E L FR E H THE ROYAL FREE A O Y S O P R I

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E A

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• ASSOCIATION L ONDON (Incorporating the Royal Free Old Students’ Association and Members of the School)

Newsletter 2018 2

RFA 2018 In This Year’s Issue

4. President’s Report 6. Programme 8. Minutes Of The Annual General Meeting 11. Apologies For Absence 12. Treasurer’s Report 14. News 18. Members 22. RUMS 26. Reunions 30. Students 34. Obituaries 38. GDPR 39. Extra Thanks

Extra Forms Attatched - Registration Form - Triennial Dinner Form - Donation Form - Subscription Form - GDPR Form

2 The Royal Free Association Newsletter 2018 RFA 2018

Keep in Contact!

[email protected]  Please keep in touch, and let us know of any changes to your  www.royalfree.nhs.uk/rfa contact details! To receive contact details for Peter Howden on: reunions, or to provide content  01205 260601 for next year’s newsletter, please contact Tanya Shennan by emailing: The Royal Free Association  [email protected] UCL Medical School Royal Free Campus Street London, NW3 2PF

The Royal Free Association Newsletter 2018 3 RFA 2018 Report from the President

Dear Friends and Colleagues,

Whatever the concerns and the event here was also attended by Medical Education. We extend worries about the NHS, it is a her Chancellor, Philip Hammond; the our congratulations to Dame Jane remarkable organisation providing Health Secretary, Jeremy Hunt and on behalf of the Association. As a generally high level of care to NHS Chief Executive, Simon Stevens. President of the Royal College, potentially the whole population – She said that there was no more Professor Dacre has been very active and it is celebrating its 70th birthday. fitting place to do so, based drawing in a wide range of areas and featured Care systems are always likely to be on the history of the Royal Free with in the media widely with statements under pressure. During the NHS William Marsden’s initiative in 1828. and opinions. 70th birthday discussions, I was So, the Royal Free Trust and Group Among many other interested to hear an extract from are recognised and valued by those developments at the Royal Free the an interview made I think in 1949, above. opening of the New Chase Farm commenting on how the system was It is also noteworthy that the within the Trust is very under pressure. So, the challenges previous Medical Director and important and will contribute to will always be there, particularly with Group Chief Medical Officer of the specific areas including in particular changes in demographics and the Royal Free Hampstead NHS Trust, the provision of planned surgical steady advances in management, Professor Stephen Powis, has been procedures, as well as continuing and increasing demand. However, appointed National Medical Director with outpatient patient care and an both Royal Free and UCL Medical of NHS England, a challenging urgent care centre. The building of School remain in the forefront position, and we all wish him well in the new Pears Building (on the site of developments and innovation his new role. of the previous multi-storey car park around the needs of the patients. In the Queen’s Birthday at the Royal Free) is well advanced The Royal Free Hospital was honours this year, Professor Jane and will house the UCL Institute of chosen by the Prime Minister Teresa Dacre, President of the Royal Immunity and Transplantation. May for her announcement on the College of Physicians and Professor Royal Free staff have featured 18th June 2018 of her commitment of Medical Education at UCL, has in the Birthday Honours in June, to an increase in the NHS budget by been made a dame, receiving a with Breda Athan, lead Matron £20.5 billion in real terms by 2023/24- DBE for services to Medicine and of the High-Level Isolation Unit,

4 The Royal Free Association Newsletter 2018 RFA 2018

receiving an honorary MBE for her challenge in May this year was to an MBE for services to Paediatrics. role in the outbreak in 2015, complete proper process regarding Professor Tony Schapira will be giving and surgeon Nadine Hachach-Haram the database for the Association. a presentation on behalf of the receiving a British Empire Medal for Tanya Shennan, Peter Howden and Medical School. There will be a talk her innovative work using digital Wendy Kelsey led a comprehensive also from the RUMS President and technology in the field of surgery process to ensure that all Members from a holder of an Elective Bursary. and medicine while at the Royal Free were contacted, as far as possible, Last year, the informal dinner Hospital between 2014 and 2017. to give consent/permission for was held at the Freemasons in UCL Medical School has a the updating, storage and use of Hampstead and proved to be a wonderfully invigorated group their contact data. Despite being thoroughly enjoyable evening! The of students, and although there a headache, the process has been informal dinner on November 15th are changes in the UCL Alumni successful on the whole, in particular will be held at the same venue again structure, we understand that RUMS in updating information and bringing this year and on the night before this will continue – a group with whom contact again with some who had the Triennial Dinner is being held at we have a constructive and friendly been lost to follow-up! the Royal College of Obstetricians relationship which we very much In addition, the process and Gynaecologists. We do hope wish to conserve. has brought to light potential that as many of you as possible will So, despite all the challenges to new Members of the Executive come to support the events on the the NHS and Medical Education, the Committee of the Association. 15th November and the Triennial Royal Free Hospital and UCL Medical On Thursday 15th November, Dinner on the evening of 14th School remain leaders with new 2018 the RFA will be holding its November. initiatives always in view. Annual Meeting, with an attractive The Royal Free Association selection of morning seminars and still provides Bursaries and Elective three lectures in the afternoon in Grants for students and Peter the Peter Scheuer Symposium by Howden has enhanced the position Royal Free Graduates, including Dr of the Association for these. A major Jo Walker who has been awarded

James Dooley RFA President

The Royal Free Association Newsletter 2018 5 6 Programme for 2018 Annual General Meeting to be held on Thursday 15th November 2018 in the Sir William Wells Atrium, Ground Floor, Royal Free Hospital AGM

10.00am REGISTRATION AND COFFEE Sir Williams Wells Atrium Ground Floor, Royal Free Hospital

10.30am CLINICAL UPDATES Nephrology Dr Stephen Walsh “Hypertension diagnosis & management: from the community to the genome?” Dr Sally Hamour “Early detection of acute kidney injury in collaboration with Google DeepMind”

Vascular Malformations Nicolas Evans, Clinical Nurse Specialist - Vascular Surgery Dr Jocelyn Brooks, Consultant Vascular Surgeon

Accident & Emergency Medicine Dr John Parker, Consultant Emergency Medicine

Orthopaedics Mr Nimalan Maruthainar, Orthopaedics and Trauma Consultant

11.45am ANNUAL GENERAL MEETING - Agenda 1. Apologies for Absence 2. Recording of Deaths 3. Minutes of the last Meeting held on Thursday 16th November, 2017 4. Matters Arising 5. President’s Report 6. Finance - Treasurer’s Report 7. Election of Officers for 2018-2019 8. Any Other Business 9. Date of next Annual Meeting

12.15pm REPORTS FROM UCL AND RUMS Speakers:

Professor Tony Schapira Director, Royal Free Campus, Vice Dean of UCL

Dan Ntuiabane President, RUMS (UCL Medical Students)

6 The Royal Free Association Newsletter 2018 AGM

ELECTIVE REPORT 12.45pm Speaker:

Sonam Vadera

LUNCH 1.00pm

THE PETER SCHEUER SYMPOSIUM 2.15pm Chairman:

Dr James Dooley, RFA President

Speakers:

Professor Julia Verne, Honorary Senior Lecturer, School of Clinical Science, University of Bristol “A Public Health Approach to Tackling Liver Disease”

Dr Helen Wehner General Medical Practitioner, Bristol “Healthcare, Houses and Hospitality in Post Earthquake Nepal”

Dr Joanna Walker, MBE, Consultant Paediatrician, Portsmouth “Turning Off the Tap – Prevention of Childhood Obesity”

TEA 4.15pm

THE Marsden Lecture 5.00pm Speaker: Matthew Syed Journalist, author and broadcaster “Black Box Thinking in Healthcare”

INFORMAL DINNER 6.30pm The Freemasons Arms, 32 Downshire Hill, Hampstead Heath, London NW3 1NT

The Royal Free Association Newsletter 2018 7 AGM Minutes from the AGM 2017 of the Royal Free Association held in the Sir William Wells Atrium at the Royal Free Hospital, London NW3 2QG on Thursday, 16th November 2017

Present: Dr James Dooley in the Chair, plus 41 Members of the Association, namely:

Monica AQUILINA (1981), Robert Paul DAVIES (1971), Renu MORRIS (1964), Rosemarie BAILLOD (1961), James DOOLEY (Member), Mary O’CONNELL (1981), Sarah BARKER (1963), Ewa DRAGOWSKA (1960), Dorothy PLATTS (1961), Maureen BARTLETT (1963), Christine HALL (Member), Margaret PROUT (1964), John BEAVEN (1982), James HARDIMAN (1964), Anna RAKOWIKZ (1962), Elizabeth BIEL (1961), Ann HOWARD (1964), Avery REZEK (1959), Sara BOOTH (1983), Peter HOWDEN (1983), Jeremy RIDGE (1980), Eleanor BUTLER (1963), Wendy KELSEY (1966), Elizabeth SALTER (1965), Helen CLARK (1964), Sylvia LAQUEUR (1972), Sonia SASSOON (1977), Wendy CLINE (1965), Philip LODGE (1989), Louise SCHEUER (Member), Andrew CLYMO (1959), Susan LUCAS (1963), Tanya SHENNAN (Member), Colin COOPER (1959), Neil MCINTYRE (Member), Brenda THOMPSON (1961), Anna COPE (1956), Deborah MEANLEY (1965), Pat WARMSLEY (1964) Helen CROSSLEY (1961), Carola MORAN (1964),

James Dooley welcomed everyone to the Meeting.

1. Apologies for Absence

Apologies were received from 48 members.

2. Recording of Deaths

The Chairman regretted to report the deaths of 20 members; many of whom had made outstanding contributions to medicine and the care of patients. He read out the names:

BASTABLE, Morag J.R. (née Millar) (1952); MEESE, John D. (1965); BATEMAN, Mary (1951); O’CALLAGHAN, Nigel (1973); BENNETT, Mavis (Member); OSGOOD, Vicky M. (1977); BOWER, Helen (1958); O’SULLIVAN, Mary J. (Mrs Ledger) (1955); CAMERON-STREET, R. Wendy (née Cabeldu) (1964); RANSOME, Mary (1944); COMBES, Shirley G. (1973); ROWE, Penelope C. (née Humphries) (1951); GRIFFITHS, Sheila (1951); ROWE, Prudence A. (née Cooper) (1944); HAYDEN, Jeera (née Clubwalla) (1967); SEYMOUR, Anne (1959); HOWARD, John (1972); WILLIAMS, Helen D. (née Bower) (1958); KURZER, Fred (Member); WORTHINGTON, John R.M. (1974)

There followed a short silence.

8 The Royal Free Association Newsletter 2018 AGM 3. Minutes of the last Annual General Meeting

Held on Thursday 17th November, 2016

The Minutes of the last Annual General Meeting had been circulated to all members via the Annual Newsletter and copies were made available to those present. There were no objections or questions and the Minutes were approved.

4. Matters Arising

James Dooley clarified for those present the difference between the two RUMS’ bodies. RUMS is made up of the current UCL medical students. They receive our elective bursaries each year and can apply for student distress funds. Our RFA Members now receive an electronic copy of the RUMS Review, the quarterly magazine published by the current RUMS medical student body. RUMS Alumni is made up of UCL Medical School graduates and we welcome the recent links that have been forged between them and the RFA. There is no suggestion of the RFA and RUMS Alumni merging in the foreseeable future. There were no other Matters Arising.

5. President’s Report

James Dooley directed members to his Report in the 2017 Newsletter. This had been emailed to Members previously, and hard copies were available on arrival at the meeting. In discussion it was requested that, in future, an email be sent out in advance of the Newsletter to let people know of its imminent arrival. This may help to avoid it being overlooked in mail boxes. It was agreed that the Newsletter and details of the Clinical Day should be sent out in early summer rather than early autumn in order to help people plan their time.

6. Elections

It was reported that Wendy Kelsey was standing down as Secretary. James Dooley thanked Wendy for her service to the RFA and assured the meeting that she would remain on the Executive Committee for the foreseeable future. Peter Howden was nominated and seconded to take over the position of Secretary (in addition to the position of Treasurer he already holds). This nomination was agreed.

Dr Paul Dilworth, Clinical Sub-Dean of the Royal Free, was nominated as a new member of the Executive Committee, which was seconded and agreed. Paul’s links and experience with UCL Medical School would be a valuable asset to the RFA. The Officers for the forthcoming year were confirmed as:

Officers for 2017-2018

President: James Dooley Rosemarie Baillod Wendy Kelsey Vice-President: Richard Brueton Philip Lodge Susan Tuck Secretary/Treasurer: Peter Howden Bimbi Fernando Paul Dilworth Tanya Shennan

The Royal Free Association Newsletter 2018 9 AGM 7. Financial Report

Peter Howden referred to his Treasurer’s Report in the Newsletter which included a detailed breakdown for clarification. The balance was good, with £21,000 in the Deposit Account and £500 in the Current Account. The Treasurer’s Report was accepted by those present. Peter reported that no applications had been received for the Student Distress Funds during 2016-17 and he was continuing liaison with UCL to raise awareness amongst the students of the existence of this potential funding. During the 2016-17 financial year, two elective bursaries of £1,000 each and three of £500 each, were awarded to UCL final year students. No applications were made for our student distress funds. Once again £75 was donated to the production of the RUMS Review Magazine. It was suggested that the RFA could now afford to allocate additional funds directly to medical students in need. Following some discussion, there was a proposal that there should be four awards of £1,500 allocated to 4th year mature students, a cohort known to be particularly financially burdened. These awards would be titled “The Royal Free Association Awards” and allocated by the UCL Bursaries Committee, of which Peter attends and has input, and the outcome reviewed in one year. This proposal was voted on and agreed. Peter will write to the Medical School advising them of this new funding. Peter confirmed that Gift Aid could not be claimed against donations to the RFA as the Association is not a registered charity.

8. Any Other Business

It was noted once again that attendance numbers for the Clinical Day/AGM were down, and it is hoped that an earlier distribution of the Newsletter would prove helpful in encouraging Members to attend.

9. Date of Next Meeting Prof. Deborah Gill The next Annual General Meeting would be Thursday 15th November, 2018. The Triennial Dinner would be held on Wednesday 14th November, 2018 at the Royal College of Obstetricians and Gynaecologists.

10. Presentation

Immediately following the AGM, a presentation by Rosemarie Baillod was made to Wendy Kelsey in recognition of her hard work and devotion to the Royal Prof. Guy Rutty Free Association. Rosemarie said a few words of sincere thanks and added notes of nostalgia. She presented Wendy with a Dartington glass bowl, engraved with the shield of the Royal Free Hospital School of Medicine.

The Freemasons Arms

10 The Royal Free Association Newsletter 2018 AGM Apologies for Absence Lesley Ashworth (1960) Judith George (1963) Margaret Murphy (1962) Anne Barlow (1948) Sean Gower (1989) Mary Nichols (1982) May Bee (1964) Michael Green (1983) Richard Nunn (1969) Deborah Beere (1981) Jane Harpur (1969) Brian Penney (1970) Adrian Bennett (1965) Graeme Hart (1969) Nick Reed (1976) Audrey Boucher (1974) Sandra Hartman (1969) Anne Rendell (1954) Ivan Brown (1974) Pamela Hills (1964) Stuart Robertson (1976) Alison Buchanan (1983) Jane Horsman (1971) Valerie Rogers (1961) Sherwood Burge (1969) Stephanie James (1951) Eleri Rowlands (1970) Kate Burton-West (1963) David N. Jones (1962) Helen Streeter (1989) Lynn Cairns (Member) Shirley Jones (1959) Mary Tate (1961) Patrick Chapman (1968) Judy Legg (1963) Michael Thomas (Member) Pam Chesters (Member) Rosemary Luck (Member) David Trash (1965) Patrick Dawes (1982) James Mason (1973) Rosemary Underhill (1961) Mary Ellis (Member) Helen McBeath (1976) Helen Wehner (1983) Jill Everett (1959) Fred Meynen (1964) Michael Wilschanski (1985)

Prof. Lesley Regan The Informal Dinner

Ozzy Eboreime Dr. Sara Booth

The Royal Free Association Newsletter 2018 11 12

News Treasurer’s Report

I am pleased to report that our surplus funds at the end of the tax year 2017/2018 remain stable at around £17,000.00. Unfortunately, the costs incurred with the mass mail out in May relating to the recent changes in the data protection regulations (GDPRs) have cost the Association £2,500.00. I would like to thank Tanya Shennan for arranging the printing, and other members of the Committee, Wendy Kelsey, James Dooley and Richard Brueton for giving up hours of their spare time to stuff envelopes. All in all, a worthwhile effort, as it has yielded many updates of addresses and emails, although we will, inevitably, have to remove many Members who have lost touch with us over the years.

Looking at the accounts in detail compared to 2016/2017:

Subscriptions are stable; donations are slightly up. Due to very low applications last year we only gave out one Elective Bursary of £1,000.00, instead of the usual five which totalled £3,500.00. One hardship bursary of £1,000.00 was also granted. (No applications in 2016/2017).

Deficits occurred for both the Annual Meeting catering and the informal dinner. This raises the question of increasing the ticket cost and feedback would be welcomed.

Other income relates to ties, brooches and cufflinks sold.

‘Hospitality Expenditure’ is the deposit paid out for this year’s Triennial Dinner venue.

‘Other’ relates to the cost of purchasing ties and cufflinks.

All three of our Bursaries, Student Hardship, the new Royal Free Awards and the Elective Awards will be advertised to students on the UCL online forum, Moodle, thus making them more accessible to all students. I continue to have an input for all three categories.

Thank you to all those who kindly made donations and, of course, to our account auditor, Karen Hamilton.

Peter Howden Treasurer/Secretary

12 The Royal Free Association Newsletter 2018 News

The Royal Free Association Newsletter 2018 13 News A Thank You to Wendy

The Royal Free Association started over eighteen years ago and for fourteen years, Wendy Kelsey has been our Secretary and Treasurer. Wendy had also done this job some years previously for the Old Students’ Association. I thought she had volunteered, but she assures me that Peter Scheuer just told her to do it!! What a huge benefit her service has been to the Association, giving stability, development and continuity to our Annual Meetings and the Association itself. Wendy brings so many attributes – notably competence, excellent memory and organization. Working with Wendy was always easy, happy and efficient. Her patients must have loved her as much as I have loved working with her. The organising of events never seemed a burden and the two of us had the odd perk when planning the Triennial Dinners, the most memorable being at the Sloane Club where we were able to try 8 or 9 different wines! There must have been times when family commitments were very high, but loyalty and her no fluster attitude prevailed throughout. In my eyes, Wendy was invariably kind, thoroughly charming and achieved it all with an infectious smile. The honour was given to me to present Wendy with a gift from the Royal Free Association at the Annual Meeting in November 2017, with their grateful thanks for all the work she has done for the Association.

Rosemarie Baillod

14 The Royal Free Association Newsletter 2018 News The Triennial Dinner The Triennial Dinner will be held on Wednesday 14th November, 2018 at the Royal College of Obstetricians and Gynaecologists in Regent’s Park, 7.15pm – midnight. This is a black-tie event and for the 4-course meal tickets cost £85 per head - and, of course, there will be music and maybe even a bit of dancing! Please complete the attached form and return to Peter Howden by Friday, the 19th of October.

Found –RFHSM Student Union Cheques! On his way to work on the morning of 26 July 2018, a member of the public spotted some cheques lying on the pavement at the junction of Belsize Avenue and Northfields Avenue, Ealing W13; beside which was an open box. On inspection he found that the box was actually full of old, pre-decimal currency cheques issued throughout the 1960s by the Students’ Union of the Royal Free Hospital School of Medicine, approximately 250 of them. How or why they came to be there is a mystery! If anyone has any ideas as to how the archive box found its way to Ealing, after nearly 60 years, please get in contact!! ([email protected]) We are very grateful to Adam for taking the trouble to look us up and get in contact.

The Royal Free Association Newsletter 2018 15 News

Executive Committee News

We would like to extend our sincere thanks to Miss Susan Tuck who has just stepped down from many years of service as a valued Member of the Executive Committee. Susan has provided invaluable advice and support and we wish her well for the future. We are very grateful to Sara Booth (1983), Martin Waldron (1980) and John Llewelyn (1986) who have volunteered to stand as Members of the Executive Committee, to be agreed at the Annual General Meeting in November. We appreciate them offering to give up some of their spare time to support the RFA. The Executive Committee would very much like to welcome aboard any other alumni or Members of the Association who would be interested in becoming a Committee Member. Please contact me at [email protected]

Peter Howden Treasurer/Secretary

General Data Protection Regulations

The new GDPRs which came into effect in May 2018 have impacted on the way we keep our alumni records. Details may only be stored with your permission, and we may only continue to contact you with RFA news if you have agreed to this. Therefore, we undertook a mass mailing both by post and email in an endeavor to communicate this to as many people as possible. We have lost track of many members as they move jobs, houses and change email addresses, but we have been pleasantly overwhelmed by the positive response of the majority. And it has been lovely to read your kind words of encouragement along the way, thank you! If you are organising/attending reunions or meeting up with Royal Free alumni, please do encourage everyone to return the permission form if they have not already done so, or drop an email to [email protected] The number of people we are able to communicate with will inevitably reduce from now on, and so please spread the word! A copy of our Privacy and Data Protection Statement can be found at the end of this Newsletter for your information.

16 The Royal Free Association Newsletter 2018 News RFA Shop

Winter Scarf (knitted): black and yellow. Length 160cm, Width 18cm Cost each £10

RFHSM Cufflinks: black and gold. Cost per pair £18 All these items can be ordered from Peter Howden. Please contact him by email: [email protected] Or by telephone: 01205 260601

A cost of £2.50 will be charged to each RFHSM Brooch: black and gold. order for postage and packing Cost each £5

RFHSM Tie: black with gold embellishment. Cost each £15

How British Women Became Doctors: The Story Of The Royal Free Hospital And Its Medical School by Neil McIntyre

Copies of the book are available to purchase in the Medical School Library, Ground Floor at the Royal Free Hospital. Payment is by:Cash or Personal Cheque made out to ‘UCL Business Plc’ – with reference on the back of the cheque as to which book has been purchased. Alternatively, copies can be brought direct on-line at xip.uclb.com Once we have received your order and payment the book will be dispatched directly from the Publishers.

Prices are as follows: For the Paperback version; £24 excluding VAT UK and £41 International. For the Hardback version £31 excluding VAT UK and £49.99 International. Add P&P: UK = £5.55, Europe = £12.70, USA/Africa/Middle East/Asia = £20.00, Australia/NA/Singapore = £21.05.

The Royal Free Association Newsletter 2018 17 18

Members Amina Jindani

Congratulations are in order for Amina Jindani (a 1962 graduate) who has been conferred the Ibn Sina Award for Medicine by the Muslim News Awards for Excellence. A globally recognized specialist in the field of tuberculosis research, Amina received the award at the Marriot Hotel, Grosvenor Square in April 2018. At the age of 82 years, Amina is still carrying out full time research in a mission to eradicate tuberculosis and is an Honorary Senior Lecturer at St George’s, . You can read more about Amina’s work here: https://wp.me/p1Z38-Lhe

Women’s Voices in Psychiatry

Gianetta Rands (1981 graduate) has edited a collection of essays entitled “Women's Voices in Psychiatry”. A collection of thoughts, opinions, and experiences of women doctors specializing in modern day psychiatry, covering a diverse range of topics and aims to draw lessons from history, particularly about women's roles in UK psychiatry. Published in June 2018, more details here: https://bit.ly/2MH5KfM

18 The Royal Free Association Newsletter 2018 Members

Ninety Seven – And NOT OUT!! Recollections by Peggy Liddell (née McGuire, Dorothy M. E.) (1945 graduate)

Entry into Medical School was anticipation of an attack on London He was also a butt for good humour somewhat different 80 years ago, to move the first year students to St in the end of year concert. One I and my experience was different Andrews, and our class (second years) particularly remember is the parody from most. Having been educated to Aberdeen - Marshical College. We of the song “Oh You Beautiful Doll in a convent school in the Himalayas had a very enjoyable few months (Joll), You Great Big Beautiful Doll in India (my father was a doctor before being sent back to London (Joll)”! employed by the government of and then Exeter for safety after The war over, and the magic India before its independence), the London docks were bombed. letters after my name, I did my subjects such as maths and science Unfortunately, the Germans had House Surgeon years in London were considered not suitable for a other plans and decided to attack , then obtained a job in the young woman. With the result that Exeter. My parents’ house collected professorial unit in Addenbrookes having passed Cambridge School one of their visiting cards, but they Hospital in Cambridge with Certificate with several credits, I escaped injury. The dive bombing Professors Mitchell (radiotherapy), found myself unable to enter the was terrifying. Whitby (blood diseases), and London School of Medicine for Clinical attachments were McCance (metabolic diseases) This Women for training. There was a spread around the country - Arlesey, led to a careers in Radiotherapy/ mad rush to cram as much algebra, St Albans, Barnet, Carshalton, as well Oncology, first in Hammersmith, geometry, physics, botany, and as London. I did my surgical run in then in Christchurch New Zealand. chemistry into a short space of time London with consultants such as I was probably the first female - about 18 months. Nuns were not Mr Norhury, and Mr Joll. The great radiotherapist in New Zealand. I teachers in these subjects so I was man, Joll, had an eye for the girls, was a New Zealand import having removed from boarding school for and he always had the prettiest married a New Zealand Orthopaedic private lessons. I managed to pass house surgeons whose duty it was Surgeon. In 1989 I was awarded the and was duly admitted to LMSW on to present him with a buttonhole Queens Service Order for setting Hunter Street in 1938. before rounds started! My personal up breast cancer screening in There were about 60 new encounters with him were in the Christchurch, New Zealand. entrants in my year, and there was operating theatre when assisting a system of “Godmothers” where him - he liked artery forceps smacked 97 and still going strong! new entrants were looked after into his hands. Not knowing this, I by older students. My Godmother passed the forceps over in a ladylike was McGilevray. The first year was fashion only to be told “tickling is uneventful, then came the war in all very well, and has its place, but 1938, and a decision was made in don’t do it in the operating theatre”.

Peggy Liddell 1945 graduate

Awards presentation at Government House in Wellington

The Royal Free Association Newsletter 2018 19 Members Health Care Adventures in Nepal

Having been a GP for nearly 30 years I am fairly villages by improving accustomed to assessing and taking risks. I am also health, education and naturally an optimist and believe that things generally livelihood opportunities. work out for the best. Despite this, it was still with some The health programmes degree of trepidation that I decided to resign from my strive to improve the quality partnership in Bristol after a series of funding cuts, loss of of health care by supporting staff members and difficultly in recruiting made going to existing governmental work every day a depressing and frustrating experience. health centres through With a child still at school and increasingly dependent infrastructure work and parents, the options of early retirement or leaving the provision and support country were not realistic, but I knew that I needed to of staff in areas where do something different to renew my enthusiasm for retention can be difficult medicine and re-establish myself as a human being with a due to the challenging life beyond the surgery. environments. My role as a British GP was not to get Locuming paid the bills and I rediscovered neglected involved in clinical care, but to be part of this support hobbies but it was a chance advert in the local sessional system by being a mentor to the health care workers. GP’s newsletter that really provided the opportunity I Most of the health workers employed by PHASE had been looking for. PHASE Worldwide was seeking are young female “Auxiliary Nurse Midwives” (ANMs), GP volunteers on short-term placements to mentor who have 18 months training in primary and maternity nurse-midwives in health posts in remote rural areas care before being sent to rural health posts to manage of Nepal. Having previously worked for a development common health problems, as well as providing health organisation in Africa and with a Masters’ degree in promotion, family planning, intrapartum and maternal Public Health I am pretty circumspect about many health- and child health care and being the first point of call in related volunteering programmes abroad, but an internet any health-related emergency. The marvels of mobile search suggested that this one seemed to meet all my telephone technology mean that they are able to contact requirements including addressing a real need identified PHASE in Kathmandu for clinical advice, but most of the by local people and being sustainable. It was also short time they are working alone or in pairs, often farfrom term so satisfied my desire for an adventure without their own homes, with no-one to discuss cases or provide being too disruptive of family life. My application was day-to-day clinical and emotional support. Even with soon in the post! the increasing pressures in the NHS these are aspects of PHASE Worldwide (Practical Health Achieving Self day to day clinical practice which we all take for granted Empowerment) was started in 2005 by a group of friends and which help to ensure good practice and improve who had spent time in Nepal and wanted to raise money job satisfaction. How much harder must the job be for and offer support to development projects identified and someone with considerably less training and back up? managed in Nepal by Nepalese people. Their partner The PHASE model is to send an English-speaking GP to charity in Nepal, PHASE Nepal, is a non-governmental live with the ANMs in the community for a week at a time organisation which aims to empower disadvantaged every 6 months. During this time, GPs sit in on clinics and communities in very remote and resource-poor Himalayan accompany the girls on their outreach visits, providing at least one tutorial a day with other ad hoc teaching as well as general support and advice. The health care workers have an opportunity to practice their English and the visiting GP has the rare experience of being completely immersed in rural Nepalese village life. This means living with the ANMs, sharing their living space, meals, sanitary facilities and day to day activities. This is all fairly basic, but few experiences can beat washing in the sunshine at an outdoor tap surrounded by 6000m peaks, covered with snow, peaking through distant clouds! I spent three weeks in Nepal in October and November 2017, volunteering in two villages, on either side of the Indrawati river in the Sindhupalchok district northeast of Kathmandu, a long day’s journey from

20 The Royal Free Association Newsletter 2018 Members the capital. Both had been near the epicentre of the people’s backs to seek attention. Rita, the lone ANM lived earthquake in 2015 and were still recovering, many people in a single-roomed corrugated metal hut which did feel still living in corrugated metal huts and almost everyone a little cramped with three of us in, but was warm and involved in rebuilding houses. Despite many people living cosy. (Despite warm summer temperatures in the day, at subsistence level or below, both villages were full of Himalayan nights were getting a bit chilly by November). some of the most hospitable and resilient people I have Medical problems on this side of the valley included much ever met. Being invited into someone’s metal home to more visible malnutrition and more trauma, including drink tea and watch a Bollywood film, dubbed into Nepali, burns, related to living conditions. on satellite TV is an experience which will live with me for I am intensely interested in people’s lives and enjoy a long time! home visits. It is probably not surprising, therefore, Bhotang the first village I stayed in, on the eastern that in both villages one of my favourite activities was side of the valley, is the bigger and slightly more affluent accompanying the ANMs on their outreach work. This of the two. It has a secondary school and can be reached involved walking to other settlements to carry out clinics by “road” after a fairly exciting journey in a sturdy vehicle. in cluttered spaces in volunteers’ homes, giving health Accommodation here was two rooms in a house that was education to mothers and school pupils and doing house also home to two other households. visits. Besides providing plenty of opportunity for learning The health post, which had two clinical rooms and a and material for tutorials it also gave more fascinating glorious view, had been damaged in the earthquake and insight into the day-to-day lives of people in these remote was in the process of being rebuilt. Medical problems communities. were varied with infections and skin complaints prominent After another 8 days it was an early start to walk and there was a big emphasis on preventative care with three and a half hours down to the river and along the enthusiastic support for government-led immunisation, valley to meet a PHASE driver for the long bumpy journey de-worming and ante-natal programmes. The quality of back to the hustle and bustle of Kathmandu. Quite a care provided by the ANMs after their brief training was culture shock after two weeks in the mountains, but my impressive, as was their enthusiasm and anxiety to learn opportunity, after debriefing, to contribute directly to the more. Tutorials with the two resident ANMs, Kriti and economy of the country through a brief spell as a tourist. Saraswati, and a nurse, Kalpana, who was also visiting for To finish I have a series of yeses and happy endings. a week in a managerial role, took a variety of different Yes, I did enjoy my time in Nepal. Yes, I do think it was of formants and ranged from discussions about consultation real benefit to the people I was working with. Yes, I do skills, patient confidentiality and mental health to hands- plan to go again, hopefully somewhere even more remote. on sessions and role play about specific systems and Yes, I have got my enthusiasm for medicine back (even diseases with additional spontaneous teaching on cases taking on a new partnership) and Yes, the Partnership I we saw as we went along. Language presented some abandoned has used my departure as an opportunity to difficulties: my few phrases of Nepali (“that was a delicious reassess and is once again a successful practice. meal”, “may I take your photograph?”) weren’t much If you would like to know more about my exploration help, but the ANMs spoke English to different levels and into Nepalese health care please come and hear my someone was usually able to translate for the rest. We talk at the Annual Meeting on 15 November. For more also had copies in both English and Nepali of an excellent information about the work of PHASE try these websites illustrated clinical guide produced by PHASE and drawing https://phaseworldwide.org and http://phasenepal.org and acting are always useful tools. Flexibility and thinking outside the box became my greatest allies. Helen Wehner After 8 days ,Kalpana and I hired porters, put on our walking shoes and set off for Bolgaon a small village E: [email protected] in the Baruwa administrative area on the western side of the valley. This involved a three-hour hike through stunning terraced mountain scenery down to the river and up the other side, additional interest being provided en route by a snake and a quaint, but dilapidated, rope and plank bridge. Bolgaon was much poorer, had been even more badly affected by the earthquake and had only had a health post, built by PHASE and other international organisations, for a few months. Until then the nearest health facility was a two-hour walk away with patients being carried on stretchers or in baskets on other

The Royal Free Association Newsletter 2018 21 22

RUMS

Report From The Director of UCL MEdicaL school

It has been a busy year for us in the Medical by increasing the number of entrants to medicine from School. Creating a sense of community and belonging for widening participation backgrounds (first generation students, alumni and staff is one of our major goals, where scholar, financially disadvantaged etc.), and by supporting current and past students feel connected and supported, them appropriately throughout the full student lifecycle. so we have been focusing on two main areas: our alumni There are several ways we hope to achieve this and are relations, and increasing access and support for students. implementing adjusted admissions from 2019, as well as We now have a fantastic range of ways alumni an expanded school outreach plan and many others, all can stay in touch with each other, give something back under the banner of our very popular Target Medicine to current students and stay connected with the life of programme. Our latest event was aimed at students aged the school and have also launched our alumni webpage 14-15 of African and Caribbean descent or mixed black where past students can find out about our many events backgrounds from non-selective state schools to inspire and opportunities. These range from reunions and them to study medicine. Organised by four current networking events, to taking part in admissions, teaching students from similar backgrounds, with staff and alumni and assessments as well as mentoring and supporting volunteers, the day was a huge success and feedback was current students. Connecting alumni to students is so overwhelmingly positive. There is an enormous demand important of course – a particular highlight of last term for similar events next year so if you would like to be was a mentoring evening we held at the Royal College of involved please do get in touch. Physicians for female medical students, paired with some July will prove to be just as busy, with 353 new UCL wonderful mentors from our alumni community, all based doctors graduating at the Royal Festival Hall on the fourth, around the RCP’s exhibition on Women in Medicine. so I am sure you will join me in welcoming them into Other events have been around student sports, comedy, the alumni community and continuing to support their mental health awareness and encouraging high school careers and wellbeing. students to consider medicine – all hugely enjoyable as Please look out for a new Medical School alumni well as inspirational! newsletter from us next term. We are always delighted to We also acknowledge that more needs to be done hear from alumni and hope we will see much more of you to create a more diverse student cohort and ultimately in the coming years. a more diverse medical workforce in the NHS, reflective of the national population. UCLMS aims to do this both Professor Deborah Gill

22 The Royal Free Association Newsletter 2018 RUMS

RUMS Alumni Association Summary

It has been an exciting year for the RUMS Alumni various mentoring schemes. For the second year running Association which has seen the beginning of change to we have sponsored the RUMS Alumni Association Award its constitution, terms of reference and membership which is allocated to students in MBBS Years 1 structure. The Alumni organisation for past, current and and 2 who have shown an outstanding contribution future MBBS graduates of University College London to extracurricular activities. This year we were delighted Medical School (UCLMS) is from this summer to be to allocate the RUMS Alumni Association Award to four known as the ‘RUMS Alumni Community.’ The RUMS outstanding students in MBBS years 1 and 2, who managed Alumni Committee will continue to be an elected group of to combine achieving well academically with excelling in a volunteers that aims to oversee the activity of the Alumni variety of extra-curricular activities. This was as varied as Community and will now sit under the UCLMS Alumni captaining the RUMS Cricket Club to national success, being Advisory Group. This advisory group’s purpose is to inform part of the team organising an international conference and organise alumni volunteers working with UCLMS to working with refugees or raising large amounts of on delivering alumni activities aligning with the Medical money for charity through leading the UCL wide Dance School’s divisional strategy. Perhaps the greatest change Society in a series of charitable shows. The RUMS Alumni to the RUMS Alumni Community is the move to an all- Committee has continued to offer financial support to the inclusive non-subscription membership structure rather students for social activities including Results Day drinks than the previous subscription model. The immediate and the Final Year Ball. We are also well poised to support increase in size of the Alumni Community will be a positive our alumni members and successfully ran an interview step in the right direction of our organisation which is preparation course for foundation doctors applying for only a decade old. Graduates of the medical school will Core Surgical Training using alumni volunteers already automatically become part of the Alumni Community within Core or Specialty Surgical Training programmes. (unless they opt out), thus giving us a wider audience This event was extremely well received and we aim to roll for our events and to recruit volunteers to support the this out for other specialties next year. medical school with activities such as mentoring and We are very excited for the next 12 months to careers advice. Without regular subscriptions, the RUMS come where the hard work behind the scenes during this Alumni Committee would rely on generous donations period of transition will become realised and we look to from the alumni community to continue to support our alumni community for their continued support as the valuable work being done. Donations can be made always. through the medical school website by following the link to the donations page. Lalin Navaratne Over the past 12 months we have continued to President, RUMS Alumni support the medical school through anchor days and

The Royal Free Association Newsletter 2018 23 RUMS

RUMS Students’ Union - PRESIDENT’S Report

Dear Alumni, enhancement as a novel cardiac I’ve been asked to write a short imaging biomarker. Her research summary of all things RUMS for the has the potential to allow early past 12 months. With Ozzy at the identification and risk stratification helm, 2017/18 has been a fantastic of patients with lamin dilated year for our members. This is by cardiomyopathy. no means an exhaustive list of their It is safe to say that it has been successes! another events-full year for RUMS. RUMS members have Freshers were once again welcomed continued to excel academically. into the fold with a smorgasbord of The 2017 winner of the prestigious events, including a Boat Ball, Scrubs University of London Gold Medal party and the infamous Hampstead was none other than UCL final Pub Crawl. Pub crawl is a semi- year student Melanie Jensen. She compulsory initiation ceremony, triumphed after a gruelling Viva welcoming our new members in a which tested her on six key areas: way that only RUMS knows how. pathology, medicine, surgery, clinical With no hospitalisations and no pharmacology and therapeutics, encounters with the police (to my obstetrics and gynaecology and knowledge), this year’s incarnation paediatrics. This challenge is no can be considered to be about as mean feat, and her success is an successful as it gets. immense achievement given the This year has been one for novel difficulty in preparing for such an student-led projects and has seen interview. the introduction of a number of new UCLMS student Dina events, including the blockbuster Radencovic (now in her final year) dating extravaganza “RUMS Take Me was awarded the Josephine Lansdell Out”. Fronted by a fantastic student grant, the BMA Foundation Research host and brought to life by a group Award of £10,000. This grant will go of talented techies, Cruciform LT1 toward her cardiology project, which was temporarily transformed into examines dark blood late gadolinium a setting reminiscent of the ITV1

24 The Royal Free Association Newsletter 2018 RUMS

show. The aim of the event was own experiences with mental health nurture some new RUMS romances whilst at medical school. Feel free (in front of a packed audience) with to contact us if you are interested a few laughs along the way. At the coming to talk about your own end, 9 happy pairs were sent on all- experiences in this area; it would be expenses-paid dates on Valentine’s a pleasure to have you speak. Day. The event was a great success, Finally, our sportsmen and with our members already asking women have continues to do us about what will happen for next proud, with numerous league year’s show. This is a testament to advancements and significant wins. the hard work and brilliance of all It was an especially good year for involved. Women’s Hockey, who won both RUMS has continued to work the LUSL cup and Varsity. Rugby with the Medical School towards were also triumphant in the UH final improving student welfare. One of against Bart’s, marking only the 3rd our flourishing student-led initiatives time in our history that we have won is medics4medics. Conceived UH Rugby! and realised by 4th year student Year on year, RUMS continues Kerry Wales, the project opens up to grow. We are defined by our discussion of the unique relationship students, and it continues to be a between medical students and pleasure to work with and for a group mental health. Speaker-led events of such talented and able people. take place on a fortnightly basis, Looking to the future, I am hopeful with each one focusing on a that I can build on Ozzy’s hard work specific aspect of mental health or and success this year. He’s a tough wellbeing. Student engagement act to follow, but I’ll do my best! with this initiative has steadily grown throughout the year, culminating Dan Ntuiabane in a fantastic event during which current students spoke frankly and RUMS President 2018/19 openly to their peers about their

The Royal Free Association Newsletter 2018 25 26 Upcoming Reunions

Reunions

1964 and 1965 Graduates

A reunion is being organised for 1964/65 graduates on 3 rd – 5 th September, 2018 in Lewes, East Sussex. Please contact: Elizabeth Bradshaw [email protected] or Dorothy Loftus [email protected] 1968 graduates

Jo Lampert is organising a reunion of 1968 graduates on 25 th September, 2018. Please contact Jo for more details at [email protected] 1978 graduates

40 years since graduation! Planning a celebration in London in the Autumn. Please get in contact with Jackie Spiby [email protected] or Gill Rose [email protected]

1979 graduates

I am organising a 40th reunion of the 1979 graduates, to be held in Manchester in June 2019. I have managed to email the majority, but there are a few people I have no email addresses for. If anyone reads the newsletter who has not yet been contacted, perhaps they could contact me [email protected] Many thanks, Tony Kaye

1983 graduates

Chris Renfrew has organised a reunion for 1983 graduates on 20 th October 2018, which will be held at the Queens Hotel in Cheltenham. Contact Chris at [email protected]

1984 graduates

The 1984 reunion will be on 15th June 2019 (next year). Graduates from 1983 and 1985 who would also like to attend, will be very welcome. Please contact me for further details. Barbara Hanak [email protected]

If you are thinking of planning a reunion, please do get in touch for a list of the graduates we have on our RFA database. We are happy to include your reunion notice in the next Newsletter and, of course, we would love to share your account and photos of the event too!

Please contact Tanya at [email protected]

26 The Royal Free Association Newsletter 2018 Reunions Reunion Write-Ups

1963 Reunion

On 9th May 2018, thirty-four members and guests of the 1963 graduates met for a wonderfully happy and elegant lunch at the Athenaeum Club in Pall Mall. Two came all the way from New York! Rosemary Radley-Smith was one of the First Lady members of the club and enjoyed its charms with her husband, John Hopewell, for many years. She very kindly hosted our reunion which was the most relaxed and enjoyable of the many we have had over the 55 years since we qualified. We attributed this in part to everyone’s enjoyment and enthusiasm for retirement and the conversation centred mainly around grandchildren, gardening, music and art and travel. No-one seemed to be missing work, although we are all still interested in Medicine. We had time to listen to a short news story from everyone so we feel up to date now and there was enthusiasm to meet again in 2 years’ time.

Eleanor Butler (1963)

1967 Reunion

On Friday 6th October 1967, 92 undergraduate lunch some of the class entertained us with a “vignette”. medical students walked through the front doors of the Others brought an amazing selection of old photographs RFHSM, Hunter Street to begin 2nd MB. A few had done and copies of documents such as the programme from 1st MB, but for most this was a brand new and rather “our” Christmas Show and even some exam papers! daunting moment. Exactly 50 years on a number of that We are very grateful to Gail Morris-Williams (Cook) same class of ’67 reassembled to reminisce, share their and Margaret Graham (Graham-Brown) for doing all the experiences in medicine, and generally enjoy each other’s hard work. company. The reunion took place at the Celtic Manor Resort, Robin Graham-Brown near Newport in South Wales. Some groups gathered on the evening of the anniversary of that first day but the main event was lunch on Saturday 7th, to which Gail Morris-Williams (Cook) gave us a warm Welsh welcome. Forty-three of the old year were able to make it – with quite a few only absent because they were tied up with family commitments or because they were overseas. Many sent us messages of support and a short update. Two, sadly, had passed away since the last get together (in Wimbledon in May 2013): Dr Claire Naish and Professor John Howard. There was a special moment of silence for them during Grace, and for Gerald Whitehead and Angela Neilson who both died many years ago. During and after

The Royal Free Association Newsletter 2018 27 Reunions

1977 Reunion

Having not had a reunion since 1997 it was felt that A highlight of the evening was the showing of the 2017 would be a good year to get together as we would Christmas Show film, ‘Idiopathic Aminorrhoea’, made by be 40 years since qualifying. A small group of us set Chris Emmett and digitised so we could enjoy it in full about tracing people using any and all methods we could screen. How times have changed! This would not have think of, including the Royal Free resources, previous passed the censor these days as it was very un- PC. We lists of addresses and Google. Unfortunately, there were did wonder whether anyone else in subsequent years had some who we did not find (and apologies to them if they persuaded Dame Fanny Gardner to drive her car around happen to read this and missed out), but we managed to the interior of the (then very new) Royal Free hospital. contact about 80% of our year. We had a very positive and Unfortunately, the student who had dressed up as Idi enthusiastic response so work went ahead in organising Amin was not there to revisit his acting début. the event. Many of the year had taken retirement and were We met for a lovely dinner on 11th November at The admiring of the stamina of those who were still working. Moat House in Acton Trussell, Stafford attended by 48 We also remembered and discussed fond memories of alumni and by 18 of their guests. The venue was perfect deceased members of our year including Victoria Osgood, for our gathering, the food excellent and the staff were Pete Billings, Gary Hughes, Aidan Prestage, Pat Moore and very helpful. Many of the year group were staying at The Josie Hicks. Conversations and reminiscences resumed Moat House and met at the bar in the afternoon and early the next morning as many had stayed overnight and met evening so initial reintroductions were made. Inevitably at breakfast. the noise level increased as the evening went on and there Andrew Gellert did a fantastic job of taking photos were lots of re-connections made with excited greetings during the evening and circulated a wonderful slideshow and long talks until late in the evening. Some of our group artistically put together with accompanying music. A had made journeys from very far afield – USA, Australia. compilation of email addresses, photos and personal We had collected some old photos, posters, profiles was circulated to all those in contact. Enthusiasm memorabilia, even past exams papers and results sheets, was such that most felt that we would have another all eagerly poured over. Interestingly exam results did reunion in five years’ time. not always predict the future successes and careers of If there is anyone who missed this reunion and the students. Our entry year mug shots were popular wishes to be in touch with others in the year and to be items, not least because of the changes that 45 years had informed of the next one, please contact Angela Galloway wrought in us. (nee Kennedy) on [email protected]

Catherine Campbell (1977)

28 The Royal Free Association Newsletter 2018 Reunions

A Reunion of RFHSM Graduates in the Land Below the Wind

22th to 24th September 2017

An intrepid group of RFHSM graduates from many We met at breakfast buffets but the two main events different years, got together at the Rasa Ria Shangri-La were the cocktail get together on Friday night with snacks Resort, Kota Kinabalu, Sabah, Malaysia. It was a wonderful and drinks ending with a hearty plate of Malaysian fried weekend of getting to know those we didn’t know and rice. The second event was the dinner and dance on reminiscing with those we did. It was very far from home Saturday night with a great DJ who played lots of requests for those from Britain, and so, many took the opportunity from our med school days. We had a 6 course Chinese to make a once-in-a-lifetime holiday out of it. One went meal and danced the night away while others chatted to see the Rafflesia flower (the largest in the world) at outside. Overall, a wonderful time was had by all and a the Poring Hot springs. Some climbed Gunung Kinabalu, big ‘thanks’ goes to all those who made the effort to come a tremendous feat! Some went to nearby nature reserves halfway around the world for this event. to see the natural flora and fauna, including the famous Orang Utans and Proboscis Monkeys. A couple of grads Sara Ahmad (1983) renewed old childhood memories of a Malaysian childhood. Others went nature walking, kayaking and relaxed by the beach in the wonderful accommodation. Scuba diving was another option taken.

Those who attended were:

Judy Teng, a Paediatrician 1984 and her husband. Aishah Knight a Physician and Public Health specialist 1984 and her husband. Sharon Paulraj an Ophthalmologist in Sabah 1982 and her husband. Hooi Siew Hong an Ophthalmologist in Johore, Malaysia. 1993. Tunku Sara Ahmad. Hand and Microsurgeon in Kuala Lumpur, Malaysia. 1982, and husband Zul. Nicky (Williams) Dewar 1982/3 retired Anaesthetist. Rebecca Hobbs 1982 and husband Max. Chandrika/Chandy (Sivasubramaniam) Caroll 18982/3 GP and husband Kevin Caroll 1983 Infectious Disease and GP Amanda (Smith) Barnes 1982 GP and her husband Barry. Bernie (Sequiera) Borgstein 1981, Paediatric Audiologist husband Rudi and son Nico Abdul Rauf Kamboh 1982/3, Paediatric Ophthalmologist now in Dubai and wife Gina Razeena Ong 1983, Histopathologist. Gianetta Rands 1981, Elder Psychiatrist.

Those who had booked, but then were not well enough to come due to injury or illness, were Alison (Buchanon) Horton 1982/3 GP and husband John Horton 1983. GP Judith (Wright) Holbrook 1957 We missed them all but, happily Judith and Ali both recovered soon after and Judith has already asked about the next international reunion!

The Royal Free Association Newsletter 2018 29 30

Students Elective Reports

Belize

My elective was based in the Western Health My experience made me truly appreciate the Region in Belize, where healthcare is provided through wealth of resources and the ease with which we both public and private services. I was able to spend request blood tests and further investigations in the UK; time in clinics, which enabled me to see a wide variety in Belize, this was only done when absolutely necessary of pathologies in a range of age groups. Most patients due to the costs. The lack of specialists was particularly were solely seen in primary care and all attempts were striking. Whilst in the UK we are easily able to refer made to avoid referring them further. The reason for this patients to secondary care, this was far more challenging is that there are only around ten doctors for the entire for most patients in Belize. Funding was often an issue population that the Western Health Region serves. within the public sector, and specialist health services Of these doctors, there are only three specialists: a were sparse, so patients requiring further care would gynaecologist, a paediatrician and a surgeon. The often have to be transferred to Belize City. The shortage doctors I met generally worked in both the public and of doctors meant that GPs had more autonomy and also private sectors, and therefore had heavy workloads. The greater responsibility for advanced conditions. Despite shortage of doctors however gave me the opportunity the workload, I did find that I was impressed with how to get fully involved in patient care and perform practical the staff coped with the pressure and the responsibility. procedures. It taught me an important lesson of managing under

30 The Royal Free Association Newsletter 2018 Students pressure, and how to optimally utilise resources when see patients suffer as a consequence of lack of resources they are limited. I was also surprised to learn that they do and funding. This heightened my appreciation for the not train doctors in Belize, so the healthcare provided is a NHS, and the fact that free healthcare is provided to all, combination of medicine from different countries. regardless of their income.

Before my elective, I had already expected to find Although I noticed many differences in the way general cultural differences between Belize and the UK, medicine is practised in Belize compared to the UK, as but I was continuously surprised at how such differences well as many cultural differences, I found it remarkable permeated into the consultation room. Doctors were how much reassurance can be provided as a medical regarded with the utmost respect, and their medical student. Though most patients spoke English, in situations decisions and management plans were rarely questioned where language was a barrier, simple body language and by patients or family members. The doctor-patient dynamic gestures had a huge impact. I remember a case where a was entirely different to what I have witnessed at home, patient could not afford to have a surgery under private where increasingly patients are highly knowledgeable and care, so she was informed that she would have to wait forthcoming about what they think is wrong with them significantly longer for public care. I held her hand and she and what will make them better. In Belize, the patients gripped it back tightly, and said thank you. Though it was only responded to specific closed questions and were an emotionally challenging situation, I felt glad to be able generally less informed; I thought that this could be partly to provide some support and care. attributed to less education, but also due to a lack of Internet resources to look things up beforehand. Overall, my elective experience provided a fascinating insight into medicine in a developing country, and the I noted that patients would only seek medical different obstacles patients face in accessing good care. It attention if they were extremely unwell due to the also sparked a personal interest in global health, and in the burden of associated healthcare costs; even the cost and challenge of finding sustainable solutions to healthcare availability of factors such as travel would be obstacles. issues in developing countries. The entire experience was After being exposed to the NHS for so long, it was extremely inspiring and enriching. It reminded me why challenging to see the struggle for patients who could not I chose medicine in the first place, and reinforced how afford private care in these countries yet required quick thankful I am for the NHS. I would like to thank the Royal treatment. The public system was significantly slower, Free Association, and express how grateful I am, for their and undoubtedly the health of the poorer population was help in allowing this experience to be possible for me. negatively impacted as a consequence of their income. It was difficult and sometimes emotionally challenging to Sonam Vadera

The Royal Free Association Newsletter 2018 31 Students Bursaries Below are letters of thanks to the Royal Free Association from students who have received bursaries from us over the last year. These are listed below: Jake Figi and James Speed received £500 each from our Student Hardship fund. Amir Amini received £1,000 that had been promised to him by UCL. However, they were unable to honour this and approached the Association for assistance. This also came from our Student Hardship fund. One Elective Bursary was awarded this year to Sonam Vadera who will be presenting a short report at this year’s Annual Meeting. The bursaries available to students for the coming year will be as follows: 1. Four Elective Bursaries of £500 each 2. Four Student Hardship Bursaries of £500 each 3. Two RFA Graduate Awards of £1,000 each. These will be allocated to 4th year students who have taken a degree prior to entering Medical School.

They will all be advertised under the heading “Bursaries” on “Moodle”, the online learning platform to which all students have access.

Dear Royal Free Association,

I wanted to send my sincere gratitude for allocating the Hardship Grant to me. The money will be really useful – allowing me to decrease my working hours at the weekends so that I can focus on my studies leading up to exams. This will certainly reduce the pressure surrounding the exams. Thank you very much.

Yours faithfully, James Speed 4 th Year Medical Student

Dear Dr Peter Howden and members of the Association,

I’m writing to express my gratitude for your generosity members of the Royal Free Association. in providing me with a bursary this year. Next year, I plan to run for the Education Chair I’m a second-year medical student at UCL who was position at UCL’s Medical Society which would allow me to born in Shiraz, Iran before moving to London at the age of run more events for younger students on the course. This four. One of the main reasons for my parents’ migration will stand me in good stead during my career when I get to the UK was to provide better opportunities for me. This involved in medical education. I’m sure you can appreciate bursary is one of these opportunities! I chose to pursue how expensive it can be to live in London so your financial medicine at UCL since I find it so varied and fascinating. support can significantly help me stay on top of my studies I hope to become a practising plastic surgeon after and focus only on what’s important, not my finances. Once graduation, and your donation means that I’m one step again, I’d like to sincerely thank you for your support and closer to that goal! I hope you are conscious of how much it is appreciated. I I try to give back myself - I’ve led academic tutorials hope one day to support future students in achieving their for younger students and visited state schools to inspire goals in the same way the Association has today. students to pursue medicine. As a state school student, I’m all too familiar with the lack of support for students Yours faithfully, who want to pursue higher education. For this reason, Amir Amini I’m particularly appreciative of selfless donors such as the

32 The Royal Free Association Newsletter 2018 Students

To the Royal Free Bursary Fund,

I am writing to thank you for the extremely in my maintenance loan. Bursaries and working during generous and kind bursary that you awarded me this my summer holidays helped me to scrape through. year. It will ease the burden of the cost of my elective During clinical years, it has been much harder to work hugely for me. and manage university too, so once again bursaries I was originally born in Leicester, but I have spent have helped me to cope financially. In my final year, I the last six years studying for my Medicine degree in have also had to think about the cost of my elective, London. Though I am of Indian origin, my parents were as I plan to go to Central America and have dreamed born in Uganda and moved to the UK when they were about my elective since the day I began Medical School. teenagers. My father works for the Leicester City Council The bursary that you have given me will help me to and my mother works for a bank in Leicester. I do not enjoy my elective more without the constant nagging have any close family members who are doctors, which worries about money and will, thus, also enable me to often seems to strike people as surprising. However, concentrate better on my studies for finals. I am so, so from a young age, I knew that I wanted to pursue a grateful for this bursary, and would like to thank you career where I could improve others’ lives. Becoming a very much. doctor seemed to fulfil this desire, therefore I spent my After I graduate, I hope to undertake an Academic school years working towards this goal. I chose to study Foundation Programme, so that I can gain an insight into at UCL because of how brilliant the medical school is; both a clinical and academic career. Whilst I love clinical my family and I were thrilled when I got a place. medicine, I have a keen interest in studying patients’ Studying medicine truly is something that I enjoy. quality of life in relation to various chronic disease Though the degree can be challenging at times, I have states and would like to research this area further. In never regretted this choice, and I am grateful to be the long term, I am considering a career in dermatology. able to study such a fascinating degree every day. I This topic has always interested me, and I particularly believe it is this passion and interest, combined with like it as I feel that skin conditions can affect quality of determination and hard work that have enabled me to life and patients’ confidence enormously. Therefore, I achieve a number of prizes during my degree, including would like to translate my clinical knowledge to be able a first prize for overall performance during my first to help those affected by such conditions. clinical year. Outside of university, I am very close with Once again, I would like thank you for this bursary. my family and friends, and make the most of the time I It truly is a huge help, and I really, really appreciate it. can spend with them. Unfortunately, whilst I thoroughly enjoy studying Yours faithfully, medicine in London, it has taken a toll financially. Living Sonam Vadera costs are extremely high, and exceed the amount given

Dear Royal Free Association members,

Thank you for your incredibly generous bursary of £500. This has come at a time of great need, and has gone a long way to bridge the gap in my current financial situation. My rent and living situation is now secured through the rest of the academic year. The medical school has been a great support to me through all times of need, and I doubt I would have made it through the first part of my degree half as well as I did without them! Thank you again for your support, and I hope one day I can pay back the Royal Free Association and help a medical student in need, as you have.

Best wishes, Jake Figi Year 3, UCL medical student

The Royal Free Association Newsletter 2018 33 34

Obituaries

MONA (RONA) VERONICA MILLS, M.B Ch.B D.A (1939–2018)

Finally at peace, a few hours past Mother’s Day and her son Damian in 1979. the Feast of the Ascension, Rona, aged 78, passed away The family then moved to Winnipeg, MB in 1983. on May 14, 2018 at the Grace General Hospital, after a Rona always felt that education and sports involvement progressive illness. were important. She was a regular volunteer at the former Left to cherish Rona’s memory forever are her St. Charles Academy and in later years became a founding husband Barry; daughters Cressida and Eleanor (Jeremy); member of the Damian Mills Junior Cricket Foundation. grandchildren Olivia, Isabella and Amelia; brother Wyn Rona also became very involved at St. Paul the Apostle Lewis; sister Eileen (Keith); nieces Kirsty (Richard), Naomi Catholic Church. Her faith was her foundation. She and their families all from England. Also grieving are her taught Catechism and for 25 years, as a member of the sister in law Helen (Winston) in Auckland, New Zealand. Human Concerns Committee, spearheaded the Christmas She was predeceased by her mother Winifred and father hampers, volunteered at Immaculate Conception Drop- Robert Ifor Lewis; infant sister Eleanor Ann; niece Helen In, spent countless hours helping with the annual garage Sykes and her beloved son Damian. sale and contributed most generously to the Christmas Rona was born on November 24,1939 in Heswall, Craft Sale and Mother’s Day bake tables. Rona hadan the Wirral, England. She graduated from Birkenhead High acute awareness and empathy towards anyone who was School in 1956 with a Trust Scholarship and graduated in suffering be it through poverty, illness, loneliness or any Medicine in 1964. She worked at the Royal Free Hospital, sort of emotional strife. Her loving approach towards St. Mary’s and Edgware Hospitals in London, England people, her wisdom in helping with everyday difficulties where she met her future husband Barry while doing came naturally to her. It was with much humility that she Anaesthesia. They were married in Auckland, NZ in 1970 accepted the Pope’s Apostolic Blessing in 2014. and Rona worked in General Medical Practice until 1972 Rona was a person with many talents and interests. when she had her daughter, Cressida. She was well versed in world events and issues, loved Prior to this time, the Vietnam War was world news a good book and enjoyed attending the theatre and and the effect on the children was constantly on Rona’s symphony. She had a way with words, often expressing mind. She wanted to do so much to help a child. With her thoughts and feelings through letters to the editorial dogged determination, she started making contact with section of the paper and through her beautiful poetry. the Sacred Heart Orphanage in Da Nang, Vietnam, and She was a whiz at crosswords, an excellent sewer and approached the NZ Government for adoption permission. knitter and a wonderful cook and baker. Over the years After four years of painstaking work, there was final she traveled quite extensively and had many happy resolution and Eleanor arrived in Auckland, under the memories from these adventures. Although Rona lived protection of Maree Johnson, two days before Saigon fell at a distance from her family in England she was faithful in April 1975. She was the first child of that particular war to them through visits and regular emails and phone to enter New Zealand. calls. Her grandchildren live across the country also but With two young daughters now, Rona suggested a were always in her heart. She loved them all dearly. move to Canada - a new adventure - and to be closer to Communication was her specialty. Many a person was her family in England. The family arrived in Deloraine, fortunate to receive her cards and gifts. She never missed Manitoba in February 1977 and it was there many lifelong a special occasion. friendships were established. Rona became very, much Our family has lost a gracious and caring wife, Mum, part of the community in a variety of ways. A memorable Nanny, sister, sister in law, aunt and friend. We will miss contribution involved her hard work along with other her presence immensely but are comforted in knowing women in the community in opening a library. An even she is reunited with family members who have gone more memorable event during that time was the birth of before her, especially her son Damian.

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Our gratitude goes to the many medical The past and future merge with one another specialists who were involved with her care in the past year and to the Home Care nurses who “ The happy times that were, and those to be. made their daily visits and brightened her day. And faith affirms the Hope that gently guides us Our sincere thanks also to the Winnipeg Fire And brought us safely through our agony. Paramedic Service and the Emergency and ICU Staff at the Grace Hospital. Everyone’s care, The future draws us on to our reunion, understanding and compassion for Rona was The past falls back and heals our broken hearts very much appreciated. While joy replaces grief and brings us wholeness,

Rona wrote a poem every Mothers’ Day in We sense we are close, not far apart. memory of her son Damian who passed away in 2003 at the age of 24. The following poem was We feel your presence, anxious to be with us, “ written and finished by Rona five days before And know your heart will claim us when we meet, she died, a day after Mothers’ Day: The sweet delight that tells us we are home now, Together for all time, we are complete. Barry Millls

Rowe, Prudence Anne (neé Cooper) MRCS, LRCP

Prue died on 7th September 2017. She was born psychiatric medicine, Prue took a position with West 100 years earlier on 9th October 1917 in New Malden, Berkshire Health Authority, at Smiths Hospital, Henley-on- Kingston, Kent. After finishing School at St Leonards Thames as a Doctor. At that time, the Hospital cared for School, St Andrews, Fife, she enrolled at The Royal Free very young mentally impaired/autistic children. Mother Hospital Medical School in 1936 and after qualifying in said she could never have worked for long at Smiths as 1943, went to work as a House Physician at Paddington she was always falling in love with these helpless children. Green Children’s Hospital. She used to say, it was so sad At the same time, she was appointed to the large mental that the severely disadvantaged people in those days hospital at Borocourt, Rotherfield Peppard, near Henley, sewed their children into their clothes for the winter, as which housed elder patients. Here she experienced the she had to cut the stitches off their clothing to listen to difficulties facing those who care for mentally ill patients. their chests. After her husband died she bought a house in the In October 1943, Prue married Dr Arthur John lovely village of Whitchurch-on-Thames, where she lived Edgcombe Rowe who had qualified at St Mary’s Hospital, for nearly 40 years, firstly working as a Doctor and then Paddington, who was then working as a Clinical Assistant in retirement, enjoying a very active life, gardening, to Prof. Fleming. She left medicine in 1945 to bring up painting, playing bridge, cleaning books at the Bodleian two children and help her husband with his career. This Library, looking after her grandchildren and later her great involved living in Canada and Australia, as well as extensive grandchildren. She had many friends and loved helping travel around the world, during which time she wrote very others in the local community. She had a wonderful sense descriptive Diaries illustrated with lovely sketches. of humour and love of life. Her husband died suddenly after they returned to Prue will be sadly missed by all who knew her for the UK from Australia, which left her devastated at the her glorious smile and warm affection. She leaves behind age of 56. She then decided to go back to Medicine, so a son, Christopher and daughter Carolyn and their attended a one-year refresher course at Exeter University. respective families. Wishing to understand her husband’s commitment to Christopher J Rowe

The Royal Free Association Newsletter 2018 35 Obituaries

Joan (Lady) Slack (1925-2015) BA BM BCh Oxon(1949) DCH(1952) DM(1972) MFCM(1974) FRCP(1979)

Lady Joan Slack was a consultant clinical geneticist at the Royal Free Hospital, London. She was a woman who liked to ‘put her all’ into, and succeed at, anything she put her hand to throughout life, be it in the class room, the sports field or her family. She also held particularly firm opinions about how the medical profession should defend standards of medical practice in a climate where this was becoming increasingly difficult. She was the daughter of a stockbroker, Talbot Wheelwright, who died playing golf when she was 12, and his second wife, Amy, a champion chess player, among other accomplishments, who in 1936 became joint British Commonwealth Ladies Champion. After her secondary education at Cheltenham Ladies’ College, where she succeeded bothinthe classroom and on the sports field (but hated board games), Joan won a scholarship to read medicine at St Hilda’s College, Oxford in 1943. She moved to London for her clinical studies and was one of the first six women to do this at St Bartholomew’s Hospital Medical School, which had until then only been open to male students. Shortly after qualifying, she entered general practice, working on the Caledonian Road, London, in the then very deprived area of King’s Cross, and whilst there had a great interest in the sessions being arranged by Michael and Enid Balint at the Tavistock Clinic, possibly the first people to properly look at the psychological impact of general practice on the doctors themselves. In 1952, she married a fellow Oxford medical graduate, William Slack (who later became a general surgeon at the Middlesex Hospital and serjeant surgeon to the Queen). In 1959 they went to Chicago as part of William’s surgical training, where she developed what was to become a lifelong interest in genetics whilst working at the genetics unit of the Children’s Memorial Hospital. In 1963, after returning from the USA and a short spell back in general practice, this time in the rather less deprived Golders Green area of north London, she took up a post in clinical genetics at the Institute of Child Health in London. It was here that she started to investigate the inheritance patterns of coronary heart disease and lipoproteinaemias, for which she was awarded a DM in 1972. This work led to her being elected as a founder member of the Faculty of Community Medicine at Royal College of Physicians, without examination, and subsequently being elected as an FRCP without having previously achieved the MRCP by passing the required exams; this ability to progress through the ranks of the Royal College of Physicians without troubling the examiners was something she was very proud of and she light heartedly joked about, saying that good things come to those who wait! Joan subsequently became involved in research into the genetics of colon cancer, working closely with the staff at St Mark’s Hospital, and was appointed as a consultant clinical geneticist to the Royal Free Hospital, London in the 1980s, before retiring in 1990 and moved to Somerset, where she started a new career with William and one of her sons in farming. She quickly made herself very knowledgeable about the diet requirements of the livestock, worried about the advice given concerning the use antibiotics as growth enhancers and was frequently seen on a tractor mucking out the pigs. Always interested in education, she was appointed as a governor to one of the local secondary schools, and also helped put her father-in-law’s First World War letters and other documentation into the public domain on a website designed to be used by secondary school students. In addition to this, following an inheritance of a number of artefacts from the family of the Arts and Crafts architect Charles Voysey, she catalogued them and they were subsequently shown at special exhibitions at the Victoria and Albert Museum and in Tokyo, as well as being loaned for other specialist exhibitions. She was particularly pleased when two students based their PhD theses around these artefacts. Joan was a woman of strong opinions and continued to defend many of these robustly well into her more senior years. Lady Joan Slack died aged 90, leaving her husband, two sons and two daughters, and 10 grandchildren.

Rob Slack [Plummer, S J. The Wheelwright family story Cloth Wrap Publishing, 2010] (Volume XII, page web)

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Marion J. Bartlett (née Phillips)

Marion graduated from the Royal Free in 1944, and sadly passed away on 10th March 2018 aged 97. This obituary appears on-line: “The Friends of Masasi and Newala are saddened to learn of the death of Dr Marion Bartlett a long-time supporter of our charity and a former doctor working in Masasi. Marion Phillips - the name by which many people will remember her - spent forty years as a surgeon and physician in Tanganyika. In 1966 she married David Bartlett, a priest with USPG, who later became Canon Bartlett Vicar General of Zanzibar. They returned to England in 1997, but after David’s death a year later, Marion moved to live at the College of St Barnabas, Lingfield, Surrey where she remained for the rest of her life.”

Stephen Jarvis

Dr Frederick Kurzer (1922-2017)

My friend, Dr Frederick Kurzer, was Reader in was he highly respected as a chemist, but in addition Chemistry at the Royal Free Hospital School of Medicine had interests outside the laboratory, particularly in the and a Fellow of the Royal Society of Chemistry for over history of science. In retirement he published significant seventy years. He was someone I knew for almost 50 papers on the chemical work of Samuel Parkes, Charles years. The son of Rosa and Jacques Kurzer, he was born in Tomlinson, William Hasledine Pepys, Arthur Church (the 1922 in the beautiful spa town of Karlsbad in the German- Palace of Westminster frescoes) and the lexicographer, speaking area of what was then Czechoslovakia. He lived Samuel Johnson as well as on the scientific activities of in Karlsbad with his parents and sister Dorothy until 1939 the ‘lost’ Surrey and London Institutions. when the family fled to London to escape the Nazis. In Fred was well versed in the arts and humanities, with 1940 he was interned on the Isle of Man by the British a great love of classical music, books and ornithology. Government as an ‘enemy alien’ as were all male German- He especially enjoyed long walks by the Thames and speaking Jewish refugees. in the Lea Valley. A kind and generous man who hid his After a period undertaking research in industry, he many talents, he was one of the ‘old school’ with little moved into academia at the Royal Free Hospital School of interest in television, the internet or sports. As a result Medicine in London until his retirement in 1987. As well as of hospitalisation three years ago, he reluctantly moved lecturing to medical students in chemistry, biochemistry from his London flat to a residential home. Accompanied and pharmacy, Fred was also responsible for a research by his familiar writing desk and chair, he continued to work laboratory specialising in heterocyclic chemistry that at his desk most mornings. Mentally sharp, Fred passed attracted many British and overseas doctoral students. away on 11 October 2017, aged 95. I feel privileged to He was my supervisor and we published several research have been his friend and I will miss him greatly. papers together. Fred was modest and possessed of warm human Stanley Langer attributes, having a wry sense of humour and being kind and tolerant with his research students. Not only

Dr Yvonne G. Beeching

My dearly beloved wife, Dr Yvonne Gladys Beeching, (Mrs McClean) passed away peacefully on 16th May 2017. Yvonne qualified from the RFHSM in 1952 and had a succession of posts before marrying in 1960. Following marriage, she held several different posts in general practice, in public health and in industry, including a ten-year stint at British Aerospace. Yvonne has left two children and six grandchildren. She is remembered by her grandchildren that her unvarying solution to any problem was to have a nice cup of tea!

Edward McClean

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38 The Royal Free Association Newsletter 2018 39

RFA NewsletteR Special Thanks Extra Thanks Go To...

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The Royal Free Association Newsletter 2018 39