Wineglass Bay overlook

Hobart harbor
Stephanie and I finally found the right nanny, and got away for an eight day trip alone to Tasmania. There was a four day Emergency Medicine conference in Hobart, the tidy capital; then a three night road trip up the east coast. It was our first trip away alone in 10 years! It was a wonderful break…

Mt. Wellington looms 4000 ft above the city



Salamanca Place, restored waterfront warehouses
Tasmania, though remote, has a long history by Australian standards. Hobart, the second oldest Aussie city, was founded in 1803 as the second colony. The initial settlement was only 262 people, 178 of whom were convicts. The colony grew rapidly, and became infamous for the most feared penal colonies in the British Empire between the 1820-1850’s
Central Harbor on the Derwent River

Tasmania is sort of considered the Vermont of Australia, which is sort of considered the Switzerland of the US, if you follow me…. It’s very bucolic and agricultural in the north and east, becoming wilder, more remore and mountainous in the west and south. It has a very developed, high quality artisinal food culture; famous for lamb, fruit, fine wines, cheeses and dairy and especially fresh seafood…Foodie heaven…It’s nickname is the “Apple Isle”…

Artisinal Bakery, Hobart


 

Tasmanian oysters, highly prized and delicious…

A heritage building, converted to a cafe, Hobart




Tasmania has one of the largest collections of stone heritage buildings in Australia, many convict designed and built

Hobart is a compact, walkable city of 150k with great architectural diversity. It’s on the southern coast, an area so far south that to me it feels like the far north; temperate, with cold winter winds blowing in from Antarctica instead of the Arctic. The place has a remote, sub-polar vibe; much like towns I’ve known in Alaska, or perhaps Scandinavia…tho I’ve never been…We were there in late November, late spring, so the evening light was long and lusterous; and flowers were at peak of bloom.



Royal Botanic Gardens



Strange birds in exotic trees
Hobart has one of the oldest Botanic Gardens in Australia, like Sydney, it started as the colony’s farm and is said to have the largest specimen collection of conifers in the southern hemisphere..

One day, it was off for a ride to the top of Mt.Wellington for panoramic views of the southern coast. But first, a quick stop at the Cascade Brewery, Australias’s oldest…

A Thylacine model at Cascade

Another Tassie oddity is the Thylacine, a now-extinct (?) striped,wild dog that, bizarrely, is also a marsupial; carrying it’s live young in a pouch. Called a Tasman Tiger, the last known one died in a Tassie zoo in 1937; but there are regular unconfirmed sightings in the wild, mountainous wilderness of SW Tasmania…Could they still be out there lurking….??

Hobart and the Derwent River from Mt Wellington summit

Summit Barrens

 

At the MONA

The local Australian EM Chapter put on an awesome social program that blended Art and Science; including a private party with open bar for 500 at the Museum of Old and New or MONA. This is a private museum and winery built by a local internet billionaire. It revolves around his conception that all great art is created out of the fear of death or the desire for sex…I thought it was a complete freak show, but a half dozen or so cocktails got me through the thing….

The Crypt, main room carved three stories down through limestone…
Almost there….

Some cool Micronesian prints…



Try navigating this stairway after a couple,,,

I’m not really getting the library of blank books…

The building is REALLY stunning….the contents…hmmm?
Water drops fall; creating ephemeral, random words…

Next night was a five course degustation meal with matching wines at the old Hobart Town Hall…Very swish affair , all highlighting the best of Tassie produce ,wines and live music…..These guys party like rock stars down here..Sublime, but we gotta get out of town and preseve my liver…!

Getting a bit hazy about now…
So, conference survived, we hit the road up the east coast. We avoided the western mountains because Tassie friends in Brisbane warned us that the weather could be really touch and go up there at this time of year. It was windy and freezing up on Mt. Wellington., so we opted for the mellow route, travelling through a bucolic landscape that reminded one of the English countryside to the village of Ross, site of the famous stone convict-built bridge. It’s the oldest stone bridge in Australia, c 1823, overlooked by the oldest Catholic church, c 1836..

 As we headed east and north, the land flattened out and became sheep covered..In the distance rose the curious granite Hazards of the Freycinet Peninsula, our destination for a few days of hiking
Maria Island, a wilderness park offshore

The Hazards over Moulting Lagoon

 



The Hazards at Coles Bay, Freycinet Peninsula

An Echidna, an egg laying mammal…the only other being the Platypus..

The world famous sweep of Wineglass Bay, an Australian icon



A dried Gannet with a curious Donald Trump style toupe….too weird….!

We hiked over the pass and for 12 km along a remote headland..The bay waters were crystal clear and colored like the Carribean

A Bennett’s Wallaby, only waist-high

World’s best local scallops ? Served roe on , with butter

Impending bliss

 After our exertions it was time for some cool local Reisling and fresh Freycinet scallops…I am a happy man at this moment…In fact, I think I feel a little budda sitting over my right shoulder….

Sad to have to leave Coles Bay on the Freycinet, an uncommonly beautiful blend of agrarian Ireland and granite encrusted Acadia N.P. in coastal Maine..Not stupendous or grand, but something even more intriguing; pastoral, intimate, harmonious, with glorious food and sunshine beside the ever restless ocean…A very remarkable place on the planet….



Sheep grazing by the sea
St. Mary’s fishing boats



Catch of the day

Orange lichen at the tide line



Bay of Fires N.P.

Turning inland , we went west from the coast, arriving late into Launceston; at pop.75 K the second largest city in Tassie..The fertile valleys interspaced with surprisingly steep and windy, rain-forested  mountain roads, we got into town 2 hours late, changed clothes in the car and had the best meal yet in Australia at Stillwater, a localvore temple set in a converted flour mill…A fitting finale to an amazing trip…

Actually, these were the best scallops ever…the appetizer…
Scallops in still life; they were that good…..with lemon foam, whipped potatoes and proscuitto



Impending bliss….



Late in the meal, I’m feeling it…the enveloping endorphin buzz, or perhaps the second Pinot?…complete with dissolving waiters and everthang……..

The River House B&B

Vineyards above the Tamar River, a major vinicultural region
Tamar River from the River House
Launceston Gorge

We flew back to Brisbane out of the tiny Launceston airport, somewhat fully recharged and ready to re-take on the challenge of raising our wonderful, rapidly growing and very energetic five kids..We hope you enjoyed the journey to a little known place on the planet as much as we did…After 10 years of daily parenting, our only question on arriving home was, ” When can we get away again next…and to where…?!” I have a few ideas and hope you will follow along..A tantalizing few hints:  It contains rare birdlife, the world’s southernmost coral lagoon, and is even more remote than Tasmania…Any ideas?? ..Here’s to sharing the next adventure with you too….Safe travels Doc (and Mrs) Down Under….
Future Aussie Surf Lifesavers

We wanted the kids to join an Aussie activity that would give them a deeper appreciation of Aussie culture, but didn’t want to spend weekends sitting on bleachers watching amateur cricket or rugby in the hot sun. So they agreed to Surf Lifesaving. It’s an Aussie institution, run by volunteers and donations. It’s also a widespread social organization, that takes even very young kids, beginning at age five, aka “Green Caps” and works them up through the ranks as “Nippers” ages 6-14 ,until they attain eventual status as Surf Lifesavers in their mid-late teens. It’s also a very fun, active (and tiring) day at the beach…

On the ferry over to Stradboke Island with the Healy girls

Beach Buddies…

Ditto….



Beach exercises…
 
 



Getting in shape, on land…



…and at sea

Board work too…
 
 
Georgia in SPF…in colors.. Who Knew…??
 
 
 
 
Blue Bottle Jellyfish attack….I survived, it did hurt…but no tears…Harden up Dr. Nolan!!
 
 

A nice family activity, with the Healy’s

 

Relay races



and Tug of War…Pull Cate…!

Luke has been working hard all year to advance to Surf Rescue Certification..As this was the last meeting of the year he and some others tested out to get the SRC certification. There was a nice ceremony with gifts… He can now roster on for patrol as a Junior member..A very proud moment for us all!

 
A young up and comer…

 

It seems a long time ago that we first arrived and were marveling at the courage of the nippers.. I even blogged about them. Now the Nolan kids are getting right in there too..Fully accepted into their ranks…


View from the club deck looking south down Main Beach, Stradbroke Island…unbelievable..!
 
As an older legacy organization, many of the SLSC’s are sited on amazing real estate, overlooking vast stretches of beach and river estuaries etc…. Members can take advantage of club restaurants and facilities for weddings and parties….

Looking east from the deck…

Some deep club history, going back to 1947

 
With Christmas coming on, there was a rumour going around of a special guest arriving during lunch..The kids were fired up….Look, a Surf Rescue helicopter….!

 
What an entrance…He said it was too hot for the Reindeer to fly…

A popular fellow, worldwide…

Never too old to believe…
 
A tricky Landing Zone…

A nice accomplishment ..

Luke’s SRC Uniform

Back at Raby Bay with “The Minnow”

Merry Christmas from Down Under!!

 

 
 
We were recently at a water park White Water World…the kids were in their glory. So here are a few shots of, well… kids being kids…Merry Christmas to all family, friends and strangers; near and far. Please know that you are missed and close to our hearts at the close of a very eventful 2012, and looking forward to many new adventures in 2013.. With much love, DDU and the Nolan gang… 

 

…and after all that activity…we are bushed…and it’s time for bed…sweet dreams…ddu

 
 
 
 
 
 
 

 
After many Aussie hiking adventures and road trips with the boys, which we hope you’ve been following, the accusations of favoritism and neglect had reached a deafening crescendo from Claire and Cate…The girls wanted their own special trip with Mom and Dad…And not camping or dodging snakes either.. The girls wanted bright lights, soft pillows, great food….a little luxury….SYDNEY!!!

We found a couple of beautiful heritage listed B&B’s in Sydney on Trip Advisor, that were of an acceptable level of comfort for our dear daughters, though they didn’t really get the “no pool” concept. They provided the perfect bases for exploring all that Sydney has to offer; an amazing, and busy, working harbor, world class botanic garden and zoo, leafy restored neighborhoods, and of course the Opera House and Harbour Bridge…



Pott’s Point neighborhood
Simpson’s of Pott’s Point
 



 

My best girl





 

Simpson’s interior



Princess…. for a weekend…

 



The Royal Botanic Garden entrance

The Royal Botanic Garden in Sydney sits right on a small cove in the center of downtown, on the site of the original convict settlement’s farm. It’s nearly 200 years old, extensive, beautifully maintained and free to the public. The vegetation is very varied with graceful walkways and lawns, it’s the best Botanic Garden I’ve yet seen. As the walkways lead you down to the water’s edge, the below view of the Opera House is revealed; surely one of the world’s great urban designed landscapes. Much has been written about the Opera House, but as a newcomer to Sydney a few immediate realizations came to mind…It’s much larger and more complex than expected, as well as seemingly closer in, and even intimate, in it’s setting. It also feels unexpectedly organic and “right” for such an astounding structure…Intriguing….

Holding up the world..
 
 

Funky Tree

Just lounging around

 

 

 
 



Sweet dreams….

 The semi-outdoor Fernery is an especially nice spot to sit and contemplate life under a primordial green canopy.

Next morning, we were up early, across the Botanic Garden again from Pott’s Point to catch the ferry across Sydney Harbour out to the north arm of the headlands and Manly Beach. The ferries are fast and cheap, and a wonderful way to see one of the finest natural harbors on the planet.

 
A bit more about the Opera House…The project took almost 15 years, and went over budget by 15x the estimated cost. Jorn Utzon,the Danish architect, quit in disgust before completion and never returned to Australia to see the completed structure…So, a difficult birth for a remarkably singular structure. That said, as a non-architect, and from a layman’s point of view, when you see the genius of the conception up close, almost every other building you have experienced looks somewhat more humble and prosaic..Just another in an endless series of boring boxes and rectangles, however cleverly gilded.  To compare in musical terms, this thing is a John Coltrane “sheets of sound” free-flight solo compared to a high-school marching band…Both musical, yes…but on vastly different planes of creativity and execution….Simply stunning..
 
 
Manly Beach gymnasts

Manly Beach heritage building

Regatta in the outer harbor

Seagoing transport, ancient and modern

 
The whole shebang; CBD, Opera House and Harbour Bridge coming up river

 
Another amazing aspect to the Opera House is it’s skin.. I always thought it was encased in white aluminum clad, or maybe vinyl perhaps… (!)……Not so, the skin is actually composed of almost one million ceramic tiles, computer designed to lay perfectly flat in a subtle mosaic pattern. This gives the structure a creamy, earthen warmth that reflects light with a soft, subtle glow…never harsh; a magical trick of the light……I had some beautiful close-ups lost due to some injudicious editing of my flash drive, 250 or so shots, gone in, well… a flash…..So, you’ll have to go see it for yourselves someday…
 
 
The main “sails” rising over 200 feet above the water
 
 
 
The Circular Quay, a busy working waterfront

“Captain Undie-pants”..frightening…!

The Russell Hotel in the Rocks
Harbour Bridge at night

We then moved over to the Rocks, the oldest part of Sydney, dating to the 1820s. So named for the rocky peninsula that convict laborers spent decades hacking apart with hand tools to build the original stone buildings of the nascent city. It’s an interesting blend of heritage buildings, restored warehouses and high-end cafes and bars.. A lively section of central Sydney, right on Circular Quay. A large portion of the area was razed when the Harbour Bridge was built in the 1920-30s; and incredibly, the entire Rocks district was slated for complete demolition during the urban renewal craze of the 1960s. It was only saved when the construction worker’s unions went on strike and refused to do the work. The first such “Green ” strike in history.. So much for listening to “expert” guidance…

Russell Hotel Wine Bar



First Mate Cate

The next day’s journey took us again across the harbor by ferry to see Taronga Zoo, another Sydney landmark with excellent hilltop views of the city CBD from the north shore. It’s a vast, well-designed park, a few shots only included below….

The goat that head-butted the Opera House…Love this shot….

Pub scene, the Rocks



Luminescence

The other landmark that dominates the skyline down at the Rocks is the Harbour Bridge. Impressively massive, we walked up on the pedestrian walkway two nights in a row to see the lights of the entire Sydney metro area, 4 million, strung along the undulating waterlines, inlets and islands of the harbor for miles towards the east and the open sea. We even got fireworks over the Opera House below on Saturday night.. Sorry, no photos again, due to operator error. A sublime memory anyway..!
 
 
 
The Bridge from Observatory Hill looking north
 
 
 
Finally, all trips have to end, and it was time to say farewell to the Rocks and Sydney . It was perfect to spend three nights exploring right in town and harbor. We were glad to have cancelled a side trip to the Blue Mountains 2 hours west…that’s a whole ‘nother adventure. It was also a wonderful time spent bonding with our rapidly growing-up young ladies. And in retrospect, I like the way these girls travel…pretty deluxe indeed…! Maybe they’ll invite Dad along on the next girl’s road trip….
 



Seasoned road warriors…

Departing airport scene…next stop, Brisbane…

Thanks again for following along. And here’s our wish that you also have the time and means to get away with your kids and teach them the “rules of the road”. whenever you can….They are growing up, in almost the blink of an eye.. All the best in your adventures, Claire, Cate, Stephanie and DDU….!

 
 
 

Old Brothers, still exploring together


We finally had our first visitor to Australia, my brother John (‘Uncle JJ”), from Cooperstown, NY. We tried to fit as much variety into nine days as possible, and John says we well and truly succeeded. Revisited a few favorite haunts, as well as some brand new experiences.



Nolan family– ceremonial welcome dance



 

 
 
 
Stephanie, the lady of the house
Fresh grilled snapper and shrimp
Welcome to Australia Uncle JJ!! Also, Claire’s 12th Birthday.
 



To get John adjusted after the long flights, first we went into Brisbane for a cool urban experience…Hip city!!
 



 

Brisbane pedestrian bridge

 

 
City Cat ferries
 
 
 
Southbank pools
 
 
Southbank Brisbane
Chinese lanterns and the Brisbane Eye

 

 Next it was off on a 4 day boys camping, hiking and exploring road trip. We went S, up 3000 ft onto the Lamington Plateau at Binna Burra, through the Numimbah Gap into NSW and climbed Mt Warning. It’s the remnant cinder cone of one of the largest volcano calderas on earth, that blew out around 20 million years ago. All of the mountain ridges you see are in fact the rim of the ancient caldera, stretching some 70 miles in diameter…

Roadtrip!!!

Heritage cabin, c 1930s, Binna Burra

Economy digs, but dry… 
 
 
 
 

On the trail, Lamington NP
Luke in a Volcanic Cave
 
 

Chillin, and Grillin’, I love camping…!
 
 
Natural Bridge cave
 
 
 
 
Mt. Warning, a NSW landmark for miles
 

Roots devour rock, given time enough…

The trail up Mt Warning was amazing, climbing around 2000 ft. Starting in a dense palm forest, through massive, virgin tropical hardwoods and up into sub-alpine Antarctic Beech..The final half mile is a steep ridge up the terminal cinder cone, culminating in a tiny summit with lookout towers in all four directions. As we ascended, the weather cleared, and we were rewarded with stunning views E towards the Gold Coast and Byron Head, W over the wild, remote, Border Ranges between NSW and QLD and N towards the Lamington and Springbrook plateaus we’d come from…Even though the old knees were feeling their age on the 5 hour hike, the trail was well maintained and we got back to the carpark at dusk feeling exhilirated..

 
 
 
Antarctic Beech, high on Mt Warning
 

 
 

The final ascent

Summit scene, looking East



Gold Coast high rises over the ridge

 

#1 Son Luke
 
Palm flower stalks

 
Next am, it was SE down the coast to Brunswick Heads and Byron Bay, two favorite haunts for some sun, surf and sand….


 

Aidan, the camp cook

Easternmost point return

 

Beach Bums, Byron Bay
Ditto….
 
 
Gold Coast High Rise Bling….

Finally, it was back to Cleveland, to pick up Stephanie and the younger kids. One night layover, followed by the Big Red Cat ferry out to Straddie for a two night beach house adventure in the  Green House at Point Lookout, on Stradbroke Island…..It only gets better and better….!

Big Red Cat…literally

Beach-Bound…!

Young lovers on Straddie…

 
 
 
Straddie is an offshore barrier island of great beauty and diversity right off Cleveland. It has over 230 species of birds, none of which you’ve ever seen before; kangaroos, bats, whales, dolphins, mantas and sea turtles. It feels as if you are 1000’s of miles away, after only a 45 minute ferry ride.. Sublime, and exciting……
 
Eastern grey mother and joey

The North Gorge

 
 
 
 
Petting a wild Kook at the Green House, Not kidding…

The Green House, there’s also a Blue one next door…

We spent three days boogie boarding, grilling, lazing about…even had soft acoustic guitar music to go with the wine….Life doesn’t get any better for me…

 
 
 
 

Flying fox bat colony, right across the street

 


Koalas too….!
 
 
Hello from the Nolan kids!!

Beach Beauties…

We took a trip up to Brown Lake, so named because of the tannin stained, but pristine waters.. Very brown indeed, like a rootbeer. As I was wading out in the bush I had a sudden surprise when a large, black, very toxic looking snake swam right by me in knee-deep water…I snapped a few quick shots and moved back, as he was only 4-6 ft from me….Turned out to be a Red-bellied Black snake…Not lethal on the nuclear scale of a Taipan or Brown snake, but quite venomous indeed…around 10 times as venomous as an Eastern Diamondback…Another reminder, that whenever you are out and about in this splendidly beautiful country, real danger lurks very close under foot…..Steady….

Nolan beach-boogie dance party…F-U-N….

Wading flooded Malalueca, (caution Dr Nolan…!)

Big, black and mean..I will ruin your day…
 
 
See that evil eye…cut off his nose, sorry I was in a bit of a hurry….
 
 

Bush Clown….

So, having survived yet another close snake encounter, we retreated back to the safety of our home in Raby Bay to have a send off dinner for our beloved Uncle JJ… Safe travels, God speed, return to us another day.. Meanwhile, I resolve to be a bit more careful as to where I place my feet while wandering the bush of Australia…It’s a dangerous thing, leaving your house for an adventure…..Best and safest travels to all family and friends, near and far…Until next time!  DDU



Uncle JJ’s sendoff party. Fish n Chips…yummm…

 



Old mates with the next generation, coming up….
 
 
Donations for wildlife accepted
 
 
 
We finally got to the Lone Pine, a world reknowned Koala Sanctuary, rehab center and open air zoo since the 1920’s, that’s on the Brisbane River a few miles south of town. Koalas are an iconic symbol of wild Australia worldwide,  although their historic range is only on the east coast of AU; centered in the Brisbane region. Their numbers are declining rapidly, mostly due to suburban sprawl, habitat loss, cars and pet dogs. The sanctuary does a great job of educating the public on the plight of Koalas and advocating for their future survival.
 
 
 
Family portrait, with the new kid…
 
When in Brisbane, it seems everyone gets their portrait taken with a live Koala, and I mean EVERYONE..The walls are covered with glossy photos of everyone from Pope John Paul to Eric Clapton and Taylor Swift…and of course those pesky Nolans…
 
 
 
 

 
 
 
 
 
Speaking of pesky, Owen freaked out as his turn came up, and we had to manuever quickly to get the near cameo above..The Koalas get a bit nervous when screaming starts, and they do have impressively long, and sharp claws….Queensland is the only place in Australia where it’s legal to hold a live Koala, and they have strict rules on exposure time etc. The Koalas used are actually doing their part in Koala research and rehab, as the portraits are a big money maker, and all proceeds go back to the Sanctuary’s work. So, good on you little Koala…!

The Sanctuary also has a wide range of Australian wildlife on view, including an amazing open air park where you can get up close and personal with kangaroos, wallabies, emus, lizards etc.. The kids of all ages absolutely loved it..!! 
 
 

 

Red Tailed Black Cockatoo

 
 
Endangered, and prehistoric Southern Cassowary

A bird from another age…
 
 
 
A Wombat, medium hog sized
 
 
 


 

Hey Skippy….a baby Wallaby
 
 

Freshwater Crocodile








Quite possibly, the world’s cutest animal
 

Moving, big action for a Koala

 
Although there are lots of amazing animals to discover here, at the end of the day, it’s all about the Koalas. LPKS has around 130 at any given time living in open air enclosures and dining on fresh cut eucalyptus leaves; a nursery for Moms and babes, a bachelor pad, a clinic, even a retirement home. The Guiness Book of Records for oldest Koala was clinched here ( where else…?)   A female lived to the ripe old age of 27…



 
Napping again…yawn…
Koalas, besides being cute, are yet another oddity from down under. Not a bear at all, a marsupial that gives birth to a live, single, bare, inch-long baby that crawls up into it’s mother’s pouch to further gestate, they are one of the few animals in the world that can eat eucalyptus leaves. Unfortunately, leaves so low in nutritional value and hard to digest that the little guys sleep around 19 hours a day just to save energy. They live solitary, sleepy lives and communicate via a low rumbling bellow or roar…



Just hanging around….


A koala bachelor party…..zzzzzz

 

Spooning a ‘Roo, another bucket list checked off…

 

 
 
 
 
 
 
 
 
 
 
 
 

My new buddy Skippy, looks dashing in the hat…

 
 
 
 
A big male (duh….) Eastern Grey, aka a “Boomer”…… 😉
 
 
 

So, one last round of Koala pix before signing off; they are really cute for sure, and it was a privilege to be able to get up so close and hold one….As a life list experience it was right up there with spooning the ‘roo….almost!

If any of you are ever in Brisbane, you really must make it out to the LPKS and add your picture to the wall of luminaries who have travelled from all corners of the globe to hold a live Koala..

 Until next time, may memories of sleepy, fuzzy-eared, non-bears fill your dreams….ddu

 
 
 
 
My happiest moment……ever……..ddu
 
 
 

Esplanade Pool, Cairns
 

Preflight with the “Beach Banger”

I took the two older boys on an EM conference up in Cairns, about 1200 km North of Brisbane. True tropics, now in the drier winter months. It was our first flight out in the 8 months we’ve been here…Psyched….







Styling at the Sebel, Cairns
The three amigos…
 

It was a real swanky affair with rich food, wines, a few poisonous reptiles and disaster managemant, all rolled into one…

New wave “Bush Tucker”





Home Sweet Home

 

Heritage Building Cairns

Pool Party

Aussie colors at sea



 

We went out to Green Island to snorkel the Great Barrier Reef, just in case we got weathered out further north…It can be windy and rough out on the Reef in winter, and we didn’t want to be so close and get shut out., it does happen…..It’s a heavily used tourist island, but the coral and fish life were way better than expected….

Children’s Python, a starter snake of sorts…


We had a snake expert from the Cairns Zoo discuss poisonous snakes of Australia, home to all 10 of the world’s deadliest snakes, and around 20 of the top 25. We had python handling session and he even brought in a live Coastal Taipan, 3rd deadliest in the world. About 50-100 times more venomous than a King Cobra, and endemic to the Cairns area…Hold that thought…The boys LOVED it of course, but the hotel staff was a bit on edge…!

Big boat to Green Island
Room Weasel

Green Island reef

Road Trip North
 But, alas, the conference ended, and it was time to leave the easy life behind……Road Trip!!  Up the East coast on the Captain Cook Highway, said to be one of the best coastal drives on the planet.

 It sure seemed it to us…. as bay after bay of beautiful coastal headland opened up in the bright tropical sunshine…

Coastline north of Cairns

The mountains of Cape Trib
Captain Cook discovered Australia during his epic voyage of 1770. He was wrecked on the reef off the east coast and barely survived to journey further north. He gave names to mark the high points of the trip that remain to this day, Cape Tribulation, Mount Sorrow, Mount Misery.. Sounds like it was a hoot.. He limped his crippled ship into what is now Cooktown, QLD and after seven weeks of repairs, sailed away alive.. I believe he was later killed by angry natives on the Big Island of Hawaii. An ignoble end to one of the greatest maritime explorers ever..

Sugar cane rail cars

Sugar mill at Mossman, Qld

Cable ferry across the Daintree River

After you cross the Daintree River, the tiny road passes over a steep mountain and you really feel you are entering a world removed. The road has only been paved since the 1980’s and remains a gravel track north of Cape Trib and on for 30 km to Cooktown, impassable during the summer “Wet.”. This is also the only place on earth where two World Biosphere Reserves ajoin; the Daintree Rainforest and the Great Barrier Reef. It truly is a spectacular environment to explore…You’ immediately notice road signs you’ve never seen anywhere else in your travels… Hmmmm….

 

What could this one be trying to say…Hmmm…

The Epiphyte B&B cabin….with appropriate reaction…


Breakfast on the veranda

 

I claim this one…

Tropical fruits..paradise…!



 The Daintree Rainforest is the oldest on earth, around 200 million years. A mere remnant now of the ancient primordial forest, it  covers less than 0.5 % of the Australian landmass today, but contains over 30% of the bird species, 25% of the reptiles, innumerable ferns etc etc etc…It is a true wonder of the natural world…This is a view of Thornton Peak in the clouds from the Epiphyte veranda…


 

Rainforest stream
Another weird sign…the meaning’s pretty clear tho’…..
Rainforest stream, looking for a swimming hole…

We took a fishing / nature charter down the Daintree..The weather was favorable, so we crossed the bar and fished out on the reefs around Snapper Island. Tiny boats were handlining for Spanish Mackerel off to the NE , so we joined them..It was amazing to watch them bob and roll in the 4 foot swells.. We saw a few fish landed, but we struck out..We did manage to catch a variety of smaller reef fish, and even a few keepers for dinner..


Boy’s day out…

I am a  happy guy…..

Handlining for Spanish Mackerel

A Grass Sweetlip

Luke on…!

A jewel from the reef…released..



A Cod of some sort, from the reef

Aidan with a Stripey



 As the day drew on, we went up river and spotted Saltwater Crocodiles, aka “Salties..”  Very impressive up close, definately an apex predator and potential maneater.You can’t really imagine how formidible and ancient they are until you see them up close. This large male is maybe 16 feet long, over 1000 lbs, and looks to be several million years old…Truly a living fossil…


 

A curious thing about the Daintree is the gravel and boulder base of the streambeds. The rivers are ice cold, weed-free and crystal clear. Pools up to 10-12 feet turn deeper shades of green and aqua with increasing depth. The deepest holes hold jungle perch, catfish and freshwater eels..A natural aquarium…and an amazing and welcome contrast to coffee-colored, muddy streams of most tropics …Swim-time…!


 

Climbing out of one swimming hole, we saw a snake, right off the trail…It looked somewhat familiar…Oh, a Coastal Taipan..remember that one..?  Only the third most poisonous snake on the planet…Dr. Nolan again risked life and limb to bring you these live action photos..The boys were in the background saying, “Look out Dad,,,,”. Well, at least they care,,,,

The Blue Hole

Yet another curious sign

 It was really too much to hope to see a Southern Cassowary in the wild. One of the rarest birds in the world, in the late 1990’s, only 1100-1500 adults were estimated to exist in far Northern QLD. Listed as Endangered in Australia, the only other place they exist is in Papau New Guinea across the Torres Strait. Essentially a six foot, rainforest dwelling, flightless ostrich, that dates back to prehistoric times; they are solitary and wary. If seen at all, it’s often in the morning along the roadside verge, where they sometimes feed. Amazingly, we were heading north at 0700 to go snorkelling at Cape Tribulation, when I saw this shaggy, brown butt moving at the forest edge. Hard braking and a quick reverse…fumbling for cell-phone camera….and Voila! The rarest bird I will ever encounter, shot in 10 seconds, leaning over Luke in the passenger seat…..This is a juvenile, under three years old, and still 4 feet tall, but yet to develop the striking blue head and bony “Casque” protuberance of an adult of either sex. I find it encouraging that there are younger birds coming up, a hope for the future…
Is it real, or only a dream…?
A Southern Cassowary, in the wild…..

 Here are a few shots of an adult Cassowary I took today at the Lone Pine Koala Sanctuary in Brisbane ( a full blog entry coming soon…). This bird is as tall as an adult man, and quite aggressive. Note the coloration and the distinctive bony Casque, or skull extension.. A stupendous sight, even in a zoo enclosure.. but, that doesn’t really count, does it…?


A bird from another age…
After shaking off our astonishment, it was time to link up with Ocean Safari, the only Reef boat operating out of Cape Trib. Look them up, highly recommended; a tiny boat, 20 passengers max. and only a 25 minute ride out to the pristine Maclay Reef. The crew is informed, fun and energetic.. They pull the boat right up onto the beach..Wetsuit recommended, as it is midwinter in AU, and the water is surprisingly cool…

Adventure of a lifetime…!

Good to go…

As for the GBR, all I can say is that it meets and surpasses all expectations. Entangled forests of healthy, vivid Staghorn corals, each branch tip with an irridescent pink or purple bud. Multi-hued , living Brain and Shelf corals sheltering schools of fish in Technicolor….You are only snorkeling in 2 -10 feet of water, at times alarmed that you may be deposited prone on the corals by the swells and tide…The magical moment for me was hovering over a slowly swimming, 3 ft diameter Green Sea Turtle in only 4-5 ft of water.
. He was not alarmed and only a foot or so below me; so I synchronized my strokes with his foreflippers and we swam along together for several minutes.. Absolutely sublime….Sorry, no photos, only memories of a most amazing day…
Great memories with my young men…

Finally, it weas time to head back South, towards Cairns and the flight home. A final night in the resort town of Port Douglas, and an early morning trip into Mossman Gorge, one of the most well-known gorges in the tropics..

Coastal Mountains and beach, P.D.

Four-Mile Beach, Port Douglas

Feathered friends, P.D.

Old Birds….



 
Mossman Gorge was being loved to death, getting 300K visitors a year; so some crowd control was needed.. The QLD government just opened a beautiful multi-million $$ Visitor’s Center, eight weeks before we arrived. Operated by the local Aboriginal people, it provides jobs, education and protection for the area. As in all Ausrtralian parks, the facilities are world class and not too intrusive. You pay a small fee to be driven into the Gorge on a shuttle bus, but are still free to wander, and to swim in the magical, pristine pools. Strangely, the large boulders and cold waters reminded me of the Kangamangus Highway in the White Mountains of New Hampshire, half a world away…

New Visitor’s Center, Mossman Gorge

After a refreshing swim or two…
The hospital in the sugar town of Mossman, QLD
So, every party has to end, and it was time to head back down the Captain Cook Highway and fly back to Brisbane, and to Stephanie and the rest of the kids…Of course, when we got there there were two Japanese students staying in our house for a week, Saho and Renge..The girls were having a wonderful time of course, and Stephanie is a true saint….But that’s a tale for another time…. 

 

 

Claire’s Komono, with new sisters



Homecoming, now with seven kids….!
It was good to be home with the family, everyone safe n’ sound. We hope you enjoyed this tour of far Northern Queensland, and here’s hoping for many more.. safe travels  to all….DDU.

Tales from the Big Smoke…that’s not a cigarette in his mouth…
  
Tonight I thought I would broach a subject that might be somewhat uncomfortable for the non-medical, uninitiated in the audience. A primary purpose for our coming to Australia was the chance to practice Emergency Medicine in a foreign system. It was the reason I was recruited by Queensland Health; and my advanced EM training is what made the whole trip possible, right down to the working visa. As a condition for gaining my FACEM, or Fellowship in the Austral-Asian College of Emergency Medicine, I am required to do a six month, part-time stint in a Level One, Tertiary Trauma Center ED. As scary as that sounds, I spent 3 years in a much worse ED environment at Boston City Hospital in the early 1990’s. So, a homecoming of sorts…
The PA, a modern 700 bed Tertiary Medical Center

The Big Smoke….indeed
It’s hard to know exactly how decisions made years ago dictate your life’s pathway, but mine has led me into the somewhat arcane, and highly specialized world of modern Emergency Medicine; a place where even many seasoned physicians find themselves uncomfortable.
  
Rooftop Helipad with elevator. Bad things incoming…..
Extra recuscitation “stuff”
But it’s my world, and these are my people. I get the jokes, understand the veneer of fatalistic cynicism that ultimately shields one’s inner core, and feel strangely at home, and even enlivened, by the steady stream of the bizarre, the grotesque and the tragic played out daily in the ED.
Main ambulance bay, early morning, pre-gridlock…
Doorway detail
An old Australian expression for the Big City is the “Big Smoke…” The Princess Alexandra is every bit that. As the Level one Trauma Center for the entire southern half of Brisbane , pop. 1.5 million, it takes in all the critically ill, trauma and multi-system failure patients from SE Queensland, around 65,000 patients a year. It has full USA level multi-specialty backup, and is one of the major teaching hospitals in Australia.



Greetings from Brisbane Australia!

Bribane River and City Cat ferries



Downtown Brisbane from Kangaroo Point

Meanwhile, back at the PA
A clean, well lighted place

Standing By…and then…

First morning, first patient….

Of course, on my first clinical day, I walk in at 0745 and everyone’s in one of the five trauma rooms. A male bicycle rider vs a truck. Truck wins, every time…..I don’t want to upset anyone with the graphic details, but I spent the morning lead-gowned as an observer in the Interventional Radiology suite watching them coiling hemorrhaging mid-face arteries.. Though I was a complete stranger, the Aussie crew couldn’t have been more professional or accommodating; even allowing me to shoot pictures of them busy at their life-saving work….And what an amazing privilege, to be allowed a glimpse inside their fascinating environment…. Here are a few shots, while still trying to keep it family friendly…

CT 3D, Lots of facial trauma if you know where to look…
Prepping the patient for angiography


Interventional Radiology,

The trauma team in action



Nice to have on your side when you need it…

Who’s gonna lift that bandage…?

Incoming…

Right mainstem bronchus ETT with whiteout on the Left

For the Medical people following along, I have to say, it’s been a wonderful and humbling experience to be back in the Tertiary world after 20 or so years.. I’m one of the “senior” team members now, but everyone is extremely helpful; and luckily, they aren’t expecting me to run the team. Unless I want to, of course…! Teaching Residents again has been very rewarding; I have seen a lot over 20 years it seems……The clinical conditions are similar, but the management has changed somewhat. We are using lots of pressors, Adrenaline and Noradrenaline (no “Epi” down under!), Propofol infusions, lots of Ketamine, even in adults; auto-infusion devices..But no Dilaudid, IV Benadryl, Lorazepam or Quinalones…Ultrasound guided everything..central lines, arterial lines…Very high acuity, very invasive and intellectually challenging for sure! And the 64 slice scanners with near instantaneous 3-D reconstruction provide very rapid confirmation, or humiliation of your clinical diagnoses…

Below are some random images of fascinomas and curiosities I’ve encountered thus far in Australia, most from Redlands Hospital. Probably no stranger than a thousand other ED cases around the world, but a glimpse into my ED world in Australia…enjoy! PS: all patients gave me their express permission to be photographed and have their images used for teaching and blog purposes, so no worries about patient confidentiality mates…
? spider bite in Papau New Guinea, 3 days old…

Sebaceous cysts

Rugby blow, see free air around R orbit..?

Good leg, bad leg

Finger nail…haha..get it??
Finger nail #2, with open fracture

Swallowed a bone..see arrow….

Skin graft, failing…

Flipper foot; rare congenital deformity, only two toes etc…!

Very bad legs…

Rheumatoid Arthritis #1


RA #2

Dead Toe

Chest tube detail

Breath of Life

Critical, intubated
Back of the Bus, on the road again…

Critical Transport, QAS
Ankle reduction, procedural sedation
Pleuricentesis detail
Success! 1700 ml…

Bier’s Block, fracture reduction

Intracerebral Hemorrhage…always BAD…
“Belt Burn” boobie, car accident
QAS at Redland Hospital ED

…and now a psychic pause…

 I hope you’ve enjoyed the whirlwind tour through this major part of the Aussie adventure. I think that it’s reassuring to know that throughout the world, there are emergency professionals standing by to assist 24/7; in fact right now, in every major town and city. Not generally recognized or even acknowledged by the public, but standing ready all the same. My people…Give them a thumb’s up for me please.. Until next time, stay safe and healthy.. ddu.

The Brissie eye…

Southbank Brisbane

Morning harbor

Last week’s blog seemed to be a big hit, so today, more fish tales…. We took a charter out into Moreton Bay and had an amazing day of inshore fishing. The bay is an enormous biosphere reserve, 60 miles or so long, that’s protected from the open ocean by offshore islands. They keep things generally calm and easy for boating and sailing…There aren’t open ocean pelagic fish, but instead a diverse variety of mangrove and reef species that come and go seasonally….The weather, tides and fish all cooperated to make for a great day.

Anticipation….

Out to sea….
All fishing is local, so it was great to have Sean to show us lots of local secrets and techniques to catch some fish. The tide was just changing from high to running out as the sun came up. I caught a nice snapper on the very first cast. Now that’s insider knowledge at work!
Snapper!!
Another keeper
Aidan hooks up
A “chopper” Tailor. A winter schooling fish. Called a “snapper” Bluefish in the states
A nice pan-sized snapper
Mark and Sam with a weird Shovel-nosed Skate. Not a shark…
Aidan, Sam and Luke…Fishin’ Buds….oh, I mean “mates…”

Local bait

Sean passing on the knowledge
It’s early winter here in Queensland, so the schools of snapper are just coming into the bay. Although they can get quite a bit larger, these 40 cm pan snapper, 1-2 lbs, are perfect eating sized, and put up a surprisingly tough fight on light tackle. The boys, and I, were in heaven out there…

The tide turned and started running hard, and the fishing dropped off suddenly…Sean then took us down into the mangrove channels; casting rubber baits along the deeper cutoffs. Luke hit paydirt with a nice 63 cm flathead, or “lizard” as they’re known locally. A bit ugly, but considered a delicacy at table..

Catch of the day, a nice Lizard…

A great fish Luke…!



A wonderful day afield with my sons

 I also managed to land a small sole that struck the large soft bait three different times before I got him.
 

Bait prawn

Just looking for a handout…
We also saw lots or birdlife, including curious and hungry pelicans, and though hard to photograph, sea turtles surfacing regularly. In the end, they day came to a mellow close. A perfect day spent immersed in nature, on the water with friends and family. Learning lots of local lore and techniques. A big thanks to Sean at Moreton Bay Charters for being a great guide, mentor and host. We highly recommend looking him up and setting up a charter…

The shirt says it all
Heading home

Sean, the skipper

After getting home, still lots of work to do cleaning the catch; but a wonderful grilled snapper dinner awaits. The icing on the cake of a perfect day.

Lifelong memories of fishing with mates…

So, thanks for following along on yet another Aussie adventure. I am now working parttime at the Princess Alexandra Tertiary Level 1 Trauma Center in Brisbane. Next up will be some fascinating EM shots and tales from that otherworldly environment. A real window into another aspect of our life in Australia. Stay tuned..Judicious editing guaranteed…..ddu

PS: More mud crabs, caught on the scraps of snapper
Beach Kids!!

Behold, the (not so) lowly Mud Crab

Yes, that’s a full sized lemon…

 

Claire and Cate’s sand sofa

Kayaking the Bay
The boys have been really diligent, spending hours fishing and crabbing… They take fishing mags out of the library, talk with classmates; learning the local tides and ocean environments of Moreton Bay. All that hard work is beginning to pay off! Not only have they caught a few keepers that provided wonderful dinners…by using the fresh heads n’ guts in our crabpot, we have also landed some huge legal-sized mud crabs….The prosaic name aside, these are the sweetest, cleanest crabs I’ve ever had, easily on par with the famous Dungeness crab of the Pacific NW, and they are HUGE….Of course, now they’re begging to hire out a boat and get into open water, after the local snapper and pelagic (open ocean) species; tuna, wahoo, jack, even marlin! So we hope to soon…Stay posted..ddu…

Fishin’ Dogs…

 
Watch those toes!!
Coochimudlo Island

Yellow-tailed Pike

Coochimudlo Beach Girls…
So, gory bits aside, here’s a cool sequence of turning a Mud Crab into a gourmet delight.. Fresh, wild crab salad with a local lime vinagrette….

One very fresh Mud Crab, foot for scale…

 
 Success!!

Crab and wine still life, post simmer…



Hungry boys…

Pickin’, and Peelin’

Clean crab meat
 
Plated salads…(I’m psyched about now…)

Bon Appetite!

Ditto..
Aidan had a major success, catching a large and very desireable Flathead right off our local beach. Called a Lizard locally, the meat is white, chewy and mild. Similar to a lobster tail..

The big catch

A bid old “Lizard…”

Tasty, but not pretty…

I said to Aidan that a fish like that should keep him interested in fishing for a little while longer..He just casted again and said ” For the rest of my life, Dad…..”  Very cool, hooked on fishing…

Aidan’s Big Catch…
 
Patiently waiting…
…for the next big strike….
Raby Bay canal sunset…Thanks for sharing in our adventures in the outdoors…More fishing next time.. Best Luke, Aidan and all the Nolan kids.!!
Rainforest Kids #1
Mount Beerwah

We finally made it up to the Sunshine Coast, a 100 mile stretch of beautiful beaches running north of Brisbane. You first pass through the ancient, volcanic landscape of the Glasshouse Mnts., culminating at the high-end resort town of Noosa;
famous for it’s excellent surf breaks and beaches, stunning headland National Park and, in season, Australian glitterati set.

Glasshouse Mountain overlook

Luckily we went off season and mid- week and stayed in a cabin. The place was dead, but more green, settled and treed than expected. The beaches and headland were as advertised, spectacular…

Nolan beach girls
Luke’s Dream Condos..
Noosa River Lifesaver Station
The weather was cool and clear, mid-70’s F days, and surprisingly chilly , high 40’s-low 50’s F at night.. Not too bad for winter though…
Main Beach Noosa
Another night, another cabin……

Bunkhouse chaos….

Dr. and Mrs Bad Sunglasses……

Claire’s Dreamtime..

Noosa Headland NP
Noosa headland

Brush Turkey, but not a turkey at all

Coral Sea scene with Pandamus Palm

A bold, and hungry, Magpie
The platinum sea…brilliant…

The hike out around the headland was really exceptional, with sightings of sea turtles and dolphins off the tip at Hell’s Gate.

Hell’s Gate, 300-400 ft to the ocean below
Cable ferry..no tidal drift

Sisters at Equathon
Main riding ring, Equathon
Claire and Bree, student and mentor

Up early the next morning. Claire had an appointment to ride a horse at Equathon across the river in North Noosa. She’s been waiting months for this opportunity, even packed her jodpurs all the way fron NY! We had to take a short cable ferry across, which was fun and interesting.

Claire on Jewel

Because it was so quiet, she got the added bonus of a one on one ride with the instructor Bree, through the bush and out onto the undeveloped beach. Also, having had three years of riding experience, Claire got to canter through the surf on a full sized horse . Bree was very complimentary on Claire’s confidence, poise, and ability to control such a large animal. Needless to say, Claire was over the moon, and fulfilled one of her Aussie dream wishes.

On the beach…

And in the bush……
Mapleton Falls overlook

Kondalilla Falls trail
Rainforest kids #2

Piccabean Palm forest
Natural gym

Then it was time to leave Noosa and head into the Sunshine Coast hinterlands, an area of mountainous ridges, small country towns, and amazing waterfalls. We returned to Brisbane by the inland route and made a wonderful long weekend of it.

WW1 Memorial, a poignant reminder of the price of Empire. Seen in town squares throughout Australia….

The Obi Obi Valley

Maleny, QLD

Thanks for sharing the adventure with us. Coming soon, more Emergency Medicine and fishing stuff, stay tuned. Best until then!…ddu

Aussie School Time!!

We finally got the time to get down the coastline a few hours and onto the world famous surf breaks of NE New South Wales in Byron Bay. Spent a few wonderful nights in a cabin, in the quiet beach town of Brunswick Heads. 

Cabin paths

Stephanie on the beach at Brunswick, Byron Head to the South
The footbridge to the beach

Brunswick Hotel

Heritage Church, Brunswick Head

All over Australia they rent out these fully outfitted cabins, sleep all seven, for $200 bucks a night. Private queen bed room, full linens, kitchenette, fridge, shower…Perfect way to go with active kids…

Boogie Boarding on the open beach, Brunswick Head

Waiting for the perfect wave
Oh, grow up…(someday, maybe…?)
The view from the cabin porch, over coffee…

Back to the Easternmost Point
Aussie surf breaks…endless heaven…

Future pro-surfer, (uhhmmm, face the other way, dude??)

But first, the hard work of learning…

The kids were all psyched to learn to surf, so a quick call got us linked up with Gary at Style Surfing in Byron. A very chill and capable Aussie surf instructor.. Helped the kids feel confident and comfortable in a whole new environment. “STOKED…” as they say here..Look him up if in the area, they were great…

Claire shows some good form

Kids in paradise

Even on a calm day the surf breaks have an uncanny, widely-spaced regularity and long rolling pattern. It’s very surprising how far an average surfer can ride a little 3 ft roller, 75-100 yards!

Nolan kids, Go….!

We are now heading into winter in the Southern Hemisphere ( just add 6 months)…The weather is cooler, and much drier..Mid 70-80’s F days, mid 50-60’s F nights….The ocean water on the beaches gets crystal clear now due to less rain and runoff from the rivers in this Northern Rivers area of NSW. They surf here year-round, but use a wet suit top in winter; even though the water feels balmy if you are a New Englander. After a few hours in the surf you can get a bit chilled..Then, just step out onto the beach and wait 5 minutes…

Mentor and Pupil

So, as advertized, everybody got up on the board and rode the waves…A real high point for the kids and a window into the very foreign, but very cool and technically complex world of “surf culture…”  Yes, there really is such a thing and it would be very tempting to spend a few decades on the East Coast of Australia working on my Master’s Degree….Hmmm…. 
Luke rides one in…
Cate getting up on a wave…
The Classroom…..
A quiet moment

Future Doctorate in surf studies…?  (aka Beach Bum…)
Post wave mellowness
May breaking blue waves fill your dreams…ddu
Night attack!
Bush-tailed Possum on the prowl

It’s a rainy Saturday morning here in Brisbane; rained hard all night. I thought it might be fun to post some random shots of wildlife encountered on our adventures in Queensland so far. First, a disclaimer: All shots are taken with a portable camera or even cellphone. I apologize if some aren’t up to National Geo standards; but believe me, if it’s a close-up, I was VERY close indeed…!

A large Goanna sunning, 3-4 ft length
Pair of Bush Stone Curlew, a tough shot to get…
Rainbow Lorikeet, raucous and uncommonly beautiful
Boys crabbing- watch the toes!
Cool irridescent Beetles..

    Ditto….
    A tiny Gekko

    Brush-tailed Possum
    Sometimes the landscape can make it hard to place exactly where you could be. Ignoring the Eucalypt forest, memories of hill country Texas, western Montana, Maui and the Big Island of Hawaii, or mid-coast California come to mind. I guess it’s human nature to try to catagorize a new experience by referencing the familiar. But then a kangaroo will hop by and that strange sense of the exotic is stirred, and you could only be standing out in the Australian bush. Here are a few iconic Australian locals..

    Look at the middle ‘roo, he’s waving–” G’day…!”
    Laughing Kookaburra, voice of the bush. Actually, it’s the world’s largest Kingfisher.
    Yellow-tailed Black Cockatoos, hard to appreciate, but these birds are 2 1/2 feet tall; wild and uncommon
    A Pademelon, a muskrat-sized, mountain rainforest dwelling marsupial. Hops like a Kangaroo…Secretive and hard to photograph.

    Superb Lyrebird, front half…
    and back half…. A very lucky close encounter…

    A large, angry pufferfish; coutesy of Luke and Aidan
    Goanna, 3-4 feet

    Wild Australian King Parrot

    Deep within Lamington N.P. there is a rare opportunity to feed wild parrots by hand. It’s a tradition that’s been going on since the 1930’s at O’Reilly’s Rainforest Reserve, an in-holding that predates the park’s founding by decades.  Parrots, though numerous here, live high up in the tree canopy and fly rapidly. Easy to hear, very hard to get a good glimpse in the foliage. So, it’s an amazing experience to have these beautiful wild birds fly down from the tree tops and alight on your arm if only for a few fleeting minutes.

    Stephanie and Aidan with a Crimson Rosella
    Claire with both a Crimson Rosella and a King Parrot
    Twin Beaks!

    Wild times with wild friends….
    Birding in the bush at Binna Burra, Lamington N.P.
    On the lookout for the next critter….

    

    East of Dividing Range
    Town Hall, Warwick

    I just returned from a 4 night, 1300 km (800 mile) road trip with Luke and Aidan. We did a large loop west of Brisbane, through Cunningham Gap and the Great Dividing Range to Stanthorpe, then south into the Granite Belt and camped at Girraween N.P. A higher, drier plateau, but not real Outback desert. The rock formations are outstanding, and we did not see any snakes, which are by reports, plentiful in the warmer months. We did see plenty of lizards though, which makes me think snakes were out and about too..

    Young Wallaby

    Old Goat, Girraween N.P.

    Now how did that get up there..?

    Luke on 1st Pyramid, Giraween N.P.
    Aussie Bush Camping
    Holding up Balancing Rock

    

    

    Aussie autumn foliage

    Then, up onto the New England Tablelands that lie behind the Great Dividing Range. Yes, there really is a region of Australia called New England. As a multi-generational old Yankee, I had to check it out.  Settled by English, Scots and Irish in the 1820-40’s, it’s a high plateau, up to 3000-4000 ft. elevation, running 300 or so miles N to S, and 100 miles E to W. A high, cool plateau, mostly given over to grazing large herds of beef cattle and sheep. The villages are sparsely placed and tiny. The area is famous in Australia for having light snows and an annual foliage display, but it’s not exactly Vermont. There’s even a University of New England at Armidale, and the center for country music further south in Tamworth. Another surprising find in Australia, and a beautiful area to visit….

    New England plateau landscape, from moving car
    “Kookaburra sits in the old gum tree..”.really…

    

    Summit Ridge Cathedral Rock N.P.
    Camping neighbors…

    In a trip filled with superlatives, we also hiked the largest Granite dome in the southern hemisphere at Bald Rock N.P near Tenterfield. It was very similar to Enchanted Rock outside of Fredricksburg, Texas, for those of you readers with Texas roots. An exfoliating granite dome with wonderful views of the Granite Belt below. 
    

    Near summit Bald Rock N.P.
    It’s what’s for dinner…

    
    

    Eucalypt Forest

    Bald Rock summit, New England, NSW
    Bird’s Nest Fern
    Valley of the Lorikeets..High atop New England

    

    Superb Lyrebird, a very lucky encounter

    We then hiked up to the highest point on the plateau, at a place called Cathedral Rock National Park near Ebor.. It was a real Lord of the Rings experience as the cool fern and lichen encrusted, stunted eucalypt forest transitioned into a higher, gnarled cypress and beech mini-Bonzai landscape. 

    A boulder strewn series of summits rose above, out of the mist. And in a most unexpected turn, the forest trees were full of flocks of raucous lorikeets, currawongs and parrots, flying rapidly in tight clusters, the noise of their hundreds of wings slicing through the silence just above the tree tops….startling and unforgettable …
    

    Packing my bags for the Misty Mountains…

    
    

    Superb Lyrebird, elusive and rare
    Above Dorrigo, NSW

    Turning east at Armidale we drove down the “Waterfall Way” into rich, moist, dairying lands, before dropping thousands of feet through the Eastern Escarpment rainforests and onto the coastal plain at Coff’s Harbor.

    The Waterfall Way

    

    Dorrigo Hotel, NSW

    

    Heritage Building Bellingen, NSW

    We finished up traveling north through the surf and beach towns of Lennox Heads and Byron Bay, another stunning landscape filled with friendly, helpful locals.

    
    

    Wollombomi Falls gorge

    

    Aidan on Lennox Head
    Next stop, New Zealand….!

    We camped at Wollomombi Falls, the second highest in AU with a drop of 220 m,(over 700 ft); and stood at the Easternmost point on the Australian Continent at Cape Byron.

    All in all, a wonderful further foray into the amazingly varied countryside and habitats of eastern Australia, and our first real backcountry, or bush, camping.

    I hope you enjoyed the journey half as much as we did. Hope to head further north, and further west in the near future. Best to all, but for now I have to pay for my fun with six shifts in a row in the ED…ddu.

    Big ocean and surf…
    Red Rock Beach, NSW
    Lennox Beach and Head, NSW
    Byron Light, 1901
    Looking north, over the Bay

    Sorry to be out of touch for the last 3 weeks or so…Lots going on…We have moved into a newer, bigger place, 24 Plymouth Court, in the Raby Bay Harbor.

    Claire’s Welcome

    …and Cate’s
    Our pool by the canal

    As rentals and homes in general are very expensive in Australia, we figured we may as well live by the water. It’s been really satisfying to watch the kids fish off the dock in the pre-dawn light; learning all about tides, boats and sea critters of all sorts. A very different world than Fairview Farm in New York state….

    Yet another creature from the deep
    Big A, in his element
    Dr John’s silver rocket

    Most rentals are unfurnished however. They even move out the appliances here. When it became evident that we’d have to outfit a house for seven, on top of everything else, Stephanie nearly broke down into tears. Luckily, the neighbors took us in as the Raby Bay charity cases of the year, and through their incredibly generous help and hard work, we furnished 60% of a four bedroon home almost entirely on donations, over a single weekend! We only had to lease a washer/dryer and fridge; but that’s so common here they did it in a few days, delivery, set-up and all set to go. In fact, they came and went without me even knowing they’d been here and gone!  You pay monthly or risk repossession, I guess….Voila, a new beginning!

    “It’s a good thing…”(MS)

    Here are a few shots of our first real dinner party, on a tableware hodgepodge of all the guest’s cast-offs and hand-me-downs. What a fun way to say thanks, complete with a nice selection of wines from Australia, Tasmania and New Zealand.. A most excellent time, and also a Bon Voyage of sorts to some new friends who are off to the wild west of Perth, working an off-shore Liquid Natural Gas play for a year or two.

    Arrivals and departures

    Getting kinda rowdy!!!

    The girls, in matching party dresses…

    So new beginnings, housewarmings and a Bon Voyage too, all rolled up in this amazing adventure called life. Rest assured we are well, and I have Critters and more Medical images coming soon…Best, by the water, ddu

    Now all we need’s a boat..and a skipper…
    Stephanie and her boy… a challenge no doubt…
    Point Lookout Headland
    Deadman’s Beach..don’t ask…

    We took the ferry 20 miles east or so across Moreton Bay, out to Stradbroke Island , or “Straddie”, as it’s know to the locals. It’s one of several massive sand barrier islands offshore that protects the Brisbane area from direct blows by the open ocean. The outer beaches are famous for having miles of sweeping pure sand beaches, and excellent surf breaks around the rocky headlands. Only 2000 or so full-time residents, heavily wooded, and a feeling that you’ve stepped 50 years back in time on disembarking. It’s very beautiful and laid-back, even by Aussie standards, which means very… We were lucky in seeing dolphins, sea turtles and a manta ray, all on a single day excursion.

    Nolan Hat Party
    Cate and Aidan at sea

    Aussie Surf Rescue Club

    It’s remarkable how attuned to a life around the sea these coastal Aussies are. Every beach has weekend Surf Rescue clubs, and at Main Beach on Straddie we got a close-up glimpse into their training and upbringing through the ranks to attain full rescuer status. As a clarification, these outer beaches are what they call high energy coastlines, and as a life-long New Englander/ Bostonian I thought I had a pretty good idea what that meant. Not. On a calmish day these beaches have onshore winds of 10-15 mph, 5-6 foot waves and surf that can get choppy and disorganized. The waves build fast and break quickly, aka “dumpy” waves. Not the long rolling, evenly spaced crests that are ideal for surfing; those generally occur at very specific points around headlands,….Bathing on these beaches is somewhat more akin to Maytag: spin-cycle; and you can get thrashed if you’re clueless, or drunk, or otherwise not paying attention. They rescue lots of folks, all the time…
    Even more remarkable then, to see teams of 6 and 7 year olds (nippers) suited up and swimming relays out 50 or so yards through the breakers and around a temporary buoy, then racing back to shore. After 6 years of regular drills they then advance to junior lifesaver status and need several more years to become a full-fledged adult Livesaver. As these drills are playing out, older kids are patrolling offshore on jet-skis and Zodiacs to pluck up anyone caught in a rip. They ride the surf like rodeo cowboys. Meanwhile, Moms and Dads socialize at the tide line while toddlers, 2-5 year old boys and girls, are being tossed around by breaking foam like so many scrambling sandpipers. Just another saturday morning at the beach…Truly, a life defined by and very deeply attuned to the sea.

    Nippers heading into the breakers

    Luke out, nippers forward…!
    Surf Breaks, Point Lookout
    The ferry home to Cleveland
    Don’t hate me ’cause I’m beautiful…

    As a bonus tonight , for your loyalty as regulars to ddu, I have a special treat, unrelated to the sea.. Behold , the lowly, but infamous Cane Toad! Not native; a transplant from Indonesia or somewhere, brought in to eat the bugs in the sugarcane fields. But now sadly, run amok. Looks and acts just about like any old toad..but notice carefully the large venom sacs just behind the eyes. Full of venom lethal enough to kill your dog in minutes, but only if Fido is really asking for it.. Otherwise, you can look, but you better not touch…Another oddity in a long line of such…I will try my best to dig up a few more for your entertainment. Tonight, just be thankful if you have regular old garden-variety toads in your gardens at home.  They really are your friends….Best, ddu

    Venom sac close-up…Mmm, tasty Fido…
    In my element, a modern ED

    Looking over past posts, it seems that I’ve neglected somewhat the whole point of our being here, which is to help deliver high-quality, world-class EM care to the local population. The US is at the forefront of EM training, and as a proud graduate of Boston City Hospital’s EM class of 1994, seven graduates in total, now with some 18 years of experience behind me, I’ve seen a lot; good, bad and atrocious. I’ve gained that most valuable of commodities, perspective. I have to say, Queensland Health has been great to us, delivering on all promises. The ED at Redland Hospital is larger and more progressive than expected. The area is growing rapidly, and as the penultimate service industry, so is the hospital.

    This thing rocks!! The modern stethescope..

    For all you Medical Systems wonks out there; we have a dedicated Radiology suite, a 64 slice GE CT scanner, with a Fufi Synapse PACS just being implemented. Cool, as it’s the same system I’ve been using in NY for the last eight years. Lab is spotty with I-Stat bedside testing done after hours for basic stuff. Critical labs are still couriered into Brisbane! As in many non-tertiary Hospitals, sub-specialty coverage is spotty, to non-existent, and limited after hours. We have general surgery for elective stuff, but no real after hours emergency surgery. So, less sub-specialty coverage than in the US overall.

    The next generation of life savers?

    Due to a lack of Ortho coverage, and potentially delayed Ortho clinic follow-up, it’s typical for EM docs to do definitive fracture reductions in the ED by means of the ingenious Bier’s Block. This is a historic footnote in US EM training programs; but basically you elevate and blanch the affected limb, apply a double tourniquet above, and inject a lipophilic, short-acting anesthetic agent into the limb, generally Prilocaine. Within 10 minutes or so you get a dense regional anesthesia to said limb, and curiously, you can bend and twist and pull outrageous amounts of traction on a little old lady’s arm to get the reduction, while she sits beside you smiling the whole time… It works well, avoids airway and breathing issues and wears off quickly. Lawsuit city in the US, but a practical adaptation to local realities in most of Australia. One interesting side note is that it’s critical to use a short acting, lipophilic agent, and keep the tourniquets up for a minimum of 25 min. post-procedure. This allows the anesthetic to fully bind and redistribute into the fat and be neutralized. There are case reports of brief procedures and early deflation causing a massive rush of anesthetic back into the patient’s central circulation; end result being a cardiac arrest, aka “lawsuit city.”

    A Bier’s Block, post reduction and splinting
    No longer a room, an Emergency Department.

    20 acute beds, 5 short stay and 6 walk-in. And growing.

    While the quality of care is generally high; as in the US, the healthcare system is straining under almost unlimited demand, lack of capacity and disorganized healthcare delivery and records. Being a primarily government-funded system, though with a surprisingly large component of privately insured patients, and lacking the aggressive cost-containment demands of a US-style private insurance industry, Australia is at least a decade behind the US in terms of implementation of robust electronic medical records (EMR) and charge capture.

    Our future challenge….

    As in the US, care for the aging, more chronically ill patient population is consuming an ever larger portion of HC spending. When discussing the future of EM care delivery with the junior residents, I stick with Dr. Nolan’s pithy, four word adage, “Older, sicker, poorer, fatter…” That about sums it up people, a neat encapsulation of the challenges ahead. 

    Wishing you become none of the foregoing, at least not too soon…  Best, ddu

    Redland Hospital courtyard
    Aussie Surf Rescue Club

    Tonight’s musings will extend on my last post concerning beauty and danger… and their sometimes uncomfortably close proximity. We had the weekend off, beautiful weather, so decided to take a short 20 minute ferry hop over to Coochimudlo Island, noted for it’s beautiful sand beaches. And it was beautiful; hot, sunny and laid back. Seemingly a world away from the mainland just across the strait.. Kids all ready for a swim…only not so fast.. It seems an unusual combination of wind and tide had washed a large blossom of stinging jellyfish into the shallows.. Not the truly deadly “sea wasps” of far northern Queensland, but capable of delivering a sharp sting from the sea nonetheless.. Hmmm….. The local lads were having a fine challenge trying to scoop them in their hands and throw them onto the beach, but were getting more than a few stings that they tried to laugh off.. The local surf rescue club was netting them into gelatinous piles of the softest blue.. Of course Luke and Aidan immediately began spearing and shredding them apart with sticks…” Better than swimming , Dad!”  Within minutes Luke flung one ashore in a spray of wet sand and jellyfish particles, hitting 3 year old Owen right in the face.. He, quite understandably, erupted into a howling tirade that alarmed even the surf rescue crew and got their attention with ice packs and a cold bottled-water eye irrigation, done by yours truly, ddu, right there on the beach…Thanks Luke…After an hour or so the screaming wound down into a piteous, fatigued weeping and sleep; we settled back into our tropical idyll…
    

    Up for a dip? Look closely….

    (In a post script on that disaster, as an act of brotherly revenge, Aidan thought it a funny idea to drop a jellyfish into Luke’s bathing suit, I’m not kidding…though he insists it was one of the less toxic clear ones…Luke spent 15 minutes rinsing out his “nerds” under the public water fountain in the local park.. You really can’t make this stuff up…..I swear!)

    

    Satan’s bouillabaisse

    As the afternoon slipped away, another unexpected danger made its presence felt in the unrelenting intensity of the southern sun at midsummer. Wonderful to bask in initially, but very soon overwhelming at height of day, it really is a physical force to respect. In the ED, as Cleveland is a growing retirement area, I see the almost unimaginable skin damage done over a lifetime of pale Caucasian meets the Sun King, in the pre-SPF 50 era. These guys and gals got cooked, plain and simple. As the votes, though meager, seemed to support showing some medical images, here’s a first, taken and used with his kind permission. The red facial lesion is a Basal Cell Carcinoma, partially resected. Note the dog-ear, from past similar excisions. Slather up people…!

    Chillin’ and Grillin’, it’s the future Mr. Melanoma…
    A long life in the sun

    That very same evening, the boys and I went out fishing on Cleveland Point. There’s a beautiful old wooden lighthouse , a small, manicured picnic park and the Lighthouse (duh,,,) Restaurant that serves wonderful homemade Sorbet and Gelato. As we were walking into the shadowy park, happily licking, a man’s voice interrupts, ” Excuse me, if you are walking into the park.. watch out, there’s a snake right over there..” He came over with a small flashlight..seemed rather authoritative about such things….”That’s not a python (large, but harmless), I think it’s an Eastern Brown ” ( non-descript, but potentially deadly). Well that caught me totally by surprise and burst my sunshine-lollipop state of mind for sure….! I tried to get a few quick cellphone shots in the semi-dark by light of flash, while keeping my distance…see below. Even creepier, the snake meandered over under one of the small picnic pavilions and was last seen curled up at the base of the BBQ grill…. We told a few people, but left feeling like we should have set off the nuclear snake alarm or something. Especially scary as this wasn’t out in the bush, but right in a heavily trafficked area…..So Beauty…and Danger…. close cousins and role-shifters in the land down under….More later, snakes willing..! ddu
    

    I WILL ruin your picnic…..
    Luke’s Catch
    Another gem from the sea..released…
    We have been getting out and about, fishing, hiking and learning about this always fascinating Continent.
    Everything of interest always seems to turn out to be more interesting, more surprising and intriguingly odd than expected…..SE Queensland is much more vast and diverse than imagined. The contrasts can be truly startling.

    Paragliders on Tamborine Mountain
    A leap of Faith

    
    

    Not your friend…Seriously, not…

    Malevolent appearing spiders give way to fragrant blossoms, only yards away…But you really should watch your step…
    Many more adventures to follow. Hope you are enjoying the trip…Best, ddu
    But then beauty, around the next bend…

    Sorry to have been a bit out of touch. See, reality intruded, and I actually had to begin work in the ED (that’s Emergency Department henceforth, no, not erectile dysfunction dirtyminds…). As I stated at the start of this blog, being ” Doc” downunder, there is a medical component involved. Fair warning to the squeamish, wifty or otherwise easily offended, there could be some graphic photos of medical cases ahead..In fact, I’ve already got a few good ones, but Stephanie said I shouldn’t post them. Show of hands, or clicks, from the loyal readership…Anyone want to see that sort of stuff…?? I’ll hold off, pending comment. Also, I will be using ED medical shorthand somewhat when discussing particulars, just in the interest of getting through it all.. If you feel lost, you can just skim over and look at the pictures! Or, not….So, EM (Emergency Medicine, the discipline, not the place; that would be the ED, see above…we practice EM in the ED…everyone got it..good..carry on…) in Australia.

    Dr Nolan’s first day of school photo. So innocent…!

    Finished my first round of 4 ten hour shifts as a Senior Consultant. The ED well equipped and modern. Very well-staffed by US standards, but busy. I round with the charge nurse and keep things flowing, beds turning over and transfers/ admits all heading in their desired directions. Beyond the clinical, or medical component, patient flow management is an art in itself. The charge nurses here know the system and get it done.. I mostly tag along and add my two cents now and then. Junior doctors run cases by me and I advise and teach procedures like complex suture repairs. The Australian training system post-Medical School is really Byzantine and not as Residency goal directed as in the US. Many of the Senior Medical Officers (SMOs) are not in an active training program, and never will be. They are career house officers and can be in the same position for years, but never attain Board Certification. On my third shift I was running a 20 bed acute side with a team of 6 junior docs. My “mentor” Rogash, who’s coming from 4 years in Melbourne and is Residency-trained, has been in this ED one week longer than me. So, basically, the blind leading the naked…And it was busy; trial by fire, jump right off the deep end, whatever…. Thank God for senior nurses! We got through the shift without a hitch. Mid- evening on my last shift we had a 65 yo F come in by private car having a big heart attack (Inf-Lat STEMI, Q’ing out) really sick and unstable. I hadn’t even had a chance to review the STEMI protocol yet, but there I was, talking to the Cardiac Interventionalist at the Tertiary center, Princess Alexandra Hospital (PAH) 25 min. away in downtown Brisbane. We thrombolysed her and got her on a waiting ambulance. The ED staff is like, ” OK Doctor Nolan, are you riding along with her?” “Whaaat…?” It turns out the paramedics here don’t transfer really sick patients without a doc on board, and except at the highest level, the drug box doesn’t travel with the ambulance (a fine time to tell me all this…). So scrambling ensued to grab an EMS/ACLS mobile pack complete with airway management gear and ACLS meds (that I also hadn’t had time to review). ” No worries, mate..she’ll be right…” So, for the first time in my 20+ years EM career, I’m in the back of an ambulance, adjusting a Nitro drip and setting up the pacer/ defibrillator for action, as we careen through the darkened streets of outer Brisbane lights and sirens, rolling through red-lighted intersections; getting to the PA STAT.. . It was all very exciting, the patient went into an accelerated junctional rhythm (bad) and began to degenerate on arrival to the PA. Met there by the assembled cath lab team and off she went to definitive care. I got a very nice tour of our upstream Tertiary ED by an EM Attending named James, and then got left out on the sidewalk alone, by the ambulance squad who had other places to be.. Called a cab for a ride back out to Cleveland, got him a voucher and finished up just as my shift ended at 2300.. 
    

    An ED doc, and a mobile Paramedic..cool! Outside the PA ED.

    So, a real life saved, a quick tour of inner Brisbane by ambulance, and a ride back out to the country.. All in all, a pretty nice day’s work…Sorry about the lack of good photos. Honestly, I was so disoriented and excited that I forgot entirely. Better next time I promise. It’s going to be an interesting year! Stay healthy, watch the weight and please, don’t smoke…best, ddu

    This ride looks serious…