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.




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