Wednesday, January 11, 2012

Mister Tick-A-Box


Mister Tick-A-Box

It is easy, after today,
to swivel sights onto you, Mister Hospital Manager,
and take aim.  Easy, whenallI’vedoneisworktwelvehoursstraight,
flapped about in clinic, a flailing baboon, bollocked.
Not patients twisting my skin, no - restless masses in morasses,
innocent on the whole.  Not nurses, matriarchs in menopause,
cooing with cups of tea.  Or even my boss, dapper douche-bag in Dior. 
Only the boxes, the boxes, the cold creep of the
b o x e s , just waiting
to be ticked.

Check-box this…
greet a patient: tick a box. þ Examination: tick a box.  þ
Pen prescription:  tick a box. þ Constipation:  tick a box! þ
Registers, checklists, paper dross:  chock-a-block of Tick-A-Box!
Super safety checks in hospital Nanny State, a mad metropolis,
festooned with red tape, clerks like gulls, swarming and circling the edifice. 
Red ink drips from drooling bureau-cats, perched atop cloud-white paper stacks,
as worker-rats scurry and rant, ticking flipping pages in gloomy wings. 
Six p.m. rings and I’m wrung, nerves fizzing, tick-boxes whizzing 
‘round my head.  Pavlovian ape conditioned, castrated,
over-administrated.

Frustrated, emasculated,
I am blame you, Mister Hospital Manager, a.k.a.
‘Executive-Director-Consultant-Supervisor-Coordinator-Liaison Officer’ -
or ‘Mister Tick-A-Box’, to me.  You who are
office-speak like ‘governance’ and ‘targets’ and ‘110%’, you who are
Activity Based Funding and meeting about meetings,
(de)humanising resources and developing staff development, you who are
‘on the same team’ like 1984 with Ministry of 4-Hour-Rules,
and health-and-safety-cum-CYA* (or CIA?) to the Nth degree, boy!
Stodge in the system, suit among scrubs, twisting my skin,
you who are.

And what next, Mister Tick-A-Box?
Consent form for the consent form? (who said they agreed to consenting, duh?)
Rectal probe I.D. checks, daily? (check we’re who we say we are?)
Last week, an Admission Form (Roman orgy of boxes) just to
epilate granny’s trichiatic eyelash.

I

s
h
i
t

y
o
u

n
o
t
.


Ah, on better days, Mister Tick-A-Box, I acquiesce
to your place, admit we surgeons hardly manage better.
But today - oh today! – it’s easy to wish for trust, just to
let me do my job, no stall, and unhand that box
in which you twist and crock
my stolen balls.

*CYA:  ‘Cover Your Arse’

Saturday, February 5, 2011

Equilibrium valley


Equilibrium valley     

High stepping the veranda,
sapphire breast ablaze,  
crowned head quizzical;
pauses.
Iridescent bronze-green streamers,
his plumose train.   

Around, burnt mist sags
over Karri forest, cloaks the valley.
“Yesterday it jumped the Donnelly River”
warned the communiqué.
Back-burning, containment lines;
still bushfire brews, lurks in roots,
awaiting sun, wind, a spark, to
riserushlash earth’s face
again.

And another pyre:
damned specialist exams. 
Concentrate, boy!  Page 136, human herpesviruses. 
Ah, the Three Witches flare,
“fair is foul and foul is fair”. 
Silly Simplex:  dancing dendrites across corneas.
Cytomegalo-maniac:  bullying retinas of the weak.
 Zoster the Accoster:  chamber splashing uveitis.
Vesicles torched, membranes scorched,  
Witches screech … and retreat,
hush in root ganglia,
pray Libra tips immunity
again.

Whoosh!
Whirrrrrr….his train flares,
a quivering sail of nazar* amulets,
electro-blue eyespots
on a spatula-tipped fan.
A chestnut bride, downy,
edges onto the veranda, preening.
He tacks to track her, sail swivelling
like a satellite dish.

As peafowl in parity court,
nazar and witch’s eye retort,
earth:fire life:pyre consort,
advance dance retreat,
pause;
so we, caught, hang
                                    taut in the balance.


*Footnotes:

nazar:  an amulet that is meant to protect against the ‘evil eye’, most common in Turkey, made from blue coloured glass in the form of droplet shapes, and sometimes referred to as the ‘blue eye’.

 




Sunday, December 12, 2010

Free tree

Free tree

Sprawled out
like a fat man in a tub.
Swaying fountains of verdure in the wind,
wibble-wobbling out of the ground, gently.

Taking shape
in shaggy shocks of green,
leafy locks that stream, and stream.
Pitter-patters on an emerald scale of notes.

Rippling with secrets
whispered through your plumes.
Here, a resting wood pigeon rests,
there, a nesting stock dove nests.

Look!
A constellation of twinkling berries.
Plump purple pendulums,
promises so tart and sweet, they squeal.

Hopeful arbor
seen through cross-hatched windows
embraced by a concrete quadrangle.
The only free inmate here.

01/10/08


01

Monday, November 29, 2010

Slumdog multimillionare

She looked up at me with watery eyes, a subtle smile relaying her understanding.  I was lost, she knew it.  She turned to lead me down an alleyway, carefully stepping over open sewers, greeting familiar faces, looking back to check on me.  I glanced through open windows, and clocked miniature rooms, tiny furniture, compact spaces seeping spicy smells, children crowded around a small TV, grinning brown faces at doorways.  All around us, electric wires ran and looped and whorled with dendritic complexity, as if we were travellers inside a giant fibre optic cable.  The alleyway narrowed and widened, never more than a metre or two across, a tiny slit of distant sky recognisable above.  Shanties, shop fronts, staircases – even an internet cafe – crowded in, haphazardly perched over and around like a teetering deck of cards.  It was as if these shacks had grown there over time, a colony of splitting cells, a clutch of barnacles smattered across a hidden wreck.  



We were treading through the Dharavi slum, a sprawling settlement in India’s financial capital, Mumbai.  But Dharavi was no ordinary slum.  Woven onto a ramshackle skeleton of inroads and train lines, on prime real estate in the middle of a mega-city, she is a financial centre in her own right, a bubbling micro-tropolis of small industry that has featured in Hindi and Tamil films, as well as Danny Boyle’s 2008 sensation, ‘Slumdog Millionaire’.  Dharavi is a makeshift enterprise of pottery, tannery, textiles, exporting goods around the world and turning over an estimated USD$600 million per year.   That’s slumdog multi-millionaire, thank you very much.


My visit to Dharavi was adventitious.  National Geographic covered the slum in 2007, and the article quietly wedged itself inside me, to resurface when I found myself in Mumbai last year.   ‘Reality Gives’ was an NGO conducting educational tours of the slum, pledging 80% of their profits to low-cost education for slum dwellers.  With the help of Krishna Poojari, co-founder of Reality Gives, our group set out to inspect a recycling factory on one of Dharavi’s main drags.  From the darkness of a narrow room, forty-odd people slowly emerged, lined up in two rows on the ground, sifting through a central pile of plastic.  Incredibly, over 80% of plastics are recyclable in Dharavi, compared to Western standards of between 7% to 30%, depending on the type of plastic.



Despite her title as ‘Asia’s largest slum’ - inaccurate, as the Orangi Township in Karachi is larger -  Dharavi is incredibly dense.  In one square mile of land (three square kilometres), she manages to house over a million residents (or two-thirds the entire population of Perth).  In typical Indian fashion, the population is a mix of tribes and creeds, with a majority of dalit (formerly ‘untouchable’) caste, and minorities of ethnic Gujaratis, Maharashtrians and Tamils.  The slum is accessible via two of Mumbai’s main suburban railway lines, and affordable, with rent as low as $4 a month.  These privileges, crowned by the possibility of employment in a nation where over 300 million people live in poverty, explain Dharavi’s other moniker as the ‘Rolls Royce of slums’.

We moved on to a textile factory, where distinctive Indian patterns were hand-stamped onto fabrics, destined for retailers in Asia and beyond.  There were soap factories, bakeries, embroideries, all condensed and humming with quiet efficiency.  Bit by bit, we hopped a handful of the estimated 15,000 single room factories operating in the slum.
 

 
 
At one such room we were greeted with a turning of heads, some twenty or thirty children sat at sewing machines, producing children’s tracksuits.  Children sewing for children; it was disarming.  Was this a sweat shop, the much-bandied ‘evil’ of multinationals, at work?  Krishna explained a more complex, uneasy reality.  No, these children were not strictly indentured.  But for many of them, family circumstances necessitated fast money, an additional paycheque, over the long term investment of education.  The chance to send a child to work was seen as a blessing, which eluded families in many other parts of India.  It made unsettling sense.  



In the year since our visit, work on an urban redevelopment plan has commenced in Dharavi, led by American-trained architect Mukesh Mehta, and aimed at transforming Dharavi into a modern township.  Mehta’s critics claim that the plan is driven by profit, not rehabilitation.  At stake is an estimated return of USD $3.3 billion for the government and developers.   Yet the issue of property and land rights for existing slum dwellers is less clear, and many families currently renting in Dharavi will have to be resettled.



Visitors to India often speak of the ‘spirit’ of the place, a term which courts banality and ignores her frequent intolerance and sectarian clashes.  A few personal interactions with Dharavi locals, however, and it was easy to fall for this ‘cult of spirit’.  Toothy grins, offers of food, even fluent English.  Never a request for a handout.  More than anything, an apparent acceptance – no, an embrace – of their reality.  Some families can trace their residence in Dharavi back for almost 300 years.  For them and many other working families, Dharavi is not a slum, she doesn’t need rehabilitation, or a role in an architect’s vision of a ‘next Shanghai’.  She is simply their home.    

In the passages of Dharavi, too narrow for a rickshaw, I heard English accents.  We had found my group.  Another flash of clear eyes, a hint of sweetness, and my impromptu tour guide, five or six years old, signalled my delivery … and was gone, quietly padding down another alleyway and out of sight.

Wednesday, September 29, 2010

A look into the Lion's Eye




As an ophthalmologist in Perth, talk of the ‘Lion’s Eye’ usually evokes our research Institute in Nedlands (http://www.lei.org.au/).  But on a recent trip to South Africa, I had a more literal experience of the eponym, through an intimate encounter with real lions, and one man – Kevin Richardson - who lives eye to eye with these cats as a part of their pride.       


I first discovered Kevin on YouTube in 2008 whilst nosing the trail for stories and snippets, and hit on an Associated Press story for the ‘Lion Whisperer’ (http://www.youtube.com/watch?v=-kjWBgA81LM&feature=related), an ‘animal behaviourist’ and conservationist on the outskirts of Johannesburg.  A mouse-click later I sat stunned as I watched a man walk un-armed into a group of enormous adult male lions, shoo one of them out of the way, and give another one a great big bear hug, before settling down in their manes for an afternoon kip.  Transfixed, I followed the trail to Kevin’s doorstep for a fortnight at the ‘Kingdom of the White Lion’ (http://www.lionwhisperer.co.za/), with three other volunteers in the African springtime. 



Early on the first morning, we were greeted by six curious and very vocal adolescent lions.  Even through fences, I was struck by their force, a hot blast of penetrating gazes and calls to meet (or was it to eat?) us, with constant head-rubs and licks of affection for each other. And then the unforgettable moment:  Kevin slipped into their enclosure.  Immediately they were on him, in tawny waves that buffeted and wrestled and knocked him over.  Their power had us quivering.  They wanted him down on four legs, none of this bipedal bullshit!  As they settled in the grass and began to relax, Kevin spoke with us and answered questions, whilst exchanging chin-scratches and the occasional playful slap with a cat.  He emerged scuffed and smiling, his shirt torn and a crimson streak on his back:  ‘just another morning with the boys.’





Bit by bit, we got to know Kevin’s Kingdom, a 500 hectare plot of natural terrain centred around a valley, bisected by Crocodile River (where Kevin occasionally dips with Meg, a favourite lioness) and framed by mountains to the East and West.  The Kingdom is home to 39 lions, two black leopards (my pick for ‘Sexiest Cats’!), Jade the jaguar and four clans of spotted and brown hyenas.  Outside the enclosures giraffes, wildebeest, inyala and kudu roam free, as well as more elusive jackals and caracals.  We got to feed all the animals, clean their enclosures, play with lion cubs and elephants at the nearby Lion Park and Elephant Sanctuary, and watch Kevin and Rodney work with two magnificent male lions on a commercial television shoot.  With time, we began to understand Kevin’s principles of trust and respect for animals, rather than the use of fear and ‘the stick’.  The fortnight continued to unfold, surreal and surprising. 







As the sun would set, we’d gather around a log fire at our beloved ‘Shadynook’ homestead, to gush and compare snaps.  Across the river, the lions would begin their evening symphony of roar-song, as if carrying us to bed in a protective shroud.  Wishful thinking perhaps, sharply grounded each morning by a fresh pile of hyena shit to clean, a new horse leg to skin and dice, or Rodney’s earthy sense of humour.     

Back in Perth at the Lion’s Eye Institute, we study toxoplasmosis and posterior uveitis.  But when I dream, I see those majestic cats again, that green quartz valley, and one man’s unique, eye-to-eye relationship with the fiercest predators in Africa.