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MAY 16, 2013 1928-2013 ROYAL FLYING DOCTOR SERVICE 85th ANNIVERSARY FURTHESTCORNER, FINEST CARE MIRACLE IN THE SKY. P3 • MEDICINE ON THE WING. P6 • STOCKMAN WHO INSPIRED A LEGEND. P10 PLUS - INSIDE AN AIRBORNE AMBULANCE Happy 85th Anniversary to Royal Flying Doctor Service. Dependability and reliability do matter. Beechcraft Corporation wishes the Royal Flying Doctor Service happy 85th anniversary of bringing the finest care to the furthest corners of Australia. At Beechcraft, we place high priority on dependability and reliability. We congratulate the Royal Flying Doctor Service on their very important mission—and wish them continued success for many more years. Beechcraft.com ©2013 Beechcraft Corporation. All rights reserved. Beechcraft and King Air are the registered trademarks of Beechcraft Corporation. RFDS — CELEBRATING 85 YEARS 3 MAY 16, 2013 1928 Reverend John Flynn establishes the Australian Inland Mission Aerial Medical Service at Cloncurry in Queensland. A De Havilland DH50A is hired from Qantas. Dr Kenyon St Vincent Welch is the first flying doctor. 1929 The Pedal Wireless is invented and installed at the first radio base station at Cloncurry in Queensland and then all over the outback at remote stations. Savanna Addis with mum Helen and Dr Dean Boyatzis, who performed a life-saving procedure, right, on an RFDS plane en route to Perth during a turbulent flight. Picture: Bill Hatto Success against the odds It took three brain operations to save Savanna Addis’ life during a 17-hour rescue operation from Kununurra to Perth, writes Angela Pownall lying thousands of feet above outback WA, Savanna Addis is half an hour away from serious brain damage, and even death. With hours until the Royal Flying Doctor Service plane reaches Perth, Dean Boyatzis is forced to operate on her brain mid-flight. The Kimberley-based flying doctor has never done the painstaking procedure before, let alone mid-air in turbulent weather with the 10-year-old’s worried mother looking on. With support from a neurosurgeon by satellite phone, Dr Boyatzis carries out the life-saving treatment three times during the flight. Earlier that day, Savanna fractured her skull, causing bleeding on her brain. She needs emergency treatment in Perth. But events are conspiring to turn what should be an urgent but routine transfer into a 17-hour obstacle race. More than two years on, Dr Boyatzis, Savanna and her mother Helen reunite in the same aircraft where the drama unfolded. They recall the day when tragedy was averted against the odds. Savanna was eating breakfast at her parents’ mango farm near Kununurra. It was an exciting time for Savanna, sister Jamilah and parents Helen and Ralph F Addis who were leaving in a few days for a six-month trip around Australia. Everything changed when Savanna fell off a chair, striking her head. Savanna was born with Alagille syndrome, a genetic disorder affecting her liver and heart. “She doesn’t tolerate anaesthesia well. She was an unstable patient before we even started,” Mrs Addis explains. Two hours after her fall, Savanna is in Kununurra District Hospital where Dr Eric Beltz operates to drain bleeding between Savanna’s brain and skull, guided by paediatric surgeon Sharon Lee via video link from Perth 2500km away. “I needed to get blood out of my head. So there was one hole drilled and it wasn’t very successful, and there was another hole drilled,” Savanna says. It is believed to have been the first operation of its kind performed in WA using video conferencing. The RFDS crew in Derby gets the call that Savanna needs to be evacuated. Emergency evacuations from Kununurra are taken to Darwin or Perth but a cyclone over Darwin means planes cannot land. The RFDS cannot scramble its only aeromedical jet in WA, which can fly from anywhere in the State to Perth within three hours, because it is undergoing maintenance. It comes down to the Derby RFDS crew to get Savanna to Perth in its single-engine aircraft. An hour after they set off, Savanna’s condition deteriorates as the bleeding continues. Dr Boyatzis tries to call a neurosurgeon for advice but the satellite phone does not work immediately because, he explains, they are not designed to work while moving so fast. “We finally got through and it significant challenge. The risks are death, permanent disability, infection,” he says. With flight nurse Jocelyn Forbes, Dr Boyatzis opens up the stitches in Savanna’s head. “It entailed just opening up the area, trying to explore and remove the clot. It worked quite well the first time,” he says. “During the flight we had to do it twice more and then more blood came out.” “It was increasingly stressful with Savanna’s mum sitting there watching me do it. It’s not usually what you have to do when you do surgery.” Fearing the blood will keep ‘Everybody was doing their best but we were at the mercy of a broken fuel pump.’ quickly became apparent that something needed to happen there and then. Waiting wasn’t an option,” he says. A drain in Savanna’s head has become blocked. “We probably couldn’t wait another half an hour. It was that close to pressure being too high, to cause permanent disability.” Dr Boyatzis has never performed this procedure before. Normally a doctor’s first attempt is closely supervised by a senior surgeon. “That was a building up, Dr Boyatzis desperately wants to get Savanna to Perth quickly. Unfortunately that is not happening. The pilot needs to land at the Camp Nifty mine site to refuel. But the weather closes in 10 minutes before landing and they are forced to divert to nearby Telfer, where they discover the only fuel pump is not working. “It was just dreadful and there was nothing you could do,’ Mrs Addis says. “Everybody was doing their best but we were at the mercy of a broken fuel pump.” Eventually a break in the weather enabled Capt. Nick Gallet to fly to Camp Nifty to refuel. It was past midnight when Savanna arrived at Princess Margaret Hospital, 17 hours after she hit her head. Savanna spent weeks in hospital and rehabilitation to deal with the physical consequences of her injury. “I’ve got splints now which I didn’t have before. I’ve got a helmet now. I’ve got a hole in my head now. There’s still skin but there’s no bone. I can’t feel my legs or my feet now and that’s changed. I worry more now,” she says. After that dramatic day in February 2011, Savanna raised $7500 for the RFDS and became one of the faces of Telethon. “Given the scenario, Savanna couldn’t have been further away from a neurosurgeon anywhere else in the world. RFDS is the only way she could get down,” Dr Boyatzis says. More than 8200 patients were flown by the RFDS in WA last year, a 39 per cent increase since 2008. Mrs Addis says Savanna’s accident made her realise how vital the RFDS is in rural WA. “Families just wouldn’t live there without the RFDS,” she says. MA 1 WELCOME The Royal Flying Doctor Service is a vital lifeline across Australia’s vast spaces for those in need of medical help Message from the Patron His Excellency Malcolm McCusker, AC CVO QC Governor of Western Australia W FEATURES EDITOR Mark Mallabone, 9482 3574, features@wanews.com.au EDITOR Ben Martin, 9482 3058 STAFF WRITERS Angela Pownall, Joseph Catanzaro, Geoffrey Thomas, Alex Massey COVER PICTURE Roy Morris Photograph: Lee Griffith DESIGN Bree Romet, Kelly Fitzgerald ADVERTISING Terence Tay, 9482 9706, terence.tay@wanews.com.au Don’t miss our special online series celebrating the RFDS’ 85th anniversary, featuring videos, audio and photo galleries starting next week at thewest.com.au hen I talk to people about the Royal Flying Doctor Service I am always encouraged by the positive response I receive and it reminds me just how important this organisation is to the community. As Patron of the Royal Flying Doctor Service in Western Australia, it gives me great pleasure to be part of this publication celebrating the proud history of the RFDS in Australia. The Royal Flying Doctor Service has been serving the community for 85 years since its first flight out of Cloncurry, Queensland in 1928. It has been helping the sick and injured and touching the lives of so many ever since, and continues to remain an essential service to this day. It is a lifeline to people living and working in remote parts of this vast country, and provides peace of mind to those His Excellency, Governor Malcolm McCusker. “The Flying Doctor . . . has now become a national enterprise. As these planes fly here and there cross the whole of Australia’s vast spaces they throw the shadow of the Cross — symbol of hope and salvation — upon the earth . . . all this was conceived in the mind of that great dreamer, John Flynn — ‘Flynn of the Inland’, a name which will be stamped indelibly in the records of Australian History.” Albany Advertiser, Monday, May 3, 1937 travelling across its sizeable interior. It also delivers critical support to people who live in urban centres by providing emergency transfer of patients between regional and metropolitan hospitals, as well as interstate. Using the latest in aviation, medical and communications technology, the RFDS today is one of the biggest and most comprehensive aeromedical organisations in the world. Each year the RFDS responds to the health needs of over 270,000 people — that is one person every two minutes. The Royal Flying Doctor Service was the result of Reverend John Flynn’s vision to provide “a mantle of safety” in the form of access to quality medical care for people in the outback. It required persistence, innovation and drive to bring his vision to fruition and those values are still very much the cornerstone of the organisation today. They also go to the heart of what makes this country great — serving the community and helping those in need, no matter who you are, no matter where you are. It is an organisation that all Australians can be proud of. I hope this publication gives you some insight into the important work of the Royal Flying Doctor Service and its valuable role in the community. A H st D ev pa as wo in Fl ex Na be ba th Ro fli ma da th M clo sm RF we ha Through NRW’s A safe day. Every day. program, our safest teams are awarded an amount to donate to a charity of their choice. In 2012, the Royal Flying Doctor Service was presented with donations from three of our teams. Congratulations to NRW’s winning crews and to the Royal Flying Doctor Service on 85 years of service. WOEN0090 NRW IS A PROUD SUPPORTER OF ROYAL FLYING DOCTOR SERVICE n lt y o 1935 The first RFDS base at Wyndham was opened. It was later moved to Derby from where it operates today. Fact: There are 785 landing strips across WA. A shared load 1936 The Western Australian Section officially registered on June 14, 1936 with the section’s first base opened at Port Hedland on October 10 and the first medical flight made on the opening day. Married couple Robyn and Peter Naglewicz team up as nurse and pilot in the RFDS. Having a spouse who understands the stresses helps. Angela Pownall reports. ealing with sick patients, worried families and emergency medical evacuations in the most remote parts of WA does not sound like a scenario where romance would easily blossom. But hundreds of hours shared in the air as part of a Royal Flying Doctor Service crew did exactly that for Peter and Robyn Naglewicz. Capt. Naglewicz began work as an RFDS pilot based in Meekatharra around the same time as his future wife Robyn joined the service as a flight nurse. Now the couple are married and have two young daughters. Capt. Naglewicz said the isolation of being based in Meekatharra helped bring them closer together. “Being a very small town and working for the RFDS, it was only natural that we’d end up flying together. We had a good working relationship D and being a smaller place we spent a lot of time socially as well,” he said. They would fly together three or four times a week on RFDS missions as far north as Port Hedland and Exmouth, all over the Gascoyne region and in the Goldfields. “Meekatharra is one of those locations that allowed us to see the Gascoyne region,” he said. “Being people who love to see new places, it was fantastic. Other than the isolation, it was a great place to gain exposure and experience.” Mrs Naglewicz said they had both had to deal with traumatic accidents and events. “One of the worst things is when young people in the community lose their fingers or part of their arm. It’s disfiguring and they are young,” she said. “I really, really feel for them. I try not show it on my face but inside We are proud to support and partner with the Royal Flying Doctor Service and congratulate them for 85 years of indispensible service. WOEN0090 of RFDS — CELEBRATING 85 YEARS 5 MAY 16, 2013 While flying is what they’re known for, health care is what they do best. The RFDS On the Road Program travels via 4WD to deliver health information and training to individuals and groups in regional and remote communities across WA. I’m wishing they have people around them who can really support them.” Capt. Naglewicz said “talking shop” after hours came with the territory for them, but it helped both of them. “I think having someone in the job who understands what we do is immensely helpful. This is where Robyn and I are very fortunate that we have each other,” he said. Would you like to make a difference and save lives? The Royal Flying Doctor Service employs 300 staff across WA. They include: • 60 doctors • 50 flight nurses • 50 pilots for a 24-hour-a-day, 365-day-a-year service • 20 engineers to maintain the aircraft fleet • 20 co-ordination centre staff to organise flights • 20 primary health care clinicians and educators • Plus corporate and administrative staff If you would like to make a positive difference every day, why not consider a career with the RFDS? Send your curriculum vitae and a cover letter to employment@rfdswa.com.au 6 RFDS — CELEBRATING 85 YEARS 1937 Dr Jean White is appointed as the first female flying doctor to the Western Australian section MAY 16, 2013 Fact: There are five bases across WA: Jandakot, Meekatharra, Port Hedland, Derby and Kalgoorlie, and plans to establish a base in Broome. 1942 The name Flying Doctor Service of Australia is formally adopted. The Royal Flying Doctor Service lands in Eucla. Roy Morris relaxes. Dennis and Robyn Nash at Rawlinna Station. Medicine on the wing The Royal Flying Doctor Service is best known for its emergency evacuations. But for the people living on the Nullarbor, its fortnightly GP clinics are a lifeline. Angela Pownall reports. Pictures: Lee Griffith quatting inside the cramped interior of a light aircraft, Roy Morris examines his patient, a strapping jackaroo injured in a motorcycle accident in one of the most remote and inhospitable parts of Australia. Flies buzz irritatingly around the flying doctor’s unconventional consultation room and there is little room to move as Dr Morris tends to Philip Wilkinson, who sits hunched on a small stretcher. The small Cessna 402 offers the only privacy and shade out on the airstrip at Rawlinna, a sheep station on the Nullarbor almost 400km from Kalgoorlie. And there are fewer flies in the cabin than outside, where the desert sun beats down relentlessly and a strong wind takes the red dust airborne. This is business as usual for Dr Morris, the senior medical officer at the Royal Flying Doctor Service in Kalgoorlie, which does a fortnightly GP clinic to remote locations along the Trans-Australian Railway to Eucla, close to the South Australian border. “We do it in lots of interesting places,” he said. “It could be inside a barn, an aircraft hangar, the plane as just now. We go into people’s homes, the homesteads and the roadhouses. It’s very varied.” S Look inside the Royal Flying Doctor Service headquarters and aircraft Go to flyingdoctor. org.au/ Virtualtour Or scan this QR Code For people like Mr Wilkinson, 72-year-old Rod Campbell who has shingles and Shae Sutton who is heavily pregnant, the Royal Flying Doctor Service is a lifeline and a safety net. Temperatures on the Nullarbor reach almost 50C in summer and plunge below freezing in winter. It is so far from anywhere else that it has its own, albeit unofficial, time zone. Central Western Time is the scattered Nullarbor community’s compromise between WA and South Australian times. An hour’s flight from Kalgoorlie, Rawlinna Station is Dr Morris’ first stop. It is one of Australia’s biggest sheep stations at more than one million hectares and home to 48,000 sheep and 15 staff. Mr Wilkinson, a jackaroo at Rawlinna for the past year, damaged his knee with a suspected torn cartilage and pulled ligaments when he was mustering sheep on a motorcycle. “I’ve gone around a bluebush just trying to get the mob back along the fence,” he explains. “I was watching the sheep more than anything. I hit a log and it’s twisted my knee.” Without easy access to a hospital and deciding not to call out the RFDS’ emergency plane, Roy Morris examines jackaroo Philip Wilkinson. Mr Wilkinson has waited in pain for 11 days for the RFDS’ GP clinic. Dr Morris tells Mr Wilkinson he needs to see an orthopaedic surgeon in Perth for further tests and gives him advice and a prescription for pain relief in the meantime. Rawlinna Station manager Dennis Nash and wife Robyn have lived on the Nullarbor for 37 years and brought up two daughters there. “The RFDS comes out every fortnight, so they are a lifeline,” Mrs Nash said. “Without them, I don’t know what we’d do. It’d be very isolating and it’d be a long drive into Kalgoorlie if you have to go and see a doctor.” It’s a five-hour drive by dirt road to Kalgoorlie — a trip Mrs Nash only makes every two or three months when she needs a haircut. For them, the isolation is a benefit not a hardship. ‘The feedback we get is that it’s really essential.’ — Roy Morris “It doesn’t bother me in the least,” she said. “I love the peace and quiet, especially at Rawlinna. If you go into the homestead, it’s an oasis of green lawns and lovely stone buildings. It’s very easy to live in Rawlinna and it’s only a five-hour drive to Kalgoorlie, which is really nothing.” The flying doctors are as much a part of life for people on the Nullarbor as the School of the Air and quarterly dry stores deliveries. Continued on page 8 Medical support spans the Pilbara In safe hands It was Boxing Day 2012 when expectant mum Louise Boshoff went into labour in the remote Western Australian town of Newman. What should have been an exciting experience was everything but, as her baby wasn’t due for another two months. GP boost for Newman We’ve all experienced the frustrations of waiting to see a doctor when you’re injured or unwell. Add to that, being 1,200 kilometres from Perth and needing specialist medical care. For those living in the Pilbara, it’s not always easy to get the specialist medical attention they require, when they need it. Thanks to additional funding from BHP Billiton, the RFDS’ Rural Women’s GP Service in Newman, now has an extra female doctor. Today, up to 20 people can be seen each day at the medical clinic in the Parnpajinya community near Newman. The service supports Indigenous women living in Newman as well as Indigenous men and children, and operates for three consecutive days each month. Brett Swayn, Vice President of Health Safety Environment and Community at BHP Billiton Iron Ore is proud of the company’s role in helping to improve health services throughout the Pilbara. “Additional funding for this partnership will allow a female GP to regularly visit Newman to deliver essential medical services to the local Indigenous community,” he said. Open 24/7 After being assessed by a local doctor, Louise was bundled into a Royal Flying Doctor Service aircraft and flown to Perth in time for medical staff to stop the labour. After a somewhat turbulent start, a healthy, happy Skyla Rose was born at the end of January. Louise was relieved to finally have her new child safely in her arms. Her happiness was short-lived as two months later Skyla developed a fever and fell ill. The two were about to embark on their second journey to Perth in as many months via the RFDS. “I have never been so worried in my life. It’s an awful feeling to see your baby so unwell, and not know what is wrong with her. The Port Hedland RFDS team was fantastic. They closely monitored Skyla and took time to explain everything they were doing because they could see how distressed I was.” Skyla spent a week at Princess Margaret Hospital for Children where it was confirmed she had viral meningitis. She is now fully recovered and back at home in Newman with her family, however her mother Louise will be forever grateful the RFDS could respond so quickly to transport her daughter to Perth to receive urgent medical attention. The Port Hedland RFDS base has been operating for 73 years. A dedicated team of doctors, nurses and pilots are on call 24 hours a day, seven days a week ready to respond to emergencies. A new hangar at Port Hedland, which was sponsored by BHP Billiton, means the RFDS can respond more quickly to remote emergency situations. BHP Billiton provided $800,000 towards the construction of the hangar which was completed last year. “We are proud to work with the RFDS to improve health services throughout the Pilbara, implementing programs that have direct and long-lasting benefits to the community.” Brett Swayn, Vice President of Health Safety Environment and Community, BHP Billiton Iron Ore www.bhpbilliton.com Baby Skyla recovering at Princess Margaret Hospital for Children. Kybo Station, an eight-hour drive from Kalgoorlie on the Nullarbor, has 6500 sheep. Right: Shae Sutton and Sally Haines, 2, at Madura Plains Station. Left: Rod Campbell gets medical attention at Kybo Station. ‘I love the peace and quiet at Rawlinna.’ — Robyn Nash From page 6 “You have to be organised and buy in bulk,” Mr Nash said. “Once you’re organised and you know what you’re going to use over a period of time, it’s no problem.” Next stop is Kybo Station, which is the creation and life’s work of Rod and Jill Campbell, and Mr Campbell’s brother Graeme in the early days, who built the sheep station and their home — made of railway sleepers — from a virgin block in 1965. Mr and Mrs Campbell keep 6500 sheep on their 308,000ha station, which is an eight-hour drive from Kalgoorlie, but Mr Campbell, now 72, says life in the outback is not as easy as it used to be. “It’s getting harder now especially since I’ve had this debilitating illness, trying to keep everything going,” he said. “I can see the station’s running down. We’ve got to do something shortly.” Mr Campbell is recovering from shingles. He has been flown to hospital twice by the Royal Flying Doctor Service — once with pneumonia and last year with head injuries after he came off his motorcycle. “It’s a marvellous service, no doubt about it,” he says. Mrs Campbell, 70, was diagnosed with skin cancer this year. “I had to have three weeks of radiation,” she said. “Even the weather affects you out here.” But she still loves the Nullarbor life. “It’s a great country, perfect pastoral country,” she says. “I would hate it (living in the city) and would get sick of it. You go in and do what you have to and I’m always glad to get back.” Not everyone on the Nullarbor has been brought up living on the plains. Dr Morris next sees two young women who came to Madura Plains Station for work and new experiences two years ago and have settled to raise their families. Mel Haines, 25, left the verdant German landscape to travel to Australia where she met husband Matt, Madura Plains Station manager. “It’s green and lush and not as hot in Bavaria, so completely different to here,” she said. Mrs Haines gave birth to her second daughter Kiara three months ago. Along with daughter Sally the couple live on the remote 708,000ha station. Mrs Haines says she enjoys the Nullarbor lifestyle and does not worry about what’s going on in the rest of the world. “We’ve got our little community and catch up with the neighbours, who are about a two-hour drive away, two or three times a year,” she said. “The kids can play together. We have barbecues and casino nights.” Jillaroo Shae Sutton, 21, is expecting her first baby with partner Mike this month. She has had monthly and, more recently, fortnightly check-ups during her pregnancy by the visiting flying doctors. “I think it’ll be good,” she said. “There are other little kids in the community for him to Below: Roy Morris weighs and measures three-month-old Kiara Haines at Madura Plains Station. play with. I’ll just take each day as it comes, I guess.” Her only worry is going into labour early at the station. Dr Morris gives little Kiara a check-up, weighing her on the Haines’ veranda, and checks Ms Sutton’s unborn baby with an ultrasound scan as she lies on two-year-old Sally’s bed. While the public may hear more about the Royal Flying Doctor Service’s emergency evacuations, clinic services are an important part of its work. Dr Morris and the other four doctors at the Kalgoorlie base go out to 11 clinics every month. Last year, the RFDS saw 542 patients in these remote clinics along the Trans-Australian Railway and Eyre highway, a big increase on the 333 people seen in 2008. Flying doctors saw more than 31,300 patients in 2435 clinics across WA last year. “The feedback we get is that it’s really essential,” Dr Morris said. “It’s just because of the tyranny of distance. People here would be travelling for a day-and-a-half sometimes just to get somewhere where they can get some service. So if we can do something to try and help, that’s good.” Sole help for the next 1500km For a long and lonely 1500km stretch of the Nullarbor, the first and only permanent point of medical help is nurse Wendy McGuinness. She is on 24-hour call at the small health clinic in Eucla, the easternmost community in WA where some 40 people live just 13km from the South Australian border. She never knows what the next call-out will entail and who or what will come through the door for help, Wendy McGuinness but she says in her three-and-a-half years in the job, she’s seen it all. “I can see 10 to 12 people in a day, then none,” she says. “Eighty per cent comes off the highway and highway traffic is increasing all the time, as are caravanners with chronic diseases which are typical of the elderly. “I’m all there is for 1500km from Norseman to Ceduna. It’s a long way. You name it, I’ve seen it. Everything from a sick dog to heart attacks, strokes and multiple trauma which is common because there are a lot of rollovers.” Silver Chain runs the clinic, which closes for eight days every two months so Mrs McGuinness can have time off, and is one of 12 remote nursing posts the not-for-profit healthcare provider has in WA. Every fortnight a Flying Doctor visits to see patients at the clinic. Mrs McGuinness says she usually helps with two or three emergency evacuations a month and recent examples include a man who crushed his hand between two boats, a roadhouse worker who burnt her hand in oil and two cyclists knocked off their bikes. Available from: Watches of Switzerland 38 King Street Perth Ph (08) 9322 8800 JR Duty Free 772 Hay Street Perth Ph (08) 9322 2688 Smales Jewellers 143 Rokeby Road Subiaco Ph (08) 9382 3222 real watches for real people Oris Royal Flying Doctor Service Limited Edition Automatic mechanical movement Inside turning dial ring for second time zone Pulsation scale on dial Limited to 2000 pieces Ph (03) 95 100 200 RRP $1,900 www.oris.ch A percentage from each watch sale will be donated to the RFDS to continue their lifesaving work. 10 RFDS — CELEBRATING 85 YEARS 1956 The RFDS’ first fatal plane crash in the Leopold Ranges in the north of Western Australia. All five people onboard killed. Robin Miller was known as “the sugar bird lady” to outback children when she was giving polio vaccine in sugar lumps. MAY 16, 2013 Fact: RFDS services an area of 2,500,000 square kilometres in WA, known as Western Operations. 1960s During this decade the RFDS began to buy its own aircraft and employ pilots and engineers. Before that contractors were used. MA 1 Legacy lives on in the nation’s skies Cast of characters helped inspire and make RFDS the vital institution it is today, writes Joseph Catanzaro n 1917, in the rough-and-ready reaches of the WA outback, a stockman named James Darcy was thrown from his horse. His could have been just one more tragic death in the bush, a barely lamented casualty of the harsh and unforgiving outback. Almost a century on, James “Jimmy” Darcy has been largely forgotten, but the legacy that this simple WA stockman inadvertently helped inspire still cuts its way through outback skies across the nation. For the tale of James Darcy is said to have inspired Presbyterian minister John Flynn, who spread the stockman’s tragic story in the big cities and the towns in order to highlight a desperate need for medical care in the Australian outback. It was not the single catalyst, but it was an important link in a chain of events which led to the creation of what is known today as the Royal Flying Doctor Service. Mr Darcy was the first of a cast of characters in WA who helped inspire and make the RFDS a vital institution and modern-day success story. I The telegram sent by Dr Holland in Perth to Mr Tuckett in Halls Creek so he could operate on James Darcy. WESTERN AUSTRALIA ‘She (Robin Miller) was just a simple girl who wanted to fly.’ Some of those characters, like the aviatrix Robin Elizabeth Miller, are well remembered. Others are best known not to the history books but to the people whose lives they saved. The circumstances surrounding Mr Darcy’s death were so extraordinary that they actually made headlines around Australia in 1917, at a time when WWI was dominating newspaper pages nationally. Brought into Halls Creek, the young stockman was taken to the only man for hundreds of kilometres with even a passing knowledge of first aid. But local postmaster W. J. Tuckett quickly realised Mr Darcy’s injuries were internal, and beyond him. Records held in the Battye Library show he sent a telegram to a man of passing acquaintance in Perth, Dr John Holland. Dr Holland, 2280km away, realised Mr Darcy needed surgery if he was to have a chance of survival, and told Mr Tuckett he would need to operate. “Make stab wound one inch deep, one inch long, half an inch above pubic bone,” Dr Holland told the postmaster via telegraph. “OK, can do this if it is absolutely necessary,” Mr Tuckett sent back. Using Morse code, Dr Holland guided Mr Tuckett through the seven-hour operation, which he performed perfectly with the tools at his disposal: a razor and a penknife. On August 9, 1917, Dr Holland took passage on a steamer from Fremantle, heading north in an attempt to tend to Mr Darcy after the successful operation. On August 22, after an arduous overland journey from Derby through rough country, he arrived in Halls Creek to discover the stockman had died the day before. The tragic tale of Mr Darcy was taken up by Rev. Flynn, and used to support his campaign to bring medical care to the remote Australian outback. In 1928, Rev. Flynn’s dream finally got off the ground, after he established the Australian Inland Mission Aerial Medical Service at Cloncurry in Queensland. Jan wi ac pe no se th Ki fly of th br Ea fat th job ma Ha su na th vis th th tra sto na th ha by dr so bu lif yo na Hi 013 d. RFDS — CELEBRATING 85 YEARS 11 MAY 16, 2013 1967 Robin Miller, known as the Sugar Bird Lady, flying sister and pilot, administers Sabin polio vaccine on a sugar cube throughout the north of WA in a Cessna 182. 1990 The Aircraft Replacement Appeal launched and in the following six years raises $9.5 million to upgrade and modernise all the RFDS planes. ke o Jan and Penny Ende met and married through their work with the Royal Flying Doctor Service. Picture: Michael O’Brien y nd en This de Havilland DH50A aircraft was used by the Aerial Medical Service at the Cloncurry base, Queensland, in 1934. It was a Qantas plane, built by Qantas at Longreach, and named Iris. The plane was equipped with radio by wireless expert Alfred Traeger and Maurie Anderson. Taken between 1936 and 1939, this photo shows the first plane and first doctor-pilot team at the Port Hedland base — pilot Max Campbell, left, and Dr Allan Vickers. The base opened in October 1935 and the plane is a Fox Moth DH83 biplane VH USJ John Flynn. Far left: The headstone of James Darcy. e Left: Don Ende at the controls of VH-FDK “Colin Yates”. g , in nt n r ch nd e e nd d m n m d nd to ote ev. he e The invention of the pedal wireless in 1929 and its spread across outback Australia meant people in remote locations could now call for medical assistance. And in 1934, the Victorian section of what would become the RFDS set up shop in the Kimberley region of WA. Jan Ende, now 70, began flying for the Victorian section of the RFDS in 1969. Since 1966 he had flown with the WA section, and his older brother Don Ende worked with Eastern Goldfields section. Like some echo of Mr Darcy’s fatal accident 49 years earlier, the younger Mr Ende’s first job saw him sent out to help a man injured by a horse near Mt Hart. Unlike Mr Darcy, the patient survived. In 1970, Mr Ende met a nurse named Penny who was helping the RFDS with some of its clinic visits to remote communities in the Kimberley. Later that year, they married. Often paired up, they traversed the outback, braving storms and hurricanes, navigating by compass alone in the pitch darkness where they had to, landing on dirt strips lit by the uncertain light of flaming drums. The couple said lives were sometimes lost in the outback, but many more were saved. Among the often larger-thanlife characters they met was a young nurse and pilot by the name of Robin Elizabeth Miller. History remembers her as “the sugar bird lady”, the name given to her by outback Aboriginal children when she was delivering the polio vaccine to them in sugar lumps in the late 60s. By 1969, she had administered more than 37,000 doses of the vaccine and flown more than 69,000km. Her life, cut short in 1975 when she died of cancer at the age of 35, is all the more poignant for the good she did. “We knew Robin well,” Mr Ende said. “She was just a simple girl who wanted to fly.” In 1990, Mr Ende’s older brother Don, 52, was killed on a commercial freight run when his plane went down just north of Meekatharra. Three years later, languishing in a farmer’s shed near Margaret River, Mr and Mrs Ende found a little Cessna 180 that both the brothers had flown in the service of the RFDS. They restored it and named it the Don Ende in honour of the former RFDS pilot. Mr Darcy, the sugar bird lady, and Don Ende could not be saved. But in their own way and their own time, each of these West Australians helped inspire and perpetuate the dream that has become the RFDS, and in doing so, continue to help save the lives of others today. And they, Mr Ende said, were just a few names in a long and growing list of people that continue to make history by providing sick people in the outback with a chance at a future. Congratulations on 85 years of dedicated service to people in remote areas. TechnologyOne is proud to deliver our enterprise software solution to Royal Flying Doctor Service. TechnologyOneCorp.com Australia | New Zealand | South Pacific | Asia | United Kingdom Freecall 1800 671 978 (within Australia) +617 3167 7300 (outside Australia) 12 RFDS — CELEBRATING 85 YEARS 1993 The Best for the Bush survey undertaken by the RFDS. Ninetyfour recommendations focusing on specialists services, preventative, early childhood and mental health implemented. MAY 16, 2013 Fact: RFDS uses about 5.7 million litres of fuel each year. 1999 Program of flying female doctors to rural and remote locations to cater for all aspects of isolated women’s health. The flying lifesaver The Royal Flying Doctor Service in WA uses 15 state-of-the-art aircraft to respond to emergencies, reports Geoffrey Thomas, Aviation Editor hey are two of the hotrods of the sky and they carry precious cargo — the sick and injured. They are the front line of the Royal Flying Doctor Service and help make up the fourth-largest plane fleet in Australia The twin-engine Hawker 800XP2 and single-engine Pilatus PC-12 are true thoroughbreds and the mainstays of the WA-based RFDS fleet that numbers 15 planes. Australia-wide the fleet numbers 61. According to RFDS Western Operations’ medical director Stephen Langford, the Hawker 800 is the only permanently configured aeromedical jet anywhere in Australia with the T The aircraft are fitted out with a full range of medical equipment. REVESCO AVIATION capacity to carry three stretcher patients and up to three clinical staff at once. “The jet can fly non-stop from any location in Western Australia to Perth within three hours and it can undertake interstate transfers without refuelling stops in most circumstances,” Dr Langford said. “It can also undertake faster flying doctor retrievals from offshore locations, such as the Australian Territories of Cocos and Christmas Islands, and has the advantage of a dedicated aero medical layout to help us treat almost any patient. “Seriously ill babies also benefit as this jet can easily load and carry the specialised Mansell Neocots used by Princess Margaret Hospital and, when requested, we will be able to take babies to specialist medical care interstate.” Importantly, the Hawker 800 adds to the State’s disaster response resources and enhances WA’s capacity to respond quickly and effectively to mass casualty incidents. The Hawker 800 traces its origins to the De Havilland 125 which first flew in the UK in 1962. Since then the corporate jet has gone through a host of improvements while the location of the manufacturer has changed many times as the aviation industry consolidates. It is now built in the US. The PC-12 is built by Swiss-based Pilatus, which was formed in 1939. Development of what was to become Pilatus’ best-selling plane was started in 1987, with a first flight on May 31, 1991. Pilatus has sold more ‘The jet can fly non-stop from any location in WA to Perth within three hours.’ — Dr Stephen Langford Rio tips in $6m for vital service REVESCO AVIATION IS AN OWNER-OPERATED AIR CHARTER SERVICE THAT BRINGS YOU SAFETY AND COMFORT. The company also prides itself on: • • • Highly-trained flight crew First class fleet with international capabilities A high level of planning for each and every journey. 1934794πJPTT160513 REVESCO AVIATION PTY LTD 26 Newton Road Perth Airport WA 6105 Australia Tel: 1300630737 | Fax: 0893214411 Rio Tinto will continue to fund The Royal Flying Doctor Service Life Flight aeromedical jet service for Western Australia for the next four years at a cost of $6 million. The new funding agreement will take to $11 million the support provided by Rio Tinto for the service. RFDS chief executive Grahame Marshall said “since the jet’s first mission in October 2009, the aircraft has flown 2115 hours, evacuating 867 patients, the majority (74 per cent) from the more distant Kimberley and Pilbara regions. “Many lives have been saved as a direct result of the Rio Tinto Life Flight,” Mr Marshall said. “The Rio Tinto Life Flight jet has been the realisation of a long-held dream for the RFDS and the statistics alone prove just how important it is to continue to provide this service to rural and remote WA. “We have experienced unprecedented demand for our services over the last three years and the jet has enabled us to respond to urgent cases in the furthest corners of our State and Australia’s Indian Ocean territories.” The jet — a Hawker 800XP2 — has been a boon for residents of the State’s north, with 54 per cent of its patients coming from the Kimberley region and 20 per cent coming from the Pilbara. According to Mr Marshall, the capacity of Grahame Marshall ‘Many lives have been saved as a direct result of the Rio Tinto Life Flight.’ the Rio Tinto Life Flight jet allowed the RFDS to conduct the first double critical care transfer, where two critically ill patients were transported at the same time, each with their own critical care doctor and nurse team. Rio Tinto president of Pilbara operations Greg Lilleyman said Rio Tinto was proud to continue to be associated with such a vital service in remote medical care. Geoffrey Thomas Aviation Editor Th th pr Fl su Go th $1 ma 013 . An RFDS Hawker 800 aircraft. d, e The impressive cockpit of the Hawker 800 aircraft. THE PLANES Pilatus PC-12 y e o st e . s f in r s r Hawker 800XP Cruise Speed: 682km/hr Range: 4732km Ceiling:̀13,666m Capacity: Three stretcher patients and three clinical staff than 1200 and the plane is still in production. The RFDS Rio Tinto Life Flight jet service is also supported by the WA Government which underwrites the cost of the operation by up to $1 million per year. The RFDS in Victoria has also made a $3 million contribution towards the purchase of the jet. Locally, the RFDS Flying 1000 fundraising group in WA has also raised $750,000 towards the purchase of all the portable medical equipment required on board the aircraft. In order to modify a plane for its demanding role in the RFDS, it needs to be transformed into a Cruise speed: 500 km/h Range: 4149km Ceiling: 9,150 m Capacity: Two stretcher patients and two clinical staff. full flying intensive-care unit. This is a two-stage process which can cost more than $2 million to complete. The landing gear needs to be modified for dirt runways and reinforcements added. Another challenge is fitting a cargo door wide enough to allow for easy loading and unloading of stretcher patients. Next is a custom-built stretcher system with a hydraulic lifting device to raise and lower patients to and from the plane. The second stage involves equipping the interior of the aircraft with a full range of medical equipment, including a defibrillator, ventilator, oxygen Inside the Medevac/Air ambulance and suction system, medical cabinets, monitors and stretchers. A separate medical battery must be installed to supply power to all the equipment. An integrated communication panel must be added to ensure medical staff can make emergency satellite phone calls while in flight. Underground mining is a specialised business ... Our business at Byrnecut Byrnecut is an internationally renowned specialist Underground Mining Contractor offering a unique range of services and depth of experience. Proven experience in mine development and production techniques, combined with cutting-edge knowledge in occupational health and safety, equipment management and maintenance, purchasing and contract administration mean that Byrnecut delivers a more efficient, safer mine and a better bottom line. CONTACT BYRNECUT TODAY ON +61 8 9270 1000 OR VISIT OUR WEBSITE FOR MORE INFORMATION www.byrnecut.com.au 14 RFDS — CELEBRATING 85 YEARS Fact: In 2011-12, the RFDS conducted 2,435 clinics and saw 31,305 patients. MAY 16, 2013 2011- A $3.3 million expansion of the Port Hedland 2012 base was completed to cope with the population expansion from the mining boom. Fact: In 2011-12 financial year, RFDS Western Operations aircraft flew 7,619,781km. That’s almost 20 times the distance from Earth to the Moon. Tales of heroics C t For one good Samaritan, the RFDS has always been there, on call to save countless lives. Alex Massey reports. M with horses smarter than myself. I had frequent flyer points with them before Qantas worked it out,” Mr Lanagan said. “They saved my dad’s life when he suffered a ruptured ulcer at Myroodah Station (260km east of Broome), they picked my daughter up once when she had pregnancy complications and flew her to Perth from Perenjori in the Wheatbelt . . . they’ve carted quite a few of my family and just countless patients over the years.” Mr Lanagan was barely 18 when RFDS “legend of the north” Dr Lawson Holman talked him through the delivery of a baby at a remote station. He said the Aboriginal mother had been rejected by her people because of “tribal reasons”. There was no one else around. “So I thought, well, I better go have a bit of a look at this, you know, I’ve organised the birth of foals and calves, I thought it can’t be that much different,” he said. “That was done with the aid of walking back and forward to the flying doctor radio in the middle of the night, crackling and carrying on, the doctor telling me Volunteer ambulance driver Mick Lanagan. ‘I had frequent flyer points with them before Qantas worked it out.’ — Ambulance driver Mick Lanagan what to do. Of course we didn’t have any proper umbilical clips or any of that stuff so we boiled up a bit of butcher’s string and used that. It was the Queen’s Birthday so I called the baby Elizabeth.” An RFDS collection tin at Sandfire has produced on average $7000-$10,000 a year since Mr Lanagan arrived more than two decades ago. “I’ve seen truckies drop a $50 note in the tin. A lot of people appreciate the RFDS,” he said. “You could not count the number of lives they’ve saved.” Th R ke ra de re fu ex an Aerodrome Management Services Pty Ltd Congratulates the RFDS on their 85th anniversary Your one stop shop for your aerodrome needs Aerodrome Engineering and Design Aerodrome Construction Aerodrome Certification Aerodrome Management Safety Inspections Electrical Installation and Inspections Aerodrome Training Aerodrome Relief Coverage Aerodrome Drafting Aircraft Refuelling Safety Management Aerodrome Maintenance Legal Compliance Security Screening and Audits P: 08 9221 6777 F: 08 9221 6776 E: ams@amsaustralia.com www.amsaustralia.com 1951558πSLTT160513 ick Lanagan recalls his first encounter with the Royal Flying Doctor Service as if it were yesterday. The former stockman-turned-volunteer St John Ambulance driver, then four, watched on in awe as Dr Harold G. Dicks landed his Auster two-seater at Carnegie Station, 350km east of Wiluna, before treating the victim of a horse-riding accident. From that moment, Mr Lanagan only wanted to be two things — a doctor or a pilot. “I never quite got to be a doctor but I did learn to fly,” the 67-year-old said from Sandfire Roadhouse. For the past 22 years Mr Lanagan has patrolled Great Northern Highway from his Sandfire base, halfway between Port Hedland and Broome, responding to emergency calls 24 hours a day, 365 days a year. His tales of RFDS heroics stretch further than the 600-odd kilometres of bitumen he presides over. “God knows how many times I’ve had to call the flying doctor. They carted me three times when I had disagreements MA 1950828ϖMHTT160413 013 RFDS — CELEBRATING 85 YEARS 15 MAY 16, 2013 Fact: In 2011-12 financial year, RFDS flew 8,264 patients in evacutations, hospital transfers and repatriations, a 39 per cent increase in the past five years. 0 Continuing a fine tradition of saving lives The challenge for the RFDS in WA is to keep up with the rapid increase in demand as the resource industry fuels population expansion in regional and remote areas f he history of the Royal Flying Doctor service in WA reflects the pioneering spirit on which our vast State was built and which today continues to drive massive economic expansion and population growth. We are proud of the reputation we have created over the past 85 years and of the special place our services and staff occupy in the lives and hearts of regional and remote communities. From humble beginnings in 1928 when the Rev. John Flynn started an aeromedical service to provide a “safety net” for T o How to donate e If you would like to help the Royal Flying Doctor Service, head online to flyingdoctor.org.au or phone 9417 6400 413 Fact: The Rio Tinto Life Flight jet also travels to Christmas Island, the Cocos Islands, Darwin and the Eastern States. pioneers in outback Queensland, to today’s 61-strong national fleet, including 15 aircraft in WA that last year flew 7.7 million kilometres and carried 8600 patients, our core focus has always been the same: to deliver life-saving medical care to people in remote areas in times of need. The challenge for us in WA has been keeping up with the rapid increase in demand for our services as the resource and other sectors fuel population expansion in regional hubs and communities in the State’s more remote areas. Our emergency Statewide telephone number last year received more than 35,000 calls for medical assistance and advice. Never before has the footprint, and the reach, of the RFDS been bigger across WA. But to ensure we are able to deliver our life-saving services ‘We have to continually expand our reach, and increase our capabilities.’ Grahame Marshall wherever and whenever we’re needed, we have to continually expand our reach and increase our capabilities. This year we announced our aspiration to establish a new RFDS operating base in Broome, which has now become our busiest patient hub in the north of the State, with more than 600 patients moved to and from the town last year. The challenge is to turn that vision into a reality by securing funding for this $20 million project. We are seeking support from the State Government and our community and corporate partners. While the RFDS receives very strong funding support from the State and Federal Governments, and is extremely appreciative of corporate support such as the recently announced new four-year funding sponsorship by Rio Tinto of our Rio Tinto Life Flight Jet, we still remain heavily reliant on community fundraising efforts to maintain our services. You are the reason we fly and you are our motivation for continuing, and further developing, the entrusted legacy of our past 85 years, ensuring that we continue to provide relevant and contemporary services, and extend our emergency safety net even wider as this great State of ours continues to develop and prosper. Grahame Marshall RFDS chief executive of Western Operations Proudly Supports the RFDS 1951558πSLTT160513 Airflite Congratulates the Royal Flying Doctor Service on their 85th Anniversary and are proud to support the RFDS Aircraft Maintenance requirements. Contact Airflite for all Aircraft Maintenance needs. T:9478 9000 26 Newton Road Perth Airport 6105 info@airflite.com.au www.airflite.com.au REV_RARE_ROY21379A Bronwyn’s story starts with a hole in the heart See what happens next at mystorycontinues.com.au The Rio Tinto Life Flight jet - the result of a milestone partnership between Rio Tinto and the Royal Flying Doctor Service - benefits people all over Western Australia. It means that life saving care is no more than three hours away.