[Reading] ➿ A Doctors Dream By Buddhi Lokuge – Horse-zine.co.uk

A Doctors Dream chapter 1 A Doctors Dream , meaning A Doctors Dream , genre A Doctors Dream , book cover A Doctors Dream , flies A Doctors Dream , A Doctors Dream 40277b7a28bf4 When Dr Buddhi Moved To Arnhem Land To Run A Health Program For Aboriginal Children, He Had No Idea He Would Face The Challenge Of His LifeSix Months Into Running The Million Dollar Program He Realised It Was Going To Fail, And That S When The Trouble Began In The Face Of Powerful Opposition From High Profile Experts, He Listened To The Elders And Took The Slow Road Through Painstaking Observation And Working In Partnership With Patients And The Community, Together They Found A Way To Overcome A Neglected Disease As Debilitating And Stigmatised As LeprosyThis Is A Powerful Story Of Redemption, And An Honest And Inspiring Account Of A Family Living And Working In Remote Aboriginal Australia To Give Voice To Forgotten People Could Not Put It Down It Is One Of The Best Things I Ve Read In Years In This Area, Full Of Profound Insights Encapsulated In A Great Story Professor Peter Drahos, Australian National University

10 thoughts on “A Doctors Dream

  1. says:

    In 2010 Dr Buddhi Lokuge and Tanya Burke were asked to be part of a program to eliminate scabies in the top end Buddhi had worked in Asia and Africa with Medicins Sans Frontieres MSF What followed was a journey of discovery, challenges, obstacles and hope Instead of imposing a top down approach, Buddhi and his team listened to the Yolngu people in East Arnhem Land, allowing their voices to be heard and encouraging ownership of the programs The results were startling This is book is a eye opener to the challenges facing communities in the north, revealing endemic problems and how easy the best intentions in the world to do good can disempower the people you hope to help.Buddhi and Tanya write openly and honestly of their own struggles and the challenges they faced though changing names and details to protect identities were appropriate There are some sad and frustrating moments but I finished the book with a feeling of hope glad that someone understands that a slow, steady approach of community development so often outperforms and outlasts big top down, imposed programs with short term objectives and funding often favoured by governments.A great book for anyone interested in poor health and social outcomes for Australia s indigenous people published by Allen Unwin which I m glad I discovered on the shelves of my local bookstore

  2. says:

    This is the story of a dedicated doctor working to eradicate scabies in the Aboriginal community of Arnhem Land I was moved by the plight of the people living with this stigmatizing condition, which was originally introduced to the Top End by white settlers and continued in the population because of poor housing and clothes washing facilities and lack of access to nutritious food It is an important read for anyone working in the health, social welfare or education fields in Australia The author shows why so many health and education programs in Australia s far north have failed in the past, with indigenous health and welfare programs being rolled out like paternalistic steam rollers with little or no consultation with the community involved I was excited about the book when I started reading, but that was followed by a few chapters, that were a little labored, exploring the Doctor s misgivings about delivering the program in the way that it had been designed The story of the Doctor s time in Arnhem Land, with his family, was well written and deeply engaging and informative.

  3. says:

    Terrific for people in the public health arena to have a non academic text to remind us all of the importance of community in every aspect of project design and delivery That said, some of the political challenges of the scabies program were glossed over I suspect because the author s have ongoing working relationships with some of the key players An informative read for anyone with an interest in Aboriginal health or helping the disadvantaged.

  4. says:

    Contains some good information, but has the misfortune of being overwritten by the titular doctor s wife.Content 5 stars Writing 2 stars.What actually happened is very interesting, and worth studying this doctor went to run an anti scabies program involving mass dosing of ivermectin From his on the ground research as he was setting it up, he realized that it would be futile sure, they could wipe out scabies in any number of communities, but as soon as there was large gathering with a lot of travelers and guests, scabies come right back So Lokuge looked at why how locals had succeeded with scabies, and the real problem for transmission cases of encrusted scabies People with encrusted scabies aren t just severe cases they re supercarriers, shedding the mites by the thousands Whereas most transmission has to involved close contact, people with encrusted scabies are sprinkling them as they go.By working with the community instead of imposing something on them, he finds a real solution Which meets with incredible resistance Not from the locals, but from the esteemed public health professors who know so much better yet, curiously, refuse to release the results of their their own work well, not so curiously, because despite their incredible opposition, writing letters to get Lokuge fired and so forth, their approach turns out to have been an utter failure Lokuge perserveres and winds up establishing a new protocol for scabies treatment Sadly, we don t see the esteemed professor doctors who knew so much better apologizing at any point And that s all downright fascinating to anyone with even a passing interest in the subject.Unfortunately, the writingBurke writes with literary pretensions and is constantly forcing her way into the story E.g., where we re meant to be hearing about his progress, we re left reading that she likes wandering in supermarkets near closing, with her description the experience of doing so. when, suddenly, she s startled out of her evening idyll by the ring of her mobile And it s him He s calling to update her at which point we can get a bit actual information, and the account can progress Or her overwritten descriptions of trees and stars or whatever It gets tedious Very.She s clearly capable of good writing, if only she d have gotten out of her own way And that s the book s downfall.Maybe the book would have been too short if she d managed to keep from basically including her diary in it, but an editor should have forced her to It would have been a far better book for it As it is, it s hard to recommend I have to tell people how annoying it gets to slog through all that, then quickly add, But the information is worth it Which it is.

  5. says:

    A Doctor s Dream is about a microscopic mite, a huge health issue and the fraught nature of ongoing injustices towards Aboriginal people in Australia It is a very Australian story Both white and Aboriginal people are tired of the same intractable problems and tired of announcements of quick fixes that never work In this book Dr Buddhi Lokuge and Tanya Burke offer a way through this mire, but only through hard, time consuming commitment and respect.Scabies is a mite that is a scourge in some outback Aboriginal communities It causes itching which leads to skin infections in the tropical environment of northern Australia Some people do not have any natural resistance to the mite which leads to huge colonies living on their skin causing the disfiguring and serious health condition known as crusted scabies.The chronic skin infections caused by recurrent outbreaks of scabies can lead to abscesses and in some cases, amputations It is the underlying cause that has led to remote Aboriginal communities in Australia having some of the highest rates of kidney and rheumatic heart disease in the world The constant sores on a child can give the appearance that the child is suffering from neglect at home Lokuge and Burke explain that this health condition can be horribly misunderstood by the authorities and lead to the removal of the child from their family Despite what we have learned from the Stolen Generations, removal of children from Aboriginal families is still occurring.Dr Lokuge drew on his experience working for international medical humanitarian organisation, M decins Sans Fronti res to design and deliver a program to eliminate scabies in Arnhem Land The not for profit organisation Lokuge worked for, One Disease, offered him the freedom and support to devise and implement a solution that enabled Aboriginal people to tackle the issue Their overall management and support of Lokuge s work is a crucial element in the success of the program You can continue reading this review at my blog, Stumbling Through the Past.

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