Bruny Island

Bruny Island
Bruny Island was an interesting place, but I think we both felt a little disappointed after the rest of Tasmania.  It is very, very quiet on Bruny.  It is a beautiful place, but by the time we got there, we had seen so much beauty.  Personally, I think we would have both spent a little more time around Freycinet and at Kabuki by the Sea.  We also were both getting sick with a cold in Bruny, so that probably colored our views, too.  I had wanted to take the wildlife cruise, but one day it was raining and the next day I just didn’t feel up for it.  Above is a sculpture that some locals made after a whale was beached at Adventure Bay.  If you look closely, you can see two whales inside the globe.

Bruny Island

I went out two nights trying to spot the Fairy Penguins, the smallest penguins.  These have holes that they dig in the ground.  The first night, I didn’t see anything, but I didn’t know how long to stay out in the night.  The second night I was better prepared and had red cellophane to put over a flashlight.  Right off the bat I saw a wallaby and could hear it munching away as I watched the surf.  Eventually, I could see some penguins!  They clustered around by the water’s edge (the left side of the photo below was where the blind for watching them was located).  Then a small group of them decided it was time to make the trip and the shuffled along, right alongside of the blind I was behind, so I could see them quite close up.  I had experimented trying to take red light photos of the wallaby, without much luck, so I knew there was no point in trying to photograph the penguins, so I just enjoyed watching them shuffle along and listened to all their calls from their burrows.

Bruny Island
Of course, there were more birds to photograph, here are some that were flying around where we were staying at Alonnah.  I think the bird bottom left is a Sea Eagle and of course the ubiquitous Green Rosella, foraging in the backyard and a flock in flight.

Bruny Island

Bruny Island

Bruny Island

Launceston and the North of Tasmania

Launceston and the North
Launceston and the North
There were a lot of great birds, I never got tired of trying to photograph different varieties of wild parrots. Also, the kookaburra were very common and made a lot of funny noises, their “laughing.”
Launceston and the North
We spent some time at the Cataract Gorge, a beautiful park with walking tracks right in Launceston, the second largest city in Tasmania.
Launceston and the North

The quality of the light was very yellow in a lot of places, maybe it is partly because there are more autumn colours in Tasmania than New Zealand and we aren’t used to seeing the browns, tans, and yellow pallete of colours. We spent a lot of time driving through the countryside and were surprised to see large flocks of cockatoos fosicking in the fields!

Launceston and the North

Freycinet National Park & Swansea

We spent part of a day at Freycinet National Park on the East coast and saw some beautiful scenery and watched birds on the beach for a while. We walked around Sleepy Bay and could have just stayed there for a really long time, but we also wanted to drive up to Launceston that day and the recommendation is to stay off the roads as much as possible after dark because the wildlife is so plentiful.

Freycinet National Park & Swansea

Freycinet National Park & Swansea

Freycinet National Park & Swansea

Freycinet National Park & Swansea
Freycinet National Park & Swansea
 We stayed at Kabuki by the Sea, near Swansea – a beautiful set of cottages looking out over the cliffs and surf. There was also a Japanese restaurant there.  The food, company, and views were so fabulous that we came back and spent another night there on the way back South.

Freycinet National Park & Swansea

Freycinet National Park & Swansea

East Coast Nature World, Tasmania

East Coast Nature World, Tasmania

We spent a week touring before the conference and one of the highlights was East Coast Nature World in Bicheno. They had many different animals, many of which they rescued as orphans or injured animals. They would try to return some of these animals back out into the wild, like the baby wombat we met.

East Coast Nature World, Tasmania

There were kangaroos hopping around everywhere and we could feed them pellet food, which they were really keen on. We were surprised to see something strange sticking out of a mama kanagaroo’s pouch, a foot, and later a head and a foot!

East Coast Nature World, Tasmania

East Coast Nature World, Tasmania

East Coast Nature World, Tasmania

East Coast Nature World, Tasmania

There was a walk through aviary where we saw many interesting birds. I also went to the Platypus House at Beauty Point, but the pictures there didn’t turn out so well.

East Coast Nature World, Tasmania

East Coast Nature World, Tasmania

We were at Nature World at feeding time for the Tasmanian Devils. They were a mixture of cute, ugly, and hungry! They eat bones and all of their food. There is a serious facial cancer, though, that these guys are susceptible to. There are different attempts to treat it or stop its spread. No treatment has been effective. Nature World does some breeding programs to increase genetic diversity. I also saw a news piece on a project to block off a pennisula and monitor a healthy population of Devils there.

East Coast Nature World, Tasmania

East Coast Nature World, Tasmania

The Royal Australian & New Zealand College of Psychiatrist, Part II

The Royal Australian & New Zealand College of Psychiatrists, part I

Here is the second presentation:

A Chart Review Comparison of Rates of Abnormal Vitamin D Results in a New Zealand and US Mental Health Population

Author: David R. KOPACZ, M.D., Mary Pat Traxler, Ph.D.

Affiliation

Kopacz: Buchanan Rehabilitation Centre, Auckland District Health Board, New Zealand
Traxler: Private Practice, Auckland

RANZCP guidelines for maintaining certification in Psychiatry recommend yearly clinical practice audits. This is to assure that individual practice is consistent with evidence-based guidelines. A dilemma arises when there are no clear guidelines for specific practices. In these cases, the findings of the audits of individual clinicians can identify areas that require future research. These audit results raise the question of whether there should be routine testing of Vitamin D levels, given that the majority of clients tested had abnormal Vitamin D levels.

The current study compares retrospective clinical audits of two different mental health populations: a community mental health sample in New Zealand and a private practice sample in the United States. In the New Zealand sample of 88 clients, 32 were tested for Vitamin D, with 66% having abnormalities in Vitamin D. In the US sample of 114 clients, 32 were tested for Vitamin D, and 53% of clients had abnormal levels. These high levels of Vitamin D abnormalities could have clinical implications.

The findings of these audits raise a number of questions that require future research: do these findings differ from general population data; should Vitamin D be tested on a routine basis in mental health populations; are there subgroups who are at greater risk of Vitamin D abnormalities; what is the implication of abnormal Vitamin D levels for the physical and mental health in these populations; does correcting Vitamin D abnormalities have a positive effect on the acute and long-term physical and mental health of clients?

This presentation was really challenging to put together. There is a lot of controversy surrounding testing for Vitamin D as well as treating insufficiency/deficiency. There was another presentation in our same section by another American psychiatrist who has been in New Zealand for a number of years and has also been studying Vitamin D!

A Quick Trip to Hahei, Hot Water Beach, and Cathedral Cove

A Quick Trip to Hahei, Hot Water Beach, and Cathedral Cove

We took a quick trip (a little over 24 hours) a couple of weeks ago. We went out to stay at some friends’ Bach (pronounced “batch” like a Bachelor Pad), which is what Kiwi’s call their holiday homes. It was out on Coromandel penninsula. We had a great time and here are a few photos.

A Quick Trip to Hahei, Hot Water Beach, and Cathedral Cove

I just finished a draft of my book, Creating a Holistic Medical Practice, and sent it off to a literary agent. This is the furthest stage I have gotten to in working to get the book published. I have sent off to maybe about 6-8 publishers and agents so far. With this agent, I sent off a proposal, then they requested a few sample chapters, and then they requested the whole book. Great news, only that led to about a month of non-stop writing to try to get the second half of the book in presentable shape. I feel good about it and now it is out of my hands.

A Quick Trip to Hahei, Hot Water Beach, and Cathedral Cove

A Quick Trip to Hahei, Hot Water Beach, and Cathedral Cove

A Quick Trip to Hahei, Hot Water Beach, and Cathedral Cove

The next projects are two presentations in Tasmania this month at a conference. The first is on writer, Philip K. Dick’s views of psychiatry and humanity, and the second is on Vitamin D in US and NZ mental health populations. I’m sure that will be exciting and I’ll definitely post some photos from Tasmania.

A Quick Trip to Hahei, Hot Water Beach, and Cathedral Cove

Work as Clinical Director has been very challenging since I started the job. I am looking forward to getting a break and come back refreshed and ready to go!

A Quick Trip to Hahei, Hot Water Beach, and Cathedral Cove

A Quick Trip to Hahei, Hot Water Beach, and Cathedral Cove

The End of an Era: Freddino’s Closing

The End of an Era: Freddino's Closing
The End of an Era: Freddino's Closing

It is the end of the month and also the end of the fiscal year in New Zealand – and Freddino’s cafe and Yakitori is closing.

The End of an Era: Freddino's Closing

This has been my favourite cafe to write in and I am really sad about it closing. Freddino has created a great atmosphere, that in some odd ways reminds me of home, the kind of feel that someplace in Champaign-Urbana – there is something about the relaxed, open atmosphere and the Freddino’s artwork that he has about the place. On the surface, you wouldn’t notice it, it is a deeper sense of creativity and comfort.

The End of an Era: Freddino's Closing

There aren’t many cafes in New Zealand that are “laptop friendly,” but I never felt like I was a nuisance taking up a table at Freddino’s. I have really enjoyed writing at Freddino’s and it will leave a gap in the cafe writing culture in Auckland.

The End of an Era: Freddino's Closing

Freddino isn’t afraid to put himself out there, as you’ll see from his artwork and his iconic self-portrait that festoons the outside of the building.

The End of an Era: Freddino's Closing

The coffee is always great, they serve lattes in bowls, which I love. The vegetarian breakfast is superb! We didn’t make it out to Freddino’s for dinner much, I was mostly there on my Tuesday writing mornings, but the Yakitori was great.

The End of an Era: Freddino's Closing

Lantern Festival & Nikau Caves

Lantern Festival & Nikau Caves
This last weekend was Lantern Festival in Auckland, for Chinese New Year. I wasn’t there long, just a quick walk through at the end of the night and I took a few photos. There were electric light lanterns all over Albert Park downtown.
The next day I drove down to the Nikau Caves, about 90 minutes South of Auckland, a little way South of Port Waikato. The tour was a 1 km. walk/crawl through the caves, including going through a fair amount of water. I had been on a cave tour at Mammoth Caves in Kentucky, back in the States, and that is the closest I can compare it to (although much more water at Nikau).  Compared to the Waitomo Caves, further South yet, this was definitely more of an adventure.
Lantern Festival & Nikau Caves
After the caves, I drove up through a scenic route toward Port Waikato and took a few photos along the way. I was listening to the new Wilco album, particularly playing track 12, One Sunday Morning (A Song for Jane Smiley’s Boyfriend). It is such a middle American ballad that it seemed odd listening to it driving through New Zealand country side, but maybe all country sides have a certain slow and meandering feeling…
Lantern Festival & Nikau Caves
Lantern Festival & Nikau Caves
All in all, it was a fun weekend with new and exciting adventures!
Lantern Festival & Nikau Caves

One And a Half Years and Counting

We recently just passed the one and half year mark of living in New Zealand. It is definitely a different phase now, more settled, but that raises questions and dilemmas, too. Every year here is a year not there. I have a very good career opportunity that has come up here, so I am committed to that, but we definitely have been having some discussions about what our plans for the future are.
I think this is actually a challenging point in the move. The excitement of moving to a new country is not as great. I have a realization that even though I have worked very hard to grow roots here, they are fairly shallow and they feel vulnerable yet. I have definitely grown and learned so many things and met so many people from around the world, here in New Zealand, that it has changed me. This is really a kind of between time. Not a period of intense adjustment, but a period of questioning, and with that questioning, I have also felt mourning. So many of the things I have gained and grown in here are intangible and I wonder how they would translate back to the US. That creates a kind of double mourning: what I left in the US, what I missed out on for the past year and a half, but also about what I will at some point leave here. 
It is a time of being pulled in two directions, it is as if I feel that at some point in the future, I will have reached the half-way point in my journey here and the focus of energy away from the US and toward NZ will begin to shift back. I think because it has been such an intense emotional experience here that any change, anything that stirs up emotions gets compounded.
I have found myself thinking a lot about things that I have let go of over the years, not necessarily things that we sold or gave away before we moved to NZ, but things that I have let go of at other points, books, music – things mostly, but I imagine the things are more than just things, but really parts of myself, eras of my life, things that I once cared a great deal about and then let go of, for various reasons. I have been picking up a lot of music on Amazon, old songs or albums that have been on my mind that I no longer have.  It is amazing what can be replaced digitally now – most of the music, really, is still available. Digitally, it takes up less space, as I amass a digital library that reminds me of my old stacks of vinyl records and cassette tapes – although it is different still, less tangible, and also it is a re-visitation of the past, rather than an exploration of the new on the edge of the present and the future. 
I also bought a Kindle. Have I spoken about it on the blog? I’m not sure, I know I haven’t been blogging as much lately. I like that I can play music on it while I read.  I feel better about downloading books on the kindle than paying for shipping from the US (and the environmental impact of shipping a box of books all the way from the US). Books here in NZ are really expensive, it is much cheaper to import them yourself through Amazon. I have been getting a few books that I miss from the past, like Octavio Paz’s Conjunctions and Disjunctions and Ken Wilbur’s A Brief History of Everything. I am really missing my Jung books that I collected over the years and then decided I didn’t want to lug them about everywhere and let go of them. I seem to go through phases of reading and re-reading Jung and I am in one of those now. The first phase was at University, then we moved back to Champaign after 10 years away, and now about 12 years after that.
It is interesting – I have been thinking about the role that earlier interests play in a person’s life.  I’ve been working on a conference proposal looking at Jung’s Red Book and Philip K. Dick’s Exegesis. Both of these are massive works that were personal, rather than written for an audience, and both contain intense, spiritual experiences that served as a framework for each author’s later works. The strange thing is that the experiences they had are not so unusual given each authors’ interests. For Jung, he had already been writing about archetypes of the collective unconscious and then he experienced a flood of unconscious material that he managed to ground and work with very creatively for the rest of his life. PKD also wrote about how his life had become like one of his novels, filled with spiritual revelation on the edge of psychosis and paranoia. While PKD doesn’t seem like he was as functional in the “real” world as Jung was, still, he made great use of his experiences in his later work. Back to the interesting thing, though, both Jung and PKD seemed to presage their spontaneous spiritual experiences in their prolific work at writing prior to the experiences. 
This is particularly of interest to me at this juncture in my life in which I am looking at some of the things that I thought I had let go of in my life, and I am finding that rather these are recurrent threads – I may have thought I left something behind me, but I find that my interests at a younger age are often my interests at an older age. I guess that is not surprising, I am the same person – and yet I am surprised! Like a painting or a song, there are certain prominent, recurring themes, new elements are incorporated, but they are incorporated into a framework that relates the new elements to the enduring themes. Even coming to New Zealand was an idea I had when was going through my psychiatric training and I became aware that NZ needed psychiatrists. Coming here ties together some of the themes of my interests in culture, anthropology, exploration, travel, nature and then oddly enough, I ended up working in a rehabilitation/recovery model and this reignited some of my earlier interests in trauma, psychotherapy, Jung, and also some of my old punk rock idealism. I never would have guessed what I would be doing at this point, but it is not surprising, given who I am/have been in the past.