Hong Kong University Students' Union. Medical Society.

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1 Title The Caduceus: 啓思 Or Contributor(s) Hong Kong University Students' Union. Medical Society. Citation Issued Date URL Rights This work is licensed under a Creative Commons Attribution- NonCommercial-NoDerivatives 4.0 International License.

2 Page CADUCEUS 2 but disease is endemic in a more schemes and folow-ups think re is much to be done to adequate. or regions (e.g. Hulu Sungaj as is Just set up some form of sewage disposal.cursory procedure and malaria runs rampant. Away Utara) where some of my friends But it can be seen how difficult adequate.in one occasion, I had to disposal. from banks are boundleass saw full-blown cases with elephanti difficultit is to convince people that treat all kinds of patients that plains where rice is grown and elephantiasis. with eir multivitamins, more convenient way used for alonc came shifting agriculture practiced. The or is not best way. suiphonamide, INH, multivitamins, ages river provides main form of MCH There ointment. erythromycifl Communication among villages transport among villages but and steriliizng We had also been meeting some PR no were gloves or are by bicycle. it is also source of gastroeneteritis mainly by boat, apparatus has to be set up steriliizng young mors in our Mor and and cholera which are gastroeneteritis Only larger villages are served by make-shift from gadgets. Language Child Health Clinics, where we roads wide unsurfaced main causes of mortality and enough by was a signicant problem, naturally Language This, toger with morbidity. The river is where people for a jeep. gave little talks concerning nutrition scarcity of motorised vehicles naturallyfor me, but also for and psychological develop. nutrition people piss, shit, dump ir sewage, The indigenous Indonesian students. create great difficulty when a wash ir clos, have ir bath ment of infant as well as a speak from outivin peodle water. Most and get ir drinking Bunaris villages patient indigenous These about family planning. dialect somewhat different from if not of villagers boil ir requires more intensive care in mors were all way rar which colleagues Javanese water before drinking, but I would my hospitals. passive and undemanding and speak. one doubts if y were attracted by vitamin pills that we gave T The patients complaints were WORK chronic cough with chest away rar than unfamiliar mainly The iniections. as well supervision Using a large village as our ideas that we tried to sell. of nulmoflary suggestive pain we went out to surrounding from doctor was only supervision base, and non-specific tuberculosis, The marital age is very young smaller villages to set up temporary minimal, first because of large and one of mors we met complaints probably indicative of clinics. Some number of patients (over 150 in a temporary outpatient s deficiencies though nutritional got married at 13. It is said that morning), secondly because even villages are rar far away could diseases sinister more se girls never have to masturbate doctor cannot do much more trip to village of Bedjaja, for There were be excluded. masturbate since y will get married with limited drugs and diagnosticnever example, took us four hours by ors with intermittent fever, and when ir first period came. It no was facilities. There diagnostic boat. of m not had Many many cases of endemic goitre. is average for a family to have 8 seen a medical team for a long point in taking a detailed history Pallor was orevalent for patientsor 9 children, a large brood being meticulous or a and we physical were doing time, everywhere patientsthat we met. There are no examination for We used patients making a scene. (Continued on page 3) filariasis in Hulu Sungai Selatan, if even re was sake, local village office or police enough In of radiologiaci, time. absence quarter for our clinic for re were no permanent set-up for bacteriological and or radiologiaci, with laboratory ancillaries, Each medical student purpose. lack of drugs and surgical facilities, was expected to work on his own, nractical procedure examining patients, forming diagnosis,facilities, and giving prescriptions as of enforcing diagnosis, rigid rapeitic (Continued from pa e 1) Ventoli Ventoli for for nn asthma asthma Make-shift OPD. Hope no hear, atiack in our stag (Tong) Presentations: Inhalers, tablets & syrup LETTER TO Dear sir. Recently staff of Medic Library have been busy over incorporation of extension and this involves transport of many books from one part of library to or. 1 appreciate this means hard work and a lot of sweating hut I am more dsmayed by way books are handled. handled. One does not have to be a bookiover to object to this. A reasonable regard for value of books should motivate one to think out more gentle and practicable ways of transport than crudest way of all, throwing books about. How throwing one s heart aches at sight THE EDITOR and sound of books spanking on floor. Deducing from friendiy friendiy relationship between staff and user of library, I have no doubt as to willingness and sincerity sincerityof m. Hence it may be that staff, owing to pre-occupation with ir work, have taken less than usual precautions. So I wish to venture two suggestio to library staff. suggestions Maybe this can make task easier, faster and kinder to books. Thanks. Yours sincerely, Kib. p p A C C OGlaxoHong Kong Ltd. 9th Floor, Block B, Watson s Estate, North Point, Hong Kong. OGlaxo Tel. : The Editorial Board wishes to thank iic special Support of glaxo (ilk) Lul. A hook B box C string D hook connectedto a rope so that whole lot can be raised to or lowered from different levels

3 ARMSA VIth General Assembly Page 1 PUBLICATION OF MEDICAL SOCIETY, HKUSU September, 1972 Vith GENERAL ASSEMBLY, A REPORT 1. General c) Publications of member countries should case his application for government grant a) Date: July 15th to 21st, 1972 inclusive. was include adequate coverage on news about rejected. It was granted. b) Place: Wisma Depkes, Hang Djebat IV10, ARMSA. ii) Mr. Cheong Pak Yean (Singapore) reque Djakarta, Indonesia, & University of Indonesia, d) The ARMSA account will be opened in requestedfor M$60. It was granted. Indonesia, Salemba Raya 6, Djakarta. Malaysian currency at Bank Bumiputra, g) Singapore proposed to bid for host C) Attendance: Kuala Lumpur, Malaysia in coming country ot IFMSA 22nd G.A. in The year. 6th G.A. Australia, Hong Kong, India, Indonesia, passed a resolution to support Israel, Malaysia, Singapore, Japan, IMSOP. e) ARMSA subscriptions for member countries Singapore s bid, and instruct every member countries can be reduced in e) Chairman of 6th G.A.: Mr. Raveendran special cases on member conutry to write individually to (Malaysia); Vice-chairman: Mr. application to annual G.A. IFMSA Secretariat to indicate support for Judilherry this proposal. (Indonesia). India applied to have its annual subscription subscription reduced to US$ It was granted. h) ARMSA members subscription to IFMSA. 2. Subcommittees and ir reports To help Indonesia to clear its understanding i) Since Executive Board of IFMSA rejec a) Credentials Committee understanding debts to ARMSA it was passed that I) Chairman: Mr. Cheng Kam every member country donated rejected proposal of 5th G.A. that US$1 per Wing (Hong Kong). Members: Mr. participant to every ARMSA member Indonesia. only pay US$10 to David Scrimgeour (Australia), IFMSA through ARMSA Treasury, 6th (Australia), Mr. Ajit Sachdeva (India). f) Travel grants to Executive Board members I) Mr. Raveendran ii) It granted appropriate status to aoplied for M$150 in (Continued on Page 2) participants. participants. iii) It pointed out that only AMSA and HK submitted valid Official Documents required by Bye-Laws XVI part 8, and recommended in future Secretariat and Organising Committee Committee should remind members to do so. iv) Each delegation vote. should have only one v) Recommended credentials to take a more standardised form. b) Steering Committee 4, I I) Chairman: Mr. Foong King Sun (Singapore), 4, (Singapore), Members: Mr. Azrul Azwar (Indonesia), Mr. Sartani Avi (Israel), Mr. Ridzwan (Malaysia). ii) Proposed agenda for 6th G.A. C) Finance Committee I) Chairman: Mr. Lau Toh Nee (Malaysia), Members: Mr. Cheng Kee Hwa (Singapore), Mr. Mohamad Slamet (Indonesia), Mr. Wong Wai Kung (Hong Kong). ii) Examined statements of accounts for period 1st August, 71 to 10th July, iii) Recommended to send a letter of regret regretto Dr. Subramanian (Director of SCOP ) of Singapore for submitting to G.A. a report which cannot be audited. iv) Recommended to settle all outstanding debts of members. v) Considered setting up of Trust Fund impractical. 3. Miscellaneous resolutions at 6th G.A. a) AMSA should submit completed new bye-laws and standing orders of ARMSA within 2 months. b) The National Vice-presidents of member countries should preferrably be appointed within one month after G.A. p 4, 4, I CIBA new pluripotent effective because it antagonises numeroussubstances. suchas polypeptidesand biogenousamines. whichplaya role in pathophysiologyof venousdisorders In short: and is refore indicated: because it is endowed with anti-inflammatory and decongestive properties. besides exertinga peripheral analgesiceffect because it not only has a tone-enhancing action on venous walls,but also corrects pathophysiological processes in paravenoustissues Glyvenol is an integral phiebodynamic agent in all stages of venous circulatory disorders and in haemorrhoids -,, ,, %. I Printedby ShumShingPrintingCompanyṬel: H

4 Page 2 ARMSA 6TH GA. Coni inuedfroi,z P(4e 1) G.A. requested member countries to indicate indicate max. subscription y are prepared preparedto pay to IFMSA, as a basis for negotiation in coming 21st G.A. of IFMSA. AMSA US$25 US$15 US$10 US$10 Israel According to membership Malaysia Singapore membership number, US$15 US$15 ii) While recognising right of IFMSA G.A. to review subscriptions of member member countries, 6th G.A. recommendes subscriptions for ARMSA members to IFMSA as above. iii) The importance of being a member of IFMSA is in sense of international friendship and coodiwll, but not, at present, present, in actual benefits derived from professional exchange. 4. ARMSA Projects in a) Clerkshipinternship in Community Health Centres in Israel Details will be forwarded by Israel to individual members. b) Rural Health Project in Indonesia. 5. Discussions Hong Kong India Indonesia a) Professional Exchange among ARMSA members (proposed by Malaysia). i) The next director of SCOPE will publish ARMSA handbook for professional exchange exchangeas soon as possible. ii) When ready, application forms for clerkship clerkship exchange will be obtainable from ARMSA Secretariat at US$1 each. iii) The Secretariat and Director of SCOPE will contact airline companies for fare reduction reductionfor exchange students. aspectsof medical Education. (proposed by Hong Kong). Topics under discussion included: i) Student Representative in University Administration. ii) Examination Systems. iii) Curricula and correlation between preclinical a) President Mr. Cheong Pak Yean preclinicaland clinical years. (Singapore) iv) Inclusion of some non-medical subjects in medical curriculum. c) Community Medicine (orooosed by Indonesia) Indonesia) a talk was given by Dr.Rahadi M Santo, followed by discussion. 6. Invitations a) The 6th GA. endorsed an Asian Regional Medical Students Seminar on Family Wel.. fare Planning sponsored by IMSOP, to b held at Singapore, possibly in Dec., 1972 Invitations were extended to medical stu dents in Asian countries. b) Invitations were extended to all membei countries of Armsa to attend National Seminar on Medical Education sponsored by all India Medical Students Association, to be held in Trivandrum Medical College in Kerala, India from Aug , iv) Dr. John Maw from Singapore of International Medical Students Organization Organization Population (IMSOP) was empowered 7. Venue for 7th G.A. of ARMSA empowered to promote student exchange within a) First choice is India (to be held after 1st Asia. Aug., 1972) Confirmation should be sent to b) Exchange of Information on various aspects Secretariat by 31st Aug., b) Second choice is Malaysia, on condition that participants from Israel will be able to obtain ir visas. c) Third choice is Hong Kong. 8. New ARMSA Executive Committee for Secretary: Malaysia Treasurer: Malaysia SCOP: Australasia SCOPE: Israel National Vice-Presidents: Australasia, Hong Kong, India, Indonesia, Israel. b) An interim meetincr of Ex-Co may be convened at Singapore in Dec., Wel.....I.. I.. ei ii.. i B Cipher for front page Ḃ headline: B BB Kerdja work B BB Sosial social Kesehatan : health B Ke : to. B. The Indonesians call it B. Ḅ B U Kerdja sosial kesehatan. kesehatan. The ARMSA people call it Rural Health Project. ACKNOWLEDGEMENT The Medical Society wishes to thank following for ir support towards Delegation: ICI (CHINA) LTD. DYECHEM TRADING CO. (HK) LTD. CIBA-GEIGY (HK) LTD. PFIZER HANG SENG CORPORATION BANK LTD. CHINA ENGINEERS, LTD. JAPAN MR HENRY AIRLINES FOK 4 4 vo HOSPITAL CONCENTRATE The ersatiie tisephc.ih gent c Hun, our first chqce In MATERNITY VIAHDS AND ANTENATAL CLINICS IMPERIAL CHEMICAL INDUSTRIES LIMITED PHARMACEUTICALS DIVISION ICI (CHINA)LIMITED Wi.,;za Depkes, Venue of 61 IzGA

5 Page 3 CADUCEUS I was so tired when day was done We associated like opposite poles of magnet She still dragged me 3ut to have some fun And we got along very well without any upset She looked at me with shining eyes Though now I m like a convict rid of chain I knew I ve got to tell some lies. I wonder if we can ever meet again. I told her I have acquired a pain Down in brain called Migraine And bedresting was all I needed In a mournful tone where I pleaded. With suspicious eye she seemed to be in doubt But she still insisted to go out Tears dripped down her rosy cheeks She kept on yelling It s a cheat. She let me down and went away On that gloomy rainy day. Goodbye I said to that girl Who once existed in my world Love is a real hard game to play I learnt it on that very last day It s a game where no place for me An individual with absolute freedom I love to be. Love involves receiving as well as givings Where I m tired of all se proceedings I hated marriage because it s a bond Once oath said and your liberty gone. Why can t people in love lust associate Living toger without marriage Till y find y are incompatible Then divorce is process y can avoid trouble. A.T. C frtflhiluedfrom Page 2) necessary to make allowance for SOME infant deaths which form part of ir daily life. With propagation There were propagation of knowledge and improvement only 4 to 5 days of active field-work. The shortage of improvementof sanitary and health time and services, an initial growth in language barrier did not allow me to oo deeper into population is forseen. E3ut unless what I parents ca be assured of a fleetingly saw. I would like to have learnt more of people, lasting son, re is no way of ir ways of life, ir dietary improvising any effective family planning program to habits, ir upbringing of children, eventually children, ir cultures, ir taboos, curb population growth. and ir reaction to western Diseases related to childbirth is technology and medicine. On very prevalent, like puerperal whole, villagers I met were sepsis, premature abortion, retention frank and friendly and extremely retention of placenta, rupture of uterus receptive to western medicine. etc. This is case not only in Many patients would not be happy villages we visited, but also in to go without a shot in hind. large cities like Djararta. The relatedwher more out-lying villages relatedmortality rate must be considerably or or ethnic groups react considerablyhigh but actual figures same, I have no means to know. are not available. The most The influence of religion is omnipresent. pressing problem now is to have omnipresent. 100% of population in AFTER THOUGHTS pray regularly five times a day Mosques are seen everywhere. In village of Tambangan, population countries must be worked out, to which exported notions from indus industrialized countries do not apply. population 9150, re are 22 small and apply. The use of limited money and one large mosques. During a discussion skill must be calculated to bring discussionwith villagers, I was maximum return in human asked about harmful effects welfare for largest possible of onani (masturbation). Unawarecommunity. The glamours of compre Unawareof Muslim taboo, I went comprehensive ultra-modern hospita about expounding modern hospitals, intensive care units and ory on subject until I found high-power surgeries must be resist jovial garing turning sullen resistedto give way to funcionalism and quiet. funcionalism of modestly staffed and There were shamans practising in region, but I had not opportunity of seeing one. The basic problem of medical simply equipped units that disper disperseamong mass. For a medical doctor from an industrial society to work in a rural developing country area, he has to stand absence of care in industrialising countries is that of finance. When money is lacking, so is all that luxuries and common conveniences goes along somebody with at least basics this region are Muslims. They with it in form of conveniences that he has taken for personnel, granted. of hygiene to assist in each delivery. buildings, drugs, equipments and granted. He has to prepare to work deliveryẹfforts are being made to facilities of every kind. The meagre alone without consultation from trian local women to be midwives PROPAGANDA ON HEALTH meagre GNP has to be shared among colleagues. He has to deal with and to offer course for dukunkambung At evenings, we usually had health services, education, transport, everything from curing sore-throat dukunkambung 2 (indigenous traditional discussion sessions with villagerstransport, housing, development of to doing appendicectomy. He will midwives). villagersin local assembly halls agriculture and industries, of find his preconceived ideas about during which we explained se is adequate or medical care dispensable. continuously challeng CHOLERA PROGRAM disease processes and methods of Added to maldistribution of challenged. He has to be satisfied There was also a cholera casefinding program, in which we like malaria, filariasis, cholera, industrialising countries is a concentration best. He has to be comforted by preventions of endemic diseases wealth between industrialiesd and with better rar than went to alternate houses in a village tuberculosis with hand-made concentrationof funds and human thought that though he may posters. villageto ask for histories of diarrhoea posters.an hour before each meeting, resources in cities to not be expert, it is likely to be diarrhoea andcr vomiting in past meeting, traditional music was broadcast neglect of villages. The severity eir him or nobody and most week and to see any active cases broadcast through of this as a world wide loudspeaker, problem patients will still prefer him. He present. Exact figures are not on which never failed to bring a can only be appreciated when is freed from fragmentary hand but about 30% of all families large garing. Anything that one is reminded that 2, 3 of specialization and impersonalization families visited gave positive histories. breaks monotony of dark world s population is in socalled developing countries, and medicine in modern society. On impersonalization that are characteristic of Several active cases of gastroenteritisrural night is most welcome. But gastroenteritis were found, one case presenting almost without exception, 80% of se is rural. The concept or hand, re is no prescri presentingwith severe dehydration. crowd cradually dwindled as concept of tropical disease is for a prescribedrole role of supertechnicians that he can fall Though a definitive diagnosis of student after student rose to talk signicant part a myth. Thus cholera could not be made without about such things as bacteria, cholera, smallpox, malaria, leprosy, back to. He has to understand and without means for bacteriological investigation. aedes and immunization. Considering leprosy, plague, rabies and Kwashiorkor to compromise with people, investigation. clinical pictures Considering literacy rate in Indonesia Kwashiorkor were once common in temperate ir environment and ir culture in some instances were typical. Indonesia of 43% (surely much less in temperate countries. These countries cultureand to treat se as a holism. My Indonesian colleague advised villages), a less academic but a have undergone industrial revolutions holism. patient3 to drink only coconut more animate form of revolutions in last propaganda century or so This area of medical work is water since this is only sure seems to be more which enabled m to control appropriate. source of clean water. There was Those people that diseases. The diseases of fascinating. Also it is re that persisted poverty demand is most acute. For no means for intravenous drip, no through were have thus retreated to countries anyone usually respected anyone of us to take way of bringing seriously ill elders who held positions in countrieswhich remain poor, and part, it requires patients to nearest hospital local community. They often which happen to be in tropics. great fortitude to withdraw even temporarily, from rat race, 60 miles away, and all we could asked very challenging questions tropics. ladder of fierce competition for do was to give some antibiotics pertaining to local conditions. Different patterns and priorities status and professional advancement and left. From m we learnt a lot. of medical care in developing advancement.

6 醫 香 九 必 一 年 九 第 九 第 四 學會月 港大學學生 月 期 巷 刊 會 工作營記趣集體創作 榭酌爭 工作營之在醫學院, 實屬創舉, 此次一行四十餘眾, 在檳榔灣動土, 胸懷壯志, 誰知抵達目的地時, 竟受到村民們的奚落 原來上次大專聯會工作營之團員會食不會做, 村民以為我們也是一樣, 諸多責難, 營友們吃了死貓, 認真唔潤, 幸而戰友們表現超卓, 村 工作營期間, 乍晴乍雨, 各英泥公司皆關門大吉, 停止出貨, 而戰友們卻人人奮勇, 個個爭先, 工作效率奇佳, 使材料頓形短缺, 累到理民府幾位官員四出撲泥, 亦趣事也., j 計 民大受感動, 態度亦改變了, 還給我們熱誠招待 舟,, 斤 r 瀾 仰 鄉村地方, 設備簡陋, 由於辦公室的缺乏, 我們這 班文明人初到貴境, 對出路問題頗感躊躇, 大家第 一件事, 就是合力建築一個旱廁 因為地方所限, 早廁 之所在, 離營地一有水 ( 水田也 ) 之隔, 雖然路途遙遠, 但我們有如廁指示器白旗一面, 使各人對廁所情 況一目了然 這座建築物落成之日, 大家還替它舉行了 鏗 一個簡單而隆重的開幕儀式, 節目包括剪綵, 獻花和試 " k 挪兀州口黝離贓州 一 韶馱,, 寸購沌 : 某營友深得黃教授訓誨, 極知衛生之重要, 對清潔運 動之推行, 不遺餘力, 竟以漂白粉代替藍粉責牛肉, 幸 用等, 典禮完畢後, 大家都爭著解放, 一時白旗高 懸, 歷久不歇 工作營地處郊外, 營友們難免要鵝嗚而起, 可是亞婆隻公鵝, 零晨三時就鬼殺咐嘈, 真是有覺好馴, 加上營地蚊患甚烈, 營友們一覺醒來, 傷痕囊囊, 正是 : 春泯不覺澆, 處處聞啼烏 夜來轟炸機, 而烹調之下, 氣氣薰蒸, 東窗事發, 營友們才免於難 一個晚上, 無甚消遣, 有人提議玩撲克, 某君則日 : 玩錢失感情, 不如拿衫做睹本, 每人限穿三件, 穿 在何處則無規定, 一局無論輸多少均要悅衣一件 家同意, 可是燈光火著, 樓上各人隨時會走下來, 不免 有點難為情? 幸虧有位營友夠義氣, 替我們把風, 一切準備就緒, 大家遂開始角逐, 氣氛緊張, 營友們狂 大 中彈知多少了 笑不已, 正在千鈞一髮之際, 營長下樓要求我們靜些, 免擾他人清夢, 賽事被腰斬, 大家不歡而散! 騙 間. j 州輪.j 劉騙細,'j 叫騙 j?, 輪 A 物 輪 j 內騙尸 ','''k' 一 ' 尸 目戶 '''kj,'jk'h j' 州 f jk'. 黝 騙,,,7 馴斤 F ' I 乃州 07 遲州紳升 l! 靄待 wc 紹 0 乃欣 的贈 I 州方尺日 OF 不為 AA 編日戶 R 謂斤 R 多 I 閱 NO 細向向內尺 S 斤 叩馴 f, 濺 I w 之病,' T 馴 char' Tr 臼 E 州 A fj 0A 閑細 k. 幽考 人. 而,! 劍, 細必碑丁 M 嚇 州州斗 I l 偉 11 ' dv戶 斤 TY N 斤斤 p FR'c 吩. A O 工阡禹 v 乙 仔 ( 爭 六鄴 榆 哉邢 : 霽 州 A 斗仁 5., 床俳, 巳界 p, 石 t 認 戶 化 e, 界 p 中 E 寫 1kpie 鑿悲 盒鑼 W 卜召 f 八 斤, J 區向.D Yo" 留今 Printedby ShumShingPrintingCompany. Tel: H 一