2009年2月26日 星期四

恭喜發財!


In January, we had the Chinese New Year.  I would like to wish everyone a prosperous year of Ox.  Apart from lion dance, another ritual was the worshiping of Che Kung (車公) on the second day of the New Year.  On January 27, Mr. LAU Wong Fat, Chairman of Heung Yee Kuk, drew a fortune stick for Hong Kong at the Che Kung Temple in Shatin.  It read:

君不須防人不肖 眼前鬼卒皆為妖
秦王徒把長城築 禍去禍來因自招

The unlucky fortune stick No. 27 was about the story of Qin Shihuang (秦始皇).  It said that there was no need to be aware of misbehaved people, because those serving you could all be considered evil.  Emperor Qin failed to protect his Empire by building the Great Wall, because it was himself who caused the Empire’s downfall.

Che Kung was a great generalissimo of the Song Dynasty (宋朝).  He was worshipped in Hong Kong mainly because of his act as a doctor.  He was famous for removing epidemics in Sai Kung and for curing people.  It would be interesting to look at the fortune stick from the viewpoint of a medical practitioner.

The first two sentences reminded me of the handling of patients with infectious diseases and the collection of specimens.  In the 1980s, blood samples from patients known to have HIV or hepatitis B were tagged with red labels to alert handlers of the infectious nature.  Then starting from the 1990s, this practice was stopped.  The reasons behind were mainly that all specimens should be handled with care for the potentially infectious nature, and that privacy of patients should be respected.  I think this attitude should also be adopted by leaders.  Advices and proposals should be handled with care and assessed by objective means no matter by whom the advices are given.  While doctors and laboratory technicians are protected by gloves and gowns, leaders should be protected by the general principles of “doing no harm”, “doing good” and “being evidence-based”.

In February (starting Feb 9, 2009), police officers in uniform can require a person who is driving or attempting to drive a vehicle on a road to conduct a breath test without the need for reasonable suspicion.  The Road Traffic Legislation (Amendment) Ordinance 2008 (No. 23 of 2008) had been passed to amend the Road Traffic Ordinance, the Road Traffic (Driving Licences) Regulations and other subsidiary legislation under that Ordinance and the Road Traffic (Driving-offence Points) Ordinance so as to - 

  • (a) increase the term of imprisonment of the offence of causing death by dangerous driving under section 36 of the Road Traffic Ordinance from maximum of 5 years to 10 years;
  • (b) increase the penalties on offences under sections 39, 39A, 39B and 39C of the Road Traffic Ordinance (disqualification from driving for not less than 3 months on first conviction and not less than 2 year on second and subsequent convictions), and provide police officers with a general power to conduct screening breath tests;
  • (c) introduce a pre-screening device for the purposes of the new section 39B(1)(a) of the Road Traffic Ordinance; 
  • (d) provide that certain traffic offenders are required to attend driving improvement courses; 
  • (e) extend the probationary driving licence scheme to novice drivers of private cars and light goods vehicles; 
  • (f) provide for the review by a Transport Tribunal of certain decisions made by the Commissioner for Transport to refuse to issue, reissue or renew driving licences or driving instructor's licences or to cancel those licences; and 
  • (g) make related, consequential and other minor amendments. 

(The Government of the Hong Kong Special Administrative Region Gazette, Legal Supplement No. 1 to No. 27, Vol. 12, 4 July 2008, pp. A961-A1059)

An interesting document to compare was the “Review of Drink Driving Legislation” by the Panel on Transportation of the Provisional Legislative Council in January 1998.:

The Administration maintains its view that random testing should not be introduced at this stage due to the following reasons: 

  1. the setting up of road blocks for random testing causes further congestion to our busy roads;
  2. substantial additional Police resources will be required (additional capital and recurrent cost are estimated to be $2.4 million and $20 million respectively); and
  3. the legal advice that although it is debatable whether the practice involves an interference with privacy within the meaning of the Bill of Rights and therefore should not be ruled out completely on human rights grounds, the introduction should only be seriously considered if there is clear evidence, which there is none, that the current drink driving laws are not proving effective.

Doctors need to be alerted about this recent change, as this may be related to professional misconduct and may endanger our registration.  Section 27 of the Code of Professional Conduct 2009 concerns criminal conviction.  S.27.1 reads: “A doctor convicted of any offence punishable by imprisonment is liable to disciplinary proceedings of the Medical Council, regardless of whether he is sentenced to imprisonment.  A conviction in itself will invoke the Council’s disciplinary procedure even if the offence does not involve professional misconduct.  However, the Council may decide not to hold an inquiry where the conviction has no bearing on the doctor’s practice as a registered medical practitioner. And s.27.2 reads: “A particularly serious view will likely be taken in respect of offences involving dishonesty (e.g. obtaining money or goods by deception, forgery, fraud, theft), indecent behaviour or violence.  Offences which may affect a doctor’s fitness to practise (e.g. alcohol or drug related offences) will also be of particular concern to the Council. Section 11 of the Code concerns abuse of alcohol and drugs.  S.11.1 reads: “Convictions for offences arising from drunkenness or abuse of alcohol or drugs (such as driving under the influence of alcohol or drugs) are likely to be regarded as professional misconduct.


(Source: HKMA News February 2009)