力行植林慈善基金會

2015年10月陽山縣“扶貧復明”簡報

陽山縣“扶貧復明”活動，分兩個階段進行：

下鄉篩查階段 :

2015年9月6日至9日，新會區人民醫院醫療隊聯同陽山縣殘疾人聯合會人員，及香港力行植林慈善基金會義工走訪了陽山縣6個鄉鎮，共為907人進行檢查，其中有281人是白內障成熟，需要手術治療。醫療隊排除身體有其他疾病，暫不適宜手術患者(例如：肺或氣管、心臟有嚴重疾病，血壓或血糖超高嚴重)，即場發出預約手術通知書160份給符合手術條件的白內障患者，以及15份預約胬肉手術患者。

陽山縣殘聯，新會區人民醫院，力行植林慈善基金會，長期合作扶貧，展現仁愛之心

手術階段：

合辦單位及參加人員：

1. 力行植林慈善基金會    26名香港義工及6名國內義工。

2. 陽山縣殘疾人聯合會     5名工作人員。

3. 新會區人民醫院           10名醫護人員。

4. 陽山縣人民醫院           10名醫護人員。

2015年10月12日至17日，手術在陽山縣人民醫院進行，共為166位貧困白內障患者進行復明手術並加放人工晶體。另為15位患者行胬肉切除手術 (原因1.因胬肉阻擋，需要先切除，下期再安排白內障手術。原因2.胬肉遮蓋，影響視力)。

同時免費為患者作手術前體檢 (包括量血壓、血糖及血常規、心電圖、X光胸透) 。

術前和術後，香港義工及醫療隊都會向病者家屬詳細解釋如何按時用藥、護理傷口，以防感染，病人家屬亦被通知在手術後如有不適時應如何聯絡醫院或縣殘聯。

本次活動經費：感謝 傅德蔭基金有限公司 贊助

這次陽山縣“扶貧復明”活動再一次順利、成功，全賴各有關單位的盡力協助，各鄉鎮的政府人員配合、組織和安排患者到來。感謝各合辦單位及所有參加人員，大家付出了專業精神和無私的奉獻。使貧困白內障患者得到早日復明，重拾人生，再展笑顏。

辛勞了！各位工作人員，下次再會。

力行植林慈善基金會 眼科工作組

2015年10月22日

熱誠，活力的工作團隊

手術前各項檢查進行中：

手術前準備：

手術進行中:

手術後,出院前覆檢：

看見了！感謝！感謝！

Reflection on Tung Shan Summer School 2015 (Lam Ka Wing Kevin)

This is the second year I participate in this service trip. On arrival, so delightfully, the children remembered me. I was pleased to meet those familiar faces again. 

The number of children participated in the Summer School program this year was less than that of last year. Regardless of the number, I adopted a refined method of teaching and attitude towards them, using my experience from last year.

I was responsible for teaching two elements, namely phonics and reading aloud. The former emphasizes the ability to pronounce words with similar vowels and is the element that I taught last year. The latter emphasizes the ability to read a passage within time limit and pronounce accurately.

On the second day, students were assessed on these elements. To my surprise, the students really showed improvement in phonics compared to last year, thus manifesting the effectiveness of teaching in the past year. As for reading aloud, the students' performance left much room for improvement, and was worse than expected. Therefore, the teaching curriculum had to be refined to match their progress. This was certainly a challenge for me, as I had to completely amend the teaching content and plan within one day. Under time pressure, I thought thoroughly at night to produce a more suitable teaching curriculum.

In the next few days, I encountered another problem. I suddenly found out that the teaching curriculum for a particular grade did not cater for every student well, due to the huge differences in level. After one night of careful consideration, I eventually came up with a solution, which was to teach all the contents suitable for the higher level students first, then tutor the lower level students individually. 

Throughout the course of the trip, my patient and caring character gradually developed. It is essential to show the children that we care about them, as this determines their willingness to obey our instructions. Occasionally, they became cantankerous and disobedient, and this is when patience needs to come into play. We had to try to put ourselves into their situations and think from their perspectives. After this, respond and remind them in a patient and amicable tone. We found that this is the most effective method to have them to obey.

Leadership skills as in the ability to gain control of a group of students are also involved in this trip. This has really been an obstacle for me since this is one of the qualities that I lack. At times I found myself over-indulgent, yet what was required is an authoritative leader mixed with some extent of generosity. I believe that this is what constitutes a charismatic leader in general.

We were also given the precious opportunity to visit a family of one student. During the visit, we looked around their home and chatted with the host about their living routines and conditions. This allowed us to take a glimpse into the lifestyles of a typical rural family. The lifestyles are relatively simple and basic, merely sufficient for one to sustain life. Through the discussion, I also gained a better understanding of the difficulty in migrating from rural to urban areas in the mainland, which largely accounts for the widening of the rural-urban gap, thus resulting in the increasing socioeconomic inequalities in mainland China. Nevertheless, what drew my admiration is that they are still leading a satisfying life without any complaints, despite all those unfavorable conditions. Contrasting this with our unending materialistic lust, I feel ashamed.

To conclude, I really enjoyed interacting and playing with the lively group of children. The teaching process has helped me sharpen my leadership and caring skills, and the ability to change plans immediately according to the situation under time pressure. Although the nature of this trip is non-medically related, the qualities required are medically relevant. Hence it is a great opportunity to explore our weaknesses, improve ourselves, simultaneously provide assistance to the children in need and understand more about the living standards in the rural areas of mainland.

Kevin Lam (CUHK Year 3)

2015年9月 陽山縣下鄉篩查白內障活動簡報(鄧月嫻)

2015年9月6 - 9日回到陽山下鄉篩查白內障活動，地點包括七拱衛生院（七拱鎮，杜步鎮），太平衛生院（太平鎮，楊梅鎮），嶺背衛生院（嶺背鎮，黃坌鎮，秤架鄉），青蓮衛生院（青蓮鎮，江英鎮），黎埠衛生院（黎埠鎮），縣殘聯（陽城鎮，小江鎮，大崀鎮）。

各合作單位包括縣殘聯，鎮政府，民政辦，各衛生院等的協助及鼎力支持，使這次活動一如以往順利完成。

今次由新會區人民醫院醫務科蘇永亮醫生帶領醫療隊下鄉義診，蘇醫生對各項目都親力親為，實值得表揚。而醫療隊林醫生，吳醫生及各位護士，都盡心盡力為病人檢查，專業的水平和純熟技巧，對前來應診的白內障患者精準地斷症，使這次下鄉篩查活動超額完成。

力行義工隊各成員，無私的奉獻，對前來篩查的公公婆婆關懷呵護，發揮了身體力行的精神，和你們合作愉快，多謝！

今次下鄉篩查活動義診總人數為907人，已發手術通知書人數是白內障160人，胬肉15人，合計共：175人。

基金會雖然已定時定點在陽山下鄉舉行“扶貧復明＂活動，但每次前來的患者的比例都是有增無減。如這次活動，經統計需動白內障手術的患者高達281人，奈何手術名額有限，這都是基金會主席謝太常遇到需處理輪候手術名單的頭痛問題。祝願各患者一切順利平安。

義工　鄧月嫻

2015年9月13日

Dong Shan Summer English Program Reflection ( Shing Kei Lok Louisa)

Throughout this brief but fruitful period of ten days, I felt an internal struggle to fulfil the role of a teacher. In the eyes of the children, I was not seen as a teacher. Instead, I was a sister to babysit and play with them. They yearned for my attention, constantly pulling my arms, yelling and jumping on to my back simply because they wanted to play with me. Early in the morning, even before our breakfast at seven am, they would yelp and even order me from the bottom of the staircase to hurry up and piggyback them. It was hard to reject them with those teary, puppy-eyes. I would even have to carry children like Pak Sing and Chau Lai, who were already ten in age, and run around the basketball court until they were finally satisfied and were willing to let go. Although I was slightly overwhelmed with physical exhaustion, I made efforts to attend to these energetic, loud and needy children, giving them love both physically and in time because I could see how desperate they were just for some attention to fill their inner insecurities resulting from lack of parental supervision and guidance. Through play and games, I not only became familiar with each child’s personalities, but more importantly their social and familial backgrounds.

Frankly, I was not entirely happy to be a babysitter or even a teacher, in which I was supposed to fulfil. As the saying ‘teach a man to fish and you feed him for a lifetime’ entails, I frankly did not see much of a purpose of teaching the students dictionary and translation skills in a limited ten day duration especially if they were actually reluctant to learn. What I truly tried to achieve was to be a ‘fire starter’, to inspire change in their mentality: a determination not simply to study English, but to improve in their personal academic and moral development by establish a drive for learning, for self-discipline by setting and reaching goals, and finally for a better future for themselves and their family.

During my brief journey of ten days at Dong Shan, I was fortunate to have a glimpse of their improvement in both English and character. In particular, it was incredibly encourage to see the group 5 students blossom with more confidence to read English sentences out aloud and attempt to guess the meanings of the phrases to the degree that they began shouting and competing. Seeing how the introverted, shy only boy in the class open up himself and transform to be the class clown. Neither would I forget how an irreverent, temperamental 11 year old girl, who cried in my class after I scolded her for her reluctance to attempt at the set questions and focus in class, became so serious about her studies that she revised hard for the final test and teared up because she was disappointed in her test performance. There are too many indescribably memorable memories for me to note and I will never forget.

I believe there is a life plan for everyone set by a higher power in this universe and it is no coincidence for certain people to meet at specific time and plan. I feel very blessed to have been able to met and taught these classes of students, who I feel have great potential within themselves that have yet to be discovered. I have yet to fully understand the reason for why I was placed in their lives, but I know that they have at least humbled and opened my eyes to see the world in a new perspective.

Now that the trip has concluded, where do we go from here? The children have a heart to learn and a seed for maturity. However, like seeds on a hard, infertile soil, they are unable to establish proper foundation. Without proper guidance, they get lost easily in the weeds, yielding to adversity. They need a gardener to nurture them, shower love appropriately, prune them when they are growing the wrong way and fertilize them when their growth has stunted. The implications of our visit are limited by the short timeframe and whether or not the children were able to gain anything from our visit depends on them. I guess this is the harsh reality of this program because it is an annual project. Instead of giving them hope that a group of people like us will come and visit next year, I hope that I left an impression that there is a bigger world out there beyond that short, plain stretch of houses and cornfields waiting for them to discover. I hope that they will remember that thousands of miles, there are people who would be willing to ‘stand by them’ and these people will always carry a memory of them for the rest of their lives. Most importantly, I hope that they will never forget to strive and not yield because they are the future of Dong Shan.

For those who missed the point, I sighed endlessly in my class whenever I noticed this particular child in my class who was unwilling to learn and only saw me as a playmate. In a brief period of ten days, there is only so much that we can do for them –we can give them books in the library, but these books are meaningless because no one reads them. It is up to them to step up for themselves. Fundamental and sustainable change can only be derived from themselves.

Shing Kei Lok Louisa

(HKU Year1)

2015年5月 陽山縣「扶貧復明」活動 義工感想 （何穎琳）

能夠看見光明，是上天賜予我們珍貴的禮物。憑著雙眼，我們得以看見世界的美，家人的臉容。可是，世間上一部份人卻因患上眼疾被奪去了這份幸福。參與是次清遠市陽山縣「扶貧復明」活動，我看到了接受手術前的患者們的仿徨、無助，與他們在術後雀耀、感激的模樣。這個改變只需短短十數分鐘。身為醫學生，能夠有幸親身經歷手術治療對病患人生帶來的改變及幫助，實在感到十分震撼與激昂，使我對學醫及將來行醫的決心更加堅定；看到醫療團隊及義工們大家齊心為了幫助在陽山縣的150位白內障及19位胬肉患者，無懼風雨而努力，使我對醫療義務工作有了深刻的感動與體會，提醒我應身體力行去服務他人。我會將是次經驗學習銘記於心，在往後行醫的日子裹為病人們的健康幸福努力。

大家專注留神地聆聽義工黎姑娘對活動及各單位工序的簡介

義工團隊與術後重見光明的患者合影

護士義工專注謹慎地為術後重見光明的患者注射藥物

護士義工與我為將要進行手術的伯伯清洗眼睛

眼科醫生義工全神貫注地為病患施手術

義工 何穎琳 (香港中文大學 醫科三年級)

2015年6月25日

2015年5月陽山縣“扶貧復明”活動義工分享

雖然從陽山回來已有一段日子，但老人們因重獲光明而笑逐顏開的臉龐依然是歷歷在目。

短短數天的義工服務不僅讓我接觸到不少新鮮的事物，更為我帶來不少的感動。當中讓我感受最深的是病人及他們家人對我們的信任。對著我這個二十出頭的學生，他們不僅沒有一絲的懷疑，反而安心的把他們的家人交給我纔扶，讓我幫他們量度心電圖。其他義工對病人的關心亦讓我因能成為這支團隊的一份子而感到驕傲。猶記得有一名患有嚴重白內障的婆婆因為血壓太高而未能做手術。面對這情況，義工們都感到十分無奈，但亦有些建議婆婆的兒子帶她去看醫生，進食降血壓的藥物。翌日，當婆婆的血壓恢復正常的水平，所有的義工也為此而感到歡欣，讓我感受到義工們對病人真誠的關心。

在最後一天，病人都能出院了。當看到他們拆下紗布，拿著剛收到的術後須知測試視力，繼而面露微笑，心中確實感到無比溫暖，盼望他們能從此走出眼疾的陰霾。

義工 孫文遠 (香港中文大學 醫科二年級)

2015年6月25日

2015年5月 陽山縣“扶貧復明”活動 義工分享 (張雪晴)

在五月十七至二十二日，有幸能成為力行“扶貧復明”義工的其中一員，踏足清遠市陽山縣，體驗一連六日的義工服務。

在短短的六日當中，技術精湛的醫療團隊成功完成了150個白內障手術及19個胬肉手術，即平均每天有多大28名長者因著手術而獲得生活莫大的改善。這些長者們可能是長時間經歷白內障的困擾，視力每況愈下，晶體越來越渾濁，甚至完全失明，這些重擔自然落入家人的身上。然而，他們只是在短短一至兩天的檢查和手術當中，生活質素便可以隨著手術的成功帶來戲劇性的變化，由黑暗進入光明中。

其中一幕是長者們沿著走廊坐下，一個跟著一個接受視力檢查。一日之前他們還是連做檢查也會緊張和不安的老人家；今天在發光的燈箱前，卻能自信地用手指出“E”開口的方向，快而準！看見他們成功通過“考試”，能帶著不一樣的眼睛回家，原來能讓人如此滿足。

黝黑的皮膚，黑白參半的髮絲，緩慢的腳步，這些都是一眾基層農民的長者的標記。更令我難忘的是其中一日，一位白頭翁背著另一位比他年紀更老邁的白頭翁，帶他到床邊坐檢查。即使自己年紀不小，但也堅持要帶家裡的老人家來接受治療。以上的畫面加上各位義工投入地服務，生出了一幅老吾老以及人之老的畫面。特別招攬的醫護團隊，香港及內地義工專程的到訪，都單單為了這地方的老人家。醫護人員技巧純熟地做檢查，義工們小心翼翼地用雙手拖帶著老人家走每一小步，她們每一個的笑容彷彿也是對著自己的家人一般。

在六日當中能嘗試不同崗位，在當中看見不同崗位互相配合，看來獨立工作卻又密不可分，人手不足時又能互補不足，這都是義工們過往多年累積下來的經驗。在傾談之間，說到白內障手術以及人工晶體種類的選擇，讓我驚訝到的是原來在人看來簡單平凡的復明行動當中，每一個選擇與決定也是經過深思熟慮的。正如晶體，手術形式的選擇，也要詳細考慮到當地的設備，醫生的技術，成本與效果的考慮，而並不是最先進最高成本，便能給被服務的對象帶來最大的益處。

能由頭到尾參加在當中，確實是一個十分難得的機會。由一開始一頭冒水，到欣賞當中有系統地安排，令我初探一個機構如何運作一個服務。當中的義工也讓我學會要更謙卑的服侍，用眼睛笑容更深體察別人的需要和感受，是值得一生學習的一門功課。

一名長者正進行視力檢查，義工從旁協助。

長者們沿著走廊坐下，一個跟著一個接受視力檢查。

義工們小心翼翼地用雙手拖帶著老人家走每一小步，恍如跳舞一般。

一名醫療隊的醫生正進行淚道冲洗。

義工 張雪晴 (香港中文大學 醫科二年級)

2015年6月23日

Reflection on Yangshan Cataract Surgery Trip (Lam Ka Wing Kevin)

This cataract surgery trip to Yang Shan from 16th to 23rd May can be said as a “sequel” to my previous cataract screening trip in September last year.

My duties and responsibilities involved distributing cataract patients’ information to other volunteers in charge, directing patients to appropriate pre-surgical check-up stations, applying eye drops to patients awaiting further eye examinations and transporting blood samples to laboratory and collecting their reports. Sometimes when the occasion became busier, I had to be the substitute for others’ duties. This manifested the need to be observant of the general workflow and responsibilities of others at all times to avoid confusions. I observed that every volunteer’s duties are paramount to the organised and smooth workflow, and any negligence would potentially lead to disruptions to the efficiency. This perhaps was a challenge to every volunteer’s perseverance and patience, of which we often lack. However, these qualities became spontaneous with the environment in which everyone else was so unremittingly determined in their tasks.

I was carefully applying Eye drop to a cataract patient

I was ready to bring patients for X-ray check up

On the second last day, I was offered an opportunity to observe cataract surgery of 3 patients. The surgeon kept explaining the steps that he was undertaking and the relevant anatomy whilst he was performing the surgery, especially during removal of a cataract lens and implantation of an intraocular lens. I really profited a lot from such observation, and it was truly a second-to-none experience to me. After the surgery, the gleeful smiles worn on the patients’ faces moved me to tears, as they could eventually regain the window to the soul.

The doctor was performing cataract surgery on a patient. He explained clearly and interestingly step-by-step what he was doing throughout the course

From this trip I was also able to observe the environment of the healthcare setting and compare it to that of Hong Kong. Comparatively, the hospital in Yang Shan was less hygienic and had less advanced equipment, yet what drew my respect was the collaboration amongst the healthcare professionals and their warm care for patients.

All in all, participating this trip has deepened my understanding of the local needs and healthcare conditions, and have made me further comprehend the importance of a caring and sympathetic heart, especially when it comes to interacting with those elderly patients. The service trip entailed much invaluable opportunities to gradually prepare myself for working in the medical field in future years. As Rome was not built in one day, a continuous cultivation of relevant qualities as a future medical professional is prerequisite, and this trip seemed to serve such purpose effectively.

These are the patients who have successfully undergone the cataract surgery, regaining their vision

Lam Ka Wing Kevin (CUHK Year 2)

2015年5月 陽山縣“扶貧復明”活動 義工分享（賴伯殷）

這四日三夜的服務團的確不長，但學到的，看到的，聽到的卻很多。

第一天，我們花了半天的時間從香港乘車到清遠市陽山縣。但到第二天，我才真正了解到當地農民的境況。他們大多行動不大方便，說話和聆聽均不大靈光，身上的唐服亦頗為殘舊，踢著「解放拖」。我一直認為廣東省是中國數一數二富有的省份，想不到離繁華的清遠市只有一個多小時車程的陽山縣卻這麼貧困。我們香港人常常投訴內地人財大氣粗，大魚大肉，更反襯出內地的貧富懸殊，城鄉差異，希望中國政府能正視及改善這些問題，而不是盲目追求經濟目標。

而另一件讓我大開眼界的就是當地醫院及力行義工，分配有限資源的能力。

小小一個一百平方呎體檢中心卻能集核實資料、量血壓、量血糖、心電圖、抽血，照眼底鏡、AB超等於一身，一個早上便能為四十多名病人作入院檢查，實在了不起。而力行義工團隊成員間的默契，對程序的了解，令整個住院、手術、手術後檢測，出院的過程倍加順暢，讓我明白到持續性義工服務的重要性，只有堅持及不斷改良，才能令一項義工服務更有意義，更有價值。

跟來自海南的心電圖專家合照。

一個「麻雀雖小，五臟俱全」的體檢中心。

一個醫生每天早上能為十多個病人做手術讓他們復明。

凡事最難就是跨出第一步，後來就會發現它的樂趣。

做醫生希望能看到病人重見光明， 更希望看到他們學懂照顧自己。

義工 賴伯殷 (香港中文大學 – 醫科三年級)

2015年6月9日

2015年5月陽山縣“扶貧復明”簡報

陽山縣“扶貧復明”活動，分兩個階段進行：

下鄉篩查階段 :

2015年4月20日至22日，新希望眼科醫院醫療隊聯同陽山縣殘疾人聯合會人員，及香港力行植林慈善基金會義工走訪了陽山縣6個鄉鎮，共為863人進行檢查，其中有251人是白內障非常成熟，需要手術治療。醫療隊排除身體有其他疾病，暫不適宜手術患者(例如：肺或氣管、心臟有嚴重疾病，血壓或血糖超高嚴重)，即場發出預約手術通知書155份給符合手術條件的白內障患者，以及17份預約胬肉手術患者。

到各鄉鎮為患者檢查的義工和醫護人員

手術階段：

合辦單位及參加人員：

1. 力行植林慈善基金會：23名香港義工及7名國內義工。

2. 陽山縣殘疾人聯合會：4名工作人員。

3. 新希望眼科醫院 ：7名醫護人員。

4. 陽山縣人民醫院：8名醫護人員。

2015年5月18日至23日，手術在陽山縣人民醫院進行，共為150位貧困白內障患者進行復明手術並加放人工晶體。另為19位患者行胬肉切除手術 (原因1.因胬肉阻擋，需要先切除，下期再安排白內障手術。原因2.胬肉遮蓋，影響視力)。

同時免費為患者作手術前體檢 (包括量血壓、血糖及血常規、心電圖、X光胸透) 。

術前和術後，香港義工及醫療隊都會向病者家屬詳細解釋如何按時用藥、護理傷口，以防感染，病人家屬亦被通知在手術後如有不適時應如何聯絡醫院或縣殘聯。

本次活動經費：感謝 傅德蔭基金有限公司 贊助

5月18日- 20日，預約患者出席率達90%。21日及22日，因為大暴雨，加上有鄉鎮水浸，部份患者因交通中斷而無法到來。我們按輪候名單，由縣殘聯的工作人員逐一通知、確認患者能夠到來治療。

在天氣惡劣的情況下，陽山縣“扶貧復明”活動再一次順利、成功，全賴各有關單位的盡力協助，各鄉鎮的政府人員配合、組織和安排患者到來。感謝各合辦單位及所有參加人員，大家付出了專業精神和無私的奉獻。使貧困白內障患者得到早日復明，重拾人生，再展笑顏。

多謝各位工作人員的付出，下次再會！

後記：

20號大雨，義工晚上離開醫院前，已經合力把儀器、物資轉移到桌上，預防洪水沖入室內。晚飯後，大家都要涉水返回酒店，因為江水倒灌，道路水位不斷上升，令人擔憂。

酒店到醫院，只是過馬路，前行便到，這次路不通行了

21號早上8時。水位在下降，經評估商議後；部份醫生、護士、義工涉水探路，想方法先回到醫院工作。

陽山縣武裝部長跟軍車到來協助義工，很感動，我們是備受保護的一群。

雖然天雨，加上水浸，增加了團隊很多的不便，但却沒有影響到大家對工作的熱誠、對到來患者的關懷。

21號到來很多患者和家屬，他們默默地，按義工指示輪候登記，檢查。談話間；才了解到他們有些是由家人背著，涉水前來。有些是走了一大段冤枉路，才找到到進入醫院的後門，…… 幾經波折，却沒有怨言，只是在安靜地配合我們工作，更連連多謝，慰問工作人員，實令人感動。

力行植林慈善基金會 眼科工作組

2015年5月29日