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It Started in a Cupboard by Kenneth Calman sampler

ir Kenneth Calman’s extraordinary life story is based on a passionate love of learning – and it all began with him doing his homework by candlelight in a cupboard of his mum’s Glasgow council house. He went on to be at the forefront of three different medical revolutions – oncology, palliative care and the use of the arts in medical education – and to help guide the country through the BSE/VCJD health crisis. As Scotland’s and then England’s Chief Medical Officer the reforms he pushed through saved many lives by improving both cancer care and the training of doctors. Few people know as much about learning, laughter, health and happiness – or, come to that, sundials, beagles, cathedrals and cartoons. And few people have touched so many lives, especially those of the seriously ill and dying, with quite as much grace, humour and humanity.

ir Kenneth Calman’s extraordinary life story is based on a passionate love of learning – and it all began with him doing his homework by candlelight in a cupboard of his mum’s Glasgow council house. He went on to be at the forefront of three different medical revolutions – oncology, palliative care and the use of the arts in medical education – and to help guide the country through the BSE/VCJD health crisis. As Scotland’s and then England’s Chief Medical Officer the reforms he pushed through saved many lives by improving both cancer care and the training of doctors.

Few people know as much about learning, laughter, health and happiness – or, come to that, sundials, beagles, cathedrals and cartoons. And few people have touched so many lives, especially those of the seriously ill and dying, with quite as much grace, humour and humanity.

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it started <strong>in</strong> a cupboard<br />

smok<strong>in</strong>g? Is spell<strong>in</strong>g out the risks enough or will smokers just ignore<br />

the mounta<strong>in</strong>ous accretion of evidence that it’s bad for them? At what<br />

po<strong>in</strong>t do you give up on efforts to try to persuade them – or should<br />

you? What, <strong>in</strong> short, works? And would it have worked for Dad?<br />

That’s one of the biggest ‘what if’ questions <strong>in</strong> my life – and if anyth<strong>in</strong>g,<br />

it has grown even bigger <strong>in</strong> my m<strong>in</strong>d as I have grown older. As<br />

the years have gone <strong>by</strong>, I actually miss my father more and more. I<br />

th<strong>in</strong>k of the joy my wife Ann and I have found watch<strong>in</strong>g our grandchildren<br />

Grace and Brodie grow up. I know he would have felt that<br />

same delight <strong>in</strong> our own children – Andrew, Lynn and Susan.<br />

My father had died only a year after the first def<strong>in</strong>itive evidence of<br />

the l<strong>in</strong>k between smok<strong>in</strong>g and lung cancer emerged. 3 Smok<strong>in</strong>g was<br />

not only socially acceptable, but, hard as it is to understand now, the<br />

first government <strong>in</strong>formation campaigns actually encouraged it. In<br />

1917, the Pipes and Tobacco League sent tobacco to soldiers and sailors<br />

on the frontl<strong>in</strong>e, argu<strong>in</strong>g that it was good for their health as well<br />

as for morale. Six million men who served <strong>in</strong> the First World War<br />

were <strong>in</strong>troduced to smok<strong>in</strong>g when they jo<strong>in</strong>ed up, and free tobacco<br />

only encouraged their addiction. Such attitudes carried on <strong>in</strong>to the<br />

Second World War public health education too: a wartime ‘Blood donors<br />

wanted’ poster featured an <strong>in</strong>jured soldier be<strong>in</strong>g tended <strong>by</strong> his<br />

comrades while contentedly draw<strong>in</strong>g on a cigarette. The 1947 Budget<br />

even went so far as issu<strong>in</strong>g pensioners with tobacco vouchers to offset<br />

tax <strong>in</strong>creases. 4<br />

Back then, of course, I knew noth<strong>in</strong>g about any of this, or that<br />

this was one of the ma<strong>in</strong> directions my life would take. I was just a<br />

n<strong>in</strong>e-year-old boy shattered <strong>by</strong> grief. I now have close on 70 years<br />

of h<strong>in</strong>dsight, and I occasionally th<strong>in</strong>k of how easy it would be for<br />

that n<strong>in</strong>e-year-old boy’s world to collapse. But it didn’t. We were surrounded,<br />

I can now see, <strong>by</strong> love. <strong>It</strong> was there <strong>in</strong> my primary school<br />

teachers (Miss Bissell and Miss McKellar), despite hav<strong>in</strong>g classes of<br />

50-plus to contend with, tak<strong>in</strong>g the time to encourage me. I knew they<br />

cared. When school ended on my first day back, one of them came to<br />

me, bent down and did up the buttons of my coat. She’d never done<br />

that before – no teacher had – but as she did, I saw tears well<strong>in</strong>g <strong>in</strong> her<br />

eyes.<br />

And it wasn’t just her. In search<strong>in</strong>g through my archives, I came<br />

24

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