Africans in my Lounge Room

Trudy ushered them in, the two-and-two-thirds doctors from Africa. Tall, beautiful and young, each greeted us in perfect Hebrew: ‘Shabbat Shalom’, a peaceful Sabbath. Three smiles of perfect teeth lit our room on a rainy Saturday afternoon.

First and oldest was Tom, thirteen years a doctor, eight months in Australia on a Bridging Visa. Next came Afia, with 18 months’ experience in Ethiopian hospitals and I don’t know how much time in refugee camps. She too holds a Bridging Visa. Last and youngest was Oprah, the vulgar fraction: she has completed four years of medical studies in the Congo. Her birth country is Rwanda. I did not prosecute her with enquiry about her double expatriation. Like the other two, Oprah subsists in Australia at the pleasure of the government. That means the kindness of Mister Morrison.

All three understand fully they can be evicted from this land of asylum at which ever moment Mr Morrison’s kindness might run out. As none of the three came by leaky boat they have the right to work. If they can get work. Trudy brought the three to us to help them find work. I had invited two august medical friends, superbly connected senior people in their fields.

We sat down and talked. Tom outlined his situation. In his early thirties, married, experienced in hospital medicine and a recognized expert in immunisation in third world countries, he is permitted to work here as a doctor only under supervision. At present this distinguished professional works as a medical menial, washing incontinent bodies in a place for the aged. Tom makes no complaints about the red tape, he is grateful to be here, willing to go anywhere – to the outback, to the western suburbs – he just wants to use his training. Can we help him find work? This expert in immunisation – he is just back from Geneva, where he was summoned by the WHO to a conference – with his rich experience of tropical disease would be a gift to a hospital or a tropical medical school or an immunisation project or in policy in any of our tropical zones.

Afia, aged twenty-seven, came to Australia by invitation, to attend the recent world AIDS conference. She applied for asylum with her husband, a chemical engineer who is also looking for work. They too will go anywhere. Afia wants to be a GP. I pictured our large communities of people from the Horn of Africa with Afia as the needed human bridge of cultural understanding to bring these many to safety. I saw the many Aboriginal communities crying out for GP’s.

Oprah has been here for a few weeks. Trudy has given her shelter. Oprah wants to become a nurse. In this country nursing is university course and monumentally expensive. However asylum seekers can pursue TAFE studies at no cost. Oprah managed four years of a medical degree; nursing will not be beyond her grasp. She’d be able to train as a State Enrolled Nurse at TAFE and from that platform gain employment and support herself while studying at Uni. I work with numerous African nurses, highly appreciated in the outback, where the barriers between the African and the whitefella are as nought compared to the gulfs all must cross in indigenous health.

There was little talk of the revolutions, the wars, the massacres; there was scarce mention of refugee camps; there was no complaint, no sense of entitlement, no pity of self, no cries for the families left behind. None of the three had met the others until Trudy brought them together on Saturday and coached them in the Hebrew greeting on our doorstep. Afia, Oprah, Tom, three islands in this distant country, three shimmering humans simply happy to be here, eager to work, to stand up, to make their way.

Theirs is an old, old Australian story. I saw the Reffo, the New Australian, the Boat Person, the Gold Rusher, the survivor of the Shoah, the Balt on the Snowy Scheme, the student from Tiananmen Square. I saw my wife’s mother, a child fleeing Danzig in 1938, I saw my Grandpa arriving here alone, aged thirteen, a stowaway escaping the Ottoman police in Palestine.

There we sat – three young Africans, three old Australian doctors and one good citizen. An atmosphere quietly joyful, of welcome guests meeting grateful hosts, a current flowing back and forth of appreciative respect. A meeting, in short, of human people.

The next morning my wife and I happened to have three guests for brunch. One of the three, an old friend, works with survivors of torture; the second is a classmate from medical school whom I knew is a shy blonde, now President of the World Psychiatric association; the third is her husband, a distinguished gastroenterologist, now practising in Addiction Medicine. Our refugee advocate friend, his face ravaged, spoke of the horrendous week just past in which the Minister of All Prerogatives (Mister Morrison) sold the freeing of 103 detained children in exchange for numberless others, both adults and children. These others are offshore, in another country, beyond the borders of Australian conscience.

My wife and I told our brunch friends of the Africans in our loungeroom. Five Australians, all thoroughly unexceptional in our impulse, in our wish to help, spoke with eager seriousness of people, places, organisations, of contacts, of opportunities and of need. Nothing new, nothing unusual transpired. Five Old Australians, descended from New Australians, animated by memory and self recognition, each saw ‘mon frère, mon semblable’. I read in Sunday’s paper of the endless tides of Libyans escaping likely death, arriving in Italy where the locals, quite overwhelmed, yet see what our Morrisons and Abbotts and Gillards and Shortens will not: they see the human face and they give the arrivals succour.

In the few days since this human weekend I have tried to reach beyond my customary postures of anger and self-righteousness, to grope for understanding of my hard Government, of my soft Opposition, of my fearful fellow citizens in the electorate. I can only surmise that, somehow, at some time, my representatives and my fellow citizens have lost something they used to see – the image of the self in the face of the other.

An afternoon in the loungeroom with guests like mine might change everything.

All Those Christmases at Once

NEWS BULLETIN, DECEMBER 2010

Christmas Island tragedy: Screams, yells and then they drowned…Devastated Christmas Islanders …witnessed yesterday’s horror…

After three days on Christmas Island it is my turn to take night call as doctor at the Detention Centre. At ten PM I receive a call from Team Leader, the always-smiling Henry. I hear no trace of a smile in his voice: “Security is bringing five men in to the clinic who’ve slashed themselves and another man who tried to hang himself.”

When I arrive in the clinic, all cubicles are full. There are the five men who have cut themselves, and not one, but two, who’ve tried to hang. I don’t know where to look first. I don’t want to look at all.

In the nearest cubicle a man lies flat on his back, his throat livid in the glare of the examination light. He does not move.

I speak, asking his name.

No word, no movement.

I speak loudly into his ear.

Nothing.

I press my index finger tip hard against his sternum, a really unpleasant experience for a person whose body parts retain their connections with the brain. A person with a broken neck loses such connection. The really unpleasant stimulus evokes no response. I press harder: nothing.

I rest the pulps of my fingers against the inside of his wrist. The heart does not dissimulate: it sends a pulse of blood along the man’s radial artery, at a rate of seventy times a minute.

My racing heart slows.

I try not to look too hard at the man’s throat. The damage here is only skin deep. There are more vital sites elsewhere: I check for damage to the neck vertebrae, assess pupils and reflexes and muscle tone. All are reassuring.

Finally the throat – inescapable. It is a horrible thing to see – a human neck skinned at the front. There is little or no bleeding, just a broad scarf of raw red meat, overlying a peeled adam’s apple. It is the neck of a rooster in a slaughterhouse, grotesque, the more so with a good-looking face above it and a normal torso below.

To this delicate bodily junction the detained man applied twisted sheeting, then jumped. There was not sufficient fall to damage neck bones or spinal cord; just enough to skin him.

In the bright light he is a painting, a human still life: on one side his bronze skin sheens; on his shaded parts, it darkens. A stubble bristles on his chin. I return to my patient. His arms, lightly muscled, lie flaccid at his sides. His legs neither move, nor resist movement. I watch his thin torso for rise and fall. A hint of expansion only, unconvincing, inconclusive.

This man is alive. But he does not betray any sign of consciousness. Why?

I look at his file for his SIEV number. The lower the number, the earlier the date of arrival. His is in the low 100’s. He has been waiting here a long time. Tonight was to be the end of his wait.

Now, defeated by life, he is embarrassed to know and be known by us. He lies and he pretends his wish had come true. I can make out a faint snoring sound, very soft, almost inaudible. I think of my wife and the snorer in her bed.

NEWS BULLETIN 24 JULY, 2014:

One woman putting a bag over her head, drinking half a bottle of detergent….using a broken mirror to cut herself…

On their separate couches lie the slashed men. Rising above intact skin, parallel lines of red glisten and coagulate. The lacerations are multiple, situated on left arms and the left side of abdomens.

The sole left-hander has slashed his right shoulder. A dozen narrow ribbons of his skin lie, oozing slightly, a bloody epaulette. There is insufficient width of skin here to accept an anchoring suture. Unsutured, his wounds will heal in time, leaving a grid of ugly scar, an obscure tattoo. All of his cuts are shallow: human meat as sashimi, unrepaired.

One more, one last harmer in this outbreak of harm. The nurse says: “He’s swallowed a razor blade.” A razor blade! I am sixty five years old. I am too young for this horror.

In time, the dressing station is emptied of the skin-wounded. The hanged men will stay here overnight, under observation.

MORE FROM TODAY’S NEWS:

A spokeswoman for Immigration Minister Scott Morrison said “It is longstanding Government practice not to confirm or comment…”

There remains one man, older, silent and red-eyed. I search for the site of his wound. It is too deep to be seen. The weeping man weeps for all he has witnessed, for the sorrow, for his sons.

I look at his face. O, what a grief looks through his eyes. In his crying, his mouth twists in a tragic smile. His old eyes look into mine. Lost for words, I take his hand and sit down beside him. He gazes into my face as if into a mirror. He shakes his head sadly and presses my hand.

Why is he here? His guards were troubled and decided to bring him to the clinic. His grief overwhelmed them, those large phlegmatic men. It is they, the guards, who seek treatment for him: some sedative, some vicarious remedy for the circumambient pain.

Through an interpreter, I offer him a tablet. I tell him it will help him to sleep. Before the interpreter can translate, the old man shows me again that woeful smile. He has no more tears.

He presses my hand.

He says: Ta shakour, ta shakour. Thank you, thank you.

CLOSING TODAY’S NEWS BULLETIN:

…not to comment on individual acts of self-harm.

Now, three years distant from my term on the island, haunted by guilty dreams, I can appreciate the soundness of the minister’s judgement. One must never comment on an individual. The individual is the basic unit of the human. If the minister allowed himself to see, to feel, to know the single pulsing person, he might lose his equanimity, his tight-lipped resolve. If one human saw the plight of another he’d pale, he’d shudder, he’d cry out, he’d tear apart his self-sewn lips.

And then where would we be? The boats mightn’t stay stopped.

At the Hospital for Sick Children

A too large five year old fills a cot whose sides are raised. His limbs move unpredictably and without purpose. He plays with a six-month old’s bright rattle.

His Mum is Ebony, solid and calm, about thirty. She tells me some of the story of Simon, her boy, naming a heritable syndrome of faulty collagen that causes joints and bones to break or dislocate.

 

But Simon’s bigger problem is the stroke that affected him in utero. Ebony felt turbulent convulsive movements in her belly when she was 20 weeks pregnant. Her tummy had swelled excessively, a sign of polyhydramnios, a hint of underlying abnormality in her unborn child. An urgent MRI showed cysts in both sides of the baby’s brain. After Simon was born he suffered seizures. It took two years before the doctors found the right medications to control Simon’s fits.

 

Ebony tells me all this levelly, undramatically, without reflecting on the strain and the burden she bears for this child she loves. Somehow too, she shows me she is not denying that strain; simply this is Simon’s story; she, Ebony, is not the story.

 

Scanning the clinical notes I gather Simon and Ebony live alone. “What about Simon’s Dad, is he part of Simon’s life?” – I wonder.

“Yes. One day a week… he left six months after Simon was born. He said it was too much for him…he’s a social worker.” A smile, not bitter, but of learned knowing.

 

“I started studying Art while Simon was in Respite. My work is showing in Perth at the Biennale. I sold a picture!”

Another smile, this one of delighted pride.

“The man who bought it was a senior man in the government. When he discovered my opposition to our mandatory detention of refugee children he told me he wouldn’t have bought it if he’d known that.”

 

At my request, Ebony pulls out her portable picture gallery, a series of images on her phone. I lack the vocabulary for the power and originality, the life, in these electrifying images.

“I paint on paper in oils.” I can see from her phone how the oils give a vividness to Ebony’s pictures.

She continues: “I said to that government man, ‘You can have your money back if you want to return the picture.’ But he hung on to it.’” Another Ebony grin.

“And Mr. Morrison, the minister in charge of that cruel policy, he wanted one of my images for his Christmas cards. I said, ‘Sure. You can have the image free of charge. Just change your policy first.’ He sacked the man who took that message to him.”

 

I read Ebony my blog piece – “How We Killed Leo”. Ebony gasps when I read of Leo gifting his organs: “I knew Leo. Down Geelong way, we all did. We all loved him. Such a good person. I never knew about his organ donations. And now we’ve lost him.”

 

Two minds in unexpected harmony.

 

We look down at Simon who continues his sporadic horizontal calisthenics. His belly is large, oddly misshapen. As if it were filled with tumours. I ask Ebony some doctor questions. She shakes her head to all my questions until I ask about the boy’s bowel habit. “He hasn’t pooed for a week. Geelong Hospital sent me to the city because they know him here. They’ll do an enema here and then we’ll drive home.”

I make some calculations: nine hours from her door and back. Nine hours of time and waiting and caring. I look at Ebony and she smiles: “It’s a relief. As long as Simon’s alright…”

How we Killed Leo

Leo was an asylum seeker.  Let us put aside that weary term and see what Leo was and how we came to know him. Leo was a Tamil. That means he was born into that minority in Sri Lanka which gave rise to the Tamil Tigers. The Tigers rebelled violently against the Sinhalese majority, earning a reputation for terrorism.
A civil war was conducted over many years, culminating in a government offensive that put down the rebellion and targeted civilians. If I read the story right, both the Tigers and the government were guilty of atrocities.
Leo was a baby when, during the worst of the bombings, his father wrapped him in banana leaves and hid him in the jungle. The family fled to India when Leo was five. He lived there in a miserable camp for twenty years, visiting Sri Lanka once to see family. He was imprisoned and tortured. Why? I don’t know precisely, but the explanation would have to start with the fact he was a Tamil.
Leo became an asylum seeker, a boat person, a “queue jumper”, and made his way to Cocos Islands. After only four months of detention, Leo was resettled near Geelong.
That means the Australian authorities – Customs, Immigration, ASIO – found him to be a non-terrorist. They found that speedily.  Leo was judged not to be a risk to Australia.  He was given a Bridging Visa, which allowed him to work but did not endow him with Permanent Resident status.

We said, “Leo, although you jumped our queue, we are letting you into the country and out into the community. But you are a guest. We can tell you at any time to go back where you came from.”
In the last few weeks Leo learned that a couple of Tamil men with stories similar to his own had been taken back into detention. These two faced the prospect of joining the one thousand Tamils whom we have sent back to Sri Lanka where they face persecution. Leo knew that persecution; he knew it in his tortured mind and in his body.

How did Leo spend his time on the Bellarine Peninsula? He worked two days a week for an asphalting company, cleaning greasy trucks. In his spare time he volunteered in an aged care home, he donated blood, he helped bring aid packages to asylum seekers new to the community, he sent money every month to an orphanage in the refugee camp in India that is still his parents’ home.

Leo became an organ donor. Did he expect to die?
Mister Morrison, our Immigration Minister, declares Leo showed no signs of suicidal intent. We know Mister Morrison, a minister who acts as Ruddock spoke, with icy resolve. Only Morrison doesn’t speak to us much. We might judge from his record his capacity for empathy, for humanity. Our minister said Leo’s death “is a terrible and tragic incident and none of us can know the mind of a person in this situation.”
Here is where I can help the minister. I know the mind of a person in the situation of such parlous existence, endlessly uncertain what his fate will be, of having it determined by the opaque decisions of governments and ministers. I know it by the accident of my unusual experience working among detained people in Christmas Island. I know it too by the not unusual gift of empathy. I know Leo’s death was not an incident – far from incidental – it was our doing and it was in the statistical sense, predictable. We saw that with the Tamil man who burned himself to death a few weeks before Leo.

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