Once, on a cold day in Melbourne

Someone called the Clinic the other day and left this message: ‘Alexa Rosa wanted to speak to the doctor who treated her mother a long time ago. And she wanted to buy your book.’ Did I know an Alexa Rosa? I thought somehow I should. A scene came back to me: a cold winter’s day in Melbourne, a young family in a front room, a sick mother, her worried husband, their adult daughter.

If this truly was my Alexa, then her story was strong and bright in my recall. I could never forget it. It was the winter of 1971. I had a new marriage, a new licence
to practise medicine outside of the hospital and a brother about to marry
in the United Kingdom. In order to raise the fares to the wedding I moonlighted as a radio locum. A radio locum installed a two-way
radio in his car and travelled, like a taxi driver, to wherever the job
called. On this occasion the call came to the Migrant Hostel in Kororoit Creek Road Altona. My bride, an able map reader, sat at my side and navigated.


Kororoit Creek Road in Atona was a long drive from everywhere else. When we arrived and parked in a vast car park, Annette (the bride) repeated the Controller’s directions, “Building 19, apartment 5.” I stepped outside.
Here, at Melbourne’s western edge, you could see the setting sun
disappearing beneath the horizon and the world darkening.

I didn’t feel happy leaving Annette there in the dark. I looked beyond the carpark toward the distant buildings. Would Annette be any safer in that lowering mass? Annette said, “I’ll be alright here. Just go.” Troubled, I went. How would I find building Nineteen where someone needed a doctor, someone who was suffering from something, possibly something serious? Having now reached the first of the buildings I could see my search was hopeless. The buildings were all great bulky cuboids of concrete. All were unli. And the dark was cold. I wandered and looked for numbers. No number nineteen anywhere, no five. I knocked on a door to enquire. The door opened, I asked, Can you direct me to Flat Five? A hand flew to the heart. The head shook: I not English. I sorry.

I felt sorry too. I turned dully away. Of course no English, everyone here newly arrived, everyone indoors, appalled, like me, by the cold. Movement in the shadow on
my left. I hailed the shadow: Excuse me, do you speak English? The head
shook no, while the face smiled a wide yes. The shadow, a young man,
beckoned, and signed me to follow. I followed. He moved swiftly along cement paths, in and out between buildings, along corridors, until abruptly he stopped in his tracks, pointing and nodding furiously. The shadow knocked on a door, turning to me, smiling. Pointing towards the door, the shadow said, English! The door opened and a voice spoke: Good evening. How can I help you?
Did you send for a doctor?
No.
Is this Apartment Five?
No. This is seven.
Is this Building Nineteen?
No but I’ll take you to Number Five..

This was someone not lost in language nor in space. Feeling found, I followed. A building or two or three later, my guide stopped and knocked on a door. I noted a large numeral 5 next to the doorway and felt almost
hopeful. The door opened and a pretty young woman appeared. Behind her stood a man, older than she; behind him a couple of small children, curious and fearful, clutched at the man’s legs and peeked. The young woman saw my
medical bag. She told me her name and said, Come in Doctor. Thank you for coming. My mother is sick.

Mother lay on a couch. She did not look well. Her daughter explained: We arrived just today from Spain. During the flight Mother started to cough and it was hard for her to breathe. Now she has a fever. We didn’t know how to call a doctor. Thank you for coming.

I examined the lady. I thought I heard altered breathing sounds in one
lung. I bent and listened hard. The air struggled into one side of the chest, it rattled and squeaked.This was bronchopneumonia. Ordinarily a hospital matter, this called for X-RAY, possibly intravenous treatment as an inpatient. How would this lady get to hospital? Would Medicare cover a new arrival? Would the ambulance take her? Was there another way?

I straightened and addressed the  man through his adult daughter. Mother is sick. She has an infection in her chest. She needs strong antibiotic medicine, she might need to go into  hospital. If you wish I can start some treatment here, now. And with luck she will improve quickly.

The daughter translated for her father. The two spoke with the mother, the three nodded. They had decided. The daughter spoke. Thank you doctor, yes, we would like you to treat her. Thank you doctor…we don’t want hospital.  I fished out some  penicillin – no, mother is not allergic – and gave the lady a hefty dose by injection. I wrote out a prescription for oral penicillin to commence the next day. 

Leaving detailed instructions for a range of eventualities I prepared to take my troubled leave. I wished the lady well, I wished the whole family good health in Australia. The daughter reached for a purse. How much do we pay you, Doctor? I did not want payment. A doctor who deserted his sick patient didn’t deserve payment. I said something like, There is no charge. To myself I said, You have paid me, you’ve paid off my guilt. The young woman protested, No Doctor, we must pay you. We don’t know who sent you. How did you know we needed you? I didn’t know. Once again I wished them well and I left, my ears burning with blessings I could not accept.

Back in the car, I found Annette unharmed. I said, I couldn’t find my patient. And I told her the story.

***

It might have been six months later when I was called to the Delivery Suite for the birth of a baby. Birth was not expected for some weeks. Labour was well advanced when they called me and birth was imminent. I needed the mother to help. ‘Push, hard, push! The mother didn’t speak English. A masked figure at her side coached her, translating my words: Big, long push. Push….The mother pushed, her face turning deep red, the veins standing out on her forehead. Stop pushing now! Don’t push! Breathe, breathe…The mother breathed and with each breath the head advanced. The mother breathed her baby into this life, accompanied by fluids, red and clear and mucoid, and followed by the placenta and cries from the baby and crying from the mother. I counted fingers and toes and other parts and placed the baby on the mother’s chest and wished the new family joy. I pulled off my mask and thanked the person whose interpreting had made the birth smoother. I extended a hand, My name’s Howard. We have met, she said, removing her mask. I am Alexa.

***

Alexa explained she had come to visit her friend, now a new mother, in her ward. Abruptly, labour started and accelerated. The hospital discovered there was no-one to interpret for a Spanish speaker so Alexa volunteered. We chatted. She told me her own mother was well, recovery had gone smoothly. She, Alexa, was working as a wardsperson in this hospital. She told me she hoped to study nursing.

I said, I don’t know if you realised I had been called by an entirely different person on the day you arrived from Spain. I never found that person. I never discovered how I fund your Mum. I know, said Alexa. God sent you.

A few weeks later my father told me a new family had started seeing him as their local doctor. They’re from Spain, he said. They tell me you treated the mother for pneumonia.

***

Forty-nine years passed. Locked down, I’m doing Telehealth from home. A message arrived for me, asking me to contact an Alexa whom I had know years before. I rang the number. Alexa speaking, said a voice. The voice sounded Aussie. I told Alexa who I was. She asked, Do you remember us? If you arrived from Spain in 1971, then yes I do. How could I forget? We did. It was 1971. I guess you were about nineteen then. Exactly. So you’re sixty-eight now? Yes. And I did do nursing. I’m still nursing. We talked for a while. Mum is still alive. She’s ninety-three now. Dad only died last year. Do you remember what you said when you left us that night? What did I say? You said, I wish you health and happiness in this country. You blessed us and your words came true. I reminded Alexa of her words to me in the Delivery suite. You said, ‘God sent you.’ That’s right. God did send you. It’s the only explanation. That was the night I became a believer. I found God in the Hostel.

***

In the few days that have passed since Alexa opened the closed door on half a century, I’ve felt excitement and perturbation. I’m excited that Alexa and I will ‘meet’ again, that I’ll ‘see’ my pneumonia patient again, spry and vital; that I’ll meet the children and their father, that I’ll learn their stories. At the same time, some different, powerful feeling operates and unsettles me. It’s the thought of the power of a word, the reverberation of a small act. Alexa sees the hand of the Divine. Does that make me somehow an instrument in a plan? I cannot begin to recognise anything so lofty. I dismiss any idea of some special mission I might have; I find that sort of belief a burden, an embarrassment; it makes me want to run away.

But I’ve been moved to tears thinking how a simple act might lodge in memory, might germinate as a seed, might influence a life; that somehow, quite without intent or thought or awareness, a simple act could take root, help, lift, encourage, perhaps inspire. That thought brings with it a glow, the sense I have done as I know my father did before me – many times – some act of unwitting goodness that lived on afterwards. I’ve felt overcome with a feeling of blessing, perhaps of being a small link in a long chain that might continue on, in lives undreamed…

Mercedes, aged 92 years
Alexa and son