“The day comes in strips of yellow glass over trees” Peter Balakian

There’s a woman who lives in an iron-clad company house, on a red dirt track, at the upper edge of an Aboriginal community in North-East Arnhem land. She’s a nurse in a small doctor clinic a short walk from this house. In Summer she drives a car because going outside from the air-conditioner is like walking into a closed bathroom after a hot shower. Impossibly hot and steamy. It’s winter now and she chooses to walk. The sun is merely warm and the outside air faintly cool on her skin. She feels alive.

The first 100 metres is the red bauxite track covered in tiny marble-like balls, slippery underfoot.

She turns left onto the bitumen, 2,000-steps-to-work road, and the bush warm charcoal smell from last nights cultural burn greets her. It was a cold fire that slowly ate down the undergrowth, overnight, that would otherwise have prevented fresh new growth in the spring. A little further along the smell changes to the sweetness of eucalyptus leaves warming in the morning sun mixed with a profusion of wattle blossoms. Acacia auricululiformis or black wattle. Ubiquitous throughout the Northern Territory it needs smoke or heat from a fire to germinate its seeds. Its flower is paler and smaller than the silver-leafed Cootamundra wattle of her childhood further south.

One of the nurses she works with asked her if she was afraid of the dogs, walking alone without a stick? Dogs of varying degree of dingo heritage station themselves at the edges of the invisible boundaries of their owners homes, watchful but not menacing. She ignores them looking straight ahead and presents no threat to them.

A white sulphur-crested cockatoo screeches out a warning, or a greeting, to others in its flock from the highest branch of a gum tree. Maybe to share or to scare away others from eating the bunches of honey tasting flowers.

The woman approaches the left turn towards the clinic.

Sometimes I feel like a woman in a dream, wandering down this path to work. So far from my family and all I’ve ever known, and yet, by now, so familiar. So many paths to choose from and even on this short walk there are sandy side tracks leading to different destinations. I could take one to the right, amongst the trees and come out at the nearby bay. Sit and read all day. I could take the trodden down bush walk to the left, past the houses and end up at the blue house when the new-born puppies are and play all day with them. But I keep walking on the bitumen past houses and dogs until I reach the padlocked gate of the clinic. I rummage in my bag for the key and with that wake from the dream.

Safety

As you know, unless you’re visiting my blog for the first time, I’m a nurse in a remote corner of north-east Arnhem Land. I work in an Indigenous community and live at the edge of another, half an hour away. Recently some young kids broke into the nurses house next door. They took a small blue-tooth speaker and some food. The Aboriginal Medical Service I work for quickly responded by installing security screens on the windows and doors on both our houses. Nurses safety is a priority.

When I started working in remote Australia the Cape York community of Aurukun was my first job and home for two years. It was often in the Queensland media for riots or some other violent infringement. Family and friends used to ask me if I felt safe working there. I always replied that I would feel safer walking down the main street of Aurukun in the middle of the night than my home town of Maryborough because the locals fought among themselves, long standing family feuds that had nothing to do with me.

Safety can be an illusion though. Last Monday morning I woke to a Facebook message from a friend, only it wasn’t really her. Her account had been hacked. The message was about her winning a lottery and my name being on the list. “She” directed me to accept a friend request from a “Ruth Edward” who was the Facebook manager of “360 National Lottery”. But I had to pay an administration fee to collect my winnings. An old scam dressed up in a new guise and yes I fell for it. I was so certain that the first message was from my friend I didn’t even think to pick up the phone to call her and check. I lost $15,000, my savings for a new car. I hadn’t heard of this scam and the only place on the internet I found anything about it was WA ScamNet, a government consumer affairs site that has since been very helpful.

Safety is multi-faceted. Physical safety that needs to be guarded by screens, fences and commonsense. Emotional and mental health safety which needs protective behaviours from high conflict or manipulative people. And Cyber-safety from fraud and identity theft with the resultant violation left with victims of this crime. Is safety from Cyber-crime a priority of the Australian government? In Western Australia alone 18 cases of this Facebook scam have been reported since April this year and over a $100,000 lost to it. The 360 National Lottery website is still on the internet.

So while remote area nurses continue to appeal to state governments and health agencies for safer housing and work safe policies, domestic violence organisations promote having a safety plan and therapists and writers suggest learning behaviours to protect ourselves from high-conflict people close to us. I suggest that Cyber-safety also become a priority  by learning all we can about it and spreading the word.

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Poverty and Opinions

I’ve been interested in health and wellness for as long as I can remember. My kids weren’t allowed lollies, I made them homemade fruit and nut thingies, my husband wasn’t allowed the skin on his chicken, those were that days of low fat and preferably the Pritikin diet. I studied both popular and natural health books and recipes long before the days of internet and so had a vast paper collection of many opinions, hints and guidelines. And, mostly, for the past 30-40 years I and my kids, and now my grand-kids have been fit and well. But, in the last year my body has taken it’s vengeance on all these ideas and gone off on it’s own path. I’ve been diagnosed with pericarditis, MS and melanoma all in a year. Now, with the aid of Google and books I’ve studied even harder and I’ve found that more ideas and opinions abound than I ever imagined! I am also a Chronic Disease nurse so it behoves me to know a thing or two.

I’ve learnt that the idea doing the current rounds (and it does have it’s basis in history as well) is the benefits of a low (very low) carbohydrate diet with healthy fats (the subject of what constitutes a healthy fat is a whole other sub-strata of opinions). The theory goes like this, carbohydrates, especially simple carbs, are broken down into sugars by the digestive system, insulin is released and turns a lot of that sugar into fat which is stored in the body’s fat cells. That’s the simple version, there are many books on the subject which give careful explanations of the process. What I’ve read so far, plus a phone consult (I’m still living and working in a remote part of Australia) with a dietitian in Tasmania and a naturopath in Queensland, makes sense to me and I’ve been eating like this for a month and have lost 5cms off my waist! Wonderful and I hope it continues.

But I also want to mention something in the book I’ve just finished reading (pictured), it explains the same theory of carbs=sugar=insulin=fat, but makes the observations that poor people the world over, according to his research, eat high carbohydrate diets because they’re cheap, easy and readily available. Foods made with white flour such as breads, pancakes, damper, scones, pasta etc. He then gives examples from American Indian tribes since the early 1900’s of overweight mothers and undernourished babies and children and bases the cause on high carb diets they’ve eaten since colonisation. I’ve seen this phenomena in many of Australia’s Indigenous, and people, in other low socio-economic situations,and  have wondered at the reasons for it.

He writes, “The coexistence of thin, stunted children, exhibiting the typical signs of chronic under-nutrition, with mothers who are themselves overweight…poses a challenge to our beliefs-our paradigm.If we believe that these mothers were overweight because they ate too much, and we know the children are thin and stunted because they’re not getting enough food, then we’re assuming that the mothers were consuming superfluous  calories that they could have given to their children to allow them to thrive. In other words, the mothers are willing to starve their children so they themselves can overeat. This goes against everything we know about maternal behaviour”.

Interesting theory and if it’s true, which it well might be, even though it turns accepted food theories, triangles and advice on their heads. Health professionals and most of us are going to have to think long and hard about our opinions and prejudices and the enormous inequities in our societies, not to mention whats best for our own, and our families health.

One last thing this writer incidentally mentions about the Sioux, one of the tribes studied, in South Dakota, is as follows…’These Sioux lived in shacks “unfit for occupancy, often 4-8 family members per room…15 families, with 32 children among them, lived chiefly on bread and coffee’. This was poverty almost beyond our imagination today.” The writer might be shocked to know that many of Australia’s Indigenous people still live in similar overcrowded accommodation and lived mainly on tea and damper.

An excellent resource is the film “That Sugar Film” and it’s accompanying book “That Sugar Book” by Australian actor, Damon Gameau, who gives carefully and humorously explained, health advice and an interesting story about his own 60 day experiment with “healthy” foods. And, who also continues to do positive work in Indigenous Australia.