Sarah
Sarah is a Warrnambool local who started nursing at Warrnambool hospital at the age of eighteen in 1983. She was hospital trained, meaning she lived on-site in nursesâ accommodation and trained on the wards. Between 1988 and 1993 she moved to Melbourne with her husband and worked at the Royal Melbourne Hospital. She then returned to Warrnambool Base hospital, where she was still working when I interviewed her in 2019. Whilst she found it at times difficult, and sometimes impossible, to tell certain stories when it involved discussing sexuality, HIV, and AIDS in Warrnambool, it is important to note that Sarah herself made a point to express anti-homophobic sentiments and it was clear to me that her reluctance to discuss these topics was not borne of personal prejudice.
Regardless, Sarahâs reticence was challenging throughout the interview, and began before I even turned on the recorder. I raised Tomâs story, knowing that she had worked with him, and I felt the mood shift. It is possible that she was surprised; whilst the person who had introduced me to Sarah had raised Tomâs case with her, perhaps she had not expected my own interest in his story. She was immediately uncomfortable and concerned that discussing him would betray a confidence, citing concerns about what it might mean for his family. It is worth noting that Tom was an openly gay man whose HIV positive status had been cruelly splashed over the local newspaper: it was no secret.4 Sarah would go on to discuss some aspects of Tomâs story, but it was with some reluctance. Listening back, I can hear how this shaped my own conduct in the interview:
And [pause] just [pause] going [pause] back to um Tom if we can talk about that a little bit um so he, he had HIV and then it became AIDS um can you remember much about the reaction within the hospital?5
In oral form, the long pauses at the beginning of this question and the use of the filler word âumâ are very pronounced, as though I am at each point reconsidering whether to ask the question. Then, halfway through, my rhythm shifted entirely as I rushed the question out. It is clear that I was keenly aware that by asking the question I was pushing at a boundary Sarah had already set. In his 2020 article âReticence and the Queer Pastâ, George J. Severs notes that oral history, in particular queer oral history, ârequires a larger arsenal of scholarship on the ways in which the issues of sex and sexuality engender moments of discomposure and reticenceâ.6 If Sarah was reticent, I was discomposed; I found myself embarrassed and uncomfortable to be asking about a story so intertwined with sex and (homo)sexuality, painfully aware of my own position in the interview as a queer woman, asking a straight woman to discuss a subject she was clearly reluctant to discuss. This initial interaction set the tone for a challenging interview, one in which I felt I was repeatedly asking Sarah to disclose information that she did not want to share.
Sarah went on to explain to me that her concern with discussing sexuality, HIV, and AIDS in Warrnambool was ingrained in her from her experience of working in a regional hospital, a setting in which confidentiality had to be carefully guarded:
[In regional hospitals] youâre bound to know people. I have conversations at work all the time âoh do you know so and so yes I do yes I doâ but yeh and people probably say to you if they know your husband or your mother, âoh have you told your mother Iâm hereâ and I say âno, we donât do that remember itâs all confidential Iâm not going to go and discuss your care with my motherâ [âŚ] very rarely would you come across that in Melbourne [âŚ] you donât run across people you know itâs a different kind of freedom really isnât it.7
It is clear that, for Sarah working in the small regional centre, the boundaries between the hospital and the community could be uncomfortably porous, and in our interview this weighed very heavily on her. But there was another layer to her reticence that speaks to the kind of queer lives that are able to be spoken about and the closeting of queer life in areas outside the âgaybourhoodsâ of metropolitan cities.8
In Epistemology of the Closet Eve Kosofsky Sedgwick notes that the âmetaphorâ of the closet creates a binary between âclosetednessâ and then âcoming outâ and this helps produce a rigid binary of what is public and private, what can be spoken about and what cannot.9 The effect of this is that those lives which do not fit so easily into this rigid binary, those lives lived inside the closet, or perhaps somewhere in between, can slip out of the knowable past. The ease with which these complex figures can slide behind the closet door was apparent in Sarahâs testimony. When I asked Sarah if there had been patients of hers in Warrnambool with AIDS she recalled that in the 1990s there had been:
There was probably a few people in Warrnambool and theyâre probably identifiable to talk about because there wasnât many and I think one man was gay and I think there was another man that was married yeh [âŚ] I donât think he was openly gay certainly not to his family but he was gay yeh and the other man was he was married yeh.
Iâd say yeh and the other fellow had pneumocystis pneumonia so was with us for a little while and it was obviously his diagnosis and um he was with us for a little while, but he was not a very happy camper hmmm there was a pretty fraught relationship with his relatives that were very distressed yeh.10
It is clear in Sarahâs testimony how difficult it is for her to negotiate these complicated lives. From the very outset she signals that they are âprobably identifiable to talk aboutâ flagging her discomfort with talking about these men, and suggesting that the line of questioning was pushing the boundary of what should be private and what could be public.
In Sarahâs testimony it is apparent that this binary of in/out, and even of homosexual/heterosexual, is inadequate to describe the reality of peopleâs complex sexual lives and that this makes these stories hard to narrate. She notes, âI think one man was gay and I think there was another man that was married yeh [âŚ] I donât think he was openly gay certainly not to his family but he was gay yeh and the other man was he was married yeh.â11 From Sarahâs pauses and use of the filler âyehâ, it seems that this topic was hard for her to articulate.
What we can glean from Sarahâs story is that, of the two men she cared for with AIDS in Warrnambool, one was married and the other was not âoutâ to his family. Because neither man fitted clearly in the category of âoutâ and publicly gay, Sarah found their stories difficult to tell. Sarah notes that the man she identified as gay was not out to his family, yet clearly his sexuality was no secret â there was friction in the family because he had AIDS, suggesting they understood he had contracted the virus through sex with men. Regardless, because Sarah believed that he had not âcome outâ his story was confined to the private sphere, equally untellable as that of the man who was married.
It is notable as well in this passage that Sarah does not actually use the diagnostic term AIDS, instead referring to PCP â Pneumocystis pneumonia â an AIDS defining illness. Her language here is significant. She doesnât say âthere were a few peopleâ she says, âThere was probably a few people [âŚ] And theyâre probably identifiableâ12 even though it is clear that there were people in Warrnambool with AIDS defining illnesses. It is a strategy of skating, or hedging, around the reality of the situation, perhaps to alleviate her anxiety that she was breaching a confidence, but it also has the effect of making the existence of those queer lives, and the queer history they point to, feel tenuous and obscured.
The place of these menâs lives in her narrative became even more tenuous later on in the interview, when she appeared to have forgotten that she had mentioned them at all. I asked her about issues of confidentiality when treating men with HIV and AIDS in Warrnambool. I put to her, âI imagine that in regional hospitals once there were people with HIV and AIDS coming through itâs a very fraught thing to negotiate.â She responded definitively: âIt wouldâve been and there wasnât. There wasnât people coming through.â13 Here, those men that she had told me about earlier in the interview, the married man and the gay man, were completely absent. She did mention that maybe later on there had been a few men, whom she described as âpeople that were part of the community and didnât go anywhere else but yeh. Iâm assuming people went to Melbourne for their treatmentâ. Perhaps here she means âmost people went to Melbourneâ but the effect of her narration is to obscure the lives and choices of those men who did not.
This omission speaks to the unintelligibility of queer life outside metropolitan areas. Literary theorist Esther Saxey argues that the move from rural areas to the metropole in order to come out and experience gay life is central to the narrative of contemporary gay and lesbian identity, thus cementing the seeming impossibility of queerness outside of urban gay ghettos.14 Sarahâs unwillingness or inability to narrate the lives of HIV positive men in Warrnambool was perhaps also a reflection of the pervasive cultural narrative that associates coming out with leaving rural and regional areas behind, leaving queer lives outside the metropole in the closet. Certainly, it was notable that she was at ease speaking about the HIV positive men she encountered in Melbourne, a marked differen...