Lunch…

I still work in remote Australia. In a top right-hand corner of the Northern Territory. Like all far away places choices are limited. On the Gove Peninsula it’s luckier than most because there’s  Woolworth’s (and a hospital…no late night emergency call outs for the nurses who work here). Until recently, if I wanted lunch I had to make it everyday and bring it to work, eat it in the small clinic kitchen or try to find a quiet nook somewhere out of the summer heat. This year there’s a choice…an Op-Shop (Second-hand goods) has been opened in Yirrkala by an employment company to give the local women an opportunity to learn how to sort, arrange and display donated clothing and a variety of general goods. But best of all, on Wednesday and Thursday they open a cafe for lunchtime, and learn to cook, serve customers and plate food tastefully on local banana leaves. It’s a welcoming haven for customers, to the background of Gurrumul’s songs, we choose from the menu which includes baked filled potatoes (cheese and bacon), fried rice, fruit skewers, toasted sandwiches, local bush lime juice or brewed coffee. Prior to it’s opening there was no place, apart from the local art gallery, where the community, locals and those who travel to work here could mingle informally. It’s managed by the vibrant warm Ali, whose personality draws you imperceptibly towards, her just to see her smile. I enjoy browsing through donated books, DVDs and music and donating back. To say this old banana shed-turned occasional cafe, is a good thing for the community, is to understate the power of creativity, thought and effort to enhance the lives of others. My Thursday lunchtime baked potato and browse is the highlight of my week. Thank you Ali and the girls!

Beauty

Losses and griefs of all kinds fade a sense of beauty out of our lives. We  forget what we once appreciated and held dear, even what we love and who we are. During the past two weeks remote area nurses in Australia have grieved the murder of one of our colleagues. After the first few days of shocked incomprehension someone on our Facebook site encouraged us to post photos of things that captured our reasons for doing the hard work that we do. The beauty in those shared photos was varied, individual and ultimately uplifting…some were of landscapes and adventures, others were of new-born babies and healthy mothers.Many of us will always see beauty in the shape of a Royal Flying Doctor plane coming in to land after a long night of waiting. Beauty is as unique as a snowflake, it’s to be cherished and nurtured in our lives wherever we find it and however we define it.

I’ve had my share of losses and difficulties since I began this blog site. I had a desire to share my experiences and insights from my remote area life, but beauty quietly disappeared for a while and all I could see and sense around me was a dull, drab landscape. The gentle energy of beauty hid in the shadows from me…until the past few weeks, for all kinds of reasons, and none in particular…colours are appearing again and curiosity beckons me forward. Life is interesting and I’ve picked up my camera and wandered outside.

Expectations

When I arrived for my first agency nurse contract on Badu island in the Torres Strait I wasn’t aware of having any expectations. My main thought was that I was having an adventure. After a day or two I realized I was waiting for “something” to happen. Maybe shouting in the street, or some other type of sudden violence. The Cape York community I’d worked in for two years experienced a high level of violent outbursts. Raised voices in the streets were often the background noise to every other day. I had been initially shocked at that, but by the time I left I had grown accustomed to it.

The Cape York community was my first experience in working as a remote area nurse. I learnt my emergency skills there and began to have some understanding of the health and social difficulties of Indigenous people living in traditional lands. I didn’t know, though, that I expected every group of Indigenous people to be similar. Leaving the place I knew and arriving to work on a small island, my first lesson was about my own expectations. The fact that I had them, and that they were wrong.Since then I have worked almost two years in various Torres islands and can count on one hand the number of times I’ve heard shouting in a street. Becoming aware of my expectations and letting them go is a lifetime’s work. I learnt after those first few days to be more open to what I actually saw and heard instead of living from my assumptions. And I’ve been constantly and wonderfully surprised at the differences within Australian Indigenous cultures and individual people.

New Chapters

When I left Aurukun and began working for a nursing agency it was certainly a new chapter in my life. I’d worked for Queensland Health for around 20 years. I enjoyed the certainty and security of permanent work and, while I listened in awe to the stories of agency nurses I’d worked with, I was too afraid to follow them into the wide world of choices and possibilities.
In late 2010 I began work on my first agency contract on Badu island in the Torres Straits off the top of North Queensland. Prior to arriving I knew hardly anything about the islands, but the flight from Cairns to Horn island and then on a smaller plane to Badu whet my curiosity. I had never imagined any kind of life off the tip of Cape York. There had been a time in my adult life were I’d never been further north than Bundaberg, and even that felt like I was about to drive off the edge of Australia.
Flying over the Torres I stared down through a smudged plane window at a blend of ocean blues and greens and tiny uninhabited islands and knew I wanted to stay awhile to get to know this place.
So much has been written and said about new beginnings, basically the fact that the past needs to be let go of to embrace the new. I let go of the need for certainty and security and whole-heartedly embraced a sense of adventure which opened a fascinating chapter of island life and culture.

Breaks

Oddly, where I finished my last blog in my remote area nurse story, there was a natural pause, or break in events. I went from being permanently employed by Queensland Health to choosing uncertainty as an agency nurse. My first contract was on Badu island in the Torres Straits. I’d experienced life on a tropical island in Samoa and in many ways I found a similar culture on Badu.

I haven’t written anything here for five weeks. I’ve just returned home after spending time in Tasmania, another island, and at the opposite end of Australia to the Torres islands. Another island culture, but with few similarities to the tropical north. They share being surrounded by the sea and having a relaxed feel, but then landscape, weather and history diverge.

Breaks are essential to the narrative of our lives and their meanings many. We take a rest from everyday busyness, we end one thing and begin another, we voluntarily plan them or they’re forced on us. They’re usually a waiting time, a marking time until life resumes where we left off or we begin an entirely new thing. Either way, we’re never quite the same person. I went to Tasmania to witness a friends wedding, for her it was a wonderful beginning to something new, for me it was the experience of a place of beauty I’ve never seen before and to which I want to return. And which has given me another view of island life, new possibilities. I will return to my remote nursing story this week and write about life on tropical islands but my thoughts for now are very much still on the break I just took on a more southerly, cooler and greener island.

Loss

Everyone experiences loss, in different ways and at different times. Each loss has a different meaning. I’d worked in Aurukun about a year and a half and decided I’d stay for another year and a half. I bought a Toyota landcruiser, rescued a camp dog puppy and was given a scrawny bedraggled looking black kitten, with a car and pets I was ready to settle for a bit longer in a place far from home. Fasi and I nursed our puppy named with the Samoan word for baby, Pepe, to health. We delighted in her antics, Fasi even let her sleep on him. When she was about six months old I went to Samoa for a few weeks to visit Fasi as he’d returned to care for his elderly mother, and arranged for a nurse who lived next door to care for her.

Apparently all went well until the day before I was due to fly back into the community, Pepe became unwell with gastro symptoms. I wasn’t contacted. I had only her to look forward to seeing when I returned, as Fasi had left Aurukun permanently. I kept imagining her joyful welcome during the long flights from Brisbane to Cairns to Aurukun.

As soon as I reached the gate to my yard in the semi-dark of a Cape York evening I knew there was something wrong. The manager of the clinic came across and told me she put Pepe to sleep herself that morning. She hadn’t bothered to phone me.

I walked away and up my steps and sunk to the floor once inside and sobbed. I phoned Fasi in Samoa to tell him and we both cried. It seemed such an unnecessarily cruel thing to do, normally the nurses do all they can to save each others dogs.

I lasted a few days and handed in my resignation, I couldn’t work with the attitude of that manager.

There isn’t just one side to a loss. I felt Pepe’s death keenly, especially the way she died and the thoughtlessness of a nurse from whom people would expect better. After a few days Fasi rightly pointed out that Pepe would have kept me in Aurukun had she lived, I couldn’t travel with a dog. So I reluctantly turned to the next stage in my remote area nursing journey and took up life as an agency nurse, travelling over the top end of Australia experiencing places and people I barely knew existed.

Thank you Pepe.

A Creative Life

I can’t drag myself away from the topic of creativity it seems to me to hold much that is hopeful and playful and worthwhile. I’ll share another quote from Eric Maisel’s “The Creativity Book” in which he invites the reader to think about creativity in a broader life sense than merely a narrow “artistic” view.

“Creativity is linked in our minds with poets, artists, inventors, and people of that sort. We think of the Edisons, Einsteins, Picassos and Beethovens of the world as creative. But any job can be done more creatively and life can be lived more creatively. What’s required are certain changes: that you begin to think of yourself as creative, that you use your imagination and your mind more, that you become freer but also more disciplined, that you approach the world with greater passion and curiosity.”

Even the dullest job, the most tedious task and the most unpromising day can hold possibilities if we approach them with curiosity and imagination. I found nursing like that…curiosity as to what was coming next, what my patients would be like, what could they teach me, what stories could I hear? and so on. Curiosity keeps us alive and growing.

Pictured here is an Indigenous weaver from the central Desert visiting Aurukun Art Centre to share her techniques with her Queensland sisters.

Creativity

I’ve been reading “The Creativity Book” by Eric Maisel. I recommend any of his books, he’s a creativity coach and understands well the link between creativity and human well being. He’s also written a book called “Rethinking Depression…How to shed mental health labels and create personal meaning.”

The book I’m currently reading starts off, “When you become an everyday creative person you instinctively solve problems more easily (I have a fridge sticker that says ” What else is possible?), see the world as a richer place, and enjoy life more. You get to use capabilities and skills that may be hidden under a barrel right now. If you’re a writer or would-be writer and begin to unleash your creativity, you write more deeply and more frequently. If you’re a painter or would-be painter, you paint more personally, passionately, and authentically. If you’re self-employed, you see your options more quickly and make changes more fluidly. If you work in a large corporation, you become more self-directing, confident, and aware. Whatever you do, creativity helps you do it better; whatever the details of your life, you feel more alive. Creativity improves your work life and enriches your life in general.”

I can’t add much to that except to underscore it by saying I’m happiest when I’m making something, and how much more creative can any of us get than finding meaning in our lives.

First RAN Christmas

My first remote area nurse Christmas was in Aurukun 2008. Well….it was meant to be, but I ended up flying to Townsville for a CT scan of my right wrist. All the preparations were made….I had tinsel, lights and decorations posted from home. My then 16 year old daughter was flying up for two weeks, presents bought from before I ran away from home and ready to post from the top of Cape York and all the ingredients I needed for a boiled fruitcake were in the local store. I was set to enjoy a tropical wet season Christmas in the middle of “nowhere”.

But late one afternoon my desire to explore got the better of me. My daughter, Fasi and I walked about an hour along a bush track next to the Archer river…admiring the lush growth of pandanus on one side of the red dirt and mangroves on the other. I walked in the middle while the other two talked….suddenly they were still talking and I was flat on my back in sticky mud….trying not to make a fuss about the sharp pain in my wrist. They helped me to my feet as if I was an old woman, made a few jokes and wondered if we should keep walking or return home. The clouds were darkening and the tide was washing across the river bank. We pressed on, only, to be soon drenched in a heavy shower of rain. Fasi took that opportunity to closely peer into the water looking for fish, then made a hasty repair to an old net hanging in a tree while Mel and I were shivering with cold and water dripped off our noses and down our backs.

We walked home in semi-darkness feeling a bond forged by the experience….still making jokes! We still talk about it five years later as if it was a big adventure.

My arm was plastered back at the clinic, Fasi flew back to Brisbane, we enjoyed a clinic Christmas party and a few days of the house being lit up, then flew to join the family in Townsville. It was Christmas with a difference alright and one of the most memorable.

Reverse Culture Shock

I worked in Aurukun at the top of Cape York, Queensland on a five week contract before deciding to apply for a permanent job in the clinic. After I was interviewed and got the job I was flown home to South-East Queensland for 10 days to pack my things to be shipped back for the three-bedroom house I was to move into.

En-route I stayed overnight in Cairns. There were too many people at the airport, the shops and the motel foyer. There seemed to be more cars on the roads than when I was there five weeks previously. The colours were brighter, there was too much choice in the shops and everyone seemed to be talking loudly. I felt strange just walking around Cairns Central looking at the shops. I felt out of place, like I didn’t belong.

When I arrived home and met up with family and friends their questions sounded trivial to me, or their lack of questions widened a gap I felt was opening up between me and everything I’d considered normal before I left home.

I didn’t know it then but I was feeling the effects of reverse culture shock.

When a person returns home after being in another country or social environment it takes a whole other set of adjustments to when they first encountered the new setting. People assume because their friend or family member who’s been away, looks and sounds like the person they knew, that they still  belong to all they left behind. But often things have changed in their absence and they have experienced life outside their previous norms in the time since they left home. They can, in fact, be quite disorientated on return.

Being aware of reverse culture shock, being prepared to experience boredom, isolation, disorientation and annoyance on arrival home will help a person to readjust. It’s a good idea to keep in contact with new friends made from the host culture and to talk to people with whom you can relate. It’s also often helpful to use creativity to incorporate the new cultural experiences into one’s regular life by writing articles or creating a photo exhibition, or simply by bringing art or cultural items into one’s home as a reminder of the time away.

Asking yourself what you’ve learnt and how you’ve changed help you to be more aware and to adjust and for the time away to have a positive effect.

I have to admit though that while these ideas are helpful, coping with reverse culture shock takes a much longer time than you’d think and if a person moves between cultures fairly regularly it doesn’t seem to get any easier. In fact one often feels like an in-between person not quite belonging anywhere.