medical students centre. · 1 ma 1971 volume 3 no. 2 official publication of the medical society,...
TRANSCRIPT
1 MA’ 1971
VOLUME3 NO. 2 OFFICIALPUBLICATIONOF THE MEDICALSOCIETY,H.K.U.S.U. 15THFEBRUARY1971
EDITORIALThenewmedicsweaterthatwasoutrecentlyhasseemingly
inedgeneralacclamation.
Beforethis,medicalstudentsweremerelymarkedby -besidesthebooksin theirhands. themedictieandblazer.Andnowit seemsthatthereissuddenlyanewpopulationofmedicalstudentswalkingaboutintheirbrandnewnavybluesweaters.
Thesepeopleconstitutedpartof the”out”crowdof thefirstandsecondyearmedicswhohavesofarbeendeniedoftheprivilegeofwearingamedictie,letalonebuyingone.
Thefactis:althoughthereisnohard-and-fastregulationwhatsoevergoverningtheexhibitionofthisarticle,membersoftheMedicalSocietywhoarenotthrou yetwiththe1stMBexaminationarejustrefrainedfromdoingsobya traditionthathasbeenhanded-downforalltheseyears.
Perhapsonemayarguethatthemedictie hasbecomesomeformof a rewardforthe1stMBcandidates.Butthatjuststartedonerememberingthecutelittlewhitepigonegotinthegoodoldkindergardendayswhenoneshouldpresentacleanepidermis.
Thepointis: the medictie, withits presentstatus,stigmatiseda barrierbetweenseniorsandjuniorsamongmembersmembersoftheMedicalSociety—-confe!ringasenseofinferiorityaridinsecuritytothelatter.
Whilefraternisingthefreshmen(aswealwaysdoeveryyearwhena newacademicyearstarts),withbarrierandthestigmataofit,mustbeabolished.. - —
Thesweateris a goodstart.Let’swiththetie.
seewhatwillhappen
MEDIC-ARTS-SOCIALBARNDANCE
TheMedicbarndancewasheldin theeveningof 15thJan.,1971at ourMedicCanteen.Over40 ladiesanda fewgentlemenfromtheFacultiesof ArtsandSocialScienceshonouredtheoccasionbytheirpresence.ThiswasthefirsttimethatOurja handswereextendedto theSocialSciencesfellowundergiads.Thefunctionwaswellsupportedbymore
•thana hundredstudentsfromthevariousclasses.Manywereonlytooreluctantto gowhenthegatheringendedbymidnight.midnight.
Seudae:Decreasein thepopulationof theMedicallibraryWitflacorrespondingincreaseintheUnionLibrary.WHERECAN ALL THE MOBILESGO?
Whilethetrafficconditionin HongKongisdeterioratingdaybmday,theMedicalstudentshavealsostartedappreciatingitsmaunancylately.Withthecar-parkinfrontoftheCanteengone,mecar-ownersalreadyfelt theinadequacyof parkingSpaces;andarsareseenscatteredallalongSassoonRoad.AndasfromJan.,5,carsofmedicalstudentsareprohibitedtopark111QueenMaryHospitalCompounduntilfurthernotice.Soredy,wherecanallthemobilesgo?
PROFESSORFREQUENTER-OF-LIBRARYMinya time,prof.Robertscanbeseensittingin the7, wellabsorbedinhisbooks.HeistheprofessorI comem ofteninthelibrary.ThosewhohaveattendedhisI mustadmitthattheyareconcise,fullofconceptsand
: HisefforttopreventcerebralindigestionamongI to becomplimentedandI thinkhispresencein‘helpstomaketheplacelessnoisytoo.
AS THEY SEE US
EXCELLENTTEACHINGFACILITIES
Ontheirarrivaltheywereagreeablysurprisedto findtheplacecleanerthanexpectedexpectedandeverythingverywellorganised.Most impressivewasthe“excellentteachingfacilities”,especiallyat theoutpatients’department.Asyet,languageposednoproblem,problem,andpatientswerenotuncooperative.In addition,everyonearoundthewardsweremosthelpful.Theysuspectsuspectthhis hqpystatefaffairsprobai...xistsonlyforthem.
Their MedicalSocietybackhomedoesmuchaboutthesamethingsmostmedicalsocietiesdo. Amongotherthingslikerunninga cheapbookstore,producinga newspaper,newspaper,printingnotes,sponsoringsponsoringa varietyof sports,andtakingcareof allpoliticalpoliticalmanoeuvers,theSocietyoccupiestwo seatsin theFacultyBoardthusdirectlyparticipatingin criticisingtheircourses,andalsoorganisesorganisesmedicalconventions.STUDIOUS,CONSCIENTIOUS
STUDENTSWhenaskedwhatthey
thoughtofthestudents’attitude,attitude,they were of theopinionthatlocalstudents,atleastthosetheyhavecomeacrossinthehostels,areverystudious,veryconscientious,butsomewhatdisinterestedinextracurricularthings.Theybelievethat thisconditioncouldbedueto theimportanceimportanceof the degreetostudentsin HongKong,somuchsothatnothingwouldbedonetojeopardiseitsrealisation.realisation.
LAfENTE STUENTSTAFFSTUENTSTAFFR ATjHIP -Astothestudent-staffrelationship,
relationship,theyfoundthisbeingkeptattooprofessionala level,resultinginalamentablelamentablelackofdialoguebetweenthetwo.Whattheymostdeplore
deploreis thewayin whichstudentsareopenlycriticisedinfrontofthepatients.Theyhavesofarneverencounteredsuchtreatmentabroad.Theysuggestedthatamoreacceptableacceptablemethodof settingrighterrorscouldconsistofsimplyinformingor demonstratingto thestudentsthecorrectwayhowthingsshouldbedone.
Theirtightschedulehasnotallowedthemmanyopportunitiesopportunitiesto taketimeoutto seethecity.Theyhavecome withoutpreformedideas.However,theywouldliketo havea lookat theunique resettlementareasbeforeleavingfor home.Theywouldrecommendmorestudentsto cometo HongKongfortheirelectives,butthatthenecessityto fmancethe wholeenterprisefromtheirownpocketscouldseriouslyseriouslydetera greatmanyfromcoming.Theyhopethatclosercooperationbetweenthemedicalsocietiesofbothuniversitives,somesponsorsandsparebedsinthehomesof localstudentswouldhelpeasethesituation.
TheirSpecialtyClerkshipendsbytheendofFebruary.Let us wishthemeverysuccess.
EXCHNtiEPUBL1ATIONINTHELIBRARYNOWIn reviewin...thatjn the
past,therewasa confusionin the exchangeofpublications,it waspassedinthefirstCouncilMeetingoftheMedicalSocietythattheExternalAffairsSecretarywill takecareof all theexchangedpublicationswithother Universitiesororganisations.In ordertofacilitatethereadingoftheseexchangedpublications,itwas arrangedwith theLibrariantoprovidea cornerin the librarywheretheabovementionedpublicationscouldbeplaced.
MissJ. ThompsonandMr.D.J.Hodgkinson,twoof thestudentsfromtheUniversityof SydneywhoarehereatpresentdoingtheirSpecialtyClerkshipinMedicine,werekindenoughto letushavesomeideasastowhatotherpeopledo,andalsohowothersseeus.
Theyhavecomespecificallyto HongKongon severalgrounds.Oneof theseis thattheircurriculumincludesanelectiveperiod.Anotheristhatthematerialsavailableandtheteachingstandardaremoreor lesscomparable.in bothuniversities.Moreover,thegreatnumberof casesin HongKong,concentratedintoa fewhospitals,provideamplepracticalpracticalexperienceandincreasedopportunitiestoseerarecases.
vvaniLUnecome“AWFUL’ VISITORS WELCOMED
THEfollowingprofessorsfromabroadwillvisitourMedicalSchooltoactasExternalExaminersintheirrespectivesubjectsinthedatesindicated:
Prof.R.Warwick,B.Sc.,Ph.D.,M.D.,Headof theDepartmentDepartmentof Anatomy,Guy’sHospitalMedicalSchool,London,fromFebruary,28toMarch,8,1971.
Prof.Williams,M.D.,F.R.C.P.,F.R.C.Path.,ProfessorofBacteriology,TheWright-FlemingInstituteofMicrobiology,St.Mary’sHospital,London,fromApril,14toApril,25,1971.
Prof. EleanorZaimisM.D., B.Sc.,ProfessorofPharmacology,RoyalFreeHospitalMedicalSchool,London,fromApril,18toApril,28,1971.
Prof.Fairweather,M.D.,F.R.C.O.G.,ProfessorofObstetricsand Gymaecology,HonoraryConsultantObstetricianandGynaecologist,ObstetricHospital,HuntlyStreet,l.ondon,fromMay,10toMay24,1971.
a C.D. or 0.0. ?The5thGeneralAssemblyofARMSA willbe heldinSydneyfrom10thAug.,1971to15thAug.,1971.The20thGeneralAssembleof IFMSAwillbeheldinNewZealandfrom16thAugust,1971to27thAugust,1971.ApplicationsApplicationsaxenowopenedtoallFULL MEMBERSof theMedicalSocietyfor- aChiefDelegate,andOfficialObserverObservertothetwoGeneralAssembliesAssembliesmentionedabove.Forfurtherdetails,pleaseconsulttheExternalAffairsSecretaryortheposterthatwillbeputup in Medic Centre.ApplicationformsareavailableavailablefromtheGeneralSecretary.Secretary.Deadlineofentryis26thFeb.,71.
MEDICALsTUDENTS’CENTRE.SASSOONROAD,
HONGKONG.
Page2 CADUCEUS
CADUCEUSEDITORIALBOARD
Hon.Adviser: Dr.PaulC.K.YueEditor-in-Chief: RobertLawGeneralEditors:
Hon.SecretaryShamTakCheongJohnHon.TreasurerYeungKwokWai
PidbnagingEditor: NgHinKwongAcademicEditor: RebeccaWangArt&PhotographyEditors:j NaiHae
JulietLauChineseEditors:
NgaiLoiCheungChowSzeFu,Joseph
ExternalAffairsEditor: TsangchiuWahFeatures&CorrespondenceEditor:RoseMakInternalAffairsEditor: ShekSluLamSportsEditor: PongPingSumRepresentativeofpreviousEditorialBoard
LaurenceChanChiefEditorofElixir: HoChungPing-
———a e ———-Sub-Editor: LiChunSang
Theviewsexpressedby ourcontributorsarenotnecessarilythoseof the EditorialBoard.
TheEditorialBoardwishesto thankthespecialsupportof theGlaxoLab.Ltd.
Where topical antifungals
cannot penetrate
Grisovin
acts from within
,
Grisovin is available in 125mg. and 500mg. tablets.
GlaxoGlaxoLaboratoriesLtd.Greenford.Middlesex.UKAgentsfortheGlaxodivisionofGlaxoAllenburys(Export)LtdDodwell&CoLtd,P0Box5849,HongKong
A
CAR PARK
BECAUSEOFtheconstructionworkinQMHandtheMedicalStudents’Centrecar-parksinthesetwoplacesbecomelimited. The prohibitionofstudentsfromparkinginQMHhasnodoubtcreatedmuchinconvenienceinconvenienceto clinicalmedicalmedicalstudents.
Thisproblemwasbroughtupduringthe Dean-Undergradmeetingon 5th February,1971again.Thosepresentwereinformedthattheprin.cipalofNorthcoteCollegeofEducationhadkindlyagreedtopermitmedicalstudentstouseeightparkingspaces(ontherightinfrontofthemainentrance)whentheyarenotneededforcollegepurposes.Itis importantthat studentsusingthecar-parkshouldacceptanydirectionsgivenbythecollegestaff.
Thepossibilityof obtainingStudentParkingPermitsinQMHwasalsotouchedupon.It wasdecidedthata surveybecarriedoutby theclass-representivesclass-representivesof 3rdand4th
It isunderstandablethatthisparkingproblemhasbecomeaheadacheto all thoseCon.cerned.Evenso,it mustbeemphasizedthatthereisnoroomforforgedparkingper.mits. AnybodyfoundusingforgedparkingpermitswillbereportedtothePoliceandthecentralauthorityof theUniversity.University.Pleasebepatient,andshouldyouhaveanysuggestionsorpossiblesolutionto thepro.blem,donothesitatetoforwardforwardit to eitherMr.A.P.Walker,theFacultySecretary,oranyoneoftheex-codirectlydirectlyor throughyourcLass-representatives.
(M.C.)
So you think you know love now! No!
BernardLau
“Whenpeoplehavesomestrange,pleasantfeelingtowardsothers,especiallyoftheoppositesex,whichmightbebeyondtheirdescriptionor understanding,theywill naturallyandimmediatelyattributethisto love;hencetheabuseof theword.”
“If lovedoesexistandif loveisreallyrespected,eventhesparklesof it canenlightena newpathof life,thedrivingforceofwhichbecomesdependentonlove.”
“Loveislikeechoes.Themoreyougive,themoretheywillreturnuntoyou.”
“If yourejoicebecauseyourbelovedhasgainedwhatyouhavelongedformadly,yourloveistrue.”
“Nolovecanbesaidtobecompleteif thereisnosharingof joy andsorrows,problemsandsolutions,pleasureandsuffering,comfortandhardship,praiseandcontempt.”
“If youarefaithful,LOVE=Like+Opportunity÷Valour+Equality
Andif youarereallyluckyenough,LOVE= Life÷Offer+Volatility÷ Eternity
However,astimegoesby,LOVE= Lie+Overindulgence+Voracity+ Exclusion.”
“Thebeginnersareoftendepressedbecausetheyfearthatall thefeelingtheyhaveofferedsoreadilyandunreservedlymightbe lostintotheairall of a suddenwhentheyarerejected.”
“Fallingrainplaysmusicforthoseinlove,butthesamenoisesarecursedbythemelancholyandthelonely.”
“Lovecanbelikea game;therearewinnersandlosers,tearsandlaughters,joy andsorrow,sweetandhauntingexperience.”
“Themoreyouareconsciousof probabilityof love,theless likelyyou will experiencetrue love,becauseofhypersensitivityandmisinterpretation.”
“Themostbeautifulsunsetis oneby yourbelovedtogether.”
“Youngstersoftenfeeldisappointedin theirloveaffairsbecausetheyalwayswishtogain,ratherthanoffer,andtheirdesirestobesatisfied,ratherthansacrifice.”
“Platonicloveislikenaturalspringwater;it isnottastybutit flourishesthefloweroflove.”
“Howharshis thesee-sawtypeof love:Whenyouaregoingto offeryourself,youfindyourselfnotaccepted;butwhenyouaretoogrievousandscaredtostayon,yourbelovedwavesherhandtoyou.”
“Hatredis nottheoppositeof love,butdisconcernisoppositetoboth.”
“Thedeeperyoulovea person,themoreyouwillallofasuddenhateher.”
“Anounceof lovecanmorethancancela tonofhatred.”
“Thedilemmaofdecidingwhethertoacceptorrejectyourproposerislikethebreaking-and-closingpotentialinn electriccircuit,whichcausesmoredisturbancesthanthenonnalflow.”
yearstofindoutif therewereunoccupiedparkingspacesattimeswhenmedicalstudentsarein needof them.Thisisessential,accordingto theSeniorHospitalSecretary,while the constructioninQMHisgoingon.It wassuggestedsuggestedthatthesurveybecarriedoutfora numberofconsecutivedaysat regulartime intervals,say,8:30a.m., ):3Oa.m.etc.It ishopedthatafavourablereportofthesurveywillfacilitatenegotiationnegotiationwiththeSeniorHospitalHospitalSecretary.
CADUCEUS Page3
ImmUnOSUPPreSSiVeAgents
Theantiproliferativeagentsappeartoactprimarilybyirnpairingirnpairingcellreproductiveintegrity.integrity.Thismeansthattheaffectedcellsmayremainaliveandmaycontinueto carryoutmanyof theirfunctions,butareunableto reproducesuccessfully.SynthesisofDNA,RNAandothercellconstituentsmaycontinueatthenormalratebutthecelleitherfailstodivide,formingagiantcell,oritcommencesadivisionthatit cannotcomplete,complete,orit dividesunsuccessfully,unsuccessfully,withchromosomesunequallyunequallysharedbetweenthedaughtercellsordamagedinsomeway.Theselesionsmayeventuallyleadto celldeathbut,evenwhentheydonot,theaffectedcellsare‘dead’sofarastheirreproluctiveabilitiesabilitiesareconcerned.
Thereasonsforbelievingthatimpairmentof cellreproductivereproductiveintegrityis thebasicmodeof actionof theantiproliferativeagentsareasfollows:I. Correlation of immunosuppressiveimmunosuppressiveandantitumourantitumouractivity:Almostalleffectiveeffectiveantitumouragentsareimmunosuppressive.immunosuppressive.Not onlythis;whereoneandthesameagentisusedclinicallyorexperimentallyexperimentallyeitherto treatneoplasmsorasanimmunosuppressive,immunosuppressive,thedogethathasbeenfoundto bethemostusefulisvirtuallythesameforeitherpurpose.2. Time-dependenteffectsofimmunosuppressiveagents:Mostagentsthatimpaircellreproductiveintegritydosomosteffectivelyif thecellsconcernedaremultiplyingrapidlyrapidlyatthetimetheyareexposedexposedto the agent.Thisappliestosuchagentsasmethotrexate,methotrexate,6-mercaptopurine,5-fluorouracil,vincaleukoblastincvincaleukoblastincandactinomycin.Timingexperimentshaveclearlyshownthatagentsofthissortinterferemaximallywithimmuneimmuneresponsesif theyaregivenduringthefewdaysfollowingfollowingadministrationof antigen,antigen,whenthecellsconcernedconcernedareproliferatingmostrapidly.rapidly.Administrationbeforetheantigen,whenimmunocyteaimmunocyteaarenotrapidlymultiplyingIsineffective.
Radiation,on the otherband,Isableto Impaircellreproductiveintegritywhetherthecellsaremultiplyingornot.If theyarenotproliferatipgproliferatipgat thetimeof irradiation,irradiation,thedamageis stored,sometimesfor monthsoryears,untilproliferationIsIn-
duced.If the immunosuppressiveimmunosuppressiveeffectsof radiationareduetoimpairmentofcellreproductiveintegrity,wewouldexpectradiationtobeeffectiveif givenbeforetheantigenanditseffectstobelong-lasting.Boththeseexpectationsexpectationsareborneoutinpractice.
Theconclusionisinescapableinescapablethatthemainmodeofactionof immunosuppressiveagentsof theantiproliferativeclassisimpairmentofthereproductivereproductiveintegrityof cellsthatmediatetheimmuneresponse.response.
Interferencewithcellreproductivereproductiveintegrityis, ofcourse,notthewholestory,evenfortheknownantiproliferativeantiproliferativeagents,X-rays,forexample,example,probablyimpairmacrophagemacrophagefunction.MechanismsofImpairmentofCellReproductiveIntegrityThereare two principal
knownwaysbywhichantip.roliferativeagentsaffecttheabilityof cellstoreproduce:(a)byinhibitingtheenzymesmediatingthesynthesesessentialessentialforcellreproduction,and(b) by interferingwiththetemplatesusedby someoftheseenzymesfortheassemblyassemblyof complexmacromolecules.macromolecules.
Enzymeinhibitionis aprincipalfeatureof antimetaboliteantimetaboliteaction.It maybebroughtabouteitherbycompetitioncompetitionbetweensubstrateandantimetabolitefor thesamebindingsiteontheenzymemolecule,orbytheantimetaboliteantimetabolitemimickingnormalproduct-inhibition.product-inhibition.
ThetemplatesconcernedincellreproductionaretheDNAandmessengerRNAmolecules.AssociatedwiththesearethetransferRNAmoleculesandribosomesthatenablemessengermessengerRNAtemplatestoactinproteinsynthesis.Therearemanywaysinwhichimmunosuppressivesimmunosuppressivescaninterferewiththefunctioningof thiscomplexcomplexsystem.TheDNAchainmaybesplitbyX-raysormitomycin.mitomycin.ThecomplementarystrandsoftheDNAhelixmaybechemicallycross-linkedbyalkylatingagentsormitomycm.mitomycm.Theinformationencodedin the sequencesof nucleicacidbasesmaybealteredbysubstitutionof abnormalpurineor pyrimidinebases,suchas 6-thioguanineor5-fluorouracil,for normalones.TheabilityofDNAtoactasa templateforRNAsynthesismaybereducedbyagentssuchastheactinomycins,actinomycins,whichbindtightlytotheminorgrooveon theDNAdoublehelixandsopreventaccessof RNApolymerase.Theattachmentof messengerRNAtotheribosomesmaybepreventedbychioramphenicol.Theaminonuclcosideantibioticsantibiotics(streptomycin,neomycin)alsoattachto ribosomesandcausea‘misreading’oftheinformationinformationinattachedmessengermessengerRNA.TheproblemofToxicity
Thedifficultiesinusingantiproliferativeantiproliferativeagentsstemlargelyfromthefactthattheyimpairthereproductiveintegrityintegritynotonlyof lymphoidcellsbutofanyproliferatingcells,includingthoseofbonemarrow,intestinalepitheliumandskin.Withtheseagentsthereisalwayslikelytobeaproblemin steeringbetweentherapeuticeffectandintolerableintolerabletoxicity.TheSearchforNewDrugs
It is obviousthatvariousagentsdifferverymuchintheratiobetweentherapeuticallyeffectiveandtoxicdoses.Withdrugslikeazathioprineandcyclophospharnidethisratioishighandit isoftenpossibleto
obtain highlysatisfactoryeffectswithnegligibleoronlymoderatetoxicity.It wouldbedifficultto dothiswith,say,nitrogenmustardoractinomycinactinomycinD,andpracticallyimpossibleimpossiblewith whole-bodyirradiation.Thesedifferencesintherapeuticratioareduetothe differencesbetweenvariouscell typesin thefactorsthataffecttheirsensitivitysensitivitytodrugs.
It is exceedinglyunlikelythattheagentswefindmostusefulnowhappento havetheoptimumcombinationofall thesefactors.Therefore,thesearchforbetteragentsisneeded.Sucha searchcanbecarriedonbythemoreorlessblindtechniqueof screening,butit wouldhemoreeconomicaleconomicalin thelongrun,andmoreinteresting,to studyindetailthefactorsthatdeterminedetermineselectivityof actionofdrugsandto usethisinformationinformationtodesignnewdrugmoleculesmoleculesona rationalbasis.
CombinedTherapy
Whilewecanusesynergisticsynergisticcombinationsofdrugs,thiswouldbeof littleuseif asynergisticeffectinimmunosuppressionimmunosuppressionwereaccompaniedbyanequalorgreatersynergywithregardto bonemarrowtoxicity.Thetypeofsynergywearelookingforissynergywith regardto therapeuticratio,andtherapeuticeffect29dtoxicitycannotbeconsideredconsideredaparthere.Agoodexampleexampleofsuchsynergyisprovidedprovidedby theuseof agentswhicharenotin themselvesimmunosuppressivebut areabletoprotectnon-lymphoidtissuesfromthetoxiceffectsof immunosuppressiveagents.Folinicacid,forinstance,doesnot alter the immunosuppressiveimmunosuppressiveeffectofmethotrexatemethotrexateintheguinea-pig,butitgreatlyreducesits toxiceffects,sothata considerableincreasein therapeuticratioresultsfromadministeringbothagents.
DesignofselectiveDose
Regimens
CORRECTION
SOFTBALLSQUASHTABLE-TENNIS
theproblemof toxicityistoadaptthe therapeuticschedule,schedule,i.e. dosesizeandfrequency,soastoexploitdifferencesdifferencesin drugsensitivityandproliferativeorrecuperativerecuperativeratebetweenvariouscellpopulations.Letusartificiallysimplifythisproblemto thepointwhereweareconsideringconsideringonlytwocellpopulations,oneofimmunocyteswhichwewishto damageasmuchaspossible,andtheotherof avitalandvulnerablecellpopulation,population,suchasbonemarrow,whichwewishtoconserveasmuchaspossible.Boththesecellpopulationsexistin thesameindividual,sothatwecannotproducethewidelydivergentdivergenteffectsweareaimingatbyusingywodifferentdoseregimens;theoneregimenhastoachievebothpurposes.
Relativetoeachother,thetwocellpopulationsmaybeeithersensitiveor insensitiveto thedrug,i.e.agivendoeswillproduceeithera largerorsmallerdepletion.Further,therecoveryfromdepletionofeachpopulationwillberelativelyrelativelyeitherfastorslow.Nowit isevidentthatsensitivecellswillbedamagedbyonlysmalldosesof drugandinsensitivecellswillrequirelargedoses.Similarly,a cellpopulationthatrecoversrapidlyfromdepletiondepletionwillrequirefrequentdosesof drugtokeepit depleteddepletedwhereasa populationthatrecoversslowlywouldrequirerequireonlyinfrequentdoses.Supposeoneofthecellpopulationspopulationsweareconsideringissensitiveandrapidlygrowingandtheotheris insensitiveandslowlygrow.Theop.timumregimenforeliminatingtheformerwhileconservingthelatterwillbeoneofsmallfrequentdoses,whilethereversereverseeffectwillfollowsfroma
regimenofmassive,infrequentdoses.If we knewwhatcategoriesour immunocyteandbonemarrowpopulationsbelongedto,wecouldchoosethe typeof regimenthatwouldachievethe desired
Thiswouldseemsto be apromisingfieldforclinicalreMr.
reMr.ClementHO(2ndYear)Mr.WANHoYue(3rdYear)Mr.LAUKaiChiu(4thYear)
ANTIPROLIERATIVE AGENTS AS
IMMUNOSUPPRESSIVE DRUGS
Agentsknowntobeantiproliferative:X-rathatiofl
Alkylatingagents(cyclophosphamide,nitrogenmustard)A.ntimetabolites:Antipurines(6-mercaptopurine,azathioprine),
antipyrimidines(cytosinearabinoside),antifolics(methotrexate),antiglutamines(azaserine,DON)
Antibiotics(actinomycin,mitomycin)
Alkaloids(vincaleukoblastine,colchicine)
result.
Anotherwayof tacklingsearch.
withtheSportsSecretary’sapologiesThenamesof thefollowingTeamCaptains,whichweremisrepresentedinthelastissueofCaduceus,shouldread:
MINI-SEMINAR ON ABORTION
A mini-seminaronABORTIONhasbeenorganizedbyTHEGUILDOF ST’ LUKE,SS.COSMAS& DAMIAN,HONGKONGin associationwiththeCatholicMarriageAdvisoryCouncil.
Date:Thursday,25thFebruary,1971Time:8:30p.m.Place:RuttonjeeSanatorium,Queen’sRd.East,H.K.
Principalspeakers:JudgeSimonLiMr.LeoF.Goodstadt,deputyeditoroftheFarEasternEconomicReviewRev.Fr.PeterBrady,S.J.,WahYanCollegeDr.GeorgeOu,Psychiatricspecialist,aridmedicalsuperintendentofCastlePeakHospitalDr.RamonC.Ruiz,MasteroftheGuild(Convenor)
AllCatholicmedicalstudentsandmembersof theMedicalprofessionarecordiallyinvitedtotakepartinthediscussions.
HERE’SAN EXCUSETO STARVE
YOURSELFAND GET SLIMConsideringtherisein priceof foodarticlesandwages,
it is decidedby theCouncilthata smallincreasein priceof foodsuppliedbytheMedicCanteenbeallowed.
Startingfromthe21stFeb.,1971,thechangesareasfollow:
Forbreakfast variousvarietiesof friednoodlesfrom50.80to $1.00
Forlunchanddinner. . . . variousvarietiesof friednoodlesfrom$1.50to $1.80usualricedishesfrom$1.80to $2.00
Lightrefreshmentswillbeprovidedatabout10:00p.m. Thepricesfortherestwillremainunchanged.
妒攤• ‘
香港大學學生會
醫
學
會
月
刊
第
三
巷
第
二
期
一儿七一手二月十五日
(一)連卡佛大減價,東西好便宜l·
考試嘛,誰
才有心情去擠!
滿街都是中庸和密實裝,配上靴子,甚好看!
管他呢,考完試才算!·
喲,今年的暑假一個月,要好好的玩一陣,不
然,以後一年沒有假期,要扯啦!我想到美國一遊,
看看幾年沒見的老友,不過,這要用很多錢,退一步
嘛,到東南亞及日本一行,也是樂事,只是,只是,
我要考試考得好,才可以去!唉t·
考試,考試,似乎我以後的生活方針,喜怒哀樂
·都維繫在這個考試。畢業嘛,當然大件事,從××
小姐先生,榮陞為××醫生,多少羨慕的眼光向你射
過來,只要你合格!
畢業,興奮是當然。但老實說,我不想畢業,也
不想韶斑,做學生多暢快,除了考試之外,輕鬆自在
,無責任可言,考完試之後,又可以藉口狂玩一頓·
畢業了呢?前面鋪的是什慶路我不知道,可能庸碌一
生而毫無成就。
畢業雖說前途未卜,但畢不了業更慘。同學說,
帝斑蛟大的問題是面子。並不是浪費金錢和時問.很
多人說,女孩子怕什麼·一定不會肥的,我認為
·這是絕大的看不起女孩子們·合格,即是說被人開
恩·不合格嘛,便是精透f扶不起的阿斗·事實是這
樣嗎?不過,考試時不免汗顏慚愧,自覺無面目見老師
,因為他問的東西·教過的,也吶吶不知所答,老師
,希望你明白考試時是慌得魂飛魄散,六神無主,我
或許原本是懂得的嘛。誰不想做個好學生?
考試像個無影的籠,困得好苦,但想起考完後可
以去旅遊。心中不禁大樂,遊地方是我般大的愛好;
到別處短衍地換.下環境,欣賞完別地的風土文物人
悄,回家後會特別覺得它親切。只可惜,廿多年來未
能回中國內陸,因為我怕毛叔叔忽然帝我長住,台視
,去過雨次,手續之煩,前所未有,為什慶中國人不
能自由出入自己的地方”
(二)哎地,NlJ完了一個試,這麼快又唸書?好訝
異的口氣。何必假猩猩作態呢?誰不知你是對人狂玩背人狂
唸的人,說什麼假話,唸書不是犯伕,多唸也不見得
表示比別人蠢,你說不用讀書,別人也不會信,多虛
偽的人。有一些人,看見自己眼中釘,卻上前親熱招呼一
番,笑襄藏刀;看見別人衣服古怪,卻要特意去稱讀
,背轉身卻又作嘔狀,何苦呢?多虛偽的人!
你會懷疑四周的人都是對你虛情假意嗎?
(三)
今天一早回校,瑪麗的斜坡上橫架了一條黑白相
間的木條,請回吧I·這裹沒有你泊車的地方!
李樹芬樓附近擠滿了備塵的車,醫生住所旁的空
地水洩不通,何處是吾車的家?在中區受薛璞大人措
施之苦不少,想不到回到自家的地方,也不外如
是。好容易在牛奶公司附近的草地泊了個位,徒步走
上教授樓,經過停車場,疏疏落落的放了幾輛車,佔
據了偌大地方,在陽光下向我嘲笑,像是在說:你是
什麼東西,想在這兒泊車?
我遠沒有責格做東西,比人家說醫院最低
動物的實習醫生還不如,四個月、四個月,天才知
道我會不會榮陞為一點的東西默
(四)
那輛j.t厭的鏟地皮工具又在開動了,好好的草地
,好好的石塊,都統統被翻轉,為什麼一下子四周都
在改建?那兒才有塊淨土?
正如我唸書一樣,考試一個月前還在遊遊蕩蕩,
電視機前永遠有我的影子,明天才算·反正時問還多
!到了審判的口子·書給我翻得東歪西倒。凌亂不堪
。真是沒有遠見的人嘩;為什麼不懂未雨網繆?
一百五十個學生;二百個學生;二百五十個··⋯州州州州...,、戶、j' . •.•.',•••、’. ••• ,.、.,戶鳥,.、•,州•.'k 邊、',尸,‘、.',
我不能忘記她。我真的
不能忘記她•不是因為我嘗
試了多次都失敗,而是我本
來不想忘記她·我和她過去
的一切,還歷歷在目,好像
發生在昨天似的。每次遇到
有關愛、生命或快樂等事物
時,我便不禁埋沒在一股洶
湧的回憶洪流與。這洪流,
找不知是從那裹開始,也不
知它會在何處停止,祇是永
遠,永遠的滾滾地流。
我是三年前在一個偶然的場
認識她的。事實上也不特別的,祇是我對她的印象
深RlJ了。我望她第一眼時,我便深深的被吸引了。
心而論,她不算太美,我曾見過比她美麗得多的少
,但不知怎的,我毫不猶豫地在心中對自己說:
了,這就是了·從那時開始·別的女子已失去了
引我的力量。當我坐在她的對面時,我真的目不轉
地看著她,我自己一點也不感覺到這是多慶的失態
呢。尤令我迷醉的是她的笑容·她笑起來是那樣甜悅
可愛,毫不讓人有反抗的餘地;又是來得那麼的自然
,半點也沒有矯飾的份兒。在我的眼底中,她還是一
個純潔率直的女孩子,我真的想從她身上,找尋出過
去年青的我。她的一舉一動,都足以使我回憶我以前
的一切。很奇怪。我平日應付少女的社交手腕,都不
知走到了那裊去。每次想說一句話時,都要鼓起萬二
分的勇氣,和在心中默念了多次才敢放肌說出來,但
說時又常常口吃吃似的,惹得她屢次怡然而笑,而我
,則滿面通紅。
愛,往往是從一點小小的火星,尋到合適的燃料
後,而慢慢燃燒起來的。根本上,愛就是生命的火花
;畢竟也是生命所不能缺少的原動力·我倆的愛,不
久已到了不能分開的地步。
不幸,人有悲歡離合,月有陰晴圓缺,上天
竟然嫉妒我們,死神的手把她從我的懷中搶走了。她
含笑而逝的那一剎那。我真的不敢再復回想。當時,
我曾悲痛得不欲倫生,哭泣不知凡幾。正是春蠶到
死絲方盡,蠟炬成灰淚始乾。然而,冗長的時問,
漸漸沖淡了我心中的創傷。
至今,兩年多了。我倆所留下在公園野郊的足跡
可能已被擦抹無遺,但她的倩影·甚至她的一切。卻
永不能從我的腦海中洗去。平日事務繁忙,那就沒有
怎樣,但當我獨自靜靜的坐著閒思,或在舊地重遊時
,她的笑容,便再次呈現出來。
最近,我竟埋頭於酒杯中,可能在酒醉時·迷矇
中,能重返舊夢,我的摯友文曾多次苦勸我自愛健康
,努力戒除這惡習,但我怎能怪他,他還祇是一個不
知天高地厚的小伙子呢.近日,對狂歡玩樂甚惑興趣
,每每不盡興不歸,藉以麻醉自己的思想,暫時拋開
心中的憂鬱,可惜回到家中時,無形的空虛,又再次
佔有我的心靈了。
案頭上相架中的少女,就是日夕不能忘懷的她。
媽時常罵我為何痴痴的凝望看而至寢食不思。唉!她
又怎知失去了的已不能再彌補了,又有誰能了解我的
心音)呢。她現在在何處?快樂不?她知不知這世界上
還有一個痴心人想念著她呢?她知不知道因為她離開
了我,我已喪失了生命的活力呢?昨日的歡樂的果子
,已成為今日的苦惱;明日生涯,何去何從呢?這一
切的一切,不斷在我的腦海中環繞著。
現時,在說不出的苦悶中,唯一的希望就是忘卻
過去的事物,拋棄現在的自己,而再次建立自己未來
新的世界,但是·。這一段遙遠的愛,又要到何時何日
才得以補償呢?兩條不同方向的線,
交叉於一點;
是快樂與快樂的起點,
點是沒有長潤,
沒有時分,
只在心靈深處,;
隨著命運的軌跡,
兩線各自向前·
是痛苦與痛苦的起點;
帶著似甜又酸的回憶,
負著懊悔的重袒,
直至永遠。
也許,線要不是直的,
始終,還有再交叉的一點髡