The University of Adelaide Alumni Magazine WINTER 2011 A cut above the average surgeon LIFE IMPACT – THE UNIVERSITY OF ADELAIDE LUMEN - The University of Adelaide Alumni Magazine Registered by Australia Post No 56500/00097 The University of Adelaide Alumni Magazine Message from the Vice-Chancellor he impact of medical research is profound – even more so when it touches your own life. Last year, I was one of the more than 10,500 Tpeople across Australia diagnosed with melanoma. Being of fair- skinned northern hemisphere origins, it probably comes as no surprise that I have not responded well to the effects of the harsh southern hemisphere sun. Now I am fortunate. My skin cancer has been resolved quickly and successfully thanks to the latest treatment and the expertise of skilled clinicians, and as a result of many decades of dedicated medical research. As a scientist and leader of a research-intensive University, and now as a patient, I have the paradoxical experience of being an instigator and benefi ciary of the research process. But I am not alone. There would not be one person in Australia who hasn’t been directly affected by medical research at some point. THE UNIVERSITY OF ADELAIDE At Adelaide, our research outcomes have a signifi cant impact on the health and wellbeing of The Lumen masthead is derived the community. Our graduates are making a genuine impact every day, across all corners from the University of Adelaide of the globe. motto “Sub Cruce Lumen” – the In this edition of Lumen you will read stories of extraordinary achievement and dedication light (of learning) under the – people like Assoc Professor Susan Neuhaus, a medical graduate and now decorated (Southern) Cross. surgeon who has worked on the frontline in Afghanistan, Cambodia and Bougainville. Her courage and selfl essness epitomise the University’s community spirit. Studying at the University of There are countless examples in the pages ahead, like the work undertaken by engineering Adelaide means being part of graduates Lisa Moon and Peter McBean in the post-earthquake recovery effort in Christchurch. a rich tradition of excellence in education and research, with Their contribution is another demonstration of the impact our graduates are making in the world-class academics and a most challenging circumstances. vibrant student life. And while research has led many of our graduates to their current roles – tedious, often frustrating and painstakingly slow work over many years – every small success refl ects the Our graduates make an impact depth of their tenacity and expertise. on the world. Life Impact. Our researchers are unequivocally ranked among the best in the world. They deserve continuation of the resources and support that will enable them to pursue the most pressing challenges for the good of our community. And this is not restricted to medical research. It encompasses all areas of study. Our world is a better, safer, more productive, engaged and healthy place in which to live thanks to the breadth of discovery. The Federal Government’s decision to maintain research support in the recent budget was welcome news. It refl ects the community’s strong support for research and the importance of striving to improve the quality of life in our own country and overseas. I am immensely proud of our alumni community for their unwavering commitment to delivering www.adelaide.edu.au/lumen real change for the greater good. I invite you to share their unique journeys. Would you rather read LUMEN online? As part of the University’s commitment to sustainable practices we encourage you to receive LUMEN online. To join our online mailing list and be among the very fi rst to receive your copy, please email JAMES A. McWHA [email protected] Vice-Chancellor and President www.adelaide.edu.au/lumen Winter 2011 2 12 20 A cut above Looks good, Final chapter the average surgeon sounds perfect for literary star 5 14 23 Ground zero Global Impact DiaLogue with the King 8 16 25 White House honour The law and war: Singapore striking the right balance graduations 10 18 26 Medical graduate realises New scholarships to support Generations his boyhood dream Indigenous students Editor: Circulation: The University of Adelaide Candy Gibson 50,800 in print SA 5005 Australia, Editorial Committee: 67,500 online CRICOS Provider Number 00123M Robyn Brown, Connie Dutton, Candy www.adelaide.edu.au/lumen Copyright © 2011 Gibson, Kim Harvey, Robyn Mills, Printing: The University of Adelaide Genevieve Sanchez ISSN 1320 0747 Finsbury Green Registered by Australia Post Contributors: www.fi nsbury.com.au Connie Dutton, David Ellis, Candy Gibson, No 56500/00097 Printed by a carbon neutral Genevieve Sanchez, Kim Harvey, Kate process using world’s best Views expressed by contributors in Husband, Robyn Mills, Ben Osborne, practice ISO14001 Environmental Lumen are not necessarily endorsed Felicity Prance, Clive Brooks, Management Systems. by the University of Adelaide. Rosemary Lloyd No responsibility is accepted by the Design: University, editor or printer for the Chris Tonkin accuracy of information contained in Front cover image: Editorial Enquiries: either the text or advertisements. Marketing & Strategic Associate Professor Communications Branch Material may be reproduced Susan Neuhaus Phone: +61 8 8303 3173 without permission from Lumen with Photo: Maggie Elliott acknowledgment of its origin. Fax: +61 8 8303 4829 www.magselliott.com THE UNIVERSITY OF ADELAIDE ALUMNI MAGAZINE lumen page 1 lumen achievers lumen page 2 winter 2011 Q: As a former military surgeon who has performed tours of duty in hot spots around the world, what has changed in the last 100 A CUT ABOVE years when it comes to treating those injured in war zones? A: One of the big differences is that people are surviving injuries that in previous wars would THE AVERAGE have been fatal. Thanks to huge advances in medicine and also in battlefi eld resuscitation, soldiers are able to perform very simple, life-saving manoeuvres on the battlefi eld. SURGEON This, combined with improvements in body armour mean that soldiers are surviving blast amputations, head and chest injuries that in From the battlefi elds of Cambodia earlier wars were fatal. We also have the surgical and Afghanistan to cancer hospital capability now to stabilise and evacuate the injured to highly sophisticated facilities within wards in London and Adelaide, 48–72 hours. Dr Susan Neuhaus has more than Q: You have written a paper in the Medical earned her medical stripes. Lumen Journal of Australia recently which addresses caught up with the Associate the complex issues of medical ethics in the battlefi eld. What are the different judgements Professor of Surgery to discuss that come into play for doctors in war zones? medicine and the military. A: Doctors in the military are in a unique position as they have dual obligations – to the defence force and also to the individual. Some of these are enshrined in law; some are enshrined in the Geneva Conventions and others in the Hippocratic Oath. The judgements a soldier makes are not the same judgements that a doctor makes. There’s a whole grey zone that we have to address. Doctors need to make a whole range of ethical decisions under tremendous pressure in a war zone. For example, how far do you pursue aggressive treatment with individuals when faced with limited resources and their post- war standard of care available in their own communities? If you go back to WW1 or WW2, if you were injured on the battlefi eld the treatment pathways were equal for all – civilians and military, regardless of race or nationality. Arguably, it is no longer that simple. Unlike in previous confl icts, military health facilities now treat more civilians than combatants, and a large number of these are children. Military personnel have access to sophisticated evacuation and retrieval, to highly sophisticated health facilities, usually many thousands of kilometres from the battlefi eld. Clearly this option does not exist for locals and this does impact on their treatment options. I’m not saying it is right or wrong, but it’s the world in which we live. Colonel Susan Neuhaus (left) pictured with an Afghan patient during her tour of duty in the Oruzgan Province in 2009. Photo by Captain Lachlan Simond. THE UNIVERSITY OF ADELAIDE ALUMNI MAGAZINE lumen page 3 lumen achievers Q: Where do you draw the line with confl ict is among the people, where the treating civilians then, given many of threats are invisible and come in the form these people may not have access to of suicide bombs and improvised explosive sophisticated medical facilities after devices. There is no discrimination between being discharged? men, women, children, civilians or soldiers. A: If you look at a reconstruction effort in a The battlefi eld is far more complex now foreign country, it is vital to understand the because it is no longer obvious who your health environment in which you work. It is enemy is. The need to be constantly vigilant, no use providing incredibly sophisticated of having to be hyper alert and dealing First-World services if this level of treatment with the reality of war is all contributing to cannot be continued when you pull out of the mental and emotional costs of war that country. You are better off promoting that people bring home with them. Also, medical resources that support the local for the fi rst time in our history we are not community and the local doctors. just deploying women, we are deploying mothers, and I don’t think we really Also, you need to take into account the understand the long-term consequence of cultural sensitivities of each country you are this on them or their families.