Episode 1 Doctor Fortune's Australian Casebook


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Doctor Mary Fortune is on her way to fulfil a commitment she made two

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years ago. Today is a day that I've looked forward to for a long time.

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This is where really it starts for me. Get my sleeves rolled up, get

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my hands dirty and begin to learn. I'm not usually an anxious person

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but I have to say, I'm very anxious about how things are going to go.

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So it's all very well saying, I'm a doctor, I'm Scottish. You know,

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here I am, I'm going to look after you and do all this and the next

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thing. But at the same token, I've got to be accepted, you know?

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experienced GP of 25 years, Mary and her family live in the small

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Highland town of Brora. For ten weeks, Mary Fortune is posted to

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some of the strangest and most remote parts of Western Australia.

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In 2008, Mary had her experiences recorded for a television series,

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Desperately Seeking Doctors, and was shocked by the third-world

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conditions in an Aboriginal community. A patient said to me

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yesterday, my expectation of life is 42 years-old. I mean, that is

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just appalling. It is not good enough. Something's got to be done

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about this. But before the family reunion, there's one final

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question... Yeah, I remember the question very well. Would I return

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to Australia to work as a doctor again? And there was no hesitation

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in my reply. I would come back to Australia, but I would want to work

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in an Aboriginal area. That's where the greatest medical needs are in

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Australia, and my burning ambition for the last two years is to go

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back and work in one of these communities, and you know, I've got

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Kununurra - one of the most remote inhabited towns in Australia. On

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the edge of the town is the OVAHS Aboriginal clinic, serving an area

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around twice the size of Scotland, and Mary's workplace for the next

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three months. Doctor Mary, this is our reception area. That's Cathy.

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Cathy, say hello to our new doctor. Hi, Cathy. As you can see, there's

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lots of patients waiting for us. Busy. Yeah, busy clinic. Yeah, yeah.

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Since opening in 1983 to cater for the specific needs of Aboriginal

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healthcare, the Ord Valley Aboriginal Health Service Clinic,

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or OVAHS, has grown from one part- time doctor to over 60 full and

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part-time staff from all over the world. Have you met Doctor Mary?

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Nice to meet you at last. Hi, how do you do? CEO Graeme Cooper is

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from Glasgow. He's been working in Aboriginal healthcare for the last

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ten years. In the past six months, OVAHS have lost two doctors,

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through no fault of OVAHS, and we're desperately seeking a doctor.

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Yeah. And having you turn up here to share the workload of our

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current doctors, who see up to 130 people a day, is vital. We do have

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a priority system of our elders... Yeah. And mothers with babies.

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Everyone else, in between, you've got to wait. Sometimes people wait

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over four hours to see a doctor. Four hours, yeah. But that's just

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how it is. So a ten-minute appointment doesn't work. Very few

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and far between. Nothing is ever just straight forward. There's

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always a bit of an edge somewhere else. With a huge backlog of

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patients, Mary hits the ground running. We're in room two, which

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is just along there. You OK, darling? That's it, coming off.

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have two-and-a-half full-time doctors and one locum. What we need

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is a minimum of five permanent doctors. However, in order to see

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every single person, we need seven doctors, simple as that. So you've

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got a huge shortfall. Oh, it's massive, it's massive. We need

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seven doctors, we need 13 nurses, 13 Aboriginal health workers, we

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need seven drivers and we need five people working at the front desk.

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We don't have that. It's not just the volume of patients. Mary is

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about to come face-to-face with some local idiosyncrasies. I've got

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bitten by a hairy caterpillar. It's really itchy. You've been bitten by

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a hairy caterpillar? Yes. I was born like that. You were born like

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that? Yeah. With a hernia? I'm just going to get a pair of pliers, see

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what we can do. The main thing is feeling not in total control of

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your job. I mean, it's one thing doing the medical side, examining

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patients... Didn't feel a thing. But it's all the other sort of

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little added frustrations that take time. It's so difficult to read

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this nurse's writing. And it will come. I will learn how to do it. Do

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you know how old you are? How old are you? I don't know. You don't

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know. A lot of the patients, they don't even know what age they are.

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You know, they don't know what drugs they're on. Does Selbutamel

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ring a bell with you? That's fine. Good. It's still ticking away and

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that's the important thing. I'm very anxious about not missing

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something in a patient. That will come, but there's a definite sort

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of "I'm not too sure about you, Doctor. You're a new face on the

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block". Gaining trust is one thing and you can't do that after a quick

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consultation. There's no such thing as a quick consultation in this

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building. Take a deep breath in for me. You've got noises in your chest.

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You know, you've got noises of air constriction where it gets really

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tight. Am I throwing this in the bin? This patient has been given an

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emergency consultation after arriving at the clinic in a

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breathless state. If you feel a wee bit sort of claustrophobic, you

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know, you can loosen it, take it off. But just breathe it nice and

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gently. Margaret Moore has a complex medical history and Mary

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needs help to make sense of her notes. Yeah, while she's on

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rheumatic heart disease she needs to see a physician and have an echo

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done every year. Right, and that was in August last year. How urgent

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is urgent when you've got rheumatic heart disease? There we go. We'll

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leave you for a few minutes. You probably heard us rabbiting on here.

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It's fortunate, well not fortunate for you that you've got a wheezy

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chest, but it's good that you've come in because there's quite a lot

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of things that we need to discuss. Margaret's underlying condition is

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a whole new experience for Mary. a doctor, I have never seen

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rheumatic heart disease hands-on because in Scotland people got

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rheumatic heart disease before the invention of penicillin. It's

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caused by poor sanitation, poor diet, lack of access to doctors, to

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medical services. Recurrent infections, either it be a sore

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throat or sores or whatever, these bugs come into the body, they go

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down get into the heart, bang. Time bomb, you know. And really, you do

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wonder how that can happen in a country like this. But to the

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specialist nurse, Stacy Robinson, this is nothing new. And it's got a

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lot to do with overcrowding in houses, running of fresh water.

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Just general cleanliness and the lack of all of that attributes to

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these infections. In Australia we shouldn't have this. It's

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disgraceful. It's absolutely astounding, really. I came from

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Perth, studied in Perth, knew nothing about rheumatic heart

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disease. Now I run the programme on rheumatic heart disease. What do

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you think about what we're saying here? Cos I'm shocked, and...

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know. It's sad, but it's quite true what you guys are saying. Rheumatic

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heart disease affects around one in 30. Right, do not go away. Patients

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like Margaret are eight times more likely than non-indigenous

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Australians to be hospitalised by it and 23 more likely to die from

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it. It's tragic, really tragic. It's absolutely disgraceful. I mean,

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there's a young woman, she's only 49. My God, you know. It's sad when

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I have kids less than nine years- old come in and they've got all

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sore joints, can't move, can't walk, can't run. We have to go to the

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community, we have to go to members, like elder members of the community,

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educate them about the problem with rheumatic heart disease. We then

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have to go to the shire and say, we are basically killing the community

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if we continue to let them live in overcrowded houses without running

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water. We just... But then it has to be a government thing, doesn't

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it? Exactly. It has to go back to grass roots and say, look, you've

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got a bloody time bomb on your hands up here. We shouldn't have to

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be dealing with third-world illnesses that are eradicated in

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other countries. And that's before tackle the problem of possible TB

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and leprosy. Isn't that true? Sorry, we had to have a wee bit of

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a, er, whatsit. Now... consultation has lasted over an

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hour but Margaret has another reason for attending a clinic, a

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situation impacting directly on her condition. She desperately needs to

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be re-housed. I live, like we say, in a house full of family members

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and it's my daughter's family I share with, and she's already got

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her family, other family and like you were talking about overcrowding

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and stuff, I need to get a simple letter from the doctors about my

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condition so that it can help me to get my own housing. It will not be

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a simple letter. It will be a very direct letter. I will find out

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exactly the name of the person at the Housing Department at Kununurra.

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Yes. Would you like us to come and visit your house, so I could see it

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firsthand? Oh, it's not dirty or anything... No, just to say, look,

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I've been at Margaret's house, I've seen what it's like and you need

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urgently to be re-housed. Let's get back in touch. Yep. OK. OK, no

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worries. Right. That was some consultation. It's increasingly

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apparent that there are much more problems here than I would ever

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anticipate, and maybe touch on that later, you know, cos it is

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distressing. Right, madam. Just... Yeah, OK, I'll be there in a sec.

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would say that it's getting better. However, the healthcare needs of

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Aboriginal people are massive. estimated Aboriginal life

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expectancy is up to 20 years less than non-indigenous Australians.

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Almost half of Aboriginal men and over a third of Aboriginal women

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Five years ago, the government embarked on a healthplan campaign,

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Close The Gap, an attempt to improve the life expectancy of

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Aboriginals. The actual Close The Gap, those three words actually

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came from Oxfam and the Aboriginal Community controlled health

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services themselves. We are not at a stage yet where we have

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identified what that gap is, and we can't until we have the appropriate

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environment where the appropriate number of employees will enable us

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to effectively assess our clients' needs. But five years later, little

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has changed and Aboriginal healthcare is still lagging way

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behind the government's own targets. A small town, Kununurra is

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identified in the vast wilderness by its spectacular landmark, a

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sacred hill called Mirima by the Aboriginals, but renamed by the

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In recent years, the population has boomed, as the town gradually

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developed into the administrative and business centre of the region.

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Very different to when Mary first visited here. I was just thinking,

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I'd heard how much this place has changed. Alistair and I, when we

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did a tour of Australia 20 odd years ago, it seems a long time ago

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now, but it seems like yesterday in fact, and it makes you think what

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has actually been the reason for this bush town to expand, and it's

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This, then, is the site and the potential of the Ord River project,

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and of Kununurra, the town it has produced. The modern town of

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Kununurra is only 50 years-old and is a product of a massive 1960's

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engineering project, the Ord Irrigation Scheme. By the end of

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1964, the West Australia government expects to have more than 20 farms

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in operation, each of nearly 700 acres. The River Ord was dammed and

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irrigated, turning the vast landscape from dust to profitable

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arable soil. But in the process, many sacred Aboriginal burial sites

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and revered landmarks were flooded The success of the irrigation

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scheme proved phenomenal for intensive farming and agriculture.

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There soon followed an explosion of growth in the mining industries,

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including the world's biggest producing diamond mine, the Argyle.

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During the '90s, after decades of legal battles, some land rights

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were won back by the indigenous people, paving the way for

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Aboriginal elders like Peggy Patrick to negotiate with the

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mining companies for social and Peggy, I'm Doctor Mary. In you come.

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Sorry you had to wait for a wee bit there, but you're OK with that.

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have to speak up a bit louder because she's bunged up in the ear.

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Oh, all right. Are you deaf? Yeah. Can you understand me? Peggy,

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you're deaf and I can't understand, so we're doing well! Peggy Patrick

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has an established reputation as an artist and writer. I've read all

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about you and it's just clicked who you are. I'd read about you in Fire

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Fire Burning Bright. That's you? Yeah, that's mine. Fantastic!

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I've done two corroborees... said in that book that you have

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been a cook, a nurse, a midwife, a mechanic, a stock, a jillaroo...

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Peggy's work has taken her around the world, and her tireless efforts

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for conciliation between black and white resulted in a meeting with

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Nelson Mandela. But recently, she has had some minor medical problems.

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Peggy, what can I do for you today? What medicine do you need? Medicine

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today? Do you need... Check-up. You come for check-up, Unna? Peggy has

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brought with her OVAHS community nurse and adopted family member

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Gian Carlo, to help with today's appointment. Cos you came last week

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and you had blood taken. Yes, I gave blood last week, and they gave

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me tablets but they wanted to change the tablets. Right, give me

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one second. The medical records reveal Peggy and her husband have

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been nomadic in their search for healthcare and in their search for

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a place to live. Because she was homeless, and then, you know, you

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had no house. Peggy has had a rolling battle with the local

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housing department for the last two years. I understand that. And Peggy,

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your husband is very unwell. want to know how Muchie is. So he's

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fluctuating because of his condition? Yeah. And he's in

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Kununurra Hospital now? And in the meantime, where's... At the

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hospital with her husband. God's truth. Darling, are you

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prepared for your husband's... Yeah, yeah. He'll come back again.

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He'll come back again to you. In spirit. Yeah, come back, go away

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again. Well, sometimes you've got to be real strong yourself. I can

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see that you are a strong woman, yeah? And the first homeless

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Australian to win the Order of Australia. Say that... Say that

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again? So you've been given that award. Like giving you a knighthood,

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or saying "sir" or "dame", or whatever. But you got that award

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recognised by government for being... But you got that award,

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but you still got no house. Peggy has been awarded one of Australia's

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most prestigious honours, the Order of Australia, for preservation of

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I'm real... You know... I do it for the people like make people

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understand what it means to them. But in your heart, you've been

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working hard for black people and white people to be friends and walk

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that country together. Oh, I can't believe. I can't believe. I can't

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believe this like I get it. I couldn't believe. You deserve it,

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Aunty. Yeah. You're right, Aunty. Maybe what we should do is write to

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the government to say, thanks for my Order of Australia award, but I

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actually need a wall to hang it on, hmm? But it didn't get to me.

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Unbelievable, unbelievable. And when people get to... How old are

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you? How old are you now? What age are you? How old you? I dunno!

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don't know? I would say you're probably in your 70s. The point

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that I'm trying to make for you, my darling, is that people in their

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70s should be thinking about having a quiet time, a house together, and

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you find yourself with no house, husband in hospital, serious

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illness, and I find it shocking. You want to talk about woman

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business? Do you... Women's business? Mary and Peggy have

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quickly established an understanding and friendship, and

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Peggy invites Mary to a traditional Aboriginal ceremony. You can come

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there. I would like to come and see. Yeah. And get painted and...

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come over to my office and you have The vast Kimberly region is

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peppered with small isolated communities, and twice a week OVAHS

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send out a small medical team to Will I just set things up here?

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small Glen Hill community is a five-hour drive, 150 kilometres

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south of Kununurra. Well, it's called the bush telegraph,

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basically. It's just a small community of maybe 60, 70 people,

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so word gets around that we're here. So we'll just see what happens and

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who pitches up on time. Bearing in mind there's no appointments.

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People don't wear watches here. through, go through, quick.

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these are... These are all the kids that have got sores? One of the

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primary functions of the mobile clinic is child health. Treating

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even the smallest wounds and insect bites prevents the onset of many

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diseases. Impetigo, scabies, ringworm and mange, left untreated,

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can lead to more serious illnesses later in life. There's cream to

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help the ringworm on your face. Well, you need to have bigger hands

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if you're going to be a doctor. So who's next? You can all be the

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doctor. Today it's a race against the clock through rugged terrain in

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searing temperatures of over 40 degrees. You're expecting a few

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more people than last time? Yeah, we're probably going to have... Get

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some more stockmen in here and probably give them their jab, their

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flu vaccine if they want it. But other than that, they're probably

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running away from us. The check gives health workers a chance to

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collect valuable information on the scattered population and any

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serious conditions can be followed up. Right, can you do some big

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breaths for me. Big puffs. Six- year-old Steven Craig has a slight

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fever and loss of appetite. But he also has a more serious condition,

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a heart murmur which requires regular monitoring at the OVAHS

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clinic. Is she eating and drinking OK? Yeah. Basic checks are crucial

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in these remote areas. Aboriginal children under four are 30 times

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more likely to suffer from malnutrition and are three times

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more likely to die before they reach their fifth birthday than

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A week following the field trip, and OVAHS are holding one of their

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days of specialist surgeries, bringing patients from many of the

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outlying communities including some familiar faces. Hi, there, hello.

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Hello. You here to see the cardiologist today? Yeah? This is

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the wee fella that had the wee heart murmur isn't it, yeah? Yeah,

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so this is his appointment today? Yes, yes. Right, and you're the dad.

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I'm the grandfather. Oh, you're the grandfather. You don't look old

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enough to be a grandfather. Hi, wee fellow. Is that right? Cos we saw

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all your kids that day, didn't we? They all had colds. Steven is

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mixed-race and his family may have a history of heart disease, which

0:27:040:27:08

makes it more important to monitor his condition. Heart specialist

0:27:080:27:11

Doctor Jim Ramsay travels from Perth six times a year to hold his

0:27:110:27:20

surgery. We'll have a little listen, Mary is concerned about her patient

0:27:200:27:22

with rheumatic heart disease, and Doctor Ramsay's bi-monthly surgery

0:27:220:27:28

gives her the opportunity to pick his brains. I'm really quite out of

0:27:280:27:31

my depth because it's not something that you really see in Scotland and

0:27:310:27:36

Ireland. Yeah, that's true. Like, I'm originally from England and I

0:27:360:27:39

had never seen rheumatic fever or rheumatic heart disease when I did

0:27:390:27:43

my training in the UK, but within the first few months of arriving in

0:27:430:27:45

Perth, I saw a three-year-old child with severe heart involvement with

0:27:450:27:53

rheumatic fever. And that was, I say, in the late 70s, and now we're

0:27:530:28:03
0:28:030:28:07

30 years on and things have not changed that much. How's that?

0:28:070:28:10

look there. There's your heart. Aboriginal children have just about

0:28:100:28:13

the highest incidence of rheumatic fever in the world. Although we've

0:28:130:28:16

got smaller numbers, we actually see more rheumatic fever in the

0:28:160:28:18

Kimberly than probably Africa, India, continents where rheumatic

0:28:180:28:27

fever is very common. But we still see a higher incidence here. That's

0:28:270:28:32

what shocks me with what you've said, you know? 30 years, I mean,

0:28:320:28:37

you've been around a long time. Yeah. And nothing has changed?

0:28:370:28:42

yep. A lot of Aboriginal adults die in their 20s and 30s with bad

0:28:420:28:48

rheumatic heart disease. Shocking, isn't it? But predominantly it's

0:28:480:28:51

living situations, so if you can improve the whole social situation,

0:28:510:28:55

if you can end up with two or three or four people in a house, the

0:28:550:29:05
0:29:050:29:07

chance of getting rheumatic fever's The letter to help with Margaret

0:29:070:29:10

Moore's housing application is Mary's next task. The home-visit is

0:29:100:29:15

a ten-minute journey, taking her through the centre of town. It's

0:29:150:29:21

taken me some time to suss it out but this place has two populations.

0:29:210:29:25

They have a white population and a black population. They're living in

0:29:250:29:29

parallel and very little crossover. You know, one population ignores

0:29:290:29:34

the other, and that's what I mean. White people ignore black people

0:29:340:29:36

and black people ignore white people, with very little

0:29:360:29:44

interaction. It is sad and I know that people are going to sort of

0:29:440:29:47

say, what the hell does she know, but I do think there is

0:29:470:29:54

discrimination in this town. I do think there's a lot of injustices.

0:29:540:29:59

You just need to look at the housing. I was told that 98% of the

0:29:590:30:04

people on the housing list here are Aboriginal. Now I wonder who the

0:30:040:30:14
0:30:140:30:19

other 2% are. Cos you don't see any Found you, at last. Yeah. So, how

0:30:190:30:24

are you? Margaret Moore has been staying at her daughter's house,

0:30:240:30:31

helping out with the grandchildren for ten years. Good morning. One,

0:30:310:30:35

two, three, four. Aboriginal families like Margaret's have a

0:30:350:30:38

highly complex structure, which can hugely increase the number of close

0:30:380:30:43

relatives. This is the sitting room? Yeah. But it's a bedroom.

0:30:430:30:47

Yeah. Family members come and go, with many staying for indefinite

0:30:470:30:52

periods. Three mattresses. So who sleeps here? That's just a couple

0:30:520:30:59

of the kids. Margaret shares with 12 other adults and children, but

0:30:590:31:05

sometimes many more. So there's six adult couples... Here now. Here now,

0:31:050:31:09

and five children. But at times, when family come the house is

0:31:090:31:14

heaving, it seems, as it is. Last night I had about ten kids I

0:31:140:31:19

counted last night. Ten kids in here? Ten kids. Now this fridge in

0:31:190:31:23

here has to keep food cool... Aboriginal housing standards have

0:31:230:31:26

been identified as one of the key areas that impact directly on

0:31:260:31:33

health, particularly for children. This is where you do your washing?

0:31:330:31:38

Yeah, but because I don't have a machine. I have to go over to my

0:31:380:31:43

brother's. Do they have to do... Yeah, by hand. A seven-year-long

0:31:430:31:45

government investigation as part of the Close The Gap campaign,

0:31:450:31:48

revealed that only a third of Aboriginal housing has basic

0:31:480:31:54

washing facilities. Only 11% has basic electrical safety and less

0:31:540:31:56

than 10% has basic kitchen facilities, with no provision to

0:31:560:32:05

store, prepare and cook a meal in. So this has been like this for a

0:32:050:32:09

long time? For a long time we've been telling them but they never do

0:32:090:32:13

anything about it. I try not to stress myself, because that's the

0:32:130:32:19

last thing I want is to get myself stressed. It would make anyone

0:32:190:32:22

stressed, from living in this situation. But a strong letter from

0:32:220:32:26

a doctor goes a long way. Because of my condition, they wouldn't

0:32:260:32:30

believe me, unless it comes from a doctor's point of view. Why won't

0:32:300:32:35

they believe you? Because that's the way it is. We've got whatever

0:32:350:32:38

we've got, you know? They're not going to believe us. They don't

0:32:380:32:48
0:32:480:33:03

Back in the clinic, Mary has had an emergency call. Where's the

0:33:030:33:09

emergency? They're for me? They're for you. There's a little card in

0:33:090:33:19
0:33:190:33:35

there. You're joking. Are they from Well, today is... I'll just read

0:33:360:33:40

this little note actually, when Bay's here. It says, "By proxy,

0:33:400:33:45

love for 25 years and looking forward to the next 25. Best love,

0:33:450:33:53

Alistair". Oh, isn't that lovely? Silver wedding anniversary. Isn't

0:33:530:33:59

that nice? All the way from... tell you, they travelled well from

0:33:590:34:04

Brora. I don't know how many miles that would be. He's the most

0:34:040:34:14
0:34:140:34:14

wonderful man and he's been good It's three weeks since Mary last

0:34:140:34:23

saw her family but they keep in touch every day. Hi, there. Hello.

0:34:230:34:28

Happy anniversary. Yeah, happy anniversary to you, too. 25 years!

0:34:280:34:34

I know, I know. I tell you, they're much nicer than the flowers that

0:34:340:34:38

you used to buy as a cheapskate from Rankin's on Friday night!

0:34:380:34:43

they're lovely. They're lovely, yeah. It's a bit strange, not being

0:34:430:34:49

together, you know. Very strange. Well, you'll have a great time.

0:34:490:34:56

know. Cheers. When you've worked hard all day you're just desperate

0:34:560:35:01

to get home and, you know, see a couple of friendly faces. Can you

0:35:010:35:08

speak to me? Just to say, what was your day like? How'd you get on?

0:35:080:35:12

And you do feel socially isolated. And you think, what am I going to

0:35:120:35:17

do, you know? Sometimes it's like, you know, oh, to hell, I'll just

0:35:170:35:21

sit and read a book out the back and put some Scotch music on, tap

0:35:210:35:25

my feet to Andy Stewart. How sad is that, you know? I mean, it's just

0:35:250:35:31

so sad. OK, darling, I love you. Lots of love. I miss you, and hey,

0:35:310:35:41
0:35:410:35:49

listen, cheers. Cheers. Bye. How are you today? Good? Well, if

0:35:490:35:54

you're good why are you at the doctor's? The thing to do is to

0:35:540:36:00

stick with it for at least six months to see how it's going to go.

0:36:000:36:04

Yeah. Do you want to take my blood pressure, cos it's going up every

0:36:040:36:12

minute I'm talking to you? Did you fall or were you pushed? Ah, well I

0:36:120:36:16

fall because I have no control of my hips and I fall in the barbecue.

0:36:160:36:21

Spare ribs. Yeah, spare ribs, I reckon! Barbecue spare ribs for you,

0:36:220:36:28

mate! So the message to people... Don't smoke. Don't smoke. Can I ask

0:36:280:36:33

you a very personal question? You ever set your beard on fire?

0:36:330:36:43
0:36:430:36:44

Gian Carlo has been with Peggy Patrick and her husband for the

0:36:440:36:46

last three days, and has come straight from the hospital with

0:36:460:36:56
0:36:560:36:57

some sad news. Peggy's husband died about two days... Two hours ago.

0:36:570:37:06

Yeah, at the hospital. So... How is she? She's very distraught. She's

0:37:060:37:10

got a lot of family around her but you know, sort of very, very upset,

0:37:100:37:14

when your life-long partner passes away. Well, it was 50 odd years

0:37:140:37:18

they've been together, wasn't it? Yeah, a long time. Oh, she'd be

0:37:180:37:24

absolutely gutted. Yeah. The next thing is, she has been staying and

0:37:240:37:31

boarding in the hospital, and from today she's homeless. Precisely.

0:37:310:37:37

And what is the next step? Oh, well, we've organised with family for her

0:37:370:37:42

to stay with family the next couple of nights at Sedalla's house. I

0:37:420:37:47

don't know what's going to happen next. She'll probably... She'll be

0:37:470:37:53

in a state of grieving and go country, go bush. So it is sad.

0:37:530:37:59

Yeah, it's very sad. And another library has passed, has gone. A

0:37:590:38:02

library of Nunagarri knowledge and information, but also that sort of

0:38:020:38:10

energy and spirit of that old man, who was loved by a huge... Huge

0:38:100:38:15

number of his grandchildren and great-grandchildren. Just the cycle

0:38:150:38:25
0:38:250:38:35

of life that, we work... In an area As the indigenous population dies

0:38:350:38:45
0:38:450:38:47

Kununurra is booming, and stage two of the Ord Valley Project is well

0:38:470:38:52

underway. The population is expected to double in the next

0:38:520:38:55

three years. And to accommodate the workers and new residents,

0:38:550:39:05
0:39:050:39:09

expensive housing is being built on In stark contrast, many Aboriginals

0:39:090:39:16

live in so-called reserves on the edge of town. It's an area that few

0:39:160:39:19

gadia, or white people, venture into, but Mary is determined to see

0:39:190:39:25

for herself. Uncertain what to expect, she is accompanied by

0:39:250:39:31

Aboriginal leader. I mean, this is quite a special thing, being able

0:39:310:39:35

to come here, isn't it, with you? Because I know they don't really

0:39:350:39:38

like people coming in and invading their property or their land or

0:39:380:39:44

whatever. So this is quite a unique situation really, for me. Probably,

0:39:440:39:48

too, but again I think a lot of them do want to tell their story as

0:39:480:39:52

to how they are living in this area. Tell their story. Yeah, yeah.

0:39:520:39:55

probably want that opportunity to talk. For the past six years,

0:39:550:39:58

Lawford has been hands-on, working for one of several organisations

0:39:580:40:00

responsible for the well-being and social development of the

0:40:000:40:05

Aboriginal people in Kununurra. Good morning, this is Alan Long.

0:40:050:40:10

Doctor Mary. Lawford has arranged a visit to meet resident Alan Long

0:40:100:40:15

and his extended family from out of town. That's my family back there...

0:40:150:40:21

They're having a fight amongst themselves. Right. I tried to stop

0:40:210:40:24

them but I can't understand what they're talking about. Are they all

0:40:250:40:30

fighting? Yeah. They're arguing with one another. One husband...

0:40:300:40:35

It's come to this... He won't speak to them. That's too bad for me. I

0:40:350:40:45
0:40:450:41:03

don't like it that way. No. There's Ah, get that dog away from me! I'm

0:41:030:41:06

looking over here. This is an outdoor bedroom, obviously, and

0:41:060:41:10

amongst all the rubbish. You know, there seems to be just chaos

0:41:100:41:17

everywhere. I believe if she really wants to get a taste and a feel of

0:41:170:41:23

a community, she had to go in neutral with her own feelings. And

0:41:230:41:27

I believe by me not saying nothing, I'm not pre-empting her thoughts or

0:41:270:41:33

feelings. So I wanted her to really get a first taste and smell of what

0:41:330:41:39

a community's like or getting a sense of what this community's like.

0:41:400:41:43

I feel if you start talking to people, you know, you get people

0:41:430:41:47

already start thinking and feeling things. You let them go themselves,

0:41:470:41:50

I really believe they're mature and educated themselves to pick up what

0:41:500:41:54

they really pick up on. And then you cross-reference each other

0:41:540:41:57

after you have that initial contact within the community. So you

0:41:570:42:03

actually live here, don't you? Tell me, why do all your family

0:42:030:42:09

come and stay here with you? Because they don't know some other

0:42:090:42:16

people, you know? They come from all around over. Is it because they

0:42:160:42:19

don't have any room to go to? and then another people much around

0:42:190:42:24

here. Right, so these people come here because they're homeless,

0:42:240:42:29

basically? Is that what you're saying? Yes, yes. So they don't

0:42:290:42:33

have anywhere else to go, so they come here? And so when they're here,

0:42:330:42:38

they stay for how long? They only just stay here for a couple of days

0:42:380:42:42

and then go back when they're ready to go back. Yeah. How do you feel

0:42:420:42:47

about that? It's OK. It's OK, cos they're family. It's your mob.

0:42:470:42:51

it's our mob. Do you feel that things should be done better for

0:42:510:42:56

you? Yes. Yeah, yeah. Have you tried to get things done here?

0:42:560:43:03

And what happened? Got no help. help, just ignored? Yeah, yeah.

0:43:030:43:13
0:43:130:43:13

my God. Get! You're an expert at that. Oh, right. Listen, thanks

0:43:130:43:17

very much for letting us come to your home, and maybe I'll see you

0:43:170:43:27
0:43:270:43:40

at the OVAHS sometime. Yeah, OK. I am so confused. I feel like I'm

0:43:400:43:44

swimming against the tide the whole time. I can't take it all in that

0:43:440:43:50

this entire area is completely... So suppressed. And utterly

0:43:500:43:56

depressing. It's like a ghetto, really. It's like a rural slum.

0:43:560:44:00

It's dysfunctional. There's social dysfunction here, it's chaotic, and

0:44:000:44:07

it's just a breeding ground for disease. It is. Lawford is aware of

0:44:070:44:10

the huge amount of government funds poured into Aboriginal

0:44:100:44:12

organisations, leaving him to question the way resources have

0:44:120:44:18

continually failed to hit their target. Well, I really strongly

0:44:180:44:21

believe we, as a community, need to come together and start addressing

0:44:210:44:24

our problems as a whole, because there's everything here that's all

0:44:240:44:32

connecting. We need education for a start, housing, employment. Like I

0:44:320:44:36

said, all these things we need to come together as a community, and

0:44:360:44:38

bring in the people that have that mandate and responsibilities and

0:44:380:44:44

the obligation to do something. Are they educating the people? That's

0:44:440:44:47

why I've got to ask the question. Are they really coming here,

0:44:470:44:50

talking to the people about their health and hygiene? That's a really

0:44:500:44:55

good question. So we need to be asking that question. But like I

0:44:550:44:57

said, I believe there's a lot of service providers are getting

0:44:570:45:01

Aboriginal money for whatever, whether it's health... And they do

0:45:010:45:04

nothing about it. Whatever it may be, but they're not being

0:45:040:45:07

accountable to their measurements. So it looks good on paper. Looks

0:45:070:45:11

good on paper, but if you look at reality it's nowhere near the paper.

0:45:110:45:14

We've got lots of little offices, we've got lots of little individual

0:45:140:45:17

bits of money, we've got lots of individual people looking as though

0:45:170:45:20

they're doing the job, but in fact they're not bloody doing the job.

0:45:200:45:24

They're not. And that's clearly apparent. I mean, you don't... It's

0:45:240:45:28

not bloody rocket science, is it, when you come and see this place?

0:45:280:45:31

So somebody needs their arse kicked to do something about this. Like I

0:45:310:45:34

said, Kununurra needs to be exposed when dealing with Aboriginal

0:45:340:45:36

affairs. There's things that... It's shocking. Have gone under the

0:45:360:45:39

radar and not being detected. And if it is being detected, there's

0:45:390:45:43

all this hand-balling of who's responsible. The more we talk about

0:45:430:45:46

Aboriginal issues or affairs, I mean, gadias have got to live in

0:45:460:45:51

this world, too. Yeah, white people. So how do we balance this in a way

0:45:510:45:54

that people don't get, you know, prejudiced to blackfella growth or

0:45:540:46:00

gadia growth? You know what I mean? Because we all live in this one

0:46:000:46:05

world. We're only here for a short time, like the old saying, so how

0:46:050:46:09

do we make the best of it? So there is hope? There is light at the end

0:46:090:46:13

of the tunnel? Hope we always have to have, because if we start

0:46:130:46:16

letting hope leave us, we're going to have no chance of surviving. I

0:46:160:46:19

don't care what colour you are, whether you're black, white, pink

0:46:190:46:23

or yellow. If you've got no hope in your system, you might as well hide

0:46:230:46:33
0:46:330:47:11

One of the biggest sporting events of the year is the football match

0:47:110:47:15

against the rival town of Wyndham. This is about the first football

0:47:150:47:20

match I've ever been to. Aussie aerial ping pong, they call it.

0:47:200:47:30
0:47:300:47:34

to honour Peggy's late husband, I think there's about 1,000 people

0:47:340:47:40

here. It's a big, big thing for the Kimberly. It's fantastic, isn't it?

0:47:400:47:43

Brings all of the kids, all the families, all the old people, and

0:47:430:47:47

they just love it. And for once, I'd say 98% of people here are

0:47:470:47:54

indigenous. Yeah. Well, this is the thing that... Oh, the whitefellas

0:47:540:47:57

are in the bar over there. Oh, yes, they've got their own party zone,

0:47:570:48:03

yes. Is that an enclosure to keep them away? I think... Well it could

0:48:030:48:07

be interpreted that way. I thought this was meant to be a dry night?

0:48:070:48:11

Well, if you're a member of the country club, of the club, you're

0:48:110:48:14

allowed access to alcohol. I saw Peggy over there. She's over there

0:48:140:48:19

with all her mob. Oh, right. her family. So all have come up

0:48:190:48:22

from Waterman and... That them making all the noise over there?

0:48:220:48:26

They're the noisiest bunch over there! The most passionate ones.

0:48:260:48:36
0:48:360:48:46

Peggy's attendance at the football Is that your grandson? The football

0:48:460:48:49

match is a big family occasion, with eight of Peggy's grandchildren

0:48:490:48:59
0:48:590:49:04

You must be so proud of them. Very proud of your mob! You proud of

0:49:040:49:11

your boys, supporting their grandfather? Is this your white

0:49:110:49:16

gadia daughter? Yeah, my daughter. Steph Stoner is part of Peggy's

0:49:160:49:19

extended family and as an expert in cultural relations, is helping

0:49:190:49:23

Peggy with her housing problems. would make her feel no good that us

0:49:230:49:27

mob as a society don't get it right for you to have your house, you

0:49:270:49:36

know. I get bad, you know, and I think... I don't get why... I'll go

0:49:360:49:42

and hang myself, kill myself. darling, you mustn't do that.

0:49:420:49:46

that's the only way you can do it. The only thing you can do. No, no,

0:49:470:49:51

no. You got more to live for. There's this wonderful woman who's

0:49:510:49:53

probably the most widely known woman in the Kimberly, and

0:49:530:49:59

respected elder, and she's talking about, you know, committing suicide.

0:49:590:50:02

I'm sure that was probably just a possible off-the-cuff remark,

0:50:020:50:05

because you know, she's feeling so down in herself and going through

0:50:050:50:14

the initial stages of grief with her husband. All these people, like

0:50:140:50:20

me, strong people, learn people how to talk... She's probably one of

0:50:200:50:22

the most knowledgeable women in Australia, I was told, about

0:50:220:50:25

Aboriginal culture and how she's tried to keep this fire burning

0:50:250:50:28

about culture and pass it down to, say, to her grandchildren and

0:50:280:50:38

things. "Look, be proud of yourself. This is your past. Keep your

0:50:380:50:42

culture. But you have to move on, and you have to be educated and

0:50:420:50:47

live a good life". And that's what she wants. It's going to take time.

0:50:470:50:53

Yeah. Until we have people like you to lead your people, then...

0:50:530:51:03
0:51:030:51:15

After days of frustration, trying to connect with the Kununurra

0:51:150:51:25
0:51:250:51:27

Housing Department, Homeswest, Mary Good afternoon, Department of

0:51:270:51:34

Housing. Hi, it's Doctor Fortune here. Meanwhile, Margaret is on her

0:51:340:51:41

way to the clinic for her follow-up appointment. I wanted to speak to

0:51:410:51:51
0:51:510:51:52

somebody about housing, just to see Yeah, I haven't had any word back

0:51:520:51:59

from Homeswest about the housing. I've given them the forms and I've

0:51:590:52:06

never heard back from them yet. There is no application... She's

0:52:060:52:13

made no application? Right, that's not what I heard from her. Can I

0:52:140:52:22

see Doctor Mary again? She was told that if she had a medical letter

0:52:220:52:25

for medical grounds that her application would have a bit bigger

0:52:250:52:35
0:52:350:52:36

clout. OK. So really not good news. OK, listen, thank you very much

0:52:360:52:39

indeed for your help. You've been very informative. Thank you. Bye-

0:52:390:52:47

bye. This woman said that they have not, categorically, did not receive

0:52:470:52:54

an application for housing. So when did you put your formal application

0:52:540:53:00

in? I put it in the very next day. So that was over two weeks ago. So

0:53:000:53:04

they must... They've got it. I've given it to them. Gave them the

0:53:040:53:09

application for housing. I've done all that. So this woman's telling

0:53:090:53:12

me that they haven't received it. Mm, so why are they saying that,

0:53:120:53:16

cos I did. Well, I think that's something that we have to pursue.

0:53:160:53:23

Mmm. In regards to my experience, you can either hit your head, argue

0:53:230:53:26

with them, kick your head against the wall, you'll get nowhere. What

0:53:260:53:30

you need to do is go down today and put in another housing form. If you

0:53:310:53:34

want to get into the queue quicker, that's what you've got to do. So

0:53:340:53:38

you need to have someone, a housing advocate, to go in and work with

0:53:380:53:41

you on this one. Margaret has mentioned that to me before, but

0:53:410:53:45

that's really good advice, Gian, to reinforce that. Because we need to

0:53:450:53:48

get to the bottom of this, because it's just wearing away at you a

0:53:480:53:52

long time. And my daughter is getting very frustrated with me.

0:53:520:53:56

She wants me out of there, too, see, so that she can get on with her

0:53:560:54:00

life and be with her partner. I'm sort of in the way so I need to get

0:54:000:54:05

out. You know, this is just another story of a very resource-rich state

0:54:050:54:12

government, and then the lack of housing stock. I can't... Why these

0:54:120:54:15

great grandmothers and grandmothers are basically homeless. They have

0:54:150:54:25
0:54:250:54:27

to kip in with family. Right. that right, Margaret? Mmm. Homeless.

0:54:270:54:30

You're actually homeless, aren't you? And I am one of the

0:54:300:54:33

signatories that handed over the, you know, all the old country here

0:54:330:54:36

to the state government, the Mirumgudgerum Corporation Committee.

0:54:360:54:39

And here we are, you know, they've taken our land and doing all these

0:54:390:54:42

new whatever farm that's everything, and we're the people that signed

0:54:420:54:45

off, and where we are today, still stuck in the same place,

0:54:450:54:52

overcrowding with our people. And yet the Housing tell us there's no

0:54:520:54:59

housing for us. It makes you wonder. And all these people with jobs and

0:54:590:55:02

everything out here, it's all to the Mirumgudgerum people signing

0:55:020:55:04

off to the state government and giving the land away, more-or-less,

0:55:040:55:11

for their development. And do you feel now that you wish you hadn't

0:55:110:55:16

done that? Yeah, yeah, well in the sense, yeah, we shouldn't have,

0:55:160:55:19

because we are still getting nowhere. Government still haven't

0:55:190:55:23

fixed up our problems yet on the communities, and all we asked in

0:55:230:55:26

life was the three things, that the basic needs of Aboriginal people,

0:55:260:55:31

was water, power and housing. not? And no community's ever gotten

0:55:310:55:37

that yet. Water, power and housing. You didn't tell me all of this.

0:55:370:55:41

Well, now I'm telling you, Doctor Mary. Now you know. Yeah, I needed

0:55:410:55:46

to know that. Mmm. I bet you're quite a formidable woman when you

0:55:460:55:54

get going. Oh, yeah. Let's see Margaret Moore, eh? Anyway, I have

0:55:540:56:04
0:56:040:56:12

here your Worxifaxer. When was the This journey has been a bit of a

0:56:120:56:15

different journey this time round. Oh, it's a whole different ball

0:56:150:56:21

game, really, this time. I mean, it's... Your head just goes round

0:56:210:56:25

and round and round the whole time, thinking, why? Why has this

0:56:250:56:29

situation got so bad? Why are people living in these conditions?

0:56:290:56:36

And I just feel that particularly what's happening here is like... I

0:56:360:56:40

can't come to terms with it, because don't know the answers.

0:56:400:56:43

I've been told that the government throws money at Aboriginal people

0:56:430:56:49

all the time and it's not the way forward. I don't know the answers.

0:56:490:56:53

I'm here to learn and to try and formulate some sort of thing in my

0:56:530:57:03
0:57:030:57:22

brain that explains, or tries to Next, on Doctor Fortune's

0:57:220:57:25

Australian Casebook, Mary is out on the front line, witnessing the

0:57:250:57:32

alcohol-fuelled destruction of the Aboriginal race. My people are

0:57:320:57:41

dying quickly from alcohol and there's nothing to stop it. Mary

0:57:410:57:46

goes to rehab... It looks like a workers' camp in the middle of the

0:57:460:57:53

desert. But is it too late for the Aboriginal people? We won't be an

0:57:530:57:57

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