All posts tagged australia

  • The Weekend Australian Magazine story: ‘Susan, Unbroken: After Dr Andrew Bryant’s suicide’, September 2017

    A feature story for The Weekend Australian Magazine, published in the September 2-3 issue. Excerpt below.

    Susan, Unbroken

    Her husband’s suicide was devastating. But Susan Bryant was determined to call it out.

    The Weekend Australian Magazine story: 'Susan, Unbroken: After Dr Andrew Bryant's suicide' by Andrew McMillen, September 2017. Photograph by Justine Walpole

    The last few days had been nightmarish and Susan Bryant was tired of explaining. She decided to write an email to try to explain the inexplicable. The words came to her in a rush, powered by grief, anger and frustration, as well as a desire for the cause of her husband’s death to be known, not covered up. It was a Saturday evening in early May and before she travelled across town for a family dinner, she sat in the study inside the beautiful home on the hill she had shared for 25 years with a brilliant gastroenterologist named Dr Andrew Bryant. Her first instinct was to say sorry.

    “I apologise for the group email but I wanted to thank those of you who have been so kind with your messages and thoughts over the last three days,” she typed. “Apologies also for the length of this email but it’s important to me to let you know the circumstances of Andrew’s death. Some of you may not yet know that Andrew took his own life, in his office, on Thursday morning.”

    The family’s beloved white dog lay on the floor beside her in the study, while a cat was curled near her feet. Andrew had not suffered from depression before, she wrote, but his mood had been flat during Easter and he had been sleeping poorly because he had been called in to see public hospital patients every night of the previous week. She wrote that because of these long hours — not unusual for an on-call specialist — he had missed every dinner at home that week, including one to celebrate his son’s birthday. “In retrospect, the signs were all there,” she wrote, then chided herself. “But I didn’t see it coming. He was a doctor; he was surrounded by health professionals every day; both his parents were psychiatrists; two of his brothers are doctors; his sister is a psychiatric nurse — and none of them saw it coming either.”

    Susan addressed the email to 15 colleagues at the law firm where she works in central Brisbane, and she hoped that it would help them understand why her daughter had phoned on Thursday morning to briefly explain why her mother would need some time off. “I don’t want it to be a secret that Andrew committed suicide,” she wrote. “If more people talked about what leads to suicide, if people didn’t talk about it as if it was shameful, if people understood how easily and quickly depression can take over, then there might be fewer deaths.”

    Together, they brought four children into this world and they all still live under the same roof. “His four children and I are not ashamed of how he died,” she wrote. Susan knew that her children felt this way, but she double-checked with them before she sent the email, and before the five of them left the family home to visit the Bryants in Paddington, a few ­suburbs over. One by one, her children came into the study and read the email over her shoulder. They saw no problem with it. She ended her letter with the spark of an idea; a glimmer of hope. “So please, forward this email on to anyone in the ­Wilston community who has asked how he died, anyone at all who might want to know, or anyone you think it may help.” It took her about five minutes to write. She sent it at 5.45pm on Saturday, May 6, and then she went to be with Andrew’s family.

    The next afternoon, Susan thought that a few of her close friends and neighbours might like to read the message. And so, at 2pm on the Sunday, she passed it on to another five people who live in the inner north suburb of Wilston. When two of her children asked if they could share the email on Facebook, she said yes, because she thought that it might help their friends understand what had happened, too.

    Within a few days, her words had been read by hundreds of thousands of people around the world. Her email was republished and discussed online and off; both inside and outside the medical profession. It was as though she had shot a flare skyward on a dark night, and suddenly, she found herself surrounded by strangers who were drawn to the distress signal.

    People responded to her honesty with their own. They wrote to her with deep, dark secrets and confessions, some of which they dared not speak aloud. She gathered their letters and cards in a large basket that sits in the centre of her kitchen bench, while hundreds more notes piled into her email inbox. Writing to her helped them. She did not know it when she wrote the email, but they needed Susan Bryant then, and they need her now.

    To read the full story, visit The Australian. Above photo credit: Justine Walpole.

    For help if you are in Australia: Suicide Call Back Service 1300 659 467; ­Lifeline 13 11 14, Survivors of Suicide Bereavement ­Support 1300 767 022.

    For help if you are outside of Australia, visit suicide.org’s list of international hotlines.

  • IGN Australia story: ‘This Vertigo-Inducing VR Game Will Scare The Crap Out Of You’, May 2017

    A feature story for IGN Australia that was published on May 28. Excerpt below.

    This Vertigo-Inducing VR Game Will Scare The Crap Out Of You

    Meet the Australian couple behind ‘Richie’s Plank Experience’, a hit indie VR title unlike any other.

    IGN Australia story: 'This Vertigo-Inducing VR Game Will Scare The Crap Out Of You' by Andrew McMillen, May 2017. Photo by Scott Patterson

    I hear a bright tone – ding! – and then the elevator doors open to reveal a vast cityscape stretching out before my eyes. Protruding in front of me is a wooden board, about three metres long and thirty centimetres wide – just thick enough to accommodate both of my feet, side-by-side. The task here is straightforward: just like the maritime method of execution, I’m meant to walk the plank.

    First, I must step up onto the board. I tentatively put my left foot forward, seeking the raised edge. I shift my weight and bring my right foot up to the timber. What’s most surprising is the immediate physical response that I encounter: my heart beats noticeably faster beneath my ribcage, and I begin sweating. My brain has suddenly thrown my balance into question, because never before in my regular life have I found it so hard to put one foot in front of the other.

    Heights have been problematic for me in the past: when I moved into a seventh-floor apartment in 2015, it took weeks for me to be able to stand by the edge of the balcony without gripping the railing or leaning backwards, away from the void. I had supposed this was an inherent self-preservation instinct retained from my ancient ancestors, who were smart enough to stay away from high places in favour of keeping contact with the earth. In the parlance of software development, I rationalised that this inbuilt aversion to heights was a feature, not a bug.

    A helicopter passes overhead, not far from where I’m standing. Out on the plank, eighty storeys in the air, I’m holding the two wireless controllers up above my waist, like ski poles. This is mostly for balance, I suppose, but also because my mind has been gripped by a set of emotions that I’ve yet to encounter in any other form of visual entertainment. It’s a cocktail of fear, exhilaration and anxiety, and it’s because my eyes and ears are taking in sensations which I know intellectually to be false. This is virtual reality, after all, and I’m playing a game named Richie’s Plank Experience. Yet out here, on the plank, real and fake are all but indistinguishable. All my brain is concerned with is survival.

    I only manage to shuffle about halfway across the length of the plank before giving in to the fear. My heart pounds, my skin prickles with sweat, and I’m completely out of my comfort zone. Before I put on the headset and headphones, I was just another guy standing in a building near the Brisbane River, watching a bunch of strangers attempt to walk a board that sits just a few centimetres off the ground, held aloft at one end by a hardcover copy of Steve Jobs, and a few stacked kitchen sponges at the other. Yet even after having watched these interactions and reactions play out on the faces of strangers, I was completely unprepared for the sensory overload that comes wrapped in the immersion. It’s simply too real.

    With careful consideration, I remove my right foot from the timber and reach out into space. For a moment, this act sends my mind reeling once again, and I give a clumsy shimmy from my hip before moving my left foot off the edge, too. For about four seconds, I fall toward the hard bitumen and slow-moving inner-city traffic. I turn my head to take in the last sights I’ll ever see. When I hit the ground, everything turns white.

    To read the full story, visit IGN Australia. Above photo credit: Scott Patterson.

  • The Walkley Magazine story: ‘Weekly Email Dispatches From A Freelancer’s Lonely Desk’, April 2017

    A story for issue 88 of The Walkley Magazine, the quarterly publication for Australian media professionals. Excerpt below.

    Weekly Email Dispatches From A Freelancer’s Lonely Desk

    Newsletter as lifeline.

    The Walkley Magazine story by Andrew McMillen: 'Weekly Email Dispatches From A Freelancer’s Lonely Desk', April 2017. Illustration by Tom Jellett

    The email subject line in edition #139 was “Clown doctors, giant pigs and public shaming”, while #99 was titled “Gay twins, shot elephants and friendly magpies”. The intention is always to pique the reader’s interest, so that if they see Dispatches among a few dozen emails in their inbox, mine is the one they’ll want to open first, because they are curious about these three unique phrases—taken from the recommendations contained within—and want to know more.

    Every week, you see, I spend an hour or two compiling an email newsletter that is sent to people around the world. Some of them are my friends and family; others I have never met before, and have no idea how they came across my work. Since starting with zero subscribers in March 2014, I have now delivered more than 140 editions. The newsletter is called Dispatches, after the Michael Herr book of the same name. It is a space where I recommend excellent feature articles and books I have read and enjoyed, as well as podcasts, music, and my own recently published writing.

    Its format has remained unchanged in the three years since I started. There are three sections: Words, Sounds and Reads. I choose a relevant image to announce each section, because I know that an email newsletter consisting only of text can be a little overwhelming.

    Since the beginning, I have sent the newsletter on Thursday mornings. This was a deliberate choice: as Friday tends to be the busiest day for office workers scrambling to meet deadlines before clocking off for the weekend, I figured that seeing a long, considered email from me a couple of mornings before the workweek ends might offer a welcome reprieve. Setting an expectation around a weekly publication schedule might help to give others some structure in their work lives, too. (Perhaps I am projecting.)

    For the first couple of years, I would compile the recommendations on Wednesday, and then wait until waking the following morning to manually press “send” using a free online service called TinyLetter. Now, I publish it just after midnight, in the wee hours of Thursday morning—which suits me better as a night owl, anyway. It’s the last thing I do before going to bed, and it pleases me to know that, by the time I’m back at the desk the following morning, more than a hundred people will have already opened the latest edition.

    To read the full story, visit The Walkley Magazine on Medium. Above illustration credit: Tom Jellett.

  • The Weekend Australian Magazine story: ‘Dying Wish: In-home palliative care nursing’, February 2017

    A feature story for The Weekend Australian Magazine, published in the February 11 2017 issue. Excerpt below.

    Dying Wish

    Few terminally ill Australians get to spend their final days at home. When it happens, it can be the greatest gift of love.

    The Weekend Australian Magazine story: 'Dying Wish: In-home Palliative Care Nursing' by Andrew McMillen, February 2017. Photo by Justine Walpole

    It begins with the lighting of a candle, the bright tone of a ­ringing bell, and a card plucked from a deck of Buddhist prayer cards then read aloud: “Now may every living thing, young or old, weak or strong, ­living near or far, known or unknown, living or departed, or yet unborn – may every living thing be full of bliss.”

    On this Monday morning in a northern suburb of Brisbane, six clinical nurses and support staff are gathered around a table inside a building known as Karuna House. Its walls are painted pale blue, its ceilings are high, and pinned to a corkboard are dozens of booklets gathered from funerals and memorial services. These are some of the organisation’s recently deceased clients, for the nature of Karuna’s work is to offer support to ­people who are terminally ill, providing in-home palliative care services to about 50 families at a time. ­Written in red on a whiteboard is the number four – the tally of clients who died the previous week in mid-November; the same as the week before.

    In a corner of the room beside an open ­window sits Camille Doyle, 40, who listens intently while making handwritten notes on a printed page that shows her clients’ names, addresses and current assessment: “stable”, “unstable”, “deteriorating”, or “terminal”. This fourth stage is followed by bereavement, which involves caring for those left behind. Today Camille will visit four homes; by now, she knows these people ­intimately and the routes to their houses so well that she doesn’t need a map.

    On a bushy block in Samford Valley, 25km north-west of Brisbane CBD, sits a large timber house owned by a married couple of 49 years. When Camille knocks on the door at 11.30am, she is greeted by Sandra Huelsmann, a 73-year-old grandmother who wears pearl earrings and a ­silver heart necklace. “Hello, Millie,” says Sandra, smiling. They hug, and Sandra welcomes the nurse into a home she has visited regularly for the past six months, an unusually long relationship for Karuna. The longer duration reflects the complex nature of this particular palliative situation.

    On an adjustable bed in a room towards the front of the house is Tony Huelsmann, a retired dancer, choreographer and dance instructor whose skills were once in high demand at schools throughout Melbourne and Brisbane. Sandra was one of his dance students. He was 30 when they met, seven years older than her, and it was love at first sight.

    Born in Germany, Tony has spent much of his life in Australia. Now 80, he is dying from complications associated with several internal and ­external cancers, including a rash of angry red squamous cell carcinomas that have colonised the skin of his swollen upper thighs. These painful sores require daily dressings, performed by a personal care worker, while Karuna’s rotating ­roster of nurses help with symptom management, bed-baths, toileting and bedding changes, as well as emotional support for both husband and wife.

    Since May, Tony’s world-spanning life has been confined more or less to these four walls while Sandra cares for his every need. At night, she snatches sleep where possible. It is their wish for Tony to die at home and they are both determined to see this wish fulfilled.

    To read the full story, visit The Australian. Above photo credit: Justine Walpole.

  • The Saturday Paper story: ‘Schlock Therapy: The Clown Doctors of Lady Cilento’, February 2017

    A feature story for The Saturday Paper, published in the February 11 2017 issue. Excerpt below.

    Schlock Therapy

    In hospitals throughout Australia a dedicated troupe of clown doctors dispenses therapeutic comic relief.

    The Saturday Paper story by Andrew McMillen: 'Schlock Therapy: The Clown Doctors of Lady Cilento', February 2017. Photo by Jodie Richter

    In a quiet and unassuming corner of Lady Cilento Children’s Hospital in South Brisbane, a transformation is taking place. Inside a nondescript room are two women who seek to make people laugh so that they might forget their surroundings, if only for a few moments.

    Standing before a mirror in a small room, Jenny Wynter applies eyeliner to complement the bright red circles painted onto her cheeks, before picking up a watermelon-adorned ukulele to tweak its tuning. Louise Brehmer secures a series of rainbow-coloured hair ties into her pigtailed locks, dons a purple bucket hat, and fills the pockets of her white lab coat with an array of props. The final touch? Bright red noses, naturally, for a clown can feel only naked without one.

    Affixed to the lockers that occupy the back wall are photographs of six clown doctors, who work in pairs to prowl the bright-green building while spreading mirth. For a few hours at a time, these women dress up to stand out. They seek to become the lowest-status person in every room they enter; they aim for nothing more than to become the butt of their own jokes. When the red noses are on, they’re professional goofs. They act as outrageously as possible to make everyone around them feel better about themselves. “There’s not many jobs where walking down a corridor elicits a smile,” says Brehmer of their eye-catching costumes. “We’re here for the entire hospital, to bring an element of lightness to a serious place.”

    Brehmer has been doing this work for 16 years, and considers it a valuable addition to her career as a freelance actor. “I’m still learning,” she says. “Some days, I have no idea what to do in a situation.” Wynter is a comparative newbie: her background is in stand-up comedy, and she has been a qualified clown doctor since June 2016, having completed her “clownternship” after making 50 appearances in the role. “It’s so much about reading the room, and being willing to change at any point,” she says. “You’ve got to show up with an open heart.”

    On leaving the change room, they switch from friendly colleagues to partners in comedic crime. In the hallway outside, near an immunisation centre, they embrace and address each other by their stage names for the first time today. “Hello, Wobble!” says Wynter, who is now known as Doctor Angelina Jolly.

    As soon as they round the corner, they join the general population of the public hospital’s bustling second floor, and the improvised routine begins in earnest. Within the first five minutes of finding an audience, Doctor Jolly blows bubbles and distributes squares of toilet paper to some bemused boys, Doctor Wobble uses her stethoscope to check the heart rate of a visitor’s stuffed panda, and the pair of them launch into an enthusiastic rendition of “Twinkle, Twinkle, Little Star”, accompanied by Doctor Jolly’s ukulele. “A lot of the day is just spent cracking each other up,” says Wobble, while they ride an elevator up to the sixth floor.

    To read the full story, visit The Saturday Paper. Above photo credit: Jodie Richter.

  • Good Weekend story: ‘Shock Tactics: Preventing trauma in Australian teenagers’, November 2016

    A feature story for Good Weekend, published in the November 19 issue. Excerpt below.

    Shock Tactics

    As Schoolies Week kicks off around the country, emergency specialists are using hard-core methods – graphic dashcam videos, horrific injury images, emergency-room simulations – to deter adolescents from risk-taking behaviour.

    Good Weekend story: 'Shock Tactics: Preventing trauma in Australian teenagers' by Brisbane freelance journalist Andrew McMillen, November 2016

    It looks like a classroom, but today there’ll be no maths, English or history. It is a Wednesday towards the end of 2016’s final term, and no ordinary school day. Today’s curriculum will be taken largely from life experience, and the lessons will revolve around confronting simulations of what these students’ lives might be like if they don’t think before they act.

    This group of about 30 year 10 students from St Peters Lutheran College, in the inner-west Brisbane suburb of Indooroopilly, has travelled across the city to the Royal Brisbane and Women’s Hospital (RBWH), at Herston in the inner-north. All aged 15 or thereabouts, the boys wear short-sleeved white shirts with maroon ties, grey shorts and black shoes, while the girls wear long white dresses with vertical maroon stripes. Just like in any average high-school classroom, the front row of seats is empty – other than two teachers overseeing the group – and the back row is mostly occupied by boys, who provide a constant stream of whispered wisecracks to one another.

    Today, the hospital is hosting what’s known as the PARTY Program. The acronym stands for Prevent Alcohol and Risk-Related Trauma in Youth. It’s a concept licensed from an initiative that began 30 years ago at Sunnybrook Hospital in Toronto, Canada, and now operates out of 15 sites across Australia, including every state and territory besides the Northern Territory. PARTY began at the RBWH in 2010, and since then, 51 schools and more than 3000 students have participated in a day-long, intensive itinerary of hands-on activities and talks designed to open these bright young eyes to some of the difficult situations and decisions they’ll be exposed to as they edge from adolescence into young adulthood.

    “Some of the things that you see, hear, feel and smell today may give you some feelings you haven’t had before,” says statewide program coordinator Jodie Ross. “It’s quite normal that you might feel a bit off at points. If you feel a bit ill, or feel that you might faint, please let us know, and don’t run away to the toilet. We have had a young boy who fainted in there, and it was really hard to get him out.” At this, she is met with a few chuckles. “Today, we want you to learn from other peoples’ poor choices, because we want to see you come back here as doctors, nurses or allied health people – but definitely not as patients.”‘

    Ross has worked here as a nurse since 1996, and still puts in the occasional shift with the trauma team when needed, but coordinating this program at hospitals and schools across Queensland is her full-time job. Laidback in nature, the 41-year-old mother of two marries a warm presence with a wry sense of humour, yet some of what she has seen inside this building across two decades has informed her own parenting. “I have a 13-year-old boy and an 11-year-old girl, and they already know they’re never allowed to ride a motorbike, or even think about getting on one,” she says with a laugh. “I think I’ve scared them off, which is great.”

    The morning’s first guest speaker is Danielle Brown, a paramedic who has been with the Queensland Ambulance Service for more than a decade. She wears dark green cover-alls, pink lipstick and bright red fingernails. “I’m here to tell you about consequences,” she says, as the screen behind her flicks onto an image of a car wrapped around a pole, surrounded by emergency services workers. “If you ever do find yourself in a situation with us, please just know that we’re not here to make things worse for you, or get you in trouble. We’re here to look after you.”

    When she asks whether any of the students have visited the emergency department, a few of the boys raise their hands; all sporting injuries, as it turns out. Brown talks about alcohol and drug use, and about assault injuries. “Aggression isn’t cool,” she tells the group before she leaves. “For those guys out there trying to impress girls, can I just tell you – we’re really after the gentlemen, the funny guys. There’s no point in trying to impress someone by being ‘tough’.”

    Ross moves onto discussing sexually transmitted infections, and the kids crack up at how she frames the lifelong consequences that can come from a few minutes of fun, such as having to tell every sexual partner from that point on, “I’ve got a bit of herpes – hope you don’t mind!”

    Although none of these students have their learners’ licences yet, she dwells on the topic of road safety for some time – which makes sense, since the Queensland Department of Transport and Main Roads is the program’s primary funding source: in August, it provided an additional $1.54 million to keep the statewide initiative topped up for another three years. During this part of the presentation, the screen shows dashcam footage from cars where teenage drivers were distracted by their phones. These videos are horrifying to watch: the drivers’ eyes remain in their laps, even as the car veers outside the painted lines and towards needless trauma.

    To read the full story, visit Good Weekend‘s website, where you can also see a short film by photographer Paul Harris that was recorded on the day we attended the P.A.R.T.Y. program. For more about the program, visit its website.

  • The Saturday Paper story: ‘The Other Worlds Game: League of Legends and eSports’, October 2016

    A feature story for The Saturday Paper, published in the October 29 2016 issue. Excerpt below.

    The Other Worlds Game

    With hundreds of millions of players, online gaming now has professional ‘eSport’ competitions watched by huge global crowds.

    The Saturday Paper story by Andrew McMillen: 'The Other Worlds Game: League of Legends and eSports', October 2016. Photo by Dylan Esguerra

    Ten young men sit on a stage behind computer monitors deftly manoeuvring mouses and frantically stabbing at keyboards. These two teams of five are the best in Australia at a game called League of Legends, and it is their full-time job to stare at screens while attempting to outsmart their opposition. On a pedestal between them sits the winner’s prize: the Oceanic Pro League (OPL) cup, a gleaming silver trophy lit at all times by an overhead spotlight. Facing the stage is a raucous crowd of 2000 fans who have each paid $26 to sit on a hard plastic seat at the South Bank Piazza, in Brisbane’s inner city, and cheer on their favourite team.

    Hundreds have dressed in custom-made costumes based on their favourite game characters. Two commentators provide a running dialogue of the action, which is displayed on three enormous screens above the players and their machines. Wearing headphones to block external sound, the players communicate with each other via headsets. A battery of green and blue LED lights flashes overhead, while at the front edge of the stage live webcams capture the gamers’ facial expressions above their gaming nicknames: among them Swip3rR, Tally, k1ng and Raes.

    There are also tens of thousands of fans watching the OPL grand final at home on Fox Sports, at several cinemas around the country, and streaming the footage online around the world. Welcome to eSports, short for “electronic sports”. Such competitions have been enormously popular overseas for years, particularly in South Korea, where strategy games such as StarCraft and Defense of the Ancients – or DoTA in the online world’s abbreviated fashion – are watched and played by millions. The OPL 2016 grand final is Brisbane’s best-attended live eSports event to date, and one of the biggest yet held in Australia.

    League of Legends is the world’s most popular online game – the most recent figures this year show that 100 million players log on to its servers each month. LoL is a multiplayer online battle game, where each player controls a “champion” with its own strengths, weaknesses and special moves.

    Leading the Legacy eSports club is Tim “Carbon” Wendel, a 24-year-old health sciences graduate whose boyish features offset a lanky athlete’s body. “It’s kind of a mix between basketball and chess,” he explains. “It’s five-a-side, every person has an individual role, in the same way you’ll only have one centre or point guard, and you’re always moving. It’s obviously a lot less physical, and very strategic like chess, but the difference there is that it’s in real time.”

    Beside him sits Aaron “ChuChuZ” Bland, Legacy’s second-longest-serving member, a 19-year-old in a black hoodie and dark-rimmed glasses. The five members of this minor-premiership-winning team live in a share house in Sydney’s western suburbs with their coach, An “Minkywhale” Trinh. They spend about six hours a day training together by playing friendly matches with other teams. There are also regular video reviews of their performances, and individual practice is expected on top of that. Heading into events such as this, the players will spend up to 12 hours a day in front of a screen.

    To read the full story, visit The Saturday Paper. Above photo credit: Dylan Esguerra.

  • The Weekend Australian Magazine story: ‘Saving Face: Brenton Cadd’, October 2016

    A feature story for The Weekend Australian Magazine, published in the October 22-23 issue. Excerpt below.

    Saving Face

    Need a new nose, eye or ear? Meet the ‘spare parts’ man changing lives

    The Weekend Australian Magazine story: 'Saving Face: Brenton Cadd' by Andrew McMillen, October 2016. Photo by Julian Kingma

    In January 1970, a young man joined the facial prosthetics department at the Royal Melbourne Hospital. As an apprentice ­dental technician, Brenton Cadd, 17, began learning on the job how to fix people with ­disfigurement so that they might be freed of shame or embarrassment. His mentor in the four-man department was Cliff Wellington, a ­signwriter by trade who’d served in the army as a dental technician. He had a painter’s eye for detail, and in 1945 he’d transitioned into the nascent field of facial prosthetics. Returned servicemen missing ears, eyes and noses were in dire need of some form of camouflage to help them blend into a crowd. Through a peculiar mix of technical ability and artistry, Wellington was an Australian pioneer who passed onto his young charge his aptitude for working on small, intimate canvases.

    Today, a framed photo of a smiling Wellington sits prominently on a shelf near the door that leads into a workshop managed by Brenton Cadd. For 46 years he has devoted his life to a single workplace and this single task. Through the use of silicon, empathy, paint, patience, titanium, plaster and good humour, he is a leader in a highly ­specialised field that employs only a handful of people across the country. He is a quiet achiever whose work takes time, and whose time at the Royal Melbourne Hospital is much nearer its end than its beginning. What will happen after he sees his last patient is unclear, for what he does for them is nothing less than life-changing.

    You could pass Cadd in a crowd without a ­second glance. If you are a long-time fan of the Hawthorn Football Club, you are likely to have done just that at a home game. He does not invest too much time in his appearance and wears polo shirts with a breast pocket in which he keeps a small notebook he calls “the brain” . It helps him remember his many pressing tasks. He is bearded, with kindly blue eyes that have looked upon thousands of patients who, whether they are able to articulate it or not, are relying on him to co-create a new identity for lives riven by the trauma of looking different from everyone else.

    Here he is, on a Wednesday afternoon in mid-August, looking squarely at a patient whose left eye was removed due to cancer. Geelong retiree Pamela Flatt, 68, sits on a high-backed ­dentist’s chair while her husband and daughter perch nearby. Flatt’s left eye socket is now covered by a skin graft and her disguise is a pair of thick-framed spectacles, with the left eye coloured solid white. In the near future she will no longer have a use for these glasses as a transformation led by Cadd is slowly taking place. Around the edge of her eye socket, screwed into bone, are three abutments made of pure titanium. Soon, a silicon-based ­prosthesis will be clipped into place with magnets.

    Flatt is a grandmother of six and a great-grandmother of three. Since her nine-hour operation to remove the cancer over a year ago, she has hardly locked herself away from the public eye: in fact, she has just returned from a trip to Thailand with a girlfriend, where she rode on an elephant. “Why not?” she reasons. “Life’s too short.”

    Despite her positive outlook, the metal implants have drawn attention. “Kids are looking at me like I’m an alien or something: ‘That lady’s got funny things in her head!’ ” she says. “They weren’t bothered until I had those things put in.” Nerve damage means that she can’t feel the ­titanium plate behind her skin, nor Cadd’s hands as he uses a small torque screwdriver to tighten the abutments. He then covers her eye socket with two layers of a rubber-like material for making a cast and lets it set on her face for a couple of minutes. Just like having a wax job, she quips.

    While she sits still and silent, Flatt’s daughter steps in to take a snapshot for posterity. “Someone usually takes a photo,” Cadd says, smiling. With care, he removes the cast, which will later be used for a custom-made mould that fits the exact contours of her eye socket. He excuses himself to retrieve from next door a beautifully hand-crafted eye prosthesis for a younger woman, complete with thick lashes, a realistic brown eye and dark eyeliner. It’s a work of art. “That’s what we’re aiming for,” Cadd says. “But we’re still about five visits off something like that.”

    The appointment concludes after an hour, but before Flatt heads back to Geelong she turns to Cadd and jokes: “I can’t be a one-eyed Cats ­supporter then, can I?”

    To read the full story, visit The Australian. Above photo credit: Julian Kingma.

  • The Saturday Paper story: ‘Hopes and Prayers: Scott Patterson’s #LetThemStay photograph’, July 2016

    A feature story for The Saturday Paper, published in the July 2 2016 issue. Excerpt below.

    Hopes and Prayers

    A gathering of five community leaders for a photograph in a Brisbane church aims to further focus attention on the plight of offshore asylum seekers.

    The Saturday Paper story: 'Hopes and Prayers: Scott Patterson's Moran Prize photograph' by Andrew McMillen, July 2016

    A reverend, an imam and a freelance photographer walk into Brisbane’s second-oldest Anglican church. Outside on Ann Street, in Brisbane’s city centre, the midday traffic bustles incessantly. Inside the immense stone structure of St John’s Cathedral, the pews are vacant and the building almost empty but for a handful of hushed voices in a far corner. Six people stand before an altar, bathed in warm light beneath a rainbow of stained-glass windows. Leaning against the wall are handmade cardboard signs, which read: Bring them here. Let them stay. Close the camps. There is no punchline. The set-up is for a photograph.

    Though they deviate in their belief in higher powers, the handful of religious and community leaders who meet on this sunny Tuesday in late June all share the same views on how asylum seekers deserve to be treated. In the first week of February, St John’s Cathedral became one of 10 major Anglican churches across the country to open its doors to asylum seekers facing a return to Nauru. Dr Peter Catt, the Anglican Dean of Brisbane, became a national figurehead for invoking the historical idea of sanctuary, which is untested in modern Australia. “We had been talking the talk for a number of years,” he wrote in an article for The Melbourne Anglican, reflecting on his decision. “So now, faced with 267 people about to be removed to a place of harm, I felt it was time to put up or shut up.”

    For three years, Catt has been chairman of the Australian Churches Refugee Taskforce, which has advocated for the closure of the Manus Island and Nauru detention centres. Sanctuary is always an action of last resort, Catt noted in his article, and the Anglican Church was careful to point out that its offer did not carry any legal protection. Centuries ago, people used church buildings to take shelter from oppressive civic authorities. Today, those who seek sanctuary might face five years’ imprisonment; those who offer it could face 10 years’.

    To read the full story, visit The Saturday Paper.

  • Matters Of Substance story: ‘The Snowball and the Avalanche: Medical Cannabis in Australia’, July 2016

    A feature story for the May 2016 issue of Matters Of Substance, the quarterly magazine published by the New Zealand Drug Foundation. Excerpt below.

    The Snowball and the Avalanche: Medical Cannabis in Australia

    Stories of personal suffering, where debilitating symptoms are eventually eased by medical cannabis, are appearing ever more frequently in the news. Andrew McMillen argues it is these sorts of stories that have engendered compassion in Australia, eroding the stigma around medical cannabis use and paving the way for science and more evidence- based legislation.

    Matters Of Substance story: 'The Snowball and the Avalanche: Medical Cannabis in Australia' by Andrew McMillen, July 2016

    The story of medical cannabis in Australia is much the same as in other countries around the world that have tiptoed this path before us. Here across the ditch, as in New Zealand, the United States and many other advanced economies, it is a situation where two strange bedfellows have been pitted against one another: stigma and science. For many years, because of their preconceived attitudes, staunch opponents of illicit drug use have remained wilfully blind to the benefits of medical cannabis experienced by sick people. Here, as elsewhere, this is not a campaign for the impatient. Change is slow, often painfully so, as it relies on a willingness for opponents to reconsider their positions in light of compelling evidence.

    In the last few years, though, the situation has appeared to change rather quickly and dramatically. The appropriate image is that of a single snowball rolling down a hill, gradually gaining mass and momentum until it forms an unstoppable avalanche. To this end, a raft of touching personal stories have been told in the national media. As a result, many state and federal politicians have sensed a shift in public sympathy towards sick people who are attempting to access medical cannabis without further complicating their lives by crossing paths with the criminal justice system.

    Support for plant-based medicine has gone mainstream, as evidenced by a July 2014 ReachTel poll that found that almost two-thirds of Australians believe cannabis should be made legal for medical purposes. It is telling that compassion is the driving emotion here, rather than fear – long-time advocates might well wish they had cottoned on to this tactic earlier.

    These personal stories don’t come more dramatic and heart-wrenching than Dan Haslam’s. In fact, his journey to accepting and using medical cannabis has become emblematic of changing attitudes to the drug across Australia. Dan was the snowball, and his descent down the hill began when he was diagnosed with terminal bowel cancer in February 2010 while living in the regional New South Wales (NSW) city of Tamworth. There, the then 20-year-old eventually discovered that the only treatment that soothed his nausea and stimulated his appetite while undergoing chemotherapy was cannabis. His parents wished there was another way. The fact that his father was head of the Tamworth Police Drug Squad made this desperate decision even more ethically and legally tortured than usual.

    To read the full story, visit Matters Of Substance.

    Further reading: my book Talking Smack: Honest Conversations About Drugs, published by University of Queensland Press in 2014.