Tag Archives: hope

A Friend Wrote a Poem

By Posted in Life, Opinion, Poetry, Work by Others, writing Tagged , , , , , , 3 Comments

He called it Outback Dreaming. The poet recalled a visit he made to the remote outback community of Wadeye, where I was working. The visit happened in 2012.

The poet is an escaped rabbi (escaped in the sense that he has escaped the bullpit of the pulpit and now works in community welfare). His name is Ralph Genende.

Every year Glen Eira libraries conduct the My Brother Jack awards. My friend’s poem won First Prize in poetry. Rabbi Ralph previously won this prize ten years ago, the year of his visit to Wadeye. He says ‘this poem…born in the harshness…of an Aboriginal community is about the despair and the consolation of hope.’

Moving into the interior the tall grasses

wave me to a river

and there suddenly silently I awaken to a waterfall 

small and gentle it hovers in the drifting sunlight there are moments

when peace petals into our troubled lives

leaving little blossoms

in our slumbering selves tiny messengers

from the outback

memories of a distant star reminders of a faraway birth.

Ralph writes, ‘I believe in the power of poetry to refine our lives, to bring a different lens to our wounded world.’

What Does it all Mean? – IV

By Posted in death, Faith, Life, Love, Medical Tagged , , , , , , , , , 1 Comment

Warm Skin and Broad Shoulders

For my first twenty years in general practice, I worked in partnership with a famous man who happened also to be a great man. I’d heard of him before we met. His name was Donald Cordner, famed as the sole doctor ever to win a Brownlow Medal in Australian football. I learned you win the Brownlow for being the fairest and best player. Those two adjectives epitomise the man.

Donald happened to be, in his time, the tallest player in the League. Together with that height he was broad in proportion. On my first morning with him, Donald performed a tonsillectomy on a child of eight. Disdaining a trolley, he hoisted the patient in his arms and carried her to the Operating Theatre before surgery, then carried her back to the ward afterward. Donald personified two valuable characteristics in a doctor – the personal touch and broad shoulders.

At about five feet and seven inches I could only look up to this very tall man. My initial awe gave way quickly to admiration, for I saw in Donald a quality I’d seen at close quarters through the previous twenty-six years as the son of another GP. That quality was the courage to feel the pain of another, to share it willingly, to shoulder it and to carry on with calm. 

I saw Dad and Donald as they brought life into the world and as, inevitably, they walked closely with others to their final exit. They did this kindly and bravely. Every birth builds us, every death diminishes us. John Donne was right:

Therefore send not to know

For whom the bell tolls,

It tolls for thee.

Seated in close consultation with a young mother one morning in the village of Diamond Creek, I was interrupted by the insistent ringing of the telephone: Would I come urgently to the Treatment Room?

For the next thirty minutes Donald and I worked frantically to revive a six-month old baby who hadn’t cried that morning. Her anxious mother found her child inert, unresponsive, not breathing. We tried all we knew but the baby would not breathe. All through this time the mother stood at our side, fully, dreadfully aware. Through it all, the baby felt warm to my touch. That warmth was to haunt me.

I returned to my patient and took up our earlier conversation: Jen, how did you feel when he spoke to you…

My patient cut across me: Howard, you’ve just been attending to something terrible in the other room. You can’t just walk back in here and carry on as if nothing has happened. You have to give yourself some time.

Jen (not her real name) was right. Nobody had ever suggested a doctor too might need care. 

Over the following twenty years the bereaved mother brought her surviving children to Donald and me. We shared our unbearable, unspoken knowledge.

Another young mother, Julie, became my patient around that time. Over the next decade I delivered her babies and looked after her children. I tried to help her when she became depressed following her final childbirth, and again when she came to me for help through her divorce. Julie was a dynamo whose many ailments frequently led to surgery, and few of her numerous operations went smoothly.

Julie saw in me capacities that I could not recognise. When she brought a problem to me she did so with inordinate trust in my powers. Howard would know. That trust must have generated the power she imagined. She demanded I become a better doctor, and her faith or some species of love brought that doctor into being. 

When I left Diamond Creek she followed me to the city, travelling an hour each way to see me for her many incurable conditions. When Julie moved to a  more distant country town the trip to see her trusted doctor took two hours each way. Her ailments were many and her visits not few. She’d seek my counsel in her wilful mother’s decline. She shared the joy of new grandchildren. Her bones began to crumble and she looked to me for guidance about the medication that should strengthen bone, but weren’t there cases where the jaw would abruptly crack?

When aged about sixty, Julie developed intractable abdominal pain. Specialists failed to find the cause and I struggled to relieve her pain. Through all of this Julie looked to me with that unwavering trust.

Belatedly we found the small malignancy that was the cause of Julie’s pain. Cure by surgery was not possible. Supported by her brave husband, Julie endured the full ordeal of chemotherapy. To the end Julie chased a cure: she would not give up her precious life. To the end she trusted her old doctor. I was humbled by her faith.

Julie died.

Over fifty-one years I’ve seen death undo so many. Not all deaths were tragic, some were a release. Inevitably, though, some die in cruel suffering. I remember Robbie (not his name), a tender soul, a deeply spiritual man who’d survived a harsh childhood, and who emerged with a love that overflowed. Robbie and I shared a love of literature. He’d hunt out books he knew I’d enjoy and gift them to me, inscribing every volume with a message full of feeling. To this day I’ll pick up an old postcard, a cherished book suffering neglect, and instantly, Robbie’s handwriting, the curved lettering, bring him back; his love visible in ink.

One day I rode with Robbie as he drove his teenage kids to school. He kissed his daughter as she left the car, then he kissed his blushing son. As I followed, rather than allow me to feel neglected, Robbie kissed me too.

Robbie worked in Student Services at a university, later as a chaplain in ICU at a major hospital. He would see forty percent of his patients die.

Robbie knew his own heart would eventually fail. Numerous surgeons had opened his heart and repaired or replaced valves, not all successfully. Robbie’s cardiologist assured him his passing would be smoothed: he would not suffer. This GP reinforced this advice. Robbie and his devoted wife trusted our words.

When his time came, Robbie exited life in a prolonged and desperate struggle for breath. He died at home with his wife at his side. Years later Robbie’s widow – herself my beloved friend – continues to suffer grief born of betrayal.

In the end that must come, all we doctors can offer our patients is our warm skin and our broad shoulders.

On the eve of Rosh Hashana

By Posted in Faith, Life, Opinion Tagged , , , , , , , , 1 Comment

A year has passed – what have we learned?

We had more than we needed

We could get by with less

We need things less than we believed; we need people more than we realised

Compassion

The reality of mental ill health, its ubiquity

A year has passed – what have we lost?

Money mainly;

time with loved ones;

the pleasures of socialising; leisurely time in coffee shops

Many  – too many – have lost jobs

Too many have lost loved ones

Almost all of us have had to borrow from our future

For boomers of my generation it’s the end of the free ride, it’s a long farewell to our plans for retirement

A year has passed – what have we gained?

A guilty sense of responsibility for a planet despoiled

Humility as we saw so many so much worse off

Appreciation of the good we had

Understanding without judgement

Neighbours – they were there all the time and we never knew them 

We know our loved ones better.

Desiderata – we have learned we can go slowly amid noise and haste 

Can we be better?

Robert Hillman’s Review of Carrots and Jaffas

By Posted in Books, Carrots and Jaffas, Faith, First Australians, Howard's published work, Literature, My Father's Compass, Raft, Reviews Tagged , , , , , , , , , , , , , , 2 Comments

Identical, red-haired twin boys are born to Luisa and Bernard Wanklyn, who live in Melbourne. The year is somewhere in the fairly recent past. Since we’re in Australia, the twins are naturally nicknamed Carrots and Jaffas, the only alternatives being Bluey and Ranga. Luisa, the mother, is a native of Argentina; Bernard was born in Australia. When the boys reach the age of ten, Wilberforce Reynolds, an addled one-time addict, makes an attempt to steal them from their parents. There’s a bleak irony there – ‘William Wilberforce’ and ‘Henry Reynolds’ being the names of emancipators. Indeed, Wilbur Reynolds is acting out of a grotesquely misconceived impulse to redeem a life of ratbag behaviour by making a gift of the two boys to Greta, an Indigenous woman of the Flinders Ranges who played a role in raising white Wilbur many years past. Greta’s own two sons had been taken from her in the 1950s by men with the legal authority to do so. The two red-haired boys will compensate her, so Wilbur hopes. But Wilbur manages to steal only one of the boys, Jaffas. The agony of Jaffa’s parents is matched in its intensity by the agony of the twins, each left yearning for the touch of the other.

The impression the reader will be left with after a quick reading of Howard’s novel is of a drama constructed around an appalling crime and its widening repercussions. Hearts are torn out, and in the broader community, people who hear of the abduction on the news put a hand to the head and murmur: “Dear God!” But the story told here is far more thoughtful, far more involving than that. As it was bound to be. This is Howard Goldenberg’s first novel, but two works of non-fiction precede it, “My Father’s Compass”, a memoir of Myer Goldenberg, Howard’s dad, and “Raft”, a book that records Howard’s engagement as a doctor with Indigenous Australians in remote communities all over the continent. Each of these earlier books is distinguished by the vernacular philosophy of a thriving intellect, and by a quality of observation that yields one poetic insight after another. If we speak of intensity of feeling, insight and quality of enquiry, Carrots and Jaffas is of a piece with those earlier works.

The broad strategy of the novel, in my reading, is to allow the story to unfold through five movements – Birth, Growth, Catastrophe, Healing, Reunion. With this strategy in place, Howard gives himself the liberty to riff on the themes that brace his story: the binding force of love; the rigour of grief; the perseverance of hope; the will and the wherewithal to imagine the life we hope for, and especially, what we expose ourselves to when another human being becomes more crucial in our vital life than our own wellbeing. (We might think of Bacon’s Hostages to Fortune lines: “He who hath a wife and children hath given hostages to fortune” but we should cheer Bacon up a little and subvert his meaning by saying: “Anyone who loves has given hostages to fortune.”)

Out of these themes emerge the book’s two arguments. The first establishes the enigma of individuality, taking in the sources and purpose of human individuality, and the second demonstrates the stubborn persistence of those forces in the world that oppose evil.

Let me return to love, the great emphasis in everything that Howard writes. Here is the mother of the twins experiencing the growth of love for her newly born, prematurely born children:
Luisa laughed the laughter of tenderness and body fluids, of manic collapse, of sleepless necessity.
On an impulse, or in forgetfulness or in simple exhaustion of thought, Luisa picked up both babies at once…offered each baby a breast. Both sucked….two small heads swiveled and searched, bony limbs extended, antennae into the void. One arm, flung outwards, came to rest on a brother’s shoulder. Gazes locked, spines unarched, mouths resumed sucking, smoothly, to satiety.

This conveys the growth of love of a mother for her children, and also the dependence of each twin on the other. Carrots and Jaffas cannot satisfy themselves individually; both must be satisfied together.

Later, Bernard, the father, in his quest to grasp what being the father of two children who can barely be differentiated involves, quotes from a poem on the subject of identical twins:

“The twins retain/intimate knowledge of each other,/ Theirs alone-/Of mind and body and being –/a knowledge preceding speech,/Transcending speech: Knowledge subtle as song,/Deep as the womb,/Pure as echo./Identical twins: One? Two? One?”

I wrote an endorsement for Carrots and Jaffas before its publication, and said this, amongst other things: “Howard Goldenberg’s story of identical twins, violently parted at the age of ten, reveals the hunger that dwells in all of us to stand distinct in the gaze of God.” To achieve that distinction in the gaze of God is our human struggle; to demonstrate that we cannot be packed by the gross; that we are marked with an individuality that honours, in its way, the teeming variety of life in the world. Think of Hopkins poem, “Pied Beauty” in which God delights in “All things counter, original, spare, strange…”But for Carrots and Jaffas, that struggle for originality is over at birth, or even at conception. The gaze of God is the gaze of the identical twin. The suggestion of Howard’s book is that the mystique of the identical twin is closely related to the mystery of divinity in our lives. We are unlikely ever to know what the identical twin knows, and unlikely ever to know what God knows. But one thing we can know is this: God is Himself, Herself an identical twin.

Wilberforce Reynolds parts Carrots and Jaffas. He hadn’t meant to. He had intended to steal both boys. It is a feature of acts of violence that they often do even greater harm that the perpetrator intended. Wilbur’s hope is that he will win the approval of a woman, Greta, who suffered the theft of her own two boys. In Archie Roach’s haunting song, “Took the Children Away”, Archie says: “You took the children away, The children away. Breaking their mother’s heart, Tearing us all apart, Took them away.” Those who took away Indigenous children decades ago knew that they were causing grief, but felt that a greater good justified the harm. And this is also Wilbur’s rationalisation.

My head will be right, doing this good thing…it’s the right thing to do, to bring kids, to steal them and replace kids stolen from blackfellers.

Howard makes very clear that Wilbur’s failure of imagination re-enacts the failure of imagination of those who had conceived the scheme of parting Indigenous parents from their children so much earlier. Jaffas, after his abduction, cries out in his anguish: “Run! Run back to Carrots! Run!” and we think of Leah Purcell’s song, ‘Run, Daisy, Run!’

Jaffas finds himself in the care of Greta and the white Doctor Burns up in the Flinders Ranges, the oldest place on earth. The creation of each of these characters are amongst the finest accomplishments of the novel. This Healing movement of the book sees Greta revealing to the traumatised Jaffas stories of the land, of her country, while the Doc contributes tales of scientific discoveries, of Indigenous distress, of the land as understood by a white man. Neither the Doc nor Greta know the true story of Jaffas abduction; Wilbur had spun a plausible tale to explain why he was leaving the boy with Greta. The Doc begins to suspect that Wilbur’s story is rubbish, and he wonders whether Wilbur’s real motivation has something to do with Greta’s past. He asks her, one day, about that past:

My boys, they take my two boys. Never come back. I reckon they big fellas now, fathers. Maybe grandfather. I never see them. Maybe they die, maybe they just lost….That what happen. That what they do. Steal ‘em…

But back at Jaffas home, his brother is tearing himself apart with grief, while his mother, Luisa, torments herself with stories of the unspeakable things done to other abducted twins by a certain Doctor Mengele during the Second World War. The strong suggestion is that Luisa, herself a one-time victim of hideous violence under the Junta in Argentina, will go mad if she is never to see Jaffas again. I spoke earlier of those forces in the world that oppose evil, and of their power. While Luisa is losing her mind, guarding her remaining son with a maniacal determination, Greta and the Doc are painstakingly rebuilding hope in the abducted Jaffas, mending, healing. In the oldest region of the earth, the aged (and Doc Burns is no longer a young man, nor Greta a young woman) dispense hope and love to the young.

Howard Goldenberg’s novel brims with suggestion, as a novel should. And the suggestion I want to make a big deal out of is this: that love, human love, is the finest accomplishment of the imagination. Maybe it is too easy to use a word like ‘evil’ and expect that everyone agrees about what evil is. But we do know what ‘wrong’ is. It is wrong to snatch a child from the street and drive away on some mongrel errand. It is wrong to wrench children in their thousands from the embrace of their parents on some state-sponsored mongrel errand of larger scale. It is wrong to gather people in their millions into camps, reduce their existence to wretchedness, then murder them. To do wrong requires no imagination at all; merely malice or egocentricity. To do good requires imagination. The Doc and Greta imagine the path to recovery that Jaffas might follow, then urge him along it. Their imagination stands in strong distinction to Wilbur’s crude lack of imagination.

Howard Goldenberg’s book is itself the product of a fine, creative imagination, and of a big heart. Like all such works of literary art, Carrots and Jaffas adds a welcome something to our chances in the world.
Robert Hillman is the renowned author of sixty books, including “The Rugmaker of Mazr a Sharif ” (Wild Dingo Press). His most recent works are the celebrated novel, “Joyful” (Text, 2014), and a young adult novel, “Malini” (Allen and Unwin, 2014)

Robert launched Carrots and Jaffas at the Melbourne Writers Festival in August 2014 with his speech above. 

Phone Calls from my Dead Brother

By Posted in Childhood, Family, Life, Medical Tagged , , , , , , , , , 8 Comments

My brother Dennis

My brother Dennis

This evening and tomorrow the family will mark the seventh anniversary of the dying of my firstborn brother Dennis. We’ll light candles and congregations will join us in remembering him.

Two weeks before he died Dennis underwent elective surgery. I wondered if the surgery was wise. Dennis, whose life’s creed was hope, assured me: ”Doff, this operation can eventually cure diabetes. It will transform my life.”
We spoke daily on the phone – he from his hospital bed, I from a hellhole town in the deep Kimberley. Day by day Dennis seemed to be doing well. But on day four he told me: ”I’m OK but my belly hurts”. A belly ache bad enough for stoical Dennis to mention was bad enough to alarm me.

Day five, no phone call. That day the pain was worse. Dennis collapsed, his circulation failing as his abdomen filled with blood and stomach acid leaking from his wounds.
At his bedside in Intensive Care the following day we counted the tubes entering and departing Dennis’ comatose form. One into his windpipe to make him breathe; a second into a great vessel to deliver information; a third to bypass his kidneys which had failed; a fourth to drain his bladder; a fifth and sixth into peripheral vessels to deliver fluids and the hero molecules that just might save him.
The greater the number of tubes in a patient’s body, they told us, the lower the chance he would leave ICU alive.
I sat at his bedside and I watched my brother. Behind the clicks and gusts of his life machines swelled the sounds of classical music. Annette, his loving sister-in-law, thought to play that music, those patterned sounds that ever soothed his troubled breast.
I sat there and watched as nurses, tender or tough, kept my brother alive. The tough ones, resentful of something – were we too many, was this medical brother too medical, that sister too exacting, that aged mother too accepting? – made me feel small, in need again of a big brother.

Dennis turned the corner: blood pressure held firm, sleeping kidneys awoke, fewer molecules were needed. The doctors conferred and announced: “We’ll let him wake up now and breathe on his own.”

Dennis breathed and slept on. We all breathed, went home and slept.
At four in the morning my phone rang. A crepitous, rustling sound, a broken voice in windy gusts: it was Dennis: “Doff, they want to njjhrnnujicxvclbkvn”
“Den, I can’t hear you. Say it again.”
Gales and crackles and Dennis’ voice in fragments: “Doff… inaudible… they…unintelligible…the tube back in.”
“Den, are you saying they advise you to go on the respirator again?”
More gasping, a desparate heaving of voice: “Yes!” More gasping. “Is it a good idea?”
“Den, it’s your best hope. Say yes.”
“Alright Doff.”

That was the final phone call. Dennis and I never spoke again. By the time I reached the hospital Dennis’ coma was renewed, the respirator breathing for him. Soon his circulation collapsed again, the doctors tried heart-lung bypass (“It’s only ever been shown to work in children. It’s your brother’s last hope..”) and on the eve of Shabbat Dennis died.

***

I can speak or write of Dennis dying with a composure that surprises me. Even my fatal advice does not trouble me. Perhaps it was not the dying of my big brother, but his living, that calls to me and troubles my dreams.