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1. Memories rekindled 1 Return to Vanuatu; 50th Anniversary Celebrations for the Church; Visiting Old Haunts; Remembering the Beginning 2. Something less than paradise 9 Arrival in 'Paradise'; Tango Training Institute; Common Medical Problems of Vanuatu and the Pacific in the 60s 3. Arrival at Paton Memorial Hospital 19 Dr Ron Ramm and Dr KnoxJamieson; Sister Elspeth Edgar; Settling in - new tasks, more new faces and new traditions 4. Early days at Paton Memorial Hospital 27 "The establishment and facilities of PMH; Anaesthetic practices; A memorable emergency before my return to Sydney 5. The family arrives in Vila 33 Short-term work and a new daughter; A special ceremony and a new anaesthetic machine; To Vila via Noumea; Welcome to Iririki; The basics - obtaining, keeping and preparing food; Dr Malkau Kalsakau; The big race 6. Early challenges 45 Schooling for the boys; Codes of conduct; Sport as a contraceptive!; Coping with medical challenges; Visit to Malo 7 A brutal history 55 The sorry practice of'blackbirding'; The role ofJohn Paton in stopping the slave trade 8 The challenges continue but the facilities improve 59 Diagnosing in Bislama; Patients and staff from all over; The beginning of a blood bank; The blood bank saves (more) lives; More help from the Red Cross 9 Travel and customs - the outer islands 73 Pre-WWII boats; WWII planes; Post-WWII sea travel; An orientation tour of the outer islands; Tongoa, Epi and Lamenu Islands; Paama and Malekula Islands; Ambrym, Ambae and Pentecost Islands; Godden Memorial Hospital, the Boyd Memorial Clinic and the Rev. Ian Taylor; Return to Vila 10 The ravages of tuberculosis and we go to Ambrym 91 Treating tuberculosis; Another doctor - Dr Tuka Mua; The family goes to Ambyrm; Life on Ambrym; Visiting a 'bushie' village 11 International relations, women's business 103 and Christmas The Russians arrive; Women's business; A visit from the House of Commons; Christmas festivities at PMH 12 Clinical work continues 117 Medical emergencies; Retreat to Onesua; The dangers of childbirth; Birth control; Sharing the load; More medical emergencies 13 A visit from the navy and more obstetric problems 129 The navy hits town; On-board medical facilities; Difficult deliveries 14 Graduation 1966 135 Graduation ceremonies; An 'Aussie' moment; Broken bones, liver failure, asthma and appendiceal abscesses; Over- crowding at PMH; Furlough 15 Return to Vila 145 Back to PMH and into work; A welcome dentist; A memorable operation; Work on the outer islands 16 A splendid offer 153 Bluebird II, Dorothy takes a paid job; Malaria strikes; A new hospital, a splendid offer and a study grant; An emotional leave-taking 17 Success in Scotland, return to PMH and 161 an unwanted end A Fellow of the Royal College; A fearful flight; Home to PMH; Felled by fever; Evacuation to Sydney; Lessons and a new direction Epilogue by Dr David Bannister 173