Sunday 18 March 2012

Cyclone Season


These last two weeks have been fairly quiet – mainly cos they have been filled with work. My weekend on call last week turned into a non-stop operating zone with no study time so my stress levels have skyrocketed considerably.

This was not helped by the abysmal weather and the news that we were under cyclone watch by the beginning of the week. I was originally not too concerned by the cyclone watch until the public information warning started being played continuously on all the radio stations, with similar messages being sent out by email.

Apparently each household in the NT should have an emergency kit packed and ready to go (In a place that can be found if the power goes out) in the cyclone season. I think this is a great idea. Then I read what was meant to be in my emergency kit.

Your emergency kit should include:
    Battery-operated radio with spare batteries
    Torch with spare batteries, candles and waterproof matches
    First Aid Kit and manual with any essential medicines that may not be found in a basic kit
    A change of clothes for each member of the household (wind and waterproof, hats, leather gloves, strong protective closed-in shoes)
    Blankets or sleeping bags
    Toilet paper and essential toiletries, including sunscreen
    Special needs for infants (food, formula, nappies, toys), the aged or people with disabilities
    Money, including change for phone calls
    Important family documents (birth and marriage certificates, driver's licence, passports, insurance policies and photos)
    Strong and sealable plastic bags (for clothing, valuables, documents and photographs)
    A mobile phone, spare battery and charger
    Extra car and house keys
    A copy of your household plan
    Pet supplies
    Non-perishable foods (dried and canned – label cans and don't forget the can opener!)
    10 litres of bottled water per person (three days plus)
    Portable cooker (if using gas remember to have spare canisters or bottles)
    Cooking equipment and eating utensils


I own pretty much none of that.

In cyclone season you are also meant to know where the public evacuation centres are. That, I managed to look up. The closest one to me is the Nightcliff High school. Yeah I actually don’t really know where that is. But the other one is the Casuarina Shopping Centre. Yep totally know where that is! Not that it would ever be good to have to be evacuated but how weird would it be to be evacuated to a shopping mall! With a woolies and a Coles and lots of clothes stores?!?


Noone else seemed particularly bothered by the Cyclone watch so Rebecca, the new OT, and me just worried to each other. Neither of us managed to turn this worry into ‘buying water and petrol in case the weather got worse’. Then on Tuesday morning this happened…..

CYCLONE WARNING!!!!
Again no one seemed bothered by this. But just in case they shut down all the schools, and all the shops; all elective surgery was cancelled….Even my trust Fernwood was closed! How is that sending a reassuring message to me?!?

Luckily the low-pressure system passed to the west of us and all we got was a large amount of rain and some gale-force winds. The winds alone kept me up at night most of the week so I hate to think what a real cyclone is like! Cyclone season runs to the end of April so I still have a good 6 weeks to get my emergency kit in place.

The weather has somewhat limited my motivation to do anything apart from stay inside. I even had plans to go the mud racing finals last night – partly because I am totally fascinated by the whole concept, and partly because I discovered that Jan, the Burns nurse from the hospital, is the champion driver!!! But heavy rain was enough to convince me that I didn’t want to go stand outside in the mud watching some cars, and I stayed home instead…I'll just have to go when the season starts up again at the end of the year.

Sunday 4 March 2012

Travelling to Tiwi

It has been a busy week or two up here, mainly with work, but also with more visitors. Last weekend my good friend Anna and her new husband Brad came up to Darwin for the weekend, While I was very upset I couldn’t spend more time with them it really cheered me up to see them. I love visitors! I think after a month up here I am starting to get a little homesick so familiar faces cheer me up no end (hint, hint people!)

We had a lovely Saturday night out at Fanny Bar trailer boat club – cue in another fabulous sunset.


We then had dinner out at Cullen Bay. Ever since I got here they’ve been showing ads for the greek restaurant down there on TV. The guy who runs it walks around in ,what I can only assume is, a traditional greek hat. Thankfully he was not wearing it last Saturday night. It was quite busy when we got down there but after promising to find us a table outside in a packed restaurant, he actually delivered. Within 10 minutes. I will have to try and get down there in the day cos the boats in the bay look amazing – almost like Newie. Dinner was lovely, as were the cocktails so I was quite impressed in general.

Fi and I also had a nice brunch on Sunday in town. Despite picking out several good places to try we ended up at none of them (apparently lots of cafes in Darwin are not open on weekends, WTF?). We picked the one that had lots of cyclists – always a good sign – and the food was nice. But not amazing. The search continues…

We were quite amused by the NT news headline though…





Turns out that a rope holding a pic of KRudd and a pic of Julia was put out over a river and the psychic croc jumped up and ate Julia. Who would have thought the pyshic croc would have got it right? I’m busy thinking of other things we can get psychic croc to tell us.


The other exciting event last weekend was my impetuous purchase of a new Nespresso machine. Which means I can now enjoy coffee at home ALL THE TIME with no effort required. Sigh. Mr Blue is now my best friend. 



On Thursday I headed over to the Tiwi Islands to do a Surgical clinic for one of the surgeons away at the moment. I was quite excited by the trip – although the 6am wake-up call and the fight for a taxi to the airport did not start the day off right!

The Tiwi Islands comprise of Melville Island and Bathurst Island and lie about 80km north of Darwin in the Arafura Sea. The two islands have a combined population of about 2500 people and Meville Island is apparently Australia’s second largest island (after Tassie) while Bathurst Island only ranks 5th on the list. 90% of the population of the islands are indigenous. Most people live in Nguiu on Bathurst Island, which has a population of about 1500 but there also communities of around 500 people each on Melville Island.

The flight from Darwin to Nguiu runs 3 times a day and the plane seats either 6 or 16 people. Luckily I got the 16 seater plane (I’m not so good on super small planes) particularly cos we got quite a lot of turbulence on the way over. Its only a half hour flight and  unfortunately we had quite a bit of cloud cover so I didn’t get any pics. But here is a promotional picture of Nguiu....and thats kind of exactly what it looks like.


Nguiu itself is only a few streets square with the health centre right in the middle. The health centre is relatively large with a ‘women’s side’ and ‘men’s side’. While I was there doing my clinic there was also a dental clinic, a chronic health clinic, a psychiatry clinic and a nurses clinic for wounds so things were quite busy. The centre gets people from around the town to volunteer as drivers and each day they go out to get the patients that have appointments at the clinic. Lists of people who have appointments the next day are put up at the local shop so everyone knows who's meant to go in.

The centre is staffed permanently by a number of local nurses as well as a caucasian GP couple, Dr and Dr Bowman. The Bowmans have been in town for almost 4 years and work hard. They were very welcoming, showed me around and had me over for lunch as well. One of the other people on the plane over with me was a young medical student from Wales. She has come over to Australia for 4 weeks to do an elective and is spending all that time in Nguiu. While I enjoyed my day there I did feel a little sorry for her. She seemed very overwhelmed by the whole place and I think after 4 weeks in that tiny community I would go a little bit mental!

My clinic was fairly uneventful. Out of the 20 scheduled patients, 14 tutned up – which is apparently a good turnout. I got to meet quite a few of my patient Ali’s family. Ali is the sister-girl from Nguiu in hospital after a car accident and I got to catch up with her aunt, brother and father. I also met Crystal, the head sister-girl, who gave me a copy of the DVD of the ABC documentary on the sister-girls. Rebecca, the OT at work, and I have been trying to get a copy for about two weeks so I was very excited by that.
The waiting room at the clinic (well kinda) - its really just the view out the window at the pouring rain


While 14 patients sounds like nothing I found the day quite tiring and it was a bit of a rush to get everyone who needed to go from the clinic to the plane on time. Fortunately by the time we got to the airfield we discovered the 2pm flight hadn’t even left yet cos of the intermittent rain so we had plenty of time. I am heading back to Nguiu in another two weeks to help with a trauma course so I feel like an expert at the flight already. Theres also a Tiwi football game coming up which would be nice to head over for…

Work has been otherwise very busy but we’ve had some interesting cases in this last week. In general the vast majority of our emergency work is made up with burns and lacerations – from car accidents, or bike accidents, or fights….Chuck in an occasional appendix and that’s pretty much what I’ve been doing every day for the last few weeks. Its amazing how many people manage to get themselves burnt in Darwin!

A sad case this week however was a young girl flown in via Gove after a box jellyfish bite. It sounds like she reacted badly to the bite – arresting twice on the way in – but then made it in to our theatre after an injury to her femoral artery. She’s going to have a tough road back home.

She was followed into the theatre by the guy bitten by a lioness. He’s apparently a gardener at the Crocodile park and tried to pat the lioness. I can only imagine he had good reason to do so! While he will keep his arm his tattoos are ruined – I suspect that will upset him more than anything.

Last night Fiona and I ventured into town to get some culture in our lives. With our planned fishing trip abandoned due to too many other people working, we bought tickets to the Darwin Symphony Orchestra. Tickets came with dinner at Hanaman, the best restaurant in town! It still spins me out that I can drive into the centre of town at prime-time on a Saturday night and get a park right outside exactly where I want to be. We had a pre-set menu at Hanaman and things were busy but the food was really nice.

The concert was packed out and quite a nice night. I think Fi and I did notice quite early that we had been spoiled by the Sydney Symphony Orchestra in our expectations. The concert was a series of music inspired by Shakespeare – Romeo and Juliet by Prokofiev, Music for Shakespeare by Green and Symphonic Dances by Bernstein. My highlight was the original piece written by one of the cellists called Fourteen Lines. She had set 7 of shakespeares sonnets to music and it was actually really lovely. The conductor was very personable and the orchestra seems to have a variety of concerts throughout this year so I might have to stop in and see them again.