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'Propeller vs forearm, croc vs leg': The incredible job of a remote bush doctor

May 4, 2026
Damien Brown, a specialist rural doctor and author who worked with Médecins Sans Frontières and the Royal Flying Doctor Service, recounts dramatic rescues and life in conflict zones and remote Australia. He talks about treating severe burns after a fuel-tank blast, working amid gunfire, the struggles of chronic disease in Indigenous communities, and the slow, vital power of incremental care.
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ANECDOTE

Running For Underwear During A Gunfight

  • In Angola a gunfight interrupted Damien while he was showering and he ran back to the safe room, prioritising underwear in a panicked moment.
  • He grabbed his grab bag, underpants and passport, pounded on the locked safe room door and joked about looking like a flare.
ANECDOTE

Billy The Young Man With End Stage Heart Disease

  • Damien recounted meeting Billy, a man in his 30s with end-stage heart and kidney failure driven by early-onset diabetes.
  • Billy needed a heart transplant but refused lengthy care off-country, preferring to stay with his people, forcing local end-of-life conversations.
INSIGHT

Social Determinants Speed Up Ageing

  • Social determinants accelerate ageing and chronic disease in remote communities through poor food, infections, and housing.
  • Damien notes small towns can have disproportionate dialysis capacity because kidney failure is so prevalent from these compounded factors.
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