JOURNAL EXTRACT #01

16th of July

I’m currently in Abu Dhabi airport – a place I never really thought I’d be sitting. Not that in my life I didn’t anticipate airport or travelling, the Untied Arab Emirates was just never on that mental list.

It’s thirty-five degrees here, as opposed to the eight degrees I left back in Melbourne. The jacket I cleverly thought to wear rather than pack in an exorbitant waste of precious space is shed and on the chair beside me.

So far the trip has been – and dare I say it and risk jinxing is all – easy. Perhaps this is due to the pendant around my neck given to me by my sister depicting the god Ganesh. A custom’s lady here in Abu Dhabi remarked on it, surprised to see a young, blonde white-boy wearing it. When she queried me with “Ganesh?”, and pointed to it, I confidently replied “Yes, Ganesh. The remover of obstacles,” as if I was the embodiment of all worldly knowledge on the religion of Hindu. I assure you I’m not, and have my sister to thank for this scrap of information that helped me win over the custom’s lady.

I have a cold at the moment, an apparently immutable side-effect of travelling, even when just setting off, it seems. I have been hoarding tissues to get me through the flights – they may be the most important thing in the world to me right now. Luckily for me, and my fellow passengers, I have had the window seat with my last two flights, and could at least turn away when expelling the contents of my nasal cavity.

I am missing my family and friends, but more so due to the knowledge of how long it will be until I see them than from any huge passage of time so far. It has been eighteen hours since I hugged my parents, sister and brother goodbye at the airport.

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On the flight from Melbourne to Sydney I sat next to a couple heading to a national go-karting competition that they were officiating. In another apparently immutable side-effect of travelling, they were from Morwell, and we discussed people who had grown up down the road from me while growing up. From Sydney to Abu Dhabi I sat next to a sweet Italian couple who were heading to Napals for the first time in fifteen years to visit family. After helping Marie find the port for her headphones post her attempts to shove the plug into a USB port, we became firm friends.

I’m now off to message family and friends through the mundane miracle of the internet. Thank god I live in a time when even here, alone in the Abu Dhabi airport, I’m not really alone.

17th of July — scratch that, 18th of July

I had good intentions to write yesterday, but ran dry on time and motivation. Jet lag and a few beers were to blame.

So I’m in Italy. In Rome. From our small apartment I can hear church bells ringing out, and yesterday I wandered through the ruins of the Colosseum. To say it feels surreal doesn’t do it justice to the sense of dislocation and wonder. Italy has been a presence since childhood due to my primary school’s weak attempt to teach us Italian, and because of this I saw pictures of the Colosseum at the same time I was reading children’s books. Somewhere in my head the concepts merged, and the land of Italy joined the ranks of Narnia and Middle-Earth as just another fantasy land. To be here, to be walking through the physical evidence of those childhood stories is…well, imagine getting to meet Aslan. Yeah.

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The food has incredibly lived up to the hype, and I can foresee myself happily eating my way across Europe. A friend from Austria asked if I’d brought loose-fitting pants for the trip due to all the delicious food I’d be eating — I no longer think she was joking. I’ve made a promise to myself to maintain my exercise, if only so I can completely indulge in the food, guilt-free. Because, let’s face it — I’m not going to hold back on the food.

A change of location now: I’m on a train heading towards Salerno. We were originally going to brave a bus and save some euros but google failed us and delivered us to the train station. And seeing as we were at the train station…needless to say, we took the train. Which, while sitting here, still warm despite the train’s air-conditioning, is probably a good thing — air-conditioning was not guaranteed on the bus. We also learnt the hard way that seats on the train are allocated, and after an awkward bilingual conversation with an elderly Italian couple, wrestled our over-sized bags through three very cramped and full carriages to our seats.

The beautiful Italian countryside is whipping past the windows, so I’m going to stop and enjoy that for a bit.

19th of July

I am on a balcony, three stories above the ground in the seaside town of Salerno. Our apartment building bookends the street, and from my vantage point I’m looking down the corridor of buildings, painted an assortment of creams and tan. Scooters and cars drift by on this lazy Sunday morning, and it is all perfectly stereotypically Italian.

The Italian summer is definitely a contender for an Australian summer —  temperatures remain in the mid-thirties. Our current place is lacking in air-conditioning, and while the owners promised us a fan, they were successful in breaking said fan in their attempt to construct it. So no fan. Luckily, all three of us, Dom, Nikki and myself, are all veterans of a summer in Brunswick, a red-brick house deprived of insulation, and are familiar with braving the heat. This mostly involves laying topless (Dom and I, not Nikki) on the cold tiles and doing as little as possible.

We took a stroll through Salerno and alone the coast — the township curled alone the crag of land with mountains standing senile behind and the sun dripping down in a haze of orange. It was beautiful. And made more so by the beer we enjoyed.

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A concert was taking place on the beach in a temporary stadium, with a line of teenage girls waiting to get it. We managed to discern the headliners were a group called “The Kolors,” which we presume are like an Italian One Direction. Dom was disappointed we couldn’t get in.

A lot of this is still feeling surreal, although made less so by the necessary practicalities travel forces upon you — coordinating transport, arranging accommodation, figuring out meals and activities. These administrative tasks keep the whole experience grounded. The fact that I won’t see my family and friends for so long still hasn’t sunk in. Intellectually I’ve accepted it, but a part of my brain insists this is just a holiday, and my normal reality is waiting around the corner, ready to resume in an instant.

IN TRANSIT

I’m writing this post from an apartment in Rome…and I think that sentence is pretty indicative of just how much my life has changed in the last few months.

 

A little over three weeks ago I worked my last shift for the Royal District Nursing Service. Appropriately, my last patient was a call-out for wound care, and it felt strange yet oddly satisfying to finish the dressing, pack away my equipment, and farewell the patient knowing, for a short while at least, I wouldn’t be doing that sort of work anymore. That from that point on, my time was my own.

I haven’t been unemployed since, at fifteen, I begun work at a supermarket called Bi-Lo. The fact that that supermarket no longer exists is a sign that a break was overdue.

So yesterday (or perhaps it was the day before – I crossed a timeline and got all messed up), I packed the essentials for living into a bag – for those of you playing at home, the essentials for living weighed fourteen kilograms – and left Australia for foreign shores. To live. For a while, at least.

I figured the change in life warranted a change in the layout of the website, hence the modern new look you’re presently enjoying.

 

Be prepared for a barrage of travel posts…

FOR SCIENCE!

As my last post detailed, I made the decision to venture overseas and live in England this year. One of the integral components of this endeavour was to become registered as a nurse in the UK so that I could fund my travels, rather than end up broke and homeless somewhere along the banks of the River Thames.

I love the idea of continuing my work in another country, and can’t think of a better way to get to know the character of a place than to drop into the homes of the people who make it up. Being able to practice as a district nurse in London is as exciting for me as the prospect of travelling. However, the act of getting registered has not been as straight forward as I had hoped.

Despite growing up in an English-speaking country, attending an English-speaking school, and getting a degree from and English-speaking university, one of the hurdles I had to jump was passing an English exam to prove I could read, write, comprehend and speak English. I am thankful to say I passed. And the act of proving I had indeed mastered the English language only set me back five-hundred odd dollars.

After that, I had to prove I had all the required knowledge of a nurse. Again, I have a degree and have worked in the field for six years, but I could understand the necessity of proving this knowledge. After all, some people are very good at phoning in their jobs. So I sat a practical nursing exam, and again, thankfully passed, proving to myself and the world that I can nurse (Yes, it can be used as a verb, I’ve passed an English exam and have the certificate to prove it). And this evidence of my nursing knowledge, a compliment to my degree, let’s say, only set me back another five-hundred odd dollars.

What followed was a hurricane of paperwork that I had to obtain from multiple sources including my university, the Australian registration board, a doctor, my current employer, and the Victoria police force (all for a certain cost, of course). After weeks of gathering all the necessary documentation, I dropped the brick of paperwork into the mailbox and sat back, awaiting my registration with a grin.

Only, it wasn’t as straight forward as I had hoped.

The UK registration board left me waiting for a month and a half, after which they replied that the forms I completed, THAT THEY PROVIDED, weren’t detailed enough, and they required further information. For the past two months I’ve worked and waited, and enquired and waited, and collated and waited, and have now sent off another batch of paperwork that I hope will be acceptable. Although, given the nature of the process so far, I’m not booking any day trips around London quite yet.

But, the point of this long-winded story is that during this process I found myself very much stationary. From the fury of the initial idea of moving, of renting my house and relocating, of mentally ticking off to-do list items, I was suddenly stuck in limbo while I waited to hear back from university and registration boards. I found myself putting off beginning anything as I didn’t want to run the risk of committing to something I would have to drop once I had the green flag to head to the UK. I wasn’t making plans with family and friends, because I might not be in the country in two months time to complete those plans. In short, I began stagnating.

It was while waiting on the second instalment of paperwork that I realised I couldn’t keep my life on pause. These months, this time, was life still happening, and I was getting itchy with my self-enforced purgatory. Once I had this realisation, I started up again, deciding I’d deal with the potential conflict of clashing plans once that demon was on my doorstep.

One of the things I decided to do was apply to write for an online science magazine. Of which I now am.

The Australian Times is a grass-roots not-for-profit organisation that releases a collection of over forty magazines free for the community. In the latest edition of Science, I wrote an article about the creation and trial of a bionic pancreas.

You can read it here.

2014/15

2014 felt like a year of waiting for me. Maybe waiting isn’t the right word. A year of rest, perhaps. But not simply rest, more the relaxation between efforts. The moment of sitting down, stretching out legs and breathing deep, of letting muscles slacken and body sag, before slapping knees and standing to tackle the next job. 2014 was a year of repose.

But despite the sense of respite the year has left me with, things happened in 2014. The biggest and brightest that springs to mind was my trip through the United States. It was a trip that took me away from the comforts of home and family, and opened me up to new friendships and experiences. It wasn’t challenging in the way hiking up a mountain might be, or backpacking through a foreign country, instead it tested this introvert’s ability to participate and get involved without the safety net of heading home at the end of the night. I deliberately placed myself in a situation that didn’t include my normal supports in an effort to strengthen my rarely flexed social muscles.

The trip involved putting forty-two adults ranging between twenty-one and thirty-seven on a bus together, and driving that bus from one side of North America to the other. Not the usual past time of an introvert.

It took a while for me to ease into it, like lowering into a hot bath, my rigid and tense body sinking in small piece by small piece until, submerged and immersed, I relaxed. And a good thing I did too. Away from the stress and routine of work, I rediscovered the joy of impulsivity and spontaneity. I didn’t have to plan for things, to go to bed at certain times in order to be up at certain times, parceling my alertness to ensure I made it through the work day. I didn’t have to squeeze activities around an eight-hour shift, staggering to these events with the dregs of energy left to me.

Activities became my full-time job. Speaking to new people, sharing meals and experiences and drinks, was the sole expenditure of my vigour. Seeing new things, new environments, new communities, having new thoughts, was now the purpose of my day. And with that new purpose came new drive. I was surviving off five hours sleep at best each night and feeling more energetic than I ever had.

And by the time the trip wound to an end I knew this was what I’d been waiting for. This, this feeling, experience, frame of mind, was what I’d been inching towards the whole year without realising it. I was a hibernating bear sensing the first rays of spring, and that new season was kick starting my sluggish arteries. I decided I needed more of it; I was done hibernating.

 

Since before even leaving school, I knew what I had to do. I knew I had to be realistic, that once I left this complacent nest of learning and days dictated by ringing bells, I had to work towards supporting myself. I took two years to obtain a Diploma of Writing, an indulgence for myself I completed while working thirty-six hour weeks at Coles, but I knew in the real world people had to work, so I walked out of one tertiary building and straight into another, and began studying to become a nurse. Nursing meant job security.

I completed my three years of university, slogging through the trials of clinical placements, hours of lectures, and headache-inducing exams, without really giving any of it much consideration. I was being realistic, and on the right path. I completed the course, swapped the title of student for nurse, and started working. A lot of graduates entered the workforce doing only eight shifts a fortnight, an easing-in process. This I also didn’t give much thought to: I’d be working full-time. I knew this was what an adult did, had seen my father work endless hours, often weekends as well, and knew this was the lot of a grown-up. Of a provider. So I commenced full-time employment on forty-five hours a week.

I came out the other end of my graduate year almost burnt out, a withered black match with only a millimetre of unburnt wood left to me, pinched between shaking fingertips. I had gritted my teeth and clung to the resolution of adult work-ethic, and it had kicked my arse. I was ready to leave nursing — but not full-time employment, of course.

I found a job as a medical writer and worked in that position for three months until contracts dried up and I found myself unemployed. This felt very wrong to me. I was twenty-four and not working. This was not being very realistic. I found work as a district nurse, and discovered, much to my pleasure, that it was work I enjoyed. I was doing a forty-hour workweek again, and confident I was back on track.

I continued down the responsibility path and purchased a house with my girlfriend, and after a couple of years, garnered a promotion. My girlfriend and I split, but I bought her out of the house, my sense of adult responsibilities serving me well in still being able to make repayments. I was doing it, I was an adult, working full-time with a property to my name and succeeding in my job. And it wasn’t until this point, until I reached this peak of being a provider, this adulthood nirvana that I’d been slogging towards since leaving school, that I stopped to look around and question what the fuck I was doing.

Because I had overlooked a rather pertinent point. I had modelled my work ethic on a man who was providing for a family. A man who headed into work each day knowing he did so to feed and clothe his four children. I didn’t have four children. The only dependents I had were a lemon and lime tree that survived despite my months of neglect (Side note: Dad repositioned them to a sunnier location and probably saved their lives. You can see why he was an influential role model).

I had accepted the inevitable role of provider and the responsibilities that went with it without ever questioning if this was what I needed to do to survive. If, in fact, there were other patterns to self-sustainment, a plethora of varying patterns, that didn’t involve working forty-hour work weeks, particularly when the only one I had to provide for was myself.

This realisation opened up new avenues for me.

 

The combined insight that I was not a bear made for hibernating, nor a father providing for four, meant that the track I’d set myself on since before leaving school had played itself out. That track had given me incredible experiences and lessons, but they were lessons for a more black and white me. I was ready for a new path.

Which is why 2015 won’t be another year of repose, but a year of exploration. I have already moved out of my house and back into the comforting embrace of my previous residence in Brunswick West, and am once again enjoying the company of my brother and his girlfriend. But this is only a temporary lay-over. In March, I intend to fly to the United Kingdom which I will make my new home for at least twelve months. I will work, because I haven’t changed so much as to disregard the idea of a responsible income completely, but only casually, as a district nurse in Scotland, and later in London. My primary purpose will be to see. To experience. To explore. To engage. To discover. To act.

2014 was good for me in both the rest and insights it offered, but now it’s time to slap my knees, stand, and tackle the next adventure.

THE BAD ONES #03

The patient was an eighty-eight year old man who lived at home with his wife, both of whom were surrounded by a perpetual cloud of smoke despite our nurse’s continued requests that they butt it while we visit. He was a man just managing to stay at home by the skin of his teeth – or, more accurately, by a lot of effort from the support services put in place to keep him safe at home, services neither he nor his wife appreciated. They both had a diagnosis of dementia and shared a common lack of insight into their own failing health and poor living circumstances. Neither acknowledged the nicotine-stained walls or ceilings, the carpeting stained with old and fresh dog shit, or their own deteriorating bodies and minds stained with years of neglect and abuse. In their estimate, they were, ‘…doing fine, and we don’t need anyone barging in and taking over!’

But despite his shortcomings, this wasn’t enough to make him one of the bad ones. Once you got past the bluster and opened a window to air out the house, both he and his wife were pleasant in their own confused and belligerent way. The problem was the patient’s GP.

The patient had returned home from a short stay in hospital due to his yo-yoing health, and, as hospitals are prone to do in an effort to prove they did something to help the patient, they had played around with his medications. This slight tweak on their behalf often means a mountainous headache of work for us. Easily one of the most infuriating and frustrating aspects of my job is attempting to get a list of my patient’s medications, complete with the drug’s dose, route, and frequency, and topped off with a signature from the prescribing doctor, so that I may legally administer those medications.

Perhaps you’re reading this, thinking, “Surely, that’s not so hard a thing to obtain. A doctor would have on file the current medications his patient’s are taking.” This world of doctors keeping an up-to-date list of their patient’s medications is one that belongs in a medical utopia, a place where patients are keen to participate in their health and old stoma bags smell like vanilla essence. Unfortunately, I operate outside that sphere, and consider it lucky if the GP I’m corresponding with has a computer on which to type a list of medications. The stereotype of illegible doctor’s handwriting is very real.

The client’s GP was a doctor I was familiar with, and I knew him to be a man resentful of assisting in any way. His choking arrogance always seemed to get in the way. So, knowing this, I rang his office.

‘Hi, this is Jonathan the district nurse, I was just hoping to speak to the doctor regarding Mr X.’

‘Oh, sure,’ his secretary replied, ‘I’ll pop you through.’

*On-hold music* – wait time 30 seconds.

‘Yes.’

‘Hi, Doctor, this is Jonathan the district nurse. I’m just ringing because Mr X has returned home from hospital. He was diagnosed with GORD while in there and commenced on Nexium, and I was hoping you could add this to his medication authority and fax it through to us.’

*Click*

He had hung up.

I rang again.

‘Hello, Doctor’s office.’

‘Hi, this is Jonathan again. The Doctor just hung up on me. Could you put me through to him.’

‘Oh. Sure.’

*On-hold music* – wait time 1 minute.

‘Yes.’

‘Doctor, it’s Jonathan again. We got disconnected. So as I was saying, we just need a new medical authority so we can administer Mr X his new medication.’

‘What is all this?’ he grunted. ‘I’m sick of doing all this work for your company. Why don’t you have your own doctor on staff?’

‘You know how we operate, Doctor, how community health operates. You’ve worked with us for years. You know we don’t have our own doctor on staff.’

‘I’m sick of doing all this over the counter work, it’s ridiculous.’

‘Sorry, I’m not following you. What do you mean “over the counter?”’

‘Well, it’s not face-to-face, is it? I’m not billing for this.’

‘Oh, so you’re worried about your money?’ I chuckled.

In retrospect, laughing may have been the wrong tact to take.

*Click*

I squeezed my mobile phone, envisioning the pathetic old doctor’s neck, and rang a third time.

‘Hello,’ his secretary said.

‘Yeah, it’s Jonathan again.’

‘ I thought so, it’s why I didn’t answer with the spiel. Is it a connection issues or is he angry?’

‘Oh, he’s angry. Can you put me through again?’

‘I can try.’

*On-hold music* – wait time 3 minutes.

‘Are you still there?’

‘I’m still here,’ I replied.

‘The Doctor’s busy at the moment—’

‘Uh-huh.’

‘—but tell me what you need and I’ll see what I can do.’

I detailed what was required, explaining that my persistence was only to ensure the patient got his medications and remained out of hospital. I did my best to stay calm and jovial with the secretary, reminding myself that her employer’s childishness was no fault of hers, that she was the only one attempting to help, and that she had to put up with the megalomaniacal wanker for hours at a time. Once I had repeated what I needed and she wrote it down, she assured me that she would have it faxed to me by the end of the day. I thanked her, sincerely, and hung up.

It’s hard to work in an industry full of contradictive people claiming to be there to care for others whilst only caring about themselves. It’s hard to advocate for your patient against the very people who should be helping. It’s hard to remain professional while those you deal with act like children. And it’s too easy to think, ‘Why do I continue to work in this faulted system?’

The secretary was true to her word, and by the end of the day I had a medical authority with the patient’s new drug added to the list. Unfortunately, the previous authority had two medications that, due to the Doctor’s past laziness, had only been scrawled on by hand, and hadn’t come across with the new list. I would have to phone him the next day to have them added.

He was one of the bad ones.