Professional Documents
Culture Documents
2019-04-01 North & South PDF
2019-04-01 North & South PDF
TOO MANY
PILLS?
How your medicines can make you sick
What to ask your doctor
28 38 48 52
Quote of
the issue
“Are you hurt?”
the women’s
refuge worker
asked. “Can
we come to
get you?”
“Yes,” was
the whispered
reply.
56 60 68 78
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AUG7859
Left: Recording
the music of the
ARIZONA, US
marae (page 22).
8
Map of
contents 13 5
LAST PICTURE
Opinion 3 SHOW:
MT MAUNGANUI
Social Studies
Margo White finds 1 3 11
comfort in lists. page 85
2 6
Nerd Nation TRAVEL:
PAEKĀKĀRIKI
Jenny Nicholls 4 - WOODVILLE
13 / My Space Film & Television High Heels & Gumboots Last Picture Show
Auckland War Memorial Trench warfare, two Rebecca Hayter swaps A paddle-board view off
Museum’s John Glen wild TV cop shows and city life for 10 acres in Mt Maunganui’s Motuotau
hits the roof. page 26 a film classic. page 99 Golden Bay. page 116 (Rabbit Island). page 123
ling tens of thousands of new bills than whether or not East your civic duty,’” he told me.
A RIGHT
TO DIE
QUIET
REVOLUTION
A DAUGHTER
OF PRIVILEGE
residents into already over- Auckland ever “gets moving “What works better is saying,
Matt Vickers The electric talks about
car’s time her abusive
makes the
case for
Lecretia’s Law
has come marriage crowded suburbs and onto a again”. AMETI will, in fact, be ‘Your vote could influence
groaning transport network. funded mostly by ratepayers, how much it costs you to bus
COVER CREDITS As one of the 50,000 daily with input from the regional to uni.’”
Design: Jenny Nicholls commuters who use Pakuranga fuel tax. But yes, Mainlanders, Democracy very much in ac-
Photography: Rd – soon to be bus-laned some of your taxes are being tion, and in capable – teenage
Getty Images and “T2-ed” – I decided to hoovered into this mighty – hands. +
www.silverfernfarms.com
EDITORIAL
EDITOR Virginia Larson
behind
EDITOR-AT-LARGE Donna Chisholm
DEPUTY EDITOR Joanna Wane
SENIOR WRITER Mike White
PRODUCTION
PRODUCTION CO-ORDINATOR Susan Lewis
PRINTER Webstar
DISTRIBUTION Gordon & Gotch
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There’s been talk of restoring a passenger service on
the line, if not, sadly, the old steam express service. One PUBLICATION DATE: 11 March
CIRCULATION: 20,820 ABC (Oct 2017-Sept 2018)
enthusiast for the scheme is Invercargill mayor Tim READERSHIP: 201,000 Nielsen Consumer & Media Insights
Shadbolt, who told the Southland Express in 2017 that (Oct 2017-Sept 2018)
Registered
ost
Valuers are m an
e
trusted to giv ket
r
accurate ma
valuation h,
t Researc
*Curia Marke
Feb 2018
www.nziv.org.nz
conversation
The Old, the Young
Inside a rest home horror The Revenant: Plus: How to
story: How to keep NZ’s toughest catch more fish –
your loved ones safe adventure race and order yum cha
RETHINKING
new partner also share the Auckland house.
H U LTO N A RC H IV E , G E T T Y
Above: A nurse
with elderly
IN DEFENCE OF patients in a
STATE CARE day room at the
Netherne Mental
Farming out our demented institutions for ideological Hospital in Surrey,
old folks to privately owned reasons in the 1990s. An England, 1953.
rest homes is a recent idea application for admission
(Inside a Rest Home Horror (usually by family or whoev-
Story, March). Not so long er held power of attorney)
ago, our designated psychi- needed the signature of two
atric hospitals would always medical practitioners. The
accommodate these suffer- police would then place
ers, but we destroyed those the patient in the nearest
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M
60+ suppliers you use, while still
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That’s where the strength of n3
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cost savings can still be achieved. n3 to deliver preferential pricing “As a diverse organisation with
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across the board that
ADVT2019 CS25001 04/19
H
any more than Māori, as ally a triumph for equality
achette NZ is delighted to launch the Margaret Mahy Barnes suggests, but blame of the sexes that many more
Illustration Prize. Mahy’s books have entertained gen- doesn’t offer a solution. The women are now determined
erations of Kiwi readers and this prize offers the unique stats show the reality, a reality to endure the largely mind-
opportunity for an unpublished, New Zealand-based that won’t change without less conformity testing of
illustrator to illustrate her 1971 classic, The Boy with Two Shad- some form of transforming AOS selection?
ows. The Margaret Mahy estate and Hachette NZ invite illus- intervention. When Sir Robert Peel es-
trators to interpret this iconic story of a witch asking a young How about we replace tablished the first disciplined
boy to mind her shadow while she goes on holiday. Creativity blame and shame with com- police service for London in
is encouraged: The Boy with Two Shadows could be The Girl passion? How about we rec- 1829, he was firm that it was
with Two Shadows; the setting could move to the future or to ognise the reality that we distinguished from the army
a mythical land. have a growing community of by an absence of evident
The winner will receive a $1000 cash prize, a $500 library children whose parents, for force. Now, in New Zealand,
of books and the opportunity for this project to be developed whatever reason, do not have Star Wars militarism and in-
into a published picture book. The Margaret Mahy Illustration and cannot access the cultur- timidation are being cultivat-
Prize is part of a year-long celebra- al capital, parenting skills and ed by a police elite that avows
tion marking the 50th anniversary educational enrichment to its own “humility”. As Mag-
of A Lion in the Meadow. break the cycle of poverty, nus Pym (and John Le Carré)
•Submissions open 21 March 2019; dysfunctional family life, and astutely observes, a society
shortlist announced 8 August; win- poor health in which they eke that admires its shock troops
ner announced 29 August. Terms out an existence. had better be bloody careful
and conditions will be available on The real challenge is to find about where it’s going.
Hachette.co.nz from 21 March. a way to take their richly en- PETER STANLEY,
dowed knowledge and skills TAURANGA +
GETTY
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NORAH
JONES
23-29 April
It’s been 14 years
since Norah Jones
last played here,
Kiss the Sky riding the success of
her massive debut
N AT I O N W I D E hit “Come Away with
Me” – and her latest
AUTUMN FEST album, Day Breaks,
signals a return to the
Wānaka’s Festival of Colour embraces the artistic rainbow piano-laden sound
with an impressive spread of music, visual art, theatre of her jazzy roots.
and dance. The Royal New Zealand Ballet performs three
contemporary works, two of which tell the story of women’s
suffrage; baroque musician Jordi Savall time-travels
Wānaka back to 17th-century France; the New Zealand
Dance Company performs Kiss the Sky; and Tusiata Avia’s
Wild Dogs under my Skirt is poetry in action (2-7 April).
Also on the festival circuit: the UPSURGE Bay of Islands
Art Festival includes a first-time writer’s festival (2-7 April);
Motueka Kai Fest (7 April) celebrates harvest time; and
the Tāiko Festival in Punakaiki (26-27 April) heralds the
seasonal arrival of the Tāiko, a local bird hero, with a welcome
parade, music, native tree planting and a community market. BLENHEIM
MISS JEAN
Finn
AUCKL AND
BATTEN
Andrews
18-21 April
A fearless aviator,
FINN Jean Batten was
famed for her 1936
ANDREWS flight from England
15 March-14 April to New Zealand in a
single-engine plane,
Ever seen Finn Andrews armed with only
without his signature a compass and a
bowler hat? The Veils watch for navigation.
frontman – and his hat – is
MANDELA MY LIFE
Alex Ellis shines in
kicking off a 13-date tour at this solo show, set
Womad in New Plymouth, on the eve of the
13 April-4 August
to celebrate his upcoming last leg of Batten’s
debut solo album One Piece The first international tour of Mandela My Life: The journey as Australian
at a Time. Some venues Official Exhibition stops by at Auckland’s Eden Park, authorities try to keep
will be treated to solo where flour bombs famously rained down onto the rugby her grounded (at the
performances; at others pitch in protest at apartheid during the 1981 Springbok ASB Marlborough
he’ll be accompanied by a tour. Through film footage, documents, personal artefacts Theatre, as part of
full live band, strings and and new audio-visual pieces, the exhibition explores a nationwide tour).
songwriter Reb Fountain. Nelson Mandela’s rich and politically charged life.
CHASING RAINBOWS
7 April
Be showered with colour along the 5km Mitre 10 Rainbow
Run in New Plymouth, with some fun spot prizes, a mass
colour throw and a seaside market waiting at the finishing line
at Ngāmotu Beach. Ashburton hosts the Get Coloured by
Tim Minchin
CanInspire colour fun run on the same day, at Lake Hood; ON TOUR
proceeds will be donated to the CanInspire Charitable Trust,
which supports Cantabrians through illness, trauma and loss.
KINGS OF COMEDY
WELLINGTON
Multi-talented Australian Tim Minchin graces the New
Zealand stage for the first time in a decade, belting out
THE CHILDREN irreverent comedy tunes at the piano (14-19 April); observational
comedian Danny Bhoy swoops in with his Scottish accent
Circa Theatre, 30 March-27 April on a four-city tour with a brand-new show (23-29 April);
Retired couple and nuclear physicists Hazel and Robin Welshman Rob Brydon (The Trip, Would I Lie to You?) riffs
live an idyllic life filled with yoga and farming. Everything off the crowd with signature improvisation in I Am Standing
changes when an old friend – a nuclear physicist – shows Up (2-4 April); and Ronny Chieng (Crazy Rich Asians and a
up at their door. A tense drama, The Children deals with correspondent on The Daily Show with Trevor Noah) performs
some very serious questions about the future of our planet. his one-man stand-up Tone Issues in Auckland (2 April).
N AT I O N W I D E N AT I O N W I D E
LOST,
A
fter 37 years in the army and air force, the
last thing Ian Martyn expected to become
STOLEN OR
was a detective. The hours he’s spent digging
into historic documents since he retired
aren’t crime-related though, but to reunite
STRAYED
service medals with the families of the
men and women they were awarded to.
Since establishing Medals Reunited New Zealand
(MRNZ) in 2014, the former major has become an ace
Service medals are at genealogy, finding the rightful owners of more than
being reunited with 250 medals (medalsreunitednz.co.nz). “Ancestry.com is
my main tool because my work often requires building
their rightful owners a family tree,” says Martyn, who operates from a small
thanks to former major office – “The Bunker”, he calls it – at his home in Nelson.
His detective work began in 2011, when he tried to
Ian Martyn and his locate the medals of his great-grandfather, infantry
determined research. soldier Private John (Jack) Ormsby Sullivan, who’d
survived Gallipoli but died on the Somme. “I concluded
his father had sold them after becoming destitute
in the Great Depression,” says Martyn. “I haven’t
found them – yet – but was saddened by the volume
of named medals being traded on the internet and the recipient, Private Henry Bevan of the New Zealand
wondered why they weren’t still with the families.” Expeditionary Force, had been a Māori All Black. Martyn
Since then, Martyn has made it his mission to return successfully placed the medal, along with two others
misplaced awards to where they belong, setting up a he uncovered during his hunt, with Bevan’s nephew.
website and spreading word of his service, which is free. In another case, he reunited medals salvaged from
Sometimes medals arrive in the post – from deceased a rubbish dump with a veteran whose family had
estates, recovered by police or even, on occasion, dug mistakenly discarded them when he was moving house.
up in people’s gardens. Other times, he’s asked to locate A committed royalist, Martyn modestly keeps his
missing medals, and he often acts as an intermediary own decorations for service at home and overseas
between vendors and families. With the twists and turns tucked away, unless on parade (he personally designed
of history, including adoption or divorce, matching the ribbon for one of them, a United Nations service
medals with descendant families is no easy feat. medal for a mission in East Timor). However, he
Helping Martyn in his mission is partner Carolynne proudly displays the medals awarded to his uncle, a
Davies, who supports him by providing rations into World War II bomber pilot who was lost in action.
the early hours when he’s hot on the trail, and former “Any I can’t find correct homes for, I would pass to
army pal Brian Ramsay, who helps promote his work, the relevant forces museum, but so far that’s not been
and mounts medals for veterans and their families. necessary,” he says. “There are many still out there
Where possible, deliveries are made in person. When and, were it in my power, I’d like to save and return
a World War I Victory Medal was sent in by a navy them all. Obviously that’s not possible and I have to
captain who’d found it among his father’s effects, it was limit myself or I’d never leave the computer. But it’s a
discovered after many intensive hours of research that pleasure being of service.” FIONA TERRY
VI C TO R IA B I R K I N S H AW
THE HOUSE OF SONG
Musician Warren Maxwell has returned to his roots.
TRINITY ROOTS frontman Maxwell, a music lecturer at Massey differently to recording the music of
Warren Maxwell is laying down University, spent many hours at marae a contemporary band, relishing the
history, recording 25 waiata around the region last year, recording experience of being greeted to each
composed and sung by Wairarapa a mix of traditional and contemporary marae with a pōwhiri and engaging
Māori, as part of a cultural project waiata composed and sung by Māori, with local Māori through their waiata.
aimed at connecting iwi with their from children at Te Kōhanga Reo “I’ve recorded kaupapa Māori
music across four generations. o Hinetearorangi in Masterton groups before, but I have never gone
It’s somewhat of a departure for to whānau from local marae, and to marae like this and collected songs
the acclaimed musician, who’s “nannies’’ from Te Rangimarie Marae off-site,” he says. “It wasn’t just a
used to recording and composing in Rangiotū, near Palmerston North. matter of setting up microphones
contemporary music – typically The waiata, composed by local and getting on with it. There is a
sung in English – for his dub-reggae Māori and those with links to the real kind of richness in terms of
band, but there were some fitting Wairarapa, are a rich resource for hapū the diversity of the songs and the
connections. Maxwell traces his from Cape Palliser up to Mangakino, flavour of the music. What I love
own whakapapa to Ngāi Tūhoe, north of Taupō, where a number of most about the songs is the integrity
Ngāti Rakaipaaka and Ngāi Te Rangi, descendants of Wairarapa iwi now live. of the performances, and these will
and his recording studio is at the Maxwell, guitarist and lead resonate across the generations.’’
entrance to the Wairarapa region, singer with Trinity Roots since Deborah Davidson, chairperson of
in Featherston, where he lives. 1998, approached the project quite the Wairarapa Moana Trust, says each
DO THE
BLUEBEAT
N AT I O N W I D E
The next Big Dog Walk is on 7 April from 10am, with events in central Auckland, Waitangi Park
in Wellington and Heard Park in Christchurch (for details, visit “TheBigDogWalkWithLotsofDogs”
page on Facebook). You don’t have a dog? No problem. Anyone is welcome to come along, says
organiser Alice McKinley. “You just have to really like dogs.” VIVIENNE HALDANE
msf.org.nz
John Glen on the roof of the
Auckland War Memorial AUCKLAND
Museum, above recently
restored decorative
skylights at the front of the
building. Right: One of the
spectacular rooftop views,
across Auckland Domain
MY SPACE
and out to the harbour.
JOHN GLEN
John Glen looks out over the vast configuration of
pipes, ducts, solar panels and other technological
paraphernalia that colonise the Auckland War
Memorial Museum’s rooftop. “These systems
keep the living building breathing,” says Glen, the
museum’s head of building infrastructure, who
runs occasional guided rooftop tours. “And that
helps care for and preserve the taonga within.”
The imposing landmark was built in three stages:
the original neo-classical front section opened
in 1929 as a memorial to World War I and blends
aesthetically with the second section, constructed
in 1960 as a memorial to World War II.
The third section, the Grand Atrium, was completed
in 2006 and increased the overall footprint of the
building by 60% – its copper and glass dome sits high
above the rear of the museum like a giant stingray.
Until recently, these buildings were highly
dysfunctional, says Glen, who has a background in
energy management. “It was only about seven years
ago we began seriously reducing our carbon footprint
from 1856 tonnes to 970 tonnes, knocking $400,000
off the power and gas bill every year.” But it’s getting
those three difficult structures to work together so
successfully that makes him proudest. Today, it’s one
of the most sustainable museums in the world, using
a range of energy conservation techniques, including
recycling the same air in the building at night, using
a wider band of temperature and humidity controls
through heating and cooling, and planning energy
usage around specific visitor numbers. “It’s not just
the solar panels; they are the icing on the cake.”
The museum has undergone a major restoration since
the 1990s, including earthquake strengthening; the
ongoing process of meticulously maintaining a building
of such enormous proportions is also immense.
“It’s like restoring a classic car,” says Glen, who
hopes to hold rooftop tours on a regular basis in
the near future (aucklandmuseum.com). “So far,
we’ve mainly done school groups. It’s great showing
kids how a sustainable building really works.”
K E N DOWN I E
KE N DOWNIE
COVER STORY
A
t lunchtime every day It’s likely she’s had hypertension most
for the past two years, of her life, a complication of a kidney
Southland retiree infection she had as a child.
Anne Irwin, 67, has Late last year, an American locum at
grabbed a glass of milk the rural practice she attends said she
and downed a palmful of the nine med- was doing so well, he’d try to wean her
icines she needs to stay alive and well. off one of the drugs, a beta blocker. She
There are six pills to manage her hyper- stopped taking it for the three months
tension and heart failure, and aspirin until her next appointment, but her
to prevent blood clots. Then there’s the blood pressure rose alarmingly and she
tablet to stop the nausea associated with felt fatigued, so was put back on it. “I
the other pills and an antidepressant to feel quite healthy and find it hard to be-
lift her mood. At night, she’ll take her lieve that I feel this well after spending
tenth: a pill to help her sleep. many years struggling.”
There have been times, Irwin says, For Irwin, who worked as a medical
when she’s felt she is on so many pills secretary and later trained as a nurse,
that she’d rattle if you shook her, but af- the potpourri of pills is just an accepted
ter nearly five years of doctors “tinker- part of her life. “I know the ones that
ing” to get a medicine mix that suits her, were giving me bad effects and they’ve
she’s not about to argue with the number been whittled out.” But she is still trying
she takes, even though a couple have side to find the best possible combination.
effects she’d rather do without. After her latest visit to her GP in January,
“One makes me sleepy… that’s a nui- she decided to try stopping the angina
sance but because I take them all to- prevention drug she was on for chest
gether, I haven’t figured out which one pain, after tests showed no evidence of
it is. I think it might be the venlafaxine coronary artery disease. “I’m pleased be-
[antidepressant].” cause it tended to make my neck muscles
But, there’s a very big upside. With- a bit weak and I had difficulty holding
out the drugs, Irwin would likely die. my head up.” At her own initiative, she’s
Within days of stopping one or other of trying to eliminate the Losec she takes
her heart drugs, she becomes breathless to settle her stomach. From her nursing
and her ankles swell. “Fifteen years ago, training, she knows it shouldn’t be taken
I was told if I didn’t take the pills I prob- long-term, despite the fact it has made
GETTY
ably wouldn’t have long to live.” her life “much more pleasant”.
C
hanging prescriptions to take accumulates in the blood, causing a • Elderly patients taking a
get the most benefit takes greater effect. For people on anti-hyper- combination of high-risk medicines
fine-tuning, patience and tensive medication, this can mean their for sleeping, pain or incontinence,
a good doctor, says Irwin. blood pressure drops too low, causing are twice as likely as others to fall
Even then, her experience shows, stop- postural hypotension, or dizziness on and break bones, with many dying
ping medicines can be much more dif- standing. In addition, the likelihood of within a year of their injury.
ficult than starting them. But GPs and gaining a meaningful survival benefit • Increasing numbers of New
specialists say there is an increasing from each drug reduces with every year Zealanders are thought to be using
awareness of the potential downsides of that passes. drugs designed to treat bipolar
overmedication, especially in older peo- University of Otago researchers have disorder and schizophrenia as
ple who are prescribed many different been at the forefront of efforts to raise sleep aids. The highest users are
drugs that may interact with each other, awareness of the problem. Recent papers European women over 65.
or cause confusion and falls. led by Professor Dee Mangin, director of The Health Quality and Safety Com-
By the age of 65, 25% of us are on five the university’s Primary Care Research mission (HQSC) has since 2013 pub-
or more long-term medicines – a figure Group and a chair in family medicine at lished in its Atlas of Healthcare Variation
that rises sharply to 53% by the age of 75 McMaster University in Canada, as well the polypharmacy rates in district health
and nearly 60% at 85. It’s understanda- as by geriatrician Hamish Jamieson and board areas. It says multiple prescrip-
ble, in that we’re obviously developing psychiatrist Roger Mulder, have found: tions are more likely to be appropriate in
more conditions that can be treated. • Almost half of patients (43%) the robust “young elderly”, but problem-
The problem is that at the same time, are being prescribed common atic in the frail “old elderly”, and suggests
our bodies are becoming less efficient at medicines – for depression, the focus should be on the latter in the
metabolising and excreting medicines. heartburn and osteoporosis – for battle to wean people off pills that may
From the mid-70s, our kidneys work less longer than recommended, tipping be doing more harm than good.
well, so more of the “active” medicine we the balance of risks and benefits. Mangin calls her own father Ron, 90,
it’s possible the real number taking of the pill bottle warning anti-
the combination is even higher inflammatories should not be taken
because NSAIDs are commonly with it. “Many GPs would have real
sold without a prescription. Brands concerns about prescribing anti-
of the medicine, which are used to inflammatories in people over 65,
treat pain and inflammation, include anyway. This is the group that tends
Nurofen, Voltaren and Celebrex. to have a high rate of osteoarthritis
The freedom of access worries and gets a lot of benefits from these,
some GPs. Whangārei GP Tim but they are dangerous drugs,
TRIPLE-WHAMMY Cunningham describes the rate both for their interactions and
WARNING of over-the-counter dispensing of their individual effects, especially
NSAIDs as an epidemic. Because of gastrointestinal bleeding.”
One combination of common the risks of the combination in certain At a minimum, the drugs should
medicines is so potentially dangerous patients, they tended to be prescribed be pharmacist-only, and the
it’s known as the “triple whammy”. “with a lot of thought. Having 80- or pharmacist should have a checklist
The Health Quality and Safety 90-year-olds on Nurofen dispensed to go through before the pills are
Commission has recently begun by a 15-year-old on [supermarket] dispensed. “One of the problems is
monitoring use of the trio: an ACE checkout beggars belief.” that sometimes patients don’t know
(angiotensin converting enzyme) Asked if GPs should be more what drugs they are on. But you’ve
inhibitor for hypertension, a diuretic proactive about warning patients still got to ask, are these critical
and an NSAID (non-steroidal anti- about problematic combinations, medications for these patients to
inflammatory drug), which increase Cunningham says: “Yeah, if you be on, given the risks involved?”
the risk of kidney damage and renal want to try to put the onus on GPs The HQSC’s medicine safety
failure in older people. In 2016 for the use of drugs that are too specialist, William Allan, says the
(the latest year for which figures dangerous to really be out there risks of the “triple whammy” have
are available), 3.2% of over 65s – unchecked.” When he prescribes the been known for many years. “But
22,000 people – were prescribed common anti-hypertensive Inhibace it’s still not getting through to the
the “triple whammy”. Rates were Plus, which contains a diuretic, his sharp end of prescribers. People
significantly higher – around 4.5% computer automatically produces are still on these combinations –
– in Māori and Pasifika people, and a statement in capitals for the label that’s the disappointing thing.”
}
way ahead of neighbouring Canterbury Yes No / Not Sure
(33%), and Auckland (32.6%). Irwin is Indication seems valid and relevant in this No
among the 11.5% of Southerners on 8-10 patient’s age group and disability level?
long-term meds – again, the highest rate STOP
Yes
in New Zealand. DRUG
The Southern DHB’s chief medical Do the known adverse reactions of the drug Yes
officer, geriatrician Dr Nigel Millar, is outweigh possible benefit in old disabled patients?
}
a former chief executive of the HQSC No
and one of the architects of the Atlas of
Any adverse symptoms or signs that Yes
Healthcare Variation, which compares may be related to the drug?
DHB data in a range of clinical areas, CHANGE
No
from cancer to cardiovascular disease. DRUG
He concedes the information shows the Is there another drug that may be Yes
prescribing to older adults in his DHB superior to the one in question?
is out of step with best practice, but he No
says it’s not alone in the need to change.
Can the dosing rate be reduced
“When I was a junior doctor, we used
with no significant risk?
to worry a lot about the harm of med-
ication and be very careful when pre- No Yes
scribing anything, but now there is a CONTINUE WITH THE SAME DOSING RATE REDUCE DOSE
guideline for everything so doctors tend
to worry whether they are letting the
patient down by not prescribing. REVISED FROM GARFINKEL ET AL WITH PERMISSION FROM THE ISRAEL MEDICAL JOURNAL.
S
lowering] statin, for example, is really specialist William Allan, in his former
difficult. As a geriatrician, I would say job as chief pharmacist at the Hawke’s o how many medicines are too
probably not unless you are a really fit Bay District Health Board, introduced many and which ones should
83-year-old, because it might do you DHB-funded pharmacist facilitators be the first to be stopped? “I
more harm than good, but GPs are going in general practice to reduce costs and think anyone on more than
to worry they may be criticised for not improve patient safety. Initially, cost about eight medicines is potentially at
prescribing it.” was a driver – the board faced a $1.15m risk,” says retired clinical pharmacologist
The DHB regards the prescribing overspend in its community pharma- Tim Maling, who was at the forefront
rates as a “custom and practice” issue, ceuticals budget in 2011, despite unmet of efforts to improve the safety of pre-
but a high doctor-patient ratio (1:1000 need among Māori, Pasifika and those in scribing, founding the now-defunct Na-
compared to the average of around the lowest decile areas. A pilot launched tional Preferred Medicines Centre that
1:1500) and lack of access to good data a few years later resulted in an estimat- ran for 10 years from 1991, and a clinical
also contributes, says Lisa Gestro, the ed $500,000 saving on the community management plan for GP prescribing in
DHB’s executive director of primary drugs budget and also reduced falls, and Wairarapa that was later rolled out in
and community strategy. “It’s fair to say the programme was rolled out in 2017. Whanganui. “It’s not sensible to pick out
we haven’t been on the forefront of IT The DHB now pays for eight full-time a single number, but it does give people a
or advanced technology, so a lot of our pharmacists in general practices, cov- point from which to work.”
systems don’t talk well to each other.” ering 80% of patients. The pharmacists He says inappropriate multi-medica-
The HQSC data is leading many DHBs can spend up to an hour with patients tion is a “huge problem” and prompted
to hire pharmacists to work alongside reviewing medicines – a luxury of time him to set up the Wairarapa interven-
time-strapped GPs to review the med- GPs usually don’t have. tion about five years ago. “We’d see pa-
icines of older patients, and those on The Southern DHB’s primary health tients taking 20 or more drugs a day, and
had been changed. “We managed to at the benefit-risk ratio in patients over older people on multiple medications
make sure that got put on the discharge 75, or who have a limited life expec- are more at risk,” says Jamieson.
prescription as well so it went to the tancy. “We want to make sure younger Another study, published last year
dispensing pharmacist, so they’re also people are taking their cardiovascular by Jamieson’s colleague, psychiatrist
in the loop as to why.” medicine, but as people get older, the Professor Roger Mulder, also identified
But ask which common drugs should benefits reduce because the life expec- anti-psychotic drugs as a problem, par-
be stopped first, and doctors and phar- tancy potential is less and they will get ticularly in women over 65 (5% of that
macists will give you the same answer: more unwanted effects. group are using them). The study found
“It’s complicated.” Toop puts heart, “Stopping medicines is quite a con- use of anti-psychotics, designed to treat
psychiatric and pain meds at the top versation; people can feel, ‘I’ve reached conditions such as bipolar disorder and
of the list for review, saying many anti- 85, I’m not worth it anymore.’ If we take schizophrenia, has increased by almost
psychotic drugs are being used as sleep- people who go into residential care – 50% in less than a decade, indicating
ing pills and sedatives. Combinations and it sounds really harsh – these peo- doctors are prescribing them “off-label”
of antidepressants and painkillers can ple don’t have a long life expectancy, so as a sleep aid, or to treat anxiety. The
also cause a cascade of prescribing to we need to be able to talk to them about study found the highest usage on the
prevent the side effects. being realistic about that. In that group West Coast, which had almost twice
“More isn’t always better. I think the of people, we very consciously reduce the rate of Counties Manukau, the DHB
public gets that – I’ve never met any- medicines. We leave ones that are useful with the lowest usage.
one on 13 pills who wants a 14th. But for symptom control, but you can say HQSC evaluation manager Catherine
it’s complex, and every combination well, we really don’t need to control the Gerard says because the polypharmacy
is a bit different. To address that, you blood pressure quite so much, because Atlas data covers only people 65 and
need people not only with the skills if someone has a life expectancy of two older, some of the complicating varia-
and knowledge, but also with the time. years, you’re not going to be extending tions between DHB patient populations
You have to think of the interactions, it much.” are taken out of the equation. One po-
and which medicines have the poten- A study published last year, led by Uni- tential weakness is that the information
tial for the most harm and which have versity of Otago, Christchurch, research- shows which drugs are dispensed, but
the most benefit, and then try to avoid er and geriatrician Hamish Jamieson, not why they’re prescribed or whether
taking one pill to counteract the effect showed a high correlation between cer- they are taken. It does, however, show
of another. It’s what strains the brains tain medications and the risk of falls. DHBs where they can get the most
of prescribers the most and, if you are Patients taking three or more sedatives health gains. “Before, there was no way
time-pressured, it’s really hard.” or so-called anti-cholinergic drugs that you could look by DHB and know how
Eleven-plus pills a day is regarded affect cognition were more than twice many medications people were getting,
as “extreme” polypharmacy but that as likely to break their hip than those so it was hard to have the conversation
doesn’t mean multiple prescriptions taking none, and between 20% and 30% about what’s appropriate.”
are always problematic or inappropri- of elderly people who broke their hip She says in patients 85 and older, there
ate. “The most I had a patient on was died within a year. Anti-cholinergics are is very little clinical trial evidence for
about 24, and there were almost none commonly prescribed for urinary incon- many medicines, particularly those
we could cut out.” tinence and Parkinson’s disease. aimed at preventing events that might
Clinical pharmacist Dr Linda Bryant, “People can be given a drug for pain, happen years in the future. “So you say,
who works in two Wellington general a drug for sleeping and one for urinary hang on, why are people over 85 receiv-
practices, prescribing, reviewing and incontinence. Singly they are okay, but ing most medications when they’re the
advising on patient medication, looks there are cumulative side effects and least likely to benefit long-term?” +
TRADING WITH
THE CURRENCY OF
GREAT LEADERSHIP
Leadership consultancy
Tocker Associates
talk industry game-
changers and the
knock-on effect of
inclusion and diversity
for business success.
W
hat is great What do the people following the to see how they have been such a
leadership? Not the leaders expect? They want trust, great influence in helping shape
jargon, the mantras confidence and humility, and much leadership in New Zealand.
or the clichés, but more. The truth is that a one- The ease of their relationship
real, honest leadership that drives currency foundation strengthens comes from strong family values and
and impacts and changes the world. and drives all others: courage. a mutual respect built on integrity
The kind of leadership that enables Ali and Sarah Tocker are a and years of listening and learning
employees to be better and mother- daughter team who truly from everything around them.
businesses to thrive. understand this. Their leadership Ali is a veteran in the leadership
ADVT2019 CS24945 04/19
This question has been around for development skills and knowledge arena, her passion for development
ages, and the wide consensus is that span over 20 years and their born during her years within the
it is bold, takes calculated, but spirited reputation in both the public and professional education sector. During
risks, has reasoned judgment, private sectors back this up. Sitting her tenure as a highly regarded
assertiveness and honesty. opposite these two women, it’s easy educational leader, it became clear to
A DV E RTOR I A L
her that there was a need for Times of transition, change and
practical leadership development uncertainty call for bold, confident
that could yield real, tangible results and courageous leadership. Sarah
for growth and success. believes failure is a great teacher, and
In 1997, she founded Tocker good leaders need courage to be
Associates, a boutique consultancy able to fail early AND to learn from
focused on bespoke leadership the experience. Owning your failings,
development and strategic planning she says, carries a lot of weight.
by developing leaders, coaching Celebrating 20+ years of
executives and managers, facilitating successful leadership development,
workshops and managing conflict. Tocker Associates is venturing into
Their secret? Learning. All the time. the greater New Zealand landscape.
Mostly, it’s to stay ahead of the times For Ali, New Zealand is in a fantastic
and up-to-date on the latest trends, position to get back to the world-
Inspirational quotes from innovative leaders
to be always one step ahead and able and business people adorn the walls at leading practices it once boasted
to set the standard and the direction Tocker Associates’ business space. and help businesses to truly
within the leadership development understand and embrace the
sector. Being first to market, with growing change and diversity of
things that work in real businesses,
is important to them.
“Leaders need to what New Zealand has become.
The biggest change-factor? A far
It is their agility to adapt and grow realise that diversity more diverse and globalised
teams and individuals that last year
doesn’t work without marketplace, and business must learn
caught the attention of The Skills to understand the challenges of this.
Organisation, one of New Zealand’s inclusion.” ALI TOCKER The first step? Understanding that
largest Industry Training diversity and inclusion are two
Organisations, providing work-based different things. Employing people
qualifications and consultation – a from different backgrounds, with
partnership that now enables Tocker believes that an attitude of taking different perspectives, does not
Associates to expand their footprint the stairs and not the lift is the mean they will have a voice.
across the country. underlying principle when it comes Diversity focuses on the
Tockers’ reputation is built on to learning about yourself and the differences, while inclusion seeks to
experience and strong values, which hard yards needed to succeed. get the best from the people who
underpin their ability to teach Many CEOs afterwards managed bring those differences. Sometimes
businesses the reality of leadership to effectively drive significant diversity in organisations looks like
to navigate the disruptive times we change. But the best result by far, you invited your vegetarian friend to
live in. Tocker Associates’ no- it seems, benefits all: the ability to dinner and served them meat and
nonsense, straightforward talk sets limit meetings and boost efficient three veg. Employing people who
the team apart. Telling a client the information-sharing across their look different is one thing; including
truth, even an uncomfortable truth, businesses. their thinking and their perspectives,
to help them step out of their Sarah adds that it’s the difficult however, will ensure growth and real
comfort zone – that takes courage. conversations and being able to put inclusion. What meal options are
This learning is now one of their often-unpopular opinions on the going to work? You might even need
flagship success stories in the form of table that truly boosts growth. To do to learn a few new recipes.
the professional programmes they’ve that, you need a degree of courage “Leaders need to realise that
helped develop and run in partnership and vulnerability, she says. diversity doesn’t work without
with Outward Bound. A custom-built Courageous leaders step forward. inclusion,” says Ali. “Make space at
programme where participants swap They take some risks and they lead the table and find out what inclusion
the boardroom for the outdoors, it’s change when times are tough. actually means to them, not to you.
all about perspective and learning to “These are the leaders who have the Encourage participation. Let them
navigate the challenges of courage real strategic advantage,” says feel welcome and listen to their
and diversity. Sarah. “They are regarded as ideas. Not everyone will agree. That
“The intense 360-degree feedback trustworthy and they are able to will be a good thing sometimes.”
we include helps participants to lead by example. People have Without courage, you cannot make
understand how to respond amazing bullshit detectors, and they a difference. Without courage you
courageously to leadership know real when they see it. Great have symptomatic conversations –
opportunities,” says Ali, adding that leaders are the ones who show up the ones that go around and around.
in her opinion, “a little bit of and tell the truth about themselves, Ali and Sarah’s goal is to have tough
discomfort is good”. She firmly as well as about the business.” conversations well and once.
O
ver the roar of explosions (plug-in hybrid electric vehicle).
as pistons compress va- EVs may be silent, but in New Zealand
porised fuel and air in their owners are not. They have a voice,
internal combustion en- thanks to a world-first citizen science
gines everywhere, it is project, Flip the Fleet. Its founder is
easy to miss the quiet Henrik Moller, emeritus professor of
revolution of electric vehicles – especial- zoology, Otago University. “Most of my
ly because many of the participants are life I’ve worked with communities to
hiding in plain sight. bring about change from the bottom up,”
Most are Japanese cars; some are Te- says Moller, who considered himself re-
slas, BMWs or Mercedes. Their drivers tired until he bought an EV. “I thought
include professionals, young couples, I’d better learn to use Facebook because
greenies, retirees and even the editor of there were all these EV support groups.
this magazine, part of a movement that I started watching debates about what
runs counter to one of the most power- was happening with their batteries and
ful industries in the world: oil. instrumentation and thought, ‘Well,
Don’t expect a definitive moment that’s crazy. They are all thinking about
when the silent coup succeeds. More what’s happening, just based on their
likely will be a gradual awareness that own car.’ So I blurted out: ‘Why don’t we
our lives have evolved differently from all share data as EV owners?’”
a world that ran predominantly on fossil Dima Ivanov, an EV owner at
fuels. Like the difference between a Whangaparāoa, responded: “Good idea.
time when telephones connected with Why don’t we use my business-bench-
a wiggly cord to the kitchen wall and marking software?” Moller and Ivanov
our now-world of smartphones. publicly launched Flip the Fleet in June
Like all good revolutions, this one brings 2017. Daniel Myall, another EV owner
new acronyms: EV (electric vehicle), ICE and a statistician researching Parkinson’s
(internal combustion engine) and PHEV disease, volunteered to analyse the data.
GETTY
Flip the Fleet founders Henrik Moller (left) and Dima Ivanov. The project gathers data on performance,
battery health, maintenance and repair costs, public charging costs and charging behaviour.
Data? EVs are a geek’s delight. Every the numbers. Flip the Fleet asks the full tank in the morning, lower house-
month, more than 1400 Flip the Fleet EV questions in its monthly 1-click surveys. hold power costs at night.”
and PHEV owners insert a decoder into For example, in Survey #18: why did you Running and maintaining an EV
a port beneath their vehicle’s dash. The buy your battery electric vehicle? costs about a quarter of the cost of
dongle downloads its performance data “I was spending $80-$120 per week running a traditional ICE car. In an-
to an app; for Nissan Leafs, this is Leaf- on petrol… We are saving $400-$500 a swer to another question, on the im-
Spy. Monthly data includes the EV’s av- month on fuel alone, never mind that pact of EV ownership on individual
erage distance travelled, efficiency (kilo- lack of other expenses for upkeep of the mobility patterns, a pensioner wrote:
metre per kilowatt hour), average speed car,” responded one. “Making an hour trip into Wellington
and – the biggie for an EV – the health of One retiree had cashed in his KiwiSaver to visit my new granddaughter was
the lithium battery. Flip the Fleet also to buy an EV in a $30,000 “reverse” in- costly ($20 at least) with my previous
gathers data on maintenance and repair vestment. He saves $2500-$3000 per year [ICE] car. Now I don’t even think about
costs, public charging costs and charging in petrol, oil and maintenance costs. “If I’d it and visit when I want.”
behaviour, among other issues. It’s infor- invested the $30,000 principal in a term Another respondent noted: “I used to
mation by democracy – by EV owners for deposit, I would be lucky to get 4% return hate driving (due to concern of environ-
EV owners – and it’s earned Flip the and any interest gained would be taxed. mental consequences – aka ‘carbon
Fleet $88,583 of co-funding from the Buying the EV represented a tax-free 10% guilt’), but now… I’ll pick up my kids
Energy Efficiency and Conservation Au- annual gain on my ‘investment’.” after school on a rainy day if I can,
thority (EECA) Low Emission Vehicles Another agreed he’d first looked at an whereas previously I would have just let
Contestable Fund for providing “inde- EV for cost savings: “Then I drove one... them walk in the rain.”
pendent, authoritative information”. I was 100% sold, the instant torque and For the elderly, another plus is that in
Citizen science is also about heart: silent acceleration was addictive. The the absence of engine noise, a hard-of-
the experiences and observations that other benefits then started to make an hearing couple can talk to each other
drive the decision to buy, as much as impact: silent ride, lower stress driving, while driving.
T
he fastest uptake of EVs in New
Zealand is in multi-car house-
holds that replace one ICE car
with an EV or PHEV and keep
the second ICE car as back-up. Moller
hopes government incentives will en-
courage even more uptake in this sector.
The hybrid households tend to do
away with the your-car/my-car model.
Instead, they allocate the cars depend-
ing on the day’s needs. Whoever is driv-
ing the greatest distance gets the EV, to
GETTY
J O H N CO LLI E
than 100 in towns throughout New Zea-
land, and counting. Unlike the oily envi-
ronment of a petrol station forecourt,
charging stations are ungreased lightning: Ed Harvey was in his final year at university when he converted
slick, neat footprints barely noticeable in his Honda Accord to electric. Four years ago, he set up EVnex in
shopping malls and car parks. Christchurch, to install charging stations for commercial fleets.
Some towns have free chargers, usually
supplied by local authorities or electricity
suppliers to encourage uptake, and they
tend to attract queues at popular times. A
serious crime against EV etiquette is to “We see towns we wouldn’t see other- drive as a golf cart. Environmentally, they
leave a fully charged car blocking a charg- wise,” Felicity says. create a bigger carbon footprint to man-
er while you finish your shopping. Worse, Other charging options for travelling ufacture than a conventional car, and
parking an ICE car on a charging station. away from home include camping grounds we’re told it may soon be impossible to
This can incite ICE rage. and private homes that have registered replace batteries in Nissan Leafs here.
Charging technology is charging their services, like couch-surfing for EVs. Flip the Fleet’s Henrik Moller accepts
ahead. Ultra-fast chargers from Por- Ed Harvey set up EVnex, for commercial this backlash. “It’s a well-known
sche take just 12 minutes to charge up fleets, four years ago. It builds charging phenomenon that when you’re bringing
for 400km of driving, so a 160km stations and cloud management software in a new technology, you get hype it’s
charge in five minutes is likely within for EV charging. EVnex installs charging going to be the saviour to everything
a few years. For now, 97% of charging stations in the company carpark for em- and it builds to a peak of unrealisable
happens at home, taking two to three ployees, fleet vehicles and potentially cus- expectations. That sets people up for
hours overnight. Fast chargers on high- tomers. Through EVnex cloud manage- disappointment and there’s a hell of a
ways top up a battery in about 30 ment software, the client can monitor and dump, which is called the trough of
minutes, while standard chargers take control its EV charging, for example with disillusionment.”
two or three hours. For a busy person, swipe cards, and stagger charging times to Gradually, a better-informed pick-up
that might be torture, but many EVers avoid peak loading. As more EVs appear leads to the slope of enlightenment
regard charging as time to stop and in suburbs around the country, this type of and finally the plateau of integration.
smell the roses. Transportation meets technology may allocate charging times to It may sound like tantric guidebook
mindfulness. each household overnight to take advan- meets marketing spiel, but Flip the
Or, for the Burgers, playfulness. On a tage of off-peak rates. Fleet aims to smooth out the peaks and
trip north, they stopped at Masterton for troughs. “It’s a contest around the un-
T
a three-hour charge stop. Expectations known and who’s got trusted informa-
were low but they went to Queen Eliza- o the non-converted, EVs suffer tion in that first phase. That’s exactly
beth Park and had a wonderful time an image problem as being gut- where we are now.”
checking out the playground’s miniature less, vulnerable to short battery Moller publishes the bad news along
railway, pirate ship and medieval castle. range and about as much fun to with the good. Sure, EVs use more energy
themselves to our smartphone summons. saving the planet – and the best incentive
for getting more EVs on the road. +
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THE
HOPE
AND THE
HURT What I’ve learned from a year
of writing about domestic
violence. By Venetia Sherson.
I
was deputy editor of the Waikato words “Property of Leon” tattooed on I learned that last year from Mereana,
Times in 1996, when Leon Colin her face. Wilson told police, “If I can’t now aged 32, who has a two-year-old son
Wilson strangled and stabbed to have her, no one will.” with dimpled arms, a serious face and
death his former partner, Leonie Leonie Newman was 26 when she was curly black hair. I also learned that, as a
Mary Newman, in a Huntly house. murdered. She had three children aged child, Mereana distracted her brothers
The court reporter wrote that Wilson, nine, six and five. After the sentencing, by making mud pies in the garden while,
a 27-year-old Kaitaia man, had been her mother told the newspaper, “The inside the house, her mother had her head
charged with murder and remanded in nine-year-old – Mereana – is finding it shoved through a wardrobe door.
custody for a depositions hearing. The very hard at the moment. The two young When I began writing about domestic
story appeared on page one, below the ones – I don’t really think it’s sunk in violence last year, I thought I knew a
fold. The lead that day was about on- for them yet.” lot about it. I knew family violence was
going ructions over rates. The newspaper didn’t tell Newman’s about power and control, not anger; that
A month later, on page eight, the news- backstory. It was never reported she was phrases like “he must have just snapped”
paper reported Wilson had pleaded a terrible cook but would present her kids inferred men were pushed over the edge
guilty to murder. The following month, with takeaway fish and chips with a flour- by stress – or by the woman they lived
Justice Penlington jailed him for life, ish as if they were 10-course meals; that with; I knew police and many people
with a minimum of 10 years before he she once baked a birthday cake shaped referred to partner violence as “just a
was eligible for parole. The court heard like a pig’s head and whooped with de- domestic”.
Wilson strangled Newman so hard, he light when they ate the snout; or that she What I didn’t realise was how little I
broke his thumb; then he stabbed her 28 spent hours brushing the tangles out of knew. Dozens of interviews with survi-
GETTY
times with a boning knife. She had the her daughter’s hair. vors and people who work with them
Venetia Sherson is a contributing writer and co-author of the book Stand by Me:
The Story of Te Whakaruruhau Waikato Women’s Refuge.
WHY DO
away; of being bundled into a car late
at night to hide out in the bush. She made
a vow on her mother’s casket that if any
MEN HARM
man lifted a hand to her, he would be
out the door. She is taking that message
to other young women. Which is why
WOMEN?
her face is on the cover of the book.
O
n a warm spring day in Rua, 30, a thin man wearing a hoodie,
Hamilton, eight men gath- half-throttled his partner when she
ered to share a pork curry was pregnant with their second child.
in the Hamilton suburb of Adam’s father ran with the Mongrel
Frankton. Before they ate, Mob and raised him to intimidate and
Eric, a large man with a soft voice, said cause pain to all he came across. He
a karakia. He introduced the group, who said, “I never used my fists or boots on
didn’t know each other, but had some- my partner, but I took pleasure in mak-
thing in common: each had punched, ing her feel worthless.”
Stand By Me: The Story of kicked, near-throttled or violently threat- Eric sat silently, while the men shared
Te Whakaruruhau Waikato ened a woman in their lives. their stories. Later he said, “I’ve been
Women’s Refuge by Venetia Glendon, 37, a man with slicked-back, married 30 years. Half my kids know me
H AG EN H O PK I N S / G E T T Y
Sherson and Denise Irvine fair hair, volunteered he had been im- as a man who was violent; the other half
(published by Te Whakaruruhau prisoned seven times for striking his can’t believe that’s true.” Against the
Waikato Women’s Refuge, $29.95; partner; offences, he claimed, that backdrop of shocking stories laid bare
waikatowomensrefuge.co.nz). related to alcohol, drugs and “people over lunch, it was a small beacon of hope.
who take me down the wrong road”. Men’s violence towards women gets
people riled up. Last year, when young were said to be contributors. So were WHEN HAMILTON community psy-
British tourist Grace Millane was killed, physical strength (“I didn’t mean to chologist Dr Neville Robertson was
allegedly by a man she didn’t know, hurt her”) and testosterone (“I couldn’t growing up in the 50s and 60s, there
there was a collective storm of rage stop”). Still others claimed it was simply was only one way to be a bloke: staunch,
and shame. But, when it was pointed misogyny. “Women have very little idea rugby-loving and unemotional. “If you
out by many that the vast majority of of how much men hate them,” wrote were hurt by another kid, you were told
female homicides in New Zealand are Germaine Greer, 40 years ago, in the not to cry and to fight back. Young men
not freak incidents involving strangers feminist bestseller The Female Eunuch. were raised to be in charge. The social
but carried out by men the women know What is known is that men’s violence tropes were: a ship can have only one
– and that this country has one of the sends thousands of New Zealand women captain; someone has to wear the pants.
highest levels of violence against women to doctors’ rooms and emergency depart- That someone was sure as hell the man.”
among OECD countries – the response ments every year. The question – why do Over many years working with men
was more subdued. “Why?” was the men kill, maim or terrorise women? – is who have abused women and research-
PH I L WALTER / G E T T Y
M
stance abuse could just be the trigger.” ore than half of New Zealand women are likely to experience psychological
He concedes macro factors – such as and emotional violence in their intimate relationships, a study involving
changing society’s attitudes towards nearly 3000 women found. The survey, done by Auckland University’s
violence – will make a difference over School of Population Health in 2003 and reported in 2011, found 46% of
time. “But there is a generation out there women reported having been insulted or made to feel bad about themselves in intimate
that has already formed beliefs and vi- relationships, while 30% said they’d been belittled or humiliated in front of others
olent patterns of behaviour. They are and 26% said their partner had done things deliberately to scare or intimidate them.
not necessarily open to changing. When Data from the same study, published in 2010, shows that Māori and Pasifika women
those individuals commit a crime, we are over-represented, and European and Asian groups are under-represented in intimate
need to detect and convict them, but partner violence, and the incidence of violence increased as socio-economic status
also manage risk through targeted long- reduced. There is little data available as to whether women in the “leafy suburbs” are
term treatments. more likely to be exposed to psychological than physical violence (see No One Is Immune,
“If you’re dealing with people whose overleaf). However, a paper published in the Australian and New Zealand Journal of
personality characteristics support their Public Health, based on research from the Youth 2000 series of surveys, showed more
violence, you’re not going to change that than 60% of high school students from the wealthiest families, who got on with their
in the short term through treatment of parents and had low exposure to physical violence, reported witnessing emotional
one issue, because their risk is support- violence. A similar proportion of teens from the poorest homes reported witnessing
ed by so many factors. emotional violence, and were three times more likely to witness physical violence.
“If you treat just one factor, you rely A regularly cited 2004 paper by Spanish researcher Maria Pico-Alfonso, from the
on that one issue to explain and manage University of Valencia, found the psychological component of intimate partner violence
their risk (‘I’m only violent because I was the strongest predictor of post-traumatic stress disorder. Further data from the
have a substance abuse problem’). Very NZ Violence Against Women study shows that, amongst women who have experi-
rarely have I found someone is only vi- enced violence, the experience of recent emotional violence enhances the likelihood
olent because they are under the influ- of suicidal thoughts.
GETTY
No One Is Immune
Months after being widowed, The Aunties’ Jackie Clark – daughter of
privilege turned women’s charity founder – talks for the first time about
her own abusive marriage. Donna Chisholm reports.
I
t’s May 1991 and Jackie Clark is Clark didn’t see it that way. “I thought controlling and manipulative game-
celebrating her engagement to that was loving and wonderful. I was player, she’s finally ready to talk about
Ian Goodison, the man she would quite pleased at being possessed.” When that past to raise awareness of what she
call, when he died in the early she found the picture again in early believes is an under-reported underbel-
hours of last New Year’s Eve, the January, though, she was shocked and ly of domestic violence against women
love of her life. repelled. “It was crass and vulgar… and living in relative wealth and privilege.
There’s a photo taken at their party in really fucken hurtful.” When sorting Goodison’s things after
the home they shared in Mt Eden, Auck- As anyone who reads her social media his death, she found a letter she’d written
land that shows him slouching against will know, Clark liberally seasons many him a few weeks before their engagement
the dated floral wallpaper, clutching a of her comments and communications that provided the catalyst for the discus-
beer bottle in one hand, and most of with the salty expletive. She is a verbal sion. He’d kept little else from that time,
Clark’s right breast in the other. He chats provocateur who relishes the F-word making her think he’d come to terms with
idly with a mate as his new fiancée sits as an all-purpose descriptor. You don’t his own behaviour, and taken responsi-
next to him grimacing, her eyes closed F with her. She doesn’t give a F. You’re bility for it. She’s using it to show what
and her body skewed awkwardly. a complete F-wit and you can F right domestic violence can look like “in the
It’s a raw glimpse into the years of off. This time, though, she chokes it out leafy suburbs”, how it feels, and why it’s
humiliation and psychological violence through a sob. The salt is in her wound. so hidden.
K EN D OWN I E
that marked the early years of her mar- And now, after her nearly 30-year Before Goodison died, of liver cirrho-
riage. Of course, the then 26-year-old marriage to a man she describes as a sis in Middlemore Hospital at the age of
lent teen years. Their relationship now a good laugh together. He was my mate. and for that to be enough for him. But
is better than it’s ever been, she says, After all of that shit, he was my mate.” he was almost a professionally dissatis-
partly because of her pride at the work So, isn’t she undermining her own fied person; a glass-is-half-empty person.”
her daughter is doing for others, even advice? “No, because that’s me. I’m an By the time Goodison died, Clark could
if she still squirms at the extent to which extraordinarily loyal person. I don’t talk say, and mean it from her heart, that he
Jackie shares her soul on social media. to women about their relationships un- was her greatest and only love. “Ian and
less they are at risk of physical harm. I I had a grand, long love story. He became
IN 1996, GOODISON was diagnosed with don’t often give advice about staying or one of my closest friends. I loved him
acute lymphoblastic leukaemia. Doctors leaving. But I most definitely would say, truly.”
said he had a 30% chance of survival, and and I’ve said to women in the recent past, And yet, she says, after 28 years to-
bombed his body with radiotherapy and ‘Do you want 25 more years of this shit?’ gether, the shadows of the earlier abuse
chemotherapy for a year. He survived, I think people need to know how com- hung over her to the end. “In the last
but Jackie Clark says the toll it took on plicated things are, and ours is a really days, he expressed a wish to die at home
his body contributed to his early death. good example of that. People assume and my response was to go into panic
But, she says, his leukaemia saved her these things are really simple, but no mode, to do what he asked and pre-
marriage. “Because I had power for a relationship is ever simple.” pare everything, even though I knew
year. Maximum power.” She concedes she “would have been it wouldn’t happen. It was my default
After that, she says, “something shift- much better off” had she left her marriage setting. It felt just like it used to be, when
ed. He became a gentler man.” 25 years ago. The misery of those early he’d say ‘Jump’ and I’d ask ‘How high?’”
Clark says in recent years, when Good- years have fundamentally shaped her. “It She hopes her story will help change
ison was again in failing health, he finally was Ian logic to think, ‘If I’m really shit the narrative around domestic violence
apologised for the way he’d treated her. to you when I’m alive, when I die you’ll in New Zealand and get women to look
“He didn’t call it domestic violence; he be okay.’ And he was right.” at the reality of their own relationships.
would never use those words. He would She says many of the women she’s met “We frame it as primarily physical, and
just say, ‘I was a shit to you and I’m really through her work with The Aunties have occurring in Māori and Pasifika com-
sorry.’ He was embarrassed about it.” told her the emotional abuse is more munities much more than anywhere
She’d still tell her 30-year-old self to harmful. “They say, ‘A broken leg... bro- else, and we know that’s rubbish. While
leave the relationship if she could. “I’d ken arms, mostly it’s just bruises and that narrative exists, women over here
say, ‘Don’t put up with that shit. If some- shit’. The psychological stuff is what [in higher socio-economic communities]
one is telling you really clearly who they steals your soul. And it takes longer to believe they are alone, that it’s a source
are, get the fuck out.’ But I’m glad I stayed recover – a lifetime. of shame, and they don’t do anything
with him because I was 10 times more “Words have far more power than any- about it until it’s too late.”
in love with him 15 years after we married thing, and I know because I’ve lived it. Goodison’s death has freed her, she says.
than I was the day I married. I fell more The psychological games just wear you “The thing I feared for all of these years
and more in love with him. He was fun- down; it’s drip, drip, drip… like water has happened. So fuck everything. I’m
ny and he was very, very smart. We had torture. I tried really hard to love Ian unfettered. I’m fearless. Watch out.” +
The Mataura Freezing Works, on the Mataura River near Gore, photographed in 2009.
Opened in 1893, the works are still in operation.
HEARTLAND
Overlooking the Tokomaru Sheepfarmers’ Freezing Company Ltd works at Waima, photographed in the early 1900s.
New Zealand, listed as a category two cling-wrap. It was enough to turn people where so many New Zealanders spent
historic place. When the Pātea freezing to vegetarianism, although director Stuart their days. I collected what books there
works closed in Taranaki – an event Page said later they were simply trying were. Meat Acts, a 1999 volume commis-
akin to a natural disaster, warned a gov- to document a part of New Zealand sioned by the NZ Meat Producers Board
ernment report at the time – the local life, the killing chain. TVNZ recognised to commemorate its 75th anniversary in
historical society pushed to have the this, noting the video’s “everyday scenes 1997. The book that came closest to what
chimney preserved. It would be a mon- at freezing works” before refusing I wanted to achieve, but that focused
ument, said society president Jacq Dw- to broadcast it. On YouTube, it still only on the East Coast, was Sheridan
yer, but their plans were foiled when the carries a warning: “This video may be Gundry’s Making a Killing. (These titles!
council demolished it. Instead, Dwyer inappropriate for some users.” There’s also Peter Norman’s freezing-
and her society created a small museum I asked Dwyer about the impulse to works memoir called The Meat in the
to the freezing works. Two old refriger- preserve and commemorate an industry Sandwich.)
ation compressors, a mannequin too gruesome for TV. She spoke about I decided on some of the points I
dressed as a butcher, a collection of old the need to do something with those would include – the voyage of the Dun-
photos and half a dozen fibreglass sheep compressors – how valuable they were edin, but also the next ship that sailed
in what used to be the town’s ANZ bank. – then, when I pressed her again, how from Port Chalmers and its bizarre car-
One closed business within another. out-of-towners wanted to see something go of dead things: sheep, beef and pork,
From this distance, it seems an odd that represented the old freezing works. of course, but also barracuda, pūkeko
thing to commemorate. Don’t freezing I was being unfair, really, looking for and a cask of penguin skins. Another list
works float on a puddle of blood, sit atop her to articulate the things I wondered that also seems to encapsulate the aspi-
a hill of bones? Arguably, one of our most about, to do the job I should be doing rations and appetites of an era was the
memorable music videos is “AFFCO” by myself. For a long time, I’d toyed with the meal we dished up to the Shah of Iran
post-punk group the Skeptics, which was idea of writing a brief history of the in 1974 as part of those patchy efforts to
filmed at Auckland’s Westfield works. freezing works in this country. It seemed woo new markets. The menu comprised
It shows sheep being stunned and strange no one had done so already. roast baby lamb garni, crown roast lamb
slaughtered as mechanically as lids are There’s a history of kitchens in New Zea- in aspic, lamb medallions madelon and
fastened to jars. Front man David D’Ath land, and of comparatively young indus- roast leg of lamb, as well as beef, turkey
sang while smeared with blood (actually tries such as wine, but there’s no single and chicken. But despite my list-making,
food colouring and baby oil) and bound in book on the freezing works, a place I never got much further, rewriting the
W
ithin my family, the freezing you knew they were referring to the some kind.
works were both long gone Islington freezing works, just beyond In one, I remember the “fella” was his
and never far away. We Hornby where they lived. My grand- first foreman. My grandfather designed
dried ourselves on blue towels embroi- father started there following a joinery and made a wheelbarrow that would be
dered with “New Zealand Refrigerating apprenticeship, which he spent building better suited to the freezing works than
B
ut I needn’t look so far for my unpleasant work. I know I’d last a solid
examples. There was once a two minutes – I get woozy at the sight
freezing works down the road of blood. But I’ve always been drawn
from where I now live in the Wairarapa: to the past, never been able to think
Waingawa. When it closed in 1989, it clearly about the future. My neck is
had been the biggest employer in the cricked, looking back. Almost 20 years
region, hiring 700 people during the into a new century, and here I am still
killing season. wondering about that old New Zealand
Marshall Coley was the union presi- of “full employment” and six-o’clock
dent at the time, and was part of a wel- swills. It was a place that was busily
fare group that tried to soften the blow being dismantled in the years I learnt
of closure. They’d had a community, my times tables. Unknowable then for
he told me. They had sports teams. In me, except as the setting for my grand-
fact, there was a national games, a sort father’s stories. And yet in many ways,
of freezing workers’ Olympics that ran he never belonged either. He didn’t so-
from the early 70s to the late 80s. cialise at “The Swamp” – the pub where
After the closure, Coley helped relo- freezing workers congregated, and I
cate people to places where they might know when he was conscripted into the
find work. Although not everyone had army (he missed combat due to an un-
somewhere to go. Five years after the treatable set of bunions), he preferred
works closed, he learnt of one former to spend his evenings at needlepoint
worker who had been leaving his house by numbers rather than boozing with
at six o’clock every morning, driving out his fellow soldiers. Mine is the defini-
into the country where he could sit in tion of misplaced nostalgia. It was him
his car and read a book. He didn’t want I missed.
his neighbours to know he’d been made All I really knew of the works was that
redundant, Coley said. he’d been there. In the memories I hold,
Their old workplace sat abandoned he is spooling out his tape measure, lean-
for years. But by the time I moved here, ing toward a piece of wood with the stub
it had been demolished. A row of oaks of a carpenter’s pencil, moving slowly but
on a side road is all that remains. The without coming to a stop. When he did
trees had been planted by the manag- finally wind up in a rest home, without
ers on what was once the road to the tools to hold or a garden beneath his feet,
works. I’d driven past them many times, it was clear from the start he wouldn’t be
admiring the glade their sturdy frames there long. He sat in his room, like that
made. Now to see them is to think of a man in his car, waiting.
car parked on a lonely road, the tick of a My grandfather was important to me.
dashboard clock, a man reading a book. “The works” was a place important to
You might say we’re better off with him. Some part of me can’t help but feel
fewer freezing works. This was brutal, those words like a sunset still. +
A RIGHT
TO DIE?
Matt Vickers is a North & South contributing writer.
GETTY
M
ost of us take few one- that offers it, Switzerland is the only over how and when it happened.
way journeys in our country in the world willing to help a My wife died in 2015 without winning
lives. No matter how foreign citizen like you. that choice, but New Zealanders may
far we venture from Silvan Luley, a tall, grey-haired Swiss end up with more options about how
home, whether for a board member of Dignitas, is not happy they die very soon. The End of Life
day, a week, a month or for years, we about that. “It’s an atrocity that some- Choice Bill, a members’ bill sponsored
usually return. Leaving home for good one from Australia, New Zealand, the by Act MP David Seymour, which aims
is generally paired with a major life UK or anywhere on this planet has to to offer assisted dying, is due to come
event: university, a new job, marriage. A travel to Switzerland if the only thing back to parliament for a second reading
new start in a new place. that he or she wants is to have a peace- sometime in the next few months.
But not every one-way journey is ful end to their suffering in life. How can Luley has no doubts about the impor-
about starting a new life. Every year, a state treat people, who pay taxes all tance of having assisted dying as an op-
around 200 people make a journey to their lives, this way; to say, ‘If you want tion. “It’s not about doing it or not doing
end one. They travel from their homes to end your life self-determinedly, I it. It’s a choice. There’s an emergency
in Britain, Australia and New Zealand, don’t care, go to Switzerland.’ exit door if the worst comes to the
to go to Zurich, Switzerland to die. “We shouldn’t be here. Dignitas worst. I don’t need to go through that
An appointment in Zurich does not shouldn’t exist. And this is actually our door, but it’s good that it’s there.”
have the same connotations as the fabled goal: to disappear. This is what we have The Dignitas office is about 30 min-
meeting with “Death” in Samarra. It’s a been working for, for 18 years. Because utes from the centre of Zurich by train,
beautiful, scrupulously clean city stocked when other countries allow sensible in a nondescript building with no signs
with watchmakers, wine bars and choc- choices for their people, then they don’t on the door. Inside is a quietly efficient
olatiers. In September, its narrow cob- need to travel here. And if we have im- workplace with around 10 staff. In one
bled streets smell faintly of candy-floss. plemented that around the world, then room, there are four floor-to-ceiling file
Bankers and tourists sit outdoors at the we can close down.” carousels, each filled with coloured
restaurants and bars lining the Limmat New Zealand’s latest debate on assisted folders. Each colour means something
River, their minds more inclined toward dying was partly initiated by my late wife, different: a blue folder means a case is
skiing than mortality. Lecretia Seales, who sought to have the under assessment; red, a person is no
It’s here that Dignitas does its work, right to be assisted to die if she chose to. longer a member of Dignitas; yellow, a
giving people suffering from dreadful She wanted to be able to access services case has been approved but the individ-
illnesses or terminal prognoses a way to such as those offered by Dignitas, but not ual has not yet chosen to come to Zurich
cut their lives short. Switzerland is not to have to leave her country to get them. (and may never come; approval pro-
the only country in the world to offer Like almost everyone, she wanted to be vides the option to travel to Zurich, but
assisted dying, but if you want assisted close to her home and her family when not the obligation); and green, an indi-
GETTY
dying and you don’t live in a country she died. But she also wanted control vidual completed the vetting process
LI S TEN ER / H AG EN H O PK I N S
sion times after the war, I’ve worked all
my life and I’ve done what a man needs
to do and I’ve brought up my family and
so on. It’s my life, it’s my choice... I’m
going to [keep deciding] until the very
last moment, and it’s my decision to end
my suffering when I want.’”
After being diagnosed with a brain tumour, lawyer Lecretia Seales took a case to the
This is consistent with findings in Or- High Court challenging for her right to die with the assistance of her GP.
egon, the first US state to legalise assist-
ed dying, in 1997. Studies have shown
applicants tend to be disproportionately
well-educated, wealthy and white: the “NEW ZEALAND’S LATEST DEBATE ON ASSISTED
very opposite of what society and critics DYING WAS PARTLY INITIATED BY MY LATE WIFE,
would consider vulnerable. LECRETIA SEALES, WHO SOUGHT TO HAVE THE
Does Luley worry about coercion, or
that a person’s motivations may be inau-
RIGHT TO BE ASSISTED TO DIE IF SHE CHOSE TO.”
thentic? “I’ve never seen that. Maybe it
has to do with the procedure and how within us, and to say ‘No, with my intel- to live, but once that criterion is met and
the system works, especially with people lect, I decide to overrule that, and end the doctors satisfied through a series of
coming from abroad. They go through at everything’ – that’s very brave.” consultations that the patient is acting
least a three- to four-month preparation In New Zealand, the Swiss example – rationally, they are prescribed a medica-
procedure, and repeatedly have to show where doctors may only “assist” by pro- tion they take home with them, and that
they want to go this way and that no one viding the means to die – is rarely men- they are free to take any time. However,
is pushing them. Apply for membership, tioned. Opponents focus on what they they must take it without assistance.
fill out the advanced directive, write the perceive as the broad remit of the Dutch In the Netherlands, a patient must
formal request, write the life report, the and Belgian regimes, or the unsuper- have grievous suffering and be able to
CV, gather the medical reports, proof of vised example of the Oregonian model. satisfy doctors they genuinely wish to
identity and documentation and send it “In Switzerland, the assisted dying be assisted to die. However, the drug is
all to us. It’s a lot of paperwork they have system has been working almost per- administered by a doctor under medical
to do, and they have to take the initiative fectly fine for 35 years, supported by supervision; they are not permitted to
themselves again and again. physicians and with the assistance of take the drug themselves. In Belgium,
“People who have thought about their non-profits like Dignitas,” says Luley. doctors can help patients to end their
situation and consider the options and “We are not a good example for oppo- lives when they freely express a wish to
then decide rationally to end their life… nents, because... they would have to ad- die because they are suffering intracta-
it takes a lot of courage. I don’t know mit the most progressive-liberal system ble and unbearable pain.
whether I would be able to do that. I works fine, without abuse, without peo- Seymour’s bill, with the support of
think we humans are just like animals, ple being pushed to commit suicide. parliament, may settle on criteria simi-
we cling on to life because that’s all we Without so-called vulnerable groups lar to Oregon’s, but with a more Dutch-
have in this world. Our brain stem tells being under threat, without the value of or Swiss-style system of supervision.
us to live and to prosper and to have kids life being eroded.” This greatly restricts the ability for peo-
and to live on and longer. Deciding In Oregon, a patient must be terminally ple to get assistance to die, but it also
against that very basic driving force ill with a prognosis of less than six months ensures that complications with taking
D
inevitable and there is no choice to live, In 2014, Ovidio Gonzalez, a 79-year-
dying without suffering is inarguably r Juan Mendoza-Vega was the old Colombian man suffering from
humane. In New Zealand, where suicide president of Fundación Pro throat cancer, sought to be assisted to
statistics are a national tragedy, being Derecho a Morir Dignamente die, but couldn’t find a physician who
able to make a clear distinction between (DMD), a Colombian right- would help him. Most doctors believed
assisted dying and suicide is important. to-die organisation, and until 2015 the it was still illegal despite the constitu-
Opponents argue that six months is only substantial organisation of its type tional ruling. Gonzalez petitioned the
very subjective, and a patient could live in Latin America. Sadly, Mendoza-Vega court, and the court not only reaffirmed
for many months more. And that’s true. died in 2017 of natural causes, but I had the patient’s right but instructed the
But six months simply gate-keeps the the opportunity to meet him in Bogotá Colombian Ministry of Health to pro-
long, administrative process of winning before he passed. There, he worked with vide norms and practices for assisted
access to assistance – it is not the time- his team to facilitate assisted dying for dying. Since then, assisted dying has
frame in which the drug must be taken. Colombians, supported by a constitution- been unambiguously legal.
The data suggests patients who do end al ruling won two decades earlier. Have the floodgates opened since
their lives early do so by an average of Colombia is an anomaly in the short then? Mendoza-Vega told me they
fewer than 10 days. but growing list of countries that allow hadn’t. In the most recent year he mon-
But Dignitas does not think a six-month assisted dying. Generally such countries itored, there were no more than six as-
prognosis is a good place to draw a line. In are Western, democratic and secular. sisted deaths recorded in the whole
this, it agrees with groups such as New Colombia is a Catholic-majority country country. “It’s not very frequent,” he said.
Zealand’s End of Life Choice Society (un- (73% of its citizens are Catholic), sur- But for him, the number wasn’t impor-
til recently the Voluntary Euthanasia So- rounded by five other Catholic-majority tant. He echoed Luley on the importance
ciety), run by former Labour MP Maryan countries. Its population is primarily of choice. “Dignity in dying is really re-
Street. “Discrimination is not the way to made up of the soccer-playing sons and specting the person who is dying until
go, and a six-month terminally ill model daughters of Spaniards, indigenous their last moment; respecting his or her
is definitely discrimination against peo- Americans, and Africans. In fact, the le- will and decisions... If that person de-
ple with long-term ailments who suffer gality of assisted dying in Colombia is cides to suffer, that’s dying with dignity
badly but are not expected to die in a few due only to a legal own goal. also. If this person says, ‘I want pallia-
months,” says Luley. Under the Colombian penal code (the tive care,’ that’s dignity in dying. We
However, he acknowledges the line equivalent of our Crimes Act), murder respect a person choosing euthanasia,
has to be drawn somewhere. “There is and assisted suicide are illegal. Unlike and we respect all other forms of dying
probably always a certain category of our Crimes Act, the code explicitly spells that he or she decides.”
people who really suffer, but how do you out that a murder or assisted suicide with Unlike the Dutch and Belgian models,
want to make it objective? One thing is a motivation of pity, to end intense suf- the Colombian model has not had a
for sure: people wish for real freedom fering from bodily injury or disease, is great deal of public scrutiny in Western
of choice in end-of-life issues. A restric- also a serious crime. However, this cate- media. A patient who wishes to be as-
tive law, such as in Oregon, does not live gory of crime – a crime of compassion – sisted to die will contact DMD, which
up to what all supporters want. It leaves has a slightly lesser sentence. will aid the person, but with the same
many suffering people in despair, having A crusading young Bogotá lawyer, checks found in Western countries, in-
to take to drastic measures, such as a José Eurípides Parra Parra, believed cluding a review by two doctors and a
lonely, risky suicide attempt, with dire that having lesser penalties for murder psychological assessment. The person
effects on themselves, their loved ones and assisted suicide based on motiva- has to have a terminal diagnosis, with
and society in general. Or they travel to tion violated the right to equality in the no corrective treatment available.
Dignitas, if they still can.” Colombian constitution. He believed By working quietly, DMD aims to
Luley and I emphatically agree on one that no matter the motive of the crimi- avoid scandal and protect the privacy of
point: “Giving access to assisted dying is, nal, a victim of murder or assisted sui- the family of the deceased. Colombia is
in fact, suicide prevention and suicide- cide deserves equal justice, and thus an prone to having the public details of any
attempt prevention.” In Seales v Attorney equal sentence for the offender. cases excoriated by an unsympathetic
General, this was upheld by Justice David However, his case had the opposite media, despite both doctors and the
Collins, based on 100 years of evidence outcome to the one he intended. The general public supporting the right of
from New Zealand’s coronial records. Colombian Constitutional Court instead patients to access assisted dying. With
About 5-8% of all suicides here are people ruled that if a terminally ill patient had his blessing, Gonzalez became a cause
attempting to escape the worst of their given authority to have their life ended, célèbre, but others are less inclined to
medical conditions, killing themselves in then a physician helping them could not go public with their plight. “Sensation-
awful, lonely and often violent ways. be held criminally responsible. Not only alism is the worst for our work,” said
Mendoza-Vega. “It tends to make what seas experience. In particular, the pro- Act was passed in 2015, amending parts
we do a spectacle and a circus. That’s posed legislation doesn’t favour one of the Crimes Act to make inciting, coun-
the worst for objective discussions.” method of assisted dying over another, selling or procuring another person to
I asked him for his views on the Dutch leaving that entirely up to the individu- commit suicide illegal, even if that per-
and Belgian models. al, and what the doctor is willing to do. son doesn’t end their life. The amend-
“I think in Belgium and the Nether- There are five permitted methods in ment doesn’t distinguish whether this is
lands they are acting according to their Seymour’s bill: ingesting the medication done electronically, as has been alleged
society’s beliefs and attitudes. Those at- oneself, orally, via a tube or intravenous- in the case of MP Sarah Dowie’s text
titudes are not the same as in the society ly; or a doctor supplying the medication message to Jami-Lee Ross, or in person.
of Colombia or in Latin America. So we via a tube or injection. By allowing all of The conversation between doctor and
must have our own ways and positions these approaches, the legislation avoids patient around end-of-life choice is a
about this. We must have in mind the hair-splitting about what is moral and tightrope. Under the previous law, a doc-
beliefs of our people and their attitudes.” what is not, and leaves it up to the pa- tor coercing a patient into assisted dying
I often wonder what New Zealand’s tient and the doctor as to what their would be unambiguously illegal. Now,
attitudes are in relation to assisted dy- conscience will bear. under the amended act, a patient doesn’t
ing. To me, assisted dying appears com- But no matter the method, the legis- even have to act on the suggestion for a
pletely consistent with the stereotypical lation is in keeping with New Zealand’s doctor to be liable. Opponents fear that
Kiwi values of rugged independence, identity as caring and compassionate, making assisted dying legal will have
tolerance, fairness, personal responsi- by requiring an individual to be under doctors pushing it on vulnerable pa-
bility, and individual freedom and medical supervision when any steps are tients, but it stands to reason that if a
choice. In fact, those values are not too taken to have their life ended. patient hasn’t asked, then it doesn’t fall
A
far from the ones listed in the manifes- under the End of Life Choice Act and
tos of our two major political parties. longside the End of Life may be a prosecutable crime under the
After spending time reviewing Sey- Choice Bill, New Zealand Crimes Act, particularly if the suggestion
mour’s bill, I believe it is consistent with has been tightening its laws is unwelcome and made persistently.
those values, while being a sensible around assisted suicide. Even in a socially liberal country like
Kiwi approach that learns from over- The Harmful Digital Communications the Netherlands, the conversation is a
very careful one. Dr Rob Jonquiere is a many times is a very close relationship, were referred every year for the past 10
former GP and current executive direc- the doctor gets more and more the im- years for violations of the carefully de-
tor of World Federation of Right to Die pression that actually the disabled per- tailed procedure. However, despite the
Societies. I met him in Amsterdam in a son doesn’t accept his or her life any- referrals, prosecutors have not elected to
quiet cafe on the edge of the harbour. more, and wants to do something about bring a case against the doctors named,
He has had these conversations with it but doesn’t want to talk about it. Then usually because the infractions were bu-
dying patients a few times. I can imagine that somewhere in that reaucratic oversights, not because some-
“It is still, for most doctors, the most communication as a doctor, you careful- thing had gone drastically wrong.
difficult request they can get, the patient ly bring up the subject – not as a fact of Just last year, however, a doctor was
asking the doctor for his help. Every doc- ‘I’m going to do it’, but as a possibility prosecuted for not following the proce-
tor will immediately get in a kind of fight- they can think about. dure outlined by the law – the first
ing stance and say, ‘Let’s see what we “I would imagine that if you applied Dutch prosecution since assisted dying
can do to make things more bearable.’” euthanasia to a patient who was disabled became legal in 2002. It’s alleged an
I mention the arguments from some and reported it to the review committee, elderly dementia patient had previous-
sectors of the disabled community: that you would be immediately picked out ly asked for assistance to die, but when
doctors may unilaterally decide that a life and your case seriously scrutinised for the time came, was unable to clearly
is not worth living and may encourage possible referral to a prosecutor.” express her wish to the attending doc-
someone suffering a severe disability to Opponents have pointed to a lack of tor. According to the claim, the doctor
seek assisted dying. (Seymour has recent- prosecutions in the Netherlands as sus- enlisted the help of the patient’s fami-
ly suggested amending his bill to state picious: either the law is working per- ly to gently restrain the patient, in or-
explicitly that disability is not a sufficient fectly with its system of oversight and der for the life-ending medication to
criterion on its own for assisted dying, review, and doctors are working within be administered. Dutch procedure
although this was always implied.) the law, or it isn’t, and doctors are quite states the patient must reaffirm their
“I cannot imagine a decent Dutch doc- literally getting away with murder. wish clearly at the time they are being
tor talking a disabled person into eutha- But despite a lack of court hearings, assisted to die.
nasia. There is, of course, a possibility cases have certainly been referred to The case highlights the complexity of
that in the communication between a prosecutors and health inspectors. Jon- allowing advanced directives: a written
doctor and a disabled person, which quiere estimates between 10 and 15 cases document that specifies what you want
74 | N O R T H & S O U T H | A P R I L 2 0 1 9
GETTY
Dr Anne Turner is helped by her son Edward from the Dignitas clinic in Forch, Switzerland. The retired British doctor had been
diagnosed with progressive supranuclear palsy, a degenerative neurological disease for which there is no treatment. Her late
husband, Jack, died of a similar condition, multiple systems atrophy, in 2002. Turner travelled to Switzerland from the UK,
where assisted dying is illegal, and ended her life with medical assistance from Dignitas in March 2006.
from your end-of-life carers ahead of the point where the dementia is far the prevalence of physician-assisted
time. Do you respect the wishes of the enough but not yet too far, so that you dying in this country.
previously competent individual, or the still can say, ‘I want euthanasia.’ And it is The research found that 3.5% had pro-
non-competent individual suffering so far that the doctor can still clearly vided at least one physician-aided death
from dementia, whose instinct to sur- identify the situation as suffering, that is at some point in their career, a similar
vive has set in? the moment, at five to 12, one to 12, just percentage to the Netherlands, where
“This is one of the big issues in the before 12. If you are after 12, it is too late.” aid in dying is lawful. Also, in the New
Netherlands... The first thing is we put I tell Jonquiere that I think this is a Zealand survey, 2.7% of physicians ad-
in our law that an advanced directive is very fine line, and it is part of the reason mitted to having aided death without the
legally equal to an oral request when I don’t support advanced directives for explicit request of the patient. This may
you are not able to put forward an oral euthanasia. Seymour’s bill doesn’t, ei- have been through palliative sedation,
request. Which means at the moment of ther. For me, there can be no question withdrawal of life support, or possibly
euthanasia, you don’t need the patient of competency, no question that there is something more ominous. Strictly speak-
to say, ‘I want euthanasia’ if there is this a real, genuine request. ing, terminating life without consent is
advanced directive saying, ‘I want eu- “It is a balancing act,” he concedes. involuntary or non-voluntary euthanasia,
thanasia.’ You can say things have been Still, the recent prosecution supports i.e. murder. And that is not legal any-
completed in the proper way. the case that there is sufficient over- where in the world – not in the Nether-
“[But] the doctor giving euthanasia sight. Jonquiere agrees: “Things happen lands, not in Belgium, not in Switzerland
wants to look his patient in the eye and which should not happen, but that hap- and certainly not in New Zealand.
say, ‘Is this really what you want, be- pens everywhere. And I even dare to say Worse, the proportion of these types
cause if I push the needle, it’s over. No they happen more often in countries of cases was higher in New Zealand
return.’ And the big issue is, if you have that do not have a law.” than reported in the Netherlands. The
a demented person, is this what they The evidence supports Jonquiere’s survey also found the availability or
want? What is the value of the answer? claim, especially in New Zealand. In non-availability of palliative care had no
“We introduced in the Netherlands 2000, Dr Glynn Owens, a professor effect on the physicians’ decisions to act
the concept of five minutes to 12... As a (now emeritus) of psychology at Auck- with intent to hasten death.
doctor and patient, you have to talk reg- land University, conducted a survey of The incidence of these involuntary
ularly, and you have to find out actually 1000 New Zealand GPs to determine physician-assisted deaths has reduced
but I could make the suffering bearable, couple of times where I dreamt about it. information, visit lecretia.org.
BROUGHT TO YOU BY
W
e’ll get to Nicolas
Cage in a minute.
And Ralph Hotere.
And making
SAM
– Walter Cronkite meets Hugh Grant
– with only the odd vowel betraying
the 30 years he spent in New
Zealand. The 72-year-old was born in
PILLSBURY
Connecticut, but moved to Auckland
as a child with his father, who’d
previously visited as a marine. “Dad
was driven to live on islands, from St
Croix in the Caribbean to Hawaii and
New Zealand. Curiously, in the 50s
only two American families a year
were allowed to immigrate to New
Zealand, and we were one of them.”
ARIZONA , USA The coin toss of birth landed him
in a family that introduced him to
sailing – “where my enduring love
With talents and interests that span of the New Zealand coastline comes
film, food, winemaking and human from” – and also to art, by a mother
who’d drag Pillsbury and his two
rights, Sam Pillsbury is a Renaissance siblings through New York and
man with a footprint in two countries Boston galleries. “That eventually
led me to collect New Zealand art.”
he calls home. Sharon Stephenson Film came via a teacher at Auckland’s
tracks him down in Arizona. Pakuranga College, who introduced
Pillsbury to the black-and-white works
of Fellini, Truffaut and Godard, as
well as the Auckland Film Society.
Five years followed at the National
Film Unit in Wellington, where work
included everything from government
tourist videos to a documentary
about the Wahine disaster.
The seeds of a lifelong passion
for human rights were also sown.
Pillsbury was part of the Peace
Squadron blockading US nuclear-
powered warships in Auckland
Sharon Stephenson is a North & South contributing writer. Harbour, and protested the Vietnam
War and the US invasion of Iraq. produce around 40,000 bottles a year I wanted to become either a car dealer
Other documentary work dealt with of shiraz and chardonnay, among or a rock’n’roll singer, because I loved
alcoholism, child abuse, the reality of others. He and his partner of 25 years, cars, music and women – and still do.
living on the benefit, and recidivism. American Melanie Bermudez, have a
Then came a role as first assistant 12 year-old son, Luc; there’s occasional How did you transition from
director on Goodbye Pork Pie (1980), cooking at three local restaurants and writing film reviews for Auckland
and two years later Pillsbury made his work on a screenplay he describes University student magazine
directorial feature-film debut with The as “a cross between No Country for Craccum to making films?
Scarecrow – the first New Zealand film Old Men and Thelma and Louise”. I began to think it was cowardly to
invited to the Cannes Film Festival. write about what other people did
After more than 20 years of Was it a culture shock coming to instead of doing it myself, so I shot
surviving in the slim profit margins of New Zealand as a 13-year-old? a couple of 16mm short films for
Kiwi filmmaking, and with two sons The food was probably the biggest the University Film Club. After my
to support (Reuben, 46, is now an issue. I was used to burgers and MA in English literature, I applied
artist/filmmaker in Auckland, while shakes, but here it was all about to the only three places in New
Asher, 43, is a Hawke’s Bay artist), meat pies and lettuce salads with Zealand you could work in film back
Pillsbury opted for more lucrative sweet mayonnaise. However, I fell then: Pacific Films, the National
directing opportunities in LA. in love with fish and chips, and Film Unit and the NZBC. The Film
He’d always been obsessed with even spent one summer working Unit offered me a job on the spot.
wine and the dusty, limestone hills of in a Paihia fish-and-chip shop.
Arizona, and in 1999 found a way to They’re still my favourite fast food. One of the highlights of your time
combine them, planting eight hectares there was making a documentary
of land south-east of Phoenix with What did you want to do about artist Ralph Hotere.
grapes. These days, he’s onto his when you grew up? Ralph was another of the geniuses
second vineyard: 14,000 vines, which When I was 14, I told my mother I had the luck, and joy, to work with.
So why sell?
I truly loved the man, particularly his Pāhekā told me they were sick of After five years, I wanted to run my
support of other artists, which is rare “Māori whining about their rights”. It own show. We sold the vineyard to a
in the film and wine industries. He didn’t do well, and people called me group including the lead singer of Tool
told me I was free to film him, but he a Ponsonby wanker and said I didn’t [Maynard James Keenan] and, in 2008,
wasn’t going to say a word about his know anything about the real world. I bought 100 acres across the road and
work. So I got all his colleagues and started The Pillsbury Wine Company,
fans to talk about that and instead shot You also worked on a New which is organic and uses sustainable
Ralph cooking mussels! He gave me a Zealand documentary about winemaking methods and packaging.
bunch of his paintings, and years later childbirth that’s now used as We’ve won some great awards and
when I ran into him, he introduced a teaching aid in the US? I’ve never had so much fun in my life.
me to his friends as “the guy who It was made in 1976 with a tiny budget
made the best film about me ever”. and advocated for more humane Has being a Kiwi helped
childbirth methods. It changed the or hindered you?
You got hate mail for the 2001 way mothers and babies were handled There’s no question the number-8
film Crooked Earth. Why? in New Zealand, Australia and the UK, wire ethos has served me well. Buying
It got great reviews in the US and and I believe it’s still used at Martin land in what was considered a bizarre
in New Zealand, Māori loved it, but Luther King Hospital in New York. location meant I got it cheap, and
THE PRIZE
Vote for your favourite
dish and you could win
dinner for two at the
winning restaurant,
chauffeured by a
Peugeot 508
1 2
3 4
THE FINALISTS
Which dish will win the 2019 Peugeot People’s
Choice Award? It’s your call.
1. Hummus, Gemmayze Street. 2. Tuna sashimi tostada, Azabu. 3. Classic steak tartare, O’Connell
Street Bistro. 4. Crispy soft shell crab, Saan. 5. Tandoori chicken, Cassia. 6. Pork hock, Depot.
7. Churros con chocolate, The Engine Room. 8. Tiramisu, Cotto.
5 6
ADVT2019 CS24975 03/19
7 8
SOCI A L ST U DIE S • N ER D NATION • POLITIC S • GR A M M A R • M USIC • NZ BOOK S • IN T ER NATIONA L BOOK S
• F I L M • F O O D • T R AV E L • H I G H H E E L S & G U M B O O T S • P U Z Z L E S • L A S T W O R D S • L A S T P I C T U R E S H O W
“Decaffeinated
coffee is like a
hairless cat. It exists,
but that doesn’t
make it right.”
UNKNOWN
GETTY
GETTY
Charles Kane (played by Orson Welles) writes a list of principles for his newspaper in the 1941 film Citizen Kane.
A Dog’s Tale
The strange evolution of our BFF.
DURING THE Ice Age, an eight-year- existed. Bryan Sykes, in his new book inheritance that helped to kickstart the
old walked, apparently calmly, along a The Wolf Within (William Collins), asks: genealogical DNA-testing industry. De-
narrow passage deep inside Chauvet “Was the wolf hunting the boy? Or were spite being terrified of dogs for most of
Cave, in southern France, leaving bare they exploring the cave together, com- his life, he is well equipped to explain
footprints in what was once damp clay. panions in a great adventure? The foot- canine genetic evolution, writing with
Next to the child’s tracks are others, in prints hint at a very close relationship, a clarity of style and enthusiasm that is
chilling parallel – those of an adult wolf. friendship even, between the boy and actually puppyish at times.
We can’t be sure the prints were made the wolf. Or was the animal that trotted The genetic science is in, says Sykes.
at the same time, although the path is comfortably at the boy’s side no longer An extinct European wolf is ancestral to
narrow here, and the two sets don’t a wolf, but already on its way to becom- every single dog alive today, from
cross. The cave, known for its spectac- ing a dog?” schnauzers to St Bernards. Coyotes and
ular prehistoric art, was sealed by rock- Sykes is emeritus professor of human jackals didn’t get a look in. This means
falls around 28,000 years ago. genetics at the University of Oxford, and that all dogs are, believe it or not, the
It is tantalising to think these faint famous for The Seven Daughters of Eve same species – and this a mere subspecies
traces date back to a time before dogs (2001), a romantic book about human of wolf.
Finance Minister Grant Robertson (right) at last year’s New Zealand International Business Awards. Should he
and his colleagues be showing greater mettle and intent over their mooted capital gains tax?
For one thing, it can be fiendishly the past 30-odd years, and can’t just be shots for their delighted opponents.
complicated. For another, it creates a wished away. Whichever way they eventually flop – or
flashpoint for discord over who’s paying Which is why the Ardern Govern- flip – they would seem to have consumed
what. And among those who believe ment’s long, slow shuffle towards a pos- unnecessary quantities of political cap-
they pay enough to the government al- sible capital gains tax has seemed such ital to get there.
ready, hackles rise in particular at any terrible politics. It’s easy to recall a time or two when
ments and the Child Support Scheme, just have to put that on the record and by analysis, his caucus will wonder if
the introduction of KiwiSaver and Work- move on to something achievable. But the voters’ phone is off the hook.
ing for Families tax credits, along with for now, Labour is being lambasted for On the plus side, he could find himself
personal and corporate tax cuts. something it may never do, which seems with more time to enjoy his own Kiwi
Both the Clark and Key Governments the worst of both worlds. way of life. +
Abridge
Once you drop the stops, there will
inevitably be abbreviations that look like,
and will be pronounced as, ordinary
words, such as AIDS, NASA and DOC,
been more enamoured of stops, and US would end up being cited as Anal Math. than helpful. +
Monthly Review
April 2019
MUSIC
GETTY
PHIL GIFFORD
Talent Questers
Stellar casts line up for bluesman John Mayall
and local hero Al Park.
IN 1954, a nervous teenaged Stones, dismissed as pimply blessing of Woody Guthrie
Top: John Mayall Elvis Presley had eccentric pretenders when they first when Guthrie, who had been
in 1970 and, above
Memphis producer Sam Phil- formed in 1962, were champi- writing political songs since
right, playing with
the Bluesbreakers lips assuring him his rocking oned by Alexis Korner, a blues the 1930s, was confined to a
in 1967 with future take on the bluegrass staple fanatic whose Jewish family New Jersey hospital with
Rolling Stone Mick “Blue Moon of Kentucky” had fled Paris for London in Huntington’s disease.
Taylor (at right).
was, “Fine. Fine. That’s a pop 1940 when Korner was 12. Sam Phillips, a man who
Above: American
singer-songwriter song now, little guy!” As a 19-year-old in 1961, Bob was so eccentric he used to
Mike Posner. The fledgling Rolling Dylan sought and received the deliberately give himself
Hello Darkness
Peter Wells the medium, transmitted to of 500 or so pages is in part no welcoming essay to guide
(Mighty Ajax, $40) a wide audience immediate- an acknowledgment of that the reader through the pro-
ly in a way no other form of landmark. It’s also an oppor- gress of the oeuvre or ease
A little over a year and a half writing can be. tunity to note that her latest one into the poet’s concerns
ago, people who were first- Others probably sensed collection Hoard was pub- and quirks. It’s not neces-
thing-in-the-morning social before he did that these lished in 2017. sary. They really do speak
media checkers and also Pe- posts were destined to be a The book begins appropri- for themselves.
ter Wells’ Facebook friends book. He was preoccupied ately with a nod to a Roman
woke up to discover he had in the meantime with the poet in “Note on Propertius” 50 Years Young
posted overnight the dread- publication last year of his from 1964, an ironically dry Kate Taylor
ful news that he was in hos- family history Dear Oliver. title for a very sensuous (Massey University Press, $50)
pital with a diagnosis of ter- Hello Darkness is a comple- piece. Who could fail to be
minal prostate cancer. The ment to that volume and beguiled by the internal mu- The Young Farmer contest is
day after I finished reading caps a unique legacy, not just sic of “the canons of expres- now well and truly middle-
this book for review, news as a writer of the first rank, sion/gave grudging sanc- aged. It’s even a little bit
came that he had died. but also as activist, cultural tion” or the Byronic “Do we, cranky, especially since it
In between, Wells had critic, festival co-founder then, assume,/finding Prop- lost its secure place in the
done something quite re- (twice) and Civic Theatre ertius tear-sodden and jeal- prime-time TV schedule.
markable, posting regular- saver. I’m sure I’ve left some ous,/that Cynthia was inex- But it endures, streamed on-
ly about the progress of his things out. orably callous?” line and elsewhere, having
condition – the awful cancer In my notes for this re- It’s appropriate because survived all sorts of fashions
rollercoaster – in pieces that view, I had written that Hel- Adcock is a classicist at heart, and pressures – most recent-
were candid, inspiring and lo Darkness wouldn’t end on hewing mostly to tightly ly resisting attempts to be
honest, as his work had al- the last page of the book but structured verse forms. But turned into a Survivor-type
ways been. In the process, he would continue with Wells’ she is also a poet of great di- reality show, which would
took a form that hadn’t exist- posts. It’s just plain sad that versity, giving us satire, lyrics, have won it TV time but cost
ed a few years earlier – Face- is no longer true. elegies and epigrams among it its dignity.
book posts – and bent it to his other forms. Not that its dignity has
will. And that had been his Collected Poems The poems are for the most never been in peril. Commu-
practice throughout his ca- Fleur Adcock (Victoria part anchored firmly in the nicado and Belinda Todd
reer: whether in historical bi- University Press, $50) real world. She is a recording had their hands on it for a
ography, film, family history angel, who looks out rather couple of years, and it’s clear
or memoir, he took existing It’s not often one can de- than in and is not afraid to that most of those involved
forms and reinvented them, scribe a volume of poetry – pass judgment. Many are re- would rather have dipped
with wonderful results. especially one of this heft – sponses to people and places, their first-born than taken
Writing about cancer is as a page-turner, but that’s often satiric, as in a sonnet up her suggestion the ques-
a minefield – all too often what Fleur Adcock makes skewering the town of tion buzzers make animal
mawkish or effect-driven. you do in this riveting com- Helensville for the uncon- noises.
Wells’ posts were always pilation of her work, span- vincing way in which it in- Nevertheless, the event
illuminating, no doubt ning more than 50 years. sists on clinging to its past. has changed, just like farm-
helped by the directness of Adcock is 85, and this book There’s no introduction, ing itself: the amount of
safety gear being worn on the well thought out and clearly
cover photo is evidence of told account. This is effec-
that; or the programme from tively a biography of the
the first final, featuring not Treaty of Waitangi, “reveal-
one but two “Items” by Mr ing”, as Paul Moon says in his
Les Andrews. foreword, “how it has both
Unlike most good ideas, reflected and challenged atti- Architecture II
Architecture I the Young Farmer Award tudes at different stages”.
came from the marketing Within a few decades of its Scarfie Flats
John Scott department, in the form signing, its “relevance” was of Dunedin
Works of Skellerup’s Jim Collins. not acknowledged by Euro- Sarah Gallagher
David Straight (Massey He gets the credit for such peans or visible to Māori. with Ian Chapman
University Press, $70) trademarks as the cloak of For a long time, the treaty (Imagination Press, $50)
knowledge worn by the was sidelined.
John Scott and his winner – all in the aid of To understand the Māori Do we really need a
work were unique in adding a touch of class. The view of the treaty, we must large-format tribute to
many ways. The mere company’s connection was know where they came named Dunedin stu-
fact that an architect maintained in the face of from, and Wright starts with dent flats? Of course
backroom manoeuvres and their arrival settlement. The
of Māori and Europe- not, and this book is
corporate ups and downs for same story is told for Euro-
an ancestry was able all the more enjoya-
a remarkable 29 years. peans. All through the book,
to pursue his vision as ble for that reason;
Kate Taylor’s history is Wright sets the treaty in the
a “regional modernist nothing if not detailed, right context of period thinking publishing would be
who practised mostly down to first runner-up and beliefs, outlining the re- a dull enterprise if it
in Hawke’s Bay” is a Hamish Kynoch remember- ligious, economic and social consisted only of nec-
significant achieve- ing the question that gave theories that formed its essary books. This is a
ment. I t ’s h a rd to Gary Frazer his close inaugu- background. He makes clear substantial production,
believe now that his ral win “was something it was conceived and execut- lavishly illustrated from
masterpiece, the Fu- about fodder radish”. And ed in some haste to give le- a great diversity of
tuna chapel in Welling- that 1970 winner John Jen- gitimacy to British authority, sources, energetically
ton, was nearly lost, nings can recall his favourite in the face of threats from designed and meticu-
question was “What is the the likes of both France and
but there are many lously researched and
significance of the Water and the New Zealand Company
other buildings equally indexed. And, in fact,
Soil Conservation Act of 1967 itself. The personalities, phi-
deserving of preser- the contributors make
to New Zealand generally?” losophies and influence of
vation recorded here. – on which he spoke for two those who happened to be in a good case for the
The emphasis is on the minutes without having a the position of having to put cultural importance of
images but there are clue what it was. the treaty together are also the phenomenon. For
also excellent essays described. those of us who have
by Gregory O’Brien, Waitangi: A Living Henry Williams’ terrible been lucky enough
Douglas Lloyd Jen- Treaty translation of the English never to encounter
kins and others. Out- Matthew Wright (Bateman, $40) words into te reo Māori is scarfie society at first-
side a relatively small covered in detail. It is obvi- hand, this is probably
circle of architectural Year after year, inevitably on ous that the differences be- all we’ll ever need. But
6 February, but sometimes tween the Māori and Eng-
enthusiasts, the name should you want to
for weeks before or weeks lish versions were noted at
of John Scott is not take things further and
after, the “relevance” of the the time but disregarded by
nearly as well-known track down the loca-
Treaty of Waitangi is ques- the British.
as it should be. David tioned. As a rule, the ques- At the first signing, William tion of legendary flats
Straight’s book should tioning takes the same form Hobson is reported to have such as The Cock and
help change that and for each party: they think the said to each chief individual- Swallow – or, indeed,
possibly inspire inter- other is getting away with ly: “He iwi tahi tātou.” (Now the LegenDairy – there
est in other overlooked too much. we are one people.) It wasn’t are helpful maps. All
architects of the mid- How did we get here? Trea- that simple then. It’s not that this and not a flaming
20th century. ty historian Matthew Wright simple when Don Brash says sofa to be seen.
provides a richly detailed, the same thing now. +
Fiction binder who has the thera- Chukwu (God of Creation) to as tragic as they sound. Not
peutic ability to drain his show mercy to Chinonso, a much happens, but that’s kind
To Kill the Truth clients’ memories and lock poultry farmer who is bruis- of the point. This is the slow,
Sam Bourne (Hachette, $30) them away inside books. The ingly rejected by his fiancee’s painful unpicking of two or-
plot, told from differing points family and eventually com- dinary lives: ageing, duty, the
“Those who seek justice in- of view, becomes a desperate, mits a crime. An affecting pain of taking the wrong path
sist we remember. But those bloody hunt for a book and its tale about class, prejudice years ago. O’Callaghan tells it
who seek peace insist we for- stitched-up, sucked-out mem- and financial scams, the nov- so beautifully, you feel for the
get.” Someone is erasing his- ory. Although the premise is el also has elements of Greek couple, even as you disapprove
tory, memory by memory. highly original, it unfurls tragedy (fate versus free will) of their affair.
First, an archive storing mil- in the setting of boilerplate and Kafka’s The Castle (Chi- SHARON STEPHENSON
lions of irreplaceable docu- bodice-ripper – a vaguely late nonso just can’t get any-
ments on the American Civil 18th-century English land- where). This slow pace is Two Girls Down
War and slavery goes up in scape of fog and fens, where buoyed by Chigozie Obioma’s Louisa Luna (Text, $37)
flames, then the Holocaust women “keen”, lords drop language: an almost musical
museum Yad Vashem in Je- monogrammed “kerchiefs” mixture of English, pidgin Two sisters are missing – swal-
rusalem. Then the Bodleian and there is anguish by the and Igbo. The US-Nigerian lowed up in a small town – and
Library at Oxford University. horse-drawn carriage-load. writer – a 2015 Man Booker their story hits you between
Key historians and genocide But Bridget Collins’ resume finalist for The Fisherman – the eyes from page one, twist-
survivors are assassinated; as a teenage book writer has has written the “difficult sec- ing and turning with breath-
even Google is fatally hacked. left her with a satisfyingly ro- ond novel” very well. taking speed. The girls’ des-
Written under the pseudo- mantic style that doesn’t take SARAH LANG perate family call Californian
nym Sam Bourne, Guardian itself too seriously. At its best, bounty hunter Alice Vega,
columnist Jonathan Free- it is delicious enough to lose My Coney Island Baby who links up with local ex-cop
land’s sixth novel is a pacy yourself in, as a teen might, Billy O’Callaghan (Penguin Max Caplan to chase down
page-turner set in the Trump under a duvet at midnight Random House, $37) leads before it’s too late, but
era of fake news and “relative eating cake that’s tastier than the town’s secrets aren’t given
truth”. In post-apartheid it is fancy. We’re used to reading about up easily. The physical, emo-
South Africa, Nelson Mande- JENNY NICHOLLS young love, of firm-faced tional and psychological action
la wiped the slate clean in the 20-somethings’ emotional en- comes at an insistent pace as
name of peace, rather than be An Orchestra of tanglements. But love affairs the author brings the tattered
a slave to the past – but if his- Minorities between middle-aged folk town of Denville to vivid life,
tory is a blank canvas, whose Chigozie Obioma with life’s lumps and bumps with a fully rounded, engag-
voice will fill the vacuum? (Hachette, $35) on show? Irish writer Billy ing cast of characters. This is
JOANNA WANE O’Callaghan believes their the first of a planned series
Drawing on the cosmology of stories are worth telling, too. featuring Vega and Caplan,
The Binding Nigeria’s Igbo people, this In his debut novel, he charts and they’re great company; an
Bridget Collins unique novel is narrated by a the relationship of Michael unexpected, appealing duo.
(HarperCollins, $35) chi (guardian spirit) who in- and Caitlin – in their late 40s Both a compelling charac-
habits the body of his human and unhappily married to oth- ter study and a smart action
A gay love story for Gener- “host” Chinonso (they’re sep- er people – who’ve met every thriller, Two Girls Down had
ation Hogwarts. Emmett arate entities, not body and month for 25 years in the sort me hooked and impatient for
Farmer is a magical book- soul). The chi pleads to of by-the-hour motels that are the next book. JULIE COOK
JUST
$41.99
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FOOD
M
y visit to coffee a series of ceremonial- based coffee roaster David
roasters Kōkako like motions to parse the Huang from Society Coffee
starts with coffee’s body, acidity, flavour tells me, after I vaguely
their weekly notes, aftertaste and other summarise my pitch:
Above: The team “cupping” session: a criteria, scored on a busy “Like, you know, coffee
Chemex coffee finicky ritual that’s calming form. The numbers are and the ways to brew it.”
maker, invented in its exactness. The first then added up to reveal the Three days earlier, my
in 1941, is
considered step is to stoop over dry coffee’s cupping score. typical cafe order was
such an iconic grinds of coffee to assess It’s all very serious almost exclusively double-
design it’s on their fragrance and aroma, business. “If you want me shot lattes. No surprise
display in New
sticking down your nose to talk about coffee, you’re to Sam McTavish, head
York’s Museum
of Modern Art like a bird pecking at its going to need a much roaster at Kōkako. “We’re
(MOMA). lunch. What follows is narrower field,” Auckland- a really espresso-based
K EN D OWN I E
know that feeling when
you walk past a cafe
and the smell of freshly
ground coffee hits you, and Kōkako roastery manager Chris Unkovich.
somehow that smell alone
is 10 times better than the
flat white that winds up
in your hand two minutes
later? I always think of the industry. “Compared to and well-roasted beans. He likens it to going to a
filter coffee as the purest wine, the history of coffee McTavish says using neighbourhood specialist
form of that smell: when is short. People are bringing beans three days to three wine bar and talking
done right, it’s a revelation. different ideas in now,” says weeks after they’ve been about the bottle of red you
Every brewing method Hannah Cho, barista trainer roasted delivers the best consumed with dinner the
will produce a different at Kōkako, where each new results; and Huang notes night before: coffee, like
cup of coffee from the shipment of beans is trialled the importance of a good wine, has a narrative.
same beans. Even using the using all the different grinder – preferably a burr When I visit Huang at his
same method, the results brewing methods to figure grinder, so you can adjust cafe/roastery A-Block, we
will vary depending on out which one staff will the coarseness of the grind. have a single-origin coffee,
the water, brewing time recommend to customers. “Find a local roaster harvested by a Costa Rican
and how much you agitate For all of the methods and coffee shop; ask farm, Hacienda Sonora,
(stir). It’s all very confusing. described on the them questions,” he says. praised for its commitment
Like wine, there are a following pages, Huang “That way, going to a cafe to eco-practice. How do
million different quirks, and McTavish have the becomes more of a journey you get that backstory, if
and a million dissenting same advice: use a set rather than just about you’re rushing out the door
opinions floating around of scales for accuracy getting your caffeine fix.” with your takeaway?
Odes to Caffeine
The many and varied rituals of coffee-making (clockwise from top
left): The AeroPress; batch brewing with a Moccamaster; a French • Decaffeinated coffee
press; cold brew using a Hario pot. is like a hairless cat.
It exists, but that
doesn’t make it right.
Unknown
coffee is evenly saturated, AeroPress Batch Brew • I don’t know what I’d
but it will give the final cup do without coffee. I’m
a different taste. Make sure The AeroPress is currently the When Cho goes to a new guessing 25 to life.
to pre-wet the paper filter coffee world’s darling. It’s an cafe, “I try their batch brew Unknown
before you slot it into the V60 immersion method, where the first,” she says. "If their
• If it wasn’t for coffee,
dripper. Then it’s a matter of coffee is extracted under high batch brew is bad, I don’t
I’d have no discernible
trial and error – Google some pressure as it passes through a drink coffee there.”
personality at all.
methods to try out. special paper filter. If a cafe offers filter, it’s
David Letterman
A V60 brew will general- Generally, there are two likely to be batch brew, made
(above, in his youth).
ly have more body than the ways to brew: the normal way, in an automatic machine
Chemex and allows greater with the grinds sitting at the with adjustable settings that • Coffee. Creative
control over the results with bottom, or flipped (inverted), can emulate the body and lighter fluid.
its pour, but the Chemex which produces a plunger- flavour of a manual brew, Floyd Maxwell
produces a cleaner, crisper style brew in less than half like a V60. It cancels out hu-
character due to the thicker the time. Brewing takes just a man error, especially in a • A morning without
paper filter absorbing more minute, retaining the body of cafe setting with plenty of coffee is like sleep.
oil. Cho tells me the origin a plunger brew but with more distractions afoot. You may Unknown
of the beans plays a part, too: brightness. It’s also portable, lose a little love with an au- • Coffee! Is the planet
Chemex tends to work well fitting neatly into a hiking bag tomated machine, but for the shaking or is just me?
for African coffee. Another for a mid-trek caffeine hit. cafe, it’s just basic maths. Unknown
important consideration is McTavish thinks the Aero- There’s a batch-brew ma-
aesthetics: the Chemex – Press is one of the best options chine for every budget, so • I never drink coffee at
in all its hour-glass shaped for home brewing, based on having one at home is totally lunch. I find it keeps me
glory – is on display in New value and convenience (cur- do-able. But let’s be honest, awake for the afternoon.
York’s Museum of Modern rently selling for $72.50 from letting a machine do all the Ronald Reagan
Art (MOMA). the Kōkako website). work isn’t nearly as much fun.
H O M E M AG A Z I N E .C O.N Z
@HOMENEWZEALAND
FAC E B O O K .C O M / H O M E N E W Z E A L A N D
H O M E M AG A Z I N E .C O.N Z /S I G N U P
T H E G O OD L I F E
TRAVEL
The
Flyer
Jenny Nicholls
catches the train.
Jenny Nicholls is North & South’s art director.
Photography by Ken Downie.
S
iegfried Sassoon could be standing next to me, on the platform Between 1940 and 1956, New
at Paekākāriki station as the visitor from another time wheezes Zealand Rail boasted 91 of these huge
in majestically, belching plumes of black and white. And then a J and Ja class locomotives. Most came
wag shouts, “ELECTRIC’S BETTER!” and drags us back to the from Scotland, but 35 were built at
21st century. The wit is a Metlink guard on the suburban train the Hillside Railway Workshops in
that has crept into the opposite platform much more modestly, disgorging Dunedin. One of these was Ja1271,
a tweed-hatted throng with camera lenses as long as human femurs. our ride for the day. Built in 1956, this
He is right, of course. But the crowd pouring from the clean, efficient juggernaut was one of the last steam
FP/FT Matangi class electric multiple unit have come to worship its ancestor, locomotives made for NZR.
a soot-spewing Ja class 4-8-2 locomotive fuelled by tonnes of West Coast coal The numerals 4-8-2 refer to its wheel
and the labour of men whose sweat sparkles like diamonds in a coal seam. arrangement: four leading wheels,
eight powered and coupled driving will consume around five tonnes of will be a good view, across the river,
wheels, and two trailing wheels. coal and 25,000 litres of water just of nature vs tarmac – what remains
This powerhouse configuration is getting us to Woodville and back. The of the buttressed main road through
known as a “Mountain” type, possibly train leaves the historic station at the gorge, irrevocably lost to traffic
because the first version ever made Paekākāriki at 9.10am for one of Steam after being closed by slips in 2017.
anywhere – the X class, in 1908 – was Incorporated’s popular excursions: The train will pass through
built in the Addington Workshops in the “Heartland Flyer”. Our route takes Paraparaumu, Waikanae, Ōtaki,
Christchurch to haul freight through us through the Manawatū Gorge, Levin and Palmerston North. At
the North Island’s Volcanic Plateau. a spectacular, winding river gap in Shannon, there’s a longer stop, to
“Mountain” or “monster”… both the Ruahine and Tararua ranges. allow us to explore the country town,
seem fair metaphors for a beast that From our carriage windows there check out the station museum and
on modern trains, and like Sparky by one man and his shovel. from the 30s, and three mid-century
and Brab’s KiwiRail jackets their At Shannon I clamber back into diesel-electric locomotives.
everyday title has been relegated to my carriage, barred by Form B4 One of the most poignant in
the locker. Today, Brabs is a train 208 from being in the cab during their collection is the Ab608
driver, and his speed limit is an the tunnels of the Manawatū “Passchendaele”, built at Addington
impressive 70kph. I watch him as Gorge. Fat, sooty scarves of the year Sassoon wrote his poem, in
he leans out his window to see past smoke stream past my window. 1915. Minister of Railways Gordon
the endless boiler in front, his eyes Our carriages and the guard van Coates gave this locomotive its
on railway lines rushing toward him, date from the 1900s and the 1930s, name in 1925, to commemorate
his left hand lightly holding a long and are painted in NZR’s favourite the battle in Belgium, when its
lever or turning a hissing bronze tap. carriage colour since the 20s, a horror must have still been fresh
With his right hand he tugs, tint called “Midland Red”. Like in the collective memory.
periodically, the long horizontal Ja1271, they have been restored At Woodville, Dolman and the other
chain above his head. This is the by Steam Incorporated, which mechanical volunteers climb over
warning whistle, that thrilling, also owns the neat, corrugated- the locomotive, checking bearings
spine-tinglingly nostalgic, unearthly iron-clad workshops behind the and lubrication and temperature.
hoot that paralyses rabbits and Paekākāriki railway station. What are they looking for?
sends cattle flying. Our snorting, This remarkably successful “Well… comes down to instinct,”
fizzing, speeding creature of society of train buffs dates back to says Dolman carefully. “It’s quite
iron and steam has a voice. the official end of scheduled steam hard to vocalise. It’s just what
The cab is steampunk heaven. The services in New Zealand. After NZR you feel. It’s the sound of things,
polished copper and brass pipes quit steam in 1971, a few far-sighted the temperature of things.”
and taps and valves and chunky, enthusiasts clubbed together to It is striking, not just how
round flickering gauges and dials, save what they could. Thanks to intuitively skilled these boys are at
wreathed in steam are the guts of decades of toil and dedication, steam working among vintage pistons and
the beast. The round firebox doors, has returned to the “main line” heritage boilers – but how young
shaped like ladybird’s wings, open in the form of their sumptuously they are. They and their fellow
wide for rhythmic feeds of coal restored locomotives. The group volunteers still “touch and test,
from Sparky’s shovel. Everything is also owns guard vans, rolling stock, and listen to the wheels”. +
moving and sighing and clanking. and enough vintage carriages to seat
It seems amazing that such a huge 500. Their locomotive collection • For upcoming excursions and
train can travel this fast, propelled includes two oil-fired steam models bookings, visit steaminc.org.nz.
Right now, the judges of the Metro Pick up the May/June issue of Metro,
Peugeot Restaurant of the Year on sale April 30, to find out which
Awards 2019 are eating their way restaurants cut the mustard. Every
around Auckland, deciding which magazine comes with a pocket-sized
restaurants will make this year’s Top Top 50 booklet.
50. Some are also eating around the —
country, picking New Zealand’s best Vote now for the 2019
regional restaurants. And a mystery Peugeot People’s Choice Award
international guest judge will soon at www.metromag.co.nz
arrive to choose the Supreme Winner. Voting closes on March 31, 2019
PROMOTION
GETTY
Left: Social Kitchen.
Above: Hydrangeas
at Pukekura Park.
Taranaki’s
simple and enjoyable.
Located only a short walk from
truest colours
Pukekura Park and the centre of town,
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T H E G O OD L I F E
Feeling Sheepish
to tricky access to my property,
that option didn’t apply to me.
I considered putting a 200-litre
tank on my ute and filling it, one
Rebecca Hayter nurses her flock – bucket at a time, from the river –
and trees – through a drought. every day. It would fill the sheep
troughs but it would barely help
the trees. It would drive me crazy.
THE DROUGHT was hiding in lucerne hay served with molasses. My other plans were equally
plain sight. It started later than the They snubbed it like kids snub caviar. unrealistic. Finally, through the panic,
drought of the previous summer, My orchard, usually lush and I found myself looking at a track on
so I had got complacent and it resplendent, was an intensive my neighbour’s property that links
caught me with my tanks down. care ward for trees. The figs were to a paddock behind my boundary.
By late January, it was a crisis. shrivelling before they ripened. Just 20m from that boundary are my
The sheep lay resolute in the The avocados dropped their leaves; house tanks. That realisation was
shadows of trees. I left the gates citrus dropped their fruit. like a sheep walking through a gate
open so they had free range for Treatment was simple: put all that had been open all the time.
food and shade. They came up the patients on a drip. I think if I was a Toyota Corolla,
driveway to chomp my dahlias. I have four 25,000-litre tanks. I’d want to marry a fire truck. It
They pruned trees in sheep topiary: Two fill from the house roof; the chugged up the neighbour’s track
flat and straggly across the bottom. other two each fill from the tractor to my rescue in scarlet livery like
They weeded between my herbs, shed and cottage. The house roof a guard at Buckingham Palace.
but adored the lemon verbena. has by far the biggest catchment Who needs a martini, shaken not
There was lush green grass in the area so I topped up the other tanks stirred? It pumped 11,500 litres of
vegetable garden, but I couldn’t coax from the house tanks. When it did Tākaka’s multiple award-winning
them through the narrow gate. It rain, the house tanks would have bore water into my tanks.
took me a week to persuade them the most capacity to collect the I had water, but I also had
the permanently closed gate into my greatest flow of water. It didn’t rain. deadlines. I couldn’t spend all day in
dried-out swamp was now open to By mid-February, I still had an the orchard moving the hose from
hungry sheep. They picked at dry estimated 15,000 litres across all tree to tree, but it would be equally
grass, just metres away from the four tanks, but I didn’t want to inefficient to walk back and forth
swamp’s greenery but the gate was finish the drought with 10,000 litres between house and orchard all day.
irrevocably logged as closed in their of water and dead trees. I bought I set up office beneath a pear tree so
sheepy Google Earth. Sheep don’t 400m of coiled, black hose that I could dispense treatment between
reprogramme well. If an electric fence immediately tried to strangle me. paragraphs, like a charge nurse on her
is no longer electric, they still avoid Many hours later, I had connected ward. The weather presenters warned
it. Neither could I tempt them with it to the tanks. Over three days, of heavy rain. +
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BAY OF
ISLANDS
1 2 3 4 5 6 1 2 3 4 5 6
7 7
8 9 8 9
10 11 10 11
12 12
13 14 15 13 14 15
16 16
17 18 19 17 18 19
20 20
21 22 21 22
23 23
WHI Z QU I Z AN SWERS
1. British Resident James Busby. 2. Gisborne. The current name dates from 1870. 3. She designed one of the first computer-driven word
processors, and assisted in the design of computer reservation systems. 4. Making classifications in various branches of knowledge, especially
biology. 5. American actor Jeff Bridges. 6. Iowa, Ohio and Utah. 7. Two. 8. It depends on the age of the car. A vehicle first registered before
1 January 2000 must have a six-monthly inspection; if first registered after 1 January 2000, and more than two years old, it needs an annual
check; and for new vehicles, and those less than two years old, it’s every three years. 9. The Latin “Senatus Populusque Romanus”: the senate
and people of Rome, or the government of ancient Rome. 10. Ethylene. 11. Joni Mitchell. 12. Colin McCahon, on the last of his “Northland Panels”.
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THE MAGIC OF ITALY
The food, the wine, the scenery – the magic. From the Roman cobblestones to the hidden
A small taste of the havens, it’s time to experience Italy and la dolce vita. With its incomparable food, rich
greatness to come. history, breathtaking scenery and remarkable art, Italy is magic for the soul. Let someone
cardronadistillery.com else take care of the details – all you have to worry about is embracing all Italy has to
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D E TA I L S Jana Rangooni took this shot sitting on her paddle board off Mt Maunganui’s Motuotau (Rabbit Island): “The best
way to start a Saturday in February!” She used a Panasonic LUMIX DC Vario waterproof camera.
+ Readers’ contributions (with details of your photographs) are welcome. We pay $150 for published photographs. Send submissions to the Editor,
North & South, Private Bag 92512, Wellesley St, Auckland 1141 or email north&south@bauermedia.co.nz.