© Hong Kong Academy of Medicine. CC BY-NC-ND 4.0
DOCTOR FOR SOCIETY
Sustainable volunteering:
an ophthalmologist’s work. An interview with Dr Emmy Li
Bianca Chan, Michelle Tsui
Year 1 (MB, ChB), The Chinese University of Hong Kong
A quick online search on Dr Emmy Yuen-mei Li will
reveal the profile of a well-regarded ophthalmologist
who received the Hong Kong Humanity Award in
2014. Her ‘Cataract Free Zone’ initiative of Project
Vision in Hainan performed some 30 000 cataract
surgeries in rural Chinese villagers and trained over
10 mainland doctors. Impressed by her stellar record
of volunteering, we were curious to know how Dr Li
views her large volume of charitable work. Without
the slightest hesitation, Dr Li said, “These statistics are
just numbers. They do not tell us of the sustainability
of the volunteering work—which is what I most hope
to achieve.”
“Cure sometimes, relieve often,
comfort always”
Dr Li graduated with Honours from the University
of Hong Kong and attained a Master’s degree
with distinction in Public Health in 2010. As an
undergraduate, Dr Li actively participated in
community services and health checks all over Asia,
from the slums of India to the minefields of Cambodia.
She witnessed the stifling effects of extreme poverty,
and was reminded of the inherent privileges enjoyed
by all citizens of Hong Kong. Dr Li believes these great
privileges come with a responsibility. A responsibility
to serve beyond the narrow limits of our immediate
surroundings and heighten our awareness of the
world’s hardships and poverty.
Dr Li has dutifully attended to such
responsibilities. Her work both at home and in
Hainan has earned her a long list of awards, including
the Ten Outstanding Young Person 2014, Asia-Pacific
Academy of Ophthalmology Outstanding Service in
Prevention of Blindness Award, and The 5th Hong
Kong Volunteer Award from the Agency for Volunteer
Service in 2013, to name a few. Despite the prestige
afforded by these awards, Dr Li is most happy about
the concomitant increase in opportunities to share
her spirit of doing good with the younger generation.
“The influence of one person is limited. Only
through mobilising communities and recruiting
larger volunteer base can such efforts be sustained
and propagated.” Indeed, Dr Li is very much involved
with the promotion of youth volunteering and public
education. She collaborated with the Education
Bureau to promote good eye care practice in more
than 500 schools, and has been writing articles on
ophthalmic disorders on AM730 (a Chinese-language
newspaper) since 2007. Outside of her specialty, Dr
Li served as the co-chairman in the Election of Ten
Outstanding Warriors of Regeneration to recognise
individuals with physical or mental challenges.
Dr Li has also been committed to Ripple Action,
a programme jointly run by the Hong Kong Women
Doctors Association (HKWDA), Association of
Women Accountants, the Hong Kong Federation
of Women Lawyers, women nurses, social workers,
and the International Social Service (Hong Kong
Branch). The HKWDA provides medical services to
underprivileged women, such as new immigrants
and ethnic minorities. Cervical screening has
been chosen as one of the leading projects to raise
awareness on female health.
“Women from marginalised groups may not
be sufficiently informed on sexually transmitted
diseases or cervical cancer. These topics are often left
unexplored between husbands and wives.” In recent
years, through the generosity of the Zonta Club of
Hong Kong, Ripple Action has expanded its services
to provide human papillomavirus vaccination. Under
the programme’s community-wide partnership,
volunteering accountants and lawyers give talks
on financial literacy and offer legal advice about
domestic violence.
“I view it as a step towards reversing the ‘inverse
care law’. Very often, those most in need of medical or
social care also happen to be the most deprived of
such resources,” explained Dr Li.
‘Teach a man to fish’, rather than
‘Give a man a fish’
As we sat down with Dr Li on a chilly Thursday
evening, we wondered how the amicable mother-of-two finds time to volunteer on top of being an
associate consultant at the Hong Kong Eye Hospital.
She replied with a light laugh, “Community services
are deeply rewarding.”
Dr Li’s immense sense of fulfilment derives
not merely from her personal experience in patient
care, but from helping those she has inspired, such
as the ophthalmologists she has trained in Project
Hainan. “It was like witnessing the development of a
young seedling that I planted into a robust, branching
tree,” described Dr Li. She repeatedly emphasised
that the project was not about completing as many
cataract surgeries as possible by the volunteering
ophthalmologists from Hong Kong, but to assist in
building a self-sustainable eye care infrastructure in
Hainan by cultivating local ophthalmologists.
Despite this lofty goal, the organising
committee faced several obstacles along the way.
One of their prime concerns that remains a top
priority for Dr Li was the quality of cataract surgeries
performed. In Project Hainan, free surgery does not
imply substandard medical care. A comprehensive
Quality Assurance Scheme and Surgical Review
Committee were devised to ensure that trainees
mastered the requisite surgical skills and retained a
thorough understanding of each process. The entire
cataract surgery was divided systematically into
10 structural steps. Prior to entering an operating
theatre, trainees have to practise every single stage
meticulously with pigs’ eyes. Their work is then sent
to Dr Li for comment and feedback. During the
actual surgery, trainees will complete only 10% to
20% of the operation each time under the supervision
of an experienced mentor, who will be responsible for
completing the procedure.
Owing to her background in public health,
Dr Li also led a pioneering effort to incorporate
research into humanitarian work in Hainan. An
epidemiological study sought to determine the
prevalence rate of cataract and the barriers that
prevented villagers from seeking surgery. These data
were subsequently provided to the government for
future ophthalmic planning.
Echoing her priority for sustainability and
youth involvement, Dr Li said “We hope that such
knowledge transfer would lead to a continuous
education of young ophthalmologists in Hainan. It is
far more essential to teach men to fish than merely
giving men a fish.”
Before we left, Dr Li invited us to visit one of
her community service projects in Hong Kong. “Even
a simple display of sincerity can accumulate into a
ripple effect in the long run,” she said wholeheartedly,
with a glimmer of hope in her eyes.