Melbourne’s Daughter

Deep with the first dead lies London’s daughter

(Dylan Thomas)
The newspaper article was short, buried at the bottom of an inner page: Man Sought in Child Death was the headline. Ambulance officers were called to attend an infant who was not breathing. They found injuries described as Non Accidental. They detected a feathery heartbeat and commenced resuscitation and brought the baby to hospital.
Following further treatment the baby underwent scans of the brain. These demonstrated Injury Incompatible with Life. Police wished to interview a man in connection with the matter. 
Nearly forty years ago I became intimately familiar with that hospital. At the age of fifteen months our youngest child was treated there for Aplastic Anaemia. I had learned enough of this invariably fatal disease at medical school to dread it. Over three miraculous days and three intense nights nurses and doctors worked on our infant as if she were their own. Three days following her admission our baby was home again, her condition in spontaneous remission. It never recurred.
I witnessed at that time what a friend describes as the operation of ‘an edge’. He says a hospital like that is a line where the worst and the best meet and rub up against each other. The worst, he suggests, is the suffering or death or loss of a child; the best is the application of skill and care and discipline in opposing the worst. The line where the best strains against the worst is a hospital like this one. My friend describes this as ‘OUR best’. By extension the loss or suffering of the child is OUR worst. I mean we are all implicated.

 
What must we learn from those pregnant expressions: ‘Non Accidental Injury’ and ‘Injury Incompatible with Life’? Horribly intrigued I sought more news in the next day’s paper. I found nothing. For the first time in my life I went to the news on-line. I googled ‘non-accidental injury to baby’. Straight away I was sorry I had done so. Case after case, headline after headline, BABY AFTER BABY, the web told of the slaughter of our very young in Australia. RecoiIing, I quickly ungoogled. A phrase from the biblical book of Numbers came to me – ‘a land that devours its children.’
Another friend is a senior doctor at that same hospital. He is the person with whom the buck stops, it is he who has to confront the adults in whose watch a non-accidental injury has taken place. Too often the x-rays show the many non-accidental fractures that have healed or half-healed or never healed in a baby’s short tenure. He sees the scans that show the brain bruised and bleeding from multiple sites. Calmly, civilly, he must direct questions to the adults. He says, ‘Your baby has been injured in ways that cannot occur by accident. Can you explain the injury to me?’ The adult partnership fissures along one of many fault lines, the truth emerges. And the truth is braided of many rotten strands. The perpetrator – sometimes more than one perpetrator – is almost never the simple monster we like to imagine. The perpetrator too often had himself been monstered – his life fractured, his brain contused by one evil or by another or by many.
I read, over the days that followed, a scattering of further details, most of them horrible beyond my imagining. And finally, this: the injuries being incompatible with life, the parent of the child had agreed the doctors should turn off the machines. But before that, she donated the baby’s organs. Injuries incompatible abruptly became compatible with saving half a dozen young lives.

 
I described babies who are killed as OUR babies. I felt, as I read Helen Garner’s, ‘This House of Grief’ that the three murdered boys were in a real sense Garner’s children, they were mine, they were all our children. And in my moments of google horror I felt the same shock of personal responsibility.

In the small South Australian town of Penola people built and tend a park to remember their babies lost.

Dread

The child’s body dropped like a stone from the platform to the track. One moment a boy stood securely on the platform, the next he was a flash of movement downward, vertically, feet first from the platform. No cry, no sound, just a flash of grey school shorts and white school shirt. Standing on the platform a moment earlier he looked small, perhaps a first grader. I did not know him.Now he was an absence, a silence.

 

I peered downward and could not sight him. I leaned out , far forward, near to my own tipping point. I saw an unsuspected shelf beneath the platform – small enough for a small body, too small for mine. Perhaps the train would miss him, pass him by. Who knew?

 

The moment after he dropped extended horribly forward into Time. I did not know when the train would come. I was the nearest adult. It would have to be me.

 

I awakened with a small cry. I sat up in the dark and shook my head, shaking away the image of a small body in a new uniform, passing from safety into the plain where I must step forward. I and only I. The dread lingered long after the unreality – there is no boy; there is no hazard – settled in my mind.

 

The dread lingered. I think it was not the dread of my dreadful death, but the dread I would delay too long.

 

 

***

 

 

What triggered this unearthly vision before the rapid movement of my eyes? Two days earlier I rode my bike home from work. As I pedalled hard past the boys’ school a small body in a white shirt exited a gate just before my flashing wheels. I jammed on the back brake and the front. The hurtling bike stood on its end and stopped. I did not. I fell at the feet of the boy like a stone. He stood, shocked as he regarded the body of an aged man lying at his feet.

A Message of Love Smuggled into a Suitcase

We live in a world in pain. In that world dark deeds, harsh words, inhumane policies are normal. God is conscripted and deformed in every form of violence. Truth is lost, our planet poisoned.
Seeing all this, hearing it, feeling it,a person might surrender and despair.
Then life sends a message.
This is the message that came to me today.

  
Miles spent two weeks pocket money on this gift for his mother.

Two Writers Wrote My Novel

One of the two, a good bloke, would get up too early in the morning, charge himself with caffeine, and – sparking with imagination and creative drive – write passages of prose that really excited me. I liked that bloke. The second, born on the same day as the first, was much older. A sour individual, crepuscular and nocturnal in habit, he’d cast a jaundiced eye over the other bloke’s matutinal erections and scorn them into impotence. He’s scratch out every virtuoso phrase, he’d cut through digression and elaboration. Mean as catshit, he believed less was more, and least was most. I found him unpleasantly convincing. I hated the bastard.

Both antagonists worked on Carrots and Jaffas from start to finish. They managed to draw out a six-month project to four and a half years. By the time the book was printed I was nearing sixty-eight and I resolved I was done with the novel: how many more fifty-four month projects did I have left? Bugger the novel, I decided. I’d read them still, I just wouldn’t write any more.

Three months later I had finished my second novel. Titled “A Threefold Cord”, it is a novel for shared reading between an adult and a child of eight to twelve. And it is a cracker. The book comprises sixty-seven chapters of action, suspense, hilarity, and the unremitting contest between good and evil. In addition there is sufficient reference to bodily functions to delight and liberate a well brought up child.

As the book raced towards Chapter Sixty I informed my oldest grandson I would end it after the sixty-seventh. “Why, Saba?”
“Because I am sixty-seven.”
“But what if it’s not finished?”
“Doesn’t matter. I’ll just stop.”
“But you can’t!”
“Yes I can. I’m the boss of this book.”
“But…” The notion of such a summary ending outraged him.
I relented: “I might just start a second book where this one finishes…”
Grandson’s 10-year old face blazed with a happy prospect: “Wow! A series!”
Where were the antagonists of “Carrots and Jaffas” during the writing of “Cord”? I sacked them. I simply wrote for my five oldest grandchildren, aged eight to ten years. No virtuoso passages, no miserly pinching, “Cord” was a conversation with five kids who knew my voice, five kids whose tastes I knew: tastes I had helped to create.
My older daughter, a combined Regan and Goneril in her criticism towards my writerly Lear, assures me no child will tolerate a book with such a title as dull as “A Threefold Cord”.

I know she is wrong. Grade Four at a primary school near Shepparton served as unwitting testers when their teacher resolved to read aloud a daily chapter. Ordinarily, she informs me, the wrigglers would wriggle, the whisperers would whisper and the autists would be up and away. But when she read a Threefold Cord all sat, transfixed. The teacher got through five chapters on the first day.
Since then the children and grandchildren of selected Australian literary figures have read Cord and approved it mightily. From time to time over coming weeks I’ll post the odd sample chapter and you’ll see I am right: “A Threefold Cord” is, as I remarked earlier, a cracker.

At Prayer

The pale wintry sun descends and I recite my everyday afternoon prayer. Watching me, my eight year old grandson moves to sit on my knee. “What are you praying for, Saba?”
The enquiry jolts me to consciousness. If he’s asking, what’s your purpose in praying? – it’s a good question.
I fancy he’s asking, what are you praying for – in particular?
Still a good question.

He sits on my knee, this fleaweight who holds me captive. He forces me to interrogate the ritualized murmurings that issue half-bid, half-conscious. I translate for him:
The eyes of all look to You for good news,
And You give them their bread in good time.
You open up Your hand – here I open my closed hand, enacting the gifting of food –
And You satisfy the want of all that lives

I want the child to share my sense of wonder, of providence, however unevenly it might fall.
Grandson takes my face in his hands, brings his face close. Closer. His lips touch mine. He holds my face a little longer.
I contemplate Dickenson’s telegrammatic:
Prayer is the little implement
Through which Men reach
Where Presence—is denied them.
They fling their Speech
By means of it—in God’s Ear—

Grandson is in no rush to return to Lego and the other urgencies of his life. He sits while I entertain Tennyson:
More things are wrought by prayer than this world dreams of.

What does Saba pray for? He prays because he can, because he needs to.
Another kiss and grandson descends. Thank you Saba.

I am left to wonder whether a grandchild might be the answer to the prayer I sent to God’s Ear and never knew it.

Book Alert

a long time ago i tutored a group of medical students at melbourne university

one of these was dominic wilkinson

dominic was an unusual student, interested in ethics, coffee, dumb animals and conversation

he was built like a greyhound*, played violin in an orchestra, created, directed and acted in commercial theatre, pedalled a bike everywhere, ran marathons, ate no food that had a mother and eschewed leather shoes

he read widely, had a quirky sense of humour and was far too bright to be a doctor.

straight away i recognized dominic as a fellow dilettant

i knew he would find no time to study for exams and that he would fail

and go on to some more creative field

i was nearly correct: dominic passed his exams, graduating at the head 9780199669431of his elite class

he trained in paediatrics (too easy), ethics (too simple), philosophy

( that gives makes my brain ache)

he won a rare and prized scholarship to oxford where he conquered,

returning to oz with more degrees than a thermometer

five minutes later he is a professor in adelaide and has written this book

i was right: i KNEW he’d turn his mind to something creative

if you have a a baby, plan to make one or ever were one, buy dominic’s book

or even if you just enjoy sex, because you never know…

howard goldenberg

*an expression of one of my patients: “like a greyhound – all dick and ribs”

Now for the official blurb:

In ancient Rome parents would consult the priestess Carmentis shortly after birth to obtain prophecies of the future of their newborn infant. Today, parents and doctors of critically ill children consult a different oracle. Neuroimaging provides a vision of the child’s future, particularly of the nature and severity of any disability. Based on the results of brain scans and other tests doctors and parents face heart-breaking decisions about whether or not to continue intensive treatment or to allow the child to die.

Paediatrician and ethicist Dominic Wilkinson looks at the profound and contentious ethical issues facing those who work in intensive care caring for critically ill children and infants. When should infants or children be allowed to die? How accurate are predictions of future quality of life? How much say should parents have in these decisions? How should they deal with uncertainty about the future? He combines philosophy, medicine and science to shed light on current and future dilemmas.”

Death or Disability? The Carmentis Machine and decision-making for critically ill children is published by Oxford University Press. It is now available via the OUP website on the link above, or via Amazon UKFranceCanadaUS (released in March) or Book Depository (free postage)