helliphellip

為我們外來的交流生帶來美

味可口的夜宵飲飽食醉過

後走到中山路的盡頭又

回到了沉睡中的廈門

在優美的環境影響下

廈門人的生活也自然變得

純樸優閒單車車輪在環

島路上留下一圈又一圈的印

記沿路能細聽海浪輕拍岸

邊的聲音細嗅四處洋溢的

花香感受微風吹散太陽散

發的熱力見證一對又一對

的新人在拍下幸福的照片

據說廈門有戀愛天堂之稱

不管走到哪一處也會

看到準新人拍下甜蜜的婚紗

照而在裡面享受的人永遠

不知道這風景如畫的背

後是透過多少人的血汗換

來當我們在追求經濟成果

的同時往往破壞了造物者

在世上留下的藝術品隨中

國經濟急速發展一個又一

個的世外桃園被摧毀銅臭

替代了花香車聲替代了鳥

語這仙境又可維持多久

廈門另一世外桃園就是

鼓浪嶼它活像香港的長

洲島上滿有歐陸建築風

格但當中不乏中國特色的

建築中國古城風味與洋風

互相交替帶出截然不同的

感覺島上遠離汽車的廢

氣與金門就只是一海之

隔一家大小在享受天倫之

樂時一群又一群的青少

年情侶在沙灘上嬉戲立

即為島上升溫

筆者認為在這個混亂的

俗世確實需要抽空來欣賞

造物者留下來的藝術品大

財團不斷興建大型商場國

際知名品牌不停進駐留下

的就只有愈來愈狹窄的街

道被石屎封蓋寸草不生

的土地人人被金錢蒙蔽

迷失在霓虹燈光中又有多

少知音人能放下生活的瑣碎

事情在這裡享受時間一分

一秒的流走你被海浪聲

喚醒了嗎

筆者參加這次是由香

港廈門兩地大學的交流

團一連六天已經習慣了

當地的優閒生活模式體會

到的不只是廈門的風土人

情歷史文化而是兩地大

學生那種衝破界限的交流

雖說年輕人容易打成一片

但廈門獨有的熱情確實融化

了彼此間的隔膜廈門的美

是成人之美成就了兩地大

學生的友誼

飛機又再起飛了廈門

再見了

ldquothe tiMe of life is short to speNd that shortNess basely it would be too loNgrdquo ndash williaM shake-speare

38 | Caduceus September 2011

生 命形成之際只要一秒鐘的差遲世界便會不一樣

蝴蝶效應從來都是玄的全因一個 

「緣」字

隨著人成長要決擇的事太多學生

有兩件人生大事幾乎都不是由自己決定的

入讀小學及中學然而到了大學這

關卡自己也許可以拿定主意了若果你

入讀了心水科恭喜你若不然祝福

誠然入大學是最影響未來生活的關

口是好是壞無人知曉不用量化不

用比較太多即管做自己所想活出自己

的路只因你不會曉得你的下一步會怎樣

影響著你的生命

或許一個活動你會遇上你的最愛

或許一個宿位你會遇上你的知己

或許一句說話你會惹來一個敵人

或許一次走堂你會由B變C

這就是大學

在大學各人有各人的大學生活大

學講求自由學習學習真的是「求學不是

求分數」有些人愛廣交朋友有些人愛

住宿有些人愛做莊務有些人愛拍拖

有些人愛參加各樣活動有些人愛做兼

職有些人愛讀書有些人卻愛甚麼都不

做helliphellip不少大學生強調入大學必定要做齊

大學五件事(上莊住宿讀書拍拖

兼職)但其實只要自己開心不害人的

話做甚麼也沒問題最要緊的是認清讀

大學的目的以免沉淪於大學這花海

朋友

大學可以令你對「朋友」的概念愈來

愈含糊幾乎每個活動都可令你認識新朋

友通常大家都會輪流講述自己的名字與

學科(Round Table)這亦是考驗大腦對人名的記憶所謂的「Hi-Bye Friend」會愈來愈多隨便在細小的港大內穿梭會令你

無可奈何地對他們說聲Hi

不過別標籤你的「Hi-Bye Friend」要是連Hi-Bye也談不上更不用說做深交了上大學了大家已有既定的圈子很

多時約會或聊天都先找中學朋友而且很

多人會把大學朋友與中學的作比較雖情

有可原但有時未免先入為主地覺得中學

的較好

這亦難怪即使是日日碰面的同學也

未必是自己的好友人人都有自己的時間

表下課後各散東西不是大家不想互相

認識只是有時身不由己若想互相了

解不妨盡量製造共處之時有時甚至可

以分一些約會給大學朋友然後你會發

現大學朋友也可跟你熟絡可別為自己

建造一塊厚厚的心牆

舍堂

要入宿無人會不曉得十日的迎新營

有些舍堂平均每天的作息時間只有兩三小

時有人說住宿最辛苦就是迎新營然而

它卻是最難忘的

要數活動單單一個舍堂已數之不盡

要是投入舍堂生活每天24小時是不夠

用的舍堂之間有各樣比賽堂友要參加

各個組別為比賽出席各樣練習否則可

能被拒於來年再住基於許多人都只在夜

晚有空要全體出席那可是晚九朝五的

大學之緣賴彥積 (N14)

新鮮人

hkucaduceusnet | 39

宿生們之所以會熱衷於舍堂活動因他

們對自身舍堂有強烈的歸屬感好比中學

時學生參加校際比賽要是沒有歸屬感

就不會有心參加所屬舍堂的活動

除舍堂之間之活動樓層之間亦有各類

活動樓內亦然只要有人的地方就有玩

樂彷如天天宿營你不會有機會偷偷早

睡其他樓友常常打擾你你原來的生活

時間會推後數小時睡於二時已是罕有

早上的八半堂彷如無物

可以住宿但不參加活動嗎當然可以

但你會面對的是朋輩壓力他們雖未必逼

你參加卻會在言談中有意無意的滲出

來那種壓力不只限於自己樓層甚至是

跨樓層千萬可別輕看宿中流言

上莊

有人說上莊所學遠超課堂上莊所學

的是如何籌辦活動非常實用有時要對

外聯絡有時要面對公眾helliphellip像是要為將

來工作鋪路似的當然這亦要視乎你上

的是甚麼莊

一般而言上莊可訓練你待人處事的技

巧有時表面看來很友好的朋友當背

負上一定的要求後關係少不免有磨擦再

者初時莊員素未謀面最後卻因朝夕相

對而演變成朋友這段關係是很可貴的

成莊前要宣傳內閣爭取選票成莊了

又要舉行咨詢大會包受歷莊指導然後

又有就職典禮此後的活動更接踵而至

當然包括迎新活動招莊活動等helliphellip君不

見很多人視莊房為睡房少不免有「通

頂」之時忙是忙但必有價值至於是

好是壞要看自己的造化了

拍拖

人上了大學有時心思思想拍拖眼見

身旁多個好友都紛紛拍拖自己少不免羨

慕別人這想法十分正常畢竟大學生真

的可以放下只讀書的重擔真的可以規劃

人生大事了

香港大學一些營新活動中隨了Round Table外還有Round Status即說自己現在有否拍拖以及拍過多少次拖如 

A 0即Ava i lab l e之前至現在沒有拍拖O1即Occupied之前至現在共拍了一次拖當然也有一些同學自己創的甚

麼OBA (Occupied But Available)或D10(Desperate拍過10次拖)等等至於Round Status的動機何在可能是組爸媽想穿針引線吧當然也可能是別有用心的

不同人對拍拖有不同想法上了大學更

有不同擇偶條件人大了在感性的議題

上往往加上種種理性的數據開始現實起

來哪個帥哪個富有哪個有前途helliphellip

有些不在乎天長地久只求剎那的光輝

有些求虛榮有人疼愛在朋友前炫耀

有些甚至會在拍拖前已想定分手後的模

樣所以不想選擇跟自己同科的同學

活動

不同團體(包括舍堂學會及學校部

門)都有不同活動不用愁沒事幹只用

愁沒時間只要多留意Portal Mass Email或Main Campus海報不難發現幾乎每天都有各樣活動動靜皆宜開學時有迎

新營考試時有勁過飯新學期有開Sem

飯有些學會如戲劇舞蹈合唱團不時

有演出有關運動的學會則多練習以參

加比賽有關學術的也有很多興趣班講

座比賽等想幫人的亦可參加義工團

體如蛇蛇豬扶青等舉辦的義工活動

兼職

大學生的兼職大多以補習為主畢竟

這是我們能力範圍內可賺取最多外快又是

時間最彈性的工作有些人卻因補習不能

寫在履歷表而選擇別的工作然而很多時

我們都要在兼職與大學活動中取捨我的

ldquotake a chaNce all life is a chaNce the MaN who goes farthest is geNerally the oNe who is williNg to do aNd darerdquo ndash dale carNegie

40 | Caduceus September 2011

E mily was the chairperson of Pharmacy Socie-ty session 2010 As a student she has actively

participated in holding activities for many medical stu-dents and taken part in providing welfare to all phar-macy students Her following sharing will especially enlighten our new pharmacy students

Q Why did you choose Pharmacy SocietyA To be frank ldquosheung jongrdquo was really out of

my expectation when I anticipated my university life However my perspective has changed when I officially became a pharmacy student in HKU As members of the opening class of the Pharmacy programme my classmates and I realised the importance of having our own student body We do need an independent soci-ety to represent us pharmacy students to cater for our specific needs to listen to our points of view and to act as a bridge to facilitate our communication with the Medical Faculty the entire university and ultimately the pharmaceutical field in Hong Kong My class-mates and I who later became ldquojong yausrdquo believed we should act immediately to establish and run our own society which is why I decided to ldquosheung jongrdquo

Q Would you like to share some of the pros and cons of sheung jong

A ldquoSheung jongrdquo definitely helped me achieve per-sonal growth It was a concurrent commitment and re-sponsibility to serve and to lead our colleagues Bear-ing this in mind we always pushed ourselves to attain the best of our work ethics efficiency and efficacy As the very first session of the Society we lacked the guidance of any previous committee member Instead analysing carefully and critically we thought better of every decision which I personally found an enriching experience ldquoSheung jongrdquo was also an eye-opening journey Wersquod got to meet different people and learnt more about the professional work for as our career-to-be after graduation This in my opinion is always beneficial Last but not least I was fortunate enough to have worked with my amazing fellow committee mem-bers I frankly couldnrsquot ask for better ldquojong yausrdquo than initium Irsquom absolutely thankful for having them as my friends and it is definitely my greatest gain along the way

Despite the merits ldquosheung jongrdquo definitely has its downsides as well It is a lie to say ldquosheung jongrdquo does not affect our daily life because it does take up a big chunk of our time At the end of the day it is about time management which is easy to say but extremely dif-

建議是如家庭環境較困難賺錢吧反

之可以多留時間給各活動畢竟大學一

年的學費不只值那幾十堂課如何善用這

$42100就在乎你如何投入大學生活

讀書

假若你認為大學的考試可考核學生的

真正讀書能力並要求學生活學活用課堂

所學那麼你大失所望了假若你善於背

誦有過目不忘之本領大學的筆試不會

難倒你只要靠著前人留下的歷屆試題

背到滾瓜爛熟是不可能不及格的很多屆

試卷都是千篇一律的很多教授可沒空大

改試題那同學們就走運了有些課堂

即使再專業的學科都會有只理論無實

踐的課堂然後考試就要你把一大堆理論

背出來helliphellip例如甚麼叫批判思維噢

我可不知道只知道我掉了5分

不同學系在某程度上定下了人的前途

對於醫學院學生而言前路是較清晰可見

的但對於非專業學科前路不可只靠讀

書也許要靠自己另外摸索讀書所帶來

的必然是較高的GPA高GPA所帶來的是

獎學金到外國交流工作實習日後工

作機會等等當然大學學習不只局限於

讀書會否因此失彼就只有自己知道

蝶翼拍動之時往難以預料機會是

要自己摸索的

如經上所記

「神為愛他的人所預備的是眼睛未曾看見耳

朵未曾聽見人心也未曾想到的」

(哥林多前書29)

「栽種的和澆灌的都是一樣但將來各人要照自

己的工夫得自己的賞賜」

(哥林多前書38)

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

Freshmen

hkucaduceusnet | 41

ficult to achieve Also working as a Committee mem-ber can be very exhausting and difficult You definitely need lots of determination and support to get through some of the busiest times

Q How did you handle and balance the workload of study and your ldquojongrdquo

A As Irsquove said before it was tremendously difficult I guess my best advice for the future committee is to know your limitations and always plan ahead You have to know your time to work to rest to study etc No one will be over-worked and eve-ryone will have some personal time if you share the burden wisely between ldquojong yausrdquo Secondly you have to make very clear plans so that you can make full use of every little piece of your time I may not have succeeded in my time management but most of my ldquojong yausrdquo managed to do so de-spite the packed schedule of our Soci-ety This is sufficient proof of ldquoimpos-sible is nothingrdquo

Q As there are only about 25 pharmacy students per class do you have any suggestions for P14 fresh-men to make more friends from other curricula

A It really depends on what kind of person you are If you consider your-self socially active living in a hall or ldquosheung jongrdquo will be a great idea for you But if you see yourself as a much quieter person you can still make use of opportunities such as Medic Orien-tation Camp and other events jointly organised by student bodies within the Medical Faculty to make new friends

Q Any special things for P14 freshmen to be aware of

A First of all welcome You all are now members of Pharmacy Society MS HKUSU and I would like to let you know that this is a student body aiming to serve you Thus feel free to share your viewpoints and voice out your opinions to the current Com-mittee members The Society has to

understand your needs to improve and provide better welfare and services for you

Q Any other comments or important things to re-mind P14 freshmen

A If you would like to get to know more fellow pharmacy students especially students from P12 and P13 grab the opportunity to join the Pharmacy Society Orientation Camp and the Mentorship Programme These are great chances to make new friends and Irsquom sure you will enjoy them

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

ldquoas huMaN beiNgs we do chaNge grow adapt perhaps eveN learN aNd becoMe wiserrdquo ndash weNdy carlos

42 | Caduceus September 2011

筆 者是一位護理系的學生半年前有幸成為二零一一年啟思編輯委員會的總編輯在期間所體驗到的希望藉著這次機會作出分享特別希望新加入醫學院的同學

能對「上莊」有更多了解

上莊之路上莊是大學五件事之一證明它對大學生

活有一定的重要性一定的位置筆者在初入學的時候曾為了上莊與否而煩惱猶豫了好一段時間期間考慮到自己能力怕學業應負不來但最後仍然下了上莊這個決定原因是上莊是個難得的機會充實增值自己不同的莊會提供不同的機會讓莊友去學習透過不同的莊務去讓自己眼界擴大另外可以了解醫學院內發生既事情例如院內活動的進展情況更可以參加舉辦院活動為醫學院出一分力最後當然會認識到將會相處一整年的莊友工作伙伴有機會認識到不同學系的同學從他們身上可以觀察到學習到各種的特質從而令自己有所進步有所啟發

護理學生作為護理系學生起初擔任總編輯一職實

在是倍感壓力畢竟歷屆的總編輯都是由醫科生出任因此筆者起初都害怕跟醫科生共事怕自己的能力不足夠應付莊務所以起初都是戰戰兢兢地上莊

一位三年的護理學生曾對我說「我認為你不太尊重護理系護理系和醫科都是個專業希望你能加以尊重自己的學系不要輕視護理這個學系你要肯定自己的學系才能帶領整支莊因為莊內成員來自不同的學系你必須肯定和認同每個學系都有一定的重要性以及其專業」這番當頭棒喝的良言令我明白到自己一直都太輕視護理系過於重視醫科現在我明白到認同自己學系是尤其重要只有這樣才可以用自己學系的身份去發表意見只有認同自己學系才懂得尊重其他的學系莊內便可以融洽一點

在筆者的莊友中醫科生都是較有責任感而且做事更有計劃從他們身上的確學到不少東西這點是無可否認的事實筆者並不是在分享學系與學系之間的差別而是希望有志上莊的同學能互相尊重明白到各學系的莊

友都有其值得學習的地方起初對其他學系有隔膜是無可避免的畢竟對他們的學系都不太了解又沒有歸屬感但如果因為對方是別的學系而輕視對方的人不但失去與人相處學習的機會而且會令莊內的氣氛失去和諧

幸好的就我所見所聞醫學院內的莊多年來都能融洽相處互相支持令到一眾上莊的同學都能輕鬆地享受上莊的喜與樂甚至是不愉快的事情

依靠你的莊友莊是一個團體不是一兩個人可以應

付得來所以筆者認為與莊友互相溝通合作是個重要的元素新同學如果有志參與莊務期望從上莊中有所得著首要的事情是與莊友建立關係因為他們將會是你來年的工作伙伴也是你遇到困難時依靠的對象一位上莊曾對我說「其實一件的莊期不會令你有太大的得著或成長反而長久的友誼才是你將會得到最重要的」這句說話是千真萬確的上莊的人不會由詞不達意改變成談吐得宜不要期望自己會有驚人的轉變也許上莊會令人處事成熟一點有計劃一點但上莊所得到的關係將會是更重要更珍貴一年的相處中面對過有無數的會議共同處理過不少困難從中

建立的友誼真的是畢生受用

責任感上莊另外一個十分重要既條件就是責任

感有志上莊的同學必須明白到莊期是長達一整年在繁重的學業中騰出時間來處理莊務是個考驗責任感和毅力的測試同學必須再三思考想清楚自己是否真係熱衷於上莊或是只是一時衝動畢竟你將要許下的是一年的承諾必須對這個莊負上責任願意付出才選擇上莊這個決定這樣的付出就會有相對的回

總結上莊的確是個好機會讓自己去學習從處

理事務中或是從莊友身上都會有所得著充實著自己的大學生活從中可以認識到各學系的同學建立一段段受用終身的友誼在此筆者希望各學系的新同學可以善用機會作出上莊這個無悔的決定

護理系的啟思總編石志榮 (N14)

新鮮人

hkucaduceusnet | 43

慈兄吟(下)奇晶

最 後還是麥教授先開了口「他的確是一個好學生對醫學有獨到見解他不但學業成績優異而且樂於助人你是他的妹妹吧」婉慧努力控制自己的淚水繼繼續續的說「是啊但helliphellip但helliphellip我不知道helliphellip他竟會在這裏出現」麥教授用悲天憫人的目光看着婉慧語重深長說「人生自古誰無死人生命的有為與否並不取決於他生命的長短而是在於人生的意義你哥哥雖然最後當不了醫生但他的犧牲卻間接為一些同學做醫生鋪路讓他們做醫生去救人這真是一種無私的愛」婉慧點點頭覺得自己對哥哥的了解實在太少了

最後她還是孤獨的離開實驗室她覺得自己跟哥哥比起來實在相差得太遠了原來他除了是十優狀元在醫學院的成績名列前茅外還是個熱心助人的好青年自己除了少了一優外少的更有對別人的同情及樂於助人這造就了她心靈上的空虛她明白到冷漠不是一種對哥哥思念的正當表達方法她應該做的是把哥哥對其他人的愛傳揚開去以圓他的心願

第一步往往是最困難的婉慧平日對他人的態度已令不少人對她敬而遠之有很多次她嘗試向同班同學投以友善的笑容得到的總是詫異的目光或別人的不理不睬在小組討論中儘管她踴躍發言盡量避免冷場的發生偶同學們卻認為她變本加厲想阻止同學們取得好成績她四處碰壁又再次陷入了想念哥哥的深淵

時間一天一天過去了上學期考試前的休假開始了婉慧每天都勤奮的在圖書館溫習期望取得好成績這時候的圖書館堆滿了人如果遲來一個小時想找一個位子也難就在假期的第二天同班的王文在圖書館跑得氣急敗壞仍找不到一個座位婉慧不知怎樣有點同情他將座位讓給他王文驚訝道「不用了我還是回家吧真倒楣遲來了一個小時就沒有『接位』」

「但你住在哪裏呀」

「元朗今天早上我忘了校鬧鐘八時才起」

「那你還是要我的座位吧我可以坐到電腦桌因為我認識的人不少沒有什麼人會打擾我的」

王文謝了她頓時對這位冷漠的同學刮目相看原來她的內心也是溫暖的這並不是他所能料及的坐在電腦桌前溫習的她也感到特別的快樂溫習的速度也快多了王文就此成為了她的「飯檔」考試期間每天和她一起吃飯他更將自己的好友介紹給婉慧認識

在一個晚上她又悄悄的在圖書館的角落溫習着突然一隻溫暖的手搭着她的肩上她抬起頭但見解剖學的同桌手中拿着一杯熱飲輕輕的放在她的桌上婉慧正感詫異卻聽見他說「這杯熱巧克力是給你的繼續努力吧」她喝着巧克力心中感到一股暖流彷彿哥哥的關懷又在她內作出回響

十年生死兩茫茫不思量自難忘千里孤墳無處話淒涼helliphellip

寒風吹起了她額上的劉海佇立在墓前的婉慧不禁凜冽她想起了從前想到自己最後一次和哥哥吵架雙方面紅耳赤的情況想起自己無法親口跟哥哥道歉想起哥哥無私的付出她對着那空虛的墳心中不忍一陣淒然淚水漱漱的流下來她身旁攜扶着年紀老邁的母親邊拭淚邊喃喃道「我的兒子helliphellip歿了helliphellip」大家心情漸漸平復了緩緩走出了墳地

雨一滴一滴的落下飽歷辛酸的婉慧卻仍在懸壼濟世

短篇

ldquoyesterday is but todayrsquos MeMory aNd toMorrow is todayrsquos dreaMrdquo ndash khalil gibraN

44 | Caduceus September 2011

Eternal Flame (1)Tulipa

Itrsquos cold The chills from my fingertips imbibe deep into me This person drills into my mind digging out the truth inside me Itrsquos agonizing She comes right inhellip di-rectly I cannot stop her

Irsquom losing myselfhellip

My hand felt the soggy pillow I realised I had come back to life the world where I lived Staring blankly at the ceiling still losing focus in my eyes I felt my brows with my forearm For the first time I didnrsquot want to lose this feeling

The bedroom door slowly opened I quickly rubbed off the drops that had blurred my vision pretending that I had just woken up

ldquoDo you have lessons this morningrdquo My grand-mother whispered into my ear

ldquoOh goshrdquo I turned right to my alarm clock It was the real life I had forgotten to turn the alarm on last night and it was now seven thirty I knew it I was going to be late every time she caught me in bed Irsquod got to hurry up

Living in Hong Kong Island though it took me more than an hour to get to school I had to comfort my little brother sometimes till two or three in the morning in order to get him to sleep In addition to the consistently heavy study load in the medical school I could hardly get enough rest Running on my heels al-most became my routine starting from last November But I well understood the consequence of skipping lec-tures It was the beginning of the Cardiovascular Sys-tem Block For someone like me who gave least priority in revising Anatomy materials lectures remained the prime source of information for exams Absence from class was suicidal To make the situation worse this professor was one of those who did NOT upload lec-ture notes online

Hoping I wouldnrsquot arrive too late to miss the impor-tant points I finally stepped onto a route no 8 minibus at ten past eight What I could do now was to pay trust in the driver who would bring me to my destination

Coaxing kids was never easy Little Bruce just hap-pened to give me such a hassle last night

He knew I would check on him when I returned home Sitting right next to the door of his room he begged me for a story once I opened the door I sat down together with him on his little couch after Irsquod taken a quick shower This was a time to relax leaving

aside all the other concerns

Kindling through his favourite reader I saw that he wasnrsquot listening but distracted by all sorts of toys around He even invited me into his world of fantasy But it was getting late I had to calm him down so that I too could have some rest Being one of the brightest in his elementary school he should understand this was not the time for recreation

I began to feel annoyed

Yet he was my brother I had a gut feeling that this was unusual He didnrsquot use to be so ldquohyperactiverdquo It re-ally took me a while to adjust to his change With him still tossing and turning in my arms I apprehended his restlessness Unpredictable though he was true to his feelings In one way or another he might find the shadow of our mother in me

He finally settled when I laid him back in bed It was nearly two forty in the morning

The first week of the CVS Block ran as plotted PBL tutorials would start on next Monday Dr Youngrsquos fa-cial expression in the first PBL evaluation flashed over my Embryology notes and references She didnrsquot teach Embryology but I could tell she did have a hypertroph-ic heart-shaped face which looked familiar to the dia-grams in the Atlas

Back in the IHD Block most of us were puzzled about the scrambled content of our course Various forms of seemingly related knowledge came in through lectures practical and tutorial sessions But the neural circuit formed in our brain just failed to resonate as if the conductance-inductance mismatch had aberrated our thought from minimal impedance Sometimes things even happened in a ldquomore-than-extrardquo manner The presence of common core courses in a parallel but independent branch in the network could rightly be detached without causing a blip on the galvanometer Everything was dubious We had no idea of what we were doing

Maybe we were just on the way seeking for a sense of attachment

My mind too was racing in haste I was struggling with my decision to become a doctor Too many things had happened over the year I just couldnrsquot stop ques-tioning myself what was I thinking when I put lsquo6456 MBBSrsquo in my JUPAS application I should have expect-ed and prepared to face all these I just didnrsquot knowhellip

Novella

hkucaduceusnet | 45

It was midterm evaluation in the IHD Block Her face looked tense in that heart shape She was so stiff in her facial expression that no one could read her mind from her poker face The conference room of the Physi-ology Department was large We seemed to be the odd ones out in the spacious carpeted room In this secre-tive silence you could hear the drumming in your ears as if you were tingling

I realised this was not a matter of ldquoam-I-suitable-for-a-medical-careerrdquo but ldquois-a-medical-career-suita-ble-for-merdquo I was lying in bed playing with my plush bear when these thoughts burst in me Dr Young looked through me She felt certain that different from other group mates there were crises behind me But I didnrsquot tell her anything that day

We all were sensitive At times some subtle trepi-dation seeped in gradually sucking peace away from my sleep It was so to say below threshold sub-lethal though it lingered for weeks once it set inhellip

Drenched in bloodhellip There is no life in the boy His eyes are widely opened slightly protruded The lifeless pair of black pearlshellip I cannot escape from his glance He wants to talk to mehellip There is something he wants me to know

A van runs over himhellip

I fell down the edge of my mattress Breathing heavilyhellip Sweating all overhellip

ldquoScreechrdquo People began to gather around a tel-ephone booth a few metres behind us

I turned back I couldnrsquot see a lot from this anglehellip

ldquohellip What a pity He is so younghelliprdquo a middle-aged couple passed by

The victim resting just in front of the wheel looked towards me through a break in the crowdhellip

As we were wandering around thinking what to eat for dinner my cousin found me standing there rooted to the ground stunned by the victimrsquos gaze My heart was pounding She wouldnrsquot believe what I was again experiencing For a number of times already scenarios in my dreams were mirrored into reality

I couldnrsquot tell her

ldquoI was just thinking whether you would like Korean cuisine There is a new restaurant two corners awayrdquo I made up a talk while escaping from the scene so that I wouldnrsquot look so strange

ldquoWhy not go and have a try thenrdquo She was not dis-appointed for calling it a day as the food there was sur-prisingly good

Not until some years ago when I was Form 3 in college I discovered my ability to look into the future Sometimes I could see them coming up on the news in days or weeks And some didnrsquot ever happen at least not around me But seeing the night visions coming into concrete existence wasnrsquot always a pleasure when the mental images turned gradually into mostly night-mares When I visualised my close ones it felt like I was in the middle of an insecure chain bridge above a torrent that would sweep me into the vast ocean with no return It was entirely different from what you might understand as ldquodreams come truerdquo

I had witnessed misfortunes in proximityhellip

But I could do nothing about ithellip

Friends were a source of solace someone to con-fide all frustrations in But with my paranormal ability which appeared to everybody else only on screen-plays I wasnrsquot courageous enough to open my life wholeheartedly to them Seldom talking about myself avoiding all sorts of gatherings I became an eccentric figure among my classmates

Sometimes mutual understanding carried more weight than words I remembered my physics teacher being one of my few friends during my teen years De-spite his boisterous faccedilade he was always sensitive to whenever I was dwelling on my burdens Physics was our common language Intermingling our emotions and feelings with concepts that were alien to my fel-lows we developed a close rapport impenetrable by anyone else

ldquoWhat is the nature of a flamerdquo This was the most discussed problem between us Neither in solid liquid nor vapour state Not having any definite shape and colour It seems not any material but a type of energy giving out heat and light At the moment of providing it also exhausts its fuel and eventually itselfhellip

The romance of physics is more than anything you could read write and talk about Once you were truly connected with it nothing can stop you Your mind will bounce irrespective of the chronology of space-time but only under the guidance of your thoughts

I was so devoted to the discipline at the time that I was almost making it my lifelong career in some way He envisaged that I would demand much more than any academia could provide with its scientific basis alone We were both seeking a philosophy beyond the facts But Hong Kong may not be the right place for it

I made him a promise at the end to contain our flame and I knew I would

For the first and the last time I saw his eyes filled with tears We knew existence by itself is a miracle

ldquoi love life because what More is thererdquo ndash aNthoNy hopkiNs

46 | Caduceus September 2011

說華佗都說「華佗再世」誰知箇中真諦雲方 (M15)

烽煙起戰火燃萬里 

三國並爭英雄地亂世有誰顧生死 

待神醫行世將民眾救濟

渺渺江山東西瞰俞跗巧手扁鵲心(1) 應向何處尋 

滾滾黃沙無世家終有奇士放奇葩

沛國 華元化(2) 

他經書貫通南北遊動 

一望斷症如神助三劑消病不必多

說斷症悉如所料 

甘陵 相夫人腹痛極難忍(3) 號脈知死嬰在左為男形(4)廣陵 梅軍吏除名歸故里

見貌知壽盡速返見萱椿(5) 

說消病藥到病除 

飲蒜醋有三升蟲一嘔而盡清 (6)母服丸而溫儲兒不藥而自癒 (7)

絕妙處 

是他開腸剖腹刀至辟毒 

神醫號 

除他內外皆精有誰配稱

[1]   俞跗黃帝時代之名醫扁鵲春秋戰國之名醫《淮南子人間訓》「患至而多後憂之helliphellip雖有扁鵲俞跗之巧猶不能生也」

[2]   華佗字元化沛國人(今安徽 亳州)

[3]   甘陵相(即甘陵之行政長官)夫人懷胎六月腹痛不安華佗為其切脈便知胎死於是命人摸知所在在左則男在右則女人云「在左」夫人飲藥後果然產出男胎腹痛立即痊癒

[4]   廣陵有軍吏名曰梅平離鄉服役後來退役歸家於路上巧遇華佗華佗視之嘆道「若能早些見我當不至於此而今你僅餘五日壽命速速回家還能與家人相見」平旋即趕抵故鄉五日後亦如料身亡

[5]   萱椿多作椿萱比喻父母漢牟融《送徐浩》詩「知君此去情偏切堂上椿萱雪滿頭」

[6]   華佗見路邊有人食不下嚥教他到路邊餅店買醋三升混上蒜泥然後飲用路人服後即吐出一條長蛇(即寄生蟲)

[7]   兩歲男孩長年腹瀉藥石無靈華佗往診謂病在母命其服用華佗親研之「四物女宛丸」服後母親乳汁不再寒涼男孩亦不藥而癒

意興

hkucaduceusnet | 47

只可惜人無完壁

「關將軍使君予我手刮骨惡毒走

曹丞相使君予我頭剖顱苦痛收」

「怎能不收怎能不收一命嗚呼萬事休 

簡直荒謬簡直荒謬殺此庸醫未須愁」(8) 

五禽戲尚能傳 (9)麻沸散從此絕 

何不一飲醉死不知世忍氣吞聲事權貴 (10)心神委曲須臾苦奇術失迭千秋計 

烽煙止無改生死事 

且當醫仙謫世間神技終須風裏散 (11)回首仰高山景行請君範 (12)

[8]     曹操欲殺華佗臣下勸之不可答曰「不憂天下當無此鼠輩耶」

[9]     死前華佗欲托所著醫書於獄卒不果便盡數焚毀唯有其養生體操「五禽戲」流傳後世

[10]   《三國志魏書方技傳》「當須刳割者便飲其麻沸散須臾便如醉死無所知」

[11]   唐白居易《簡簡吟》「恐是天仙謫人世只合人間十三歲」

[12]   景行(音航)即大道以高山景行比喻人品德行為之高尚典出《詩經小雅車轄》又東漢鄭玄曰「古人有高德者則慕仰之有明行者則而行之」

ldquothe art of MediciNe was to be properly learNer oNly forM its practice aNd its exerciserdquo - thoMas sydeNhaM

48 | Caduceus September 2011

啟程

清晨空白的天空看不見藍天雲彩

只有溫柔的雨絲和朦朦朧朧的霧水跟隨

著大隊的足印踏上沉重的腳步穿過橫

街小巷和煩囂熱鬧的市場走過自動門

撲鼻的消毒藥水味道讓大家屏住呼吸筆

者和夥伴們終於到達了入讀護理系以來第

一次實習的醫院

還記得在實習的前幾天心情是既忐忑

又期待的畢竟這一次實習的地方不再是

在社區中心宣傳健康方面的知識亦不是

只面對著健康活潑的小朋友和老友記或是

學校課堂上所提供的假人張靜汶卻是照

顧一羣真正需要關懷的病人心中充滿著

憂慮不知自己所學的知識足夠在應用上

嗎自己平日的練習足夠嗎雖然心存在

著不少疑惑但也十分期待可以體會一下

做小學護的感受嘗試把這一年裡所學到

的知識運用出來

很多的第一次

在病房裡總有心酸和膽戰心驚的時

候第一次為昏迷的病人清潔口腔第一

次為難以進食的人插入胃喉第一次為老

公公清洗背上壓瘡的傷口helliphellip照顧他們時

的心情都是一步一驚心生怕自己沒法應

付得來又怕會把事情弄得更糟糕最重

要的是恐怕自己不純熟的技巧令他們受苦

了記得有一回第一次為女病人插入尿

喉採取尿液樣本可能技巧不太純熟的關

係延長了病人的痛苦過程中她皺著

眉頭不斷呻吟又緊張得咬破脣眼看

她樣子心中真的不是味兒來身為病人

的其中之一依靠我們不得不給自己信

心如果連自己也不相信自己哪會有病

人願意把他們交給我們照料呢

捕捉那瞬間的美麗與淒然何麗敏 (N14)

上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

意興

hkucaduceusnet | 49

另外第一次面對病人的心情是頗為

緊張的說話技巧亦有改進的空間但和

病人傾談了數分鐘後氣氛也漸漸變得和

諧可能那些老公公整天呆在醫院裡真是

悶到慌看見一羣年青人與自己聊天照

顧和關心他們他們不禁咧嘴而笑醫院

職員透露有一位老公公平日不太願意吃東

西於是我們便主動和他談天說地又

悉心照料他進食的情況後來他不但胃

口好了不少就連心情也開朗了他生動

活潑的談吐讓我們笑了他回復健康精

神的體魄也讓我們感到安慰

相處片刻

雖然為期一星期的病房日子不是特別繁

忙或是辛勞但是也會有不習慣的時候

幸好得到醫院職員和一班夥伴的支持病

房經理和註冊護士不但相信我們的能力

對學護的包容更是不用多說還主動地介

紹病房的環境和細心地教導我們醫療護理

上的知識讓我們上了一堂實在而又寶貴

的課同時今次的實習也令我感到團體

精神也十分重要在技巧上大家互相提

點互補不足當有人準備照料有需要的

病人如插喉或洗傷口等大家送上一句 

「加油」就能令對方增加不少自信心和正

能量無論遇上甚麼事情我也榮幸有如

此一班學習夥伴從旁支持

學習的階級

在這一次病房實習中雖然醫療和藥物

知識方面有待加強但是我學懂了如何與

不同身份的病人相處之道溝通上也得到

了很大的進步獲益不少除此之外我

也真正體會到如何做一個好護士並清楚

了解這個行業是否適合自己鐘樓也不是

一天就能建成而是需要一磚一瓦搭建而

成的所以在學習上我們不但要打好

穩固的基礎還要增強醫療知識在技巧

上馬虎了事和走捷徑是於是無補的應

該多探究和練習才行這樣才對得起病人

和自己也減少不必要的醫療失當事故

總之多一份認真多一點耐性多一些

愛心就是學護必記的左右銘 上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

ldquoit is reasoNable to expect the doctor to recogNise that scieNce May Not have all the aNswers to probleMs of health aNd healiNgrdquo ndash NorMaN cousiNs

50 | Caduceus September 2011

Fun Corner

Medical AppsEver wondered how your handheld device can save your time and

effort when it comes to studying Here is how

Anatomy Pronunciations by HipposoftAccurate pronunciations of over a hundred important anatomy terms you have trouble with are provided

at your fingertips to help you spell those difficult words Anyone who has taken an anatomy course can tell you how challenging it can be to pro-nounce the names of those complicated anatomi-cal terms It is even linked directly to Wikipedia and Google through web browser for additional information

iPharmacy ndash Pill Identifier and Medication Guide by SigmaPhone LLCAn essential medication guide of 20000+ drugs is provided for con-sumers amp professionals This ex-

pands the image library to include 12000 pill and package images and includes digital drug identifier with official drug information (indica-tions dosage adverse reactions and more) You can check the drugs anywhere

Grades 2 by TapityIt tells you what grades you need in the coming tests in order to get your target grade You can easily calcu-late your GPA so as to maintain it It

is a useful tool helping you to keep an eye on your GPA all the time

Human Anatomy by SusaSoftXThe application provides you with information of 15 different biologi-cal systems You can keep on revis-ing while you are traveling without

carrying heavy books

Medscape by WebMD LLCFrom drug classes interaction clin-ical procedures and even the lat-est medical news Medscape helps medical students and healthcare

professionals to reiterate knowledge that has slipped from the mind It is a free application for iPhone iPad Android and Blackberry Yet it contains more function on Android phones and Apple products and lacks detailed clinical infor-mation for diseases and clinical procedures walk through on Blackberry

Pro Medical Terminology Dic-tionary by TreascoveryTerminology might be a tough work for medical students Even if we can master those English terms we can

hardly think of the Chinese terms This applica-tion can help you when you face this problem Note that it is not a free application

3M Littmann SoundBuilder by 3M CompanyA great tool designed to help im-prove auscultation skills of medical students with 14 unique lessons of

key heart sounds combing text virtual manne-quin 3D cardiac animation and dynamic wave-forms

iRadiology by Liebermans iRadi-ologyAn excellent learning tool for medi-cal students demonstrating classic radiological findings of a multitude

of abnormalities including over 500 radiologic images Radiologic images include CT US MRI and nuclear imaging each clearly labeled and followed by key teaching points

Micromedex Drug Information by Thomson Reuters (Healthcare) IncIs Cephalexin a first generation ce-phalosporin This application from

Thomson Reuters is the easiest way to navigate in the sea of drug names Drugs are sorted by classes and supplemented with rich information

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 35: Caduceus Issue 2, Volume 42

hkucaduceusnet | 35

tion and hospitalization thereafter Generally the vil-lagers were grateful for this plan as many found it dif-ficult to afford medical fees while struggling to pay for

basic necessities at the same time However some vil-lagers complained that the prices of medicine spiked after this policy was introduced and hospitals would of-ten ask patients to

do unnecessary scans just to earn more money

This trip made me realize that there is much that we can do but how great an impact we can make might not be seen immediately With follow up trips one could see the change as compared to the last visit and make further modifications to improve the situation

As the trip came to an end we were reluctant to leave There was something very magical about Dong-shan where the skies would turn to an exuberant red during sunset and on a clear night you could see stars scattered across every corner of the sky It is a place of beauty struggle and hopefully a place of triumph in the years to come

It is a place of beauty struggle and hopefully a place of triumph in the years to come

On one of our home visits

More to ExploreMedical Outreachers 醫心httpmedicaloutreachersorg

The Amity Foundation 愛德基金會httpwwwamityfoundationorg The beautiful sunset in Dongshan

ldquoshariNg is soMetiMes More deMaNdiNg thaN giviNgrdquo ndash Mary catheriNe batesoN

36 | Caduceus September 2011

就 在這一刻世界沉默了

城市的繁囂隨飛機引擎

逐點逐點噴走了繁囂的離

開是為了讓簡單的生活回

來剛踏出廈門機場一張

又一張的笑臉映入眼簾刺

熱的太陽把兩地之間的隔膜

融化

早從香港回歸時開始

香港人經常強調自己只是 

「香港人」而不是「中國

人」自以為比內地人高一

等可惜這班自視過高的都

市人曾幾何時為外地人送上

熱情的款待這一點廈門

人比誰都做得更好

廈門是一個位於中國

東南部的海島也許就是近

海讓居於廈門的人都把一

切怨恨煩惱拋下大海讓

它們隨水流漂走埋藏在海

床上每年廈門的鳳凰花花

開兩季一朵又一朵鮮艷如

火的鳳凰花在六月時歡送一

個又一個的畢業生彷彿為

他們添上一份祝福九月時

的鳳凰花熱情地歡迎一屆又

一屆的新生為新生的精彩

校園生活揭開序幕一份一

份的熱情含苞待放身在廈

門又怎會不被這市花的熱情

感動呢廈門大至人與人

之間小至花與花之間都存

著一份情

要追溯廈門人的情懷

可數至土樓的建成土樓

是個大多呈方形或圓形大型

群居的建築整座土樓樓高

三至五層由於牆身頗厚及

只有一個出入口甚具有防

禦功能亦因為這緣故當

大門關起來土樓便成了一

個家這個家佔地不大但卻

藏著成千上萬的人情味在

萬里無雲陽光普照的天空

下土樓居民的熱情好客

被蒸發出來懸浮在空中

一代一代傳下去更讓它隨

風走出土樓傳遍整個廈

門即使土樓漸漸成為旅遊

景點一些擺賣紀念品的攤

檔已經進駐但卻無礙居民間

的感情商販彼此交流從

不出現爭客的情況在土樓

中央休憩的居民除了為外地

人介紹他們的祠堂外亦邀

請遊客跟隨他們到遊客禁區

參觀在土樓居住的每伙都

中門大開當遊客投進好奇

的目光屋內的人往往以親

切的笑容作回答鄉土人

情在這世代多冷漠的心也

被融化

細膩的人情味外最令

遊客津津樂道的是廈門人的

態度廈門大學附近有一條

芙蓉隧道只要你願意便可

在隧道內壁上畫下你所思所

想當然美觀與否見仁見

智但這一種對藝術尊重

欣賞的態度是值得欣賞我

有我盡情地畫你有你盡責

青春在廈門留下足印潘曉彤 (N14)

生活

hkucaduceusnet | 37

地去管轄城市各處的整潔

彼此留下空間達至相輔相

成的效果廈門人就懂得人

最基本的禮貌尊重不

過廈門人對他人的尊重遠超

於人的基本禮貌當你去唱

「卡拉OK」的時候每次

待應的出入時看到的就只

有他們的正面而他們前行

或後退的方式就像看到皇帝

一樣卑恭屈膝香港人常常

強調面子哪一天才能捨下

那過高的尊嚴為不相識的

人作一個最謙卑的招待

其實任何人一離開香

港都不難發現就只有香

港愈夜愈精彩其他地方晚

上八時大多關門大吉而廈

門就只有中山路才媲美得

上香港的夜夜笙歌夜幕低

垂萬千燈火的中山路上

與來自各區的人擦肩而過

昏黃的燈光下照出一群又一

群的沉默影子剛好與路上

喧鬧的行人相映成趣騎樓

在霓虹燈的點綴下顯出了獨

有的閩南特色大街小巷傳

來不同地道小食的香氣車

輪餅燒仙草土笋凍helliphellip

為我們外來的交流生帶來美

味可口的夜宵飲飽食醉過

後走到中山路的盡頭又

回到了沉睡中的廈門

在優美的環境影響下

廈門人的生活也自然變得

純樸優閒單車車輪在環

島路上留下一圈又一圈的印

記沿路能細聽海浪輕拍岸

邊的聲音細嗅四處洋溢的

花香感受微風吹散太陽散

發的熱力見證一對又一對

的新人在拍下幸福的照片

據說廈門有戀愛天堂之稱

不管走到哪一處也會

看到準新人拍下甜蜜的婚紗

照而在裡面享受的人永遠

不知道這風景如畫的背

後是透過多少人的血汗換

來當我們在追求經濟成果

的同時往往破壞了造物者

在世上留下的藝術品隨中

國經濟急速發展一個又一

個的世外桃園被摧毀銅臭

替代了花香車聲替代了鳥

語這仙境又可維持多久

廈門另一世外桃園就是

鼓浪嶼它活像香港的長

洲島上滿有歐陸建築風

格但當中不乏中國特色的

建築中國古城風味與洋風

互相交替帶出截然不同的

感覺島上遠離汽車的廢

氣與金門就只是一海之

隔一家大小在享受天倫之

樂時一群又一群的青少

年情侶在沙灘上嬉戲立

即為島上升溫

筆者認為在這個混亂的

俗世確實需要抽空來欣賞

造物者留下來的藝術品大

財團不斷興建大型商場國

際知名品牌不停進駐留下

的就只有愈來愈狹窄的街

道被石屎封蓋寸草不生

的土地人人被金錢蒙蔽

迷失在霓虹燈光中又有多

少知音人能放下生活的瑣碎

事情在這裡享受時間一分

一秒的流走你被海浪聲

喚醒了嗎

筆者參加這次是由香

港廈門兩地大學的交流

團一連六天已經習慣了

當地的優閒生活模式體會

到的不只是廈門的風土人

情歷史文化而是兩地大

學生那種衝破界限的交流

雖說年輕人容易打成一片

但廈門獨有的熱情確實融化

了彼此間的隔膜廈門的美

是成人之美成就了兩地大

學生的友誼

飛機又再起飛了廈門

再見了

ldquothe tiMe of life is short to speNd that shortNess basely it would be too loNgrdquo ndash williaM shake-speare

38 | Caduceus September 2011

生 命形成之際只要一秒鐘的差遲世界便會不一樣

蝴蝶效應從來都是玄的全因一個 

「緣」字

隨著人成長要決擇的事太多學生

有兩件人生大事幾乎都不是由自己決定的

入讀小學及中學然而到了大學這

關卡自己也許可以拿定主意了若果你

入讀了心水科恭喜你若不然祝福

誠然入大學是最影響未來生活的關

口是好是壞無人知曉不用量化不

用比較太多即管做自己所想活出自己

的路只因你不會曉得你的下一步會怎樣

影響著你的生命

或許一個活動你會遇上你的最愛

或許一個宿位你會遇上你的知己

或許一句說話你會惹來一個敵人

或許一次走堂你會由B變C

這就是大學

在大學各人有各人的大學生活大

學講求自由學習學習真的是「求學不是

求分數」有些人愛廣交朋友有些人愛

住宿有些人愛做莊務有些人愛拍拖

有些人愛參加各樣活動有些人愛做兼

職有些人愛讀書有些人卻愛甚麼都不

做helliphellip不少大學生強調入大學必定要做齊

大學五件事(上莊住宿讀書拍拖

兼職)但其實只要自己開心不害人的

話做甚麼也沒問題最要緊的是認清讀

大學的目的以免沉淪於大學這花海

朋友

大學可以令你對「朋友」的概念愈來

愈含糊幾乎每個活動都可令你認識新朋

友通常大家都會輪流講述自己的名字與

學科(Round Table)這亦是考驗大腦對人名的記憶所謂的「Hi-Bye Friend」會愈來愈多隨便在細小的港大內穿梭會令你

無可奈何地對他們說聲Hi

不過別標籤你的「Hi-Bye Friend」要是連Hi-Bye也談不上更不用說做深交了上大學了大家已有既定的圈子很

多時約會或聊天都先找中學朋友而且很

多人會把大學朋友與中學的作比較雖情

有可原但有時未免先入為主地覺得中學

的較好

這亦難怪即使是日日碰面的同學也

未必是自己的好友人人都有自己的時間

表下課後各散東西不是大家不想互相

認識只是有時身不由己若想互相了

解不妨盡量製造共處之時有時甚至可

以分一些約會給大學朋友然後你會發

現大學朋友也可跟你熟絡可別為自己

建造一塊厚厚的心牆

舍堂

要入宿無人會不曉得十日的迎新營

有些舍堂平均每天的作息時間只有兩三小

時有人說住宿最辛苦就是迎新營然而

它卻是最難忘的

要數活動單單一個舍堂已數之不盡

要是投入舍堂生活每天24小時是不夠

用的舍堂之間有各樣比賽堂友要參加

各個組別為比賽出席各樣練習否則可

能被拒於來年再住基於許多人都只在夜

晚有空要全體出席那可是晚九朝五的

大學之緣賴彥積 (N14)

新鮮人

hkucaduceusnet | 39

宿生們之所以會熱衷於舍堂活動因他

們對自身舍堂有強烈的歸屬感好比中學

時學生參加校際比賽要是沒有歸屬感

就不會有心參加所屬舍堂的活動

除舍堂之間之活動樓層之間亦有各類

活動樓內亦然只要有人的地方就有玩

樂彷如天天宿營你不會有機會偷偷早

睡其他樓友常常打擾你你原來的生活

時間會推後數小時睡於二時已是罕有

早上的八半堂彷如無物

可以住宿但不參加活動嗎當然可以

但你會面對的是朋輩壓力他們雖未必逼

你參加卻會在言談中有意無意的滲出

來那種壓力不只限於自己樓層甚至是

跨樓層千萬可別輕看宿中流言

上莊

有人說上莊所學遠超課堂上莊所學

的是如何籌辦活動非常實用有時要對

外聯絡有時要面對公眾helliphellip像是要為將

來工作鋪路似的當然這亦要視乎你上

的是甚麼莊

一般而言上莊可訓練你待人處事的技

巧有時表面看來很友好的朋友當背

負上一定的要求後關係少不免有磨擦再

者初時莊員素未謀面最後卻因朝夕相

對而演變成朋友這段關係是很可貴的

成莊前要宣傳內閣爭取選票成莊了

又要舉行咨詢大會包受歷莊指導然後

又有就職典禮此後的活動更接踵而至

當然包括迎新活動招莊活動等helliphellip君不

見很多人視莊房為睡房少不免有「通

頂」之時忙是忙但必有價值至於是

好是壞要看自己的造化了

拍拖

人上了大學有時心思思想拍拖眼見

身旁多個好友都紛紛拍拖自己少不免羨

慕別人這想法十分正常畢竟大學生真

的可以放下只讀書的重擔真的可以規劃

人生大事了

香港大學一些營新活動中隨了Round Table外還有Round Status即說自己現在有否拍拖以及拍過多少次拖如 

A 0即Ava i lab l e之前至現在沒有拍拖O1即Occupied之前至現在共拍了一次拖當然也有一些同學自己創的甚

麼OBA (Occupied But Available)或D10(Desperate拍過10次拖)等等至於Round Status的動機何在可能是組爸媽想穿針引線吧當然也可能是別有用心的

不同人對拍拖有不同想法上了大學更

有不同擇偶條件人大了在感性的議題

上往往加上種種理性的數據開始現實起

來哪個帥哪個富有哪個有前途helliphellip

有些不在乎天長地久只求剎那的光輝

有些求虛榮有人疼愛在朋友前炫耀

有些甚至會在拍拖前已想定分手後的模

樣所以不想選擇跟自己同科的同學

活動

不同團體(包括舍堂學會及學校部

門)都有不同活動不用愁沒事幹只用

愁沒時間只要多留意Portal Mass Email或Main Campus海報不難發現幾乎每天都有各樣活動動靜皆宜開學時有迎

新營考試時有勁過飯新學期有開Sem

飯有些學會如戲劇舞蹈合唱團不時

有演出有關運動的學會則多練習以參

加比賽有關學術的也有很多興趣班講

座比賽等想幫人的亦可參加義工團

體如蛇蛇豬扶青等舉辦的義工活動

兼職

大學生的兼職大多以補習為主畢竟

這是我們能力範圍內可賺取最多外快又是

時間最彈性的工作有些人卻因補習不能

寫在履歷表而選擇別的工作然而很多時

我們都要在兼職與大學活動中取捨我的

ldquotake a chaNce all life is a chaNce the MaN who goes farthest is geNerally the oNe who is williNg to do aNd darerdquo ndash dale carNegie

40 | Caduceus September 2011

E mily was the chairperson of Pharmacy Socie-ty session 2010 As a student she has actively

participated in holding activities for many medical stu-dents and taken part in providing welfare to all phar-macy students Her following sharing will especially enlighten our new pharmacy students

Q Why did you choose Pharmacy SocietyA To be frank ldquosheung jongrdquo was really out of

my expectation when I anticipated my university life However my perspective has changed when I officially became a pharmacy student in HKU As members of the opening class of the Pharmacy programme my classmates and I realised the importance of having our own student body We do need an independent soci-ety to represent us pharmacy students to cater for our specific needs to listen to our points of view and to act as a bridge to facilitate our communication with the Medical Faculty the entire university and ultimately the pharmaceutical field in Hong Kong My class-mates and I who later became ldquojong yausrdquo believed we should act immediately to establish and run our own society which is why I decided to ldquosheung jongrdquo

Q Would you like to share some of the pros and cons of sheung jong

A ldquoSheung jongrdquo definitely helped me achieve per-sonal growth It was a concurrent commitment and re-sponsibility to serve and to lead our colleagues Bear-ing this in mind we always pushed ourselves to attain the best of our work ethics efficiency and efficacy As the very first session of the Society we lacked the guidance of any previous committee member Instead analysing carefully and critically we thought better of every decision which I personally found an enriching experience ldquoSheung jongrdquo was also an eye-opening journey Wersquod got to meet different people and learnt more about the professional work for as our career-to-be after graduation This in my opinion is always beneficial Last but not least I was fortunate enough to have worked with my amazing fellow committee mem-bers I frankly couldnrsquot ask for better ldquojong yausrdquo than initium Irsquom absolutely thankful for having them as my friends and it is definitely my greatest gain along the way

Despite the merits ldquosheung jongrdquo definitely has its downsides as well It is a lie to say ldquosheung jongrdquo does not affect our daily life because it does take up a big chunk of our time At the end of the day it is about time management which is easy to say but extremely dif-

建議是如家庭環境較困難賺錢吧反

之可以多留時間給各活動畢竟大學一

年的學費不只值那幾十堂課如何善用這

$42100就在乎你如何投入大學生活

讀書

假若你認為大學的考試可考核學生的

真正讀書能力並要求學生活學活用課堂

所學那麼你大失所望了假若你善於背

誦有過目不忘之本領大學的筆試不會

難倒你只要靠著前人留下的歷屆試題

背到滾瓜爛熟是不可能不及格的很多屆

試卷都是千篇一律的很多教授可沒空大

改試題那同學們就走運了有些課堂

即使再專業的學科都會有只理論無實

踐的課堂然後考試就要你把一大堆理論

背出來helliphellip例如甚麼叫批判思維噢

我可不知道只知道我掉了5分

不同學系在某程度上定下了人的前途

對於醫學院學生而言前路是較清晰可見

的但對於非專業學科前路不可只靠讀

書也許要靠自己另外摸索讀書所帶來

的必然是較高的GPA高GPA所帶來的是

獎學金到外國交流工作實習日後工

作機會等等當然大學學習不只局限於

讀書會否因此失彼就只有自己知道

蝶翼拍動之時往難以預料機會是

要自己摸索的

如經上所記

「神為愛他的人所預備的是眼睛未曾看見耳

朵未曾聽見人心也未曾想到的」

(哥林多前書29)

「栽種的和澆灌的都是一樣但將來各人要照自

己的工夫得自己的賞賜」

(哥林多前書38)

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

Freshmen

hkucaduceusnet | 41

ficult to achieve Also working as a Committee mem-ber can be very exhausting and difficult You definitely need lots of determination and support to get through some of the busiest times

Q How did you handle and balance the workload of study and your ldquojongrdquo

A As Irsquove said before it was tremendously difficult I guess my best advice for the future committee is to know your limitations and always plan ahead You have to know your time to work to rest to study etc No one will be over-worked and eve-ryone will have some personal time if you share the burden wisely between ldquojong yausrdquo Secondly you have to make very clear plans so that you can make full use of every little piece of your time I may not have succeeded in my time management but most of my ldquojong yausrdquo managed to do so de-spite the packed schedule of our Soci-ety This is sufficient proof of ldquoimpos-sible is nothingrdquo

Q As there are only about 25 pharmacy students per class do you have any suggestions for P14 fresh-men to make more friends from other curricula

A It really depends on what kind of person you are If you consider your-self socially active living in a hall or ldquosheung jongrdquo will be a great idea for you But if you see yourself as a much quieter person you can still make use of opportunities such as Medic Orien-tation Camp and other events jointly organised by student bodies within the Medical Faculty to make new friends

Q Any special things for P14 freshmen to be aware of

A First of all welcome You all are now members of Pharmacy Society MS HKUSU and I would like to let you know that this is a student body aiming to serve you Thus feel free to share your viewpoints and voice out your opinions to the current Com-mittee members The Society has to

understand your needs to improve and provide better welfare and services for you

Q Any other comments or important things to re-mind P14 freshmen

A If you would like to get to know more fellow pharmacy students especially students from P12 and P13 grab the opportunity to join the Pharmacy Society Orientation Camp and the Mentorship Programme These are great chances to make new friends and Irsquom sure you will enjoy them

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

ldquoas huMaN beiNgs we do chaNge grow adapt perhaps eveN learN aNd becoMe wiserrdquo ndash weNdy carlos

42 | Caduceus September 2011

筆 者是一位護理系的學生半年前有幸成為二零一一年啟思編輯委員會的總編輯在期間所體驗到的希望藉著這次機會作出分享特別希望新加入醫學院的同學

能對「上莊」有更多了解

上莊之路上莊是大學五件事之一證明它對大學生

活有一定的重要性一定的位置筆者在初入學的時候曾為了上莊與否而煩惱猶豫了好一段時間期間考慮到自己能力怕學業應負不來但最後仍然下了上莊這個決定原因是上莊是個難得的機會充實增值自己不同的莊會提供不同的機會讓莊友去學習透過不同的莊務去讓自己眼界擴大另外可以了解醫學院內發生既事情例如院內活動的進展情況更可以參加舉辦院活動為醫學院出一分力最後當然會認識到將會相處一整年的莊友工作伙伴有機會認識到不同學系的同學從他們身上可以觀察到學習到各種的特質從而令自己有所進步有所啟發

護理學生作為護理系學生起初擔任總編輯一職實

在是倍感壓力畢竟歷屆的總編輯都是由醫科生出任因此筆者起初都害怕跟醫科生共事怕自己的能力不足夠應付莊務所以起初都是戰戰兢兢地上莊

一位三年的護理學生曾對我說「我認為你不太尊重護理系護理系和醫科都是個專業希望你能加以尊重自己的學系不要輕視護理這個學系你要肯定自己的學系才能帶領整支莊因為莊內成員來自不同的學系你必須肯定和認同每個學系都有一定的重要性以及其專業」這番當頭棒喝的良言令我明白到自己一直都太輕視護理系過於重視醫科現在我明白到認同自己學系是尤其重要只有這樣才可以用自己學系的身份去發表意見只有認同自己學系才懂得尊重其他的學系莊內便可以融洽一點

在筆者的莊友中醫科生都是較有責任感而且做事更有計劃從他們身上的確學到不少東西這點是無可否認的事實筆者並不是在分享學系與學系之間的差別而是希望有志上莊的同學能互相尊重明白到各學系的莊

友都有其值得學習的地方起初對其他學系有隔膜是無可避免的畢竟對他們的學系都不太了解又沒有歸屬感但如果因為對方是別的學系而輕視對方的人不但失去與人相處學習的機會而且會令莊內的氣氛失去和諧

幸好的就我所見所聞醫學院內的莊多年來都能融洽相處互相支持令到一眾上莊的同學都能輕鬆地享受上莊的喜與樂甚至是不愉快的事情

依靠你的莊友莊是一個團體不是一兩個人可以應

付得來所以筆者認為與莊友互相溝通合作是個重要的元素新同學如果有志參與莊務期望從上莊中有所得著首要的事情是與莊友建立關係因為他們將會是你來年的工作伙伴也是你遇到困難時依靠的對象一位上莊曾對我說「其實一件的莊期不會令你有太大的得著或成長反而長久的友誼才是你將會得到最重要的」這句說話是千真萬確的上莊的人不會由詞不達意改變成談吐得宜不要期望自己會有驚人的轉變也許上莊會令人處事成熟一點有計劃一點但上莊所得到的關係將會是更重要更珍貴一年的相處中面對過有無數的會議共同處理過不少困難從中

建立的友誼真的是畢生受用

責任感上莊另外一個十分重要既條件就是責任

感有志上莊的同學必須明白到莊期是長達一整年在繁重的學業中騰出時間來處理莊務是個考驗責任感和毅力的測試同學必須再三思考想清楚自己是否真係熱衷於上莊或是只是一時衝動畢竟你將要許下的是一年的承諾必須對這個莊負上責任願意付出才選擇上莊這個決定這樣的付出就會有相對的回

總結上莊的確是個好機會讓自己去學習從處

理事務中或是從莊友身上都會有所得著充實著自己的大學生活從中可以認識到各學系的同學建立一段段受用終身的友誼在此筆者希望各學系的新同學可以善用機會作出上莊這個無悔的決定

護理系的啟思總編石志榮 (N14)

新鮮人

hkucaduceusnet | 43

慈兄吟(下)奇晶

最 後還是麥教授先開了口「他的確是一個好學生對醫學有獨到見解他不但學業成績優異而且樂於助人你是他的妹妹吧」婉慧努力控制自己的淚水繼繼續續的說「是啊但helliphellip但helliphellip我不知道helliphellip他竟會在這裏出現」麥教授用悲天憫人的目光看着婉慧語重深長說「人生自古誰無死人生命的有為與否並不取決於他生命的長短而是在於人生的意義你哥哥雖然最後當不了醫生但他的犧牲卻間接為一些同學做醫生鋪路讓他們做醫生去救人這真是一種無私的愛」婉慧點點頭覺得自己對哥哥的了解實在太少了

最後她還是孤獨的離開實驗室她覺得自己跟哥哥比起來實在相差得太遠了原來他除了是十優狀元在醫學院的成績名列前茅外還是個熱心助人的好青年自己除了少了一優外少的更有對別人的同情及樂於助人這造就了她心靈上的空虛她明白到冷漠不是一種對哥哥思念的正當表達方法她應該做的是把哥哥對其他人的愛傳揚開去以圓他的心願

第一步往往是最困難的婉慧平日對他人的態度已令不少人對她敬而遠之有很多次她嘗試向同班同學投以友善的笑容得到的總是詫異的目光或別人的不理不睬在小組討論中儘管她踴躍發言盡量避免冷場的發生偶同學們卻認為她變本加厲想阻止同學們取得好成績她四處碰壁又再次陷入了想念哥哥的深淵

時間一天一天過去了上學期考試前的休假開始了婉慧每天都勤奮的在圖書館溫習期望取得好成績這時候的圖書館堆滿了人如果遲來一個小時想找一個位子也難就在假期的第二天同班的王文在圖書館跑得氣急敗壞仍找不到一個座位婉慧不知怎樣有點同情他將座位讓給他王文驚訝道「不用了我還是回家吧真倒楣遲來了一個小時就沒有『接位』」

「但你住在哪裏呀」

「元朗今天早上我忘了校鬧鐘八時才起」

「那你還是要我的座位吧我可以坐到電腦桌因為我認識的人不少沒有什麼人會打擾我的」

王文謝了她頓時對這位冷漠的同學刮目相看原來她的內心也是溫暖的這並不是他所能料及的坐在電腦桌前溫習的她也感到特別的快樂溫習的速度也快多了王文就此成為了她的「飯檔」考試期間每天和她一起吃飯他更將自己的好友介紹給婉慧認識

在一個晚上她又悄悄的在圖書館的角落溫習着突然一隻溫暖的手搭着她的肩上她抬起頭但見解剖學的同桌手中拿着一杯熱飲輕輕的放在她的桌上婉慧正感詫異卻聽見他說「這杯熱巧克力是給你的繼續努力吧」她喝着巧克力心中感到一股暖流彷彿哥哥的關懷又在她內作出回響

十年生死兩茫茫不思量自難忘千里孤墳無處話淒涼helliphellip

寒風吹起了她額上的劉海佇立在墓前的婉慧不禁凜冽她想起了從前想到自己最後一次和哥哥吵架雙方面紅耳赤的情況想起自己無法親口跟哥哥道歉想起哥哥無私的付出她對着那空虛的墳心中不忍一陣淒然淚水漱漱的流下來她身旁攜扶着年紀老邁的母親邊拭淚邊喃喃道「我的兒子helliphellip歿了helliphellip」大家心情漸漸平復了緩緩走出了墳地

雨一滴一滴的落下飽歷辛酸的婉慧卻仍在懸壼濟世

短篇

ldquoyesterday is but todayrsquos MeMory aNd toMorrow is todayrsquos dreaMrdquo ndash khalil gibraN

44 | Caduceus September 2011

Eternal Flame (1)Tulipa

Itrsquos cold The chills from my fingertips imbibe deep into me This person drills into my mind digging out the truth inside me Itrsquos agonizing She comes right inhellip di-rectly I cannot stop her

Irsquom losing myselfhellip

My hand felt the soggy pillow I realised I had come back to life the world where I lived Staring blankly at the ceiling still losing focus in my eyes I felt my brows with my forearm For the first time I didnrsquot want to lose this feeling

The bedroom door slowly opened I quickly rubbed off the drops that had blurred my vision pretending that I had just woken up

ldquoDo you have lessons this morningrdquo My grand-mother whispered into my ear

ldquoOh goshrdquo I turned right to my alarm clock It was the real life I had forgotten to turn the alarm on last night and it was now seven thirty I knew it I was going to be late every time she caught me in bed Irsquod got to hurry up

Living in Hong Kong Island though it took me more than an hour to get to school I had to comfort my little brother sometimes till two or three in the morning in order to get him to sleep In addition to the consistently heavy study load in the medical school I could hardly get enough rest Running on my heels al-most became my routine starting from last November But I well understood the consequence of skipping lec-tures It was the beginning of the Cardiovascular Sys-tem Block For someone like me who gave least priority in revising Anatomy materials lectures remained the prime source of information for exams Absence from class was suicidal To make the situation worse this professor was one of those who did NOT upload lec-ture notes online

Hoping I wouldnrsquot arrive too late to miss the impor-tant points I finally stepped onto a route no 8 minibus at ten past eight What I could do now was to pay trust in the driver who would bring me to my destination

Coaxing kids was never easy Little Bruce just hap-pened to give me such a hassle last night

He knew I would check on him when I returned home Sitting right next to the door of his room he begged me for a story once I opened the door I sat down together with him on his little couch after Irsquod taken a quick shower This was a time to relax leaving

aside all the other concerns

Kindling through his favourite reader I saw that he wasnrsquot listening but distracted by all sorts of toys around He even invited me into his world of fantasy But it was getting late I had to calm him down so that I too could have some rest Being one of the brightest in his elementary school he should understand this was not the time for recreation

I began to feel annoyed

Yet he was my brother I had a gut feeling that this was unusual He didnrsquot use to be so ldquohyperactiverdquo It re-ally took me a while to adjust to his change With him still tossing and turning in my arms I apprehended his restlessness Unpredictable though he was true to his feelings In one way or another he might find the shadow of our mother in me

He finally settled when I laid him back in bed It was nearly two forty in the morning

The first week of the CVS Block ran as plotted PBL tutorials would start on next Monday Dr Youngrsquos fa-cial expression in the first PBL evaluation flashed over my Embryology notes and references She didnrsquot teach Embryology but I could tell she did have a hypertroph-ic heart-shaped face which looked familiar to the dia-grams in the Atlas

Back in the IHD Block most of us were puzzled about the scrambled content of our course Various forms of seemingly related knowledge came in through lectures practical and tutorial sessions But the neural circuit formed in our brain just failed to resonate as if the conductance-inductance mismatch had aberrated our thought from minimal impedance Sometimes things even happened in a ldquomore-than-extrardquo manner The presence of common core courses in a parallel but independent branch in the network could rightly be detached without causing a blip on the galvanometer Everything was dubious We had no idea of what we were doing

Maybe we were just on the way seeking for a sense of attachment

My mind too was racing in haste I was struggling with my decision to become a doctor Too many things had happened over the year I just couldnrsquot stop ques-tioning myself what was I thinking when I put lsquo6456 MBBSrsquo in my JUPAS application I should have expect-ed and prepared to face all these I just didnrsquot knowhellip

Novella

hkucaduceusnet | 45

It was midterm evaluation in the IHD Block Her face looked tense in that heart shape She was so stiff in her facial expression that no one could read her mind from her poker face The conference room of the Physi-ology Department was large We seemed to be the odd ones out in the spacious carpeted room In this secre-tive silence you could hear the drumming in your ears as if you were tingling

I realised this was not a matter of ldquoam-I-suitable-for-a-medical-careerrdquo but ldquois-a-medical-career-suita-ble-for-merdquo I was lying in bed playing with my plush bear when these thoughts burst in me Dr Young looked through me She felt certain that different from other group mates there were crises behind me But I didnrsquot tell her anything that day

We all were sensitive At times some subtle trepi-dation seeped in gradually sucking peace away from my sleep It was so to say below threshold sub-lethal though it lingered for weeks once it set inhellip

Drenched in bloodhellip There is no life in the boy His eyes are widely opened slightly protruded The lifeless pair of black pearlshellip I cannot escape from his glance He wants to talk to mehellip There is something he wants me to know

A van runs over himhellip

I fell down the edge of my mattress Breathing heavilyhellip Sweating all overhellip

ldquoScreechrdquo People began to gather around a tel-ephone booth a few metres behind us

I turned back I couldnrsquot see a lot from this anglehellip

ldquohellip What a pity He is so younghelliprdquo a middle-aged couple passed by

The victim resting just in front of the wheel looked towards me through a break in the crowdhellip

As we were wandering around thinking what to eat for dinner my cousin found me standing there rooted to the ground stunned by the victimrsquos gaze My heart was pounding She wouldnrsquot believe what I was again experiencing For a number of times already scenarios in my dreams were mirrored into reality

I couldnrsquot tell her

ldquoI was just thinking whether you would like Korean cuisine There is a new restaurant two corners awayrdquo I made up a talk while escaping from the scene so that I wouldnrsquot look so strange

ldquoWhy not go and have a try thenrdquo She was not dis-appointed for calling it a day as the food there was sur-prisingly good

Not until some years ago when I was Form 3 in college I discovered my ability to look into the future Sometimes I could see them coming up on the news in days or weeks And some didnrsquot ever happen at least not around me But seeing the night visions coming into concrete existence wasnrsquot always a pleasure when the mental images turned gradually into mostly night-mares When I visualised my close ones it felt like I was in the middle of an insecure chain bridge above a torrent that would sweep me into the vast ocean with no return It was entirely different from what you might understand as ldquodreams come truerdquo

I had witnessed misfortunes in proximityhellip

But I could do nothing about ithellip

Friends were a source of solace someone to con-fide all frustrations in But with my paranormal ability which appeared to everybody else only on screen-plays I wasnrsquot courageous enough to open my life wholeheartedly to them Seldom talking about myself avoiding all sorts of gatherings I became an eccentric figure among my classmates

Sometimes mutual understanding carried more weight than words I remembered my physics teacher being one of my few friends during my teen years De-spite his boisterous faccedilade he was always sensitive to whenever I was dwelling on my burdens Physics was our common language Intermingling our emotions and feelings with concepts that were alien to my fel-lows we developed a close rapport impenetrable by anyone else

ldquoWhat is the nature of a flamerdquo This was the most discussed problem between us Neither in solid liquid nor vapour state Not having any definite shape and colour It seems not any material but a type of energy giving out heat and light At the moment of providing it also exhausts its fuel and eventually itselfhellip

The romance of physics is more than anything you could read write and talk about Once you were truly connected with it nothing can stop you Your mind will bounce irrespective of the chronology of space-time but only under the guidance of your thoughts

I was so devoted to the discipline at the time that I was almost making it my lifelong career in some way He envisaged that I would demand much more than any academia could provide with its scientific basis alone We were both seeking a philosophy beyond the facts But Hong Kong may not be the right place for it

I made him a promise at the end to contain our flame and I knew I would

For the first and the last time I saw his eyes filled with tears We knew existence by itself is a miracle

ldquoi love life because what More is thererdquo ndash aNthoNy hopkiNs

46 | Caduceus September 2011

說華佗都說「華佗再世」誰知箇中真諦雲方 (M15)

烽煙起戰火燃萬里 

三國並爭英雄地亂世有誰顧生死 

待神醫行世將民眾救濟

渺渺江山東西瞰俞跗巧手扁鵲心(1) 應向何處尋 

滾滾黃沙無世家終有奇士放奇葩

沛國 華元化(2) 

他經書貫通南北遊動 

一望斷症如神助三劑消病不必多

說斷症悉如所料 

甘陵 相夫人腹痛極難忍(3) 號脈知死嬰在左為男形(4)廣陵 梅軍吏除名歸故里

見貌知壽盡速返見萱椿(5) 

說消病藥到病除 

飲蒜醋有三升蟲一嘔而盡清 (6)母服丸而溫儲兒不藥而自癒 (7)

絕妙處 

是他開腸剖腹刀至辟毒 

神醫號 

除他內外皆精有誰配稱

[1]   俞跗黃帝時代之名醫扁鵲春秋戰國之名醫《淮南子人間訓》「患至而多後憂之helliphellip雖有扁鵲俞跗之巧猶不能生也」

[2]   華佗字元化沛國人(今安徽 亳州)

[3]   甘陵相(即甘陵之行政長官)夫人懷胎六月腹痛不安華佗為其切脈便知胎死於是命人摸知所在在左則男在右則女人云「在左」夫人飲藥後果然產出男胎腹痛立即痊癒

[4]   廣陵有軍吏名曰梅平離鄉服役後來退役歸家於路上巧遇華佗華佗視之嘆道「若能早些見我當不至於此而今你僅餘五日壽命速速回家還能與家人相見」平旋即趕抵故鄉五日後亦如料身亡

[5]   萱椿多作椿萱比喻父母漢牟融《送徐浩》詩「知君此去情偏切堂上椿萱雪滿頭」

[6]   華佗見路邊有人食不下嚥教他到路邊餅店買醋三升混上蒜泥然後飲用路人服後即吐出一條長蛇(即寄生蟲)

[7]   兩歲男孩長年腹瀉藥石無靈華佗往診謂病在母命其服用華佗親研之「四物女宛丸」服後母親乳汁不再寒涼男孩亦不藥而癒

意興

hkucaduceusnet | 47

只可惜人無完壁

「關將軍使君予我手刮骨惡毒走

曹丞相使君予我頭剖顱苦痛收」

「怎能不收怎能不收一命嗚呼萬事休 

簡直荒謬簡直荒謬殺此庸醫未須愁」(8) 

五禽戲尚能傳 (9)麻沸散從此絕 

何不一飲醉死不知世忍氣吞聲事權貴 (10)心神委曲須臾苦奇術失迭千秋計 

烽煙止無改生死事 

且當醫仙謫世間神技終須風裏散 (11)回首仰高山景行請君範 (12)

[8]     曹操欲殺華佗臣下勸之不可答曰「不憂天下當無此鼠輩耶」

[9]     死前華佗欲托所著醫書於獄卒不果便盡數焚毀唯有其養生體操「五禽戲」流傳後世

[10]   《三國志魏書方技傳》「當須刳割者便飲其麻沸散須臾便如醉死無所知」

[11]   唐白居易《簡簡吟》「恐是天仙謫人世只合人間十三歲」

[12]   景行(音航)即大道以高山景行比喻人品德行為之高尚典出《詩經小雅車轄》又東漢鄭玄曰「古人有高德者則慕仰之有明行者則而行之」

ldquothe art of MediciNe was to be properly learNer oNly forM its practice aNd its exerciserdquo - thoMas sydeNhaM

48 | Caduceus September 2011

啟程

清晨空白的天空看不見藍天雲彩

只有溫柔的雨絲和朦朦朧朧的霧水跟隨

著大隊的足印踏上沉重的腳步穿過橫

街小巷和煩囂熱鬧的市場走過自動門

撲鼻的消毒藥水味道讓大家屏住呼吸筆

者和夥伴們終於到達了入讀護理系以來第

一次實習的醫院

還記得在實習的前幾天心情是既忐忑

又期待的畢竟這一次實習的地方不再是

在社區中心宣傳健康方面的知識亦不是

只面對著健康活潑的小朋友和老友記或是

學校課堂上所提供的假人張靜汶卻是照

顧一羣真正需要關懷的病人心中充滿著

憂慮不知自己所學的知識足夠在應用上

嗎自己平日的練習足夠嗎雖然心存在

著不少疑惑但也十分期待可以體會一下

做小學護的感受嘗試把這一年裡所學到

的知識運用出來

很多的第一次

在病房裡總有心酸和膽戰心驚的時

候第一次為昏迷的病人清潔口腔第一

次為難以進食的人插入胃喉第一次為老

公公清洗背上壓瘡的傷口helliphellip照顧他們時

的心情都是一步一驚心生怕自己沒法應

付得來又怕會把事情弄得更糟糕最重

要的是恐怕自己不純熟的技巧令他們受苦

了記得有一回第一次為女病人插入尿

喉採取尿液樣本可能技巧不太純熟的關

係延長了病人的痛苦過程中她皺著

眉頭不斷呻吟又緊張得咬破脣眼看

她樣子心中真的不是味兒來身為病人

的其中之一依靠我們不得不給自己信

心如果連自己也不相信自己哪會有病

人願意把他們交給我們照料呢

捕捉那瞬間的美麗與淒然何麗敏 (N14)

上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

意興

hkucaduceusnet | 49

另外第一次面對病人的心情是頗為

緊張的說話技巧亦有改進的空間但和

病人傾談了數分鐘後氣氛也漸漸變得和

諧可能那些老公公整天呆在醫院裡真是

悶到慌看見一羣年青人與自己聊天照

顧和關心他們他們不禁咧嘴而笑醫院

職員透露有一位老公公平日不太願意吃東

西於是我們便主動和他談天說地又

悉心照料他進食的情況後來他不但胃

口好了不少就連心情也開朗了他生動

活潑的談吐讓我們笑了他回復健康精

神的體魄也讓我們感到安慰

相處片刻

雖然為期一星期的病房日子不是特別繁

忙或是辛勞但是也會有不習慣的時候

幸好得到醫院職員和一班夥伴的支持病

房經理和註冊護士不但相信我們的能力

對學護的包容更是不用多說還主動地介

紹病房的環境和細心地教導我們醫療護理

上的知識讓我們上了一堂實在而又寶貴

的課同時今次的實習也令我感到團體

精神也十分重要在技巧上大家互相提

點互補不足當有人準備照料有需要的

病人如插喉或洗傷口等大家送上一句 

「加油」就能令對方增加不少自信心和正

能量無論遇上甚麼事情我也榮幸有如

此一班學習夥伴從旁支持

學習的階級

在這一次病房實習中雖然醫療和藥物

知識方面有待加強但是我學懂了如何與

不同身份的病人相處之道溝通上也得到

了很大的進步獲益不少除此之外我

也真正體會到如何做一個好護士並清楚

了解這個行業是否適合自己鐘樓也不是

一天就能建成而是需要一磚一瓦搭建而

成的所以在學習上我們不但要打好

穩固的基礎還要增強醫療知識在技巧

上馬虎了事和走捷徑是於是無補的應

該多探究和練習才行這樣才對得起病人

和自己也減少不必要的醫療失當事故

總之多一份認真多一點耐性多一些

愛心就是學護必記的左右銘 上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

ldquoit is reasoNable to expect the doctor to recogNise that scieNce May Not have all the aNswers to probleMs of health aNd healiNgrdquo ndash NorMaN cousiNs

50 | Caduceus September 2011

Fun Corner

Medical AppsEver wondered how your handheld device can save your time and

effort when it comes to studying Here is how

Anatomy Pronunciations by HipposoftAccurate pronunciations of over a hundred important anatomy terms you have trouble with are provided

at your fingertips to help you spell those difficult words Anyone who has taken an anatomy course can tell you how challenging it can be to pro-nounce the names of those complicated anatomi-cal terms It is even linked directly to Wikipedia and Google through web browser for additional information

iPharmacy ndash Pill Identifier and Medication Guide by SigmaPhone LLCAn essential medication guide of 20000+ drugs is provided for con-sumers amp professionals This ex-

pands the image library to include 12000 pill and package images and includes digital drug identifier with official drug information (indica-tions dosage adverse reactions and more) You can check the drugs anywhere

Grades 2 by TapityIt tells you what grades you need in the coming tests in order to get your target grade You can easily calcu-late your GPA so as to maintain it It

is a useful tool helping you to keep an eye on your GPA all the time

Human Anatomy by SusaSoftXThe application provides you with information of 15 different biologi-cal systems You can keep on revis-ing while you are traveling without

carrying heavy books

Medscape by WebMD LLCFrom drug classes interaction clin-ical procedures and even the lat-est medical news Medscape helps medical students and healthcare

professionals to reiterate knowledge that has slipped from the mind It is a free application for iPhone iPad Android and Blackberry Yet it contains more function on Android phones and Apple products and lacks detailed clinical infor-mation for diseases and clinical procedures walk through on Blackberry

Pro Medical Terminology Dic-tionary by TreascoveryTerminology might be a tough work for medical students Even if we can master those English terms we can

hardly think of the Chinese terms This applica-tion can help you when you face this problem Note that it is not a free application

3M Littmann SoundBuilder by 3M CompanyA great tool designed to help im-prove auscultation skills of medical students with 14 unique lessons of

key heart sounds combing text virtual manne-quin 3D cardiac animation and dynamic wave-forms

iRadiology by Liebermans iRadi-ologyAn excellent learning tool for medi-cal students demonstrating classic radiological findings of a multitude

of abnormalities including over 500 radiologic images Radiologic images include CT US MRI and nuclear imaging each clearly labeled and followed by key teaching points

Micromedex Drug Information by Thomson Reuters (Healthcare) IncIs Cephalexin a first generation ce-phalosporin This application from

Thomson Reuters is the easiest way to navigate in the sea of drug names Drugs are sorted by classes and supplemented with rich information

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 36: Caduceus Issue 2, Volume 42

36 | Caduceus September 2011

就 在這一刻世界沉默了

城市的繁囂隨飛機引擎

逐點逐點噴走了繁囂的離

開是為了讓簡單的生活回

來剛踏出廈門機場一張

又一張的笑臉映入眼簾刺

熱的太陽把兩地之間的隔膜

融化

早從香港回歸時開始

香港人經常強調自己只是 

「香港人」而不是「中國

人」自以為比內地人高一

等可惜這班自視過高的都

市人曾幾何時為外地人送上

熱情的款待這一點廈門

人比誰都做得更好

廈門是一個位於中國

東南部的海島也許就是近

海讓居於廈門的人都把一

切怨恨煩惱拋下大海讓

它們隨水流漂走埋藏在海

床上每年廈門的鳳凰花花

開兩季一朵又一朵鮮艷如

火的鳳凰花在六月時歡送一

個又一個的畢業生彷彿為

他們添上一份祝福九月時

的鳳凰花熱情地歡迎一屆又

一屆的新生為新生的精彩

校園生活揭開序幕一份一

份的熱情含苞待放身在廈

門又怎會不被這市花的熱情

感動呢廈門大至人與人

之間小至花與花之間都存

著一份情

要追溯廈門人的情懷

可數至土樓的建成土樓

是個大多呈方形或圓形大型

群居的建築整座土樓樓高

三至五層由於牆身頗厚及

只有一個出入口甚具有防

禦功能亦因為這緣故當

大門關起來土樓便成了一

個家這個家佔地不大但卻

藏著成千上萬的人情味在

萬里無雲陽光普照的天空

下土樓居民的熱情好客

被蒸發出來懸浮在空中

一代一代傳下去更讓它隨

風走出土樓傳遍整個廈

門即使土樓漸漸成為旅遊

景點一些擺賣紀念品的攤

檔已經進駐但卻無礙居民間

的感情商販彼此交流從

不出現爭客的情況在土樓

中央休憩的居民除了為外地

人介紹他們的祠堂外亦邀

請遊客跟隨他們到遊客禁區

參觀在土樓居住的每伙都

中門大開當遊客投進好奇

的目光屋內的人往往以親

切的笑容作回答鄉土人

情在這世代多冷漠的心也

被融化

細膩的人情味外最令

遊客津津樂道的是廈門人的

態度廈門大學附近有一條

芙蓉隧道只要你願意便可

在隧道內壁上畫下你所思所

想當然美觀與否見仁見

智但這一種對藝術尊重

欣賞的態度是值得欣賞我

有我盡情地畫你有你盡責

青春在廈門留下足印潘曉彤 (N14)

生活

hkucaduceusnet | 37

地去管轄城市各處的整潔

彼此留下空間達至相輔相

成的效果廈門人就懂得人

最基本的禮貌尊重不

過廈門人對他人的尊重遠超

於人的基本禮貌當你去唱

「卡拉OK」的時候每次

待應的出入時看到的就只

有他們的正面而他們前行

或後退的方式就像看到皇帝

一樣卑恭屈膝香港人常常

強調面子哪一天才能捨下

那過高的尊嚴為不相識的

人作一個最謙卑的招待

其實任何人一離開香

港都不難發現就只有香

港愈夜愈精彩其他地方晚

上八時大多關門大吉而廈

門就只有中山路才媲美得

上香港的夜夜笙歌夜幕低

垂萬千燈火的中山路上

與來自各區的人擦肩而過

昏黃的燈光下照出一群又一

群的沉默影子剛好與路上

喧鬧的行人相映成趣騎樓

在霓虹燈的點綴下顯出了獨

有的閩南特色大街小巷傳

來不同地道小食的香氣車

輪餅燒仙草土笋凍helliphellip

為我們外來的交流生帶來美

味可口的夜宵飲飽食醉過

後走到中山路的盡頭又

回到了沉睡中的廈門

在優美的環境影響下

廈門人的生活也自然變得

純樸優閒單車車輪在環

島路上留下一圈又一圈的印

記沿路能細聽海浪輕拍岸

邊的聲音細嗅四處洋溢的

花香感受微風吹散太陽散

發的熱力見證一對又一對

的新人在拍下幸福的照片

據說廈門有戀愛天堂之稱

不管走到哪一處也會

看到準新人拍下甜蜜的婚紗

照而在裡面享受的人永遠

不知道這風景如畫的背

後是透過多少人的血汗換

來當我們在追求經濟成果

的同時往往破壞了造物者

在世上留下的藝術品隨中

國經濟急速發展一個又一

個的世外桃園被摧毀銅臭

替代了花香車聲替代了鳥

語這仙境又可維持多久

廈門另一世外桃園就是

鼓浪嶼它活像香港的長

洲島上滿有歐陸建築風

格但當中不乏中國特色的

建築中國古城風味與洋風

互相交替帶出截然不同的

感覺島上遠離汽車的廢

氣與金門就只是一海之

隔一家大小在享受天倫之

樂時一群又一群的青少

年情侶在沙灘上嬉戲立

即為島上升溫

筆者認為在這個混亂的

俗世確實需要抽空來欣賞

造物者留下來的藝術品大

財團不斷興建大型商場國

際知名品牌不停進駐留下

的就只有愈來愈狹窄的街

道被石屎封蓋寸草不生

的土地人人被金錢蒙蔽

迷失在霓虹燈光中又有多

少知音人能放下生活的瑣碎

事情在這裡享受時間一分

一秒的流走你被海浪聲

喚醒了嗎

筆者參加這次是由香

港廈門兩地大學的交流

團一連六天已經習慣了

當地的優閒生活模式體會

到的不只是廈門的風土人

情歷史文化而是兩地大

學生那種衝破界限的交流

雖說年輕人容易打成一片

但廈門獨有的熱情確實融化

了彼此間的隔膜廈門的美

是成人之美成就了兩地大

學生的友誼

飛機又再起飛了廈門

再見了

ldquothe tiMe of life is short to speNd that shortNess basely it would be too loNgrdquo ndash williaM shake-speare

38 | Caduceus September 2011

生 命形成之際只要一秒鐘的差遲世界便會不一樣

蝴蝶效應從來都是玄的全因一個 

「緣」字

隨著人成長要決擇的事太多學生

有兩件人生大事幾乎都不是由自己決定的

入讀小學及中學然而到了大學這

關卡自己也許可以拿定主意了若果你

入讀了心水科恭喜你若不然祝福

誠然入大學是最影響未來生活的關

口是好是壞無人知曉不用量化不

用比較太多即管做自己所想活出自己

的路只因你不會曉得你的下一步會怎樣

影響著你的生命

或許一個活動你會遇上你的最愛

或許一個宿位你會遇上你的知己

或許一句說話你會惹來一個敵人

或許一次走堂你會由B變C

這就是大學

在大學各人有各人的大學生活大

學講求自由學習學習真的是「求學不是

求分數」有些人愛廣交朋友有些人愛

住宿有些人愛做莊務有些人愛拍拖

有些人愛參加各樣活動有些人愛做兼

職有些人愛讀書有些人卻愛甚麼都不

做helliphellip不少大學生強調入大學必定要做齊

大學五件事(上莊住宿讀書拍拖

兼職)但其實只要自己開心不害人的

話做甚麼也沒問題最要緊的是認清讀

大學的目的以免沉淪於大學這花海

朋友

大學可以令你對「朋友」的概念愈來

愈含糊幾乎每個活動都可令你認識新朋

友通常大家都會輪流講述自己的名字與

學科(Round Table)這亦是考驗大腦對人名的記憶所謂的「Hi-Bye Friend」會愈來愈多隨便在細小的港大內穿梭會令你

無可奈何地對他們說聲Hi

不過別標籤你的「Hi-Bye Friend」要是連Hi-Bye也談不上更不用說做深交了上大學了大家已有既定的圈子很

多時約會或聊天都先找中學朋友而且很

多人會把大學朋友與中學的作比較雖情

有可原但有時未免先入為主地覺得中學

的較好

這亦難怪即使是日日碰面的同學也

未必是自己的好友人人都有自己的時間

表下課後各散東西不是大家不想互相

認識只是有時身不由己若想互相了

解不妨盡量製造共處之時有時甚至可

以分一些約會給大學朋友然後你會發

現大學朋友也可跟你熟絡可別為自己

建造一塊厚厚的心牆

舍堂

要入宿無人會不曉得十日的迎新營

有些舍堂平均每天的作息時間只有兩三小

時有人說住宿最辛苦就是迎新營然而

它卻是最難忘的

要數活動單單一個舍堂已數之不盡

要是投入舍堂生活每天24小時是不夠

用的舍堂之間有各樣比賽堂友要參加

各個組別為比賽出席各樣練習否則可

能被拒於來年再住基於許多人都只在夜

晚有空要全體出席那可是晚九朝五的

大學之緣賴彥積 (N14)

新鮮人

hkucaduceusnet | 39

宿生們之所以會熱衷於舍堂活動因他

們對自身舍堂有強烈的歸屬感好比中學

時學生參加校際比賽要是沒有歸屬感

就不會有心參加所屬舍堂的活動

除舍堂之間之活動樓層之間亦有各類

活動樓內亦然只要有人的地方就有玩

樂彷如天天宿營你不會有機會偷偷早

睡其他樓友常常打擾你你原來的生活

時間會推後數小時睡於二時已是罕有

早上的八半堂彷如無物

可以住宿但不參加活動嗎當然可以

但你會面對的是朋輩壓力他們雖未必逼

你參加卻會在言談中有意無意的滲出

來那種壓力不只限於自己樓層甚至是

跨樓層千萬可別輕看宿中流言

上莊

有人說上莊所學遠超課堂上莊所學

的是如何籌辦活動非常實用有時要對

外聯絡有時要面對公眾helliphellip像是要為將

來工作鋪路似的當然這亦要視乎你上

的是甚麼莊

一般而言上莊可訓練你待人處事的技

巧有時表面看來很友好的朋友當背

負上一定的要求後關係少不免有磨擦再

者初時莊員素未謀面最後卻因朝夕相

對而演變成朋友這段關係是很可貴的

成莊前要宣傳內閣爭取選票成莊了

又要舉行咨詢大會包受歷莊指導然後

又有就職典禮此後的活動更接踵而至

當然包括迎新活動招莊活動等helliphellip君不

見很多人視莊房為睡房少不免有「通

頂」之時忙是忙但必有價值至於是

好是壞要看自己的造化了

拍拖

人上了大學有時心思思想拍拖眼見

身旁多個好友都紛紛拍拖自己少不免羨

慕別人這想法十分正常畢竟大學生真

的可以放下只讀書的重擔真的可以規劃

人生大事了

香港大學一些營新活動中隨了Round Table外還有Round Status即說自己現在有否拍拖以及拍過多少次拖如 

A 0即Ava i lab l e之前至現在沒有拍拖O1即Occupied之前至現在共拍了一次拖當然也有一些同學自己創的甚

麼OBA (Occupied But Available)或D10(Desperate拍過10次拖)等等至於Round Status的動機何在可能是組爸媽想穿針引線吧當然也可能是別有用心的

不同人對拍拖有不同想法上了大學更

有不同擇偶條件人大了在感性的議題

上往往加上種種理性的數據開始現實起

來哪個帥哪個富有哪個有前途helliphellip

有些不在乎天長地久只求剎那的光輝

有些求虛榮有人疼愛在朋友前炫耀

有些甚至會在拍拖前已想定分手後的模

樣所以不想選擇跟自己同科的同學

活動

不同團體(包括舍堂學會及學校部

門)都有不同活動不用愁沒事幹只用

愁沒時間只要多留意Portal Mass Email或Main Campus海報不難發現幾乎每天都有各樣活動動靜皆宜開學時有迎

新營考試時有勁過飯新學期有開Sem

飯有些學會如戲劇舞蹈合唱團不時

有演出有關運動的學會則多練習以參

加比賽有關學術的也有很多興趣班講

座比賽等想幫人的亦可參加義工團

體如蛇蛇豬扶青等舉辦的義工活動

兼職

大學生的兼職大多以補習為主畢竟

這是我們能力範圍內可賺取最多外快又是

時間最彈性的工作有些人卻因補習不能

寫在履歷表而選擇別的工作然而很多時

我們都要在兼職與大學活動中取捨我的

ldquotake a chaNce all life is a chaNce the MaN who goes farthest is geNerally the oNe who is williNg to do aNd darerdquo ndash dale carNegie

40 | Caduceus September 2011

E mily was the chairperson of Pharmacy Socie-ty session 2010 As a student she has actively

participated in holding activities for many medical stu-dents and taken part in providing welfare to all phar-macy students Her following sharing will especially enlighten our new pharmacy students

Q Why did you choose Pharmacy SocietyA To be frank ldquosheung jongrdquo was really out of

my expectation when I anticipated my university life However my perspective has changed when I officially became a pharmacy student in HKU As members of the opening class of the Pharmacy programme my classmates and I realised the importance of having our own student body We do need an independent soci-ety to represent us pharmacy students to cater for our specific needs to listen to our points of view and to act as a bridge to facilitate our communication with the Medical Faculty the entire university and ultimately the pharmaceutical field in Hong Kong My class-mates and I who later became ldquojong yausrdquo believed we should act immediately to establish and run our own society which is why I decided to ldquosheung jongrdquo

Q Would you like to share some of the pros and cons of sheung jong

A ldquoSheung jongrdquo definitely helped me achieve per-sonal growth It was a concurrent commitment and re-sponsibility to serve and to lead our colleagues Bear-ing this in mind we always pushed ourselves to attain the best of our work ethics efficiency and efficacy As the very first session of the Society we lacked the guidance of any previous committee member Instead analysing carefully and critically we thought better of every decision which I personally found an enriching experience ldquoSheung jongrdquo was also an eye-opening journey Wersquod got to meet different people and learnt more about the professional work for as our career-to-be after graduation This in my opinion is always beneficial Last but not least I was fortunate enough to have worked with my amazing fellow committee mem-bers I frankly couldnrsquot ask for better ldquojong yausrdquo than initium Irsquom absolutely thankful for having them as my friends and it is definitely my greatest gain along the way

Despite the merits ldquosheung jongrdquo definitely has its downsides as well It is a lie to say ldquosheung jongrdquo does not affect our daily life because it does take up a big chunk of our time At the end of the day it is about time management which is easy to say but extremely dif-

建議是如家庭環境較困難賺錢吧反

之可以多留時間給各活動畢竟大學一

年的學費不只值那幾十堂課如何善用這

$42100就在乎你如何投入大學生活

讀書

假若你認為大學的考試可考核學生的

真正讀書能力並要求學生活學活用課堂

所學那麼你大失所望了假若你善於背

誦有過目不忘之本領大學的筆試不會

難倒你只要靠著前人留下的歷屆試題

背到滾瓜爛熟是不可能不及格的很多屆

試卷都是千篇一律的很多教授可沒空大

改試題那同學們就走運了有些課堂

即使再專業的學科都會有只理論無實

踐的課堂然後考試就要你把一大堆理論

背出來helliphellip例如甚麼叫批判思維噢

我可不知道只知道我掉了5分

不同學系在某程度上定下了人的前途

對於醫學院學生而言前路是較清晰可見

的但對於非專業學科前路不可只靠讀

書也許要靠自己另外摸索讀書所帶來

的必然是較高的GPA高GPA所帶來的是

獎學金到外國交流工作實習日後工

作機會等等當然大學學習不只局限於

讀書會否因此失彼就只有自己知道

蝶翼拍動之時往難以預料機會是

要自己摸索的

如經上所記

「神為愛他的人所預備的是眼睛未曾看見耳

朵未曾聽見人心也未曾想到的」

(哥林多前書29)

「栽種的和澆灌的都是一樣但將來各人要照自

己的工夫得自己的賞賜」

(哥林多前書38)

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

Freshmen

hkucaduceusnet | 41

ficult to achieve Also working as a Committee mem-ber can be very exhausting and difficult You definitely need lots of determination and support to get through some of the busiest times

Q How did you handle and balance the workload of study and your ldquojongrdquo

A As Irsquove said before it was tremendously difficult I guess my best advice for the future committee is to know your limitations and always plan ahead You have to know your time to work to rest to study etc No one will be over-worked and eve-ryone will have some personal time if you share the burden wisely between ldquojong yausrdquo Secondly you have to make very clear plans so that you can make full use of every little piece of your time I may not have succeeded in my time management but most of my ldquojong yausrdquo managed to do so de-spite the packed schedule of our Soci-ety This is sufficient proof of ldquoimpos-sible is nothingrdquo

Q As there are only about 25 pharmacy students per class do you have any suggestions for P14 fresh-men to make more friends from other curricula

A It really depends on what kind of person you are If you consider your-self socially active living in a hall or ldquosheung jongrdquo will be a great idea for you But if you see yourself as a much quieter person you can still make use of opportunities such as Medic Orien-tation Camp and other events jointly organised by student bodies within the Medical Faculty to make new friends

Q Any special things for P14 freshmen to be aware of

A First of all welcome You all are now members of Pharmacy Society MS HKUSU and I would like to let you know that this is a student body aiming to serve you Thus feel free to share your viewpoints and voice out your opinions to the current Com-mittee members The Society has to

understand your needs to improve and provide better welfare and services for you

Q Any other comments or important things to re-mind P14 freshmen

A If you would like to get to know more fellow pharmacy students especially students from P12 and P13 grab the opportunity to join the Pharmacy Society Orientation Camp and the Mentorship Programme These are great chances to make new friends and Irsquom sure you will enjoy them

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

ldquoas huMaN beiNgs we do chaNge grow adapt perhaps eveN learN aNd becoMe wiserrdquo ndash weNdy carlos

42 | Caduceus September 2011

筆 者是一位護理系的學生半年前有幸成為二零一一年啟思編輯委員會的總編輯在期間所體驗到的希望藉著這次機會作出分享特別希望新加入醫學院的同學

能對「上莊」有更多了解

上莊之路上莊是大學五件事之一證明它對大學生

活有一定的重要性一定的位置筆者在初入學的時候曾為了上莊與否而煩惱猶豫了好一段時間期間考慮到自己能力怕學業應負不來但最後仍然下了上莊這個決定原因是上莊是個難得的機會充實增值自己不同的莊會提供不同的機會讓莊友去學習透過不同的莊務去讓自己眼界擴大另外可以了解醫學院內發生既事情例如院內活動的進展情況更可以參加舉辦院活動為醫學院出一分力最後當然會認識到將會相處一整年的莊友工作伙伴有機會認識到不同學系的同學從他們身上可以觀察到學習到各種的特質從而令自己有所進步有所啟發

護理學生作為護理系學生起初擔任總編輯一職實

在是倍感壓力畢竟歷屆的總編輯都是由醫科生出任因此筆者起初都害怕跟醫科生共事怕自己的能力不足夠應付莊務所以起初都是戰戰兢兢地上莊

一位三年的護理學生曾對我說「我認為你不太尊重護理系護理系和醫科都是個專業希望你能加以尊重自己的學系不要輕視護理這個學系你要肯定自己的學系才能帶領整支莊因為莊內成員來自不同的學系你必須肯定和認同每個學系都有一定的重要性以及其專業」這番當頭棒喝的良言令我明白到自己一直都太輕視護理系過於重視醫科現在我明白到認同自己學系是尤其重要只有這樣才可以用自己學系的身份去發表意見只有認同自己學系才懂得尊重其他的學系莊內便可以融洽一點

在筆者的莊友中醫科生都是較有責任感而且做事更有計劃從他們身上的確學到不少東西這點是無可否認的事實筆者並不是在分享學系與學系之間的差別而是希望有志上莊的同學能互相尊重明白到各學系的莊

友都有其值得學習的地方起初對其他學系有隔膜是無可避免的畢竟對他們的學系都不太了解又沒有歸屬感但如果因為對方是別的學系而輕視對方的人不但失去與人相處學習的機會而且會令莊內的氣氛失去和諧

幸好的就我所見所聞醫學院內的莊多年來都能融洽相處互相支持令到一眾上莊的同學都能輕鬆地享受上莊的喜與樂甚至是不愉快的事情

依靠你的莊友莊是一個團體不是一兩個人可以應

付得來所以筆者認為與莊友互相溝通合作是個重要的元素新同學如果有志參與莊務期望從上莊中有所得著首要的事情是與莊友建立關係因為他們將會是你來年的工作伙伴也是你遇到困難時依靠的對象一位上莊曾對我說「其實一件的莊期不會令你有太大的得著或成長反而長久的友誼才是你將會得到最重要的」這句說話是千真萬確的上莊的人不會由詞不達意改變成談吐得宜不要期望自己會有驚人的轉變也許上莊會令人處事成熟一點有計劃一點但上莊所得到的關係將會是更重要更珍貴一年的相處中面對過有無數的會議共同處理過不少困難從中

建立的友誼真的是畢生受用

責任感上莊另外一個十分重要既條件就是責任

感有志上莊的同學必須明白到莊期是長達一整年在繁重的學業中騰出時間來處理莊務是個考驗責任感和毅力的測試同學必須再三思考想清楚自己是否真係熱衷於上莊或是只是一時衝動畢竟你將要許下的是一年的承諾必須對這個莊負上責任願意付出才選擇上莊這個決定這樣的付出就會有相對的回

總結上莊的確是個好機會讓自己去學習從處

理事務中或是從莊友身上都會有所得著充實著自己的大學生活從中可以認識到各學系的同學建立一段段受用終身的友誼在此筆者希望各學系的新同學可以善用機會作出上莊這個無悔的決定

護理系的啟思總編石志榮 (N14)

新鮮人

hkucaduceusnet | 43

慈兄吟(下)奇晶

最 後還是麥教授先開了口「他的確是一個好學生對醫學有獨到見解他不但學業成績優異而且樂於助人你是他的妹妹吧」婉慧努力控制自己的淚水繼繼續續的說「是啊但helliphellip但helliphellip我不知道helliphellip他竟會在這裏出現」麥教授用悲天憫人的目光看着婉慧語重深長說「人生自古誰無死人生命的有為與否並不取決於他生命的長短而是在於人生的意義你哥哥雖然最後當不了醫生但他的犧牲卻間接為一些同學做醫生鋪路讓他們做醫生去救人這真是一種無私的愛」婉慧點點頭覺得自己對哥哥的了解實在太少了

最後她還是孤獨的離開實驗室她覺得自己跟哥哥比起來實在相差得太遠了原來他除了是十優狀元在醫學院的成績名列前茅外還是個熱心助人的好青年自己除了少了一優外少的更有對別人的同情及樂於助人這造就了她心靈上的空虛她明白到冷漠不是一種對哥哥思念的正當表達方法她應該做的是把哥哥對其他人的愛傳揚開去以圓他的心願

第一步往往是最困難的婉慧平日對他人的態度已令不少人對她敬而遠之有很多次她嘗試向同班同學投以友善的笑容得到的總是詫異的目光或別人的不理不睬在小組討論中儘管她踴躍發言盡量避免冷場的發生偶同學們卻認為她變本加厲想阻止同學們取得好成績她四處碰壁又再次陷入了想念哥哥的深淵

時間一天一天過去了上學期考試前的休假開始了婉慧每天都勤奮的在圖書館溫習期望取得好成績這時候的圖書館堆滿了人如果遲來一個小時想找一個位子也難就在假期的第二天同班的王文在圖書館跑得氣急敗壞仍找不到一個座位婉慧不知怎樣有點同情他將座位讓給他王文驚訝道「不用了我還是回家吧真倒楣遲來了一個小時就沒有『接位』」

「但你住在哪裏呀」

「元朗今天早上我忘了校鬧鐘八時才起」

「那你還是要我的座位吧我可以坐到電腦桌因為我認識的人不少沒有什麼人會打擾我的」

王文謝了她頓時對這位冷漠的同學刮目相看原來她的內心也是溫暖的這並不是他所能料及的坐在電腦桌前溫習的她也感到特別的快樂溫習的速度也快多了王文就此成為了她的「飯檔」考試期間每天和她一起吃飯他更將自己的好友介紹給婉慧認識

在一個晚上她又悄悄的在圖書館的角落溫習着突然一隻溫暖的手搭着她的肩上她抬起頭但見解剖學的同桌手中拿着一杯熱飲輕輕的放在她的桌上婉慧正感詫異卻聽見他說「這杯熱巧克力是給你的繼續努力吧」她喝着巧克力心中感到一股暖流彷彿哥哥的關懷又在她內作出回響

十年生死兩茫茫不思量自難忘千里孤墳無處話淒涼helliphellip

寒風吹起了她額上的劉海佇立在墓前的婉慧不禁凜冽她想起了從前想到自己最後一次和哥哥吵架雙方面紅耳赤的情況想起自己無法親口跟哥哥道歉想起哥哥無私的付出她對着那空虛的墳心中不忍一陣淒然淚水漱漱的流下來她身旁攜扶着年紀老邁的母親邊拭淚邊喃喃道「我的兒子helliphellip歿了helliphellip」大家心情漸漸平復了緩緩走出了墳地

雨一滴一滴的落下飽歷辛酸的婉慧卻仍在懸壼濟世

短篇

ldquoyesterday is but todayrsquos MeMory aNd toMorrow is todayrsquos dreaMrdquo ndash khalil gibraN

44 | Caduceus September 2011

Eternal Flame (1)Tulipa

Itrsquos cold The chills from my fingertips imbibe deep into me This person drills into my mind digging out the truth inside me Itrsquos agonizing She comes right inhellip di-rectly I cannot stop her

Irsquom losing myselfhellip

My hand felt the soggy pillow I realised I had come back to life the world where I lived Staring blankly at the ceiling still losing focus in my eyes I felt my brows with my forearm For the first time I didnrsquot want to lose this feeling

The bedroom door slowly opened I quickly rubbed off the drops that had blurred my vision pretending that I had just woken up

ldquoDo you have lessons this morningrdquo My grand-mother whispered into my ear

ldquoOh goshrdquo I turned right to my alarm clock It was the real life I had forgotten to turn the alarm on last night and it was now seven thirty I knew it I was going to be late every time she caught me in bed Irsquod got to hurry up

Living in Hong Kong Island though it took me more than an hour to get to school I had to comfort my little brother sometimes till two or three in the morning in order to get him to sleep In addition to the consistently heavy study load in the medical school I could hardly get enough rest Running on my heels al-most became my routine starting from last November But I well understood the consequence of skipping lec-tures It was the beginning of the Cardiovascular Sys-tem Block For someone like me who gave least priority in revising Anatomy materials lectures remained the prime source of information for exams Absence from class was suicidal To make the situation worse this professor was one of those who did NOT upload lec-ture notes online

Hoping I wouldnrsquot arrive too late to miss the impor-tant points I finally stepped onto a route no 8 minibus at ten past eight What I could do now was to pay trust in the driver who would bring me to my destination

Coaxing kids was never easy Little Bruce just hap-pened to give me such a hassle last night

He knew I would check on him when I returned home Sitting right next to the door of his room he begged me for a story once I opened the door I sat down together with him on his little couch after Irsquod taken a quick shower This was a time to relax leaving

aside all the other concerns

Kindling through his favourite reader I saw that he wasnrsquot listening but distracted by all sorts of toys around He even invited me into his world of fantasy But it was getting late I had to calm him down so that I too could have some rest Being one of the brightest in his elementary school he should understand this was not the time for recreation

I began to feel annoyed

Yet he was my brother I had a gut feeling that this was unusual He didnrsquot use to be so ldquohyperactiverdquo It re-ally took me a while to adjust to his change With him still tossing and turning in my arms I apprehended his restlessness Unpredictable though he was true to his feelings In one way or another he might find the shadow of our mother in me

He finally settled when I laid him back in bed It was nearly two forty in the morning

The first week of the CVS Block ran as plotted PBL tutorials would start on next Monday Dr Youngrsquos fa-cial expression in the first PBL evaluation flashed over my Embryology notes and references She didnrsquot teach Embryology but I could tell she did have a hypertroph-ic heart-shaped face which looked familiar to the dia-grams in the Atlas

Back in the IHD Block most of us were puzzled about the scrambled content of our course Various forms of seemingly related knowledge came in through lectures practical and tutorial sessions But the neural circuit formed in our brain just failed to resonate as if the conductance-inductance mismatch had aberrated our thought from minimal impedance Sometimes things even happened in a ldquomore-than-extrardquo manner The presence of common core courses in a parallel but independent branch in the network could rightly be detached without causing a blip on the galvanometer Everything was dubious We had no idea of what we were doing

Maybe we were just on the way seeking for a sense of attachment

My mind too was racing in haste I was struggling with my decision to become a doctor Too many things had happened over the year I just couldnrsquot stop ques-tioning myself what was I thinking when I put lsquo6456 MBBSrsquo in my JUPAS application I should have expect-ed and prepared to face all these I just didnrsquot knowhellip

Novella

hkucaduceusnet | 45

It was midterm evaluation in the IHD Block Her face looked tense in that heart shape She was so stiff in her facial expression that no one could read her mind from her poker face The conference room of the Physi-ology Department was large We seemed to be the odd ones out in the spacious carpeted room In this secre-tive silence you could hear the drumming in your ears as if you were tingling

I realised this was not a matter of ldquoam-I-suitable-for-a-medical-careerrdquo but ldquois-a-medical-career-suita-ble-for-merdquo I was lying in bed playing with my plush bear when these thoughts burst in me Dr Young looked through me She felt certain that different from other group mates there were crises behind me But I didnrsquot tell her anything that day

We all were sensitive At times some subtle trepi-dation seeped in gradually sucking peace away from my sleep It was so to say below threshold sub-lethal though it lingered for weeks once it set inhellip

Drenched in bloodhellip There is no life in the boy His eyes are widely opened slightly protruded The lifeless pair of black pearlshellip I cannot escape from his glance He wants to talk to mehellip There is something he wants me to know

A van runs over himhellip

I fell down the edge of my mattress Breathing heavilyhellip Sweating all overhellip

ldquoScreechrdquo People began to gather around a tel-ephone booth a few metres behind us

I turned back I couldnrsquot see a lot from this anglehellip

ldquohellip What a pity He is so younghelliprdquo a middle-aged couple passed by

The victim resting just in front of the wheel looked towards me through a break in the crowdhellip

As we were wandering around thinking what to eat for dinner my cousin found me standing there rooted to the ground stunned by the victimrsquos gaze My heart was pounding She wouldnrsquot believe what I was again experiencing For a number of times already scenarios in my dreams were mirrored into reality

I couldnrsquot tell her

ldquoI was just thinking whether you would like Korean cuisine There is a new restaurant two corners awayrdquo I made up a talk while escaping from the scene so that I wouldnrsquot look so strange

ldquoWhy not go and have a try thenrdquo She was not dis-appointed for calling it a day as the food there was sur-prisingly good

Not until some years ago when I was Form 3 in college I discovered my ability to look into the future Sometimes I could see them coming up on the news in days or weeks And some didnrsquot ever happen at least not around me But seeing the night visions coming into concrete existence wasnrsquot always a pleasure when the mental images turned gradually into mostly night-mares When I visualised my close ones it felt like I was in the middle of an insecure chain bridge above a torrent that would sweep me into the vast ocean with no return It was entirely different from what you might understand as ldquodreams come truerdquo

I had witnessed misfortunes in proximityhellip

But I could do nothing about ithellip

Friends were a source of solace someone to con-fide all frustrations in But with my paranormal ability which appeared to everybody else only on screen-plays I wasnrsquot courageous enough to open my life wholeheartedly to them Seldom talking about myself avoiding all sorts of gatherings I became an eccentric figure among my classmates

Sometimes mutual understanding carried more weight than words I remembered my physics teacher being one of my few friends during my teen years De-spite his boisterous faccedilade he was always sensitive to whenever I was dwelling on my burdens Physics was our common language Intermingling our emotions and feelings with concepts that were alien to my fel-lows we developed a close rapport impenetrable by anyone else

ldquoWhat is the nature of a flamerdquo This was the most discussed problem between us Neither in solid liquid nor vapour state Not having any definite shape and colour It seems not any material but a type of energy giving out heat and light At the moment of providing it also exhausts its fuel and eventually itselfhellip

The romance of physics is more than anything you could read write and talk about Once you were truly connected with it nothing can stop you Your mind will bounce irrespective of the chronology of space-time but only under the guidance of your thoughts

I was so devoted to the discipline at the time that I was almost making it my lifelong career in some way He envisaged that I would demand much more than any academia could provide with its scientific basis alone We were both seeking a philosophy beyond the facts But Hong Kong may not be the right place for it

I made him a promise at the end to contain our flame and I knew I would

For the first and the last time I saw his eyes filled with tears We knew existence by itself is a miracle

ldquoi love life because what More is thererdquo ndash aNthoNy hopkiNs

46 | Caduceus September 2011

說華佗都說「華佗再世」誰知箇中真諦雲方 (M15)

烽煙起戰火燃萬里 

三國並爭英雄地亂世有誰顧生死 

待神醫行世將民眾救濟

渺渺江山東西瞰俞跗巧手扁鵲心(1) 應向何處尋 

滾滾黃沙無世家終有奇士放奇葩

沛國 華元化(2) 

他經書貫通南北遊動 

一望斷症如神助三劑消病不必多

說斷症悉如所料 

甘陵 相夫人腹痛極難忍(3) 號脈知死嬰在左為男形(4)廣陵 梅軍吏除名歸故里

見貌知壽盡速返見萱椿(5) 

說消病藥到病除 

飲蒜醋有三升蟲一嘔而盡清 (6)母服丸而溫儲兒不藥而自癒 (7)

絕妙處 

是他開腸剖腹刀至辟毒 

神醫號 

除他內外皆精有誰配稱

[1]   俞跗黃帝時代之名醫扁鵲春秋戰國之名醫《淮南子人間訓》「患至而多後憂之helliphellip雖有扁鵲俞跗之巧猶不能生也」

[2]   華佗字元化沛國人(今安徽 亳州)

[3]   甘陵相(即甘陵之行政長官)夫人懷胎六月腹痛不安華佗為其切脈便知胎死於是命人摸知所在在左則男在右則女人云「在左」夫人飲藥後果然產出男胎腹痛立即痊癒

[4]   廣陵有軍吏名曰梅平離鄉服役後來退役歸家於路上巧遇華佗華佗視之嘆道「若能早些見我當不至於此而今你僅餘五日壽命速速回家還能與家人相見」平旋即趕抵故鄉五日後亦如料身亡

[5]   萱椿多作椿萱比喻父母漢牟融《送徐浩》詩「知君此去情偏切堂上椿萱雪滿頭」

[6]   華佗見路邊有人食不下嚥教他到路邊餅店買醋三升混上蒜泥然後飲用路人服後即吐出一條長蛇(即寄生蟲)

[7]   兩歲男孩長年腹瀉藥石無靈華佗往診謂病在母命其服用華佗親研之「四物女宛丸」服後母親乳汁不再寒涼男孩亦不藥而癒

意興

hkucaduceusnet | 47

只可惜人無完壁

「關將軍使君予我手刮骨惡毒走

曹丞相使君予我頭剖顱苦痛收」

「怎能不收怎能不收一命嗚呼萬事休 

簡直荒謬簡直荒謬殺此庸醫未須愁」(8) 

五禽戲尚能傳 (9)麻沸散從此絕 

何不一飲醉死不知世忍氣吞聲事權貴 (10)心神委曲須臾苦奇術失迭千秋計 

烽煙止無改生死事 

且當醫仙謫世間神技終須風裏散 (11)回首仰高山景行請君範 (12)

[8]     曹操欲殺華佗臣下勸之不可答曰「不憂天下當無此鼠輩耶」

[9]     死前華佗欲托所著醫書於獄卒不果便盡數焚毀唯有其養生體操「五禽戲」流傳後世

[10]   《三國志魏書方技傳》「當須刳割者便飲其麻沸散須臾便如醉死無所知」

[11]   唐白居易《簡簡吟》「恐是天仙謫人世只合人間十三歲」

[12]   景行(音航)即大道以高山景行比喻人品德行為之高尚典出《詩經小雅車轄》又東漢鄭玄曰「古人有高德者則慕仰之有明行者則而行之」

ldquothe art of MediciNe was to be properly learNer oNly forM its practice aNd its exerciserdquo - thoMas sydeNhaM

48 | Caduceus September 2011

啟程

清晨空白的天空看不見藍天雲彩

只有溫柔的雨絲和朦朦朧朧的霧水跟隨

著大隊的足印踏上沉重的腳步穿過橫

街小巷和煩囂熱鬧的市場走過自動門

撲鼻的消毒藥水味道讓大家屏住呼吸筆

者和夥伴們終於到達了入讀護理系以來第

一次實習的醫院

還記得在實習的前幾天心情是既忐忑

又期待的畢竟這一次實習的地方不再是

在社區中心宣傳健康方面的知識亦不是

只面對著健康活潑的小朋友和老友記或是

學校課堂上所提供的假人張靜汶卻是照

顧一羣真正需要關懷的病人心中充滿著

憂慮不知自己所學的知識足夠在應用上

嗎自己平日的練習足夠嗎雖然心存在

著不少疑惑但也十分期待可以體會一下

做小學護的感受嘗試把這一年裡所學到

的知識運用出來

很多的第一次

在病房裡總有心酸和膽戰心驚的時

候第一次為昏迷的病人清潔口腔第一

次為難以進食的人插入胃喉第一次為老

公公清洗背上壓瘡的傷口helliphellip照顧他們時

的心情都是一步一驚心生怕自己沒法應

付得來又怕會把事情弄得更糟糕最重

要的是恐怕自己不純熟的技巧令他們受苦

了記得有一回第一次為女病人插入尿

喉採取尿液樣本可能技巧不太純熟的關

係延長了病人的痛苦過程中她皺著

眉頭不斷呻吟又緊張得咬破脣眼看

她樣子心中真的不是味兒來身為病人

的其中之一依靠我們不得不給自己信

心如果連自己也不相信自己哪會有病

人願意把他們交給我們照料呢

捕捉那瞬間的美麗與淒然何麗敏 (N14)

上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

意興

hkucaduceusnet | 49

另外第一次面對病人的心情是頗為

緊張的說話技巧亦有改進的空間但和

病人傾談了數分鐘後氣氛也漸漸變得和

諧可能那些老公公整天呆在醫院裡真是

悶到慌看見一羣年青人與自己聊天照

顧和關心他們他們不禁咧嘴而笑醫院

職員透露有一位老公公平日不太願意吃東

西於是我們便主動和他談天說地又

悉心照料他進食的情況後來他不但胃

口好了不少就連心情也開朗了他生動

活潑的談吐讓我們笑了他回復健康精

神的體魄也讓我們感到安慰

相處片刻

雖然為期一星期的病房日子不是特別繁

忙或是辛勞但是也會有不習慣的時候

幸好得到醫院職員和一班夥伴的支持病

房經理和註冊護士不但相信我們的能力

對學護的包容更是不用多說還主動地介

紹病房的環境和細心地教導我們醫療護理

上的知識讓我們上了一堂實在而又寶貴

的課同時今次的實習也令我感到團體

精神也十分重要在技巧上大家互相提

點互補不足當有人準備照料有需要的

病人如插喉或洗傷口等大家送上一句 

「加油」就能令對方增加不少自信心和正

能量無論遇上甚麼事情我也榮幸有如

此一班學習夥伴從旁支持

學習的階級

在這一次病房實習中雖然醫療和藥物

知識方面有待加強但是我學懂了如何與

不同身份的病人相處之道溝通上也得到

了很大的進步獲益不少除此之外我

也真正體會到如何做一個好護士並清楚

了解這個行業是否適合自己鐘樓也不是

一天就能建成而是需要一磚一瓦搭建而

成的所以在學習上我們不但要打好

穩固的基礎還要增強醫療知識在技巧

上馬虎了事和走捷徑是於是無補的應

該多探究和練習才行這樣才對得起病人

和自己也減少不必要的醫療失當事故

總之多一份認真多一點耐性多一些

愛心就是學護必記的左右銘 上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

ldquoit is reasoNable to expect the doctor to recogNise that scieNce May Not have all the aNswers to probleMs of health aNd healiNgrdquo ndash NorMaN cousiNs

50 | Caduceus September 2011

Fun Corner

Medical AppsEver wondered how your handheld device can save your time and

effort when it comes to studying Here is how

Anatomy Pronunciations by HipposoftAccurate pronunciations of over a hundred important anatomy terms you have trouble with are provided

at your fingertips to help you spell those difficult words Anyone who has taken an anatomy course can tell you how challenging it can be to pro-nounce the names of those complicated anatomi-cal terms It is even linked directly to Wikipedia and Google through web browser for additional information

iPharmacy ndash Pill Identifier and Medication Guide by SigmaPhone LLCAn essential medication guide of 20000+ drugs is provided for con-sumers amp professionals This ex-

pands the image library to include 12000 pill and package images and includes digital drug identifier with official drug information (indica-tions dosage adverse reactions and more) You can check the drugs anywhere

Grades 2 by TapityIt tells you what grades you need in the coming tests in order to get your target grade You can easily calcu-late your GPA so as to maintain it It

is a useful tool helping you to keep an eye on your GPA all the time

Human Anatomy by SusaSoftXThe application provides you with information of 15 different biologi-cal systems You can keep on revis-ing while you are traveling without

carrying heavy books

Medscape by WebMD LLCFrom drug classes interaction clin-ical procedures and even the lat-est medical news Medscape helps medical students and healthcare

professionals to reiterate knowledge that has slipped from the mind It is a free application for iPhone iPad Android and Blackberry Yet it contains more function on Android phones and Apple products and lacks detailed clinical infor-mation for diseases and clinical procedures walk through on Blackberry

Pro Medical Terminology Dic-tionary by TreascoveryTerminology might be a tough work for medical students Even if we can master those English terms we can

hardly think of the Chinese terms This applica-tion can help you when you face this problem Note that it is not a free application

3M Littmann SoundBuilder by 3M CompanyA great tool designed to help im-prove auscultation skills of medical students with 14 unique lessons of

key heart sounds combing text virtual manne-quin 3D cardiac animation and dynamic wave-forms

iRadiology by Liebermans iRadi-ologyAn excellent learning tool for medi-cal students demonstrating classic radiological findings of a multitude

of abnormalities including over 500 radiologic images Radiologic images include CT US MRI and nuclear imaging each clearly labeled and followed by key teaching points

Micromedex Drug Information by Thomson Reuters (Healthcare) IncIs Cephalexin a first generation ce-phalosporin This application from

Thomson Reuters is the easiest way to navigate in the sea of drug names Drugs are sorted by classes and supplemented with rich information

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 37: Caduceus Issue 2, Volume 42

hkucaduceusnet | 37

地去管轄城市各處的整潔

彼此留下空間達至相輔相

成的效果廈門人就懂得人

最基本的禮貌尊重不

過廈門人對他人的尊重遠超

於人的基本禮貌當你去唱

「卡拉OK」的時候每次

待應的出入時看到的就只

有他們的正面而他們前行

或後退的方式就像看到皇帝

一樣卑恭屈膝香港人常常

強調面子哪一天才能捨下

那過高的尊嚴為不相識的

人作一個最謙卑的招待

其實任何人一離開香

港都不難發現就只有香

港愈夜愈精彩其他地方晚

上八時大多關門大吉而廈

門就只有中山路才媲美得

上香港的夜夜笙歌夜幕低

垂萬千燈火的中山路上

與來自各區的人擦肩而過

昏黃的燈光下照出一群又一

群的沉默影子剛好與路上

喧鬧的行人相映成趣騎樓

在霓虹燈的點綴下顯出了獨

有的閩南特色大街小巷傳

來不同地道小食的香氣車

輪餅燒仙草土笋凍helliphellip

為我們外來的交流生帶來美

味可口的夜宵飲飽食醉過

後走到中山路的盡頭又

回到了沉睡中的廈門

在優美的環境影響下

廈門人的生活也自然變得

純樸優閒單車車輪在環

島路上留下一圈又一圈的印

記沿路能細聽海浪輕拍岸

邊的聲音細嗅四處洋溢的

花香感受微風吹散太陽散

發的熱力見證一對又一對

的新人在拍下幸福的照片

據說廈門有戀愛天堂之稱

不管走到哪一處也會

看到準新人拍下甜蜜的婚紗

照而在裡面享受的人永遠

不知道這風景如畫的背

後是透過多少人的血汗換

來當我們在追求經濟成果

的同時往往破壞了造物者

在世上留下的藝術品隨中

國經濟急速發展一個又一

個的世外桃園被摧毀銅臭

替代了花香車聲替代了鳥

語這仙境又可維持多久

廈門另一世外桃園就是

鼓浪嶼它活像香港的長

洲島上滿有歐陸建築風

格但當中不乏中國特色的

建築中國古城風味與洋風

互相交替帶出截然不同的

感覺島上遠離汽車的廢

氣與金門就只是一海之

隔一家大小在享受天倫之

樂時一群又一群的青少

年情侶在沙灘上嬉戲立

即為島上升溫

筆者認為在這個混亂的

俗世確實需要抽空來欣賞

造物者留下來的藝術品大

財團不斷興建大型商場國

際知名品牌不停進駐留下

的就只有愈來愈狹窄的街

道被石屎封蓋寸草不生

的土地人人被金錢蒙蔽

迷失在霓虹燈光中又有多

少知音人能放下生活的瑣碎

事情在這裡享受時間一分

一秒的流走你被海浪聲

喚醒了嗎

筆者參加這次是由香

港廈門兩地大學的交流

團一連六天已經習慣了

當地的優閒生活模式體會

到的不只是廈門的風土人

情歷史文化而是兩地大

學生那種衝破界限的交流

雖說年輕人容易打成一片

但廈門獨有的熱情確實融化

了彼此間的隔膜廈門的美

是成人之美成就了兩地大

學生的友誼

飛機又再起飛了廈門

再見了

ldquothe tiMe of life is short to speNd that shortNess basely it would be too loNgrdquo ndash williaM shake-speare

38 | Caduceus September 2011

生 命形成之際只要一秒鐘的差遲世界便會不一樣

蝴蝶效應從來都是玄的全因一個 

「緣」字

隨著人成長要決擇的事太多學生

有兩件人生大事幾乎都不是由自己決定的

入讀小學及中學然而到了大學這

關卡自己也許可以拿定主意了若果你

入讀了心水科恭喜你若不然祝福

誠然入大學是最影響未來生活的關

口是好是壞無人知曉不用量化不

用比較太多即管做自己所想活出自己

的路只因你不會曉得你的下一步會怎樣

影響著你的生命

或許一個活動你會遇上你的最愛

或許一個宿位你會遇上你的知己

或許一句說話你會惹來一個敵人

或許一次走堂你會由B變C

這就是大學

在大學各人有各人的大學生活大

學講求自由學習學習真的是「求學不是

求分數」有些人愛廣交朋友有些人愛

住宿有些人愛做莊務有些人愛拍拖

有些人愛參加各樣活動有些人愛做兼

職有些人愛讀書有些人卻愛甚麼都不

做helliphellip不少大學生強調入大學必定要做齊

大學五件事(上莊住宿讀書拍拖

兼職)但其實只要自己開心不害人的

話做甚麼也沒問題最要緊的是認清讀

大學的目的以免沉淪於大學這花海

朋友

大學可以令你對「朋友」的概念愈來

愈含糊幾乎每個活動都可令你認識新朋

友通常大家都會輪流講述自己的名字與

學科(Round Table)這亦是考驗大腦對人名的記憶所謂的「Hi-Bye Friend」會愈來愈多隨便在細小的港大內穿梭會令你

無可奈何地對他們說聲Hi

不過別標籤你的「Hi-Bye Friend」要是連Hi-Bye也談不上更不用說做深交了上大學了大家已有既定的圈子很

多時約會或聊天都先找中學朋友而且很

多人會把大學朋友與中學的作比較雖情

有可原但有時未免先入為主地覺得中學

的較好

這亦難怪即使是日日碰面的同學也

未必是自己的好友人人都有自己的時間

表下課後各散東西不是大家不想互相

認識只是有時身不由己若想互相了

解不妨盡量製造共處之時有時甚至可

以分一些約會給大學朋友然後你會發

現大學朋友也可跟你熟絡可別為自己

建造一塊厚厚的心牆

舍堂

要入宿無人會不曉得十日的迎新營

有些舍堂平均每天的作息時間只有兩三小

時有人說住宿最辛苦就是迎新營然而

它卻是最難忘的

要數活動單單一個舍堂已數之不盡

要是投入舍堂生活每天24小時是不夠

用的舍堂之間有各樣比賽堂友要參加

各個組別為比賽出席各樣練習否則可

能被拒於來年再住基於許多人都只在夜

晚有空要全體出席那可是晚九朝五的

大學之緣賴彥積 (N14)

新鮮人

hkucaduceusnet | 39

宿生們之所以會熱衷於舍堂活動因他

們對自身舍堂有強烈的歸屬感好比中學

時學生參加校際比賽要是沒有歸屬感

就不會有心參加所屬舍堂的活動

除舍堂之間之活動樓層之間亦有各類

活動樓內亦然只要有人的地方就有玩

樂彷如天天宿營你不會有機會偷偷早

睡其他樓友常常打擾你你原來的生活

時間會推後數小時睡於二時已是罕有

早上的八半堂彷如無物

可以住宿但不參加活動嗎當然可以

但你會面對的是朋輩壓力他們雖未必逼

你參加卻會在言談中有意無意的滲出

來那種壓力不只限於自己樓層甚至是

跨樓層千萬可別輕看宿中流言

上莊

有人說上莊所學遠超課堂上莊所學

的是如何籌辦活動非常實用有時要對

外聯絡有時要面對公眾helliphellip像是要為將

來工作鋪路似的當然這亦要視乎你上

的是甚麼莊

一般而言上莊可訓練你待人處事的技

巧有時表面看來很友好的朋友當背

負上一定的要求後關係少不免有磨擦再

者初時莊員素未謀面最後卻因朝夕相

對而演變成朋友這段關係是很可貴的

成莊前要宣傳內閣爭取選票成莊了

又要舉行咨詢大會包受歷莊指導然後

又有就職典禮此後的活動更接踵而至

當然包括迎新活動招莊活動等helliphellip君不

見很多人視莊房為睡房少不免有「通

頂」之時忙是忙但必有價值至於是

好是壞要看自己的造化了

拍拖

人上了大學有時心思思想拍拖眼見

身旁多個好友都紛紛拍拖自己少不免羨

慕別人這想法十分正常畢竟大學生真

的可以放下只讀書的重擔真的可以規劃

人生大事了

香港大學一些營新活動中隨了Round Table外還有Round Status即說自己現在有否拍拖以及拍過多少次拖如 

A 0即Ava i lab l e之前至現在沒有拍拖O1即Occupied之前至現在共拍了一次拖當然也有一些同學自己創的甚

麼OBA (Occupied But Available)或D10(Desperate拍過10次拖)等等至於Round Status的動機何在可能是組爸媽想穿針引線吧當然也可能是別有用心的

不同人對拍拖有不同想法上了大學更

有不同擇偶條件人大了在感性的議題

上往往加上種種理性的數據開始現實起

來哪個帥哪個富有哪個有前途helliphellip

有些不在乎天長地久只求剎那的光輝

有些求虛榮有人疼愛在朋友前炫耀

有些甚至會在拍拖前已想定分手後的模

樣所以不想選擇跟自己同科的同學

活動

不同團體(包括舍堂學會及學校部

門)都有不同活動不用愁沒事幹只用

愁沒時間只要多留意Portal Mass Email或Main Campus海報不難發現幾乎每天都有各樣活動動靜皆宜開學時有迎

新營考試時有勁過飯新學期有開Sem

飯有些學會如戲劇舞蹈合唱團不時

有演出有關運動的學會則多練習以參

加比賽有關學術的也有很多興趣班講

座比賽等想幫人的亦可參加義工團

體如蛇蛇豬扶青等舉辦的義工活動

兼職

大學生的兼職大多以補習為主畢竟

這是我們能力範圍內可賺取最多外快又是

時間最彈性的工作有些人卻因補習不能

寫在履歷表而選擇別的工作然而很多時

我們都要在兼職與大學活動中取捨我的

ldquotake a chaNce all life is a chaNce the MaN who goes farthest is geNerally the oNe who is williNg to do aNd darerdquo ndash dale carNegie

40 | Caduceus September 2011

E mily was the chairperson of Pharmacy Socie-ty session 2010 As a student she has actively

participated in holding activities for many medical stu-dents and taken part in providing welfare to all phar-macy students Her following sharing will especially enlighten our new pharmacy students

Q Why did you choose Pharmacy SocietyA To be frank ldquosheung jongrdquo was really out of

my expectation when I anticipated my university life However my perspective has changed when I officially became a pharmacy student in HKU As members of the opening class of the Pharmacy programme my classmates and I realised the importance of having our own student body We do need an independent soci-ety to represent us pharmacy students to cater for our specific needs to listen to our points of view and to act as a bridge to facilitate our communication with the Medical Faculty the entire university and ultimately the pharmaceutical field in Hong Kong My class-mates and I who later became ldquojong yausrdquo believed we should act immediately to establish and run our own society which is why I decided to ldquosheung jongrdquo

Q Would you like to share some of the pros and cons of sheung jong

A ldquoSheung jongrdquo definitely helped me achieve per-sonal growth It was a concurrent commitment and re-sponsibility to serve and to lead our colleagues Bear-ing this in mind we always pushed ourselves to attain the best of our work ethics efficiency and efficacy As the very first session of the Society we lacked the guidance of any previous committee member Instead analysing carefully and critically we thought better of every decision which I personally found an enriching experience ldquoSheung jongrdquo was also an eye-opening journey Wersquod got to meet different people and learnt more about the professional work for as our career-to-be after graduation This in my opinion is always beneficial Last but not least I was fortunate enough to have worked with my amazing fellow committee mem-bers I frankly couldnrsquot ask for better ldquojong yausrdquo than initium Irsquom absolutely thankful for having them as my friends and it is definitely my greatest gain along the way

Despite the merits ldquosheung jongrdquo definitely has its downsides as well It is a lie to say ldquosheung jongrdquo does not affect our daily life because it does take up a big chunk of our time At the end of the day it is about time management which is easy to say but extremely dif-

建議是如家庭環境較困難賺錢吧反

之可以多留時間給各活動畢竟大學一

年的學費不只值那幾十堂課如何善用這

$42100就在乎你如何投入大學生活

讀書

假若你認為大學的考試可考核學生的

真正讀書能力並要求學生活學活用課堂

所學那麼你大失所望了假若你善於背

誦有過目不忘之本領大學的筆試不會

難倒你只要靠著前人留下的歷屆試題

背到滾瓜爛熟是不可能不及格的很多屆

試卷都是千篇一律的很多教授可沒空大

改試題那同學們就走運了有些課堂

即使再專業的學科都會有只理論無實

踐的課堂然後考試就要你把一大堆理論

背出來helliphellip例如甚麼叫批判思維噢

我可不知道只知道我掉了5分

不同學系在某程度上定下了人的前途

對於醫學院學生而言前路是較清晰可見

的但對於非專業學科前路不可只靠讀

書也許要靠自己另外摸索讀書所帶來

的必然是較高的GPA高GPA所帶來的是

獎學金到外國交流工作實習日後工

作機會等等當然大學學習不只局限於

讀書會否因此失彼就只有自己知道

蝶翼拍動之時往難以預料機會是

要自己摸索的

如經上所記

「神為愛他的人所預備的是眼睛未曾看見耳

朵未曾聽見人心也未曾想到的」

(哥林多前書29)

「栽種的和澆灌的都是一樣但將來各人要照自

己的工夫得自己的賞賜」

(哥林多前書38)

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

Freshmen

hkucaduceusnet | 41

ficult to achieve Also working as a Committee mem-ber can be very exhausting and difficult You definitely need lots of determination and support to get through some of the busiest times

Q How did you handle and balance the workload of study and your ldquojongrdquo

A As Irsquove said before it was tremendously difficult I guess my best advice for the future committee is to know your limitations and always plan ahead You have to know your time to work to rest to study etc No one will be over-worked and eve-ryone will have some personal time if you share the burden wisely between ldquojong yausrdquo Secondly you have to make very clear plans so that you can make full use of every little piece of your time I may not have succeeded in my time management but most of my ldquojong yausrdquo managed to do so de-spite the packed schedule of our Soci-ety This is sufficient proof of ldquoimpos-sible is nothingrdquo

Q As there are only about 25 pharmacy students per class do you have any suggestions for P14 fresh-men to make more friends from other curricula

A It really depends on what kind of person you are If you consider your-self socially active living in a hall or ldquosheung jongrdquo will be a great idea for you But if you see yourself as a much quieter person you can still make use of opportunities such as Medic Orien-tation Camp and other events jointly organised by student bodies within the Medical Faculty to make new friends

Q Any special things for P14 freshmen to be aware of

A First of all welcome You all are now members of Pharmacy Society MS HKUSU and I would like to let you know that this is a student body aiming to serve you Thus feel free to share your viewpoints and voice out your opinions to the current Com-mittee members The Society has to

understand your needs to improve and provide better welfare and services for you

Q Any other comments or important things to re-mind P14 freshmen

A If you would like to get to know more fellow pharmacy students especially students from P12 and P13 grab the opportunity to join the Pharmacy Society Orientation Camp and the Mentorship Programme These are great chances to make new friends and Irsquom sure you will enjoy them

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

ldquoas huMaN beiNgs we do chaNge grow adapt perhaps eveN learN aNd becoMe wiserrdquo ndash weNdy carlos

42 | Caduceus September 2011

筆 者是一位護理系的學生半年前有幸成為二零一一年啟思編輯委員會的總編輯在期間所體驗到的希望藉著這次機會作出分享特別希望新加入醫學院的同學

能對「上莊」有更多了解

上莊之路上莊是大學五件事之一證明它對大學生

活有一定的重要性一定的位置筆者在初入學的時候曾為了上莊與否而煩惱猶豫了好一段時間期間考慮到自己能力怕學業應負不來但最後仍然下了上莊這個決定原因是上莊是個難得的機會充實增值自己不同的莊會提供不同的機會讓莊友去學習透過不同的莊務去讓自己眼界擴大另外可以了解醫學院內發生既事情例如院內活動的進展情況更可以參加舉辦院活動為醫學院出一分力最後當然會認識到將會相處一整年的莊友工作伙伴有機會認識到不同學系的同學從他們身上可以觀察到學習到各種的特質從而令自己有所進步有所啟發

護理學生作為護理系學生起初擔任總編輯一職實

在是倍感壓力畢竟歷屆的總編輯都是由醫科生出任因此筆者起初都害怕跟醫科生共事怕自己的能力不足夠應付莊務所以起初都是戰戰兢兢地上莊

一位三年的護理學生曾對我說「我認為你不太尊重護理系護理系和醫科都是個專業希望你能加以尊重自己的學系不要輕視護理這個學系你要肯定自己的學系才能帶領整支莊因為莊內成員來自不同的學系你必須肯定和認同每個學系都有一定的重要性以及其專業」這番當頭棒喝的良言令我明白到自己一直都太輕視護理系過於重視醫科現在我明白到認同自己學系是尤其重要只有這樣才可以用自己學系的身份去發表意見只有認同自己學系才懂得尊重其他的學系莊內便可以融洽一點

在筆者的莊友中醫科生都是較有責任感而且做事更有計劃從他們身上的確學到不少東西這點是無可否認的事實筆者並不是在分享學系與學系之間的差別而是希望有志上莊的同學能互相尊重明白到各學系的莊

友都有其值得學習的地方起初對其他學系有隔膜是無可避免的畢竟對他們的學系都不太了解又沒有歸屬感但如果因為對方是別的學系而輕視對方的人不但失去與人相處學習的機會而且會令莊內的氣氛失去和諧

幸好的就我所見所聞醫學院內的莊多年來都能融洽相處互相支持令到一眾上莊的同學都能輕鬆地享受上莊的喜與樂甚至是不愉快的事情

依靠你的莊友莊是一個團體不是一兩個人可以應

付得來所以筆者認為與莊友互相溝通合作是個重要的元素新同學如果有志參與莊務期望從上莊中有所得著首要的事情是與莊友建立關係因為他們將會是你來年的工作伙伴也是你遇到困難時依靠的對象一位上莊曾對我說「其實一件的莊期不會令你有太大的得著或成長反而長久的友誼才是你將會得到最重要的」這句說話是千真萬確的上莊的人不會由詞不達意改變成談吐得宜不要期望自己會有驚人的轉變也許上莊會令人處事成熟一點有計劃一點但上莊所得到的關係將會是更重要更珍貴一年的相處中面對過有無數的會議共同處理過不少困難從中

建立的友誼真的是畢生受用

責任感上莊另外一個十分重要既條件就是責任

感有志上莊的同學必須明白到莊期是長達一整年在繁重的學業中騰出時間來處理莊務是個考驗責任感和毅力的測試同學必須再三思考想清楚自己是否真係熱衷於上莊或是只是一時衝動畢竟你將要許下的是一年的承諾必須對這個莊負上責任願意付出才選擇上莊這個決定這樣的付出就會有相對的回

總結上莊的確是個好機會讓自己去學習從處

理事務中或是從莊友身上都會有所得著充實著自己的大學生活從中可以認識到各學系的同學建立一段段受用終身的友誼在此筆者希望各學系的新同學可以善用機會作出上莊這個無悔的決定

護理系的啟思總編石志榮 (N14)

新鮮人

hkucaduceusnet | 43

慈兄吟(下)奇晶

最 後還是麥教授先開了口「他的確是一個好學生對醫學有獨到見解他不但學業成績優異而且樂於助人你是他的妹妹吧」婉慧努力控制自己的淚水繼繼續續的說「是啊但helliphellip但helliphellip我不知道helliphellip他竟會在這裏出現」麥教授用悲天憫人的目光看着婉慧語重深長說「人生自古誰無死人生命的有為與否並不取決於他生命的長短而是在於人生的意義你哥哥雖然最後當不了醫生但他的犧牲卻間接為一些同學做醫生鋪路讓他們做醫生去救人這真是一種無私的愛」婉慧點點頭覺得自己對哥哥的了解實在太少了

最後她還是孤獨的離開實驗室她覺得自己跟哥哥比起來實在相差得太遠了原來他除了是十優狀元在醫學院的成績名列前茅外還是個熱心助人的好青年自己除了少了一優外少的更有對別人的同情及樂於助人這造就了她心靈上的空虛她明白到冷漠不是一種對哥哥思念的正當表達方法她應該做的是把哥哥對其他人的愛傳揚開去以圓他的心願

第一步往往是最困難的婉慧平日對他人的態度已令不少人對她敬而遠之有很多次她嘗試向同班同學投以友善的笑容得到的總是詫異的目光或別人的不理不睬在小組討論中儘管她踴躍發言盡量避免冷場的發生偶同學們卻認為她變本加厲想阻止同學們取得好成績她四處碰壁又再次陷入了想念哥哥的深淵

時間一天一天過去了上學期考試前的休假開始了婉慧每天都勤奮的在圖書館溫習期望取得好成績這時候的圖書館堆滿了人如果遲來一個小時想找一個位子也難就在假期的第二天同班的王文在圖書館跑得氣急敗壞仍找不到一個座位婉慧不知怎樣有點同情他將座位讓給他王文驚訝道「不用了我還是回家吧真倒楣遲來了一個小時就沒有『接位』」

「但你住在哪裏呀」

「元朗今天早上我忘了校鬧鐘八時才起」

「那你還是要我的座位吧我可以坐到電腦桌因為我認識的人不少沒有什麼人會打擾我的」

王文謝了她頓時對這位冷漠的同學刮目相看原來她的內心也是溫暖的這並不是他所能料及的坐在電腦桌前溫習的她也感到特別的快樂溫習的速度也快多了王文就此成為了她的「飯檔」考試期間每天和她一起吃飯他更將自己的好友介紹給婉慧認識

在一個晚上她又悄悄的在圖書館的角落溫習着突然一隻溫暖的手搭着她的肩上她抬起頭但見解剖學的同桌手中拿着一杯熱飲輕輕的放在她的桌上婉慧正感詫異卻聽見他說「這杯熱巧克力是給你的繼續努力吧」她喝着巧克力心中感到一股暖流彷彿哥哥的關懷又在她內作出回響

十年生死兩茫茫不思量自難忘千里孤墳無處話淒涼helliphellip

寒風吹起了她額上的劉海佇立在墓前的婉慧不禁凜冽她想起了從前想到自己最後一次和哥哥吵架雙方面紅耳赤的情況想起自己無法親口跟哥哥道歉想起哥哥無私的付出她對着那空虛的墳心中不忍一陣淒然淚水漱漱的流下來她身旁攜扶着年紀老邁的母親邊拭淚邊喃喃道「我的兒子helliphellip歿了helliphellip」大家心情漸漸平復了緩緩走出了墳地

雨一滴一滴的落下飽歷辛酸的婉慧卻仍在懸壼濟世

短篇

ldquoyesterday is but todayrsquos MeMory aNd toMorrow is todayrsquos dreaMrdquo ndash khalil gibraN

44 | Caduceus September 2011

Eternal Flame (1)Tulipa

Itrsquos cold The chills from my fingertips imbibe deep into me This person drills into my mind digging out the truth inside me Itrsquos agonizing She comes right inhellip di-rectly I cannot stop her

Irsquom losing myselfhellip

My hand felt the soggy pillow I realised I had come back to life the world where I lived Staring blankly at the ceiling still losing focus in my eyes I felt my brows with my forearm For the first time I didnrsquot want to lose this feeling

The bedroom door slowly opened I quickly rubbed off the drops that had blurred my vision pretending that I had just woken up

ldquoDo you have lessons this morningrdquo My grand-mother whispered into my ear

ldquoOh goshrdquo I turned right to my alarm clock It was the real life I had forgotten to turn the alarm on last night and it was now seven thirty I knew it I was going to be late every time she caught me in bed Irsquod got to hurry up

Living in Hong Kong Island though it took me more than an hour to get to school I had to comfort my little brother sometimes till two or three in the morning in order to get him to sleep In addition to the consistently heavy study load in the medical school I could hardly get enough rest Running on my heels al-most became my routine starting from last November But I well understood the consequence of skipping lec-tures It was the beginning of the Cardiovascular Sys-tem Block For someone like me who gave least priority in revising Anatomy materials lectures remained the prime source of information for exams Absence from class was suicidal To make the situation worse this professor was one of those who did NOT upload lec-ture notes online

Hoping I wouldnrsquot arrive too late to miss the impor-tant points I finally stepped onto a route no 8 minibus at ten past eight What I could do now was to pay trust in the driver who would bring me to my destination

Coaxing kids was never easy Little Bruce just hap-pened to give me such a hassle last night

He knew I would check on him when I returned home Sitting right next to the door of his room he begged me for a story once I opened the door I sat down together with him on his little couch after Irsquod taken a quick shower This was a time to relax leaving

aside all the other concerns

Kindling through his favourite reader I saw that he wasnrsquot listening but distracted by all sorts of toys around He even invited me into his world of fantasy But it was getting late I had to calm him down so that I too could have some rest Being one of the brightest in his elementary school he should understand this was not the time for recreation

I began to feel annoyed

Yet he was my brother I had a gut feeling that this was unusual He didnrsquot use to be so ldquohyperactiverdquo It re-ally took me a while to adjust to his change With him still tossing and turning in my arms I apprehended his restlessness Unpredictable though he was true to his feelings In one way or another he might find the shadow of our mother in me

He finally settled when I laid him back in bed It was nearly two forty in the morning

The first week of the CVS Block ran as plotted PBL tutorials would start on next Monday Dr Youngrsquos fa-cial expression in the first PBL evaluation flashed over my Embryology notes and references She didnrsquot teach Embryology but I could tell she did have a hypertroph-ic heart-shaped face which looked familiar to the dia-grams in the Atlas

Back in the IHD Block most of us were puzzled about the scrambled content of our course Various forms of seemingly related knowledge came in through lectures practical and tutorial sessions But the neural circuit formed in our brain just failed to resonate as if the conductance-inductance mismatch had aberrated our thought from minimal impedance Sometimes things even happened in a ldquomore-than-extrardquo manner The presence of common core courses in a parallel but independent branch in the network could rightly be detached without causing a blip on the galvanometer Everything was dubious We had no idea of what we were doing

Maybe we were just on the way seeking for a sense of attachment

My mind too was racing in haste I was struggling with my decision to become a doctor Too many things had happened over the year I just couldnrsquot stop ques-tioning myself what was I thinking when I put lsquo6456 MBBSrsquo in my JUPAS application I should have expect-ed and prepared to face all these I just didnrsquot knowhellip

Novella

hkucaduceusnet | 45

It was midterm evaluation in the IHD Block Her face looked tense in that heart shape She was so stiff in her facial expression that no one could read her mind from her poker face The conference room of the Physi-ology Department was large We seemed to be the odd ones out in the spacious carpeted room In this secre-tive silence you could hear the drumming in your ears as if you were tingling

I realised this was not a matter of ldquoam-I-suitable-for-a-medical-careerrdquo but ldquois-a-medical-career-suita-ble-for-merdquo I was lying in bed playing with my plush bear when these thoughts burst in me Dr Young looked through me She felt certain that different from other group mates there were crises behind me But I didnrsquot tell her anything that day

We all were sensitive At times some subtle trepi-dation seeped in gradually sucking peace away from my sleep It was so to say below threshold sub-lethal though it lingered for weeks once it set inhellip

Drenched in bloodhellip There is no life in the boy His eyes are widely opened slightly protruded The lifeless pair of black pearlshellip I cannot escape from his glance He wants to talk to mehellip There is something he wants me to know

A van runs over himhellip

I fell down the edge of my mattress Breathing heavilyhellip Sweating all overhellip

ldquoScreechrdquo People began to gather around a tel-ephone booth a few metres behind us

I turned back I couldnrsquot see a lot from this anglehellip

ldquohellip What a pity He is so younghelliprdquo a middle-aged couple passed by

The victim resting just in front of the wheel looked towards me through a break in the crowdhellip

As we were wandering around thinking what to eat for dinner my cousin found me standing there rooted to the ground stunned by the victimrsquos gaze My heart was pounding She wouldnrsquot believe what I was again experiencing For a number of times already scenarios in my dreams were mirrored into reality

I couldnrsquot tell her

ldquoI was just thinking whether you would like Korean cuisine There is a new restaurant two corners awayrdquo I made up a talk while escaping from the scene so that I wouldnrsquot look so strange

ldquoWhy not go and have a try thenrdquo She was not dis-appointed for calling it a day as the food there was sur-prisingly good

Not until some years ago when I was Form 3 in college I discovered my ability to look into the future Sometimes I could see them coming up on the news in days or weeks And some didnrsquot ever happen at least not around me But seeing the night visions coming into concrete existence wasnrsquot always a pleasure when the mental images turned gradually into mostly night-mares When I visualised my close ones it felt like I was in the middle of an insecure chain bridge above a torrent that would sweep me into the vast ocean with no return It was entirely different from what you might understand as ldquodreams come truerdquo

I had witnessed misfortunes in proximityhellip

But I could do nothing about ithellip

Friends were a source of solace someone to con-fide all frustrations in But with my paranormal ability which appeared to everybody else only on screen-plays I wasnrsquot courageous enough to open my life wholeheartedly to them Seldom talking about myself avoiding all sorts of gatherings I became an eccentric figure among my classmates

Sometimes mutual understanding carried more weight than words I remembered my physics teacher being one of my few friends during my teen years De-spite his boisterous faccedilade he was always sensitive to whenever I was dwelling on my burdens Physics was our common language Intermingling our emotions and feelings with concepts that were alien to my fel-lows we developed a close rapport impenetrable by anyone else

ldquoWhat is the nature of a flamerdquo This was the most discussed problem between us Neither in solid liquid nor vapour state Not having any definite shape and colour It seems not any material but a type of energy giving out heat and light At the moment of providing it also exhausts its fuel and eventually itselfhellip

The romance of physics is more than anything you could read write and talk about Once you were truly connected with it nothing can stop you Your mind will bounce irrespective of the chronology of space-time but only under the guidance of your thoughts

I was so devoted to the discipline at the time that I was almost making it my lifelong career in some way He envisaged that I would demand much more than any academia could provide with its scientific basis alone We were both seeking a philosophy beyond the facts But Hong Kong may not be the right place for it

I made him a promise at the end to contain our flame and I knew I would

For the first and the last time I saw his eyes filled with tears We knew existence by itself is a miracle

ldquoi love life because what More is thererdquo ndash aNthoNy hopkiNs

46 | Caduceus September 2011

說華佗都說「華佗再世」誰知箇中真諦雲方 (M15)

烽煙起戰火燃萬里 

三國並爭英雄地亂世有誰顧生死 

待神醫行世將民眾救濟

渺渺江山東西瞰俞跗巧手扁鵲心(1) 應向何處尋 

滾滾黃沙無世家終有奇士放奇葩

沛國 華元化(2) 

他經書貫通南北遊動 

一望斷症如神助三劑消病不必多

說斷症悉如所料 

甘陵 相夫人腹痛極難忍(3) 號脈知死嬰在左為男形(4)廣陵 梅軍吏除名歸故里

見貌知壽盡速返見萱椿(5) 

說消病藥到病除 

飲蒜醋有三升蟲一嘔而盡清 (6)母服丸而溫儲兒不藥而自癒 (7)

絕妙處 

是他開腸剖腹刀至辟毒 

神醫號 

除他內外皆精有誰配稱

[1]   俞跗黃帝時代之名醫扁鵲春秋戰國之名醫《淮南子人間訓》「患至而多後憂之helliphellip雖有扁鵲俞跗之巧猶不能生也」

[2]   華佗字元化沛國人(今安徽 亳州)

[3]   甘陵相(即甘陵之行政長官)夫人懷胎六月腹痛不安華佗為其切脈便知胎死於是命人摸知所在在左則男在右則女人云「在左」夫人飲藥後果然產出男胎腹痛立即痊癒

[4]   廣陵有軍吏名曰梅平離鄉服役後來退役歸家於路上巧遇華佗華佗視之嘆道「若能早些見我當不至於此而今你僅餘五日壽命速速回家還能與家人相見」平旋即趕抵故鄉五日後亦如料身亡

[5]   萱椿多作椿萱比喻父母漢牟融《送徐浩》詩「知君此去情偏切堂上椿萱雪滿頭」

[6]   華佗見路邊有人食不下嚥教他到路邊餅店買醋三升混上蒜泥然後飲用路人服後即吐出一條長蛇(即寄生蟲)

[7]   兩歲男孩長年腹瀉藥石無靈華佗往診謂病在母命其服用華佗親研之「四物女宛丸」服後母親乳汁不再寒涼男孩亦不藥而癒

意興

hkucaduceusnet | 47

只可惜人無完壁

「關將軍使君予我手刮骨惡毒走

曹丞相使君予我頭剖顱苦痛收」

「怎能不收怎能不收一命嗚呼萬事休 

簡直荒謬簡直荒謬殺此庸醫未須愁」(8) 

五禽戲尚能傳 (9)麻沸散從此絕 

何不一飲醉死不知世忍氣吞聲事權貴 (10)心神委曲須臾苦奇術失迭千秋計 

烽煙止無改生死事 

且當醫仙謫世間神技終須風裏散 (11)回首仰高山景行請君範 (12)

[8]     曹操欲殺華佗臣下勸之不可答曰「不憂天下當無此鼠輩耶」

[9]     死前華佗欲托所著醫書於獄卒不果便盡數焚毀唯有其養生體操「五禽戲」流傳後世

[10]   《三國志魏書方技傳》「當須刳割者便飲其麻沸散須臾便如醉死無所知」

[11]   唐白居易《簡簡吟》「恐是天仙謫人世只合人間十三歲」

[12]   景行(音航)即大道以高山景行比喻人品德行為之高尚典出《詩經小雅車轄》又東漢鄭玄曰「古人有高德者則慕仰之有明行者則而行之」

ldquothe art of MediciNe was to be properly learNer oNly forM its practice aNd its exerciserdquo - thoMas sydeNhaM

48 | Caduceus September 2011

啟程

清晨空白的天空看不見藍天雲彩

只有溫柔的雨絲和朦朦朧朧的霧水跟隨

著大隊的足印踏上沉重的腳步穿過橫

街小巷和煩囂熱鬧的市場走過自動門

撲鼻的消毒藥水味道讓大家屏住呼吸筆

者和夥伴們終於到達了入讀護理系以來第

一次實習的醫院

還記得在實習的前幾天心情是既忐忑

又期待的畢竟這一次實習的地方不再是

在社區中心宣傳健康方面的知識亦不是

只面對著健康活潑的小朋友和老友記或是

學校課堂上所提供的假人張靜汶卻是照

顧一羣真正需要關懷的病人心中充滿著

憂慮不知自己所學的知識足夠在應用上

嗎自己平日的練習足夠嗎雖然心存在

著不少疑惑但也十分期待可以體會一下

做小學護的感受嘗試把這一年裡所學到

的知識運用出來

很多的第一次

在病房裡總有心酸和膽戰心驚的時

候第一次為昏迷的病人清潔口腔第一

次為難以進食的人插入胃喉第一次為老

公公清洗背上壓瘡的傷口helliphellip照顧他們時

的心情都是一步一驚心生怕自己沒法應

付得來又怕會把事情弄得更糟糕最重

要的是恐怕自己不純熟的技巧令他們受苦

了記得有一回第一次為女病人插入尿

喉採取尿液樣本可能技巧不太純熟的關

係延長了病人的痛苦過程中她皺著

眉頭不斷呻吟又緊張得咬破脣眼看

她樣子心中真的不是味兒來身為病人

的其中之一依靠我們不得不給自己信

心如果連自己也不相信自己哪會有病

人願意把他們交給我們照料呢

捕捉那瞬間的美麗與淒然何麗敏 (N14)

上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

意興

hkucaduceusnet | 49

另外第一次面對病人的心情是頗為

緊張的說話技巧亦有改進的空間但和

病人傾談了數分鐘後氣氛也漸漸變得和

諧可能那些老公公整天呆在醫院裡真是

悶到慌看見一羣年青人與自己聊天照

顧和關心他們他們不禁咧嘴而笑醫院

職員透露有一位老公公平日不太願意吃東

西於是我們便主動和他談天說地又

悉心照料他進食的情況後來他不但胃

口好了不少就連心情也開朗了他生動

活潑的談吐讓我們笑了他回復健康精

神的體魄也讓我們感到安慰

相處片刻

雖然為期一星期的病房日子不是特別繁

忙或是辛勞但是也會有不習慣的時候

幸好得到醫院職員和一班夥伴的支持病

房經理和註冊護士不但相信我們的能力

對學護的包容更是不用多說還主動地介

紹病房的環境和細心地教導我們醫療護理

上的知識讓我們上了一堂實在而又寶貴

的課同時今次的實習也令我感到團體

精神也十分重要在技巧上大家互相提

點互補不足當有人準備照料有需要的

病人如插喉或洗傷口等大家送上一句 

「加油」就能令對方增加不少自信心和正

能量無論遇上甚麼事情我也榮幸有如

此一班學習夥伴從旁支持

學習的階級

在這一次病房實習中雖然醫療和藥物

知識方面有待加強但是我學懂了如何與

不同身份的病人相處之道溝通上也得到

了很大的進步獲益不少除此之外我

也真正體會到如何做一個好護士並清楚

了解這個行業是否適合自己鐘樓也不是

一天就能建成而是需要一磚一瓦搭建而

成的所以在學習上我們不但要打好

穩固的基礎還要增強醫療知識在技巧

上馬虎了事和走捷徑是於是無補的應

該多探究和練習才行這樣才對得起病人

和自己也減少不必要的醫療失當事故

總之多一份認真多一點耐性多一些

愛心就是學護必記的左右銘 上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

ldquoit is reasoNable to expect the doctor to recogNise that scieNce May Not have all the aNswers to probleMs of health aNd healiNgrdquo ndash NorMaN cousiNs

50 | Caduceus September 2011

Fun Corner

Medical AppsEver wondered how your handheld device can save your time and

effort when it comes to studying Here is how

Anatomy Pronunciations by HipposoftAccurate pronunciations of over a hundred important anatomy terms you have trouble with are provided

at your fingertips to help you spell those difficult words Anyone who has taken an anatomy course can tell you how challenging it can be to pro-nounce the names of those complicated anatomi-cal terms It is even linked directly to Wikipedia and Google through web browser for additional information

iPharmacy ndash Pill Identifier and Medication Guide by SigmaPhone LLCAn essential medication guide of 20000+ drugs is provided for con-sumers amp professionals This ex-

pands the image library to include 12000 pill and package images and includes digital drug identifier with official drug information (indica-tions dosage adverse reactions and more) You can check the drugs anywhere

Grades 2 by TapityIt tells you what grades you need in the coming tests in order to get your target grade You can easily calcu-late your GPA so as to maintain it It

is a useful tool helping you to keep an eye on your GPA all the time

Human Anatomy by SusaSoftXThe application provides you with information of 15 different biologi-cal systems You can keep on revis-ing while you are traveling without

carrying heavy books

Medscape by WebMD LLCFrom drug classes interaction clin-ical procedures and even the lat-est medical news Medscape helps medical students and healthcare

professionals to reiterate knowledge that has slipped from the mind It is a free application for iPhone iPad Android and Blackberry Yet it contains more function on Android phones and Apple products and lacks detailed clinical infor-mation for diseases and clinical procedures walk through on Blackberry

Pro Medical Terminology Dic-tionary by TreascoveryTerminology might be a tough work for medical students Even if we can master those English terms we can

hardly think of the Chinese terms This applica-tion can help you when you face this problem Note that it is not a free application

3M Littmann SoundBuilder by 3M CompanyA great tool designed to help im-prove auscultation skills of medical students with 14 unique lessons of

key heart sounds combing text virtual manne-quin 3D cardiac animation and dynamic wave-forms

iRadiology by Liebermans iRadi-ologyAn excellent learning tool for medi-cal students demonstrating classic radiological findings of a multitude

of abnormalities including over 500 radiologic images Radiologic images include CT US MRI and nuclear imaging each clearly labeled and followed by key teaching points

Micromedex Drug Information by Thomson Reuters (Healthcare) IncIs Cephalexin a first generation ce-phalosporin This application from

Thomson Reuters is the easiest way to navigate in the sea of drug names Drugs are sorted by classes and supplemented with rich information

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 38: Caduceus Issue 2, Volume 42

38 | Caduceus September 2011

生 命形成之際只要一秒鐘的差遲世界便會不一樣

蝴蝶效應從來都是玄的全因一個 

「緣」字

隨著人成長要決擇的事太多學生

有兩件人生大事幾乎都不是由自己決定的

入讀小學及中學然而到了大學這

關卡自己也許可以拿定主意了若果你

入讀了心水科恭喜你若不然祝福

誠然入大學是最影響未來生活的關

口是好是壞無人知曉不用量化不

用比較太多即管做自己所想活出自己

的路只因你不會曉得你的下一步會怎樣

影響著你的生命

或許一個活動你會遇上你的最愛

或許一個宿位你會遇上你的知己

或許一句說話你會惹來一個敵人

或許一次走堂你會由B變C

這就是大學

在大學各人有各人的大學生活大

學講求自由學習學習真的是「求學不是

求分數」有些人愛廣交朋友有些人愛

住宿有些人愛做莊務有些人愛拍拖

有些人愛參加各樣活動有些人愛做兼

職有些人愛讀書有些人卻愛甚麼都不

做helliphellip不少大學生強調入大學必定要做齊

大學五件事(上莊住宿讀書拍拖

兼職)但其實只要自己開心不害人的

話做甚麼也沒問題最要緊的是認清讀

大學的目的以免沉淪於大學這花海

朋友

大學可以令你對「朋友」的概念愈來

愈含糊幾乎每個活動都可令你認識新朋

友通常大家都會輪流講述自己的名字與

學科(Round Table)這亦是考驗大腦對人名的記憶所謂的「Hi-Bye Friend」會愈來愈多隨便在細小的港大內穿梭會令你

無可奈何地對他們說聲Hi

不過別標籤你的「Hi-Bye Friend」要是連Hi-Bye也談不上更不用說做深交了上大學了大家已有既定的圈子很

多時約會或聊天都先找中學朋友而且很

多人會把大學朋友與中學的作比較雖情

有可原但有時未免先入為主地覺得中學

的較好

這亦難怪即使是日日碰面的同學也

未必是自己的好友人人都有自己的時間

表下課後各散東西不是大家不想互相

認識只是有時身不由己若想互相了

解不妨盡量製造共處之時有時甚至可

以分一些約會給大學朋友然後你會發

現大學朋友也可跟你熟絡可別為自己

建造一塊厚厚的心牆

舍堂

要入宿無人會不曉得十日的迎新營

有些舍堂平均每天的作息時間只有兩三小

時有人說住宿最辛苦就是迎新營然而

它卻是最難忘的

要數活動單單一個舍堂已數之不盡

要是投入舍堂生活每天24小時是不夠

用的舍堂之間有各樣比賽堂友要參加

各個組別為比賽出席各樣練習否則可

能被拒於來年再住基於許多人都只在夜

晚有空要全體出席那可是晚九朝五的

大學之緣賴彥積 (N14)

新鮮人

hkucaduceusnet | 39

宿生們之所以會熱衷於舍堂活動因他

們對自身舍堂有強烈的歸屬感好比中學

時學生參加校際比賽要是沒有歸屬感

就不會有心參加所屬舍堂的活動

除舍堂之間之活動樓層之間亦有各類

活動樓內亦然只要有人的地方就有玩

樂彷如天天宿營你不會有機會偷偷早

睡其他樓友常常打擾你你原來的生活

時間會推後數小時睡於二時已是罕有

早上的八半堂彷如無物

可以住宿但不參加活動嗎當然可以

但你會面對的是朋輩壓力他們雖未必逼

你參加卻會在言談中有意無意的滲出

來那種壓力不只限於自己樓層甚至是

跨樓層千萬可別輕看宿中流言

上莊

有人說上莊所學遠超課堂上莊所學

的是如何籌辦活動非常實用有時要對

外聯絡有時要面對公眾helliphellip像是要為將

來工作鋪路似的當然這亦要視乎你上

的是甚麼莊

一般而言上莊可訓練你待人處事的技

巧有時表面看來很友好的朋友當背

負上一定的要求後關係少不免有磨擦再

者初時莊員素未謀面最後卻因朝夕相

對而演變成朋友這段關係是很可貴的

成莊前要宣傳內閣爭取選票成莊了

又要舉行咨詢大會包受歷莊指導然後

又有就職典禮此後的活動更接踵而至

當然包括迎新活動招莊活動等helliphellip君不

見很多人視莊房為睡房少不免有「通

頂」之時忙是忙但必有價值至於是

好是壞要看自己的造化了

拍拖

人上了大學有時心思思想拍拖眼見

身旁多個好友都紛紛拍拖自己少不免羨

慕別人這想法十分正常畢竟大學生真

的可以放下只讀書的重擔真的可以規劃

人生大事了

香港大學一些營新活動中隨了Round Table外還有Round Status即說自己現在有否拍拖以及拍過多少次拖如 

A 0即Ava i lab l e之前至現在沒有拍拖O1即Occupied之前至現在共拍了一次拖當然也有一些同學自己創的甚

麼OBA (Occupied But Available)或D10(Desperate拍過10次拖)等等至於Round Status的動機何在可能是組爸媽想穿針引線吧當然也可能是別有用心的

不同人對拍拖有不同想法上了大學更

有不同擇偶條件人大了在感性的議題

上往往加上種種理性的數據開始現實起

來哪個帥哪個富有哪個有前途helliphellip

有些不在乎天長地久只求剎那的光輝

有些求虛榮有人疼愛在朋友前炫耀

有些甚至會在拍拖前已想定分手後的模

樣所以不想選擇跟自己同科的同學

活動

不同團體(包括舍堂學會及學校部

門)都有不同活動不用愁沒事幹只用

愁沒時間只要多留意Portal Mass Email或Main Campus海報不難發現幾乎每天都有各樣活動動靜皆宜開學時有迎

新營考試時有勁過飯新學期有開Sem

飯有些學會如戲劇舞蹈合唱團不時

有演出有關運動的學會則多練習以參

加比賽有關學術的也有很多興趣班講

座比賽等想幫人的亦可參加義工團

體如蛇蛇豬扶青等舉辦的義工活動

兼職

大學生的兼職大多以補習為主畢竟

這是我們能力範圍內可賺取最多外快又是

時間最彈性的工作有些人卻因補習不能

寫在履歷表而選擇別的工作然而很多時

我們都要在兼職與大學活動中取捨我的

ldquotake a chaNce all life is a chaNce the MaN who goes farthest is geNerally the oNe who is williNg to do aNd darerdquo ndash dale carNegie

40 | Caduceus September 2011

E mily was the chairperson of Pharmacy Socie-ty session 2010 As a student she has actively

participated in holding activities for many medical stu-dents and taken part in providing welfare to all phar-macy students Her following sharing will especially enlighten our new pharmacy students

Q Why did you choose Pharmacy SocietyA To be frank ldquosheung jongrdquo was really out of

my expectation when I anticipated my university life However my perspective has changed when I officially became a pharmacy student in HKU As members of the opening class of the Pharmacy programme my classmates and I realised the importance of having our own student body We do need an independent soci-ety to represent us pharmacy students to cater for our specific needs to listen to our points of view and to act as a bridge to facilitate our communication with the Medical Faculty the entire university and ultimately the pharmaceutical field in Hong Kong My class-mates and I who later became ldquojong yausrdquo believed we should act immediately to establish and run our own society which is why I decided to ldquosheung jongrdquo

Q Would you like to share some of the pros and cons of sheung jong

A ldquoSheung jongrdquo definitely helped me achieve per-sonal growth It was a concurrent commitment and re-sponsibility to serve and to lead our colleagues Bear-ing this in mind we always pushed ourselves to attain the best of our work ethics efficiency and efficacy As the very first session of the Society we lacked the guidance of any previous committee member Instead analysing carefully and critically we thought better of every decision which I personally found an enriching experience ldquoSheung jongrdquo was also an eye-opening journey Wersquod got to meet different people and learnt more about the professional work for as our career-to-be after graduation This in my opinion is always beneficial Last but not least I was fortunate enough to have worked with my amazing fellow committee mem-bers I frankly couldnrsquot ask for better ldquojong yausrdquo than initium Irsquom absolutely thankful for having them as my friends and it is definitely my greatest gain along the way

Despite the merits ldquosheung jongrdquo definitely has its downsides as well It is a lie to say ldquosheung jongrdquo does not affect our daily life because it does take up a big chunk of our time At the end of the day it is about time management which is easy to say but extremely dif-

建議是如家庭環境較困難賺錢吧反

之可以多留時間給各活動畢竟大學一

年的學費不只值那幾十堂課如何善用這

$42100就在乎你如何投入大學生活

讀書

假若你認為大學的考試可考核學生的

真正讀書能力並要求學生活學活用課堂

所學那麼你大失所望了假若你善於背

誦有過目不忘之本領大學的筆試不會

難倒你只要靠著前人留下的歷屆試題

背到滾瓜爛熟是不可能不及格的很多屆

試卷都是千篇一律的很多教授可沒空大

改試題那同學們就走運了有些課堂

即使再專業的學科都會有只理論無實

踐的課堂然後考試就要你把一大堆理論

背出來helliphellip例如甚麼叫批判思維噢

我可不知道只知道我掉了5分

不同學系在某程度上定下了人的前途

對於醫學院學生而言前路是較清晰可見

的但對於非專業學科前路不可只靠讀

書也許要靠自己另外摸索讀書所帶來

的必然是較高的GPA高GPA所帶來的是

獎學金到外國交流工作實習日後工

作機會等等當然大學學習不只局限於

讀書會否因此失彼就只有自己知道

蝶翼拍動之時往難以預料機會是

要自己摸索的

如經上所記

「神為愛他的人所預備的是眼睛未曾看見耳

朵未曾聽見人心也未曾想到的」

(哥林多前書29)

「栽種的和澆灌的都是一樣但將來各人要照自

己的工夫得自己的賞賜」

(哥林多前書38)

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

Freshmen

hkucaduceusnet | 41

ficult to achieve Also working as a Committee mem-ber can be very exhausting and difficult You definitely need lots of determination and support to get through some of the busiest times

Q How did you handle and balance the workload of study and your ldquojongrdquo

A As Irsquove said before it was tremendously difficult I guess my best advice for the future committee is to know your limitations and always plan ahead You have to know your time to work to rest to study etc No one will be over-worked and eve-ryone will have some personal time if you share the burden wisely between ldquojong yausrdquo Secondly you have to make very clear plans so that you can make full use of every little piece of your time I may not have succeeded in my time management but most of my ldquojong yausrdquo managed to do so de-spite the packed schedule of our Soci-ety This is sufficient proof of ldquoimpos-sible is nothingrdquo

Q As there are only about 25 pharmacy students per class do you have any suggestions for P14 fresh-men to make more friends from other curricula

A It really depends on what kind of person you are If you consider your-self socially active living in a hall or ldquosheung jongrdquo will be a great idea for you But if you see yourself as a much quieter person you can still make use of opportunities such as Medic Orien-tation Camp and other events jointly organised by student bodies within the Medical Faculty to make new friends

Q Any special things for P14 freshmen to be aware of

A First of all welcome You all are now members of Pharmacy Society MS HKUSU and I would like to let you know that this is a student body aiming to serve you Thus feel free to share your viewpoints and voice out your opinions to the current Com-mittee members The Society has to

understand your needs to improve and provide better welfare and services for you

Q Any other comments or important things to re-mind P14 freshmen

A If you would like to get to know more fellow pharmacy students especially students from P12 and P13 grab the opportunity to join the Pharmacy Society Orientation Camp and the Mentorship Programme These are great chances to make new friends and Irsquom sure you will enjoy them

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

ldquoas huMaN beiNgs we do chaNge grow adapt perhaps eveN learN aNd becoMe wiserrdquo ndash weNdy carlos

42 | Caduceus September 2011

筆 者是一位護理系的學生半年前有幸成為二零一一年啟思編輯委員會的總編輯在期間所體驗到的希望藉著這次機會作出分享特別希望新加入醫學院的同學

能對「上莊」有更多了解

上莊之路上莊是大學五件事之一證明它對大學生

活有一定的重要性一定的位置筆者在初入學的時候曾為了上莊與否而煩惱猶豫了好一段時間期間考慮到自己能力怕學業應負不來但最後仍然下了上莊這個決定原因是上莊是個難得的機會充實增值自己不同的莊會提供不同的機會讓莊友去學習透過不同的莊務去讓自己眼界擴大另外可以了解醫學院內發生既事情例如院內活動的進展情況更可以參加舉辦院活動為醫學院出一分力最後當然會認識到將會相處一整年的莊友工作伙伴有機會認識到不同學系的同學從他們身上可以觀察到學習到各種的特質從而令自己有所進步有所啟發

護理學生作為護理系學生起初擔任總編輯一職實

在是倍感壓力畢竟歷屆的總編輯都是由醫科生出任因此筆者起初都害怕跟醫科生共事怕自己的能力不足夠應付莊務所以起初都是戰戰兢兢地上莊

一位三年的護理學生曾對我說「我認為你不太尊重護理系護理系和醫科都是個專業希望你能加以尊重自己的學系不要輕視護理這個學系你要肯定自己的學系才能帶領整支莊因為莊內成員來自不同的學系你必須肯定和認同每個學系都有一定的重要性以及其專業」這番當頭棒喝的良言令我明白到自己一直都太輕視護理系過於重視醫科現在我明白到認同自己學系是尤其重要只有這樣才可以用自己學系的身份去發表意見只有認同自己學系才懂得尊重其他的學系莊內便可以融洽一點

在筆者的莊友中醫科生都是較有責任感而且做事更有計劃從他們身上的確學到不少東西這點是無可否認的事實筆者並不是在分享學系與學系之間的差別而是希望有志上莊的同學能互相尊重明白到各學系的莊

友都有其值得學習的地方起初對其他學系有隔膜是無可避免的畢竟對他們的學系都不太了解又沒有歸屬感但如果因為對方是別的學系而輕視對方的人不但失去與人相處學習的機會而且會令莊內的氣氛失去和諧

幸好的就我所見所聞醫學院內的莊多年來都能融洽相處互相支持令到一眾上莊的同學都能輕鬆地享受上莊的喜與樂甚至是不愉快的事情

依靠你的莊友莊是一個團體不是一兩個人可以應

付得來所以筆者認為與莊友互相溝通合作是個重要的元素新同學如果有志參與莊務期望從上莊中有所得著首要的事情是與莊友建立關係因為他們將會是你來年的工作伙伴也是你遇到困難時依靠的對象一位上莊曾對我說「其實一件的莊期不會令你有太大的得著或成長反而長久的友誼才是你將會得到最重要的」這句說話是千真萬確的上莊的人不會由詞不達意改變成談吐得宜不要期望自己會有驚人的轉變也許上莊會令人處事成熟一點有計劃一點但上莊所得到的關係將會是更重要更珍貴一年的相處中面對過有無數的會議共同處理過不少困難從中

建立的友誼真的是畢生受用

責任感上莊另外一個十分重要既條件就是責任

感有志上莊的同學必須明白到莊期是長達一整年在繁重的學業中騰出時間來處理莊務是個考驗責任感和毅力的測試同學必須再三思考想清楚自己是否真係熱衷於上莊或是只是一時衝動畢竟你將要許下的是一年的承諾必須對這個莊負上責任願意付出才選擇上莊這個決定這樣的付出就會有相對的回

總結上莊的確是個好機會讓自己去學習從處

理事務中或是從莊友身上都會有所得著充實著自己的大學生活從中可以認識到各學系的同學建立一段段受用終身的友誼在此筆者希望各學系的新同學可以善用機會作出上莊這個無悔的決定

護理系的啟思總編石志榮 (N14)

新鮮人

hkucaduceusnet | 43

慈兄吟(下)奇晶

最 後還是麥教授先開了口「他的確是一個好學生對醫學有獨到見解他不但學業成績優異而且樂於助人你是他的妹妹吧」婉慧努力控制自己的淚水繼繼續續的說「是啊但helliphellip但helliphellip我不知道helliphellip他竟會在這裏出現」麥教授用悲天憫人的目光看着婉慧語重深長說「人生自古誰無死人生命的有為與否並不取決於他生命的長短而是在於人生的意義你哥哥雖然最後當不了醫生但他的犧牲卻間接為一些同學做醫生鋪路讓他們做醫生去救人這真是一種無私的愛」婉慧點點頭覺得自己對哥哥的了解實在太少了

最後她還是孤獨的離開實驗室她覺得自己跟哥哥比起來實在相差得太遠了原來他除了是十優狀元在醫學院的成績名列前茅外還是個熱心助人的好青年自己除了少了一優外少的更有對別人的同情及樂於助人這造就了她心靈上的空虛她明白到冷漠不是一種對哥哥思念的正當表達方法她應該做的是把哥哥對其他人的愛傳揚開去以圓他的心願

第一步往往是最困難的婉慧平日對他人的態度已令不少人對她敬而遠之有很多次她嘗試向同班同學投以友善的笑容得到的總是詫異的目光或別人的不理不睬在小組討論中儘管她踴躍發言盡量避免冷場的發生偶同學們卻認為她變本加厲想阻止同學們取得好成績她四處碰壁又再次陷入了想念哥哥的深淵

時間一天一天過去了上學期考試前的休假開始了婉慧每天都勤奮的在圖書館溫習期望取得好成績這時候的圖書館堆滿了人如果遲來一個小時想找一個位子也難就在假期的第二天同班的王文在圖書館跑得氣急敗壞仍找不到一個座位婉慧不知怎樣有點同情他將座位讓給他王文驚訝道「不用了我還是回家吧真倒楣遲來了一個小時就沒有『接位』」

「但你住在哪裏呀」

「元朗今天早上我忘了校鬧鐘八時才起」

「那你還是要我的座位吧我可以坐到電腦桌因為我認識的人不少沒有什麼人會打擾我的」

王文謝了她頓時對這位冷漠的同學刮目相看原來她的內心也是溫暖的這並不是他所能料及的坐在電腦桌前溫習的她也感到特別的快樂溫習的速度也快多了王文就此成為了她的「飯檔」考試期間每天和她一起吃飯他更將自己的好友介紹給婉慧認識

在一個晚上她又悄悄的在圖書館的角落溫習着突然一隻溫暖的手搭着她的肩上她抬起頭但見解剖學的同桌手中拿着一杯熱飲輕輕的放在她的桌上婉慧正感詫異卻聽見他說「這杯熱巧克力是給你的繼續努力吧」她喝着巧克力心中感到一股暖流彷彿哥哥的關懷又在她內作出回響

十年生死兩茫茫不思量自難忘千里孤墳無處話淒涼helliphellip

寒風吹起了她額上的劉海佇立在墓前的婉慧不禁凜冽她想起了從前想到自己最後一次和哥哥吵架雙方面紅耳赤的情況想起自己無法親口跟哥哥道歉想起哥哥無私的付出她對着那空虛的墳心中不忍一陣淒然淚水漱漱的流下來她身旁攜扶着年紀老邁的母親邊拭淚邊喃喃道「我的兒子helliphellip歿了helliphellip」大家心情漸漸平復了緩緩走出了墳地

雨一滴一滴的落下飽歷辛酸的婉慧卻仍在懸壼濟世

短篇

ldquoyesterday is but todayrsquos MeMory aNd toMorrow is todayrsquos dreaMrdquo ndash khalil gibraN

44 | Caduceus September 2011

Eternal Flame (1)Tulipa

Itrsquos cold The chills from my fingertips imbibe deep into me This person drills into my mind digging out the truth inside me Itrsquos agonizing She comes right inhellip di-rectly I cannot stop her

Irsquom losing myselfhellip

My hand felt the soggy pillow I realised I had come back to life the world where I lived Staring blankly at the ceiling still losing focus in my eyes I felt my brows with my forearm For the first time I didnrsquot want to lose this feeling

The bedroom door slowly opened I quickly rubbed off the drops that had blurred my vision pretending that I had just woken up

ldquoDo you have lessons this morningrdquo My grand-mother whispered into my ear

ldquoOh goshrdquo I turned right to my alarm clock It was the real life I had forgotten to turn the alarm on last night and it was now seven thirty I knew it I was going to be late every time she caught me in bed Irsquod got to hurry up

Living in Hong Kong Island though it took me more than an hour to get to school I had to comfort my little brother sometimes till two or three in the morning in order to get him to sleep In addition to the consistently heavy study load in the medical school I could hardly get enough rest Running on my heels al-most became my routine starting from last November But I well understood the consequence of skipping lec-tures It was the beginning of the Cardiovascular Sys-tem Block For someone like me who gave least priority in revising Anatomy materials lectures remained the prime source of information for exams Absence from class was suicidal To make the situation worse this professor was one of those who did NOT upload lec-ture notes online

Hoping I wouldnrsquot arrive too late to miss the impor-tant points I finally stepped onto a route no 8 minibus at ten past eight What I could do now was to pay trust in the driver who would bring me to my destination

Coaxing kids was never easy Little Bruce just hap-pened to give me such a hassle last night

He knew I would check on him when I returned home Sitting right next to the door of his room he begged me for a story once I opened the door I sat down together with him on his little couch after Irsquod taken a quick shower This was a time to relax leaving

aside all the other concerns

Kindling through his favourite reader I saw that he wasnrsquot listening but distracted by all sorts of toys around He even invited me into his world of fantasy But it was getting late I had to calm him down so that I too could have some rest Being one of the brightest in his elementary school he should understand this was not the time for recreation

I began to feel annoyed

Yet he was my brother I had a gut feeling that this was unusual He didnrsquot use to be so ldquohyperactiverdquo It re-ally took me a while to adjust to his change With him still tossing and turning in my arms I apprehended his restlessness Unpredictable though he was true to his feelings In one way or another he might find the shadow of our mother in me

He finally settled when I laid him back in bed It was nearly two forty in the morning

The first week of the CVS Block ran as plotted PBL tutorials would start on next Monday Dr Youngrsquos fa-cial expression in the first PBL evaluation flashed over my Embryology notes and references She didnrsquot teach Embryology but I could tell she did have a hypertroph-ic heart-shaped face which looked familiar to the dia-grams in the Atlas

Back in the IHD Block most of us were puzzled about the scrambled content of our course Various forms of seemingly related knowledge came in through lectures practical and tutorial sessions But the neural circuit formed in our brain just failed to resonate as if the conductance-inductance mismatch had aberrated our thought from minimal impedance Sometimes things even happened in a ldquomore-than-extrardquo manner The presence of common core courses in a parallel but independent branch in the network could rightly be detached without causing a blip on the galvanometer Everything was dubious We had no idea of what we were doing

Maybe we were just on the way seeking for a sense of attachment

My mind too was racing in haste I was struggling with my decision to become a doctor Too many things had happened over the year I just couldnrsquot stop ques-tioning myself what was I thinking when I put lsquo6456 MBBSrsquo in my JUPAS application I should have expect-ed and prepared to face all these I just didnrsquot knowhellip

Novella

hkucaduceusnet | 45

It was midterm evaluation in the IHD Block Her face looked tense in that heart shape She was so stiff in her facial expression that no one could read her mind from her poker face The conference room of the Physi-ology Department was large We seemed to be the odd ones out in the spacious carpeted room In this secre-tive silence you could hear the drumming in your ears as if you were tingling

I realised this was not a matter of ldquoam-I-suitable-for-a-medical-careerrdquo but ldquois-a-medical-career-suita-ble-for-merdquo I was lying in bed playing with my plush bear when these thoughts burst in me Dr Young looked through me She felt certain that different from other group mates there were crises behind me But I didnrsquot tell her anything that day

We all were sensitive At times some subtle trepi-dation seeped in gradually sucking peace away from my sleep It was so to say below threshold sub-lethal though it lingered for weeks once it set inhellip

Drenched in bloodhellip There is no life in the boy His eyes are widely opened slightly protruded The lifeless pair of black pearlshellip I cannot escape from his glance He wants to talk to mehellip There is something he wants me to know

A van runs over himhellip

I fell down the edge of my mattress Breathing heavilyhellip Sweating all overhellip

ldquoScreechrdquo People began to gather around a tel-ephone booth a few metres behind us

I turned back I couldnrsquot see a lot from this anglehellip

ldquohellip What a pity He is so younghelliprdquo a middle-aged couple passed by

The victim resting just in front of the wheel looked towards me through a break in the crowdhellip

As we were wandering around thinking what to eat for dinner my cousin found me standing there rooted to the ground stunned by the victimrsquos gaze My heart was pounding She wouldnrsquot believe what I was again experiencing For a number of times already scenarios in my dreams were mirrored into reality

I couldnrsquot tell her

ldquoI was just thinking whether you would like Korean cuisine There is a new restaurant two corners awayrdquo I made up a talk while escaping from the scene so that I wouldnrsquot look so strange

ldquoWhy not go and have a try thenrdquo She was not dis-appointed for calling it a day as the food there was sur-prisingly good

Not until some years ago when I was Form 3 in college I discovered my ability to look into the future Sometimes I could see them coming up on the news in days or weeks And some didnrsquot ever happen at least not around me But seeing the night visions coming into concrete existence wasnrsquot always a pleasure when the mental images turned gradually into mostly night-mares When I visualised my close ones it felt like I was in the middle of an insecure chain bridge above a torrent that would sweep me into the vast ocean with no return It was entirely different from what you might understand as ldquodreams come truerdquo

I had witnessed misfortunes in proximityhellip

But I could do nothing about ithellip

Friends were a source of solace someone to con-fide all frustrations in But with my paranormal ability which appeared to everybody else only on screen-plays I wasnrsquot courageous enough to open my life wholeheartedly to them Seldom talking about myself avoiding all sorts of gatherings I became an eccentric figure among my classmates

Sometimes mutual understanding carried more weight than words I remembered my physics teacher being one of my few friends during my teen years De-spite his boisterous faccedilade he was always sensitive to whenever I was dwelling on my burdens Physics was our common language Intermingling our emotions and feelings with concepts that were alien to my fel-lows we developed a close rapport impenetrable by anyone else

ldquoWhat is the nature of a flamerdquo This was the most discussed problem between us Neither in solid liquid nor vapour state Not having any definite shape and colour It seems not any material but a type of energy giving out heat and light At the moment of providing it also exhausts its fuel and eventually itselfhellip

The romance of physics is more than anything you could read write and talk about Once you were truly connected with it nothing can stop you Your mind will bounce irrespective of the chronology of space-time but only under the guidance of your thoughts

I was so devoted to the discipline at the time that I was almost making it my lifelong career in some way He envisaged that I would demand much more than any academia could provide with its scientific basis alone We were both seeking a philosophy beyond the facts But Hong Kong may not be the right place for it

I made him a promise at the end to contain our flame and I knew I would

For the first and the last time I saw his eyes filled with tears We knew existence by itself is a miracle

ldquoi love life because what More is thererdquo ndash aNthoNy hopkiNs

46 | Caduceus September 2011

說華佗都說「華佗再世」誰知箇中真諦雲方 (M15)

烽煙起戰火燃萬里 

三國並爭英雄地亂世有誰顧生死 

待神醫行世將民眾救濟

渺渺江山東西瞰俞跗巧手扁鵲心(1) 應向何處尋 

滾滾黃沙無世家終有奇士放奇葩

沛國 華元化(2) 

他經書貫通南北遊動 

一望斷症如神助三劑消病不必多

說斷症悉如所料 

甘陵 相夫人腹痛極難忍(3) 號脈知死嬰在左為男形(4)廣陵 梅軍吏除名歸故里

見貌知壽盡速返見萱椿(5) 

說消病藥到病除 

飲蒜醋有三升蟲一嘔而盡清 (6)母服丸而溫儲兒不藥而自癒 (7)

絕妙處 

是他開腸剖腹刀至辟毒 

神醫號 

除他內外皆精有誰配稱

[1]   俞跗黃帝時代之名醫扁鵲春秋戰國之名醫《淮南子人間訓》「患至而多後憂之helliphellip雖有扁鵲俞跗之巧猶不能生也」

[2]   華佗字元化沛國人(今安徽 亳州)

[3]   甘陵相(即甘陵之行政長官)夫人懷胎六月腹痛不安華佗為其切脈便知胎死於是命人摸知所在在左則男在右則女人云「在左」夫人飲藥後果然產出男胎腹痛立即痊癒

[4]   廣陵有軍吏名曰梅平離鄉服役後來退役歸家於路上巧遇華佗華佗視之嘆道「若能早些見我當不至於此而今你僅餘五日壽命速速回家還能與家人相見」平旋即趕抵故鄉五日後亦如料身亡

[5]   萱椿多作椿萱比喻父母漢牟融《送徐浩》詩「知君此去情偏切堂上椿萱雪滿頭」

[6]   華佗見路邊有人食不下嚥教他到路邊餅店買醋三升混上蒜泥然後飲用路人服後即吐出一條長蛇(即寄生蟲)

[7]   兩歲男孩長年腹瀉藥石無靈華佗往診謂病在母命其服用華佗親研之「四物女宛丸」服後母親乳汁不再寒涼男孩亦不藥而癒

意興

hkucaduceusnet | 47

只可惜人無完壁

「關將軍使君予我手刮骨惡毒走

曹丞相使君予我頭剖顱苦痛收」

「怎能不收怎能不收一命嗚呼萬事休 

簡直荒謬簡直荒謬殺此庸醫未須愁」(8) 

五禽戲尚能傳 (9)麻沸散從此絕 

何不一飲醉死不知世忍氣吞聲事權貴 (10)心神委曲須臾苦奇術失迭千秋計 

烽煙止無改生死事 

且當醫仙謫世間神技終須風裏散 (11)回首仰高山景行請君範 (12)

[8]     曹操欲殺華佗臣下勸之不可答曰「不憂天下當無此鼠輩耶」

[9]     死前華佗欲托所著醫書於獄卒不果便盡數焚毀唯有其養生體操「五禽戲」流傳後世

[10]   《三國志魏書方技傳》「當須刳割者便飲其麻沸散須臾便如醉死無所知」

[11]   唐白居易《簡簡吟》「恐是天仙謫人世只合人間十三歲」

[12]   景行(音航)即大道以高山景行比喻人品德行為之高尚典出《詩經小雅車轄》又東漢鄭玄曰「古人有高德者則慕仰之有明行者則而行之」

ldquothe art of MediciNe was to be properly learNer oNly forM its practice aNd its exerciserdquo - thoMas sydeNhaM

48 | Caduceus September 2011

啟程

清晨空白的天空看不見藍天雲彩

只有溫柔的雨絲和朦朦朧朧的霧水跟隨

著大隊的足印踏上沉重的腳步穿過橫

街小巷和煩囂熱鬧的市場走過自動門

撲鼻的消毒藥水味道讓大家屏住呼吸筆

者和夥伴們終於到達了入讀護理系以來第

一次實習的醫院

還記得在實習的前幾天心情是既忐忑

又期待的畢竟這一次實習的地方不再是

在社區中心宣傳健康方面的知識亦不是

只面對著健康活潑的小朋友和老友記或是

學校課堂上所提供的假人張靜汶卻是照

顧一羣真正需要關懷的病人心中充滿著

憂慮不知自己所學的知識足夠在應用上

嗎自己平日的練習足夠嗎雖然心存在

著不少疑惑但也十分期待可以體會一下

做小學護的感受嘗試把這一年裡所學到

的知識運用出來

很多的第一次

在病房裡總有心酸和膽戰心驚的時

候第一次為昏迷的病人清潔口腔第一

次為難以進食的人插入胃喉第一次為老

公公清洗背上壓瘡的傷口helliphellip照顧他們時

的心情都是一步一驚心生怕自己沒法應

付得來又怕會把事情弄得更糟糕最重

要的是恐怕自己不純熟的技巧令他們受苦

了記得有一回第一次為女病人插入尿

喉採取尿液樣本可能技巧不太純熟的關

係延長了病人的痛苦過程中她皺著

眉頭不斷呻吟又緊張得咬破脣眼看

她樣子心中真的不是味兒來身為病人

的其中之一依靠我們不得不給自己信

心如果連自己也不相信自己哪會有病

人願意把他們交給我們照料呢

捕捉那瞬間的美麗與淒然何麗敏 (N14)

上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

意興

hkucaduceusnet | 49

另外第一次面對病人的心情是頗為

緊張的說話技巧亦有改進的空間但和

病人傾談了數分鐘後氣氛也漸漸變得和

諧可能那些老公公整天呆在醫院裡真是

悶到慌看見一羣年青人與自己聊天照

顧和關心他們他們不禁咧嘴而笑醫院

職員透露有一位老公公平日不太願意吃東

西於是我們便主動和他談天說地又

悉心照料他進食的情況後來他不但胃

口好了不少就連心情也開朗了他生動

活潑的談吐讓我們笑了他回復健康精

神的體魄也讓我們感到安慰

相處片刻

雖然為期一星期的病房日子不是特別繁

忙或是辛勞但是也會有不習慣的時候

幸好得到醫院職員和一班夥伴的支持病

房經理和註冊護士不但相信我們的能力

對學護的包容更是不用多說還主動地介

紹病房的環境和細心地教導我們醫療護理

上的知識讓我們上了一堂實在而又寶貴

的課同時今次的實習也令我感到團體

精神也十分重要在技巧上大家互相提

點互補不足當有人準備照料有需要的

病人如插喉或洗傷口等大家送上一句 

「加油」就能令對方增加不少自信心和正

能量無論遇上甚麼事情我也榮幸有如

此一班學習夥伴從旁支持

學習的階級

在這一次病房實習中雖然醫療和藥物

知識方面有待加強但是我學懂了如何與

不同身份的病人相處之道溝通上也得到

了很大的進步獲益不少除此之外我

也真正體會到如何做一個好護士並清楚

了解這個行業是否適合自己鐘樓也不是

一天就能建成而是需要一磚一瓦搭建而

成的所以在學習上我們不但要打好

穩固的基礎還要增強醫療知識在技巧

上馬虎了事和走捷徑是於是無補的應

該多探究和練習才行這樣才對得起病人

和自己也減少不必要的醫療失當事故

總之多一份認真多一點耐性多一些

愛心就是學護必記的左右銘 上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

ldquoit is reasoNable to expect the doctor to recogNise that scieNce May Not have all the aNswers to probleMs of health aNd healiNgrdquo ndash NorMaN cousiNs

50 | Caduceus September 2011

Fun Corner

Medical AppsEver wondered how your handheld device can save your time and

effort when it comes to studying Here is how

Anatomy Pronunciations by HipposoftAccurate pronunciations of over a hundred important anatomy terms you have trouble with are provided

at your fingertips to help you spell those difficult words Anyone who has taken an anatomy course can tell you how challenging it can be to pro-nounce the names of those complicated anatomi-cal terms It is even linked directly to Wikipedia and Google through web browser for additional information

iPharmacy ndash Pill Identifier and Medication Guide by SigmaPhone LLCAn essential medication guide of 20000+ drugs is provided for con-sumers amp professionals This ex-

pands the image library to include 12000 pill and package images and includes digital drug identifier with official drug information (indica-tions dosage adverse reactions and more) You can check the drugs anywhere

Grades 2 by TapityIt tells you what grades you need in the coming tests in order to get your target grade You can easily calcu-late your GPA so as to maintain it It

is a useful tool helping you to keep an eye on your GPA all the time

Human Anatomy by SusaSoftXThe application provides you with information of 15 different biologi-cal systems You can keep on revis-ing while you are traveling without

carrying heavy books

Medscape by WebMD LLCFrom drug classes interaction clin-ical procedures and even the lat-est medical news Medscape helps medical students and healthcare

professionals to reiterate knowledge that has slipped from the mind It is a free application for iPhone iPad Android and Blackberry Yet it contains more function on Android phones and Apple products and lacks detailed clinical infor-mation for diseases and clinical procedures walk through on Blackberry

Pro Medical Terminology Dic-tionary by TreascoveryTerminology might be a tough work for medical students Even if we can master those English terms we can

hardly think of the Chinese terms This applica-tion can help you when you face this problem Note that it is not a free application

3M Littmann SoundBuilder by 3M CompanyA great tool designed to help im-prove auscultation skills of medical students with 14 unique lessons of

key heart sounds combing text virtual manne-quin 3D cardiac animation and dynamic wave-forms

iRadiology by Liebermans iRadi-ologyAn excellent learning tool for medi-cal students demonstrating classic radiological findings of a multitude

of abnormalities including over 500 radiologic images Radiologic images include CT US MRI and nuclear imaging each clearly labeled and followed by key teaching points

Micromedex Drug Information by Thomson Reuters (Healthcare) IncIs Cephalexin a first generation ce-phalosporin This application from

Thomson Reuters is the easiest way to navigate in the sea of drug names Drugs are sorted by classes and supplemented with rich information

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 39: Caduceus Issue 2, Volume 42

hkucaduceusnet | 39

宿生們之所以會熱衷於舍堂活動因他

們對自身舍堂有強烈的歸屬感好比中學

時學生參加校際比賽要是沒有歸屬感

就不會有心參加所屬舍堂的活動

除舍堂之間之活動樓層之間亦有各類

活動樓內亦然只要有人的地方就有玩

樂彷如天天宿營你不會有機會偷偷早

睡其他樓友常常打擾你你原來的生活

時間會推後數小時睡於二時已是罕有

早上的八半堂彷如無物

可以住宿但不參加活動嗎當然可以

但你會面對的是朋輩壓力他們雖未必逼

你參加卻會在言談中有意無意的滲出

來那種壓力不只限於自己樓層甚至是

跨樓層千萬可別輕看宿中流言

上莊

有人說上莊所學遠超課堂上莊所學

的是如何籌辦活動非常實用有時要對

外聯絡有時要面對公眾helliphellip像是要為將

來工作鋪路似的當然這亦要視乎你上

的是甚麼莊

一般而言上莊可訓練你待人處事的技

巧有時表面看來很友好的朋友當背

負上一定的要求後關係少不免有磨擦再

者初時莊員素未謀面最後卻因朝夕相

對而演變成朋友這段關係是很可貴的

成莊前要宣傳內閣爭取選票成莊了

又要舉行咨詢大會包受歷莊指導然後

又有就職典禮此後的活動更接踵而至

當然包括迎新活動招莊活動等helliphellip君不

見很多人視莊房為睡房少不免有「通

頂」之時忙是忙但必有價值至於是

好是壞要看自己的造化了

拍拖

人上了大學有時心思思想拍拖眼見

身旁多個好友都紛紛拍拖自己少不免羨

慕別人這想法十分正常畢竟大學生真

的可以放下只讀書的重擔真的可以規劃

人生大事了

香港大學一些營新活動中隨了Round Table外還有Round Status即說自己現在有否拍拖以及拍過多少次拖如 

A 0即Ava i lab l e之前至現在沒有拍拖O1即Occupied之前至現在共拍了一次拖當然也有一些同學自己創的甚

麼OBA (Occupied But Available)或D10(Desperate拍過10次拖)等等至於Round Status的動機何在可能是組爸媽想穿針引線吧當然也可能是別有用心的

不同人對拍拖有不同想法上了大學更

有不同擇偶條件人大了在感性的議題

上往往加上種種理性的數據開始現實起

來哪個帥哪個富有哪個有前途helliphellip

有些不在乎天長地久只求剎那的光輝

有些求虛榮有人疼愛在朋友前炫耀

有些甚至會在拍拖前已想定分手後的模

樣所以不想選擇跟自己同科的同學

活動

不同團體(包括舍堂學會及學校部

門)都有不同活動不用愁沒事幹只用

愁沒時間只要多留意Portal Mass Email或Main Campus海報不難發現幾乎每天都有各樣活動動靜皆宜開學時有迎

新營考試時有勁過飯新學期有開Sem

飯有些學會如戲劇舞蹈合唱團不時

有演出有關運動的學會則多練習以參

加比賽有關學術的也有很多興趣班講

座比賽等想幫人的亦可參加義工團

體如蛇蛇豬扶青等舉辦的義工活動

兼職

大學生的兼職大多以補習為主畢竟

這是我們能力範圍內可賺取最多外快又是

時間最彈性的工作有些人卻因補習不能

寫在履歷表而選擇別的工作然而很多時

我們都要在兼職與大學活動中取捨我的

ldquotake a chaNce all life is a chaNce the MaN who goes farthest is geNerally the oNe who is williNg to do aNd darerdquo ndash dale carNegie

40 | Caduceus September 2011

E mily was the chairperson of Pharmacy Socie-ty session 2010 As a student she has actively

participated in holding activities for many medical stu-dents and taken part in providing welfare to all phar-macy students Her following sharing will especially enlighten our new pharmacy students

Q Why did you choose Pharmacy SocietyA To be frank ldquosheung jongrdquo was really out of

my expectation when I anticipated my university life However my perspective has changed when I officially became a pharmacy student in HKU As members of the opening class of the Pharmacy programme my classmates and I realised the importance of having our own student body We do need an independent soci-ety to represent us pharmacy students to cater for our specific needs to listen to our points of view and to act as a bridge to facilitate our communication with the Medical Faculty the entire university and ultimately the pharmaceutical field in Hong Kong My class-mates and I who later became ldquojong yausrdquo believed we should act immediately to establish and run our own society which is why I decided to ldquosheung jongrdquo

Q Would you like to share some of the pros and cons of sheung jong

A ldquoSheung jongrdquo definitely helped me achieve per-sonal growth It was a concurrent commitment and re-sponsibility to serve and to lead our colleagues Bear-ing this in mind we always pushed ourselves to attain the best of our work ethics efficiency and efficacy As the very first session of the Society we lacked the guidance of any previous committee member Instead analysing carefully and critically we thought better of every decision which I personally found an enriching experience ldquoSheung jongrdquo was also an eye-opening journey Wersquod got to meet different people and learnt more about the professional work for as our career-to-be after graduation This in my opinion is always beneficial Last but not least I was fortunate enough to have worked with my amazing fellow committee mem-bers I frankly couldnrsquot ask for better ldquojong yausrdquo than initium Irsquom absolutely thankful for having them as my friends and it is definitely my greatest gain along the way

Despite the merits ldquosheung jongrdquo definitely has its downsides as well It is a lie to say ldquosheung jongrdquo does not affect our daily life because it does take up a big chunk of our time At the end of the day it is about time management which is easy to say but extremely dif-

建議是如家庭環境較困難賺錢吧反

之可以多留時間給各活動畢竟大學一

年的學費不只值那幾十堂課如何善用這

$42100就在乎你如何投入大學生活

讀書

假若你認為大學的考試可考核學生的

真正讀書能力並要求學生活學活用課堂

所學那麼你大失所望了假若你善於背

誦有過目不忘之本領大學的筆試不會

難倒你只要靠著前人留下的歷屆試題

背到滾瓜爛熟是不可能不及格的很多屆

試卷都是千篇一律的很多教授可沒空大

改試題那同學們就走運了有些課堂

即使再專業的學科都會有只理論無實

踐的課堂然後考試就要你把一大堆理論

背出來helliphellip例如甚麼叫批判思維噢

我可不知道只知道我掉了5分

不同學系在某程度上定下了人的前途

對於醫學院學生而言前路是較清晰可見

的但對於非專業學科前路不可只靠讀

書也許要靠自己另外摸索讀書所帶來

的必然是較高的GPA高GPA所帶來的是

獎學金到外國交流工作實習日後工

作機會等等當然大學學習不只局限於

讀書會否因此失彼就只有自己知道

蝶翼拍動之時往難以預料機會是

要自己摸索的

如經上所記

「神為愛他的人所預備的是眼睛未曾看見耳

朵未曾聽見人心也未曾想到的」

(哥林多前書29)

「栽種的和澆灌的都是一樣但將來各人要照自

己的工夫得自己的賞賜」

(哥林多前書38)

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

Freshmen

hkucaduceusnet | 41

ficult to achieve Also working as a Committee mem-ber can be very exhausting and difficult You definitely need lots of determination and support to get through some of the busiest times

Q How did you handle and balance the workload of study and your ldquojongrdquo

A As Irsquove said before it was tremendously difficult I guess my best advice for the future committee is to know your limitations and always plan ahead You have to know your time to work to rest to study etc No one will be over-worked and eve-ryone will have some personal time if you share the burden wisely between ldquojong yausrdquo Secondly you have to make very clear plans so that you can make full use of every little piece of your time I may not have succeeded in my time management but most of my ldquojong yausrdquo managed to do so de-spite the packed schedule of our Soci-ety This is sufficient proof of ldquoimpos-sible is nothingrdquo

Q As there are only about 25 pharmacy students per class do you have any suggestions for P14 fresh-men to make more friends from other curricula

A It really depends on what kind of person you are If you consider your-self socially active living in a hall or ldquosheung jongrdquo will be a great idea for you But if you see yourself as a much quieter person you can still make use of opportunities such as Medic Orien-tation Camp and other events jointly organised by student bodies within the Medical Faculty to make new friends

Q Any special things for P14 freshmen to be aware of

A First of all welcome You all are now members of Pharmacy Society MS HKUSU and I would like to let you know that this is a student body aiming to serve you Thus feel free to share your viewpoints and voice out your opinions to the current Com-mittee members The Society has to

understand your needs to improve and provide better welfare and services for you

Q Any other comments or important things to re-mind P14 freshmen

A If you would like to get to know more fellow pharmacy students especially students from P12 and P13 grab the opportunity to join the Pharmacy Society Orientation Camp and the Mentorship Programme These are great chances to make new friends and Irsquom sure you will enjoy them

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

ldquoas huMaN beiNgs we do chaNge grow adapt perhaps eveN learN aNd becoMe wiserrdquo ndash weNdy carlos

42 | Caduceus September 2011

筆 者是一位護理系的學生半年前有幸成為二零一一年啟思編輯委員會的總編輯在期間所體驗到的希望藉著這次機會作出分享特別希望新加入醫學院的同學

能對「上莊」有更多了解

上莊之路上莊是大學五件事之一證明它對大學生

活有一定的重要性一定的位置筆者在初入學的時候曾為了上莊與否而煩惱猶豫了好一段時間期間考慮到自己能力怕學業應負不來但最後仍然下了上莊這個決定原因是上莊是個難得的機會充實增值自己不同的莊會提供不同的機會讓莊友去學習透過不同的莊務去讓自己眼界擴大另外可以了解醫學院內發生既事情例如院內活動的進展情況更可以參加舉辦院活動為醫學院出一分力最後當然會認識到將會相處一整年的莊友工作伙伴有機會認識到不同學系的同學從他們身上可以觀察到學習到各種的特質從而令自己有所進步有所啟發

護理學生作為護理系學生起初擔任總編輯一職實

在是倍感壓力畢竟歷屆的總編輯都是由醫科生出任因此筆者起初都害怕跟醫科生共事怕自己的能力不足夠應付莊務所以起初都是戰戰兢兢地上莊

一位三年的護理學生曾對我說「我認為你不太尊重護理系護理系和醫科都是個專業希望你能加以尊重自己的學系不要輕視護理這個學系你要肯定自己的學系才能帶領整支莊因為莊內成員來自不同的學系你必須肯定和認同每個學系都有一定的重要性以及其專業」這番當頭棒喝的良言令我明白到自己一直都太輕視護理系過於重視醫科現在我明白到認同自己學系是尤其重要只有這樣才可以用自己學系的身份去發表意見只有認同自己學系才懂得尊重其他的學系莊內便可以融洽一點

在筆者的莊友中醫科生都是較有責任感而且做事更有計劃從他們身上的確學到不少東西這點是無可否認的事實筆者並不是在分享學系與學系之間的差別而是希望有志上莊的同學能互相尊重明白到各學系的莊

友都有其值得學習的地方起初對其他學系有隔膜是無可避免的畢竟對他們的學系都不太了解又沒有歸屬感但如果因為對方是別的學系而輕視對方的人不但失去與人相處學習的機會而且會令莊內的氣氛失去和諧

幸好的就我所見所聞醫學院內的莊多年來都能融洽相處互相支持令到一眾上莊的同學都能輕鬆地享受上莊的喜與樂甚至是不愉快的事情

依靠你的莊友莊是一個團體不是一兩個人可以應

付得來所以筆者認為與莊友互相溝通合作是個重要的元素新同學如果有志參與莊務期望從上莊中有所得著首要的事情是與莊友建立關係因為他們將會是你來年的工作伙伴也是你遇到困難時依靠的對象一位上莊曾對我說「其實一件的莊期不會令你有太大的得著或成長反而長久的友誼才是你將會得到最重要的」這句說話是千真萬確的上莊的人不會由詞不達意改變成談吐得宜不要期望自己會有驚人的轉變也許上莊會令人處事成熟一點有計劃一點但上莊所得到的關係將會是更重要更珍貴一年的相處中面對過有無數的會議共同處理過不少困難從中

建立的友誼真的是畢生受用

責任感上莊另外一個十分重要既條件就是責任

感有志上莊的同學必須明白到莊期是長達一整年在繁重的學業中騰出時間來處理莊務是個考驗責任感和毅力的測試同學必須再三思考想清楚自己是否真係熱衷於上莊或是只是一時衝動畢竟你將要許下的是一年的承諾必須對這個莊負上責任願意付出才選擇上莊這個決定這樣的付出就會有相對的回

總結上莊的確是個好機會讓自己去學習從處

理事務中或是從莊友身上都會有所得著充實著自己的大學生活從中可以認識到各學系的同學建立一段段受用終身的友誼在此筆者希望各學系的新同學可以善用機會作出上莊這個無悔的決定

護理系的啟思總編石志榮 (N14)

新鮮人

hkucaduceusnet | 43

慈兄吟(下)奇晶

最 後還是麥教授先開了口「他的確是一個好學生對醫學有獨到見解他不但學業成績優異而且樂於助人你是他的妹妹吧」婉慧努力控制自己的淚水繼繼續續的說「是啊但helliphellip但helliphellip我不知道helliphellip他竟會在這裏出現」麥教授用悲天憫人的目光看着婉慧語重深長說「人生自古誰無死人生命的有為與否並不取決於他生命的長短而是在於人生的意義你哥哥雖然最後當不了醫生但他的犧牲卻間接為一些同學做醫生鋪路讓他們做醫生去救人這真是一種無私的愛」婉慧點點頭覺得自己對哥哥的了解實在太少了

最後她還是孤獨的離開實驗室她覺得自己跟哥哥比起來實在相差得太遠了原來他除了是十優狀元在醫學院的成績名列前茅外還是個熱心助人的好青年自己除了少了一優外少的更有對別人的同情及樂於助人這造就了她心靈上的空虛她明白到冷漠不是一種對哥哥思念的正當表達方法她應該做的是把哥哥對其他人的愛傳揚開去以圓他的心願

第一步往往是最困難的婉慧平日對他人的態度已令不少人對她敬而遠之有很多次她嘗試向同班同學投以友善的笑容得到的總是詫異的目光或別人的不理不睬在小組討論中儘管她踴躍發言盡量避免冷場的發生偶同學們卻認為她變本加厲想阻止同學們取得好成績她四處碰壁又再次陷入了想念哥哥的深淵

時間一天一天過去了上學期考試前的休假開始了婉慧每天都勤奮的在圖書館溫習期望取得好成績這時候的圖書館堆滿了人如果遲來一個小時想找一個位子也難就在假期的第二天同班的王文在圖書館跑得氣急敗壞仍找不到一個座位婉慧不知怎樣有點同情他將座位讓給他王文驚訝道「不用了我還是回家吧真倒楣遲來了一個小時就沒有『接位』」

「但你住在哪裏呀」

「元朗今天早上我忘了校鬧鐘八時才起」

「那你還是要我的座位吧我可以坐到電腦桌因為我認識的人不少沒有什麼人會打擾我的」

王文謝了她頓時對這位冷漠的同學刮目相看原來她的內心也是溫暖的這並不是他所能料及的坐在電腦桌前溫習的她也感到特別的快樂溫習的速度也快多了王文就此成為了她的「飯檔」考試期間每天和她一起吃飯他更將自己的好友介紹給婉慧認識

在一個晚上她又悄悄的在圖書館的角落溫習着突然一隻溫暖的手搭着她的肩上她抬起頭但見解剖學的同桌手中拿着一杯熱飲輕輕的放在她的桌上婉慧正感詫異卻聽見他說「這杯熱巧克力是給你的繼續努力吧」她喝着巧克力心中感到一股暖流彷彿哥哥的關懷又在她內作出回響

十年生死兩茫茫不思量自難忘千里孤墳無處話淒涼helliphellip

寒風吹起了她額上的劉海佇立在墓前的婉慧不禁凜冽她想起了從前想到自己最後一次和哥哥吵架雙方面紅耳赤的情況想起自己無法親口跟哥哥道歉想起哥哥無私的付出她對着那空虛的墳心中不忍一陣淒然淚水漱漱的流下來她身旁攜扶着年紀老邁的母親邊拭淚邊喃喃道「我的兒子helliphellip歿了helliphellip」大家心情漸漸平復了緩緩走出了墳地

雨一滴一滴的落下飽歷辛酸的婉慧卻仍在懸壼濟世

短篇

ldquoyesterday is but todayrsquos MeMory aNd toMorrow is todayrsquos dreaMrdquo ndash khalil gibraN

44 | Caduceus September 2011

Eternal Flame (1)Tulipa

Itrsquos cold The chills from my fingertips imbibe deep into me This person drills into my mind digging out the truth inside me Itrsquos agonizing She comes right inhellip di-rectly I cannot stop her

Irsquom losing myselfhellip

My hand felt the soggy pillow I realised I had come back to life the world where I lived Staring blankly at the ceiling still losing focus in my eyes I felt my brows with my forearm For the first time I didnrsquot want to lose this feeling

The bedroom door slowly opened I quickly rubbed off the drops that had blurred my vision pretending that I had just woken up

ldquoDo you have lessons this morningrdquo My grand-mother whispered into my ear

ldquoOh goshrdquo I turned right to my alarm clock It was the real life I had forgotten to turn the alarm on last night and it was now seven thirty I knew it I was going to be late every time she caught me in bed Irsquod got to hurry up

Living in Hong Kong Island though it took me more than an hour to get to school I had to comfort my little brother sometimes till two or three in the morning in order to get him to sleep In addition to the consistently heavy study load in the medical school I could hardly get enough rest Running on my heels al-most became my routine starting from last November But I well understood the consequence of skipping lec-tures It was the beginning of the Cardiovascular Sys-tem Block For someone like me who gave least priority in revising Anatomy materials lectures remained the prime source of information for exams Absence from class was suicidal To make the situation worse this professor was one of those who did NOT upload lec-ture notes online

Hoping I wouldnrsquot arrive too late to miss the impor-tant points I finally stepped onto a route no 8 minibus at ten past eight What I could do now was to pay trust in the driver who would bring me to my destination

Coaxing kids was never easy Little Bruce just hap-pened to give me such a hassle last night

He knew I would check on him when I returned home Sitting right next to the door of his room he begged me for a story once I opened the door I sat down together with him on his little couch after Irsquod taken a quick shower This was a time to relax leaving

aside all the other concerns

Kindling through his favourite reader I saw that he wasnrsquot listening but distracted by all sorts of toys around He even invited me into his world of fantasy But it was getting late I had to calm him down so that I too could have some rest Being one of the brightest in his elementary school he should understand this was not the time for recreation

I began to feel annoyed

Yet he was my brother I had a gut feeling that this was unusual He didnrsquot use to be so ldquohyperactiverdquo It re-ally took me a while to adjust to his change With him still tossing and turning in my arms I apprehended his restlessness Unpredictable though he was true to his feelings In one way or another he might find the shadow of our mother in me

He finally settled when I laid him back in bed It was nearly two forty in the morning

The first week of the CVS Block ran as plotted PBL tutorials would start on next Monday Dr Youngrsquos fa-cial expression in the first PBL evaluation flashed over my Embryology notes and references She didnrsquot teach Embryology but I could tell she did have a hypertroph-ic heart-shaped face which looked familiar to the dia-grams in the Atlas

Back in the IHD Block most of us were puzzled about the scrambled content of our course Various forms of seemingly related knowledge came in through lectures practical and tutorial sessions But the neural circuit formed in our brain just failed to resonate as if the conductance-inductance mismatch had aberrated our thought from minimal impedance Sometimes things even happened in a ldquomore-than-extrardquo manner The presence of common core courses in a parallel but independent branch in the network could rightly be detached without causing a blip on the galvanometer Everything was dubious We had no idea of what we were doing

Maybe we were just on the way seeking for a sense of attachment

My mind too was racing in haste I was struggling with my decision to become a doctor Too many things had happened over the year I just couldnrsquot stop ques-tioning myself what was I thinking when I put lsquo6456 MBBSrsquo in my JUPAS application I should have expect-ed and prepared to face all these I just didnrsquot knowhellip

Novella

hkucaduceusnet | 45

It was midterm evaluation in the IHD Block Her face looked tense in that heart shape She was so stiff in her facial expression that no one could read her mind from her poker face The conference room of the Physi-ology Department was large We seemed to be the odd ones out in the spacious carpeted room In this secre-tive silence you could hear the drumming in your ears as if you were tingling

I realised this was not a matter of ldquoam-I-suitable-for-a-medical-careerrdquo but ldquois-a-medical-career-suita-ble-for-merdquo I was lying in bed playing with my plush bear when these thoughts burst in me Dr Young looked through me She felt certain that different from other group mates there were crises behind me But I didnrsquot tell her anything that day

We all were sensitive At times some subtle trepi-dation seeped in gradually sucking peace away from my sleep It was so to say below threshold sub-lethal though it lingered for weeks once it set inhellip

Drenched in bloodhellip There is no life in the boy His eyes are widely opened slightly protruded The lifeless pair of black pearlshellip I cannot escape from his glance He wants to talk to mehellip There is something he wants me to know

A van runs over himhellip

I fell down the edge of my mattress Breathing heavilyhellip Sweating all overhellip

ldquoScreechrdquo People began to gather around a tel-ephone booth a few metres behind us

I turned back I couldnrsquot see a lot from this anglehellip

ldquohellip What a pity He is so younghelliprdquo a middle-aged couple passed by

The victim resting just in front of the wheel looked towards me through a break in the crowdhellip

As we were wandering around thinking what to eat for dinner my cousin found me standing there rooted to the ground stunned by the victimrsquos gaze My heart was pounding She wouldnrsquot believe what I was again experiencing For a number of times already scenarios in my dreams were mirrored into reality

I couldnrsquot tell her

ldquoI was just thinking whether you would like Korean cuisine There is a new restaurant two corners awayrdquo I made up a talk while escaping from the scene so that I wouldnrsquot look so strange

ldquoWhy not go and have a try thenrdquo She was not dis-appointed for calling it a day as the food there was sur-prisingly good

Not until some years ago when I was Form 3 in college I discovered my ability to look into the future Sometimes I could see them coming up on the news in days or weeks And some didnrsquot ever happen at least not around me But seeing the night visions coming into concrete existence wasnrsquot always a pleasure when the mental images turned gradually into mostly night-mares When I visualised my close ones it felt like I was in the middle of an insecure chain bridge above a torrent that would sweep me into the vast ocean with no return It was entirely different from what you might understand as ldquodreams come truerdquo

I had witnessed misfortunes in proximityhellip

But I could do nothing about ithellip

Friends were a source of solace someone to con-fide all frustrations in But with my paranormal ability which appeared to everybody else only on screen-plays I wasnrsquot courageous enough to open my life wholeheartedly to them Seldom talking about myself avoiding all sorts of gatherings I became an eccentric figure among my classmates

Sometimes mutual understanding carried more weight than words I remembered my physics teacher being one of my few friends during my teen years De-spite his boisterous faccedilade he was always sensitive to whenever I was dwelling on my burdens Physics was our common language Intermingling our emotions and feelings with concepts that were alien to my fel-lows we developed a close rapport impenetrable by anyone else

ldquoWhat is the nature of a flamerdquo This was the most discussed problem between us Neither in solid liquid nor vapour state Not having any definite shape and colour It seems not any material but a type of energy giving out heat and light At the moment of providing it also exhausts its fuel and eventually itselfhellip

The romance of physics is more than anything you could read write and talk about Once you were truly connected with it nothing can stop you Your mind will bounce irrespective of the chronology of space-time but only under the guidance of your thoughts

I was so devoted to the discipline at the time that I was almost making it my lifelong career in some way He envisaged that I would demand much more than any academia could provide with its scientific basis alone We were both seeking a philosophy beyond the facts But Hong Kong may not be the right place for it

I made him a promise at the end to contain our flame and I knew I would

For the first and the last time I saw his eyes filled with tears We knew existence by itself is a miracle

ldquoi love life because what More is thererdquo ndash aNthoNy hopkiNs

46 | Caduceus September 2011

說華佗都說「華佗再世」誰知箇中真諦雲方 (M15)

烽煙起戰火燃萬里 

三國並爭英雄地亂世有誰顧生死 

待神醫行世將民眾救濟

渺渺江山東西瞰俞跗巧手扁鵲心(1) 應向何處尋 

滾滾黃沙無世家終有奇士放奇葩

沛國 華元化(2) 

他經書貫通南北遊動 

一望斷症如神助三劑消病不必多

說斷症悉如所料 

甘陵 相夫人腹痛極難忍(3) 號脈知死嬰在左為男形(4)廣陵 梅軍吏除名歸故里

見貌知壽盡速返見萱椿(5) 

說消病藥到病除 

飲蒜醋有三升蟲一嘔而盡清 (6)母服丸而溫儲兒不藥而自癒 (7)

絕妙處 

是他開腸剖腹刀至辟毒 

神醫號 

除他內外皆精有誰配稱

[1]   俞跗黃帝時代之名醫扁鵲春秋戰國之名醫《淮南子人間訓》「患至而多後憂之helliphellip雖有扁鵲俞跗之巧猶不能生也」

[2]   華佗字元化沛國人(今安徽 亳州)

[3]   甘陵相(即甘陵之行政長官)夫人懷胎六月腹痛不安華佗為其切脈便知胎死於是命人摸知所在在左則男在右則女人云「在左」夫人飲藥後果然產出男胎腹痛立即痊癒

[4]   廣陵有軍吏名曰梅平離鄉服役後來退役歸家於路上巧遇華佗華佗視之嘆道「若能早些見我當不至於此而今你僅餘五日壽命速速回家還能與家人相見」平旋即趕抵故鄉五日後亦如料身亡

[5]   萱椿多作椿萱比喻父母漢牟融《送徐浩》詩「知君此去情偏切堂上椿萱雪滿頭」

[6]   華佗見路邊有人食不下嚥教他到路邊餅店買醋三升混上蒜泥然後飲用路人服後即吐出一條長蛇(即寄生蟲)

[7]   兩歲男孩長年腹瀉藥石無靈華佗往診謂病在母命其服用華佗親研之「四物女宛丸」服後母親乳汁不再寒涼男孩亦不藥而癒

意興

hkucaduceusnet | 47

只可惜人無完壁

「關將軍使君予我手刮骨惡毒走

曹丞相使君予我頭剖顱苦痛收」

「怎能不收怎能不收一命嗚呼萬事休 

簡直荒謬簡直荒謬殺此庸醫未須愁」(8) 

五禽戲尚能傳 (9)麻沸散從此絕 

何不一飲醉死不知世忍氣吞聲事權貴 (10)心神委曲須臾苦奇術失迭千秋計 

烽煙止無改生死事 

且當醫仙謫世間神技終須風裏散 (11)回首仰高山景行請君範 (12)

[8]     曹操欲殺華佗臣下勸之不可答曰「不憂天下當無此鼠輩耶」

[9]     死前華佗欲托所著醫書於獄卒不果便盡數焚毀唯有其養生體操「五禽戲」流傳後世

[10]   《三國志魏書方技傳》「當須刳割者便飲其麻沸散須臾便如醉死無所知」

[11]   唐白居易《簡簡吟》「恐是天仙謫人世只合人間十三歲」

[12]   景行(音航)即大道以高山景行比喻人品德行為之高尚典出《詩經小雅車轄》又東漢鄭玄曰「古人有高德者則慕仰之有明行者則而行之」

ldquothe art of MediciNe was to be properly learNer oNly forM its practice aNd its exerciserdquo - thoMas sydeNhaM

48 | Caduceus September 2011

啟程

清晨空白的天空看不見藍天雲彩

只有溫柔的雨絲和朦朦朧朧的霧水跟隨

著大隊的足印踏上沉重的腳步穿過橫

街小巷和煩囂熱鬧的市場走過自動門

撲鼻的消毒藥水味道讓大家屏住呼吸筆

者和夥伴們終於到達了入讀護理系以來第

一次實習的醫院

還記得在實習的前幾天心情是既忐忑

又期待的畢竟這一次實習的地方不再是

在社區中心宣傳健康方面的知識亦不是

只面對著健康活潑的小朋友和老友記或是

學校課堂上所提供的假人張靜汶卻是照

顧一羣真正需要關懷的病人心中充滿著

憂慮不知自己所學的知識足夠在應用上

嗎自己平日的練習足夠嗎雖然心存在

著不少疑惑但也十分期待可以體會一下

做小學護的感受嘗試把這一年裡所學到

的知識運用出來

很多的第一次

在病房裡總有心酸和膽戰心驚的時

候第一次為昏迷的病人清潔口腔第一

次為難以進食的人插入胃喉第一次為老

公公清洗背上壓瘡的傷口helliphellip照顧他們時

的心情都是一步一驚心生怕自己沒法應

付得來又怕會把事情弄得更糟糕最重

要的是恐怕自己不純熟的技巧令他們受苦

了記得有一回第一次為女病人插入尿

喉採取尿液樣本可能技巧不太純熟的關

係延長了病人的痛苦過程中她皺著

眉頭不斷呻吟又緊張得咬破脣眼看

她樣子心中真的不是味兒來身為病人

的其中之一依靠我們不得不給自己信

心如果連自己也不相信自己哪會有病

人願意把他們交給我們照料呢

捕捉那瞬間的美麗與淒然何麗敏 (N14)

上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

意興

hkucaduceusnet | 49

另外第一次面對病人的心情是頗為

緊張的說話技巧亦有改進的空間但和

病人傾談了數分鐘後氣氛也漸漸變得和

諧可能那些老公公整天呆在醫院裡真是

悶到慌看見一羣年青人與自己聊天照

顧和關心他們他們不禁咧嘴而笑醫院

職員透露有一位老公公平日不太願意吃東

西於是我們便主動和他談天說地又

悉心照料他進食的情況後來他不但胃

口好了不少就連心情也開朗了他生動

活潑的談吐讓我們笑了他回復健康精

神的體魄也讓我們感到安慰

相處片刻

雖然為期一星期的病房日子不是特別繁

忙或是辛勞但是也會有不習慣的時候

幸好得到醫院職員和一班夥伴的支持病

房經理和註冊護士不但相信我們的能力

對學護的包容更是不用多說還主動地介

紹病房的環境和細心地教導我們醫療護理

上的知識讓我們上了一堂實在而又寶貴

的課同時今次的實習也令我感到團體

精神也十分重要在技巧上大家互相提

點互補不足當有人準備照料有需要的

病人如插喉或洗傷口等大家送上一句 

「加油」就能令對方增加不少自信心和正

能量無論遇上甚麼事情我也榮幸有如

此一班學習夥伴從旁支持

學習的階級

在這一次病房實習中雖然醫療和藥物

知識方面有待加強但是我學懂了如何與

不同身份的病人相處之道溝通上也得到

了很大的進步獲益不少除此之外我

也真正體會到如何做一個好護士並清楚

了解這個行業是否適合自己鐘樓也不是

一天就能建成而是需要一磚一瓦搭建而

成的所以在學習上我們不但要打好

穩固的基礎還要增強醫療知識在技巧

上馬虎了事和走捷徑是於是無補的應

該多探究和練習才行這樣才對得起病人

和自己也減少不必要的醫療失當事故

總之多一份認真多一點耐性多一些

愛心就是學護必記的左右銘 上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

ldquoit is reasoNable to expect the doctor to recogNise that scieNce May Not have all the aNswers to probleMs of health aNd healiNgrdquo ndash NorMaN cousiNs

50 | Caduceus September 2011

Fun Corner

Medical AppsEver wondered how your handheld device can save your time and

effort when it comes to studying Here is how

Anatomy Pronunciations by HipposoftAccurate pronunciations of over a hundred important anatomy terms you have trouble with are provided

at your fingertips to help you spell those difficult words Anyone who has taken an anatomy course can tell you how challenging it can be to pro-nounce the names of those complicated anatomi-cal terms It is even linked directly to Wikipedia and Google through web browser for additional information

iPharmacy ndash Pill Identifier and Medication Guide by SigmaPhone LLCAn essential medication guide of 20000+ drugs is provided for con-sumers amp professionals This ex-

pands the image library to include 12000 pill and package images and includes digital drug identifier with official drug information (indica-tions dosage adverse reactions and more) You can check the drugs anywhere

Grades 2 by TapityIt tells you what grades you need in the coming tests in order to get your target grade You can easily calcu-late your GPA so as to maintain it It

is a useful tool helping you to keep an eye on your GPA all the time

Human Anatomy by SusaSoftXThe application provides you with information of 15 different biologi-cal systems You can keep on revis-ing while you are traveling without

carrying heavy books

Medscape by WebMD LLCFrom drug classes interaction clin-ical procedures and even the lat-est medical news Medscape helps medical students and healthcare

professionals to reiterate knowledge that has slipped from the mind It is a free application for iPhone iPad Android and Blackberry Yet it contains more function on Android phones and Apple products and lacks detailed clinical infor-mation for diseases and clinical procedures walk through on Blackberry

Pro Medical Terminology Dic-tionary by TreascoveryTerminology might be a tough work for medical students Even if we can master those English terms we can

hardly think of the Chinese terms This applica-tion can help you when you face this problem Note that it is not a free application

3M Littmann SoundBuilder by 3M CompanyA great tool designed to help im-prove auscultation skills of medical students with 14 unique lessons of

key heart sounds combing text virtual manne-quin 3D cardiac animation and dynamic wave-forms

iRadiology by Liebermans iRadi-ologyAn excellent learning tool for medi-cal students demonstrating classic radiological findings of a multitude

of abnormalities including over 500 radiologic images Radiologic images include CT US MRI and nuclear imaging each clearly labeled and followed by key teaching points

Micromedex Drug Information by Thomson Reuters (Healthcare) IncIs Cephalexin a first generation ce-phalosporin This application from

Thomson Reuters is the easiest way to navigate in the sea of drug names Drugs are sorted by classes and supplemented with rich information

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 40: Caduceus Issue 2, Volume 42

40 | Caduceus September 2011

E mily was the chairperson of Pharmacy Socie-ty session 2010 As a student she has actively

participated in holding activities for many medical stu-dents and taken part in providing welfare to all phar-macy students Her following sharing will especially enlighten our new pharmacy students

Q Why did you choose Pharmacy SocietyA To be frank ldquosheung jongrdquo was really out of

my expectation when I anticipated my university life However my perspective has changed when I officially became a pharmacy student in HKU As members of the opening class of the Pharmacy programme my classmates and I realised the importance of having our own student body We do need an independent soci-ety to represent us pharmacy students to cater for our specific needs to listen to our points of view and to act as a bridge to facilitate our communication with the Medical Faculty the entire university and ultimately the pharmaceutical field in Hong Kong My class-mates and I who later became ldquojong yausrdquo believed we should act immediately to establish and run our own society which is why I decided to ldquosheung jongrdquo

Q Would you like to share some of the pros and cons of sheung jong

A ldquoSheung jongrdquo definitely helped me achieve per-sonal growth It was a concurrent commitment and re-sponsibility to serve and to lead our colleagues Bear-ing this in mind we always pushed ourselves to attain the best of our work ethics efficiency and efficacy As the very first session of the Society we lacked the guidance of any previous committee member Instead analysing carefully and critically we thought better of every decision which I personally found an enriching experience ldquoSheung jongrdquo was also an eye-opening journey Wersquod got to meet different people and learnt more about the professional work for as our career-to-be after graduation This in my opinion is always beneficial Last but not least I was fortunate enough to have worked with my amazing fellow committee mem-bers I frankly couldnrsquot ask for better ldquojong yausrdquo than initium Irsquom absolutely thankful for having them as my friends and it is definitely my greatest gain along the way

Despite the merits ldquosheung jongrdquo definitely has its downsides as well It is a lie to say ldquosheung jongrdquo does not affect our daily life because it does take up a big chunk of our time At the end of the day it is about time management which is easy to say but extremely dif-

建議是如家庭環境較困難賺錢吧反

之可以多留時間給各活動畢竟大學一

年的學費不只值那幾十堂課如何善用這

$42100就在乎你如何投入大學生活

讀書

假若你認為大學的考試可考核學生的

真正讀書能力並要求學生活學活用課堂

所學那麼你大失所望了假若你善於背

誦有過目不忘之本領大學的筆試不會

難倒你只要靠著前人留下的歷屆試題

背到滾瓜爛熟是不可能不及格的很多屆

試卷都是千篇一律的很多教授可沒空大

改試題那同學們就走運了有些課堂

即使再專業的學科都會有只理論無實

踐的課堂然後考試就要你把一大堆理論

背出來helliphellip例如甚麼叫批判思維噢

我可不知道只知道我掉了5分

不同學系在某程度上定下了人的前途

對於醫學院學生而言前路是較清晰可見

的但對於非專業學科前路不可只靠讀

書也許要靠自己另外摸索讀書所帶來

的必然是較高的GPA高GPA所帶來的是

獎學金到外國交流工作實習日後工

作機會等等當然大學學習不只局限於

讀書會否因此失彼就只有自己知道

蝶翼拍動之時往難以預料機會是

要自己摸索的

如經上所記

「神為愛他的人所預備的是眼睛未曾看見耳

朵未曾聽見人心也未曾想到的」

(哥林多前書29)

「栽種的和澆灌的都是一樣但將來各人要照自

己的工夫得自己的賞賜」

(哥林多前書38)

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

Freshmen

hkucaduceusnet | 41

ficult to achieve Also working as a Committee mem-ber can be very exhausting and difficult You definitely need lots of determination and support to get through some of the busiest times

Q How did you handle and balance the workload of study and your ldquojongrdquo

A As Irsquove said before it was tremendously difficult I guess my best advice for the future committee is to know your limitations and always plan ahead You have to know your time to work to rest to study etc No one will be over-worked and eve-ryone will have some personal time if you share the burden wisely between ldquojong yausrdquo Secondly you have to make very clear plans so that you can make full use of every little piece of your time I may not have succeeded in my time management but most of my ldquojong yausrdquo managed to do so de-spite the packed schedule of our Soci-ety This is sufficient proof of ldquoimpos-sible is nothingrdquo

Q As there are only about 25 pharmacy students per class do you have any suggestions for P14 fresh-men to make more friends from other curricula

A It really depends on what kind of person you are If you consider your-self socially active living in a hall or ldquosheung jongrdquo will be a great idea for you But if you see yourself as a much quieter person you can still make use of opportunities such as Medic Orien-tation Camp and other events jointly organised by student bodies within the Medical Faculty to make new friends

Q Any special things for P14 freshmen to be aware of

A First of all welcome You all are now members of Pharmacy Society MS HKUSU and I would like to let you know that this is a student body aiming to serve you Thus feel free to share your viewpoints and voice out your opinions to the current Com-mittee members The Society has to

understand your needs to improve and provide better welfare and services for you

Q Any other comments or important things to re-mind P14 freshmen

A If you would like to get to know more fellow pharmacy students especially students from P12 and P13 grab the opportunity to join the Pharmacy Society Orientation Camp and the Mentorship Programme These are great chances to make new friends and Irsquom sure you will enjoy them

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

ldquoas huMaN beiNgs we do chaNge grow adapt perhaps eveN learN aNd becoMe wiserrdquo ndash weNdy carlos

42 | Caduceus September 2011

筆 者是一位護理系的學生半年前有幸成為二零一一年啟思編輯委員會的總編輯在期間所體驗到的希望藉著這次機會作出分享特別希望新加入醫學院的同學

能對「上莊」有更多了解

上莊之路上莊是大學五件事之一證明它對大學生

活有一定的重要性一定的位置筆者在初入學的時候曾為了上莊與否而煩惱猶豫了好一段時間期間考慮到自己能力怕學業應負不來但最後仍然下了上莊這個決定原因是上莊是個難得的機會充實增值自己不同的莊會提供不同的機會讓莊友去學習透過不同的莊務去讓自己眼界擴大另外可以了解醫學院內發生既事情例如院內活動的進展情況更可以參加舉辦院活動為醫學院出一分力最後當然會認識到將會相處一整年的莊友工作伙伴有機會認識到不同學系的同學從他們身上可以觀察到學習到各種的特質從而令自己有所進步有所啟發

護理學生作為護理系學生起初擔任總編輯一職實

在是倍感壓力畢竟歷屆的總編輯都是由醫科生出任因此筆者起初都害怕跟醫科生共事怕自己的能力不足夠應付莊務所以起初都是戰戰兢兢地上莊

一位三年的護理學生曾對我說「我認為你不太尊重護理系護理系和醫科都是個專業希望你能加以尊重自己的學系不要輕視護理這個學系你要肯定自己的學系才能帶領整支莊因為莊內成員來自不同的學系你必須肯定和認同每個學系都有一定的重要性以及其專業」這番當頭棒喝的良言令我明白到自己一直都太輕視護理系過於重視醫科現在我明白到認同自己學系是尤其重要只有這樣才可以用自己學系的身份去發表意見只有認同自己學系才懂得尊重其他的學系莊內便可以融洽一點

在筆者的莊友中醫科生都是較有責任感而且做事更有計劃從他們身上的確學到不少東西這點是無可否認的事實筆者並不是在分享學系與學系之間的差別而是希望有志上莊的同學能互相尊重明白到各學系的莊

友都有其值得學習的地方起初對其他學系有隔膜是無可避免的畢竟對他們的學系都不太了解又沒有歸屬感但如果因為對方是別的學系而輕視對方的人不但失去與人相處學習的機會而且會令莊內的氣氛失去和諧

幸好的就我所見所聞醫學院內的莊多年來都能融洽相處互相支持令到一眾上莊的同學都能輕鬆地享受上莊的喜與樂甚至是不愉快的事情

依靠你的莊友莊是一個團體不是一兩個人可以應

付得來所以筆者認為與莊友互相溝通合作是個重要的元素新同學如果有志參與莊務期望從上莊中有所得著首要的事情是與莊友建立關係因為他們將會是你來年的工作伙伴也是你遇到困難時依靠的對象一位上莊曾對我說「其實一件的莊期不會令你有太大的得著或成長反而長久的友誼才是你將會得到最重要的」這句說話是千真萬確的上莊的人不會由詞不達意改變成談吐得宜不要期望自己會有驚人的轉變也許上莊會令人處事成熟一點有計劃一點但上莊所得到的關係將會是更重要更珍貴一年的相處中面對過有無數的會議共同處理過不少困難從中

建立的友誼真的是畢生受用

責任感上莊另外一個十分重要既條件就是責任

感有志上莊的同學必須明白到莊期是長達一整年在繁重的學業中騰出時間來處理莊務是個考驗責任感和毅力的測試同學必須再三思考想清楚自己是否真係熱衷於上莊或是只是一時衝動畢竟你將要許下的是一年的承諾必須對這個莊負上責任願意付出才選擇上莊這個決定這樣的付出就會有相對的回

總結上莊的確是個好機會讓自己去學習從處

理事務中或是從莊友身上都會有所得著充實著自己的大學生活從中可以認識到各學系的同學建立一段段受用終身的友誼在此筆者希望各學系的新同學可以善用機會作出上莊這個無悔的決定

護理系的啟思總編石志榮 (N14)

新鮮人

hkucaduceusnet | 43

慈兄吟(下)奇晶

最 後還是麥教授先開了口「他的確是一個好學生對醫學有獨到見解他不但學業成績優異而且樂於助人你是他的妹妹吧」婉慧努力控制自己的淚水繼繼續續的說「是啊但helliphellip但helliphellip我不知道helliphellip他竟會在這裏出現」麥教授用悲天憫人的目光看着婉慧語重深長說「人生自古誰無死人生命的有為與否並不取決於他生命的長短而是在於人生的意義你哥哥雖然最後當不了醫生但他的犧牲卻間接為一些同學做醫生鋪路讓他們做醫生去救人這真是一種無私的愛」婉慧點點頭覺得自己對哥哥的了解實在太少了

最後她還是孤獨的離開實驗室她覺得自己跟哥哥比起來實在相差得太遠了原來他除了是十優狀元在醫學院的成績名列前茅外還是個熱心助人的好青年自己除了少了一優外少的更有對別人的同情及樂於助人這造就了她心靈上的空虛她明白到冷漠不是一種對哥哥思念的正當表達方法她應該做的是把哥哥對其他人的愛傳揚開去以圓他的心願

第一步往往是最困難的婉慧平日對他人的態度已令不少人對她敬而遠之有很多次她嘗試向同班同學投以友善的笑容得到的總是詫異的目光或別人的不理不睬在小組討論中儘管她踴躍發言盡量避免冷場的發生偶同學們卻認為她變本加厲想阻止同學們取得好成績她四處碰壁又再次陷入了想念哥哥的深淵

時間一天一天過去了上學期考試前的休假開始了婉慧每天都勤奮的在圖書館溫習期望取得好成績這時候的圖書館堆滿了人如果遲來一個小時想找一個位子也難就在假期的第二天同班的王文在圖書館跑得氣急敗壞仍找不到一個座位婉慧不知怎樣有點同情他將座位讓給他王文驚訝道「不用了我還是回家吧真倒楣遲來了一個小時就沒有『接位』」

「但你住在哪裏呀」

「元朗今天早上我忘了校鬧鐘八時才起」

「那你還是要我的座位吧我可以坐到電腦桌因為我認識的人不少沒有什麼人會打擾我的」

王文謝了她頓時對這位冷漠的同學刮目相看原來她的內心也是溫暖的這並不是他所能料及的坐在電腦桌前溫習的她也感到特別的快樂溫習的速度也快多了王文就此成為了她的「飯檔」考試期間每天和她一起吃飯他更將自己的好友介紹給婉慧認識

在一個晚上她又悄悄的在圖書館的角落溫習着突然一隻溫暖的手搭着她的肩上她抬起頭但見解剖學的同桌手中拿着一杯熱飲輕輕的放在她的桌上婉慧正感詫異卻聽見他說「這杯熱巧克力是給你的繼續努力吧」她喝着巧克力心中感到一股暖流彷彿哥哥的關懷又在她內作出回響

十年生死兩茫茫不思量自難忘千里孤墳無處話淒涼helliphellip

寒風吹起了她額上的劉海佇立在墓前的婉慧不禁凜冽她想起了從前想到自己最後一次和哥哥吵架雙方面紅耳赤的情況想起自己無法親口跟哥哥道歉想起哥哥無私的付出她對着那空虛的墳心中不忍一陣淒然淚水漱漱的流下來她身旁攜扶着年紀老邁的母親邊拭淚邊喃喃道「我的兒子helliphellip歿了helliphellip」大家心情漸漸平復了緩緩走出了墳地

雨一滴一滴的落下飽歷辛酸的婉慧卻仍在懸壼濟世

短篇

ldquoyesterday is but todayrsquos MeMory aNd toMorrow is todayrsquos dreaMrdquo ndash khalil gibraN

44 | Caduceus September 2011

Eternal Flame (1)Tulipa

Itrsquos cold The chills from my fingertips imbibe deep into me This person drills into my mind digging out the truth inside me Itrsquos agonizing She comes right inhellip di-rectly I cannot stop her

Irsquom losing myselfhellip

My hand felt the soggy pillow I realised I had come back to life the world where I lived Staring blankly at the ceiling still losing focus in my eyes I felt my brows with my forearm For the first time I didnrsquot want to lose this feeling

The bedroom door slowly opened I quickly rubbed off the drops that had blurred my vision pretending that I had just woken up

ldquoDo you have lessons this morningrdquo My grand-mother whispered into my ear

ldquoOh goshrdquo I turned right to my alarm clock It was the real life I had forgotten to turn the alarm on last night and it was now seven thirty I knew it I was going to be late every time she caught me in bed Irsquod got to hurry up

Living in Hong Kong Island though it took me more than an hour to get to school I had to comfort my little brother sometimes till two or three in the morning in order to get him to sleep In addition to the consistently heavy study load in the medical school I could hardly get enough rest Running on my heels al-most became my routine starting from last November But I well understood the consequence of skipping lec-tures It was the beginning of the Cardiovascular Sys-tem Block For someone like me who gave least priority in revising Anatomy materials lectures remained the prime source of information for exams Absence from class was suicidal To make the situation worse this professor was one of those who did NOT upload lec-ture notes online

Hoping I wouldnrsquot arrive too late to miss the impor-tant points I finally stepped onto a route no 8 minibus at ten past eight What I could do now was to pay trust in the driver who would bring me to my destination

Coaxing kids was never easy Little Bruce just hap-pened to give me such a hassle last night

He knew I would check on him when I returned home Sitting right next to the door of his room he begged me for a story once I opened the door I sat down together with him on his little couch after Irsquod taken a quick shower This was a time to relax leaving

aside all the other concerns

Kindling through his favourite reader I saw that he wasnrsquot listening but distracted by all sorts of toys around He even invited me into his world of fantasy But it was getting late I had to calm him down so that I too could have some rest Being one of the brightest in his elementary school he should understand this was not the time for recreation

I began to feel annoyed

Yet he was my brother I had a gut feeling that this was unusual He didnrsquot use to be so ldquohyperactiverdquo It re-ally took me a while to adjust to his change With him still tossing and turning in my arms I apprehended his restlessness Unpredictable though he was true to his feelings In one way or another he might find the shadow of our mother in me

He finally settled when I laid him back in bed It was nearly two forty in the morning

The first week of the CVS Block ran as plotted PBL tutorials would start on next Monday Dr Youngrsquos fa-cial expression in the first PBL evaluation flashed over my Embryology notes and references She didnrsquot teach Embryology but I could tell she did have a hypertroph-ic heart-shaped face which looked familiar to the dia-grams in the Atlas

Back in the IHD Block most of us were puzzled about the scrambled content of our course Various forms of seemingly related knowledge came in through lectures practical and tutorial sessions But the neural circuit formed in our brain just failed to resonate as if the conductance-inductance mismatch had aberrated our thought from minimal impedance Sometimes things even happened in a ldquomore-than-extrardquo manner The presence of common core courses in a parallel but independent branch in the network could rightly be detached without causing a blip on the galvanometer Everything was dubious We had no idea of what we were doing

Maybe we were just on the way seeking for a sense of attachment

My mind too was racing in haste I was struggling with my decision to become a doctor Too many things had happened over the year I just couldnrsquot stop ques-tioning myself what was I thinking when I put lsquo6456 MBBSrsquo in my JUPAS application I should have expect-ed and prepared to face all these I just didnrsquot knowhellip

Novella

hkucaduceusnet | 45

It was midterm evaluation in the IHD Block Her face looked tense in that heart shape She was so stiff in her facial expression that no one could read her mind from her poker face The conference room of the Physi-ology Department was large We seemed to be the odd ones out in the spacious carpeted room In this secre-tive silence you could hear the drumming in your ears as if you were tingling

I realised this was not a matter of ldquoam-I-suitable-for-a-medical-careerrdquo but ldquois-a-medical-career-suita-ble-for-merdquo I was lying in bed playing with my plush bear when these thoughts burst in me Dr Young looked through me She felt certain that different from other group mates there were crises behind me But I didnrsquot tell her anything that day

We all were sensitive At times some subtle trepi-dation seeped in gradually sucking peace away from my sleep It was so to say below threshold sub-lethal though it lingered for weeks once it set inhellip

Drenched in bloodhellip There is no life in the boy His eyes are widely opened slightly protruded The lifeless pair of black pearlshellip I cannot escape from his glance He wants to talk to mehellip There is something he wants me to know

A van runs over himhellip

I fell down the edge of my mattress Breathing heavilyhellip Sweating all overhellip

ldquoScreechrdquo People began to gather around a tel-ephone booth a few metres behind us

I turned back I couldnrsquot see a lot from this anglehellip

ldquohellip What a pity He is so younghelliprdquo a middle-aged couple passed by

The victim resting just in front of the wheel looked towards me through a break in the crowdhellip

As we were wandering around thinking what to eat for dinner my cousin found me standing there rooted to the ground stunned by the victimrsquos gaze My heart was pounding She wouldnrsquot believe what I was again experiencing For a number of times already scenarios in my dreams were mirrored into reality

I couldnrsquot tell her

ldquoI was just thinking whether you would like Korean cuisine There is a new restaurant two corners awayrdquo I made up a talk while escaping from the scene so that I wouldnrsquot look so strange

ldquoWhy not go and have a try thenrdquo She was not dis-appointed for calling it a day as the food there was sur-prisingly good

Not until some years ago when I was Form 3 in college I discovered my ability to look into the future Sometimes I could see them coming up on the news in days or weeks And some didnrsquot ever happen at least not around me But seeing the night visions coming into concrete existence wasnrsquot always a pleasure when the mental images turned gradually into mostly night-mares When I visualised my close ones it felt like I was in the middle of an insecure chain bridge above a torrent that would sweep me into the vast ocean with no return It was entirely different from what you might understand as ldquodreams come truerdquo

I had witnessed misfortunes in proximityhellip

But I could do nothing about ithellip

Friends were a source of solace someone to con-fide all frustrations in But with my paranormal ability which appeared to everybody else only on screen-plays I wasnrsquot courageous enough to open my life wholeheartedly to them Seldom talking about myself avoiding all sorts of gatherings I became an eccentric figure among my classmates

Sometimes mutual understanding carried more weight than words I remembered my physics teacher being one of my few friends during my teen years De-spite his boisterous faccedilade he was always sensitive to whenever I was dwelling on my burdens Physics was our common language Intermingling our emotions and feelings with concepts that were alien to my fel-lows we developed a close rapport impenetrable by anyone else

ldquoWhat is the nature of a flamerdquo This was the most discussed problem between us Neither in solid liquid nor vapour state Not having any definite shape and colour It seems not any material but a type of energy giving out heat and light At the moment of providing it also exhausts its fuel and eventually itselfhellip

The romance of physics is more than anything you could read write and talk about Once you were truly connected with it nothing can stop you Your mind will bounce irrespective of the chronology of space-time but only under the guidance of your thoughts

I was so devoted to the discipline at the time that I was almost making it my lifelong career in some way He envisaged that I would demand much more than any academia could provide with its scientific basis alone We were both seeking a philosophy beyond the facts But Hong Kong may not be the right place for it

I made him a promise at the end to contain our flame and I knew I would

For the first and the last time I saw his eyes filled with tears We knew existence by itself is a miracle

ldquoi love life because what More is thererdquo ndash aNthoNy hopkiNs

46 | Caduceus September 2011

說華佗都說「華佗再世」誰知箇中真諦雲方 (M15)

烽煙起戰火燃萬里 

三國並爭英雄地亂世有誰顧生死 

待神醫行世將民眾救濟

渺渺江山東西瞰俞跗巧手扁鵲心(1) 應向何處尋 

滾滾黃沙無世家終有奇士放奇葩

沛國 華元化(2) 

他經書貫通南北遊動 

一望斷症如神助三劑消病不必多

說斷症悉如所料 

甘陵 相夫人腹痛極難忍(3) 號脈知死嬰在左為男形(4)廣陵 梅軍吏除名歸故里

見貌知壽盡速返見萱椿(5) 

說消病藥到病除 

飲蒜醋有三升蟲一嘔而盡清 (6)母服丸而溫儲兒不藥而自癒 (7)

絕妙處 

是他開腸剖腹刀至辟毒 

神醫號 

除他內外皆精有誰配稱

[1]   俞跗黃帝時代之名醫扁鵲春秋戰國之名醫《淮南子人間訓》「患至而多後憂之helliphellip雖有扁鵲俞跗之巧猶不能生也」

[2]   華佗字元化沛國人(今安徽 亳州)

[3]   甘陵相(即甘陵之行政長官)夫人懷胎六月腹痛不安華佗為其切脈便知胎死於是命人摸知所在在左則男在右則女人云「在左」夫人飲藥後果然產出男胎腹痛立即痊癒

[4]   廣陵有軍吏名曰梅平離鄉服役後來退役歸家於路上巧遇華佗華佗視之嘆道「若能早些見我當不至於此而今你僅餘五日壽命速速回家還能與家人相見」平旋即趕抵故鄉五日後亦如料身亡

[5]   萱椿多作椿萱比喻父母漢牟融《送徐浩》詩「知君此去情偏切堂上椿萱雪滿頭」

[6]   華佗見路邊有人食不下嚥教他到路邊餅店買醋三升混上蒜泥然後飲用路人服後即吐出一條長蛇(即寄生蟲)

[7]   兩歲男孩長年腹瀉藥石無靈華佗往診謂病在母命其服用華佗親研之「四物女宛丸」服後母親乳汁不再寒涼男孩亦不藥而癒

意興

hkucaduceusnet | 47

只可惜人無完壁

「關將軍使君予我手刮骨惡毒走

曹丞相使君予我頭剖顱苦痛收」

「怎能不收怎能不收一命嗚呼萬事休 

簡直荒謬簡直荒謬殺此庸醫未須愁」(8) 

五禽戲尚能傳 (9)麻沸散從此絕 

何不一飲醉死不知世忍氣吞聲事權貴 (10)心神委曲須臾苦奇術失迭千秋計 

烽煙止無改生死事 

且當醫仙謫世間神技終須風裏散 (11)回首仰高山景行請君範 (12)

[8]     曹操欲殺華佗臣下勸之不可答曰「不憂天下當無此鼠輩耶」

[9]     死前華佗欲托所著醫書於獄卒不果便盡數焚毀唯有其養生體操「五禽戲」流傳後世

[10]   《三國志魏書方技傳》「當須刳割者便飲其麻沸散須臾便如醉死無所知」

[11]   唐白居易《簡簡吟》「恐是天仙謫人世只合人間十三歲」

[12]   景行(音航)即大道以高山景行比喻人品德行為之高尚典出《詩經小雅車轄》又東漢鄭玄曰「古人有高德者則慕仰之有明行者則而行之」

ldquothe art of MediciNe was to be properly learNer oNly forM its practice aNd its exerciserdquo - thoMas sydeNhaM

48 | Caduceus September 2011

啟程

清晨空白的天空看不見藍天雲彩

只有溫柔的雨絲和朦朦朧朧的霧水跟隨

著大隊的足印踏上沉重的腳步穿過橫

街小巷和煩囂熱鬧的市場走過自動門

撲鼻的消毒藥水味道讓大家屏住呼吸筆

者和夥伴們終於到達了入讀護理系以來第

一次實習的醫院

還記得在實習的前幾天心情是既忐忑

又期待的畢竟這一次實習的地方不再是

在社區中心宣傳健康方面的知識亦不是

只面對著健康活潑的小朋友和老友記或是

學校課堂上所提供的假人張靜汶卻是照

顧一羣真正需要關懷的病人心中充滿著

憂慮不知自己所學的知識足夠在應用上

嗎自己平日的練習足夠嗎雖然心存在

著不少疑惑但也十分期待可以體會一下

做小學護的感受嘗試把這一年裡所學到

的知識運用出來

很多的第一次

在病房裡總有心酸和膽戰心驚的時

候第一次為昏迷的病人清潔口腔第一

次為難以進食的人插入胃喉第一次為老

公公清洗背上壓瘡的傷口helliphellip照顧他們時

的心情都是一步一驚心生怕自己沒法應

付得來又怕會把事情弄得更糟糕最重

要的是恐怕自己不純熟的技巧令他們受苦

了記得有一回第一次為女病人插入尿

喉採取尿液樣本可能技巧不太純熟的關

係延長了病人的痛苦過程中她皺著

眉頭不斷呻吟又緊張得咬破脣眼看

她樣子心中真的不是味兒來身為病人

的其中之一依靠我們不得不給自己信

心如果連自己也不相信自己哪會有病

人願意把他們交給我們照料呢

捕捉那瞬間的美麗與淒然何麗敏 (N14)

上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

意興

hkucaduceusnet | 49

另外第一次面對病人的心情是頗為

緊張的說話技巧亦有改進的空間但和

病人傾談了數分鐘後氣氛也漸漸變得和

諧可能那些老公公整天呆在醫院裡真是

悶到慌看見一羣年青人與自己聊天照

顧和關心他們他們不禁咧嘴而笑醫院

職員透露有一位老公公平日不太願意吃東

西於是我們便主動和他談天說地又

悉心照料他進食的情況後來他不但胃

口好了不少就連心情也開朗了他生動

活潑的談吐讓我們笑了他回復健康精

神的體魄也讓我們感到安慰

相處片刻

雖然為期一星期的病房日子不是特別繁

忙或是辛勞但是也會有不習慣的時候

幸好得到醫院職員和一班夥伴的支持病

房經理和註冊護士不但相信我們的能力

對學護的包容更是不用多說還主動地介

紹病房的環境和細心地教導我們醫療護理

上的知識讓我們上了一堂實在而又寶貴

的課同時今次的實習也令我感到團體

精神也十分重要在技巧上大家互相提

點互補不足當有人準備照料有需要的

病人如插喉或洗傷口等大家送上一句 

「加油」就能令對方增加不少自信心和正

能量無論遇上甚麼事情我也榮幸有如

此一班學習夥伴從旁支持

學習的階級

在這一次病房實習中雖然醫療和藥物

知識方面有待加強但是我學懂了如何與

不同身份的病人相處之道溝通上也得到

了很大的進步獲益不少除此之外我

也真正體會到如何做一個好護士並清楚

了解這個行業是否適合自己鐘樓也不是

一天就能建成而是需要一磚一瓦搭建而

成的所以在學習上我們不但要打好

穩固的基礎還要增強醫療知識在技巧

上馬虎了事和走捷徑是於是無補的應

該多探究和練習才行這樣才對得起病人

和自己也減少不必要的醫療失當事故

總之多一份認真多一點耐性多一些

愛心就是學護必記的左右銘 上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

ldquoit is reasoNable to expect the doctor to recogNise that scieNce May Not have all the aNswers to probleMs of health aNd healiNgrdquo ndash NorMaN cousiNs

50 | Caduceus September 2011

Fun Corner

Medical AppsEver wondered how your handheld device can save your time and

effort when it comes to studying Here is how

Anatomy Pronunciations by HipposoftAccurate pronunciations of over a hundred important anatomy terms you have trouble with are provided

at your fingertips to help you spell those difficult words Anyone who has taken an anatomy course can tell you how challenging it can be to pro-nounce the names of those complicated anatomi-cal terms It is even linked directly to Wikipedia and Google through web browser for additional information

iPharmacy ndash Pill Identifier and Medication Guide by SigmaPhone LLCAn essential medication guide of 20000+ drugs is provided for con-sumers amp professionals This ex-

pands the image library to include 12000 pill and package images and includes digital drug identifier with official drug information (indica-tions dosage adverse reactions and more) You can check the drugs anywhere

Grades 2 by TapityIt tells you what grades you need in the coming tests in order to get your target grade You can easily calcu-late your GPA so as to maintain it It

is a useful tool helping you to keep an eye on your GPA all the time

Human Anatomy by SusaSoftXThe application provides you with information of 15 different biologi-cal systems You can keep on revis-ing while you are traveling without

carrying heavy books

Medscape by WebMD LLCFrom drug classes interaction clin-ical procedures and even the lat-est medical news Medscape helps medical students and healthcare

professionals to reiterate knowledge that has slipped from the mind It is a free application for iPhone iPad Android and Blackberry Yet it contains more function on Android phones and Apple products and lacks detailed clinical infor-mation for diseases and clinical procedures walk through on Blackberry

Pro Medical Terminology Dic-tionary by TreascoveryTerminology might be a tough work for medical students Even if we can master those English terms we can

hardly think of the Chinese terms This applica-tion can help you when you face this problem Note that it is not a free application

3M Littmann SoundBuilder by 3M CompanyA great tool designed to help im-prove auscultation skills of medical students with 14 unique lessons of

key heart sounds combing text virtual manne-quin 3D cardiac animation and dynamic wave-forms

iRadiology by Liebermans iRadi-ologyAn excellent learning tool for medi-cal students demonstrating classic radiological findings of a multitude

of abnormalities including over 500 radiologic images Radiologic images include CT US MRI and nuclear imaging each clearly labeled and followed by key teaching points

Micromedex Drug Information by Thomson Reuters (Healthcare) IncIs Cephalexin a first generation ce-phalosporin This application from

Thomson Reuters is the easiest way to navigate in the sea of drug names Drugs are sorted by classes and supplemented with rich information

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 41: Caduceus Issue 2, Volume 42

hkucaduceusnet | 41

ficult to achieve Also working as a Committee mem-ber can be very exhausting and difficult You definitely need lots of determination and support to get through some of the busiest times

Q How did you handle and balance the workload of study and your ldquojongrdquo

A As Irsquove said before it was tremendously difficult I guess my best advice for the future committee is to know your limitations and always plan ahead You have to know your time to work to rest to study etc No one will be over-worked and eve-ryone will have some personal time if you share the burden wisely between ldquojong yausrdquo Secondly you have to make very clear plans so that you can make full use of every little piece of your time I may not have succeeded in my time management but most of my ldquojong yausrdquo managed to do so de-spite the packed schedule of our Soci-ety This is sufficient proof of ldquoimpos-sible is nothingrdquo

Q As there are only about 25 pharmacy students per class do you have any suggestions for P14 fresh-men to make more friends from other curricula

A It really depends on what kind of person you are If you consider your-self socially active living in a hall or ldquosheung jongrdquo will be a great idea for you But if you see yourself as a much quieter person you can still make use of opportunities such as Medic Orien-tation Camp and other events jointly organised by student bodies within the Medical Faculty to make new friends

Q Any special things for P14 freshmen to be aware of

A First of all welcome You all are now members of Pharmacy Society MS HKUSU and I would like to let you know that this is a student body aiming to serve you Thus feel free to share your viewpoints and voice out your opinions to the current Com-mittee members The Society has to

understand your needs to improve and provide better welfare and services for you

Q Any other comments or important things to re-mind P14 freshmen

A If you would like to get to know more fellow pharmacy students especially students from P12 and P13 grab the opportunity to join the Pharmacy Society Orientation Camp and the Mentorship Programme These are great chances to make new friends and Irsquom sure you will enjoy them

Interview with the Founding President of Pharmacy SocietyIvan Shek (N14)

ldquoas huMaN beiNgs we do chaNge grow adapt perhaps eveN learN aNd becoMe wiserrdquo ndash weNdy carlos

42 | Caduceus September 2011

筆 者是一位護理系的學生半年前有幸成為二零一一年啟思編輯委員會的總編輯在期間所體驗到的希望藉著這次機會作出分享特別希望新加入醫學院的同學

能對「上莊」有更多了解

上莊之路上莊是大學五件事之一證明它對大學生

活有一定的重要性一定的位置筆者在初入學的時候曾為了上莊與否而煩惱猶豫了好一段時間期間考慮到自己能力怕學業應負不來但最後仍然下了上莊這個決定原因是上莊是個難得的機會充實增值自己不同的莊會提供不同的機會讓莊友去學習透過不同的莊務去讓自己眼界擴大另外可以了解醫學院內發生既事情例如院內活動的進展情況更可以參加舉辦院活動為醫學院出一分力最後當然會認識到將會相處一整年的莊友工作伙伴有機會認識到不同學系的同學從他們身上可以觀察到學習到各種的特質從而令自己有所進步有所啟發

護理學生作為護理系學生起初擔任總編輯一職實

在是倍感壓力畢竟歷屆的總編輯都是由醫科生出任因此筆者起初都害怕跟醫科生共事怕自己的能力不足夠應付莊務所以起初都是戰戰兢兢地上莊

一位三年的護理學生曾對我說「我認為你不太尊重護理系護理系和醫科都是個專業希望你能加以尊重自己的學系不要輕視護理這個學系你要肯定自己的學系才能帶領整支莊因為莊內成員來自不同的學系你必須肯定和認同每個學系都有一定的重要性以及其專業」這番當頭棒喝的良言令我明白到自己一直都太輕視護理系過於重視醫科現在我明白到認同自己學系是尤其重要只有這樣才可以用自己學系的身份去發表意見只有認同自己學系才懂得尊重其他的學系莊內便可以融洽一點

在筆者的莊友中醫科生都是較有責任感而且做事更有計劃從他們身上的確學到不少東西這點是無可否認的事實筆者並不是在分享學系與學系之間的差別而是希望有志上莊的同學能互相尊重明白到各學系的莊

友都有其值得學習的地方起初對其他學系有隔膜是無可避免的畢竟對他們的學系都不太了解又沒有歸屬感但如果因為對方是別的學系而輕視對方的人不但失去與人相處學習的機會而且會令莊內的氣氛失去和諧

幸好的就我所見所聞醫學院內的莊多年來都能融洽相處互相支持令到一眾上莊的同學都能輕鬆地享受上莊的喜與樂甚至是不愉快的事情

依靠你的莊友莊是一個團體不是一兩個人可以應

付得來所以筆者認為與莊友互相溝通合作是個重要的元素新同學如果有志參與莊務期望從上莊中有所得著首要的事情是與莊友建立關係因為他們將會是你來年的工作伙伴也是你遇到困難時依靠的對象一位上莊曾對我說「其實一件的莊期不會令你有太大的得著或成長反而長久的友誼才是你將會得到最重要的」這句說話是千真萬確的上莊的人不會由詞不達意改變成談吐得宜不要期望自己會有驚人的轉變也許上莊會令人處事成熟一點有計劃一點但上莊所得到的關係將會是更重要更珍貴一年的相處中面對過有無數的會議共同處理過不少困難從中

建立的友誼真的是畢生受用

責任感上莊另外一個十分重要既條件就是責任

感有志上莊的同學必須明白到莊期是長達一整年在繁重的學業中騰出時間來處理莊務是個考驗責任感和毅力的測試同學必須再三思考想清楚自己是否真係熱衷於上莊或是只是一時衝動畢竟你將要許下的是一年的承諾必須對這個莊負上責任願意付出才選擇上莊這個決定這樣的付出就會有相對的回

總結上莊的確是個好機會讓自己去學習從處

理事務中或是從莊友身上都會有所得著充實著自己的大學生活從中可以認識到各學系的同學建立一段段受用終身的友誼在此筆者希望各學系的新同學可以善用機會作出上莊這個無悔的決定

護理系的啟思總編石志榮 (N14)

新鮮人

hkucaduceusnet | 43

慈兄吟(下)奇晶

最 後還是麥教授先開了口「他的確是一個好學生對醫學有獨到見解他不但學業成績優異而且樂於助人你是他的妹妹吧」婉慧努力控制自己的淚水繼繼續續的說「是啊但helliphellip但helliphellip我不知道helliphellip他竟會在這裏出現」麥教授用悲天憫人的目光看着婉慧語重深長說「人生自古誰無死人生命的有為與否並不取決於他生命的長短而是在於人生的意義你哥哥雖然最後當不了醫生但他的犧牲卻間接為一些同學做醫生鋪路讓他們做醫生去救人這真是一種無私的愛」婉慧點點頭覺得自己對哥哥的了解實在太少了

最後她還是孤獨的離開實驗室她覺得自己跟哥哥比起來實在相差得太遠了原來他除了是十優狀元在醫學院的成績名列前茅外還是個熱心助人的好青年自己除了少了一優外少的更有對別人的同情及樂於助人這造就了她心靈上的空虛她明白到冷漠不是一種對哥哥思念的正當表達方法她應該做的是把哥哥對其他人的愛傳揚開去以圓他的心願

第一步往往是最困難的婉慧平日對他人的態度已令不少人對她敬而遠之有很多次她嘗試向同班同學投以友善的笑容得到的總是詫異的目光或別人的不理不睬在小組討論中儘管她踴躍發言盡量避免冷場的發生偶同學們卻認為她變本加厲想阻止同學們取得好成績她四處碰壁又再次陷入了想念哥哥的深淵

時間一天一天過去了上學期考試前的休假開始了婉慧每天都勤奮的在圖書館溫習期望取得好成績這時候的圖書館堆滿了人如果遲來一個小時想找一個位子也難就在假期的第二天同班的王文在圖書館跑得氣急敗壞仍找不到一個座位婉慧不知怎樣有點同情他將座位讓給他王文驚訝道「不用了我還是回家吧真倒楣遲來了一個小時就沒有『接位』」

「但你住在哪裏呀」

「元朗今天早上我忘了校鬧鐘八時才起」

「那你還是要我的座位吧我可以坐到電腦桌因為我認識的人不少沒有什麼人會打擾我的」

王文謝了她頓時對這位冷漠的同學刮目相看原來她的內心也是溫暖的這並不是他所能料及的坐在電腦桌前溫習的她也感到特別的快樂溫習的速度也快多了王文就此成為了她的「飯檔」考試期間每天和她一起吃飯他更將自己的好友介紹給婉慧認識

在一個晚上她又悄悄的在圖書館的角落溫習着突然一隻溫暖的手搭着她的肩上她抬起頭但見解剖學的同桌手中拿着一杯熱飲輕輕的放在她的桌上婉慧正感詫異卻聽見他說「這杯熱巧克力是給你的繼續努力吧」她喝着巧克力心中感到一股暖流彷彿哥哥的關懷又在她內作出回響

十年生死兩茫茫不思量自難忘千里孤墳無處話淒涼helliphellip

寒風吹起了她額上的劉海佇立在墓前的婉慧不禁凜冽她想起了從前想到自己最後一次和哥哥吵架雙方面紅耳赤的情況想起自己無法親口跟哥哥道歉想起哥哥無私的付出她對着那空虛的墳心中不忍一陣淒然淚水漱漱的流下來她身旁攜扶着年紀老邁的母親邊拭淚邊喃喃道「我的兒子helliphellip歿了helliphellip」大家心情漸漸平復了緩緩走出了墳地

雨一滴一滴的落下飽歷辛酸的婉慧卻仍在懸壼濟世

短篇

ldquoyesterday is but todayrsquos MeMory aNd toMorrow is todayrsquos dreaMrdquo ndash khalil gibraN

44 | Caduceus September 2011

Eternal Flame (1)Tulipa

Itrsquos cold The chills from my fingertips imbibe deep into me This person drills into my mind digging out the truth inside me Itrsquos agonizing She comes right inhellip di-rectly I cannot stop her

Irsquom losing myselfhellip

My hand felt the soggy pillow I realised I had come back to life the world where I lived Staring blankly at the ceiling still losing focus in my eyes I felt my brows with my forearm For the first time I didnrsquot want to lose this feeling

The bedroom door slowly opened I quickly rubbed off the drops that had blurred my vision pretending that I had just woken up

ldquoDo you have lessons this morningrdquo My grand-mother whispered into my ear

ldquoOh goshrdquo I turned right to my alarm clock It was the real life I had forgotten to turn the alarm on last night and it was now seven thirty I knew it I was going to be late every time she caught me in bed Irsquod got to hurry up

Living in Hong Kong Island though it took me more than an hour to get to school I had to comfort my little brother sometimes till two or three in the morning in order to get him to sleep In addition to the consistently heavy study load in the medical school I could hardly get enough rest Running on my heels al-most became my routine starting from last November But I well understood the consequence of skipping lec-tures It was the beginning of the Cardiovascular Sys-tem Block For someone like me who gave least priority in revising Anatomy materials lectures remained the prime source of information for exams Absence from class was suicidal To make the situation worse this professor was one of those who did NOT upload lec-ture notes online

Hoping I wouldnrsquot arrive too late to miss the impor-tant points I finally stepped onto a route no 8 minibus at ten past eight What I could do now was to pay trust in the driver who would bring me to my destination

Coaxing kids was never easy Little Bruce just hap-pened to give me such a hassle last night

He knew I would check on him when I returned home Sitting right next to the door of his room he begged me for a story once I opened the door I sat down together with him on his little couch after Irsquod taken a quick shower This was a time to relax leaving

aside all the other concerns

Kindling through his favourite reader I saw that he wasnrsquot listening but distracted by all sorts of toys around He even invited me into his world of fantasy But it was getting late I had to calm him down so that I too could have some rest Being one of the brightest in his elementary school he should understand this was not the time for recreation

I began to feel annoyed

Yet he was my brother I had a gut feeling that this was unusual He didnrsquot use to be so ldquohyperactiverdquo It re-ally took me a while to adjust to his change With him still tossing and turning in my arms I apprehended his restlessness Unpredictable though he was true to his feelings In one way or another he might find the shadow of our mother in me

He finally settled when I laid him back in bed It was nearly two forty in the morning

The first week of the CVS Block ran as plotted PBL tutorials would start on next Monday Dr Youngrsquos fa-cial expression in the first PBL evaluation flashed over my Embryology notes and references She didnrsquot teach Embryology but I could tell she did have a hypertroph-ic heart-shaped face which looked familiar to the dia-grams in the Atlas

Back in the IHD Block most of us were puzzled about the scrambled content of our course Various forms of seemingly related knowledge came in through lectures practical and tutorial sessions But the neural circuit formed in our brain just failed to resonate as if the conductance-inductance mismatch had aberrated our thought from minimal impedance Sometimes things even happened in a ldquomore-than-extrardquo manner The presence of common core courses in a parallel but independent branch in the network could rightly be detached without causing a blip on the galvanometer Everything was dubious We had no idea of what we were doing

Maybe we were just on the way seeking for a sense of attachment

My mind too was racing in haste I was struggling with my decision to become a doctor Too many things had happened over the year I just couldnrsquot stop ques-tioning myself what was I thinking when I put lsquo6456 MBBSrsquo in my JUPAS application I should have expect-ed and prepared to face all these I just didnrsquot knowhellip

Novella

hkucaduceusnet | 45

It was midterm evaluation in the IHD Block Her face looked tense in that heart shape She was so stiff in her facial expression that no one could read her mind from her poker face The conference room of the Physi-ology Department was large We seemed to be the odd ones out in the spacious carpeted room In this secre-tive silence you could hear the drumming in your ears as if you were tingling

I realised this was not a matter of ldquoam-I-suitable-for-a-medical-careerrdquo but ldquois-a-medical-career-suita-ble-for-merdquo I was lying in bed playing with my plush bear when these thoughts burst in me Dr Young looked through me She felt certain that different from other group mates there were crises behind me But I didnrsquot tell her anything that day

We all were sensitive At times some subtle trepi-dation seeped in gradually sucking peace away from my sleep It was so to say below threshold sub-lethal though it lingered for weeks once it set inhellip

Drenched in bloodhellip There is no life in the boy His eyes are widely opened slightly protruded The lifeless pair of black pearlshellip I cannot escape from his glance He wants to talk to mehellip There is something he wants me to know

A van runs over himhellip

I fell down the edge of my mattress Breathing heavilyhellip Sweating all overhellip

ldquoScreechrdquo People began to gather around a tel-ephone booth a few metres behind us

I turned back I couldnrsquot see a lot from this anglehellip

ldquohellip What a pity He is so younghelliprdquo a middle-aged couple passed by

The victim resting just in front of the wheel looked towards me through a break in the crowdhellip

As we were wandering around thinking what to eat for dinner my cousin found me standing there rooted to the ground stunned by the victimrsquos gaze My heart was pounding She wouldnrsquot believe what I was again experiencing For a number of times already scenarios in my dreams were mirrored into reality

I couldnrsquot tell her

ldquoI was just thinking whether you would like Korean cuisine There is a new restaurant two corners awayrdquo I made up a talk while escaping from the scene so that I wouldnrsquot look so strange

ldquoWhy not go and have a try thenrdquo She was not dis-appointed for calling it a day as the food there was sur-prisingly good

Not until some years ago when I was Form 3 in college I discovered my ability to look into the future Sometimes I could see them coming up on the news in days or weeks And some didnrsquot ever happen at least not around me But seeing the night visions coming into concrete existence wasnrsquot always a pleasure when the mental images turned gradually into mostly night-mares When I visualised my close ones it felt like I was in the middle of an insecure chain bridge above a torrent that would sweep me into the vast ocean with no return It was entirely different from what you might understand as ldquodreams come truerdquo

I had witnessed misfortunes in proximityhellip

But I could do nothing about ithellip

Friends were a source of solace someone to con-fide all frustrations in But with my paranormal ability which appeared to everybody else only on screen-plays I wasnrsquot courageous enough to open my life wholeheartedly to them Seldom talking about myself avoiding all sorts of gatherings I became an eccentric figure among my classmates

Sometimes mutual understanding carried more weight than words I remembered my physics teacher being one of my few friends during my teen years De-spite his boisterous faccedilade he was always sensitive to whenever I was dwelling on my burdens Physics was our common language Intermingling our emotions and feelings with concepts that were alien to my fel-lows we developed a close rapport impenetrable by anyone else

ldquoWhat is the nature of a flamerdquo This was the most discussed problem between us Neither in solid liquid nor vapour state Not having any definite shape and colour It seems not any material but a type of energy giving out heat and light At the moment of providing it also exhausts its fuel and eventually itselfhellip

The romance of physics is more than anything you could read write and talk about Once you were truly connected with it nothing can stop you Your mind will bounce irrespective of the chronology of space-time but only under the guidance of your thoughts

I was so devoted to the discipline at the time that I was almost making it my lifelong career in some way He envisaged that I would demand much more than any academia could provide with its scientific basis alone We were both seeking a philosophy beyond the facts But Hong Kong may not be the right place for it

I made him a promise at the end to contain our flame and I knew I would

For the first and the last time I saw his eyes filled with tears We knew existence by itself is a miracle

ldquoi love life because what More is thererdquo ndash aNthoNy hopkiNs

46 | Caduceus September 2011

說華佗都說「華佗再世」誰知箇中真諦雲方 (M15)

烽煙起戰火燃萬里 

三國並爭英雄地亂世有誰顧生死 

待神醫行世將民眾救濟

渺渺江山東西瞰俞跗巧手扁鵲心(1) 應向何處尋 

滾滾黃沙無世家終有奇士放奇葩

沛國 華元化(2) 

他經書貫通南北遊動 

一望斷症如神助三劑消病不必多

說斷症悉如所料 

甘陵 相夫人腹痛極難忍(3) 號脈知死嬰在左為男形(4)廣陵 梅軍吏除名歸故里

見貌知壽盡速返見萱椿(5) 

說消病藥到病除 

飲蒜醋有三升蟲一嘔而盡清 (6)母服丸而溫儲兒不藥而自癒 (7)

絕妙處 

是他開腸剖腹刀至辟毒 

神醫號 

除他內外皆精有誰配稱

[1]   俞跗黃帝時代之名醫扁鵲春秋戰國之名醫《淮南子人間訓》「患至而多後憂之helliphellip雖有扁鵲俞跗之巧猶不能生也」

[2]   華佗字元化沛國人(今安徽 亳州)

[3]   甘陵相(即甘陵之行政長官)夫人懷胎六月腹痛不安華佗為其切脈便知胎死於是命人摸知所在在左則男在右則女人云「在左」夫人飲藥後果然產出男胎腹痛立即痊癒

[4]   廣陵有軍吏名曰梅平離鄉服役後來退役歸家於路上巧遇華佗華佗視之嘆道「若能早些見我當不至於此而今你僅餘五日壽命速速回家還能與家人相見」平旋即趕抵故鄉五日後亦如料身亡

[5]   萱椿多作椿萱比喻父母漢牟融《送徐浩》詩「知君此去情偏切堂上椿萱雪滿頭」

[6]   華佗見路邊有人食不下嚥教他到路邊餅店買醋三升混上蒜泥然後飲用路人服後即吐出一條長蛇(即寄生蟲)

[7]   兩歲男孩長年腹瀉藥石無靈華佗往診謂病在母命其服用華佗親研之「四物女宛丸」服後母親乳汁不再寒涼男孩亦不藥而癒

意興

hkucaduceusnet | 47

只可惜人無完壁

「關將軍使君予我手刮骨惡毒走

曹丞相使君予我頭剖顱苦痛收」

「怎能不收怎能不收一命嗚呼萬事休 

簡直荒謬簡直荒謬殺此庸醫未須愁」(8) 

五禽戲尚能傳 (9)麻沸散從此絕 

何不一飲醉死不知世忍氣吞聲事權貴 (10)心神委曲須臾苦奇術失迭千秋計 

烽煙止無改生死事 

且當醫仙謫世間神技終須風裏散 (11)回首仰高山景行請君範 (12)

[8]     曹操欲殺華佗臣下勸之不可答曰「不憂天下當無此鼠輩耶」

[9]     死前華佗欲托所著醫書於獄卒不果便盡數焚毀唯有其養生體操「五禽戲」流傳後世

[10]   《三國志魏書方技傳》「當須刳割者便飲其麻沸散須臾便如醉死無所知」

[11]   唐白居易《簡簡吟》「恐是天仙謫人世只合人間十三歲」

[12]   景行(音航)即大道以高山景行比喻人品德行為之高尚典出《詩經小雅車轄》又東漢鄭玄曰「古人有高德者則慕仰之有明行者則而行之」

ldquothe art of MediciNe was to be properly learNer oNly forM its practice aNd its exerciserdquo - thoMas sydeNhaM

48 | Caduceus September 2011

啟程

清晨空白的天空看不見藍天雲彩

只有溫柔的雨絲和朦朦朧朧的霧水跟隨

著大隊的足印踏上沉重的腳步穿過橫

街小巷和煩囂熱鬧的市場走過自動門

撲鼻的消毒藥水味道讓大家屏住呼吸筆

者和夥伴們終於到達了入讀護理系以來第

一次實習的醫院

還記得在實習的前幾天心情是既忐忑

又期待的畢竟這一次實習的地方不再是

在社區中心宣傳健康方面的知識亦不是

只面對著健康活潑的小朋友和老友記或是

學校課堂上所提供的假人張靜汶卻是照

顧一羣真正需要關懷的病人心中充滿著

憂慮不知自己所學的知識足夠在應用上

嗎自己平日的練習足夠嗎雖然心存在

著不少疑惑但也十分期待可以體會一下

做小學護的感受嘗試把這一年裡所學到

的知識運用出來

很多的第一次

在病房裡總有心酸和膽戰心驚的時

候第一次為昏迷的病人清潔口腔第一

次為難以進食的人插入胃喉第一次為老

公公清洗背上壓瘡的傷口helliphellip照顧他們時

的心情都是一步一驚心生怕自己沒法應

付得來又怕會把事情弄得更糟糕最重

要的是恐怕自己不純熟的技巧令他們受苦

了記得有一回第一次為女病人插入尿

喉採取尿液樣本可能技巧不太純熟的關

係延長了病人的痛苦過程中她皺著

眉頭不斷呻吟又緊張得咬破脣眼看

她樣子心中真的不是味兒來身為病人

的其中之一依靠我們不得不給自己信

心如果連自己也不相信自己哪會有病

人願意把他們交給我們照料呢

捕捉那瞬間的美麗與淒然何麗敏 (N14)

上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

意興

hkucaduceusnet | 49

另外第一次面對病人的心情是頗為

緊張的說話技巧亦有改進的空間但和

病人傾談了數分鐘後氣氛也漸漸變得和

諧可能那些老公公整天呆在醫院裡真是

悶到慌看見一羣年青人與自己聊天照

顧和關心他們他們不禁咧嘴而笑醫院

職員透露有一位老公公平日不太願意吃東

西於是我們便主動和他談天說地又

悉心照料他進食的情況後來他不但胃

口好了不少就連心情也開朗了他生動

活潑的談吐讓我們笑了他回復健康精

神的體魄也讓我們感到安慰

相處片刻

雖然為期一星期的病房日子不是特別繁

忙或是辛勞但是也會有不習慣的時候

幸好得到醫院職員和一班夥伴的支持病

房經理和註冊護士不但相信我們的能力

對學護的包容更是不用多說還主動地介

紹病房的環境和細心地教導我們醫療護理

上的知識讓我們上了一堂實在而又寶貴

的課同時今次的實習也令我感到團體

精神也十分重要在技巧上大家互相提

點互補不足當有人準備照料有需要的

病人如插喉或洗傷口等大家送上一句 

「加油」就能令對方增加不少自信心和正

能量無論遇上甚麼事情我也榮幸有如

此一班學習夥伴從旁支持

學習的階級

在這一次病房實習中雖然醫療和藥物

知識方面有待加強但是我學懂了如何與

不同身份的病人相處之道溝通上也得到

了很大的進步獲益不少除此之外我

也真正體會到如何做一個好護士並清楚

了解這個行業是否適合自己鐘樓也不是

一天就能建成而是需要一磚一瓦搭建而

成的所以在學習上我們不但要打好

穩固的基礎還要增強醫療知識在技巧

上馬虎了事和走捷徑是於是無補的應

該多探究和練習才行這樣才對得起病人

和自己也減少不必要的醫療失當事故

總之多一份認真多一點耐性多一些

愛心就是學護必記的左右銘 上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

ldquoit is reasoNable to expect the doctor to recogNise that scieNce May Not have all the aNswers to probleMs of health aNd healiNgrdquo ndash NorMaN cousiNs

50 | Caduceus September 2011

Fun Corner

Medical AppsEver wondered how your handheld device can save your time and

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Anatomy Pronunciations by HipposoftAccurate pronunciations of over a hundred important anatomy terms you have trouble with are provided

at your fingertips to help you spell those difficult words Anyone who has taken an anatomy course can tell you how challenging it can be to pro-nounce the names of those complicated anatomi-cal terms It is even linked directly to Wikipedia and Google through web browser for additional information

iPharmacy ndash Pill Identifier and Medication Guide by SigmaPhone LLCAn essential medication guide of 20000+ drugs is provided for con-sumers amp professionals This ex-

pands the image library to include 12000 pill and package images and includes digital drug identifier with official drug information (indica-tions dosage adverse reactions and more) You can check the drugs anywhere

Grades 2 by TapityIt tells you what grades you need in the coming tests in order to get your target grade You can easily calcu-late your GPA so as to maintain it It

is a useful tool helping you to keep an eye on your GPA all the time

Human Anatomy by SusaSoftXThe application provides you with information of 15 different biologi-cal systems You can keep on revis-ing while you are traveling without

carrying heavy books

Medscape by WebMD LLCFrom drug classes interaction clin-ical procedures and even the lat-est medical news Medscape helps medical students and healthcare

professionals to reiterate knowledge that has slipped from the mind It is a free application for iPhone iPad Android and Blackberry Yet it contains more function on Android phones and Apple products and lacks detailed clinical infor-mation for diseases and clinical procedures walk through on Blackberry

Pro Medical Terminology Dic-tionary by TreascoveryTerminology might be a tough work for medical students Even if we can master those English terms we can

hardly think of the Chinese terms This applica-tion can help you when you face this problem Note that it is not a free application

3M Littmann SoundBuilder by 3M CompanyA great tool designed to help im-prove auscultation skills of medical students with 14 unique lessons of

key heart sounds combing text virtual manne-quin 3D cardiac animation and dynamic wave-forms

iRadiology by Liebermans iRadi-ologyAn excellent learning tool for medi-cal students demonstrating classic radiological findings of a multitude

of abnormalities including over 500 radiologic images Radiologic images include CT US MRI and nuclear imaging each clearly labeled and followed by key teaching points

Micromedex Drug Information by Thomson Reuters (Healthcare) IncIs Cephalexin a first generation ce-phalosporin This application from

Thomson Reuters is the easiest way to navigate in the sea of drug names Drugs are sorted by classes and supplemented with rich information

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 42: Caduceus Issue 2, Volume 42

42 | Caduceus September 2011

筆 者是一位護理系的學生半年前有幸成為二零一一年啟思編輯委員會的總編輯在期間所體驗到的希望藉著這次機會作出分享特別希望新加入醫學院的同學

能對「上莊」有更多了解

上莊之路上莊是大學五件事之一證明它對大學生

活有一定的重要性一定的位置筆者在初入學的時候曾為了上莊與否而煩惱猶豫了好一段時間期間考慮到自己能力怕學業應負不來但最後仍然下了上莊這個決定原因是上莊是個難得的機會充實增值自己不同的莊會提供不同的機會讓莊友去學習透過不同的莊務去讓自己眼界擴大另外可以了解醫學院內發生既事情例如院內活動的進展情況更可以參加舉辦院活動為醫學院出一分力最後當然會認識到將會相處一整年的莊友工作伙伴有機會認識到不同學系的同學從他們身上可以觀察到學習到各種的特質從而令自己有所進步有所啟發

護理學生作為護理系學生起初擔任總編輯一職實

在是倍感壓力畢竟歷屆的總編輯都是由醫科生出任因此筆者起初都害怕跟醫科生共事怕自己的能力不足夠應付莊務所以起初都是戰戰兢兢地上莊

一位三年的護理學生曾對我說「我認為你不太尊重護理系護理系和醫科都是個專業希望你能加以尊重自己的學系不要輕視護理這個學系你要肯定自己的學系才能帶領整支莊因為莊內成員來自不同的學系你必須肯定和認同每個學系都有一定的重要性以及其專業」這番當頭棒喝的良言令我明白到自己一直都太輕視護理系過於重視醫科現在我明白到認同自己學系是尤其重要只有這樣才可以用自己學系的身份去發表意見只有認同自己學系才懂得尊重其他的學系莊內便可以融洽一點

在筆者的莊友中醫科生都是較有責任感而且做事更有計劃從他們身上的確學到不少東西這點是無可否認的事實筆者並不是在分享學系與學系之間的差別而是希望有志上莊的同學能互相尊重明白到各學系的莊

友都有其值得學習的地方起初對其他學系有隔膜是無可避免的畢竟對他們的學系都不太了解又沒有歸屬感但如果因為對方是別的學系而輕視對方的人不但失去與人相處學習的機會而且會令莊內的氣氛失去和諧

幸好的就我所見所聞醫學院內的莊多年來都能融洽相處互相支持令到一眾上莊的同學都能輕鬆地享受上莊的喜與樂甚至是不愉快的事情

依靠你的莊友莊是一個團體不是一兩個人可以應

付得來所以筆者認為與莊友互相溝通合作是個重要的元素新同學如果有志參與莊務期望從上莊中有所得著首要的事情是與莊友建立關係因為他們將會是你來年的工作伙伴也是你遇到困難時依靠的對象一位上莊曾對我說「其實一件的莊期不會令你有太大的得著或成長反而長久的友誼才是你將會得到最重要的」這句說話是千真萬確的上莊的人不會由詞不達意改變成談吐得宜不要期望自己會有驚人的轉變也許上莊會令人處事成熟一點有計劃一點但上莊所得到的關係將會是更重要更珍貴一年的相處中面對過有無數的會議共同處理過不少困難從中

建立的友誼真的是畢生受用

責任感上莊另外一個十分重要既條件就是責任

感有志上莊的同學必須明白到莊期是長達一整年在繁重的學業中騰出時間來處理莊務是個考驗責任感和毅力的測試同學必須再三思考想清楚自己是否真係熱衷於上莊或是只是一時衝動畢竟你將要許下的是一年的承諾必須對這個莊負上責任願意付出才選擇上莊這個決定這樣的付出就會有相對的回

總結上莊的確是個好機會讓自己去學習從處

理事務中或是從莊友身上都會有所得著充實著自己的大學生活從中可以認識到各學系的同學建立一段段受用終身的友誼在此筆者希望各學系的新同學可以善用機會作出上莊這個無悔的決定

護理系的啟思總編石志榮 (N14)

新鮮人

hkucaduceusnet | 43

慈兄吟(下)奇晶

最 後還是麥教授先開了口「他的確是一個好學生對醫學有獨到見解他不但學業成績優異而且樂於助人你是他的妹妹吧」婉慧努力控制自己的淚水繼繼續續的說「是啊但helliphellip但helliphellip我不知道helliphellip他竟會在這裏出現」麥教授用悲天憫人的目光看着婉慧語重深長說「人生自古誰無死人生命的有為與否並不取決於他生命的長短而是在於人生的意義你哥哥雖然最後當不了醫生但他的犧牲卻間接為一些同學做醫生鋪路讓他們做醫生去救人這真是一種無私的愛」婉慧點點頭覺得自己對哥哥的了解實在太少了

最後她還是孤獨的離開實驗室她覺得自己跟哥哥比起來實在相差得太遠了原來他除了是十優狀元在醫學院的成績名列前茅外還是個熱心助人的好青年自己除了少了一優外少的更有對別人的同情及樂於助人這造就了她心靈上的空虛她明白到冷漠不是一種對哥哥思念的正當表達方法她應該做的是把哥哥對其他人的愛傳揚開去以圓他的心願

第一步往往是最困難的婉慧平日對他人的態度已令不少人對她敬而遠之有很多次她嘗試向同班同學投以友善的笑容得到的總是詫異的目光或別人的不理不睬在小組討論中儘管她踴躍發言盡量避免冷場的發生偶同學們卻認為她變本加厲想阻止同學們取得好成績她四處碰壁又再次陷入了想念哥哥的深淵

時間一天一天過去了上學期考試前的休假開始了婉慧每天都勤奮的在圖書館溫習期望取得好成績這時候的圖書館堆滿了人如果遲來一個小時想找一個位子也難就在假期的第二天同班的王文在圖書館跑得氣急敗壞仍找不到一個座位婉慧不知怎樣有點同情他將座位讓給他王文驚訝道「不用了我還是回家吧真倒楣遲來了一個小時就沒有『接位』」

「但你住在哪裏呀」

「元朗今天早上我忘了校鬧鐘八時才起」

「那你還是要我的座位吧我可以坐到電腦桌因為我認識的人不少沒有什麼人會打擾我的」

王文謝了她頓時對這位冷漠的同學刮目相看原來她的內心也是溫暖的這並不是他所能料及的坐在電腦桌前溫習的她也感到特別的快樂溫習的速度也快多了王文就此成為了她的「飯檔」考試期間每天和她一起吃飯他更將自己的好友介紹給婉慧認識

在一個晚上她又悄悄的在圖書館的角落溫習着突然一隻溫暖的手搭着她的肩上她抬起頭但見解剖學的同桌手中拿着一杯熱飲輕輕的放在她的桌上婉慧正感詫異卻聽見他說「這杯熱巧克力是給你的繼續努力吧」她喝着巧克力心中感到一股暖流彷彿哥哥的關懷又在她內作出回響

十年生死兩茫茫不思量自難忘千里孤墳無處話淒涼helliphellip

寒風吹起了她額上的劉海佇立在墓前的婉慧不禁凜冽她想起了從前想到自己最後一次和哥哥吵架雙方面紅耳赤的情況想起自己無法親口跟哥哥道歉想起哥哥無私的付出她對着那空虛的墳心中不忍一陣淒然淚水漱漱的流下來她身旁攜扶着年紀老邁的母親邊拭淚邊喃喃道「我的兒子helliphellip歿了helliphellip」大家心情漸漸平復了緩緩走出了墳地

雨一滴一滴的落下飽歷辛酸的婉慧卻仍在懸壼濟世

短篇

ldquoyesterday is but todayrsquos MeMory aNd toMorrow is todayrsquos dreaMrdquo ndash khalil gibraN

44 | Caduceus September 2011

Eternal Flame (1)Tulipa

Itrsquos cold The chills from my fingertips imbibe deep into me This person drills into my mind digging out the truth inside me Itrsquos agonizing She comes right inhellip di-rectly I cannot stop her

Irsquom losing myselfhellip

My hand felt the soggy pillow I realised I had come back to life the world where I lived Staring blankly at the ceiling still losing focus in my eyes I felt my brows with my forearm For the first time I didnrsquot want to lose this feeling

The bedroom door slowly opened I quickly rubbed off the drops that had blurred my vision pretending that I had just woken up

ldquoDo you have lessons this morningrdquo My grand-mother whispered into my ear

ldquoOh goshrdquo I turned right to my alarm clock It was the real life I had forgotten to turn the alarm on last night and it was now seven thirty I knew it I was going to be late every time she caught me in bed Irsquod got to hurry up

Living in Hong Kong Island though it took me more than an hour to get to school I had to comfort my little brother sometimes till two or three in the morning in order to get him to sleep In addition to the consistently heavy study load in the medical school I could hardly get enough rest Running on my heels al-most became my routine starting from last November But I well understood the consequence of skipping lec-tures It was the beginning of the Cardiovascular Sys-tem Block For someone like me who gave least priority in revising Anatomy materials lectures remained the prime source of information for exams Absence from class was suicidal To make the situation worse this professor was one of those who did NOT upload lec-ture notes online

Hoping I wouldnrsquot arrive too late to miss the impor-tant points I finally stepped onto a route no 8 minibus at ten past eight What I could do now was to pay trust in the driver who would bring me to my destination

Coaxing kids was never easy Little Bruce just hap-pened to give me such a hassle last night

He knew I would check on him when I returned home Sitting right next to the door of his room he begged me for a story once I opened the door I sat down together with him on his little couch after Irsquod taken a quick shower This was a time to relax leaving

aside all the other concerns

Kindling through his favourite reader I saw that he wasnrsquot listening but distracted by all sorts of toys around He even invited me into his world of fantasy But it was getting late I had to calm him down so that I too could have some rest Being one of the brightest in his elementary school he should understand this was not the time for recreation

I began to feel annoyed

Yet he was my brother I had a gut feeling that this was unusual He didnrsquot use to be so ldquohyperactiverdquo It re-ally took me a while to adjust to his change With him still tossing and turning in my arms I apprehended his restlessness Unpredictable though he was true to his feelings In one way or another he might find the shadow of our mother in me

He finally settled when I laid him back in bed It was nearly two forty in the morning

The first week of the CVS Block ran as plotted PBL tutorials would start on next Monday Dr Youngrsquos fa-cial expression in the first PBL evaluation flashed over my Embryology notes and references She didnrsquot teach Embryology but I could tell she did have a hypertroph-ic heart-shaped face which looked familiar to the dia-grams in the Atlas

Back in the IHD Block most of us were puzzled about the scrambled content of our course Various forms of seemingly related knowledge came in through lectures practical and tutorial sessions But the neural circuit formed in our brain just failed to resonate as if the conductance-inductance mismatch had aberrated our thought from minimal impedance Sometimes things even happened in a ldquomore-than-extrardquo manner The presence of common core courses in a parallel but independent branch in the network could rightly be detached without causing a blip on the galvanometer Everything was dubious We had no idea of what we were doing

Maybe we were just on the way seeking for a sense of attachment

My mind too was racing in haste I was struggling with my decision to become a doctor Too many things had happened over the year I just couldnrsquot stop ques-tioning myself what was I thinking when I put lsquo6456 MBBSrsquo in my JUPAS application I should have expect-ed and prepared to face all these I just didnrsquot knowhellip

Novella

hkucaduceusnet | 45

It was midterm evaluation in the IHD Block Her face looked tense in that heart shape She was so stiff in her facial expression that no one could read her mind from her poker face The conference room of the Physi-ology Department was large We seemed to be the odd ones out in the spacious carpeted room In this secre-tive silence you could hear the drumming in your ears as if you were tingling

I realised this was not a matter of ldquoam-I-suitable-for-a-medical-careerrdquo but ldquois-a-medical-career-suita-ble-for-merdquo I was lying in bed playing with my plush bear when these thoughts burst in me Dr Young looked through me She felt certain that different from other group mates there were crises behind me But I didnrsquot tell her anything that day

We all were sensitive At times some subtle trepi-dation seeped in gradually sucking peace away from my sleep It was so to say below threshold sub-lethal though it lingered for weeks once it set inhellip

Drenched in bloodhellip There is no life in the boy His eyes are widely opened slightly protruded The lifeless pair of black pearlshellip I cannot escape from his glance He wants to talk to mehellip There is something he wants me to know

A van runs over himhellip

I fell down the edge of my mattress Breathing heavilyhellip Sweating all overhellip

ldquoScreechrdquo People began to gather around a tel-ephone booth a few metres behind us

I turned back I couldnrsquot see a lot from this anglehellip

ldquohellip What a pity He is so younghelliprdquo a middle-aged couple passed by

The victim resting just in front of the wheel looked towards me through a break in the crowdhellip

As we were wandering around thinking what to eat for dinner my cousin found me standing there rooted to the ground stunned by the victimrsquos gaze My heart was pounding She wouldnrsquot believe what I was again experiencing For a number of times already scenarios in my dreams were mirrored into reality

I couldnrsquot tell her

ldquoI was just thinking whether you would like Korean cuisine There is a new restaurant two corners awayrdquo I made up a talk while escaping from the scene so that I wouldnrsquot look so strange

ldquoWhy not go and have a try thenrdquo She was not dis-appointed for calling it a day as the food there was sur-prisingly good

Not until some years ago when I was Form 3 in college I discovered my ability to look into the future Sometimes I could see them coming up on the news in days or weeks And some didnrsquot ever happen at least not around me But seeing the night visions coming into concrete existence wasnrsquot always a pleasure when the mental images turned gradually into mostly night-mares When I visualised my close ones it felt like I was in the middle of an insecure chain bridge above a torrent that would sweep me into the vast ocean with no return It was entirely different from what you might understand as ldquodreams come truerdquo

I had witnessed misfortunes in proximityhellip

But I could do nothing about ithellip

Friends were a source of solace someone to con-fide all frustrations in But with my paranormal ability which appeared to everybody else only on screen-plays I wasnrsquot courageous enough to open my life wholeheartedly to them Seldom talking about myself avoiding all sorts of gatherings I became an eccentric figure among my classmates

Sometimes mutual understanding carried more weight than words I remembered my physics teacher being one of my few friends during my teen years De-spite his boisterous faccedilade he was always sensitive to whenever I was dwelling on my burdens Physics was our common language Intermingling our emotions and feelings with concepts that were alien to my fel-lows we developed a close rapport impenetrable by anyone else

ldquoWhat is the nature of a flamerdquo This was the most discussed problem between us Neither in solid liquid nor vapour state Not having any definite shape and colour It seems not any material but a type of energy giving out heat and light At the moment of providing it also exhausts its fuel and eventually itselfhellip

The romance of physics is more than anything you could read write and talk about Once you were truly connected with it nothing can stop you Your mind will bounce irrespective of the chronology of space-time but only under the guidance of your thoughts

I was so devoted to the discipline at the time that I was almost making it my lifelong career in some way He envisaged that I would demand much more than any academia could provide with its scientific basis alone We were both seeking a philosophy beyond the facts But Hong Kong may not be the right place for it

I made him a promise at the end to contain our flame and I knew I would

For the first and the last time I saw his eyes filled with tears We knew existence by itself is a miracle

ldquoi love life because what More is thererdquo ndash aNthoNy hopkiNs

46 | Caduceus September 2011

說華佗都說「華佗再世」誰知箇中真諦雲方 (M15)

烽煙起戰火燃萬里 

三國並爭英雄地亂世有誰顧生死 

待神醫行世將民眾救濟

渺渺江山東西瞰俞跗巧手扁鵲心(1) 應向何處尋 

滾滾黃沙無世家終有奇士放奇葩

沛國 華元化(2) 

他經書貫通南北遊動 

一望斷症如神助三劑消病不必多

說斷症悉如所料 

甘陵 相夫人腹痛極難忍(3) 號脈知死嬰在左為男形(4)廣陵 梅軍吏除名歸故里

見貌知壽盡速返見萱椿(5) 

說消病藥到病除 

飲蒜醋有三升蟲一嘔而盡清 (6)母服丸而溫儲兒不藥而自癒 (7)

絕妙處 

是他開腸剖腹刀至辟毒 

神醫號 

除他內外皆精有誰配稱

[1]   俞跗黃帝時代之名醫扁鵲春秋戰國之名醫《淮南子人間訓》「患至而多後憂之helliphellip雖有扁鵲俞跗之巧猶不能生也」

[2]   華佗字元化沛國人(今安徽 亳州)

[3]   甘陵相(即甘陵之行政長官)夫人懷胎六月腹痛不安華佗為其切脈便知胎死於是命人摸知所在在左則男在右則女人云「在左」夫人飲藥後果然產出男胎腹痛立即痊癒

[4]   廣陵有軍吏名曰梅平離鄉服役後來退役歸家於路上巧遇華佗華佗視之嘆道「若能早些見我當不至於此而今你僅餘五日壽命速速回家還能與家人相見」平旋即趕抵故鄉五日後亦如料身亡

[5]   萱椿多作椿萱比喻父母漢牟融《送徐浩》詩「知君此去情偏切堂上椿萱雪滿頭」

[6]   華佗見路邊有人食不下嚥教他到路邊餅店買醋三升混上蒜泥然後飲用路人服後即吐出一條長蛇(即寄生蟲)

[7]   兩歲男孩長年腹瀉藥石無靈華佗往診謂病在母命其服用華佗親研之「四物女宛丸」服後母親乳汁不再寒涼男孩亦不藥而癒

意興

hkucaduceusnet | 47

只可惜人無完壁

「關將軍使君予我手刮骨惡毒走

曹丞相使君予我頭剖顱苦痛收」

「怎能不收怎能不收一命嗚呼萬事休 

簡直荒謬簡直荒謬殺此庸醫未須愁」(8) 

五禽戲尚能傳 (9)麻沸散從此絕 

何不一飲醉死不知世忍氣吞聲事權貴 (10)心神委曲須臾苦奇術失迭千秋計 

烽煙止無改生死事 

且當醫仙謫世間神技終須風裏散 (11)回首仰高山景行請君範 (12)

[8]     曹操欲殺華佗臣下勸之不可答曰「不憂天下當無此鼠輩耶」

[9]     死前華佗欲托所著醫書於獄卒不果便盡數焚毀唯有其養生體操「五禽戲」流傳後世

[10]   《三國志魏書方技傳》「當須刳割者便飲其麻沸散須臾便如醉死無所知」

[11]   唐白居易《簡簡吟》「恐是天仙謫人世只合人間十三歲」

[12]   景行(音航)即大道以高山景行比喻人品德行為之高尚典出《詩經小雅車轄》又東漢鄭玄曰「古人有高德者則慕仰之有明行者則而行之」

ldquothe art of MediciNe was to be properly learNer oNly forM its practice aNd its exerciserdquo - thoMas sydeNhaM

48 | Caduceus September 2011

啟程

清晨空白的天空看不見藍天雲彩

只有溫柔的雨絲和朦朦朧朧的霧水跟隨

著大隊的足印踏上沉重的腳步穿過橫

街小巷和煩囂熱鬧的市場走過自動門

撲鼻的消毒藥水味道讓大家屏住呼吸筆

者和夥伴們終於到達了入讀護理系以來第

一次實習的醫院

還記得在實習的前幾天心情是既忐忑

又期待的畢竟這一次實習的地方不再是

在社區中心宣傳健康方面的知識亦不是

只面對著健康活潑的小朋友和老友記或是

學校課堂上所提供的假人張靜汶卻是照

顧一羣真正需要關懷的病人心中充滿著

憂慮不知自己所學的知識足夠在應用上

嗎自己平日的練習足夠嗎雖然心存在

著不少疑惑但也十分期待可以體會一下

做小學護的感受嘗試把這一年裡所學到

的知識運用出來

很多的第一次

在病房裡總有心酸和膽戰心驚的時

候第一次為昏迷的病人清潔口腔第一

次為難以進食的人插入胃喉第一次為老

公公清洗背上壓瘡的傷口helliphellip照顧他們時

的心情都是一步一驚心生怕自己沒法應

付得來又怕會把事情弄得更糟糕最重

要的是恐怕自己不純熟的技巧令他們受苦

了記得有一回第一次為女病人插入尿

喉採取尿液樣本可能技巧不太純熟的關

係延長了病人的痛苦過程中她皺著

眉頭不斷呻吟又緊張得咬破脣眼看

她樣子心中真的不是味兒來身為病人

的其中之一依靠我們不得不給自己信

心如果連自己也不相信自己哪會有病

人願意把他們交給我們照料呢

捕捉那瞬間的美麗與淒然何麗敏 (N14)

上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

意興

hkucaduceusnet | 49

另外第一次面對病人的心情是頗為

緊張的說話技巧亦有改進的空間但和

病人傾談了數分鐘後氣氛也漸漸變得和

諧可能那些老公公整天呆在醫院裡真是

悶到慌看見一羣年青人與自己聊天照

顧和關心他們他們不禁咧嘴而笑醫院

職員透露有一位老公公平日不太願意吃東

西於是我們便主動和他談天說地又

悉心照料他進食的情況後來他不但胃

口好了不少就連心情也開朗了他生動

活潑的談吐讓我們笑了他回復健康精

神的體魄也讓我們感到安慰

相處片刻

雖然為期一星期的病房日子不是特別繁

忙或是辛勞但是也會有不習慣的時候

幸好得到醫院職員和一班夥伴的支持病

房經理和註冊護士不但相信我們的能力

對學護的包容更是不用多說還主動地介

紹病房的環境和細心地教導我們醫療護理

上的知識讓我們上了一堂實在而又寶貴

的課同時今次的實習也令我感到團體

精神也十分重要在技巧上大家互相提

點互補不足當有人準備照料有需要的

病人如插喉或洗傷口等大家送上一句 

「加油」就能令對方增加不少自信心和正

能量無論遇上甚麼事情我也榮幸有如

此一班學習夥伴從旁支持

學習的階級

在這一次病房實習中雖然醫療和藥物

知識方面有待加強但是我學懂了如何與

不同身份的病人相處之道溝通上也得到

了很大的進步獲益不少除此之外我

也真正體會到如何做一個好護士並清楚

了解這個行業是否適合自己鐘樓也不是

一天就能建成而是需要一磚一瓦搭建而

成的所以在學習上我們不但要打好

穩固的基礎還要增強醫療知識在技巧

上馬虎了事和走捷徑是於是無補的應

該多探究和練習才行這樣才對得起病人

和自己也減少不必要的醫療失當事故

總之多一份認真多一點耐性多一些

愛心就是學護必記的左右銘 上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

ldquoit is reasoNable to expect the doctor to recogNise that scieNce May Not have all the aNswers to probleMs of health aNd healiNgrdquo ndash NorMaN cousiNs

50 | Caduceus September 2011

Fun Corner

Medical AppsEver wondered how your handheld device can save your time and

effort when it comes to studying Here is how

Anatomy Pronunciations by HipposoftAccurate pronunciations of over a hundred important anatomy terms you have trouble with are provided

at your fingertips to help you spell those difficult words Anyone who has taken an anatomy course can tell you how challenging it can be to pro-nounce the names of those complicated anatomi-cal terms It is even linked directly to Wikipedia and Google through web browser for additional information

iPharmacy ndash Pill Identifier and Medication Guide by SigmaPhone LLCAn essential medication guide of 20000+ drugs is provided for con-sumers amp professionals This ex-

pands the image library to include 12000 pill and package images and includes digital drug identifier with official drug information (indica-tions dosage adverse reactions and more) You can check the drugs anywhere

Grades 2 by TapityIt tells you what grades you need in the coming tests in order to get your target grade You can easily calcu-late your GPA so as to maintain it It

is a useful tool helping you to keep an eye on your GPA all the time

Human Anatomy by SusaSoftXThe application provides you with information of 15 different biologi-cal systems You can keep on revis-ing while you are traveling without

carrying heavy books

Medscape by WebMD LLCFrom drug classes interaction clin-ical procedures and even the lat-est medical news Medscape helps medical students and healthcare

professionals to reiterate knowledge that has slipped from the mind It is a free application for iPhone iPad Android and Blackberry Yet it contains more function on Android phones and Apple products and lacks detailed clinical infor-mation for diseases and clinical procedures walk through on Blackberry

Pro Medical Terminology Dic-tionary by TreascoveryTerminology might be a tough work for medical students Even if we can master those English terms we can

hardly think of the Chinese terms This applica-tion can help you when you face this problem Note that it is not a free application

3M Littmann SoundBuilder by 3M CompanyA great tool designed to help im-prove auscultation skills of medical students with 14 unique lessons of

key heart sounds combing text virtual manne-quin 3D cardiac animation and dynamic wave-forms

iRadiology by Liebermans iRadi-ologyAn excellent learning tool for medi-cal students demonstrating classic radiological findings of a multitude

of abnormalities including over 500 radiologic images Radiologic images include CT US MRI and nuclear imaging each clearly labeled and followed by key teaching points

Micromedex Drug Information by Thomson Reuters (Healthcare) IncIs Cephalexin a first generation ce-phalosporin This application from

Thomson Reuters is the easiest way to navigate in the sea of drug names Drugs are sorted by classes and supplemented with rich information

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 43: Caduceus Issue 2, Volume 42

hkucaduceusnet | 43

慈兄吟(下)奇晶

最 後還是麥教授先開了口「他的確是一個好學生對醫學有獨到見解他不但學業成績優異而且樂於助人你是他的妹妹吧」婉慧努力控制自己的淚水繼繼續續的說「是啊但helliphellip但helliphellip我不知道helliphellip他竟會在這裏出現」麥教授用悲天憫人的目光看着婉慧語重深長說「人生自古誰無死人生命的有為與否並不取決於他生命的長短而是在於人生的意義你哥哥雖然最後當不了醫生但他的犧牲卻間接為一些同學做醫生鋪路讓他們做醫生去救人這真是一種無私的愛」婉慧點點頭覺得自己對哥哥的了解實在太少了

最後她還是孤獨的離開實驗室她覺得自己跟哥哥比起來實在相差得太遠了原來他除了是十優狀元在醫學院的成績名列前茅外還是個熱心助人的好青年自己除了少了一優外少的更有對別人的同情及樂於助人這造就了她心靈上的空虛她明白到冷漠不是一種對哥哥思念的正當表達方法她應該做的是把哥哥對其他人的愛傳揚開去以圓他的心願

第一步往往是最困難的婉慧平日對他人的態度已令不少人對她敬而遠之有很多次她嘗試向同班同學投以友善的笑容得到的總是詫異的目光或別人的不理不睬在小組討論中儘管她踴躍發言盡量避免冷場的發生偶同學們卻認為她變本加厲想阻止同學們取得好成績她四處碰壁又再次陷入了想念哥哥的深淵

時間一天一天過去了上學期考試前的休假開始了婉慧每天都勤奮的在圖書館溫習期望取得好成績這時候的圖書館堆滿了人如果遲來一個小時想找一個位子也難就在假期的第二天同班的王文在圖書館跑得氣急敗壞仍找不到一個座位婉慧不知怎樣有點同情他將座位讓給他王文驚訝道「不用了我還是回家吧真倒楣遲來了一個小時就沒有『接位』」

「但你住在哪裏呀」

「元朗今天早上我忘了校鬧鐘八時才起」

「那你還是要我的座位吧我可以坐到電腦桌因為我認識的人不少沒有什麼人會打擾我的」

王文謝了她頓時對這位冷漠的同學刮目相看原來她的內心也是溫暖的這並不是他所能料及的坐在電腦桌前溫習的她也感到特別的快樂溫習的速度也快多了王文就此成為了她的「飯檔」考試期間每天和她一起吃飯他更將自己的好友介紹給婉慧認識

在一個晚上她又悄悄的在圖書館的角落溫習着突然一隻溫暖的手搭着她的肩上她抬起頭但見解剖學的同桌手中拿着一杯熱飲輕輕的放在她的桌上婉慧正感詫異卻聽見他說「這杯熱巧克力是給你的繼續努力吧」她喝着巧克力心中感到一股暖流彷彿哥哥的關懷又在她內作出回響

十年生死兩茫茫不思量自難忘千里孤墳無處話淒涼helliphellip

寒風吹起了她額上的劉海佇立在墓前的婉慧不禁凜冽她想起了從前想到自己最後一次和哥哥吵架雙方面紅耳赤的情況想起自己無法親口跟哥哥道歉想起哥哥無私的付出她對着那空虛的墳心中不忍一陣淒然淚水漱漱的流下來她身旁攜扶着年紀老邁的母親邊拭淚邊喃喃道「我的兒子helliphellip歿了helliphellip」大家心情漸漸平復了緩緩走出了墳地

雨一滴一滴的落下飽歷辛酸的婉慧卻仍在懸壼濟世

短篇

ldquoyesterday is but todayrsquos MeMory aNd toMorrow is todayrsquos dreaMrdquo ndash khalil gibraN

44 | Caduceus September 2011

Eternal Flame (1)Tulipa

Itrsquos cold The chills from my fingertips imbibe deep into me This person drills into my mind digging out the truth inside me Itrsquos agonizing She comes right inhellip di-rectly I cannot stop her

Irsquom losing myselfhellip

My hand felt the soggy pillow I realised I had come back to life the world where I lived Staring blankly at the ceiling still losing focus in my eyes I felt my brows with my forearm For the first time I didnrsquot want to lose this feeling

The bedroom door slowly opened I quickly rubbed off the drops that had blurred my vision pretending that I had just woken up

ldquoDo you have lessons this morningrdquo My grand-mother whispered into my ear

ldquoOh goshrdquo I turned right to my alarm clock It was the real life I had forgotten to turn the alarm on last night and it was now seven thirty I knew it I was going to be late every time she caught me in bed Irsquod got to hurry up

Living in Hong Kong Island though it took me more than an hour to get to school I had to comfort my little brother sometimes till two or three in the morning in order to get him to sleep In addition to the consistently heavy study load in the medical school I could hardly get enough rest Running on my heels al-most became my routine starting from last November But I well understood the consequence of skipping lec-tures It was the beginning of the Cardiovascular Sys-tem Block For someone like me who gave least priority in revising Anatomy materials lectures remained the prime source of information for exams Absence from class was suicidal To make the situation worse this professor was one of those who did NOT upload lec-ture notes online

Hoping I wouldnrsquot arrive too late to miss the impor-tant points I finally stepped onto a route no 8 minibus at ten past eight What I could do now was to pay trust in the driver who would bring me to my destination

Coaxing kids was never easy Little Bruce just hap-pened to give me such a hassle last night

He knew I would check on him when I returned home Sitting right next to the door of his room he begged me for a story once I opened the door I sat down together with him on his little couch after Irsquod taken a quick shower This was a time to relax leaving

aside all the other concerns

Kindling through his favourite reader I saw that he wasnrsquot listening but distracted by all sorts of toys around He even invited me into his world of fantasy But it was getting late I had to calm him down so that I too could have some rest Being one of the brightest in his elementary school he should understand this was not the time for recreation

I began to feel annoyed

Yet he was my brother I had a gut feeling that this was unusual He didnrsquot use to be so ldquohyperactiverdquo It re-ally took me a while to adjust to his change With him still tossing and turning in my arms I apprehended his restlessness Unpredictable though he was true to his feelings In one way or another he might find the shadow of our mother in me

He finally settled when I laid him back in bed It was nearly two forty in the morning

The first week of the CVS Block ran as plotted PBL tutorials would start on next Monday Dr Youngrsquos fa-cial expression in the first PBL evaluation flashed over my Embryology notes and references She didnrsquot teach Embryology but I could tell she did have a hypertroph-ic heart-shaped face which looked familiar to the dia-grams in the Atlas

Back in the IHD Block most of us were puzzled about the scrambled content of our course Various forms of seemingly related knowledge came in through lectures practical and tutorial sessions But the neural circuit formed in our brain just failed to resonate as if the conductance-inductance mismatch had aberrated our thought from minimal impedance Sometimes things even happened in a ldquomore-than-extrardquo manner The presence of common core courses in a parallel but independent branch in the network could rightly be detached without causing a blip on the galvanometer Everything was dubious We had no idea of what we were doing

Maybe we were just on the way seeking for a sense of attachment

My mind too was racing in haste I was struggling with my decision to become a doctor Too many things had happened over the year I just couldnrsquot stop ques-tioning myself what was I thinking when I put lsquo6456 MBBSrsquo in my JUPAS application I should have expect-ed and prepared to face all these I just didnrsquot knowhellip

Novella

hkucaduceusnet | 45

It was midterm evaluation in the IHD Block Her face looked tense in that heart shape She was so stiff in her facial expression that no one could read her mind from her poker face The conference room of the Physi-ology Department was large We seemed to be the odd ones out in the spacious carpeted room In this secre-tive silence you could hear the drumming in your ears as if you were tingling

I realised this was not a matter of ldquoam-I-suitable-for-a-medical-careerrdquo but ldquois-a-medical-career-suita-ble-for-merdquo I was lying in bed playing with my plush bear when these thoughts burst in me Dr Young looked through me She felt certain that different from other group mates there were crises behind me But I didnrsquot tell her anything that day

We all were sensitive At times some subtle trepi-dation seeped in gradually sucking peace away from my sleep It was so to say below threshold sub-lethal though it lingered for weeks once it set inhellip

Drenched in bloodhellip There is no life in the boy His eyes are widely opened slightly protruded The lifeless pair of black pearlshellip I cannot escape from his glance He wants to talk to mehellip There is something he wants me to know

A van runs over himhellip

I fell down the edge of my mattress Breathing heavilyhellip Sweating all overhellip

ldquoScreechrdquo People began to gather around a tel-ephone booth a few metres behind us

I turned back I couldnrsquot see a lot from this anglehellip

ldquohellip What a pity He is so younghelliprdquo a middle-aged couple passed by

The victim resting just in front of the wheel looked towards me through a break in the crowdhellip

As we were wandering around thinking what to eat for dinner my cousin found me standing there rooted to the ground stunned by the victimrsquos gaze My heart was pounding She wouldnrsquot believe what I was again experiencing For a number of times already scenarios in my dreams were mirrored into reality

I couldnrsquot tell her

ldquoI was just thinking whether you would like Korean cuisine There is a new restaurant two corners awayrdquo I made up a talk while escaping from the scene so that I wouldnrsquot look so strange

ldquoWhy not go and have a try thenrdquo She was not dis-appointed for calling it a day as the food there was sur-prisingly good

Not until some years ago when I was Form 3 in college I discovered my ability to look into the future Sometimes I could see them coming up on the news in days or weeks And some didnrsquot ever happen at least not around me But seeing the night visions coming into concrete existence wasnrsquot always a pleasure when the mental images turned gradually into mostly night-mares When I visualised my close ones it felt like I was in the middle of an insecure chain bridge above a torrent that would sweep me into the vast ocean with no return It was entirely different from what you might understand as ldquodreams come truerdquo

I had witnessed misfortunes in proximityhellip

But I could do nothing about ithellip

Friends were a source of solace someone to con-fide all frustrations in But with my paranormal ability which appeared to everybody else only on screen-plays I wasnrsquot courageous enough to open my life wholeheartedly to them Seldom talking about myself avoiding all sorts of gatherings I became an eccentric figure among my classmates

Sometimes mutual understanding carried more weight than words I remembered my physics teacher being one of my few friends during my teen years De-spite his boisterous faccedilade he was always sensitive to whenever I was dwelling on my burdens Physics was our common language Intermingling our emotions and feelings with concepts that were alien to my fel-lows we developed a close rapport impenetrable by anyone else

ldquoWhat is the nature of a flamerdquo This was the most discussed problem between us Neither in solid liquid nor vapour state Not having any definite shape and colour It seems not any material but a type of energy giving out heat and light At the moment of providing it also exhausts its fuel and eventually itselfhellip

The romance of physics is more than anything you could read write and talk about Once you were truly connected with it nothing can stop you Your mind will bounce irrespective of the chronology of space-time but only under the guidance of your thoughts

I was so devoted to the discipline at the time that I was almost making it my lifelong career in some way He envisaged that I would demand much more than any academia could provide with its scientific basis alone We were both seeking a philosophy beyond the facts But Hong Kong may not be the right place for it

I made him a promise at the end to contain our flame and I knew I would

For the first and the last time I saw his eyes filled with tears We knew existence by itself is a miracle

ldquoi love life because what More is thererdquo ndash aNthoNy hopkiNs

46 | Caduceus September 2011

說華佗都說「華佗再世」誰知箇中真諦雲方 (M15)

烽煙起戰火燃萬里 

三國並爭英雄地亂世有誰顧生死 

待神醫行世將民眾救濟

渺渺江山東西瞰俞跗巧手扁鵲心(1) 應向何處尋 

滾滾黃沙無世家終有奇士放奇葩

沛國 華元化(2) 

他經書貫通南北遊動 

一望斷症如神助三劑消病不必多

說斷症悉如所料 

甘陵 相夫人腹痛極難忍(3) 號脈知死嬰在左為男形(4)廣陵 梅軍吏除名歸故里

見貌知壽盡速返見萱椿(5) 

說消病藥到病除 

飲蒜醋有三升蟲一嘔而盡清 (6)母服丸而溫儲兒不藥而自癒 (7)

絕妙處 

是他開腸剖腹刀至辟毒 

神醫號 

除他內外皆精有誰配稱

[1]   俞跗黃帝時代之名醫扁鵲春秋戰國之名醫《淮南子人間訓》「患至而多後憂之helliphellip雖有扁鵲俞跗之巧猶不能生也」

[2]   華佗字元化沛國人(今安徽 亳州)

[3]   甘陵相(即甘陵之行政長官)夫人懷胎六月腹痛不安華佗為其切脈便知胎死於是命人摸知所在在左則男在右則女人云「在左」夫人飲藥後果然產出男胎腹痛立即痊癒

[4]   廣陵有軍吏名曰梅平離鄉服役後來退役歸家於路上巧遇華佗華佗視之嘆道「若能早些見我當不至於此而今你僅餘五日壽命速速回家還能與家人相見」平旋即趕抵故鄉五日後亦如料身亡

[5]   萱椿多作椿萱比喻父母漢牟融《送徐浩》詩「知君此去情偏切堂上椿萱雪滿頭」

[6]   華佗見路邊有人食不下嚥教他到路邊餅店買醋三升混上蒜泥然後飲用路人服後即吐出一條長蛇(即寄生蟲)

[7]   兩歲男孩長年腹瀉藥石無靈華佗往診謂病在母命其服用華佗親研之「四物女宛丸」服後母親乳汁不再寒涼男孩亦不藥而癒

意興

hkucaduceusnet | 47

只可惜人無完壁

「關將軍使君予我手刮骨惡毒走

曹丞相使君予我頭剖顱苦痛收」

「怎能不收怎能不收一命嗚呼萬事休 

簡直荒謬簡直荒謬殺此庸醫未須愁」(8) 

五禽戲尚能傳 (9)麻沸散從此絕 

何不一飲醉死不知世忍氣吞聲事權貴 (10)心神委曲須臾苦奇術失迭千秋計 

烽煙止無改生死事 

且當醫仙謫世間神技終須風裏散 (11)回首仰高山景行請君範 (12)

[8]     曹操欲殺華佗臣下勸之不可答曰「不憂天下當無此鼠輩耶」

[9]     死前華佗欲托所著醫書於獄卒不果便盡數焚毀唯有其養生體操「五禽戲」流傳後世

[10]   《三國志魏書方技傳》「當須刳割者便飲其麻沸散須臾便如醉死無所知」

[11]   唐白居易《簡簡吟》「恐是天仙謫人世只合人間十三歲」

[12]   景行(音航)即大道以高山景行比喻人品德行為之高尚典出《詩經小雅車轄》又東漢鄭玄曰「古人有高德者則慕仰之有明行者則而行之」

ldquothe art of MediciNe was to be properly learNer oNly forM its practice aNd its exerciserdquo - thoMas sydeNhaM

48 | Caduceus September 2011

啟程

清晨空白的天空看不見藍天雲彩

只有溫柔的雨絲和朦朦朧朧的霧水跟隨

著大隊的足印踏上沉重的腳步穿過橫

街小巷和煩囂熱鬧的市場走過自動門

撲鼻的消毒藥水味道讓大家屏住呼吸筆

者和夥伴們終於到達了入讀護理系以來第

一次實習的醫院

還記得在實習的前幾天心情是既忐忑

又期待的畢竟這一次實習的地方不再是

在社區中心宣傳健康方面的知識亦不是

只面對著健康活潑的小朋友和老友記或是

學校課堂上所提供的假人張靜汶卻是照

顧一羣真正需要關懷的病人心中充滿著

憂慮不知自己所學的知識足夠在應用上

嗎自己平日的練習足夠嗎雖然心存在

著不少疑惑但也十分期待可以體會一下

做小學護的感受嘗試把這一年裡所學到

的知識運用出來

很多的第一次

在病房裡總有心酸和膽戰心驚的時

候第一次為昏迷的病人清潔口腔第一

次為難以進食的人插入胃喉第一次為老

公公清洗背上壓瘡的傷口helliphellip照顧他們時

的心情都是一步一驚心生怕自己沒法應

付得來又怕會把事情弄得更糟糕最重

要的是恐怕自己不純熟的技巧令他們受苦

了記得有一回第一次為女病人插入尿

喉採取尿液樣本可能技巧不太純熟的關

係延長了病人的痛苦過程中她皺著

眉頭不斷呻吟又緊張得咬破脣眼看

她樣子心中真的不是味兒來身為病人

的其中之一依靠我們不得不給自己信

心如果連自己也不相信自己哪會有病

人願意把他們交給我們照料呢

捕捉那瞬間的美麗與淒然何麗敏 (N14)

上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

意興

hkucaduceusnet | 49

另外第一次面對病人的心情是頗為

緊張的說話技巧亦有改進的空間但和

病人傾談了數分鐘後氣氛也漸漸變得和

諧可能那些老公公整天呆在醫院裡真是

悶到慌看見一羣年青人與自己聊天照

顧和關心他們他們不禁咧嘴而笑醫院

職員透露有一位老公公平日不太願意吃東

西於是我們便主動和他談天說地又

悉心照料他進食的情況後來他不但胃

口好了不少就連心情也開朗了他生動

活潑的談吐讓我們笑了他回復健康精

神的體魄也讓我們感到安慰

相處片刻

雖然為期一星期的病房日子不是特別繁

忙或是辛勞但是也會有不習慣的時候

幸好得到醫院職員和一班夥伴的支持病

房經理和註冊護士不但相信我們的能力

對學護的包容更是不用多說還主動地介

紹病房的環境和細心地教導我們醫療護理

上的知識讓我們上了一堂實在而又寶貴

的課同時今次的實習也令我感到團體

精神也十分重要在技巧上大家互相提

點互補不足當有人準備照料有需要的

病人如插喉或洗傷口等大家送上一句 

「加油」就能令對方增加不少自信心和正

能量無論遇上甚麼事情我也榮幸有如

此一班學習夥伴從旁支持

學習的階級

在這一次病房實習中雖然醫療和藥物

知識方面有待加強但是我學懂了如何與

不同身份的病人相處之道溝通上也得到

了很大的進步獲益不少除此之外我

也真正體會到如何做一個好護士並清楚

了解這個行業是否適合自己鐘樓也不是

一天就能建成而是需要一磚一瓦搭建而

成的所以在學習上我們不但要打好

穩固的基礎還要增強醫療知識在技巧

上馬虎了事和走捷徑是於是無補的應

該多探究和練習才行這樣才對得起病人

和自己也減少不必要的醫療失當事故

總之多一份認真多一點耐性多一些

愛心就是學護必記的左右銘 上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

ldquoit is reasoNable to expect the doctor to recogNise that scieNce May Not have all the aNswers to probleMs of health aNd healiNgrdquo ndash NorMaN cousiNs

50 | Caduceus September 2011

Fun Corner

Medical AppsEver wondered how your handheld device can save your time and

effort when it comes to studying Here is how

Anatomy Pronunciations by HipposoftAccurate pronunciations of over a hundred important anatomy terms you have trouble with are provided

at your fingertips to help you spell those difficult words Anyone who has taken an anatomy course can tell you how challenging it can be to pro-nounce the names of those complicated anatomi-cal terms It is even linked directly to Wikipedia and Google through web browser for additional information

iPharmacy ndash Pill Identifier and Medication Guide by SigmaPhone LLCAn essential medication guide of 20000+ drugs is provided for con-sumers amp professionals This ex-

pands the image library to include 12000 pill and package images and includes digital drug identifier with official drug information (indica-tions dosage adverse reactions and more) You can check the drugs anywhere

Grades 2 by TapityIt tells you what grades you need in the coming tests in order to get your target grade You can easily calcu-late your GPA so as to maintain it It

is a useful tool helping you to keep an eye on your GPA all the time

Human Anatomy by SusaSoftXThe application provides you with information of 15 different biologi-cal systems You can keep on revis-ing while you are traveling without

carrying heavy books

Medscape by WebMD LLCFrom drug classes interaction clin-ical procedures and even the lat-est medical news Medscape helps medical students and healthcare

professionals to reiterate knowledge that has slipped from the mind It is a free application for iPhone iPad Android and Blackberry Yet it contains more function on Android phones and Apple products and lacks detailed clinical infor-mation for diseases and clinical procedures walk through on Blackberry

Pro Medical Terminology Dic-tionary by TreascoveryTerminology might be a tough work for medical students Even if we can master those English terms we can

hardly think of the Chinese terms This applica-tion can help you when you face this problem Note that it is not a free application

3M Littmann SoundBuilder by 3M CompanyA great tool designed to help im-prove auscultation skills of medical students with 14 unique lessons of

key heart sounds combing text virtual manne-quin 3D cardiac animation and dynamic wave-forms

iRadiology by Liebermans iRadi-ologyAn excellent learning tool for medi-cal students demonstrating classic radiological findings of a multitude

of abnormalities including over 500 radiologic images Radiologic images include CT US MRI and nuclear imaging each clearly labeled and followed by key teaching points

Micromedex Drug Information by Thomson Reuters (Healthcare) IncIs Cephalexin a first generation ce-phalosporin This application from

Thomson Reuters is the easiest way to navigate in the sea of drug names Drugs are sorted by classes and supplemented with rich information

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 44: Caduceus Issue 2, Volume 42

44 | Caduceus September 2011

Eternal Flame (1)Tulipa

Itrsquos cold The chills from my fingertips imbibe deep into me This person drills into my mind digging out the truth inside me Itrsquos agonizing She comes right inhellip di-rectly I cannot stop her

Irsquom losing myselfhellip

My hand felt the soggy pillow I realised I had come back to life the world where I lived Staring blankly at the ceiling still losing focus in my eyes I felt my brows with my forearm For the first time I didnrsquot want to lose this feeling

The bedroom door slowly opened I quickly rubbed off the drops that had blurred my vision pretending that I had just woken up

ldquoDo you have lessons this morningrdquo My grand-mother whispered into my ear

ldquoOh goshrdquo I turned right to my alarm clock It was the real life I had forgotten to turn the alarm on last night and it was now seven thirty I knew it I was going to be late every time she caught me in bed Irsquod got to hurry up

Living in Hong Kong Island though it took me more than an hour to get to school I had to comfort my little brother sometimes till two or three in the morning in order to get him to sleep In addition to the consistently heavy study load in the medical school I could hardly get enough rest Running on my heels al-most became my routine starting from last November But I well understood the consequence of skipping lec-tures It was the beginning of the Cardiovascular Sys-tem Block For someone like me who gave least priority in revising Anatomy materials lectures remained the prime source of information for exams Absence from class was suicidal To make the situation worse this professor was one of those who did NOT upload lec-ture notes online

Hoping I wouldnrsquot arrive too late to miss the impor-tant points I finally stepped onto a route no 8 minibus at ten past eight What I could do now was to pay trust in the driver who would bring me to my destination

Coaxing kids was never easy Little Bruce just hap-pened to give me such a hassle last night

He knew I would check on him when I returned home Sitting right next to the door of his room he begged me for a story once I opened the door I sat down together with him on his little couch after Irsquod taken a quick shower This was a time to relax leaving

aside all the other concerns

Kindling through his favourite reader I saw that he wasnrsquot listening but distracted by all sorts of toys around He even invited me into his world of fantasy But it was getting late I had to calm him down so that I too could have some rest Being one of the brightest in his elementary school he should understand this was not the time for recreation

I began to feel annoyed

Yet he was my brother I had a gut feeling that this was unusual He didnrsquot use to be so ldquohyperactiverdquo It re-ally took me a while to adjust to his change With him still tossing and turning in my arms I apprehended his restlessness Unpredictable though he was true to his feelings In one way or another he might find the shadow of our mother in me

He finally settled when I laid him back in bed It was nearly two forty in the morning

The first week of the CVS Block ran as plotted PBL tutorials would start on next Monday Dr Youngrsquos fa-cial expression in the first PBL evaluation flashed over my Embryology notes and references She didnrsquot teach Embryology but I could tell she did have a hypertroph-ic heart-shaped face which looked familiar to the dia-grams in the Atlas

Back in the IHD Block most of us were puzzled about the scrambled content of our course Various forms of seemingly related knowledge came in through lectures practical and tutorial sessions But the neural circuit formed in our brain just failed to resonate as if the conductance-inductance mismatch had aberrated our thought from minimal impedance Sometimes things even happened in a ldquomore-than-extrardquo manner The presence of common core courses in a parallel but independent branch in the network could rightly be detached without causing a blip on the galvanometer Everything was dubious We had no idea of what we were doing

Maybe we were just on the way seeking for a sense of attachment

My mind too was racing in haste I was struggling with my decision to become a doctor Too many things had happened over the year I just couldnrsquot stop ques-tioning myself what was I thinking when I put lsquo6456 MBBSrsquo in my JUPAS application I should have expect-ed and prepared to face all these I just didnrsquot knowhellip

Novella

hkucaduceusnet | 45

It was midterm evaluation in the IHD Block Her face looked tense in that heart shape She was so stiff in her facial expression that no one could read her mind from her poker face The conference room of the Physi-ology Department was large We seemed to be the odd ones out in the spacious carpeted room In this secre-tive silence you could hear the drumming in your ears as if you were tingling

I realised this was not a matter of ldquoam-I-suitable-for-a-medical-careerrdquo but ldquois-a-medical-career-suita-ble-for-merdquo I was lying in bed playing with my plush bear when these thoughts burst in me Dr Young looked through me She felt certain that different from other group mates there were crises behind me But I didnrsquot tell her anything that day

We all were sensitive At times some subtle trepi-dation seeped in gradually sucking peace away from my sleep It was so to say below threshold sub-lethal though it lingered for weeks once it set inhellip

Drenched in bloodhellip There is no life in the boy His eyes are widely opened slightly protruded The lifeless pair of black pearlshellip I cannot escape from his glance He wants to talk to mehellip There is something he wants me to know

A van runs over himhellip

I fell down the edge of my mattress Breathing heavilyhellip Sweating all overhellip

ldquoScreechrdquo People began to gather around a tel-ephone booth a few metres behind us

I turned back I couldnrsquot see a lot from this anglehellip

ldquohellip What a pity He is so younghelliprdquo a middle-aged couple passed by

The victim resting just in front of the wheel looked towards me through a break in the crowdhellip

As we were wandering around thinking what to eat for dinner my cousin found me standing there rooted to the ground stunned by the victimrsquos gaze My heart was pounding She wouldnrsquot believe what I was again experiencing For a number of times already scenarios in my dreams were mirrored into reality

I couldnrsquot tell her

ldquoI was just thinking whether you would like Korean cuisine There is a new restaurant two corners awayrdquo I made up a talk while escaping from the scene so that I wouldnrsquot look so strange

ldquoWhy not go and have a try thenrdquo She was not dis-appointed for calling it a day as the food there was sur-prisingly good

Not until some years ago when I was Form 3 in college I discovered my ability to look into the future Sometimes I could see them coming up on the news in days or weeks And some didnrsquot ever happen at least not around me But seeing the night visions coming into concrete existence wasnrsquot always a pleasure when the mental images turned gradually into mostly night-mares When I visualised my close ones it felt like I was in the middle of an insecure chain bridge above a torrent that would sweep me into the vast ocean with no return It was entirely different from what you might understand as ldquodreams come truerdquo

I had witnessed misfortunes in proximityhellip

But I could do nothing about ithellip

Friends were a source of solace someone to con-fide all frustrations in But with my paranormal ability which appeared to everybody else only on screen-plays I wasnrsquot courageous enough to open my life wholeheartedly to them Seldom talking about myself avoiding all sorts of gatherings I became an eccentric figure among my classmates

Sometimes mutual understanding carried more weight than words I remembered my physics teacher being one of my few friends during my teen years De-spite his boisterous faccedilade he was always sensitive to whenever I was dwelling on my burdens Physics was our common language Intermingling our emotions and feelings with concepts that were alien to my fel-lows we developed a close rapport impenetrable by anyone else

ldquoWhat is the nature of a flamerdquo This was the most discussed problem between us Neither in solid liquid nor vapour state Not having any definite shape and colour It seems not any material but a type of energy giving out heat and light At the moment of providing it also exhausts its fuel and eventually itselfhellip

The romance of physics is more than anything you could read write and talk about Once you were truly connected with it nothing can stop you Your mind will bounce irrespective of the chronology of space-time but only under the guidance of your thoughts

I was so devoted to the discipline at the time that I was almost making it my lifelong career in some way He envisaged that I would demand much more than any academia could provide with its scientific basis alone We were both seeking a philosophy beyond the facts But Hong Kong may not be the right place for it

I made him a promise at the end to contain our flame and I knew I would

For the first and the last time I saw his eyes filled with tears We knew existence by itself is a miracle

ldquoi love life because what More is thererdquo ndash aNthoNy hopkiNs

46 | Caduceus September 2011

說華佗都說「華佗再世」誰知箇中真諦雲方 (M15)

烽煙起戰火燃萬里 

三國並爭英雄地亂世有誰顧生死 

待神醫行世將民眾救濟

渺渺江山東西瞰俞跗巧手扁鵲心(1) 應向何處尋 

滾滾黃沙無世家終有奇士放奇葩

沛國 華元化(2) 

他經書貫通南北遊動 

一望斷症如神助三劑消病不必多

說斷症悉如所料 

甘陵 相夫人腹痛極難忍(3) 號脈知死嬰在左為男形(4)廣陵 梅軍吏除名歸故里

見貌知壽盡速返見萱椿(5) 

說消病藥到病除 

飲蒜醋有三升蟲一嘔而盡清 (6)母服丸而溫儲兒不藥而自癒 (7)

絕妙處 

是他開腸剖腹刀至辟毒 

神醫號 

除他內外皆精有誰配稱

[1]   俞跗黃帝時代之名醫扁鵲春秋戰國之名醫《淮南子人間訓》「患至而多後憂之helliphellip雖有扁鵲俞跗之巧猶不能生也」

[2]   華佗字元化沛國人(今安徽 亳州)

[3]   甘陵相(即甘陵之行政長官)夫人懷胎六月腹痛不安華佗為其切脈便知胎死於是命人摸知所在在左則男在右則女人云「在左」夫人飲藥後果然產出男胎腹痛立即痊癒

[4]   廣陵有軍吏名曰梅平離鄉服役後來退役歸家於路上巧遇華佗華佗視之嘆道「若能早些見我當不至於此而今你僅餘五日壽命速速回家還能與家人相見」平旋即趕抵故鄉五日後亦如料身亡

[5]   萱椿多作椿萱比喻父母漢牟融《送徐浩》詩「知君此去情偏切堂上椿萱雪滿頭」

[6]   華佗見路邊有人食不下嚥教他到路邊餅店買醋三升混上蒜泥然後飲用路人服後即吐出一條長蛇(即寄生蟲)

[7]   兩歲男孩長年腹瀉藥石無靈華佗往診謂病在母命其服用華佗親研之「四物女宛丸」服後母親乳汁不再寒涼男孩亦不藥而癒

意興

hkucaduceusnet | 47

只可惜人無完壁

「關將軍使君予我手刮骨惡毒走

曹丞相使君予我頭剖顱苦痛收」

「怎能不收怎能不收一命嗚呼萬事休 

簡直荒謬簡直荒謬殺此庸醫未須愁」(8) 

五禽戲尚能傳 (9)麻沸散從此絕 

何不一飲醉死不知世忍氣吞聲事權貴 (10)心神委曲須臾苦奇術失迭千秋計 

烽煙止無改生死事 

且當醫仙謫世間神技終須風裏散 (11)回首仰高山景行請君範 (12)

[8]     曹操欲殺華佗臣下勸之不可答曰「不憂天下當無此鼠輩耶」

[9]     死前華佗欲托所著醫書於獄卒不果便盡數焚毀唯有其養生體操「五禽戲」流傳後世

[10]   《三國志魏書方技傳》「當須刳割者便飲其麻沸散須臾便如醉死無所知」

[11]   唐白居易《簡簡吟》「恐是天仙謫人世只合人間十三歲」

[12]   景行(音航)即大道以高山景行比喻人品德行為之高尚典出《詩經小雅車轄》又東漢鄭玄曰「古人有高德者則慕仰之有明行者則而行之」

ldquothe art of MediciNe was to be properly learNer oNly forM its practice aNd its exerciserdquo - thoMas sydeNhaM

48 | Caduceus September 2011

啟程

清晨空白的天空看不見藍天雲彩

只有溫柔的雨絲和朦朦朧朧的霧水跟隨

著大隊的足印踏上沉重的腳步穿過橫

街小巷和煩囂熱鬧的市場走過自動門

撲鼻的消毒藥水味道讓大家屏住呼吸筆

者和夥伴們終於到達了入讀護理系以來第

一次實習的醫院

還記得在實習的前幾天心情是既忐忑

又期待的畢竟這一次實習的地方不再是

在社區中心宣傳健康方面的知識亦不是

只面對著健康活潑的小朋友和老友記或是

學校課堂上所提供的假人張靜汶卻是照

顧一羣真正需要關懷的病人心中充滿著

憂慮不知自己所學的知識足夠在應用上

嗎自己平日的練習足夠嗎雖然心存在

著不少疑惑但也十分期待可以體會一下

做小學護的感受嘗試把這一年裡所學到

的知識運用出來

很多的第一次

在病房裡總有心酸和膽戰心驚的時

候第一次為昏迷的病人清潔口腔第一

次為難以進食的人插入胃喉第一次為老

公公清洗背上壓瘡的傷口helliphellip照顧他們時

的心情都是一步一驚心生怕自己沒法應

付得來又怕會把事情弄得更糟糕最重

要的是恐怕自己不純熟的技巧令他們受苦

了記得有一回第一次為女病人插入尿

喉採取尿液樣本可能技巧不太純熟的關

係延長了病人的痛苦過程中她皺著

眉頭不斷呻吟又緊張得咬破脣眼看

她樣子心中真的不是味兒來身為病人

的其中之一依靠我們不得不給自己信

心如果連自己也不相信自己哪會有病

人願意把他們交給我們照料呢

捕捉那瞬間的美麗與淒然何麗敏 (N14)

上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

意興

hkucaduceusnet | 49

另外第一次面對病人的心情是頗為

緊張的說話技巧亦有改進的空間但和

病人傾談了數分鐘後氣氛也漸漸變得和

諧可能那些老公公整天呆在醫院裡真是

悶到慌看見一羣年青人與自己聊天照

顧和關心他們他們不禁咧嘴而笑醫院

職員透露有一位老公公平日不太願意吃東

西於是我們便主動和他談天說地又

悉心照料他進食的情況後來他不但胃

口好了不少就連心情也開朗了他生動

活潑的談吐讓我們笑了他回復健康精

神的體魄也讓我們感到安慰

相處片刻

雖然為期一星期的病房日子不是特別繁

忙或是辛勞但是也會有不習慣的時候

幸好得到醫院職員和一班夥伴的支持病

房經理和註冊護士不但相信我們的能力

對學護的包容更是不用多說還主動地介

紹病房的環境和細心地教導我們醫療護理

上的知識讓我們上了一堂實在而又寶貴

的課同時今次的實習也令我感到團體

精神也十分重要在技巧上大家互相提

點互補不足當有人準備照料有需要的

病人如插喉或洗傷口等大家送上一句 

「加油」就能令對方增加不少自信心和正

能量無論遇上甚麼事情我也榮幸有如

此一班學習夥伴從旁支持

學習的階級

在這一次病房實習中雖然醫療和藥物

知識方面有待加強但是我學懂了如何與

不同身份的病人相處之道溝通上也得到

了很大的進步獲益不少除此之外我

也真正體會到如何做一個好護士並清楚

了解這個行業是否適合自己鐘樓也不是

一天就能建成而是需要一磚一瓦搭建而

成的所以在學習上我們不但要打好

穩固的基礎還要增強醫療知識在技巧

上馬虎了事和走捷徑是於是無補的應

該多探究和練習才行這樣才對得起病人

和自己也減少不必要的醫療失當事故

總之多一份認真多一點耐性多一些

愛心就是學護必記的左右銘 上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

ldquoit is reasoNable to expect the doctor to recogNise that scieNce May Not have all the aNswers to probleMs of health aNd healiNgrdquo ndash NorMaN cousiNs

50 | Caduceus September 2011

Fun Corner

Medical AppsEver wondered how your handheld device can save your time and

effort when it comes to studying Here is how

Anatomy Pronunciations by HipposoftAccurate pronunciations of over a hundred important anatomy terms you have trouble with are provided

at your fingertips to help you spell those difficult words Anyone who has taken an anatomy course can tell you how challenging it can be to pro-nounce the names of those complicated anatomi-cal terms It is even linked directly to Wikipedia and Google through web browser for additional information

iPharmacy ndash Pill Identifier and Medication Guide by SigmaPhone LLCAn essential medication guide of 20000+ drugs is provided for con-sumers amp professionals This ex-

pands the image library to include 12000 pill and package images and includes digital drug identifier with official drug information (indica-tions dosage adverse reactions and more) You can check the drugs anywhere

Grades 2 by TapityIt tells you what grades you need in the coming tests in order to get your target grade You can easily calcu-late your GPA so as to maintain it It

is a useful tool helping you to keep an eye on your GPA all the time

Human Anatomy by SusaSoftXThe application provides you with information of 15 different biologi-cal systems You can keep on revis-ing while you are traveling without

carrying heavy books

Medscape by WebMD LLCFrom drug classes interaction clin-ical procedures and even the lat-est medical news Medscape helps medical students and healthcare

professionals to reiterate knowledge that has slipped from the mind It is a free application for iPhone iPad Android and Blackberry Yet it contains more function on Android phones and Apple products and lacks detailed clinical infor-mation for diseases and clinical procedures walk through on Blackberry

Pro Medical Terminology Dic-tionary by TreascoveryTerminology might be a tough work for medical students Even if we can master those English terms we can

hardly think of the Chinese terms This applica-tion can help you when you face this problem Note that it is not a free application

3M Littmann SoundBuilder by 3M CompanyA great tool designed to help im-prove auscultation skills of medical students with 14 unique lessons of

key heart sounds combing text virtual manne-quin 3D cardiac animation and dynamic wave-forms

iRadiology by Liebermans iRadi-ologyAn excellent learning tool for medi-cal students demonstrating classic radiological findings of a multitude

of abnormalities including over 500 radiologic images Radiologic images include CT US MRI and nuclear imaging each clearly labeled and followed by key teaching points

Micromedex Drug Information by Thomson Reuters (Healthcare) IncIs Cephalexin a first generation ce-phalosporin This application from

Thomson Reuters is the easiest way to navigate in the sea of drug names Drugs are sorted by classes and supplemented with rich information

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 45: Caduceus Issue 2, Volume 42

hkucaduceusnet | 45

It was midterm evaluation in the IHD Block Her face looked tense in that heart shape She was so stiff in her facial expression that no one could read her mind from her poker face The conference room of the Physi-ology Department was large We seemed to be the odd ones out in the spacious carpeted room In this secre-tive silence you could hear the drumming in your ears as if you were tingling

I realised this was not a matter of ldquoam-I-suitable-for-a-medical-careerrdquo but ldquois-a-medical-career-suita-ble-for-merdquo I was lying in bed playing with my plush bear when these thoughts burst in me Dr Young looked through me She felt certain that different from other group mates there were crises behind me But I didnrsquot tell her anything that day

We all were sensitive At times some subtle trepi-dation seeped in gradually sucking peace away from my sleep It was so to say below threshold sub-lethal though it lingered for weeks once it set inhellip

Drenched in bloodhellip There is no life in the boy His eyes are widely opened slightly protruded The lifeless pair of black pearlshellip I cannot escape from his glance He wants to talk to mehellip There is something he wants me to know

A van runs over himhellip

I fell down the edge of my mattress Breathing heavilyhellip Sweating all overhellip

ldquoScreechrdquo People began to gather around a tel-ephone booth a few metres behind us

I turned back I couldnrsquot see a lot from this anglehellip

ldquohellip What a pity He is so younghelliprdquo a middle-aged couple passed by

The victim resting just in front of the wheel looked towards me through a break in the crowdhellip

As we were wandering around thinking what to eat for dinner my cousin found me standing there rooted to the ground stunned by the victimrsquos gaze My heart was pounding She wouldnrsquot believe what I was again experiencing For a number of times already scenarios in my dreams were mirrored into reality

I couldnrsquot tell her

ldquoI was just thinking whether you would like Korean cuisine There is a new restaurant two corners awayrdquo I made up a talk while escaping from the scene so that I wouldnrsquot look so strange

ldquoWhy not go and have a try thenrdquo She was not dis-appointed for calling it a day as the food there was sur-prisingly good

Not until some years ago when I was Form 3 in college I discovered my ability to look into the future Sometimes I could see them coming up on the news in days or weeks And some didnrsquot ever happen at least not around me But seeing the night visions coming into concrete existence wasnrsquot always a pleasure when the mental images turned gradually into mostly night-mares When I visualised my close ones it felt like I was in the middle of an insecure chain bridge above a torrent that would sweep me into the vast ocean with no return It was entirely different from what you might understand as ldquodreams come truerdquo

I had witnessed misfortunes in proximityhellip

But I could do nothing about ithellip

Friends were a source of solace someone to con-fide all frustrations in But with my paranormal ability which appeared to everybody else only on screen-plays I wasnrsquot courageous enough to open my life wholeheartedly to them Seldom talking about myself avoiding all sorts of gatherings I became an eccentric figure among my classmates

Sometimes mutual understanding carried more weight than words I remembered my physics teacher being one of my few friends during my teen years De-spite his boisterous faccedilade he was always sensitive to whenever I was dwelling on my burdens Physics was our common language Intermingling our emotions and feelings with concepts that were alien to my fel-lows we developed a close rapport impenetrable by anyone else

ldquoWhat is the nature of a flamerdquo This was the most discussed problem between us Neither in solid liquid nor vapour state Not having any definite shape and colour It seems not any material but a type of energy giving out heat and light At the moment of providing it also exhausts its fuel and eventually itselfhellip

The romance of physics is more than anything you could read write and talk about Once you were truly connected with it nothing can stop you Your mind will bounce irrespective of the chronology of space-time but only under the guidance of your thoughts

I was so devoted to the discipline at the time that I was almost making it my lifelong career in some way He envisaged that I would demand much more than any academia could provide with its scientific basis alone We were both seeking a philosophy beyond the facts But Hong Kong may not be the right place for it

I made him a promise at the end to contain our flame and I knew I would

For the first and the last time I saw his eyes filled with tears We knew existence by itself is a miracle

ldquoi love life because what More is thererdquo ndash aNthoNy hopkiNs

46 | Caduceus September 2011

說華佗都說「華佗再世」誰知箇中真諦雲方 (M15)

烽煙起戰火燃萬里 

三國並爭英雄地亂世有誰顧生死 

待神醫行世將民眾救濟

渺渺江山東西瞰俞跗巧手扁鵲心(1) 應向何處尋 

滾滾黃沙無世家終有奇士放奇葩

沛國 華元化(2) 

他經書貫通南北遊動 

一望斷症如神助三劑消病不必多

說斷症悉如所料 

甘陵 相夫人腹痛極難忍(3) 號脈知死嬰在左為男形(4)廣陵 梅軍吏除名歸故里

見貌知壽盡速返見萱椿(5) 

說消病藥到病除 

飲蒜醋有三升蟲一嘔而盡清 (6)母服丸而溫儲兒不藥而自癒 (7)

絕妙處 

是他開腸剖腹刀至辟毒 

神醫號 

除他內外皆精有誰配稱

[1]   俞跗黃帝時代之名醫扁鵲春秋戰國之名醫《淮南子人間訓》「患至而多後憂之helliphellip雖有扁鵲俞跗之巧猶不能生也」

[2]   華佗字元化沛國人(今安徽 亳州)

[3]   甘陵相(即甘陵之行政長官)夫人懷胎六月腹痛不安華佗為其切脈便知胎死於是命人摸知所在在左則男在右則女人云「在左」夫人飲藥後果然產出男胎腹痛立即痊癒

[4]   廣陵有軍吏名曰梅平離鄉服役後來退役歸家於路上巧遇華佗華佗視之嘆道「若能早些見我當不至於此而今你僅餘五日壽命速速回家還能與家人相見」平旋即趕抵故鄉五日後亦如料身亡

[5]   萱椿多作椿萱比喻父母漢牟融《送徐浩》詩「知君此去情偏切堂上椿萱雪滿頭」

[6]   華佗見路邊有人食不下嚥教他到路邊餅店買醋三升混上蒜泥然後飲用路人服後即吐出一條長蛇(即寄生蟲)

[7]   兩歲男孩長年腹瀉藥石無靈華佗往診謂病在母命其服用華佗親研之「四物女宛丸」服後母親乳汁不再寒涼男孩亦不藥而癒

意興

hkucaduceusnet | 47

只可惜人無完壁

「關將軍使君予我手刮骨惡毒走

曹丞相使君予我頭剖顱苦痛收」

「怎能不收怎能不收一命嗚呼萬事休 

簡直荒謬簡直荒謬殺此庸醫未須愁」(8) 

五禽戲尚能傳 (9)麻沸散從此絕 

何不一飲醉死不知世忍氣吞聲事權貴 (10)心神委曲須臾苦奇術失迭千秋計 

烽煙止無改生死事 

且當醫仙謫世間神技終須風裏散 (11)回首仰高山景行請君範 (12)

[8]     曹操欲殺華佗臣下勸之不可答曰「不憂天下當無此鼠輩耶」

[9]     死前華佗欲托所著醫書於獄卒不果便盡數焚毀唯有其養生體操「五禽戲」流傳後世

[10]   《三國志魏書方技傳》「當須刳割者便飲其麻沸散須臾便如醉死無所知」

[11]   唐白居易《簡簡吟》「恐是天仙謫人世只合人間十三歲」

[12]   景行(音航)即大道以高山景行比喻人品德行為之高尚典出《詩經小雅車轄》又東漢鄭玄曰「古人有高德者則慕仰之有明行者則而行之」

ldquothe art of MediciNe was to be properly learNer oNly forM its practice aNd its exerciserdquo - thoMas sydeNhaM

48 | Caduceus September 2011

啟程

清晨空白的天空看不見藍天雲彩

只有溫柔的雨絲和朦朦朧朧的霧水跟隨

著大隊的足印踏上沉重的腳步穿過橫

街小巷和煩囂熱鬧的市場走過自動門

撲鼻的消毒藥水味道讓大家屏住呼吸筆

者和夥伴們終於到達了入讀護理系以來第

一次實習的醫院

還記得在實習的前幾天心情是既忐忑

又期待的畢竟這一次實習的地方不再是

在社區中心宣傳健康方面的知識亦不是

只面對著健康活潑的小朋友和老友記或是

學校課堂上所提供的假人張靜汶卻是照

顧一羣真正需要關懷的病人心中充滿著

憂慮不知自己所學的知識足夠在應用上

嗎自己平日的練習足夠嗎雖然心存在

著不少疑惑但也十分期待可以體會一下

做小學護的感受嘗試把這一年裡所學到

的知識運用出來

很多的第一次

在病房裡總有心酸和膽戰心驚的時

候第一次為昏迷的病人清潔口腔第一

次為難以進食的人插入胃喉第一次為老

公公清洗背上壓瘡的傷口helliphellip照顧他們時

的心情都是一步一驚心生怕自己沒法應

付得來又怕會把事情弄得更糟糕最重

要的是恐怕自己不純熟的技巧令他們受苦

了記得有一回第一次為女病人插入尿

喉採取尿液樣本可能技巧不太純熟的關

係延長了病人的痛苦過程中她皺著

眉頭不斷呻吟又緊張得咬破脣眼看

她樣子心中真的不是味兒來身為病人

的其中之一依靠我們不得不給自己信

心如果連自己也不相信自己哪會有病

人願意把他們交給我們照料呢

捕捉那瞬間的美麗與淒然何麗敏 (N14)

上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

意興

hkucaduceusnet | 49

另外第一次面對病人的心情是頗為

緊張的說話技巧亦有改進的空間但和

病人傾談了數分鐘後氣氛也漸漸變得和

諧可能那些老公公整天呆在醫院裡真是

悶到慌看見一羣年青人與自己聊天照

顧和關心他們他們不禁咧嘴而笑醫院

職員透露有一位老公公平日不太願意吃東

西於是我們便主動和他談天說地又

悉心照料他進食的情況後來他不但胃

口好了不少就連心情也開朗了他生動

活潑的談吐讓我們笑了他回復健康精

神的體魄也讓我們感到安慰

相處片刻

雖然為期一星期的病房日子不是特別繁

忙或是辛勞但是也會有不習慣的時候

幸好得到醫院職員和一班夥伴的支持病

房經理和註冊護士不但相信我們的能力

對學護的包容更是不用多說還主動地介

紹病房的環境和細心地教導我們醫療護理

上的知識讓我們上了一堂實在而又寶貴

的課同時今次的實習也令我感到團體

精神也十分重要在技巧上大家互相提

點互補不足當有人準備照料有需要的

病人如插喉或洗傷口等大家送上一句 

「加油」就能令對方增加不少自信心和正

能量無論遇上甚麼事情我也榮幸有如

此一班學習夥伴從旁支持

學習的階級

在這一次病房實習中雖然醫療和藥物

知識方面有待加強但是我學懂了如何與

不同身份的病人相處之道溝通上也得到

了很大的進步獲益不少除此之外我

也真正體會到如何做一個好護士並清楚

了解這個行業是否適合自己鐘樓也不是

一天就能建成而是需要一磚一瓦搭建而

成的所以在學習上我們不但要打好

穩固的基礎還要增強醫療知識在技巧

上馬虎了事和走捷徑是於是無補的應

該多探究和練習才行這樣才對得起病人

和自己也減少不必要的醫療失當事故

總之多一份認真多一點耐性多一些

愛心就是學護必記的左右銘 上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

ldquoit is reasoNable to expect the doctor to recogNise that scieNce May Not have all the aNswers to probleMs of health aNd healiNgrdquo ndash NorMaN cousiNs

50 | Caduceus September 2011

Fun Corner

Medical AppsEver wondered how your handheld device can save your time and

effort when it comes to studying Here is how

Anatomy Pronunciations by HipposoftAccurate pronunciations of over a hundred important anatomy terms you have trouble with are provided

at your fingertips to help you spell those difficult words Anyone who has taken an anatomy course can tell you how challenging it can be to pro-nounce the names of those complicated anatomi-cal terms It is even linked directly to Wikipedia and Google through web browser for additional information

iPharmacy ndash Pill Identifier and Medication Guide by SigmaPhone LLCAn essential medication guide of 20000+ drugs is provided for con-sumers amp professionals This ex-

pands the image library to include 12000 pill and package images and includes digital drug identifier with official drug information (indica-tions dosage adverse reactions and more) You can check the drugs anywhere

Grades 2 by TapityIt tells you what grades you need in the coming tests in order to get your target grade You can easily calcu-late your GPA so as to maintain it It

is a useful tool helping you to keep an eye on your GPA all the time

Human Anatomy by SusaSoftXThe application provides you with information of 15 different biologi-cal systems You can keep on revis-ing while you are traveling without

carrying heavy books

Medscape by WebMD LLCFrom drug classes interaction clin-ical procedures and even the lat-est medical news Medscape helps medical students and healthcare

professionals to reiterate knowledge that has slipped from the mind It is a free application for iPhone iPad Android and Blackberry Yet it contains more function on Android phones and Apple products and lacks detailed clinical infor-mation for diseases and clinical procedures walk through on Blackberry

Pro Medical Terminology Dic-tionary by TreascoveryTerminology might be a tough work for medical students Even if we can master those English terms we can

hardly think of the Chinese terms This applica-tion can help you when you face this problem Note that it is not a free application

3M Littmann SoundBuilder by 3M CompanyA great tool designed to help im-prove auscultation skills of medical students with 14 unique lessons of

key heart sounds combing text virtual manne-quin 3D cardiac animation and dynamic wave-forms

iRadiology by Liebermans iRadi-ologyAn excellent learning tool for medi-cal students demonstrating classic radiological findings of a multitude

of abnormalities including over 500 radiologic images Radiologic images include CT US MRI and nuclear imaging each clearly labeled and followed by key teaching points

Micromedex Drug Information by Thomson Reuters (Healthcare) IncIs Cephalexin a first generation ce-phalosporin This application from

Thomson Reuters is the easiest way to navigate in the sea of drug names Drugs are sorted by classes and supplemented with rich information

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 46: Caduceus Issue 2, Volume 42

46 | Caduceus September 2011

說華佗都說「華佗再世」誰知箇中真諦雲方 (M15)

烽煙起戰火燃萬里 

三國並爭英雄地亂世有誰顧生死 

待神醫行世將民眾救濟

渺渺江山東西瞰俞跗巧手扁鵲心(1) 應向何處尋 

滾滾黃沙無世家終有奇士放奇葩

沛國 華元化(2) 

他經書貫通南北遊動 

一望斷症如神助三劑消病不必多

說斷症悉如所料 

甘陵 相夫人腹痛極難忍(3) 號脈知死嬰在左為男形(4)廣陵 梅軍吏除名歸故里

見貌知壽盡速返見萱椿(5) 

說消病藥到病除 

飲蒜醋有三升蟲一嘔而盡清 (6)母服丸而溫儲兒不藥而自癒 (7)

絕妙處 

是他開腸剖腹刀至辟毒 

神醫號 

除他內外皆精有誰配稱

[1]   俞跗黃帝時代之名醫扁鵲春秋戰國之名醫《淮南子人間訓》「患至而多後憂之helliphellip雖有扁鵲俞跗之巧猶不能生也」

[2]   華佗字元化沛國人(今安徽 亳州)

[3]   甘陵相(即甘陵之行政長官)夫人懷胎六月腹痛不安華佗為其切脈便知胎死於是命人摸知所在在左則男在右則女人云「在左」夫人飲藥後果然產出男胎腹痛立即痊癒

[4]   廣陵有軍吏名曰梅平離鄉服役後來退役歸家於路上巧遇華佗華佗視之嘆道「若能早些見我當不至於此而今你僅餘五日壽命速速回家還能與家人相見」平旋即趕抵故鄉五日後亦如料身亡

[5]   萱椿多作椿萱比喻父母漢牟融《送徐浩》詩「知君此去情偏切堂上椿萱雪滿頭」

[6]   華佗見路邊有人食不下嚥教他到路邊餅店買醋三升混上蒜泥然後飲用路人服後即吐出一條長蛇(即寄生蟲)

[7]   兩歲男孩長年腹瀉藥石無靈華佗往診謂病在母命其服用華佗親研之「四物女宛丸」服後母親乳汁不再寒涼男孩亦不藥而癒

意興

hkucaduceusnet | 47

只可惜人無完壁

「關將軍使君予我手刮骨惡毒走

曹丞相使君予我頭剖顱苦痛收」

「怎能不收怎能不收一命嗚呼萬事休 

簡直荒謬簡直荒謬殺此庸醫未須愁」(8) 

五禽戲尚能傳 (9)麻沸散從此絕 

何不一飲醉死不知世忍氣吞聲事權貴 (10)心神委曲須臾苦奇術失迭千秋計 

烽煙止無改生死事 

且當醫仙謫世間神技終須風裏散 (11)回首仰高山景行請君範 (12)

[8]     曹操欲殺華佗臣下勸之不可答曰「不憂天下當無此鼠輩耶」

[9]     死前華佗欲托所著醫書於獄卒不果便盡數焚毀唯有其養生體操「五禽戲」流傳後世

[10]   《三國志魏書方技傳》「當須刳割者便飲其麻沸散須臾便如醉死無所知」

[11]   唐白居易《簡簡吟》「恐是天仙謫人世只合人間十三歲」

[12]   景行(音航)即大道以高山景行比喻人品德行為之高尚典出《詩經小雅車轄》又東漢鄭玄曰「古人有高德者則慕仰之有明行者則而行之」

ldquothe art of MediciNe was to be properly learNer oNly forM its practice aNd its exerciserdquo - thoMas sydeNhaM

48 | Caduceus September 2011

啟程

清晨空白的天空看不見藍天雲彩

只有溫柔的雨絲和朦朦朧朧的霧水跟隨

著大隊的足印踏上沉重的腳步穿過橫

街小巷和煩囂熱鬧的市場走過自動門

撲鼻的消毒藥水味道讓大家屏住呼吸筆

者和夥伴們終於到達了入讀護理系以來第

一次實習的醫院

還記得在實習的前幾天心情是既忐忑

又期待的畢竟這一次實習的地方不再是

在社區中心宣傳健康方面的知識亦不是

只面對著健康活潑的小朋友和老友記或是

學校課堂上所提供的假人張靜汶卻是照

顧一羣真正需要關懷的病人心中充滿著

憂慮不知自己所學的知識足夠在應用上

嗎自己平日的練習足夠嗎雖然心存在

著不少疑惑但也十分期待可以體會一下

做小學護的感受嘗試把這一年裡所學到

的知識運用出來

很多的第一次

在病房裡總有心酸和膽戰心驚的時

候第一次為昏迷的病人清潔口腔第一

次為難以進食的人插入胃喉第一次為老

公公清洗背上壓瘡的傷口helliphellip照顧他們時

的心情都是一步一驚心生怕自己沒法應

付得來又怕會把事情弄得更糟糕最重

要的是恐怕自己不純熟的技巧令他們受苦

了記得有一回第一次為女病人插入尿

喉採取尿液樣本可能技巧不太純熟的關

係延長了病人的痛苦過程中她皺著

眉頭不斷呻吟又緊張得咬破脣眼看

她樣子心中真的不是味兒來身為病人

的其中之一依靠我們不得不給自己信

心如果連自己也不相信自己哪會有病

人願意把他們交給我們照料呢

捕捉那瞬間的美麗與淒然何麗敏 (N14)

上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

意興

hkucaduceusnet | 49

另外第一次面對病人的心情是頗為

緊張的說話技巧亦有改進的空間但和

病人傾談了數分鐘後氣氛也漸漸變得和

諧可能那些老公公整天呆在醫院裡真是

悶到慌看見一羣年青人與自己聊天照

顧和關心他們他們不禁咧嘴而笑醫院

職員透露有一位老公公平日不太願意吃東

西於是我們便主動和他談天說地又

悉心照料他進食的情況後來他不但胃

口好了不少就連心情也開朗了他生動

活潑的談吐讓我們笑了他回復健康精

神的體魄也讓我們感到安慰

相處片刻

雖然為期一星期的病房日子不是特別繁

忙或是辛勞但是也會有不習慣的時候

幸好得到醫院職員和一班夥伴的支持病

房經理和註冊護士不但相信我們的能力

對學護的包容更是不用多說還主動地介

紹病房的環境和細心地教導我們醫療護理

上的知識讓我們上了一堂實在而又寶貴

的課同時今次的實習也令我感到團體

精神也十分重要在技巧上大家互相提

點互補不足當有人準備照料有需要的

病人如插喉或洗傷口等大家送上一句 

「加油」就能令對方增加不少自信心和正

能量無論遇上甚麼事情我也榮幸有如

此一班學習夥伴從旁支持

學習的階級

在這一次病房實習中雖然醫療和藥物

知識方面有待加強但是我學懂了如何與

不同身份的病人相處之道溝通上也得到

了很大的進步獲益不少除此之外我

也真正體會到如何做一個好護士並清楚

了解這個行業是否適合自己鐘樓也不是

一天就能建成而是需要一磚一瓦搭建而

成的所以在學習上我們不但要打好

穩固的基礎還要增強醫療知識在技巧

上馬虎了事和走捷徑是於是無補的應

該多探究和練習才行這樣才對得起病人

和自己也減少不必要的醫療失當事故

總之多一份認真多一點耐性多一些

愛心就是學護必記的左右銘 上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

ldquoit is reasoNable to expect the doctor to recogNise that scieNce May Not have all the aNswers to probleMs of health aNd healiNgrdquo ndash NorMaN cousiNs

50 | Caduceus September 2011

Fun Corner

Medical AppsEver wondered how your handheld device can save your time and

effort when it comes to studying Here is how

Anatomy Pronunciations by HipposoftAccurate pronunciations of over a hundred important anatomy terms you have trouble with are provided

at your fingertips to help you spell those difficult words Anyone who has taken an anatomy course can tell you how challenging it can be to pro-nounce the names of those complicated anatomi-cal terms It is even linked directly to Wikipedia and Google through web browser for additional information

iPharmacy ndash Pill Identifier and Medication Guide by SigmaPhone LLCAn essential medication guide of 20000+ drugs is provided for con-sumers amp professionals This ex-

pands the image library to include 12000 pill and package images and includes digital drug identifier with official drug information (indica-tions dosage adverse reactions and more) You can check the drugs anywhere

Grades 2 by TapityIt tells you what grades you need in the coming tests in order to get your target grade You can easily calcu-late your GPA so as to maintain it It

is a useful tool helping you to keep an eye on your GPA all the time

Human Anatomy by SusaSoftXThe application provides you with information of 15 different biologi-cal systems You can keep on revis-ing while you are traveling without

carrying heavy books

Medscape by WebMD LLCFrom drug classes interaction clin-ical procedures and even the lat-est medical news Medscape helps medical students and healthcare

professionals to reiterate knowledge that has slipped from the mind It is a free application for iPhone iPad Android and Blackberry Yet it contains more function on Android phones and Apple products and lacks detailed clinical infor-mation for diseases and clinical procedures walk through on Blackberry

Pro Medical Terminology Dic-tionary by TreascoveryTerminology might be a tough work for medical students Even if we can master those English terms we can

hardly think of the Chinese terms This applica-tion can help you when you face this problem Note that it is not a free application

3M Littmann SoundBuilder by 3M CompanyA great tool designed to help im-prove auscultation skills of medical students with 14 unique lessons of

key heart sounds combing text virtual manne-quin 3D cardiac animation and dynamic wave-forms

iRadiology by Liebermans iRadi-ologyAn excellent learning tool for medi-cal students demonstrating classic radiological findings of a multitude

of abnormalities including over 500 radiologic images Radiologic images include CT US MRI and nuclear imaging each clearly labeled and followed by key teaching points

Micromedex Drug Information by Thomson Reuters (Healthcare) IncIs Cephalexin a first generation ce-phalosporin This application from

Thomson Reuters is the easiest way to navigate in the sea of drug names Drugs are sorted by classes and supplemented with rich information

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 47: Caduceus Issue 2, Volume 42

hkucaduceusnet | 47

只可惜人無完壁

「關將軍使君予我手刮骨惡毒走

曹丞相使君予我頭剖顱苦痛收」

「怎能不收怎能不收一命嗚呼萬事休 

簡直荒謬簡直荒謬殺此庸醫未須愁」(8) 

五禽戲尚能傳 (9)麻沸散從此絕 

何不一飲醉死不知世忍氣吞聲事權貴 (10)心神委曲須臾苦奇術失迭千秋計 

烽煙止無改生死事 

且當醫仙謫世間神技終須風裏散 (11)回首仰高山景行請君範 (12)

[8]     曹操欲殺華佗臣下勸之不可答曰「不憂天下當無此鼠輩耶」

[9]     死前華佗欲托所著醫書於獄卒不果便盡數焚毀唯有其養生體操「五禽戲」流傳後世

[10]   《三國志魏書方技傳》「當須刳割者便飲其麻沸散須臾便如醉死無所知」

[11]   唐白居易《簡簡吟》「恐是天仙謫人世只合人間十三歲」

[12]   景行(音航)即大道以高山景行比喻人品德行為之高尚典出《詩經小雅車轄》又東漢鄭玄曰「古人有高德者則慕仰之有明行者則而行之」

ldquothe art of MediciNe was to be properly learNer oNly forM its practice aNd its exerciserdquo - thoMas sydeNhaM

48 | Caduceus September 2011

啟程

清晨空白的天空看不見藍天雲彩

只有溫柔的雨絲和朦朦朧朧的霧水跟隨

著大隊的足印踏上沉重的腳步穿過橫

街小巷和煩囂熱鬧的市場走過自動門

撲鼻的消毒藥水味道讓大家屏住呼吸筆

者和夥伴們終於到達了入讀護理系以來第

一次實習的醫院

還記得在實習的前幾天心情是既忐忑

又期待的畢竟這一次實習的地方不再是

在社區中心宣傳健康方面的知識亦不是

只面對著健康活潑的小朋友和老友記或是

學校課堂上所提供的假人張靜汶卻是照

顧一羣真正需要關懷的病人心中充滿著

憂慮不知自己所學的知識足夠在應用上

嗎自己平日的練習足夠嗎雖然心存在

著不少疑惑但也十分期待可以體會一下

做小學護的感受嘗試把這一年裡所學到

的知識運用出來

很多的第一次

在病房裡總有心酸和膽戰心驚的時

候第一次為昏迷的病人清潔口腔第一

次為難以進食的人插入胃喉第一次為老

公公清洗背上壓瘡的傷口helliphellip照顧他們時

的心情都是一步一驚心生怕自己沒法應

付得來又怕會把事情弄得更糟糕最重

要的是恐怕自己不純熟的技巧令他們受苦

了記得有一回第一次為女病人插入尿

喉採取尿液樣本可能技巧不太純熟的關

係延長了病人的痛苦過程中她皺著

眉頭不斷呻吟又緊張得咬破脣眼看

她樣子心中真的不是味兒來身為病人

的其中之一依靠我們不得不給自己信

心如果連自己也不相信自己哪會有病

人願意把他們交給我們照料呢

捕捉那瞬間的美麗與淒然何麗敏 (N14)

上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

意興

hkucaduceusnet | 49

另外第一次面對病人的心情是頗為

緊張的說話技巧亦有改進的空間但和

病人傾談了數分鐘後氣氛也漸漸變得和

諧可能那些老公公整天呆在醫院裡真是

悶到慌看見一羣年青人與自己聊天照

顧和關心他們他們不禁咧嘴而笑醫院

職員透露有一位老公公平日不太願意吃東

西於是我們便主動和他談天說地又

悉心照料他進食的情況後來他不但胃

口好了不少就連心情也開朗了他生動

活潑的談吐讓我們笑了他回復健康精

神的體魄也讓我們感到安慰

相處片刻

雖然為期一星期的病房日子不是特別繁

忙或是辛勞但是也會有不習慣的時候

幸好得到醫院職員和一班夥伴的支持病

房經理和註冊護士不但相信我們的能力

對學護的包容更是不用多說還主動地介

紹病房的環境和細心地教導我們醫療護理

上的知識讓我們上了一堂實在而又寶貴

的課同時今次的實習也令我感到團體

精神也十分重要在技巧上大家互相提

點互補不足當有人準備照料有需要的

病人如插喉或洗傷口等大家送上一句 

「加油」就能令對方增加不少自信心和正

能量無論遇上甚麼事情我也榮幸有如

此一班學習夥伴從旁支持

學習的階級

在這一次病房實習中雖然醫療和藥物

知識方面有待加強但是我學懂了如何與

不同身份的病人相處之道溝通上也得到

了很大的進步獲益不少除此之外我

也真正體會到如何做一個好護士並清楚

了解這個行業是否適合自己鐘樓也不是

一天就能建成而是需要一磚一瓦搭建而

成的所以在學習上我們不但要打好

穩固的基礎還要增強醫療知識在技巧

上馬虎了事和走捷徑是於是無補的應

該多探究和練習才行這樣才對得起病人

和自己也減少不必要的醫療失當事故

總之多一份認真多一點耐性多一些

愛心就是學護必記的左右銘 上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

ldquoit is reasoNable to expect the doctor to recogNise that scieNce May Not have all the aNswers to probleMs of health aNd healiNgrdquo ndash NorMaN cousiNs

50 | Caduceus September 2011

Fun Corner

Medical AppsEver wondered how your handheld device can save your time and

effort when it comes to studying Here is how

Anatomy Pronunciations by HipposoftAccurate pronunciations of over a hundred important anatomy terms you have trouble with are provided

at your fingertips to help you spell those difficult words Anyone who has taken an anatomy course can tell you how challenging it can be to pro-nounce the names of those complicated anatomi-cal terms It is even linked directly to Wikipedia and Google through web browser for additional information

iPharmacy ndash Pill Identifier and Medication Guide by SigmaPhone LLCAn essential medication guide of 20000+ drugs is provided for con-sumers amp professionals This ex-

pands the image library to include 12000 pill and package images and includes digital drug identifier with official drug information (indica-tions dosage adverse reactions and more) You can check the drugs anywhere

Grades 2 by TapityIt tells you what grades you need in the coming tests in order to get your target grade You can easily calcu-late your GPA so as to maintain it It

is a useful tool helping you to keep an eye on your GPA all the time

Human Anatomy by SusaSoftXThe application provides you with information of 15 different biologi-cal systems You can keep on revis-ing while you are traveling without

carrying heavy books

Medscape by WebMD LLCFrom drug classes interaction clin-ical procedures and even the lat-est medical news Medscape helps medical students and healthcare

professionals to reiterate knowledge that has slipped from the mind It is a free application for iPhone iPad Android and Blackberry Yet it contains more function on Android phones and Apple products and lacks detailed clinical infor-mation for diseases and clinical procedures walk through on Blackberry

Pro Medical Terminology Dic-tionary by TreascoveryTerminology might be a tough work for medical students Even if we can master those English terms we can

hardly think of the Chinese terms This applica-tion can help you when you face this problem Note that it is not a free application

3M Littmann SoundBuilder by 3M CompanyA great tool designed to help im-prove auscultation skills of medical students with 14 unique lessons of

key heart sounds combing text virtual manne-quin 3D cardiac animation and dynamic wave-forms

iRadiology by Liebermans iRadi-ologyAn excellent learning tool for medi-cal students demonstrating classic radiological findings of a multitude

of abnormalities including over 500 radiologic images Radiologic images include CT US MRI and nuclear imaging each clearly labeled and followed by key teaching points

Micromedex Drug Information by Thomson Reuters (Healthcare) IncIs Cephalexin a first generation ce-phalosporin This application from

Thomson Reuters is the easiest way to navigate in the sea of drug names Drugs are sorted by classes and supplemented with rich information

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 48: Caduceus Issue 2, Volume 42

48 | Caduceus September 2011

啟程

清晨空白的天空看不見藍天雲彩

只有溫柔的雨絲和朦朦朧朧的霧水跟隨

著大隊的足印踏上沉重的腳步穿過橫

街小巷和煩囂熱鬧的市場走過自動門

撲鼻的消毒藥水味道讓大家屏住呼吸筆

者和夥伴們終於到達了入讀護理系以來第

一次實習的醫院

還記得在實習的前幾天心情是既忐忑

又期待的畢竟這一次實習的地方不再是

在社區中心宣傳健康方面的知識亦不是

只面對著健康活潑的小朋友和老友記或是

學校課堂上所提供的假人張靜汶卻是照

顧一羣真正需要關懷的病人心中充滿著

憂慮不知自己所學的知識足夠在應用上

嗎自己平日的練習足夠嗎雖然心存在

著不少疑惑但也十分期待可以體會一下

做小學護的感受嘗試把這一年裡所學到

的知識運用出來

很多的第一次

在病房裡總有心酸和膽戰心驚的時

候第一次為昏迷的病人清潔口腔第一

次為難以進食的人插入胃喉第一次為老

公公清洗背上壓瘡的傷口helliphellip照顧他們時

的心情都是一步一驚心生怕自己沒法應

付得來又怕會把事情弄得更糟糕最重

要的是恐怕自己不純熟的技巧令他們受苦

了記得有一回第一次為女病人插入尿

喉採取尿液樣本可能技巧不太純熟的關

係延長了病人的痛苦過程中她皺著

眉頭不斷呻吟又緊張得咬破脣眼看

她樣子心中真的不是味兒來身為病人

的其中之一依靠我們不得不給自己信

心如果連自己也不相信自己哪會有病

人願意把他們交給我們照料呢

捕捉那瞬間的美麗與淒然何麗敏 (N14)

上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

意興

hkucaduceusnet | 49

另外第一次面對病人的心情是頗為

緊張的說話技巧亦有改進的空間但和

病人傾談了數分鐘後氣氛也漸漸變得和

諧可能那些老公公整天呆在醫院裡真是

悶到慌看見一羣年青人與自己聊天照

顧和關心他們他們不禁咧嘴而笑醫院

職員透露有一位老公公平日不太願意吃東

西於是我們便主動和他談天說地又

悉心照料他進食的情況後來他不但胃

口好了不少就連心情也開朗了他生動

活潑的談吐讓我們笑了他回復健康精

神的體魄也讓我們感到安慰

相處片刻

雖然為期一星期的病房日子不是特別繁

忙或是辛勞但是也會有不習慣的時候

幸好得到醫院職員和一班夥伴的支持病

房經理和註冊護士不但相信我們的能力

對學護的包容更是不用多說還主動地介

紹病房的環境和細心地教導我們醫療護理

上的知識讓我們上了一堂實在而又寶貴

的課同時今次的實習也令我感到團體

精神也十分重要在技巧上大家互相提

點互補不足當有人準備照料有需要的

病人如插喉或洗傷口等大家送上一句 

「加油」就能令對方增加不少自信心和正

能量無論遇上甚麼事情我也榮幸有如

此一班學習夥伴從旁支持

學習的階級

在這一次病房實習中雖然醫療和藥物

知識方面有待加強但是我學懂了如何與

不同身份的病人相處之道溝通上也得到

了很大的進步獲益不少除此之外我

也真正體會到如何做一個好護士並清楚

了解這個行業是否適合自己鐘樓也不是

一天就能建成而是需要一磚一瓦搭建而

成的所以在學習上我們不但要打好

穩固的基礎還要增強醫療知識在技巧

上馬虎了事和走捷徑是於是無補的應

該多探究和練習才行這樣才對得起病人

和自己也減少不必要的醫療失當事故

總之多一份認真多一點耐性多一些

愛心就是學護必記的左右銘 上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

ldquoit is reasoNable to expect the doctor to recogNise that scieNce May Not have all the aNswers to probleMs of health aNd healiNgrdquo ndash NorMaN cousiNs

50 | Caduceus September 2011

Fun Corner

Medical AppsEver wondered how your handheld device can save your time and

effort when it comes to studying Here is how

Anatomy Pronunciations by HipposoftAccurate pronunciations of over a hundred important anatomy terms you have trouble with are provided

at your fingertips to help you spell those difficult words Anyone who has taken an anatomy course can tell you how challenging it can be to pro-nounce the names of those complicated anatomi-cal terms It is even linked directly to Wikipedia and Google through web browser for additional information

iPharmacy ndash Pill Identifier and Medication Guide by SigmaPhone LLCAn essential medication guide of 20000+ drugs is provided for con-sumers amp professionals This ex-

pands the image library to include 12000 pill and package images and includes digital drug identifier with official drug information (indica-tions dosage adverse reactions and more) You can check the drugs anywhere

Grades 2 by TapityIt tells you what grades you need in the coming tests in order to get your target grade You can easily calcu-late your GPA so as to maintain it It

is a useful tool helping you to keep an eye on your GPA all the time

Human Anatomy by SusaSoftXThe application provides you with information of 15 different biologi-cal systems You can keep on revis-ing while you are traveling without

carrying heavy books

Medscape by WebMD LLCFrom drug classes interaction clin-ical procedures and even the lat-est medical news Medscape helps medical students and healthcare

professionals to reiterate knowledge that has slipped from the mind It is a free application for iPhone iPad Android and Blackberry Yet it contains more function on Android phones and Apple products and lacks detailed clinical infor-mation for diseases and clinical procedures walk through on Blackberry

Pro Medical Terminology Dic-tionary by TreascoveryTerminology might be a tough work for medical students Even if we can master those English terms we can

hardly think of the Chinese terms This applica-tion can help you when you face this problem Note that it is not a free application

3M Littmann SoundBuilder by 3M CompanyA great tool designed to help im-prove auscultation skills of medical students with 14 unique lessons of

key heart sounds combing text virtual manne-quin 3D cardiac animation and dynamic wave-forms

iRadiology by Liebermans iRadi-ologyAn excellent learning tool for medi-cal students demonstrating classic radiological findings of a multitude

of abnormalities including over 500 radiologic images Radiologic images include CT US MRI and nuclear imaging each clearly labeled and followed by key teaching points

Micromedex Drug Information by Thomson Reuters (Healthcare) IncIs Cephalexin a first generation ce-phalosporin This application from

Thomson Reuters is the easiest way to navigate in the sea of drug names Drugs are sorted by classes and supplemented with rich information

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 49: Caduceus Issue 2, Volume 42

hkucaduceusnet | 49

另外第一次面對病人的心情是頗為

緊張的說話技巧亦有改進的空間但和

病人傾談了數分鐘後氣氛也漸漸變得和

諧可能那些老公公整天呆在醫院裡真是

悶到慌看見一羣年青人與自己聊天照

顧和關心他們他們不禁咧嘴而笑醫院

職員透露有一位老公公平日不太願意吃東

西於是我們便主動和他談天說地又

悉心照料他進食的情況後來他不但胃

口好了不少就連心情也開朗了他生動

活潑的談吐讓我們笑了他回復健康精

神的體魄也讓我們感到安慰

相處片刻

雖然為期一星期的病房日子不是特別繁

忙或是辛勞但是也會有不習慣的時候

幸好得到醫院職員和一班夥伴的支持病

房經理和註冊護士不但相信我們的能力

對學護的包容更是不用多說還主動地介

紹病房的環境和細心地教導我們醫療護理

上的知識讓我們上了一堂實在而又寶貴

的課同時今次的實習也令我感到團體

精神也十分重要在技巧上大家互相提

點互補不足當有人準備照料有需要的

病人如插喉或洗傷口等大家送上一句 

「加油」就能令對方增加不少自信心和正

能量無論遇上甚麼事情我也榮幸有如

此一班學習夥伴從旁支持

學習的階級

在這一次病房實習中雖然醫療和藥物

知識方面有待加強但是我學懂了如何與

不同身份的病人相處之道溝通上也得到

了很大的進步獲益不少除此之外我

也真正體會到如何做一個好護士並清楚

了解這個行業是否適合自己鐘樓也不是

一天就能建成而是需要一磚一瓦搭建而

成的所以在學習上我們不但要打好

穩固的基礎還要增強醫療知識在技巧

上馬虎了事和走捷徑是於是無補的應

該多探究和練習才行這樣才對得起病人

和自己也減少不必要的醫療失當事故

總之多一份認真多一點耐性多一些

愛心就是學護必記的左右銘 上圖醫院實習必需品 護理學院學生姓名牌筆記簿剪刀動脈鉗三色原子筆錶左圖初學護查藥的網站 httpwwwmimscom

ldquoit is reasoNable to expect the doctor to recogNise that scieNce May Not have all the aNswers to probleMs of health aNd healiNgrdquo ndash NorMaN cousiNs

50 | Caduceus September 2011

Fun Corner

Medical AppsEver wondered how your handheld device can save your time and

effort when it comes to studying Here is how

Anatomy Pronunciations by HipposoftAccurate pronunciations of over a hundred important anatomy terms you have trouble with are provided

at your fingertips to help you spell those difficult words Anyone who has taken an anatomy course can tell you how challenging it can be to pro-nounce the names of those complicated anatomi-cal terms It is even linked directly to Wikipedia and Google through web browser for additional information

iPharmacy ndash Pill Identifier and Medication Guide by SigmaPhone LLCAn essential medication guide of 20000+ drugs is provided for con-sumers amp professionals This ex-

pands the image library to include 12000 pill and package images and includes digital drug identifier with official drug information (indica-tions dosage adverse reactions and more) You can check the drugs anywhere

Grades 2 by TapityIt tells you what grades you need in the coming tests in order to get your target grade You can easily calcu-late your GPA so as to maintain it It

is a useful tool helping you to keep an eye on your GPA all the time

Human Anatomy by SusaSoftXThe application provides you with information of 15 different biologi-cal systems You can keep on revis-ing while you are traveling without

carrying heavy books

Medscape by WebMD LLCFrom drug classes interaction clin-ical procedures and even the lat-est medical news Medscape helps medical students and healthcare

professionals to reiterate knowledge that has slipped from the mind It is a free application for iPhone iPad Android and Blackberry Yet it contains more function on Android phones and Apple products and lacks detailed clinical infor-mation for diseases and clinical procedures walk through on Blackberry

Pro Medical Terminology Dic-tionary by TreascoveryTerminology might be a tough work for medical students Even if we can master those English terms we can

hardly think of the Chinese terms This applica-tion can help you when you face this problem Note that it is not a free application

3M Littmann SoundBuilder by 3M CompanyA great tool designed to help im-prove auscultation skills of medical students with 14 unique lessons of

key heart sounds combing text virtual manne-quin 3D cardiac animation and dynamic wave-forms

iRadiology by Liebermans iRadi-ologyAn excellent learning tool for medi-cal students demonstrating classic radiological findings of a multitude

of abnormalities including over 500 radiologic images Radiologic images include CT US MRI and nuclear imaging each clearly labeled and followed by key teaching points

Micromedex Drug Information by Thomson Reuters (Healthcare) IncIs Cephalexin a first generation ce-phalosporin This application from

Thomson Reuters is the easiest way to navigate in the sea of drug names Drugs are sorted by classes and supplemented with rich information

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 50: Caduceus Issue 2, Volume 42

50 | Caduceus September 2011

Fun Corner

Medical AppsEver wondered how your handheld device can save your time and

effort when it comes to studying Here is how

Anatomy Pronunciations by HipposoftAccurate pronunciations of over a hundred important anatomy terms you have trouble with are provided

at your fingertips to help you spell those difficult words Anyone who has taken an anatomy course can tell you how challenging it can be to pro-nounce the names of those complicated anatomi-cal terms It is even linked directly to Wikipedia and Google through web browser for additional information

iPharmacy ndash Pill Identifier and Medication Guide by SigmaPhone LLCAn essential medication guide of 20000+ drugs is provided for con-sumers amp professionals This ex-

pands the image library to include 12000 pill and package images and includes digital drug identifier with official drug information (indica-tions dosage adverse reactions and more) You can check the drugs anywhere

Grades 2 by TapityIt tells you what grades you need in the coming tests in order to get your target grade You can easily calcu-late your GPA so as to maintain it It

is a useful tool helping you to keep an eye on your GPA all the time

Human Anatomy by SusaSoftXThe application provides you with information of 15 different biologi-cal systems You can keep on revis-ing while you are traveling without

carrying heavy books

Medscape by WebMD LLCFrom drug classes interaction clin-ical procedures and even the lat-est medical news Medscape helps medical students and healthcare

professionals to reiterate knowledge that has slipped from the mind It is a free application for iPhone iPad Android and Blackberry Yet it contains more function on Android phones and Apple products and lacks detailed clinical infor-mation for diseases and clinical procedures walk through on Blackberry

Pro Medical Terminology Dic-tionary by TreascoveryTerminology might be a tough work for medical students Even if we can master those English terms we can

hardly think of the Chinese terms This applica-tion can help you when you face this problem Note that it is not a free application

3M Littmann SoundBuilder by 3M CompanyA great tool designed to help im-prove auscultation skills of medical students with 14 unique lessons of

key heart sounds combing text virtual manne-quin 3D cardiac animation and dynamic wave-forms

iRadiology by Liebermans iRadi-ologyAn excellent learning tool for medi-cal students demonstrating classic radiological findings of a multitude

of abnormalities including over 500 radiologic images Radiologic images include CT US MRI and nuclear imaging each clearly labeled and followed by key teaching points

Micromedex Drug Information by Thomson Reuters (Healthcare) IncIs Cephalexin a first generation ce-phalosporin This application from

Thomson Reuters is the easiest way to navigate in the sea of drug names Drugs are sorted by classes and supplemented with rich information

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 51: Caduceus Issue 2, Volume 42

hkucaduceusnet | 51

Look out for 85 Years of Caduceus the 85th anniversary edi-tion of the venerable student medical publication

With a history of more than eight decades Caduceus is one of the oldest student publications in Hong Kong Caduceus pro-vides a great way to study the medical history of Hong Kong providing more than a glimpse of our changing society through its record of the lives of medical students and important events in the local medical community It is also fun to browse through old editions to understand how our predecessors learned and practised medicine Along the way there may be encounters with interesting ldquoancientrdquo diseases such as beri beri and the chance to trace the early steps of giants such as Dr Li Shu Fan

To request an anniversary copy please complete the E-form on our web site hkucaduceusnet

For any enquiries please write to caduceus2008gmailcom

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU

Page 52: Caduceus Issue 2, Volume 42

CaduceusThe Society Newspaper Editorial Board Medical Society HKUSU